Imaging prices at Baptist Memorial Hospital-DeSoto
Southaven, MS · every code in this section with a posted price and a Medicare benchmark.
359 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 3-D radiotherapy plan dose-volume histograms (77295) | $1,333.20 | $6,666 | 1.0× |
| Abdomen 1 View (74018) | $76.60 | $383 | 1.0× |
| Abdomen 2 views (74019) | $97.60 | $488 | 1.0× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $302.80 | $1,514 | 0.8× |
| Angio internal mammary (75756) | $1,247.80 | $6,239 | 0.4× |
| Angio pulmonary bilat (75743) | $1,559.60 | $7,798 | 0.5× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $1,637.60 | $8,188 | 0.6× |
| Angiography extremity bilateral rs&i (75716) | $1,559.60 | $7,798 | 0.5× |
| Angiography extremity unilateral rs&i (75710) | $1,084 | $5,420 | 0.4× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $1,637.60 | $8,188 | 0.6× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $664.80 | $3,324 | 0.2× |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$50.40–$57.40 | $252–$287 | varies |
| Aortography thoracic serialography rs&i (75605) likely a partial charge, not the full procedure |
$1,328 | $6,640 | 0.3× |
| Artery X-Rays Abdomen (75726) unusually low: confirm this is the full procedure |
$1,559.60 | $7,798 | 0.3× |
| Artery X-Rays Adrenal Gland (75731) | $895.40 | $4,477 | 0.3× |
| Artery X-Rays Pelvis (75736) unusually low: confirm this is the full procedure |
$1,559.60 | $7,798 | 0.3× |
| Artery X-Rays Spine (75705) unusually low: confirm this is the full procedure |
$1,559.60 | $7,798 | 0.3× |
| Arthrogram hip (73525) | $241 | $1,205 | 0.7× |
| Arthrogram Wrist (73115) | $252.40 | $1,262 | 0.8× |
| Basic radiation dosimetry calculation (77300) | $151.80 | $759 | 1.2× |
| Bone age studies (77072) | $56.60 | $283 | 0.6× |
| Bone Imaging 3 Phase (78315) | $316.80 | $1,584 | 0.9× |
| Bone Imaging Limited Area (78300) | $276.40 | $1,382 | 0.7× |
| Bone Imaging Multiple Areas (78305) | $250.40 | $1,252 | 0.7× |
| Bone Imaging Whole Body (78306) | $302 | $1,510 | 0.8× |
| Bone survey infant (77076) | $74 | $370 | 0.8× |
| Brachytx isodose complex (77318) range across 2 matching MRF lines |
$322.80–$505.20 | $1,614–$2,526 | varies |
| Brachytx isodose intermed (77317) range across 2 matching MRF lines |
$259.60–$406.20 | $1,298–$2,031 | varies |
| Brachytx Isodose Plan Simple (77316) range across 2 matching MRF lines |
$180.80–$282.80 | $904–$1,414 | varies |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $426.40 | $2,132 | 0.8× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $2,300 | $11,500 | 1.7× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $856.20 | $4,281 | 2.6× |
| Cardiac Shunt Detection (78428) | $188 | $940 | 0.5× |
| Cat Scan Follow-Up Study (76380) range across 7 matching MRF lines |
$298.20–$519.20 | $1,491–$2,596 | varies |
| Cerebrospinal Fluid Scan (78630) | $500.60 | $2,503 | 1.0× |
| Chest 1 view (71045) | $80 | $400 | 1.0× |
| Chest 2 views (71046) | $91.60 | $458 | 1.1× |
| Chest 3 views (71047) | $94.80 | $474 | 1.2× |
| Chest 4 or more views (71048) | $102.80 | $514 | 1.1× |
| Cholecystography Oral Contrast (74290) | $112.80 | $564 | 0.7× |
| Clavicle complete (73000) | $77 | $385 | 1.0× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $44.40 | $222 | 0.5× |
| Continuing medical physics consltj pr wk (77336) | $238.60 | $1,193 | 1.9× |
| Contrast Exam Abdominl Aorta (75625) | $1,559.60 | $7,798 | 0.5× |
| Contrast X-Ray Bladder (74430) | $136.20 | $681 | 0.4× |
| Contrast X-Ray Of Elbow (73085) | $263.20 | $1,316 | 0.8× |
| Contrast X-Ray Of Knee Joint (73580) | $250.60 | $1,253 | 0.8× |
| CT abdomen and pelvis without and with contrast (74178) | $2,142.80 | $10,714 | 6.6× |
| CT abdomen and pelvis without contrast (74176) | $1,224.80 | $6,124 | 5.5× |
| CT abdomen w contrast (74160) | $718 | $3,590 | 4.4× |
| CT abdomen w wo contrast (74170) | $856.60 | $4,283 | 5.3× |
| CT abdomen w/o contrast (74150) | $613.20 | $3,066 | 6.3× |
| CT Angio Abdomen and Pelvis (74174) | $1,714.80 | $8,574 | 5.3× |
| CT Angio Chest (71275) | $875.80 | $4,379 | 5.4× |
| CT Angio Head (70496) | $828.60 | $4,143 | 5.1× |
| CT angio hrt w/3d image (75574) | $989.20 | $4,946 | 3.1× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $742.60 | $3,713 | 4.6× |
| CT Angio Neck (70498) | $690 | $3,450 | 4.2× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $742.60 | $3,713 | 4.6× |
| CT cervical spine w/ contrast (72126) | $944.60 | $4,723 | 2.9× |
| CT cervical spine w/o contrast (72125) | $877.20 | $4,386 | 9.1× |
| CT cervical spine w/wo cont (72127) | $984 | $4,920 | 6.1× |
| CT chest w contrast (71260) | $731.80 | $3,659 | 4.5× |
| CT chest w/wo contrast (71270) | $875.80 | $4,379 | 5.4× |
| CT head/brain with contrast (70460) | $647.20 | $3,236 | 4.0× |
| CT head/brain without and with contrast (70470) | $1,036.40 | $5,182 | 6.4× |
| CT heart contrast eval cardiac structure&morph (75572) | $833.80 | $4,169 | 2.6× |
| CT heart no contrast quant eval coronry calcium (75571) | $53.80 | $269 | 0.7× |
| CT iac w contrast (70481) | $917.40 | $4,587 | 5.6× |
| CT l-spine w&w/o contrast (72133) | $749.40 | $3,747 | 4.6× |
| CT lower ext w/o (73700) | $649.20 | $3,246 | 6.7× |
| CT lower extremity w/contrast material (73701) | $683.40 | $3,417 | 4.2× |
| CT lumbar spine w contrast (72132) | $755 | $3,775 | 2.3× |
| CT lumbar spine w/o contrast (72131) | $702.20 | $3,511 | 7.2× |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$447.40–$802 | $2,237–$4,010 | varies |
| CT maxillofacial wo contrast (70486) range across 3 matching MRF lines |
$411.80–$773.80 | $2,059–$3,869 | varies |
| CT neck tissue combo (70492) | $657.20 | $3,286 | 4.0× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $986.20 | $4,931 | 6.1× |
| CT orbits w/o contrast (70480) range across 3 matching MRF lines |
$306.40–$757.20 | $1,532–$3,786 | varies |
| CT pelvis w&w/o contrast (72194) | $900.80 | $4,504 | 5.5× |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$584.20–$613.20 | $2,921–$3,066 | varies |
| CT scan of leg combo (73702) | $707.60 | $3,538 | 4.4× |
| CT scans face/jaw combo (70488) | $910.40 | $4,552 | 5.6× |
| CT soft tissue neck w contrast (70491) | $647.20 | $3,236 | 4.0× |
| CT soft tissue neck w/o contrast (70490) | $594.80 | $2,974 | 6.1× |
| CT thoracic spine w contrast (72129) | $719.20 | $3,596 | 4.4× |
| CT thoracic spine w/o contrast (72128) | $702.20 | $3,511 | 7.2× |
| CT thoracic spine w/wo cont (72130) | $749.40 | $3,747 | 4.6× |
| CT thorax w/o contrast (71250) | $613.20 | $3,066 | 6.3× |
| CT upper ext wo (73200) | $649.20 | $3,246 | 6.7× |
| CT upper extremity w/o & w/contrast material (73202) | $707.60 | $3,538 | 4.4× |
| CT upper extremity with contrast (73201) | $683.40 | $3,417 | 2.1× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $856.60 | $4,283 | 5.3× |
| Cta Abdomen (74175) | $856.60 | $4,283 | 5.3× |
| CTA pelvis (72191) | $856.60 | $4,283 | 5.3× |
| Dilation ureters/urethra rs&i (74485) range across 3 matching MRF lines |
$696.40–$881.20 | $3,482–$4,406 | varies |
| Dxa Bone Density Axial (77080) | $237.20 | $1,186 | 2.4× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $92 | $460 | 1.1× |
| Echo exam uterus (76831) | $232.60 | $1,163 | 1.1× |
| Echo Guide For Artery Repair (76936) | $391.80 | $1,959 | 2.0× |
| Echograp Trans R Pros Study (76873) | $219.20 | $1,096 | 2.3× |
| Esophagram (74220) | $113.20 | $566 | 0.7× |
| Fetal Biophys Profile W/Nst (76818) | $235 | $1,175 | 2.4× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $247.20 | $1,236 | 2.6× |
| Fluoroscopy up to 1 hr (76000) | $130.20 | $651 | 0.6× |
| Follow-Up Angiography (75898) | $376.20 | $1,881 | 0.1× |
| Foot 2 views (73620) range across 2 matching MRF lines |
$37.40–$53.60 | $187–$268 | varies |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$38.20–$56.60 | $191–$283 | varies |
| Gastric emptying imaging study (78264) | $513.60 | $2,568 | 1.4× |
| Gated Heart Planar Single (78472) | $381 | $1,905 | 1.0× |
| Hand 2 views (73120) range across 2 matching MRF lines |
$38.20–$56.60 | $191–$283 | varies |
| Heart Image (Pet) Multiple (78492) | $2,300 | $11,500 | 1.7× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $1,637.60 | $8,188 | 0.6× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $1,637.60 | $8,188 | 0.6× |
| Hepatobil Syst Image W/Drug (78227) | $531.80 | $2,659 | 1.1× |
| Hepatobiliary System Imaging (78226) | $418.40 | $2,092 | 1.1× |
| Ht Musc Image Planar Mult (78454) | $1,095 | $5,475 | 0.9× |
| Ht Muscle Image Spect Sing (78451) | $1,252.20 | $6,261 | 1.0× |
| Hysterosalpingogram (74740) | $157.20 | $786 | 0.7× |
| Image fusion (77399) | $110 | $550 | 0.9× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $164.40 | $822 | 2.0× |
| Infant hip ultrasound, limited static exam (76886) | $118.40 | $592 | 1.5× |
| Interstitial radiation source applic complex (77778) | $2,077 | $10,385 | 3.2× |
| K Flow/Funct Image Multiple (78709) | $638.60 | $3,193 | 1.3× |
| K Flow/Funct Image W/Drug (78708) | $541.40 | $2,707 | 1.1× |
| K Flow/Funct Image W/O Drug (78707) | $398.40 | $1,992 | 0.8× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $438.20 | $2,191 | 1.2× |
| Knee 3 Views (73562) | $71.40 | $357 | 0.9× |
| Leveen/Shunt Patency Exam (78291) | $183.60 | $918 | 0.5× |
| Liver & Spleen Imaging Static Only (78215) | $193.40 | $967 | 0.5× |
| Liver imaging w/vascular flow (78202) | $303.40 | $1,517 | 0.6× |
| Lung Perf&Ventilat Diferentl (78598) | $609.80 | $3,049 | 1.2× |
| Lung perfusion differential (78597) | $398.80 | $1,994 | 1.1× |
| Lung Ventilat&Perfus Imaging (78582) | $609.80 | $3,049 | 1.2× |
| Lung Ventilation Imaging (78579) | $221.80 | $1,109 | 0.6× |
| Lymph System Imaging (78195) | $284.80 | $1,424 | 0.6× |
| Magnetic Image Jaw Joint (70336) | $792 | $3,960 | 3.6× |
| Meckels Divert Exam (78290) | $302.40 | $1,512 | 0.8× |
| Mlc imrt design & construction per imrt plan (77338) | $676.40 | $3,382 | 1.9× |
| Mra Head W/O & W/Contrast Material (70546) | $1,267.40 | $6,337 | 3.9× |
| MRA head w/o contrast (70544) | $748.80 | $3,744 | 3.4× |
| MRA head with contrast (70545) | $880.80 | $4,404 | 2.7× |
| MRA neck w contrast (70548) | $880.80 | $4,404 | 2.7× |
| Mra Neck W/O &W/Contrast Material (70549) | $1,207.60 | $6,038 | 3.7× |
| MRA neck w/o contrast (70547) | $748.80 | $3,744 | 3.4× |
| MRI abdomen w contrast (74182) | $858.40 | $4,292 | 2.7× |
| MRI abdomen w/o contrast (74181) | $748.80 | $3,744 | 3.4× |
| MRI any jt lower extrem w/contrast material (73722) | $817 | $4,085 | 1.1× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $939.20 | $4,696 | 2.9× |
| MRI any jt upper extremity w/contrast matrl (73222) | $817 | $4,085 | 1.1× |
| MRI cardiac w/o contrast (75557) | $710.20 | $3,551 | 3.2× |
| MRI cervical spine w contrast (72142) | $817 | $4,085 | 2.5× |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$331.40–$748.80 | $1,657–$3,744 | varies |
| MRI chest w/o contrast (71550) | $748.80 | $3,744 | 3.4× |
| MRI chest with contrast (71551) | $817 | $4,085 | 1.1× |
| MRI chest wo w contrast (71552) | $1,207.60 | $6,038 | 3.7× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $858.40 | $4,292 | 2.7× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $939.20 | $4,696 | 2.9× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $748.80 | $3,744 | 3.4× |
| MRI lumbar spine w contrast (72149) | $817 | $4,085 | 2.5× |
| Mri Neck Spine W/O & W/Dye (72156) | $1,207.60 | $6,038 | 3.7× |
| MRI orbit face &/neck w/o contrast (70540) range across 2 matching MRF lines |
$331.40–$748.80 | $1,657–$3,744 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 2 matching MRF lines |
$858.40–$1,381 | $4,292–$6,905 | varies |
| MRI pelvis w/o & w contrast (72197) | $1,434.80 | $7,174 | 4.4× |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$331.40–$748.80 | $1,657–$3,744 | varies |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$331.40–$748.80 | $1,657–$3,744 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $748.80 | $3,744 | 3.4× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $939.20 | $4,696 | 2.9× |
| MRI, abdomen, combo (74183) | $1,207.60 | $6,038 | 3.7× |
| MRI, dorsal spine combo (72157) | $1,207.60 | $6,038 | 3.7× |
| MRI, dorsal spine contrast (72147) | $817 | $4,085 | 2.5× |
| MRI, joint upper extrem (73221) | $748.80 | $3,744 | 3.4× |
| MRI, joint upper extrem combo (73223) | $939.20 | $4,696 | 2.9× |
| MRI, lumbar spine combo (72158) | $1,207.60 | $6,038 | 3.7× |
| Musculoskeletal Nuclear Exam (78399) | $2,047.40 | $10,237 | 5.5× |
| Myelogram cervical (72240) | $397 | $1,985 | 0.5× |
| Myelogram Lumbar (72265) | $397 | $1,985 | 0.5× |
| Myelography thoracic (72255) | $416.80 | $2,084 | 0.6× |
| Myelograpy 2/more regions rs&i (72270) | $497.60 | $2,488 | 0.7× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) | $2,190.20 | $10,951 | 1.8× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $955.60 | $4,778 | 0.8× |
| Myocardial Spect Multiple Studies (78452) | $1,991.40 | $9,957 | 1.7× |
| N-invas est c ffr sw aly CTA (75580) | $560.80 | $2,804 | 0.7× |
| Neck soft tissue (70360) | $93.20 | $466 | 1.2× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $138.60 | $693 | 0.4× |
| Nm whole blood volume (78122) | $379.60 | $1,898 | 0.8× |
| Nonvascular Shunt X-Ray (75809) | $258.80 | $1,294 | 2.7× |
| Ntsty modul radthx pln dose-vol histos (77301) | $1,315.80 | $6,579 | 1.0× |
| Nuclear Rx Intra-Arterial (79445) | $111.20 | $556 | 0.5× |
| Nuclear Rx Oral Admin (79005) | $131 | $655 | 0.6× |
| Ob us nuchal meas 1 gest (76813) | $127.60 | $638 | 1.3× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) | $62.60 | $313 | 0.6× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $377.60 | $1,888 | 0.8× |
| Parathyroid Planar Imaging (78070) | $373.80 | $1,869 | 1.0× |
| Parathyroid planar imaging w/wo subtraction (78071) | $298.40 | $1,492 | 0.8× |
| Pelvis 1 or 2 views (72170) | $76.60 | $383 | 0.8× |
| Peritoneogram Rs&I (74190) | $228.40 | $1,142 | 0.5× |
| Pet Image Skull-Thigh (78812) | $2,300 | $11,500 | 1.7× |
| PET image w/CT, full body (78816) | $2,472.20 | $12,361 | 1.9× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $2,472.20 | $12,361 | 1.9× |
| Pet Myocardial Sngl Study (78491) | $2,300 | $11,500 | 1.7× |
| Plasma Vol Radiopharm Vol Dilute Spx Mult Smples (78111) | $805.20 | $4,026 | 0.7× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $1,559.60 | $7,798 | 0.5× |
| Pulmonary Perfusion Imaging Particulate (78580) | $252.40 | $1,262 | 0.7× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $93.20 | $466 | 1.0× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $263.20 | $1,316 | 0.5× |
| Radex Ankle Complete Minimum 3 Views (73610) | $77.20 | $386 | 1.0× |
| Radex Calcaneus Minimum 2 Views (73650) | $38.60 | $193 | 0.5× |
| Radex elbow complete minimum 3 views (73080) | $74 | $370 | 0.9× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $83.40 | $417 | 0.9× |
| Radex fingr minimum 2 views (73140) | $50.80 | $254 | 0.6× |
| Radex foot complete minimum 3 views (73630) | $71.40 | $357 | 0.9× |
| Radex Hand Minimum 3 Views (73130) | $77.20 | $386 | 1.0× |
| Radex lower extremity infant minimum 2 views (73592) | $61.20 | $306 | 0.8× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $124.80 | $624 | 1.3× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $64.80 | $324 | 0.8× |
| Radex Ribs Unilateral 2 Views (71100) | $66 | $330 | 0.8× |
| Radex shoulder complete minimum 2 views (73030) | $77.20 | $386 | 1.0× |
| Radex Sinuses Paransl < 3 Views (70210) | $56.60 | $283 | 0.7× |
| Radex Spine 1 View Specify Level (72020) range across 4 matching MRF lines |
$41.60–$43.60 | $208–$218 | varies |
| Radex Sternum Minimum 2 Views (71120) | $64.20 | $321 | 0.8× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $81 | $405 | 1.0× |
| Radex Toe Minimum 2 Views (73660) | $38.20 | $191 | 0.5× |
| Radex upper extremity infant minimum 2 views (73092) | $56.60 | $283 | 0.6× |
| Radex Wrist Complete Minimum 3 Views (73110) | $77.20 | $386 | 1.0× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $145.60 | $728 | 1.5× |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $3,500.20 | $17,501 | 0.5× |
| Radiation treatment delivery level 1 (77402) range across 2 matching MRF lines |
$81.60–$128 | $408–$640 | varies |
| Radiation treatment delivery level 2 (77407) range across 2 matching MRF lines |
$126.80–$238.60 | $634–$1,193 | varies |
| Radiation treatment delivery level 3 (77412) | $238.60 | $1,193 | 0.5× |
| Radiolog exam mandible compl minimum 4 views (70110) | $90.80 | $454 | 0.9× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $97.60 | $488 | 1.0× |
| Radiologic exam colon double contrast study (74280) | $246.20 | $1,231 | 1.5× |
| Radiologic exam colon single contrast study (74270) | $129.20 | $646 | 0.8× |
| Radiologic exam knee complete 4/more views (73564) | $85.20 | $426 | 0.9× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $77.20 | $386 | 0.8× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $118.80 | $594 | 0.7× |
| Radiologic exam swallow function contrast study (74230) | $86.40 | $432 | 0.5× |
| Radiologic exam upr gi trc double contrast study (74246) | $269.40 | $1,347 | 1.7× |
| Radiologic examination femur 1 view (73551) | $47.20 | $236 | 0.6× |
| Radiologic examination femur minimum 2 views (73552) | $85.20 | $426 | 1.1× |
| Radiologic examination knee 1/2 views (73560) | $74 | $370 | 0.9× |
| Radiologic Examination Osseous Survey Limited (77074) | $158 | $790 | 1.6× |
| Radiologic examination tibia & fibula 2 views (73590) | $87.80 | $439 | 1.1× |
| Red Cell Volume Determination Spx Mult Samplings (78121) | $301.80 | $1,509 | 0.6× |
| Ribs bilateral 3 views (71110) | $74.40 | $372 | 0.8× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $316.20 | $1,581 | 0.9× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $411.40 | $2,057 | 1.1× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $964.80 | $4,824 | 1.9× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $407.20 | $2,036 | 0.8× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $677 | $3,385 | 1.3× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $932 | $4,660 | 0.8× |
| Rp Therapy Intravenous Administration (79101) | $473 | $2,365 | 2.2× |
| Scapula (73010) | $77 | $385 | 0.8× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $21 | $105 | 0.9× |
| Shoulder 1 view (73020) | $39.80 | $199 | 0.5× |
| Shoulder Arthrography (73040) | $250.60 | $1,253 | 0.8× |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$39.80–$68.20 | $199–$341 | varies |
| Special dosimetry (77331) | $86.60 | $433 | 0.7× |
| Special Physics Consult (77370) | $265.20 | $1,326 | 2.1× |
| Special teletherapy port plan (77321) | $334.40 | $1,672 | 1.0× |
| Special treatment procedure (77470) | $824 | $4,120 | 1.6× |
| Stereotactic Body Radiation Delivery (77373) | $2,557.40 | $12,787 | 1.5× |
| Sternoclavicular joints (71130) | $74.40 | $372 | 0.9× |
| Superior sagittal sinus venogram (75870) | $547.80 | $2,739 | 0.2× |
| Telethx isodose pln cplx w/basic dosimetry (77307) range across 2 matching MRF lines |
$322.80–$505.20 | $1,614–$2,526 | varies |
| Telethx isodose pln smpl w/dosimetry calculation (77306) range across 2 matching MRF lines |
$259.60–$406.20 | $1,298–$2,031 | varies |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $422.40 | $2,112 | 1.2× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $288.40 | $1,442 | 0.8× |
| Ther rad simulaj-aided field setting simple (77280) | $214.80 | $1,074 | 1.7× |
| Thoracic spine 2 views (72070) | $93.20 | $466 | 1.0× |
| Thoracic spine 3 views (72072) | $139.80 | $699 | 1.4× |
| Thoracolumbar 2 views (72080) | $77.20 | $386 | 1.0× |
| Thyroid Imaging With Vascular Flow (78013) | $309 | $1,545 | 0.8× |
| Thyroid Met Imaging Body (78018) | $377.60 | $1,888 | 0.8× |
| Thyroid Uptake Measurement (78012) | $266.60 | $1,333 | 0.7× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $366.40 | $1,832 | 1.0× |
| Tx Devices Design & Construction Complex (77334) | $422.40 | $2,112 | 1.2× |
| Tx devices design & construction intermediate (77333) | $162.20 | $811 | 1.3× |
| Tx devices design & construction simple (77332) | $134.40 | $672 | 1.1× |
| Ultrasound Breast Limited (76642) | $106.80 | $534 | 1.3× |
| Ultrasound Exam Aaa Screen (76706) | $76.40 | $382 | 0.8× |
| Ultrasound trgt dynamic microbubble 1st lesion (76978) | $95 | $475 | 0.3× |
| Ultrasound, abdomen limited (76705) range across 4 matching MRF lines |
$137–$382 | $685–$1,910 | varies |
| Unlisted Dx Radiographic Procedure (76499) range across 2 matching MRF lines |
$53.60–$73.60 | $268–$368 | varies |
| Unlisted fluoroscopic procedure (76496) | $70.80 | $354 | 0.9× |
| Unlisted magnetic resonance procedure (76498) range across 2 matching MRF lines |
$331.40–$448.80 | $1,657–$2,244 | varies |
| Upper gi w/o kub (74240) | $235 | $1,175 | 1.4× |
| Urethrocystogram voiding (74455) | $118.80 | $594 | 0.5× |
| Urethrocystography retrograde (74450) | $179.20 | $896 | 0.8× |
| Us breast unilateral complete (76641) | $141.80 | $709 | 1.5× |
| Us chest (76604) | $98.80 | $494 | 1.0× |
| Us complete joint (76881) | $153.80 | $769 | 1.6× |
| Us exam, pelvic, limited (76857) range across 4 matching MRF lines |
$127.60–$127.80 | $638–$639 | varies |
| Us head (76506) | $146.60 | $733 | 1.5× |
| Us kidney transplant (76776) | $177.40 | $887 | 1.8× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 3 matching MRF lines |
$97.40–$112.40 | $487–$562 | varies |
| Us ob detailed single fetus (76811) | $407.20 | $2,036 | 1.8× |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$74–$209.20 | $370–$1,046 | varies |
| Us ob transvaginal (76817) | $157.20 | $786 | 1.6× |
| Us pelvic non ob complete (76856) | $254.20 | $1,271 | 2.6× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $109.20 | $546 | 1.1× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $145.20 | $726 | 1.5× |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$179.20–$207.80 | $896–$1,039 | varies |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$95–$195.40 | $475–$977 | varies |
| Us scrotum and contents (76870) | $175.60 | $878 | 1.8× |
| Us spinal canal and contents (76800) | $98.80 | $494 | 1.0× |
| Us thyroid (76536) | $156.40 | $782 | 1.6× |
| Us transrectal (76872) | $209.20 | $1,046 | 2.2× |
| Vein X-Ray Chest (75827) | $552.80 | $2,764 | 0.4× |
| Vein X-Ray Liver W/O Hemodyn (75887) | $1,637.60 | $8,188 | 0.6× |
| Venogram Sinus/Jugular (75860) | $1,247.80 | $6,239 | 0.4× |
| Venography caval inferior serialography rs&i (75825) | $1,577.80 | $7,889 | 0.5× |
| Venography extremity bilateral rs&i (75822) | $530.60 | $2,653 | 0.4× |
| Venography extremity unilateral rs&i (75820) | $505.20 | $2,526 | 0.3× |
| Venography Renal Bilateral (75833) | $1,637.60 | $8,188 | 0.6× |
| Venography Renal Unilateral (75831) | $1,559.60 | $7,798 | 0.5× |
| Wrist 2 views (73100) | $56.60 | $283 | 0.7× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $73.80 | $369 | 0.9× |
| X-ray antegrade pyelogram tube (74425) | $271.40 | $1,357 | 0.8× |
| X-Ray Aorta Leg Arteries (75630) | $1,820 | $9,100 | 0.6× |
| X-Ray Bend Only L-S Spine (72120) | $57.40 | $287 | 0.6× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$38.20–$56.60 | $191–$283 | varies |
| X-Ray Exam Breast Specimen (76098) range across 2 matching MRF lines |
$271.60–$303 | $1,358–$1,515 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) | $79.40 | $397 | 1.0× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $88 | $440 | 0.9× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $126.20 | $631 | 1.3× |
| X-Ray Exam Hip Uni 1 View (73501) | $52.60 | $263 | 0.7× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $102.80 | $514 | 1.3× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $113.80 | $569 | 1.2× |
| X-Ray Exam Hips Bi 2 Views (73521) | $99.60 | $498 | 1.0× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $113.80 | $569 | 1.2× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $131.80 | $659 | 1.4× |
| X-Ray Exam L-S Spine Bending (72114) | $162.20 | $811 | 1.7× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $71.40 | $357 | 0.9× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $138.60 | $693 | 1.4× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $97.80 | $489 | 1.0× |
| X-ray eye for foreign body (70030) | $109.40 | $547 | 1.4× |
| X-ray humerus (73060) range across 2 matching MRF lines |
$38.20–$56.60 | $191–$283 | varies |
| X-ray IV pyelogram (ivp) (74400) | $301.60 | $1,508 | 1.9× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $52.60 | $263 | 0.7× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $59.20 | $296 | 0.7× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $113.20 | $566 | 1.2× |
| X-ray nose-rectum child f.b. (76010) | $88 | $440 | 1.1× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $102.80 | $514 | 1.1× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $71.40 | $357 | 0.7× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $38.20 | $191 | 0.4× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $71.40 | $357 | 0.9× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $86.60 | $433 | 1.1× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $104.60 | $523 | 1.1× |
| X-ray thoracic spine 4 vw (72074) | $111.60 | $558 | 1.2× |
| X-Ray Tmj Unilat (70328) | $34.60 | $173 | 0.4× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $123 | $615 | 0.4× |
| X-Rays Bone Length Studies (77073) | $71.40 | $357 | 0.7× |
| X-Rays Bone Survey Complete (77075) | $190.60 | $953 | 2.0× |
| Xr c-spine 4 or 5 views (72050) | $124.80 | $624 | 1.3× |
| Xr facial bones less than 3 views (70140) | $77.20 | $386 | 1.0× |
| Xr orbits complete 4 views (70200) | $56.60 | $283 | 0.6× |
| Xr Tomogram Single Plane (76100) | $129 | $645 | 1.3× |
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.