Imaging prices at Baptist Memorial Hospital-North Mississippi
Oxford, MS · every code in this section with a posted price and a Medicare benchmark.
367 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) | $1,533.18 | $6,666 | 1.2× |
| Abdomen 1 View (74018) | $60.26 | $262 | 0.8× |
| Abdomen 2 views (74019) | $81.65 | $355 | 0.9× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $498.64 | $2,168 | 1.4× |
| Angio pulmonary bilat (75743) | $1,883.24 | $8,188 | 0.7× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $1,883.24 | $8,188 | 0.7× |
| Angiography extremity bilateral rs&i (75716) | $1,883.24 | $8,188 | 0.7× |
| Angiography extremity unilateral rs&i (75710) | $1,309.39 | $5,693 | 0.5× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $1,883.24 | $8,188 | 0.7× |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$57.96–$66.01 | $252–$287 | varies |
| Aortography thoracic serialography rs&i (75605) unusually low: confirm this is the full procedure |
$1,527.20 | $6,640 | 0.3× |
| Artery X-Rays Abdomen (75726) unusually low: confirm this is the full procedure |
$1,793.54 | $7,798 | 0.4× |
| Artery X-Rays Pelvis (75736) unusually low: confirm this is the full procedure |
$1,793.54 | $7,798 | 0.4× |
| Arthrogram ankle (73615) | $293.94 | $1,278 | 0.9× |
| Arthrogram hip (73525) | $391.92 | $1,704 | 1.2× |
| Arthrogram Wrist (73115) | $308.89 | $1,343 | 1.0× |
| Basic radiation dosimetry calculation (77300) | $174.57 | $759 | 1.4× |
| Bone age studies (77072) | $65.09 | $283 | 0.7× |
| Bone Imaging 3 Phase (78315) | $408.02 | $1,774 | 1.1× |
| Bone Imaging Limited Area (78300) | $356.50 | $1,550 | 1.0× |
| Bone Imaging Whole Body (78306) | $429.18 | $1,866 | 1.2× |
| Bone marrow imaging limited area (78102) | $166.06 | $722 | 0.5× |
| Bone survey infant (77076) | $89.24 | $388 | 0.9× |
| Brachytx isodose complex (77318) range across 2 matching MRF lines |
$520.49–$685.17 | $2,263–$2,979 | varies |
| Brachytx isodose intermed (77317) range across 2 matching MRF lines |
$434.24–$571.78 | $1,888–$2,486 | varies |
| Brachytx Isodose Plan Simple (77316) range across 2 matching MRF lines |
$293.02–$385.48 | $1,274–$1,676 | varies |
| Brain Flow Imaging Only (78610) | $575.69 | $2,503 | 1.2× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $514.97 | $2,239 | 1.1× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $2,843.03 | $12,361 | 2.2× |
| Cat Scan Follow-Up Study (76380) range across 4 matching MRF lines |
$368.46–$773.49 | $1,602–$3,363 | varies |
| Chest 1 view (71045) | $88.09 | $383 | 1.1× |
| Chest 2 views (71046) | $112.47 | $489 | 1.4× |
| Chest 3 views (71047) | $116.38 | $506 | 1.5× |
| Chest 4 or more views (71048) | $118.22 | $514 | 1.3× |
| Cisternography Positive Contrast Rs&I (70015) | $523.02 | $2,274 | 0.7× |
| Clavicle complete (73000) range across 2 matching MRF lines |
$70.38–$88.55 | $306–$385 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $51.06 | $222 | 0.5× |
| Continuing medical physics consltj pr wk (77336) | $274.39 | $1,193 | 2.3× |
| Contrast Exam Abdominl Aorta (75625) | $1,793.54 | $7,798 | 0.6× |
| Contrast X-Ray Bladder (74430) | $224.02 | $974 | 0.7× |
| Contrast X-Ray Of Elbow (73085) | $324.76 | $1,412 | 1.0× |
| Contrast X-Ray Of Knee Joint (73580) | $356.73 | $1,551 | 1.1× |
| CT abdomen and pelvis without and with contrast (74178) | $2,236.52 | $9,724 | 7.1× |
| CT abdomen and pelvis without contrast (74176) | $1,631.62 | $7,094 | 7.6× |
| CT abdomen w contrast (74160) | $924.83 | $4,021 | 5.8× |
| CT abdomen w wo contrast (74170) | $1,120.33 | $4,871 | 7.1× |
| CT abdomen w/o contrast (74150) | $778.78 | $3,386 | 8.3× |
| CT Angio Abdomen and Pelvis (74174) | $2,347.38 | $10,206 | 7.5× |
| CT Angio Chest (71275) | $1,149.08 | $4,996 | 7.3× |
| CT Angio Head (70496) | $919.54 | $3,998 | 5.8× |
| CT angio hrt w/3d image (75574) | $1,083.53 | $4,711 | 3.4× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $919.54 | $3,998 | 5.8× |
| CT Angio Neck (70498) | $919.54 | $3,998 | 5.8× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $919.54 | $3,998 | 5.8× |
| CT bone density (77078) | $165.60 | $720 | 2.1× |
| CT cervical spine w/ contrast (72126) | $342.70 | $1,490 | 1.1× |
| CT cervical spine w/o contrast (72125) | $773.49 | $3,363 | 8.2× |
| CT cervical spine w/wo cont (72127) | $861.81 | $3,747 | 5.4× |
| CT chest w contrast (71260) | $1,021.20 | $4,440 | 6.5× |
| CT chest w/wo contrast (71270) | $1,116.65 | $4,855 | 7.1× |
| CT colonography screening (74263) | $297.16 | $1,292 | 1.4× |
| CT head/brain with contrast (70460) | $753.71 | $3,277 | 4.8× |
| CT head/brain without and with contrast (70470) | $835.36 | $3,632 | 5.3× |
| CT heart contrast eval cardiac structure&morph (75572) | $958.87 | $4,169 | 3.0× |
| CT heart no contrast quant eval coronry calcium (75571) | $61.87 | $269 | 0.8× |
| CT iac w contrast (70481) | $724.73 | $3,151 | 4.6× |
| CT l-spine w&w/o contrast (72133) | $861.81 | $3,747 | 5.4× |
| CT lower ext w/o (73700) | $710.93 | $3,091 | 7.5× |
| CT lower extremity w/contrast material (73701) | $785.91 | $3,417 | 5.0× |
| CT lumbar spine w contrast (72132) | $827.08 | $3,596 | 2.6× |
| CT lumbar spine w/o contrast (72131) | $773.49 | $3,363 | 8.2× |
| CT maxillofacial w contrast (70487) range across 3 matching MRF lines |
$539.12–$709.55 | $2,344–$3,085 | varies |
| CT maxillofacial wo contrast (70486) range across 3 matching MRF lines |
$516.35–$810.98 | $2,245–$3,526 | varies |
| CT neck tissue combo (70492) | $1,075.94 | $4,678 | 6.8× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $851.69 | $3,703 | 5.4× |
| CT orbits w/o contrast (70480) range across 4 matching MRF lines |
$438.15–$659.87 | $1,905–$2,869 | varies |
| CT pelvis w&w/o contrast (72194) | $1,116.65 | $4,855 | 7.1× |
| CT pelvis w/o contrast (72192) | $852.61 | $3,707 | 9.0× |
| CT scan of leg combo (73702) | $813.74 | $3,538 | 5.1× |
| CT scans face/jaw combo (70488) | $907.81 | $3,947 | 5.7× |
| CT soft tissue neck w contrast (70491) | $1,021.20 | $4,440 | 6.5× |
| CT soft tissue neck w/o contrast (70490) | $773.49 | $3,363 | 8.2× |
| CT thoracic spine w contrast (72129) | $827.08 | $3,596 | 5.2× |
| CT thoracic spine w/o contrast (72128) | $773.49 | $3,363 | 8.2× |
| CT thoracic spine w/wo cont (72130) | $905.05 | $3,935 | 5.7× |
| CT thorax w/o contrast (71250) | $773.49 | $3,363 | 8.2× |
| CT upper ext wo (73200) | $710.93 | $3,091 | 7.5× |
| CT upper extremity w/o & w/contrast material (73202) | $813.74 | $3,538 | 5.1× |
| CT upper extremity with contrast (73201) | $785.91 | $3,417 | 2.5× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $938.86 | $4,082 | 5.9× |
| Cta Abdomen (74175) | $1,206.58 | $5,246 | 7.6× |
| CTA pelvis (72191) | $1,149.08 | $4,996 | 7.3× |
| Dilation ureters/urethra rs&i (74485) range across 3 matching MRF lines |
$784.07–$991.76 | $3,409–$4,312 | varies |
| Dxa Bone Density Axial (77080) | $272.78 | $1,186 | 2.9× |
| Dxa bone density study (77085) | $60.03 | $261 | 0.6× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $111.32 | $484 | 1.4× |
| Echo Guide For Artery Repair (76936) | $450.57 | $1,959 | 2.3× |
| Echograp Trans R Pros Study (76873) | $252.08 | $1,096 | 2.7× |
| Esophagram (74220) | $130.18 | $566 | 0.8× |
| Fetal Biophys Profile W/Nst (76818) | $196.42 | $854 | 2.1× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $284.28 | $1,236 | 3.0× |
| Fluoroscopy up to 1 hr (76000) | $194.81 | $847 | 0.9× |
| Follow-Up Angiography (75898) | $454.48 | $1,976 | 0.2× |
| Foot 2 views (73620) range across 2 matching MRF lines |
$43.01–$61.64 | $187–$268 | varies |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$43.93–$65.09 | $191–$283 | varies |
| Gastric emptying imaging study (78264) | $567.87 | $2,469 | 1.6× |
| Gated Heart Planar Single (78472) | $417.68 | $1,816 | 1.2× |
| Hand 2 views (73120) range across 2 matching MRF lines |
$43.93–$65.09 | $191–$283 | varies |
| Hdr Rdncl Ntrstl/Icav Brchtx (77772) | $2,571.17 | $11,179 | 4.1× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) | $2,603.83 | $11,321 | 4.1× |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) | $1,835.86 | $7,982 | 2.9× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $1,793.54 | $7,798 | 0.6× |
| Hepatobil Syst Image W/Drug (78227) | $498.87 | $2,169 | 1.0× |
| Hepatobiliary System Imaging (78226) | $524.17 | $2,279 | 1.5× |
| Ht Muscle Image Spect Sing (78451) | $1,515.47 | $6,589 | 1.3× |
| Hysterosalpingogram (74740) | $261.74 | $1,138 | 1.2× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $92.92 | $404 | 1.2× |
| Infant hip ultrasound, limited static exam (76886) | $87.17 | $379 | 1.1× |
| Interstitial radiation source applic complex (77778) | $2,508.15 | $10,905 | 4.0× |
| Intracavitary Radiation Source Applic Complex (77763) | $2,508.15 | $10,905 | 4.0× |
| Intracavitary Radiation Source Applic Intermed (77762) | $2,508.15 | $10,905 | 5.0× |
| Intracavitary radiation source applic simple (77761) | $2,508.15 | $10,905 | 5.0× |
| K Flow/Funct Image Multiple (78709) | $734.39 | $3,193 | 1.5× |
| K Flow/Funct Image W/Drug (78708) | $538.43 | $2,341 | 1.1× |
| K Flow/Funct Image W/O Drug (78707) | $436.08 | $1,896 | 0.9× |
| Kidney Imaging Morphol (78700) | $174.57 | $759 | 0.5× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $529.46 | $2,302 | 1.5× |
| Knee 3 Views (73562) | $82.11 | $357 | 1.0× |
| Liver & Spleen Imaging Static Only (78215) | $264.96 | $1,152 | 0.7× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $330.05 | $1,435 | 0.9× |
| Liver imaging w/vascular flow (78202) | $380.88 | $1,656 | 0.8× |
| Lung Perf&Ventilat Diferentl (78598) | $701.27 | $3,049 | 1.4× |
| Lung perfusion differential (78597) | $458.62 | $1,994 | 1.3× |
| Lung Ventilat&Perfus Imaging (78582) | $701.27 | $3,049 | 1.4× |
| Lung Ventilation Imaging (78579) | $255.07 | $1,109 | 0.7× |
| Lymph System Imaging (78195) | $327.52 | $1,424 | 0.7× |
| Magnetic Image Jaw Joint (70336) | $845.71 | $3,677 | 3.9× |
| Mammary ductogram or galactogram single (77053) | $148.81 | $647 | 0.7× |
| Meckels Divert Exam (78290) | $295.78 | $1,286 | 0.8× |
| Mlc imrt design & construction per imrt plan (77338) | $762.22 | $3,314 | 2.3× |
| Mra Head W/O & W/Contrast Material (70546) | $1,457.51 | $6,337 | 4.6× |
| MRA head w/o contrast (70544) | $861.12 | $3,744 | 4.0× |
| MRA head with contrast (70545) | $885.96 | $3,852 | 2.8× |
| MRA neck w contrast (70548) | $1,012.92 | $4,404 | 3.2× |
| Mra Neck W/O &W/Contrast Material (70549) | $1,388.74 | $6,038 | 4.4× |
| MRA neck w/o contrast (70547) | $893.55 | $3,885 | 4.2× |
| MRI abdomen w contrast (74182) | $1,075.25 | $4,675 | 3.4× |
| MRI abdomen w/o contrast (74181) | $1,037.76 | $4,512 | 4.8× |
| MRI any jt lower extrem w/contrast material (73722) | $1,093.88 | $4,756 | 1.5× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $1,367.35 | $5,945 | 4.3× |
| MRI any jt upper extremity w/contrast matrl (73222) | $1,301.80 | $5,660 | 1.8× |
| MRI Breast W/O Contrast Bilateral (77047) | $1,012.92 | $4,404 | 4.7× |
| MRI Breast Without Contrast Material Unilateral (77046) | $792.81 | $3,447 | 3.7× |
| MRI cervical spine w contrast (72142) | $1,206.12 | $5,244 | 3.8× |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$381.11–$1,041.44 | $1,657–$4,528 | varies |
| MRI chest w/o contrast (71550) | $805.92 | $3,504 | 3.7× |
| MRI chest with contrast (71551) | $939.55 | $4,085 | 1.3× |
| MRI chest wo w contrast (71552) | $1,457.74 | $6,338 | 4.6× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $1,093.88 | $4,756 | 3.5× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $1,041.44 | $4,528 | 3.3× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $1,041.44 | $4,528 | 4.8× |
| MRI lumbar spine w contrast (72149) | $1,142.87 | $4,969 | 3.6× |
| Mri Neck Spine W/O & W/Dye (72156) | $1,817 | $7,900 | 5.8× |
| MRI orbit face &/neck w/o contrast (70540) range across 2 matching MRF lines |
$381.11–$1,041.44 | $1,657–$4,528 | varies |
| MRI orbit face neck w contrast (70542) | $1,186.57 | $5,159 | 3.8× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 2 matching MRF lines |
$987.16–$1,598.73 | $4,292–$6,951 | varies |
| MRI pelvis w contrast (72196) | $1,089.51 | $4,737 | 3.5× |
| MRI pelvis w/o & w contrast (72197) | $1,670.72 | $7,264 | 5.3× |
| MRI pelvis w/o contrast (72195) | $805.92 | $3,504 | 3.7× |
| MRI spectroscopy (76390) | $123.05 | $535 | 1.6× |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$381.11–$1,142.87 | $1,657–$4,969 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) | $1,093.88 | $4,756 | 3.5× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $1,041.44 | $4,528 | 4.8× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $1,094.11 | $4,757 | 3.5× |
| MRI, abdomen, combo (74183) | $1,325.49 | $5,763 | 4.2× |
| MRI, dorsal spine combo (72157) | $1,388.74 | $6,038 | 4.4× |
| MRI, dorsal spine contrast (72147) | $1,318.36 | $5,732 | 4.2× |
| MRI, joint upper extrem (73221) | $1,230.27 | $5,349 | 5.7× |
| MRI, joint upper extrem combo (73223) | $1,367.35 | $5,945 | 4.3× |
| MRI, lumbar spine combo (72158) | $1,753.29 | $7,623 | 5.6× |
| Myelogram cervical (72240) | $781.77 | $3,399 | 1.1× |
| Myelogram Lumbar (72265) | $781.77 | $3,399 | 1.1× |
| Myelography thoracic (72255) | $781.77 | $3,399 | 1.1× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $1,157.59 | $5,033 | 1.0× |
| Myocardial Spect Multiple Studies (78452) | $2,010.20 | $8,740 | 1.7× |
| Myocrd Img Pet Metab Eval Single Study Cncrnt CT (78429) | $1,098.48 | $4,776 | 0.9× |
| Myocrd img PET prfuj 1std rest/stress cncrnt CT (78430) | $1,098.48 | $4,776 | 0.9× |
| Myocrd Img Pet Prfuj Mlt Std Rst&Strs Cncrnt CT (78431) | $1,713.04 | $7,448 | 0.9× |
| Myocrd Img Pet Prfuj W/Metab 2rtracer Cncrnt CT (78433) | $2,093.69 | $9,103 | 1.1× |
| Myocrd Img Pet Prfuj W/Metab Dual Radiotracer (78432) | $2,093.69 | $9,103 | 1.5× |
| N-invas est c ffr sw aly CTA (75580) | $644.92 | $2,804 | 0.8× |
| Neck soft tissue (70360) | $81.88 | $356 | 1.0× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $130.18 | $566 | 0.4× |
| Nm unlisted gi procedure (78299) | $538.20 | $2,340 | 1.5× |
| Nonvascular Shunt X-Ray (75809) | $297.62 | $1,294 | 3.2× |
| Ntsty modul radthx pln dose-vol histos (77301) | $1,513.17 | $6,579 | 1.2× |
| Nuclear Rx Oral Admin (79005) range across 3 matching MRF lines |
$148.12–$150.65 | $644–$655 | varies |
| Ob us nuchal meas 1 gest (76813) | $109.02 | $474 | 1.2× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) | $71.99 | $313 | 0.8× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $434.24 | $1,888 | 0.9× |
| Parathyroid Planar Imaging (78070) | $330.28 | $1,436 | 0.9× |
| Parathyroid planar imaging w/wo subtraction (78071) | $327.75 | $1,425 | 0.9× |
| Pelvis 1 or 2 views (72170) | $54.28 | $236 | 0.6× |
| Peritoneogram Rs&I (74190) | $270.02 | $1,174 | 0.5× |
| Pet Image Skull-Thigh (78812) | $1,840.69 | $8,003 | 1.4× |
| PET image w/CT, full body (78816) | $2,843.03 | $12,361 | 2.2× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $2,843.03 | $12,361 | 2.2× |
| Pet Imaging Limited Area Chest Head/Neck (78811) | $1,840.69 | $8,003 | 1.6× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $1,265.92 | $5,504 | 0.4× |
| Pulmonary Perfusion Imaging Particulate (78580) | $356.50 | $1,550 | 1.0× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $112.24 | $488 | 1.2× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $302.68 | $1,316 | 0.6× |
| Radex Ankle Complete Minimum 3 Views (73610) | $88.78 | $386 | 1.1× |
| Radex Calcaneus Minimum 2 Views (73650) | $60.26 | $262 | 0.8× |
| Radex elbow complete minimum 3 views (73080) | $89.24 | $388 | 1.1× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $95.91 | $417 | 1.0× |
| Radex fingr minimum 2 views (73140) | $78.66 | $342 | 1.0× |
| Radex foot complete minimum 3 views (73630) | $82.11 | $357 | 1.0× |
| Radex Hand Minimum 3 Views (73130) | $88.78 | $386 | 1.1× |
| Radex lower extremity infant minimum 2 views (73592) | $65.09 | $283 | 0.8× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $74.52 | $324 | 0.9× |
| Radex Ribs Unilateral 2 Views (71100) | $85.56 | $372 | 1.1× |
| Radex shoulder complete minimum 2 views (73030) | $88.78 | $386 | 1.1× |
| Radex Sinuses Paransl < 3 Views (70210) | $68.08 | $296 | 0.9× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $143.75 | $625 | 0.9× |
| Radex Spine 1 View Specify Level (72020) | $47.84 | $208 | 0.6× |
| Radex Sternum Minimum 2 Views (71120) | $73.83 | $321 | 0.9× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $100.74 | $438 | 1.3× |
| Radex Toe Minimum 2 Views (73660) | $47.84 | $208 | 0.6× |
| Radex upper extremity infant minimum 2 views (73092) | $65.09 | $283 | 0.7× |
| Radex Wrist Complete Minimum 3 Views (73110) | $88.78 | $386 | 1.1× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $167.44 | $728 | 1.8× |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $3,782.81 | $16,447 | 0.6× |
| Radiation treatment delivery level 1 (77402) range across 3 matching MRF lines |
$114.54–$150.65 | $498–$655 | varies |
| Radiation treatment delivery level 2 (77407) range across 3 matching MRF lines |
$174.11–$240.58 | $757–$1,046 | varies |
| Radiation treatment delivery level 3 (77412) range across 2 matching MRF lines |
$221.49–$280.37 | $963–$1,219 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) | $104.42 | $454 | 1.1× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $107.18 | $466 | 1.1× |
| Radiologic exam colon double contrast study (74280) | $283.13 | $1,231 | 1.8× |
| Radiologic exam colon single contrast study (74270) | $148.58 | $646 | 0.9× |
| Radiologic exam knee complete 4/more views (73564) | $92.92 | $404 | 1.0× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $92.46 | $402 | 1.0× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $151.57 | $659 | 1.0× |
| Radiologic exam swallow function contrast study (74230) | $111.55 | $485 | 0.7× |
| Radiologic exam upr gi trc double contrast study (74246) | $311.88 | $1,356 | 2.0× |
| Radiologic examination femur 1 view (73551) | $54.28 | $236 | 0.7× |
| Radiologic examination femur minimum 2 views (73552) | $97.98 | $426 | 1.2× |
| Radiologic examination knee 1/2 views (73560) | $65.09 | $283 | 0.8× |
| Radiologic Examination Osseous Survey Limited (77074) | $181.70 | $790 | 1.9× |
| Radiologic examination tibia & fibula 2 views (73590) | $73.14 | $318 | 0.9× |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77768) | $117.07 | $509 | 0.3× |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77767) | $117.07 | $509 | 0.3× |
| Renal Cyst Study (74470) | $256.68 | $1,116 | 0.5× |
| Ribs bilateral 3 views (71110) | $105.34 | $458 | 1.1× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $363.63 | $1,581 | 1.0× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $450.57 | $1,959 | 1.2× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $1,056.39 | $4,593 | 2.2× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $432.63 | $1,881 | 0.9× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $957.72 | $4,164 | 2.0× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $968.30 | $4,210 | 0.8× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $968.30 | $4,210 | 0.8× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $1,098.48 | $4,776 | 0.9× |
| Rp Therapy Intravenous Administration (79101) | $302.68 | $1,316 | 1.4× |
| Scapula (73010) | $70.38 | $306 | 0.7× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $24.15 | $105 | 1.0× |
| Shoulder 1 view (73020) | $45.77 | $199 | 0.6× |
| Shoulder Arthrography (73040) | $293.94 | $1,278 | 0.9× |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$60.03–$108.56 | $261–$472 | varies |
| Special dosimetry (77331) | $119.14 | $518 | 1.0× |
| Special Physics Consult (77370) | $312.11 | $1,357 | 2.6× |
| Special teletherapy port plan (77321) | $372.83 | $1,621 | 1.1× |
| Special treatment procedure (77470) | $947.60 | $4,120 | 1.9× |
| Stereotactic Body Radiation Delivery (77373) | $1,382.99 | $6,013 | 0.9× |
| Sternoclavicular joints (71130) | $85.56 | $372 | 1.1× |
| Telethx isodose pln cplx w/basic dosimetry (77307) range across 2 matching MRF lines |
$427.34–$562.12 | $1,858–$2,444 | varies |
| Telethx isodose pln smpl w/dosimetry calculation (77306) range across 2 matching MRF lines |
$343.39–$452.18 | $1,493–$1,966 | varies |
| Testicular Imaging W/Flow (78761) | $338.33 | $1,471 | 0.9× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $485.76 | $2,112 | 1.4× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $320.62 | $1,394 | 0.9× |
| Ther rad simulaj-aided field setting simple (77280) | $315.79 | $1,373 | 2.6× |
| Thoracic spine 2 views (72070) | $85.56 | $372 | 0.9× |
| Thoracic spine 3 views (72072) | $122.13 | $531 | 1.3× |
| Thoracolumbar 2 views (72080) | $82.34 | $358 | 1.0× |
| Thyroid Imaging With Vascular Flow (78013) | $355.35 | $1,545 | 1.0× |
| Thyroid Met Imaging Body (78018) | $434.24 | $1,888 | 0.9× |
| Thyroid Uptake Measurement (78012) | $292.33 | $1,271 | 0.8× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $421.36 | $1,832 | 1.2× |
| Tx Devices Design & Construction Complex (77334) | $485.76 | $2,112 | 1.4× |
| Tx devices design & construction intermediate (77333) | $172.73 | $751 | 1.4× |
| Tx devices design & construction simple (77332) | $150.42 | $654 | 1.2× |
| Ultrasound Breast Limited (76642) | $105.34 | $458 | 1.3× |
| Ultrasound Exam Aaa Screen (76706) | $92 | $400 | 1.0× |
| Ultrasound, abdomen limited (76705) range across 3 matching MRF lines |
$120.29–$191.13 | $523–$831 | varies |
| Unlisted magnetic resonance procedure (76498) | $381.11 | $1,657 | 4.9× |
| Upper gi w/o kub (74240) | $270.25 | $1,175 | 1.7× |
| Urethrocystogram voiding (74455) | $267.49 | $1,163 | 1.2× |
| Urethrocystography retrograde (74450) | $166.52 | $724 | 0.8× |
| Us breast unilateral complete (76641) | $124.20 | $540 | 1.3× |
| Us chest (76604) | $113.62 | $494 | 1.2× |
| Us complete joint (76881) | $168.59 | $733 | 1.8× |
| Us exam, pelvic, limited (76857) range across 4 matching MRF lines |
$140.99–$146.97 | $613–$639 | varies |
| Us head (76506) | $168.59 | $733 | 1.8× |
| Us kidney transplant (76776) | $204.01 | $887 | 2.2× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 3 matching MRF lines |
$106.95–$120.29 | $465–$523 | varies |
| Us ob detailed single fetus (76811) | $468.28 | $2,036 | 2.2× |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$113.62–$228.62 | $494–$994 | varies |
| Us ob transvaginal (76817) | $180.78 | $786 | 1.9× |
| Us pelvic non ob complete (76856) | $240.35 | $1,045 | 2.5× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $125.58 | $546 | 1.3× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $166.98 | $726 | 1.8× |
| Us retroperitoneal complete (76770) | $238.97 | $1,039 | 2.5× |
| Us retroperitoneal limited (76775) | $224.71 | $977 | 2.4× |
| Us scrotum and contents (76870) | $153.87 | $669 | 1.6× |
| Us spinal canal and contents (76800) | $118.91 | $517 | 1.3× |
| Us thyroid (76536) | $136.62 | $594 | 1.4× |
| Us transrectal (76872) | $233.68 | $1,016 | 2.5× |
| Vein X-Ray Chest (75827) | $667.23 | $2,901 | 0.5× |
| Vein X-Ray Liver W/O Hemodyn (75887) | $1,201.52 | $5,224 | 0.4× |
| Venogram Sinus/Jugular (75860) | $1,408.52 | $6,124 | 0.5× |
| Venography caval inferior serialography rs&i (75825) | $1,904.40 | $8,280 | 0.7× |
| Venography extremity bilateral rs&i (75822) | $610.19 | $2,653 | 0.4× |
| Venography extremity unilateral rs&i (75820) | $610.19 | $2,653 | 0.4× |
| Venography Renal Unilateral (75831) | $1,883.24 | $8,188 | 0.7× |
| Venous sampling by catheter (75893) unusually low: confirm this is the full procedure |
$1,883.24 | $8,188 | 0.4× |
| Venous Thrombosis Imaging Venogram Bilateral (78458) | $228.62 | $994 | 0.6× |
| Vertebral fracture assessment via dxa (77086) | $37.49 | $163 | 0.5× |
| Wrist 2 views (73100) | $65.09 | $283 | 0.8× |
| X-ray antegrade pyelogram tube (74425) | $379.04 | $1,648 | 1.2× |
| X-Ray Aorta Leg Arteries (75630) | $1,793.54 | $7,798 | 0.6× |
| X-Ray Bend Only L-S Spine (72120) | $101.20 | $440 | 1.1× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$43.93–$65.09 | $191–$283 | varies |
| X-Ray Exam Breast Specimen (76098) range across 2 matching MRF lines |
$312.34–$348.45 | $1,358–$1,515 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) | $91.31 | $397 | 1.2× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $101.20 | $440 | 1.1× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $145.13 | $631 | 1.5× |
| X-Ray Exam Hip Uni 1 View (73501) | $60.49 | $263 | 0.8× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $118.22 | $514 | 1.5× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $130.87 | $569 | 1.4× |
| X-Ray Exam Hips Bi 2 Views (73521) | $114.54 | $498 | 1.2× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $130.87 | $569 | 1.4× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $151.57 | $659 | 1.6× |
| X-Ray Exam L-S Spine Bending (72114) | $195.04 | $848 | 2.1× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $82.11 | $357 | 1.0× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $209.53 | $911 | 2.2× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $85.56 | $372 | 0.9× |
| X-ray eye for foreign body (70030) | $125.81 | $547 | 1.6× |
| X-ray humerus (73060) range across 2 matching MRF lines |
$55.89–$65.09 | $243–$283 | varies |
| X-ray IV pyelogram (ivp) (74400) | $346.84 | $1,508 | 2.2× |
| X-ray IV pyelogram+tomography (74415) | $415.38 | $1,806 | 2.6× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $60.49 | $263 | 0.8× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $68.08 | $296 | 0.9× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $80.50 | $350 | 0.9× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $118.22 | $514 | 1.3× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $82.11 | $357 | 0.9× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $50.60 | $220 | 0.5× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $60.26 | $262 | 0.8× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $99.59 | $433 | 1.3× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $120.29 | $523 | 1.3× |
| X-ray thoracic spine 4 vw (72074) | $122.13 | $531 | 1.3× |
| X-Ray Tmj Unilat (70328) | $39.79 | $173 | 0.5× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $224.02 | $974 | 0.7× |
| X-Rays Bone Length Studies (77073) | $125.35 | $545 | 1.3× |
| X-Rays Bone Survey Complete (77075) | $208.61 | $907 | 2.2× |
| Xr c-spine 4 or 5 views (72050) | $189.98 | $826 | 2.0× |
| Xr facial bones less than 3 views (70140) | $88.78 | $386 | 1.1× |
| Xr orbits complete 4 views (70200) | $76.13 | $331 | 0.8× |
| Xr Tomogram Single Plane (76100) | $100.74 | $438 | 1.1× |
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.