Imaging prices at Baptist Memorial Hospital-Golden Triangle
Columbus, MS · every code in this section with a posted price and a Medicare benchmark.
348 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) | $1,752.50 | $7,010 | 1.4× |
| Abdomen 1 View (74018) | $80.25 | $321 | 1.0× |
| Abdomen 2 views (74019) | $88.75 | $355 | 0.9× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $446.75 | $1,787 | 1.2× |
| Adrenal Cortex & Medulla Img (78075) | $1,092.50 | $4,370 | 0.9× |
| Angio internal mammary (75756) | $1,302 | $5,208 | 0.5× |
| Angio pulmonary bilat (75743) | $2,047 | $8,188 | 0.7× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $2,070 | $8,280 | 0.7× |
| Angiography extremity bilateral rs&i (75716) | $2,047 | $8,188 | 0.7× |
| Angiography extremity unilateral rs&i (75710) | $1,423.25 | $5,693 | 0.5× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $2,047 | $8,188 | 0.7× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $1,482 | $5,928 | 0.5× |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$63–$71.75 | $252–$287 | varies |
| Aortography thoracic serialography rs&i (75605) unusually low: confirm this is the full procedure |
$2,070 | $8,280 | 0.4× |
| Artery X-Rays Abdomen (75726) unusually low: confirm this is the full procedure |
$1,704.50 | $6,818 | 0.3× |
| Artery X-Rays Adrenal Gland (75731) | $1,119.25 | $4,477 | 0.4× |
| Artery X-Rays Pelvis (75736) unusually low: confirm this is the full procedure |
$2,047 | $8,188 | 0.4× |
| Artery X-Rays Spine (75705) unusually low: confirm this is the full procedure |
$1,704.50 | $6,818 | 0.3× |
| Arthrogram hip (73525) | $315.50 | $1,262 | 1.0× |
| Arthrogram Wrist (73115) | $287 | $1,148 | 0.9× |
| Basic radiation dosimetry calculation (77300) | $189.75 | $759 | 1.6× |
| Bone age studies (77072) | $70.25 | $281 | 0.7× |
| Bone Imaging 3 Phase (78315) | $599.50 | $2,398 | 1.7× |
| Bone Imaging Limited Area (78300) | $279 | $1,116 | 0.8× |
| Bone Imaging Whole Body (78306) | $466.50 | $1,866 | 1.3× |
| Brachytx isodose complex (77318) range across 2 matching MRF lines |
$327.25–$512.50 | $1,309–$2,050 | varies |
| Brachytx isodose intermed (77317) range across 2 matching MRF lines |
$291.50–$456 | $1,166–$1,824 | varies |
| Brachytx Isodose Plan Simple (77316) range across 2 matching MRF lines |
$190.75–$298.50 | $763–$1,194 | varies |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $377 | $1,508 | 0.8× |
| Cat Scan Follow-Up Study (76380) | $334 | $1,336 | 4.3× |
| Chest 1 view (71045) | $80.25 | $321 | 1.0× |
| Chest 2 views (71046) | $103.25 | $413 | 1.3× |
| Chest 4 or more views (71048) | $108 | $432 | 1.1× |
| Cholecystography Oral Contrast (74290) | $163.75 | $655 | 1.0× |
| Cisternography Positive Contrast Rs&I (70015) | $568.50 | $2,274 | 0.8× |
| Clavicle complete (73000) | $54.50 | $218 | 0.7× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $55.50 | $222 | 0.6× |
| Continuing medical physics consltj pr wk (77336) | $257 | $1,028 | 2.1× |
| Contrast Exam Abdominl Aorta (75625) | $1,637.25 | $6,549 | 0.6× |
| Contrast X-Ray Bladder (74430) | $204.50 | $818 | 0.7× |
| Contrast X-Ray Of Knee Joint (73580) | $287 | $1,148 | 0.9× |
| CT abdomen and pelvis without and with contrast (74178) | $1,633.75 | $6,535 | 5.2× |
| CT abdomen and pelvis without contrast (74176) | $1,438.75 | $5,755 | 6.7× |
| CT abdomen w contrast (74160) | $1,117.25 | $4,469 | 7.1× |
| CT abdomen w wo contrast (74170) | $1,217.75 | $4,871 | 7.7× |
| CT abdomen w/o contrast (74150) | $846.50 | $3,386 | 9.0× |
| CT Angio Abdomen and Pelvis (74174) | $2,040.50 | $8,162 | 6.5× |
| CT Angio Chest (71275) | $1,303.75 | $5,215 | 8.3× |
| CT Angio Head (70496) | $999.50 | $3,998 | 6.3× |
| CT angio hrt w/3d image (75574) | $999.50 | $3,998 | 3.2× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $999.50 | $3,998 | 6.3× |
| CT Angio Neck (70498) | $999.50 | $3,998 | 6.3× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $999.50 | $3,998 | 6.3× |
| CT cervical spine w/ contrast (72126) | $1,021 | $4,084 | 3.3× |
| CT cervical spine w/o contrast (72125) | $978.75 | $3,915 | 10.4× |
| CT cervical spine w/wo cont (72127) | $891 | $3,564 | 5.6× |
| CT chest w contrast (71260) | $1,110 | $4,440 | 7.0× |
| CT chest w/wo contrast (71270) | $1,194.75 | $4,779 | 7.6× |
| CT colonography screening (74263) | $323 | $1,292 | 1.5× |
| CT colonogrphy dx image postprocess w/o contrast (74261) | $846.50 | $3,386 | 9.0× |
| CT head/brain with contrast (70460) | $794.50 | $3,178 | 5.0× |
| CT head/brain without and with contrast (70470) | $1,009.50 | $4,038 | 6.4× |
| CT heart no contrast quant eval coronry calcium (75571) | $67.25 | $269 | 0.9× |
| CT iac w contrast (70481) | $1,061.50 | $4,246 | 6.7× |
| CT l-spine w&w/o contrast (72133) | $891 | $3,564 | 5.6× |
| CT lower ext w/o (73700) | $772.75 | $3,091 | 8.2× |
| CT lower extremity w/contrast material (73701) | $783.75 | $3,135 | 5.0× |
| CT lumbar spine w contrast (72132) | $928.25 | $3,713 | 3.0× |
| CT lumbar spine w/o contrast (72131) | $840.75 | $3,363 | 8.9× |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$615–$1,002.25 | $2,460–$4,009 | varies |
| CT maxillofacial wo contrast (70486) range across 3 matching MRF lines |
$565–$921 | $2,260–$3,684 | varies |
| CT neck tissue combo (70492) | $1,053.75 | $4,215 | 6.7× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,244 | $4,976 | 7.9× |
| CT orbits w/o contrast (70480) range across 4 matching MRF lines |
$442.50–$827 | $1,770–$3,308 | varies |
| CT pelvis w&w/o contrast (72194) | $1,213.75 | $4,855 | 7.7× |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$730.25–$926.75 | $2,921–$3,707 | varies |
| CT scan of leg combo (73702) | $827 | $3,308 | 5.2× |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
$691.75–$1,250.50 | $2,767–$5,002 | varies |
| CT soft tissue neck w contrast (70491) | $917.25 | $3,669 | 5.8× |
| CT soft tissue neck w/o contrast (70490) | $798.75 | $3,195 | 8.5× |
| CT thoracic spine w contrast (72129) | $886.25 | $3,545 | 5.6× |
| CT thoracic spine w/o contrast (72128) | $1,040.75 | $4,163 | 11.1× |
| CT thoracic spine w/wo cont (72130) | $891 | $3,564 | 5.6× |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$82.25–$840.75 | $329–$3,363 | varies |
| CT upper ext wo (73200) | $753.50 | $3,014 | 8.0× |
| CT upper extremity w/o & w/contrast material (73202) | $868 | $3,472 | 5.5× |
| CT upper extremity with contrast (73201) | $783.75 | $3,135 | 2.5× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,020.50 | $4,082 | 6.5× |
| Cta Abdomen (74175) | $1,249.25 | $4,997 | 7.9× |
| Dilation ureters/urethra rs&i (74485) range across 3 matching MRF lines |
$691.75–$1,101.50 | $2,767–$4,406 | varies |
| Diskography lumbar (72295) | $1,042.50 | $4,170 | 0.6× |
| Dxa Bone Density Axial (77080) | $225 | $900 | 2.4× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $121 | $484 | 1.5× |
| Echo exam uterus (76831) | $281.75 | $1,127 | 1.3× |
| Echo Guide For Artery Repair (76936) | $767.75 | $3,071 | 4.0× |
| Echograp Trans R Pros Study (76873) | $274 | $1,096 | 2.9× |
| Esophagram (74220) | $150 | $600 | 1.0× |
| Fetal Biophys Profile W/Nst (76818) | $213.50 | $854 | 2.3× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $309 | $1,236 | 3.3× |
| Fluoroscopy up to 1 hr (76000) | $130.25 | $521 | 0.6× |
| Follow-Up Angiography (75898) | $408.25 | $1,633 | 0.1× |
| Foot 2 views (73620) range across 2 matching MRF lines |
$46.75–$54.50 | $187–$218 | varies |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$47.75–$60.75 | $191–$243 | varies |
| Gastric emptying imaging study (78264) | $642 | $2,568 | 1.8× |
| Gated Heart Planar Single (78472) | $442.50 | $1,770 | 1.2× |
| Hand 2 views (73120) range across 2 matching MRF lines |
$50–$54.50 | $200–$218 | varies |
| Hdr Rdncl Ntrstl/Icav Brchtx (77772) | $2,347.50 | $9,390 | 3.7× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) | $1,857 | $7,428 | 3.0× |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) | $1,716.75 | $6,867 | 2.7× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $2,047 | $8,188 | 0.7× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $2,047 | $8,188 | 0.7× |
| Hepatobil Syst Image W/Drug (78227) | $569.75 | $2,279 | 1.2× |
| Hepatobiliary System Imaging (78226) | $569.75 | $2,279 | 1.6× |
| Ht Muscle Image Spect Sing (78451) | $1,837.75 | $7,351 | 1.6× |
| Hysterosalpingogram (74740) | $225 | $900 | 1.0× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $215 | $860 | 2.7× |
| Infant hip ultrasound, limited static exam (76886) | $148 | $592 | 1.9× |
| Interstitial radiation source applic complex (77778) | $2,596.25 | $10,385 | 4.1× |
| K Flow/Funct Image W/Drug (78708) | $644.25 | $2,577 | 1.3× |
| K Flow/Funct Image W/O Drug (78707) | $403.25 | $1,613 | 0.8× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $547.75 | $2,191 | 1.5× |
| Knee 3 Views (73562) | $89.25 | $357 | 1.1× |
| Liver & Spleen Imaging Static Only (78215) | $255.50 | $1,022 | 0.7× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $358.75 | $1,435 | 1.0× |
| Lung Perf&Ventilat Diferentl (78598) | $799.75 | $3,199 | 1.6× |
| Lung perfusion differential (78597) | $523 | $2,092 | 1.5× |
| Lung Ventilat&Perfus Imaging (78582) | $799.75 | $3,199 | 1.6× |
| Lung Ventilation Imaging (78579) | $277.25 | $1,109 | 0.8× |
| Lymph System Imaging (78195) | $313 | $1,252 | 0.6× |
| Magnetic Image Jaw Joint (70336) | $876 | $3,504 | 4.1× |
| Meckels Divert Exam (78290) | $279.25 | $1,117 | 0.8× |
| Mlc imrt design & construction per imrt plan (77338) | $689.25 | $2,757 | 2.0× |
| MRA head w/o contrast (70544) | $930.25 | $3,721 | 4.3× |
| MRA head with contrast (70545) | $963 | $3,852 | 3.1× |
| MRA neck w contrast (70548) | $1,001.50 | $4,006 | 3.2× |
| Mra Neck W/O &W/Contrast Material (70549) | $1,518.50 | $6,074 | 4.8× |
| MRA neck w/o contrast (70547) | $977 | $3,908 | 4.5× |
| MRI abdomen w contrast (74182) | $1,289 | $5,156 | 4.1× |
| MRI abdomen w/o contrast (74181) | $1,128 | $4,512 | 5.3× |
| MRI any jt lower extrem w/contrast material (73722) | $1,025.50 | $4,102 | 1.5× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $1,552.75 | $6,211 | 4.9× |
| MRI any jt upper extremity w/contrast matrl (73222) | $1,025.50 | $4,102 | 1.5× |
| MRI Breast W/O Contrast Bilateral (77047) | $861.75 | $3,447 | 4.0× |
| MRI Breast Without Contrast Material Unilateral (77046) | $861.75 | $3,447 | 4.0× |
| MRI cervical spine w contrast (72142) | $1,250.50 | $5,002 | 4.0× |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$435.25–$1,132 | $1,741–$4,528 | varies |
| MRI chest w/o contrast (71550) | $876 | $3,504 | 4.1× |
| MRI chest wo w contrast (71552) | $1,465.50 | $5,862 | 4.7× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $1,049.50 | $4,198 | 3.3× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $1,407.75 | $5,631 | 4.5× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $932 | $3,728 | 4.3× |
| MRI lumbar spine w contrast (72149) | $1,191.25 | $4,765 | 3.8× |
| Mri Neck Spine W/O & W/Dye (72156) | $1,719 | $6,876 | 5.5× |
| MRI orbit face &/neck w/o contrast (70540) range across 2 matching MRF lines |
$414.25–$876 | $1,657–$3,504 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 2 matching MRF lines |
$1,073–$1,431.50 | $4,292–$5,726 | varies |
| MRI pelvis w contrast (72196) | $1,042.25 | $4,169 | 3.3× |
| MRI pelvis w/o & w contrast (72197) | $1,363.25 | $5,453 | 4.3× |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$414.25–$910.75 | $1,657–$3,643 | varies |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$414.25–$1,132 | $1,657–$4,528 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) | $1,025.50 | $4,102 | 3.3× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $930.25 | $3,721 | 4.3× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $999.50 | $3,998 | 3.2× |
| MRI, abdomen, combo (74183) | $1,465.50 | $5,862 | 4.7× |
| MRI, dorsal spine combo (72157) | $1,637.25 | $6,549 | 5.2× |
| MRI, dorsal spine contrast (72147) | $1,505.25 | $6,021 | 4.8× |
| MRI, joint upper extrem (73221) | $930.25 | $3,721 | 4.3× |
| MRI, joint upper extrem combo (73223) | $1,132 | $4,528 | 3.6× |
| MRI, lumbar spine combo (72158) | $1,701.50 | $6,806 | 5.4× |
| Musculoskeletal Nuclear Exam (78399) | $2,686.25 | $10,745 | 7.5× |
| Myelogram cervical (72240) | $741 | $2,964 | 1.1× |
| Myelogram Lumbar (72265) | $593.25 | $2,373 | 0.8× |
| Myelography thoracic (72255) | $741 | $2,964 | 1.1× |
| Myelograpy 2/more regions rs&i (72270) | $593.25 | $2,373 | 0.8× |
| Myocardial Spect Multiple Studies (78452) | $2,549 | $10,196 | 2.2× |
| Myocrd Img Pet Metab Eval Single Study Cncrnt CT (78429) | $1,162.50 | $4,650 | 0.9× |
| Myocrd img PET prfuj 1std rest/stress cncrnt CT (78430) | $1,162.50 | $4,650 | 0.9× |
| Myocrd Img Pet Prfuj Mlt Std Rst&Strs Cncrnt CT (78431) | $1,813 | $7,252 | 0.9× |
| Myocrd Img Pet Prfuj W/Metab 2rtracer Cncrnt CT (78433) | $2,215.75 | $8,863 | 1.1× |
| Myocrd Img Pet Prfuj W/Metab Dual Radiotracer (78432) | $2,215.75 | $8,863 | 1.6× |
| N-invas est c ffr sw aly CTA (75580) | $701 | $2,804 | 0.9× |
| Neck soft tissue (70360) | $54.50 | $218 | 0.7× |
| Ntsty modul radthx pln dose-vol histos (77301) | $1,644.75 | $6,579 | 1.3× |
| Nuclear Rx Oral Admin (79005) | $156 | $624 | 0.7× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $472 | $1,888 | 1.0× |
| Parathyroid Planar Imaging (78070) | $358.75 | $1,435 | 1.0× |
| Parathyroid planar imaging w/wo subtraction (78071) | $373 | $1,492 | 1.0× |
| Pelvis 1 or 2 views (72170) | $44.25 | $177 | 0.5× |
| Peritoneogram Rs&I (74190) | $279 | $1,116 | 0.6× |
| Pet Image Skull-Thigh (78812) | $2,875 | $11,500 | 2.2× |
| PET image w/CT, full body (78816) range across 2 matching MRF lines |
$2,875–$3,090.25 | $11,500–$12,361 | varies |
| PET imaging CT attenuation skull base mid-thigh (78815) | $3,090.25 | $12,361 | 2.4× |
| Pet Imaging Limited Area Chest Head/Neck (78811) | $2,875 | $11,500 | 2.5× |
| PET whole body (78813) | $2,875 | $11,500 | 2.2× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $2,047 | $8,188 | 0.7× |
| Pulmonary Perfusion Imaging Particulate (78580) | $243.50 | $974 | 0.7× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $97.50 | $390 | 1.0× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $263 | $1,052 | 0.5× |
| Radex Ankle Complete Minimum 3 Views (73610) | $60.75 | $243 | 0.8× |
| Radex Calcaneus Minimum 2 Views (73650) | $54.50 | $218 | 0.7× |
| Radex elbow complete minimum 3 views (73080) | $60.75 | $243 | 0.8× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $60.75 | $243 | 0.6× |
| Radex fingr minimum 2 views (73140) | $54.50 | $218 | 0.7× |
| Radex foot complete minimum 3 views (73630) | $63.75 | $255 | 0.8× |
| Radex Hand Minimum 3 Views (73130) | $80.50 | $322 | 1.0× |
| Radex lower extremity infant minimum 2 views (73592) | $70.75 | $283 | 0.9× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $128.50 | $514 | 1.4× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $60.75 | $243 | 0.8× |
| Radex Ribs Unilateral 2 Views (71100) | $78.75 | $315 | 1.0× |
| Radex shoulder complete minimum 2 views (73030) | $80.50 | $322 | 1.0× |
| Radex Sinuses Paransl < 3 Views (70210) | $41.50 | $166 | 0.5× |
| Radex Spine 1 View Specify Level (72020) range across 3 matching MRF lines |
$45.50–$68 | $182–$272 | varies |
| Radex Sternum Minimum 2 Views (71120) | $67.50 | $270 | 0.9× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $109.50 | $438 | 1.4× |
| Radex Toe Minimum 2 Views (73660) | $41.50 | $166 | 0.5× |
| Radex upper extremity infant minimum 2 views (73092) | $70.75 | $283 | 0.8× |
| Radex Wrist Complete Minimum 3 Views (73110) | $80.50 | $322 | 1.0× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $182 | $728 | 1.9× |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $3,979 | $15,916 | 0.6× |
| Radiation treatment delivery level 1 (77402) range across 2 matching MRF lines |
$141.75–$222 | $567–$888 | varies |
| Radiation treatment delivery level 2 (77407) range across 2 matching MRF lines |
$167–$261.50 | $668–$1,046 | varies |
| Radiation treatment delivery level 3 (77412) | $257 | $1,028 | 0.5× |
| Radiolog exam mandible compl minimum 4 views (70110) | $82 | $328 | 0.9× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $97.50 | $390 | 1.0× |
| Radiologic exam colon double contrast study (74280) | $230 | $920 | 1.5× |
| Radiologic exam colon single contrast study (74270) | $183.75 | $735 | 1.2× |
| Radiologic exam knee complete 4/more views (73564) | $80.50 | $322 | 0.9× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $96.50 | $386 | 1.0× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $215 | $860 | 1.4× |
| Radiologic exam swallow function contrast study (74230) | $143 | $572 | 0.9× |
| Radiologic exam upr gi trc double contrast study (74246) | $319.25 | $1,277 | 2.0× |
| Radiologic examination femur 1 view (73551) | $59 | $236 | 0.8× |
| Radiologic examination femur minimum 2 views (73552) | $106.50 | $426 | 1.4× |
| Radiologic examination knee 1/2 views (73560) | $60.75 | $243 | 0.8× |
| Radiologic Examination Osseous Survey Limited (77074) | $204.50 | $818 | 2.2× |
| Radiologic examination tibia & fibula 2 views (73590) | $60.75 | $243 | 0.8× |
| Ribs bilateral 3 views (71110) | $78.75 | $315 | 0.8× |
| Rp loclzj tum plnr 1 area single day imaging (78800) range across 2 matching MRF lines |
$350.75–$395.25 | $1,403–$1,581 | varies |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $514.25 | $2,057 | 1.4× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $1,209.75 | $4,839 | 2.5× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $590.25 | $2,361 | 1.2× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $1,092.50 | $4,370 | 2.2× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $1,025 | $4,100 | 0.9× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $1,025 | $4,100 | 0.8× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $1,162.50 | $4,650 | 1.0× |
| Rp Therapy Intravenous Administration (79101) | $936 | $3,744 | 4.5× |
| Scapula (73010) | $50 | $200 | 0.5× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $26.25 | $105 | 1.1× |
| Shoulder 1 view (73020) | $34.75 | $139 | 0.4× |
| Shoulder Arthrography (73040) | $287 | $1,148 | 0.9× |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$49.75–$85.50 | $199–$342 | varies |
| Special dosimetry (77331) | $92.75 | $371 | 0.8× |
| Special Physics Consult (77370) | $278.75 | $1,115 | 2.3× |
| Special teletherapy port plan (77321) | $405.25 | $1,621 | 1.2× |
| Special treatment procedure (77470) | $887.75 | $3,551 | 1.8× |
| Stereotactic Body Radiation Delivery (77373) | $1,599.25 | $6,397 | 1.0× |
| Sternoclavicular joints (71130) | $93 | $372 | 1.2× |
| Superior sagittal sinus venogram (75870) | $684.75 | $2,739 | 0.2× |
| Telethx isodose pln cplx w/basic dosimetry (77307) range across 2 matching MRF lines |
$327.25–$512.50 | $1,309–$2,050 | varies |
| Telethx isodose pln smpl w/dosimetry calculation (77306) range across 2 matching MRF lines |
$291.50–$456 | $1,166–$1,824 | varies |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $528 | $2,112 | 1.6× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $442.50 | $1,770 | 1.3× |
| Ther rad simulaj-aided field setting simple (77280) | $224 | $896 | 1.9× |
| Thoracic spine 2 views (72070) | $65 | $260 | 0.7× |
| Thoracic spine 3 views (72072) | $117 | $468 | 1.2× |
| Thyroid Imaging With Vascular Flow (78013) | $386.25 | $1,545 | 1.1× |
| Thyroid Met Imaging Body (78018) | $307.25 | $1,229 | 0.6× |
| Thyroid Uptake Measurement (78012) | $317.75 | $1,271 | 0.9× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $458 | $1,832 | 1.3× |
| Tx Devices Design & Construction Complex (77334) | $528 | $2,112 | 1.6× |
| Tx devices design & construction intermediate (77333) | $126.25 | $505 | 1.0× |
| Tx devices design & construction simple (77332) | $140.50 | $562 | 1.2× |
| Ultrasound Breast Limited (76642) | $114.50 | $458 | 1.5× |
| Ultrasound Exam Aaa Screen (76706) | $100 | $400 | 1.1× |
| Ultrasound, abdomen limited (76705) range across 3 matching MRF lines |
$246–$271.75 | $984–$1,087 | varies |
| Umbilical-artery Doppler (OB) (76820) | $141 | $564 | 1.5× |
| Unlisted magnetic resonance procedure (76498) | $414.25 | $1,657 | 5.3× |
| Upper gi w/o kub (74240) | $246.50 | $986 | 1.6× |
| Urethrocystogram voiding (74455) | $245.25 | $981 | 1.1× |
| Urethrocystography retrograde (74450) | $236.25 | $945 | 1.1× |
| Us breast unilateral complete (76641) | $135 | $540 | 1.4× |
| Us chest (76604) | $123.50 | $494 | 1.3× |
| Us complete joint (76881) | $183.25 | $733 | 1.9× |
| Us exam, pelvic, limited (76857) range across 4 matching MRF lines |
$159.50–$159.75 | $638–$639 | varies |
| Us head (76506) | $147.50 | $590 | 1.6× |
| Us kidney transplant (76776) | $221.75 | $887 | 2.4× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 4 matching MRF lines |
$105.75–$152.50 | $423–$610 | varies |
| Us ob detailed single fetus (76811) | $509 | $2,036 | 2.4× |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$123.50–$163.50 | $494–$654 | varies |
| Us ob transvaginal (76817) | $87.50 | $350 | 0.9× |
| Us pelvic non ob complete (76856) | $261.25 | $1,045 | 2.8× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $179.75 | $719 | 1.9× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $181.50 | $726 | 1.9× |
| Us retroperitoneal complete (76770) | $224 | $896 | 2.4× |
| Us retroperitoneal limited (76775) | $244.25 | $977 | 2.6× |
| Us scrotum and contents (76870) | $163 | $652 | 1.7× |
| Us spinal canal and contents (76800) | $129.25 | $517 | 1.4× |
| Us thyroid (76536) | $220.25 | $881 | 2.3× |
| Vascular Flow Imaging (78445) | $334 | $1,336 | 0.9× |
| Vein X-Ray Chest (75827) | $1,061.75 | $4,247 | 0.7× |
| Vein X-Ray Liver W/O Hemodyn (75887) | $846.50 | $3,386 | 0.3× |
| Venogram Sinus/Jugular (75860) | $877.25 | $3,509 | 0.3× |
| Venography Adrenal Unilateral (75840) | $2,047 | $8,188 | 0.7× |
| Venography caval inferior serialography rs&i (75825) | $2,047 | $8,188 | 0.7× |
| Venography extremity bilateral rs&i (75822) | $663.25 | $2,653 | 0.5× |
| Venography extremity unilateral rs&i (75820) | $663.25 | $2,653 | 0.5× |
| Venography Renal Bilateral (75833) | $2,047 | $8,188 | 0.7× |
| Venography Renal Unilateral (75831) | $1,637.25 | $6,549 | 0.6× |
| Venous sampling by catheter (75893) unusually low: confirm this is the full procedure |
$2,047 | $8,188 | 0.4× |
| Wrist 2 views (73100) | $41.50 | $166 | 0.5× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $77.25 | $309 | 1.0× |
| X-ray antegrade pyelogram tube (74425) range across 3 matching MRF lines |
$163.75–$438.25 | $655–$1,753 | varies |
| X-Ray Aorta Leg Arteries (75630) | $2,047 | $8,188 | 0.7× |
| X-Ray Bend Only L-S Spine (72120) | $110 | $440 | 1.2× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$47.75–$54.50 | $191–$218 | varies |
| X-Ray Exam Breast Specimen (76098) range across 2 matching MRF lines |
$339.50–$378.75 | $1,358–$1,515 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) | $99.25 | $397 | 1.3× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $110 | $440 | 1.2× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $157.75 | $631 | 1.7× |
| X-Ray Exam Hip Uni 1 View (73501) | $65.75 | $263 | 0.8× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $128.50 | $514 | 1.6× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $142.25 | $569 | 1.5× |
| X-Ray Exam Hips Bi 2 Views (73521) | $124.50 | $498 | 1.3× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $142.25 | $569 | 1.5× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $164.75 | $659 | 1.8× |
| X-Ray Exam L-S Spine Bending (72114) | $212 | $848 | 2.3× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $74.50 | $298 | 1.0× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $97.75 | $391 | 1.0× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $78.75 | $315 | 0.8× |
| X-ray humerus (73060) | $60.75 | $243 | 0.8× |
| X-ray IV pyelogram (ivp) (74400) | $361.50 | $1,446 | 2.3× |
| X-ray IV pyelogram+tomography (74415) | $451.50 | $1,806 | 2.9× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $65.75 | $263 | 0.8× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $60.75 | $243 | 0.8× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $70.75 | $283 | 0.8× |
| X-ray nose-rectum child f.b. (76010) | $110 | $440 | 1.4× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $108 | $432 | 1.1× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $70.75 | $283 | 0.8× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $47.75 | $191 | 0.5× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $54.50 | $218 | 0.7× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $82 | $328 | 1.0× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $85.50 | $342 | 0.9× |
| X-ray thoracic spine 4 vw (72074) | $139.50 | $558 | 1.5× |
| X-Rays Bone Length Studies (77073) | $136.25 | $545 | 1.4× |
| X-Rays Bone Survey Complete (77075) | $226.75 | $907 | 2.4× |
| Xr c-spine 4 or 5 views (72050) | $148.50 | $594 | 1.6× |
| Xr facial bones less than 3 views (70140) | $51.75 | $207 | 0.7× |
| Xr orbits complete 4 views (70200) | $82 | $328 | 0.9× |
| Xr Tomogram Single Plane (76100) | $225 | $900 | 2.4× |
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.