Imaging prices at Boone Hospital Center
Columbia, MO · every code in this section with a posted price and a Medicare benchmark.
360 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 3-D radiotherapy plan dose-volume histograms (77295) | $2,114.40 | $3,524 | 1.5× |
| Abdomen 1 View (74018) | $210 | $350 | 2.4× |
| Abdomen 2 views (74019) | $255 | $425 | 2.4× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $753.60 | $1,256 | 1.9× |
| Angio pulmonary bilat (75743) | $4,593.60 | $7,656 | 1.5× |
| Angiography extremity bilateral rs&i (75716) range across 2 matching MRF lines |
$4,593.60 | $172–$7,656 | 1.5× |
| Angiography extremity unilateral rs&i (75710) | $4,593.60 | $7,656 | 1.5× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $4,593.60 | $7,656 | 1.5× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $4,468.20 | $7,447 | 1.4× |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$42.60–$194.40 | $71–$324 | varies |
| Aortography thoracic serialography rs&i (75605) | $7,925.40 | $13,209 | 1.4× |
| Aortography thoracic w/o serialography rs&i (75600) | $253.80 | $423 | 0.1× |
| Artery X-Rays Abdomen (75726) | $7,128 | $11,880 | 1.3× |
| Artery X-Rays Pelvis (75736) | $7,014 | $11,690 | 1.3× |
| Artery X-Rays Spine (75705) | $7,925.40 | $13,209 | 1.4× |
| Arthrogram ankle (73615) | $684.60 | $1,141 | 2.0× |
| Arthrogram hip (73525) | $570.60 | $951 | 1.6× |
| Arthrogram Wrist (73115) | $758.40 | $1,264 | 2.2× |
| Basic radiation dosimetry calculation (77300) | $320.40 | $534 | 2.4× |
| Bone age studies (77072) | $198.60 | $331 | 1.9× |
| Bone Imaging 3 Phase (78315) | $834 | $1,390 | 2.1× |
| Bone Imaging Limited Area (78300) | $569.40 | $949 | 1.4× |
| Bone Imaging Whole Body (78306) range across 2 matching MRF lines |
$731.40–$1,080 | $1,219–$1,800 | varies |
| Bone marrow imaging limited area (78102) | $569.40 | $949 | 1.4× |
| Bone marrow imaging; multiple areas (78103) | $684 | $1,140 | 1.7× |
| Bone marrow imaging; whole body (78104) | $855 | $1,425 | 2.1× |
| Bone survey infant (77076) | $313.20 | $522 | 3.0× |
| Brachytx isodose complex (77318) | $709.80 | $1,183 | 1.9× |
| Brachytx isodose intermed (77317) | $525.60 | $876 | 1.4× |
| Brachytx Isodose Plan Simple (77316) | $525.60 | $876 | 1.4× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $750.60 | $1,251 | 1.4× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $2,859 | $4,765 | 2.0× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $742.20 | $1,237 | 1.4× |
| Cerebrospinal Fluid Scan (78630) | $1,017 | $1,695 | 1.9× |
| Chest 1 view (71045) | $235.20 | $392 | 2.7× |
| Chest 2 views (71046) | $246 | $410 | 2.8× |
| Chest 3 views (71047) | $253.20 | $422 | 2.9× |
| Chest 4 or more views (71048) | $267.60 | $446 | 2.6× |
| Cisternography Positive Contrast Rs&I (70015) | $1,375.80 | $2,293 | 1.8× |
| Clavicle complete (73000) range across 3 matching MRF lines |
$42.60–$165.60 | $71–$276 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $646.20 | $1,077 | 6.2× |
| Continuing medical physics consltj pr wk (77336) | $268.20 | $447 | 2.0× |
| Contrast Exam Abdominl Aorta (75625) | $4,593.60 | $7,656 | 1.5× |
| Contrast X-Ray Bladder (74430) | $684.60 | $1,141 | 2.0× |
| Contrast X-Ray Of Elbow (73085) | $570.60 | $951 | 1.6× |
| Contrast X-Ray Of Knee Joint (73580) | $870.60 | $1,451 | 2.5× |
| Corpora cavernosography (74445) | $198.60 | $331 | 1.9× |
| CT abdomen and pelvis without and with contrast (74178) | $1,560 | $2,600 | 4.5× |
| CT abdomen and pelvis without contrast (74176) | $908.40 | $1,514 | 3.8× |
| CT abdomen w contrast (74160) | $1,044 | $1,740 | 5.9× |
| CT abdomen w wo contrast (74170) | $1,380 | $2,300 | 7.9× |
| CT abdomen w/o contrast (74150) | $823.80 | $1,373 | 7.9× |
| CT Angio Abdomen and Pelvis (74174) | $1,254.60 | $2,091 | 3.6× |
| CT Angio Chest (71275) | $1,314 | $2,190 | 7.5× |
| CT Angio Head (70496) | $1,395 | $2,325 | 7.9× |
| CT angio hrt w/3d image (75574) | $1,395 | $2,325 | 4.0× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 4 matching MRF lines |
$777–$1,554 | $1,295–$2,590 | varies |
| CT Angio Neck (70498) | $1,395 | $2,325 | 7.9× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 3 matching MRF lines |
$951–$1,902 | $1,585–$3,170 | varies |
| CT Cere Prfuj Alys C+ W/O CT/Cta Same Anatomy (70473) | $353.40 | $589 | 2.0× |
| CT cervical spine w/ contrast (72126) | $1,228.20 | $2,047 | 3.5× |
| CT cervical spine w/o contrast (72125) | $866.40 | $1,444 | 8.3× |
| CT cervical spine w/wo cont (72127) | $1,368 | $2,280 | 7.8× |
| CT chest w contrast (71260) | $960 | $1,600 | 5.5× |
| CT chest w/wo contrast (71270) | $1,156.20 | $1,927 | 6.6× |
| CT colonography screening (74263) | $310.80 | $518 | 1.3× |
| CT colonogrphy dx image postprocess w/o contrast (74261) | $579 | $965 | 5.5× |
| CT head/brain with contrast (70460) | $921 | $1,535 | 5.2× |
| CT head/brain without and with contrast (70470) | $1,152 | $1,920 | 6.6× |
| CT heart contrast eval cardiac structure&morph (75572) | $720 | $1,200 | 2.1× |
| CT heart no contrast quant eval coronry calcium (75571) range across 2 matching MRF lines |
$134.40–$161.40 | $224–$269 | varies |
| CT iac w contrast (70481) | $795 | $1,325 | 4.5× |
| CT l-spine w&w/o contrast (72133) | $1,375.20 | $2,292 | 7.8× |
| CT lower ext w/o (73700) range across 3 matching MRF lines |
$637.80–$1,275.60 | $1,063–$2,126 | varies |
| CT lower extremity w/contrast material (73701) range across 3 matching MRF lines |
$897.60–$1,975.20 | $1,496–$3,292 | varies |
| CT lumbar spine w contrast (72132) | $1,228.20 | $2,047 | 3.5× |
| CT lumbar spine w/o contrast (72131) | $948 | $1,580 | 9.1× |
| CT maxillofacial w contrast (70487) | $1,222.20 | $2,037 | 7.0× |
| CT maxillofacial wo contrast (70486) | $780.60 | $1,301 | 7.5× |
| CT neck tissue combo (70492) | $1,395 | $2,325 | 7.9× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $850.80 | $1,418 | 4.8× |
| CT orbits w/o contrast (70480) | $607.80 | $1,013 | 5.8× |
| CT pelvis w&w/o contrast (72194) | $1,228.20 | $2,047 | 7.0× |
| CT pelvis w/o contrast (72192) | $837 | $1,395 | 8.0× |
| CT scan of leg combo (73702) range across 3 matching MRF lines |
$1,140.60–$2,281.20 | $1,901–$3,802 | varies |
| CT soft tissue neck w contrast (70491) | $1,065 | $1,775 | 6.1× |
| CT soft tissue neck w/o contrast (70490) | $810 | $1,350 | 7.7× |
| CT thoracic spine w contrast (72129) | $1,228.20 | $2,047 | 7.0× |
| CT thoracic spine w/o contrast (72128) | $601.80 | $1,003 | 5.7× |
| CT thoracic spine w/wo cont (72130) | $900 | $1,500 | 5.1× |
| CT thorax w/o contrast (71250) | $775.20 | $1,292 | 7.4× |
| CT upper ext wo (73200) | $681.60 | $1,136 | 6.5× |
| CT upper extremity w/o & w/contrast material (73202) range across 3 matching MRF lines |
$974.40–$1,948.80 | $1,624–$3,248 | varies |
| CT upper extremity with contrast (73201) range across 3 matching MRF lines |
$766.20–$1,532.40 | $1,277–$2,554 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,235.40 | $2,059 | 7.0× |
| Cta Abdomen (74175) | $1,021.20 | $1,702 | 5.8× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $2,790 | $4,650 | 8.0× |
| CTA pelvis (72191) | $1,653.60 | $2,756 | 9.4× |
| Dilation ureters/urethra rs&i (74485) | $3,432 | $5,720 | 1.6× |
| Diskography lumbar (72295) | $6,689.40 | $11,149 | 3.4× |
| Doppler Fetal Mid Cerebral Artery (76821) | $265.20 | $442 | 2.5× |
| Dxa Bone Density Axial (77080) | $234 | $390 | 2.2× |
| Dxa bone density study (77085) | $175.80 | $293 | 1.7× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $189 | $315 | 2.2× |
| Echo exam uterus (76831) | $440.40 | $734 | 1.8× |
| Echo Guide For Artery Repair (76936) | $457.20 | $762 | 2.1× |
| Esophagram (74220) | $390 | $650 | 2.2× |
| Fetal Biophys Profile W/Nst (76818) | $604.20 | $1,007 | 5.8× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $490.20 | $817 | 4.7× |
| Fetal MRI w/placntl matrnl plvc img sing/1st ges (74712) | $455.40 | $759 | 1.9× |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$57.60–$361.20 | $96–$602 | varies |
| Follow-Up Angiography (75898) range across 2 matching MRF lines |
$4,068.60 | $216–$6,781 | 1.3× |
| Foot 2 views (73620) range across 3 matching MRF lines |
$37.20–$161.40 | $62–$269 | varies |
| Forearm 2 views (73090) range across 3 matching MRF lines |
$38.40–$190.80 | $64–$318 | varies |
| Gastric emptying imaging study (78264) | $720 | $1,200 | 1.8× |
| Gated Heart Planar Single (78472) | $661.80 | $1,103 | 1.7× |
| Hand 2 views (73120) | $198.60 | $331 | 1.9× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77772) | $1,073.40 | $1,789 | 1.5× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) | $1,066.80 | $1,778 | 1.5× |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) | $1,061.40 | $1,769 | 1.5× |
| Heart Image (Pet) Multiple (78492) | $2,367 | $3,945 | 1.7× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $2,833.80 | $4,723 | 0.9× |
| Hepatobil Syst Image W/Drug (78227) | $840.60 | $1,401 | 1.5× |
| Hepatobiliary System Imaging (78226) | $790.20 | $1,317 | 2.0× |
| Ht Muscle Image Spect Sing (78451) | $1,951.80 | $3,253 | 1.5× |
| Hysterosalpingogram (74740) | $436.20 | $727 | 1.8× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $301.80 | $503 | 3.5× |
| Infant hip ultrasound, limited static exam (76886) | $246 | $410 | 2.8× |
| Interstitial radiation source applic complex (77778) | $2,229.60 | $3,716 | 3.2× |
| Joint Survey Single View (77077) | $261.60 | $436 | 2.5× |
| K Flow/Funct Image W/Drug (78708) | $726.60 | $1,211 | 1.3× |
| K Flow/Funct Image W/O Drug (78707) | $604.80 | $1,008 | 1.1× |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$52.80–$240 | $88–$400 | varies |
| Leveen/Shunt Patency Exam (78291) | $571.80 | $953 | 1.4× |
| Liver & Spleen Imaging Static Only (78215) | $662.40 | $1,104 | 1.7× |
| Lung Perf&Ventilat Diferentl (78598) | $951.60 | $1,586 | 1.7× |
| Lung perfusion differential (78597) | $512.40 | $854 | 1.3× |
| Lung Ventilat&Perfus Imaging (78582) | $739.20 | $1,232 | 1.4× |
| Lymph System Imaging (78195) | $742.20 | $1,237 | 1.4× |
| Lymphangiography extremity only unilateral rs&i (75801) | $895.80 | $1,493 | 1.4× |
| Lymphangiography, pelvic/abdominal, unilateral (75805) | $4,468.20 | $7,447 | 1.4× |
| Magnetic Image Jaw Joint (70336) | $911.40 | $1,519 | 3.8× |
| Magnetic Resonance Elastography (76391) | $917.40 | $1,529 | 3.8× |
| Meckels Divert Exam (78290) | $482.40 | $804 | 1.2× |
| Mlc imrt design & construction per imrt plan (77338) | $1,416.60 | $2,361 | 3.8× |
| Mr safety determination physician/other qhp (76016) | $132 | $220 | 1.5× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $36.60 | $61 | 1.3× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) | $137.40 | $229 | 1.4× |
| Mr safety implt pos&/immoblj (76019) | $89.40 | $149 | 1.5× |
| Mr safety med physics xm customization plng&mntr (76017) | $362.40 | $604 | 1.5× |
| Mra Head W/O & W/Contrast Material (70546) range across 2 matching MRF lines |
$228–$1,980 | $380–$3,300 | varies |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$320.40–$1,170 | $534–$1,950 | varies |
| MRA head with contrast (70545) range across 2 matching MRF lines |
$319.80–$1,200 | $533–$2,000 | varies |
| MRA neck w contrast (70548) range across 2 matching MRF lines |
$347.40–$1,200 | $579–$2,000 | varies |
| Mra Neck W/O &W/Contrast Material (70549) range across 2 matching MRF lines |
$266.40–$1,980 | $444–$3,300 | varies |
| MRA neck w/o contrast (70547) range across 2 matching MRF lines |
$165.60–$900 | $276–$1,500 | varies |
| MRI abdomen w contrast (74182) | $1,096.20 | $1,827 | 3.1× |
| MRI abdomen w/o contrast (74181) | $688.80 | $1,148 | 2.9× |
| MRI any jt lower extrem w/contrast material (73722) range across 3 matching MRF lines |
$1,089–$2,178.60 | $1,815–$3,631 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 3 matching MRF lines |
$1,146–$2,292 | $1,910–$3,820 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 3 matching MRF lines |
$1,767–$3,534 | $2,945–$5,890 | varies |
| MRI Breast W/O Contrast Bilateral (77047) | $1,477.20 | $2,462 | 6.2× |
| MRI Breast Without Contrast Material Unilateral (77046) | $701.40 | $1,169 | 2.9× |
| MRI cervical spine w contrast (72142) range across 2 matching MRF lines |
$378–$1,088.40 | $630–$1,814 | varies |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$286.80–$1,038.60 | $478–$1,731 | varies |
| MRI chest w/o contrast (71550) | $868.80 | $1,448 | 3.6× |
| MRI chest with contrast (71551) | $1,089 | $1,815 | 1.4× |
| MRI chest wo w contrast (71552) | $1,800 | $3,000 | 5.2× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 3 matching MRF lines |
$1,233–$2,466 | $2,055–$4,110 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 3 matching MRF lines |
$1,351.20–$2,702.40 | $2,252–$4,504 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 3 matching MRF lines |
$1,099.20–$2,198.40 | $1,832–$3,664 | varies |
| MRI lumbar spine w contrast (72149) | $1,119.60 | $1,866 | 3.2× |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$457.20–$1,309.80 | $762–$2,183 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 2 matching MRF lines |
$92.40–$960 | $154–$1,600 | varies |
| MRI orbit face neck w contrast (70542) | $1,080 | $1,800 | 3.1× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 2 matching MRF lines |
$513.60–$2,280 | $856–$3,800 | varies |
| MRI pelvis w contrast (72196) | $945 | $1,575 | 2.7× |
| MRI pelvis w/o & w contrast (72197) | $1,234.80 | $2,058 | 3.5× |
| MRI pelvis w/o contrast (72195) | $930.60 | $1,551 | 3.9× |
| MRI spectroscopy (76390) | $409.20 | $682 | 4.7× |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$250.80–$939.60 | $418–$1,566 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) | $949.20 | $1,582 | 2.7× |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 3 matching MRF lines |
$883.20–$1,910.40 | $1,472–$3,184 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) | $1,154.40 | $1,924 | 3.3× |
| MRI, abdomen, combo (74183) | $1,165.20 | $1,942 | 3.3× |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$331.20–$1,306.80 | $552–$2,178 | varies |
| MRI, dorsal spine contrast (72147) range across 2 matching MRF lines |
$412.80–$1,231.80 | $688–$2,053 | varies |
| MRI, joint upper extrem (73221) range across 3 matching MRF lines |
$1,003.80–$2,007.60 | $1,673–$3,346 | varies |
| MRI, joint upper extrem combo (73223) range across 3 matching MRF lines |
$2,152.80–$4,305.60 | $3,588–$7,176 | varies |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$454.80–$1,309.80 | $758–$2,183 | varies |
| Myelogram cervical (72240) | $1,146.60 | $1,911 | 1.5× |
| Myelogram Lumbar (72265) | $1,146.60 | $1,911 | 1.5× |
| Myelography thoracic (72255) | $1,146.60 | $1,911 | 1.5× |
| Myelograpy 2/more regions rs&i (72270) | $1,142.40 | $1,904 | 1.5× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) | $2,349 | $3,915 | 1.8× |
| Myocardial Spect Multiple Studies (78452) | $2,052 | $3,420 | 1.6× |
| Myocrd Img Pet Metab Eval Single Study Cncrnt CT (78429) | $2,641.80 | $4,403 | 1.8× |
| Myocrd img PET prfuj 1std rest/stress cncrnt CT (78430) | $2,354.40 | $3,924 | 1.6× |
| Myocrd Img Pet Prfuj Mlt Std Rst&Strs Cncrnt CT (78431) | $4,029.60 | $6,716 | 1.8× |
| N-invas est c ffr sw aly CTA (75580) | $1,792.80 | $2,988 | 2.1× |
| Neck soft tissue (70360) | $191.40 | $319 | 2.2× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $379.20 | $632 | 0.9× |
| Nm csf leak detection (78650) | $1,951.80 | $3,253 | 1.5× |
| Nonvascular Shunt X-Ray (75809) range across 3 matching MRF lines |
$115.20–$171.60 | $192–$286 | varies |
| Ntsty modul radthx pln dose-vol histos (77301) | $2,808 | $4,680 | 2.0× |
| Nuclear Rx Oral Admin (79005) | $555.60 | $926 | 2.4× |
| Ob us nuchal meas 1 gest (76813) | $300 | $500 | 2.9× |
| Parathyroid Planar Imaging (78070) | $675 | $1,125 | 1.7× |
| Pelvis 1 or 2 views (72170) | $234 | $390 | 2.2× |
| PET image w/CT, full body (78816) | $2,593.20 | $4,322 | 1.8× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $2,190.60 | $3,651 | 1.5× |
| Pet Myocardial Sngl Study (78491) | $2,190.60 | $3,651 | 1.5× |
| Pulmonary Perfusion Imaging Particulate (78580) | $612.60 | $1,021 | 1.5× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $339 | $565 | 3.2× |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 2 matching MRF lines |
$888.60–$960 | $1,481–$1,600 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$48.60–$202.80 | $81–$338 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$37.80–$161.40 | $63–$269 | varies |
| Radex elbow complete minimum 3 views (73080) | $190.20 | $317 | 2.2× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $248.40 | $414 | 2.4× |
| Radex fingr minimum 2 views (73140) range across 3 matching MRF lines |
$49.20–$161.40 | $82–$269 | varies |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$45–$204.60 | $75–$341 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$48.60–$227.40 | $81–$379 | varies |
| Radex lower extremity infant minimum 2 views (73592) | $166.80 | $278 | 1.9× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $247.80 | $413 | 2.4× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $202.80 | $338 | 2.3× |
| Radex Ribs Unilateral 2 Views (71100) range across 3 matching MRF lines |
$161.40–$322.80 | $269–$538 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$45.60–$216.60 | $76–$361 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $161.40 | $269 | 1.9× |
| Radex Spine 1 View Specify Level (72020) | $210 | $350 | 2.4× |
| Radex Sternum Minimum 2 Views (71120) | $201.60 | $336 | 2.3× |
| Radex Toe Minimum 2 Views (73660) range across 3 matching MRF lines |
$38.40–$180 | $64–$300 | varies |
| Radex upper extremity infant minimum 2 views (73092) | $280.20 | $467 | 2.7× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$53.40–$192 | $89–$320 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $370.80 | $618 | 3.5× |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $10,959 | $18,265 | 1.5× |
| Radiation treatment delivery level 1 (77402) | $189 | $315 | 1.8× |
| Radiation treatment delivery level 2 (77407) | $386.40 | $644 | 1.0× |
| Radiation treatment delivery level 3 (77412) | $386.40 | $644 | 0.7× |
| Radiolog exam mandible compl minimum 4 views (70110) | $222 | $370 | 2.1× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $312 | $520 | 3.0× |
| Radiologic exam colon double contrast study (74280) | $512.40 | $854 | 2.9× |
| Radiologic exam colon single contrast study (74270) | $343.20 | $572 | 2.0× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $652.80 | $1,088 | 3.7× |
| Radiologic exam knee complete 4/more views (73564) | $61.20 | $102 | 0.6× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $300 | $500 | 2.9× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $371.40 | $619 | 2.1× |
| Radiologic exam swallow function contrast study (74230) | $267 | $445 | 1.5× |
| Radiologic exam upr gi trc double contrast study (74246) | $192 | $320 | 1.1× |
| Radiologic examination femur 1 view (73551) | $161.40 | $269 | 1.9× |
| Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines |
$46.80–$180 | $78–$300 | varies |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$45–$161.40 | $75–$269 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $283.20 | $472 | 2.7× |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$41.40–$216.60 | $69–$361 | varies |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $569.40 | $949 | 1.4× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $1,749.60 | $2,916 | 3.2× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $1,860 | $3,100 | 3.4× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $1,749.60 | $2,916 | 3.2× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $1,749.60 | $2,916 | 1.3× |
| Rp Therapy Intravenous Administration (79101) | $385.80 | $643 | 1.7× |
| Scapula (73010) | $199.20 | $332 | 1.9× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $90 | $150 | 3.8× |
| Shoulder 1 view (73020) | $161.40 | $269 | 1.9× |
| Shoulder Arthrography (73040) | $570.60 | $951 | 1.6× |
| Skull less than 4 views (70250) | $198.60 | $331 | 1.9× |
| Special dosimetry (77331) | $213 | $355 | 1.6× |
| Special Physics Consult (77370) | $230.40 | $384 | 1.7× |
| Special teletherapy port plan (77321) | $642 | $1,070 | 1.7× |
| Special treatment procedure (77470) | $1,063.20 | $1,772 | 1.9× |
| Stereotactic Body Radiation Delivery (77373) | $2,518.80 | $4,198 | 1.4× |
| Sternoclavicular joints (71130) | $253.20 | $422 | 2.9× |
| Superior sagittal sinus venogram (75870) | $4,468.20 | $7,447 | 1.4× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $551.40 | $919 | 1.5× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $525.60 | $876 | 1.4× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $685.20 | $1,142 | 1.8× |
| Ther rad simulaj-aided field setting simple (77280) | $343.20 | $572 | 2.5× |
| Thoracic spine 2 views (72070) | $300 | $500 | 2.9× |
| Thoracic spine 3 views (72072) | $300 | $500 | 2.9× |
| Thoracolumbar 2 views (72080) | $160.80 | $268 | 1.8× |
| Thyroid Met Imaging Body (78018) | $822 | $1,370 | 1.5× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $765 | $1,275 | 1.9× |
| Tx Devices Design & Construction Complex (77334) | $525.60 | $876 | 1.4× |
| Tx devices design & construction simple (77332) | $212.40 | $354 | 1.6× |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$267.60–$535.20 | $446–$892 | varies |
| Ultrasound elastography first target lesion (76982) | $846 | $1,410 | 8.1× |
| Ultrasound Elastography Parenchyma (76981) | $846 | $1,410 | 8.1× |
| Ultrasound Exam Aaa Screen (76706) | $201 | $335 | 1.9× |
| Ultrasound trgt dynamic microbubble 1st lesion (76978) | $729.60 | $1,216 | 2.1× |
| Ultrasound, abdomen limited (76705) | $517.20 | $862 | 4.9× |
| Umbilical-artery Doppler (OB) (76820) | $204.60 | $341 | 2.0× |
| Unlisted Dx Radiographic Procedure (76499) | $118.80 | $198 | 1.4× |
| Unlisted us procedure (76999) | $729.60 | $1,216 | 8.4× |
| Upper gi w/o kub (74240) | $490.20 | $817 | 2.8× |
| Ureteral Reflux Study (78740) | $510.60 | $851 | 1.3× |
| Urethrocystogram voiding (74455) | $467.40 | $779 | 2.0× |
| Urethrocystography retrograde (74450) | $433.20 | $722 | 1.8× |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$313.80–$627.60 | $523–$1,046 | varies |
| Us chest (76604) range across 2 matching MRF lines |
$438–$451.80 | $730–$753 | varies |
| Us exam, pelvic, limited (76857) | $237.60 | $396 | 2.3× |
| Us head (76506) | $246 | $410 | 2.3× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $375 | $625 | 3.6× |
| Us ob detailed single fetus (76811) | $433.20 | $722 | 1.8× |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$246–$270 | $410–$450 | varies |
| Us ob transvaginal (76817) | $390 | $650 | 3.7× |
| Us pelvic non ob complete (76856) | $615 | $1,025 | 5.9× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $390 | $650 | 3.7× |
| Us retroperitoneal complete (76770) | $630.60 | $1,051 | 6.0× |
| Us retroperitoneal limited (76775) | $484.80 | $808 | 4.6× |
| Us scrotum and contents (76870) | $610.80 | $1,018 | 5.8× |
| Us spinal canal and contents (76800) | $435 | $725 | 4.2× |
| Us thyroid (76536) | $601.20 | $1,002 | 5.7× |
| Us transrectal (76872) | $261 | $435 | 2.5× |
| Vein X-Ray Chest (75827) range across 2 matching MRF lines |
$166.80–$2,294.40 | $278–$3,824 | varies |
| Venogram Sinus/Jugular (75860) range across 3 matching MRF lines |
$2,440.80–$4,881.60 | $4,068–$8,136 | varies |
| Venography Adrenal Unilateral (75840) | $4,593.60 | $7,656 | 1.5× |
| Venography caval inferior serialography rs&i (75825) | $2,440.80 | $4,068 | 0.8× |
| Venography extremity bilateral rs&i (75822) | $2,400 | $4,000 | 1.5× |
| Venography extremity unilateral rs&i (75820) | $2,044.20 | $3,407 | 1.3× |
| Venography Renal Bilateral (75833) | $4,593.60 | $7,656 | 1.5× |
| Venography Renal Unilateral (75831) | $4,593.60 | $7,656 | 1.5× |
| Venous sampling by catheter (75893) | $4,208.40 | $7,014 | 0.8× |
| Vertebral fracture assessment via dxa (77086) | $139.20 | $232 | 1.6× |
| Wrist 2 views (73100) | $161.40 | $269 | 1.9× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $240 | $400 | 2.8× |
| X-ray antegrade pyelogram tube (74425) | $684.60 | $1,141 | 2.0× |
| X-Ray Aorta Leg Arteries (75630) range across 2 matching MRF lines |
$224.40–$4,593.60 | $374–$7,656 | varies |
| X-Ray Bend Only L-S Spine (72120) | $336 | $560 | 3.2× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$38.40–$186.60 | $64–$311 | varies |
| X-Ray Exam Breast Specimen (76098) | $870 | $1,450 | 1.6× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $160.80 | $268 | 1.8× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $198.60 | $331 | 1.9× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $345 | $575 | 3.3× |
| X-Ray Exam Hip Uni 1 View (73501) | $161.40 | $269 | 1.9× |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 3 matching MRF lines |
$61.20–$199.20 | $102–$332 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) | $255 | $425 | 2.4× |
| X-Ray Exam L-S Spine Bending (72114) | $442.20 | $737 | 4.2× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $300 | $500 | 3.4× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $450 | $750 | 4.3× |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 3 matching MRF lines |
$55.80–$240 | $93–$400 | varies |
| X-ray eye for foreign body (70030) range across 3 matching MRF lines |
$161.40–$322.80 | $269–$538 | varies |
| X-ray humerus (73060) range across 3 matching MRF lines |
$42.60–$186 | $71–$310 | varies |
| X-ray IV pyelogram (ivp) (74400) | $505.20 | $842 | 2.9× |
| X-ray IV pyelogram+tomography (74415) | $636.60 | $1,061 | 3.6× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $160.80 | $268 | 1.8× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $52.20 | $87 | 0.6× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $300 | $500 | 2.9× |
| X-ray nose-rectum child f.b. (76010) | $255.60 | $426 | 2.9× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $300 | $500 | 2.9× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $198.60 | $331 | 1.9× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $198.60 | $331 | 1.9× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $255 | $425 | 2.9× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $207.60 | $346 | 2.4× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $283.20 | $472 | 2.7× |
| X-ray thoracic spine 4 vw (72074) | $360 | $600 | 3.4× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $684.60 | $1,141 | 2.0× |
| X-Rays Bone Length Studies (77073) | $198.60 | $331 | 1.9× |
| X-Rays Bone Survey Complete (77075) | $410.40 | $684 | 3.9× |
| Xr c-spine 4 or 5 views (72050) | $390 | $650 | 3.7× |
| Xr facial bones less than 3 views (70140) | $169.20 | $282 | 1.9× |
| Xr orbits complete 4 views (70200) | $199.20 | $332 | 1.9× |
| Xr Tomogram Single Plane (76100) | $198.60 | $331 | 1.9× |
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.