Imaging prices at Bonner General Health
Sandpoint, ID · every code in this section with a posted price and a Medicare benchmark.
296 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 3 matching MRF lines |
$25.60–$167.20 | $32–$209 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$32.80–$167.20 | $41–$209 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) range across 2 matching MRF lines |
$129.60–$531.20 | $162–$664 | varies |
| Ankle 2 views (73600) range across 4 matching MRF lines |
$22.40–$200 | $28–$250 | varies |
| Arthrogram ankle (73615) range across 2 matching MRF lines |
$76–$464 | $95–$580 | varies |
| Arthrogram hip (73525) range across 4 matching MRF lines |
$75.20–$1,146.40 | $94–$1,433 | varies |
| Arthrogram Wrist (73115) range across 4 matching MRF lines |
$74.40–$1,146.40 | $93–$1,433 | varies |
| Bone age studies (77072) range across 3 matching MRF lines |
$24.80–$167.20 | $31–$209 | varies |
| Bone Imaging 3 Phase (78315) range across 2 matching MRF lines |
$136.80–$1,113.60 | $171–$1,392 | varies |
| Bone Imaging Limited Area (78300) range across 2 matching MRF lines |
$82.40–$1,077.60 | $103–$1,347 | varies |
| Bone Imaging Multiple Areas (78305) range across 2 matching MRF lines |
$108.80–$665.60 | $136–$832 | varies |
| Bone Imaging Whole Body (78306) range across 3 matching MRF lines |
$116.80–$1,113.60 | $146–$1,392 | varies |
| Bone marrow imaging; whole body (78104) range across 2 matching MRF lines |
$100–$783.20 | $125–$979 | varies |
| Bone survey infant (77076) range across 2 matching MRF lines |
$92.80–$272 | $116–$340 | varies |
| Brain Flow Imaging Only (78610) range across 3 matching MRF lines |
$40–$1,034.40 | $50–$1,293 | varies |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) range across 2 matching MRF lines |
$80.80–$1,034.40 | $101–$1,293 | varies |
| Card Bl Pool Gated Spect Rest Wal Motn Ejct Frct (78494) range across 2 matching MRF lines |
$149.60–$840.80 | $187–$1,051 | varies |
| Cardiac Shunt Detection (78428) range across 2 matching MRF lines |
$97.60–$840.80 | $122–$1,051 | varies |
| Cat Scan Follow-Up Study (76380) range across 3 matching MRF lines |
$133.60–$258.40 | $167–$323 | varies |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) range across 2 matching MRF lines |
$70.40–$700.80 | $88–$876 | varies |
| Cerebrospinal fluid flow, imaging (not including introduction of material); ventriculography Non-Facility (78635) range across 2 matching MRF lines |
$78.40–$700.80 | $98–$876 | varies |
| Cerebrospinal Fluid Scan (78630) range across 2 matching MRF lines |
$88.80–$1,008.80 | $111–$1,261 | varies |
| Chest 1 view (71045) range across 2 matching MRF lines |
$26.40–$167.20 | $33–$209 | varies |
| Chest 2 views (71046) range across 2 matching MRF lines |
$30.40–$167.20 | $38–$209 | varies |
| Chest 3 views (71047) range across 2 matching MRF lines |
$36–$167.20 | $45–$209 | varies |
| Chest 4 or more views (71048) range across 2 matching MRF lines |
$41.60–$167.20 | $52–$209 | varies |
| Cholecystography Oral Contrast (74290) range across 2 matching MRF lines |
$42.40–$267.20 | $53–$334 | varies |
| Clavicle complete (73000) range across 5 matching MRF lines |
$22.40–$240 | $28–$300 | varies |
| Contrast X-Ray Bladder (74430) range across 2 matching MRF lines |
$41.60–$184.80 | $52–$231 | varies |
| Contrast X-Ray Of Elbow (73085) range across 4 matching MRF lines |
$75.20–$1,146.40 | $94–$1,433 | varies |
| Contrast X-Ray Of Knee Joint (73580) range across 4 matching MRF lines |
$74.40–$1,146.40 | $93–$1,433 | varies |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$276.80–$2,120 | $346–$2,650 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$240–$1,525.60 | $300–$1,907 | varies |
| CT abdomen w contrast (74160) range across 4 matching MRF lines |
$100.80–$1,114.40 | $126–$1,393 | varies |
| CT abdomen w wo contrast (74170) range across 4 matching MRF lines |
$111.20–$1,239.20 | $139–$1,549 | varies |
| CT abdomen w/o contrast (74150) range across 4 matching MRF lines |
$94.40–$712 | $118–$890 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$303.20–$1,026.40 | $379–$1,283 | varies |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$252–$1,255.20 | $315–$1,569 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$240.80–$1,255.20 | $301–$1,569 | varies |
| CT angio hrt w/3d image (75574) range across 2 matching MRF lines |
$312.80–$570.40 | $391–$713 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 4 matching MRF lines |
$249.60–$1,106.40 | $312–$1,383 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$240–$1,255.20 | $300–$1,569 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 5 matching MRF lines |
$237.60–$1,042.80 | $297–$1,303.50 | varies |
| CT cervical spine w/ contrast (72126) range across 2 matching MRF lines |
$167.20–$972 | $209–$1,215 | varies |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$146.40–$712 | $183–$890 | varies |
| CT cervical spine w/wo cont (72127) range across 2 matching MRF lines |
$167.20–$654.40 | $209–$818 | varies |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$168–$1,114.40 | $210–$1,393 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$189.60–$674.40 | $237–$843 | varies |
| CT colonography screening (74263) range across 2 matching MRF lines |
$301.60–$676.80 | $377–$846 | varies |
| CT Colonogrphy Dx Image Postprocess W/Contrast (74262) range across 2 matching MRF lines |
$332–$1,081.60 | $415–$1,352 | varies |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$149.60–$946.40 | $187–$1,183 | varies |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$174.40–$1,239.20 | $218–$1,549 | varies |
| CT heart no contrast quant eval coronry calcium (75571) range across 2 matching MRF lines |
$76–$100 | $95–$125 | varies |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$188.80–$946.40 | $236–$1,183 | varies |
| CT l-spine w&w/o contrast (72133) range across 2 matching MRF lines |
$168–$674.40 | $210–$843 | varies |
| CT lower ext w/o (73700) range across 5 matching MRF lines |
$136.80–$1,036.80 | $171–$1,296 | varies |
| CT lower extremity w/contrast material (73701) range across 4 matching MRF lines |
$159.20–$1,377.60 | $199–$1,722 | varies |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$167.20–$972 | $209–$1,215 | varies |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$136.80–$712 | $171–$890 | varies |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$156–$946.40 | $195–$1,183 | varies |
| CT maxillofacial wo contrast (70486) range across 3 matching MRF lines |
$117.60–$712 | $147–$890 | varies |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$198.40–$1,239.20 | $248–$1,549 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 2 matching MRF lines |
$197.60–$724.80 | $247–$906 | varies |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$176–$712 | $220–$890 | varies |
| CT pelvis w&w/o contrast (72194) range across 2 matching MRF lines |
$160.80–$1,075.20 | $201–$1,344 | varies |
| CT pelvis w/o contrast (72192) range across 4 matching MRF lines |
$88–$712 | $110–$890 | varies |
| CT scan of leg combo (73702) range across 5 matching MRF lines |
$159.20–$1,276.05 | $199–$1,595.06 | varies |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
$167.20–$674.40 | $209–$843 | varies |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$189.60–$1,114.40 | $237–$1,393 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$176.80–$408.80 | $221–$511 | varies |
| CT thoracic spine w contrast (72129) range across 2 matching MRF lines |
$160.80–$946.40 | $201–$1,183 | varies |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$136.80–$712 | $171–$890 | varies |
| CT thoracic spine w/wo cont (72130) range across 2 matching MRF lines |
$167.20–$654.40 | $209–$818 | varies |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$139.20–$712 | $174–$890 | varies |
| CT unlisted procedure (76497) | $40 | $50 | 0.5× |
| CT upper ext wo (73200) range across 5 matching MRF lines |
$132–$1,036.80 | $165–$1,296 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 4 matching MRF lines |
$160.80–$999.60 | $201–$1,249.50 | varies |
| CT upper extremity with contrast (73201) range across 4 matching MRF lines |
$153.60–$1,377.60 | $192–$1,722 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$328–$1,255.20 | $410–$1,569 | varies |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$249.60–$1,255.20 | $312–$1,569 | varies |
| CTA pelvis (72191) range across 2 matching MRF lines |
$238.40–$760 | $298–$950 | varies |
| Doppler Fetal Mid Cerebral Artery (76821) range across 2 matching MRF lines |
$89.60–$187.20 | $112–$234 | varies |
| Dxa Bone Density Axial (77080) range across 3 matching MRF lines |
$27.20–$265.60 | $34–$332 | varies |
| Dxa bone density study (77085) | $369.60 | $462 | 3.6× |
| Dxa bone density study 1/>sites appendiclr skel (77081) range across 2 matching MRF lines |
$28.80–$63.20 | $36–$79 | varies |
| Echo exam uterus (76831) range across 2 matching MRF lines |
$96.80–$305.60 | $121–$382 | varies |
| Esophageal Motility Study (78258) range across 2 matching MRF lines |
$96.80–$466.40 | $121–$583 | varies |
| Esophagram (74220) range across 2 matching MRF lines |
$60.80–$318.40 | $76–$398 | varies |
| Fetal Biophys Profile W/Nst (76818) | $346.40 | $433 | 3.4× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 4 matching MRF lines |
$104–$356.80 | $130–$446 | varies |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$38.40–$317.60 | $48–$397 | varies |
| Follow-Up Angiography (75898) range across 2 matching MRF lines |
$218.40–$346.40 | $273–$433 | varies |
| Foot 2 views (73620) range across 4 matching MRF lines |
$20.80–$200 | $26–$250 | varies |
| Forearm 2 views (73090) range across 4 matching MRF lines |
$24–$240 | $30–$300 | varies |
| Gastric emptying imaging study (78264) range across 2 matching MRF lines |
$100.80–$906.40 | $126–$1,133 | varies |
| Gastroesophageal Reflux Exam (78262) range across 2 matching MRF lines |
$88–$485.60 | $110–$607 | varies |
| Gated Heart Planar Single (78472) range across 2 matching MRF lines |
$127.20–$600 | $159–$750 | varies |
| Gated Heart, Multiple (78473) range across 2 matching MRF lines |
$188–$1,193.60 | $235–$1,492 | varies |
| Hand 2 views (73120) range across 4 matching MRF lines |
$22.40–$200 | $28–$250 | varies |
| Heart first pass single,planar (78481) range across 2 matching MRF lines |
$124–$600 | $155–$750 | varies |
| Hepatobil Syst Image W/Drug (78227) range across 3 matching MRF lines |
$122.40–$675.20 | $153–$844 | varies |
| Hepatobiliary System Imaging (78226) range across 2 matching MRF lines |
$96.80–$1,091.20 | $121–$1,364 | varies |
| Ht Muscle Image Spect Sing (78451) range across 2 matching MRF lines |
$1,613.60–$2,493.60 | $2,017–$3,117 | varies |
| Hysterosalpingogram (74740) range across 2 matching MRF lines |
$50.40–$851.20 | $63–$1,064 | varies |
| Infant hip ultrasound with hip movement (dynamic) (76885) range across 2 matching MRF lines |
$103.20–$233.60 | $129–$292 | varies |
| Joint Survey Single View (77077) | $42.40 | $53 | 0.4× |
| K Flow/Funct Image W/Drug (78708) range across 2 matching MRF lines |
$156–$1,211.20 | $195–$1,514 | varies |
| K Flow/Funct Image W/O Drug (78707) range across 2 matching MRF lines |
$124–$632 | $155–$790 | varies |
| Kidney Imaging Morphol (78700) range across 2 matching MRF lines |
$56.80–$731.20 | $71–$914 | varies |
| Knee 3 Views (73562) range across 4 matching MRF lines |
$26.40–$240 | $33–$300 | varies |
| Liver & Spleen Imaging Static Only (78215) range across 2 matching MRF lines |
$64–$528 | $80–$660 | varies |
| Liver & Spleen Imaging W/Vascular Flow (78216) range across 2 matching MRF lines |
$72.80–$862.40 | $91–$1,078 | varies |
| Liver imaging static only (78201) range across 2 matching MRF lines |
$56–$862.40 | $70–$1,078 | varies |
| Liver imaging w/vascular flow (78202) range across 2 matching MRF lines |
$64–$862.40 | $80–$1,078 | varies |
| Lung Ventilat&Perfus Imaging (78582) range across 2 matching MRF lines |
$139.20–$1,061.60 | $174–$1,327 | varies |
| Lung Ventilation Imaging (78579) range across 2 matching MRF lines |
$62.40–$329.60 | $78–$412 | varies |
| Lymph System Imaging (78195) range across 2 matching MRF lines |
$155.20–$795.20 | $194–$994 | varies |
| Magnetic Image Jaw Joint (70336) range across 3 matching MRF lines |
$194.40–$737.60 | $243–$922 | varies |
| Mammary ductogram or galactogram multiple (77054) | $60 | $75 | 0.3× |
| Mammary ductogram or galactogram single (77053) range across 2 matching MRF lines |
$47.20–$256 | $59–$320 | varies |
| Meckels Divert Exam (78290) range across 2 matching MRF lines |
$88.80–$531.20 | $111–$664 | varies |
| Mra Head W/O & W/Contrast Material (70546) range across 2 matching MRF lines |
$238.40–$1,764.80 | $298–$2,206 | varies |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$164.80–$1,261.60 | $206–$1,577 | varies |
| MRA head with contrast (70545) range across 2 matching MRF lines |
$158.40–$1,375.20 | $198–$1,719 | varies |
| MRA neck w contrast (70548) range across 2 matching MRF lines |
$159.20–$1,375.20 | $199–$1,719 | varies |
| Mra Neck W/O &W/Contrast Material (70549) range across 2 matching MRF lines |
$247.20–$1,818.40 | $309–$2,273 | varies |
| MRA neck w/o contrast (70547) range across 2 matching MRF lines |
$158.40–$737.60 | $198–$922 | varies |
| MRI abdomen w contrast (74182) range across 2 matching MRF lines |
$228.80–$1,375.20 | $286–$1,719 | varies |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$199.20–$1,261.60 | $249–$1,577 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 4 matching MRF lines |
$216–$1,470.40 | $270–$1,838 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 4 matching MRF lines |
$297.60–$1,980.80 | $372–$2,476 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 4 matching MRF lines |
$131.20–$1,624.80 | $164–$2,031 | varies |
| MRI bone marrow blood supply (77084) range across 2 matching MRF lines |
$207.20–$737.60 | $259–$922 | varies |
| MRI cervical spine w contrast (72142) range across 3 matching MRF lines |
$144.80–$1,416.80 | $181–$1,771 | varies |
| MRI cervical spine w/o cont (72141) range across 4 matching MRF lines |
$119.20–$1,261.60 | $149–$1,577 | varies |
| MRI chest w/o contrast (71550) range across 2 matching MRF lines |
$192.80–$737.60 | $241–$922 | varies |
| MRI chest with contrast (71551) range across 2 matching MRF lines |
$228.80–$1,375.20 | $286–$1,719 | varies |
| MRI chest wo w contrast (71552) range across 2 matching MRF lines |
$300–$1,164 | $375–$1,455 | varies |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 4 matching MRF lines |
$214.40–$2,062.80 | $268–$2,578.50 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 4 matching MRF lines |
$298.40–$2,883.60 | $373–$3,604.50 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 4 matching MRF lines |
$184.80–$1,826.40 | $231–$2,283 | varies |
| MRI lumbar spine w contrast (72149) range across 2 matching MRF lines |
$236.80–$1,416.80 | $296–$1,771 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$315.20–$1,980.80 | $394–$2,476 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 2 matching MRF lines |
$176.80–$1,260.80 | $221–$1,576 | varies |
| MRI orbit face neck w contrast (70542) range across 2 matching MRF lines |
$214.40–$1,568.80 | $268–$1,961 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 2 matching MRF lines |
$295.20–$1,980.80 | $369–$2,476 | varies |
| MRI pelvis w contrast (72196) range across 2 matching MRF lines |
$229.60–$1,375.20 | $287–$1,719 | varies |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$312.80–$1,199.20 | $391–$1,499 | varies |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$200.80–$1,261.60 | $251–$1,577 | varies |
| MRI thoracic spine w/o contrast (72146) range across 5 matching MRF lines |
$119.20–$1,261.60 | $149–$1,577 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 4 matching MRF lines |
$160.74–$2,062.80 | $200.93–$2,578.50 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 5 matching MRF lines |
$177.60–$1,827.60 | $222–$2,284.50 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 4 matching MRF lines |
$284.80–$1,746 | $356–$2,182.50 | varies |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$312.80–$1,980.80 | $391–$2,476 | varies |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$316.80–$1,980.80 | $396–$2,476 | varies |
| MRI, dorsal spine contrast (72147) range across 2 matching MRF lines |
$236.80–$1,375.20 | $296–$1,719 | varies |
| MRI, joint upper extrem (73221) range across 4 matching MRF lines |
$186.40–$2,172 | $233–$2,715 | varies |
| MRI, joint upper extrem combo (73223) range across 2 matching MRF lines |
$296–$1,980.80 | $370–$2,476 | varies |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$316.80–$1,980.80 | $396–$2,476 | varies |
| Myelogram cervical (72240) range across 2 matching MRF lines |
$120.80–$584 | $151–$730 | varies |
| Myelogram Lumbar (72265) range across 2 matching MRF lines |
$110.40–$584 | $138–$730 | varies |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) range across 2 matching MRF lines |
$88.80–$840.80 | $111–$1,051 | varies |
| Myocardial Spect Multiple Studies (78452) | $2,493.60 | $3,117 | 1.9× |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$22.40–$167.20 | $28–$209 | varies |
| Nonvascular Shunt X-Ray (75809) range across 2 matching MRF lines |
$63.20–$257.60 | $79–$322 | varies |
| Parathyroid imaging w/tomographic spect & CT (78072) range across 2 matching MRF lines |
$203.20–$1,400.80 | $254–$1,751 | varies |
| Parathyroid Planar Imaging (78070) | $103.20 | $129 | 0.3× |
| Parathyroid planar imaging w/wo subtraction (78071) range across 3 matching MRF lines |
$154.40–$905.60 | $193–$1,132 | varies |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$24.80–$167.20 | $31–$209 | varies |
| Perineogram (74775) range across 2 matching MRF lines |
$82.40–$538.40 | $103–$673 | varies |
| Pulmonary Perfusion Imaging Particulate (78580) range across 2 matching MRF lines |
$96.80–$413.60 | $121–$517 | varies |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 3 matching MRF lines |
$42.40–$280.80 | $53–$351 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 2 matching MRF lines |
$69.60–$256 | $87–$320 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 4 matching MRF lines |
$24.80–$333.60 | $31–$417 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 4 matching MRF lines |
$21.60–$240 | $27–$300 | varies |
| Radex elbow complete minimum 3 views (73080) range across 4 matching MRF lines |
$24.80–$240 | $31–$300 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$35.20–$167.20 | $44–$209 | varies |
| Radex fingr minimum 2 views (73140) range across 2 matching MRF lines |
$20–$167.20 | $25–$209 | varies |
| Radex foot complete minimum 3 views (73630) range across 4 matching MRF lines |
$23.20–$333.60 | $29–$417 | varies |
| Radex Hand Minimum 3 Views (73130) range across 4 matching MRF lines |
$24.80–$240 | $31–$300 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 4 matching MRF lines |
$21.60–$240 | $27–$300 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) range across 2 matching MRF lines |
$45.60–$250.40 | $57–$313 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$23.20–$167.20 | $29–$209 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 2 matching MRF lines |
$32–$167.20 | $40–$209 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 4 matching MRF lines |
$26.40–$240 | $33–$300 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$24.80–$167.20 | $31–$209 | varies |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) range across 2 matching MRF lines |
$92–$521.60 | $115–$652 | varies |
| Radex Spine 1 View Specify Level (72020) range across 2 matching MRF lines |
$20–$167.20 | $25–$209 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$27.20–$167.20 | $34–$209 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$33.60–$167.20 | $42–$209 | varies |
| Radex Toe Minimum 2 Views (73660) range across 2 matching MRF lines |
$17.60–$167.20 | $22–$209 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 4 matching MRF lines |
$21.60–$250.40 | $27–$313 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 4 matching MRF lines |
$24.80–$240 | $31–$300 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$33.60–$167.20 | $42–$209 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 2 matching MRF lines |
$36–$167.20 | $45–$209 | varies |
| Radiologic exam colon double contrast study (74280) range across 2 matching MRF lines |
$131.20–$528 | $164–$660 | varies |
| Radiologic exam colon single contrast study (74270) range across 2 matching MRF lines |
$92–$318.40 | $115–$398 | varies |
| Radiologic Exam Esophagus Double Contrast Study (74221) range across 2 matching MRF lines |
$92.80–$318.40 | $116–$398 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 5 matching MRF lines |
$31.20–$250.40 | $39–$313 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$28.80–$167.20 | $36–$209 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 2 matching MRF lines |
$65.60–$318.40 | $82–$398 | varies |
| Radiologic exam swallow function contrast study (74230) range across 2 matching MRF lines |
$70.40–$318.40 | $88–$398 | varies |
| Radiologic exam upr gi trc double contrast study (74246) range across 3 matching MRF lines |
$92–$318.40 | $115–$398 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 4 matching MRF lines |
$24.80–$240 | $31–$300 | varies |
| Radiologic examination knee 1/2 views (73560) range across 4 matching MRF lines |
$24–$200 | $30–$250 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 4 matching MRF lines |
$24–$240 | $30–$300 | varies |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$36–$272.80 | $45–$341 | varies |
| Rp loclzj tum plnr 1 area single day imaging (78800) range across 2 matching MRF lines |
$88–$574.40 | $110–$718 | varies |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) range across 2 matching MRF lines |
$104.80–$898.40 | $131–$1,123 | varies |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) range across 2 matching MRF lines |
$125.60–$2,184 | $157–$2,730 | varies |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) range across 2 matching MRF lines |
$111.20–$898.40 | $139–$1,123 | varies |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 5 matching MRF lines |
$138.40–$1,104.80 | $173–$1,381 | varies |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $824 | $1,030 | 0.6× |
| Scapula (73010) range across 4 matching MRF lines |
$24–$240 | $30–$300 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 4 matching MRF lines |
$41.60–$83.20 | $52–$104 | varies |
| Sella turcica (70240) range across 2 matching MRF lines |
$25.60–$167.20 | $32–$209 | varies |
| Shoulder 1 view (73020) range across 4 matching MRF lines |
$20–$200 | $25–$250 | varies |
| Shoulder Arthrography (73040) range across 4 matching MRF lines |
$72–$1,146.40 | $90–$1,433 | varies |
| Sialogram (70390) range across 2 matching MRF lines |
$50.40–$388.80 | $63–$486 | varies |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$33.60–$167.20 | $42–$209 | varies |
| Sternoclavicular joints (71130) range across 2 matching MRF lines |
$29.60–$167.20 | $37–$209 | varies |
| Testicular Imaging W/Flow (78761) range across 2 matching MRF lines |
$91.20–$698.40 | $114–$873 | varies |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) range across 2 matching MRF lines |
$269.60–$305.60 | $337–$382 | varies |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$29.60–$140.80 | $37–$176 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$30.40–$167.20 | $38–$209 | varies |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$28.80–$167.20 | $36–$209 | varies |
| Thyroid Carcinoma Metastases Img Lmtd Area (78015) range across 2 matching MRF lines |
$86.40–$828 | $108–$1,035 | varies |
| Thyroid Imaging With Vascular Flow (78013) range across 2 matching MRF lines |
$48–$477.60 | $60–$597 | varies |
| Thyroid Met Imaging Body (78018) range across 2 matching MRF lines |
$108.80–$828 | $136–$1,035 | varies |
| Thyroid Uptake Measurement (78012) | $302.40 | $378 | 0.8× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) range across 3 matching MRF lines |
$64.80–$822.40 | $81–$1,028 | varies |
| Ultrasound Breast Limited (76642) range across 4 matching MRF lines |
$94.40–$350.40 | $118–$438 | varies |
| Ultrasound Exam Aaa Screen (76706) range across 4 matching MRF lines |
$73.60–$356.80 | $92–$446 | varies |
| Ultrasound, abdomen limited (76705) range across 3 matching MRF lines |
$82.40–$356.80 | $103–$446 | varies |
| Umbilical-artery Doppler (OB) (76820) range across 2 matching MRF lines |
$68–$111.20 | $85–$139 | varies |
| Unlisted Miscellaneous Px Dx Nuclear Medicine (78999) | $50.40 | $63 | 0.1× |
| Upper gi w/o kub (74240) range across 2 matching MRF lines |
$92–$318.40 | $115–$398 | varies |
| Ureteral Reflux Study (78740) range across 2 matching MRF lines |
$72.80–$632 | $91–$790 | varies |
| Urethrocystogram voiding (74455) range across 2 matching MRF lines |
$43.20–$336.80 | $54–$421 | varies |
| Urethrocystography retrograde (74450) range across 2 matching MRF lines |
$43.20–$563.20 | $54–$704 | varies |
| Us breast unilateral complete (76641) range across 4 matching MRF lines |
$96.80–$350.40 | $121–$438 | varies |
| Us chest (76604) range across 3 matching MRF lines |
$74.40–$233.60 | $93–$292 | varies |
| Us complete joint (76881) range across 2 matching MRF lines |
$84–$346.40 | $105–$433 | varies |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$68–$233.60 | $85–$292 | varies |
| Us head (76506) range across 2 matching MRF lines |
$84.80–$224.80 | $106–$281 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 4 matching MRF lines |
$68–$124.80 | $85–$156 | varies |
| Us ob detailed single fetus (76811) | $245.60 | $307 | 1.0× |
| Us ob limited 1 or more fetuses (76815) range across 3 matching MRF lines |
$90.40–$233.60 | $113–$292 | varies |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$104–$233.60 | $130–$292 | varies |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$95.20–$356.80 | $119–$446 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$136.80–$356.80 | $171–$446 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 4 matching MRF lines |
$115.20–$232 | $144–$290 | varies |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$101.60–$356.80 | $127–$446 | varies |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$76–$346.40 | $95–$433 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$88–$356.80 | $110–$446 | varies |
| Us spinal canal and contents (76800) range across 2 matching MRF lines |
$155.20–$346.40 | $194–$433 | varies |
| Us thyroid (76536) range across 2 matching MRF lines |
$78.40–$356.80 | $98–$446 | varies |
| Venography extremity bilateral rs&i (75822) range across 2 matching MRF lines |
$136.80–$2,075.20 | $171–$2,594 | varies |
| Venography extremity unilateral rs&i (75820) range across 2 matching MRF lines |
$91.20–$641.60 | $114–$802 | varies |
| Vertebral fracture assessment via dxa (77086) | $112.80 | $141 | 1.3× |
| Wrist 2 views (73100) range across 4 matching MRF lines |
$22.40–$200 | $28–$250 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 3 matching MRF lines |
$24–$167.20 | $30–$209 | varies |
| X-ray antegrade pyelogram tube (74425) range across 3 matching MRF lines |
$46.40–$814.40 | $58–$1,018 | varies |
| X-Ray Bend Only L-S Spine (72120) range across 2 matching MRF lines |
$29.60–$167.20 | $37–$209 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 4 matching MRF lines |
$20.80–$200 | $26–$250 | varies |
| X-Ray Exam Breast Specimen (76098) range across 3 matching MRF lines |
$21.60–$188 | $27–$235 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$44.80–$167.20 | $56–$209 | varies |
| X-Ray Exam Entire Spi 4/5 Vw (72083) range across 2 matching MRF lines |
$46.40–$167.20 | $58–$209 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 3 matching MRF lines |
$24.80–$167.20 | $31–$209 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 4 matching MRF lines |
$29.60–$167.20 | $37–$209 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 2 matching MRF lines |
$41.60–$167.20 | $52–$209 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$46.40–$280.80 | $58–$351 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$31.20–$167.20 | $39–$209 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$50.40–$280.80 | $63–$351 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 2 matching MRF lines |
$37.60–$167.20 | $47–$209 | varies |
| X-ray eye for foreign body (70030) range across 2 matching MRF lines |
$22.40–$167.20 | $28–$209 | varies |
| X-ray humerus (73060) range across 4 matching MRF lines |
$24–$240 | $30–$300 | varies |
| X-ray IV pyelogram (ivp) (74400) range across 2 matching MRF lines |
$64.80–$661.60 | $81–$827 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 2 matching MRF lines |
$24–$140.80 | $30–$176 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$23.20–$167.20 | $29–$209 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$31.20–$167.20 | $39–$209 | varies |
| X-ray nose-rectum child f.b. (76010) range across 2 matching MRF lines |
$24–$167.20 | $30–$209 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$44.80–$280.80 | $56–$351 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$24.80–$167.20 | $31–$209 | varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) range across 2 matching MRF lines |
$23.20–$167.20 | $29–$209 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$23.20–$167.20 | $29–$209 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$33.60–$167.20 | $42–$209 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$46.40–$280.80 | $58–$351 | varies |
| X-Ray Stress View (77071) range across 2 matching MRF lines |
$18.40–$141.60 | $23–$177 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 2 matching MRF lines |
$47.20–$538.40 | $59–$673 | varies |
| X-Rays Bone Length Studies (77073) range across 2 matching MRF lines |
$37.60–$167.20 | $47–$209 | varies |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$71.20–$280.80 | $89–$351 | varies |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$44–$280.80 | $55–$351 | varies |
| Xr facial bones less than 3 views (70140) range across 2 matching MRF lines |
$28–$167.20 | $35–$209 | varies |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$37.60–$167.20 | $47–$209 | varies |
| Xr Tomogram Single Plane (76100) range across 3 matching MRF lines |
$45.60–$226.40 | $57–$283 | 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.