Imaging prices at Bayhealth Hospital, Sussex Campus
Milford, DE · every code in this section with a posted price and a Medicare benchmark.
401 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) | $6,407.52 | $7,628 | 4.3× |
| Abdomen 1 View (74018) range across 2 matching MRF lines |
$222.60–$318.36 | $265–$379 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$283.92–$407.40 | $338–$485 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) range across 2 matching MRF lines |
$1,664.88–$2,441.04 | $1,982–$2,906 | varies |
| Adrenal Cortex & Medulla Img (78075) range across 2 matching MRF lines |
$4,068.12–$5,958.12 | $4,843–$7,093 | varies |
| Angio internal mammary (75756) range across 2 matching MRF lines |
$7,679.28–$10,371.48 | $9,142–$12,347 | varies |
| Angio pulmonary bilat (75743) range across 2 matching MRF lines |
$3,222.24–$4,162.20 | $3,836–$4,955 | varies |
| Angiography extremity bilateral rs&i (75716) | $9,198 | $10,950 | 2.7× |
| Angiography extremity unilateral rs&i (75710) range across 2 matching MRF lines |
$2,892.96–$8,170.68 | $3,444–$9,727 | varies |
| Angiography pulmonary unilateral slctv rs&i (75741) range across 3 matching MRF lines |
$2,981.16–$3,852.24 | $3,549–$4,586 | varies |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) range across 2 matching MRF lines |
$2,856–$7,086.24 | $3,400–$8,436 | varies |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$181.44–$279.72 | $216–$333 | varies |
| Aortography thoracic serialography rs&i (75605) | $5,853.96 | $6,969 | 1.0× |
| Artery X-Rays Abdomen (75726) range across 2 matching MRF lines |
$12,232.08–$15,290.52 | $14,562–$18,203 | varies |
| Artery X-Rays Pelvis (75736) range across 2 matching MRF lines |
$6,424.32–$8,030.40 | $7,648–$9,560 | varies |
| Artery X-Rays Spine (75705) range across 3 matching MRF lines |
$11,440.80–$17,025.12 | $13,620–$20,268 | varies |
| Arthrogram ankle (73615) range across 2 matching MRF lines |
$508.20–$711.48 | $605–$847 | varies |
| Arthrogram hip (73525) range across 2 matching MRF lines |
$887.88–$1,149.12 | $1,057–$1,368 | varies |
| Arthrogram Wrist (73115) range across 2 matching MRF lines |
$934.08–$1,244.88 | $1,112–$1,482 | varies |
| Basic radiation dosimetry calculation (77300) | $771.12 | $918 | 5.3× |
| Bone age studies (77072) range across 2 matching MRF lines |
$173.88–$272.16 | $207–$324 | varies |
| Bone Imaging 3 Phase (78315) range across 2 matching MRF lines |
$1,993.32–$2,919 | $2,373–$3,475 | varies |
| Bone Imaging Limited Area (78300) range across 2 matching MRF lines |
$1,169.28–$1,713.60 | $1,392–$2,040 | varies |
| Bone Imaging Multiple Areas (78305) range across 2 matching MRF lines |
$1,265.88–$1,947.12 | $1,507–$2,318 | varies |
| Bone Imaging Whole Body (78306) range across 2 matching MRF lines |
$1,664.88–$2,441.04 | $1,982–$2,906 | varies |
| Bone marrow imaging limited area (78102) range across 2 matching MRF lines |
$1,274.28–$1,864.80 | $1,517–$2,220 | varies |
| Bone marrow imaging; whole body (78104) range across 2 matching MRF lines |
$1,265.88–$1,947.12 | $1,507–$2,318 | varies |
| Bone survey infant (77076) range across 2 matching MRF lines |
$250.32–$390.60 | $298–$465 | varies |
| Brachytx isodose complex (77318) | $1,696.80 | $2,020 | 4.2× |
| Brachytx isodose intermed (77317) | $1,696.80 | $2,020 | 4.2× |
| Brachytx Isodose Plan Simple (77316) | $1,696.80 | $2,020 | 4.2× |
| Brain Image W/Flow < 4 Views (78601) range across 2 matching MRF lines |
$1,729.56–$2,533.44 | $2,059–$3,016 | varies |
| Brain Imaging Minimum 4 Static Views (78605) range across 2 matching MRF lines |
$1,711.92–$2,633.40 | $2,038–$3,135 | varies |
| Brain Imaging Pet Metabolic Evaluation (78608) range across 2 matching MRF lines |
$5,874.12–$8,600.76 | $6,993–$10,239 | varies |
| Cardiac MRI w/w/o contrast & further seq (75561) range across 2 matching MRF lines |
$1,693.44–$2,116.80 | $2,016–$2,520 | varies |
| Cardiac Shunt Detection (78428) range across 2 matching MRF lines |
$1,176–$1,722 | $1,400–$2,050 | varies |
| Cat Scan Follow-Up Study (76380) range across 2 matching MRF lines |
$281.40–$296.52 | $335–$353 | varies |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) range across 2 matching MRF lines |
$1,647.24–$2,533.44 | $1,961–$3,016 | varies |
| Cerebrospinal Fluid Scan (78630) range across 2 matching MRF lines |
$2,619.96–$4,032.84 | $3,119–$4,801 | varies |
| Chest 1 view (71045) range across 2 matching MRF lines |
$219.24–$273.84 | $261–$326 | varies |
| Chest 2 views (71046) range across 2 matching MRF lines |
$327.60–$344.40 | $390–$410 | varies |
| Chest 3 views (71047) range across 2 matching MRF lines |
$219.24–$273.84 | $261–$326 | varies |
| Chest 4 or more views (71048) range across 2 matching MRF lines |
$404.88–$524.16 | $482–$624 | varies |
| Cisternography Positive Contrast Rs&I (70015) range across 2 matching MRF lines |
$800.52–$1,155.84 | $953–$1,376 | varies |
| Clavicle complete (73000) range across 2 matching MRF lines |
$306.60–$478.80 | $365–$570 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 2 matching MRF lines |
$857.64–$1,023.12 | $1,021–$1,218 | varies |
| Continuing medical physics consltj pr wk (77336) | $758.52 | $903 | 5.2× |
| Contrast Exam Abdominl Aorta (75625) | $4,932.48 | $5,872 | 1.4× |
| Contrast X-Ray Bladder (74430) range across 2 matching MRF lines |
$711.48–$1,016.40 | $847–$1,210 | varies |
| Contrast X-Ray Of Elbow (73085) range across 2 matching MRF lines |
$517.44–$1,149.12 | $616–$1,368 | varies |
| Contrast X-Ray Of Knee Joint (73580) range across 2 matching MRF lines |
$934.08–$1,244.88 | $1,112–$1,482 | varies |
| Contrast Xray Throat/Cerv Esopha (74210) range across 2 matching MRF lines |
$281.40–$402.36 | $335–$479 | varies |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$4,494.84–$5,618.76 | $5,351–$6,689 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$2,609.04–$3,261.72 | $3,106–$3,883 | varies |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$2,087.40–$3,795.12 | $2,485–$4,518 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$2,327.64–$4,290.72 | $2,771–$5,108 | varies |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$1,334.76–$3,193.68 | $1,589–$3,802 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$4,769.52–$6,941.76 | $5,678–$8,264 | varies |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$3,855.60–$4,716.60 | $4,590–$5,615 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$2,258.76–$2,656.92 | $2,689–$3,163 | varies |
| CT angio hrt w/3d image (75574) range across 2 matching MRF lines |
$1,929.48–$2,799.72 | $2,297–$3,333 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
$2,251.20–$2,648.52 | $2,680–$3,153 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$2,254.56–$2,652.72 | $2,684–$3,158 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 2 matching MRF lines |
$2,394.84–$2,817.36 | $2,851–$3,354 | varies |
| CT cervical spine w/ contrast (72126) range across 2 matching MRF lines |
$2,100.84–$4,292.40 | $2,501–$5,110 | varies |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$1,308.72–$2,908.92 | $1,558–$3,463 | varies |
| CT cervical spine w/wo cont (72127) range across 2 matching MRF lines |
$2,100.84–$4,761.12 | $2,501–$5,668 | varies |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$3,414.60–$4,177.32 | $4,065–$4,973 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$2,211.72–$4,914 | $2,633–$5,850 | varies |
| CT colonography screening (74263) range across 2 matching MRF lines |
$230.16–$1,171.80 | $274–$1,395 | varies |
| CT Colonogrphy Dx Image Postprocess W/Contrast (74262) range across 2 matching MRF lines |
$910.56–$1,179.36 | $1,084–$1,404 | varies |
| CT colonogrphy dx image postprocess w/o contrast (74261) range across 2 matching MRF lines |
$850.08–$1,102.92 | $1,012–$1,313 | varies |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$2,027.76–$2,385.60 | $2,414–$2,840 | varies |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$3,801.84–$4,980.36 | $4,526–$5,929 | varies |
| CT heart contrast eval cardiac structure&morph (75572) range across 2 matching MRF lines |
$885.36–$1,179.36 | $1,054–$1,404 | varies |
| CT heart no contrast quant eval coronry calcium (75571) | $167.16 | $199 | 1.8× |
| CT hrt w/3d image congen (75573) range across 2 matching MRF lines |
$1,186.92–$1,483.44 | $1,413–$1,766 | varies |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$1,953.84–$3,005.52 | $2,326–$3,578 | varies |
| CT l-spine w&w/o contrast (72133) range across 2 matching MRF lines |
$2,080.68–$4,160.52 | $2,477–$4,953 | varies |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$1,336.44–$2,540.16 | $1,591–$3,024 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$2,100.84–$2,871.96 | $2,501–$3,419 | varies |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$1,837.08–$3,674.16 | $2,187–$4,374 | varies |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$1,202.04–$2,670.36 | $1,431–$3,179 | varies |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$1,879.92–$3,417.96 | $2,238–$4,069 | varies |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$1,241.52–$3,155.04 | $1,478–$3,756 | varies |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$2,185.68–$4,901.40 | $2,602–$5,835 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 2 matching MRF lines |
$2,091.60–$3,802.68 | $2,490–$4,527 | varies |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$1,241.52–$1,979.04 | $1,478–$2,356 | varies |
| CT pelvis w&w/o contrast (72194) range across 2 matching MRF lines |
$1,674.96–$3,744.72 | $1,994–$4,458 | varies |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$934.08–$2,076.48 | $1,112–$2,472 | varies |
| CT scan of leg combo (73702) range across 2 matching MRF lines |
$2,218.44–$3,243.24 | $2,641–$3,861 | varies |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
$2,091.60–$3,802.68 | $2,490–$4,527 | varies |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$3,206.28–$4,200 | $3,817–$5,000 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$1,253.28–$1,726.20 | $1,492–$2,055 | varies |
| CT thoracic spine w contrast (72129) range across 2 matching MRF lines |
$1,889.16–$3,807.72 | $2,249–$4,533 | varies |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$1,320.48–$3,144.96 | $1,572–$3,744 | varies |
| CT thoracic spine w/wo cont (72130) range across 2 matching MRF lines |
$2,218.44–$4,702.32 | $2,641–$5,598 | varies |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$2,207.52–$2,699.76 | $2,628–$3,214 | varies |
| CT unlisted procedure (76497) range across 2 matching MRF lines |
$300.72–$388.08 | $358–$462 | varies |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$1,266.72–$2,797.20 | $1,508–$3,330 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 2 matching MRF lines |
$2,259.60–$3,475.92 | $2,690–$4,138 | varies |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$2,094.96–$3,129.84 | $2,494–$3,726 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$4,043.76–$4,950.12 | $4,814–$5,893 | varies |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$2,402.40–$4,893 | $2,860–$5,825 | varies |
| CTA pelvis (72191) range across 2 matching MRF lines |
$2,094.12–$5,235.72 | $2,493–$6,233 | varies |
| Dilation ureters/urethra rs&i (74485) range across 2 matching MRF lines |
$2,637.60–$3,965.64 | $3,140–$4,721 | varies |
| Discography Cerv/Thor Spine (72285) range across 2 matching MRF lines |
$7,160.16–$11,730.60 | $8,524–$13,965 | varies |
| Diskography lumbar (72295) range across 2 matching MRF lines |
$7,160.16–$11,854.92 | $8,524–$14,113 | varies |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) range across 2 matching MRF lines |
$333.48–$556.08 | $397–$662 | varies |
| Doppler Echo Fetal Spectral Display Complete (76827) range across 2 matching MRF lines |
$667.80–$1,113 | $795–$1,325 | varies |
| Doppler Fetal Mid Cerebral Artery (76821) range across 2 matching MRF lines |
$331.80–$414.96 | $395–$494 | varies |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$355.32–$559.44 | $423–$666 | varies |
| Dxa bone density study 1/>sites appendiclr skel (77081) range across 2 matching MRF lines |
$141.12–$219.24 | $168–$261 | varies |
| Echo exam of fetal heart (76825) range across 2 matching MRF lines |
$783.72–$1,352.40 | $933–$1,610 | varies |
| Echo exam uterus (76831) range across 2 matching MRF lines |
$808.92–$1,391.88 | $963–$1,657 | varies |
| Echo Guide For Artery Repair (76936) range across 2 matching MRF lines |
$517.44–$667.80 | $616–$795 | varies |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) range across 2 matching MRF lines |
$645.12–$1,113 | $768–$1,325 | varies |
| Esophagram (74220) range across 2 matching MRF lines |
$281.40–$402.36 | $335–$479 | varies |
| Fetal Biophys Profile W/Nst (76818) range across 2 matching MRF lines |
$663.60–$1,579.20 | $790–$1,880 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 2 matching MRF lines |
$638.40–$1,160.04 | $760–$1,381 | varies |
| Fetal MRI w/placntl matrnl plvc img sing/1st ges (74712) range across 2 matching MRF lines |
$848.40–$1,098.72 | $1,010–$1,308 | varies |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$425.04–$531.72 | $506–$633 | varies |
| Follow-Up Angiography (75898) range across 3 matching MRF lines |
$2,856–$7,086.24 | $3,400–$8,436 | varies |
| Foot 2 views (73620) range across 2 matching MRF lines |
$220.92–$344.40 | $263–$410 | varies |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$220.92–$344.40 | $263–$410 | varies |
| Gastric emptying imaging study (78264) range across 2 matching MRF lines |
$1,664.88–$2,441.04 | $1,982–$2,906 | varies |
| Gastric Emptyng Imag Std W/Sm Bwl Transit (78265) range across 2 matching MRF lines |
$1,968.12–$3,029.04 | $2,343–$3,606 | varies |
| Gastroesophageal Reflux Exam (78262) range across 2 matching MRF lines |
$892.08–$1,538.88 | $1,062–$1,832 | varies |
| Gastrointestinal Protein Loss (78282) range across 2 matching MRF lines |
$1,172.64–$1,804.32 | $1,396–$2,148 | varies |
| Gated Heart Planar Single (78472) range across 2 matching MRF lines |
$1,907.64–$2,742.60 | $2,271–$3,265 | varies |
| Gstrc Emptng Imag Std W/Sm Bwl Col Trnst Mlt Day (78266) range across 2 matching MRF lines |
$2,168.88–$3,338.16 | $2,582–$3,974 | varies |
| Hand 2 views (73120) range across 2 matching MRF lines |
$220.92–$344.40 | $263–$410 | varies |
| Hdr Rdncl Ntrstl/Icav Brchtx (77772) | $3,579.24 | $4,261 | 4.8× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) | $3,579.24 | $4,261 | 4.8× |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) | $3,579.24 | $4,261 | 4.8× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) range across 2 matching MRF lines |
$6,212.64–$8,030.40 | $7,396–$9,560 | varies |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) range across 2 matching MRF lines |
$6,212.64–$8,030.40 | $7,396–$9,560 | varies |
| Hepatobil Syst Image W/Drug (78227) range across 2 matching MRF lines |
$1,316.28–$1,929.48 | $1,567–$2,297 | varies |
| Hepatobiliary System Imaging (78226) range across 2 matching MRF lines |
$1,316.28–$1,929.48 | $1,567–$2,297 | varies |
| Ht Muscle Image Spect Sing (78451) range across 2 matching MRF lines |
$2,117.64–$5,042.52 | $2,521–$6,003 | varies |
| Hysterosalpingogram (74740) range across 2 matching MRF lines |
$876.96–$1,253.28 | $1,044–$1,492 | varies |
| Image fusion (77399) | $544.32 | $648 | 3.7× |
| Infant hip ultrasound with hip movement (dynamic) (76885) range across 2 matching MRF lines |
$404.88–$700.56 | $482–$834 | varies |
| Infant hip ultrasound, limited static exam (76886) range across 2 matching MRF lines |
$404.88–$700.56 | $482–$834 | varies |
| Interstitial radiation source applic complex (77778) | $4,643.52 | $5,528 | 6.2× |
| Intracavitary Radiation Source Applic Complex (77763) | $2,392.32 | $2,848 | 3.2× |
| Intracavitary Radiation Source Applic Intermed (77762) | $1,925.28 | $2,292 | 3.2× |
| Intracavitary radiation source applic simple (77761) | $1,725.36 | $2,054 | 2.9× |
| Joint Survey Single View (77077) range across 2 matching MRF lines |
$234.36–$382.20 | $279–$455 | varies |
| K Flow/Funct Image Multiple (78709) range across 2 matching MRF lines |
$1,886.64–$2,079.84 | $2,246–$2,476 | varies |
| K Flow/Funct Image W/Drug (78708) range across 2 matching MRF lines |
$3,575.04–$5,235.72 | $4,256–$6,233 | varies |
| K Flow/Funct Image W/O Drug (78707) range across 2 matching MRF lines |
$2,838.36–$4,153.80 | $3,379–$4,945 | varies |
| Kidney Imaging Morphol (78700) range across 2 matching MRF lines |
$1,265.88–$1,947.12 | $1,507–$2,318 | varies |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) range across 2 matching MRF lines |
$1,379.28–$2,120.16 | $1,642–$2,524 | varies |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$220.92–$344.40 | $263–$410 | varies |
| Labeled RBC Sequestration Differntl Organ/Tissue (78140) range across 2 matching MRF lines |
$865.20–$1,329.72 | $1,030–$1,583 | varies |
| Leveen/Shunt Patency Exam (78291) range across 2 matching MRF lines |
$1,270.92–$1,953.84 | $1,513–$2,326 | varies |
| Liver & Spleen Imaging Static Only (78215) range across 2 matching MRF lines |
$1,328.04–$2,042.88 | $1,581–$2,432 | varies |
| Liver & Spleen Imaging W/Vascular Flow (78216) range across 2 matching MRF lines |
$1,905.12–$2,929.92 | $2,268–$3,488 | varies |
| Liver imaging w/vascular flow (78202) range across 2 matching MRF lines |
$1,664.88–$2,441.04 | $1,982–$2,906 | varies |
| Lung Perf&Ventilat Diferentl (78598) range across 2 matching MRF lines |
$2,611.56–$3,823.68 | $3,109–$4,552 | varies |
| Lung perfusion differential (78597) range across 2 matching MRF lines |
$1,265.88–$1,947.12 | $1,507–$2,318 | varies |
| Lung Ventilat&Perfus Imaging (78582) range across 2 matching MRF lines |
$2,611.56–$3,823.68 | $3,109–$4,552 | varies |
| Lung Ventilation Imaging (78579) range across 2 matching MRF lines |
$1,203.72–$1,916.04 | $1,433–$2,281 | varies |
| Lymph System Imaging (78195) range across 2 matching MRF lines |
$1,987.44–$2,910.60 | $2,366–$3,465 | varies |
| Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) range across 2 matching MRF lines |
$7,679.28–$10,371.48 | $9,142–$12,347 | varies |
| Lymphangiography, pelvic/abdominal, unilateral (75805) range across 2 matching MRF lines |
$3,179.40–$4,294.08 | $3,785–$5,112 | varies |
| Magnetic Image Jaw Joint (70336) range across 2 matching MRF lines |
$2,322.60–$3,097.08 | $2,765–$3,687 | varies |
| Magnetic Resonance Elastography (76391) range across 2 matching MRF lines |
$1,587.60–$2,116.80 | $1,890–$2,520 | varies |
| Mammary ductogram or galactogram multiple (77054) range across 2 matching MRF lines |
$658.56–$851.76 | $784–$1,014 | varies |
| Mammary ductogram or galactogram single (77053) range across 2 matching MRF lines |
$658.56–$851.76 | $784–$1,014 | varies |
| Meckels Divert Exam (78290) range across 2 matching MRF lines |
$1,237.32–$1,809.36 | $1,473–$2,154 | varies |
| Mlc imrt design & construction per imrt plan (77338) | $987.84 | $1,176 | 2.4× |
| Mra Head W/O & W/Contrast Material (70546) range across 2 matching MRF lines |
$3,660.72–$4,364.64 | $4,358–$5,196 | varies |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$2,380.56–$3,174.36 | $2,834–$3,779 | varies |
| MRA head with contrast (70545) range across 2 matching MRF lines |
$2,899.68–$4,203.36 | $3,452–$5,004 | varies |
| MRA neck w contrast (70548) range across 2 matching MRF lines |
$2,761.92–$4,203.36 | $3,288–$5,004 | varies |
| Mra Neck W/O &W/Contrast Material (70549) range across 2 matching MRF lines |
$3,660.72–$4,364.64 | $4,358–$5,196 | varies |
| MRA neck w/o contrast (70547) range across 2 matching MRF lines |
$2,380.56–$3,174.36 | $2,834–$3,779 | varies |
| MRI abdomen w contrast (74182) range across 2 matching MRF lines |
$2,384.76–$3,668.28 | $2,839–$4,367 | varies |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$2,392.32–$3,302.04 | $2,848–$3,931 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 2 matching MRF lines |
$2,748.48–$4,997.16 | $3,272–$5,949 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$3,619.56–$6,117.72 | $4,309–$7,283 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 2 matching MRF lines |
$2,843.40–$5,169.36 | $3,385–$6,154 | varies |
| MRI Breast W/O Contrast Bilateral (77047) range across 2 matching MRF lines |
$672.84–$897.12 | $801–$1,068 | varies |
| MRI Breast Without Contrast Material Unilateral (77046) range across 2 matching MRF lines |
$672.84–$897.12 | $801–$1,068 | varies |
| MRI cardiac w/o contrast (75557) range across 2 matching MRF lines |
$1,562.40–$1,953 | $1,860–$2,325 | varies |
| MRI cervical spine w contrast (72142) range across 2 matching MRF lines |
$1,782.48–$4,455.36 | $2,122–$5,304 | varies |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$2,367.12–$4,078.20 | $2,818–$4,855 | varies |
| MRI chest w/o contrast (71550) range across 2 matching MRF lines |
$2,322.60–$3,097.08 | $2,765–$3,687 | varies |
| MRI chest with contrast (71551) range across 2 matching MRF lines |
$1,939.56–$3,328.92 | $2,309–$3,963 | varies |
| MRI chest wo w contrast (71552) range across 2 matching MRF lines |
$3,661.56–$4,457.88 | $4,359–$5,307 | varies |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 2 matching MRF lines |
$2,866.92–$5,342.40 | $3,413–$6,360 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 2 matching MRF lines |
$3,500.28–$7,777.56 | $4,167–$9,259 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines |
$2,363.76–$4,452.84 | $2,814–$5,301 | varies |
| MRI lumbar spine w contrast (72149) range across 2 matching MRF lines |
$2,852.64–$3,565.80 | $3,396–$4,245 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$3,585.12–$8,962.80 | $4,268–$10,670 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 2 matching MRF lines |
$2,390.64–$3,264.24 | $2,846–$3,886 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 2 matching MRF lines |
$3,525.48–$7,050.96 | $4,197–$8,394 | varies |
| MRI pelvis w contrast (72196) range across 2 matching MRF lines |
$2,320.92–$3,868.20 | $2,763–$4,605 | varies |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$3,661.56–$5,047.56 | $4,359–$6,009 | varies |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$2,392.32–$3,504.48 | $2,848–$4,172 | varies |
| MRI spectroscopy (76390) range across 2 matching MRF lines |
$2,479.68–$2,887.08 | $2,952–$3,437 | varies |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$2,360.40–$4,377.24 | $2,810–$5,211 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 2 matching MRF lines |
$1,991.64–$3,994.20 | $2,371–$4,755 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 2 matching MRF lines |
$2,385.60–$3,497.76 | $2,840–$4,164 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 2 matching MRF lines |
$3,546.48–$4,728.36 | $4,222–$5,629 | varies |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$3,491.88–$4,655.28 | $4,157–$5,542 | varies |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$3,501.96–$8,755.32 | $4,169–$10,423 | varies |
| MRI, dorsal spine contrast (72147) range across 2 matching MRF lines |
$1,732.08–$4,740.96 | $2,062–$5,644 | varies |
| MRI, joint upper extrem (73221) range across 2 matching MRF lines |
$2,385.60–$4,498.20 | $2,840–$5,355 | varies |
| MRI, joint upper extrem combo (73223) range across 2 matching MRF lines |
$3,654.84–$6,120.24 | $4,351–$7,286 | varies |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$3,660.72–$7,408.80 | $4,358–$8,820 | varies |
| Myelogram cervical (72240) range across 2 matching MRF lines |
$1,566.60–$2,024.40 | $1,865–$2,410 | varies |
| Myelogram Lumbar (72265) range across 2 matching MRF lines |
$1,566.60–$2,024.40 | $1,865–$2,410 | varies |
| Myelography thoracic (72255) range across 2 matching MRF lines |
$1,433.04–$2,024.40 | $1,706–$2,410 | varies |
| Myelograpy 2/more regions rs&i (72270) range across 2 matching MRF lines |
$1,435.56–$2,024.40 | $1,709–$2,410 | varies |
| Myocardial Spect Multiple Studies (78452) range across 2 matching MRF lines |
$2,942.52–$5,480.16 | $3,503–$6,524 | varies |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$220.08–$314.16 | $262–$374 | varies |
| Nfs/Instlj Radioelmnt Sln 3 Mo Follow-Up Care (77750) | $1,599.36 | $1,904 | 3.8× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) range across 2 matching MRF lines |
$1,413.72–$1,558.20 | $1,683–$1,855 | varies |
| Nm csf leak detection (78650) range across 2 matching MRF lines |
$1,851.36–$2,846.76 | $2,204–$3,389 | varies |
| Ntsty modul radthx pln dose-vol histos (77301) | $7,389.48 | $8,797 | 4.9× |
| Nuclear Rx Oral Admin (79005) range across 2 matching MRF lines |
$1,154.16–$1,775.76 | $1,374–$2,114 | varies |
| Ob us nuchal meas 1 gest (76813) range across 2 matching MRF lines |
$333.48–$556.08 | $397–$662 | varies |
| Optic foramina (70190) range across 2 matching MRF lines |
$288.12–$303.24 | $343–$361 | varies |
| Panoramic X-ray of jaws (70355) range across 2 matching MRF lines |
$220.92–$344.40 | $263–$410 | varies |
| Parathyroid imaging w/tomographic spect & CT (78072) range across 2 matching MRF lines |
$2,395.68–$3,509.52 | $2,852–$4,178 | varies |
| Parathyroid Planar Imaging (78070) range across 2 matching MRF lines |
$1,427.16–$2,090.76 | $1,699–$2,489 | varies |
| Parathyroid planar imaging w/wo subtraction (78071) range across 2 matching MRF lines |
$2,395.68–$3,509.52 | $2,852–$4,178 | varies |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$220.92–$344.40 | $263–$410 | varies |
| Peritoneogram Rs&I (74190) range across 2 matching MRF lines |
$1,781.64–$2,680.44 | $2,121–$3,191 | varies |
| Pet Image W/Ct Lmtd (78814) range across 2 matching MRF lines |
$7,672.56–$11,802 | $9,134–$14,050 | varies |
| PET image w/CT, full body (78816) range across 2 matching MRF lines |
$8,056.44–$11,802 | $9,591–$14,050 | varies |
| PET imaging CT attenuation skull base mid-thigh (78815) range across 2 matching MRF lines |
$8,056.44–$11,802 | $9,591–$14,050 | varies |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) range across 2 matching MRF lines |
$3,066.84–$3,963.96 | $3,651–$4,719 | varies |
| Pulmonary Perfusion Imaging Particulate (78580) range across 2 matching MRF lines |
$1,662.36–$2,435.16 | $1,979–$2,899 | varies |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$393.96–$567 | $469–$675 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 2 matching MRF lines |
$876.96–$1,253.28 | $1,044–$1,492 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$327.60–$344.40 | $390–$410 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$220.92–$344.40 | $263–$410 | varies |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$220.92–$344.40 | $263–$410 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$303.24–$473.76 | $361–$564 | varies |
| Radex fingr minimum 2 views (73140) range across 2 matching MRF lines |
$252.84–$478.80 | $301–$570 | varies |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$220.92–$344.40 | $263–$410 | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$293.16–$344.40 | $349–$410 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 2 matching MRF lines |
$203.28–$315.84 | $242–$376 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) range across 2 matching MRF lines |
$220.92–$344.40 | $263–$410 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$220.92–$344.40 | $263–$410 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 2 matching MRF lines |
$220.92–$344.40 | $263–$410 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$220.92–$344.40 | $263–$410 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$183.12–$287.28 | $218–$342 | varies |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) range across 2 matching MRF lines |
$735.84–$1,107.96 | $876–$1,319 | varies |
| Radex Spine 1 View Specify Level (72020) range across 2 matching MRF lines |
$306.60–$478.80 | $365–$570 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$304.08–$477.12 | $362–$568 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$220.92–$344.40 | $263–$410 | varies |
| Radex Toe Minimum 2 Views (73660) range across 2 matching MRF lines |
$220.92–$344.40 | $263–$410 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 2 matching MRF lines |
$250.32–$390.60 | $298–$465 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$220.92–$344.40 | $263–$410 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) range across 2 matching MRF lines |
$626.64–$976.92 | $746–$1,163 | varies |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $20,568.24 | $24,486 | 2.6× |
| Radiation treatment delivery level 1 (77402) | $739.20 | $880 | 6.7× |
| Radiation treatment delivery level 2 (77407) | $970.20 | $1,155 | 2.3× |
| Radiation treatment delivery level 3 (77412) | $1,549.80 | $1,845 | 2.6× |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$250.32–$390.60 | $298–$465 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 2 matching MRF lines |
$335.16–$478.80 | $399–$570 | varies |
| Radiologic exam colon double contrast study (74280) range across 2 matching MRF lines |
$420.84–$600.60 | $501–$715 | varies |
| Radiologic exam colon single contrast study (74270) range across 2 matching MRF lines |
$418.32–$597.24 | $498–$711 | varies |
| Radiologic Exam Esophagus Double Contrast Study (74221) range across 2 matching MRF lines |
$532.56–$666.12 | $634–$793 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$220.92–$344.40 | $263–$410 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$220.92–$344.40 | $263–$410 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 2 matching MRF lines |
$433.44–$619.08 | $516–$737 | varies |
| Radiologic exam swallow function contrast study (74230) range across 2 matching MRF lines |
$291.48–$415.80 | $347–$495 | varies |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$532.56–$666.12 | $634–$793 | varies |
| Radiologic examination femur 1 view (73551) range across 2 matching MRF lines |
$197.40–$309.12 | $235–$368 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$197.40–$309.12 | $235–$368 | varies |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$220.92–$344.40 | $263–$410 | varies |
| Radiologic Examination Osseous Survey Limited (77074) range across 2 matching MRF lines |
$225.12–$351.96 | $268–$419 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 2 matching MRF lines |
$306.60–$478.80 | $365–$570 | varies |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77768) | $1,071 | $1,275 | 2.6× |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77767) | $1,071 | $1,275 | 2.6× |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$215.04–$390.60 | $256–$465 | varies |
| Rp loclzj tum plnr 1 area single day imaging (78800) range across 2 matching MRF lines |
$1,934.52–$2,835 | $2,303–$3,375 | varies |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) range across 2 matching MRF lines |
$3,050.88–$4,473 | $3,632–$5,325 | varies |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) range across 2 matching MRF lines |
$2,417.52–$3,544.80 | $2,878–$4,220 | varies |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 2 matching MRF lines |
$3,291.96–$4,828.32 | $3,919–$5,748 | varies |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $5,817.84 | $6,926 | 3.8× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) range across 2 matching MRF lines |
$6,268.92–$6,598.20 | $7,463–$7,855 | varies |
| Rp Therapy Intravenous Administration (79101) range across 2 matching MRF lines |
$648.48–$1,032.36 | $772–$1,229 | varies |
| Salivary Gland Imaging (78230) range across 2 matching MRF lines |
$439.32–$1,538.88 | $523–$1,832 | varies |
| Scapula (73010) range across 2 matching MRF lines |
$220.92–$344.40 | $263–$410 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $80.64 | $96 | 3.4× |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$158.76–$246.96 | $189–$294 | varies |
| Shoulder Arthrography (73040) range across 2 matching MRF lines |
$887.88–$1,149.12 | $1,057–$1,368 | varies |
| Sialogram (70390) range across 2 matching MRF lines |
$834.12–$1,253.28 | $993–$1,492 | varies |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$220.92–$344.40 | $263–$410 | varies |
| Special dosimetry (77331) | $771.12 | $918 | 5.3× |
| Special Physics Consult (77370) | $1,705.20 | $2,030 | 11.7× |
| Special teletherapy port plan (77321) | $1,606.08 | $1,912 | 4.0× |
| Special treatment procedure (77470) | $2,844.24 | $3,386 | 4.8× |
| Spleen Imaging (78185) range across 2 matching MRF lines |
$935.76–$1,435.56 | $1,114–$1,709 | varies |
| Stereotactic Body Radiation Delivery (77373) | $11,001.48 | $13,097 | 5.7× |
| Sternoclavicular joints (71130) range across 2 matching MRF lines |
$257.04–$420 | $306–$500 | varies |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $1,738.80 | $2,070 | 4.3× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $1,122.24 | $1,336 | 2.8× |
| Testicular Imaging W/Flow (78761) range across 2 matching MRF lines |
$989.52–$1,520.40 | $1,178–$1,810 | varies |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $1,711.08 | $2,037 | 4.2× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $1,499.40 | $1,785 | 3.7× |
| Ther rad simulaj-aided field setting simple (77280) | $761.04 | $906 | 5.2× |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$306.60–$478.80 | $365–$570 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$306.60–$478.80 | $365–$570 | varies |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$306.60–$426.72 | $365–$508 | varies |
| Thyroid Imaging With Vascular Flow (78013) range across 2 matching MRF lines |
$1,054.20–$1,618.68 | $1,255–$1,927 | varies |
| Thyroid Met Imaging Body (78018) range across 2 matching MRF lines |
$2,224.32–$3,255 | $2,648–$3,875 | varies |
| Thyroid Uptake Measurement (78012) range across 2 matching MRF lines |
$489.72–$753.48 | $583–$897 | varies |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) range across 2 matching MRF lines |
$1,601.04–$2,342.76 | $1,906–$2,789 | varies |
| Tx Devices Design & Construction Complex (77334) | $1,569.96 | $1,869 | 3.9× |
| Tx devices design & construction intermediate (77333) | $1,349.04 | $1,606 | 9.3× |
| Tx devices design & construction simple (77332) | $1,349.04 | $1,606 | 9.3× |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$156.24–$596.40 | $186–$710 | varies |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
$348.60–$580.44 | $415–$691 | varies |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$656.04–$1,092.84 | $781–$1,301 | varies |
| Umbilical-artery Doppler (OB) (76820) range across 2 matching MRF lines |
$375.48–$486.36 | $447–$579 | varies |
| Unlisted Dx Radiographic Procedure (76499) range across 2 matching MRF lines |
$266.28–$294 | $317–$350 | varies |
| Unlisted fluoroscopic procedure (76496) range across 2 matching MRF lines |
$227.64–$294 | $271–$350 | varies |
| Unlisted magnetic resonance procedure (76498) range across 2 matching MRF lines |
$1,514.52–$1,956.36 | $1,803–$2,329 | varies |
| Unlisted us procedure (76999) range across 2 matching MRF lines |
$183.96–$409.08 | $219–$487 | varies |
| Upper gi w/o kub (74240) range across 2 matching MRF lines |
$418.32–$597.24 | $498–$711 | varies |
| Ureteral Reflux Study (78740) range across 2 matching MRF lines |
$940.80–$1,449 | $1,120–$1,725 | varies |
| Urethrocystogram voiding (74455) range across 2 matching MRF lines |
$846.72–$1,209.60 | $1,008–$1,440 | varies |
| Urethrocystography retrograde (74450) range across 2 matching MRF lines |
$711.48–$1,016.40 | $847–$1,210 | varies |
| Us breast unilateral complete (76641) range across 2 matching MRF lines |
$357.84–$596.40 | $426–$710 | varies |
| Us chest (76604) range across 2 matching MRF lines |
$364.56–$607.32 | $434–$723 | varies |
| Us complete joint (76881) range across 3 matching MRF lines |
$189–$897.12 | $225–$1,068 | varies |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$420–$700.56 | $500–$834 | varies |
| Us head (76506) range across 2 matching MRF lines |
$420–$700.56 | $500–$834 | varies |
| Us kidney transplant (76776) range across 2 matching MRF lines |
$656.04–$1,092.84 | $781–$1,301 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 3 matching MRF lines |
$189–$698.88 | $225–$832 | varies |
| Us ob detailed single fetus (76811) range across 2 matching MRF lines |
$333.48–$556.08 | $397–$662 | varies |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$364.56–$607.32 | $434–$723 | varies |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$412.44–$687.12 | $491–$818 | varies |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$656.04–$1,092.84 | $781–$1,301 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$364.56–$607.32 | $434–$723 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 2 matching MRF lines |
$319.20–$531.72 | $380–$633 | varies |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$656.04–$1,092.84 | $781–$1,301 | varies |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$656.04–$1,092.84 | $781–$1,301 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$656.04–$1,092.84 | $781–$1,301 | varies |
| Us spinal canal and contents (76800) range across 2 matching MRF lines |
$526.68–$877.80 | $627–$1,045 | varies |
| Us thyroid (76536) range across 3 matching MRF lines |
$189.84–$626.64 | $226–$746 | varies |
| Us transrectal (76872) range across 2 matching MRF lines |
$353.64–$607.32 | $421–$723 | varies |
| Vascular Flow Imaging (78445) range across 2 matching MRF lines |
$714.84–$1,098.72 | $851–$1,308 | varies |
| Vein X-Ray Chest (75827) | $2,350.32 | $2,798 | 1.4× |
| Vein X-Ray Liver W/O Hemodyn (75887) range across 2 matching MRF lines |
$2,856–$3,035.76 | $3,400–$3,614 | varies |
| Venogram Sinus/Jugular (75860) range across 2 matching MRF lines |
$2,834.16–$7,086.24 | $3,374–$8,436 | varies |
| Venography caval inferior serialography rs&i (75825) range across 4 matching MRF lines |
$7,283.64–$8,030.40 | $8,671–$9,560 | varies |
| Venography extremity bilateral rs&i (75822) range across 2 matching MRF lines |
$1,973.16–$3,631.32 | $2,349–$4,323 | varies |
| Venography extremity unilateral rs&i (75820) range across 2 matching MRF lines |
$1,416.24–$2,575.44 | $1,686–$3,066 | varies |
| Venography Renal Bilateral (75833) range across 2 matching MRF lines |
$2,981.16–$3,852.24 | $3,549–$4,586 | varies |
| Venography Renal Unilateral (75831) range across 2 matching MRF lines |
$2,981.16–$3,852.24 | $3,549–$4,586 | varies |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$181.44–$279.72 | $216–$333 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$220.92–$344.40 | $263–$410 | varies |
| X-ray antegrade pyelogram tube (74425) range across 2 matching MRF lines |
$711.48–$1,016.40 | $847–$1,210 | varies |
| X-Ray Aorta Leg Arteries (75630) | $4,932.48 | $5,872 | 1.4× |
| X-Ray Bend Only L-S Spine (72120) range across 2 matching MRF lines |
$250.32–$390.60 | $298–$465 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$220.92–$344.40 | $263–$410 | varies |
| X-Ray Exam Breast Specimen (76098) range across 3 matching MRF lines |
$834.12–$1,197 | $993–$1,425 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 2 matching MRF lines |
$197.40–$309.12 | $235–$368 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$329.28–$512.40 | $392–$610 | varies |
| X-Ray Exam Entire Spi 4/5 Vw (72083) range across 2 matching MRF lines |
$626.64–$976.92 | $746–$1,163 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 2 matching MRF lines |
$224.28–$349.44 | $267–$416 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 2 matching MRF lines |
$224.28–$349.44 | $267–$416 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) range across 2 matching MRF lines |
$329.28–$512.40 | $392–$610 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$329.28–$512.40 | $392–$610 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 2 matching MRF lines |
$329.28–$512.40 | $392–$610 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) range across 2 matching MRF lines |
$626.64–$976.92 | $746–$1,163 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$371.28–$575.40 | $442–$685 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$306.60–$478.80 | $365–$570 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$513.24–$800.52 | $611–$953 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 2 matching MRF lines |
$250.32–$390.60 | $298–$465 | varies |
| X-ray eye for foreign body (70030) range across 2 matching MRF lines |
$306.60–$438.48 | $365–$522 | varies |
| X-ray head for orthodontia (70350) range across 2 matching MRF lines |
$219.24–$362.04 | $261–$431 | varies |
| X-ray humerus (73060) range across 2 matching MRF lines |
$220.92–$344.40 | $263–$410 | varies |
| X-ray IV pyelogram (ivp) (74400) range across 2 matching MRF lines |
$1,117.20–$1,680 | $1,330–$2,000 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 2 matching MRF lines |
$220.92–$344.40 | $263–$410 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$168.84–$264.60 | $201–$315 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$220.92–$344.40 | $263–$410 | varies |
| X-ray nose-rectum child f.b. (76010) range across 2 matching MRF lines |
$158.76–$227.64 | $189–$271 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$370.44–$574.56 | $441–$684 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$220.92–$554.40 | $263–$660 | varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) range across 2 matching MRF lines |
$388.92–$409.08 | $463–$487 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$220.92–$344.40 | $263–$410 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$220.92–$344.40 | $263–$410 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$371.28–$575.40 | $442–$685 | varies |
| X-Ray Stress View (77071) range across 3 matching MRF lines |
$156.24–$367.08 | $186–$437 | varies |
| X-ray thoracic spine 4 vw (72074) range across 2 matching MRF lines |
$306.60–$478.80 | $365–$570 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 2 matching MRF lines |
$763.56–$1,091.16 | $909–$1,299 | varies |
| X-Rays Bone Length Studies (77073) range across 2 matching MRF lines |
$220.92–$344.40 | $263–$410 | varies |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$873.60–$1,362.48 | $1,040–$1,622 | varies |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$513.24–$800.52 | $611–$953 | varies |
| Xr facial bones less than 3 views (70140) range across 2 matching MRF lines |
$285.60–$446.88 | $340–$532 | varies |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$306.60–$478.80 | $365–$570 | varies |
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.