Imaging prices at Belton Regional Medical Center
Belton, MO · every code in this section with a posted price and a Medicare benchmark.
341 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) | $2,643.44 | $2,643.44 | 30.3× |
| Abdomen 2 views (74019) | $3,927.28 | $3,927.28 | 37.5× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $5,445.40 | $5,445.40 | 13.6× |
| Angio internal mammary (75756) | $6,456.50 | $6,456.50 | 2.0× |
| Angio pulmonary bilat (75743) | $19,939.71 | $19,939.71 | 6.3× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $29,300.16 | $29,300.16 | 9.3× |
| Angiography extremity bilateral rs&i (75716) range across 3 matching MRF lines |
$6,385.12–$20,017.45 | $6,385.12–$20,017.45 | varies |
| Angiography extremity unilateral rs&i (75710) range across 6 matching MRF lines |
$8,026.96–$20,017.45 | $8,026.96–$20,017.45 | varies |
| Angiography pulmonary unilateral slctv rs&i (75741) | $13,484.06 | $13,484.06 | 4.3× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $13,484.06 | $13,484.06 | 4.3× |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$1,793.40–$3,596.71 | $1,793.40–$3,596.71 | varies |
| Aortography thoracic serialography rs&i (75605) | $17,948.61 | $17,948.61 | 3.2× |
| Artery X-Rays Abdomen (75726) | $21,417.37 | $21,417.37 | 3.8× |
| Artery X-Rays Adrenal Gland (75731) | $28,693.31 | $28,693.31 | 9.1× |
| Artery X-Rays Pelvis (75736) | $18,911.66 | $18,911.66 | 3.4× |
| Artery X-Rays Spine (75705) | $12,471.79 | $12,471.79 | 2.2× |
| Arthrogram ankle (73615) | $4,924.45 | $4,924.45 | 14.1× |
| Arthrogram hip (73525) | $4,924.45 | $4,924.45 | 14.1× |
| Arthrogram Wrist (73115) | $4,924.45 | $4,924.45 | 14.1× |
| Basic radiation dosimetry calculation (77300) | $2,362.32 | $2,362.32 | 17.5× |
| Bone age studies (77072) | $4,051.37 | $4,051.37 | 38.7× |
| Bone Imaging 3 Phase (78315) | $7,521.89 | $7,521.89 | 18.8× |
| Bone Imaging Limited Area (78300) | $4,676.90 | $4,676.90 | 11.7× |
| Bone Imaging Multiple Areas (78305) | $8,968.94 | $8,968.94 | 22.4× |
| Bone Imaging Whole Body (78306) | $8,968.94 | $8,968.94 | 22.4× |
| Bone marrow imaging limited area (78102) | $3,373.70 | $3,373.70 | 8.4× |
| Bone survey infant (77076) | $4,867.37 | $4,867.37 | 46.5× |
| Brain Flow Imaging Only (78610) | $5,148.06 | $5,148.06 | 9.5× |
| Brain Imaging Minimum 4 Static Views (78605) | $6,963.21 | $6,963.21 | 12.8× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $7,198.41 | $7,198.41 | 5.0× |
| Cat Scan Follow-Up Study (76380) | $6,462.64 | $6,462.64 | 74.1× |
| Cerebrospinal Fluid Scan (78630) | $7,394.81 | $7,394.81 | 13.6× |
| Chest 1 view (71045) | $2,051.50 | $2,051.50 | 23.5× |
| Chest 2 views (71046) | $3,471.51 | $3,471.51 | 39.8× |
| Chest 3 views (71047) | $3,576.94 | $3,576.94 | 41.0× |
| Chest 4 or more views (71048) | $6,255.53 | $6,255.53 | 59.7× |
| Clavicle complete (73000) range across 3 matching MRF lines |
$2,876.25–$5,758.04 | $2,876.25–$5,758.04 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $702.84 | $702.84 | 6.7× |
| Continuing medical physics consltj pr wk (77336) | $3,169.25 | $3,169.25 | 23.5× |
| Contrast Exam Abdominl Aorta (75625) range across 2 matching MRF lines |
$13,218.83–$20,017.45 | $13,218.83–$20,017.45 | varies |
| Contrast X-Ray Bladder (74430) range across 2 matching MRF lines |
$1,890.05–$4,414.86 | $1,890.05–$4,414.86 | varies |
| Contrast X-Ray Of Elbow (73085) | $4,924.45 | $4,924.45 | 14.1× |
| Contrast X-Ray Of Knee Joint (73580) | $4,924.45 | $4,924.45 | 14.1× |
| Contrast Xray Throat/Cerv Esopha (74210) | $2,706.05 | $2,706.05 | 15.4× |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$3,199.87–$25,071.56 | $3,199.87–$25,071.56 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$2,813.67–$19,876.28 | $2,813.67–$19,876.28 | varies |
| CT abdomen w contrast (74160) | $12,469.13 | $12,469.13 | 71.0× |
| CT abdomen w wo contrast (74170) | $15,373.48 | $15,373.48 | 87.5× |
| CT abdomen w/o contrast (74150) | $12,469.13 | $12,469.13 | 119.1× |
| CT Angio Abdomen and Pelvis (74174) | $38,063.46 | $38,063.46 | 108.9× |
| CT Angio Chest (71275) | $19,031.74 | $19,031.74 | 108.3× |
| CT Angio Head (70496) | $19,031.74 | $19,031.74 | 108.3× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 3 matching MRF lines |
$19,031.74–$39,601.55 | $19,031.74–$39,601.55 | varies |
| CT Angio Neck (70498) | $19,031.74 | $19,031.74 | 108.3× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 2 matching MRF lines |
$19,031.74–$39,601.55 | $19,031.74–$39,601.55 | varies |
| CT cervical spine w/ contrast (72126) | $14,886.62 | $14,886.62 | 42.6× |
| CT cervical spine w/o contrast (72125) | $14,886.62 | $14,886.62 | 142.2× |
| CT cervical spine w/wo cont (72127) | $15,373.48 | $15,373.48 | 87.5× |
| CT chest w contrast (71260) | $14,128 | $14,128 | 80.4× |
| CT chest w/wo contrast (71270) | $15,373.48 | $15,373.48 | 87.5× |
| CT head/brain with contrast (70460) | $12,469.13 | $12,469.13 | 71.0× |
| CT head/brain without and with contrast (70470) | $15,373.48 | $15,373.48 | 87.5× |
| CT heart no contrast quant eval coronry calcium (75571) | $302.96 | $302.96 | 3.5× |
| CT iac w contrast (70481) | $12,258.80 | $12,258.80 | 69.8× |
| CT l-spine w&w/o contrast (72133) | $15,373.48 | $15,373.48 | 87.5× |
| CT lower ext w/o (73700) range across 3 matching MRF lines |
$9,716.82–$19,401.41 | $9,716.82–$19,401.41 | varies |
| CT lower extremity w/contrast material (73701) range across 3 matching MRF lines |
$9,716.82–$19,401.41 | $9,716.82–$19,401.41 | varies |
| CT lumbar spine w contrast (72132) | $14,836.11 | $14,836.11 | 42.5× |
| CT lumbar spine w/o contrast (72131) | $14,836.11 | $14,836.11 | 141.7× |
| CT maxillofacial w contrast (70487) | $12,258.80 | $12,258.80 | 69.8× |
| CT maxillofacial wo contrast (70486) | $12,426.43 | $12,426.43 | 118.7× |
| CT neck tissue combo (70492) | $13,671.14 | $13,671.14 | 77.8× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $15,373.48 | $15,373.48 | 87.5× |
| CT orbits w/o contrast (70480) | $12,258.80 | $12,258.80 | 117.1× |
| CT pelvis w&w/o contrast (72194) | $11,954.67 | $11,954.67 | 68.0× |
| CT pelvis w/o contrast (72192) | $9,195.14 | $9,195.14 | 87.8× |
| CT scan of leg combo (73702) range across 3 matching MRF lines |
$10,263.55–$20,506.28 | $10,263.55–$20,506.28 | varies |
| CT scans face/jaw combo (70488) | $15,373.48 | $15,373.48 | 87.5× |
| CT soft tissue neck w contrast (70491) | $10,263.55 | $10,263.55 | 58.4× |
| CT soft tissue neck w/o contrast (70490) | $10,263.55 | $10,263.55 | 98.0× |
| CT thoracic spine w contrast (72129) | $14,836.11 | $14,836.11 | 84.4× |
| CT thoracic spine w/o contrast (72128) | $14,836.11 | $14,836.11 | 141.7× |
| CT thoracic spine w/wo cont (72130) | $15,373.48 | $15,373.48 | 87.5× |
| CT thorax w/o contrast (71250) | $14,128 | $14,128 | 134.9× |
| CT upper ext wo (73200) range across 3 matching MRF lines |
$9,716.82–$19,401.41 | $9,716.82–$19,401.41 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 3 matching MRF lines |
$10,263.55–$20,506.28 | $10,263.55–$20,506.28 | varies |
| CT upper extremity with contrast (73201) range across 3 matching MRF lines |
$9,716.82–$19,401.41 | $9,716.82–$19,401.41 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $19,031.74 | $19,031.74 | 108.3× |
| Cta Abdomen (74175) | $19,031.74 | $19,031.74 | 108.3× |
| CTA pelvis (72191) | $19,031.74 | $19,031.74 | 108.3× |
| Dilation ureters/urethra rs&i (74485) | $10,201.47 | $10,201.47 | 4.9× |
| Discography Cerv/Thor Spine (72285) | $5,413.69 | $5,413.69 | 2.8× |
| Diskography lumbar (72295) | $5,557.03 | $5,557.03 | 2.8× |
| Dxa Bone Density Axial (77080) | $1,597.94 | $1,597.94 | 15.3× |
| Dxa bone density study 1/>sites appendiclr skel (77081) range across 2 matching MRF lines |
$1,275.04–$2,234.89 | $1,275.04–$2,234.89 | varies |
| Echo exam uterus (76831) | $5,790.81 | $5,790.81 | 24.2× |
| Echo Guide For Artery Repair (76936) | $7,238.25 | $7,238.25 | 33.5× |
| Esophagram (74220) | $2,643.44 | $2,643.44 | 15.0× |
| Fetal Biophys Profile W/Nst (76818) | $3,248.33 | $3,248.33 | 31.0× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $3,255.02 | $3,255.02 | 31.1× |
| Fluoroscopy up to 1 hr (76000) range across 4 matching MRF lines |
$1,200.38–$2,970.72 | $1,200.38–$2,970.72 | varies |
| Follow-Up Angiography (75898) | $5,339.80 | $5,339.80 | 1.7× |
| Foot 2 views (73620) range across 3 matching MRF lines |
$2,444.66–$4,905.79 | $2,444.66–$4,905.79 | varies |
| Forearm 2 views (73090) range across 3 matching MRF lines |
$1,793.40–$3,596.71 | $1,793.40–$3,596.71 | varies |
| Gastric emptying imaging study (78264) range across 2 matching MRF lines |
$7,348.04–$9,297.44 | $7,348.04–$9,297.44 | varies |
| Gated Heart Planar Single (78472) | $5,950.13 | $5,950.13 | 14.9× |
| Hand 2 views (73120) range across 3 matching MRF lines |
$2,444.66–$4,905.79 | $2,444.66–$4,905.79 | varies |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $13,218.83 | $13,218.83 | 4.2× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $10,496.50 | $10,496.50 | 3.3× |
| Hepatobil Syst Image W/Drug (78227) | $2,739.50 | $2,739.50 | 5.0× |
| Hepatobiliary System Imaging (78226) | $2,739.50 | $2,739.50 | 6.8× |
| Ht Muscle Image Spect Sing (78451) | $18,717.19 | $18,717.19 | 14.4× |
| Hysterosalpingogram (74740) | $4,077.71 | $4,077.71 | 17.1× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $3,087.24 | $3,087.24 | 35.4× |
| Infant hip ultrasound, limited static exam (76886) | $2,488.83 | $2,488.83 | 28.6× |
| Infusion Ivp (74410) | $4,817.93 | $4,817.93 | 27.4× |
| K Flow/Funct Image Multiple (78709) | $13,154.31 | $13,154.31 | 24.2× |
| K Flow/Funct Image W/Drug (78708) | $7,854.78 | $7,854.78 | 14.4× |
| K Flow/Funct Image W/O Drug (78707) | $7,854.78 | $7,854.78 | 14.4× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $3,697.40 | $3,697.40 | 9.2× |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$2,328.24–$4,647.72 | $2,328.24–$4,647.72 | varies |
| Liver & Spleen Imaging Static Only (78215) | $8,471.41 | $8,471.41 | 21.2× |
| Liver imaging static only (78201) | $1,511.42 | $1,511.42 | 2.8× |
| Lung Perf&Ventilat Diferentl (78598) | $2,952.90 | $2,952.90 | 5.4× |
| Lung perfusion differential (78597) | $1,889.46 | $1,889.46 | 4.7× |
| Lung Ventilat&Perfus Imaging (78582) | $2,952.90 | $2,952.90 | 5.4× |
| Lung Ventilation Imaging (78579) | $1,889.46 | $1,889.46 | 4.7× |
| Lymph System Imaging (78195) | $9,045.68 | $9,045.68 | 16.6× |
| Magnetic Image Jaw Joint (70336) | $13,178.96 | $13,178.96 | 55.1× |
| Mammary ductogram or galactogram multiple (77054) | $5,266 | $5,266 | 22.0× |
| Mammary ductogram or galactogram single (77053) | $3,518.74 | $3,518.74 | 14.7× |
| Meckels Divert Exam (78290) | $6,525.59 | $6,525.59 | 16.3× |
| Mra Head W/O & W/Contrast Material (70546) | $14,295.68 | $14,295.68 | 40.9× |
| MRA head w/o contrast (70544) | $16,546.83 | $16,546.83 | 69.2× |
| MRA head with contrast (70545) | $15,721.64 | $15,721.64 | 45.0× |
| MRA neck w contrast (70548) | $18,388.89 | $18,388.89 | 52.6× |
| Mra Neck W/O &W/Contrast Material (70549) | $20,438.56 | $20,438.56 | 58.5× |
| MRA neck w/o contrast (70547) | $16,546.83 | $16,546.83 | 69.2× |
| MRI abdomen w contrast (74182) | $14,354.01 | $14,354.01 | 41.1× |
| MRI abdomen w/o contrast (74181) | $14,069.53 | $14,069.53 | 58.9× |
| MRI any jt lower extrem w/contrast material (73722) range across 3 matching MRF lines |
$16,867.52–$33,738.56 | $16,867.52–$33,738.56 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 3 matching MRF lines |
$15,781.69–$33,674.98 | $15,781.69–$33,674.98 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 3 matching MRF lines |
$14,354.01–$28,698.48 | $14,354.01–$28,698.48 | varies |
| MRI Breast W/O Contrast Bilateral (77047) | $8,473.52 | $8,473.52 | 35.5× |
| MRI Breast Without Contrast Material Unilateral (77046) | $6,435.31 | $6,435.31 | 26.9× |
| MRI cervical spine w contrast (72142) | $19,118.66 | $19,118.66 | 54.7× |
| MRI cervical spine w/o cont (72141) | $12,716.91 | $12,716.91 | 53.2× |
| MRI chest w/o contrast (71550) | $14,069.53 | $14,069.53 | 58.9× |
| MRI chest with contrast (71551) | $15,479.55 | $15,479.55 | 19.7× |
| MRI chest wo w contrast (71552) | $17,027.43 | $17,027.43 | 48.7× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 3 matching MRF lines |
$14,354.01–$25,161.70 | $14,354.01–$25,161.70 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 3 matching MRF lines |
$13,178.96–$26,347.33 | $13,178.96–$26,347.33 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 3 matching MRF lines |
$13,917.57–$24,299.42 | $13,917.57–$24,299.42 | varies |
| MRI lumbar spine w contrast (72149) | $19,279.10 | $19,279.10 | 55.2× |
| Mri Neck Spine W/O & W/Dye (72156) | $19,087.73 | $19,087.73 | 54.6× |
| MRI orbit face &/neck w/o contrast (70540) | $12,716.91 | $12,716.91 | 53.2× |
| MRI orbit face neck w contrast (70542) | $12,716.91 | $12,716.91 | 36.4× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $17,439.14 | $17,439.14 | 49.9× |
| MRI pelvis w contrast (72196) | $12,716.91 | $12,716.91 | 36.4× |
| MRI pelvis w/o & w contrast (72197) | $15,781.69 | $15,781.69 | 45.2× |
| MRI pelvis w/o contrast (72195) | $13,050.06 | $13,050.06 | 54.6× |
| MRI spectroscopy (76390) | $5,989.16 | $5,989.16 | 68.7× |
| MRI thoracic spine w/o contrast (72146) | $12,716.91 | $12,716.91 | 53.2× |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 3 matching MRF lines |
$14,354.01–$28,698.48 | $14,354.01–$28,698.48 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 3 matching MRF lines |
$13,050.06–$26,097.31 | $13,050.06–$26,097.31 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 3 matching MRF lines |
$13,178.96–$26,347.33 | $13,178.96–$26,347.33 | varies |
| MRI, abdomen, combo (74183) | $15,781.69 | $15,781.69 | 45.2× |
| MRI, dorsal spine combo (72157) | $19,279.10 | $19,279.10 | 55.2× |
| MRI, dorsal spine contrast (72147) | $19,279.10 | $19,279.10 | 55.2× |
| MRI, joint upper extrem (73221) range across 3 matching MRF lines |
$12,716.91–$25,439.99 | $12,716.91–$25,439.99 | varies |
| MRI, joint upper extrem combo (73223) range across 3 matching MRF lines |
$15,781.69–$28,698.48 | $15,781.69–$28,698.48 | varies |
| MRI, lumbar spine combo (72158) | $19,279.10 | $19,279.10 | 55.2× |
| Myelogram cervical (72240) | $8,238.93 | $8,238.93 | 10.5× |
| Myelogram Lumbar (72265) | $8,238.93 | $8,238.93 | 10.5× |
| Myelography thoracic (72255) | $8,238.93 | $8,238.93 | 10.5× |
| Myelograpy 2/more regions rs&i (72270) | $10,998.77 | $10,998.77 | 14.0× |
| Myocardial Spect Multiple Studies (78452) | $19,126 | $19,126 | 14.7× |
| Neck soft tissue (70360) | $1,010.37 | $1,010.37 | 11.6× |
| Nm myocard infarct spect (78469) | $2,701.11 | $2,701.11 | 5.0× |
| Nuclear Rx Oral Admin (79005) range across 2 matching MRF lines |
$8,829.91–$13,026.04 | $8,829.91–$13,026.04 | varies |
| Panoramic X-ray of jaws (70355) | $2,264.57 | $2,264.57 | 26.0× |
| Parathyroid Planar Imaging (78070) | $4,751.24 | $4,751.24 | 11.9× |
| Parathyroid planar imaging w/wo subtraction (78071) | $4,399.97 | $4,399.97 | 11.0× |
| Pelvis 1 or 2 views (72170) | $2,300.78 | $2,300.78 | 22.0× |
| Peritoneogram Rs&I (74190) | $656.77 | $656.77 | 1.2× |
| Pet Image Skull-Thigh (78812) | $7,232.21 | $7,232.21 | 5.0× |
| Pet Image W/Ct Lmtd (78814) | $7,256.78 | $7,256.78 | 5.1× |
| PET image w/CT, full body (78816) | $7,269.92 | $7,269.92 | 5.1× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $7,273.67 | $7,273.67 | 5.1× |
| Pet Imaging Limited Area Chest Head/Neck (78811) | $6,315.71 | $6,315.71 | 4.9× |
| PET whole body (78813) | $7,235.90 | $7,235.90 | 5.1× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $13,774.54 | $13,774.54 | 4.4× |
| Pulmonary Perfusion Imaging Particulate (78580) | $7,593.83 | $7,593.83 | 19.0× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $6,035.87 | $6,035.87 | 57.6× |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 2 matching MRF lines |
$1,064.70–$3,562.66 | $1,064.70–$3,562.66 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) | $3,038.71 | $3,038.71 | 34.9× |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$1,793.40–$3,596.71 | $1,793.40–$3,596.71 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$1,985.61–$3,902.01 | $1,985.61–$3,902.01 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $2,834.52 | $2,834.52 | 27.1× |
| Radex fingr minimum 2 views (73140) | $1,793.40 | $1,793.40 | 20.6× |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$2,643.44–$5,272.61 | $2,643.44–$5,272.61 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$2,643.44–$5,272.61 | $2,643.44–$5,272.61 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 3 matching MRF lines |
$1,793.40–$3,596.71 | $1,793.40–$3,596.71 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $2,239.30 | $2,239.30 | 25.7× |
| Radex Ribs Unilateral 2 Views (71100) | $2,287.60 | $2,287.60 | 26.2× |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$3,326.55–$6,671.75 | $3,326.55–$6,671.75 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $1,523.25 | $1,523.25 | 17.5× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $5,854.20 | $5,854.20 | 33.3× |
| Radex Spine 1 View Specify Level (72020) range across 3 matching MRF lines |
$1,131.17–$2,407.32 | $1,131.17–$2,407.32 | varies |
| Radex Sternum Minimum 2 Views (71120) | $2,433.68 | $2,433.68 | 27.9× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $2,996.24 | $2,996.24 | 34.4× |
| Radex Toe Minimum 2 Views (73660) | $1,793.40 | $1,793.40 | 20.6× |
| Radex upper extremity infant minimum 2 views (73092) range across 3 matching MRF lines |
$1,806.60–$4,403.91 | $1,806.60–$4,403.91 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$2,643.44–$5,272.61 | $2,643.44–$5,272.61 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $1,264.96 | $1,264.96 | 12.1× |
| Radiation treatment delivery level 1 (77402) | $1,631.89 | $1,631.89 | 16.0× |
| Radiation treatment delivery level 2 (77407) | $1,788.26 | $1,788.26 | 4.6× |
| Radiation treatment delivery level 3 (77412) | $2,102.24 | $2,102.24 | 3.8× |
| Radiolog exam mandible compl minimum 4 views (70110) | $3,125.55 | $3,125.55 | 29.8× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $3,927.28 | $3,927.28 | 37.5× |
| Radiologic exam colon double contrast study (74280) | $6,342.28 | $6,342.28 | 36.1× |
| Radiologic exam colon single contrast study (74270) | $5,320.91 | $5,320.91 | 30.3× |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$2,881.74–$5,778.91 | $2,881.74–$5,778.91 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $2,407.32 | $2,407.32 | 23.0× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $4,514.81 | $4,514.81 | 25.7× |
| Radiologic exam swallow function contrast study (74230) | $1,745.07 | $1,745.07 | 9.9× |
| Radiologic exam upr gi trc double contrast study (74246) | $5,393.41 | $5,393.41 | 30.7× |
| Radiologic examination femur 1 view (73551) | $400.64 | $400.64 | 4.6× |
| Radiologic examination femur minimum 2 views (73552) | $400.64 | $400.64 | 4.6× |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$1,793.40–$3,596.71 | $1,793.40–$3,596.71 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $8,325.68 | $8,325.68 | 79.5× |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$1,793.40–$3,596.71 | $1,793.40–$3,596.71 | varies |
| Red Cell Volume Determination Spx Mult Samplings (78121) | $3,754.94 | $3,754.94 | 6.9× |
| Renal Cyst Study (74470) | $4,289.66 | $4,289.66 | 7.8× |
| Ribs bilateral 3 views (71110) | $3,562.66 | $3,562.66 | 34.0× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $6,767.78 | $6,767.78 | 16.9× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $8,968.94 | $8,968.94 | 16.5× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $9,447.02 | $9,447.02 | 17.4× |
| Rp Therapy Intravenous Administration (79101) | $3,101.54 | $3,101.54 | 13.3× |
| Scapula (73010) range across 3 matching MRF lines |
$3,326.55–$6,671.75 | $3,326.55–$6,671.75 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $67.10 | $67.10 | 2.9× |
| Shoulder 1 view (73020) range across 3 matching MRF lines |
$1,662.71–$3,317.71 | $1,662.71–$3,317.71 | varies |
| Shoulder Arthrography (73040) | $4,924.45 | $4,924.45 | 14.1× |
| Skull less than 4 views (70250) | $1,637.46 | $1,637.46 | 15.6× |
| Special dosimetry (77331) | $1,435.28 | $1,435.28 | 10.7× |
| Special Physics Consult (77370) | $5,143.38 | $5,143.38 | 38.2× |
| Sternoclavicular joints (71130) | $3,326.55 | $3,326.55 | 38.2× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $4,388.32 | $4,388.32 | 11.7× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $3,415.20 | $3,415.20 | 9.1× |
| Ther rad simulaj-aided field setting simple (77280) | $2,507.04 | $2,507.04 | 18.6× |
| Thoracic spine 2 views (72070) | $2,667.60 | $2,667.60 | 25.5× |
| Thoracic spine 3 views (72072) | $3,217.83 | $3,217.83 | 30.7× |
| Thoracolumbar 2 views (72080) | $2,407.32 | $2,407.32 | 27.6× |
| Thyroid Imaging With Vascular Flow (78013) | $4,676.90 | $4,676.90 | 11.7× |
| Thyroid Met Imaging Body (78018) | $9,372.99 | $9,372.99 | 17.2× |
| Thyroid Uptake Measurement (78012) | $2,996.04 | $2,996.04 | 7.5× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $8,130.93 | $8,130.93 | 20.3× |
| Tx Devices Design & Construction Complex (77334) | $4,057.67 | $4,057.67 | 10.8× |
| Tx devices design & construction intermediate (77333) | $1,170.31 | $1,170.31 | 8.7× |
| Tx devices design & construction simple (77332) | $845.92 | $845.92 | 6.3× |
| Ultrasound Breast Limited (76642) range across 4 matching MRF lines |
$615.18–$1,378.06 | $615.18–$1,378.06 | varies |
| Ultrasound Exam Aaa Screen (76706) | $567.66 | $567.66 | 5.4× |
| Ultrasound, abdomen limited (76705) | $3,505.57 | $3,505.57 | 33.5× |
| Upper gi w/o kub (74240) | $4,590.63 | $4,590.63 | 26.1× |
| Urethrocystogram voiding (74455) | $6,143.49 | $6,143.49 | 25.7× |
| Urethrocystography retrograde (74450) | $6,239.96 | $6,239.96 | 26.1× |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$1,527.96–$3,057.05 | $1,527.96–$3,057.05 | varies |
| Us chest (76604) | $2,383.68 | $2,383.68 | 22.8× |
| Us complete joint (76881) range across 2 matching MRF lines |
$860.75–$964.20 | $860.75–$964.20 | varies |
| Us exam, pelvic, limited (76857) | $3,248.33 | $3,248.33 | 31.0× |
| Us head (76506) | $4,344.52 | $4,344.52 | 41.5× |
| Us kidney transplant (76776) | $3,250.55 | $3,250.55 | 31.0× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$556.49–$623.05 | $556.49–$623.05 | varies |
| Us ob detailed single fetus (76811) | $3,425.05 | $3,425.05 | 14.3× |
| Us ob limited 1 or more fetuses (76815) | $3,248.33 | $3,248.33 | 31.0× |
| Us ob transvaginal (76817) | $2,846.76 | $2,846.76 | 27.2× |
| Us pelvic non ob complete (76856) | $6,817.67 | $6,817.67 | 65.1× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $2,789.73 | $2,789.73 | 26.6× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $3,248.33 | $3,248.33 | 31.0× |
| Us retroperitoneal complete (76770) | $3,991.04 | $3,991.04 | 38.1× |
| Us retroperitoneal limited (76775) | $3,248.33 | $3,248.33 | 31.0× |
| Us scrotum and contents (76870) | $4,214.76 | $4,214.76 | 40.3× |
| Us spinal canal and contents (76800) | $6,516.77 | $6,516.77 | 62.2× |
| Us thyroid (76536) | $3,248.33 | $3,248.33 | 31.0× |
| Us transrectal (76872) | $5,051.47 | $5,051.47 | 48.2× |
| Vascular Flow Imaging (78445) | $3,697.40 | $3,697.40 | 9.2× |
| Vein X-Ray Chest (75827) | $6,456.50 | $6,456.50 | 4.1× |
| Vein X-Ray Liver W/O Hemodyn (75887) | $13,774.54 | $13,774.54 | 4.4× |
| Vein X-Ray Skull Epidural (75872) | $16,813.88 | $16,813.88 | 26.8× |
| Vein X-Ray Spleen/Liver (75810) | $10,496.50 | $10,496.50 | 3.3× |
| Venogram Sinus/Jugular (75860) | $4,511.95 | $4,511.95 | 1.4× |
| Venography Adrenal Unilateral (75840) | $10,496.50 | $10,496.50 | 3.3× |
| Venography caval inferior serialography rs&i (75825) | $20,017.45 | $20,017.45 | 6.3× |
| Venography extremity bilateral rs&i (75822) | $5,537.48 | $5,537.48 | 3.5× |
| Venography extremity unilateral rs&i (75820) range across 3 matching MRF lines |
$4,472.80–$6,770.60 | $4,472.80–$6,770.60 | varies |
| Venography Renal Bilateral (75833) | $12,639.11 | $12,639.11 | 4.0× |
| Venography Renal Unilateral (75831) | $10,496.50 | $10,496.50 | 3.3× |
| Venous sampling by catheter (75893) | $6,155.04 | $6,155.04 | 1.1× |
| Wrist 2 views (73100) range across 3 matching MRF lines |
$1,793.40–$3,596.71 | $1,793.40–$3,596.71 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $3,217.83 | $3,217.83 | 36.9× |
| X-ray antegrade pyelogram tube (74425) range across 2 matching MRF lines |
$1,886.77–$4,817.93 | $1,886.77–$4,817.93 | varies |
| X-Ray Aorta Leg Arteries (75630) range across 2 matching MRF lines |
$20,017.45–$38,029.17 | $20,017.45–$38,029.17 | varies |
| X-Ray Bend Only L-S Spine (72120) | $3,238.66 | $3,238.66 | 30.9× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$1,793.40–$3,902.01 | $1,793.40–$3,902.01 | varies |
| X-Ray Exam Breast Specimen (76098) range across 2 matching MRF lines |
$1,054.31–$3,271.63 | $1,054.31–$3,271.63 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) | $400.64 | $400.64 | 4.6× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $663.49 | $663.49 | 6.3× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $1,264.96 | $1,264.96 | 12.1× |
| X-Ray Exam Hip Uni 1 View (73501) | $400.64 | $400.64 | 4.6× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $400.64 | $400.64 | 4.6× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $663.49 | $663.49 | 6.3× |
| X-Ray Exam Hips Bi 2 Views (73521) | $663.49 | $663.49 | 6.3× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $663.49 | $663.49 | 6.3× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $1,264.96 | $1,264.96 | 12.1× |
| X-Ray Exam L-S Spine Bending (72114) | $5,005.75 | $5,005.75 | 47.8× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $2,221.72 | $2,221.72 | 25.5× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $5,025.52 | $5,025.52 | 48.0× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $2,865.26 | $2,865.26 | 27.4× |
| X-ray eye for foreign body (70030) range across 2 matching MRF lines |
$2,970.72–$3,717.50 | $2,970.72–$3,717.50 | varies |
| X-ray humerus (73060) range across 3 matching MRF lines |
$1,806.60–$3,902.01 | $1,806.60–$3,902.01 | varies |
| X-ray IV pyelogram (ivp) (74400) | $13,832.21 | $13,832.21 | 78.7× |
| X-ray IV pyelogram+tomography (74415) | $11,736.80 | $11,736.80 | 66.8× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $2,221.72 | $2,221.72 | 25.5× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $2,051.50 | $2,051.50 | 23.5× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $3,276.46 | $3,276.46 | 31.3× |
| X-ray nose-rectum child f.b. (76010) | $1,401.33 | $1,401.33 | 16.1× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $4,151.35 | $4,151.35 | 39.6× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $3,609.88 | $3,609.88 | 34.5× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $1,985.61 | $1,985.61 | 19.0× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $2,413.92 | $2,413.92 | 27.7× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $2,834.52 | $2,834.52 | 32.5× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $4,367.65 | $4,367.65 | 41.7× |
| X-ray thoracic spine 4 vw (72074) | $4,130.46 | $4,130.46 | 39.4× |
| X-Ray Tmj Unilat (70328) | $2,808.17 | $2,808.17 | 32.2× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $4,767.41 | $4,767.41 | 13.6× |
| X-Rays Bone Length Studies (77073) range across 2 matching MRF lines |
$2,407.32–$3,691.16 | $2,407.32–$3,691.16 | varies |
| X-Rays Bone Survey Complete (77075) | $15,230.28 | $15,230.28 | 145.5× |
| Xr c-spine 4 or 5 views (72050) | $4,077.71 | $4,077.71 | 38.9× |
| Xr facial bones less than 3 views (70140) | $2,834.52 | $2,834.52 | 32.5× |
| Xr orbits complete 4 views (70200) | $2,970.72 | $2,970.72 | 28.4× |
| Xr Tomogram Single Plane (76100) | $6,455.41 | $6,455.41 | 61.7× |
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.