Imaging prices at Baptist Memorial Hospital-Crittenden
West Memphis, AR · every code in this section with a posted price and a Medicare benchmark.
421 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) | $999.90 | $6,666 | 0.8× |
| Abdomen 1 View (74018) | $57.45 | $383 | 0.7× |
| Abdomen 2 views (74019) | $69.90 | $466 | 0.7× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $227.10 | $1,514 | 0.6× |
| Angio internal mammary (75756) | $935.85 | $6,239 | 0.3× |
| Angio pulmonary bilat (75743) | $1,169.70 | $7,798 | 0.4× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $1,228.20 | $8,188 | 0.4× |
| Angiography extremity bilateral rs&i (75716) | $1,229.85 | $8,199 | 0.4× |
| Angiography extremity unilateral rs&i (75710) | $853.95 | $5,693 | 0.3× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $1,169.70 | $7,798 | 0.4× |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$37.80–$43.05 | $252–$287 | varies |
| Aortography thoracic serialography rs&i (75605) likely a partial charge, not the full procedure |
$996 | $6,640 | 0.2× |
| Artery X-Rays Abdomen (75726) likely a partial charge, not the full procedure |
$1,169.70 | $7,798 | 0.2× |
| Artery X-Rays Adrenal Gland (75731) | $671.55 | $4,477 | 0.2× |
| Artery X-Rays Pelvis (75736) likely a partial charge, not the full procedure |
$1,169.70 | $7,798 | 0.2× |
| Artery X-Rays Spine (75705) likely a partial charge, not the full procedure |
$1,228.20 | $8,188 | 0.2× |
| Arthrogram hip (73525) | $189.30 | $1,262 | 0.6× |
| Arthrogram Wrist (73115) | $189.30 | $1,262 | 0.6× |
| Basic radiation dosimetry calculation (77300) | $113.85 | $759 | 0.9× |
| Bone age studies (77072) | $44.40 | $296 | 0.5× |
| Bone Imaging 3 Phase (78315) | $359.70 | $2,398 | 1.0× |
| Bone Imaging Limited Area (78300) | $207.30 | $1,382 | 0.6× |
| Bone Imaging Multiple Areas (78305) | $187.80 | $1,252 | 0.5× |
| Bone Imaging Whole Body (78306) | $296.85 | $1,979 | 0.8× |
| Bone survey infant (77076) | $55.50 | $370 | 0.6× |
| Brachytx isodose complex (77318) range across 2 matching MRF lines |
$283.65–$444 | $1,891–$2,960 | varies |
| Brachytx isodose intermed (77317) range across 2 matching MRF lines |
$237.45–$371.55 | $1,583–$2,477 | varies |
| Brachytx Isodose Plan Simple (77316) range across 2 matching MRF lines |
$166.50–$260.70 | $1,110–$1,738 | varies |
| Brain Flow Imaging Only (78610) | $245.85 | $1,639 | 0.5× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $335.85 | $2,239 | 0.7× |
| Brain Imaging Minimum 4 Static Views (78605) | $220.80 | $1,472 | 0.4× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $1,642.65 | $10,951 | 1.2× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $642.15 | $4,281 | 2.0× |
| Cardiac MRI w/w/o contrast w/stress (75563) | $642.15 | $4,281 | 0.9× |
| Cardiac Shunt Detection (78428) | $141 | $940 | 0.4× |
| Cat Scan Follow-Up Study (76380) range across 8 matching MRF lines |
$223.65–$389.40 | $1,491–$2,596 | varies |
| Cerebrospinal Fluid Scan (78630) | $357.90 | $2,386 | 0.7× |
| Chest 1 view (71045) | $60 | $400 | 0.7× |
| Chest 2 views (71046) | $68.70 | $458 | 0.9× |
| Chest 3 views (71047) | $71.10 | $474 | 0.9× |
| Chest 4 or more views (71048) | $77.10 | $514 | 0.8× |
| Chg us nrv&acc strux 1 xtr compre w/img pr extremity (76883) | $46.80 | $312 | 0.5× |
| Cholecystography Oral Contrast (74290) | $84.60 | $564 | 0.5× |
| Clavicle complete (73000) range across 3 matching MRF lines |
$28.80–$57.75 | $192–$385 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $33.30 | $222 | 0.3× |
| Continuing medical physics consltj pr wk (77336) | $178.95 | $1,193 | 1.4× |
| Contrast Exam Abdominl Aorta (75625) | $1,169.70 | $7,798 | 0.4× |
| Contrast X-Ray Bladder (74430) | $102.15 | $681 | 0.3× |
| Contrast X-Ray Of Knee Joint (73580) | $232.65 | $1,551 | 0.7× |
| CT abdomen and pelvis without and with contrast (74178) | $1,607.10 | $10,714 | 5.0× |
| CT abdomen and pelvis without contrast (74176) | $918.60 | $6,124 | 4.2× |
| CT abdomen w contrast (74160) | $538.50 | $3,590 | 3.3× |
| CT abdomen w wo contrast (74170) | $612.30 | $4,082 | 3.8× |
| CT abdomen w/o contrast (74150) | $459.90 | $3,066 | 4.7× |
| CT Angio Abdomen and Pelvis (74174) | $1,286.10 | $8,574 | 4.0× |
| CT Angio Chest (71275) | $656.85 | $4,379 | 4.0× |
| CT Angio Head (70496) | $621.45 | $4,143 | 3.8× |
| CT angio hrt w/3d image (75574) | $741.90 | $4,946 | 2.3× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $556.95 | $3,713 | 3.4× |
| CT Angio Neck (70498) | $517.50 | $3,450 | 3.2× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $556.95 | $3,713 | 3.4× |
| CT cervical spine w/ contrast (72126) | $539.40 | $3,596 | 1.7× |
| CT cervical spine w/o contrast (72125) | $657.90 | $4,386 | 6.8× |
| CT cervical spine w/wo cont (72127) | $562.05 | $3,747 | 3.5× |
| CT chest w contrast (71260) | $548.85 | $3,659 | 3.4× |
| CT chest w/wo contrast (71270) | $656.85 | $4,379 | 4.0× |
| CT head/brain with contrast (70460) | $485.40 | $3,236 | 3.0× |
| CT head/brain without and with contrast (70470) | $777.30 | $5,182 | 4.8× |
| CT heart contrast eval cardiac structure&morph (75572) | $625.35 | $4,169 | 1.9× |
| CT heart no contrast quant eval coronry calcium (75571) | $40.35 | $269 | 0.5× |
| CT iac w contrast (70481) | $606.90 | $4,046 | 3.7× |
| CT l-spine w&w/o contrast (72133) | $562.05 | $3,747 | 3.5× |
| CT lower ext w/o (73700) | $463.65 | $3,091 | 4.8× |
| CT lower extremity w/contrast material (73701) | $512.55 | $3,417 | 3.2× |
| CT lumbar spine w contrast (72132) | $539.40 | $3,596 | 1.7× |
| CT lumbar spine w/o contrast (72131) | $526.65 | $3,511 | 5.4× |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$457.05–$601.50 | $3,047–$4,010 | varies |
| CT maxillofacial wo contrast (70486) | $568.50 | $3,790 | 5.9× |
| CT neck tissue combo (70492) | $492.90 | $3,286 | 3.0× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $547.20 | $3,648 | 3.4× |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$278.85–$583.35 | $1,859–$3,889 | varies |
| CT pelvis w&w/o contrast (72194) | $642.45 | $4,283 | 4.0× |
| CT pelvis w/o contrast (72192) | $438.15 | $2,921 | 4.5× |
| CT scan of leg combo (73702) | $530.70 | $3,538 | 3.3× |
| CT scans face/jaw combo (70488) | $714.75 | $4,765 | 4.4× |
| CT soft tissue neck w contrast (70491) | $462.75 | $3,085 | 2.8× |
| CT soft tissue neck w/o contrast (70490) | $446.10 | $2,974 | 4.6× |
| CT thoracic spine w contrast (72129) | $566.25 | $3,775 | 3.5× |
| CT thoracic spine w/o contrast (72128) | $526.65 | $3,511 | 5.4× |
| CT thoracic spine w/wo cont (72130) | $590.25 | $3,935 | 3.6× |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$37.50–$459.90 | $250–$3,066 | varies |
| CT unlisted procedure (76497) | $178.65 | $1,191 | 2.2× |
| CT upper ext wo (73200) | $463.65 | $3,091 | 4.8× |
| CT upper extremity w/o & w/contrast material (73202) | $529.80 | $3,532 | 3.3× |
| CT upper extremity with contrast (73201) | $512.55 | $3,417 | 1.6× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $642.45 | $4,283 | 4.0× |
| Cta Abdomen (74175) | $642.45 | $4,283 | 4.0× |
| CTA pelvis (72191) | $612.30 | $4,082 | 3.8× |
| Dilation ureters/urethra rs&i (74485) range across 3 matching MRF lines |
$522.30–$660.90 | $3,482–$4,406 | varies |
| Doppler Echo Fetal Spectral Display Complete (76827) | $103.95 | $693 | 1.1× |
| Doppler Fetal Mid Cerebral Artery (76821) | $84.60 | $564 | 0.9× |
| Dxa Bone Density Axial (77080) | $177.90 | $1,186 | 1.8× |
| Dxa bone density study (77085) | $36.15 | $241 | 0.4× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $72.60 | $484 | 0.9× |
| Echo exam uterus (76831) | $174.45 | $1,163 | 0.8× |
| Echo Guide For Artery Repair (76936) | $293.85 | $1,959 | 1.5× |
| Echograp Trans R Pros Study (76873) | $164.40 | $1,096 | 1.7× |
| Esophagram (74220) | $84.90 | $566 | 0.5× |
| Fetal Biophys Profile W/Nst (76818) | $176.25 | $1,175 | 1.8× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $185.40 | $1,236 | 1.9× |
| Fetal MRI w/placntl matrnl plvc img sing/1st ges (74712) | $215.10 | $1,434 | 1.0× |
| Fluoroscopy up to 1 hr (76000) | $97.65 | $651 | 0.4× |
| Follow-Up Angiography (75898) | $296.40 | $1,976 | 0.1× |
| Foot 2 views (73620) range across 2 matching MRF lines |
$28.05–$42.30 | $187–$282 | varies |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$28.65–$55.50 | $191–$370 | varies |
| Gastric emptying imaging study (78264) | $486.90 | $3,246 | 1.3× |
| Gastric Emptyng Imag Std W/Sm Bwl Transit (78265) | $372.30 | $2,482 | 1.0× |
| Gastroesophageal Reflux Exam (78262) | $149.85 | $999 | 0.4× |
| Gated Heart Planar Single (78472) | $285.75 | $1,905 | 0.8× |
| Gated Heart, Multiple (78473) | $260.70 | $1,738 | 0.7× |
| Gstrc Emptng Imag Std W/Sm Bwl Col Trnst Mlt Day (78266) | $545.85 | $3,639 | 1.1× |
| Hand 2 views (73120) range across 2 matching MRF lines |
$30–$42.45 | $200–$283 | varies |
| Hdr Rdncl Ntrstl/Icav Brchtx (77772) | $1,676.85 | $11,179 | 2.6× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) | $1,617.60 | $10,784 | 2.5× |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) | $1,496.70 | $9,978 | 2.3× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $1,228.20 | $8,188 | 0.4× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $1,228.20 | $8,188 | 0.4× |
| Hepatobil Syst Image W/Drug (78227) | $319.50 | $2,130 | 0.6× |
| Hepatobiliary System Imaging (78226) | $286.50 | $1,910 | 0.8× |
| Ht Musc Image Planar Mult (78454) | $1,024.95 | $6,833 | 0.9× |
| Ht Muscle Image Spect Sing (78451) | $939.15 | $6,261 | 0.8× |
| Hysterosalpingogram (74740) | $117.90 | $786 | 0.5× |
| Image fusion (77399) | $86.85 | $579 | 0.7× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $123.30 | $822 | 1.5× |
| Infant hip ultrasound, limited static exam (76886) | $88.80 | $592 | 1.1× |
| Interstitial radiation source applic complex (77778) | $2,044.65 | $13,631 | 3.2× |
| Intraop radiaj tx deliver electrons sngl tx sess (77425) | $4,016.40 | $26,776 | 0.6× |
| Intraop radiaj tx deliver xray single tx session (77424) | $4,016.40 | $26,776 | 0.6× |
| K Flow/Funct Image Multiple (78709) | $478.95 | $3,193 | 1.0× |
| K Flow/Funct Image W/Drug (78708) | $406.05 | $2,707 | 0.8× |
| K Flow/Funct Image W/O Drug (78707) | $298.80 | $1,992 | 0.6× |
| Kidney Imaging Morphol (78700) | $209.10 | $1,394 | 0.6× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $345.30 | $2,302 | 0.9× |
| Knee 3 Views (73562) | $53.55 | $357 | 0.7× |
| Leveen/Shunt Patency Exam (78291) | $131.55 | $877 | 0.4× |
| Liver & Spleen Imaging Static Only (78215) | $152.55 | $1,017 | 0.4× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $215.25 | $1,435 | 0.6× |
| Liver imaging w/vascular flow (78202) | $238.80 | $1,592 | 0.5× |
| Lung Perf&Ventilat Diferentl (78598) | $479.85 | $3,199 | 1.0× |
| Lung perfusion differential (78597) | $313.80 | $2,092 | 0.8× |
| Lung Ventilat&Perfus Imaging (78582) | $479.85 | $3,199 | 1.0× |
| Lung Ventilation Imaging (78579) | $166.35 | $1,109 | 0.4× |
| Lymph System Imaging (78195) | $279.90 | $1,866 | 0.6× |
| Lymphangiography Extremity Only Bilateral Rs&I (75803) | $863.25 | $5,755 | 0.6× |
| Lymphangiography, pelvic/abdominal, unilateral (75805) | $863.25 | $5,755 | 0.3× |
| Magnetic Image Jaw Joint (70336) | $594 | $3,960 | 2.7× |
| Magnetic Resonance Elastography (76391) | $80.85 | $539 | 0.4× |
| Mammary ductogram or galactogram multiple (77054) | $151.95 | $1,013 | 0.7× |
| Mammary ductogram or galactogram single (77053) | $97.05 | $647 | 0.4× |
| Meckels Divert Exam (78290) | $237.60 | $1,584 | 0.6× |
| Mlc imrt design & construction per imrt plan (77338) | $507.30 | $3,382 | 1.5× |
| Mr safety determination physician/other qhp (76016) | $36.45 | $243 | 0.5× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $10.20 | $68 | 0.4× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) | $38.10 | $254 | 0.4× |
| Mr safety implt pos&/immoblj (76019) | $24.60 | $164 | 0.5× |
| Mr safety med physics xm customization plng&mntr (76017) | $100.20 | $668 | 0.5× |
| Mra Head W/O & W/Contrast Material (70546) | $950.55 | $6,337 | 2.9× |
| MRA head w/o contrast (70544) | $561.60 | $3,744 | 2.5× |
| MRA head with contrast (70545) | $660.60 | $4,404 | 2.0× |
| MRA neck w contrast (70548) | $660.60 | $4,404 | 2.0× |
| Mra Neck W/O &W/Contrast Material (70549) | $950.55 | $6,337 | 2.9× |
| MRA neck w/o contrast (70547) | $561.60 | $3,744 | 2.5× |
| MRI abdomen w contrast (74182) | $643.80 | $4,292 | 2.0× |
| MRI abdomen w/o contrast (74181) | $561.60 | $3,744 | 2.5× |
| MRI any jt lower extrem w/contrast material (73722) | $643.80 | $4,292 | 0.9× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $924.30 | $6,162 | 2.9× |
| MRI any jt upper extremity w/contrast matrl (73222) | $643.80 | $4,292 | 0.9× |
| MRI brain functional w/o physician admnistration (70554) | $589.80 | $3,932 | 2.7× |
| MRI brain functional w/physician admnistration (70555) | $561.60 | $3,744 | 2.5× |
| MRI Breast W/O Contrast Bilateral (77047) | $660.60 | $4,404 | 3.0× |
| MRI Breast Without Contrast Material Unilateral (77046) | $517.05 | $3,447 | 2.3× |
| MRI cardiac w/o cont stress (75559) | $559.05 | $3,727 | 1.1× |
| MRI cardiac w/o contrast (75557) | $532.65 | $3,551 | 2.4× |
| MRI cervical spine w contrast (72142) | $612.75 | $4,085 | 1.9× |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$261.15–$561.60 | $1,741–$3,744 | varies |
| MRI chest w/o contrast (71550) | $561.60 | $3,744 | 2.5× |
| MRI chest with contrast (71551) | $612.75 | $4,085 | 0.8× |
| MRI chest wo w contrast (71552) | $710.55 | $4,737 | 2.2× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $643.80 | $4,292 | 2.0× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $924.30 | $6,162 | 2.9× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $561.60 | $3,744 | 2.5× |
| MRI lumbar spine w contrast (72149) | $643.80 | $4,292 | 2.0× |
| Mri Neck Spine W/O & W/Dye (72156) | $905.25 | $6,035 | 2.8× |
| MRI orbit face &/neck w/o contrast (70540) range across 2 matching MRF lines |
$248.55–$589.80 | $1,657–$3,932 | varies |
| MRI orbit face neck w contrast (70542) | $643.80 | $4,292 | 2.0× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 2 matching MRF lines |
$643.80–$905.70 | $4,292–$6,038 | varies |
| MRI pelvis w contrast (72196) | $643.80 | $4,292 | 2.0× |
| MRI pelvis w/o & w contrast (72197) | $905.70 | $6,038 | 2.8× |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$248.55–$561.60 | $1,657–$3,744 | varies |
| MRI spectroscopy (76390) | $80.25 | $535 | 1.0× |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$248.55–$561.60 | $1,657–$3,744 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) | $643.80 | $4,292 | 2.0× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $561.60 | $3,744 | 2.5× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $737.40 | $4,916 | 2.3× |
| MRI, abdomen, combo (74183) | $905.70 | $6,038 | 2.8× |
| MRI, dorsal spine combo (72157) | $905.70 | $6,038 | 2.8× |
| MRI, dorsal spine contrast (72147) | $643.80 | $4,292 | 2.0× |
| MRI, joint upper extrem (73221) | $561.60 | $3,744 | 2.5× |
| MRI, joint upper extrem combo (73223) | $704.40 | $4,696 | 2.2× |
| MRI, lumbar spine combo (72158) | $905.70 | $6,038 | 2.8× |
| Musculoskeletal Nuclear Exam (78399) range across 2 matching MRF lines |
$1,535.55–$1,611.75 | $10,237–$10,745 | varies |
| Myelogram cervical (72240) | $297.75 | $1,985 | 0.4× |
| Myelogram Lumbar (72265) | $297.75 | $1,985 | 0.4× |
| Myelography thoracic (72255) | $297.75 | $1,985 | 0.4× |
| Myelograpy 2/more regions rs&i (72270) | $373.20 | $2,488 | 0.5× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) | $1,725 | $11,500 | 1.4× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $850.35 | $5,669 | 0.7× |
| Myocardial Spect Multiple Studies (78452) | $1,490.40 | $9,936 | 1.2× |
| Myocrd Img Pet Metab Eval Single Study Cncrnt CT (78429) | $726.90 | $4,846 | 0.5× |
| Myocrd img PET prfuj 1std rest/stress cncrnt CT (78430) | $726.90 | $4,846 | 0.5× |
| Myocrd Img Pet Prfuj Mlt Std Rst&Strs Cncrnt CT (78431) | $1,134 | $7,560 | 0.6× |
| Myocrd Img Pet Prfuj W/Metab 2rtracer Cncrnt CT (78433) | $1,385.85 | $9,239 | 0.7× |
| Myocrd Img Pet Prfuj W/Metab Dual Radiotracer (78432) | $1,385.85 | $9,239 | 1.0× |
| N-invas est c ffr sw aly CTA (75580) | $420.60 | $2,804 | 0.5× |
| Neck soft tissue (70360) | $53.40 | $356 | 0.7× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $103.95 | $693 | 0.3× |
| Nm whole blood volume (78122) | $235.35 | $1,569 | 0.5× |
| Nonvascular Shunt X-Ray (75809) | $194.10 | $1,294 | 2.0× |
| Ntsty modul radthx pln dose-vol histos (77301) | $986.85 | $6,579 | 0.8× |
| Nuclear Rx Intra-Arterial (79445) | $83.40 | $556 | 0.4× |
| Nuclear Rx Oral Admin (79005) | $98.25 | $655 | 0.5× |
| Ob us nuchal meas 1 gest (76813) | $95.70 | $638 | 1.0× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) | $46.95 | $313 | 0.5× |
| Optic foramina (70190) | $38.10 | $254 | 0.5× |
| Panoramic X-ray of jaws (70355) | $64.95 | $433 | 0.8× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $270.15 | $1,801 | 0.5× |
| Parathyroid Planar Imaging (78070) | $280.35 | $1,869 | 0.8× |
| Parathyroid planar imaging w/wo subtraction (78071) | $280.35 | $1,869 | 0.8× |
| Pelvis 1 or 2 views (72170) | $57.45 | $383 | 0.6× |
| Peritoneogram Rs&I (74190) | $171.30 | $1,142 | 0.3× |
| Pet Image Skull-Thigh (78812) | $1,642.65 | $10,951 | 1.2× |
| PET image w/CT, full body (78816) | $2,025 | $13,500 | 1.5× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $2,025 | $13,500 | 1.5× |
| Pet Imaging Limited Area Chest Head/Neck (78811) | $1,642.65 | $10,951 | 1.4× |
| Plasma Vol Radiopharm Vol Dilute Spx Mult Smples (78111) | $603.90 | $4,026 | 0.5× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $1,169.70 | $7,798 | 0.4× |
| Pulmonary Perfusion Imaging Particulate (78580) | $189.30 | $1,262 | 0.5× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $69.90 | $466 | 0.7× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $187.95 | $1,253 | 0.4× |
| Radex Ankle Complete Minimum 3 Views (73610) | $75.60 | $504 | 0.9× |
| Radex Calcaneus Minimum 2 Views (73650) | $30.30 | $202 | 0.4× |
| Radex elbow complete minimum 3 views (73080) | $55.50 | $370 | 0.7× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $65.25 | $435 | 0.7× |
| Radex fingr minimum 2 views (73140) | $38.10 | $254 | 0.5× |
| Radex foot complete minimum 3 views (73630) | $53.55 | $357 | 0.7× |
| Radex Hand Minimum 3 Views (73130) | $75.60 | $504 | 0.9× |
| Radex lower extremity infant minimum 2 views (73592) | $48.15 | $321 | 0.6× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $93.60 | $624 | 1.0× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $51 | $340 | 0.6× |
| Radex Pharynx/Larx W/Fluor&/Magnification Tq (70370) | $84.90 | $566 | 1.1× |
| Radex Ribs Unilateral 2 Views (71100) | $49.50 | $330 | 0.6× |
| Radex shoulder complete minimum 2 views (73030) | $68.70 | $458 | 0.9× |
| Radex Sinuses Paransl < 3 Views (70210) | $44.40 | $296 | 0.6× |
| Radex Spine 1 View Specify Level (72020) range across 4 matching MRF lines |
$35.40–$40.80 | $236–$272 | varies |
| Radex Sternum Minimum 2 Views (71120) | $48.15 | $321 | 0.6× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $60.75 | $405 | 0.8× |
| Radex Toe Minimum 2 Views (73660) | $28.65 | $191 | 0.4× |
| Radex upper extremity infant minimum 2 views (73092) | $44.40 | $296 | 0.5× |
| Radex Wrist Complete Minimum 3 Views (73110) | $57.90 | $386 | 0.7× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $109.20 | $728 | 1.1× |
| Radiation Delivery Stereotactic Cranial Linear (77372) unusually low: confirm this is the full procedure |
$2,690.40 | $17,936 | 0.4× |
| Radiation treatment delivery level 1 (77402) range across 2 matching MRF lines |
$76.50–$119.40 | $510–$796 | varies |
| Radiation treatment delivery level 2 (77407) range across 2 matching MRF lines |
$95.10–$148.80 | $634–$992 | varies |
| Radiation treatment delivery level 3 (77412) | $174.45 | $1,163 | 0.3× |
| Radiolog exam mandible compl minimum 4 views (70110) | $70.20 | $468 | 0.7× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $73.20 | $488 | 0.8× |
| Radiologic exam colon double contrast study (74280) | $184.65 | $1,231 | 1.1× |
| Radiologic exam colon single contrast study (74270) | $96.90 | $646 | 0.6× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $91.95 | $613 | 0.6× |
| Radiologic exam knee complete 4/more views (73564) | $67.50 | $450 | 0.7× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $57.90 | $386 | 0.6× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $89.10 | $594 | 0.5× |
| Radiologic exam swallow function contrast study (74230) | $64.80 | $432 | 0.4× |
| Radiologic exam upr gi trc double contrast study (74246) | $202.05 | $1,347 | 1.2× |
| Radiologic examination femur 1 view (73551) | $35.40 | $236 | 0.4× |
| Radiologic examination femur minimum 2 views (73552) | $63.90 | $426 | 0.8× |
| Radiologic examination knee 1/2 views (73560) | $44.40 | $296 | 0.6× |
| Radiologic Examination Osseous Survey Limited (77074) | $118.50 | $790 | 1.2× |
| Radiologic examination tibia & fibula 2 views (73590) | $62.70 | $418 | 0.8× |
| Red Cell Volume Determination Spx Mult Samplings (78121) | $226.35 | $1,509 | 0.4× |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77768) | $76.35 | $509 | 0.2× |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77767) | $76.35 | $509 | 0.2× |
| Ribs bilateral 3 views (71110) | $73.35 | $489 | 0.8× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $237.15 | $1,581 | 0.6× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $384.90 | $2,566 | 1.0× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $847.50 | $5,650 | 1.7× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $381.90 | $2,546 | 0.8× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $624.60 | $4,164 | 1.2× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $640.80 | $4,272 | 0.5× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $640.80 | $4,272 | 0.5× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $726.90 | $4,846 | 0.6× |
| Rp Ther Radiolbld Monoclonal Antibody IV Infus (79403) | $599.40 | $3,996 | 2.8× |
| Rp Therapy Intravenous Administration (79101) | $201.90 | $1,346 | 0.9× |
| Scapula (73010) range across 2 matching MRF lines |
$30–$57.75 | $200–$385 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $15.75 | $105 | 0.7× |
| Shoulder 1 view (73020) | $44.40 | $296 | 0.6× |
| Shoulder Arthrography (73040) | $187.95 | $1,253 | 0.6× |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$29.85–$70.20 | $199–$468 | varies |
| Special dosimetry (77331) | $62.10 | $414 | 0.5× |
| Special Physics Consult (77370) | $198.90 | $1,326 | 1.6× |
| Special teletherapy port plan (77321) | $192.30 | $1,282 | 0.6× |
| Special treatment procedure (77470) | $618 | $4,120 | 1.2× |
| Speech evaluation, complex (70371) | $77.55 | $517 | 0.4× |
| Stereotactic Body Radiation Delivery (77373) | $1,918.05 | $12,787 | 1.2× |
| Sternoclavicular joints (71130) | $55.80 | $372 | 0.7× |
| Superior sagittal sinus venogram (75870) | $410.85 | $2,739 | 0.1× |
| Tbs techl prep&transmis data alys pfrmd elsewhr (77090) | $37.95 | $253 | 0.5× |
| Tbs technical calculation only (77091) | $37.95 | $253 | 0.5× |
| Telethx isodose pln cplx w/basic dosimetry (77307) range across 2 matching MRF lines |
$242.10–$378.90 | $1,614–$2,526 | varies |
| Telethx isodose pln smpl w/dosimetry calculation (77306) range across 2 matching MRF lines |
$194.70–$304.65 | $1,298–$2,031 | varies |
| Testicular Imaging W/Flow (78761) | $210.45 | $1,403 | 0.6× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $316.80 | $2,112 | 0.9× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $216.30 | $1,442 | 0.6× |
| Ther rad simulaj-aided field setting simple (77280) | $161.10 | $1,074 | 1.3× |
| Thoracic spine 2 views (72070) | $72.90 | $486 | 0.8× |
| Thoracic spine 3 views (72072) | $104.40 | $696 | 1.1× |
| Thoracolumbar 2 views (72080) | $67.35 | $449 | 0.8× |
| Thyroid Imaging With Vascular Flow (78013) | $220.80 | $1,472 | 0.6× |
| Thyroid Met Imaging Body (78018) | $283.20 | $1,888 | 0.6× |
| Thyroid Uptake Measurement (78012) | $190.65 | $1,271 | 0.5× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $288.15 | $1,921 | 0.8× |
| Tx Devices Design & Construction Complex (77334) | $316.80 | $2,112 | 0.9× |
| Tx devices design & construction intermediate (77333) | $114.90 | $766 | 0.9× |
| Tx devices design & construction simple (77332) | $100.80 | $672 | 0.8× |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$19.20–$72.30 | $128–$482 | varies |
| Ultrasound elastography first target lesion (76982) | $58.95 | $393 | 0.6× |
| Ultrasound Elastography Parenchyma (76981) | $58.95 | $393 | 0.6× |
| Ultrasound Exam Aaa Screen (76706) | $60 | $400 | 0.6× |
| Ultrasound trgt dynamic microbubble 1st lesion (76978) | $71.25 | $475 | 0.2× |
| Ultrasound, abdomen limited (76705) range across 4 matching MRF lines |
$102.75–$272.70 | $685–$1,818 | varies |
| Umbilical-artery Doppler (OB) (76820) | $84.60 | $564 | 0.9× |
| Unlisted Dx Radiographic Procedure (76499) range across 2 matching MRF lines |
$40.20–$55.20 | $268–$368 | varies |
| Unlisted fluoroscopic procedure (76496) | $53.10 | $354 | 0.7× |
| Unlisted magnetic resonance procedure (76498) range across 2 matching MRF lines |
$248.55–$336.60 | $1,657–$2,244 | varies |
| Unlisted Miscellaneous Px Dx Nuclear Medicine (78999) | $114.15 | $761 | 0.3× |
| Upper gi w/o kub (74240) | $176.25 | $1,175 | 1.1× |
| Urethrocystogram voiding (74455) | $93.60 | $624 | 0.4× |
| Urethrocystography retrograde (74450) | $141.75 | $945 | 0.6× |
| Us breast unilateral complete (76641) range across 2 matching MRF lines |
$35.10–$81 | $234–$540 | varies |
| Us chest (76604) | $74.10 | $494 | 0.8× |
| Us complete joint (76881) | $144.60 | $964 | 1.5× |
| Us exam, pelvic, limited (76857) range across 4 matching MRF lines |
$95.70–$95.85 | $638–$639 | varies |
| Us head (76506) | $115.35 | $769 | 1.2× |
| Us kidney transplant (76776) | $133.05 | $887 | 1.4× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 5 matching MRF lines |
$44.25–$84.30 | $295–$562 | varies |
| Us ob detailed single fetus (76811) | $305.40 | $2,036 | 1.4× |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$72.90–$149.10 | $486–$994 | varies |
| Us ob transvaginal (76817) | $117.90 | $786 | 1.2× |
| Us pelvic non ob complete (76856) | $205.80 | $1,372 | 2.1× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $81.90 | $546 | 0.8× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $112.80 | $752 | 1.2× |
| Us retroperitoneal complete (76770) | $174.45 | $1,163 | 1.8× |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$84.90–$162.30 | $566–$1,082 | varies |
| Us scrotum and contents (76870) | $131.70 | $878 | 1.4× |
| Us spinal canal and contents (76800) | $77.55 | $517 | 0.8× |
| Us thyroid (76536) | $117.30 | $782 | 1.2× |
| Us transrectal (76872) | $156.90 | $1,046 | 1.6× |
| Vascular Flow Imaging (78445) | $120.15 | $801 | 0.3× |
| Vein X-Ray Chest (75827) | $435.15 | $2,901 | 0.3× |
| Vein X-Ray Liver W/O Hemodyn (75887) | $1,228.20 | $8,188 | 0.4× |
| Venogram Sinus/Jugular (75860) | $889.35 | $5,929 | 0.3× |
| Venography caval inferior serialography rs&i (75825) | $1,242 | $8,280 | 0.4× |
| Venography extremity bilateral rs&i (75822) | $378.90 | $2,526 | 0.3× |
| Venography extremity unilateral rs&i (75820) | $378.90 | $2,526 | 0.3× |
| Venography Orbital Rs&I (75880) | $935.85 | $6,239 | 1.6× |
| Venography Renal Bilateral (75833) | $1,169.70 | $7,798 | 0.4× |
| Venography Renal Unilateral (75831) | $1,228.20 | $8,188 | 0.4× |
| Venous sampling by catheter (75893) likely a partial charge, not the full procedure |
$1,228.20 | $8,188 | 0.2× |
| Wrist 2 views (73100) | $42.45 | $283 | 0.5× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $58.05 | $387 | 0.7× |
| X-ray antegrade pyelogram tube (74425) range across 3 matching MRF lines |
$213.90–$262.95 | $1,426–$1,753 | varies |
| X-Ray Aorta Leg Arteries (75630) | $1,169.70 | $7,798 | 0.4× |
| X-Ray Bend Only L-S Spine (72120) | $65.85 | $439 | 0.7× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$28.65–$42.45 | $191–$283 | varies |
| X-Ray Exam Breast Specimen (76098) range across 2 matching MRF lines |
$203.70–$227.25 | $1,358–$1,515 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) | $59.55 | $397 | 0.7× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $66 | $440 | 0.7× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $94.65 | $631 | 1.0× |
| X-Ray Exam Hip Uni 1 View (73501) | $39.45 | $263 | 0.5× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $77.10 | $514 | 1.0× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $85.35 | $569 | 0.9× |
| X-Ray Exam Hips Bi 2 Views (73521) | $74.70 | $498 | 0.8× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $85.35 | $569 | 0.9× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $98.85 | $659 | 1.0× |
| X-Ray Exam L-S Spine Bending (72114) | $158.70 | $1,058 | 1.6× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $72.90 | $486 | 0.9× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $136.50 | $910 | 1.4× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $73.35 | $489 | 0.8× |
| X-ray eye for foreign body (70030) | $82.05 | $547 | 1.0× |
| X-ray humerus (73060) range across 2 matching MRF lines |
$37.65–$55.50 | $251–$370 | varies |
| X-ray IV pyelogram (ivp) (74400) | $226.20 | $1,508 | 1.4× |
| X-ray IV pyelogram+tomography (74415) | $275.70 | $1,838 | 1.7× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $27.60 | $184 | 0.3× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $44.40 | $296 | 0.6× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $72.90 | $486 | 0.8× |
| X-ray nose-rectum child f.b. (76010) | $66 | $440 | 0.8× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $80.55 | $537 | 0.8× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $53.55 | $357 | 0.6× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $28.65 | $191 | 0.3× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $53.55 | $357 | 0.7× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $64.95 | $433 | 0.8× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $82.05 | $547 | 0.8× |
| X-ray thoracic spine 4 vw (72074) | $104.40 | $696 | 1.1× |
| X-Ray Tmj Unilat (70328) | $25.95 | $173 | 0.3× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $92.25 | $615 | 0.3× |
| X-Rays Bone Length Studies (77073) | $55.80 | $372 | 0.6× |
| X-Rays Bone Survey Complete (77075) | $142.95 | $953 | 1.5× |
| Xr c-spine 4 or 5 views (72050) | $117.15 | $781 | 1.2× |
| Xr facial bones less than 3 views (70140) | $60.30 | $402 | 0.7× |
| Xr orbits complete 4 views (70200) | $42.45 | $283 | 0.4× |
| Xr Tomogram Single Plane (76100) | $96.75 | $645 | 1.0× |
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.