Imaging prices at Athens-Limestone Hospital
Athens, AL · every code in this section with a posted price and a Medicare benchmark.
308 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abdomen 1 View (74018) | $340 | $340 | 4.3× |
| Abdomen 2 views (74019) range across 5 matching MRF lines |
$410–$554 | $410–$554 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) range across 2 matching MRF lines |
$173–$1,376 | $173–$1,376 | varies |
| Angio pulmonary bilat (75743) | $491 | $491 | 0.2× |
| Angiography extremity bilateral rs&i (75716) range across 3 matching MRF lines |
$399–$3,174 | $399–$3,174 | varies |
| Angiography extremity unilateral rs&i (75710) range across 3 matching MRF lines |
$393–$3,174 | $393–$3,174 | varies |
| Angiography pulmonary unilateral slctv rs&i (75741) range across 2 matching MRF lines |
$399–$9,073 | $399–$9,073 | varies |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) range across 2 matching MRF lines |
$392–$1,738 | $392–$1,738 | varies |
| Ankle 2 views (73600) range across 8 matching MRF lines |
$25–$395 | $25–$395 | varies |
| Artery X-Rays Abdomen (75726) range across 2 matching MRF lines |
$392–$11,000 | $392–$11,000 | varies |
| Artery X-Rays Pelvis (75736) range across 2 matching MRF lines |
$392–$3,174 | $392–$3,174 | varies |
| Arthrogram hip (73525) range across 4 matching MRF lines |
$96–$1,306 | $96–$1,306 | varies |
| Arthrogram Wrist (73115) range across 5 matching MRF lines |
$96–$1,306 | $96–$1,306 | varies |
| Bone age studies (77072) range across 4 matching MRF lines |
$42–$554 | $42–$554 | varies |
| Bone Imaging 3 Phase (78315) range across 2 matching MRF lines |
$172–$1,967 | $172–$1,967 | varies |
| Bone Imaging Limited Area (78300) range across 2 matching MRF lines |
$93–$1,376 | $93–$1,376 | varies |
| Bone Imaging Multiple Areas (78305) | $734.50 | $734.50 | 2.0× |
| Bone Imaging Whole Body (78306) range across 2 matching MRF lines |
$153–$1,967 | $153–$1,967 | varies |
| Bone survey infant (77076) range across 4 matching MRF lines |
$40–$554 | $40–$554 | varies |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) range across 2 matching MRF lines |
$131–$1,756 | $131–$1,756 | varies |
| Cardiac MRI w/w/o contrast & further seq (75561) | $4,961 | $4,961 | 15.7× |
| Cat Scan Follow-Up Study (76380) range across 3 matching MRF lines |
$135–$941 | $135–$941 | varies |
| Cerebrospinal fluid flow, imaging (not including introduction of material); ventriculography Non-Facility (78635) range across 2 matching MRF lines |
$123–$1,756 | $123–$1,756 | varies |
| Cerebrospinal Fluid Scan (78630) | $166 | $166 | 0.3× |
| Chest 1 view (71045) | $311 | $311 | 3.9× |
| Chest 2 views (71046) range across 5 matching MRF lines |
$336–$388 | $336–$388 | varies |
| Chest 3 views (71047) | $336 | $336 | 4.3× |
| Chest 4 or more views (71048) | $311 | $311 | 3.3× |
| Cholecystography Oral Contrast (74290) range across 2 matching MRF lines |
$42–$159 | $42–$159 | varies |
| Clavicle complete (73000) range across 9 matching MRF lines |
$27–$656 | $27–$656 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 2 matching MRF lines |
$192–$1,928 | $192–$1,928 | varies |
| Contrast Exam Abdominl Aorta (75625) range across 2 matching MRF lines |
$392–$3,299 | $392–$3,299 | varies |
| Contrast X-Ray Bladder (74430) range across 2 matching MRF lines |
$42–$776 | $42–$776 | varies |
| Contrast X-Ray Of Elbow (73085) range across 3 matching MRF lines |
$653–$1,306 | $653–$1,306 | varies |
| Contrast X-Ray Of Knee Joint (73580) range across 5 matching MRF lines |
$93–$1,306 | $93–$1,306 | varies |
| CT abdomen and pelvis without and with contrast (74178) range across 6 matching MRF lines |
$4,015–$5,612 | $4,015–$5,612 | varies |
| CT abdomen and pelvis without contrast (74176) range across 3 matching MRF lines |
$2,817–$3,581 | $2,817–$3,581 | varies |
| CT abdomen w contrast (74160) range across 4 matching MRF lines |
$239–$2,471 | $239–$2,471 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$289–$2,936 | $289–$2,936 | varies |
| CT abdomen w/o contrast (74150) range across 3 matching MRF lines |
$204–$1,872 | $204–$1,872 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$1,650.60–$2,768 | $1,650.60–$2,768 | varies |
| CT Angio Chest (71275) range across 4 matching MRF lines |
$296–$2,558 | $296–$2,558 | varies |
| CT Angio Head (70496) range across 3 matching MRF lines |
$275–$2,710 | $275–$2,710 | varies |
| CT angio hrt w/3d image (75574) | $1,538 | $1,538 | 4.9× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 5 matching MRF lines |
$257–$1,901 | $257–$1,901 | varies |
| CT Angio Neck (70498) range across 3 matching MRF lines |
$275–$2,351 | $275–$2,351 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 5 matching MRF lines |
$257–$1,901 | $257–$1,901 | varies |
| CT cervical spine w/ contrast (72126) range across 2 matching MRF lines |
$305–$2,497 | $305–$2,497 | varies |
| CT cervical spine w/o contrast (72125) range across 3 matching MRF lines |
$209–$2,417 | $209–$2,417 | varies |
| CT cervical spine w/wo cont (72127) range across 3 matching MRF lines |
$293–$2,841 | $293–$2,841 | varies |
| CT chest w contrast (71260) range across 4 matching MRF lines |
$244–$2,380 | $244–$2,380 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$298–$2,835 | $298–$2,835 | varies |
| CT head/brain with contrast (70460) range across 4 matching MRF lines |
$201–$2,176 | $201–$2,176 | varies |
| CT head/brain without and with contrast (70470) range across 3 matching MRF lines |
$245–$2,679 | $245–$2,679 | varies |
| CT heart no contrast quant eval coronry calcium (75571) | $156 | $156 | 2.0× |
| CT hrt w/3d image congen (75573) | $1,538 | $1,538 | 4.9× |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$210–$2,108 | $210–$2,108 | varies |
| CT l-spine w&w/o contrast (72133) range across 3 matching MRF lines |
$356–$2,841 | $356–$2,841 | varies |
| CT lower ext w/o (73700) range across 4 matching MRF lines |
$180–$1,713 | $180–$1,713 | varies |
| CT lower extremity w/contrast material (73701) range across 5 matching MRF lines |
$223–$3,042 | $223–$3,042 | varies |
| CT lumbar spine w contrast (72132) range across 3 matching MRF lines |
$243–$2,368 | $243–$2,368 | varies |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$209–$1,895 | $209–$1,895 | varies |
| CT maxillofacial w contrast (70487) range across 3 matching MRF lines |
$207–$2,779 | $207–$2,779 | varies |
| CT maxillofacial wo contrast (70486) range across 3 matching MRF lines |
$226–$2,321 | $226–$2,321 | varies |
| CT neck tissue combo (70492) range across 3 matching MRF lines |
$252–$2,820 | $252–$2,820 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 3 matching MRF lines |
$252–$2,551 | $252–$2,551 | varies |
| CT orbits w/o contrast (70480) range across 3 matching MRF lines |
$186–$2,083 | $186–$2,083 | varies |
| CT pelvis w&w/o contrast (72194) range across 3 matching MRF lines |
$281–$2,677 | $281–$2,677 | varies |
| CT pelvis w/o contrast (72192) range across 3 matching MRF lines |
$206–$1,711 | $206–$1,711 | varies |
| CT scan of leg combo (73702) range across 3 matching MRF lines |
$253–$2,028 | $253–$2,028 | varies |
| CT scans face/jaw combo (70488) range across 3 matching MRF lines |
$251–$2,313 | $251–$2,313 | varies |
| CT soft tissue neck w contrast (70491) range across 3 matching MRF lines |
$210–$2,500 | $210–$2,500 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$232–$1,955 | $232–$1,955 | varies |
| CT thoracic spine w contrast (72129) range across 2 matching MRF lines |
$243–$2,368 | $243–$2,368 | varies |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$269–$1,895 | $269–$1,895 | varies |
| CT thoracic spine w/wo cont (72130) range across 2 matching MRF lines |
$293–$2,841 | $293–$2,841 | varies |
| CT thorax w/o contrast (71250) range across 3 matching MRF lines |
$209–$1,928 | $209–$1,928 | varies |
| CT upper ext wo (73200) range across 3 matching MRF lines |
$186–$1,923 | $186–$1,923 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 4 matching MRF lines |
$301–$3,264 | $301–$3,264 | varies |
| CT upper extremity with contrast (73201) range across 4 matching MRF lines |
$224–$2,566 | $224–$2,566 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 3 matching MRF lines |
$314–$2,671 | $314–$2,671 | varies |
| Cta Abdomen (74175) | $2,768 | $2,768 | 17.4× |
| CTA pelvis (72191) range across 3 matching MRF lines |
$287–$2,223 | $287–$2,223 | varies |
| Diskography lumbar (72295) | $1,986 | $1,986 | 1.1× |
| Dxa Bone Density Axial (77080) range across 4 matching MRF lines |
$97–$539 | $97–$539 | varies |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $38 | $38 | 0.5× |
| Echo Guide For Artery Repair (76936) range across 3 matching MRF lines |
$258–$524 | $258–$524 | varies |
| Esophagram (74220) range across 2 matching MRF lines |
$50–$565 | $50–$565 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $474 | $474 | 5.0× |
| Fluoroscopy up to 1 hr (76000) range across 4 matching MRF lines |
$50–$850 | $50–$850 | varies |
| Follow-Up Angiography (75898) range across 2 matching MRF lines |
$243–$1,328 | $243–$1,328 | varies |
| Foot 2 views (73620) range across 8 matching MRF lines |
$27–$395 | $27–$395 | varies |
| Forearm 2 views (73090) range across 9 matching MRF lines |
$250–$351 | $250–$351 | varies |
| Gastric emptying imaging study (78264) range across 2 matching MRF lines |
$146–$1,909 | $146–$1,909 | varies |
| Gastroesophageal Reflux Exam (78262) range across 2 matching MRF lines |
$145–$1,909 | $145–$1,909 | varies |
| Gated Heart Planar Single (78472) range across 2 matching MRF lines |
$192–$2,001 | $192–$2,001 | varies |
| Gated Heart, Multiple (78473) range across 2 matching MRF lines |
$286–$1,273 | $286–$1,273 | varies |
| Hand 2 views (73120) range across 11 matching MRF lines |
$27–$351 | $27–$351 | varies |
| Heart first pass single,planar (78481) range across 2 matching MRF lines |
$219–$1,189 | $219–$1,189 | varies |
| Hepatobil Syst Image W/Drug (78227) | $1,909 | $1,909 | 3.9× |
| Hepatobiliary System Imaging (78226) | $1,909 | $1,909 | 5.3× |
| Ht Muscle Image Spect Sing (78451) range across 2 matching MRF lines |
$2,536–$3,069 | $2,536–$3,069 | varies |
| Hysterosalpingogram (74740) range across 2 matching MRF lines |
$62–$890 | $62–$890 | varies |
| Infant hip ultrasound with hip movement (dynamic) (76885) range across 2 matching MRF lines |
$78–$524 | $78–$524 | varies |
| Infusion Ivp (74410) range across 2 matching MRF lines |
$77–$1,135 | $77–$1,135 | varies |
| Joint Survey Single View (77077) range across 4 matching MRF lines |
$44–$327 | $44–$327 | varies |
| K Flow/Funct Image W/Drug (78708) range across 2 matching MRF lines |
$170–$1,756 | $170–$1,756 | varies |
| K Flow/Funct Image W/O Drug (78707) range across 2 matching MRF lines |
$162–$1,756 | $162–$1,756 | varies |
| Kidney Imaging Morphol (78700) | $102 | $102 | 0.3× |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$33–$375 | $33–$375 | varies |
| Leveen/Shunt Patency Exam (78291) range across 2 matching MRF lines |
$119–$1,376 | $119–$1,376 | varies |
| Liver & Spleen Imaging Static Only (78215) range across 2 matching MRF lines |
$104–$1,376 | $104–$1,376 | varies |
| Liver imaging static only (78201) range across 2 matching MRF lines |
$85–$1,376 | $85–$1,376 | varies |
| Lung Perf&Ventilat Diferentl (78598) | $1,756 | $1,756 | 3.6× |
| Lung Ventilat&Perfus Imaging (78582) | $1,756 | $1,756 | 3.6× |
| Lung Ventilation Imaging (78579) | $884 | $884 | 2.4× |
| Lymph System Imaging (78195) | $1,691 | $1,691 | 3.4× |
| Magnetic Image Jaw Joint (70336) range across 4 matching MRF lines |
$364–$3,265 | $364–$3,265 | varies |
| Mammary ductogram or galactogram multiple (77054) range across 2 matching MRF lines |
$87–$1,108 | $87–$1,108 | varies |
| Mammary ductogram or galactogram single (77053) range across 2 matching MRF lines |
$87–$1,108 | $87–$1,108 | varies |
| Meckels Divert Exam (78290) range across 2 matching MRF lines |
$111–$1,376 | $111–$1,376 | varies |
| Mr safety determination physician/other qhp (76016) | $176 | $176 | 2.2× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $49 | $49 | 1.9× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) | $183.50 | $183.50 | 2.1× |
| Mr safety implt pos&/immoblj (76019) | $119 | $119 | 2.2× |
| Mr safety med physics xm customization plng&mntr (76017) | $483 | $483 | 2.2× |
| Mra Head W/O & W/Contrast Material (70546) range across 5 matching MRF lines |
$676–$4,270 | $676–$4,270 | varies |
| MRA head w/o contrast (70544) range across 4 matching MRF lines |
$362–$3,157 | $362–$3,157 | varies |
| MRA neck w contrast (70548) range across 4 matching MRF lines |
$362–$3,473 | $362–$3,473 | varies |
| Mra Neck W/O &W/Contrast Material (70549) range across 4 matching MRF lines |
$686–$3,699 | $686–$3,699 | varies |
| MRA neck w/o contrast (70547) range across 4 matching MRF lines |
$362–$2,866 | $362–$2,866 | varies |
| MRI abdomen w contrast (74182) range across 4 matching MRF lines |
$424–$3,157 | $424–$3,157 | varies |
| MRI abdomen w/o contrast (74181) range across 4 matching MRF lines |
$470–$2,605 | $470–$2,605 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 10 matching MRF lines |
$417–$3,787 | $417–$3,787 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 5 matching MRF lines |
$749–$4,073 | $749–$4,073 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 5 matching MRF lines |
$417–$3,652 | $417–$3,652 | varies |
| MRI Breast W/O Contrast Bilateral (77047) range across 3 matching MRF lines |
$407.34–$4,222 | $407.34–$4,222 | varies |
| MRI Breast Without Contrast Material Unilateral (77046) range across 3 matching MRF lines |
$407.34–$3,377 | $407.34–$3,377 | varies |
| MRI cardiac w/o contrast (75557) | $2,834 | $2,834 | 13.1× |
| MRI cervical spine w contrast (72142) range across 4 matching MRF lines |
$446–$3,946 | $446–$3,946 | varies |
| MRI cervical spine w/o cont (72141) range across 4 matching MRF lines |
$372–$3,630 | $372–$3,630 | varies |
| MRI chest w/o contrast (71550) range across 4 matching MRF lines |
$446–$2,834 | $446–$2,834 | varies |
| MRI chest with contrast (71551) range across 4 matching MRF lines |
$424–$3,626 | $424–$3,626 | varies |
| MRI chest wo w contrast (71552) range across 3 matching MRF lines |
$750–$4,961 | $750–$4,961 | varies |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 4 matching MRF lines |
$417–$3,473 | $417–$3,473 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 10 matching MRF lines |
$447–$4,094 | $447–$4,094 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 10 matching MRF lines |
$349–$3,453 | $349–$3,453 | varies |
| MRI lumbar spine w contrast (72149) range across 4 matching MRF lines |
$440–$3,946 | $440–$3,946 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 4 matching MRF lines |
$786–$4,419 | $786–$4,419 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 4 matching MRF lines |
$473–$2,944 | $473–$2,944 | varies |
| MRI orbit face neck w contrast (70542) range across 4 matching MRF lines |
$429–$3,258 | $429–$3,258 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 4 matching MRF lines |
$749–$3,157 | $749–$3,157 | varies |
| MRI pelvis w contrast (72196) range across 4 matching MRF lines |
$449–$2,960 | $449–$2,960 | varies |
| MRI pelvis w/o & w contrast (72197) range across 4 matching MRF lines |
$755–$3,157 | $755–$3,157 | varies |
| MRI pelvis w/o contrast (72195) range across 4 matching MRF lines |
$355–$2,677 | $355–$2,677 | varies |
| MRI spectroscopy (76390) range across 2 matching MRF lines |
$249–$672 | $249–$672 | varies |
| MRI thoracic spine w/o contrast (72146) range across 4 matching MRF lines |
$405–$2,944 | $405–$2,944 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 4 matching MRF lines |
$417–$3,652 | $417–$3,652 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 11 matching MRF lines |
$349–$3,402 | $349–$3,402 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 10 matching MRF lines |
$470–$3,946 | $470–$3,946 | varies |
| MRI, abdomen, combo (74183) range across 5 matching MRF lines |
$755–$3,384 | $755–$3,384 | varies |
| MRI, dorsal spine combo (72157) range across 4 matching MRF lines |
$786–$4,419 | $786–$4,419 | varies |
| MRI, dorsal spine contrast (72147) range across 4 matching MRF lines |
$446–$3,226 | $446–$3,226 | varies |
| MRI, joint upper extrem (73221) range across 5 matching MRF lines |
$364–$3,402 | $364–$3,402 | varies |
| MRI, joint upper extrem combo (73223) range across 5 matching MRF lines |
$749–$3,946 | $749–$3,946 | varies |
| MRI, lumbar spine combo (72158) range across 4 matching MRF lines |
$778–$4,419 | $778–$4,419 | varies |
| Myelogram cervical (72240) | $166 | $166 | 0.2× |
| Myelogram Lumbar (72265) | $146 | $146 | 0.2× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $124 | $124 | 0.3× |
| Myocardial Spect Multiple Studies (78452) | $3,469 | $3,469 | 3.0× |
| Neck soft tissue (70360) range across 5 matching MRF lines |
$29–$336 | $29–$336 | varies |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $613 | $613 | 1.7× |
| Nm red cell survival study (78130) range across 2 matching MRF lines |
$103–$1,376 | $103–$1,376 | varies |
| Nm whole blood volume (78122) range across 2 matching MRF lines |
$1,925–$2,330 | $1,925–$2,330 | varies |
| Parathyroid Planar Imaging (78070) range across 2 matching MRF lines |
$101–$1,357 | $101–$1,357 | varies |
| Parathyroid planar imaging w/wo subtraction (78071) | $1,357 | $1,357 | 3.7× |
| Pelvis 1 or 2 views (72170) range across 4 matching MRF lines |
$30–$355 | $30–$355 | varies |
| Platelet survival study Non-Facility (78191) range across 2 matching MRF lines |
$226–$1,137 | $226–$1,137 | varies |
| Pulmonary Perfusion Imaging Particulate (78580) range across 2 matching MRF lines |
$124–$1,756 | $124–$1,756 | varies |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 4 matching MRF lines |
$43–$636 | $43–$636 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 4 matching MRF lines |
$38–$743 | $38–$743 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 7 matching MRF lines |
$26–$395 | $26–$395 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 10 matching MRF lines |
$27–$395 | $27–$395 | varies |
| Radex elbow complete minimum 3 views (73080) range across 8 matching MRF lines |
$32–$351 | $32–$351 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 4 matching MRF lines |
$42–$352 | $42–$352 | varies |
| Radex fingr minimum 2 views (73140) range across 8 matching MRF lines |
$26–$279 | $26–$279 | varies |
| Radex foot complete minimum 3 views (73630) range across 8 matching MRF lines |
$25–$395 | $25–$395 | varies |
| Radex Hand Minimum 3 Views (73130) range across 8 matching MRF lines |
$32–$351 | $32–$351 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 4 matching MRF lines |
$22–$327 | $22–$327 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) range across 3 matching MRF lines |
$43–$352 | $43–$352 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 3 matching MRF lines |
$30–$406 | $30–$406 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 6 matching MRF lines |
$34–$458 | $34–$458 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 7 matching MRF lines |
$32–$460 | $32–$460 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 4 matching MRF lines |
$24–$352 | $24–$352 | varies |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) range across 2 matching MRF lines |
$62–$1,192 | $62–$1,192 | varies |
| Radex Spine 1 View Specify Level (72020) range across 2 matching MRF lines |
$27–$220 | $27–$220 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 4 matching MRF lines |
$33–$452 | $33–$452 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 4 matching MRF lines |
$41–$373 | $41–$373 | varies |
| Radex Toe Minimum 2 Views (73660) range across 12 matching MRF lines |
$26–$316 | $26–$316 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 3 matching MRF lines |
$22–$351 | $22–$351 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 8 matching MRF lines |
$27–$351 | $27–$351 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) range across 4 matching MRF lines |
$39–$485 | $39–$485 | varies |
| Radiologic exam colon double contrast study (74280) range across 2 matching MRF lines |
$102–$1,227 | $102–$1,227 | varies |
| Radiologic exam colon single contrast study (74270) range across 3 matching MRF lines |
$76–$788 | $76–$788 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 11 matching MRF lines |
$34–$475 | $34–$475 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 4 matching MRF lines |
$34–$527 | $34–$527 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 2 matching MRF lines |
$55–$626 | $55–$626 | varies |
| Radiologic exam swallow function contrast study (74230) range across 2 matching MRF lines |
$67–$689 | $67–$689 | varies |
| Radiologic exam upr gi trc double contrast study (74246) range across 3 matching MRF lines |
$72–$977 | $72–$977 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 6 matching MRF lines |
$378–$442 | $378–$442 | varies |
| Radiologic examination knee 1/2 views (73560) range across 12 matching MRF lines |
$27–$378 | $27–$378 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 10 matching MRF lines |
$27–$395 | $27–$395 | varies |
| Red Cell Volume Determination Spx 1 Sampling (78120) | $72 | $72 | 0.2× |
| Ribs bilateral 3 views (71110) range across 4 matching MRF lines |
$45–$563 | $45–$563 | varies |
| Rp loclzj tum plnr 1 area single day imaging (78800) range across 2 matching MRF lines |
$120–$1,187 | $120–$1,187 | varies |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $663.90 | $663.90 | 1.8× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) range across 3 matching MRF lines |
$2,294.35–$4,612 | $2,294.35–$4,612 | varies |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) range across 2 matching MRF lines |
$187–$2,294.35 | $187–$2,294.35 | varies |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 3 matching MRF lines |
$2,294.32–$2,399 | $2,294.32–$2,399 | varies |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $2,294.35 | $2,294.35 | 2.0× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $2,667 | $2,667 | 2.1× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $2,387 | $2,387 | 2.0× |
| Scapula (73010) range across 8 matching MRF lines |
$32–$419 | $32–$419 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $60 | $60 | 2.6× |
| Shoulder 1 view (73020) range across 4 matching MRF lines |
$27–$221 | $27–$221 | varies |
| Shoulder Arthrography (73040) range across 5 matching MRF lines |
$80–$1,306 | $80–$1,306 | varies |
| Sialogram (70390) | $525 | $525 | 2.4× |
| Skull less than 4 views (70250) range across 4 matching MRF lines |
$33–$470 | $33–$470 | varies |
| Spleen Imaging (78185) range across 2 matching MRF lines |
$82–$1,376 | $82–$1,376 | varies |
| Sternoclavicular joints (71130) range across 3 matching MRF lines |
$32–$341 | $32–$341 | varies |
| Testicular Imaging W/Flow (78761) range across 2 matching MRF lines |
$150–$1,756 | $150–$1,756 | varies |
| Thoracic spine 2 views (72070) range across 4 matching MRF lines |
$34–$452 | $34–$452 | varies |
| Thoracic spine 3 views (72072) range across 4 matching MRF lines |
$38–$482 | $38–$482 | varies |
| Thyroid Imaging With Vascular Flow (78013) | $1,218 | $1,218 | 3.4× |
| Thyroid Met Imaging Body (78018) range across 2 matching MRF lines |
$47–$1,376 | $47–$1,376 | varies |
| Thyroid Uptake Measurement (78012) | $706.96 | $706.96 | 2.0× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,610 | $1,610 | 4.4× |
| Ultrasound Breast Limited (76642) | $525 | $525 | 6.7× |
| Ultrasound elastography first target lesion (76982) | $192 | $192 | 2.0× |
| Ultrasound Elastography Parenchyma (76981) | $192 | $192 | 2.0× |
| Ultrasound Exam Aaa Screen (76706) | $882 | $882 | 9.3× |
| Ultrasound, abdomen limited (76705) range across 6 matching MRF lines |
$66–$524 | $66–$524 | varies |
| Unlisted Dx Radiographic Procedure (76499) range across 2 matching MRF lines |
$233–$327 | $233–$327 | varies |
| Unlisted Miscellaneous Px Dx Nuclear Medicine (78999) range across 2 matching MRF lines |
$53–$1,756 | $53–$1,756 | varies |
| Unlisted us procedure (76999) range across 2 matching MRF lines |
$89–$629 | $89–$629 | varies |
| Upper gi w/o kub (74240) | $540 | $540 | 3.4× |
| Urea Breath Test C-14 Isotopic Acquisj Analysis (78267) range across 2 matching MRF lines |
$8–$782 | $8–$782 | varies |
| Ureteral Reflux Study (78740) range across 2 matching MRF lines |
$81–$1,081 | $81–$1,081 | varies |
| Urethrocystogram voiding (74455) range across 2 matching MRF lines |
$65–$890 | $65–$890 | varies |
| Urethrocystography retrograde (74450) range across 2 matching MRF lines |
$54–$776 | $54–$776 | varies |
| Us breast unilateral complete (76641) | $525 | $525 | 5.5× |
| Us chest (76604) range across 2 matching MRF lines |
$84–$382 | $84–$382 | varies |
| Us complete joint (76881) | $541 | $541 | 5.7× |
| Us exam, pelvic, limited (76857) | $524 | $524 | 5.5× |
| Us head (76506) range across 3 matching MRF lines |
$101–$629 | $101–$629 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $353 | $353 | 3.7× |
| Us ob limited 1 or more fetuses (76815) range across 3 matching MRF lines |
$66–$524 | $66–$524 | varies |
| Us ob transvaginal (76817) | $583.32 | $583.32 | 6.2× |
| Us pelvic non ob complete (76856) range across 4 matching MRF lines |
$88–$886 | $88–$886 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 3 matching MRF lines |
$68–$634 | $68–$634 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 3 matching MRF lines |
$55–$524 | $55–$524 | varies |
| Us retroperitoneal complete (76770) range across 4 matching MRF lines |
$89–$374 | $89–$374 | varies |
| Us retroperitoneal limited (76775) range across 5 matching MRF lines |
$67–$524 | $67–$524 | varies |
| Us scrotum and contents (76870) range across 4 matching MRF lines |
$88–$886 | $88–$886 | varies |
| Us spinal canal and contents (76800) | $629 | $629 | 6.6× |
| Us thyroid (76536) range across 4 matching MRF lines |
$80–$629 | $80–$629 | varies |
| Us transrectal (76872) range across 2 matching MRF lines |
$111–$886 | $111–$886 | varies |
| Vasogram (74440) range across 2 matching MRF lines |
$47–$570 | $47–$570 | varies |
| Vein X-Ray Chest (75827) | $392 | $392 | 0.3× |
| Venogram Sinus/Jugular (75860) range across 2 matching MRF lines |
$392–$1,895 | $392–$1,895 | varies |
| Venography caval inferior serialography rs&i (75825) range across 3 matching MRF lines |
$392–$9,073 | $392–$9,073 | varies |
| Venography extremity bilateral rs&i (75822) range across 2 matching MRF lines |
$99–$813 | $99–$813 | varies |
| Venography extremity unilateral rs&i (75820) range across 3 matching MRF lines |
$61–$1,137 | $61–$1,137 | varies |
| Venography Renal Bilateral (75833) | $405 | $405 | 0.1× |
| Venography Renal Unilateral (75831) range across 2 matching MRF lines |
$392–$9,073 | $392–$9,073 | varies |
| Venous sampling by catheter (75893) range across 2 matching MRF lines |
$410–$9,073 | $410–$9,073 | varies |
| Wrist 2 views (73100) range across 4 matching MRF lines |
$27–$351 | $27–$351 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 5 matching MRF lines |
$33–$656 | $33–$656 | varies |
| X-ray antegrade pyelogram tube (74425) range across 5 matching MRF lines |
$53–$552 | $53–$552 | varies |
| X-Ray Aorta Leg Arteries (75630) range across 2 matching MRF lines |
$429–$3,174 | $429–$3,174 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 4 matching MRF lines |
$27–$288 | $27–$288 | varies |
| X-Ray Exam Breast Specimen (76098) | $948 | $948 | 1.9× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $418 | $418 | 5.3× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $448 | $448 | 4.7× |
| X-Ray Exam Hip Uni 1 View (73501) | $572 | $572 | 7.3× |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 9 matching MRF lines |
$327–$648 | $327–$648 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $442 | $442 | 4.7× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $442 | $442 | 4.7× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 4 matching MRF lines |
$32–$513 | $32–$513 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 4 matching MRF lines |
$45–$554 | $45–$554 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 6 matching MRF lines |
$44–$585 | $44–$585 | varies |
| X-ray eye for foreign body (70030) range across 2 matching MRF lines |
$35–$217 | $35–$217 | varies |
| X-ray humerus (73060) range across 10 matching MRF lines |
$30–$419 | $30–$419 | varies |
| X-ray IV pyelogram (ivp) (74400) range across 2 matching MRF lines |
$68–$799 | $68–$799 | varies |
| X-ray IV pyelogram+tomography (74415) range across 2 matching MRF lines |
$78–$1,245 | $78–$1,245 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 3 matching MRF lines |
$35–$460 | $35–$460 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 4 matching MRF lines |
$62–$399 | $62–$399 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 4 matching MRF lines |
$30–$285 | $30–$285 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 3 matching MRF lines |
$30–$391 | $30–$391 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 4 matching MRF lines |
$33–$352 | $33–$352 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 3 matching MRF lines |
$44–$569 | $44–$569 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 2 matching MRF lines |
$87–$790 | $87–$790 | varies |
| X-Rays Bone Length Studies (77073) range across 2 matching MRF lines |
$41–$554 | $41–$554 | varies |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$85–$554 | $85–$554 | varies |
| Xr c-spine 4 or 5 views (72050) range across 3 matching MRF lines |
$37–$513 | $37–$513 | varies |
| Xr facial bones less than 3 views (70140) range across 4 matching MRF lines |
$34–$352 | $34–$352 | varies |
| Xr orbits complete 4 views (70200) range across 4 matching MRF lines |
$41–$466 | $41–$466 | varies |
| Xr Tomogram Single Plane (76100) range across 3 matching MRF lines |
$71–$605 | $71–$605 | 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.