Imaging prices at UP Health System - Bell
Ishpeming, MI · every code in this section with a posted price and a Medicare benchmark.
290 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abdomen 1 View (74018) range across 2 matching MRF lines |
$109.97–$119.87 | $183.28–$199.78 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$250.04–$272.55 | $416.74–$454.25 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) range across 2 matching MRF lines |
$569.09–$620.30 | $948.48–$1,033.84 | varies |
| Angiography extremity bilateral rs&i (75716) | $1,359.29 | $2,265.49 | 0.4× |
| Angiography extremity unilateral rs&i (75710) | $1,382.22 | $2,303.70 | 0.4× |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$108.46–$118.22 | $180.76–$197.03 | varies |
| Aortography thoracic serialography rs&i (75605) unusually low: confirm this is the full procedure |
$1,934.31 | $3,223.85 | 0.3× |
| Artery X-Rays Abdomen (75726) likely a partial charge, not the full procedure |
$1,420.04 | $2,366.73 | 0.3× |
| Artery X-Rays Pelvis (75736) likely a partial charge, not the full procedure |
$1,419.67 | $2,366.12 | 0.3× |
| Arthrogram ankle (73615) range across 2 matching MRF lines |
$563.96–$614.71 | $939.93–$1,024.52 | varies |
| Arthrogram hip (73525) range across 3 matching MRF lines |
$527.87–$632.92 | $879.78–$1,054.86 | varies |
| Arthrogram Wrist (73115) range across 3 matching MRF lines |
$632.92–$696.28 | $1,054.86–$1,160.46 | varies |
| Bone age studies (77072) range across 2 matching MRF lines |
$656.41–$715.48 | $1,094.01–$1,192.47 | varies |
| Bone Imaging 3 Phase (78315) range across 2 matching MRF lines |
$775.90–$845.74 | $1,293.17–$1,409.56 | varies |
| Bone Imaging Limited Area (78300) range across 2 matching MRF lines |
$520.58–$567.43 | $867.63–$945.72 | varies |
| Bone Imaging Multiple Areas (78305) range across 2 matching MRF lines |
$775.90–$845.74 | $1,293.17–$1,409.56 | varies |
| Bone Imaging Whole Body (78306) range across 2 matching MRF lines |
$775.90–$845.74 | $1,293.17–$1,409.56 | varies |
| Bone survey infant (77076) range across 2 matching MRF lines |
$332.99–$362.96 | $554.99–$604.94 | varies |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) range across 2 matching MRF lines |
$612.32–$667.43 | $1,020.54–$1,112.39 | varies |
| Cat Scan Follow-Up Study (76380) range across 2 matching MRF lines |
$583.25–$635.75 | $972.09–$1,059.58 | varies |
| Cerebrospinal Fluid Scan (78630) range across 2 matching MRF lines |
$1,460.65–$1,592.11 | $2,434.41–$2,653.51 | varies |
| Chest 1 view (71045) range across 3 matching MRF lines |
$112.15–$165.98 | $186.91–$276.63 | varies |
| Chest 2 views (71046) range across 3 matching MRF lines |
$132.32–$175.59 | $220.53–$292.65 | varies |
| Chest 3 views (71047) range across 4 matching MRF lines |
$183.14–$224.15 | $305.23–$373.58 | varies |
| Chest 4 or more views (71048) range across 3 matching MRF lines |
$241.03–$262.72 | $401.72–$437.87 | varies |
| Cholecystography Oral Contrast (74290) range across 2 matching MRF lines |
$180.69–$196.95 | $301.15–$328.25 | varies |
| Clavicle complete (73000) range across 2 matching MRF lines |
$113.43–$123.64 | $189.05–$206.06 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 2 matching MRF lines |
$168.48–$183.64 | $280.80–$306.07 | varies |
| Contrast Exam Abdominl Aorta (75625) | $1,585.73 | $2,642.88 | 0.5× |
| Contrast X-Ray Bladder (74430) range across 2 matching MRF lines |
$255.95–$278.98 | $426.58–$464.97 | varies |
| Contrast X-Ray Of Elbow (73085) range across 2 matching MRF lines |
$580.66–$632.92 | $967.76–$1,054.86 | varies |
| Contrast X-Ray Of Knee Joint (73580) range across 2 matching MRF lines |
$580.66–$632.92 | $967.76–$1,054.86 | varies |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$2,504.81–$2,730.24 | $4,174.68–$4,550.40 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$1,759.52–$1,917.88 | $2,932.53–$3,196.46 | varies |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$1,241.12–$1,352.83 | $2,068.54–$2,254.71 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$1,393.47–$1,518.88 | $2,322.45–$2,531.47 | varies |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$935.47–$1,019.66 | $1,559.11–$1,699.43 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$2,429.33–$2,647.97 | $4,048.88–$4,413.28 | varies |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$780.86–$851.14 | $1,301.43–$1,418.56 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$1,063.92–$1,159.67 | $1,773.20–$1,932.79 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $1,072.21 | $1,787.01 | 6.1× |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$1,062.40–$1,158.02 | $1,770.67–$1,930.03 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 2 matching MRF lines |
$631.92–$688.79 | $1,053.20–$1,147.99 | varies |
| CT cervical spine w/ contrast (72126) range across 2 matching MRF lines |
$950.63–$1,036.19 | $1,584.39–$1,726.99 | varies |
| CT cervical spine w/o contrast (72125) range across 3 matching MRF lines |
$606.90–$956.58 | $1,011.50–$1,594.30 | varies |
| CT cervical spine w/wo cont (72127) range across 2 matching MRF lines |
$1,439.91–$1,569.50 | $2,399.85–$2,615.84 | varies |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$997.77–$1,087.57 | $1,662.95–$1,812.62 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$1,084.52–$1,182.13 | $1,807.53–$1,970.21 | varies |
| CT colonography screening (74263) range across 2 matching MRF lines |
$362.58–$395.21 | $604.30–$658.69 | varies |
| CT Colonogrphy Dx Image Postprocess W/Contrast (74262) range across 2 matching MRF lines |
$652.68–$711.42 | $1,087.80–$1,185.70 | varies |
| CT colonogrphy dx image postprocess w/o contrast (74261) range across 3 matching MRF lines |
$223.32–$367.16 | $372.20–$611.93 | varies |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$1,005.40–$1,095.88 | $1,675.66–$1,826.47 | varies |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$1,084.52–$1,182.13 | $1,807.53–$1,970.21 | varies |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$945.27–$1,030.34 | $1,575.45–$1,717.24 | varies |
| CT l-spine w&w/o contrast (72133) range across 2 matching MRF lines |
$1,439.91–$1,569.50 | $2,399.85–$2,615.84 | varies |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$828.39–$902.95 | $1,380.65–$1,504.91 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$896.93–$977.66 | $1,494.89–$1,629.43 | varies |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$1,212.70–$1,321.85 | $2,021.17–$2,203.08 | varies |
| CT lumbar spine w/o contrast (72131) range across 4 matching MRF lines |
$645.75–$1,038.85 | $1,076.25–$1,731.42 | varies |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$1,261.79–$1,375.35 | $2,102.98–$2,292.25 | varies |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$735.39–$801.58 | $1,225.65–$1,335.96 | varies |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$1,014.16–$1,105.43 | $1,690.27–$1,842.39 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 2 matching MRF lines |
$1,192.79–$1,300.15 | $1,987.99–$2,166.91 | varies |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$780.86–$851.14 | $1,301.43–$1,418.56 | varies |
| CT pelvis w&w/o contrast (72194) range across 2 matching MRF lines |
$1,222.04–$1,332.03 | $2,036.74–$2,220.05 | varies |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$907.70–$989.39 | $1,512.83–$1,648.98 | varies |
| CT scan of leg combo (73702) range across 2 matching MRF lines |
$1,023.14–$1,115.22 | $1,705.23–$1,858.70 | varies |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
$1,055.89–$1,150.92 | $1,759.82–$1,918.20 | varies |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$968.48–$1,055.65 | $1,614.14–$1,759.41 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$953.95–$1,039.81 | $1,589.92–$1,733.01 | varies |
| CT thoracic spine w contrast (72129) range across 2 matching MRF lines |
$964.36–$1,051.15 | $1,607.27–$1,751.92 | varies |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$964.36–$1,051.15 | $1,607.27–$1,751.92 | varies |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$894.77–$975.31 | $1,491.29–$1,625.51 | varies |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$702.77–$766.03 | $1,171.29–$1,276.71 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 2 matching MRF lines |
$983.88–$1,072.43 | $1,639.80–$1,787.38 | varies |
| CT upper extremity with contrast (73201) range across 3 matching MRF lines |
$728.79–$901.74 | $1,323.97–$1,502.90 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$694.09–$756.56 | $1,156.82–$1,260.93 | varies |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$889.31–$969.35 | $1,482.18–$1,615.58 | varies |
| CTA pelvis (72191) range across 2 matching MRF lines |
$896.69–$977.39 | $1,494.49–$1,628.99 | varies |
| Dilation ureters/urethra rs&i (74485) range across 2 matching MRF lines |
$491.51–$535.75 | $819.18–$892.91 | varies |
| Discography Cerv/Thor Spine (72285) | $530.85 | $884.75 | 0.3× |
| Diskography lumbar (72295) range across 2 matching MRF lines |
$767.62–$836.70 | $1,279.36–$1,394.50 | varies |
| Doppler Fetal Mid Cerebral Artery (76821) range across 2 matching MRF lines |
$305.95–$333.49 | $509.92–$555.81 | varies |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$243.11–$265 | $405.19–$441.66 | varies |
| Dxa bone density study 1/>sites appendiclr skel (77081) range across 2 matching MRF lines |
$98.05–$106.87 | $163.41–$178.12 | varies |
| Echo exam uterus (76831) range across 2 matching MRF lines |
$508.21–$553.94 | $847.01–$923.24 | varies |
| Esophagram (74220) range across 2 matching MRF lines |
$235.34–$256.52 | $392.24–$427.54 | varies |
| Fetal Biophys Profile W/Nst (76818) range across 2 matching MRF lines |
$355.09–$387.04 | $591.81–$645.07 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 2 matching MRF lines |
$240.07–$261.67 | $400.11–$436.12 | varies |
| Fluoroscopy up to 1 hr (76000) range across 4 matching MRF lines |
$330–$520.14 | $550–$866.90 | varies |
| Follow-Up Angiography (75898) | $177.18 | $295.30 | 0.1× |
| Foot 2 views (73620) range across 2 matching MRF lines |
$108.89–$118.69 | $181.49–$197.82 | varies |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$110.41–$120.35 | $184.02–$200.58 | varies |
| Gastric emptying imaging study (78264) range across 2 matching MRF lines |
$758.79–$827.08 | $1,264.65–$1,378.47 | varies |
| Gated Heart Planar Single (78472) range across 2 matching MRF lines |
$692.96–$755.32 | $1,154.93–$1,258.87 | varies |
| Gated Heart, Multiple (78473) range across 2 matching MRF lines |
$692.96–$755.32 | $1,154.93–$1,258.87 | varies |
| Heart first pass single,planar (78481) range across 2 matching MRF lines |
$692.96–$755.32 | $1,154.93–$1,258.87 | varies |
| Hepatobil Syst Image W/Drug (78227) range across 2 matching MRF lines |
$774.78–$844.51 | $1,291.30–$1,407.52 | varies |
| Hepatobiliary System Imaging (78226) range across 2 matching MRF lines |
$774.78–$844.51 | $1,291.30–$1,407.52 | varies |
| Ht Musc Image Planar Mult (78454) range across 2 matching MRF lines |
$1,807.14–$1,969.78 | $3,011.90–$3,282.97 | varies |
| Ht Muscle Image Spect Sing (78451) range across 2 matching MRF lines |
$1,807.14–$1,969.78 | $3,011.90–$3,282.97 | varies |
| Hysterosalpingogram (74740) range across 2 matching MRF lines |
$508.21–$553.94 | $847.01–$923.24 | varies |
| Infant hip ultrasound with hip movement (dynamic) (76885) range across 2 matching MRF lines |
$455.50–$496.50 | $759.17–$827.50 | varies |
| Infusion Ivp (74410) range across 2 matching MRF lines |
$390.43–$425.57 | $650.72–$709.28 | varies |
| K Flow/Funct Image W/O Drug (78707) range across 2 matching MRF lines |
$663.38–$723.08 | $1,105.63–$1,205.14 | varies |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) range across 2 matching MRF lines |
$942.98–$1,027.85 | $1,571.64–$1,713.09 | varies |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$104.11–$113.48 | $173.51–$189.13 | varies |
| Liver & Spleen Imaging Static Only (78215) range across 2 matching MRF lines |
$630.52–$687.26 | $1,050.86–$1,145.44 | varies |
| Lung Ventilat&Perfus Imaging (78582) range across 3 matching MRF lines |
$1,547.83–$1,687.13 | $2,579.72–$2,811.89 | varies |
| Lung Ventilation Imaging (78579) range across 2 matching MRF lines |
$858.07–$935.30 | $1,430.12–$1,558.83 | varies |
| Lymph System Imaging (78195) range across 2 matching MRF lines |
$954.38–$1,040.27 | $1,590.63–$1,733.79 | varies |
| Magnetic Image Jaw Joint (70336) range across 2 matching MRF lines |
$1,777.96–$1,937.98 | $2,963.27–$3,229.96 | varies |
| Mammary ductogram or galactogram multiple (77054) range across 3 matching MRF lines |
$500.71–$729.73 | $834.52–$1,216.22 | varies |
| Mammary ductogram or galactogram single (77053) range across 2 matching MRF lines |
$669.48–$729.73 | $1,115.80–$1,216.22 | varies |
| Meckels Divert Exam (78290) range across 2 matching MRF lines |
$569.09–$620.30 | $948.48–$1,033.84 | varies |
| Mra Head W/O & W/Contrast Material (70546) range across 2 matching MRF lines |
$2,223.10–$2,423.17 | $3,705.16–$4,038.62 | varies |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$1,672.76–$1,823.31 | $2,787.94–$3,038.85 | varies |
| MRA head with contrast (70545) range across 2 matching MRF lines |
$2,001.80–$2,181.96 | $3,336.33–$3,636.60 | varies |
| MRA neck w contrast (70548) range across 2 matching MRF lines |
$2,001.80–$2,181.96 | $3,336.33–$3,636.60 | varies |
| Mra Neck W/O &W/Contrast Material (70549) range across 2 matching MRF lines |
$2,150.39–$2,343.93 | $3,583.99–$3,906.55 | varies |
| MRA neck w/o contrast (70547) range across 2 matching MRF lines |
$1,624.05–$1,770.22 | $2,706.75–$2,950.36 | varies |
| MRI abdomen w contrast (74182) range across 2 matching MRF lines |
$2,410.45–$2,627.39 | $4,017.42–$4,378.99 | varies |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$1,935.87–$2,110.10 | $3,226.45–$3,516.83 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 2 matching MRF lines |
$1,699.45–$1,852.40 | $2,832.42–$3,087.34 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$2,187.26–$2,384.11 | $3,645.43–$3,973.52 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 2 matching MRF lines |
$1,797.27–$1,959.02 | $2,995.45–$3,265.04 | varies |
| MRI bone marrow blood supply (77084) | $1,194.45 | $1,990.75 | 5.0× |
| MRI cervical spine w contrast (72142) range across 2 matching MRF lines |
$2,001.80–$2,181.96 | $3,336.33–$3,636.60 | varies |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$1,863.86–$2,031.61 | $3,106.44–$3,386.02 | varies |
| MRI chest w/o contrast (71550) range across 2 matching MRF lines |
$1,041.14–$1,134.84 | $1,735.23–$1,891.40 | varies |
| MRI chest with contrast (71551) range across 2 matching MRF lines |
$1,388.19–$1,513.13 | $2,313.65–$2,521.88 | varies |
| MRI chest wo w contrast (71552) range across 2 matching MRF lines |
$2,082.28–$2,269.69 | $3,470.47–$3,782.81 | varies |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 2 matching MRF lines |
$2,001.80–$2,181.96 | $3,336.33–$3,636.60 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 3 matching MRF lines |
$2,187.26–$2,384.11 | $3,645.43–$3,973.52 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines |
$1,644.36–$1,792.35 | $2,740.60–$2,987.25 | varies |
| MRI lumbar spine w contrast (72149) range across 2 matching MRF lines |
$2,054.51–$2,239.42 | $3,424.18–$3,732.36 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$2,290.95–$2,497.13 | $3,818.25–$4,161.89 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 2 matching MRF lines |
$1,771.90–$1,931.38 | $2,953.17–$3,218.96 | varies |
| MRI orbit face neck w contrast (70542) range across 2 matching MRF lines |
$1,754.54–$1,912.45 | $2,924.23–$3,187.41 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 2 matching MRF lines |
$2,069.71–$2,255.98 | $3,449.51–$3,759.97 | varies |
| MRI pelvis w contrast (72196) range across 2 matching MRF lines |
$2,001.80–$2,181.96 | $3,336.33–$3,636.60 | varies |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$2,380.74–$2,595.01 | $3,967.90–$4,325.01 | varies |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$1,910.93–$2,082.92 | $3,184.89–$3,471.53 | varies |
| MRI spectroscopy (76390) | $1,283.17 | $2,138.61 | 14.8× |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$1,957.78–$2,133.98 | $3,262.96–$3,556.63 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 2 matching MRF lines |
$2,001.80–$2,181.96 | $3,336.33–$3,636.60 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 2 matching MRF lines |
$1,707.47–$1,861.14 | $2,845.78–$3,101.90 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 2 matching MRF lines |
$1,813.67–$1,976.90 | $3,022.79–$3,294.84 | varies |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$2,250.38–$2,452.92 | $3,750.64–$4,088.20 | varies |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$2,164.70–$2,359.53 | $3,607.84–$3,932.55 | varies |
| MRI, dorsal spine contrast (72147) range across 2 matching MRF lines |
$1,981.57–$2,159.90 | $3,302.61–$3,599.84 | varies |
| MRI, joint upper extrem (73221) range across 2 matching MRF lines |
$1,701.40–$1,854.52 | $2,835.66–$3,090.87 | varies |
| MRI, joint upper extrem combo (73223) range across 2 matching MRF lines |
$2,602.85–$2,837.11 | $4,338.09–$4,728.52 | varies |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$2,417.40–$2,634.97 | $4,029–$4,391.61 | varies |
| Myelogram cervical (72240) range across 2 matching MRF lines |
$520.58–$567.43 | $867.63–$945.72 | varies |
| Myelogram Lumbar (72265) range across 2 matching MRF lines |
$982.49–$1,070.91 | $1,637.48–$1,784.85 | varies |
| Myelography thoracic (72255) range across 2 matching MRF lines |
$520.58–$567.43 | $867.63–$945.72 | varies |
| Myelograpy 2/more regions rs&i (72270) range across 2 matching MRF lines |
$1,010.96–$1,101.94 | $1,684.93–$1,836.57 | varies |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) range across 2 matching MRF lines |
$692.96–$755.32 | $1,154.93–$1,258.87 | varies |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) range across 2 matching MRF lines |
$573.71–$625.35 | $956.19–$1,042.25 | varies |
| Myocardial Spect Multiple Studies (78452) range across 3 matching MRF lines |
$1,436.55–$2,837.11 | $2,394.25–$4,728.52 | varies |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$105.62–$115.13 | $176.04–$191.88 | varies |
| Nuclear Rx Oral Admin (79005) range across 2 matching MRF lines |
$1,036.37–$1,129.64 | $1,727.28–$1,882.74 | varies |
| Ophthalmic Ultrasonic Foreign Body Localization (76529) range across 2 matching MRF lines |
$197.40–$215.17 | $329–$358.61 | varies |
| Ophthalmic us dx quantitative a-scan only (76511) range across 2 matching MRF lines |
$316.03–$344.47 | $526.72–$574.12 | varies |
| Optic foramina (70190) | $117.45 | $195.75 | 1.4× |
| Parathyroid Planar Imaging (78070) range across 2 matching MRF lines |
$505.25–$550.73 | $842.09–$917.88 | varies |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$106.94–$116.57 | $178.24–$194.28 | varies |
| Pulmonary Perfusion Imaging Particulate (78580) range across 2 matching MRF lines |
$690.20–$752.32 | $1,150.34–$1,253.87 | varies |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$151.16–$164.77 | $251.94–$274.61 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 2 matching MRF lines |
$273.45–$298.06 | $455.75–$496.77 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$108.46–$118.22 | $180.76–$197.03 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$130.51–$234.53 | $217.52–$390.88 | varies |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$125.80–$137.12 | $209.67–$228.54 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$186.54–$203.33 | $310.90–$338.88 | varies |
| Radex fingr minimum 2 views (73140) range across 3 matching MRF lines |
$95.45–$104.04 | $159.08–$173.40 | varies |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$118.44–$129.10 | $197.40–$215.17 | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$121.03–$131.92 | $201.72–$219.87 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 2 matching MRF lines |
$108.46–$118.22 | $180.76–$197.03 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) range across 2 matching MRF lines |
$147.50–$160.77 | $245.83–$267.95 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$132.53–$144.46 | $220.88–$240.76 | varies |
| Radex Pharynx/Larx W/Fluor&/Magnification Tq (70370) range across 2 matching MRF lines |
$329.61–$359.27 | $549.35–$598.79 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 2 matching MRF lines |
$183.14–$199.62 | $305.23–$332.70 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$127.11–$138.55 | $211.85–$230.92 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$106.94–$116.57 | $178.24–$194.28 | varies |
| Radex Spine 1 View Specify Level (72020) range across 3 matching MRF lines |
$91.10–$99.29 | $151.83–$165.49 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 3 matching MRF lines |
$147.77–$170.23 | $246.29–$283.71 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$227.32–$247.78 | $378.86–$412.96 | varies |
| Radex Toe Minimum 2 Views (73660) range across 2 matching MRF lines |
$94.79–$103.32 | $157.98–$172.20 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 2 matching MRF lines |
$109.76–$119.63 | $182.93–$199.39 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$119.95–$130.74 | $199.91–$217.90 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$163.76–$178.50 | $272.94–$297.50 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 2 matching MRF lines |
$250.04–$272.55 | $416.74–$454.25 | varies |
| Radiologic exam colon double contrast study (74280) range across 2 matching MRF lines |
$412.76–$449.91 | $687.94–$749.85 | varies |
| Radiologic exam colon single contrast study (74270) range across 2 matching MRF lines |
$313.21–$341.40 | $522.02–$569 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$192.53–$209.86 | $320.88–$349.76 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$185.67–$202.38 | $309.45–$337.30 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 3 matching MRF lines |
$257.26–$280.41 | $428.76–$467.35 | varies |
| Radiologic exam swallow function contrast study (74230) range across 2 matching MRF lines |
$268.48–$292.64 | $447.47–$487.74 | varies |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$433.17–$472.16 | $721.95–$786.93 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$104.11–$113.48 | $173.51–$189.13 | varies |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$104.11–$113.48 | $173.51–$189.13 | varies |
| Radiologic Examination Salivary Gland Calculus (70380) range across 2 matching MRF lines |
$140.27–$152.89 | $233.78–$254.82 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 2 matching MRF lines |
$108.46–$118.22 | $180.76–$197.03 | varies |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$286.32–$312.09 | $477.20–$520.15 | varies |
| Rp loclzj tum plnr 1 area single day imaging (78800) range across 2 matching MRF lines |
$773.18–$842.77 | $1,288.64–$1,404.62 | varies |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) range across 2 matching MRF lines |
$660.04–$719.44 | $1,100.06–$1,199.07 | varies |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 4 matching MRF lines |
$709.28–$1,042.67 | $1,182.13–$1,737.78 | varies |
| Salivary Gland Imaging Serial Images (78231) range across 2 matching MRF lines |
$569.09–$620.30 | $948.48–$1,033.84 | varies |
| Scapula (73010) range across 2 matching MRF lines |
$121.46–$132.40 | $202.44–$220.66 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 3 matching MRF lines |
$40.40–$80.80 | $67.34–$134.66 | varies |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$92.41–$100.73 | $154.02–$167.88 | varies |
| Shoulder Arthrography (73040) range across 3 matching MRF lines |
$607.13–$727.96 | $1,011.89–$1,213.26 | varies |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$135.35–$147.53 | $225.59–$245.89 | varies |
| Sternoclavicular joints (71130) range across 2 matching MRF lines |
$135.57–$147.77 | $225.95–$246.29 | varies |
| Testicular Imaging W/Flow (78761) range across 2 matching MRF lines |
$885.25–$964.92 | $1,475.41–$1,608.20 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$190.88–$208.06 | $318.13–$346.76 | varies |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$149.44–$162.89 | $249.07–$271.49 | varies |
| Thyroid Imaging With Vascular Flow (78013) range across 2 matching MRF lines |
$362.14–$394.73 | $603.57–$657.89 | varies |
| Thyroid Met Imaging Body (78018) range across 2 matching MRF lines |
$684.99–$746.64 | $1,141.65–$1,244.40 | varies |
| Thyroid Uptake Measurement (78012) range across 2 matching MRF lines |
$312.35–$340.46 | $520.58–$567.43 | varies |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) range across 2 matching MRF lines |
$692.80–$755.15 | $1,154.67–$1,258.59 | varies |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$270.23–$294.55 | $450.38–$490.91 | varies |
| Ultrasound elastography first target lesion (76982) range across 2 matching MRF lines |
$159.51–$173.87 | $265.85–$289.78 | varies |
| Ultrasound Elastography Parenchyma (76981) range across 2 matching MRF lines |
$159.51–$173.87 | $265.85–$289.78 | varies |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
$237.31–$258.67 | $395.52–$431.12 | varies |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$477.19–$520.14 | $795.32–$866.90 | varies |
| Umbilical-artery Doppler (OB) (76820) range across 2 matching MRF lines |
$345.53–$376.63 | $575.88–$627.71 | varies |
| Upper gi w/o kub (74240) range across 3 matching MRF lines |
$281.97–$563.87 | $469.95–$939.79 | varies |
| Urethrocystogram voiding (74455) range across 2 matching MRF lines |
$390.43–$425.57 | $650.72–$709.28 | varies |
| Urethrocystography retrograde (74450) range across 2 matching MRF lines |
$223.81–$243.95 | $373.01–$406.58 | varies |
| Us breast unilateral complete (76641) range across 2 matching MRF lines |
$270.23–$294.55 | $450.38–$490.91 | varies |
| Us chest (76604) range across 2 matching MRF lines |
$346.52–$377.71 | $577.54–$629.52 | varies |
| Us complete joint (76881) range across 2 matching MRF lines |
$431.48–$470.32 | $719.14–$783.86 | varies |
| Us exam, pelvic, limited (76857) range across 3 matching MRF lines |
$161.38–$329.93 | $268.96–$549.89 | varies |
| Us head (76506) range across 2 matching MRF lines |
$283.97–$309.53 | $473.29–$515.89 | varies |
| Us kidney transplant (76776) range across 2 matching MRF lines |
$477.19–$520.14 | $795.32–$866.90 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 3 matching MRF lines |
$85.12–$493.19 | $141.86–$821.99 | varies |
| Us ob detailed single fetus (76811) range across 2 matching MRF lines |
$541.39–$590.12 | $902.32–$983.53 | varies |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$178.94–$195.05 | $298.24–$325.08 | varies |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$253.55–$276.37 | $422.59–$460.62 | varies |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$422.75–$460.79 | $704.58–$767.99 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$477.19–$520.14 | $795.32–$866.90 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 2 matching MRF lines |
$253.55–$276.37 | $422.59–$460.62 | varies |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$477.19–$520.14 | $795.32–$866.90 | varies |
| Us retroperitoneal limited (76775) range across 3 matching MRF lines |
$339.90–$520.14 | $566.50–$866.90 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$460.61–$502.07 | $767.69–$836.78 | varies |
| Us spinal canal and contents (76800) range across 2 matching MRF lines |
$236.91–$258.23 | $394.85–$430.39 | varies |
| Us thyroid (76536) range across 2 matching MRF lines |
$452.47–$493.19 | $754.12–$821.99 | varies |
| Us transrectal (76872) range across 2 matching MRF lines |
$321.67–$350.62 | $536.11–$584.36 | varies |
| Vascular Flow Imaging (78445) range across 2 matching MRF lines |
$739.24–$805.77 | $1,232.06–$1,342.95 | varies |
| Vein X-Ray Chest (75827) | $602.24 | $1,003.74 | 0.4× |
| Venography caval inferior serialography rs&i (75825) | $1,981.18 | $3,301.97 | 0.6× |
| Venography extremity unilateral rs&i (75820) range across 2 matching MRF lines |
$785.62–$856.33 | $1,309.37–$1,427.21 | varies |
| Venous thrombosis imaging (78457) range across 4 matching MRF lines |
$293.55–$616.84 | $489.25–$1,028.06 | varies |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$111.49–$121.52 | $185.82–$202.54 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$124.07–$135.23 | $206.78–$225.39 | varies |
| X-ray antegrade pyelogram tube (74425) range across 2 matching MRF lines |
$390.43–$425.57 | $650.72–$709.28 | varies |
| X-Ray Aorta Leg Arteries (75630) range across 2 matching MRF lines |
$1,926.02–$2,099.36 | $3,210.04–$3,498.94 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$114.96–$125.30 | $191.60–$208.84 | varies |
| X-Ray Exam Breast Specimen (76098) range across 2 matching MRF lines |
$113.23–$123.42 | $188.72–$205.70 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 2 matching MRF lines |
$108.67–$118.45 | $181.12–$197.42 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$303.67–$331 | $506.12–$551.67 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 2 matching MRF lines |
$104.11–$113.48 | $173.51–$189.13 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 3 matching MRF lines |
$113.48–$151.31 | $189.13–$252.18 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $138.82 | $231.36 | 1.3× |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$278.51–$303.58 | $464.18–$505.96 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$126.46–$137.84 | $210.76–$229.73 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$241.19–$262.90 | $401.98–$438.16 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 2 matching MRF lines |
$267.05–$291.08 | $445.08–$485.14 | varies |
| X-ray humerus (73060) range across 2 matching MRF lines |
$124.07–$135.23 | $206.78–$225.39 | varies |
| X-ray IV pyelogram (ivp) (74400) range across 2 matching MRF lines |
$351.39–$383.02 | $585.65–$638.36 | varies |
| X-ray IV pyelogram+tomography (74415) range across 2 matching MRF lines |
$390.43–$425.57 | $650.72–$709.28 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 2 matching MRF lines |
$111.49–$121.52 | $185.82–$202.54 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$121.68–$132.63 | $202.80–$221.05 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$180.64–$196.90 | $301.06–$328.16 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$245.98–$268.12 | $409.96–$446.86 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$130.79–$142.57 | $217.99–$237.61 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$127.33–$138.79 | $212.21–$231.31 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$176.13–$191.98 | $293.55–$319.97 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$207.36–$226.02 | $345.60–$376.70 | varies |
| X-Ray Tmj Unilat (70328) range across 2 matching MRF lines |
$126.46–$137.84 | $210.76–$229.73 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 2 matching MRF lines |
$390.43–$425.57 | $650.72–$709.28 | varies |
| X-Rays Bone Length Studies (77073) range across 3 matching MRF lines |
$181.11–$202.62 | $301.85–$337.70 | varies |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$360.93–$393.41 | $601.55–$655.69 | varies |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$167.89–$183 | $279.82–$305 | varies |
| Xr facial bones less than 3 views (70140) range across 2 matching MRF lines |
$164.85–$179.69 | $274.75–$299.48 | varies |
| XR Mastoids < 3 Views Bilateral (70120) range across 2 matching MRF lines |
$120.04–$130.85 | $200.07–$218.08 | varies |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$168.76–$183.95 | $281.27–$306.58 | varies |
| Xr Tomogram Single Plane (76100) range across 2 matching MRF lines |
$260.29–$283.71 | $433.81–$472.85 | 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.