Imaging prices at Baptist Health Deaconess Madisonville
Madisonville, KY · every code in this section with a posted price and a Medicare benchmark.
371 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) | $2,737.58 | $21,058.30 | 2.0× |
| Abdomen 1 View (74018) | $131.68 | $1,012.90 | 1.5× |
| Abdomen 2 views (74019) | $139.62 | $1,073.98 | 1.4× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $323 | $2,484.59 | 0.8× |
| Angio pulmonary bilat (75743) | $1,890.60 | $14,543.03 | 0.6× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $2,571.93 | $19,784.03 | 0.8× |
| Angiography extremity bilateral rs&i (75716) | $1,890.60 | $14,543.03 | 0.6× |
| Angiography extremity unilateral rs&i (75710) | $1,890.60 | $14,543.03 | 0.6× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $1,890.60 | $14,543.03 | 0.6× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $934.83 | $7,190.94 | 0.3× |
| Ankle 2 views (73600) | $154.36 | $1,187.33 | 1.8× |
| Aortography thoracic serialography rs&i (75605) unusually low: confirm this is the full procedure |
$1,835.42 | $14,118.58 | 0.3× |
| Artery X-Rays Abdomen (75726) unusually low: confirm this is the full procedure |
$1,890.60 | $14,543.03 | 0.3× |
| Artery X-Rays Adrenal Gland (75731) | $2,764.42 | $21,264.70 | 0.9× |
| Artery X-Rays Pelvis (75736) unusually low: confirm this is the full procedure |
$1,890.60 | $14,543.03 | 0.3× |
| Artery X-Rays Spine (75705) unusually low: confirm this is the full procedure |
$1,890.60 | $14,543.03 | 0.3× |
| Arthrogram ankle (73615) | $460.64 | $3,543.34 | 1.3× |
| Arthrogram hip (73525) | $183.50 | $1,411.52 | 0.5× |
| Arthrogram Wrist (73115) | $258.95 | $1,991.90 | 0.8× |
| Basic radiation dosimetry calculation (77300) | $337.28 | $2,594.43 | 2.6× |
| Bone age studies (77072) | $169.91 | $1,306.99 | 1.7× |
| Bone Imaging 3 Phase (78315) | $910.76 | $7,005.77 | 2.3× |
| Bone Imaging Limited Area (78300) | $775.60 | $5,966.11 | 2.0× |
| Bone Imaging Multiple Areas (78305) | $330.61 | $2,543.14 | 0.8× |
| Bone Imaging Whole Body (78306) | $910.76 | $7,005.77 | 2.3× |
| Bone marrow imaging; multiple areas (78103) | $254.52 | $1,957.81 | 0.7× |
| Bone survey infant (77076) | $188.73 | $1,451.75 | 1.8× |
| Brachytx isodose complex (77318) | $888.30 | $6,833.02 | 2.4× |
| Brachytx isodose intermed (77317) | $762.89 | $5,868.32 | 2.1× |
| Brachytx Isodose Plan Simple (77316) | $590.39 | $4,541.41 | 1.6× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $350.36 | $2,695.03 | 0.7× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $1,017.35 | $7,825.73 | 0.7× |
| Card Bl Pool Gated Spect Rest Wal Motn Ejct Frct (78494) | $370.52 | $2,850.08 | 0.9× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $1,368.29 | $10,525.26 | 4.0× |
| Cat Scan Follow-Up Study (76380) | $218.72 | $1,682.40 | 2.6× |
| Cerebrospinal Fluid Scan (78630) | $728.07 | $5,600.47 | 1.4× |
| Chest 1 view (71045) | $63.23 | $486.32 | 0.7× |
| Chest 2 views (71046) | $63.23 | $486.32 | 0.7× |
| Chest 3 views (71047) | $63.23 | $486.32 | 0.7× |
| Chest 4 or more views (71048) | $195.67 | $1,505.08 | 1.9× |
| Cisternography Positive Contrast Rs&I (70015) | $545.90 | $4,199.17 | 0.7× |
| Clavicle complete (73000) | $177.85 | $1,368.06 | 2.1× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $116.06 | $892.74 | 1.1× |
| Continuing medical physics consltj pr wk (77336) | $255.21 | $1,963.09 | 1.9× |
| Contrast Exam Abdominl Aorta (75625) | $1,880.14 | $14,462.57 | 0.6× |
| Contrast X-Ray Bladder (74430) | $181.84 | $1,398.74 | 0.5× |
| Contrast X-Ray Of Elbow (73085) | $282.28 | $2,171.31 | 0.8× |
| Contrast X-Ray Of Knee Joint (73580) | $188.73 | $1,451.75 | 0.6× |
| CT abdomen and pelvis without and with contrast (74178) | $1,560.85 | $12,006.48 | 4.6× |
| CT abdomen and pelvis without contrast (74176) | $875.03 | $6,730.98 | 3.7× |
| CT abdomen w contrast (74160) | $505.69 | $3,889.91 | 2.9× |
| CT abdomen w wo contrast (74170) | $681.18 | $5,239.81 | 4.0× |
| CT abdomen w/o contrast (74150) | $496.42 | $3,818.54 | 4.9× |
| CT Angio Abdomen and Pelvis (74174) | $990.60 | $7,619.98 | 2.9× |
| CT Angio Chest (71275) | $581.56 | $4,473.52 | 3.4× |
| CT Angio Head (70496) | $496.42 | $3,818.54 | 2.9× |
| CT angio hrt w/3d image (75574) | $598.26 | $4,601.95 | 1.8× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $537.41 | $4,133.92 | 3.1× |
| CT Angio Neck (70498) | $496.42 | $3,818.54 | 2.9× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $900.82 | $6,929.32 | 5.2× |
| CT cervical spine w/ contrast (72126) | $593.25 | $4,563.42 | 1.7× |
| CT cervical spine w/o contrast (72125) | $574.70 | $4,420.74 | 5.6× |
| CT cervical spine w/wo cont (72127) | $719.95 | $5,538.04 | 4.2× |
| CT chest w contrast (71260) | $548.54 | $4,219.53 | 3.2× |
| CT chest w/wo contrast (71270) | $865.39 | $6,656.78 | 5.0× |
| CT head/brain with contrast (70460) | $643.15 | $4,947.28 | 3.7× |
| CT head/brain without and with contrast (70470) | $681.74 | $5,244.09 | 4.0× |
| CT heart contrast eval cardiac structure&morph (75572) | $598.26 | $4,601.95 | 1.8× |
| CT heart no contrast quant eval coronry calcium (75571) | $7.93 | $60.99 | 0.1× |
| CT iac w contrast (70481) | $505.69 | $3,889.91 | 2.9× |
| CT l-spine w&w/o contrast (72133) | $829.95 | $6,384.23 | 4.8× |
| CT lower ext w/o (73700) | $743.69 | $5,720.69 | 7.3× |
| CT lower extremity w/contrast material (73701) | $760.58 | $5,850.56 | 4.4× |
| CT lumbar spine w contrast (72132) | $667.82 | $5,137.06 | 2.0× |
| CT lumbar spine w/o contrast (72131) | $600.67 | $4,620.51 | 5.9× |
| CT maxillofacial w contrast (70487) | $532.22 | $4,093.96 | 3.1× |
| CT maxillofacial wo contrast (70486) | $496.42 | $3,818.54 | 4.9× |
| CT neck tissue combo (70492) | $558.01 | $4,292.31 | 3.3× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $517.75 | $3,982.66 | 3.0× |
| CT orbits w/o contrast (70480) | $496.42 | $3,818.54 | 4.9× |
| CT pelvis w&w/o contrast (72194) | $822.91 | $6,330.01 | 4.8× |
| CT pelvis w/o contrast (72192) | $453.94 | $3,491.78 | 4.4× |
| CT scan of leg combo (73702) | $779.68 | $5,997.52 | 4.5× |
| CT scans face/jaw combo (70488) | $626.83 | $4,821.72 | 3.7× |
| CT soft tissue neck w contrast (70491) | $547.25 | $4,209.55 | 3.2× |
| CT soft tissue neck w/o contrast (70490) | $534.26 | $4,109.66 | 5.2× |
| CT thoracic spine w contrast (72129) | $667.82 | $5,137.06 | 3.9× |
| CT thoracic spine w/o contrast (72128) | $586.57 | $4,512.05 | 5.7× |
| CT thoracic spine w/wo cont (72130) | $749.45 | $5,764.95 | 4.4× |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$295.82–$316.52 | $2,275.48–$2,434.76 | varies |
| CT upper ext wo (73200) | $496.42 | $3,818.54 | 4.9× |
| CT upper extremity w/o & w/contrast material (73202) | $688.23 | $5,294.04 | 4.0× |
| CT upper extremity with contrast (73201) | $593.25 | $4,563.42 | 1.7× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $645.56 | $4,965.83 | 3.8× |
| Cta Abdomen (74175) | $595.85 | $4,583.41 | 3.5× |
| CTA pelvis (72191) | $541.50 | $4,165.31 | 3.2× |
| Dilation ureters/urethra rs&i (74485) | $1,113.55 | $8,565.74 | 0.5× |
| Discography Cerv/Thor Spine (72285) | $735.46 | $5,657.38 | 0.4× |
| Diskography lumbar (72295) | $1,426.20 | $10,970.76 | 0.7× |
| Doppler Fetal Mid Cerebral Artery (76821) | $87.86 | $675.81 | 0.9× |
| Dxa Bone Density Axial (77080) | $38.34 | $294.89 | 0.4× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $200.43 | $1,541.75 | 2.4× |
| Echo exam of fetal heart (76825) | $149.69 | $1,151.42 | 0.3× |
| Echo Guide For Artery Repair (76936) | $213.92 | $1,645.51 | 1.0× |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) | $164.66 | $1,266.57 | 0.7× |
| Esophagram (74220) | $271.70 | $2,089.98 | 1.6× |
| Fetal Biophys Profile W/Nst (76818) | $164.66 | $1,266.57 | 1.6× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $164.66 | $1,266.57 | 1.6× |
| Fluoroscopy up to 1 hr (76000) | $235.13 | $1,808.65 | 1.0× |
| Follow-Up Angiography (75898) | $934.83 | $7,190.94 | 0.3× |
| Foot 2 views (73620) | $168.56 | $1,296.55 | 2.0× |
| Forearm 2 views (73090) | $175.77 | $1,352.06 | 2.1× |
| Gastric emptying imaging study (78264) | $1,098.58 | $8,450.55 | 2.8× |
| Gastric Emptyng Imag Std W/Sm Bwl Transit (78265) | $266.62 | $2,050.89 | 0.7× |
| Gastroesophageal Reflux Exam (78262) | $225.06 | $1,731.20 | 0.6× |
| Gated Heart Planar Single (78472) | $837.11 | $6,439.25 | 2.1× |
| Hand 2 views (73120) | $163.65 | $1,258.82 | 1.6× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $2,764.42 | $21,264.70 | 0.9× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $2,762.11 | $21,246.94 | 0.9× |
| Hepatobil Syst Image W/Drug (78227) | $831.34 | $6,394.89 | 1.6× |
| Hepatobiliary System Imaging (78226) | $706.67 | $5,435.87 | 1.8× |
| Ht Muscle Image Spect Sing (78451) | $1,904.19 | $14,647.59 | 1.5× |
| Hysterosalpingogram (74740) | $244.94 | $1,884.13 | 1.0× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $164.66 | $1,266.57 | 1.9× |
| Infant hip ultrasound, limited static exam (76886) | $148.19 | $1,139.91 | 1.7× |
| Interstitial radiation source applic complex (77778) | $944.69 | $7,266.79 | 1.4× |
| Intracavitary Radiation Source Applic Complex (77763) | $550.61 | $4,235.40 | 0.8× |
| Intracavitary Radiation Source Applic Intermed (77762) | $491.23 | $3,778.65 | 0.9× |
| Intracavitary radiation source applic simple (77761) | $316.03 | $2,430.94 | 0.6× |
| K Flow/Funct Image W/Drug (78708) | $857.68 | $6,597.50 | 1.6× |
| K Flow/Funct Image W/O Drug (78707) | $802.13 | $6,170.17 | 1.5× |
| Knee 3 Views (73562) | $172.43 | $1,326.35 | 2.0× |
| Leveen/Shunt Patency Exam (78291) | $213.34 | $1,641.03 | 0.5× |
| Liver & Spleen Imaging Static Only (78215) | $762.63 | $5,866.38 | 2.0× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $222.39 | $1,710.69 | 0.6× |
| Lung Perf&Ventilat Diferentl (78598) | $447.25 | $3,440.31 | 0.8× |
| Lung perfusion differential (78597) | $802.13 | $6,170.17 | 2.1× |
| Lung Ventilat&Perfus Imaging (78582) | $836.49 | $6,434.50 | 1.6× |
| Lung Ventilation Imaging (78579) | $247.50 | $1,903.78 | 0.6× |
| Lymph System Imaging (78195) | $494.99 | $3,807.54 | 0.9× |
| Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) | $3,070.04 | $23,615.69 | 1.0× |
| Magnetic Image Jaw Joint (70336) | $621.17 | $4,778.21 | 2.7× |
| Meckels Divert Exam (78290) | $696.39 | $5,356.82 | 1.8× |
| Medical physics dose eval radiation expos w/rprt (76145) | $136.97 | $1,053.55 | 0.4× |
| Mlc imrt design & construction per imrt plan (77338) | $3,461.92 | $26,630.11 | 9.5× |
| Mr safety determination physician/other qhp (76016) | $31.85 | $244.96 | 0.4× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $8.91 | $68.48 | 0.3× |
| Mra Head W/O & W/Contrast Material (70546) | $691.25 | $5,317.25 | 2.0× |
| MRA head w/o contrast (70544) | $569.08 | $4,377.53 | 2.4× |
| MRA head with contrast (70545) | $629.30 | $4,840.71 | 1.8× |
| MRA neck w contrast (70548) | $629.30 | $4,840.71 | 1.8× |
| Mra Neck W/O &W/Contrast Material (70549) | $587.69 | $4,520.64 | 1.7× |
| MRA neck w/o contrast (70547) | $569.08 | $4,377.53 | 2.4× |
| MRI abdomen w contrast (74182) | $642.75 | $4,944.22 | 1.9× |
| MRI abdomen w/o contrast (74181) | $526.67 | $4,051.26 | 2.3× |
| MRI any jt lower extrem w/contrast material (73722) | $577.21 | $4,440.03 | 0.8× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $739.68 | $5,689.78 | 2.2× |
| MRI any jt upper extremity w/contrast matrl (73222) | $569.08 | $4,377.53 | 0.7× |
| MRI bone marrow blood supply (77084) | $659.31 | $5,071.58 | 2.8× |
| MRI Breast W/O Contrast Bilateral (77047) | $569.08 | $4,377.53 | 2.4× |
| MRI Breast Without Contrast Material Unilateral (77046) | $526.67 | $4,051.26 | 2.3× |
| MRI cardiac w/o contrast (75557) | $1,368.29 | $10,525.26 | 5.9× |
| MRI cervical spine w contrast (72142) | $747.12 | $5,747.02 | 2.2× |
| MRI cervical spine w/o cont (72141) | $564.80 | $4,344.61 | 2.4× |
| MRI chest w/o contrast (71550) | $569.08 | $4,377.53 | 2.4× |
| MRI chest with contrast (71551) | $576.71 | $4,436.21 | 0.8× |
| MRI chest wo w contrast (71552) | $606.85 | $4,668.02 | 1.8× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $577.21 | $4,440.03 | 1.7× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $585.33 | $4,502.52 | 1.7× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $569.08 | $4,377.53 | 2.4× |
| MRI lumbar spine w contrast (72149) | $618.94 | $4,761.04 | 1.8× |
| Mri Neck Spine W/O & W/Dye (72156) | $796.79 | $6,129.12 | 2.3× |
| MRI orbit face &/neck w/o contrast (70540) | $569.08 | $4,377.53 | 2.4× |
| MRI orbit face neck w contrast (70542) | $581.18 | $4,470.55 | 1.7× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $607.96 | $4,676.61 | 1.8× |
| MRI pelvis w contrast (72196) | $569.08 | $4,377.53 | 1.7× |
| MRI pelvis w/o & w contrast (72197) | $719.21 | $5,532.37 | 2.1× |
| MRI pelvis w/o contrast (72195) | $559.41 | $4,303.10 | 2.4× |
| MRI spectroscopy (76390) | $569.08 | $4,377.53 | 6.7× |
| MRI thoracic spine w/o contrast (72146) | $563.32 | $4,333.17 | 2.4× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $595.13 | $4,577.88 | 1.7× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $589.73 | $4,536.36 | 2.5× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $621.17 | $4,778.21 | 1.8× |
| MRI, abdomen, combo (74183) | $659.31 | $5,071.58 | 1.9× |
| MRI, dorsal spine combo (72157) | $787.30 | $6,056.13 | 2.3× |
| MRI, dorsal spine contrast (72147) | $569.08 | $4,377.53 | 1.7× |
| MRI, joint upper extrem (73221) | $563.32 | $4,333.17 | 2.4× |
| MRI, joint upper extrem combo (73223) | $775.21 | $5,963.11 | 2.3× |
| MRI, lumbar spine combo (72158) | $754.19 | $5,801.40 | 2.2× |
| Myelogram cervical (72240) | $917.09 | $7,054.52 | 1.2× |
| Myelogram Lumbar (72265) | $736.94 | $5,668.70 | 1.0× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $489.22 | $3,763.17 | 1.3× |
| Myocardial Spect Multiple Studies (78452) | $1,940.19 | $14,924.50 | 1.5× |
| N-invas est c ffr sw aly CTA (75580) | $1,111.57 | $8,550.50 | 1.3× |
| Neck soft tissue (70360) | $169.09 | $1,300.67 | 2.0× |
| Nm csf leak detection (78650) | $885.20 | $6,809.22 | 0.7× |
| Nm myocard infarct spect (78469) | $1,051.27 | $8,086.63 | 2.0× |
| Nm whole blood volume (78122) | $343.97 | $2,645.87 | 0.6× |
| Nonvascular Shunt X-Ray (75809) | $111.28 | $856 | 1.1× |
| Ntsty modul radthx pln dose-vol histos (77301) | $4,201.69 | $32,320.63 | 3.1× |
| Nuclear Rx Intra-Arterial (79445) | $376.28 | $2,894.46 | 1.6× |
| Nuclear Rx Oral Admin (79005) | $1,069.57 | $8,227.41 | 4.7× |
| Ob us nuchal meas 1 gest (76813) | $146.23 | $1,124.81 | 1.4× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $509.17 | $3,916.66 | 1.0× |
| Parathyroid Planar Imaging (78070) | $518.85 | $3,991.08 | 1.3× |
| Parathyroid planar imaging w/wo subtraction (78071) | $509.17 | $3,916.66 | 1.3× |
| Pelvis 1 or 2 views (72170) | $151.95 | $1,168.84 | 1.5× |
| Peritoneogram Rs&I (74190) | $172.01 | $1,323.13 | 0.3× |
| Pet Image W/Ct Lmtd (78814) | $941.58 | $7,242.88 | 0.7× |
| PET image w/CT, full body (78816) | $1,412.68 | $10,866.71 | 1.0× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $1,412.68 | $10,866.71 | 1.0× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $2,762.11 | $21,246.94 | 0.9× |
| Pulmonary Perfusion Imaging Particulate (78580) | $407.75 | $3,136.52 | 1.0× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $240.55 | $1,850.36 | 2.4× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $214.23 | $1,647.90 | 0.4× |
| Radex Ankle Complete Minimum 3 Views (73610) | $177.45 | $1,364.97 | 2.1× |
| Radex Calcaneus Minimum 2 Views (73650) | $164.17 | $1,262.79 | 1.9× |
| Radex elbow complete minimum 3 views (73080) | $165.73 | $1,274.84 | 1.9× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $164.07 | $1,262.07 | 1.6× |
| Radex fingr minimum 2 views (73140) | $131.47 | $1,011.30 | 1.5× |
| Radex foot complete minimum 3 views (73630) | $179.53 | $1,380.97 | 2.1× |
| Radex Hand Minimum 3 Views (73130) | $174.51 | $1,342.37 | 2.0× |
| Radex lower extremity infant minimum 2 views (73592) | $386.74 | $2,974.86 | 4.5× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $161.13 | $1,239.46 | 1.6× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $211.50 | $1,626.91 | 2.5× |
| Radex Ribs Unilateral 2 Views (71100) | $216.94 | $1,668.75 | 2.5× |
| Radex shoulder complete minimum 2 views (73030) | $169.49 | $1,303.75 | 2.0× |
| Radex Sinuses Paransl < 3 Views (70210) | $160.31 | $1,233.13 | 1.9× |
| Radex Spine 1 View Specify Level (72020) | $104.71 | $805.44 | 1.2× |
| Radex Sternum Minimum 2 Views (71120) | $172.43 | $1,326.35 | 2.0× |
| Radex Toe Minimum 2 Views (73660) | $162.39 | $1,249.14 | 1.9× |
| Radex upper extremity infant minimum 2 views (73092) | $288.18 | $2,216.71 | 2.8× |
| Radex Wrist Complete Minimum 3 Views (73110) | $190.81 | $1,467.74 | 2.2× |
| Radiolog exam mandible compl minimum 4 views (70110) | $168.88 | $1,299.05 | 1.7× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $191.02 | $1,469.38 | 1.9× |
| Radiologic exam colon double contrast study (74280) | $602.55 | $4,634.94 | 3.5× |
| Radiologic exam colon single contrast study (74270) | $398.15 | $3,062.65 | 2.3× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $281.05 | $2,161.91 | 1.6× |
| Radiologic exam knee complete 4/more views (73564) | $235.02 | $1,807.79 | 2.3× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $249.75 | $1,921.12 | 2.4× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $293.02 | $2,253.96 | 1.7× |
| Radiologic exam swallow function contrast study (74230) | $218.83 | $1,683.27 | 1.3× |
| Radiologic exam upr gi trc double contrast study (74246) | $198.14 | $1,524.14 | 1.2× |
| Radiologic examination femur 1 view (73551) | $53.72 | $413.16 | 0.6× |
| Radiologic examination femur minimum 2 views (73552) | $154.36 | $1,187.33 | 1.8× |
| Radiologic examination knee 1/2 views (73560) | $160.37 | $1,233.56 | 1.9× |
| Radiologic Examination Osseous Survey Limited (77074) | $85.49 | $657.60 | 0.8× |
| Radiologic examination tibia & fibula 2 views (73590) | $163.12 | $1,254.71 | 1.9× |
| Radiopharm Dacryocystography (78660) | $173.02 | $1,330.89 | 0.4× |
| Ribs bilateral 3 views (71110) | $248.09 | $1,908.35 | 2.4× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $328.13 | $2,524.04 | 0.8× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $442.12 | $3,400.86 | 1.1× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $914.87 | $7,037.42 | 1.7× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $914.87 | $7,037.42 | 1.7× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $1,011.14 | $7,777.96 | 1.9× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $455 | $3,500 | 0.4× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $477.10 | $3,669.99 | 0.4× |
| Rp Therapy Intravenous Administration (79101) | $1,564.76 | $12,036.55 | 6.9× |
| Scapula (73010) | $185.81 | $1,429.30 | 1.8× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $36.17 | $278.20 | 1.5× |
| Sella turcica (70240) | $76.29 | $586.82 | 0.9× |
| Shoulder 1 view (73020) | $113.70 | $874.61 | 1.3× |
| Shoulder Arthrography (73040) | $368.47 | $2,834.33 | 1.1× |
| Sialogram (70390) | $214.23 | $1,647.90 | 0.9× |
| Skull less than 4 views (70250) | $220.07 | $1,692.83 | 2.2× |
| Special dosimetry (77331) | $292.71 | $2,251.54 | 2.2× |
| Special Physics Consult (77370) | $543.93 | $4,184.03 | 4.1× |
| Special teletherapy port plan (77321) | $836.63 | $6,435.56 | 2.3× |
| Special treatment procedure (77470) | $1,184.54 | $9,111.79 | 2.2× |
| Stereotactic Body Radiation Delivery (77373) | $10,405.77 | $80,044.34 | 5.9× |
| Sternoclavicular joints (71130) | $67.72 | $520.91 | 0.8× |
| Surface Applic Low Dose Rate Radionuclide Source (77789) | $76.13 | $585.60 | 0.8× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $844.54 | $6,496.44 | 2.3× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $563.11 | $4,331.55 | 1.5× |
| Testicular Imaging W/Flow (78761) | $570.89 | $4,391.41 | 1.5× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $831.62 | $6,397.06 | 2.3× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $710.59 | $5,466.04 | 1.9× |
| Ther rad simulaj-aided field setting simple (77280) | $457.69 | $3,520.63 | 3.5× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $248.91 | $1,914.67 | 1.5× |
| Thoracic spine 2 views (72070) | $203.35 | $1,564.22 | 2.0× |
| Thoracic spine 3 views (72072) | $215.07 | $1,654.36 | 2.1× |
| Thyroid Carcinoma Metastases Img Lmtd Area (78015) | $186.60 | $1,435.37 | 0.5× |
| Thyroid Imaging With Vascular Flow (78013) | $453.43 | $3,487.87 | 1.2× |
| Thyroid Met Imaging Body (78018) | $566.56 | $4,358.15 | 1.1× |
| Thyroid Uptake Measurement (78012) | $139.07 | $1,069.74 | 0.4× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $751.93 | $5,784.02 | 1.9× |
| Tx Devices Design & Construction Complex (77334) | $575.40 | $4,426.09 | 1.6× |
| Tx devices design & construction intermediate (77333) | $373.73 | $2,874.81 | 2.8× |
| Tx devices design & construction simple (77332) | $282.49 | $2,172.95 | 2.1× |
| Ultrasound Breast Limited (76642) | $164.66 | $1,266.57 | 1.9× |
| Ultrasound elastography first target lesion (76982) | $164.66 | $1,266.57 | 1.6× |
| Ultrasound Elastography Parenchyma (76981) | $164.66 | $1,266.57 | 1.6× |
| Ultrasound Exam Aaa Screen (76706) | $164.66 | $1,266.57 | 1.6× |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$153.89–$164.66 | $1,183.71–$1,266.57 | varies |
| Umbilical-artery Doppler (OB) (76820) | $87.86 | $675.81 | 0.9× |
| Unlisted magnetic resonance procedure (76498) | $569.08 | $4,377.53 | 6.7× |
| Unlisted us procedure (76999) | $143 | $1,100 | 1.7× |
| Upper gi w/o kub (74240) | $432.27 | $3,325.13 | 2.5× |
| Urea breath test c-14 isotopic analysis (78268) | $67.34 | $517.95 | 0.7× |
| Ureteral Reflux Study (78740) | $328.34 | $2,525.65 | 0.8× |
| Urethrocystogram voiding (74455) | $381.64 | $2,935.66 | 1.6× |
| Urethrocystography retrograde (74450) | $166.78 | $1,282.90 | 0.7× |
| Us breast unilateral complete (76641) | $164.66 | $1,266.57 | 1.6× |
| Us chest (76604) | $164.66 | $1,266.57 | 1.6× |
| Us complete joint (76881) | $164.66 | $1,266.57 | 1.6× |
| Us exam, pelvic, limited (76857) | $164.66 | $1,266.57 | 1.6× |
| Us head (76506) | $164.66 | $1,266.57 | 1.6× |
| Us kidney transplant (76776) | $246.99 | $1,899.89 | 2.4× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $164.66 | $1,266.57 | 1.6× |
| Us ob detailed single fetus (76811) | $164.66 | $1,266.57 | 0.7× |
| Us ob limited 1 or more fetuses (76815) | $164.66 | $1,266.57 | 1.6× |
| Us ob transvaginal (76817) | $164.66 | $1,266.57 | 1.6× |
| Us pelvic non ob complete (76856) | $164.66 | $1,266.57 | 1.6× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $136.15 | $1,047.27 | 1.3× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $100.50 | $773.01 | 1.0× |
| Us retroperitoneal complete (76770) | $136.42 | $1,049.31 | 1.3× |
| Us retroperitoneal limited (76775) | $164.66 | $1,266.57 | 1.6× |
| Us scrotum and contents (76870) | $164.66 | $1,266.57 | 1.6× |
| Us spinal canal and contents (76800) | $164.66 | $1,266.57 | 1.6× |
| Us thyroid (76536) | $164.66 | $1,266.57 | 1.6× |
| Us transrectal (76872) | $164.66 | $1,266.57 | 1.6× |
| Vein X-Ray Chest (75827) | $602.55 | $4,634.94 | 0.4× |
| Vein X-Ray Liver W/O Hemodyn (75887) | $934.83 | $7,190.94 | 0.3× |
| Vein X-Ray Spleen/Liver (75810) | $2,762.11 | $21,246.94 | 0.9× |
| Venography Adrenal Unilateral (75840) | $1,381.06 | $10,623.53 | 0.4× |
| Venography caval inferior serialography rs&i (75825) range across 2 matching MRF lines |
$1,946.05–$2,062.82 | $14,969.59–$15,867.77 | varies |
| Venography extremity bilateral rs&i (75822) | $1,205.09 | $9,269.87 | 0.8× |
| Venography extremity unilateral rs&i (75820) | $602.55 | $4,634.94 | 0.4× |
| Venography Renal Bilateral (75833) | $1,615.75 | $12,428.82 | 0.5× |
| Venography Renal Unilateral (75831) | $1,932.25 | $14,863.39 | 0.6× |
| Venous sampling by catheter (75893) unusually low: confirm this is the full procedure |
$1,890.60 | $14,543.03 | 0.3× |
| Vertebral fracture assessment via dxa (77086) | $109.52 | $842.44 | 1.3× |
| Wrist 2 views (73100) | $181.63 | $1,397.14 | 2.1× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $169.91 | $1,306.99 | 2.0× |
| X-ray antegrade pyelogram tube (74425) | $181.94 | $1,399.47 | 0.5× |
| X-Ray Aorta Leg Arteries (75630) | $1,778.77 | $13,682.82 | 0.6× |
| X-Ray Bend Only L-S Spine (72120) | $163.65 | $1,258.82 | 1.6× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $154.88 | $1,191.31 | 1.8× |
| X-Ray Exam Breast Specimen (76098) | $363.03 | $2,792.49 | 0.7× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $611.54 | $4,704.08 | 6.0× |
| X-Ray Exam Hip Uni 1 View (73501) | $117.88 | $906.76 | 1.4× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $137.73 | $1,059.45 | 1.6× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $166.78 | $1,282.90 | 1.6× |
| X-Ray Exam Hips Bi 2 Views (73521) | $277.98 | $2,138.27 | 2.7× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $337.95 | $2,599.57 | 3.3× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $510.17 | $3,924.33 | 5.0× |
| X-Ray Exam L-S Spine Bending (72114) | $357.59 | $2,750.65 | 3.5× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $203.15 | $1,562.62 | 2.4× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $402.96 | $3,099.64 | 3.9× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $231.37 | $1,779.75 | 2.3× |
| X-ray eye for foreign body (70030) | $168.88 | $1,299.05 | 2.0× |
| X-ray humerus (73060) | $178.70 | $1,374.54 | 2.1× |
| X-ray IV pyelogram (ivp) (74400) | $530.02 | $4,077.03 | 3.1× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $168.88 | $1,299.05 | 2.0× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $185.39 | $1,426.05 | 2.2× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $163.86 | $1,260.44 | 1.6× |
| X-ray nose-rectum child f.b. (76010) | $58.52 | $450.14 | 0.7× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $304.30 | $2,340.75 | 3.0× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $188.52 | $1,450.13 | 1.8× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $107 | $823.07 | 1.0× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $178.27 | $1,371.29 | 2.1× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $173.67 | $1,335.91 | 2.0× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $317.47 | $2,442.03 | 3.1× |
| X-Ray Tmj Unilat (70328) | $26.43 | $203.29 | 0.3× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $449.15 | $3,454.96 | 1.3× |
| X-Rays Bone Length Studies (77073) | $117.67 | $905.15 | 1.2× |
| X-Rays Bone Survey Complete (77075) | $384.56 | $2,958.12 | 3.8× |
| Xr c-spine 4 or 5 views (72050) | $262.08 | $2,015.98 | 2.6× |
| Xr facial bones less than 3 views (70140) | $138.99 | $1,069.14 | 1.6× |
| Xr orbits complete 4 views (70200) | $200.85 | $1,544.98 | 2.0× |
| Xr Tomogram Single Plane (76100) | $172.01 | $1,323.14 | 1.7× |
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.