Imaging prices at Baton Rouge General - Bluebonnet
Baton Rouge, LA · every code in this section with a posted price and a Medicare benchmark.
365 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) | $3,457.93 | $4,939.90 | 2.7× |
| Abdomen 1 View (74018) | $261.70 | $373.85 | 3.2× |
| Abdomen 2 views (74019) | $272.55 | $389.35 | 2.8× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $986.58 | $1,409.40 | 2.6× |
| Angio pulmonary bilat (75743) | $3,526.99 | $5,038.55 | 1.2× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $1,682.14 | $2,403.05 | 0.6× |
| Angiography extremity bilateral rs&i (75716) | $3,195.43 | $4,564.90 | 1.1× |
| Angiography extremity unilateral rs&i (75710) | $2,623.53 | $3,747.90 | 0.9× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $1,898.33 | $2,711.90 | 0.6× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $2,069.83 | $2,956.90 | 0.7× |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$183.93–$298.52 | $262.75–$426.45 | varies |
| Aortography thoracic serialography rs&i (75605) | $3,424.58 | $4,892.25 | 0.7× |
| Aortography thoracic w/o serialography rs&i (75600) | $1,628.20 | $2,326 | 0.6× |
| Artery X-Rays Abdomen (75726) unusually low: confirm this is the full procedure |
$2,393.20 | $3,418.85 | 0.5× |
| Artery X-Rays Adrenal Gland (75731) | $1,121.40 | $1,602 | 0.4× |
| Artery X-Rays Pelvis (75736) | $2,753.66 | $3,933.80 | 0.5× |
| Artery X-Rays Spine (75705) unusually low: confirm this is the full procedure |
$2,520 | $3,600 | 0.5× |
| Arthrogram ankle (73615) range across 3 matching MRF lines |
$746.03–$967.05 | $1,065.75–$1,381.50 | varies |
| Arthrogram hip (73525) range across 3 matching MRF lines |
$674–$793.49 | $962.85–$1,133.55 | varies |
| Arthrogram Wrist (73115) range across 3 matching MRF lines |
$618.73–$866.22 | $883.90–$1,237.45 | varies |
| Basic radiation dosimetry calculation (77300) | $287.88 | $411.25 | 2.3× |
| Bone age studies (77072) | $212.94 | $304.20 | 2.2× |
| Bone Imaging 3 Phase (78315) | $1,259.83 | $1,799.75 | 3.4× |
| Bone Imaging Limited Area (78300) | $830.69 | $1,186.70 | 2.2× |
| Bone Imaging Whole Body (78306) | $1,150.35 | $1,643.35 | 3.1× |
| Bone marrow imaging limited area (78102) | $605.12 | $864.45 | 1.6× |
| Bone marrow imaging; multiple areas (78103) | $673.82 | $962.60 | 1.8× |
| Bone marrow imaging; whole body (78104) | $703.82 | $1,005.45 | 1.9× |
| Bone survey infant (77076) | $212.94 | $304.20 | 2.2× |
| Brachytx isodose complex (77318) | $891.24 | $1,273.20 | 2.6× |
| Brachytx isodose intermed (77317) | $763.11 | $1,090.15 | 2.2× |
| Brachytx Isodose Plan Simple (77316) | $502.29 | $717.55 | 1.4× |
| Brain Image W/Flow < 4 Views (78601) | $678.23 | $968.90 | 1.8× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $3,616.27 | $5,166.10 | 2.7× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $2,569.18 | $3,670.25 | 7.9× |
| Cat Scan Follow-Up Study (76380) | $398.93 | $569.90 | 4.9× |
| Cerebrospinal Fluid Scan (78630) | $503.58 | $719.40 | 1.0× |
| Chest 1 view (71045) | $177.03 | $252.90 | 2.2× |
| Chest 2 views (71046) | $224.77 | $321.10 | 2.8× |
| Chest 3 views (71047) | $176.51 | $252.15 | 2.2× |
| Chest 4 or more views (71048) | $227.71 | $325.30 | 2.3× |
| Clavicle complete (73000) range across 3 matching MRF lines |
$242.41–$304.12 | $346.30–$434.45 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $963.10 | $1,375.85 | 9.9× |
| Continuing medical physics consltj pr wk (77336) | $414.12 | $591.60 | 3.3× |
| Contrast Exam Abdominl Aorta (75625) | $3,261.02 | $4,658.60 | 1.1× |
| Contrast X-Ray Bladder (74430) | $500.19 | $714.55 | 1.5× |
| Contrast X-Ray Of Elbow (73085) range across 3 matching MRF lines |
$674–$1,009.12 | $962.85–$1,441.60 | varies |
| Contrast X-Ray Of Knee Joint (73580) range across 3 matching MRF lines |
$674–$846.72 | $962.85–$1,209.60 | varies |
| CT abdomen and pelvis without and with contrast (74178) | $4,473.46 | $6,390.65 | 13.8× |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$1,694.21–$3,115.77 | $2,420.30–$4,451.10 | varies |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$1,233.37–$1,926.75 | $1,761.95–$2,752.50 | varies |
| CT abdomen w wo contrast (74170) | $2,161.88 | $3,088.40 | 13.2× |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$964.85–$1,650.46 | $1,378.35–$2,357.80 | varies |
| CT Angio Abdomen and Pelvis (74174) | $4,848.83 | $6,926.90 | 14.9× |
| CT Angio Chest (71275) | $2,286.52 | $3,266.45 | 14.0× |
| CT Angio Head (70496) | $2,290.26 | $3,271.80 | 14.0× |
| CT angio hrt w/3d image (75574) | $1,323.63 | $1,890.90 | 4.1× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 3 matching MRF lines |
$1,454.11–$2,391.27 | $2,077.30–$3,416.10 | varies |
| CT Angio Neck (70498) | $2,261.49 | $3,230.70 | 13.8× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $1,135.75 | $1,622.50 | 7.0× |
| CT cervical spine w/ contrast (72126) | $2,402.37 | $3,431.95 | 7.4× |
| CT cervical spine w/o contrast (72125) | $1,606.36 | $2,294.80 | 16.5× |
| CT cervical spine w/wo cont (72127) | $2,485 | $3,550 | 15.2× |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$1,202.29–$2,070.01 | $1,717.55–$2,957.15 | varies |
| CT chest w/wo contrast (71270) | $2,397.99 | $3,425.70 | 14.7× |
| CT colonography screening (74263) | $1,328.53 | $1,897.90 | 6.0× |
| CT colonogrphy dx image postprocess w/o contrast (74261) | $614.01 | $877.15 | 6.3× |
| CT head/brain with contrast (70460) | $1,677.31 | $2,396.15 | 10.3× |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$1,240.26–$1,877.58 | $1,771.80–$2,682.25 | varies |
| CT heart contrast eval cardiac structure&morph (75572) | $1,719.45 | $2,456.35 | 5.3× |
| CT heart no contrast quant eval coronry calcium (75571) | $337.65 | $482.35 | 4.2× |
| CT iac w contrast (70481) | $1,964.83 | $2,806.90 | 12.0× |
| CT l-spine w&w/o contrast (72133) | $2,221.84 | $3,174.05 | 13.6× |
| CT lower ext w/o (73700) range across 3 matching MRF lines |
$1,397.94–$1,669.22 | $1,997.05–$2,384.60 | varies |
| CT lower extremity w/contrast material (73701) range across 3 matching MRF lines |
$1,985.87–$2,100 | $2,836.95–$3,000 | varies |
| CT lumbar spine w contrast (72132) | $2,700.78 | $3,858.25 | 8.3× |
| CT lumbar spine w/o contrast (72131) | $2,166.71 | $3,095.30 | 22.3× |
| CT maxillofacial w contrast (70487) | $1,924.90 | $2,749.85 | 11.8× |
| CT maxillofacial wo contrast (70486) | $1,666.53 | $2,380.75 | 17.1× |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$1,266.58–$2,323.41 | $1,809.40–$3,319.15 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $2,162.34 | $3,089.05 | 13.2× |
| CT orbits w/o contrast (70480) | $1,750.18 | $2,500.25 | 18.0× |
| CT pelvis w&w/o contrast (72194) | $2,211.13 | $3,158.75 | 13.5× |
| CT pelvis w/o contrast (72192) | $1,700.41 | $2,429.15 | 17.5× |
| CT scan of leg combo (73702) range across 3 matching MRF lines |
$1,524.53–$2,052.19 | $2,177.90–$2,931.70 | varies |
| CT scans face/jaw combo (70488) | $2,344.09 | $3,348.70 | 14.3× |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$1,119.06–$2,049.99 | $1,598.65–$2,928.55 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$873.95–$1,425.17 | $1,248.50–$2,035.95 | varies |
| CT thoracic spine w contrast (72129) | $2,120.06 | $3,028.65 | 13.0× |
| CT thoracic spine w/o contrast (72128) | $1,637.55 | $2,339.35 | 16.8× |
| CT thoracic spine w/wo cont (72130) | $2,170 | $3,100 | 13.3× |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$936.78–$1,663.48 | $1,338.25–$2,376.40 | varies |
| CT upper ext wo (73200) range across 3 matching MRF lines |
$948.68–$1,155 | $1,355.25–$1,650 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 3 matching MRF lines |
$902.86–$1,389.47 | $1,289.80–$1,984.95 | varies |
| CT upper extremity with contrast (73201) range across 3 matching MRF lines |
$1,228.57–$1,260.28 | $1,755.10–$1,800.40 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $2,499.32 | $3,570.45 | 15.3× |
| Cta Abdomen (74175) | $2,089.85 | $2,985.50 | 12.8× |
| CTA pelvis (72191) | $1,419.32 | $2,027.60 | 8.7× |
| Dilation ureters/urethra rs&i (74485) | $356.37 | $509.10 | 0.2× |
| Diskography lumbar (72295) | $2,962.89 | $4,232.70 | 1.6× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) | $275.35 | $393.35 | 2.8× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $302.72 | $432.45 | 3.1× |
| Doppler Fetal Mid Cerebral Artery (76821) | $319.03 | $455.75 | 3.3× |
| Dxa Bone Density Axial (77080) | $449.40 | $642 | 4.6× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $179.27 | $256.10 | 2.2× |
| Echo exam of fetal heart (76825) | $878.40 | $1,254.85 | 1.7× |
| Echo exam uterus (76831) | $459.66 | $656.65 | 2.1× |
| Echo Guide For Artery Repair (76936) | $886.80 | $1,266.85 | 4.4× |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) | $612.85 | $875.50 | 2.8× |
| Echograp Trans R Pros Study (76873) | $477.44 | $682.05 | 4.9× |
| Esophagram (74220) | $420 | $600 | 2.6× |
| Fetal Biophys Profile W/Nst (76818) | $388.61 | $555.15 | 4.0× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $409.85 | $585.50 | 4.2× |
| Fluoroscopy up to 1 hr (76000) range across 3 matching MRF lines |
$346.61–$452.69 | $495.15–$646.70 | varies |
| Follow-Up Angiography (75898) | $902.16 | $1,288.80 | 0.3× |
| Foot 2 views (73620) range across 3 matching MRF lines |
$253.30–$307.48 | $361.85–$439.25 | varies |
| Forearm 2 views (73090) range across 3 matching MRF lines |
$249.59–$307.48 | $356.55–$439.25 | varies |
| Gastric emptying imaging study (78264) | $1,137.57 | $1,625.10 | 3.1× |
| Gated Heart Planar Single (78472) | $1,197.21 | $1,710.30 | 3.2× |
| Hand 2 views (73120) range across 3 matching MRF lines |
$211.51–$307.48 | $302.15–$439.25 | varies |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $1,983.77 | $2,833.95 | 0.7× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $1,415.89 | $2,022.70 | 0.5× |
| Hepatobil Syst Image W/Drug (78227) | $1,347.47 | $1,924.95 | 2.7× |
| Hepatobiliary System Imaging (78226) | $1,347.47 | $1,924.95 | 3.6× |
| Ht Muscle Image Spect Sing (78451) | $2,245.46 | $3,207.80 | 1.9× |
| Hysterosalpingogram (74740) | $450.10 | $643 | 2.0× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $379.19 | $541.70 | 4.7× |
| Infant hip ultrasound, limited static exam (76886) | $350.14 | $500.20 | 4.3× |
| Interstitial radiation source applic complex (77778) | $2,399.18 | $3,427.40 | 3.7× |
| Joint Survey Single View (77077) | $180.25 | $257.50 | 1.9× |
| K Flow/Funct Image W/Drug (78708) | $1,251.74 | $1,788.20 | 2.5× |
| K Flow/Funct Image W/O Drug (78707) | $1,142.37 | $1,631.95 | 2.3× |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$260.82–$312.27 | $372.60–$446.10 | varies |
| Liver & Spleen Imaging Static Only (78215) | $881.65 | $1,259.50 | 2.4× |
| Liver imaging static only (78201) | $1,395.17 | $1,993.10 | 2.8× |
| Lung Perf&Ventilat Diferentl (78598) | $1,049.62 | $1,499.45 | 2.1× |
| Lung perfusion differential (78597) | $1,319.92 | $1,885.60 | 3.5× |
| Lung Ventilat&Perfus Imaging (78582) | $1,093.47 | $1,562.10 | 2.2× |
| Lymph System Imaging (78195) | $1,126.83 | $1,609.75 | 2.2× |
| Magnetic Image Jaw Joint (70336) | $1,236.10 | $1,765.85 | 5.6× |
| Magnetic Resonance Elastography (76391) | $1,953 | $2,790 | 8.8× |
| Mammary ductogram or galactogram single (77053) | $338.56 | $483.65 | 1.5× |
| Meckels Divert Exam (78290) | $663.81 | $948.30 | 1.8× |
| Mlc imrt design & construction per imrt plan (77338) | $1,499.54 | $2,142.20 | 4.3× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $230.27 | $328.95 | 8.5× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) | $303.24 | $433.20 | 3.4× |
| Mra Head W/O & W/Contrast Material (70546) | $2,178.58 | $3,112.25 | 6.7× |
| MRA head w/o contrast (70544) | $1,955.94 | $2,794.20 | 8.8× |
| MRA head with contrast (70545) | $1,819.37 | $2,599.10 | 5.6× |
| MRA neck w contrast (70548) | $1,661.59 | $2,373.70 | 5.1× |
| Mra Neck W/O &W/Contrast Material (70549) | $2,106.83 | $3,009.75 | 6.5× |
| MRA neck w/o contrast (70547) | $1,874.60 | $2,678 | 8.4× |
| MRI abdomen w contrast (74182) | $2,341.36 | $3,344.80 | 7.2× |
| MRI abdomen w/o contrast (74181) | $2,265.76 | $3,236.80 | 10.2× |
| MRI any jt lower extrem w/contrast material (73722) range across 3 matching MRF lines |
$1,900.96–$2,378.50 | $2,715.65–$3,397.85 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 3 matching MRF lines |
$2,704.91–$2,943.85 | $3,864.15–$4,205.50 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 3 matching MRF lines |
$1,931.65–$2,253.62 | $2,759.50–$3,219.45 | varies |
| MRI brain functional w/o physician admnistration (70554) | $1,141.35 | $1,630.50 | 5.1× |
| MRI Breast W/O Contrast Bilateral (77047) | $1,676.12 | $2,394.45 | 7.5× |
| MRI Breast Without Contrast Material Unilateral (77046) | $1,613.54 | $2,305.05 | 7.3× |
| MRI cardiac w/o contrast (75557) | $1,307.36 | $1,867.65 | 5.9× |
| MRI cervical spine w contrast (72142) | $2,183.58 | $3,119.40 | 6.7× |
| MRI cervical spine w/o cont (72141) | $1,951.29 | $2,787.55 | 8.8× |
| MRI chest w/o contrast (71550) range across 2 matching MRF lines |
$896.67–$1,045.70 | $1,280.95–$1,493.85 | varies |
| MRI chest with contrast (71551) | $1,178.45 | $1,683.50 | 1.6× |
| MRI chest wo w contrast (71552) range across 2 matching MRF lines |
$1,112.02–$2,023.11 | $1,588.60–$2,890.15 | varies |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 3 matching MRF lines |
$1,514.59–$2,120.41 | $2,163.70–$3,029.15 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 2 matching MRF lines |
$2,807.67–$3,398.47 | $4,010.95–$4,854.95 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 3 matching MRF lines |
$1,902.71–$2,712.26 | $2,718.15–$3,874.65 | varies |
| MRI lumbar spine w contrast (72149) | $2,220.93 | $3,172.75 | 6.8× |
| Mri Neck Spine W/O & W/Dye (72156) | $3,970.86 | $5,672.65 | 12.2× |
| MRI orbit face &/neck w/o contrast (70540) | $1,640.38 | $2,343.40 | 7.4× |
| MRI orbit face neck w contrast (70542) | $1,744.68 | $2,492.40 | 5.4× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $3,023.58 | $4,319.40 | 9.3× |
| MRI pelvis w contrast (72196) | $2,036.65 | $2,909.50 | 6.3× |
| MRI pelvis w/o & w contrast (72197) | $2,706.20 | $3,866 | 8.3× |
| MRI pelvis w/o contrast (72195) | $2,074.52 | $2,963.60 | 9.3× |
| MRI spectroscopy (76390) | $1,282.44 | $1,832.05 | 15.8× |
| MRI thoracic spine w/o contrast (72146) | $2,309.20 | $3,298.85 | 10.4× |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 3 matching MRF lines |
$1,737.02–$3,039.79 | $2,481.45–$4,342.55 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 3 matching MRF lines |
$1,664.71–$2,198.63 | $2,378.15–$3,140.90 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 3 matching MRF lines |
$2,537.01–$3,544.80 | $3,624.30–$5,064 | varies |
| MRI, abdomen, combo (74183) | $3,494.58 | $4,992.25 | 10.8× |
| MRI, dorsal spine combo (72157) | $3,400.57 | $4,857.95 | 10.5× |
| MRI, dorsal spine contrast (72147) | $2,220.93 | $3,172.75 | 6.8× |
| MRI, joint upper extrem (73221) range across 3 matching MRF lines |
$2,262.05–$2,639.14 | $3,231.50–$3,770.20 | varies |
| MRI, joint upper extrem combo (73223) range across 3 matching MRF lines |
$2,774.03–$2,849.70 | $3,962.90–$4,071 | varies |
| MRI, lumbar spine combo (72158) | $3,400.57 | $4,857.95 | 10.5× |
| Myelogram cervical (72240) | $795.66 | $1,136.65 | 1.1× |
| Myelogram Lumbar (72265) | $984.87 | $1,406.95 | 1.3× |
| Myelography thoracic (72255) | $985.57 | $1,407.95 | 1.3× |
| Myelograpy 2/more regions rs&i (72270) | $1,130.33 | $1,614.75 | 1.5× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) | $3,430.88 | $4,901.25 | 2.8× |
| Myocardial Spect Multiple Studies (78452) | $2,723.25 | $3,890.35 | 2.3× |
| Myocrd Img Pet Metab Eval Single Study Cncrnt CT (78429) | $3,830.05 | $5,471.50 | 2.9× |
| Neck soft tissue (70360) | $235.69 | $336.70 | 2.9× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $94.71 | $135.30 | 0.3× |
| Nm csf leak detection (78650) | $464.03 | $662.90 | 0.4× |
| Nonvascular Shunt X-Ray (75809) | $437.89 | $625.55 | 4.5× |
| Ntsty modul radthx pln dose-vol histos (77301) | $3,281.43 | $4,687.75 | 2.5× |
| Nuclear Rx Intra-Arterial (79445) | $649.64 | $928.05 | 3.0× |
| Nuclear Rx Oral Admin (79005) | $639.49 | $913.55 | 2.9× |
| Ob us nuchal meas 1 gest (76813) | $403.27 | $576.10 | 4.1× |
| Parathyroid Planar Imaging (78070) | $682.43 | $974.90 | 1.8× |
| Parathyroid planar imaging w/wo subtraction (78071) | $1,013.22 | $1,447.45 | 2.7× |
| Pelvis 1 or 2 views (72170) | $216.06 | $308.65 | 2.2× |
| Peritoneogram Rs&I (74190) | $593.74 | $848.20 | 1.2× |
| Pet Image W/Ct Lmtd (78814) | $3,110.73 | $4,443.90 | 2.3× |
| PET image w/CT, full body (78816) | $5,121.97 | $7,317.10 | 3.8× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $5,398.44 | $7,712.05 | 4.1× |
| Pulmonary Perfusion Imaging Particulate (78580) | $723.52 | $1,033.60 | 1.9× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $314.37 | $449.10 | 3.2× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $444.47 | $634.95 | 0.9× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$266.49–$309.75 | $380.70–$442.50 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$218.09–$292.74 | $311.55–$418.20 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$258.65–$307.48 | $369.50–$439.25 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $312.20 | $446 | 3.2× |
| Radex fingr minimum 2 views (73140) range across 13 matching MRF lines |
$197.37–$293.20 | $281.95–$418.85 | varies |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$280.84–$307.48 | $401.20–$439.25 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$256.31–$308.46 | $366.15–$440.65 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 3 matching MRF lines |
$182–$249.90 | $260–$357 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $180.85 | $258.35 | 1.9× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $214.87 | $306.95 | 2.7× |
| Radex Ribs Unilateral 2 Views (71100) | $237.27 | $338.95 | 2.9× |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$276.89–$343.18 | $395.55–$490.25 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $177.03 | $252.90 | 2.2× |
| Radex Spine 1 View Specify Level (72020) | $237.62 | $339.45 | 2.9× |
| Radex Sternum Minimum 2 Views (71120) | $353.57 | $505.10 | 4.4× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $177.03 | $252.90 | 2.2× |
| Radex Toe Minimum 2 Views (73660) range across 13 matching MRF lines |
$199.99–$292.99 | $285.70–$418.55 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 3 matching MRF lines |
$177.35–$226.80 | $253.35–$324 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$257.43–$307.48 | $367.75–$439.25 | varies |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $11,580.10 | $16,543 | 1.7× |
| Radiation treatment delivery level 1 (77402) | $318.68 | $455.25 | 3.4× |
| Radiation treatment delivery level 2 (77407) | $363.27 | $518.95 | 1.0× |
| Radiation treatment delivery level 3 (77412) | $747.46 | $1,067.80 | 1.5× |
| Radiolog exam mandible compl minimum 4 views (70110) | $294.63 | $420.90 | 3.0× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $212.94 | $304.20 | 2.2× |
| Radiologic exam colon double contrast study (74280) | $534.66 | $763.80 | 3.3× |
| Radiologic exam colon single contrast study (74270) | $552.34 | $789.05 | 3.4× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $348.18 | $497.40 | 2.1× |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$373.35–$402.50 | $533.35–$575 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $264.39 | $377.70 | 2.7× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $452.27 | $646.10 | 2.8× |
| Radiologic exam upr gi trc double contrast study (74246) | $579.29 | $827.55 | 3.5× |
| Radiologic examination femur 1 view (73551) | $177.66 | $253.80 | 2.2× |
| Radiologic examination femur minimum 2 views (73552) | $242.45 | $346.35 | 3.0× |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$263.69–$308.77 | $376.70–$441.10 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $322.60 | $460.85 | 3.3× |
| Radiologic Examination Salivary Gland Calculus (70380) | $181.41 | $259.15 | 2.2× |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$247.70–$307.48 | $353.85–$439.25 | varies |
| Ribs bilateral 3 views (71110) | $344.40 | $492 | 3.5× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $926.66 | $1,323.80 | 2.5× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $2,245.46 | $3,207.80 | 4.4× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $1,638.63 | $2,340.90 | 3.2× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 2 matching MRF lines |
$1,084.51–$2,182.57 | $1,549.30–$3,117.95 | varies |
| Rp Therapy Intravenous Administration (79101) | $450.59 | $643.70 | 2.1× |
| Scapula (73010) range across 3 matching MRF lines |
$298.59–$417.97 | $426.55–$597.10 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $64.26 | $91.80 | 2.7× |
| Sella turcica (70240) | $177.03 | $252.90 | 2.2× |
| Shoulder 1 view (73020) | $183.44 | $262.05 | 2.3× |
| Shoulder Arthrography (73040) range across 3 matching MRF lines |
$674–$914.83 | $962.85–$1,306.90 | varies |
| Sialogram (70390) | $366.03 | $522.90 | 1.6× |
| Skull less than 4 views (70250) | $255.47 | $364.95 | 2.6× |
| Special dosimetry (77331) | $299.88 | $428.40 | 2.4× |
| Special Physics Consult (77370) | $524.20 | $748.85 | 4.2× |
| Special teletherapy port plan (77321) | $728.04 | $1,040.05 | 2.1× |
| Special treatment procedure (77470) | $1,382.33 | $1,974.75 | 2.7× |
| Stereotactic Body Radiation Delivery (77373) | $3,649.87 | $5,214.10 | 2.2× |
| Sternoclavicular joints (71130) | $177.03 | $252.90 | 2.2× |
| Superior sagittal sinus venogram (75870) | $837.38 | $1,196.25 | 0.3× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $819.32 | $1,170.45 | 2.3× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $345.87 | $494.10 | 1.0× |
| Testicular Imaging W/Flow (78761) | $605.85 | $865.50 | 1.6× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $1,030.93 | $1,472.75 | 3.0× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $735.46 | $1,050.65 | 2.1× |
| Ther rad simulaj-aided field setting simple (77280) | $525.81 | $751.15 | 4.2× |
| Thoracic spine 2 views (72070) | $286.86 | $409.80 | 2.9× |
| Thoracic spine 3 views (72072) | $341.43 | $487.75 | 3.5× |
| Thoracolumbar 2 views (72080) | $329.53 | $470.75 | 4.1× |
| Thyroid Imaging With Vascular Flow (78013) | $600.92 | $858.45 | 1.6× |
| Thyroid Met Imaging Body (78018) | $963.97 | $1,377.10 | 1.9× |
| Thyroid Uptake Measurement (78012) | $344.19 | $491.70 | 0.9× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $772.94 | $1,104.20 | 2.1× |
| Tx Devices Design & Construction Complex (77334) | $620.55 | $886.50 | 1.8× |
| Tx devices design & construction intermediate (77333) | $555.35 | $793.35 | 4.4× |
| Tx devices design & construction simple (77332) | $465.85 | $665.50 | 3.7× |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$376.43–$645.47 | $537.75–$922.10 | varies |
| Ultrasound Elastography Parenchyma (76981) | $738.61 | $1,055.15 | 7.6× |
| Ultrasound Exam Aaa Screen (76706) | $331.35 | $473.35 | 3.4× |
| Ultrasound, abdomen limited (76705) | $645.44 | $922.05 | 6.6× |
| Umbilical-artery Doppler (OB) (76820) | $353.61 | $505.15 | 3.6× |
| Unlisted Dx Radiographic Procedure (76499) | $177.35 | $253.35 | 2.2× |
| Unlisted us procedure (76999) | $266.74 | $381.05 | 3.3× |
| Upper gi w/o kub (74240) | $555.98 | $794.25 | 3.4× |
| Urethrocystogram voiding (74455) | $507.26 | $724.65 | 2.3× |
| Urethrocystography retrograde (74450) | $518.67 | $740.95 | 2.3× |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$443.52–$705.67 | $633.60–$1,008.10 | varies |
| Us chest (76604) | $347.20 | $496 | 3.6× |
| Us complete joint (76881) | $505.82 | $722.60 | 5.2× |
| Us exam, pelvic, limited (76857) | $416.71 | $595.30 | 4.3× |
| Us head (76506) | $277.55 | $396.50 | 2.9× |
| Us kidney transplant (76776) | $322.11 | $460.15 | 3.3× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$393.75–$464.94 | $562.50–$664.20 | varies |
| Us ob detailed single fetus (76811) | $561.02 | $801.45 | 2.5× |
| Us ob limited 1 or more fetuses (76815) | $290.92 | $415.60 | 3.0× |
| Us ob transvaginal (76817) | $418.99 | $598.55 | 4.3× |
| Us pelvic non ob complete (76856) | $606.20 | $866 | 6.2× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $476.42 | $680.60 | 4.9× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $302.82 | $432.60 | 3.1× |
| Us retroperitoneal complete (76770) | $532.91 | $761.30 | 5.5× |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$545.58–$596.19 | $779.40–$851.70 | varies |
| Us scrotum and contents (76870) | $622.02 | $888.60 | 6.4× |
| Us spinal canal and contents (76800) | $359.91 | $514.15 | 3.7× |
| Us thyroid (76536) | $589.75 | $842.50 | 6.1× |
| Us transrectal (76872) | $616.18 | $880.25 | 6.3× |
| Vein X-Ray Chest (75827) | $1,644.51 | $2,349.30 | 1.1× |
| Venogram Sinus/Jugular (75860) | $1,066.31 | $1,523.30 | 0.4× |
| Venography caval inferior serialography rs&i (75825) range across 2 matching MRF lines |
$1,253.81–$2,078.16 | $1,791.15–$2,968.80 | varies |
| Venography extremity bilateral rs&i (75822) range across 2 matching MRF lines |
$1,336.48–$1,499.75 | $1,909.25–$2,142.50 | varies |
| Venography extremity unilateral rs&i (75820) | $1,009.61 | $1,442.30 | 0.7× |
| Venography Renal Bilateral (75833) | $2,643.69 | $3,776.70 | 0.9× |
| Venography Renal Unilateral (75831) | $4,051.11 | $5,787.30 | 1.4× |
| Venous thrombosis imaging (78457) | $460.64 | $658.05 | 0.9× |
| Venous Thrombosis Imaging Venogram Bilateral (78458) | $580.02 | $828.60 | 1.6× |
| Vertebral fracture assessment via dxa (77086) | $177.35 | $253.35 | 2.2× |
| Wrist 2 views (73100) range across 3 matching MRF lines |
$176.96–$307.48 | $252.80–$439.25 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $201.46 | $287.80 | 2.5× |
| X-ray antegrade pyelogram tube (74425) | $654.12 | $934.45 | 2.0× |
| X-Ray Aorta Leg Arteries (75630) range across 2 matching MRF lines |
$2,065.42–$2,531.17 | $2,950.60–$3,615.95 | varies |
| X-Ray Bend Only L-S Spine (72120) | $314.58 | $449.40 | 3.2× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$180.50–$306.78 | $257.85–$438.25 | varies |
| X-Ray Exam Breast Specimen (76098) | $276.64 | $395.20 | 0.5× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $376.11 | $537.30 | 3.9× |
| X-Ray Exam Hip Uni 1 View (73501) | $223.30 | $319 | 2.8× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $243.43 | $347.75 | 3.0× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $247.87 | $354.10 | 2.5× |
| X-Ray Exam Hips Bi 2 Views (73521) | $390.85 | $558.35 | 4.0× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $411.78 | $588.25 | 4.2× |
| X-Ray Exam L-S Spine Bending (72114) | $373.66 | $533.80 | 3.8× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $332.29 | $474.70 | 4.1× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $454.02 | $648.60 | 4.7× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $314.93 | $449.90 | 3.2× |
| X-ray eye for foreign body (70030) | $180.78 | $258.25 | 2.2× |
| X-ray humerus (73060) range across 3 matching MRF lines |
$224.98–$309.89 | $321.40–$442.70 | varies |
| X-ray IV pyelogram (ivp) (74400) | $580.86 | $829.80 | 3.6× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $189.32 | $270.45 | 2.3× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $353.33 | $504.75 | 3.6× |
| X-ray nose-rectum child f.b. (76010) | $177.35 | $253.35 | 2.2× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $368.83 | $526.90 | 3.8× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $282.77 | $403.95 | 2.9× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $179.34 | $256.20 | 1.8× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $260.02 | $371.45 | 3.2× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $291.06 | $415.80 | 3.6× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $310.80 | $444 | 3.2× |
| X-Ray Stress View (77071) | $201.25 | $287.50 | 2.5× |
| X-ray thoracic spine 4 vw (72074) | $247.17 | $353.10 | 2.5× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $679.98 | $971.40 | 2.1× |
| X-Rays Bone Length Studies (77073) range across 2 matching MRF lines |
$219.21–$223.62 | $313.15–$319.45 | varies |
| X-Rays Bone Survey Complete (77075) | $321.09 | $458.70 | 3.3× |
| Xr c-spine 4 or 5 views (72050) | $384.65 | $549.50 | 3.9× |
| Xr facial bones less than 3 views (70140) | $178.43 | $254.90 | 2.2× |
| Xr myelogram posterior fossa (70010) | $629.76 | $899.65 | 1.9× |
| Xr orbits complete 4 views (70200) | $273.56 | $390.80 | 2.8× |
| Xr Tomogram Single Plane (76100) | $287.95 | $411.35 | 3.0× |
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.