Imaging prices at Benefis Hospitals Inc
Great Falls, MT · every code in this section with a posted price and a Medicare benchmark.
357 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 4 matching MRF lines |
$3,352.80–$3,840 | $5,588–$6,400 | varies |
| Abdomen 1 View (74018) range across 3 matching MRF lines |
$12–$171 | $20–$285 | varies |
| Abdomen 2 views (74019) range across 3 matching MRF lines |
$15.60–$260.40 | $26–$434 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) range across 2 matching MRF lines |
$64.20–$1,237.20 | $107–$2,062 | varies |
| Adrenal Cortex & Medulla Img (78075) range across 2 matching MRF lines |
$1,896 | $72–$3,160 | 1.4× |
| Angio pulmonary bilat (75743) range across 2 matching MRF lines |
$403.20–$6,402.60 | $672–$10,671 | varies |
| Angiography extremity bilateral rs&i (75716) range across 4 matching MRF lines |
$496.80–$6,128.10 | $828–$10,213.50 | varies |
| Angiography extremity unilateral rs&i (75710) range across 2 matching MRF lines |
$448.80–$4,085.40 | $748–$6,809 | varies |
| Angiography pulmonary unilateral slctv rs&i (75741) range across 2 matching MRF lines |
$327.60–$6,402 | $546–$10,670 | varies |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $3,871.20 | $6,452 | 1.2× |
| Ankle 2 views (73600) range across 6 matching MRF lines |
$11.40–$225.90 | $19–$376.50 | varies |
| Aortography thoracic serialography rs&i (75605) | $6,402.60 | $10,671 | 1.1× |
| Artery X-Rays Abdomen (75726) | $8,208.60 | $13,681 | 1.4× |
| Artery X-Rays Pelvis (75736) | $6,402.60 | $10,671 | 1.1× |
| Artery X-Rays Spine (75705) | $11,210.40 | $18,684 | 2.0× |
| Arthrogram ankle (73615) | $846 | $1,410 | 2.4× |
| Arthrogram hip (73525) range across 4 matching MRF lines |
$39.60–$1,269 | $66–$2,115 | varies |
| Arthrogram Wrist (73115) range across 2 matching MRF lines |
$37.20–$846 | $62–$1,410 | varies |
| Basic radiation dosimetry calculation (77300) range across 7 matching MRF lines |
$43.20–$414.60 | $72–$691 | varies |
| Bone age studies (77072) range across 2 matching MRF lines |
$12.60–$148.20 | $21–$247 | varies |
| Bone Imaging 3 Phase (78315) range across 2 matching MRF lines |
$66–$1,230 | $110–$2,050 | varies |
| Bone Imaging Limited Area (78300) range across 2 matching MRF lines |
$41.40–$808.20 | $69–$1,347 | varies |
| Bone Imaging Multiple Areas (78305) | $46.80 | $78 | 0.1× |
| Bone Imaging Whole Body (78306) range across 2 matching MRF lines |
$56.40–$892.80 | $94–$1,488 | varies |
| Bone survey infant (77076) range across 2 matching MRF lines |
$45.60–$296.40 | $76–$494 | varies |
| Brachytx isodose complex (77318) | $490.20 | $817 | 1.3× |
| Brachytx isodose intermed (77317) | $361.20 | $602 | 0.9× |
| Brachytx Isodose Plan Simple (77316) range across 4 matching MRF lines |
$84–$387 | $140–$645 | varies |
| Brain Flow Imaging Only (78610) | $676.20 | $1,127 | 1.2× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) range across 2 matching MRF lines |
$42.60–$1,327.20 | $71–$2,212 | varies |
| Brain Imaging Minimum 4 Static Views (78605) | $676.20 | $1,127 | 1.2× |
| Cardiac blood pool imaging, first pass technique; multiple studies, resting and with stress (exercise and/or… (78483) | $2,868 | $4,780 | 5.2× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $1,379.40 | $2,299 | 3.9× |
| Cat Scan Follow-Up Study (76380) | $498.60 | $831 | 5.6× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) range across 2 matching MRF lines |
$36.60–$1,327.20 | $61–$2,212 | varies |
| Cerebrospinal Fluid Scan (78630) range across 2 matching MRF lines |
$44.40–$1,327.20 | $74–$2,212 | varies |
| Chest 1 view (71045) range across 2 matching MRF lines |
$12–$177.60 | $20–$296 | varies |
| Chest 2 views (71046) range across 3 matching MRF lines |
$15–$187.80 | $25–$313 | varies |
| Chest 3 views (71047) range across 2 matching MRF lines |
$19.20–$264 | $32–$440 | varies |
| Chest 4 or more views (71048) range across 2 matching MRF lines |
$22.20–$264 | $37–$440 | varies |
| Cineradiograpy/vidradiograpy xcpt where spec (76120) | $158.40 | $264 | 1.5× |
| Cisternography Positive Contrast Rs&I (70015) | $1,486.20 | $2,477 | 1.9× |
| Clavicle complete (73000) range across 6 matching MRF lines |
$11.40–$225.90 | $19–$376.50 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 2 matching MRF lines |
$70.20–$270.60 | $117–$451 | varies |
| Continuing medical physics consltj pr wk (77336) | $607.80 | $1,013 | 4.4× |
| Contrast Exam Abdominl Aorta (75625) | $5,434.20 | $9,057 | 1.7× |
| Contrast X-Ray Bladder (74430) range across 2 matching MRF lines |
$21.60–$643.80 | $36–$1,073 | varies |
| Contrast X-Ray Of Elbow (73085) range across 2 matching MRF lines |
$39–$846 | $65–$1,410 | varies |
| Contrast X-Ray Of Knee Joint (73580) range across 2 matching MRF lines |
$37.20–$855 | $62–$1,425 | varies |
| Contrast Xray Throat/Cerv Esopha (74210) | $34.80 | $58 | 0.2× |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$130.20–$2,436 | $217–$4,060 | varies |
| CT abdomen and pelvis without contrast (74176) range across 3 matching MRF lines |
$112.80–$1,551.60 | $188–$2,586 | varies |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$83.40–$1,147.80 | $139–$1,913 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$91.80–$1,351.80 | $153–$2,253 | varies |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$78–$976.20 | $130–$1,627 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$142.20–$1,860 | $237–$3,100 | varies |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$118.20–$1,690.20 | $197–$2,817 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$113.40–$1,248.60 | $189–$2,081 | varies |
| CT angio hrt w/3d image (75574) range across 2 matching MRF lines |
$153.60–$1,262.40 | $256–$2,104 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
$122.40–$1,369.80 | $204–$2,283 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$113.40–$1,248.60 | $189–$2,081 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 2 matching MRF lines |
$117–$1,894.20 | $195–$3,157 | varies |
| CT Cere Prfuj Alys C+ W/O CT/Cta Same Anatomy (70473) | $215.40 | $359 | 1.2× |
| CT cervical spine w/ contrast (72126) range across 2 matching MRF lines |
$79.80–$1,249.20 | $133–$2,082 | varies |
| CT cervical spine w/o contrast (72125) range across 4 matching MRF lines |
$65.40–$1,048.80 | $109–$1,748 | varies |
| CT cervical spine w/wo cont (72127) range across 2 matching MRF lines |
$82.20–$1,466.40 | $137–$2,444 | varies |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$81–$1,240.20 | $135–$2,067 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$90–$1,335.60 | $150–$2,226 | varies |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$73.80–$1,026.60 | $123–$1,711 | varies |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$82.20–$1,236.60 | $137–$2,061 | varies |
| CT heart contrast eval cardiac structure&morph (75572) range across 2 matching MRF lines |
$112.20–$1,218 | $187–$2,030 | varies |
| CT heart no contrast quant eval coronry calcium (75571) range across 2 matching MRF lines |
$39–$346.80 | $65–$578 | varies |
| CT hrt w/3d image congen (75573) range across 2 matching MRF lines |
$163.80–$1,218 | $273–$2,030 | varies |
| CT iac w contrast (70481) range across 3 matching MRF lines |
$73.80–$1,032 | $123–$1,720 | varies |
| CT l-spine w&w/o contrast (72133) | $1,399.80 | $2,333 | 7.8× |
| CT lower ext w/o (73700) range across 14 matching MRF lines |
$65.40–$1,471.50 | $109–$2,452.50 | varies |
| CT lower extremity w/contrast material (73701) range across 14 matching MRF lines |
$75.60–$1,832.40 | $126–$3,054 | varies |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$79.80–$1,222.20 | $133–$2,037 | varies |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$65.40–$1,048.80 | $109–$1,748 | varies |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$73.80–$1,054.20 | $123–$1,757 | varies |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$57–$841.80 | $95–$1,403 | varies |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$106.20–$1,239 | $177–$2,065 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 3 matching MRF lines |
$82.20–$1,164 | $137–$1,940 | varies |
| CT orbits w/o contrast (70480) range across 3 matching MRF lines |
$83.40–$886.20 | $139–$1,477 | varies |
| CT pelvis w&w/o contrast (72194) range across 2 matching MRF lines |
$79.80–$1,309.80 | $133–$2,183 | varies |
| CT pelvis w/o contrast (72192) range across 4 matching MRF lines |
$71.40–$873 | $119–$1,455 | varies |
| CT scan of leg combo (73702) range across 6 matching MRF lines |
$79.20–$1,416 | $132–$2,360 | varies |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
$82.20–$1,554 | $137–$2,590 | varies |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$90.60–$1,073.40 | $151–$1,789 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$84–$873 | $140–$1,455 | varies |
| CT thoracic spine w contrast (72129) range across 2 matching MRF lines |
$79.80–$1,478.40 | $133–$2,464 | varies |
| CT thoracic spine w/o contrast (72128) range across 4 matching MRF lines |
$65.40–$1,048.80 | $109–$1,748 | varies |
| CT thoracic spine w/wo cont (72130) | $1,399.80 | $2,333 | 7.8× |
| CT thorax w/o contrast (71250) range across 4 matching MRF lines |
$75.60–$972.60 | $126–$1,621 | varies |
| CT upper ext wo (73200) range across 14 matching MRF lines |
$65.40–$1,471.50 | $109–$2,452.50 | varies |
| CT upper extremity w/o & w/contrast material (73202) | $236.40 | $394 | 1.3× |
| CT upper extremity with contrast (73201) range across 14 matching MRF lines |
$75.60–$1,580.40 | $126–$2,634 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$153.60–$1,910.40 | $256–$3,184 | varies |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$118.20–$1,363.80 | $197–$2,273 | varies |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $2,496.60 | $4,161 | 7.0× |
| CTA pelvis (72191) range across 2 matching MRF lines |
$117–$1,417.20 | $195–$2,362 | varies |
| Dacryocystography, nasolacrimal duct, radiological supervision and interpretation Non-Facility (70170) | $20.40 | $34 | 0.1× |
| Dilation ureters/urethra rs&i (74485) | $2,994.60 | $4,991 | 1.4× |
| Diskography lumbar (72295) | $5,139 | $8,565 | 2.6× |
| Doppler Fetal Mid Cerebral Artery (76821) range across 2 matching MRF lines |
$128.40–$146.40 | $214–$244 | varies |
| Dxa Bone Density Axial (77080) range across 4 matching MRF lines |
$13.80–$280.80 | $23–$468 | varies |
| Dxa bone density study (77085) range across 2 matching MRF lines |
$20.40–$134.40 | $34–$224 | varies |
| Dxa bone density study 1/>sites appendiclr skel (77081) range across 2 matching MRF lines |
$13.80–$169.20 | $23–$282 | varies |
| Echo exam of fetal heart (76825) | $450 | $750 | 0.8× |
| Echo exam uterus (76831) range across 2 matching MRF lines |
$46.80–$476.40 | $78–$794 | varies |
| Echograp Trans R Pros Study (76873) range across 2 matching MRF lines |
$114.60–$157.80 | $191–$263 | varies |
| Esophagram (74220) range across 2 matching MRF lines |
$40.20–$295.20 | $67–$492 | varies |
| Fetal Biophys Profile W/Nst (76818) range across 2 matching MRF lines |
$68.40–$348 | $114–$580 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 6 matching MRF lines |
$151.20–$302.40 | $252–$504 | varies |
| Fluoroscopy up to 1 hr (76000) range across 6 matching MRF lines |
$54–$402.60 | $90–$671 | varies |
| Follow-Up Angiography (75898) range across 2 matching MRF lines |
$4,067.40 | $171–$6,779 | 1.3× |
| Foot 2 views (73620) range across 6 matching MRF lines |
$10.80–$224.10 | $18–$373.50 | varies |
| Forearm 2 views (73090) range across 6 matching MRF lines |
$11.40–$162 | $19–$270 | varies |
| Gastric emptying imaging study (78264) range across 2 matching MRF lines |
$51.60–$1,026.60 | $86–$1,711 | varies |
| Gated Heart Planar Single (78472) range across 3 matching MRF lines |
$63–$928.80 | $105–$1,548 | varies |
| Gated Heart, Multiple (78473) | $89.40 | $149 | 0.2× |
| Hand 2 views (73120) range across 6 matching MRF lines |
$11.40–$272.70 | $19–$454.50 | varies |
| Hdr Rdncl Ntrstl/Icav Brchtx (77772) | $897.60 | $1,496 | 1.3× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) range across 4 matching MRF lines |
$295.20–$1,327.80 | $492–$2,213 | varies |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) | $1,251 | $2,085 | 1.8× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $6,402.60 | $10,671 | 2.0× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $6,402 | $10,670 | 2.0× |
| Hepatobil Syst Image W/Drug (78227) range across 2 matching MRF lines |
$58.80–$1,166.40 | $98–$1,944 | varies |
| Hepatobiliary System Imaging (78226) range across 2 matching MRF lines |
$47.40–$972.60 | $79–$1,621 | varies |
| Ht Muscle Image Spect Sing (78451) range across 4 matching MRF lines |
$87.60–$2,868 | $146–$4,780 | varies |
| Hysterosalpingogram (74740) range across 2 matching MRF lines |
$25.20–$792 | $42–$1,320 | varies |
| Image fusion (77399) range across 3 matching MRF lines |
$183–$191.40 | $305–$319 | varies |
| Infant hip ultrasound with hip movement (dynamic) (76885) range across 2 matching MRF lines |
$46.20–$312 | $77–$520 | varies |
| Infant hip ultrasound, limited static exam (76886) range across 2 matching MRF lines |
$41.40–$312 | $69–$520 | varies |
| Interstitial radiation source applic complex (77778) range across 2 matching MRF lines |
$499.80–$508.20 | $833–$847 | varies |
| K Flow/Funct Image W/Drug (78708) range across 2 matching MRF lines |
$77.40–$1,075.20 | $129–$1,792 | varies |
| K Flow/Funct Image W/O Drug (78707) range across 2 matching MRF lines |
$61.20–$1,037.40 | $102–$1,729 | varies |
| Kidney Imaging Morphol (78700) range across 2 matching MRF lines |
$29.40–$1,037.40 | $49–$1,729 | varies |
| Knee 3 Views (73562) range across 9 matching MRF lines |
$12.60–$351.90 | $21–$586.50 | varies |
| Liver & Spleen Imaging Static Only (78215) range across 2 matching MRF lines |
$31.20–$928.20 | $52–$1,547 | varies |
| Liver imaging static only (78201) range across 2 matching MRF lines |
$28.20–$1,899.60 | $47–$3,166 | varies |
| Lung perfusion differential (78597) range across 2 matching MRF lines |
$46.20–$823.20 | $77–$1,372 | varies |
| Lung Ventilat&Perfus Imaging (78582) range across 2 matching MRF lines |
$69–$1,343.40 | $115–$2,239 | varies |
| Lung Ventilation Imaging (78579) range across 2 matching MRF lines |
$31.20–$561 | $52–$935 | varies |
| Lymph System Imaging (78195) range across 2 matching MRF lines |
$75.60–$1,231.80 | $126–$2,053 | varies |
| Magnetic Image Jaw Joint (70336) range across 2 matching MRF lines |
$96–$1,212.60 | $160–$2,021 | varies |
| Mammary ductogram or galactogram single (77053) range across 2 matching MRF lines |
$24–$792 | $40–$1,320 | varies |
| Meckels Divert Exam (78290) range across 2 matching MRF lines |
$43.80–$1,240.20 | $73–$2,067 | varies |
| Mlc imrt design & construction per imrt plan (77338) range across 6 matching MRF lines |
$564–$934.80 | $940–$1,558 | varies |
| Mr safety determination physician/other qhp (76016) range across 2 matching MRF lines |
$31.20–$111.60 | $52–$186 | varies |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $31.20 | $52 | 1.1× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) range across 2 matching MRF lines |
$39–$116.40 | $65–$194 | varies |
| Mr safety implt pos&/immoblj (76019) range across 2 matching MRF lines |
$31.20–$75 | $52–$125 | varies |
| Mr safety med physics xm customization plng&mntr (76017) range across 2 matching MRF lines |
$39.60–$305.40 | $66–$509 | varies |
| Mra Head W/O & W/Contrast Material (70546) range across 2 matching MRF lines |
$96.60–$2,108.40 | $161–$3,514 | varies |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$78.60–$1,617.60 | $131–$2,696 | varies |
| MRA head with contrast (70545) range across 2 matching MRF lines |
$78.60–$1,824 | $131–$3,040 | varies |
| Mra Neck W/O &W/Contrast Material (70549) range across 2 matching MRF lines |
$117.60–$2,449.20 | $196–$4,082 | varies |
| MRA neck w/o contrast (70547) range across 2 matching MRF lines |
$78.60–$1,525.80 | $131–$2,543 | varies |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$95.40–$1,237.20 | $159–$2,062 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 8 matching MRF lines |
$106.80–$2,274.30 | $178–$3,790.50 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 6 matching MRF lines |
$139.80–$2,727.90 | $233–$4,546.50 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 8 matching MRF lines |
$106.80–$2,238.30 | $178–$3,730.50 | varies |
| MRI Breast W/O Contrast Bilateral (77047) range across 2 matching MRF lines |
$105–$2,164.20 | $175–$3,607 | varies |
| MRI Breast Without Contrast Material Unilateral (77046) range across 2 matching MRF lines |
$94.80–$1,574.40 | $158–$2,624 | varies |
| MRI cardiac w/o contrast (75557) range across 2 matching MRF lines |
$127.20–$820.20 | $212–$1,367 | varies |
| MRI cervical spine w contrast (72142) range across 2 matching MRF lines |
$117–$1,603.20 | $195–$2,672 | varies |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$96.60–$1,269.60 | $161–$2,116 | varies |
| MRI chest w/o contrast (71550) range across 2 matching MRF lines |
$95.40–$1,614.60 | $159–$2,691 | varies |
| MRI chest wo w contrast (71552) range across 2 matching MRF lines |
$145.80–$2,320.20 | $243–$3,867 | varies |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 8 matching MRF lines |
$106.20–$2,383.20 | $177–$3,972 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 10 matching MRF lines |
$138.60–$2,959.20 | $231–$4,932 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 10 matching MRF lines |
$88.20–$2,120.40 | $147–$3,534 | varies |
| MRI lumbar spine w contrast (72149) range across 2 matching MRF lines |
$116.40–$1,620 | $194–$2,700 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$148.80–$1,910.40 | $248–$3,184 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 3 matching MRF lines |
$87.60–$1,381.80 | $146–$2,303 | varies |
| MRI orbit face neck w contrast (70542) range across 3 matching MRF lines |
$106.20–$1,534.80 | $177–$2,558 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 4 matching MRF lines |
$138.60–$1,923 | $231–$3,205 | varies |
| MRI pelvis w contrast (72196) range across 2 matching MRF lines |
$112.20–$1,569 | $187–$2,615 | varies |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$142.20–$1,956 | $237–$3,260 | varies |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$95.40–$1,428.60 | $159–$2,381 | varies |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$96.60–$1,272 | $161–$2,120 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 4 matching MRF lines |
$88.20–$1,422.60 | $147–$2,371 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 8 matching MRF lines |
$139.80–$2,937.60 | $233–$4,896 | varies |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$142.20–$1,964.40 | $237–$3,274 | varies |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$148.80–$1,753.80 | $248–$2,923 | varies |
| MRI, dorsal spine contrast (72147) | $1,048.20 | $1,747 | 2.9× |
| MRI, joint upper extrem (73221) range across 10 matching MRF lines |
$90–$1,410.30 | $150–$2,350.50 | varies |
| MRI, joint upper extrem combo (73223) range across 4 matching MRF lines |
$139.80–$1,821.60 | $233–$3,036 | varies |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$148.80–$1,824 | $248–$3,040 | varies |
| Myocardial Spect Multiple Studies (78452) range across 8 matching MRF lines |
$103.20–$2,868 | $172–$4,780 | varies |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$12–$150.60 | $20–$251 | varies |
| Ntsty modul radthx pln dose-vol histos (77301) range across 4 matching MRF lines |
$4,615.80–$5,454.60 | $7,693–$9,091 | varies |
| Nuclear Rx Intra-Arterial (79445) range across 2 matching MRF lines |
$148.80–$450 | $248–$750 | varies |
| Nuclear Rx Oral Admin (79005) range across 2 matching MRF lines |
$127.80–$661.20 | $213–$1,102 | varies |
| Panoramic X-ray of jaws (70355) range across 2 matching MRF lines |
$14.40–$112.20 | $24–$187 | varies |
| Parathyroid Planar Imaging (78070) range across 2 matching MRF lines |
$51.60–$1,017.60 | $86–$1,696 | varies |
| Parathyroid planar imaging w/wo subtraction (78071) range across 2 matching MRF lines |
$76.80–$1,837.20 | $128–$3,062 | varies |
| Pelvis 1 or 2 views (72170) range across 3 matching MRF lines |
$12–$150.60 | $20–$251 | varies |
| Peritoneogram Rs&I (74190) range across 2 matching MRF lines |
$30.60–$1,837.20 | $51–$3,062 | varies |
| Pet Image W/Ct Lmtd (78814) range across 2 matching MRF lines |
$115.20–$5,967.60 | $192–$9,946 | varies |
| PET image w/CT, full body (78816) | $6,668.40 | $11,114 | 4.6× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $6,511.20 | $10,852 | 4.5× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $6,472.80 | $10,788 | 2.0× |
| Pulmonary Perfusion Imaging Particulate (78580) range across 2 matching MRF lines |
$47.40–$861 | $79–$1,435 | varies |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$21.60–$274.20 | $36–$457 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 2 matching MRF lines |
$34.20–$792 | $57–$1,320 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 6 matching MRF lines |
$12–$262.80 | $20–$438 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 8 matching MRF lines |
$10.80–$276.30 | $18–$460.50 | varies |
| Radex elbow complete minimum 3 views (73080) range across 6 matching MRF lines |
$12–$222.30 | $20–$370.50 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$18–$246 | $30–$410 | varies |
| Radex fingr minimum 2 views (73140) range across 6 matching MRF lines |
$9.60–$162 | $16–$270 | varies |
| Radex foot complete minimum 3 views (73630) range across 6 matching MRF lines |
$11.40–$262.80 | $19–$438 | varies |
| Radex Hand Minimum 3 Views (73130) range across 6 matching MRF lines |
$12–$232.20 | $20–$387 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 6 matching MRF lines |
$44.40–$216.90 | $74–$361.50 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$12–$150.60 | $20–$251 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 3 matching MRF lines |
$15–$246 | $25–$410 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 6 matching MRF lines |
$12.60–$262.80 | $21–$438 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$12–$132.60 | $20–$221 | varies |
| Radex Spine 1 View Specify Level (72020) range across 3 matching MRF lines |
$10.80–$144.60 | $18–$241 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$13.80–$150.60 | $23–$251 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$16.20–$157.20 | $27–$262 | varies |
| Radex Toe Minimum 2 Views (73660) range across 6 matching MRF lines |
$9.60–$216.90 | $16–$361.50 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 6 matching MRF lines |
$10.80–$342.90 | $18–$571.50 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 6 matching MRF lines |
$12–$232.20 | $20–$387 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) range across 2 matching MRF lines |
$27.60–$335.40 | $46–$559 | varies |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $9,237.60 | $15,396 | 1.2× |
| Radiation treatment delivery level 1 (77402) | $491.40 | $819 | 4.7× |
| Radiation treatment delivery level 2 (77407) | $808.20 | $1,347 | 2.1× |
| Radiation treatment delivery level 3 (77412) range across 3 matching MRF lines |
$736.20–$766.80 | $1,227–$1,278 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$16.80–$313.80 | $28–$523 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 2 matching MRF lines |
$18–$271.80 | $30–$453 | varies |
| Radiologic exam colon double contrast study (74280) range across 2 matching MRF lines |
$81.60–$675 | $136–$1,125 | varies |
| Radiologic exam colon single contrast study (74270) range across 2 matching MRF lines |
$67.80–$510.60 | $113–$851 | varies |
| Radiologic Exam Esophagus Double Contrast Study (74221) range across 2 matching MRF lines |
$45.60–$278.40 | $76–$464 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 6 matching MRF lines |
$15–$356.40 | $25–$594 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 3 matching MRF lines |
$16.80–$174.60 | $28–$291 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 2 matching MRF lines |
$54.60–$365.40 | $91–$609 | varies |
| Radiologic exam swallow function contrast study (74230) range across 2 matching MRF lines |
$34.80–$279.60 | $58–$466 | varies |
| Radiologic exam teeth complete full mouth (70320) | $226.20 | $377 | 0.9× |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$59.40–$394.20 | $99–$657 | varies |
| Radiologic examination femur 1 view (73551) range across 2 matching MRF lines |
$11.40–$108.60 | $19–$181 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 8 matching MRF lines |
$12–$251.10 | $20–$418.50 | varies |
| Radiologic examination knee 1/2 views (73560) range across 6 matching MRF lines |
$11.40–$232.20 | $19–$387 | varies |
| Radiologic Examination Osseous Survey Limited (77074) range across 2 matching MRF lines |
$29.40–$237 | $49–$395 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 6 matching MRF lines |
$10.80–$277.20 | $18–$462 | varies |
| Renal Cyst Study (74470) | $690.60 | $1,151 | 1.2× |
| Ribs bilateral 3 views (71110) range across 4 matching MRF lines |
$78.60–$342.90 | $131–$571.50 | varies |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) range across 2 matching MRF lines |
$64.80–$2,875.80 | $108–$4,793 | varies |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) range across 2 matching MRF lines |
$50.40–$1,899.60 | $84–$3,166 | varies |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 5 matching MRF lines |
$69–$1,908.60 | $115–$3,181 | varies |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) range across 2 matching MRF lines |
$113.40–$1,933.80 | $189–$3,223 | varies |
| Rp Therapy Intravenous Administration (79101) range across 2 matching MRF lines |
$127.80–$661.20 | $213–$1,102 | varies |
| Scapula (73010) range across 6 matching MRF lines |
$12–$234.90 | $20–$391.50 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 6 matching MRF lines |
$40.20–$55.80 | $67–$93 | varies |
| Shoulder 1 view (73020) range across 6 matching MRF lines |
$10.80–$225.90 | $18–$376.50 | varies |
| Shoulder Arthrography (73040) range across 4 matching MRF lines |
$36.60–$1,269 | $61–$2,115 | varies |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$13.80–$190.20 | $23–$317 | varies |
| Special dosimetry (77331) range across 4 matching MRF lines |
$208.20–$288 | $347–$480 | varies |
| Special Physics Consult (77370) | $727.80 | $1,213 | 5.3× |
| Special teletherapy port plan (77321) range across 4 matching MRF lines |
$669.60–$775.20 | $1,116–$1,292 | varies |
| Special treatment procedure (77470) range across 6 matching MRF lines |
$863.40–$1,065 | $1,439–$1,775 | varies |
| Stereotactic Body Radiation Delivery (77373) | $4,944 | $8,240 | 2.7× |
| Sternoclavicular joints (71130) range across 3 matching MRF lines |
$15–$150.60 | $25–$251 | varies |
| Telethx isodose pln cplx w/basic dosimetry (77307) range across 4 matching MRF lines |
$226.20–$3,441 | $377–$5,735 | varies |
| Telethx isodose pln smpl w/dosimetry calculation (77306) range across 4 matching MRF lines |
$109.20–$1,998.60 | $182–$3,331 | varies |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) range across 6 matching MRF lines |
$631.20–$1,366.80 | $1,052–$2,278 | varies |
| Ther rad simulaj-aided field setting simple (77280) range across 4 matching MRF lines |
$661.80–$749.40 | $1,103–$1,249 | varies |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $225 | $375 | 1.3× |
| Thoracic spine 2 views (72070) range across 3 matching MRF lines |
$13.80–$197.40 | $23–$329 | varies |
| Thoracic spine 3 views (72072) range across 3 matching MRF lines |
$15.60–$264 | $26–$440 | varies |
| Thoracolumbar 2 views (72080) range across 3 matching MRF lines |
$15–$150.60 | $25–$251 | varies |
| Thyroid Met Imaging Body (78018) range across 2 matching MRF lines |
$54.60–$1,117.20 | $91–$1,862 | varies |
| Thyroid Uptake Measurement (78012) | $10.80 | $18 | 0.0× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) range across 2 matching MRF lines |
$31.80–$898.80 | $53–$1,498 | varies |
| Tx Devices Design & Construction Complex (77334) range across 9 matching MRF lines |
$90.60–$753.60 | $151–$1,256 | varies |
| Tx devices design & construction intermediate (77333) range across 6 matching MRF lines |
$469.80–$550.20 | $783–$917 | varies |
| Tx devices design & construction simple (77332) range across 6 matching MRF lines |
$474–$531.60 | $790–$886 | varies |
| Ultrasound Breast Limited (76642) range across 4 matching MRF lines |
$44.40–$286.20 | $74–$477 | varies |
| Ultrasound Elastography Parenchyma (76981) range across 2 matching MRF lines |
$34.20–$146.40 | $57–$244 | varies |
| Ultrasound Exam Aaa Screen (76706) range across 4 matching MRF lines |
$36.60–$331.80 | $61–$553 | varies |
| Ultrasound, abdomen limited (76705) range across 8 matching MRF lines |
$39–$364.20 | $65–$607 | varies |
| Umbilical-artery Doppler (OB) (76820) range across 4 matching MRF lines |
$129–$413.10 | $215–$688.50 | varies |
| Unlisted magnetic resonance procedure (76498) range across 2 matching MRF lines |
$27.60–$106.80 | $46–$178 | varies |
| Upper gi w/o kub (74240) range across 2 matching MRF lines |
$54–$418.20 | $90–$697 | varies |
| Ureteral Reflux Study (78740) range across 4 matching MRF lines |
$29.40–$201.60 | $49–$336 | varies |
| Urethrocystogram voiding (74455) range across 2 matching MRF lines |
$22.20–$643.80 | $37–$1,073 | varies |
| Urethrocystography retrograde (74450) range across 2 matching MRF lines |
$22.20–$643.80 | $37–$1,073 | varies |
| Us breast unilateral complete (76641) range across 4 matching MRF lines |
$47.40–$286.20 | $79–$477 | varies |
| Us chest (76604) range across 2 matching MRF lines |
$39–$348 | $65–$580 | varies |
| Us complete joint (76881) range across 11 matching MRF lines |
$57–$372.60 | $95–$621 | varies |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$313.20–$364.20 | $522–$607 | varies |
| Us head (76506) range across 3 matching MRF lines |
$42.60–$387 | $71–$645 | varies |
| Us kidney transplant (76776) | $477.60 | $796 | 4.5× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 9 matching MRF lines |
$70.80–$338.40 | $118–$564 | varies |
| Us ob detailed single fetus (76811) range across 2 matching MRF lines |
$201.60–$476.40 | $336–$794 | varies |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$42.60–$337.20 | $71–$562 | varies |
| Us ob transvaginal (76817) range across 3 matching MRF lines |
$145.80–$348 | $243–$580 | varies |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$45–$387.60 | $75–$646 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$64.80–$337.20 | $108–$562 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 6 matching MRF lines |
$166.80–$313.80 | $278–$523 | varies |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$47.40–$410.40 | $79–$684 | varies |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$39–$337.20 | $65–$562 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$42–$381.60 | $70–$636 | varies |
| Us spinal canal and contents (76800) range across 2 matching MRF lines |
$76.80–$313.80 | $128–$523 | varies |
| Us thyroid (76536) range across 7 matching MRF lines |
$37.80–$581.40 | $63–$969 | varies |
| Us transrectal (76872) range across 4 matching MRF lines |
$48.60–$243.60 | $81–$406 | varies |
| Vein X-Ray Chest (75827) | $2,128.80 | $3,548 | 1.3× |
| Vein X-Ray Spleen/Liver (75810) | $6,472.20 | $10,787 | 2.0× |
| Venogram Sinus/Jugular (75860) | $4,175.40 | $6,959 | 1.3× |
| Venography caval inferior serialography rs&i (75825) | $6,402.60 | $10,671 | 2.0× |
| Venography extremity bilateral rs&i (75822) | $1,837.20 | $3,062 | 1.1× |
| Venography extremity unilateral rs&i (75820) range across 4 matching MRF lines |
$1,629.60–$2,444.40 | $2,716–$4,074 | varies |
| Venography Renal Bilateral (75833) | $6,402 | $10,670 | 2.0× |
| Venography Renal Unilateral (75831) range across 2 matching MRF lines |
$6,402.60–$9,603.90 | $10,671–$16,006.50 | varies |
| Wrist 2 views (73100) range across 6 matching MRF lines |
$11.40–$162 | $19–$270 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 3 matching MRF lines |
$12.60–$154.80 | $21–$258 | varies |
| X-ray antegrade pyelogram tube (74425) | $462 | $770 | 1.3× |
| X-Ray Aorta Leg Arteries (75630) | $3,948 | $6,580 | 1.2× |
| X-Ray Bend Only L-S Spine (72120) range across 3 matching MRF lines |
$15–$237 | $25–$395 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 6 matching MRF lines |
$11.40–$225.90 | $19–$376.50 | varies |
| X-Ray Exam Breast Specimen (76098) range across 2 matching MRF lines |
$787.20 | $36–$1,312 | 1.4× |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 2 matching MRF lines |
$18–$166.20 | $30–$277 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 3 matching MRF lines |
$22.20–$205.80 | $37–$343 | varies |
| X-Ray Exam Entire Spi 4/5 Vw (72083) range across 2 matching MRF lines |
$24.60–$346.80 | $41–$578 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 3 matching MRF lines |
$12.60–$132 | $21–$220 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 3 matching MRF lines |
$15–$154.80 | $25–$258 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) | $19.20 | $32 | 0.2× |
| X-Ray Exam Hips Bi 2 Views (73521) range across 3 matching MRF lines |
$59.40–$184.20 | $99–$307 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 3 matching MRF lines |
$72.60–$199.20 | $121–$332 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) range across 3 matching MRF lines |
$88.20–$138 | $147–$230 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 3 matching MRF lines |
$21–$298.20 | $35–$497 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 3 matching MRF lines |
$15–$198.60 | $25–$331 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 3 matching MRF lines |
$21–$379.80 | $35–$633 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 3 matching MRF lines |
$18–$237 | $30–$395 | varies |
| X-ray eye for foreign body (70030) range across 4 matching MRF lines |
$11.40–$236.70 | $19–$394.50 | varies |
| X-ray humerus (73060) range across 3 matching MRF lines |
$11.40–$170.40 | $19–$284 | varies |
| X-ray IV pyelogram (ivp) (74400) range across 2 matching MRF lines |
$31.80–$643.80 | $53–$1,073 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 2 matching MRF lines |
$12–$144.60 | $20–$241 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 3 matching MRF lines |
$12–$251.40 | $20–$419 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 3 matching MRF lines |
$15–$226.20 | $25–$377 | varies |
| X-ray nose-rectum child f.b. (76010) range across 2 matching MRF lines |
$12–$144.60 | $20–$241 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 3 matching MRF lines |
$70.20–$237 | $117–$395 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 3 matching MRF lines |
$15.60–$154.80 | $26–$258 | varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) range across 3 matching MRF lines |
$12–$144.60 | $20–$241 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 3 matching MRF lines |
$12–$150.60 | $20–$251 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$15–$154.80 | $25–$258 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$19.80–$237 | $33–$395 | varies |
| X-ray thoracic spine 4 vw (72074) range across 2 matching MRF lines |
$16.20–$283.80 | $27–$473 | varies |
| X-Ray Tmj Unilat (70328) range across 2 matching MRF lines |
$10.20–$190.20 | $17–$317 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 4 matching MRF lines |
$131.40–$997.20 | $219–$1,662 | varies |
| X-Rays Bone Length Studies (77073) range across 6 matching MRF lines |
$19.20–$232.20 | $32–$387 | varies |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$37.20–$337.20 | $62–$562 | varies |
| Xr c-spine 4 or 5 views (72050) range across 3 matching MRF lines |
$19.20–$274.80 | $32–$458 | varies |
| Xr facial bones less than 3 views (70140) range across 2 matching MRF lines |
$13.80–$177.60 | $23–$296 | varies |
| Xr orbits complete 4 views (70200) range across 4 matching MRF lines |
$19.80–$264 | $33–$440 | varies |
| Xr Tomogram Single Plane (76100) | $291.60 | $486 | 2.7× |
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.