Imaging prices at Blue Ridge Medical Center
Blue Ridge, GA · every code in this section with a posted price and a Medicare benchmark.
339 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abdomen 1 View (74018) range across 6 matching MRF lines |
$178.15–$387.86 | $296.92–$646.44 | varies |
| Abdomen 2 views (74019) | $178.15 | $296.92 | 1.9× |
| Acute Gastrointestinal Blood Loss Imaging (78278) range across 4 matching MRF lines |
$935.74–$1,572.31 | $1,559.57–$2,620.53 | varies |
| Adrenal Cortex & Medulla Img (78075) | $2,316.11 | $3,860.19 | 2.0× |
| Ankle 2 views (73600) range across 12 matching MRF lines |
$178.15–$233.59 | $296.92–$389.33 | varies |
| Arthrogram ankle (73615) range across 8 matching MRF lines |
$92.10–$688.33 | $153.51–$1,147.23 | varies |
| Arthrogram hip (73525) range across 8 matching MRF lines |
$178.15–$1,063.12 | $296.92–$1,771.88 | varies |
| Arthrogram Wrist (73115) range across 8 matching MRF lines |
$183.49–$1,126.43 | $305.83–$1,877.39 | varies |
| Bone age studies (77072) range across 6 matching MRF lines |
$183.49–$206.71 | $305.83–$344.52 | varies |
| Bone Imaging 3 Phase (78315) range across 4 matching MRF lines |
$1,488.05–$1,572.31 | $2,480.09–$2,620.53 | varies |
| Bone Imaging Limited Area (78300) range across 4 matching MRF lines |
$1,572.31–$1,689.38 | $2,620.53–$2,815.64 | varies |
| Bone Imaging Multiple Areas (78305) range across 4 matching MRF lines |
$1,572.31–$1,730.08 | $2,620.53–$2,883.47 | varies |
| Bone Imaging Whole Body (78306) range across 4 matching MRF lines |
$1,422.92–$1,572.31 | $2,371.54–$2,620.53 | varies |
| Bone marrow imaging; multiple areas (78103) | $1,619.49 | $2,699.15 | 4.6× |
| Bone survey infant (77076) range across 6 matching MRF lines |
$161.32–$178.15 | $268.88–$296.92 | varies |
| Brain Flow Imaging Only (78610) | $1,572.31 | $2,620.53 | 3.3× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $1,619.49 | $2,699.15 | 3.4× |
| Brain Imaging Minimum 4 Static Views (78605) | $1,619.49 | $2,699.15 | 3.4× |
| Cardiac blood pool imaging, first pass technique; multiple studies, resting and with stress (exercise and/or… (78483) | $1,619.49 | $2,699.15 | 3.4× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $1,689.32 | $2,815.54 | 5.5× |
| Cardiac MRI w/w/o contrast w/stress (75563) | $1,689.32 | $2,815.54 | 2.5× |
| Cat Scan Follow-Up Study (76380) range across 4 matching MRF lines |
$971.05–$1,000.18 | $1,618.43–$1,666.98 | varies |
| Cerebrospinal Fluid Scan (78630) | $1,619.49 | $2,699.15 | 3.4× |
| Chest 1 view (71045) range across 6 matching MRF lines |
$178.15–$212.91 | $296.92–$354.86 | varies |
| Chest 2 views (71046) range across 6 matching MRF lines |
$183.49–$250.22 | $305.83–$417.04 | varies |
| Chest 3 views (71047) range across 6 matching MRF lines |
$183.49–$344.18 | $305.83–$573.64 | varies |
| Chest 4 or more views (71048) range across 6 matching MRF lines |
$178.15–$528.51 | $296.92–$880.85 | varies |
| Cholecystography Oral Contrast (74290) range across 4 matching MRF lines |
$178.15–$666.19 | $296.92–$1,110.32 | varies |
| Clavicle complete (73000) range across 12 matching MRF lines |
$178.15–$250.22 | $296.92–$417.04 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 4 matching MRF lines |
$98.34–$1,000.18 | $163.91–$1,666.98 | varies |
| Contrast X-Ray Bladder (74430) range across 4 matching MRF lines |
$178.15–$792.75 | $296.92–$1,321.26 | varies |
| Contrast X-Ray Of Elbow (73085) range across 8 matching MRF lines |
$183.49–$1,126.43 | $305.83–$1,877.39 | varies |
| Contrast X-Ray Of Knee Joint (73580) range across 8 matching MRF lines |
$183.49–$1,160.22 | $305.83–$1,933.71 | varies |
| Contrast Xray Throat/Cerv Esopha (74210) range across 4 matching MRF lines |
$178.15–$313.57 | $296.92–$522.63 | varies |
| CT abdomen and pelvis without and with contrast (74178) range across 4 matching MRF lines |
$971.05–$3,520.46 | $1,618.43–$5,867.44 | varies |
| CT abdomen and pelvis without contrast (74176) range across 4 matching MRF lines |
$971.05–$2,437.18 | $1,618.43–$4,061.98 | varies |
| CT abdomen w contrast (74160) range across 4 matching MRF lines |
$971.05–$1,900.69 | $1,618.43–$3,167.82 | varies |
| CT abdomen w wo contrast (74170) range across 4 matching MRF lines |
$971.05–$2,314.17 | $1,618.43–$3,856.96 | varies |
| CT abdomen w/o contrast (74150) range across 4 matching MRF lines |
$1,000.18–$1,218.61 | $1,666.98–$2,031.02 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 4 matching MRF lines |
$971.05–$1,390.20 | $1,618.43–$2,317.01 | varies |
| CT Angio Chest (71275) range across 4 matching MRF lines |
$971.05–$2,224.32 | $1,618.43–$3,707.21 | varies |
| CT Angio Head (70496) range across 4 matching MRF lines |
$1,067.23–$1,099.25 | $1,778.73–$1,832.09 | varies |
| CT angio hrt w/3d image (75574) range across 4 matching MRF lines |
$889.24–$1,000.18 | $1,482.08–$1,666.98 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 4 matching MRF lines |
$971.05–$1,000.18 | $1,618.43–$1,666.98 | varies |
| CT Angio Neck (70498) range across 4 matching MRF lines |
$1,000.18–$1,071.78 | $1,666.98–$1,786.30 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 6 matching MRF lines |
$971.05–$1,607.59 | $1,618.43–$2,679.33 | varies |
| CT bone density (77078) | $971.05 | $1,618.43 | 12.7× |
| CT cervical spine w/ contrast (72126) range across 4 matching MRF lines |
$971.05–$2,061.34 | $1,618.43–$3,435.58 | varies |
| CT cervical spine w/o contrast (72125) range across 4 matching MRF lines |
$1,000.18–$1,376.48 | $1,666.98–$2,294.14 | varies |
| CT cervical spine w/wo cont (72127) range across 4 matching MRF lines |
$971.05–$2,471.10 | $1,618.43–$4,118.51 | varies |
| CT chest w contrast (71260) range across 4 matching MRF lines |
$1,000.18–$2,061.34 | $1,666.98–$3,435.58 | varies |
| CT chest w/wo contrast (71270) range across 4 matching MRF lines |
$1,000.18–$2,545.24 | $1,666.98–$4,242.07 | varies |
| CT colonography screening (74263) | $971.05 | $1,618.43 | 4.6× |
| CT Colonogrphy Dx Image Postprocess W/Contrast (74262) | $971.05 | $1,618.43 | 6.3× |
| CT colonogrphy dx image postprocess w/o contrast (74261) | $1,000.18 | $1,666.98 | 10.9× |
| CT head/brain with contrast (70460) range across 4 matching MRF lines |
$1,000.18–$2,149.50 | $1,666.98–$3,582.50 | varies |
| CT head/brain without and with contrast (70470) range across 4 matching MRF lines |
$971.05–$2,619.31 | $1,618.43–$4,365.52 | varies |
| CT heart contrast eval cardiac structure&morph (75572) | $971.05 | $1,618.43 | 3.2× |
| CT heart no contrast quant eval coronry calcium (75571) range across 4 matching MRF lines |
$971.05–$1,000.18 | $1,618.43–$1,666.98 | varies |
| CT hrt w/3d image congen (75573) | $971.05 | $1,618.43 | 3.2× |
| CT iac w contrast (70481) range across 4 matching MRF lines |
$933.88–$971.05 | $1,556.47–$1,618.43 | varies |
| CT l-spine w&w/o contrast (72133) range across 4 matching MRF lines |
$971.05–$2,471.10 | $1,618.43–$4,118.51 | varies |
| CT lower ext w/o (73700) range across 8 matching MRF lines |
$971.05–$1,525.68 | $1,618.43–$2,542.81 | varies |
| CT lower extremity w/contrast material (73701) range across 7 matching MRF lines |
$1,000.18–$2,213.98 | $1,666.98–$3,689.98 | varies |
| CT lumbar spine w contrast (72132) range across 4 matching MRF lines |
$971.05–$2,061.34 | $1,618.43–$3,435.58 | varies |
| CT lumbar spine w/o contrast (72131) range across 4 matching MRF lines |
$1,000.18–$1,376.48 | $1,666.98–$2,294.14 | varies |
| CT maxillofacial w contrast (70487) range across 4 matching MRF lines |
$1,000.18–$2,213.98 | $1,666.98–$3,689.98 | varies |
| CT maxillofacial wo contrast (70486) range across 4 matching MRF lines |
$971.05–$1,525.68 | $1,618.43–$2,542.81 | varies |
| CT neck tissue combo (70492) range across 4 matching MRF lines |
$971.05–$2,001.30 | $1,618.43–$3,335.51 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 4 matching MRF lines |
$1,000.18–$2,619.31 | $1,666.98–$4,365.52 | varies |
| CT orbits w/o contrast (70480) range across 4 matching MRF lines |
$1,000.18–$1,525.68 | $1,666.98–$2,542.81 | varies |
| CT pelvis w&w/o contrast (72194) range across 4 matching MRF lines |
$1,000.18–$4,170.61 | $1,666.98–$6,951.02 | varies |
| CT pelvis w/o contrast (72192) range across 4 matching MRF lines |
$971.05–$1,255.17 | $1,618.43–$2,091.95 | varies |
| CT scan of leg combo (73702) range across 7 matching MRF lines |
$971.05–$2,545.24 | $1,618.43–$4,242.07 | varies |
| CT scans face/jaw combo (70488) range across 4 matching MRF lines |
$1,000.18–$2,619.31 | $1,666.98–$4,365.52 | varies |
| CT soft tissue neck w contrast (70491) range across 4 matching MRF lines |
$1,000.18–$1,531.47 | $1,666.98–$2,552.46 | varies |
| CT soft tissue neck w/o contrast (70490) range across 4 matching MRF lines |
$906.68–$971.05 | $1,511.14–$1,618.43 | varies |
| CT thoracic spine w contrast (72129) range across 4 matching MRF lines |
$971.05–$2,061.34 | $1,618.43–$3,435.58 | varies |
| CT thoracic spine w/o contrast (72128) range across 4 matching MRF lines |
$1,000.18–$1,376.48 | $1,666.98–$2,294.14 | varies |
| CT thoracic spine w/wo cont (72130) range across 4 matching MRF lines |
$1,000.18–$2,545.24 | $1,666.98–$4,242.07 | varies |
| CT thorax w/o contrast (71250) range across 4 matching MRF lines |
$1,000.18–$1,376.48 | $1,666.98–$2,294.14 | varies |
| CT upper ext wo (73200) range across 8 matching MRF lines |
$971.05–$1,571.45 | $1,618.43–$2,619.09 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 6 matching MRF lines |
$971.05–$2,697.89 | $1,618.43–$4,496.49 | varies |
| CT upper extremity with contrast (73201) range across 6 matching MRF lines |
$971.05–$2,213.98 | $1,618.43–$3,689.98 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 4 matching MRF lines |
$1,000.18–$1,431.91 | $1,666.98–$2,386.52 | varies |
| Cta Abdomen (74175) range across 4 matching MRF lines |
$1,000.18–$1,181.67 | $1,666.98–$1,969.45 | varies |
| CTA pelvis (72191) range across 4 matching MRF lines |
$618–$1,000.18 | $1,030–$1,666.98 | varies |
| Dilation ureters/urethra rs&i (74485) | $183.49 | $305.83 | 0.1× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) | $271.92 | $453.21 | 3.0× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $271.92 | $453.21 | 3.0× |
| Dxa Bone Density Axial (77080) range across 4 matching MRF lines |
$186.31–$577.29 | $310.53–$962.16 | varies |
| Dxa bone density study (77085) | $178.15 | $296.92 | 1.9× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $178.15 | $296.92 | 2.3× |
| Echo exam of fetal heart (76825) | $264 | $440.01 | 0.6× |
| Echo exam uterus (76831) | $271.92 | $453.21 | 1.3× |
| Echo Guide For Artery Repair (76936) | $664.51 | $1,107.53 | 3.5× |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) | $264 | $440.01 | 1.3× |
| Echograp Trans R Pros Study (76873) | $271.92 | $453.21 | 3.0× |
| Esophagram (74220) range across 4 matching MRF lines |
$178.15–$560.48 | $296.92–$934.14 | varies |
| Fetal Biophys Profile W/Nst (76818) range across 4 matching MRF lines |
$264–$965.80 | $440.01–$1,609.68 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 4 matching MRF lines |
$264–$861.16 | $440.01–$1,435.28 | varies |
| Fluoroscopy up to 1 hr (76000) | $560.15 | $933.59 | 2.7× |
| Foot 2 views (73620) range across 12 matching MRF lines |
$178.15–$240.60 | $296.92–$401.01 | varies |
| Forearm 2 views (73090) range across 11 matching MRF lines |
$178.15–$250.22 | $296.92–$417.04 | varies |
| Gastric emptying imaging study (78264) range across 4 matching MRF lines |
$1,572.31–$2,003.22 | $2,620.53–$3,338.71 | varies |
| Gastroesophageal Reflux Exam (78262) range across 4 matching MRF lines |
$1,572.31–$1,767 | $2,620.53–$2,945 | varies |
| Gated Heart Planar Single (78472) range across 4 matching MRF lines |
$1,572.31–$2,082.66 | $2,620.53–$3,471.11 | varies |
| Gated Heart, Multiple (78473) | $1,619.49 | $2,699.15 | 4.6× |
| Hand 2 views (73120) range across 12 matching MRF lines |
$183.49–$233.59 | $305.83–$389.33 | varies |
| Heart first pass single,planar (78481) | $1,572.31 | $2,620.53 | 3.3× |
| Hepatobil Syst Image W/Drug (78227) range across 4 matching MRF lines |
$1,341.61–$1,572.31 | $2,236.03–$2,620.53 | varies |
| Hepatobiliary System Imaging (78226) range across 4 matching MRF lines |
$1,341.61–$1,619.49 | $2,236.03–$2,699.15 | varies |
| Ht Musc Image Planar Mult (78454) | $1,619.49 | $2,699.15 | 1.4× |
| Ht Muscle Image Spect Sing (78451) range across 4 matching MRF lines |
$807.17–$1,572.31 | $1,345.29–$2,620.53 | varies |
| Hysterosalpingogram (74740) | $885.70 | $1,476.17 | 4.2× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $271.92 | $453.21 | 3.6× |
| Infant hip ultrasound, limited static exam (76886) range across 4 matching MRF lines |
$271.92–$334.18 | $453.21–$556.97 | varies |
| Infusion Ivp (74410) | $178.15 | $296.92 | 1.2× |
| Joint Survey Single View (77077) | $178.15 | $296.92 | 1.9× |
| K Flow/Funct Image Multiple (78709) range across 4 matching MRF lines |
$1,619.49–$2,499.33 | $2,699.15–$4,165.56 | varies |
| K Flow/Funct Image W/Drug (78708) range across 4 matching MRF lines |
$1,572.31–$1,618.67 | $2,620.53–$2,697.79 | varies |
| K Flow/Funct Image W/O Drug (78707) range across 4 matching MRF lines |
$1,067.59–$1,572.31 | $1,779.33–$2,620.53 | varies |
| Kidney Imaging Morphol (78700) range across 4 matching MRF lines |
$1,036.50–$1,572.31 | $1,727.50–$2,620.53 | varies |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $1,572.31 | $2,620.53 | 4.5× |
| Knee 3 Views (73562) range across 11 matching MRF lines |
$178.15–$273.84 | $296.92–$456.40 | varies |
| Leveen/Shunt Patency Exam (78291) | $1,619.49 | $2,699.15 | 4.6× |
| Liver & Spleen Imaging Static Only (78215) range across 4 matching MRF lines |
$1,114.96–$1,572.31 | $1,858.27–$2,620.53 | varies |
| Liver & Spleen Imaging W/Vascular Flow (78216) range across 4 matching MRF lines |
$1,201.27–$1,619.49 | $2,002.13–$2,699.15 | varies |
| Liver imaging static only (78201) | $1,619.49 | $2,699.15 | 3.4× |
| Liver imaging w/vascular flow (78202) | $1,454.95 | $2,424.93 | 3.1× |
| Lung Perf&Ventilat Diferentl (78598) | $1,572.31 | $2,620.53 | 3.3× |
| Lung perfusion differential (78597) | $1,619.49 | $2,699.15 | 4.6× |
| Lung Ventilat&Perfus Imaging (78582) range across 4 matching MRF lines |
$1,142.21–$1,572.31 | $1,903.69–$2,620.53 | varies |
| Lung Ventilation Imaging (78579) range across 4 matching MRF lines |
$1,572.31–$1,614.90 | $2,620.53–$2,691.51 | varies |
| Lymph System Imaging (78195) range across 4 matching MRF lines |
$825.31–$1,572.31 | $1,375.52–$2,620.53 | varies |
| Magnetic Image Jaw Joint (70336) range across 4 matching MRF lines |
$1,458.59–$2,275.43 | $2,430.99–$3,792.39 | varies |
| Meckels Divert Exam (78290) range across 4 matching MRF lines |
$1,268.97–$1,572.31 | $2,114.96–$2,620.53 | varies |
| Mra Head W/O & W/Contrast Material (70546) range across 4 matching MRF lines |
$1,640.11–$2,432.85 | $2,733.53–$4,054.76 | varies |
| MRA head w/o contrast (70544) range across 4 matching MRF lines |
$1,192.09–$2,275.43 | $1,986.83–$3,792.39 | varies |
| MRA head with contrast (70545) range across 4 matching MRF lines |
$1,458.59–$1,591.35 | $2,430.99–$2,652.25 | varies |
| MRA neck w contrast (70548) range across 4 matching MRF lines |
$1,416.10–$1,933.08 | $2,360.18–$3,221.80 | varies |
| Mra Neck W/O &W/Contrast Material (70549) range across 4 matching MRF lines |
$1,689.32–$3,182.70 | $2,815.54–$5,304.50 | varies |
| MRA neck w/o contrast (70547) range across 4 matching MRF lines |
$1,227.85–$2,189.21 | $2,046.43–$3,648.69 | varies |
| MRI abdomen w contrast (74182) range across 4 matching MRF lines |
$1,192.09–$2,825.59 | $1,986.83–$4,709.32 | varies |
| MRI abdomen w/o contrast (74181) range across 4 matching MRF lines |
$1,192.09–$1,960.60 | $1,986.83–$3,267.68 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 8 matching MRF lines |
$1,449.73–$3,278.18 | $2,416.23–$5,463.64 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 8 matching MRF lines |
$1,640.11–$3,157.66 | $2,733.53–$5,262.77 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 8 matching MRF lines |
$1,458.59–$1,906.52 | $2,430.99–$3,177.54 | varies |
| MRI brain functional w/o physician admnistration (70554) | $1,227.85 | $2,046.43 | 5.9× |
| MRI brain functional w/physician admnistration (70555) | $1,192.09 | $1,986.83 | 5.7× |
| MRI Breast Without Contrast Material Unilateral (77046) | $2,400 | $4,000 | 11.5× |
| MRI cardiac w/o cont stress (75559) | $1,416.10 | $2,360.18 | 3.0× |
| MRI cardiac w/o contrast (75557) range across 4 matching MRF lines |
$1,227.85–$2,275.43 | $2,046.43–$3,792.39 | varies |
| MRI cervical spine w contrast (72142) range across 4 matching MRF lines |
$1,458.59–$2,743.29 | $2,430.99–$4,572.16 | varies |
| MRI cervical spine w/o cont (72141) range across 4 matching MRF lines |
$1,192.09–$2,275.43 | $1,986.83–$3,792.39 | varies |
| MRI chest w/o contrast (71550) range across 4 matching MRF lines |
$1,192.09–$2,343.69 | $1,986.83–$3,906.16 | varies |
| MRI chest with contrast (71551) | $1,416.10 | $2,360.18 | 2.1× |
| MRI chest wo w contrast (71552) range across 4 matching MRF lines |
$1,689.32–$3,212.13 | $2,815.54–$5,353.56 | varies |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 4 matching MRF lines |
$1,416.10–$1,802.80 | $2,360.18–$3,004.67 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 8 matching MRF lines |
$1,474.07–$2,343.69 | $2,456.79–$3,906.16 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 8 matching MRF lines |
$1,192.09–$4,653.70 | $1,986.83–$7,756.18 | varies |
| MRI lumbar spine w contrast (72149) range across 4 matching MRF lines |
$1,192.09–$2,825.59 | $1,986.83–$4,709.32 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 4 matching MRF lines |
$1,679.08–$3,308.50 | $2,798.47–$5,514.17 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 4 matching MRF lines |
$1,227.85–$2,275.43 | $2,046.43–$3,792.39 | varies |
| MRI orbit face neck w contrast (70542) | $1,458.59 | $2,430.99 | 4.8× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 4 matching MRF lines |
$1,640.11–$4,170.61 | $2,733.53–$6,951.02 | varies |
| MRI pelvis w contrast (72196) range across 4 matching MRF lines |
$1,458.59–$2,343.69 | $2,430.99–$3,906.16 | varies |
| MRI pelvis w/o & w contrast (72197) range across 4 matching MRF lines |
$1,748.54–$3,603.84 | $2,914.24–$6,006.40 | varies |
| MRI pelvis w/o contrast (72195) range across 4 matching MRF lines |
$1,192.09–$2,343.69 | $1,986.83–$3,906.16 | varies |
| MRI spectroscopy (76390) | $1,689.32 | $2,815.54 | 22.2× |
| MRI thoracic spine w/o contrast (72146) range across 4 matching MRF lines |
$1,227.85–$2,275.43 | $2,046.43–$3,792.39 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 4 matching MRF lines |
$1,458.59–$1,750.29 | $2,430.99–$2,917.16 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 8 matching MRF lines |
$1,192.09–$4,170.61 | $1,986.83–$6,951.02 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 8 matching MRF lines |
$1,474.07–$2,343.69 | $2,456.79–$3,906.16 | varies |
| MRI, abdomen, combo (74183) range across 4 matching MRF lines |
$1,698.34–$3,212.13 | $2,830.58–$5,353.56 | varies |
| MRI, dorsal spine combo (72157) range across 4 matching MRF lines |
$1,619.40–$3,212.13 | $2,699–$5,353.56 | varies |
| MRI, dorsal spine contrast (72147) range across 4 matching MRF lines |
$1,458.59–$2,825.59 | $2,430.99–$4,709.32 | varies |
| MRI, joint upper extrem (73221) range across 8 matching MRF lines |
$1,192.09–$4,137.51 | $1,986.83–$6,895.85 | varies |
| MRI, joint upper extrem combo (73223) range across 8 matching MRF lines |
$1,640.11–$3,423.52 | $2,733.53–$5,705.88 | varies |
| MRI, lumbar spine combo (72158) range across 4 matching MRF lines |
$1,678.33–$3,212.13 | $2,797.23–$5,353.56 | varies |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $1,572.31 | $2,620.53 | 4.5× |
| Myocardial imaging, infarct avid, planar; with ejection fraction by first pass technique Non-Facility (78468) | $1,572.31 | $2,620.53 | 3.3× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $1,619.49 | $2,699.15 | 1.4× |
| Myocardial Spect Multiple Studies (78452) range across 4 matching MRF lines |
$1,572.31–$1,614.35 | $2,620.53–$2,690.59 | varies |
| Neck soft tissue (70360) range across 6 matching MRF lines |
$178.15–$302.92 | $296.92–$504.88 | varies |
| Nm myocard infarct spect (78469) range across 4 matching MRF lines |
$1,619.49–$2,331.71 | $2,699.15–$3,886.19 | varies |
| Nonvascular Shunt X-Ray (75809) | $183.49 | $305.83 | 2.0× |
| Nuclear Rx Oral Admin (79005) | $1,572.31 | $2,620.53 | 7.7× |
| Ophthalmic US Dx Corneal Pachymetry Uni/Bi (76514) | $271.92 | $453.21 | 10.7× |
| Optic foramina (70190) range across 6 matching MRF lines |
$178.15–$266.69 | $296.92–$444.49 | varies |
| Panoramic X-ray of jaws (70355) | $183.49 | $305.83 | 2.4× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $1,919.86 | $3,199.77 | 4.0× |
| Parathyroid Planar Imaging (78070) range across 4 matching MRF lines |
$1,390.95–$1,619.49 | $2,318.25–$2,699.15 | varies |
| Parathyroid planar imaging w/wo subtraction (78071) | $1,919.86 | $3,199.77 | 5.5× |
| Pelvis 1 or 2 views (72170) range across 6 matching MRF lines |
$178.15–$387.86 | $296.92–$646.44 | varies |
| Pulmonary Perfusion Imaging Particulate (78580) range across 4 matching MRF lines |
$1,614.78–$1,619.49 | $2,691.31–$2,699.15 | varies |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 6 matching MRF lines |
$178.15–$577.29 | $296.92–$962.16 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 4 matching MRF lines |
$183.49–$607.84 | $305.83–$1,013.08 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 11 matching MRF lines |
$178.15–$242.93 | $296.92–$404.89 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 11 matching MRF lines |
$178.15–$250.22 | $296.92–$417.04 | varies |
| Radex elbow complete minimum 3 views (73080) range across 11 matching MRF lines |
$183.49–$242.93 | $305.83–$404.89 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 6 matching MRF lines |
$183.49–$427.27 | $305.83–$712.13 | varies |
| Radex fingr minimum 2 views (73140) range across 9 matching MRF lines |
$178.15–$250.22 | $296.92–$417.04 | varies |
| Radex foot complete minimum 3 views (73630) range across 11 matching MRF lines |
$178.15–$242.93 | $296.92–$404.89 | varies |
| Radex Hand Minimum 3 Views (73130) range across 11 matching MRF lines |
$183.49–$250.22 | $305.83–$417.04 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 9 matching MRF lines |
$144.87–$240.60 | $241.45–$401.01 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) range across 6 matching MRF lines |
$178.15–$472.02 | $296.92–$786.70 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 6 matching MRF lines |
$178.15–$359.08 | $296.92–$598.48 | varies |
| Radex Pharynx/Larx W/Fluor&/Magnification Tq (70370) | $178.15 | $296.92 | 2.3× |
| Radex Ribs Unilateral 2 Views (71100) range across 6 matching MRF lines |
$183.49–$268.92 | $305.83–$448.21 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 12 matching MRF lines |
$178.15–$486.18 | $296.92–$810.30 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 6 matching MRF lines |
$183.49–$314.11 | $305.83–$523.52 | varies |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) range across 4 matching MRF lines |
$178.15–$441.13 | $296.92–$735.23 | varies |
| Radex Spine 1 View Specify Level (72020) range across 6 matching MRF lines |
$183.49–$221.68 | $305.83–$369.48 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 6 matching MRF lines |
$178.15–$440.09 | $296.92–$733.49 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 6 matching MRF lines |
$183.49–$440.09 | $305.83–$733.49 | varies |
| Radex Toe Minimum 2 Views (73660) range across 9 matching MRF lines |
$178.15–$240.60 | $296.92–$401.01 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 9 matching MRF lines |
$140.65–$233.59 | $234.42–$389.33 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 11 matching MRF lines |
$183.49–$250.22 | $305.83–$417.04 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) range across 6 matching MRF lines |
$178.15–$281.38 | $296.92–$468.97 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) range across 6 matching MRF lines |
$183.49–$395.32 | $305.83–$658.87 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 6 matching MRF lines |
$178.15–$387.86 | $296.92–$646.44 | varies |
| Radiologic exam colon double contrast study (74280) range across 4 matching MRF lines |
$178.15–$1,195.18 | $296.92–$1,991.98 | varies |
| Radiologic exam colon single contrast study (74270) range across 4 matching MRF lines |
$183.49–$1,152.39 | $305.83–$1,920.66 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 11 matching MRF lines |
$183.49–$387.86 | $305.83–$646.44 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 6 matching MRF lines |
$178.15–$531.20 | $296.92–$885.34 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 4 matching MRF lines |
$178.15–$730.96 | $296.92–$1,218.27 | varies |
| Radiologic exam swallow function contrast study (74230) | $420.11 | $700.19 | 2.7× |
| Radiologic exam teeth complete full mouth (70320) | $178.15 | $296.92 | 0.9× |
| Radiologic Exam Teeth Prtl Exam < Full Mouth (70310) | $178.15 | $296.92 | 0.9× |
| Radiologic exam upr gi trc double contrast study (74246) | $1,050.29 | $1,750.49 | 6.8× |
| Radiologic examination femur 1 view (73551) range across 5 matching MRF lines |
$178.15–$196.05 | $296.92–$326.76 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 11 matching MRF lines |
$183.49–$285.56 | $305.83–$475.94 | varies |
| Radiologic examination knee 1/2 views (73560) range across 12 matching MRF lines |
$178.15–$359.99 | $296.92–$599.99 | varies |
| Radiologic Examination Osseous Survey Limited (77074) range across 6 matching MRF lines |
$183.49–$472.53 | $305.83–$787.55 | varies |
| Radiologic Examination Salivary Gland Calculus (70380) | $183.49 | $305.83 | 2.4× |
| Radiologic examination tibia & fibula 2 views (73590) range across 11 matching MRF lines |
$183.49–$242.93 | $305.83–$404.89 | varies |
| Radiologic examination, internal auditory meati, complete Non-Facility (70134) range across 6 matching MRF lines |
$183.49–$233.59 | $305.83–$389.33 | varies |
| Radiologic examination, teeth; single view Non-Facility (70300) | $183.49 | $305.83 | 2.4× |
| Ribs bilateral 3 views (71110) range across 6 matching MRF lines |
$178.15–$332.85 | $296.92–$554.75 | varies |
| Rp loclzj tum plnr 1 area single day imaging (78800) range across 4 matching MRF lines |
$876.42–$1,619.49 | $1,460.70–$2,699.15 | varies |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) range across 4 matching MRF lines |
$1,619.49–$1,919.92 | $2,699.15–$3,199.88 | varies |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $1,832.85 | $3,054.75 | 3.9× |
| Salivary Gland Imaging Serial Images (78231) | $1,572.31 | $2,620.53 | 4.5× |
| Scapula (73010) range across 11 matching MRF lines |
$178.15–$399.49 | $296.92–$665.83 | varies |
| Sella turcica (70240) range across 6 matching MRF lines |
$183.49–$300.48 | $305.83–$500.81 | varies |
| Shoulder 1 view (73020) range across 12 matching MRF lines |
$183.49–$399.49 | $305.83–$665.83 | varies |
| Shoulder Arthrography (73040) range across 8 matching MRF lines |
$178.15–$1,126.43 | $296.92–$1,877.39 | varies |
| Sialogram (70390) | $183.49 | $305.83 | 0.9× |
| Skull less than 4 views (70250) range across 6 matching MRF lines |
$178.15–$309.49 | $296.92–$515.83 | varies |
| Sternoclavicular joints (71130) range across 6 matching MRF lines |
$144.87–$183.49 | $241.45–$305.83 | varies |
| Temporomandble Jt Arthrography Rs&I (70332) range across 4 matching MRF lines |
$178.15–$233.59 | $296.92–$389.33 | varies |
| Testicular Imaging W/Flow (78761) range across 4 matching MRF lines |
$1,056.83–$1,572.31 | $1,761.39–$2,620.53 | varies |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $183.49 | $305.83 | 1.2× |
| Thoracic spine 2 views (72070) range across 6 matching MRF lines |
$140.65–$178.15 | $234.42–$296.92 | varies |
| Thoracic spine 3 views (72072) range across 6 matching MRF lines |
$183.49–$486.18 | $305.83–$810.30 | varies |
| Thoracolumbar 2 views (72080) range across 6 matching MRF lines |
$144.87–$178.15 | $241.45–$296.92 | varies |
| Thyroid Carcinoma Metastases Img Lmtd Area (78015) | $1,572.31 | $2,620.53 | 4.5× |
| Thyroid Imaging With Vascular Flow (78013) range across 4 matching MRF lines |
$1,504.36–$1,619.49 | $2,507.28–$2,699.15 | varies |
| Thyroid Met Imaging Body (78018) range across 4 matching MRF lines |
$1,572.31–$1,977.52 | $2,620.53–$3,295.88 | varies |
| Thyroid Uptake Measurement (78012) range across 4 matching MRF lines |
$380.69–$1,619.49 | $634.49–$2,699.15 | varies |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) range across 4 matching MRF lines |
$1,572.31–$1,901.03 | $2,620.53–$3,168.39 | varies |
| Ultrasound Breast Limited (76642) range across 8 matching MRF lines |
$264–$357.97 | $440.01–$596.63 | varies |
| Ultrasound Exam Aaa Screen (76706) range across 4 matching MRF lines |
$264–$625.77 | $440.01–$1,042.95 | varies |
| Ultrasound, abdomen limited (76705) range across 4 matching MRF lines |
$262.03–$644.54 | $436.73–$1,074.24 | varies |
| Unlisted Dx Radiographic Procedure (76499) | $166.23 | $277.05 | 2.2× |
| Unlisted genitourinary px dx nuclear medicine (78799) | $1,572.31 | $2,620.53 | 4.5× |
| Unlisted Miscellaneous Px Dx Nuclear Medicine (78999) | $1,572.31 | $2,620.53 | 4.5× |
| Unlisted respiratory px dx nuclear medicine (78599) | $1,572.31 | $2,620.53 | 4.5× |
| Unlisted us procedure (76999) | $293.51 | $489.19 | 3.8× |
| Upper gi w/o kub (74240) | $875.24 | $1,458.74 | 5.7× |
| Ureteral Reflux Study (78740) range across 4 matching MRF lines |
$1,140.13–$1,572.31 | $1,900.23–$2,620.53 | varies |
| Urethrocystogram voiding (74455) | $576.96 | $961.60 | 2.8× |
| Urethrocystography retrograde (74450) | $178.15 | $296.92 | 0.9× |
| Us bone density measurement (76977) | $271.92 | $453.21 | 3.0× |
| Us breast unilateral complete (76641) range across 7 matching MRF lines |
$264–$357.97 | $440.01–$596.63 | varies |
| Us chest (76604) range across 4 matching MRF lines |
$262.03–$400.09 | $436.73–$666.82 | varies |
| Us complete joint (76881) range across 6 matching MRF lines |
$262.03–$546.33 | $6.51–$910.56 | varies |
| Us exam, pelvic, limited (76857) range across 4 matching MRF lines |
$262.03–$322.27 | $436.73–$537.13 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 8 matching MRF lines |
$102.94–$300.76 | $171.57–$501.28 | varies |
| Us ob detailed single fetus (76811) range across 4 matching MRF lines |
$264–$861.16 | $440.01–$1,435.28 | varies |
| Us ob limited 1 or more fetuses (76815) range across 4 matching MRF lines |
$264–$400.09 | $440.01–$666.82 | varies |
| Us ob transvaginal (76817) range across 4 matching MRF lines |
$271.92–$887 | $453.21–$1,478.34 | varies |
| Us pelvic non ob complete (76856) range across 4 matching MRF lines |
$262.03–$684.45 | $436.73–$1,140.76 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 4 matching MRF lines |
$271.92–$861.16 | $453.21–$1,435.28 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 4 matching MRF lines |
$271.92–$400.09 | $453.21–$666.82 | varies |
| Us retroperitoneal complete (76770) range across 4 matching MRF lines |
$254.40–$684.45 | $424.01–$1,140.76 | varies |
| Us retroperitoneal limited (76775) range across 4 matching MRF lines |
$254.40–$357.97 | $424.01–$596.63 | varies |
| Us scrotum and contents (76870) range across 4 matching MRF lines |
$254.40–$723.36 | $424.01–$1,205.60 | varies |
| Us thyroid (76536) range across 4 matching MRF lines |
$254.40–$644.54 | $424.01–$1,074.24 | varies |
| Us transrectal (76872) range across 4 matching MRF lines |
$264–$664.51 | $440.01–$1,107.53 | varies |
| Vascular Flow Imaging (78445) | $373.63 | $622.73 | 1.1× |
| Venography extremity bilateral rs&i (75822) range across 4 matching MRF lines |
$178.15–$1,524.44 | $296.92–$2,540.74 | varies |
| Venography extremity unilateral rs&i (75820) range across 4 matching MRF lines |
$183.49–$1,524.44 | $305.83–$2,540.74 | varies |
| Vertebral fracture assessment via dxa (77086) | $178.15 | $296.92 | 2.3× |
| Wrist 2 views (73100) range across 12 matching MRF lines |
$171.54–$240.60 | $285.91–$401.01 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 6 matching MRF lines |
$183.49–$309.49 | $305.83–$515.83 | varies |
| X-ray antegrade pyelogram tube (74425) range across 4 matching MRF lines |
$178.15–$532.77 | $296.92–$887.96 | varies |
| X-Ray Bend Only L-S Spine (72120) range across 6 matching MRF lines |
$156.63–$183.49 | $261.05–$305.83 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 12 matching MRF lines |
$178.15–$233.59 | $296.92–$389.33 | varies |
| X-Ray Exam Breast Specimen (76098) range across 4 matching MRF lines |
$183.49–$827.08 | $305.83–$1,378.47 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 6 matching MRF lines |
$140.68–$178.15 | $234.48–$296.92 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 6 matching MRF lines |
$396.66–$560.15 | $661.10–$933.59 | varies |
| X-Ray Exam Entire Spi 4/5 Vw (72083) range across 6 matching MRF lines |
$178.15–$281.38 | $296.92–$468.97 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 6 matching MRF lines |
$178.15–$195.37 | $296.92–$325.62 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 6 matching MRF lines |
$178.15–$300.49 | $296.92–$500.82 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) range across 6 matching MRF lines |
$183.49–$464.65 | $305.83–$774.43 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 6 matching MRF lines |
$183.49–$600.97 | $305.83–$1,001.63 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 6 matching MRF lines |
$178.15–$600.97 | $296.92–$1,001.63 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) range across 6 matching MRF lines |
$178.15–$1,201.96 | $296.92–$2,003.28 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 6 matching MRF lines |
$183.49–$600.96 | $305.83–$1,001.61 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 6 matching MRF lines |
$178.15–$440.09 | $296.92–$733.49 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 6 matching MRF lines |
$183.49–$440.05 | $305.83–$733.42 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 6 matching MRF lines |
$178.15–$289.21 | $296.92–$482.03 | varies |
| X-ray eye for foreign body (70030) range across 9 matching MRF lines |
$140.65–$240.60 | $234.42–$401.01 | varies |
| X-ray head for orthodontia (70350) | $183.49 | $305.83 | 2.4× |
| X-ray humerus (73060) range across 11 matching MRF lines |
$183.49–$242.93 | $305.83–$404.89 | varies |
| X-ray IV pyelogram (ivp) (74400) range across 6 matching MRF lines |
$178.15–$1,288.25 | $296.92–$2,147.09 | varies |
| X-ray IV pyelogram+tomography (74415) | $178.15 | $296.92 | 1.2× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 6 matching MRF lines |
$178.15–$359.08 | $296.92–$598.48 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 6 matching MRF lines |
$178.15–$354.51 | $296.92–$590.85 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 6 matching MRF lines |
$178.15–$466.71 | $296.92–$777.86 | varies |
| X-ray nose-rectum child f.b. (76010) range across 6 matching MRF lines |
$178.15–$266.69 | $296.92–$444.49 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 6 matching MRF lines |
$178.15–$355.38 | $296.92–$592.30 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 6 matching MRF lines |
$140.65–$178.15 | $234.42–$296.92 | varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $183.49 | $305.83 | 2.0× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 6 matching MRF lines |
$178.15–$440.09 | $296.92–$733.49 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 6 matching MRF lines |
$183.49–$434.91 | $305.83–$724.85 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 6 matching MRF lines |
$178.15–$425.82 | $296.92–$709.71 | varies |
| X-Ray Stress View (77071) | $178.15 | $296.92 | 2.3× |
| X-ray thoracic spine 4 vw (72074) range across 6 matching MRF lines |
$178.15–$486.18 | $296.92–$810.30 | varies |
| X-Ray Tmj Unilat (70328) | $183.49 | $305.83 | 2.4× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 4 matching MRF lines |
$178.15–$1,204.07 | $296.92–$2,006.79 | varies |
| X-Rays Bone Length Studies (77073) | $178.15 | $296.92 | 1.9× |
| X-Rays Bone Survey Complete (77075) range across 6 matching MRF lines |
$183.49–$1,031.44 | $305.83–$1,719.07 | varies |
| Xr c-spine 4 or 5 views (72050) range across 6 matching MRF lines |
$178.15–$600.90 | $296.92–$1,001.51 | varies |
| Xr facial bones less than 3 views (70140) range across 6 matching MRF lines |
$178.15–$344.18 | $296.92–$573.64 | varies |
| XR Mastoids < 3 Views Bilateral (70120) range across 6 matching MRF lines |
$178.15–$472.02 | $296.92–$786.70 | varies |
| Xr orbits complete 4 views (70200) range across 6 matching MRF lines |
$183.49–$413.42 | $305.83–$689.04 | varies |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.