Imaging prices at Beebe Medical Center
Lewes, DE · every code in this section with a posted price and a Medicare benchmark.
321 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) range across 2 matching MRF lines |
$4,301.85–$4,516.90 | $5,061–$5,314 | varies |
| Abdomen 1 View (74018) range across 3 matching MRF lines |
$202.30–$212.50 | $238–$250 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$307.70–$323 | $362–$380 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) range across 2 matching MRF lines |
$1,677.90–$1,762.05 | $1,974–$2,073 | varies |
| Angio internal mammary (75756) | $4,351.15 | $5,119 | 1.3× |
| Angio pulmonary bilat (75743) | $5,156.95 | $6,067 | 1.5× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $4,351.15 | $5,119 | 1.3× |
| Angiography extremity bilateral rs&i (75716) range across 3 matching MRF lines |
$5,670.35–$5,954.25 | $166–$7,005 | varies |
| Angiography extremity unilateral rs&i (75710) range across 2 matching MRF lines |
$3,410.20–$3,581.05 | $4,012–$4,213 | varies |
| Angiography pulmonary unilateral slctv rs&i (75741) | $5,071.95 | $5,967 | 1.5× |
| Ankle 2 views (73600) range across 5 matching MRF lines |
$273.70–$431.80 | $322–$508 | varies |
| Aortography thoracic serialography rs&i (75605) | $6,367.35 | $7,491 | 1.1× |
| Artery X-Rays Abdomen (75726) | $7,501.25 | $8,825 | 1.3× |
| Artery X-Rays Adrenal Gland (75731) | $4,351.15 | $5,119 | 1.3× |
| Artery X-Rays Pelvis (75736) | $7,501.25 | $8,825 | 1.3× |
| Arthrogram hip (73525) range across 3 matching MRF lines |
$623.05–$980.90 | $733–$1,154 | varies |
| Arthrogram Wrist (73115) range across 2 matching MRF lines |
$459.85–$689.35 | $541–$811 | varies |
| Basic radiation dosimetry calculation (77300) range across 4 matching MRF lines |
$604.35–$2,301.80 | $711–$2,708 | varies |
| Bone age studies (77072) range across 2 matching MRF lines |
$325.55–$341.70 | $383–$402 | varies |
| Bone Imaging 3 Phase (78315) range across 2 matching MRF lines |
$1,694.90–$1,779.90 | $1,994–$2,094 | varies |
| Bone Imaging Limited Area (78300) range across 2 matching MRF lines |
$639.20–$671.50 | $752–$790 | varies |
| Bone Imaging Multiple Areas (78305) | $3,440.80 | $4,048 | 8.2× |
| Bone Imaging Whole Body (78306) range across 2 matching MRF lines |
$1,694.05–$1,779.05 | $1,993–$2,093 | varies |
| Bone marrow imaging limited area (78102) | $746.30 | $878 | 1.8× |
| Bone marrow imaging; multiple areas (78103) | $648.55 | $763 | 1.5× |
| Bone marrow imaging; whole body (78104) | $1,127.95 | $1,327 | 2.7× |
| Bone survey infant (77076) | $227.80 | $268 | 2.1× |
| Brachytx isodose complex (77318) | $1,277.55 | $1,503 | 3.2× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $958.80 | $1,128 | 1.7× |
| Cat Scan Follow-Up Study (76380) range across 2 matching MRF lines |
$654.50–$687.65 | $770–$809 | varies |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $769.25 | $905 | 1.3× |
| Chest 1 view (71045) range across 3 matching MRF lines |
$107.10–$261.80 | $126–$308 | varies |
| Chest 2 views (71046) range across 3 matching MRF lines |
$119–$385.90 | $140–$454 | varies |
| Chest 3 views (71047) range across 2 matching MRF lines |
$384.20–$403.75 | $452–$475 | varies |
| Chest 4 or more views (71048) range across 2 matching MRF lines |
$358.70–$376.55 | $422–$443 | varies |
| Clavicle complete (73000) range across 4 matching MRF lines |
$378.25–$595.85 | $445–$701 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $210.38 | $247.50 | 1.9× |
| Continuing medical physics consltj pr wk (77336) range across 3 matching MRF lines |
$898.45–$943.50 | $1,057–$1,110 | varies |
| Contrast Exam Abdominl Aorta (75625) range across 2 matching MRF lines |
$5,670.35–$5,954.25 | $6,671–$7,005 | varies |
| Contrast X-Ray Bladder (74430) | $845.75 | $995 | 2.3× |
| Contrast X-Ray Of Knee Joint (73580) range across 3 matching MRF lines |
$350.20–$550.80 | $412–$648 | varies |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$4,948.70–$5,196.05 | $5,822–$6,113 | varies |
| CT abdomen and pelvis without contrast (74176) range across 3 matching MRF lines |
$3,135.65–$3,292.05 | $3,689–$3,873 | varies |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$2,667.30–$2,800.75 | $3,138–$3,295 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$2,743.80–$2,880.65 | $3,228–$3,389 | varies |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$1,706.80–$1,791.80 | $2,008–$2,108 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$6,301.90–$6,617.25 | $7,414–$7,785 | varies |
| CT Angio Chest (71275) range across 4 matching MRF lines |
$542.73–$4,753.20 | $638.50–$5,592 | varies |
| CT Angio Head (70496) range across 3 matching MRF lines |
$2,742.10–$2,878.95 | $3,226–$3,387 | varies |
| CT angio hrt w/3d image (75574) range across 2 matching MRF lines |
$2,067.20–$2,170.90 | $2,432–$2,554 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 5 matching MRF lines |
$3,082.95–$4,855.20 | $3,627–$5,712 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$2,756.55–$2,894.25 | $3,243–$3,405 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 4 matching MRF lines |
$2,135.20–$3,361.75 | $2,512–$3,955 | varies |
| CT cervical spine w/ contrast (72126) range across 2 matching MRF lines |
$3,199.40–$3,359.20 | $3,764–$3,952 | varies |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$2,845.80–$2,987.75 | $3,348–$3,515 | varies |
| CT cervical spine w/wo cont (72127) | $3,281.85 | $3,861 | 17.8× |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$3,779.95–$3,968.65 | $4,447–$4,669 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$2,715.75–$2,851.75 | $3,195–$3,355 | varies |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$2,313.70–$2,429.30 | $2,722–$2,858 | varies |
| CT head/brain without and with contrast (70470) range across 3 matching MRF lines |
$2,969.90–$3,118.65 | $3,494–$3,669 | varies |
| CT heart contrast eval cardiac structure&morph (75572) range across 2 matching MRF lines |
$1,020–$1,071 | $1,200–$1,260 | varies |
| CT heart no contrast quant eval coronry calcium (75571) range across 2 matching MRF lines |
$210.38–$645.15 | $247.50–$759 | varies |
| CT hrt w/3d image congen (75573) | $1,055.70 | $1,242 | 2.9× |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$2,873.85–$3,017.50 | $3,381–$3,550 | varies |
| CT l-spine w&w/o contrast (72133) range across 3 matching MRF lines |
$2,340.90–$2,458.20 | $2,754–$2,892 | varies |
| CT lower ext w/o (73700) range across 5 matching MRF lines |
$1,280.10–$2,016.20 | $1,506–$2,372 | varies |
| CT lower extremity w/contrast material (73701) range across 4 matching MRF lines |
$2,240.60–$3,528.35 | $2,636–$4,151 | varies |
| CT lumbar spine w contrast (72132) range across 3 matching MRF lines |
$1,972.85–$2,071.45 | $2,321–$2,437 | varies |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$1,413.55–$1,484.10 | $1,663–$1,746 | varies |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$3,014.95–$3,165.40 | $3,547–$3,724 | varies |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$2,700.45–$2,835.60 | $3,177–$3,336 | varies |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$2,544.90–$2,672.40 | $2,994–$3,144 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 2 matching MRF lines |
$2,557.65–$2,685.15 | $3,009–$3,159 | varies |
| CT orbits w/o contrast (70480) range across 3 matching MRF lines |
$1,666.85–$1,750.15 | $1,961–$2,059 | varies |
| CT pelvis w&w/o contrast (72194) range across 2 matching MRF lines |
$2,707.25–$2,842.40 | $3,185–$3,344 | varies |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$1,677.05–$1,761.20 | $1,973–$2,072 | varies |
| CT scan of leg combo (73702) range across 3 matching MRF lines |
$2,691.95–$4,036.65 | $3,167–$4,749 | varies |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
$2,530.45–$2,657.10 | $2,977–$3,126 | varies |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$3,729.80–$3,915.95 | $4,388–$4,607 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$1,506.20–$1,581.85 | $1,772–$1,861 | varies |
| CT thoracic spine w contrast (72129) range across 2 matching MRF lines |
$1,844.50–$1,937.15 | $2,170–$2,279 | varies |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$2,106.30–$2,211.70 | $2,478–$2,602 | varies |
| CT thoracic spine w/wo cont (72130) range across 2 matching MRF lines |
$2,771.85–$2,910.40 | $3,261–$3,424 | varies |
| CT thorax w/o contrast (71250) range across 3 matching MRF lines |
$2,476.05–$2,600.15 | $2,913–$3,059 | varies |
| CT unlisted procedure (76497) | $130.90 | $154 | 1.4× |
| CT upper ext wo (73200) range across 5 matching MRF lines |
$1,703.40–$2,683.45 | $2,004–$3,157 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 3 matching MRF lines |
$2,151.35–$3,388.10 | $2,531–$3,986 | varies |
| CT upper extremity with contrast (73201) range across 3 matching MRF lines |
$2,187.05–$3,444.20 | $2,573–$4,052 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 3 matching MRF lines |
$3,059.15–$3,212.15 | $3,599–$3,779 | varies |
| Cta Abdomen (74175) range across 3 matching MRF lines |
$2,748.05–$2,885.75 | $3,233–$3,395 | varies |
| CTA pelvis (72191) range across 2 matching MRF lines |
$2,663.05–$2,796.50 | $3,133–$3,290 | varies |
| Dilation ureters/urethra rs&i (74485) | $2,780.35 | $3,271 | 1.3× |
| Dxa Bone Density Axial (77080) range across 3 matching MRF lines |
$384.20–$403.75 | $452–$475 | varies |
| Dxa bone density study (77085) range across 2 matching MRF lines |
$563.55–$591.60 | $663–$696 | varies |
| Dxa bone density study 1/>sites appendiclr skel (77081) range across 3 matching MRF lines |
$368.90–$387.60 | $434–$456 | varies |
| Echo Guide For Artery Repair (76936) | $768.40 | $904 | 3.4× |
| Esophagram (74220) range across 2 matching MRF lines |
$430.10–$451.35 | $506–$531 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 2 matching MRF lines |
$874.65–$918 | $1,029–$1,080 | varies |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$761.60–$799.85 | $896–$941 | varies |
| Follow-Up Angiography (75898) | $4,351.15 | $5,119 | 1.3× |
| Foot 2 views (73620) range across 5 matching MRF lines |
$253.30–$398.65 | $298–$469 | varies |
| Forearm 2 views (73090) range across 5 matching MRF lines |
$323.85–$510.85 | $381–$601 | varies |
| Gastric emptying imaging study (78264) range across 2 matching MRF lines |
$1,578.45–$1,657.50 | $1,857–$1,950 | varies |
| Gastric Mucosa Imaging (78261) | $698.70 | $822 | 1.7× |
| Gated Heart Planar Single (78472) range across 2 matching MRF lines |
$2,346–$2,463.30 | $2,760–$2,898 | varies |
| Hand 2 views (73120) range across 4 matching MRF lines |
$315.35–$497.25 | $371–$585 | varies |
| Hepatobil Syst Image W/Drug (78227) range across 2 matching MRF lines |
$1,263.10–$1,326 | $1,486–$1,560 | varies |
| Hepatobiliary System Imaging (78226) range across 2 matching MRF lines |
$1,390.60–$1,460.30 | $1,636–$1,718 | varies |
| Ht Muscle Image Spect Sing (78451) range across 3 matching MRF lines |
$342.55–$3,274.20 | $403–$3,852 | varies |
| Hysterosalpingogram (74740) range across 2 matching MRF lines |
$232.90–$244.80 | $274–$288 | varies |
| Image fusion (77399) range across 2 matching MRF lines |
$424.15–$445.40 | $499–$524 | varies |
| K Flow/Funct Image Multiple (78709) | $527 | $620 | 0.9× |
| K Flow/Funct Image W/Drug (78708) range across 3 matching MRF lines |
$1,424.60–$1,496 | $1,676–$1,760 | varies |
| K Flow/Funct Image W/O Drug (78707) range across 2 matching MRF lines |
$1,019.15–$1,070.15 | $1,199–$1,259 | varies |
| Kidney Imaging Morphol (78700) | $562.70 | $662 | 1.3× |
| Knee 3 Views (73562) range across 4 matching MRF lines |
$330.65–$520.20 | $389–$612 | varies |
| Liver & Spleen Imaging Static Only (78215) range across 2 matching MRF lines |
$1,205.30–$1,265.65 | $1,418–$1,489 | varies |
| Lung Perf&Ventilat Diferentl (78598) range across 2 matching MRF lines |
$590.75–$620.50 | $695–$730 | varies |
| Lung perfusion differential (78597) | $548.25 | $645 | 1.3× |
| Lung Ventilat&Perfus Imaging (78582) range across 2 matching MRF lines |
$1,521.50–$1,598 | $1,790–$1,880 | varies |
| Lung Ventilation Imaging (78579) | $1,183.20 | $1,392 | 2.8× |
| Lymph System Imaging (78195) range across 2 matching MRF lines |
$1,773.95–$1,862.35 | $2,087–$2,191 | varies |
| Magnetic Image Jaw Joint (70336) | $2,378.30 | $2,798 | 9.5× |
| Meckels Divert Exam (78290) range across 2 matching MRF lines |
$553.35–$581.40 | $651–$684 | varies |
| Mlc imrt design & construction per imrt plan (77338) range across 3 matching MRF lines |
$706.35–$742.05 | $831–$873 | varies |
| Mra Head W/O & W/Contrast Material (70546) range across 3 matching MRF lines |
$3,688.15–$3,872.60 | $4,339–$4,556 | varies |
| MRA head w/o contrast (70544) range across 3 matching MRF lines |
$3,580.20–$3,759.55 | $4,212–$4,423 | varies |
| MRA head with contrast (70545) range across 2 matching MRF lines |
$3,440.80–$3,612.50 | $4,048–$4,250 | varies |
| MRA neck w contrast (70548) range across 2 matching MRF lines |
$2,023.85–$2,125 | $2,381–$2,500 | varies |
| Mra Neck W/O &W/Contrast Material (70549) range across 3 matching MRF lines |
$3,384.70–$3,553.85 | $3,982–$4,181 | varies |
| MRA neck w/o contrast (70547) range across 2 matching MRF lines |
$3,475.65–$3,649.05 | $4,089–$4,293 | varies |
| MRI abdomen w contrast (74182) | $3,666.90 | $4,314 | 10.0× |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$2,886.60–$3,031.10 | $3,396–$3,566 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 3 matching MRF lines |
$3,594.65–$5,661.85 | $4,229–$6,661 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 4 matching MRF lines |
$4,363.05–$6,873.10 | $5,133–$8,086 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 3 matching MRF lines |
$3,649.05–$5,748.55 | $4,293–$6,763 | varies |
| MRI Breast W/O Contrast Bilateral (77047) range across 2 matching MRF lines |
$3,218.10–$3,378.75 | $3,786–$3,975 | varies |
| MRI Breast Without Contrast Material Unilateral (77046) | $1,129.65 | $1,329 | 4.5× |
| MRI cervical spine w contrast (72142) range across 2 matching MRF lines |
$3,174.75–$3,333.70 | $3,735–$3,922 | varies |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$2,875.55–$3,019.20 | $3,383–$3,552 | varies |
| MRI chest w/o contrast (71550) range across 2 matching MRF lines |
$3,215.55–$3,376.20 | $3,783–$3,972 | varies |
| MRI chest with contrast (71551) | $3,043.85 | $3,581 | 3.7× |
| MRI chest wo w contrast (71552) range across 3 matching MRF lines |
$4,591.70–$4,821.20 | $5,402–$5,672 | varies |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 3 matching MRF lines |
$4,523.70–$6,786.40 | $5,322–$7,984 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 3 matching MRF lines |
$4,212.60–$6,635.10 | $4,956–$7,806 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 4 matching MRF lines |
$2,975–$4,686.05 | $3,500–$5,513 | varies |
| MRI lumbar spine w contrast (72149) range across 2 matching MRF lines |
$3,048.95–$3,201.10 | $3,587–$3,766 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$4,216.85–$4,427.65 | $4,961–$5,209 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 2 matching MRF lines |
$3,119.50–$3,275.90 | $3,670–$3,854 | varies |
| MRI orbit face neck w contrast (70542) | $2,331.55 | $2,743 | 6.3× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 2 matching MRF lines |
$4,135.25–$4,341.80 | $4,865–$5,108 | varies |
| MRI pelvis w contrast (72196) | $3,330.30 | $3,918 | 9.1× |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$4,160.75–$4,369 | $4,895–$5,140 | varies |
| MRI pelvis w/o contrast (72195) range across 3 matching MRF lines |
$2,704.70–$2,839.85 | $3,182–$3,341 | varies |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$2,889.15–$3,033.65 | $3,399–$3,569 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 2 matching MRF lines |
$2,339.20–$3,508.80 | $2,752–$4,128 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 3 matching MRF lines |
$2,881.50–$4,539 | $3,390–$5,340 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 4 matching MRF lines |
$4,253.40–$6,698.85 | $5,004–$7,881 | varies |
| MRI, abdomen, combo (74183) range across 3 matching MRF lines |
$4,144.60–$4,352 | $4,876–$5,120 | varies |
| MRI, dorsal spine combo (72157) range across 3 matching MRF lines |
$4,086.80–$4,290.80 | $4,808–$5,048 | varies |
| MRI, dorsal spine contrast (72147) range across 2 matching MRF lines |
$2,592.50–$2,722.55 | $3,050–$3,203 | varies |
| MRI, joint upper extrem (73221) range across 3 matching MRF lines |
$2,725.10–$4,291.65 | $3,206–$5,049 | varies |
| MRI, joint upper extrem combo (73223) range across 4 matching MRF lines |
$4,253.40–$6,698.85 | $5,004–$7,881 | varies |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$4,651.20–$4,884.10 | $5,472–$5,746 | varies |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $1,849.60 | $2,176 | 4.4× |
| Myocardial Spect Multiple Studies (78452) range across 4 matching MRF lines |
$449.65–$3,490.10 | $529–$4,106 | varies |
| N-invas est c ffr sw aly CTA (75580) range across 2 matching MRF lines |
$48.45–$1,498.55 | $57–$1,763 | varies |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$309.40–$324.70 | $364–$382 | varies |
| Nonvascular Shunt X-Ray (75809) | $395.25 | $465 | 3.6× |
| Ntsty modul radthx pln dose-vol histos (77301) range across 2 matching MRF lines |
$4,395.35–$4,615.50 | $5,171–$5,430 | varies |
| Nuclear Rx Oral Admin (79005) range across 2 matching MRF lines |
$1,205.30–$1,265.65 | $1,418–$1,489 | varies |
| Parathyroid Planar Imaging (78070) | $537.20 | $632 | 1.3× |
| Parathyroid planar imaging w/wo subtraction (78071) range across 2 matching MRF lines |
$861.05–$904.40 | $1,013–$1,064 | varies |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$294.95–$309.40 | $347–$364 | varies |
| Peritoneogram Rs&I (74190) | $759.90 | $894 | 1.3× |
| Pet Image W/Ct Lmtd (78814) | $3,029.40 | $3,564 | 2.0× |
| PET image w/CT, full body (78816) range across 2 matching MRF lines |
$5,437.45–$5,709.45 | $6,397–$6,717 | varies |
| PET imaging CT attenuation skull base mid-thigh (78815) range across 2 matching MRF lines |
$5,437.45–$5,709.45 | $6,397–$6,717 | varies |
| PET whole body (78813) | $5,694.15 | $6,699 | 3.8× |
| Pulmonary Perfusion Imaging Particulate (78580) range across 2 matching MRF lines |
$1,524.90–$1,601.40 | $1,794–$1,884 | varies |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$432.65–$453.90 | $509–$534 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 2 matching MRF lines |
$1,116.90–$1,173 | $1,314–$1,380 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 6 matching MRF lines |
$286.45–$451.35 | $337–$531 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 6 matching MRF lines |
$249.05–$392.70 | $293–$462 | varies |
| Radex elbow complete minimum 3 views (73080) range across 5 matching MRF lines |
$289.85–$457.30 | $341–$538 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 3 matching MRF lines |
$385.05–$404.60 | $453–$476 | varies |
| Radex fingr minimum 2 views (73140) range across 5 matching MRF lines |
$372.30–$586.50 | $438–$690 | varies |
| Radex foot complete minimum 3 views (73630) range across 5 matching MRF lines |
$279.65–$441.15 | $329–$519 | varies |
| Radex Hand Minimum 3 Views (73130) range across 5 matching MRF lines |
$314.50–$494.70 | $370–$582 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 4 matching MRF lines |
$498.10–$784.55 | $586–$923 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $362.95 | $427 | 3.3× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$350.20–$368.05 | $412–$433 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 2 matching MRF lines |
$400.35–$420.75 | $471–$495 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 5 matching MRF lines |
$291.55–$460.70 | $343–$542 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $232.05 | $273 | 2.5× |
| Radex Spine 1 View Specify Level (72020) range across 3 matching MRF lines |
$231.20–$243.10 | $272–$286 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 3 matching MRF lines |
$376.55–$395.25 | $443–$465 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 3 matching MRF lines |
$443.70–$465.80 | $522–$548 | varies |
| Radex Toe Minimum 2 Views (73660) range across 6 matching MRF lines |
$283.05–$446.25 | $333–$525 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 4 matching MRF lines |
$386.75–$609.45 | $455–$717 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 6 matching MRF lines |
$279.65–$559.30 | $329–$658 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $245.65 | $289 | 2.2× |
| Radiation treatment delivery level 1 (77402) range across 2 matching MRF lines |
$749.70–$787.10 | $882–$926 | varies |
| Radiation treatment delivery level 2 (77407) | $629.85 | $741 | 1.5× |
| Radiation treatment delivery level 3 (77412) range across 3 matching MRF lines |
$928.20–$974.95 | $1,092–$1,147 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) range across 3 matching MRF lines |
$424.15–$445.40 | $499–$524 | varies |
| Radiologic exam colon double contrast study (74280) range across 2 matching MRF lines |
$500.65–$525.30 | $589–$618 | varies |
| Radiologic exam colon single contrast study (74270) range across 2 matching MRF lines |
$536.35–$563.55 | $631–$663 | varies |
| Radiologic Exam Esophagus Double Contrast Study (74221) range across 2 matching MRF lines |
$481.10–$504.90 | $566–$594 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 4 matching MRF lines |
$356.15–$561 | $419–$660 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$314.50–$330.65 | $370–$389 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 2 matching MRF lines |
$447.95–$470.05 | $527–$553 | varies |
| Radiologic exam swallow function contrast study (74230) range across 2 matching MRF lines |
$323–$339.15 | $380–$399 | varies |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$743.75–$781.15 | $875–$919 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 5 matching MRF lines |
$381.65–$601.80 | $449–$708 | varies |
| Radiologic examination knee 1/2 views (73560) range across 4 matching MRF lines |
$344.25–$542.30 | $405–$638 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $172.55 | $203 | 1.6× |
| Radiologic examination tibia & fibula 2 views (73590) range across 5 matching MRF lines |
$382.50–$603.50 | $450–$710 | varies |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$553.35–$581.40 | $651–$684 | varies |
| Rp loclzj tum plnr 1 area single day imaging (78800) range across 2 matching MRF lines |
$536.35–$563.55 | $631–$663 | varies |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $1,229.10 | $1,446 | 2.9× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $2,312.85 | $2,721 | 4.0× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $3,359.20 | $3,952 | 5.9× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 3 matching MRF lines |
$2,640.95–$2,772.70 | $3,107–$3,262 | varies |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $2,597.60 | $3,056 | 1.9× |
| Rp Therapy Intravenous Administration (79101) range across 2 matching MRF lines |
$737.80–$774.35 | $868–$911 | varies |
| Scapula (73010) range across 5 matching MRF lines |
$306–$482.80 | $360–$568 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 3 matching MRF lines |
$66.30–$69.70 | $78–$82 | varies |
| Shoulder 1 view (73020) range across 5 matching MRF lines |
$230.35–$362.10 | $271–$426 | varies |
| Shoulder Arthrography (73040) range across 3 matching MRF lines |
$600.95–$946.90 | $707–$1,114 | varies |
| Skull less than 4 views (70250) range across 3 matching MRF lines |
$309.40–$324.70 | $364–$382 | varies |
| Special dosimetry (77331) range across 2 matching MRF lines |
$578.85–$607.75 | $681–$715 | varies |
| Special Physics Consult (77370) range across 3 matching MRF lines |
$781.15–$820.25 | $919–$965 | varies |
| Special teletherapy port plan (77321) range across 3 matching MRF lines |
$1,125.40–$1,181.50 | $1,324–$1,390 | varies |
| Special treatment procedure (77470) range across 2 matching MRF lines |
$2,674.95–$2,808.40 | $3,147–$3,304 | varies |
| Stereotactic Body Radiation Delivery (77373) range across 2 matching MRF lines |
$2,212.55–$2,323.05 | $2,603–$2,733 | varies |
| Sternoclavicular joints (71130) range across 2 matching MRF lines |
$300.90–$316.20 | $354–$372 | varies |
| Telethx isodose pln cplx w/basic dosimetry (77307) range across 2 matching MRF lines |
$1,304.75–$1,370.20 | $1,535–$1,612 | varies |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $1,088.85 | $1,281 | 2.8× |
| Testicular Imaging W/Flow (78761) | $562.70 | $662 | 1.3× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) range across 2 matching MRF lines |
$1,660.90–$1,744.20 | $1,954–$2,052 | varies |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $1,653.25 | $1,945 | 4.2× |
| Ther rad simulaj-aided field setting simple (77280) range across 2 matching MRF lines |
$850–$892.50 | $1,000–$1,050 | varies |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$411.40–$431.80 | $484–$508 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$360.40–$378.25 | $424–$445 | varies |
| Thoracolumbar 2 views (72080) range across 3 matching MRF lines |
$425–$446.25 | $500–$525 | varies |
| Thyroid Imaging With Vascular Flow (78013) | $577.15 | $679 | 1.4× |
| Thyroid Met Imaging Body (78018) range across 2 matching MRF lines |
$2,493.05–$2,618 | $2,933–$3,080 | varies |
| Thyroid Uptake Measurement (78012) | $563.55 | $663 | 1.3× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) range across 2 matching MRF lines |
$1,402.50–$1,473.05 | $1,650–$1,733 | varies |
| Tx Devices Design & Construction Complex (77334) range across 5 matching MRF lines |
$1,155.15–$4,620.60 | $1,359–$5,436 | varies |
| Tx devices design & construction intermediate (77333) range across 3 matching MRF lines |
$837.25–$878.90 | $985–$1,034 | varies |
| Tx devices design & construction simple (77332) range across 3 matching MRF lines |
$1,013.20–$2,026.40 | $1,192–$2,384 | varies |
| Ultrasound Breast Limited (76642) range across 6 matching MRF lines |
$408.85–$967.87 | $481–$1,138.67 | varies |
| Ultrasound elastography first target lesion (76982) | $187.85 | $221 | 1.7× |
| Ultrasound Elastography Parenchyma (76981) range across 2 matching MRF lines |
$178.50–$187.85 | $210–$221 | varies |
| Ultrasound Exam Aaa Screen (76706) range across 3 matching MRF lines |
$725.90–$762.45 | $854–$897 | varies |
| Ultrasound, abdomen limited (76705) range across 3 matching MRF lines |
$821.10–$861.90 | $966–$1,014 | varies |
| Umbilical-artery Doppler (OB) (76820) range across 2 matching MRF lines |
$255–$267.75 | $300–$315 | varies |
| Unlisted magnetic resonance procedure (76498) range across 2 matching MRF lines |
$2,159.85–$2,267.80 | $2,541–$2,668 | varies |
| Upper gi w/o kub (74240) range across 2 matching MRF lines |
$562.70–$590.75 | $662–$695 | varies |
| Urethrocystogram voiding (74455) range across 2 matching MRF lines |
$324.70–$340.85 | $382–$401 | varies |
| Us breast unilateral complete (76641) range across 6 matching MRF lines |
$407.15–$640.90 | $479–$754 | varies |
| Us chest (76604) range across 3 matching MRF lines |
$928.20–$974.95 | $1,092–$1,147 | varies |
| Us complete joint (76881) range across 3 matching MRF lines |
$867.85–$1,735.70 | $1,021–$2,042 | varies |
| Us exam, pelvic, limited (76857) range across 3 matching MRF lines |
$512.55–$538.05 | $603–$633 | varies |
| Us kidney transplant (76776) range across 2 matching MRF lines |
$549.95–$577.15 | $647–$679 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 3 matching MRF lines |
$555.90–$583.95 | $654–$687 | varies |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$402.90–$423.30 | $474–$498 | varies |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$688.50–$723.35 | $810–$851 | varies |
| Us pelvic non ob complete (76856) range across 3 matching MRF lines |
$799–$838.95 | $940–$987 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$1,127.95–$1,184.05 | $1,327–$1,393 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 2 matching MRF lines |
$483.65–$507.45 | $569–$597 | varies |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$991.10–$1,040.40 | $1,166–$1,224 | varies |
| Us retroperitoneal limited (76775) range across 3 matching MRF lines |
$139.40–$1,141.55 | $164–$1,343 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$839.80–$881.45 | $988–$1,037 | varies |
| Us spinal canal and contents (76800) range across 2 matching MRF lines |
$385.05–$404.60 | $453–$476 | varies |
| Us thyroid (76536) range across 2 matching MRF lines |
$665.55–$698.70 | $783–$822 | varies |
| Vein X-Ray Chest (75827) | $2,185.35 | $2,571 | 1.3× |
| Venogram Sinus/Jugular (75860) | $4,351.15 | $5,119 | 1.3× |
| Venography Adrenal Unilateral (75840) | $4,351.15 | $5,119 | 1.3× |
| Venography caval inferior serialography rs&i (75825) | $2,861.10 | $3,366 | 0.9× |
| Venography extremity bilateral rs&i (75822) | $2,052.75 | $2,415 | 1.2× |
| Venography extremity unilateral rs&i (75820) range across 2 matching MRF lines |
$1,353.20–$1,421.20 | $1,592–$1,672 | varies |
| Venography Renal Bilateral (75833) | $4,351.15 | $5,119 | 1.3× |
| Venography Renal Unilateral (75831) | $4,351.15 | $5,119 | 1.3× |
| Vertebral fracture assessment via dxa (77086) | $112.20 | $132 | 1.2× |
| Wrist 2 views (73100) range across 6 matching MRF lines |
$230.35–$362.10 | $271–$426 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$345.95–$362.95 | $407–$427 | varies |
| X-ray antegrade pyelogram tube (74425) range across 2 matching MRF lines |
$673.20–$1,008.95 | $792–$1,187 | varies |
| X-Ray Aorta Leg Arteries (75630) range across 3 matching MRF lines |
$5,670.35–$5,954.25 | $168–$7,005 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 6 matching MRF lines |
$236.30–$472.60 | $278–$556 | varies |
| X-Ray Exam Breast Specimen (76098) range across 2 matching MRF lines |
$717.40–$753.10 | $844–$886 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 2 matching MRF lines |
$250.75–$263.50 | $295–$310 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$710.60–$746.30 | $836–$878 | varies |
| X-Ray Exam Entire Spi 4/5 Vw (72083) range across 2 matching MRF lines |
$710.60–$746.30 | $836–$878 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 3 matching MRF lines |
$340–$357 | $400–$420 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 3 matching MRF lines |
$280.50–$294.95 | $330–$347 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) | $1,422.05 | $1,673 | 12.9× |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 2 matching MRF lines |
$483.65–$507.45 | $569–$597 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$458.15–$481.10 | $539–$566 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 3 matching MRF lines |
$364.65–$382.50 | $429–$450 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 3 matching MRF lines |
$584.80–$613.70 | $688–$722 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 2 matching MRF lines |
$345.10–$362.10 | $406–$426 | varies |
| X-ray eye for foreign body (70030) range across 3 matching MRF lines |
$651.95–$1,026.80 | $767–$1,208 | varies |
| X-ray humerus (73060) range across 4 matching MRF lines |
$285.60–$449.65 | $336–$529 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $96.90 | $114 | 1.1× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$292.40–$306.85 | $344–$361 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$303.45–$318.75 | $357–$375 | varies |
| X-ray nose-rectum child f.b. (76010) range across 3 matching MRF lines |
$135.15–$141.95 | $159–$167 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$680.85–$714.85 | $801–$841 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$346.80–$363.80 | $408–$428 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$306–$321.30 | $360–$378 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$319.60–$335.75 | $376–$395 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$440.30–$462.40 | $518–$544 | varies |
| X-ray thoracic spine 4 vw (72074) | $433.50 | $510 | 3.9× |
| X-Rays Bone Length Studies (77073) range across 2 matching MRF lines |
$446.25–$468.35 | $525–$551 | varies |
| X-Rays Bone Survey Complete (77075) range across 3 matching MRF lines |
$679.15–$713.15 | $799–$839 | varies |
| Xr c-spine 4 or 5 views (72050) range across 3 matching MRF lines |
$589.05–$618.80 | $693–$728 | varies |
| Xr facial bones less than 3 views (70140) | $117.30 | $138 | 1.3× |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$381.65–$400.35 | $449–$471 | 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.