Imaging prices at Atrium Health Anson
Wadesboro, NC · every code in this section with a posted price and a Medicare benchmark.
404 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) | $4,738.38 | $9,476.75 | 3.5× |
| Abdomen 1 View (74018) | $224.43 | $448.85 | 2.7× |
| Abdomen 2 views (74019) | $235.68 | $471.35 | 2.3× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $996.35 | $1,992.70 | 2.6× |
| Angio internal mammary (75756) | $576.43 | $1,152.85 | 0.2× |
| Angio pulmonary bilat (75743) | $2,709.08 | $5,418.15 | 0.9× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $9,745.08 | $19,490.15 | 3.2× |
| Angiography extremity bilateral rs&i (75716) | $4,855.13 | $9,710.25 | 1.6× |
| Angiography extremity unilateral rs&i (75710) | $2,427.55 | $4,855.10 | 0.8× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $1,354.55 | $2,709.10 | 0.4× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $1,114.10 | $2,228.20 | 0.4× |
| Ankle 2 views (73600) | $219.60 | $439.20 | 2.6× |
| Aortography thoracic serialography rs&i (75605) unusually low: confirm this is the full procedure |
$2,414.08 | $4,828.15 | 0.4× |
| Aortography thoracic w/o serialography rs&i (75600) | $4,158.23 | $8,316.45 | 1.4× |
| Artery X-Rays Abdomen (75726) unusually low: confirm this is the full procedure |
$2,364.93 | $4,729.85 | 0.4× |
| Artery X-Rays Adrenal Gland (75731) | $4,872.53 | $9,745.05 | 1.6× |
| Artery X-Rays Pelvis (75736) unusually low: confirm this is the full procedure |
$2,327.08 | $4,654.15 | 0.4× |
| Artery X-Rays Spine (75705) likely a partial charge, not the full procedure |
$1,588.43 | $3,176.85 | 0.3× |
| Arthrogram hip (73525) | $588.75 | $1,177.50 | 1.7× |
| Arthrogram Wrist (73115) | $744.15 | $1,488.30 | 2.2× |
| Basic radiation dosimetry calculation (77300) | $514.05 | $1,028.10 | 3.9× |
| Bone age studies (77072) | $227.08 | $454.15 | 2.2× |
| Bone Imaging 3 Phase (78315) | $1,393.93 | $2,787.85 | 3.6× |
| Bone Imaging Limited Area (78300) | $1,105.90 | $2,211.80 | 2.8× |
| Bone Imaging Whole Body (78306) | $1,396.88 | $2,793.75 | 3.6× |
| Bone marrow imaging limited area (78102) | $693.13 | $1,386.25 | 1.8× |
| Bone marrow imaging; whole body (78104) | $1,003.80 | $2,007.60 | 2.6× |
| Bone survey infant (77076) | $410.73 | $821.45 | 4.0× |
| Brachytx isodose complex (77318) | $1,860.08 | $3,720.15 | 5.1× |
| Brachytx isodose intermed (77317) | $1,680.28 | $3,360.55 | 4.6× |
| Brachytx Isodose Plan Simple (77316) | $1,269.20 | $2,538.40 | 3.5× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $2,945.18 | $5,890.35 | 2.1× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $1,946.48 | $3,892.95 | 5.7× |
| Cardiac MRI w/w/o contrast w/stress (75563) | $2,043.80 | $4,087.60 | 2.7× |
| Cardiac Shunt Detection (78428) | $860.63 | $1,721.25 | 2.2× |
| Cat Scan Follow-Up Study (76380) | $659.45 | $1,318.90 | 7.8× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $754.68 | $1,509.35 | 1.4× |
| Cerebrospinal Fluid Scan (78630) | $806.60 | $1,613.20 | 1.5× |
| Chest 1 view (71045) | $186.83 | $373.65 | 2.2× |
| Chest 2 views (71046) | $232.30 | $464.60 | 2.7× |
| Chest 3 views (71047) | $193.95 | $387.90 | 2.3× |
| Chest 4 or more views (71048) | $255.33 | $510.65 | 2.5× |
| Cineradiograpy/vidradiograpy xcpt where spec (76120) | $392.20 | $784.40 | 3.9× |
| Cisternography Positive Contrast Rs&I (70015) | $897.88 | $1,795.75 | 1.2× |
| Clavicle complete (73000) | $222.20 | $444.40 | 2.6× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $567.08 | $1,134.15 | 5.6× |
| Continuing medical physics consltj pr wk (77336) | $656 | $1,312 | 5.0× |
| Contrast Exam Abdominl Aorta (75625) | $2,786.28 | $5,572.55 | 0.9× |
| Contrast X-Ray Bladder (74430) | $424.25 | $848.50 | 1.3× |
| Contrast X-Ray Of Elbow (73085) | $588.75 | $1,177.50 | 1.7× |
| Contrast X-Ray Of Knee Joint (73580) | $577.58 | $1,155.15 | 1.7× |
| Contrast Xray Throat/Cerv Esopha (74210) | $324.20 | $648.40 | 1.9× |
| CT abdomen and pelvis without and with contrast (74178) | $3,810.23 | $7,620.45 | 11.2× |
| CT abdomen and pelvis without contrast (74176) | $2,874.83 | $5,749.65 | 12.4× |
| CT abdomen w contrast (74160) | $1,608.98 | $3,217.95 | 9.4× |
| CT abdomen w wo contrast (74170) | $2,143.33 | $4,286.65 | 12.6× |
| CT abdomen w/o contrast (74150) | $1,363.35 | $2,726.70 | 13.4× |
| CT Angio Abdomen and Pelvis (74174) | $2,839.85 | $5,679.70 | 8.4× |
| CT Angio Chest (71275) | $2,094.23 | $4,188.45 | 12.3× |
| CT Angio Head (70496) | $2,094.23 | $4,188.45 | 12.3× |
| CT angio hrt w/3d image (75574) | $1,765.68 | $3,531.35 | 5.2× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $2,075.53 | $4,151.05 | 12.2× |
| CT Angio Neck (70498) | $2,326.75 | $4,653.50 | 13.7× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $1,599.35 | $3,198.70 | 9.4× |
| CT cervical spine w/ contrast (72126) | $1,651.40 | $3,302.80 | 4.9× |
| CT cervical spine w/o contrast (72125) | $1,513.95 | $3,027.90 | 14.9× |
| CT cervical spine w/wo cont (72127) | $2,852.18 | $5,704.35 | 16.7× |
| CT chest w contrast (71260) | $1,608.98 | $3,217.95 | 9.4× |
| CT chest w/wo contrast (71270) | $2,105.40 | $4,210.80 | 12.4× |
| CT colonography screening (74263) | $1,747.40 | $3,494.80 | 7.5× |
| CT colonogrphy dx image postprocess w/o contrast (74261) | $1,975.88 | $3,951.75 | 19.4× |
| CT head/brain with contrast (70460) | $1,520.45 | $3,040.90 | 8.9× |
| CT head/brain without and with contrast (70470) | $1,942.40 | $3,884.80 | 11.4× |
| CT heart contrast eval cardiac structure&morph (75572) | $1,350.03 | $2,700.05 | 4.0× |
| CT heart no contrast quant eval coronry calcium (75571) | $99.58 | $199.15 | 1.2× |
| CT hrt w/3d image congen (75573) | $1,998.15 | $3,996.30 | 5.9× |
| CT iac w contrast (70481) | $1,619.05 | $3,238.10 | 9.5× |
| CT l-spine w&w/o contrast (72133) | $2,152.98 | $4,305.95 | 12.6× |
| CT lower ext w/o (73700) | $1,256.25 | $2,512.50 | 12.4× |
| CT lower extremity w/contrast material (73701) | $1,585.18 | $3,170.35 | 9.3× |
| CT lumbar spine w contrast (72132) | $1,850.88 | $3,701.75 | 5.5× |
| CT lumbar spine w/o contrast (72131) | $1,504.05 | $3,008.10 | 14.8× |
| CT maxillofacial w contrast (70487) | $1,419.18 | $2,838.35 | 8.3× |
| CT maxillofacial wo contrast (70486) | $1,145.38 | $2,290.75 | 11.3× |
| CT neck tissue combo (70492) | $3,038.68 | $6,077.35 | 17.8× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $2,521.15 | $5,042.30 | 14.8× |
| CT orbits w/o contrast (70480) | $1,430.20 | $2,860.40 | 14.1× |
| CT pelvis w&w/o contrast (72194) | $2,101.63 | $4,203.25 | 12.3× |
| CT pelvis w/o contrast (72192) | $1,389.68 | $2,779.35 | 13.7× |
| CT scan of leg combo (73702) | $2,861.85 | $5,723.70 | 16.8× |
| CT scans face/jaw combo (70488) | $2,301.08 | $4,602.15 | 13.5× |
| CT soft tissue neck w contrast (70491) | $1,667 | $3,334 | 9.8× |
| CT soft tissue neck w/o contrast (70490) | $1,363.35 | $2,726.70 | 13.4× |
| CT thoracic spine w contrast (72129) | $1,550.20 | $3,100.40 | 9.1× |
| CT thoracic spine w/o contrast (72128) | $1,425.85 | $2,851.70 | 14.0× |
| CT thoracic spine w/wo cont (72130) | $2,745.60 | $5,491.20 | 16.1× |
| CT thorax w/o contrast (71250) | $1,350.03 | $2,700.05 | 13.3× |
| CT unlisted procedure (76497) | $1,268.98 | $2,537.95 | 15.0× |
| CT upper ext wo (73200) | $1,607.53 | $3,215.05 | 15.8× |
| CT upper extremity w/o & w/contrast material (73202) | $2,056.85 | $4,113.70 | 12.1× |
| CT upper extremity with contrast (73201) | $1,687.88 | $3,375.75 | 5.0× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $2,092.73 | $4,185.45 | 12.3× |
| Cta Abdomen (74175) | $2,092.73 | $4,185.45 | 12.3× |
| CTA pelvis (72191) | $2,092.73 | $4,185.45 | 12.3× |
| Dacryocystography, nasolacrimal duct, radiological supervision and interpretation Non-Facility (70170) | $340.70 | $681.40 | 1.5× |
| Diskography lumbar (72295) | $1,476.23 | $2,952.45 | 0.8× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) | $279.13 | $558.25 | 2.7× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $342.58 | $685.15 | 3.4× |
| Doppler Fetal Mid Cerebral Artery (76821) | $144.18 | $288.35 | 1.4× |
| Dxa Bone Density Axial (77080) | $413.48 | $826.95 | 4.1× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $227.25 | $454.50 | 2.7× |
| Echo exam of fetal heart (76825) | $765.73 | $1,531.45 | 1.4× |
| Echo exam uterus (76831) | $497.93 | $995.85 | 2.1× |
| Echo Guide For Artery Repair (76936) | $401.68 | $803.35 | 1.9× |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) | $481.55 | $963.10 | 2.1× |
| Echograp Trans R Pros Study (76873) | $406.33 | $812.65 | 4.0× |
| Esophageal Motility Study (78258) | $655.45 | $1,310.90 | 1.7× |
| Esophagram (74220) | $425.03 | $850.05 | 2.5× |
| Fetal Biophys Profile W/Nst (76818) | $309.38 | $618.75 | 3.0× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $335.50 | $671 | 3.3× |
| Fetal MRI w/placntl matrnl plvc img sing/1st ges (74712) | $1,363.35 | $2,726.70 | 5.9× |
| Fluoroscopy up to 1 hr (76000) | $422.03 | $844.05 | 1.8× |
| Follow-Up Angiography (75898) | $683.33 | $1,366.65 | 0.2× |
| Foot 2 views (73620) | $193.18 | $386.35 | 2.3× |
| Forearm 2 views (73090) | $240.70 | $481.40 | 2.8× |
| Gastric emptying imaging study (78264) | $1,331.43 | $2,662.85 | 3.4× |
| Gated Heart Planar Single (78472) | $1,347.83 | $2,695.65 | 3.5× |
| Hand 2 views (73120) | $201.75 | $403.50 | 2.0× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77772) | $4,695.50 | $9,391 | 6.9× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) | $2,960.63 | $5,921.25 | 4.4× |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) | $2,668.85 | $5,337.70 | 3.9× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $2,322.85 | $4,645.70 | 0.8× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $2,316.33 | $4,632.65 | 0.8× |
| Hepatobil Syst Image W/Drug (78227) | $1,502.55 | $3,005.10 | 2.8× |
| Hepatobiliary System Imaging (78226) | $1,438.58 | $2,877.15 | 3.7× |
| Ht Muscle Image Spect Sing (78451) | $1,959.53 | $3,919.05 | 1.6× |
| Hysterosalpingogram (74740) | $536.60 | $1,073.20 | 2.3× |
| Image fusion (77399) | $462.35 | $924.70 | 3.5× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $364.15 | $728.30 | 4.3× |
| Infant hip ultrasound, limited static exam (76886) | $364.15 | $728.30 | 4.3× |
| Interstitial radiation source applic complex (77778) | $3,837.98 | $7,675.95 | 5.7× |
| K Flow/Funct Image Multiple (78709) | $2,010.33 | $4,020.65 | 3.8× |
| K Flow/Funct Image W/Drug (78708) | $1,884.80 | $3,769.60 | 3.6× |
| K Flow/Funct Image W/O Drug (78707) | $1,794.98 | $3,589.95 | 3.4× |
| Kidney Funcj Study Non-Img Radioisotopic Study (78725) | $545.55 | $1,091.10 | 1.4× |
| Knee 3 Views (73562) | $227.45 | $454.90 | 2.7× |
| Liver & Spleen Imaging Static Only (78215) | $1,140.78 | $2,281.55 | 2.9× |
| Lung Perf&Ventilat Diferentl (78598) | $1,000.28 | $2,000.55 | 1.9× |
| Lung perfusion differential (78597) | $739.83 | $1,479.65 | 1.9× |
| Lung Ventilat&Perfus Imaging (78582) | $1,329.23 | $2,658.45 | 2.5× |
| Lung Ventilation Imaging (78579) | $669.08 | $1,338.15 | 1.7× |
| Lymph System Imaging (78195) | $1,281.18 | $2,562.35 | 2.4× |
| Lymphangiography Extremity Only Bilateral Rs&I (75803) | $3,474.65 | $6,949.30 | 2.3× |
| Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) | $1,136.18 | $2,272.35 | 0.4× |
| Lymphangiography, pelvic/abdominal, unilateral (75805) | $568.10 | $1,136.20 | 0.2× |
| Magnetic Image Jaw Joint (70336) | $2,652.08 | $5,304.15 | 11.4× |
| Magnetic resonance (eg, proton) imaging, brain (including brain stem andskull base), during open intracranial procedure… (70558) | $429.65 | $859.30 | 2.5× |
| Magnetic resonance (eg, proton) imaging, brain (including brain stem andskull base), during open intracranial procedure… (70557) | $1,059.45 | $2,118.90 | 2.0× |
| Magnetic resonance (eg, proton) imaging, brain (including brain stem andskull base), during open intracranial procedure… (70559) | $3,676.13 | $7,352.25 | 21.6× |
| Magnetic Resonance Elastography (76391) | $1,025.58 | $2,051.15 | 4.4× |
| Meckels Divert Exam (78290) | $803.08 | $1,606.15 | 2.1× |
| Mlc imrt design & construction per imrt plan (77338) | $4,645.35 | $9,290.70 | 12.8× |
| Mr safety determination physician/other qhp (76016) | $146.55 | $293.10 | 1.7× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $40.78 | $81.55 | 1.5× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) | $152.78 | $305.55 | 1.7× |
| Mr safety implt pos&/immoblj (76019) | $98.88 | $197.75 | 1.7× |
| Mr safety med physics xm customization plng&mntr (76017) | $402.28 | $804.55 | 1.7× |
| Mra Head W/O & W/Contrast Material (70546) | $2,570.48 | $5,140.95 | 7.6× |
| MRA head w/o contrast (70544) | $1,737 | $3,474 | 7.5× |
| MRA head with contrast (70545) | $2,136.60 | $4,273.20 | 6.3× |
| MRA neck w contrast (70548) | $2,030.23 | $4,060.45 | 6.0× |
| Mra Neck W/O &W/Contrast Material (70549) | $2,570.48 | $5,140.95 | 7.6× |
| MRA neck w/o contrast (70547) | $1,790.58 | $3,581.15 | 7.7× |
| MRI abdomen w contrast (74182) | $2,141.80 | $4,283.60 | 6.3× |
| MRI abdomen w/o contrast (74181) | $1,765.28 | $3,530.55 | 7.6× |
| MRI any jt lower extrem w/contrast material (73722) | $2,315.95 | $4,631.90 | 3.0× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $2,495.38 | $4,990.75 | 7.4× |
| MRI any jt upper extremity w/contrast matrl (73222) | $2,309.30 | $4,618.60 | 3.0× |
| MRI bone marrow blood supply (77084) | $970.85 | $1,941.70 | 4.2× |
| MRI brain functional w/o physician admnistration (70554) | $1,486.75 | $2,973.50 | 6.4× |
| MRI Breast W/O Contrast Bilateral (77047) | $3,276.50 | $6,553 | 14.1× |
| MRI cardiac w/o contrast (75557) | $1,367.88 | $2,735.75 | 5.9× |
| MRI cervical spine w contrast (72142) | $2,164.88 | $4,329.75 | 6.4× |
| MRI cervical spine w/o cont (72141) | $1,947.58 | $3,895.15 | 8.4× |
| MRI chest w/o contrast (71550) | $2,258.28 | $4,516.55 | 9.7× |
| MRI chest with contrast (71551) | $2,424 | $4,848 | 3.2× |
| MRI chest wo w contrast (71552) | $2,652.73 | $5,305.45 | 7.8× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $2,116.20 | $4,232.40 | 6.2× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $2,533.23 | $5,066.45 | 7.5× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $1,699.03 | $3,398.05 | 7.3× |
| MRI lumbar spine w contrast (72149) | $2,415.68 | $4,831.35 | 7.1× |
| Mri Neck Spine W/O & W/Dye (72156) | $2,529.55 | $5,059.10 | 7.5× |
| MRI orbit face &/neck w/o contrast (70540) | $2,054.78 | $4,109.55 | 8.9× |
| MRI orbit face neck w contrast (70542) | $2,204.98 | $4,409.95 | 6.5× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $2,552.60 | $5,105.20 | 7.5× |
| MRI pelvis w contrast (72196) | $2,235.95 | $4,471.90 | 6.6× |
| MRI pelvis w/o & w contrast (72197) | $2,648.58 | $5,297.15 | 7.8× |
| MRI pelvis w/o contrast (72195) | $1,699.03 | $3,398.05 | 7.3× |
| MRI spectroscopy (76390) | $1,025.58 | $2,051.15 | 12.1× |
| MRI thoracic spine w/o contrast (72146) | $2,013.08 | $4,026.15 | 8.7× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $2,410.45 | $4,820.90 | 7.1× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $1,737 | $3,474 | 7.5× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $2,574.18 | $5,148.35 | 7.6× |
| MRI, abdomen, combo (74183) | $2,518.40 | $5,036.80 | 7.4× |
| MRI, dorsal spine combo (72157) | $2,656.05 | $5,312.10 | 7.8× |
| MRI, dorsal spine contrast (72147) | $2,413.48 | $4,826.95 | 7.1× |
| MRI, joint upper extrem (73221) | $1,938.28 | $3,876.55 | 8.4× |
| MRI, joint upper extrem combo (73223) | $2,650.10 | $5,300.20 | 7.8× |
| MRI, lumbar spine combo (72158) | $2,656.05 | $5,312.10 | 7.8× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) | $4,487.58 | $8,975.15 | 3.6× |
| Myocardial Spect Multiple Studies (78452) | $3,341.83 | $6,683.65 | 2.7× |
| Myocrd Img Pet Metab Eval Single Study Cncrnt CT (78429) | $4,622.20 | $9,244.40 | 3.3× |
| Myocrd img PET prfuj 1std rest/stress cncrnt CT (78430) | $3,311.85 | $6,623.70 | 2.4× |
| Myocrd Img Pet Prfuj Mlt Std Rst&Strs Cncrnt CT (78431) | $3,374.10 | $6,748.20 | 1.6× |
| Myocrd Img Pet Prfuj W/Metab 2rtracer Cncrnt CT (78433) | $5,083.90 | $10,167.80 | 2.4× |
| N-invas est c ffr sw aly CTA (75580) | $4,706.65 | $9,413.30 | 5.6× |
| Neck soft tissue (70360) | $237.43 | $474.85 | 2.8× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $335.83 | $671.65 | 0.9× |
| Nm whole blood volume (78122) | $1,051.55 | $2,103.10 | 2.0× |
| Nonvascular Shunt X-Ray (75809) | $211.68 | $423.35 | 2.1× |
| Ntsty modul radthx pln dose-vol histos (77301) | $8,174.88 | $16,349.75 | 6.1× |
| Nuclear Rx Intra-Arterial (79445) | $761.95 | $1,523.90 | 3.4× |
| Nuclear Rx Oral Admin (79005) | $1,140.15 | $2,280.30 | 5.0× |
| Ob us nuchal meas 1 gest (76813) | $178.93 | $357.85 | 1.8× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) | $335.68 | $671.35 | 3.3× |
| Panoramic X-ray of jaws (70355) | $237.43 | $474.85 | 2.8× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $998.30 | $1,996.60 | 1.9× |
| Parathyroid Planar Imaging (78070) | $1,041.95 | $2,083.90 | 2.7× |
| Parathyroid planar imaging w/wo subtraction (78071) | $1,094 | $2,188 | 2.8× |
| Pelvis 1 or 2 views (72170) | $200.95 | $401.90 | 2.0× |
| Peritoneogram Rs&I (74190) | $362.48 | $724.95 | 0.7× |
| Pet Image W/Ct Lmtd (78814) | $3,960.15 | $7,920.30 | 2.8× |
| PET image w/CT, full body (78816) | $4,174.25 | $8,348.50 | 3.0× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $3,975.50 | $7,951 | 2.9× |
| Proton trmt simple w/comp (77522) | $3,826.55 | $7,653.10 | 3.2× |
| Proton tx delivery complex (77525) | $6,016.25 | $12,032.50 | 5.0× |
| Proton tx delivery intermediate (77523) | $4,402.28 | $8,804.55 | 3.6× |
| Proton tx delivery simple w/o compensation (77520) | $2,859.58 | $5,719.15 | 5.3× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $2,268.18 | $4,536.35 | 0.7× |
| Pulmonary Perfusion Imaging Particulate (78580) | $669.08 | $1,338.15 | 1.7× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $420.08 | $840.15 | 4.1× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $374.98 | $749.95 | 0.7× |
| Radex Ankle Complete Minimum 3 Views (73610) | $274.50 | $549 | 3.2× |
| Radex Calcaneus Minimum 2 Views (73650) | $210.38 | $420.75 | 2.5× |
| Radex elbow complete minimum 3 views (73080) | $251.55 | $503.10 | 3.0× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $337.95 | $675.90 | 3.3× |
| Radex fingr minimum 2 views (73140) | $187.60 | $375.20 | 2.2× |
| Radex foot complete minimum 3 views (73630) | $262.03 | $524.05 | 3.1× |
| Radex Hand Minimum 3 Views (73130) | $266.50 | $533 | 3.2× |
| Radex lower extremity infant minimum 2 views (73592) | $150.80 | $301.60 | 1.8× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $271.95 | $543.90 | 2.7× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $357.95 | $715.90 | 4.2× |
| Radex Ribs Unilateral 2 Views (71100) | $208.80 | $417.60 | 2.5× |
| Radex shoulder complete minimum 2 views (73030) | $279.28 | $558.55 | 3.3× |
| Radex Sinuses Paransl < 3 Views (70210) | $172.98 | $345.95 | 2.0× |
| Radex Spine 1 View Specify Level (72020) | $218.83 | $437.65 | 2.6× |
| Radex Sternum Minimum 2 Views (71120) | $225.58 | $451.15 | 2.7× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $266.08 | $532.15 | 3.1× |
| Radex Toe Minimum 2 Views (73660) | $180.73 | $361.45 | 2.1× |
| Radex upper extremity infant minimum 2 views (73092) | $166.03 | $332.05 | 1.6× |
| Radex Wrist Complete Minimum 3 Views (73110) | $229.33 | $458.65 | 2.7× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $663.73 | $1,327.45 | 6.5× |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $14,124.25 | $28,248.50 | 2.0× |
| Radiation treatment delivery level 1 (77402) | $552.40 | $1,104.80 | 5.6× |
| Radiation treatment delivery level 2 (77407) | $737.25 | $1,474.50 | 2.0× |
| Radiation treatment delivery level 3 (77412) | $874.78 | $1,749.55 | 1.6× |
| Radiolog exam mandible compl minimum 4 views (70110) | $352.83 | $705.65 | 3.5× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $309.38 | $618.75 | 3.0× |
| Radiologic exam colon double contrast study (74280) | $820.15 | $1,640.30 | 4.8× |
| Radiologic exam colon single contrast study (74270) | $594.68 | $1,189.35 | 3.5× |
| Radiologic exam knee complete 4/more views (73564) | $334.25 | $668.50 | 3.3× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $246.43 | $492.85 | 2.4× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $511.38 | $1,022.75 | 3.0× |
| Radiologic exam swallow function contrast study (74230) | $363.98 | $727.95 | 2.1× |
| Radiologic exam upr gi trc double contrast study (74246) | $527.35 | $1,054.70 | 3.1× |
| Radiologic examination femur 1 view (73551) | $166.18 | $332.35 | 2.0× |
| Radiologic examination femur minimum 2 views (73552) | $207.70 | $415.40 | 2.5× |
| Radiologic examination knee 1/2 views (73560) | $216.65 | $433.30 | 2.6× |
| Radiologic Examination Osseous Survey Limited (77074) | $409.03 | $818.05 | 4.0× |
| Radiologic examination tibia & fibula 2 views (73590) | $211.48 | $422.95 | 2.5× |
| Renal Cyst Study (74470) | $544.80 | $1,089.60 | 1.0× |
| Ribs bilateral 3 views (71110) | $614.78 | $1,229.55 | 6.1× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $1,075.78 | $2,151.55 | 2.8× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $1,496.63 | $2,993.25 | 3.9× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $2,161.40 | $4,322.80 | 4.1× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $1,496.63 | $2,993.25 | 2.8× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $1,432.58 | $2,865.15 | 2.7× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $1,496.63 | $2,993.25 | 1.1× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $1,496.63 | $2,993.25 | 1.2× |
| Rp Therapy Intravenous Administration (79101) | $806.38 | $1,612.75 | 3.6× |
| Scapula (73010) | $195.10 | $390.20 | 1.9× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $40.18 | $80.35 | 1.7× |
| Shoulder 1 view (73020) | $171.23 | $342.45 | 2.0× |
| Shoulder Arthrography (73040) | $631.40 | $1,262.80 | 1.9× |
| Sialogram (70390) | $586.08 | $1,172.15 | 2.5× |
| Skull less than 4 views (70250) | $291.78 | $583.55 | 2.9× |
| Special dosimetry (77331) | $482.08 | $964.15 | 3.7× |
| Special Physics Consult (77370) | $738.73 | $1,477.45 | 5.7× |
| Special teletherapy port plan (77321) | $1,121.40 | $2,242.80 | 3.1× |
| Special treatment procedure (77470) | $2,052 | $4,104 | 3.8× |
| Srs Multisource (77371) | $110,980.50 | $221,961 | 15.5× |
| Stereotactic Body Radiation Delivery (77373) | $9,394.33 | $18,788.65 | 5.4× |
| Sternoclavicular joints (71130) | $236.88 | $473.75 | 2.8× |
| Superior sagittal sinus venogram (75870) | $1,376.08 | $2,752.15 | 0.4× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $2,350.43 | $4,700.85 | 6.5× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $1,029.25 | $2,058.50 | 2.8× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $1,743 | $3,486 | 4.8× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $1,585.10 | $3,170.20 | 4.4× |
| Ther rad simulaj-aided field setting simple (77280) | $852.55 | $1,705.10 | 6.5× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $693.30 | $1,386.60 | 4.1× |
| Thoracic spine 2 views (72070) | $269.53 | $539.05 | 2.7× |
| Thoracic spine 3 views (72072) | $331.63 | $663.25 | 3.3× |
| Thoracolumbar 2 views (72080) | $279.88 | $559.75 | 3.3× |
| Thyroid Imaging With Vascular Flow (78013) | $478.75 | $957.50 | 1.2× |
| Thyroid Met Imaging Body (78018) | $1,294.15 | $2,588.30 | 2.5× |
| Thyroid Uptake Measurement (78012) | $671.33 | $1,342.65 | 1.7× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $671.33 | $1,342.65 | 1.7× |
| Tx Devices Design & Construction Complex (77334) | $1,140.03 | $2,280.05 | 3.1× |
| Tx devices design & construction intermediate (77333) | $873.08 | $1,746.15 | 6.7× |
| Tx devices design & construction simple (77332) | $664.88 | $1,329.75 | 5.1× |
| Ultrasound Breast Limited (76642) | $346.53 | $693.05 | 4.1× |
| Ultrasound Elastography Parenchyma (76981) | $275.98 | $551.95 | 2.7× |
| Ultrasound Exam Aaa Screen (76706) | $428.73 | $857.45 | 4.2× |
| Ultrasound, abdomen limited (76705) | $473.20 | $946.40 | 4.7× |
| Umbilical-artery Doppler (OB) (76820) | $262.80 | $525.60 | 2.6× |
| Unlisted Dx Radiographic Procedure (76499) | $326.43 | $652.85 | 3.9× |
| Unlisted fluoroscopic procedure (76496) | $324.85 | $649.70 | 3.8× |
| Unlisted magnetic resonance procedure (76498) range across 2 matching MRF lines |
$467.75–$907.23 | $935.50–$1,814.45 | varies |
| Unlisted Procedure Clinical Brachytherapy (77799) | $1,394.75 | $2,789.50 | 14.1× |
| Unlisted us procedure (76999) | $426.63 | $853.25 | 5.0× |
| Upper gi w/o kub (74240) | $497.93 | $995.85 | 2.9× |
| Urethrocystogram voiding (74455) | $586.50 | $1,173 | 2.5× |
| Urethrocystography retrograde (74450) | $554.28 | $1,108.55 | 2.4× |
| Us breast unilateral complete (76641) | $519.75 | $1,039.50 | 5.1× |
| Us chest (76604) | $299.80 | $599.60 | 3.0× |
| Us complete joint (76881) | $503.35 | $1,006.70 | 5.0× |
| Us exam, pelvic, limited (76857) | $99.35 | $198.70 | 1.0× |
| Us head (76506) | $388.98 | $777.95 | 3.8× |
| Us kidney transplant (76776) | $487.73 | $975.45 | 4.8× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $479.30 | $958.60 | 4.7× |
| Us ob detailed single fetus (76811) | $553.05 | $1,106.10 | 2.4× |
| Us ob limited 1 or more fetuses (76815) | $272.60 | $545.20 | 2.7× |
| Us ob transvaginal (76817) | $385.58 | $771.15 | 3.8× |
| Us pelvic non ob complete (76856) | $643.80 | $1,287.60 | 6.3× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $326.73 | $653.45 | 3.2× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $299.28 | $598.55 | 2.9× |
| Us retroperitoneal complete (76770) | $552.83 | $1,105.65 | 5.4× |
| Us retroperitoneal limited (76775) | $462.83 | $925.65 | 4.6× |
| Us scrotum and contents (76870) | $478.30 | $956.60 | 4.7× |
| Us spinal canal and contents (76800) | $406.38 | $812.75 | 4.0× |
| Us thyroid (76536) | $544.80 | $1,089.60 | 5.4× |
| Us transrectal (76872) | $475.98 | $951.95 | 4.7× |
| Vein X-Ray Chest (75827) | $2,036.18 | $4,072.35 | 1.3× |
| Vein X-Ray Liver W/O Hemodyn (75887) | $1,010.68 | $2,021.35 | 0.3× |
| Vein X-Ray Spleen/Liver (75810) | $3,216.18 | $6,432.35 | 1.0× |
| Venogram Sinus/Jugular (75860) | $1,236.90 | $2,473.80 | 0.4× |
| Venography caval inferior serialography rs&i (75825) | $2,043.98 | $4,087.95 | 0.7× |
| Venography extremity bilateral rs&i (75822) | $2,310.90 | $4,621.80 | 1.5× |
| Venography extremity unilateral rs&i (75820) | $1,155.45 | $2,310.90 | 0.8× |
| Venography Renal Bilateral (75833) | $3,615.28 | $7,230.55 | 1.2× |
| Venography Renal Unilateral (75831) | $1,807.68 | $3,615.35 | 0.6× |
| Venous sampling by catheter (75893) unusually low: confirm this is the full procedure |
$1,841.18 | $3,682.35 | 0.3× |
| Vertebral fracture assessment via dxa (77086) | $596.23 | $1,192.45 | 7.1× |
| Wrist 2 views (73100) | $169.03 | $338.05 | 2.0× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $210.68 | $421.35 | 2.5× |
| X-ray antegrade pyelogram tube (74425) | $557.50 | $1,115 | 1.6× |
| X-Ray Aorta Leg Arteries (75630) | $2,068.53 | $4,137.05 | 0.7× |
| X-Ray Bend Only L-S Spine (72120) | $364.75 | $729.50 | 3.6× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $203.98 | $407.95 | 2.4× |
| X-Ray Exam Breast Specimen (76098) | $353.38 | $706.75 | 0.7× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $204.70 | $409.40 | 2.4× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $409.40 | $818.80 | 4.0× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $511.65 | $1,023.30 | 5.0× |
| X-Ray Exam Hip Uni 1 View (73501) | $169.03 | $338.05 | 2.0× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $229.70 | $459.40 | 2.7× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $275.63 | $551.25 | 2.7× |
| X-Ray Exam Hips Bi 2 Views (73521) | $459.35 | $918.70 | 4.5× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $551.20 | $1,102.40 | 5.4× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $374.13 | $748.25 | 3.7× |
| X-Ray Exam L-S Spine Bending (72114) | $638.25 | $1,276.50 | 6.3× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $299.28 | $598.55 | 3.5× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $491.35 | $982.70 | 4.8× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $307.43 | $614.85 | 3.0× |
| X-ray eye for foreign body (70030) | $227.80 | $455.60 | 2.7× |
| X-ray humerus (73060) | $231.50 | $463 | 2.7× |
| X-ray IV pyelogram (ivp) (74400) | $692.18 | $1,384.35 | 4.1× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $193.95 | $387.90 | 2.3× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $433.25 | $866.50 | 5.1× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $278.40 | $556.80 | 2.7× |
| X-ray nose-rectum child f.b. (76010) | $162.35 | $324.70 | 1.9× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $510.30 | $1,020.60 | 5.0× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $217.40 | $434.80 | 2.1× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $198.38 | $396.75 | 2.0× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $231.50 | $463 | 2.7× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $324.53 | $649.05 | 3.8× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $492.33 | $984.65 | 4.8× |
| X-Ray Stress View (77071) | $420.28 | $840.55 | 5.0× |
| X-ray thoracic spine 4 vw (72074) | $356.55 | $713.10 | 3.5× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $663.18 | $1,326.35 | 2.0× |
| X-Rays Bone Length Studies (77073) | $209.93 | $419.85 | 2.1× |
| X-Rays Bone Survey Complete (77075) | $569.03 | $1,138.05 | 5.6× |
| Xr c-spine 4 or 5 views (72050) | $370.68 | $741.35 | 3.6× |
| Xr facial bones less than 3 views (70140) | $201.78 | $403.55 | 2.4× |
| Xr orbits complete 4 views (70200) | $284.38 | $568.75 | 2.8× |
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.