Imaging prices at Bluffton Regional Medical Center
Bluffton, IN · every code in this section with a posted price and a Medicare benchmark.
277 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) | $218.88 | $912 | 2.4× |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$226.08–$269.52 | $942–$1,123 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $792.24 | $3,301 | 1.9× |
| Angiography extremity bilateral rs&i (75716) range across 3 matching MRF lines |
$40.08–$163.68 | $167–$682 | varies |
| Angiography extremity unilateral rs&i (75710) range across 3 matching MRF lines |
$33.84–$127.92 | $141–$533 | varies |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$5.28–$209.28 | $22–$872 | varies |
| Aortography thoracic serialography rs&i (75605) range across 2 matching MRF lines |
$35.04–$130.56 | $146–$544 | varies |
| Artery X-Rays Abdomen (75726) likely a partial charge, not the full procedure |
$35.04 | $146 | 0.0× |
| Artery X-Rays Pelvis (75736) likely a partial charge, not the full procedure |
$35.76 | $149 | 0.0× |
| Artery X-Rays Spine (75705) likely a partial charge, not the full procedure |
$67.20 | $280 | 0.0× |
| Arthrogram hip (73525) | $591.84 | $2,466 | 1.6× |
| Arthrogram Wrist (73115) | $223.68 | $932 | 0.6× |
| Bone age studies (77072) | $227.52 | $948 | 2.1× |
| Bone Imaging 3 Phase (78315) | $1,102.08 | $4,592 | 2.6× |
| Bone Imaging Limited Area (78300) | $744.24 | $3,101 | 1.8× |
| Bone Imaging Whole Body (78306) | $1,041.36 | $4,339 | 2.5× |
| Bone survey infant (77076) | $134.16 | $559 | 1.2× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $80.40 | $335 | 0.2× |
| Cardiac MRI w/w/o contrast w/stress (75563) range across 3 matching MRF lines |
$92.40–$417.36 | $385–$1,739 | varies |
| Cat Scan Follow-Up Study (76380) | $147.84 | $616 | 1.6× |
| Chest 1 view (71045) range across 9 matching MRF lines |
$5.28–$167.04 | $22–$696 | varies |
| Chest 2 views (71046) range across 4 matching MRF lines |
$9.60–$252.48 | $40–$1,052 | varies |
| Chest 4 or more views (71048) | $371.52 | $1,548 | 3.4× |
| Cineradiograpy/vidradiograpy xcpt where spec (76120) | $12.48 | $52 | 0.1× |
| Clavicle complete (73000) range across 3 matching MRF lines |
$5.52–$208.08 | $23–$867 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $156.48 | $652 | 1.4× |
| Contrast Exam Abdominl Aorta (75625) range across 3 matching MRF lines |
$35.04–$130.56 | $146–$544 | varies |
| Contrast X-Ray Bladder (74430) range across 2 matching MRF lines |
$33.60–$435.12 | $140–$1,813 | varies |
| Contrast X-Ray Of Elbow (73085) | $180.72 | $753 | 0.5× |
| Contrast X-Ray Of Knee Joint (73580) | $975.84 | $4,066 | 2.6× |
| CT abdomen and pelvis without and with contrast (74178) | $2,642.64 | $11,011 | 7.2× |
| CT abdomen and pelvis without contrast (74176) | $1,878.96 | $7,829 | 7.4× |
| CT abdomen w contrast (74160) | $1,233.12 | $5,138 | 6.6× |
| CT abdomen w wo contrast (74170) | $1,366.32 | $5,693 | 7.4× |
| CT abdomen w/o contrast (74150) | $1,195.68 | $4,982 | 10.8× |
| CT Angio Abdomen and Pelvis (74174) | $2,783.28 | $11,597 | 7.5× |
| CT Angio Chest (71275) | $946.32 | $3,943 | 5.1× |
| CT Angio Head (70496) | $1,386.72 | $5,778 | 7.5× |
| CT angio hrt w/3d image (75574) | $69.60 | $290 | 0.2× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $1,384.08 | $5,767 | 7.5× |
| CT Angio Neck (70498) | $990.72 | $4,128 | 5.3× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $1,334.40 | $5,560 | 7.2× |
| CT cervical spine w/ contrast (72126) | $1,402.80 | $5,845 | 3.8× |
| CT cervical spine w/o contrast (72125) | $1,401.12 | $5,838 | 12.7× |
| CT cervical spine w/wo cont (72127) | $1,406.88 | $5,862 | 7.6× |
| CT chest w contrast (71260) | $811.44 | $3,381 | 4.4× |
| CT chest w/wo contrast (71270) | $1,456.56 | $6,069 | 7.8× |
| CT head/brain with contrast (70460) | $1,360.08 | $5,667 | 7.3× |
| CT head/brain without and with contrast (70470) | $1,550.40 | $6,460 | 8.4× |
| CT heart contrast eval cardiac structure&morph (75572) range across 2 matching MRF lines |
$54.48–$178.08 | $227–$742 | varies |
| CT heart no contrast quant eval coronry calcium (75571) range across 4 matching MRF lines |
$18.24–$111.84 | $76–$466 | varies |
| CT hrt w/3d image congen (75573) | $78.48 | $327 | 0.2× |
| CT iac w contrast (70481) | $1,208.88 | $5,037 | 6.5× |
| CT l-spine w&w/o contrast (72133) | $1,509.60 | $6,290 | 8.1× |
| CT lower ext w/o (73700) | $696 | $2,900 | 6.3× |
| CT lower extremity w/contrast material (73701) | $1,265.28 | $5,272 | 6.8× |
| CT lumbar spine w contrast (72132) | $2,688.48 | $11,202 | 7.3× |
| CT lumbar spine w/o contrast (72131) | $1,509.60 | $6,290 | 13.6× |
| CT maxillofacial w contrast (70487) | $939.60 | $3,915 | 5.1× |
| CT maxillofacial wo contrast (70486) | $933.84 | $3,891 | 8.4× |
| CT neck tissue combo (70492) | $1,661.52 | $6,923 | 9.0× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,261.92 | $5,258 | 6.8× |
| CT orbits w/o contrast (70480) | $1,073.28 | $4,472 | 9.7× |
| CT pelvis w&w/o contrast (72194) | $1,529.04 | $6,371 | 8.2× |
| CT pelvis w/o contrast (72192) | $853.68 | $3,557 | 7.7× |
| CT scan of leg combo (73702) | $1,506.24 | $6,276 | 8.1× |
| CT scans face/jaw combo (70488) | $1,403.28 | $5,847 | 7.6× |
| CT soft tissue neck w contrast (70491) | $1,064.40 | $4,435 | 5.7× |
| CT soft tissue neck w/o contrast (70490) | $1,050.72 | $4,378 | 9.5× |
| CT thoracic spine w contrast (72129) | $1,374.24 | $5,726 | 7.4× |
| CT thoracic spine w/o contrast (72128) | $1,361.04 | $5,671 | 12.3× |
| CT thoracic spine w/wo cont (72130) | $1,374.24 | $5,726 | 7.4× |
| CT thorax w/o contrast (71250) | $809.52 | $3,373 | 7.3× |
| CT upper ext wo (73200) | $1,316.88 | $5,487 | 11.9× |
| CT upper extremity w/o & w/contrast material (73202) | $1,557.36 | $6,489 | 8.4× |
| CT upper extremity with contrast (73201) | $1,374.24 | $5,726 | 3.7× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $3,156.96 | $13,154 | 17.0× |
| Cta Abdomen (74175) | $1,661.04 | $6,921 | 9.0× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $427.68 | $1,782 | 1.2× |
| CTA pelvis (72191) | $1,345.20 | $5,605 | 7.2× |
| Dilation ureters/urethra rs&i (74485) | $23.76 | $99 | 0.0× |
| Dxa Bone Density Axial (77080) range across 3 matching MRF lines |
$8.88–$271.20 | $37–$1,130 | varies |
| Dxa bone density study (77085) | $109.68 | $457 | 1.0× |
| Dxa bone density study 1/>sites appendiclr skel (77081) range across 3 matching MRF lines |
$8.88–$90.48 | $37–$377 | varies |
| Echo exam uterus (76831) range across 4 matching MRF lines |
$50.64–$825.60 | $211–$3,440 | varies |
| Esophagram (74220) | $416.40 | $1,735 | 2.2× |
| Fetal Biophys Profile W/Nst (76818) range across 3 matching MRF lines |
$34.08–$113.76 | $142–$474 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 5 matching MRF lines |
$29.52–$476.16 | $123–$1,984 | varies |
| Fluoroscopy up to 1 hr (76000) range across 5 matching MRF lines |
$47.28–$502.56 | $20–$2,094 | varies |
| Follow-Up Angiography (75898) | $52.56 | $219 | 0.0× |
| Foot 2 views (73620) range across 4 matching MRF lines |
$15.60–$311.04 | $65–$1,296 | varies |
| Forearm 2 views (73090) range across 3 matching MRF lines |
$5.28–$224.88 | $22–$937 | varies |
| Gastric emptying imaging study (78264) | $1,656.72 | $6,903 | 3.9× |
| Gastroesophageal Reflux Exam (78262) | $751.20 | $3,130 | 1.8× |
| Gated Heart Planar Single (78472) range across 3 matching MRF lines |
$28.32–$1,203.36 | $118–$5,014 | varies |
| Hand 2 views (73120) | $254.64 | $1,061 | 2.3× |
| Hepatobil Syst Image W/Drug (78227) | $1,139.52 | $4,748 | 2.0× |
| Hepatobiliary System Imaging (78226) | $1,139.52 | $4,748 | 2.7× |
| Ht Musc Image Planar Mult (78454) | $41.52 | $173 | 0.0× |
| Ht Muscle Image Spect Sing (78451) range across 6 matching MRF lines |
$39.36–$209.28 | $164–$872 | varies |
| Hysterosalpingogram (74740) | $677.52 | $2,823 | 2.7× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $479.04 | $1,996 | 5.2× |
| Infant hip ultrasound, limited static exam (76886) | $479.28 | $1,997 | 5.2× |
| Joint Survey Single View (77077) range across 2 matching MRF lines |
$23.28–$36.96 | $97–$154 | varies |
| K Flow/Funct Image Multiple (78709) | $2,343.60 | $9,765 | 4.1× |
| K Flow/Funct Image W/O Drug (78707) | $1,497.84 | $6,241 | 2.6× |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$6.24–$250.80 | $26–$1,045 | varies |
| Liver & Spleen Imaging Static Only (78215) | $991.20 | $4,130 | 2.3× |
| Lung Ventilat&Perfus Imaging (78582) | $1,424.16 | $5,934 | 2.5× |
| Lymph System Imaging (78195) range across 2 matching MRF lines |
$36.72–$932.40 | $153–$3,885 | varies |
| Magnetic Image Jaw Joint (70336) | $1,093.68 | $4,557 | 4.3× |
| Meckels Divert Exam (78290) | $840.24 | $3,501 | 2.0× |
| Mra Head W/O & W/Contrast Material (70546) | $1,348.32 | $5,618 | 3.7× |
| MRA head w/o contrast (70544) | $692.16 | $2,884 | 2.7× |
| MRA neck w contrast (70548) | $1,350.96 | $5,629 | 3.7× |
| Mra Neck W/O &W/Contrast Material (70549) | $479.04 | $1,996 | 1.3× |
| MRA neck w/o contrast (70547) | $846.96 | $3,529 | 3.4× |
| MRI abdomen w/o contrast (74181) | $692.16 | $2,884 | 2.7× |
| MRI any jt lower extrem w/contrast material (73722) | $972.72 | $4,053 | 1.2× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $1,770.72 | $7,378 | 4.8× |
| MRI any jt upper extremity w/contrast matrl (73222) | $1,535.28 | $6,397 | 1.9× |
| MRI cardiac w/o cont stress (75559) | $89.76 | $374 | 0.2× |
| MRI cardiac w/o contrast (75557) | $68.16 | $284 | 0.3× |
| MRI cervical spine w contrast (72142) | $2,164.32 | $9,018 | 5.9× |
| MRI cervical spine w/o cont (72141) | $1,077.12 | $4,488 | 4.3× |
| MRI chest w/o contrast (71550) | $1,082.88 | $4,512 | 4.3× |
| MRI chest wo w contrast (71552) | $2,006.88 | $8,362 | 5.4× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $1,828.56 | $7,619 | 5.0× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $1,524.72 | $6,353 | 6.0× |
| MRI lumbar spine w contrast (72149) | $2,066.64 | $8,611 | 5.6× |
| Mri Neck Spine W/O & W/Dye (72156) | $2,137.20 | $8,905 | 5.8× |
| MRI orbit face &/neck w/o contrast (70540) | $2,017.20 | $8,405 | 8.0× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $1,749.60 | $7,290 | 4.7× |
| MRI pelvis w contrast (72196) | $1,524 | $6,350 | 4.1× |
| MRI pelvis w/o & w contrast (72197) | $1,163.04 | $4,846 | 3.2× |
| MRI pelvis w/o contrast (72195) | $692.16 | $2,884 | 2.7× |
| MRI thoracic spine w/o contrast (72146) | $360.96 | $1,504 | 1.4× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $1,532.40 | $6,385 | 4.2× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $1,087.92 | $4,533 | 4.3× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $1,775.52 | $7,398 | 4.8× |
| MRI, abdomen, combo (74183) | $1,293.12 | $5,388 | 3.5× |
| MRI, dorsal spine combo (72157) | $2,095.92 | $8,733 | 5.7× |
| MRI, dorsal spine contrast (72147) | $672.24 | $2,801 | 1.8× |
| MRI, joint upper extrem (73221) | $1,281.12 | $5,338 | 5.1× |
| MRI, joint upper extrem combo (73223) | $1,788.72 | $7,453 | 4.8× |
| MRI, lumbar spine combo (72158) | $2,135.52 | $8,898 | 5.8× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $21.84 | $91 | 0.1× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $30.72 | $128 | 0.0× |
| Myocardial Spect Multiple Studies (78452) range across 12 matching MRF lines |
$288.96–$1,894.08 | $180–$7,892 | varies |
| Neck soft tissue (70360) range across 5 matching MRF lines |
$5.28–$207.84 | $22–$866 | varies |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $183.60 | $765 | 0.4× |
| Nuclear Rx Oral Admin (79005) | $54.72 | $228 | 0.2× |
| Ob us nuchal meas 1 gest (76813) range across 2 matching MRF lines |
$73.68–$103.92 | $307–$433 | varies |
| Oph bmtry us echograpy a-scan io lens pwr cal (76519) | $19.44 | $81 | 0.2× |
| Ophthalmic Biometry US Echograpy a-Scan (76516) | $49.92 | $208 | 0.5× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) | $56.64 | $236 | 0.5× |
| Ophthalmic US Dx Corneal Pachymetry Uni/Bi (76514) | $9.36 | $39 | 0.3× |
| Ophthalmic us dx quantitative a-scan only (76511) | $65.52 | $273 | 0.6× |
| Parathyroid Planar Imaging (78070) | $845.04 | $3,521 | 2.0× |
| Pelvis 1 or 2 views (72170) range across 4 matching MRF lines |
$5.76–$220.80 | $24–$920 | varies |
| Pulmonary Perfusion Imaging Particulate (78580) | $720.24 | $3,001 | 1.7× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 3 matching MRF lines |
$10.08–$402.48 | $42–$1,677 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) | $511.44 | $2,131 | 0.9× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 7 matching MRF lines |
$5.76–$269.52 | $24–$1,123 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$5.04–$217.68 | $21–$907 | varies |
| Radex elbow complete minimum 3 views (73080) range across 4 matching MRF lines |
$5.76–$255.12 | $24–$1,063 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 6 matching MRF lines |
$8.40–$405.84 | $35–$1,691 | varies |
| Radex fingr minimum 2 views (73140) range across 11 matching MRF lines |
$4.56–$159.36 | $19–$664 | varies |
| Radex foot complete minimum 3 views (73630) range across 4 matching MRF lines |
$5.28–$261.36 | $22–$1,089 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$5.52–$260.16 | $23–$1,084 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 2 matching MRF lines |
$17.28–$25.92 | $72–$108 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 4 matching MRF lines |
$5.52–$244.80 | $23–$1,020 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 3 matching MRF lines |
$7.20–$321.84 | $30–$1,341 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$6.24–$264.48 | $26–$1,102 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 5 matching MRF lines |
$5.52–$236.88 | $23–$987 | varies |
| Radex Spine 1 View Specify Level (72020) range across 9 matching MRF lines |
$5.04–$198.72 | $21–$828 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 3 matching MRF lines |
$6.48–$321.84 | $27–$1,341 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $274.80 | $1,145 | 3.0× |
| Radex Toe Minimum 2 Views (73660) range across 11 matching MRF lines |
$168.72 | $18–$703 | 1.8× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 5 matching MRF lines |
$5.76–$231.84 | $24–$966 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) range across 3 matching MRF lines |
$7.92–$275.28 | $33–$1,147 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $333.84 | $1,391 | 3.0× |
| Radiologic exam colon double contrast study (74280) | $779.28 | $3,247 | 4.2× |
| Radiologic exam colon single contrast study (74270) | $520.80 | $2,170 | 2.8× |
| Radiologic exam knee complete 4/more views (73564) range across 13 matching MRF lines |
$7.44–$275.76 | $31–$1,149 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 5 matching MRF lines |
$6.96–$136.80 | $29–$570 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 3 matching MRF lines |
$61.92–$505.92 | $258–$2,108 | varies |
| Radiologic exam swallow function contrast study (74230) | $374.88 | $1,562 | 2.0× |
| Radiologic exam upr gi trc double contrast study (74246) | $735.36 | $3,064 | 4.0× |
| Radiologic examination femur minimum 2 views (73552) | $229.68 | $957 | 2.5× |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$6–$219.84 | $25–$916 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $134.16 | $559 | 1.2× |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$5.52–$220.32 | $23–$918 | varies |
| Ribs bilateral 3 views (71110) range across 5 matching MRF lines |
$8.64–$368.16 | $36–$1,534 | varies |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $20.64 | $86 | 0.0× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 11 matching MRF lines |
$30.96–$1,351.44 | $129–$5,631 | varies |
| Scapula (73010) range across 4 matching MRF lines |
$18–$255.12 | $75–$1,063 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 10 matching MRF lines |
$19.20–$30.96 | $80–$129 | varies |
| Shoulder 1 view (73020) | $196.08 | $817 | 2.1× |
| Shoulder Arthrography (73040) | $668.88 | $2,787 | 1.8× |
| Skull less than 4 views (70250) range across 4 matching MRF lines |
$7.92–$366 | $33–$1,525 | varies |
| Sternoclavicular joints (71130) range across 4 matching MRF lines |
$7.20–$255.84 | $30–$1,066 | varies |
| Superior sagittal sinus venogram (75870) | $35.52 | $148 | 0.0× |
| Thoracic spine 2 views (72070) range across 4 matching MRF lines |
$7.20–$229.20 | $30–$955 | varies |
| Thoracic spine 3 views (72072) range across 4 matching MRF lines |
$6.96–$310.80 | $29–$1,295 | varies |
| Thoracolumbar 2 views (72080) range across 5 matching MRF lines |
$7.44–$33.60 | $31–$140 | varies |
| Thyroid Met Imaging Body (78018) | $1,652.16 | $6,884 | 2.9× |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$19.92–$228 | $83–$950 | varies |
| Ultrasound Exam Aaa Screen (76706) | $130.80 | $545 | 1.2× |
| Ultrasound, abdomen limited (76705) range across 10 matching MRF lines |
$18.48–$731.76 | $77–$3,049 | varies |
| Umbilical-artery Doppler (OB) (76820) range across 2 matching MRF lines |
$27.12–$76.56 | $113–$319 | varies |
| Upper gi w/o kub (74240) | $725.04 | $3,021 | 3.9× |
| Urethrocystogram voiding (74455) | $573.36 | $2,389 | 2.3× |
| Urethrocystography retrograde (74450) | $360.96 | $1,504 | 1.4× |
| Us breast unilateral complete (76641) | $484.56 | $2,019 | 4.4× |
| Us chest (76604) range across 2 matching MRF lines |
$17.28–$438.96 | $72–$1,829 | varies |
| Us complete joint (76881) range across 8 matching MRF lines |
$19.92–$719.04 | $83–$2,996 | varies |
| Us exam, pelvic, limited (76857) range across 6 matching MRF lines |
$53.04–$449.76 | $221–$1,874 | varies |
| Us head (76506) | $300 | $1,250 | 2.7× |
| Us kidney transplant (76776) | $23.76 | $99 | 0.2× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 8 matching MRF lines |
$15.36–$466.08 | $64–$1,942 | varies |
| Us ob detailed single fetus (76811) range across 3 matching MRF lines |
$110.40–$555.36 | $460–$2,314 | varies |
| Us ob limited 1 or more fetuses (76815) range across 11 matching MRF lines |
$51.12–$374.16 | $213–$1,559 | varies |
| Us ob transvaginal (76817) range across 6 matching MRF lines |
$58.80–$343.44 | $245–$1,431 | varies |
| Us pelvic non ob complete (76856) range across 4 matching MRF lines |
$61.92–$576.96 | $258–$2,404 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 6 matching MRF lines |
$74.88–$390.24 | $312–$1,626 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 6 matching MRF lines |
$69.36–$677.52 | $289–$2,823 | varies |
| Us retroperitoneal complete (76770) | $682.32 | $2,843 | 6.2× |
| Us retroperitoneal limited (76775) range across 10 matching MRF lines |
$16.32–$431.76 | $68–$1,799 | varies |
| Us scrotum and contents (76870) | $390.24 | $1,626 | 3.5× |
| Us spinal canal and contents (76800) | $223.68 | $932 | 2.0× |
| Us thyroid (76536) range across 7 matching MRF lines |
$17.52–$648 | $73–$2,700 | varies |
| Us transrectal (76872) range across 4 matching MRF lines |
$21.12–$390.24 | $88–$1,626 | varies |
| Vein X-Ray Chest (75827) range across 4 matching MRF lines |
$34.56–$126.96 | $144–$529 | varies |
| Venogram Sinus/Jugular (75860) | $35.04 | $146 | 0.0× |
| Venography caval inferior serialography rs&i (75825) | $35.04 | $146 | 0.0× |
| Venography extremity bilateral rs&i (75822) range across 3 matching MRF lines |
$844.32 | $136–$3,518 | 0.5× |
| Venography extremity unilateral rs&i (75820) range across 7 matching MRF lines |
$76.56–$568.08 | $91–$2,367 | varies |
| Venography Renal Bilateral (75833) | $46.56 | $194 | 0.0× |
| Venography Renal Unilateral (75831) | $34.08 | $142 | 0.0× |
| Venous sampling by catheter (75893) likely a partial charge, not the full procedure |
$17.04 | $71 | 0.0× |
| Wrist 2 views (73100) range across 4 matching MRF lines |
$18–$189.36 | $75–$789 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 5 matching MRF lines |
$6.72–$266.64 | $28–$1,111 | varies |
| X-ray antegrade pyelogram tube (74425) | $463.68 | $1,932 | 1.3× |
| X-Ray Aorta Leg Arteries (75630) range across 3 matching MRF lines |
$55.20–$152.88 | $230–$637 | varies |
| X-Ray Bend Only L-S Spine (72120) range across 3 matching MRF lines |
$7.44–$307.68 | $31–$1,282 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$5.28–$168.96 | $22–$704 | varies |
| X-Ray Exam Breast Specimen (76098) | $467.76 | $1,949 | 0.8× |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 2 matching MRF lines |
$9.36–$283.20 | $39–$1,180 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $348.48 | $1,452 | 3.2× |
| X-Ray Exam Hip Uni 1 View (73501) range across 5 matching MRF lines |
$6.24–$150 | $26–$625 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 5 matching MRF lines |
$7.20–$250.80 | $30–$1,045 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 7 matching MRF lines |
$7.44–$210.48 | $31–$877 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 6 matching MRF lines |
$9.84–$477.12 | $41–$1,988 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 3 matching MRF lines |
$10.80–$572.64 | $45–$2,386 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 4 matching MRF lines |
$7.20–$277.44 | $30–$1,156 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 4 matching MRF lines |
$11.76–$587.76 | $49–$2,449 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 3 matching MRF lines |
$8.40–$402.48 | $35–$1,677 | varies |
| X-ray eye for foreign body (70030) | $255.12 | $1,063 | 2.8× |
| X-ray humerus (73060) range across 4 matching MRF lines |
$16.32–$255.12 | $68–$1,063 | varies |
| X-ray IV pyelogram (ivp) (74400) | $557.28 | $2,322 | 3.0× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 3 matching MRF lines |
$5.76–$81.36 | $24–$339 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 5 matching MRF lines |
$6–$256.32 | $25–$1,068 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 4 matching MRF lines |
$7.20–$307.68 | $30–$1,282 | varies |
| X-ray nose-rectum child f.b. (76010) range across 3 matching MRF lines |
$5.76–$241.44 | $24–$1,006 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 4 matching MRF lines |
$10.32–$456.48 | $43–$1,902 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 4 matching MRF lines |
$6–$232.80 | $25–$970 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 4 matching MRF lines |
$5.52–$241.92 | $23–$1,008 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 6 matching MRF lines |
$7.92–$329.04 | $33–$1,371 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 6 matching MRF lines |
$11.04–$366 | $46–$1,525 | varies |
| X-ray thoracic spine 4 vw (72074) | $129.12 | $538 | 1.2× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 4 matching MRF lines |
$72.48–$711.60 | $47–$2,965 | varies |
| X-Rays Bone Length Studies (77073) range across 3 matching MRF lines |
$21.60–$353.76 | $90–$1,474 | varies |
| X-Rays Bone Survey Complete (77075) | $134.16 | $559 | 1.2× |
| Xr c-spine 4 or 5 views (72050) range across 4 matching MRF lines |
$10.08–$357.36 | $42–$1,489 | varies |
| Xr facial bones less than 3 views (70140) range across 2 matching MRF lines |
$6.72–$11.52 | $28–$48 | varies |
| Xr orbits complete 4 views (70200) | $325.68 | $1,357 | 2.9× |
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.