Imaging prices at Auburn Community Hospital
Auburn, NY · every code in this section with a posted price and a Medicare benchmark.
347 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 3-D radiotherapy plan dose-volume histograms (77295) | $1,763.57 | $3,919.04 | 1.0× |
| Abdomen 1 View (74018) range across 2 matching MRF lines |
$101.70–$844 | $226.01 | varies |
| Abdomen 2 views (74019) range across 3 matching MRF lines |
$97.81–$101.70 | $217.35–$417.90 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) range across 3 matching MRF lines |
$441.90–$570.19 | $982.01–$1,151.85 | varies |
| Angio pulmonary bilat (75743) range across 2 matching MRF lines |
$1,138.61–$1,322.77 | $2,939.48 | varies |
| Angiography extremity bilateral rs&i (75716) range across 2 matching MRF lines |
$608.82–$1,078.13 | $2,395.84 | varies |
| Angiography extremity unilateral rs&i (75710) range across 2 matching MRF lines |
$608.82–$1,431.32 | $1,352.93 | varies |
| Angiography pulmonary unilateral slctv rs&i (75741) | $1,138.61 | $2,530.24 | 0.3× |
| Ankle 2 views (73600) range across 4 matching MRF lines |
$88.36–$139.98 | $196.35–$233.89 | varies |
| Aortography thoracic serialography rs&i (75605) range across 2 matching MRF lines |
$206.18–$1,248.35 | $2,774.10 | varies |
| Artery X-Rays Abdomen (75726) range across 2 matching MRF lines |
$1,138.61–$1,322.77 | $2,530.24 | varies |
| Artery X-Rays Pelvis (75736) likely a partial charge, not the full procedure |
$1,138.61 | $2,530.24 | 0.2× |
| Arthrogram ankle (73615) range across 4 matching MRF lines |
$112.22–$421.24 | $636.30–$936.08 | varies |
| Arthrogram hip (73525) range across 4 matching MRF lines |
$246.65–$696.58 | $548.10–$936.08 | varies |
| Arthrogram Wrist (73115) range across 4 matching MRF lines |
$115.65–$421.24 | $559.13–$936.08 | varies |
| Basic radiation dosimetry calculation (77300) range across 2 matching MRF lines |
$172.70–$1,763.57 | $383.78 | varies |
| Bone age studies (77072) range across 2 matching MRF lines |
$64.03–$114.11 | $253.58 | varies |
| Bone Imaging 3 Phase (78315) range across 2 matching MRF lines |
$573.14–$699.18 | $1,273.65 | varies |
| Bone Imaging Limited Area (78300) range across 2 matching MRF lines |
$551.65–$554.01 | $1,225.88 | varies |
| Bone Imaging Whole Body (78306) range across 2 matching MRF lines |
$551.65–$699.18 | $1,553.74 | varies |
| Bone marrow imaging; whole body (78104) range across 2 matching MRF lines |
$329.69–$595.94 | $732.64 | varies |
| Bone survey infant (77076) range across 2 matching MRF lines |
$326.97–$483.25 | $726.60 | varies |
| Brachytx isodose complex (77318) | $470.28 | $1,045.07 | 1.0× |
| Brachytx isodose intermed (77317) | $470.28 | $1,045.07 | 1.0× |
| Brachytx Isodose Plan Simple (77316) | $427.76 | $1,045.07 | 0.9× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $597.83 | $1,279.69 | 0.9× |
| Cat Scan Follow-Up Study (76380) range across 2 matching MRF lines |
$227.27–$609.29 | $1,353.98 | varies |
| Chest 1 view (71045) range across 2 matching MRF lines |
$96.27–$179.19 | $213.94 | varies |
| Chest 2 views (71046) range across 7 matching MRF lines |
$96.27–$128.52 | $253.58–$285.60 | varies |
| Chest 3 views (71047) range across 3 matching MRF lines |
$114.11–$152.86 | $321.04–$339.68 | varies |
| Chest 4 or more views (71048) range across 5 matching MRF lines |
$152.86–$236.25 | $389.29–$525 | varies |
| Cholecystography Oral Contrast (74290) range across 2 matching MRF lines |
$179.19–$284.80 | $398.21 | varies |
| Clavicle complete (73000) range across 2 matching MRF lines |
$98.75–$1,477.51 | $219.45 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $1,070.69 | $286.02 | 8.2× |
| Continuing medical physics consltj pr wk (77336) | $470.28 | $383.78 | 2.8× |
| Contrast Exam Abdominl Aorta (75625) range across 2 matching MRF lines |
$789.43–$1,248.35 | $1,754.29 | varies |
| Contrast X-Ray Bladder (74430) range across 2 matching MRF lines |
$246.17–$371.62 | $547.05 | varies |
| Contrast X-Ray Of Elbow (73085) range across 4 matching MRF lines |
$109.15–$421.24 | $559.13–$936.08 | varies |
| Contrast X-Ray Of Knee Joint (73580) range across 2 matching MRF lines |
$124.62–$260.46 | $578.81 | varies |
| Contrast Xray Throat/Cerv Esopha (74210) range across 3 matching MRF lines |
$123.09–$964.49 | $273.53–$394.80 | varies |
| CT abdomen and pelvis without and with contrast (74178) | $969.93 | $2,155.39 | 2.2× |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$969.93–$1,246.34 | $2,155.39 | varies |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$759.07–$983.86 | $2,186.36 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$983.86–$1,105.89 | $2,457.53 | varies |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$128.71–$759.07 | $1,686.83 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$1,105.89–$1,246.34 | $2,769.64 | varies |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$128.71–$1,341.54 | $2,981.21 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$573.03–$999.22 | $1,273.39 | varies |
| CT angio hrt w/3d image (75574) | $206.18 | $458.17 | 0.5× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 3 matching MRF lines |
$848.38–$1,203.70 | $1,885.28–$2,674.88 | varies |
| CT Angio Neck (70498) range across 3 matching MRF lines |
$573.03–$1,504.80 | $1,885.28–$3,343.99 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 2 matching MRF lines |
$957.52–$1,117.35 | $2,482.99–$2,607.41 | varies |
| CT bone density (77078) range across 2 matching MRF lines |
$326.97–$577.98 | $1,284.41 | varies |
| CT cervical spine w/ contrast (72126) range across 2 matching MRF lines |
$874.24–$933.30 | $2,074.01 | varies |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$188.06–$874.24 | $1,942.76 | varies |
| CT cervical spine w/wo cont (72127) range across 2 matching MRF lines |
$933.30–$999.22 | $2,220.49 | varies |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$514.61–$1,070.69 | $2,379.30 | varies |
| CT chest w/wo contrast (71270) | $1,070.69 | $2,379.30 | 4.9× |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$854.87–$999.22 | $2,220.49 | varies |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$999.22–$1,083.09 | $2,406.86 | varies |
| CT heart contrast eval cardiac structure&morph (75572) | $99.33 | $458.17 | 0.2× |
| CT heart no contrast quant eval coronry calcium (75571) | $154.86 | $220.74 | 1.4× |
| CT hrt w/3d image congen (75573) | $206.18 | $458.17 | 0.5× |
| CT iac w contrast (70481) range across 3 matching MRF lines |
$785.88–$906.49 | $1,737.75–$2,014.43 | varies |
| CT l-spine w&w/o contrast (72133) range across 2 matching MRF lines |
$933.30–$999.22 | $2,220.49 | varies |
| CT lower ext w/o (73700) range across 3 matching MRF lines |
$83.87–$844.47 | $303.19–$1,876.61 | varies |
| CT lower extremity w/contrast material (73701) range across 3 matching MRF lines |
$136.44–$933.30 | $496.13–$2,074.01 | varies |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$874.24–$933.30 | $2,074.01 | varies |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$874.24–$999.22 | $1,942.76 | varies |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$830.07–$874.71 | $1,943.81 | varies |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$830.07–$957.52 | $1,844.59 | varies |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$962.01–$999.22 | $2,220.49 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 2 matching MRF lines |
$781.99–$957.52 | $2,127.83 | varies |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$785.88–$1,083.09 | $1,746.41 | varies |
| CT pelvis w&w/o contrast (72194) range across 3 matching MRF lines |
$136.44–$1,070.69 | $303.19–$2,379.30 | varies |
| CT pelvis w/o contrast (72192) range across 3 matching MRF lines |
$573.03–$844 | $303.19–$1,875.56 | varies |
| CT scan of leg combo (73702) range across 2 matching MRF lines |
$223.26–$999.22 | $496.13–$2,220.49 | varies |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
$874.71–$916.89 | $2,037.53 | varies |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$742.30–$962.01 | $2,137.80 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$742.30–$916.89 | $1,649.55 | varies |
| CT thoracic spine w contrast (72129) range across 2 matching MRF lines |
$844–$933.30 | $2,074.01 | varies |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$844–$999.22 | $1,875.56 | varies |
| CT thoracic spine w/wo cont (72130) range across 2 matching MRF lines |
$933.30–$999.22 | $2,220.49 | varies |
| CT thorax w/o contrast (71250) | $130.53 | $1,143.58 | 1.0× |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$82.45–$823.10 | $1,829.10 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 2 matching MRF lines |
$902.95–$957.52 | $2,127.83 | varies |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$823.10–$902.95 | $2,006.55 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$1,138.61–$1,203.70 | $2,674.88 | varies |
| Cta Abdomen (74175) | $1,246.34 | $2,769.64 | 5.7× |
| CTA pelvis (72191) range across 3 matching MRF lines |
$174.71–$1,203.70 | $1,273.39–$2,674.88 | varies |
| Dacryocystography, nasolacrimal duct, radiological supervision and interpretation Non-Facility (70170) range across 2 matching MRF lines |
$119.07–$120.13 | $264.60 | varies |
| Discography Cerv/Thor Spine (72285) | $861.37 | $3,283.35 | 0.4× |
| Diskography lumbar (72295) | $1,477.51 | $3,283.35 | 0.6× |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$123.09–$577.98 | $273.53 | varies |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $123.09 | $273.53 | 1.1× |
| Echo exam uterus (76831) range across 2 matching MRF lines |
$164.20–$254.09 | $564.64 | varies |
| Echograp Trans R Pros Study (76873) range across 2 matching MRF lines |
$127.17–$254.09 | $282.61 | varies |
| Esophagram (74220) range across 2 matching MRF lines |
$123.09–$181.08 | $402.41 | varies |
| Fetal Biophys Profile W/Nst (76818) range across 2 matching MRF lines |
$154.98–$269.91 | $599.81 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $269.91 | $532.61 | 2.1× |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$175.18–$739.82 | $389.29 | varies |
| Foot 2 views (73620) range across 2 matching MRF lines |
$98.75–$286.34 | $219.45 | varies |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$98.75–$251.61 | $219.45 | varies |
| Gastric emptying imaging study (78264) range across 2 matching MRF lines |
$562.39–$663.75 | $1,474.99 | varies |
| Gated Heart Planar Single (78472) range across 2 matching MRF lines |
$442.97 | $254.63–$984.38 | 0.9× |
| Hand 2 views (73120) range across 4 matching MRF lines |
$111.15–$251.61 | $247.01–$250.43 | varies |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $1,180.31 | $2,622.90 | 0.3× |
| Hepatobil Syst Image W/Drug (78227) range across 2 matching MRF lines |
$512.19–$562.39 | $1,249.76 | varies |
| Hepatobiliary System Imaging (78226) range across 2 matching MRF lines |
$502.15–$512.19 | $1,138.20 | varies |
| Ht Muscle Image Spect Sing (78451) range across 5 matching MRF lines |
$37.92–$574.80 | $84.26–$936.60 | varies |
| Hysterosalpingogram (74740) range across 2 matching MRF lines |
$154.86–$181.08 | $344.14 | varies |
| Image fusion (77399) range across 2 matching MRF lines |
$14.40–$172.70 | $383.78 | varies |
| Infant hip ultrasound with hip movement (dynamic) (76885) range across 3 matching MRF lines |
$119.66–$324.49 | $265.91–$721.09 | varies |
| Infant hip ultrasound, limited static exam (76886) range across 2 matching MRF lines |
$292.24–$324.49 | $649.43 | varies |
| Infusion Ivp (74410) range across 2 matching MRF lines |
$345.40–$375.17 | $767.55 | varies |
| Interstitial radiation source applic complex (77778) range across 2 matching MRF lines |
$749.23–$918.45 | $2,040.99 | varies |
| K Flow/Funct Image Multiple (78709) | $716.67 | $1,223.25 | 1.1× |
| K Flow/Funct Image W/Drug (78708) range across 2 matching MRF lines |
$716.67–$726.35 | $1,592.59 | varies |
| K Flow/Funct Image W/O Drug (78707) range across 2 matching MRF lines |
$405.76–$726.35 | $1,614.11 | varies |
| Kidney Imaging Morphol (78700) range across 2 matching MRF lines |
$382.73–$601.26 | $850.50 | varies |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) range across 3 matching MRF lines |
$353.43–$405.76 | $785.40–$901.69 | varies |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$106.20–$154.39 | $262.50–$343.09 | varies |
| Liver & Spleen Imaging Static Only (78215) range across 2 matching MRF lines |
$502.15–$954.45 | $1,115.89 | varies |
| Lung Ventilat&Perfus Imaging (78582) | $653.11 | $2,030.96 | 1.0× |
| Lymph System Imaging (78195) range across 2 matching MRF lines |
$231.64–$329.69 | $514.76 | varies |
| Magnetic Image Jaw Joint (70336) range across 2 matching MRF lines |
$156.28–$762.62 | $1,694.70 | varies |
| Mammary ductogram or galactogram multiple (77054) range across 2 matching MRF lines |
$199.51–$294.72 | $654.94 | varies |
| Mammary ductogram or galactogram single (77053) range across 3 matching MRF lines |
$39.22–$204.95 | $443.36–$455.44 | varies |
| Meckels Divert Exam (78290) range across 2 matching MRF lines |
$518.33–$554.01 | $1,231.13 | varies |
| Medical physics dose eval radiation expos w/rprt (76145) | $191.01 | $352.80 | 0.4× |
| Mlc imrt design & construction per imrt plan (77338) range across 2 matching MRF lines |
$172.70–$470.28 | $1,045.07 | varies |
| Mra Head W/O & W/Contrast Material (70546) range across 2 matching MRF lines |
$896.10–$1,162.94 | $2,584.31 | varies |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$806.80–$1,304.34 | $1,792.88 | varies |
| MRA head with contrast (70545) range across 2 matching MRF lines |
$806.80–$896.10 | $1,991.33 | varies |
| MRA neck w contrast (70548) range across 2 matching MRF lines |
$793.80–$907.44 | $2,016.53 | varies |
| Mra Neck W/O &W/Contrast Material (70549) range across 2 matching MRF lines |
$907.44–$1,162.94 | $2,584.31 | varies |
| MRA neck w/o contrast (70547) range across 2 matching MRF lines |
$793.80–$1,162.94 | $1,764 | varies |
| MRI abdomen w contrast (74182) range across 2 matching MRF lines |
$959.06–$1,114.87 | $2,477.48 | varies |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$959.06–$969.93 | $2,131.24 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 3 matching MRF lines |
$1,124.79–$1,457.66 | $2,499.53–$3,239.25 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 4 matching MRF lines |
$1,018.59–$1,457.66 | $2,263.54–$2,703.49 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 2 matching MRF lines |
$848.97–$981.86 | $2,181.90 | varies |
| MRI Breast W/O Contrast Bilateral (77047) | $1,018.59 | $2,263.54 | 3.4× |
| MRI Breast Without Contrast Material Unilateral (77046) | $167.27 | $2,263.54 | 0.6× |
| MRI cervical spine w contrast (72142) range across 2 matching MRF lines |
$944.64–$1,059.23 | $2,353.84 | varies |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$944.64–$999.22 | $2,099.21 | varies |
| MRI chest w/o contrast (71550) range across 2 matching MRF lines |
$880.62–$1,341.54 | $1,956.94 | varies |
| MRI chest with contrast (71551) range across 2 matching MRF lines |
$880.62–$971.93 | $2,159.85 | varies |
| MRI chest wo w contrast (71552) range across 2 matching MRF lines |
$971.93–$1,357.49 | $3,016.65 | varies |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 2 matching MRF lines |
$858.89–$976.90 | $2,170.88 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 2 matching MRF lines |
$976.90–$1,238.42 | $2,752.05 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines |
$858.89–$1,203.70 | $1,908.64 | varies |
| MRI lumbar spine w contrast (72149) range across 2 matching MRF lines |
$984.81–$1,106.36 | $2,458.58 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$1,106.36–$1,374.27 | $3,053.93 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 2 matching MRF lines |
$897.99–$1,504.80 | $1,995.53 | varies |
| MRI orbit face neck w contrast (70542) range across 2 matching MRF lines |
$897.99–$1,041.39 | $2,314.20 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 2 matching MRF lines |
$1,041.39–$1,304.34 | $2,898.53 | varies |
| MRI pelvis w contrast (72196) range across 2 matching MRF lines |
$953.15–$1,101.40 | $2,447.55 | varies |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$1,101.40–$1,404.04 | $3,120.08 | varies |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$953.15–$1,070.69 | $2,118.11 | varies |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$1,026.04–$1,059.23 | $2,280.08 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 2 matching MRF lines |
$748.21–$892.08 | $1,982.40 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 2 matching MRF lines |
$748.21–$1,173.33 | $1,662.68 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 2 matching MRF lines |
$892.08–$1,125.73 | $2,501.63 | varies |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$1,114.87–$1,405.57 | $3,123.49 | varies |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$1,374.27–$1,448.21 | $3,218.25 | varies |
| MRI, dorsal spine contrast (72147) range across 2 matching MRF lines |
$1,026.04–$1,123.72 | $2,497.16 | varies |
| MRI, joint upper extrem (73221) range across 2 matching MRF lines |
$848.97–$1,125.73 | $1,886.59 | varies |
| MRI, joint upper extrem combo (73223) range across 2 matching MRF lines |
$981.86–$1,264.65 | $2,810.33 | varies |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$1,440.30–$1,448.21 | $3,200.66 | varies |
| Myelogram cervical (72240) range across 2 matching MRF lines |
$124.62–$824.63 | $1,832.51 | varies |
| Myelogram Lumbar (72265) | $715.01 | $1,588.91 | 0.7× |
| Myelography thoracic (72255) range across 2 matching MRF lines |
$715.01–$824.63 | $1,588.91 | varies |
| Myelograpy 2/more regions rs&i (72270) range across 2 matching MRF lines |
$715.01–$861.37 | $1,914.15 | varies |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $442.97 | $984.38 | 0.9× |
| Myocardial Spect Multiple Studies (78452) | $37.92 | $984.38 | 0.0× |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$140.45–$762.62 | $312.11 | varies |
| Nonvascular Shunt X-Ray (75809) | $853.34 | $263.55 | 6.5× |
| Ntsty modul radthx pln dose-vol histos (77301) range across 2 matching MRF lines |
$172.70–$1,763.57 | $3,919.04 | varies |
| Ophthalmic Ultrasonic Foreign Body Localization (76529) range across 2 matching MRF lines |
$101.94–$272.40 | $226.54–$262.50 | varies |
| Optic foramina (70190) range across 2 matching MRF lines |
$94.86–$119.07 | $210.79 | varies |
| Parathyroid imaging w/tomographic spect & CT (78072) range across 2 matching MRF lines |
$444.36–$595.94 | $1,324.31 | varies |
| Parathyroid planar imaging w/wo subtraction (78071) range across 2 matching MRF lines |
$444.36–$741 | $987.47 | varies |
| Pelvis 1 or 2 views (72170) range across 3 matching MRF lines |
$106.67–$1,440.30 | $237.04–$256.99 | varies |
| PET image w/CT, full body (78816) | $1,194.71 | $2,654.91 | 0.7× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $631.14 | $2,654.91 | 0.4× |
| Pulmonary Perfusion Imaging Particulate (78580) range across 2 matching MRF lines |
$109.98–$653.11 | $1,451.36 | varies |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $188.06 | $286.02 | 1.4× |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 2 matching MRF lines |
$38.27–$255.51 | $567.79 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 4 matching MRF lines |
$88.36–$162.31 | $249.38–$360.68 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 5 matching MRF lines |
$88.36–$119.07 | $196.35–$233.89 | varies |
| Radex elbow complete minimum 3 views (73080) range across 4 matching MRF lines |
$99.81–$150.37 | $242.55–$334.16 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$102.30–$150.84 | $335.21 | varies |
| Radex fingr minimum 2 views (73140) range across 2 matching MRF lines |
$82.45–$112.69 | $183.23 | varies |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$98.75–$119.07 | $264.60 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$112.69–$150.37 | $250.43–$334.16 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 2 matching MRF lines |
$102.30–$139.98 | $311.06 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) range across 2 matching MRF lines |
$98.75–$158.76 | $352.80 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$120.13–$150.84 | $266.96 | varies |
| Radex Pharynx/Larx W/Fluor&/Magnification Tq (70370) range across 2 matching MRF lines |
$140.45–$149.90 | $333.11 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 4 matching MRF lines |
$91.31–$308.19 | $202.91–$274.58 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$109.15–$124.62 | $276.94 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$90.84–$167.27 | $201.86 | varies |
| Radex Spine 1 View Specify Level (72020) range across 2 matching MRF lines |
$53.16–$266.96 | $118.13 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$99.81–$215.82 | $221.81 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$90.84–$156.28 | $347.29 | varies |
| Radex Toe Minimum 2 Views (73660) range across 2 matching MRF lines |
$83.87–$88.36 | $186.38 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 2 matching MRF lines |
$76.90–$98.75 | $170.89 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 4 matching MRF lines |
$97.81–$150.37 | $256.99–$334.16 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $348.35 | $967.05 | 2.7× |
| Radiation treatment delivery level 1 (77402) | $161.24 | $339.15 | 1.3× |
| Radiation treatment delivery level 2 (77407) | $152.62 | $783.74 | 0.3× |
| Radiation treatment delivery level 3 (77412) | $352.68 | $783.74 | 0.5× |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$99.81–$153.80 | $341.78 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 3 matching MRF lines |
$160.77–$188.06 | $357.26–$417.90 | varies |
| Radiologic exam colon double contrast study (74280) range across 2 matching MRF lines |
$262–$284.80 | $632.89 | varies |
| Radiologic exam colon single contrast study (74270) range across 2 matching MRF lines |
$225.27–$262 | $582.23 | varies |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $181.08 | $511.61 | 0.8× |
| Radiologic exam knee complete 4/more views (73564) | $118.13 | $262.50 | 0.9× |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$106.67–$174.71 | $388.24 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 2 matching MRF lines |
$225.27–$426.67 | $500.59 | varies |
| Radiologic exam swallow function contrast study (74230) range across 2 matching MRF lines |
$230.22–$294.72 | $654.94 | varies |
| Radiologic exam upr gi trc double contrast study (74246) range across 3 matching MRF lines |
$289.76–$359.22 | $643.91–$683.55 | varies |
| Radiologic examination femur 1 view (73551) | $119.66 | $323.14 | 1.1× |
| Radiologic examination femur minimum 2 views (73552) | $145.41 | $709.01 | 1.3× |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$106.20–$319.05 | $235.99 | varies |
| Radiologic Examination Osseous Survey Limited (77074) range across 2 matching MRF lines |
$152.86–$434.11 | $964.69 | varies |
| Radiologic Examination Salivary Gland Calculus (70380) range across 2 matching MRF lines |
$94.86–$356.27 | $210.79 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 5 matching MRF lines |
$102.30–$260.46 | $227.33–$311.06 | varies |
| Radiologic examination, internal auditory meati, complete Non-Facility (70134) range across 2 matching MRF lines |
$158.76–$175.18 | $343.09–$389.29 | varies |
| Renal Cyst Study (74470) range across 2 matching MRF lines |
$305.71–$324.02 | $720.04 | varies |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$138.44–$270.39 | $600.86 | varies |
| Rp loclzj tum plnr 1 area single day imaging (78800) range across 2 matching MRF lines |
$353.43–$493.65 | $1,096.99 | varies |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) range across 2 matching MRF lines |
$493.65–$525.66 | $1,168.13 | varies |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $387.45 | $1,362.90 | 0.6× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 2 matching MRF lines |
$387.45–$525.66 | $861 | varies |
| Rp Therapy Unlisted Procedure (79999) | $25.28 | $146.74 | 0.1× |
| Scapula (73010) range across 2 matching MRF lines |
$98.75–$189.12 | $420.26 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | — | $1.31 | — |
| Sella turcica (70240) range across 2 matching MRF lines |
$98.75–$177.66 | $219.45 | varies |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$109.15–$189.12 | $242.55 | varies |
| Shoulder Arthrography (73040) range across 2 matching MRF lines |
$124.62–$361.23 | $802.73 | varies |
| Sialogram (70390) range across 2 matching MRF lines |
$94.86–$119.07 | $264.60 | varies |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$98.75–$147.89 | $328.65 | varies |
| Special dosimetry (77331) range across 2 matching MRF lines |
$172.70–$470.28 | $383.78 | varies |
| Special Physics Consult (77370) | $470.28 | $383.78 | 2.8× |
| Special teletherapy port plan (77321) | $470.28 | $1,045.07 | 1.0× |
| Special treatment procedure (77470) range across 2 matching MRF lines |
$224.84–$749.23 | $1,664.95 | varies |
| Speech evaluation, complex (70371) range across 2 matching MRF lines |
$149.90–$160.77 | $357.26 | varies |
| Stereotactic Body Radiation Delivery (77373) | $172.70 | $5,046.83 | 0.1× |
| Sternoclavicular joints (71130) range across 2 matching MRF lines |
$99.81–$130.53 | $290.06 | varies |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $427.76 | $950.57 | 0.9× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) range across 2 matching MRF lines |
$427.76–$1,763.57 | $950.57 | varies |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $470.28 | $1,045.07 | 1.0× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) range across 2 matching MRF lines |
$172.70–$470.28 | $1,045.07 | varies |
| Ther rad simulaj-aided field setting simple (77280) | $172.70 | $383.78 | 1.0× |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$126.04–$154.86 | $280.09 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$126.04–$150.37 | $334.16 | varies |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$119.07–$141.99 | $264.60 | varies |
| Thyroid Carcinoma Metastases Img Lmtd Area (78015) range across 2 matching MRF lines |
$530.26–$741 | $1,646.66 | varies |
| Thyroid Imaging With Vascular Flow (78013) range across 2 matching MRF lines |
$211.92–$239.56 | $532.35 | varies |
| Thyroid Uptake Measurement (78012) | $918.45 | $470.93 | 1.8× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) range across 3 matching MRF lines |
$239.56–$424.89 | $944.21–$1,178.36 | varies |
| Tx Devices Design & Construction Complex (77334) range across 2 matching MRF lines |
$172.70–$470.28 | $1,045.07 | varies |
| Tx devices design & construction intermediate (77333) | $172.70 | $383.78 | 1.0× |
| Tx devices design & construction simple (77332) | $172.70 | $383.78 | 1.0× |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$152.86–$246.65 | $339.68 | varies |
| Ultrasound Exam Aaa Screen (76706) | $303.23 | $798.26 | 2.3× |
| Ultrasound, abdomen limited (76705) range across 5 matching MRF lines |
$131.12–$508.53 | $291.38–$673.84 | varies |
| Unlisted Dx Radiographic Procedure (76499) | $69.39 | $79.54 | 0.6× |
| Unlisted magnetic resonance procedure (76498) | $609.29 | $154.20 | 5.6× |
| Unlisted us procedure (76999) | $106.31 | $236.25 | 1.0× |
| Upper gi w/o kub (74240) range across 3 matching MRF lines |
$258.57–$294.72 | $574.61–$693.53 | varies |
| Urea Breath Test C-14 Isotopic Acquisj Analysis (78267) range across 3 matching MRF lines |
$211.92–$663.75 | $470.93–$690.38 | varies |
| Ureteral Reflux Study (78740) range across 2 matching MRF lines |
$353.43–$405.76 | $785.40 | varies |
| Urethrocystogram voiding (74455) range across 2 matching MRF lines |
$301.22–$305.71 | $679.35 | varies |
| Urethrocystography retrograde (74450) range across 4 matching MRF lines |
$246.17–$301.22 | $648.38–$669.38 | varies |
| Us breast unilateral complete (76641) range across 2 matching MRF lines |
$180.61–$246.65 | $548.10 | varies |
| Us chest (76604) range across 2 matching MRF lines |
$180.61–$272.40 | $401.36 | varies |
| Us complete joint (76881) | $127.17 | $592.20 | 1.0× |
| Us exam, pelvic, limited (76857) range across 3 matching MRF lines |
$181.08–$308.19 | $279.83–$402.41 | varies |
| Us head (76506) range across 2 matching MRF lines |
$35.79–$272.40 | $605.33 | varies |
| Us kidney transplant (76776) | $145.06 | $730.01 | 1.1× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 5 matching MRF lines |
$85.52–$266.49 | $190.05–$592.20 | varies |
| Us ob limited 1 or more fetuses (76815) range across 4 matching MRF lines |
$148.37–$240.15 | $316.31–$348.60 | varies |
| Us ob transvaginal (76817) range across 4 matching MRF lines |
$235.19–$307.13 | $344.40–$682.50 | varies |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$254.09–$308.19 | $684.86 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$229.75–$294.72 | $654.94 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 3 matching MRF lines |
$119.66–$254.09 | $265.91–$564.64 | varies |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$328.50–$359.22 | $730.01 | varies |
| Us retroperitoneal limited (76775) range across 3 matching MRF lines |
$291.77–$328.50 | $322.35–$648.38 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$125.92–$278.89 | $619.76 | varies |
| Us spinal canal and contents (76800) range across 2 matching MRF lines |
$229.75–$328.50 | $510.56 | varies |
| Us thyroid (76536) range across 2 matching MRF lines |
$118.13–$272.40 | $605.33 | varies |
| Us transrectal (76872) range across 2 matching MRF lines |
$254.09–$278.89 | $564.64 | varies |
| Vein X-Ray Chest (75827) range across 2 matching MRF lines |
$1,033.95–$1,143.57 | $2,541.26 | varies |
| Venography caval inferior serialography rs&i (75825) range across 2 matching MRF lines |
$760.61–$1,033.95 | $2,297.66 | varies |
| Venography extremity bilateral rs&i (75822) range across 3 matching MRF lines |
$420.76–$789.43 | $1,690.24–$1,754.29 | varies |
| Venography extremity unilateral rs&i (75820) range across 4 matching MRF lines |
$118.60–$455.49 | $935.03–$1,012.20 | varies |
| Venography Renal Bilateral (75833) range across 2 matching MRF lines |
$1,033.95–$1,180.31 | $2,622.90 | varies |
| Venography Renal Unilateral (75831) range across 2 matching MRF lines |
$1,033.95–$1,143.57 | $2,297.66 | varies |
| Venous sampling by catheter (75893) range across 2 matching MRF lines |
$444.03–$1,180.31 | $986.74 | varies |
| Vertebral fracture assessment via dxa (77086) | $123.09 | $273.53 | 1.1× |
| Wrist 2 views (73100) range across 4 matching MRF lines |
$76.90–$99.81 | $217.35–$221.81 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$124.62–$361.23 | $276.94 | varies |
| X-ray antegrade pyelogram tube (74425) range across 2 matching MRF lines |
$334.41–$371.62 | $825.83 | varies |
| X-Ray Aorta Leg Arteries (75630) range across 2 matching MRF lines |
$789.43–$1,138.61 | $2,530.24 | varies |
| X-Ray Bend Only L-S Spine (72120) range across 2 matching MRF lines |
$188.06–$266.49 | $417.90 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$93.32–$111.15 | $207.38–$221.81 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) | $119.07 | $344.14 | 1.1× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $154.86 | $516.08 | 1.2× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $232.24 | $774.11 | 1.8× |
| X-Ray Exam Hip Uni 1 View (73501) | $90.36 | $290.06 | 0.8× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $130.53 | $313.16 | 1.2× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $140.92 | $450.98 | 1.1× |
| X-Ray Exam Hips Bi 2 Views (73521) | $421.24 | $1,547.96 | 3.2× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $696.58 | $1,934.89 | 5.3× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $870.70 | $1,547.96 | 6.7× |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$216.88–$266.49 | $592.20 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$53.16–$136.44 | $303.19 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$174.24–$216.88 | $481.95 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 3 matching MRF lines |
$123.56–$150.84 | $307.65–$335.21 | varies |
| X-ray eye for foreign body (70030) | $53.16 | $281.14 | 0.5× |
| X-ray humerus (73060) range across 2 matching MRF lines |
$111.15–$124.62 | $247.01 | varies |
| X-ray IV pyelogram (ivp) (74400) range across 2 matching MRF lines |
$255.03–$375.17 | $833.70 | varies |
| X-ray IV pyelogram+tomography (74415) range across 2 matching MRF lines |
$345.40–$431.16 | $958.13 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 2 matching MRF lines |
$99.81–$126.51 | $221.81 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$118.13–$124.62 | $276.94 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$168.68–$294.25 | $374.85 | varies |
| X-ray nose-rectum child f.b. (76010) range across 2 matching MRF lines |
$38.27–$278.89 | $85.05 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$215.82–$270.39 | $479.59 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$126.04–$162.78 | $280.09 | varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) range across 2 matching MRF lines |
$162.78–$937.21 | $361.73 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$124.62–$126.04 | $276.94 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$90.84–$177.66 | $394.80 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$147.89–$179.19 | $398.21 | varies |
| X-Ray Stress View (77071) range across 2 matching MRF lines |
$64.03–$105.25 | $142.28 | varies |
| X-ray thoracic spine 4 vw (72074) range across 2 matching MRF lines |
$141.99–$150.37 | $315.53 | varies |
| X-Ray Tmj Unilat (70328) range across 2 matching MRF lines |
$90.84–$179.19 | $201.86 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 2 matching MRF lines |
$334.41–$431.16 | $743.14 | varies |
| X-Rays Bone Length Studies (77073) range across 2 matching MRF lines |
$114.11–$152.86 | $339.68 | varies |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$434.11–$483.25 | $1,073.89 | varies |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$136.44–$174.24 | $387.19 | varies |
| Xr facial bones less than 3 views (70140) range across 2 matching MRF lines |
$102.30–$154.39 | $227.33 | varies |
| XR Mastoids < 3 Views Bilateral (70120) range across 2 matching MRF lines |
$98.75–$153.80 | $219.45 | varies |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$94.86–$167.27 | $371.70 | varies |
| Xr Tomogram Single Plane (76100) range across 2 matching MRF lines |
$191.01–$255.51 | $424.46 | 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.