Imaging prices at Astera Health
Wadena, MN · every code in this section with a posted price and a Medicare benchmark.
262 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 3 matching MRF lines |
$636.02–$4,096.19 | $880.92–$5,673.39 | varies |
| Abdomen 1 View (74018) range across 3 matching MRF lines |
$61.76–$233.68 | $85.54–$323.65 | varies |
| Abdomen 2 views (74019) range across 3 matching MRF lines |
$74.65–$326.79 | $103.40–$452.62 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $520.42 | $720.81 | 1.3× |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$65.84–$217.86 | $91.19–$301.75 | varies |
| Arthrogram hip (73525) | $682.55 | $945.36 | 1.9× |
| Basic radiation dosimetry calculation (77300) range across 3 matching MRF lines |
$92.08–$388.55 | $127.54–$538.16 | varies |
| Bone age studies (77072) range across 2 matching MRF lines |
$52.94–$235.86 | $73.33–$326.67 | varies |
| Bone Imaging 3 Phase (78315) range across 2 matching MRF lines |
$644.80–$1,381.19 | $893.08–$1,913 | varies |
| Bone Imaging Limited Area (78300) | $1,217.86 | $1,686.79 | 3.0× |
| Bone Imaging Whole Body (78306) range across 2 matching MRF lines |
$548.42–$1,381.19 | $759.59–$1,913 | varies |
| Bone survey infant (77076) | $465.65 | $644.95 | 4.3× |
| Chest 1 view (71045) range across 4 matching MRF lines |
$52.27–$211.23 | $72.39–$292.56 | varies |
| Chest 2 views (71046) range across 3 matching MRF lines |
$68.55–$226.15 | $94.95–$313.23 | varies |
| Chest 4 or more views (71048) range across 2 matching MRF lines |
$374.65–$382.98 | $518.90–$530.45 | varies |
| Clavicle complete (73000) range across 3 matching MRF lines |
$66.52–$157.40 | $92.13–$218 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 2 matching MRF lines |
$287.10–$960.93 | $397.65–$1,330.93 | varies |
| Continuing medical physics consltj pr wk (77336) | $494.95 | $685.52 | 3.6× |
| Contrast X-Ray Bladder (74430) range across 2 matching MRF lines |
$84.16–$649.11 | $116.57–$899.04 | varies |
| Corpora cavernosography (74445) | $809.20 | $1,120.78 | 7.5× |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$711.32–$2,992.65 | $985.21–$4,144.95 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$382.13–$2,207.95 | $529.27–$3,058.10 | varies |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$487.33–$1,607.19 | $674.97–$2,226.02 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$547.74–$2,620.14 | $758.64–$3,629 | varies |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$285.07–$1,390.59 | $394.84–$1,926.02 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$794.81–$4,600.58 | $1,100.84–$6,372 | varies |
| CT Angio Chest (71275) range across 3 matching MRF lines |
$587.79–$2,028.35 | $814.11–$2,809.35 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$576.25–$1,882.17 | $798.13–$2,606.89 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 3 matching MRF lines |
$674.67–$2,198.57 | $934.45–$3,045.11 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$575.58–$1,772.48 | $797.20–$2,454.96 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 2 matching MRF lines |
$2,046.89–$2,098.46 | $2,835.03–$2,906.46 | varies |
| CT cervical spine w/ contrast (72126) range across 2 matching MRF lines |
$352.26–$1,897.63 | $487.90–$2,628.29 | varies |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$271.49–$1,681.03 | $376.03–$2,328.29 | varies |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$348.87–$1,650.61 | $483.20–$2,286.16 | varies |
| CT chest w/wo contrast (71270) range across 3 matching MRF lines |
$409.96–$2,686.97 | $567.81–$3,721.57 | varies |
| CT colonography screening (74263) range across 2 matching MRF lines |
$1,372.41–$2,843.96 | $1,900.84–$3,939 | varies |
| CT colonogrphy dx image postprocess w/o contrast (74261) range across 2 matching MRF lines |
$866.07–$2,843.96 | $1,199.54–$3,939 | varies |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$309.50–$1,902.04 | $428.67–$2,634.40 | varies |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$362.44–$2,472.85 | $502–$3,425 | varies |
| CT iac w contrast (70481) range across 3 matching MRF lines |
$377.37–$1,539.53 | $522.68–$2,132.31 | varies |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$270.14–$1,486.63 | $374.16–$2,059.05 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$348.20–$2,064.34 | $482.27–$2,859.19 | varies |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$352.95–$1,897.63 | $488.85–$2,628.29 | varies |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$269.46–$1,681.03 | $373.22–$2,328.29 | varies |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$317.64–$1,607.19 | $439.95–$2,226.02 | varies |
| CT maxillofacial wo contrast (70486) range across 3 matching MRF lines |
$267.43–$1,390.59 | $370.40–$1,926.02 | varies |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$461.54–$2,269.86 | $639.25–$3,143.85 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 2 matching MRF lines |
$440.50–$2,252.42 | $610.11–$3,119.69 | varies |
| CT orbits w/o contrast (70480) range across 4 matching MRF lines |
$331.90–$1,607.19 | $459.70–$2,226.02 | varies |
| CT pelvis w&w/o contrast (72194) | $2,606.58 | $3,610.22 | 14.4× |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$277.61–$1,698.25 | $384.50–$2,352.14 | varies |
| CT scan of leg combo (73702) range across 2 matching MRF lines |
$407.92–$2,441.26 | $564.99–$3,381.24 | varies |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
$384.85–$2,295.64 | $533.03–$3,179.56 | varies |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$384.85–$1,577.71 | $533.03–$2,185.19 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$312.90–$1,361.11 | $433.38–$1,885.19 | varies |
| CT thoracic spine w contrast (72129) | $1,897.63 | $2,628.29 | 10.5× |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$270.81–$1,681.03 | $375.09–$2,328.29 | varies |
| CT thoracic spine w/wo cont (72130) | $2,441.26 | $3,381.24 | 13.5× |
| CT thorax w/o contrast (71250) range across 4 matching MRF lines |
$277.61–$1,442.25 | $384.50–$1,997.57 | varies |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$336.65–$1,486.63 | $466.28–$2,059.05 | varies |
| CT upper extremity w/o & w/contrast material (73202) | $2,416.98 | $3,347.62 | 13.4× |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$419.46–$1,988.50 | $580.97–$2,754.15 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$857.92–$2,098.85 | $1,188.26–$2,907 | varies |
| Cta Abdomen (74175) range across 3 matching MRF lines |
$638.69–$2,028.35 | $884.61–$2,809.35 | varies |
| CTA pelvis (72191) | $2,250.90 | $3,117.59 | 12.4× |
| Dxa Bone Density Axial (77080) range across 5 matching MRF lines |
$79.42–$269.91 | $110–$373.83 | varies |
| Dxa bone density study 1/>sites appendiclr skel (77081) range across 2 matching MRF lines |
$64.47–$164.62 | $89.30–$228 | varies |
| Echo exam uterus (76831) range across 3 matching MRF lines |
$236.87–$464.90 | $328.08–$643.90 | varies |
| Echograp Trans R Pros Study (76873) | $475.51 | $658.60 | 4.4× |
| Esophagram (74220) range across 2 matching MRF lines |
$198.19–$548.72 | $274.50–$760 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 2 matching MRF lines |
$174.44–$581.69 | $241.60–$805.66 | varies |
| Fluoroscopy up to 1 hr (76000) range across 5 matching MRF lines |
$86.88–$21,747.76 | $120.33–$30,121.55 | varies |
| Foot 2 views (73620) range across 3 matching MRF lines |
$58.37–$203.58 | $80.85–$281.96 | varies |
| Forearm 2 views (73090) range across 3 matching MRF lines |
$59.73–$258.76 | $82.73–$358.39 | varies |
| Gastric emptying imaging study (78264) range across 2 matching MRF lines |
$614.93–$1,381.19 | $851.71–$1,913 | varies |
| Hand 2 views (73120) range across 3 matching MRF lines |
$64.47–$183.68 | $89.30–$254.40 | varies |
| Hepatobil Syst Image W/Drug (78227) | $1,381.19 | $1,913 | 2.5× |
| Hepatobiliary System Imaging (78226) range across 2 matching MRF lines |
$604.08–$1,164.59 | $836.68–$1,613 | varies |
| Hysterosalpingogram (74740) range across 3 matching MRF lines |
$190.72–$753.84 | $264.16–$1,044.10 | varies |
| Infusion Ivp (74410) | $1,019.28 | $1,411.74 | 5.6× |
| Joint Survey Single View (77077) range across 3 matching MRF lines |
$95.70–$243.44 | $132.55–$337.18 | varies |
| K Flow/Funct Image Multiple (78709) | $1,625.58 | $2,251.50 | 2.9× |
| K Flow/Funct Image W/Drug (78708) range across 2 matching MRF lines |
$356.34–$1,734.24 | $493.55–$2,402 | varies |
| K Flow/Funct Image W/O Drug (78707) | $1,672.48 | $2,316.45 | 3.0× |
| Knee 3 Views (73562) range across 5 matching MRF lines |
$83.48–$251.99 | $115.63–$349.01 | varies |
| Lung Ventilat&Perfus Imaging (78582) | $1,734.24 | $2,402 | 3.1× |
| Lung Ventilation Imaging (78579) | $900.16 | $1,246.76 | 2.2× |
| Lymph System Imaging (78195) | $1,381.19 | $1,913 | 2.5× |
| Magnetic Image Jaw Joint (70336) range across 2 matching MRF lines |
$140.49–$1,443.97 | $194.59–$1,999.96 | varies |
| Mammary ductogram or galactogram multiple (77054) | $149.40 | $206.93 | 0.6× |
| Mammary ductogram or galactogram single (77053) | $113.76 | $157.56 | 0.5× |
| Meckels Divert Exam (78290) | $520.42 | $720.81 | 1.3× |
| Mlc imrt design & construction per imrt plan (77338) range across 3 matching MRF lines |
$636.98–$1,001.99 | $882.24–$1,387.80 | varies |
| Mra Head W/O & W/Contrast Material (70546) range across 2 matching MRF lines |
$141.18–$3,150.09 | $195.54–$4,363 | varies |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$114.03–$2,295.24 | $157.93–$3,179 | varies |
| MRA head with contrast (70545) | $2,485.24 | $3,442.16 | 6.9× |
| MRA neck w contrast (70548) range across 2 matching MRF lines |
$143.22–$2,295.24 | $198.36–$3,179 | varies |
| Mra Neck W/O &W/Contrast Material (70549) range across 2 matching MRF lines |
$171.03–$3,150.09 | $236.89–$4,363 | varies |
| MRA neck w/o contrast (70547) range across 2 matching MRF lines |
$114.03–$1,522.08 | $157.93–$2,108.15 | varies |
| MRI abdomen w contrast (74182) range across 2 matching MRF lines |
$1,853.50–$2,199.33 | $2,567.18–$3,046.16 | varies |
| MRI abdomen w/o contrast (74181) range across 3 matching MRF lines |
$139.14–$2,084.41 | $192.72–$2,887 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 3 matching MRF lines |
$154.75–$1,874.74 | $214.34–$2,596.59 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 3 matching MRF lines |
$204.98–$3,171.75 | $283.90–$4,393 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 3 matching MRF lines |
$155.42–$2,244.45 | $215.27–$3,108.65 | varies |
| MRI Breast W/O Contrast Bilateral (77047) | $1,440.16 | $1,994.68 | 5.8× |
| MRI cervical spine w contrast (72142) | $2,228.15 | $3,086.08 | 6.2× |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$141.18–$1,979.63 | $195.54–$2,741.87 | varies |
| MRI chest w/o contrast (71550) range across 3 matching MRF lines |
$139.14–$1,768.56 | $192.72–$2,449.53 | varies |
| MRI chest with contrast (71551) range across 2 matching MRF lines |
$2,299.43–$2,610.38 | $3,184.81–$3,615.48 | varies |
| MRI chest wo w contrast (71552) range across 3 matching MRF lines |
$215.16–$3,585.66 | $298.01–$4,966.29 | varies |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $1,874.74 | $2,596.59 | 5.2× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 3 matching MRF lines |
$204.30–$3,171.75 | $282.97–$4,393 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 3 matching MRF lines |
$128.28–$2,027.85 | $177.68–$2,808.65 | varies |
| MRI lumbar spine w contrast (72149) range across 2 matching MRF lines |
$170.36–$2,199.33 | $235.96–$3,046.16 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$218.55–$3,423.63 | $302.70–$4,741.87 | varies |
| MRI orbit face &/neck w/o contrast (70540) | $2,068.88 | $2,865.49 | 8.4× |
| MRI orbit face neck w contrast (70542) | $2,787.84 | $3,861.27 | 7.7× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 2 matching MRF lines |
$204.30–$3,436 | $282.97–$4,759 | varies |
| MRI pelvis w contrast (72196) | $1,874.74 | $2,596.59 | 5.2× |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$209.06–$3,171.75 | $289.55–$4,393 | varies |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$139.82–$2,883.67 | $193.65–$3,994 | varies |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$141.18–$1,979.63 | $195.54–$2,741.87 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) | $2,199.33 | $3,046.16 | 6.1× |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 3 matching MRF lines |
$129.64–$2,213.65 | $179.55–$3,066 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 3 matching MRF lines |
$204.98–$2,570.32 | $283.90–$3,560 | varies |
| MRI, abdomen, combo (74183) range across 5 matching MRF lines |
$209.06–$3,573.32 | $289.55–$4,949.20 | varies |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$218.55–$3,423.63 | $302.70–$4,741.87 | varies |
| MRI, dorsal spine contrast (72147) | $2,228.15 | $3,086.08 | 6.2× |
| MRI, joint upper extrem (73221) range across 4 matching MRF lines |
$129.64–$2,027.85 | $179.55–$2,808.65 | varies |
| MRI, joint upper extrem combo (73223) range across 3 matching MRF lines |
$205.65–$3,171.75 | $284.84–$4,393 | varies |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$218.55–$3,423.63 | $302.70–$4,741.87 | varies |
| Myelogram Lumbar (72265) | $1,351.52 | $1,871.91 | 1.7× |
| Myocardial Spect Multiple Studies (78452) range across 2 matching MRF lines |
$2,139.29–$4,835.47 | $2,963–$6,697.32 | varies |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$63.80–$154.80 | $88.37–$214.40 | varies |
| Nonvascular Shunt X-Ray (75809) | $229.03 | $317.22 | 2.1× |
| Ntsty modul radthx pln dose-vol histos (77301) range across 3 matching MRF lines |
$1,185.65–$5,169.58 | $1,642.18–$7,160.09 | varies |
| Ob us nuchal meas 1 gest (76813) | $496.74 | $688.01 | 4.6× |
| Parathyroid Planar Imaging (78070) | $1,164.59 | $1,613 | 2.8× |
| Parathyroid planar imaging w/wo subtraction (78071) range across 2 matching MRF lines |
$652.27–$990.18 | $903.42–$1,371.44 | varies |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$57.01–$225.99 | $78.96–$313 | varies |
| PET image w/CT, full body (78816) range across 3 matching MRF lines |
$228.06–$3,668.94 | $315.87–$5,081.64 | varies |
| PET imaging CT attenuation skull base mid-thigh (78815) range across 7 matching MRF lines |
$226.01–$3,668.94 | $313.04–$5,081.64 | varies |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,641.47 | $2,273.50 | 4.0× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$101.81–$326.34 | $141.01–$452 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) | $722.72 | $1,001 | 1.3× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$74.65–$232.27 | $103.40–$321.71 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$58.37–$200.98 | $80.85–$278.36 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$67.19–$254.28 | $93.06–$352.19 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$96.38–$385.26 | $133.49–$533.60 | varies |
| Radex fingr minimum 2 views (73140) range across 11 matching MRF lines |
$78.06–$175.26 | $108.11–$242.74 | varies |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$69.91–$256.76 | $96.83–$355.63 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$76.02–$249.49 | $105.29–$345.56 | varies |
| Radex lower extremity infant minimum 2 views (73592) | $208.56 | $288.86 | 2.3× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$76.70–$241.93 | $106.23–$335.08 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 3 matching MRF lines |
$74.65–$189.16 | $103.40–$262 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$71.27–$257.03 | $98.71–$356 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$65.84–$133.93 | $91.19–$185.50 | varies |
| Radex Spine 1 View Specify Level (72020) range across 4 matching MRF lines |
$49.55–$189.16 | $68.63–$262 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$68.55–$241.93 | $94.95–$335.08 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $317.77 | $440.12 | 3.5× |
| Radex Toe Minimum 2 Views (73660) range across 11 matching MRF lines |
$59.73–$174.72 | $82.73–$242 | varies |
| Radex upper extremity infant minimum 2 views (73092) | $208.56 | $288.86 | 1.9× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$84.16–$249.49 | $116.57–$345.56 | varies |
| Radiation treatment delivery level 1 (77402) | $373.34 | $517.09 | 3.5× |
| Radiation treatment delivery level 2 (77407) | $621.44 | $860.72 | 1.6× |
| Radiation treatment delivery level 3 (77412) | $695.84 | $963.77 | 1.2× |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$88.91–$353.41 | $123.15–$489.49 | varies |
| Radiologic exam colon double contrast study (74280) | $795.64 | $1,102 | 4.4× |
| Radiologic exam colon single contrast study (74270) range across 3 matching MRF lines |
$312.21–$880.12 | $432.43–$1,219 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$96.38–$300.52 | $133.49–$416.23 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$86.20–$300.35 | $119.39–$416 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 2 matching MRF lines |
$247.74–$431.52 | $343.13–$597.68 | varies |
| Radiologic exam swallow function contrast study (74230) range across 2 matching MRF lines |
$253.85–$386.02 | $351.59–$534.65 | varies |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$283.04–$850.52 | $392.02–$1,178 | varies |
| Radiologic examination femur 1 view (73551) | $160.77 | $222.68 | 1.8× |
| Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines |
$72.63–$222.71 | $100.59–$308.46 | varies |
| Radiologic examination knee 1/2 views (73560) range across 10 matching MRF lines |
$69.91–$689.52 | $96.83–$955.01 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 4 matching MRF lines |
$64.47–$589.27 | $89.30–$816.16 | varies |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$89.60–$241.93 | $124.10–$335.08 | varies |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $2,139.29 | $2,963 | 3.8× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $2,139.29 | $2,963 | 1.6× |
| Scapula (73010) range across 3 matching MRF lines |
$48.86–$157.40 | $67.68–$218 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 3 matching MRF lines |
$97.77–$105.88 | $135.42–$146.65 | varies |
| Shoulder 1 view (73020) range across 3 matching MRF lines |
$44.11–$249.49 | $61.10–$345.56 | varies |
| Shoulder Arthrography (73040) | $1,128.49 | $1,563 | 3.1× |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$73.30–$241.93 | $101.53–$335.08 | varies |
| Special dosimetry (77331) | $521.77 | $722.68 | 3.8× |
| Special Physics Consult (77370) | $593.28 | $821.72 | 4.3× |
| Special teletherapy port plan (77321) range across 3 matching MRF lines |
$141.44–$1,433.60 | $195.90–$1,985.60 | varies |
| Special treatment procedure (77470) range across 3 matching MRF lines |
$301.87–$1,766.84 | $418.10–$2,447.14 | varies |
| Stereotactic Body Radiation Delivery (77373) | $4,618.61 | $6,396.97 | 2.5× |
| Sternoclavicular joints (71130) | $241.93 | $335.08 | 2.7× |
| Telethx isodose pln cplx w/basic dosimetry (77307) range across 3 matching MRF lines |
$430.02–$1,433.60 | $595.60–$1,985.60 | varies |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $1,243.14 | $1,721.80 | 3.2× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) range across 3 matching MRF lines |
$232.57–$1,433.60 | $322.12–$1,985.60 | varies |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $1,243.14 | $1,721.80 | 3.2× |
| Ther rad simulaj-aided field setting simple (77280) range across 3 matching MRF lines |
$106.32–$700.35 | $147.26–$970.01 | varies |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$67.19–$234.95 | $93.06–$325.42 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$80.77–$243.18 | $111.87–$336.82 | varies |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$70.59–$234.95 | $97.77–$325.42 | varies |
| Thyroid Imaging With Vascular Flow (78013) | $576.41 | $798.35 | 1.4× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) range across 2 matching MRF lines |
$443.21–$1,164.59 | $613.87–$1,613 | varies |
| Tx Devices Design & Construction Complex (77334) range across 3 matching MRF lines |
$170.87–$1,035.50 | $236.66–$1,434.21 | varies |
| Tx devices design & construction intermediate (77333) | $493.25 | $683.17 | 3.6× |
| Tx devices design & construction simple (77332) range across 3 matching MRF lines |
$67.41–$460.28 | $93.36–$637.51 | varies |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$173.09–$370.16 | $239.73–$512.69 | varies |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
$217.20–$499.98 | $300.83–$692.50 | varies |
| Ultrasound, abdomen limited (76705) range across 6 matching MRF lines |
$177.15–$684.56 | $245.36–$948.14 | varies |
| Umbilical-artery Doppler (OB) (76820) range across 2 matching MRF lines |
$90.95–$168.36 | $125.97–$233.19 | varies |
| Unlisted us procedure (76999) range across 2 matching MRF lines |
$124.18–$236.61 | $172–$327.72 | varies |
| Upper gi w/o kub (74240) range across 3 matching MRF lines |
$249.78–$770.37 | $345.95–$1,067 | varies |
| Urethrocystogram voiding (74455) | $769.77 | $1,066.16 | 3.1× |
| Us breast unilateral complete (76641) | $442.36 | $612.69 | 4.1× |
| Us chest (76604) range across 3 matching MRF lines |
$116.07–$524.17 | $160.76–$726 | varies |
| Us exam, pelvic, limited (76857) range across 4 matching MRF lines |
$100.46–$294.58 | $139.14–$408 | varies |
| Us kidney transplant (76776) | $445.47 | $617 | 4.1× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 4 matching MRF lines |
$128.96–$537.62 | $178.62–$744.62 | varies |
| Us ob limited 1 or more fetuses (76815) range across 3 matching MRF lines |
$164.93–$323.83 | $228.44–$448.52 | varies |
| Us ob transvaginal (76817) range across 3 matching MRF lines |
$188.69–$407.21 | $261.35–$564 | varies |
| Us pelvic non ob complete (76856) range across 3 matching MRF lines |
$214.48–$537.64 | $297.07–$744.65 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$238.91–$529.36 | $330.90–$733.18 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 2 matching MRF lines |
$223.98–$331.75 | $310.22–$459.49 | varies |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$220.59–$554.47 | $305.53–$767.97 | varies |
| Us retroperitoneal limited (76775) range across 5 matching MRF lines |
$121.49–$442.35 | $168.27–$612.68 | varies |
| Us scrotum and contents (76870) range across 3 matching MRF lines |
$203.62–$420.20 | $282.02–$582 | varies |
| Us spinal canal and contents (76800) | $526.32 | $728.98 | 4.9× |
| Us thyroid (76536) range across 4 matching MRF lines |
$224.66–$339.80 | $311.17–$470.64 | varies |
| Us transrectal (76872) | $844.91 | $1,170.24 | 7.8× |
| Wrist 2 views (73100) range across 3 matching MRF lines |
$69.23–$183.68 | $95.88–$254.40 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$59.05–$238.14 | $81.78–$329.83 | varies |
| X-ray antegrade pyelogram tube (74425) | $649.11 | $899.04 | 1.8× |
| X-Ray Bend Only L-S Spine (72120) range across 2 matching MRF lines |
$82.81–$244.04 | $114.69–$338 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$59.73–$224.48 | $82.73–$310.92 | varies |
| X-Ray Exam Breast Specimen (76098) range across 2 matching MRF lines |
$86.88–$446.20 | $120.33–$618 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 2 matching MRF lines |
$86.88–$243.18 | $120.33–$336.82 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$143.22–$281.36 | $198.36–$389.70 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 3 matching MRF lines |
$67.19–$260.21 | $93.06–$360.40 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 6 matching MRF lines |
$97.06–$317.99 | $134.43–$440.43 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 3 matching MRF lines |
$109.96–$328.32 | $152.30–$454.74 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) range across 2 matching MRF lines |
$126.25–$480.82 | $174.86–$665.95 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$124.88–$262.09 | $172.97–$363 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 3 matching MRF lines |
$80.77–$222.71 | $111.87–$308.46 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$127.60–$243.18 | $176.73–$336.82 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 3 matching MRF lines |
$86.20–$278.06 | $119.39–$385.13 | varies |
| X-ray eye for foreign body (70030) | $66.52 | $92.13 | 0.7× |
| X-ray humerus (73060) range across 3 matching MRF lines |
$65.16–$214.10 | $90.25–$296.54 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 2 matching MRF lines |
$79.42–$241.93 | $110–$335.08 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$81.45–$300.52 | $112.81–$416.23 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$81.45–$262.09 | $112.81–$363 | varies |
| X-ray nose-rectum child f.b. (76010) range across 2 matching MRF lines |
$59.73–$276.81 | $82.73–$383.40 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$107.24–$429.25 | $148.53–$594.53 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$80.09–$225.99 | $110.93–$313 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$66.52–$233.21 | $92.13–$323 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$76.70–$241.93 | $106.23–$335.08 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $317.77 | $440.12 | 2.9× |
| X-Ray Stress View (77071) range across 2 matching MRF lines |
$111.99–$243.44 | $155.11–$337.18 | varies |
| X-ray thoracic spine 4 vw (72074) range across 2 matching MRF lines |
$90.95–$280.87 | $125.97–$389.02 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $824.52 | $1,142 | 2.3× |
| X-Rays Bone Length Studies (77073) range across 2 matching MRF lines |
$92.31–$281.36 | $127.86–$389.70 | varies |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$202.94–$394.21 | $281.08–$546 | varies |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$109.27–$280.87 | $151.35–$389.02 | varies |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$97.74–$317.77 | $135.38–$440.12 | 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.