Imaging prices at Berger Hospital
Circleville, OH · every code in this section with a posted price and a Medicare benchmark.
436 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) | $3,215.55 | $4,947 | 2.4× |
| Abdomen 1 View (74018) | $216.45 | $333 | 2.6× |
| Abdomen 2 views (74019) | $268.45 | $413 | 2.7× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $2,467.40 | $3,796 | 6.4× |
| Adrenal Cortex & Medulla Img (78075) | $2,068.30 | $3,182 | 1.7× |
| Angio internal mammary (75756) | $1,091.35 | $1,679 | 0.4× |
| Angio pulmonary bilat (75743) | $4,782.70 | $7,358 | 1.6× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $4,024.15 | $6,191 | 1.3× |
| Angiography extremity bilateral rs&i (75716) | $8,672.95 | $13,343 | 2.8× |
| Angiography extremity unilateral rs&i (75710) | $7,728.50 | $11,890 | 2.5× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $2,161.90 | $3,326 | 0.7× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $3,173.95 | $4,883 | 1.0× |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$161.20–$322.40 | $248–$496 | varies |
| Aortography thoracic serialography rs&i (75605) | $5,690.75 | $8,755 | 1.1× |
| Artery X-Rays Abdomen (75726) | $4,337.45 | $6,673 | 0.8× |
| Artery X-Rays Adrenal Gland (75731) | $4,024.15 | $6,191 | 1.3× |
| Artery X-Rays Pelvis (75736) | $3,860.35 | $5,939 | 0.7× |
| Artery X-Rays Spine (75705) | $7,156.50 | $11,010 | 1.3× |
| Arthrogram ankle (73615) range across 2 matching MRF lines |
$408.85–$817.70 | $629–$1,258 | varies |
| Arthrogram hip (73525) range across 2 matching MRF lines |
$1,038.05–$2,076.10 | $1,597–$3,194 | varies |
| Arthrogram Wrist (73115) range across 2 matching MRF lines |
$575.90–$1,151.80 | $886–$1,772 | varies |
| Basic radiation dosimetry calculation (77300) | $1,139.45 | $1,753 | 8.8× |
| Bone age studies (77072) | $189.80 | $292 | 1.9× |
| Bone Imaging 3 Phase (78315) | $1,428.05 | $2,197 | 3.7× |
| Bone Imaging Limited Area (78300) | $1,203.80 | $1,852 | 3.1× |
| Bone Imaging Multiple Areas (78305) | $1,328.60 | $2,044 | 3.4× |
| Bone Imaging Whole Body (78306) | $1,298.70 | $1,998 | 3.4× |
| Bone marrow imaging limited area (78102) | $1,205.75 | $1,855 | 3.1× |
| Bone marrow imaging; multiple areas (78103) | $1,060.80 | $1,632 | 2.8× |
| Bone marrow imaging; whole body (78104) | $1,565.20 | $2,408 | 4.1× |
| Bone survey infant (77076) | $341.25 | $525 | 3.4× |
| Brachytx isodose complex (77318) | $3,504.15 | $5,391 | 9.7× |
| Brachytx isodose intermed (77317) | $3,504.15 | $5,391 | 9.7× |
| Brachytx Isodose Plan Simple (77316) | $2,009.15 | $3,091 | 5.6× |
| Brain Flow Imaging Only (78610) | $672.10 | $1,034 | 1.3× |
| Brain Image W/Flow < 4 Views (78601) | $818.35 | $1,259 | 2.1× |
| Brain imaging < 4 static views (78600) | $818.35 | $1,259 | 2.1× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $926.90 | $1,426 | 1.8× |
| Brain Imaging Minimum 4 Static Views (78605) | $1,053 | $1,620 | 2.0× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $3,959.15 | $6,091 | 2.9× |
| Card Bl Pool Gated Spect Rest Wal Motn Ejct Frct (78494) | $1,249.30 | $1,922 | 3.2× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $2,636.40 | $4,056 | 7.8× |
| Cardiac MRI w/w/o contrast w/stress (75563) | $2,636.40 | $4,056 | 3.5× |
| Cardiac Shunt Detection (78428) | $1,249.30 | $1,922 | 3.2× |
| Cat Scan Follow-Up Study (76380) | $1,485.25 | $2,285 | 17.7× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $672.10 | $1,034 | 1.3× |
| Cerebrospinal Fluid Scan (78630) | $734.50 | $1,130 | 1.4× |
| Chest 1 view (71045) | $290.55 | $447 | 3.5× |
| Chest 2 views (71046) | $302.90 | $466 | 3.6× |
| Chest 3 views (71047) | $315.90 | $486 | 3.8× |
| Chest 4 or more views (71048) | $325.65 | $501 | 3.2× |
| Clavicle complete (73000) range across 2 matching MRF lines |
$240.50–$481 | $370–$740 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $824.20 | $1,268 | 8.2× |
| Continuing medical physics consltj pr wk (77336) | $998.40 | $1,536 | 7.7× |
| Contrast Exam Abdominl Aorta (75625) | $8,061.30 | $12,402 | 2.6× |
| Contrast X-Ray Bladder (74430) | $1,020.50 | $1,570 | 3.0× |
| Contrast X-Ray Of Elbow (73085) range across 2 matching MRF lines |
$1,083.55–$2,167.10 | $1,667–$3,334 | varies |
| Contrast X-Ray Of Knee Joint (73580) range across 2 matching MRF lines |
$601.90–$1,203.80 | $926–$1,852 | varies |
| Corpora cavernosography (74445) | $862.55 | $1,327 | 8.6× |
| CT abdomen and pelvis without and with contrast (74178) | $2,743.65 | $4,221 | 8.2× |
| CT abdomen and pelvis without contrast (74176) | $2,267.85 | $3,489 | 9.9× |
| CT abdomen w contrast (74160) | $1,602.90 | $2,466 | 9.5× |
| CT abdomen w wo contrast (74170) | $1,764.10 | $2,714 | 10.4× |
| CT abdomen w/o contrast (74150) | $1,457.30 | $2,242 | 14.5× |
| CT Angio Abdomen and Pelvis (74174) | $2,746.25 | $4,225 | 8.2× |
| CT Angio Chest (71275) | $1,726.40 | $2,656 | 10.2× |
| CT Angio Head (70496) | $1,946.10 | $2,994 | 11.5× |
| CT angio hrt w/3d image (75574) | $2,653.95 | $4,083 | 7.9× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
$1,435.20–$2,870.40 | $2,208–$4,416 | varies |
| CT Angio Neck (70498) | $1,946.10 | $2,994 | 11.5× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $1,348.10 | $2,074 | 8.0× |
| CT cervical spine w/ contrast (72126) | $1,374.10 | $2,114 | 4.1× |
| CT cervical spine w/o contrast (72125) | $1,188.20 | $1,828 | 11.8× |
| CT cervical spine w/wo cont (72127) | $1,509.95 | $2,323 | 8.9× |
| CT chest w contrast (71260) | $1,437.15 | $2,211 | 8.5× |
| CT chest w/wo contrast (71270) | $1,580.80 | $2,432 | 9.3× |
| CT colonography screening (74263) | $1,238.25 | $1,905 | 5.4× |
| CT colonogrphy dx image postprocess w/o contrast (74261) | $1,238.25 | $1,905 | 12.3× |
| CT head/brain with contrast (70460) | $913.25 | $1,405 | 5.4× |
| CT head/brain without and with contrast (70470) | $1,049.75 | $1,615 | 6.2× |
| CT heart contrast eval cardiac structure&morph (75572) | $1,363.05 | $2,097 | 4.1× |
| CT heart no contrast quant eval coronry calcium (75571) | $241.15 | $371 | 2.9× |
| CT hrt w/3d image congen (75573) | $2,178.80 | $3,352 | 6.5× |
| CT iac w contrast (70481) | $1,084.20 | $1,668 | 6.4× |
| CT l-spine w&w/o contrast (72133) | $1,067.30 | $1,642 | 6.3× |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$1,049.10–$2,098.20 | $1,614–$3,228 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$1,153.75–$2,307.50 | $1,775–$3,550 | varies |
| CT lumbar spine w contrast (72132) | $970.45 | $1,493 | 2.9× |
| CT lumbar spine w/o contrast (72131) | $882.70 | $1,358 | 8.8× |
| CT maxillofacial w contrast (70487) | $1,079.65 | $1,661 | 6.4× |
| CT maxillofacial wo contrast (70486) | $938.60 | $1,444 | 9.3× |
| CT neck tissue combo (70492) | $1,276.60 | $1,964 | 7.5× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,246.70 | $1,918 | 7.4× |
| CT orbits w/o contrast (70480) | $942.50 | $1,450 | 9.3× |
| CT pelvis w&w/o contrast (72194) | $1,527.50 | $2,350 | 9.0× |
| CT pelvis w/o contrast (72192) | $1,262.30 | $1,942 | 12.5× |
| CT scan of leg combo (73702) range across 2 matching MRF lines |
$1,268.80–$2,537.60 | $1,952–$3,904 | varies |
| CT scans face/jaw combo (70488) | $1,187.55 | $1,827 | 7.0× |
| CT soft tissue neck w contrast (70491) | $1,110.20 | $1,708 | 6.6× |
| CT soft tissue neck w/o contrast (70490) | $965.25 | $1,485 | 9.6× |
| CT thoracic spine w contrast (72129) | $1,255.15 | $1,931 | 7.4× |
| CT thoracic spine w/o contrast (72128) | $1,053.65 | $1,621 | 10.5× |
| CT thoracic spine w/wo cont (72130) | $1,380.60 | $2,124 | 8.2× |
| CT thorax w/o contrast (71250) | $1,307.15 | $2,011 | 13.0× |
| CT unlisted procedure (76497) | $1,815.45 | $2,793 | 21.6× |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$1,047.80–$2,095.60 | $1,612–$3,224 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 2 matching MRF lines |
$1,266.85–$2,533.70 | $1,949–$3,898 | varies |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$1,151.80–$2,303.60 | $1,772–$3,544 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,654.25 | $2,545 | 9.8× |
| Cta Abdomen (74175) | $2,006.55 | $3,087 | 11.9× |
| CTA pelvis (72191) | $1,592.50 | $2,450 | 9.4× |
| Dilation ureters/urethra rs&i (74485) | $4,092.40 | $6,296 | 2.0× |
| Discography Cerv/Thor Spine (72285) | $1,296.75 | $1,995 | 0.7× |
| Diskography lumbar (72295) | $1,586 | $2,440 | 0.8× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) | $554.45 | $853 | 5.5× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $739.05 | $1,137 | 7.3× |
| Doppler Fetal Mid Cerebral Artery (76821) | $272.35 | $419 | 2.7× |
| Dxa Bone Density Axial (77080) | $423.15 | $651 | 4.2× |
| Dxa bone density study (77085) | $1,383.85 | $2,129 | 13.7× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $342.55 | $527 | 4.1× |
| Echo exam of fetal heart (76825) | $741.65 | $1,141 | 1.4× |
| Echo exam uterus (76831) | $828.10 | $1,274 | 3.6× |
| Echo Guide For Artery Repair (76936) | $2,431 | $3,740 | 11.7× |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) | $488.15 | $751 | 2.1× |
| Echograp Trans R Pros Study (76873) | $196.95 | $303 | 2.0× |
| Esophagram (74220) | $438.75 | $675 | 2.6× |
| Fetal Biophys Profile W/Nst (76818) | $552.50 | $850 | 5.5× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $497.25 | $765 | 4.9× |
| Fluoroscopy up to 1 hr (76000) | $872.95 | $1,343 | 3.8× |
| Follow-Up Angiography (75898) | $1,557.40 | $2,396 | 0.5× |
| Foot 2 views (73620) range across 2 matching MRF lines |
$165.75–$331.50 | $255–$510 | varies |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$198.25–$396.50 | $305–$610 | varies |
| Gastric emptying imaging study (78264) | $1,968.20 | $3,028 | 5.1× |
| Gastric Emptyng Imag Std W/Sm Bwl Transit (78265) | $2,311.40 | $3,556 | 6.0× |
| Gated Heart Planar Single (78472) | $1,888.90 | $2,906 | 4.9× |
| Gated Heart, Multiple (78473) | $1,888.90 | $2,906 | 4.9× |
| Gstrc Emptng Imag Std W/Sm Bwl Col Trnst Mlt Day (78266) | $2,311.40 | $3,556 | 4.4× |
| Hand 2 views (73120) range across 2 matching MRF lines |
$166.40–$332.80 | $256–$512 | varies |
| Hdr Rdncl Ntrstl/Icav Brchtx (77772) | $4,219.80 | $6,492 | 6.3× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) | $4,219.80 | $6,492 | 6.3× |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) | $4,219.80 | $6,492 | 6.3× |
| Heart first pass single,planar (78481) | $1,400.10 | $2,154 | 2.7× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $4,130.75 | $6,355 | 1.4× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $1,929.85 | $2,969 | 0.6× |
| Hepatobil Syst Image W/Drug (78227) | $2,518.10 | $3,874 | 4.8× |
| Hepatobiliary System Imaging (78226) | $2,059.20 | $3,168 | 5.3× |
| Ht Musc Image Planar Mult (78454) | $2,371.20 | $3,648 | 1.9× |
| Ht Muscle Image Spect Sing (78451) | $1,615.90 | $2,486 | 1.3× |
| Hyperthermia, externally generated; deep (ie, heating to depths greater than 4 cm) Non-Facility (77605) | $3,357.90 | $5,166 | 5.0× |
| Hysterosalpingogram (74740) | $980.20 | $1,508 | 4.3× |
| Interstitial radiation source applic complex (77778) | $2,034.50 | $3,130 | 3.0× |
| Joint Survey Single View (77077) | $146.90 | $226 | 1.5× |
| K Flow/Funct Image Multiple (78709) | $2,795.65 | $4,301 | 5.3× |
| K Flow/Funct Image W/Drug (78708) | $2,242.50 | $3,450 | 4.3× |
| K Flow/Funct Image W/O Drug (78707) | $1,690 | $2,600 | 3.2× |
| Kidney Imaging Morphol (78700) | $1,311.70 | $2,018 | 3.4× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $1,311.70 | $2,018 | 3.4× |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$269.75–$539.50 | $415–$830 | varies |
| Labeled RBC Sequestration Differntl Organ/Tissue (78140) | $774.80 | $1,192 | 2.0× |
| Leveen/Shunt Patency Exam (78291) | $796.25 | $1,225 | 2.1× |
| Liver & Spleen Imaging Static Only (78215) | $1,267.50 | $1,950 | 3.3× |
| Liver imaging static only (78201) | $1,541.80 | $2,372 | 2.9× |
| Liver imaging w/vascular flow (78202) | $1,357.20 | $2,088 | 2.6× |
| Lung perfusion differential (78597) | $1,625.65 | $2,501 | 4.2× |
| Lung Ventilat&Perfus Imaging (78582) | $1,498.25 | $2,305 | 2.9× |
| Lung Ventilation Imaging (78579) | $724.75 | $1,115 | 1.9× |
| Lymph System Imaging (78195) | $1,155.70 | $1,778 | 2.2× |
| Lymphangiography Extremity Only Bilateral Rs&I (75803) | $5,569.85 | $8,569 | 3.7× |
| Lymphangiography extremity only unilateral rs&i (75801) | $1,856.40 | $2,856 | 3.1× |
| Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) | $7,029.75 | $10,815 | 2.3× |
| Lymphangiography, pelvic/abdominal, unilateral (75805) | $7,029.75 | $10,815 | 2.3× |
| Magnetic Image Jaw Joint (70336) range across 2 matching MRF lines |
$1,276.60–$2,553.20 | $1,964–$3,928 | varies |
| Magnetic resonance (eg, proton) imaging, brain (including brain stem andskull base), during open intracranial procedure… (70558) | $1,948.05 | $2,997 | 11.5× |
| Magnetic resonance (eg, proton) imaging, brain (including brain stem andskull base), during open intracranial procedure… (70557) | $1,610.70 | $2,478 | 3.1× |
| Magnetic resonance (eg, proton) imaging, brain (including brain stem andskull base), during open intracranial procedure… (70559) | $2,357.55 | $3,627 | 13.9× |
| Mammary ductogram or galactogram multiple (77054) | $968.50 | $1,490 | 4.2× |
| Mammary ductogram or galactogram single (77053) | $484.25 | $745 | 2.1× |
| Meckels Divert Exam (78290) | $2,511.60 | $3,864 | 6.5× |
| Medical physics dose eval radiation expos w/rprt (76145) | $1,328.60 | $2,044 | 3.7× |
| Mlc imrt design & construction per imrt plan (77338) | $702.65 | $1,081 | 1.9× |
| Mr safety determination physician/other qhp (76016) | $172.25 | $265 | 2.1× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $48.75 | $75 | 1.7× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) | $178.75 | $275 | 1.9× |
| Mr safety implt pos&/immoblj (76019) | $117 | $180 | 2.1× |
| Mra Head W/O & W/Contrast Material (70546) | $1,744.60 | $2,684 | 5.2× |
| MRA head w/o contrast (70544) | $1,310.40 | $2,016 | 5.7× |
| MRA head with contrast (70545) | $1,585.35 | $2,439 | 4.7× |
| MRA neck w contrast (70548) | $1,798.55 | $2,767 | 5.3× |
| Mra Neck W/O &W/Contrast Material (70549) | $1,899.30 | $2,922 | 5.6× |
| MRA neck w/o contrast (70547) | $1,485.90 | $2,286 | 6.5× |
| MRI abdomen w contrast (74182) | $1,705.60 | $2,624 | 5.1× |
| MRI abdomen w/o contrast (74181) | $1,475.50 | $2,270 | 6.4× |
| MRI any jt lower extrem w/contrast material (73722) range across 2 matching MRF lines |
$1,665.30–$3,330.60 | $2,562–$5,124 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$1,885.65–$3,771.30 | $2,901–$5,802 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 2 matching MRF lines |
$1,730.95–$3,461.90 | $2,663–$5,326 | varies |
| MRI bone marrow blood supply (77084) | $1,425.45 | $2,193 | 6.2× |
| MRI brain functional w/o physician admnistration (70554) range across 2 matching MRF lines |
$2,191.80–$4,383.60 | $3,372–$6,744 | varies |
| MRI Breast W/O Contrast Bilateral (77047) | $1,638.65 | $2,521 | 7.1× |
| MRI Breast Without Contrast Material Unilateral (77046) | $1,348.10 | $2,074 | 5.9× |
| MRI cardiac w/o contrast (75557) | $2,636.40 | $4,056 | 11.5× |
| MRI cervical spine w contrast (72142) | $1,684.15 | $2,591 | 5.0× |
| MRI cervical spine w/o cont (72141) | $1,391 | $2,140 | 6.0× |
| MRI chest w/o contrast (71550) | $1,564.55 | $2,407 | 6.8× |
| MRI chest with contrast (71551) | $1,892.80 | $2,912 | 2.5× |
| MRI chest wo w contrast (71552) | $2,143.05 | $3,297 | 6.4× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 2 matching MRF lines |
$1,843.40–$3,686.80 | $2,836–$5,672 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 2 matching MRF lines |
$2,086.50–$4,173 | $3,210–$6,420 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines |
$1,522.95–$3,045.90 | $2,343–$4,686 | varies |
| MRI lumbar spine w contrast (72149) | $1,793.35 | $2,759 | 5.3× |
| Mri Neck Spine W/O & W/Dye (72156) | $1,989.65 | $3,061 | 5.9× |
| MRI orbit face &/neck w/o contrast (70540) | $1,555.45 | $2,393 | 6.8× |
| MRI orbit face neck w contrast (70542) | $1,693.25 | $2,605 | 5.0× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $1,881.10 | $2,894 | 5.6× |
| MRI pelvis w contrast (72196) | $1,745.25 | $2,685 | 5.2× |
| MRI pelvis w/o & w contrast (72197) | $1,939.60 | $2,984 | 5.8× |
| MRI pelvis w/o contrast (72195) | $1,443 | $2,220 | 6.3× |
| MRI spectroscopy (76390) | $2,070.90 | $3,186 | 24.7× |
| MRI thoracic spine w/o contrast (72146) | $1,496.30 | $2,302 | 6.5× |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 2 matching MRF lines |
$1,810.25–$3,620.50 | $2,785–$5,570 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 2 matching MRF lines |
$1,496.30–$2,992.60 | $2,302–$4,604 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 2 matching MRF lines |
$2,049.45–$4,098.90 | $3,153–$6,306 | varies |
| MRI, abdomen, combo (74183) | $1,876.55 | $2,887 | 5.6× |
| MRI, dorsal spine combo (72157) | $2,049.45 | $3,153 | 6.1× |
| MRI, dorsal spine contrast (72147) | $1,810.25 | $2,785 | 5.4× |
| MRI, joint upper extrem (73221) range across 2 matching MRF lines |
$1,431.30–$2,862.60 | $2,202–$4,404 | varies |
| MRI, joint upper extrem combo (73223) range across 2 matching MRF lines |
$1,959.75–$3,919.50 | $3,015–$6,030 | varies |
| MRI, lumbar spine combo (72158) | $2,029.95 | $3,123 | 6.0× |
| Myelogram cervical (72240) | $843.70 | $1,298 | 1.1× |
| Myelogram Lumbar (72265) | $849.55 | $1,307 | 1.1× |
| Myelography thoracic (72255) | $771.55 | $1,187 | 1.0× |
| Myelograpy 2/more regions rs&i (72270) | $977.60 | $1,504 | 1.3× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $1,227.85 | $1,889 | 3.2× |
| Myocardial imaging, infarct avid, planar; with ejection fraction by first pass technique Non-Facility (78468) | $1,227.85 | $1,889 | 2.3× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $1,483.30 | $2,282 | 1.2× |
| Myocardial Spect Multiple Studies (78452) | $3,031.60 | $4,664 | 2.4× |
| Myocrd Img Pet Metab Eval Single Study Cncrnt CT (78429) | $989.30 | $1,522 | 0.7× |
| Myocrd img PET prfuj 1std rest/stress cncrnt CT (78430) | $1,537.25 | $2,365 | 1.1× |
| Myocrd Img Pet Prfuj Mlt Std Rst&Strs Cncrnt CT (78431) | $2,442.70 | $3,758 | 1.2× |
| Myocrd Img Pet Prfuj W/Metab 2rtracer Cncrnt CT (78433) | $2,888.60 | $4,444 | 1.4× |
| Neck soft tissue (70360) | $225.55 | $347 | 2.7× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $564.85 | $869 | 1.5× |
| Nm csf leak detection (78650) | $1,625.65 | $2,501 | 1.3× |
| Nm myocard infarct spect (78469) | $1,227.85 | $1,889 | 2.3× |
| Nonvascular Shunt X-Ray (75809) | $815.75 | $1,255 | 8.1× |
| Ntsty modul radthx pln dose-vol histos (77301) | $8,238.75 | $12,675 | 6.2× |
| Nuclear Rx Intra-Arterial (79445) | $1,284.40 | $1,976 | 5.7× |
| Nuclear Rx Oral Admin (79005) | $1,591.85 | $2,449 | 7.1× |
| Ob us nuchal meas 1 gest (76813) | $605.15 | $931 | 6.0× |
| Optic foramina (70190) range across 2 matching MRF lines |
$92.30–$184.60 | $142–$284 | varies |
| Panoramic X-ray of jaws (70355) | $168.35 | $259 | 2.0× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $2,433.60 | $3,744 | 4.6× |
| Parathyroid Planar Imaging (78070) | $1,937.65 | $2,981 | 5.0× |
| Parathyroid planar imaging w/wo subtraction (78071) | $2,185.30 | $3,362 | 5.7× |
| Pelvis 1 or 2 views (72170) | $195.65 | $301 | 1.9× |
| Perineogram (74775) | $1,095.25 | $1,685 | 4.8× |
| Peritoneogram Rs&I (74190) | $981.50 | $1,510 | 1.9× |
| Pet Image W/Ct Lmtd (78814) | $3,689.40 | $5,676 | 2.7× |
| PET image w/CT, full body (78816) | $5,415.80 | $8,332 | 3.9× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $4,102.15 | $6,311 | 3.0× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $4,270.50 | $6,570 | 1.4× |
| Pulmonary Perfusion Imaging Particulate (78580) | $774.80 | $1,192 | 2.0× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $356.85 | $549 | 3.5× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $1,671.15 | $2,571 | 3.2× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$193.05–$386.10 | $297–$594 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$185.90–$371.80 | $286–$572 | varies |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$224.25–$448.50 | $345–$690 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $300.30 | $462 | 3.0× |
| Radex fingr minimum 2 views (73140) range across 2 matching MRF lines |
$195.65–$391.30 | $301–$602 | varies |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$221.65–$443.30 | $341–$682 | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$230.10–$460.20 | $354–$708 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 2 matching MRF lines |
$263.25–$526.50 | $405–$810 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) range across 2 matching MRF lines |
$423.80–$847.60 | $652–$1,304 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $215.15 | $331 | 2.6× |
| Radex Ribs Unilateral 2 Views (71100) | $249.60 | $384 | 3.0× |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$276.90–$553.80 | $426–$852 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $165.10 | $254 | 2.0× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $1,028.95 | $1,583 | 6.1× |
| Radex Spine 1 View Specify Level (72020) | $146.90 | $226 | 1.8× |
| Radex Sternum Minimum 2 Views (71120) | $271.05 | $417 | 3.2× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $296.40 | $456 | 3.5× |
| Radex Toe Minimum 2 Views (73660) range across 2 matching MRF lines |
$180.05–$360.10 | $277–$554 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 2 matching MRF lines |
$257.40–$514.80 | $396–$792 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$230.10–$460.20 | $354–$708 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $377 | $580 | 3.7× |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $4,733.95 | $7,283 | 0.7× |
| Radiation treatment delivery level 1 (77402) | $767.65 | $1,181 | 7.8× |
| Radiation treatment delivery level 2 (77407) | $767.65 | $1,181 | 2.1× |
| Radiation treatment delivery level 3 (77412) | $840.45 | $1,293 | 1.6× |
| Radiolog exam mandible compl minimum 4 views (70110) | $277.55 | $427 | 2.8× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $298.35 | $459 | 3.0× |
| Radiologic exam colon double contrast study (74280) | $864.50 | $1,330 | 5.1× |
| Radiologic exam colon single contrast study (74270) | $691.60 | $1,064 | 4.1× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $545.35 | $839 | 3.2× |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$301.60–$603.20 | $464–$928 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $234.65 | $361 | 2.3× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $822.90 | $1,266 | 4.9× |
| Radiologic exam swallow function contrast study (74230) | $590.20 | $908 | 3.5× |
| Radiologic exam upr gi trc double contrast study (74246) | $852.80 | $1,312 | 5.0× |
| Radiologic examination femur 1 view (73551) range across 2 matching MRF lines |
$146.25–$292.50 | $225–$450 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$193.05–$386.10 | $297–$594 | varies |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$254.80–$509.60 | $392–$784 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $146.90 | $226 | 1.5× |
| Radiologic examination tibia & fibula 2 views (73590) range across 2 matching MRF lines |
$239.85–$479.70 | $369–$738 | varies |
| Radiologic examination, internal auditory meati, complete Non-Facility (70134) | $341.25 | $525 | 0.6× |
| Renal Cyst Study (74470) | $1,379.30 | $2,122 | 2.6× |
| Ribs bilateral 3 views (71110) | $306.80 | $472 | 3.0× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $1,911 | $2,940 | 5.0× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $2,107.30 | $3,242 | 5.5× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $2,501.20 | $3,848 | 4.8× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $2,304.25 | $3,545 | 4.4× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $2,581.15 | $3,971 | 4.9× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $3,140.80 | $4,832 | 2.5× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $3,463.20 | $5,328 | 2.5× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $2,848.30 | $4,382 | 2.3× |
| Rp Ther Radiolbld Monoclonal Antibody IV Infus (79403) | $2,065.70 | $3,178 | 9.2× |
| Rp Therapy Intravenous Administration (79101) | $1,585.35 | $2,439 | 7.0× |
| Salivary Gland Imaging (78230) | $1,846 | $2,840 | 4.8× |
| Scapula (73010) range across 2 matching MRF lines |
$219.05–$438.10 | $337–$674 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $39 | $60 | 1.7× |
| Sella turcica (70240) | $129.35 | $199 | 1.5× |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$144.30–$288.60 | $222–$444 | varies |
| Shoulder Arthrography (73040) range across 2 matching MRF lines |
$1,002.95–$2,005.90 | $1,543–$3,086 | varies |
| Sialogram (70390) | $1,132.30 | $1,742 | 4.9× |
| Skull less than 4 views (70250) | $165.75 | $255 | 1.6× |
| Special dosimetry (77331) | $445.25 | $685 | 3.4× |
| Special Physics Consult (77370) | $1,328.60 | $2,044 | 10.3× |
| Special teletherapy port plan (77321) | $3,186.30 | $4,902 | 8.8× |
| Special treatment procedure (77470) | $1,739.40 | $2,676 | 3.3× |
| Stereotactic Body Radiation Delivery (77373) | $2,069.60 | $3,184 | 1.2× |
| Sternoclavicular joints (71130) | $373.75 | $575 | 4.5× |
| Superior sagittal sinus venogram (75870) | $2,171 | $3,340 | 0.7× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $5,424.90 | $8,346 | 15.0× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $4,407 | $6,780 | 12.2× |
| Testicular Imaging W/Flow (78761) | $1,050.40 | $1,616 | 2.7× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $2,463.50 | $3,790 | 6.8× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $1,213.55 | $1,867 | 3.4× |
| Ther rad simulaj-aided field setting simple (77280) | $665.60 | $1,024 | 5.1× |
| Thoracic spine 2 views (72070) | $230.10 | $354 | 2.3× |
| Thoracic spine 3 views (72072) | $253.50 | $390 | 2.5× |
| Thoracolumbar 2 views (72080) | $232.70 | $358 | 2.8× |
| Thyroid Imaging With Vascular Flow (78013) | $709.80 | $1,092 | 1.8× |
| Thyroid Met Imaging Body (78018) | $1,795.30 | $2,762 | 3.4× |
| Thyroid Uptake Measurement (78012) | $1,053.65 | $1,621 | 2.7× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,638.65 | $2,521 | 4.3× |
| Tx Devices Design & Construction Complex (77334) | $725.40 | $1,116 | 2.0× |
| Tx devices design & construction intermediate (77333) | $725.40 | $1,116 | 5.6× |
| Tx devices design & construction simple (77332) | $725.40 | $1,116 | 5.6× |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$417.30–$834.60 | $642–$1,284 | varies |
| Ultrasound Elastography Parenchyma (76981) | $516.10 | $794 | 5.1× |
| Ultrasound Exam Aaa Screen (76706) | $246.35 | $379 | 2.4× |
| Ultrasound, abdomen limited (76705) | $406.90 | $626 | 4.0× |
| Umbilical-artery Doppler (OB) (76820) | $265.85 | $409 | 2.6× |
| Unlisted fluoroscopic procedure (76496) | $1,642.55 | $2,527 | 19.6× |
| Unlisted magnetic resonance procedure (76498) | $274.30 | $422 | 3.3× |
| Unlisted Procedure Clinical Brachytherapy (77799) | $670.15 | $1,031 | 6.8× |
| Unlisted us procedure (76999) | $714.35 | $1,099 | 8.5× |
| Upper gi w/o kub (74240) | $647.40 | $996 | 3.8× |
| Ureteral Reflux Study (78740) | $2,453.10 | $3,774 | 6.4× |
| Urethrocystogram voiding (74455) | $804.05 | $1,237 | 3.5× |
| Urethrocystography retrograde (74450) | $776.75 | $1,195 | 3.4× |
| Us breast unilateral complete (76641) range across 5 matching MRF lines |
$146.25–$1,233.70 | $225–$1,898 | varies |
| Us chest (76604) | $351.65 | $541 | 3.5× |
| Us complete joint (76881) | $642.85 | $989 | 6.4× |
| Us exam, pelvic, limited (76857) | $373.10 | $574 | 3.7× |
| Us head (76506) | $458.90 | $706 | 4.6× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $386.75 | $595 | 3.8× |
| Us ob detailed single fetus (76811) | $708.50 | $1,090 | 3.1× |
| Us ob limited 1 or more fetuses (76815) | $369.85 | $569 | 3.7× |
| Us ob transvaginal (76817) | $459.55 | $707 | 4.6× |
| Us pelvic non ob complete (76856) | $559 | $860 | 5.5× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $433.55 | $667 | 4.3× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $486.20 | $748 | 4.8× |
| Us retroperitoneal complete (76770) | $518.70 | $798 | 5.1× |
| Us retroperitoneal limited (76775) | $378.95 | $583 | 3.8× |
| Us scrotum and contents (76870) | $454.35 | $699 | 4.5× |
| Us spinal canal and contents (76800) | $491.40 | $756 | 4.9× |
| Us thyroid (76536) | $522.60 | $804 | 5.2× |
| Us transrectal (76872) | $719.55 | $1,107 | 7.1× |
| Vascular Flow Imaging (78445) | $1,311.70 | $2,018 | 3.4× |
| Vein X-Ray Chest (75827) | $1,566.50 | $2,410 | 1.0× |
| Vein X-Ray Liver W/O Hemodyn (75887) | $2,917.20 | $4,488 | 1.0× |
| Vein X-Ray Skull Epidural (75872) | $1,236.30 | $1,902 | 2.0× |
| Vein X-Ray Spleen/Liver (75810) | $2,813.20 | $4,328 | 0.9× |
| Venogram Sinus/Jugular (75860) | $3,217.50 | $4,950 | 1.1× |
| Venography Adrenal Unilateral (75840) | $1,046.50 | $1,610 | 0.3× |
| Venography caval inferior serialography rs&i (75825) | $2,158.65 | $3,321 | 0.7× |
| Venography extremity bilateral rs&i (75822) | $3,982.55 | $6,127 | 2.6× |
| Venography extremity unilateral rs&i (75820) | $3,606.20 | $5,548 | 2.4× |
| Venography Renal Bilateral (75833) | $3,086.85 | $4,749 | 1.0× |
| Venography Renal Unilateral (75831) | $3,086.85 | $4,749 | 1.0× |
| Venous sampling by catheter (75893) | $4,270.50 | $6,570 | 0.8× |
| Venous Thrombosis Imaging Venogram Bilateral (78458) | $1,311.70 | $2,018 | 3.4× |
| Vertebral fracture assessment via dxa (77086) | $669.50 | $1,030 | 8.0× |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$176.15–$352.30 | $271–$542 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $298.35 | $459 | 3.6× |
| X-ray antegrade pyelogram tube (74425) | $1,161.55 | $1,787 | 3.5× |
| X-Ray Aorta Leg Arteries (75630) | $9,151.35 | $14,079 | 3.0× |
| X-Ray Bend Only L-S Spine (72120) | $250.25 | $385 | 2.5× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$168.35–$336.70 | $259–$518 | varies |
| X-Ray Exam Breast Specimen (76098) | $438.10 | $674 | 0.8× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $208.65 | $321 | 2.5× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $250.25 | $385 | 2.5× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $300.30 | $462 | 3.0× |
| X-Ray Exam Hip Uni 1 View (73501) | $291.85 | $449 | 3.5× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $332.15 | $511 | 4.0× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $486.85 | $749 | 4.8× |
| X-Ray Exam Hips Bi 2 Views (73521) | $428.35 | $659 | 4.2× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $476.45 | $733 | 4.7× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $571.35 | $879 | 5.7× |
| X-Ray Exam L-S Spine Bending (72114) | $419.25 | $645 | 4.2× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $250.90 | $386 | 3.0× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $343.20 | $528 | 3.4× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $297.05 | $457 | 2.9× |
| X-ray eye for foreign body (70030) range across 2 matching MRF lines |
$305.50–$611 | $470–$940 | varies |
| X-ray humerus (73060) | $217.10 | $334 | 2.6× |
| X-ray IV pyelogram (ivp) (74400) | $840.45 | $1,293 | 5.0× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $168.35 | $259 | 2.0× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $200.20 | $308 | 2.4× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $264.55 | $407 | 2.6× |
| X-ray nose-rectum child f.b. (76010) | $367.25 | $565 | 4.4× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $337.35 | $519 | 3.3× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $423.80 | $652 | 4.2× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $256.10 | $394 | 2.5× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $215.15 | $331 | 2.6× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $330.20 | $508 | 3.9× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $297.05 | $457 | 2.9× |
| X-Ray Stress View (77071) | $120.25 | $185 | 1.4× |
| X-ray thoracic spine 4 vw (72074) | $289.25 | $445 | 2.9× |
| X-Ray Tmj Unilat (70328) | $259.35 | $399 | 3.1× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $889.20 | $1,368 | 2.6× |
| X-Rays Bone Length Studies (77073) | $326.95 | $503 | 3.2× |
| X-Rays Bone Survey Complete (77075) | $412.75 | $635 | 4.1× |
| Xr c-spine 4 or 5 views (72050) | $300.30 | $462 | 3.0× |
| Xr facial bones less than 3 views (70140) | $194.35 | $299 | 2.3× |
| Xr orbits complete 4 views (70200) | $301.60 | $464 | 3.0× |
| Xr Tomogram Single Plane (76100) | $282.10 | $434 | 2.8× |
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.