Imaging prices at Baptist Hospital of Miami
Miami, FL · every code in this section with a posted price and a Medicare benchmark.
463 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 3-D radiotherapy plan dose-volume histograms (77295) range across 2 matching MRF lines |
$4,917.25–$5,820.75 | $7,565–$8,955 | varies |
| Abdomen 1 View (74018) range across 2 matching MRF lines |
$372.45–$575.90 | $573–$886 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$521.95–$640.25 | $803–$985 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,450.80 | $2,232 | 3.5× |
| Angio internal mammary (75756) | $6,271.20 | $9,648 | 1.9× |
| Angio pulmonary bilat (75743) | $7,337.85 | $11,289 | 2.2× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $4,681.95 | $7,203 | 1.4× |
| Angiography extremity bilateral rs&i (75716) range across 2 matching MRF lines |
$6,561.75–$20,092.80 | $10,095–$30,912 | varies |
| Angiography extremity unilateral rs&i (75710) range across 2 matching MRF lines |
$6,561.75–$10,046.40 | $10,095–$15,456 | varies |
| Angiography pulmonary unilateral slctv rs&i (75741) | $7,729.15 | $11,891 | 2.3× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $4,563.65 | $7,021 | 1.4× |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$413.40–$483.60 | $636–$744 | varies |
| Aortography thoracic serialography rs&i (75605) | $4,479.15 | $6,891 | 0.8× |
| Aortography thoracic w/o serialography rs&i (75600) | $3,732.95 | $5,743 | 1.1× |
| Artery X-Rays Abdomen (75726) | $5,964.40 | $9,176 | 1.0× |
| Artery X-Rays Adrenal Gland (75731) | $4,189.25 | $6,445 | 1.3× |
| Artery X-Rays Pelvis (75736) | $4,803.50 | $7,390 | 0.8× |
| Artery X-Rays Spine (75705) | $8,130.20 | $12,508 | 1.4× |
| Arthrogram ankle (73615) | $612.30 | $942 | 1.7× |
| Arthrogram hip (73525) | $1,058.85 | $1,629 | 2.9× |
| Arthrogram Wrist (73115) | $941.20 | $1,448 | 2.6× |
| Basic radiation dosimetry calculation (77300) | $1,367.60 | $2,104 | 9.7× |
| Bone age studies (77072) range across 2 matching MRF lines |
$372.45–$416.65 | $573–$641 | varies |
| Bone Imaging 3 Phase (78315) | $2,737.80 | $4,212 | 6.6× |
| Bone Imaging Limited Area (78300) | $1,818.70 | $2,798 | 4.4× |
| Bone Imaging Multiple Areas (78305) | $1,515.80 | $2,332 | 3.6× |
| Bone Imaging Whole Body (78306) | $2,538.25 | $3,905 | 6.1× |
| Bone marrow imaging limited area (78102) | $911.95 | $1,403 | 2.2× |
| Bone marrow imaging; multiple areas (78103) | $1,026.35 | $1,579 | 2.5× |
| Bone marrow imaging; whole body (78104) | $1,148.55 | $1,767 | 2.8× |
| Bone survey infant (77076) | $620.75 | $955 | 5.7× |
| Brachytx isodose complex (77318) | $1,890.85 | $2,909 | 4.8× |
| Brachytx isodose intermed (77317) | $1,669.20 | $2,568 | 4.3× |
| Brachytx Isodose Plan Simple (77316) | $851.50 | $1,310 | 2.2× |
| Brain Flow Imaging Only (78610) | $1,419.60 | $2,184 | 2.5× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $1,797.90 | $2,766 | 3.2× |
| Brain Imaging Pet Metabolic Evaluation (78608) range across 2 matching MRF lines |
$5,839.60–$5,994.95 | $8,984–$9,223 | varies |
| Card Bl Pool Gated Spect Rest Wal Motn Ejct Frct (78494) | $2,303.60 | $3,544 | 5.5× |
| Cardiac blood pool imaging, first pass technique; multiple studies, resting and with stress (exercise and/or… (78483) | $3,541.85 | $5,449 | 6.2× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $2,132 | $3,280 | 5.9× |
| Cardiac MRI w/w/o contrast w/stress (75563) | $2,132 | $3,280 | 2.6× |
| Cardiac Shunt Detection (78428) | $1,977.95 | $3,043 | 4.7× |
| Cat Scan Follow-Up Study (76380) range across 2 matching MRF lines |
$1,225.90–$1,254.50 | $1,886–$1,930 | varies |
| Cerebrospinal Fluid Scan (78630) | $1,679.60 | $2,584 | 3.0× |
| Chest 1 view (71045) range across 2 matching MRF lines |
$268.45–$418.60 | $413–$644 | varies |
| Chest 2 views (71046) range across 2 matching MRF lines |
$308.10–$497.25 | $474–$765 | varies |
| Chest 3 views (71047) range across 2 matching MRF lines |
$521.30–$681.85 | $802–$1,049 | varies |
| Chest 4 or more views (71048) range across 2 matching MRF lines |
$566.15–$905.45 | $871–$1,393 | varies |
| Chg us nrv&acc strux 1 xtr compre w/img pr extremity (76883) | $328.90 | $506 | 3.0× |
| Cholecystography Oral Contrast (74290) | $581.10 | $894 | 3.2× |
| Clavicle complete (73000) range across 2 matching MRF lines |
$372.45–$562.25 | $573–$865 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $427.70 | $658 | 3.9× |
| Continuing medical physics consltj pr wk (77336) | $793.65 | $1,221 | 5.7× |
| Contrast Exam Abdominl Aorta (75625) range across 2 matching MRF lines |
$3,173.95–$8,858.20 | $4,883–$13,628 | varies |
| Contrast X-Ray Bladder (74430) | $818.35 | $1,259 | 2.2× |
| Contrast X-Ray Of Elbow (73085) | $800.15 | $1,231 | 2.2× |
| Contrast X-Ray Of Knee Joint (73580) | $1,218.10 | $1,874 | 3.3× |
| Contrast Xray Throat/Cerv Esopha (74210) | $392.60 | $604 | 2.1× |
| Corpora cavernosography (74445) | $612.95 | $943 | 5.6× |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$6,971.90–$7,831.20 | $10,726–$12,048 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$5,537.35–$6,219.20 | $8,519–$9,568 | varies |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$3,341.65–$3,562 | $5,141–$5,480 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$3,948.75–$4,433.65 | $6,075–$6,821 | varies |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$3,194.75–$3,406.65 | $4,915–$5,241 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$5,921.50–$6,650.80 | $9,110–$10,232 | varies |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$4,726.15–$5,037.50 | $7,271–$7,750 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$2,446.60–$2,639.65 | $3,764–$4,061 | varies |
| CT angio hrt w/3d image (75574) | $2,103.40 | $3,236 | 5.8× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
$3,766.10–$3,853.85 | $5,794–$5,929 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$5,887.70–$6,025.50 | $9,058–$9,270 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 2 matching MRF lines |
$3,065.40–$3,083.60 | $4,716–$4,744 | varies |
| CT bone density (77078) range across 2 matching MRF lines |
$1,216.80–$1,289.60 | $1,872–$1,984 | varies |
| CT cervical spine w/ contrast (72126) range across 2 matching MRF lines |
$3,245.45–$3,458.65 | $4,993–$5,321 | varies |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$3,395.60–$3,619.20 | $5,224–$5,568 | varies |
| CT cervical spine w/wo cont (72127) range across 2 matching MRF lines |
$4,158.70–$4,433 | $6,398–$6,820 | varies |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$3,599.05–$3,836.30 | $5,537–$5,902 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$3,785.60–$3,872.70 | $5,824–$5,958 | varies |
| CT Colonogrphy Dx Image Postprocess W/Contrast (74262) range across 2 matching MRF lines |
$1,144–$1,175.20 | $1,760–$1,808 | varies |
| CT colonogrphy dx image postprocess w/o contrast (74261) range across 2 matching MRF lines |
$750.10–$770.90 | $1,154–$1,186 | varies |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$3,426.80–$3,653 | $5,272–$5,620 | varies |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$4,335.50–$4,621.50 | $6,670–$7,110 | varies |
| CT heart contrast eval cardiac structure&morph (75572) | $1,513.20 | $2,328 | 4.2× |
| CT heart no contrast quant eval coronry calcium (75571) | $1,262.95 | $1,943 | 13.9× |
| CT hrt w/3d image congen (75573) | $1,217.45 | $1,873 | 3.3× |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$3,848.65–$4,103.45 | $5,921–$6,313 | varies |
| CT l-spine w&w/o contrast (72133) range across 2 matching MRF lines |
$4,265.30–$4,364.10 | $6,562–$6,714 | varies |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$2,312.05–$2,423.20 | $3,557–$3,728 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$2,622.10–$2,682.55 | $4,034–$4,127 | varies |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$3,625.70–$3,710.20 | $5,578–$5,708 | varies |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$3,282.50–$3,499.60 | $5,050–$5,384 | varies |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$3,521.70–$3,753.75 | $5,418–$5,775 | varies |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$2,984.15–$3,181.10 | $4,591–$4,894 | varies |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$3,839.55–$4,092.40 | $5,907–$6,296 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 2 matching MRF lines |
$4,727.45–$4,835.35 | $7,273–$7,439 | varies |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$3,557.45–$3,792.10 | $5,473–$5,834 | varies |
| CT pelvis w&w/o contrast (72194) range across 2 matching MRF lines |
$3,695.90–$3,939 | $5,686–$6,060 | varies |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$3,043.95–$3,246.10 | $4,683–$4,994 | varies |
| CT scan of leg combo (73702) range across 2 matching MRF lines |
$2,962.05–$3,029.65 | $4,557–$4,661 | varies |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
$3,688.10–$3,930.55 | $5,674–$6,047 | varies |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$3,583.45–$3,820.05 | $5,513–$5,877 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$3,123.90–$3,328.65 | $4,806–$5,121 | varies |
| CT thoracic spine w contrast (72129) range across 2 matching MRF lines |
$3,103.75–$3,174.60 | $4,775–$4,884 | varies |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$3,012.75–$3,212.95 | $4,635–$4,943 | varies |
| CT thoracic spine w/wo cont (72130) range across 2 matching MRF lines |
$3,543.80–$3,624.40 | $5,452–$5,576 | varies |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$2,913.95–$3,105.70 | $4,483–$4,778 | varies |
| CT unlisted procedure (76497) range across 3 matching MRF lines |
$2,415.40–$3,387.80 | $3,716–$5,212 | varies |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$2,354.30–$2,509.65 | $3,622–$3,861 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 2 matching MRF lines |
$3,011.45–$3,083.60 | $4,633–$4,744 | varies |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$2,701.40–$2,765.10 | $4,156–$4,254 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$2,499.90–$2,558.40 | $3,846–$3,936 | varies |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$2,372.50–$2,558.40 | $3,650–$3,936 | varies |
| CTA pelvis (72191) range across 2 matching MRF lines |
$2,387.45–$2,442.70 | $3,673–$3,758 | varies |
| Dilation ureters/urethra rs&i (74485) | $3,803.80 | $5,852 | 1.7× |
| Discography Cerv/Thor Spine (72285) range across 2 matching MRF lines |
$3,021.85–$3,250 | $4,649–$5,000 | varies |
| Diskography lumbar (72295) range across 2 matching MRF lines |
$3,021.85–$3,412.50 | $4,649–$5,250 | varies |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) | $791.05 | $1,217 | 7.2× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $564.85 | $869 | 5.2× |
| Doppler Fetal Mid Cerebral Artery (76821) range across 2 matching MRF lines |
$540.80–$588.25 | $832–$905 | varies |
| Echo exam of fetal heart (76825) | $1,569.10 | $2,414 | 2.7× |
| Echo exam uterus (76831) range across 2 matching MRF lines |
$1,135.55–$1,237.60 | $1,747–$1,904 | varies |
| Echo Guide For Artery Repair (76936) range across 2 matching MRF lines |
$1,506.05–$1,672.45 | $2,317–$2,573 | varies |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) | $524.55 | $807 | 2.1× |
| Echograp Trans R Pros Study (76873) | $845.65 | $1,301 | 7.7× |
| Esophageal Motility Study (78258) | $1,059.50 | $1,630 | 2.5× |
| Esophagram (74220) | $824.85 | $1,269 | 4.5× |
| Fetal Biophys Profile W/Nst (76818) range across 2 matching MRF lines |
$942.50–$1,025.05 | $1,450–$1,577 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 3 matching MRF lines |
$607.10–$732.55 | $934–$1,127 | varies |
| Fetal MRI w/placntl matrnl plvc img sing/1st ges (74712) | $3,249.35 | $4,999 | 13.0× |
| Fluoroscopy up to 1 hr (76000) | $873.60 | $1,344 | 3.5× |
| Follow-Up Angiography (75898) | $2,208.05 | $3,397 | 0.7× |
| Foot 2 views (73620) range across 2 matching MRF lines |
$434.85–$483.60 | $669–$744 | varies |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$483.60–$560.30 | $744–$862 | varies |
| Gastric emptying imaging study (78264) | $1,968.20 | $3,028 | 4.7× |
| Gastroesophageal Reflux Exam (78262) | $1,103.05 | $1,697 | 2.6× |
| Gated Heart Planar Single (78472) | $2,178.80 | $3,352 | 5.2× |
| Gated Heart, Multiple (78473) | $2,194.40 | $3,376 | 5.3× |
| Gstrc Emptng Imag Std W/Sm Bwl Col Trnst Mlt Day (78266) | $2,379 | $3,660 | 4.2× |
| Hand 2 views (73120) range across 2 matching MRF lines |
$404.95–$483.60 | $623–$744 | varies |
| Hdr Rdncl Ntrstl/Icav Brchtx (77772) | $18,732.35 | $28,819 | 25.8× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) | $13,698.75 | $21,075 | 18.8× |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) | $10,513.75 | $16,175 | 14.5× |
| Heart first pass single,planar (78481) | $1,648.40 | $2,536 | 2.9× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $6,561.75 | $10,095 | 2.0× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $6,561.75 | $10,095 | 2.0× |
| Hepatobil Syst Image W/Drug (78227) | $2,037.75 | $3,135 | 3.6× |
| Hepatobiliary System Imaging (78226) | $2,037.75 | $3,135 | 4.9× |
| Ht Musc Image Planar Mult (78454) range across 2 matching MRF lines |
$2,156.70–$4,065.75 | $3,318–$6,255 | varies |
| Ht Muscle Image Spect Sing (78451) range across 2 matching MRF lines |
$2,388.10–$4,313.40 | $3,674–$6,636 | varies |
| Hysterosalpingogram (74740) | $1,124.50 | $1,730 | 4.5× |
| Infant hip ultrasound with hip movement (dynamic) (76885) range across 2 matching MRF lines |
$949–$1,032.85 | $1,460–$1,589 | varies |
| Infant hip ultrasound, limited static exam (76886) range across 2 matching MRF lines |
$566.15–$616.20 | $871–$948 | varies |
| Infusion Ivp (74410) | $1,700.40 | $2,616 | 9.3× |
| Interstitial radiation source applic complex (77778) | $5,638.75 | $8,675 | 7.8× |
| Intracavitary Radiation Source Applic Complex (77763) | $2,037.10 | $3,134 | 2.8× |
| Intracavitary Radiation Source Applic Intermed (77762) | $917.15 | $1,411 | 1.6× |
| Intracavitary radiation source applic simple (77761) | $1,703 | $2,620 | 3.0× |
| Joint Survey Single View (77077) | $1,365.65 | $2,101 | 12.5× |
| K Flow/Funct Image Multiple (78709) | $4,563 | $7,020 | 8.0× |
| K Flow/Funct Image W/Drug (78708) | $2,234.05 | $3,437 | 3.9× |
| K Flow/Funct Image W/O Drug (78707) | $1,928.55 | $2,967 | 3.4× |
| Kidney Funcj Study Non-Img Radioisotopic Study (78725) | $1,064.05 | $1,637 | 2.5× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $1,344.20 | $2,068 | 3.2× |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$521.95–$562.90 | $803–$866 | varies |
| Leveen/Shunt Patency Exam (78291) | $1,760.20 | $2,708 | 4.2× |
| Liver & Spleen Imaging Static Only (78215) | $2,200.90 | $3,386 | 5.3× |
| Liver imaging static only (78201) | $2,002.65 | $3,081 | 3.5× |
| Lung Perf&Ventilat Diferentl (78598) | $5,587.40 | $8,596 | 9.9× |
| Lung perfusion differential (78597) | $3,835.65 | $5,901 | 9.2× |
| Lung Ventilat&Perfus Imaging (78582) | $3,835.65 | $5,901 | 6.8× |
| Lung Ventilation Imaging (78579) | $1,736.80 | $2,672 | 4.2× |
| Lymph System Imaging (78195) | $1,790.75 | $2,755 | 3.2× |
| Lymphangiography Extremity Only Bilateral Rs&I (75803) | $3,212.95 | $4,943 | 2.0× |
| Lymphangiography extremity only unilateral rs&i (75801) | $2,634.45 | $4,053 | 4.0× |
| Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) | $5,671.25 | $8,725 | 1.7× |
| Lymphangiography, pelvic/abdominal, unilateral (75805) | $2,634.45 | $4,053 | 0.8× |
| Magnetic Image Jaw Joint (70336) | $3,744.65 | $5,761 | 15.0× |
| Magnetic resonance (eg, proton) imaging, brain (including brain stem andskull base), during open intracranial procedure… (70558) | $1,678.95 | $2,583 | 9.2× |
| Magnetic resonance (eg, proton) imaging, brain (including brain stem andskull base), during open intracranial procedure… (70557) | $1,558.05 | $2,397 | 2.7× |
| Magnetic resonance (eg, proton) imaging, brain (including brain stem andskull base), during open intracranial procedure… (70559) | $2,226.90 | $3,426 | 12.2× |
| Magnetic Resonance Elastography (76391) | $752.70 | $1,158 | 3.0× |
| Mammary ductogram or galactogram multiple (77054) | $776.75 | $1,195 | 3.1× |
| Mammary ductogram or galactogram single (77053) | $744.25 | $1,145 | 3.0× |
| Meckels Divert Exam (78290) | $1,742 | $2,680 | 4.2× |
| Medical physics dose eval radiation expos w/rprt (76145) | $413.40 | $636 | 1.1× |
| Mlc imrt design & construction per imrt plan (77338) | $2,153.45 | $3,313 | 5.5× |
| Mr safety determination physician/other qhp (76016) | $242.45 | $373 | 2.7× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $67.60 | $104 | 2.2× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) | $252.85 | $389 | 2.5× |
| Mr safety implt pos&/immoblj (76019) | $163.80 | $252 | 2.7× |
| Mr safety med physics xm customization plng&mntr (76017) | $666.25 | $1,025 | 2.7× |
| Mra Head W/O & W/Contrast Material (70546) | $4,244.50 | $6,530 | 11.7× |
| MRA head w/o contrast (70544) | $2,825.55 | $4,347 | 11.3× |
| MRA head with contrast (70545) | $3,395.60 | $5,224 | 9.3× |
| MRA neck w contrast (70548) | $2,213.25 | $3,405 | 6.1× |
| Mra Neck W/O &W/Contrast Material (70549) | $2,765.10 | $4,254 | 7.6× |
| MRA neck w/o contrast (70547) | $1,846.65 | $2,841 | 7.4× |
| MRI abdomen w contrast (74182) | $3,765.45 | $5,793 | 10.3× |
| MRI abdomen w/o contrast (74181) | $3,647.80 | $5,612 | 14.6× |
| MRI any jt lower extrem w/contrast material (73722) | $4,427.80 | $6,812 | 5.4× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $5,699.20 | $8,768 | 15.6× |
| MRI any jt upper extremity w/contrast matrl (73222) | $3,842.80 | $5,912 | 4.7× |
| MRI bone marrow blood supply (77084) | $893.10 | $1,374 | 3.6× |
| MRI brain functional w/o physician admnistration (70554) range across 2 matching MRF lines |
$1,558.05–$1,703 | $2,397–$2,620 | varies |
| MRI brain functional w/physician admnistration (70555) range across 2 matching MRF lines |
$1,558.05–$1,703 | $2,397–$2,620 | varies |
| MRI Breast W/O Contrast Bilateral (77047) | $3,578.25 | $5,505 | 14.4× |
| MRI Breast Without Contrast Material Unilateral (77046) | $2,733.25 | $4,205 | 11.0× |
| MRI cardiac w/o cont stress (75559) | $1,392.95 | $2,143 | 2.4× |
| MRI cardiac w/o contrast (75557) | $1,392.95 | $2,143 | 5.6× |
| MRI cervical spine w contrast (72142) | $3,950.70 | $6,078 | 10.8× |
| MRI cervical spine w/o cont (72141) | $3,811.60 | $5,864 | 15.3× |
| MRI chest w/o contrast (71550) | $3,596.45 | $5,533 | 14.4× |
| MRI chest with contrast (71551) | $3,656.90 | $5,626 | 4.5× |
| MRI chest wo w contrast (71552) | $4,551.30 | $7,002 | 12.5× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $3,081.65 | $4,741 | 8.5× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $3,580.20 | $5,508 | 9.8× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $2,958.15 | $4,551 | 11.9× |
| MRI lumbar spine w contrast (72149) | $4,028.70 | $6,198 | 11.1× |
| Mri Neck Spine W/O & W/Dye (72156) | $4,778.80 | $7,352 | 13.1× |
| MRI orbit face &/neck w/o contrast (70540) | $3,413.15 | $5,251 | 13.7× |
| MRI orbit face neck w contrast (70542) | $3,835 | $5,900 | 10.5× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $4,258.80 | $6,552 | 11.7× |
| MRI pelvis w contrast (72196) | $3,424.20 | $5,268 | 9.4× |
| MRI pelvis w/o & w contrast (72197) | $3,604.25 | $5,545 | 9.9× |
| MRI pelvis w/o contrast (72195) | $3,249.35 | $4,999 | 13.0× |
| MRI spectroscopy (76390) | $2,882.75 | $4,435 | 31.7× |
| MRI thoracic spine w/o contrast (72146) | $3,775.20 | $5,808 | 15.2× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $3,191.50 | $4,910 | 8.8× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $2,775.50 | $4,270 | 11.1× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $3,708.25 | $5,705 | 10.2× |
| MRI, abdomen, combo (74183) | $4,013.75 | $6,175 | 11.0× |
| MRI, dorsal spine combo (72157) | $4,832.10 | $7,434 | 13.3× |
| MRI, dorsal spine contrast (72147) | $4,122.95 | $6,343 | 11.3× |
| MRI, joint upper extrem (73221) | $3,305.25 | $5,085 | 13.3× |
| MRI, joint upper extrem combo (73223) | $4,485 | $6,900 | 12.3× |
| MRI, lumbar spine combo (72158) | $4,846.40 | $7,456 | 13.3× |
| Myelogram cervical (72240) | $2,490.15 | $3,831 | 3.0× |
| Myelogram Lumbar (72265) | $2,450.50 | $3,770 | 3.0× |
| Myelography thoracic (72255) | $1,922.70 | $2,958 | 2.3× |
| Myelograpy 2/more regions rs&i (72270) | $2,815.80 | $4,332 | 3.4× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $940.55 | $1,447 | 2.3× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) | $5,897.45 | $9,073 | 4.4× |
| Myocardial imaging, infarct avid, planar; with ejection fraction by first pass technique Non-Facility (78468) | $1,238.90 | $1,906 | 2.2× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) range across 2 matching MRF lines |
$1,448.20–$3,357.25 | $2,228–$5,165 | varies |
| Myocardial Spect Multiple Studies (78452) range across 2 matching MRF lines |
$4,613.70–$6,571.50 | $7,098–$10,110 | varies |
| Myocrd Img Pet Metab Eval Single Study Cncrnt CT (78429) | $4,708.60 | $7,244 | 3.2× |
| Myocrd img PET prfuj 1std rest/stress cncrnt CT (78430) | $4,708.60 | $7,244 | 3.2× |
| Myocrd Img Pet Prfuj Mlt Std Rst&Strs Cncrnt CT (78431) | $8,976.50 | $13,810 | 3.9× |
| Myocrd Img Pet Prfuj W/Metab 2rtracer Cncrnt CT (78433) | $8,976.50 | $13,810 | 3.9× |
| Myocrd Img Pet Prfuj W/Metab Dual Radiotracer (78432) | $8,976.50 | $13,810 | 5.7× |
| N-invas est c ffr sw aly CTA (75580) | $2,885.35 | $4,439 | 3.2× |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$372.45–$596.70 | $573–$918 | varies |
| Nfs/Instlj Radioelmnt Sln 3 Mo Follow-Up Care (77750) | $1,101.75 | $1,695 | 2.7× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $1,082.90 | $1,666 | 2.6× |
| Nm myocard infarct spect (78469) | $1,682.85 | $2,589 | 3.0× |
| Nm whole blood volume (78122) | $704.60 | $1,084 | 1.2× |
| Nonvascular Shunt X-Ray (75809) | $497.90 | $766 | 4.6× |
| Ntsty modul radthx pln dose-vol histos (77301) range across 2 matching MRF lines |
$4,602.65–$5,876 | $7,081–$9,040 | varies |
| Nuclear Rx Intra-Arterial (79445) | $1,417 | $2,180 | 5.8× |
| Nuclear Rx Oral Admin (79005) | $3,308.50 | $5,090 | 13.6× |
| Ob us nuchal meas 1 gest (76813) range across 2 matching MRF lines |
$412.75–$447.85 | $635–$689 | varies |
| Panoramic X-ray of jaws (70355) range across 2 matching MRF lines |
$194.35–$399.75 | $299–$615 | varies |
| Parathyroid imaging w/tomographic spect & CT (78072) | $2,429.70 | $3,738 | 4.3× |
| Parathyroid Planar Imaging (78070) | $1,995.50 | $3,070 | 4.8× |
| Parathyroid planar imaging w/wo subtraction (78071) | $1,694.55 | $2,607 | 4.1× |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$483.60–$650.65 | $744–$1,001 | varies |
| Peritoneogram Rs&I (74190) | $876.20 | $1,348 | 1.5× |
| Pet Image Skull-Thigh (78812) range across 2 matching MRF lines |
$5,545.80–$5,567.25 | $8,532–$8,565 | varies |
| Pet Image W/Ct Lmtd (78814) | $4,914 | $7,560 | 3.3× |
| PET image w/CT, full body (78816) | $6,180.85 | $9,509 | 4.1× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $5,567.25 | $8,565 | 3.7× |
| Pet Imaging Limited Area Chest Head/Neck (78811) range across 3 matching MRF lines |
$3,760.25–$4,914 | $5,785–$7,560 | varies |
| PET whole body (78813) range across 2 matching MRF lines |
$6,022.25–$6,180.85 | $9,265–$9,509 | varies |
| Proton trmt simple w/comp (77522) | $5,876 | $9,040 | 4.5× |
| Proton tx delivery complex (77525) | $5,876 | $9,040 | 4.5× |
| Proton tx delivery intermediate (77523) | $5,876 | $9,040 | 4.5× |
| Proton tx delivery simple w/o compensation (77520) | $2,804.10 | $4,314 | 4.9× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $6,561.75 | $10,095 | 2.0× |
| Pulmonary Perfusion Imaging Particulate (78580) | $2,084.55 | $3,207 | 5.0× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$372.45–$761.15 | $573–$1,171 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) | $1,289.60 | $1,984 | 2.3× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$521.95–$599.30 | $803–$922 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$483.60–$492.70 | $744–$758 | varies |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$521.95–$598 | $803–$920 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$521.95–$815.10 | $803–$1,254 | varies |
| Radex fingr minimum 2 views (73140) range across 2 matching MRF lines |
$472.55–$483.60 | $727–$744 | varies |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$521.95–$600.60 | $803–$924 | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$521.95–$580.45 | $803–$893 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 2 matching MRF lines |
$163.15–$483.60 | $251–$744 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$521.95–$644.80 | $803–$992 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 2 matching MRF lines |
$483.60–$736.45 | $744–$1,133 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$483.60–$644.80 | $744–$992 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$372.45–$521.95 | $573–$803 | varies |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $1,199.25 | $1,845 | 6.5× |
| Radex Spine 1 View Specify Level (72020) range across 2 matching MRF lines |
$372.45–$484.90 | $573–$746 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$483.60–$627.90 | $744–$966 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$566.15–$806 | $871–$1,240 | varies |
| Radex Toe Minimum 2 Views (73660) range across 2 matching MRF lines |
$456.95–$483.60 | $703–$744 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 2 matching MRF lines |
$372.45–$483.60 | $573–$744 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$521.95–$640.25 | $803–$985 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) range across 2 matching MRF lines |
$566.15–$827.45 | $871–$1,273 | varies |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $24,948.95 | $38,383 | 3.2× |
| Radiation treatment delivery level 1 (77402) | $988.65 | $1,521 | 9.3× |
| Radiation treatment delivery level 2 (77407) | $1,098.50 | $1,690 | 2.7× |
| Radiation treatment delivery level 3 (77412) | $1,389.70 | $2,138 | 2.4× |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$566.15–$849.55 | $871–$1,307 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 2 matching MRF lines |
$566.15–$674.70 | $871–$1,038 | varies |
| Radiologic exam colon double contrast study (74280) | $1,702.35 | $2,619 | 9.3× |
| Radiologic exam colon single contrast study (74270) | $1,249.30 | $1,922 | 6.8× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $824.85 | $1,269 | 4.5× |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$566.15–$662.35 | $871–$1,019 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$521.95–$839.15 | $803–$1,291 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) | $1,032.20 | $1,588 | 5.6× |
| Radiologic exam swallow function contrast study (74230) | $878.80 | $1,352 | 4.8× |
| Radiologic exam teeth complete full mouth (70320) | $570.70 | $878 | 2.3× |
| Radiologic Exam Teeth Prtl Exam < Full Mouth (70310) | $570.70 | $878 | 2.3× |
| Radiologic exam upr gi trc double contrast study (74246) | $1,274 | $1,960 | 7.0× |
| Radiologic examination femur 1 view (73551) range across 2 matching MRF lines |
$372.45–$504.40 | $573–$776 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$483.60–$627.90 | $744–$966 | varies |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$460.85–$483.60 | $709–$744 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $818.35 | $1,259 | 7.5× |
| Radiologic examination tibia & fibula 2 views (73590) range across 2 matching MRF lines |
$483.60–$583.05 | $744–$897 | varies |
| Radiologic examination, teeth; single view Non-Facility (70300) | $194.35 | $299 | 2.1× |
| Radiopharm Dacryocystography (78660) | $813.15 | $1,251 | 1.9× |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77768) | $724.75 | $1,115 | 1.8× |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77767) | $724.75 | $1,115 | 1.8× |
| Renal Cyst Study (74470) | $4,112.55 | $6,327 | 7.2× |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$521.95–$908.05 | $803–$1,397 | varies |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $1,539.85 | $2,369 | 3.7× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $2,309.45 | $3,553 | 5.5× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $4,043 | $6,220 | 7.1× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $4,043 | $6,220 | 7.1× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $4,182.75 | $6,435 | 7.4× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $4,152.20 | $6,388 | 3.1× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $4,708.60 | $7,244 | 3.2× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $4,152.20 | $6,388 | 3.1× |
| Rp Ther Radiolbld Monoclonal Antibody IV Infus (79403) | $342.55 | $527 | 1.4× |
| Rp Therapy Intravenous Administration (79101) | $3,006.90 | $4,626 | 12.3× |
| Salivary Gland Imaging Serial Images (78231) | $1,112.80 | $1,712 | 2.7× |
| Scapula (73010) range across 2 matching MRF lines |
$372.45–$611.65 | $573–$941 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $162.50 | $250 | 7.0× |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$372.45–$438.75 | $573–$675 | varies |
| Shoulder Arthrography (73040) | $1,155.05 | $1,777 | 3.2× |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$549.25–$566.15 | $845–$871 | varies |
| Special dosimetry (77331) | $1,592.50 | $2,450 | 11.3× |
| Special Physics Consult (77370) | $1,233.70 | $1,898 | 8.8× |
| Special teletherapy port plan (77321) | $3,804.45 | $5,853 | 9.7× |
| Special treatment procedure (77470) | $2,893.15 | $4,451 | 5.0× |
| Spleen Imaging (78185) | $1,203.80 | $1,852 | 2.9× |
| Srs Multisource (77371) | $42,663.40 | $65,636 | 5.5× |
| Stereotactic Body Radiation Delivery (77373) | $9,566.05 | $14,717 | 5.1× |
| Sternoclavicular joints (71130) range across 2 matching MRF lines |
$316.55–$521.95 | $487–$803 | varies |
| Superior sagittal sinus venogram (75870) | $1,717.95 | $2,643 | 0.5× |
| Surface Applic Low Dose Rate Radionuclide Source (77789) | $559 | $860 | 5.2× |
| Tbs technical calculation only (77091) | $253.50 | $390 | 2.8× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $3,963.05 | $6,097 | 10.1× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $3,731 | $5,740 | 9.5× |
| Testicular Imaging W/Flow (78761) | $2,331.55 | $3,587 | 5.6× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $3,606.20 | $5,548 | 9.2× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $2,901.60 | $4,464 | 7.4× |
| Ther rad simulaj-aided field setting simple (77280) | $2,185.30 | $3,362 | 15.6× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $1,702.35 | $2,619 | 9.3× |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$483.60–$724.75 | $744–$1,115 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$521.95–$739.05 | $803–$1,137 | varies |
| Thoracolumbar 2 views (72080) | $193.70 | $298 | 2.1× |
| Thyroid Carcinoma Metastases Img Lmtd Area (78015) | $1,028.30 | $1,582 | 2.5× |
| Thyroid Imaging With Vascular Flow (78013) | $1,219.40 | $1,876 | 2.9× |
| Thyroid Met Imaging Body (78018) | $1,985.75 | $3,055 | 3.5× |
| Thyroid Uptake Measurement (78012) | $770.25 | $1,185 | 1.8× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,890.85 | $2,909 | 4.5× |
| Tx Devices Design & Construction Complex (77334) | $1,407.90 | $2,166 | 3.6× |
| Tx devices design & construction intermediate (77333) | $1,206.40 | $1,856 | 8.6× |
| Tx devices design & construction simple (77332) | $966.55 | $1,487 | 6.9× |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$286–$573.30 | $440–$882 | varies |
| Ultrasound elastography first target lesion (76982) | $404.30 | $622 | 3.7× |
| Ultrasound Elastography Parenchyma (76981) | $404.30 | $622 | 3.7× |
| Ultrasound Exam Aaa Screen (76706) | $494 | $760 | 4.5× |
| Ultrasound trgt dynamic microbubble 1st lesion (76978) | $724.75 | $1,115 | 2.0× |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$1,070.55–$1,167.40 | $1,647–$1,796 | varies |
| Umbilical-artery Doppler (OB) (76820) range across 2 matching MRF lines |
$540.80–$588.25 | $832–$905 | varies |
| Unlis px ther radiol clinical tx planning (77299) | $423.15 | $651 | 3.0× |
| Unlisted fluoroscopic procedure (76496) range across 2 matching MRF lines |
$360.75–$6,561.75 | $555–$10,095 | varies |
| Unlisted magnetic resonance procedure (76498) | $202.80 | $312 | 2.2× |
| Unlisted Procedure Clinical Brachytherapy (77799) | $412.75 | $635 | 3.9× |
| Unlisted us procedure (76999) | $410.80 | $632 | 4.5× |
| Upper gi w/o kub (74240) | $1,180.40 | $1,816 | 6.4× |
| Urea Breath Test C-14 Isotopic Acquisj Analysis (78267) | $272.35 | $419 | 24.6× |
| Ureteral Reflux Study (78740) | $1,423.50 | $2,190 | 3.4× |
| Urethrocystogram voiding (74455) | $1,046.50 | $1,610 | 4.2× |
| Urethrocystography retrograde (74450) | $1,104.35 | $1,699 | 4.4× |
| Us breast unilateral complete (76641) range across 2 matching MRF lines |
$358.15–$716.30 | $551–$1,102 | varies |
| Us chest (76604) range across 2 matching MRF lines |
$648.05–$705.25 | $997–$1,085 | varies |
| Us complete joint (76881) range across 2 matching MRF lines |
$372.45–$391.30 | $573–$602 | varies |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$1,032.85–$1,123.85 | $1,589–$1,729 | varies |
| Us head (76506) range across 2 matching MRF lines |
$861.90–$936.65 | $1,326–$1,441 | varies |
| Us kidney transplant (76776) range across 2 matching MRF lines |
$453.05–$494 | $697–$760 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$240.50–$252.20 | $370–$388 | varies |
| Us ob detailed single fetus (76811) range across 2 matching MRF lines |
$846.95–$922.35 | $1,303–$1,419 | varies |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$540.80–$588.25 | $832–$905 | varies |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$998.40–$1,086.80 | $1,536–$1,672 | varies |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$1,162.20–$1,264.25 | $1,788–$1,945 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$687.05–$748.15 | $1,057–$1,151 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 2 matching MRF lines |
$673.40–$732.55 | $1,036–$1,127 | varies |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$1,014.65–$1,302.60 | $1,561–$2,004 | varies |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$1,105.65–$1,166.10 | $1,701–$1,794 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$798.85–$869.05 | $1,229–$1,337 | varies |
| Us spinal canal and contents (76800) range across 2 matching MRF lines |
$794.95–$865.15 | $1,223–$1,331 | varies |
| Us thyroid (76536) range across 2 matching MRF lines |
$659.10–$718.25 | $1,014–$1,105 | varies |
| Us transrectal (76872) range across 2 matching MRF lines |
$1,157–$1,300 | $1,780–$2,000 | varies |
| Vascular Flow Imaging (78445) | $1,276.60 | $1,964 | 3.1× |
| Vein X-Ray Chest (75827) | $1,781.65 | $2,741 | 1.1× |
| Vein X-Ray Liver W/O Hemodyn (75887) | $6,561.75 | $10,095 | 2.0× |
| Vein X-Ray Skull Epidural (75872) | $5,275.40 | $8,116 | 8.1× |
| Vein X-Ray Spleen/Liver (75810) | $2,587 | $3,980 | 0.8× |
| Venogram Sinus/Jugular (75860) | $6,561.75 | $10,095 | 2.0× |
| Venography Adrenal Unilateral (75840) | $3,224.65 | $4,961 | 1.0× |
| Venography caval inferior serialography rs&i (75825) | $6,561.75 | $10,095 | 2.0× |
| Venography extremity bilateral rs&i (75822) | $3,977.35 | $6,119 | 2.4× |
| Venography extremity unilateral rs&i (75820) | $2,763.80 | $4,252 | 1.7× |
| Venography Orbital Rs&I (75880) | $2,440.75 | $3,755 | 3.7× |
| Venography Renal Bilateral (75833) | $6,561.75 | $10,095 | 2.0× |
| Venography Renal Unilateral (75831) | $6,561.75 | $10,095 | 2.0× |
| Venous sampling by catheter (75893) | $4,869.80 | $7,492 | 0.8× |
| Venous Thrombosis Imaging Venogram Bilateral (78458) | $1,759.55 | $2,707 | 4.2× |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$437.45–$483.60 | $673–$744 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$379.60–$483.60 | $584–$744 | varies |
| X-ray antegrade pyelogram tube (74425) | $2,689.70 | $4,138 | 7.4× |
| X-Ray Aorta Leg Arteries (75630) | $5,802.55 | $8,927 | 1.8× |
| X-Ray Bend Only L-S Spine (72120) range across 2 matching MRF lines |
$456.95–$566.15 | $703–$871 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$438.75–$483.60 | $675–$744 | varies |
| X-Ray Exam Breast Specimen (76098) range across 2 matching MRF lines |
$31.20–$641.55 | $48–$987 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$297.05–$433.55 | $457–$667 | varies |
| X-Ray Exam Entire Spi 4/5 Vw (72083) range across 2 matching MRF lines |
$566.15–$827.45 | $871–$1,273 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 2 matching MRF lines |
$346.45–$414.70 | $533–$638 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 2 matching MRF lines |
$483.60–$666.90 | $744–$1,026 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) range across 2 matching MRF lines |
$483.60–$895.05 | $744–$1,377 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$693.55–$828.75 | $1,067–$1,275 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 2 matching MRF lines |
$967.20–$1,334.45 | $1,488–$2,053 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) range across 2 matching MRF lines |
$1,189.50–$1,898.65 | $1,830–$2,921 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$566.15–$1,235.65 | $871–$1,901 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$521.95–$663 | $803–$1,020 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$624–$994.50 | $960–$1,530 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 2 matching MRF lines |
$521.95–$821.60 | $803–$1,264 | varies |
| X-ray eye for foreign body (70030) | $408.20 | $628 | 4.5× |
| X-ray head for orthodontia (70350) | $194.35 | $299 | 2.1× |
| X-ray humerus (73060) range across 2 matching MRF lines |
$483.60–$581.10 | $744–$894 | varies |
| X-ray IV pyelogram (ivp) (74400) | $1,416.35 | $2,179 | 7.7× |
| X-ray IV pyelogram+tomography (74415) | $1,518.40 | $2,336 | 8.3× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $260 | $400 | 2.9× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$566.15–$624 | $871–$960 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$521.95–$691.60 | $803–$1,064 | varies |
| X-ray nose-rectum child f.b. (76010) range across 2 matching MRF lines |
$332.15–$372.45 | $511–$573 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$566.15–$881.40 | $871–$1,356 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$521.95–$765.70 | $803–$1,178 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$483.60–$652.60 | $744–$1,004 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$521.95–$905.45 | $803–$1,393 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$566.15–$910 | $871–$1,400 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $1,134.25 | $1,745 | 3.1× |
| X-Rays Bone Length Studies (77073) | $631.80 | $972 | 5.8× |
| X-Rays Bone Survey Complete (77075) | $1,233.70 | $1,898 | 11.3× |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$566.15–$880.10 | $871–$1,354 | varies |
| Xr facial bones less than 3 views (70140) range across 2 matching MRF lines |
$501.80–$521.95 | $772–$803 | varies |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$566.15–$919.75 | $871–$1,415 | varies |
| Xr Tomogram Single Plane (76100) | $1,197.30 | $1,842 | 11.0× |
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.