Imaging prices at Boston Medical Center South
Brockton, MA · every code in this section with a posted price and a Medicare benchmark.
412 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) | $101.03 | $224.51 | 1.0× |
| Abdomen 2 views (74019) | $139.14 | $309.19 | 1.1× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $561.31 | $1,247.36 | 1.2× |
| Adrenal Cortex & Medulla Img (78075) | $1,783.08 | $3,962.39 | 1.1× |
| Angio internal mammary (75756) | $3,402.33 | $7,560.74 | 0.9× |
| Angio pulmonary bilat (75743) | $3,862.66 | $8,583.68 | 1.0× |
| Angiography extremity bilateral rs&i (75716) | $3,862.66 | $8,583.68 | 1.0× |
| Angiography extremity unilateral rs&i (75710) | $3,862.66 | $8,583.68 | 1.0× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $3,862.66 | $8,583.68 | 1.0× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $1,643.67 | $3,652.60 | 0.4× |
| Ankle 2 views (73600) | $116.61 | $259.14 | 1.1× |
| Aortography thoracic serialography rs&i (75605) | $5,978.70 | $13,285.99 | 0.9× |
| Aortography thoracic w/o serialography rs&i (75600) | $3,862.66 | $8,583.68 | 1.0× |
| Artery X-Rays Abdomen (75726) | $5,978.70 | $13,285.99 | 0.9× |
| Artery X-Rays Adrenal Gland (75731) | $2,807.34 | $6,238.54 | 0.7× |
| Artery X-Rays Pelvis (75736) | $5,978.70 | $13,285.99 | 0.9× |
| Artery X-Rays Spine (75705) | $5,978.70 | $13,285.99 | 0.9× |
| Arthrogram ankle (73615) | $948.56 | $2,107.91 | 2.3× |
| Arthrogram hip (73525) | $1,005.47 | $2,234.38 | 2.4× |
| Arthrogram Wrist (73115) | $807.02 | $1,793.37 | 1.9× |
| Basic radiation dosimetry calculation (77300) | $189.66 | $421.46 | 1.2× |
| Bone age studies (77072) | $191.15 | $424.77 | 1.5× |
| Bone Imaging 3 Phase (78315) | $603.49 | $1,341.09 | 1.3× |
| Bone Imaging Limited Area (78300) | $534.59 | $1,187.97 | 1.1× |
| Bone Imaging Multiple Areas (78305) | $534.59 | $1,187.97 | 1.1× |
| Bone Imaging Whole Body (78306) | $603.49 | $1,341.09 | 1.3× |
| Bone marrow imaging limited area (78102) | $534.59 | $1,187.97 | 1.1× |
| Bone marrow imaging; multiple areas (78103) | $534.59 | $1,187.97 | 1.1× |
| Bone marrow imaging; whole body (78104) | $534.59 | $1,187.97 | 1.1× |
| Bone survey infant (77076) | $213.64 | $474.76 | 1.7× |
| Brain Flow Imaging Only (78610) | $675.21 | $1,500.46 | 1.0× |
| Brain Image W/Flow < 4 Views (78601) | $580.96 | $1,291.03 | 1.2× |
| Brain imaging < 4 static views (78600) | $501.85 | $1,115.23 | 1.0× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $687.79 | $1,528.42 | 1.1× |
| Brain Imaging Minimum 4 Static Views (78605) | $687.79 | $1,528.42 | 1.1× |
| Card Bl Pool Gated Spect Rest Wal Motn Ejct Frct (78494) | $534.59 | $1,187.97 | 1.1× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $595.87 | $1,324.15 | 1.4× |
| Cardiac Shunt Detection (78428) | $534.59 | $1,187.97 | 1.1× |
| Cat Scan Follow-Up Study (76380) | $94.86 | $210.81 | 0.9× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $675.21 | $1,500.46 | 1.0× |
| Cerebrospinal fluid flow, imaging (not including introduction of material); ventriculography Non-Facility (78635) | $687.79 | $1,528.42 | 1.1× |
| Cerebrospinal Fluid Scan (78630) | $687.79 | $1,528.42 | 1.1× |
| Chest 1 view (71045) | $101.03 | $224.51 | 1.0× |
| Chest 2 views (71046) | $107.09 | $237.98 | 1.0× |
| Chest 3 views (71047) | $101.03 | $224.51 | 1.0× |
| Chest 4 or more views (71048) | $123.25 | $273.88 | 1.0× |
| Cholecystography Oral Contrast (74290) | $204.20 | $453.77 | 1.0× |
| Clavicle complete (73000) | $107.09 | $237.98 | 1.0× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $138.55 | $307.89 | 1.1× |
| Contrast Exam Abdominl Aorta (75625) | $3,862.66 | $8,583.68 | 1.0× |
| Contrast X-Ray Bladder (74430) | $429.81 | $955.13 | 1.0× |
| Contrast X-Ray Of Elbow (73085) | $948.56 | $2,107.91 | 2.3× |
| Contrast X-Ray Of Knee Joint (73580) | $1,005.47 | $2,234.38 | 2.4× |
| Contrast Xray Throat/Cerv Esopha (74210) | $204.20 | $453.77 | 1.0× |
| CT abdomen and pelvis without and with contrast (74178) | $573.92 | $1,275.38 | 1.4× |
| CT abdomen and pelvis without contrast (74176) | $337.74 | $750.54 | 1.2× |
| CT abdomen w contrast (74160) | $396.72 | $881.60 | 1.9× |
| CT abdomen w wo contrast (74170) | $396.72 | $881.60 | 1.9× |
| CT abdomen w/o contrast (74150) | $206.10 | $458 | 1.6× |
| CT Angio Abdomen and Pelvis (74174) | $573.92 | $1,275.38 | 1.4× |
| CT Angio Chest (71275) | $374.26 | $831.70 | 1.8× |
| CT Angio Head (70496) | $374.26 | $831.70 | 1.8× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $527.14 | $1,171.41 | 2.5× |
| CT Angio Neck (70498) | $374.26 | $831.70 | 1.8× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $372.51 | $827.80 | 1.8× |
| CT Cere Prfuj Alys C+ W/O CT/Cta Same Anatomy (70473) | $118.35 | $263 | 0.6× |
| CT cervical spine w/ contrast (72126) | $631.58 | $1,403.51 | 1.5× |
| CT cervical spine w/o contrast (72125) | $206.10 | $458 | 1.6× |
| CT cervical spine w/wo cont (72127) | $369 | $819.99 | 1.8× |
| CT chest w contrast (71260) | $396.72 | $881.60 | 1.9× |
| CT chest w/wo contrast (71270) | $374.26 | $831.70 | 1.8× |
| CT colonography screening (74263) | $992.77 | $2,206.15 | 3.5× |
| CT Colonogrphy Dx Image Postprocess W/Contrast (74262) | $351.42 | $780.94 | 1.7× |
| CT colonogrphy dx image postprocess w/o contrast (74261) | $142.53 | $316.73 | 1.1× |
| CT head/brain with contrast (70460) | $374.26 | $831.70 | 1.8× |
| CT head/brain without and with contrast (70470) | $396.72 | $881.60 | 1.9× |
| CT iac w contrast (70481) | $396.72 | $881.60 | 1.9× |
| CT l-spine w&w/o contrast (72133) | $351.42 | $780.94 | 1.7× |
| CT lower ext w/o (73700) | $182.14 | $404.75 | 1.5× |
| CT lower extremity w/contrast material (73701) | $374.26 | $831.70 | 1.8× |
| CT lumbar spine w contrast (72132) | $624.70 | $1,388.23 | 1.5× |
| CT lumbar spine w/o contrast (72131) | $206.10 | $458 | 1.6× |
| CT maxillofacial w contrast (70487) | $396.72 | $881.60 | 1.9× |
| CT maxillofacial wo contrast (70486) | $193.06 | $429.03 | 1.5× |
| CT neck tissue combo (70492) | $396.72 | $881.60 | 1.9× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $372.51 | $827.80 | 1.8× |
| CT orbits w/o contrast (70480) | $193.06 | $429.03 | 1.5× |
| CT pelvis w&w/o contrast (72194) | $372.51 | $827.80 | 1.8× |
| CT pelvis w/o contrast (72192) | $182.14 | $404.75 | 1.5× |
| CT scan of leg combo (73702) | $351.42 | $780.94 | 1.7× |
| CT scans face/jaw combo (70488) | $351.42 | $780.94 | 1.7× |
| CT soft tissue neck w contrast (70491) | $396.72 | $881.60 | 1.9× |
| CT soft tissue neck w/o contrast (70490) | $182.14 | $404.75 | 1.5× |
| CT thoracic spine w contrast (72129) | $413.99 | $919.98 | 2.0× |
| CT thoracic spine w/o contrast (72128) | $206.10 | $458 | 1.6× |
| CT thoracic spine w/wo cont (72130) | $369 | $819.99 | 1.8× |
| CT thorax w/o contrast (71250) | $193.06 | $429.03 | 1.5× |
| CT unlisted procedure (76497) | $94.86 | $210.81 | 0.9× |
| CT upper ext wo (73200) | $193.06 | $429.03 | 1.5× |
| CT upper extremity w/o & w/contrast material (73202) | $351.42 | $780.94 | 1.7× |
| CT upper extremity with contrast (73201) | $593.03 | $1,317.85 | 1.4× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $396.72 | $881.60 | 1.9× |
| Cta Abdomen (74175) | $396.72 | $881.60 | 1.9× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $235.35 | $523 | 0.6× |
| CTA pelvis (72191) | $351.42 | $780.94 | 1.7× |
| Dilation ureters/urethra rs&i (74485) | $2,602.96 | $5,784.35 | 1.0× |
| Discography Cerv/Thor Spine (72285) | $3,008.46 | $6,685.46 | 1.3× |
| Diskography lumbar (72295) | $3,008.46 | $6,685.46 | 1.3× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) | $182.57 | $405.71 | 1.5× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $203.87 | $453.04 | 1.6× |
| Doppler Fetal Mid Cerebral Artery (76821) | $180.16 | $400.36 | 1.4× |
| Dxa Bone Density Axial (77080) | $165.81 | $368.46 | 1.3× |
| Dxa bone density study (77085) | $146.88 | $326.40 | 1.2× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $94.03 | $208.95 | 0.9× |
| Echo exam of fetal heart (76825) | $688.16 | $1,529.24 | 1.1× |
| Echo exam uterus (76831) | $371.94 | $826.54 | 1.3× |
| Echo Guide For Artery Repair (76936) | $359.75 | $799.45 | 1.4× |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) | $433.57 | $963.49 | 1.5× |
| Echograp Trans R Pros Study (76873) | $207.95 | $462.11 | 1.7× |
| Esophagram (74220) | $230.52 | $512.26 | 1.1× |
| Fetal Biophys Profile W/Nst (76818) | $211.43 | $469.84 | 1.7× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $211.43 | $469.84 | 1.7× |
| Fluoroscopy up to 1 hr (76000) | $336.60 | $747.99 | 1.2× |
| Follow-Up Angiography (75898) | $1,522.31 | $3,382.91 | 0.4× |
| Foot 2 views (73620) | $107.09 | $237.98 | 1.0× |
| Forearm 2 views (73090) | $116.61 | $259.14 | 1.1× |
| Gastric emptying imaging study (78264) | $603.49 | $1,341.09 | 1.3× |
| Gastroesophageal Reflux Exam (78262) | $534.59 | $1,187.97 | 1.1× |
| Gated Heart Planar Single (78472) | $534.59 | $1,187.97 | 1.1× |
| Gated Heart, Multiple (78473) | $534.59 | $1,187.97 | 1.1× |
| Hand 2 views (73120) | $107.09 | $237.98 | 0.9× |
| Heart first pass single,planar (78481) | $687.79 | $1,528.42 | 1.1× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $3,862.66 | $8,583.68 | 1.0× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $3,862.66 | $8,583.68 | 1.0× |
| Hepatobil Syst Image W/Drug (78227) | $762.24 | $1,693.87 | 1.2× |
| Hepatobiliary System Imaging (78226) | $569.33 | $1,265.18 | 1.2× |
| Ht Musc Image Planar Mult (78454) | $1,845.60 | $4,101.34 | 1.2× |
| Ht Muscle Image Spect Sing (78451) | $1,845.60 | $4,101.34 | 1.2× |
| Hysterosalpingogram (74740) | $391.05 | $869 | 1.4× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $109.88 | $244.17 | 1.1× |
| Infant hip ultrasound, limited static exam (76886) | $117.06 | $260.14 | 1.1× |
| Infusion Ivp (74410) | $306.35 | $680.77 | 1.5× |
| Joint Survey Single View (77077) | $157.67 | $350.37 | 1.3× |
| K Flow/Funct Image Multiple (78709) | $687.79 | $1,528.42 | 1.1× |
| K Flow/Funct Image W/Drug (78708) | $776.44 | $1,725.43 | 1.2× |
| K Flow/Funct Image W/O Drug (78707) | $687.79 | $1,528.42 | 1.1× |
| Kidney Funcj Study Non-Img Radioisotopic Study (78725) | $517.58 | $1,150.18 | 1.1× |
| Kidney Imaging Morphol (78700) | $534.59 | $1,187.97 | 1.1× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $534.59 | $1,187.97 | 1.1× |
| Knee 3 Views (73562) | $107.09 | $237.98 | 1.0× |
| Leveen/Shunt Patency Exam (78291) | $534.59 | $1,187.97 | 1.1× |
| Liver & Spleen Imaging Static Only (78215) | $603.49 | $1,341.09 | 1.3× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $534.59 | $1,187.97 | 1.1× |
| Liver imaging w/vascular flow (78202) | $1,347.93 | $2,995.39 | 2.1× |
| Lung Perf&Ventilat Diferentl (78598) | $732.49 | $1,627.76 | 1.1× |
| Lung perfusion differential (78597) | $534.59 | $1,187.97 | 1.1× |
| Lung Ventilat&Perfus Imaging (78582) | $732.49 | $1,627.76 | 1.1× |
| Lung Ventilation Imaging (78579) | $534.59 | $1,187.97 | 1.1× |
| Lymph System Imaging (78195) | $675.21 | $1,500.46 | 1.0× |
| Lymphangiography Extremity Only Bilateral Rs&I (75803) | $1,149.98 | $2,555.51 | 0.6× |
| Lymphangiography extremity only unilateral rs&i (75801) | $727.96 | $1,617.69 | 1.0× |
| Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) | $2,677.27 | $5,949.48 | 0.7× |
| Lymphangiography, pelvic/abdominal, unilateral (75805) | $1,315.55 | $2,923.45 | 0.3× |
| Magnetic Image Jaw Joint (70336) | $373.10 | $829.12 | 1.3× |
| Mammary ductogram or galactogram multiple (77054) | $346.40 | $769.78 | 1.2× |
| Mammary ductogram or galactogram single (77053) | $348.92 | $775.38 | 1.2× |
| Meckels Divert Exam (78290) | $534.59 | $1,187.97 | 1.1× |
| Mra Head W/O & W/Contrast Material (70546) | $672.68 | $1,494.84 | 1.6× |
| MRA head w/o contrast (70544) | $403.04 | $895.64 | 1.4× |
| MRA head with contrast (70545) | $557.05 | $1,237.89 | 1.3× |
| MRA neck w contrast (70548) | $557.05 | $1,237.89 | 1.3× |
| Mra Neck W/O &W/Contrast Material (70549) | $672.68 | $1,494.84 | 1.6× |
| MRA neck w/o contrast (70547) | $380.23 | $844.95 | 1.3× |
| MRI abdomen w contrast (74182) | $595.87 | $1,324.15 | 1.4× |
| MRI abdomen w/o contrast (74181) | $380.23 | $844.95 | 1.3× |
| MRI any jt lower extrem w/contrast material (73722) | $946.65 | $2,103.67 | 1.0× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $672.68 | $1,494.84 | 1.6× |
| MRI any jt upper extremity w/contrast matrl (73222) | $946.65 | $2,103.67 | 1.0× |
| MRI bone marrow blood supply (77084) | $429.30 | $953.99 | 1.5× |
| MRI brain functional w/o physician admnistration (70554) | $357.02 | $793.38 | 1.2× |
| MRI Breast W/O Contrast Bilateral (77047) | $289.63 | $643.63 | 1.0× |
| MRI Breast Without Contrast Material Unilateral (77046) | $392.95 | $873.22 | 1.4× |
| MRI cardiac w/o contrast (75557) | $357.02 | $793.38 | 1.2× |
| MRI cervical spine w contrast (72142) | $634.60 | $1,410.22 | 1.5× |
| MRI cervical spine w/o cont (72141) | $403.04 | $895.64 | 1.4× |
| MRI chest w/o contrast (71550) | $380.23 | $844.95 | 1.3× |
| MRI chest with contrast (71551) | $838.56 | $1,863.47 | 0.9× |
| MRI chest wo w contrast (71552) | $757.55 | $1,683.45 | 1.8× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $557.05 | $1,237.89 | 1.3× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $672.68 | $1,494.84 | 1.6× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $403.04 | $895.64 | 1.4× |
| MRI lumbar spine w contrast (72149) | $634.60 | $1,410.22 | 1.5× |
| Mri Neck Spine W/O & W/Dye (72156) | $757.55 | $1,683.45 | 1.8× |
| MRI orbit face &/neck w/o contrast (70540) | $378.44 | $840.98 | 1.3× |
| MRI orbit face neck w contrast (70542) | $595.87 | $1,324.15 | 1.4× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $757.55 | $1,683.45 | 1.8× |
| MRI pelvis w contrast (72196) | $593.26 | $1,318.36 | 1.4× |
| MRI pelvis w/o & w contrast (72197) | $757.55 | $1,683.45 | 1.8× |
| MRI pelvis w/o contrast (72195) | $403.04 | $895.64 | 1.4× |
| MRI spectroscopy (76390) | $580.84 | $1,290.75 | 5.6× |
| MRI thoracic spine w/o contrast (72146) | $403.04 | $895.64 | 1.4× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $595.87 | $1,324.15 | 1.4× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $403.04 | $895.64 | 1.4× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $631.62 | $1,403.60 | 1.5× |
| MRI, abdomen, combo (74183) | $757.55 | $1,683.45 | 1.8× |
| MRI, dorsal spine combo (72157) | $714.67 | $1,588.16 | 1.7× |
| MRI, dorsal spine contrast (72147) | $557.05 | $1,237.89 | 1.3× |
| MRI, joint upper extrem (73221) | $403.04 | $895.64 | 1.4× |
| MRI, joint upper extrem combo (73223) | $711.32 | $1,580.71 | 1.7× |
| MRI, lumbar spine combo (72158) | $757.55 | $1,683.45 | 1.8× |
| Myelogram cervical (72240) | $949.21 | $2,109.36 | 1.0× |
| Myelogram Lumbar (72265) | $949.21 | $2,109.36 | 1.0× |
| Myelography thoracic (72255) | $852.84 | $1,895.19 | 0.9× |
| Myelograpy 2/more regions rs&i (72270) | $904 | $2,008.90 | 1.0× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $534.59 | $1,187.97 | 1.1× |
| Myocardial imaging, infarct avid, planar; with ejection fraction by first pass technique Non-Facility (78468) | $675.21 | $1,500.46 | 1.0× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $1,608.89 | $3,575.32 | 1.0× |
| Myocardial Spect Multiple Studies (78452) | $2,083.50 | $4,630.01 | 1.3× |
| Neck soft tissue (70360) | $107.09 | $237.98 | 1.0× |
| Nervous system nuclear exam (78699) | $501.85 | $1,115.23 | 1.0× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $517.58 | $1,150.18 | 1.1× |
| Nm csf leak detection (78650) | $1,464.54 | $3,254.53 | 0.9× |
| Nm myocard infarct spect (78469) | $1,432.16 | $3,182.57 | 2.2× |
| Nm red cell survival study (78130) | $616.67 | $1,370.37 | 1.3× |
| Nm unlisted gi procedure (78299) | $534.59 | $1,187.97 | 1.1× |
| Nonvascular Shunt X-Ray (75809) | $66.92 | $148.72 | 0.5× |
| Nuclear medicine study of endocrine organs (78099) | $510.70 | $1,134.90 | 1.1× |
| Nuclear Rx Intra-Arterial (79445) | $354.46 | $787.68 | 1.3× |
| Nuclear Rx Oral Admin (79005) | $400.14 | $889.21 | 1.4× |
| Ob us nuchal meas 1 gest (76813) | $193.06 | $429.03 | 1.5× |
| Optic foramina (70190) | $175.16 | $389.25 | 1.7× |
| Panoramic X-ray of jaws (70355) | $94.03 | $208.95 | 0.9× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $853.19 | $1,895.97 | 1.3× |
| Parathyroid Planar Imaging (78070) | $594.01 | $1,320.02 | 1.2× |
| Parathyroid planar imaging w/wo subtraction (78071) | $853.19 | $1,895.97 | 1.8× |
| Pelvis 1 or 2 views (72170) | $161.54 | $358.98 | 1.3× |
| Perineogram (74775) | $317.13 | $704.73 | 1.1× |
| Peritoneogram Rs&I (74190) | $804.89 | $1,788.65 | 1.2× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $2,091.67 | $4,648.16 | 1.2× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $3,862.66 | $8,583.68 | 1.0× |
| Pulmonary Perfusion Imaging Particulate (78580) | $555.77 | $1,235.04 | 1.2× |
| Quan&Charac C Atherosclerotc Plaq Asses Sev C Ds (75577) | $627.30 | $1,394 | 0.6× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $170.47 | $378.82 | 1.4× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $623.30 | $1,385.12 | 1.0× |
| Radex Ankle Complete Minimum 3 Views (73610) | $116.61 | $259.14 | 1.1× |
| Radex Calcaneus Minimum 2 Views (73650) | $107.09 | $237.98 | 1.0× |
| Radex elbow complete minimum 3 views (73080) | $116.61 | $259.14 | 1.1× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $192.44 | $427.65 | 1.5× |
| Radex fingr minimum 2 views (73140) | $107.09 | $237.98 | 1.0× |
| Radex foot complete minimum 3 views (73630) | $107.09 | $237.98 | 1.0× |
| Radex Hand Minimum 3 Views (73130) | $116.61 | $259.14 | 1.1× |
| Radex lower extremity infant minimum 2 views (73592) | $105.58 | $234.62 | 1.0× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $131.06 | $291.24 | 1.0× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $107.09 | $237.98 | 1.0× |
| Radex Pharynx/Larx W/Fluor&/Magnification Tq (70370) | $170.71 | $379.36 | 1.6× |
| Radex Ribs Unilateral 2 Views (71100) | $107.09 | $237.98 | 1.0× |
| Radex shoulder complete minimum 2 views (73030) | $107.09 | $237.98 | 1.0× |
| Radex Sinuses Paransl < 3 Views (70210) | $107.09 | $237.98 | 1.0× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $309.88 | $688.63 | 1.5× |
| Radex Spine 1 View Specify Level (72020) | $101.03 | $224.51 | 1.0× |
| Radex Sternum Minimum 2 Views (71120) | $107.09 | $237.98 | 1.0× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $94.86 | $210.81 | 0.9× |
| Radex Toe Minimum 2 Views (73660) | $107.09 | $237.98 | 1.0× |
| Radex upper extremity infant minimum 2 views (73092) | $157.67 | $350.37 | 1.3× |
| Radex Wrist Complete Minimum 3 Views (73110) | $107.09 | $237.98 | 1.0× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $250.74 | $557.21 | 2.0× |
| Radiolog exam mandible compl minimum 4 views (70110) | $165.81 | $368.46 | 1.3× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $139.14 | $309.19 | 1.1× |
| Radiologic exam colon double contrast study (74280) | $337.66 | $750.35 | 1.6× |
| Radiologic exam colon single contrast study (74270) | $260.78 | $579.50 | 1.2× |
| Radiologic exam knee complete 4/more views (73564) | $147.95 | $328.78 | 1.2× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $147.95 | $328.78 | 1.2× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $181.55 | $403.44 | 0.9× |
| Radiologic exam swallow function contrast study (74230) | $181.55 | $403.44 | 0.9× |
| Radiologic exam upr gi trc double contrast study (74246) | $260.78 | $579.50 | 1.2× |
| Radiologic examination femur 1 view (73551) | $97.89 | $217.54 | 0.9× |
| Radiologic examination femur minimum 2 views (73552) | $101.03 | $224.51 | 1.0× |
| Radiologic examination knee 1/2 views (73560) | $107.10 | $237.99 | 1.0× |
| Radiologic Examination Osseous Survey Limited (77074) | $182.02 | $404.48 | 1.5× |
| Radiologic Examination Salivary Gland Calculus (70380) | $119.48 | $265.52 | 1.1× |
| Radiologic examination tibia & fibula 2 views (73590) | $107.09 | $237.98 | 1.0× |
| Radiologic examination, internal auditory meati, complete Non-Facility (70134) | $376.27 | $836.15 | 0.6× |
| Red Cell Volume Determination Spx Mult Samplings (78121) | $687.79 | $1,528.42 | 1.1× |
| Renal Cyst Study (74470) | $804.89 | $1,788.65 | 1.2× |
| Ribs bilateral 3 views (71110) | $192.44 | $427.65 | 1.5× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $534.59 | $1,187.97 | 1.1× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $534.59 | $1,187.97 | 1.1× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $1,845.60 | $4,101.34 | 2.8× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $1,494.95 | $3,322.12 | 2.3× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $808.12 | $1,795.82 | 1.2× |
| Rp Ther Radiolbld Monoclonal Antibody IV Infus (79403) | $388.65 | $863.66 | 1.4× |
| Rp Therapy Intravenous Administration (79101) | $354.46 | $787.68 | 1.3× |
| Salivary Gland Function Study (78232) | $534.59 | $1,187.97 | 1.1× |
| Salivary Gland Imaging (78230) | $534.59 | $1,187.97 | 1.1× |
| Salivary Gland Imaging Serial Images (78231) | $534.59 | $1,187.97 | 1.1× |
| Scapula (73010) | $147.75 | $328.34 | 1.2× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $47.74 | $106.09 | 2.0× |
| Sella turcica (70240) | $94.86 | $210.81 | 0.9× |
| Shoulder 1 view (73020) | $107.09 | $237.98 | 1.0× |
| Shoulder Arthrography (73040) | $970.32 | $2,156.27 | 2.3× |
| Sialogram (70390) | $346.40 | $769.78 | 1.2× |
| Skull less than 4 views (70250) | $147.95 | $328.78 | 1.2× |
| Speech evaluation, complex (70371) | $265.32 | $589.60 | 0.9× |
| Spleen Imaging (78185) | $534.59 | $1,187.97 | 1.1× |
| Sternoclavicular joints (71130) | $107.09 | $237.98 | 1.0× |
| Surf radj ther orthvlt dlvr>150-500 kv per fxj (77438) | $68.85 | $153 | 0.6× |
| Surf radj ther supfc dlvr<=150 kv per fraction (77437) | $68.85 | $153 | 0.6× |
| Surf radj ther supfc/orthvlt treatment planning (77436) | $25.20 | $56 | 0.6× |
| Temporomandble Jt Arthrography Rs&I (70332) | $554.61 | $1,232.46 | 1.9× |
| Testicular Imaging W/Flow (78761) | $534.59 | $1,187.97 | 1.1× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $254.54 | $565.64 | 1.2× |
| Thoracic spine 2 views (72070) | $177.99 | $395.53 | 1.4× |
| Thoracic spine 3 views (72072) | $192.44 | $427.65 | 1.5× |
| Thoracolumbar 2 views (72080) | $107.09 | $237.98 | 1.0× |
| Thyroid carcinoma metastases imaging; with additional studies (eg, urinary recovery) Non-Facility (78016) | $534.59 | $1,187.97 | 1.1× |
| Thyroid Carcinoma Metastases Img Lmtd Area (78015) | $534.59 | $1,187.97 | 1.1× |
| Thyroid Imaging With Vascular Flow (78013) | $510.70 | $1,134.90 | 1.1× |
| Thyroid Met Imaging Body (78018) | $694.62 | $1,543.59 | 1.1× |
| Thyroid Uptake Measurement (78012) | $462.77 | $1,028.37 | 1.0× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $603.49 | $1,341.09 | 1.3× |
| Ultrasound Breast Limited (76642) | $135.91 | $302.03 | 1.3× |
| Ultrasound Exam Aaa Screen (76706) | $193.87 | $430.83 | 1.5× |
| Ultrasound, abdomen limited (76705) | $211.43 | $469.84 | 1.7× |
| Umbilical-artery Doppler (OB) (76820) | $162.36 | $360.79 | 1.3× |
| Unlisted Dx Radiographic Procedure (76499) | $94.86 | $210.81 | 0.9× |
| Unlisted fluoroscopic procedure (76496) | $103.73 | $230.52 | 1.0× |
| Unlisted magnetic resonance procedure (76498) | $298.45 | $663.23 | 2.9× |
| Unlisted us procedure (76999) | $98.72 | $219.38 | 0.9× |
| Upper gi w/o kub (74240) | $260.78 | $579.50 | 1.2× |
| Urea Breath Test C-14 Isotopic Acquisj Analysis (78267) | $14.82 | $32.93 | 1.3× |
| Urea breath test c-14 isotopic analysis (78268) | $120.42 | $267.61 | 1.3× |
| Ureteral Reflux Study (78740) | $534.59 | $1,187.97 | 1.1× |
| Urethrocystogram voiding (74455) | $349.78 | $777.30 | 1.2× |
| Urethrocystography retrograde (74450) | $317.13 | $704.73 | 1.1× |
| Us breast unilateral complete (76641) | $162.34 | $360.75 | 1.3× |
| Us chest (76604) | $188.19 | $418.19 | 1.5× |
| Us complete joint (76881) | $211.43 | $469.84 | 1.7× |
| Us exam, pelvic, limited (76857) | $162.36 | $360.79 | 1.3× |
| Us head (76506) | $175.03 | $388.96 | 1.4× |
| Us kidney transplant (76776) | $187.29 | $416.19 | 1.5× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $162.36 | $360.79 | 1.3× |
| Us ob detailed single fetus (76811) | $333.62 | $741.37 | 1.2× |
| Us ob limited 1 or more fetuses (76815) | $188.19 | $418.19 | 1.5× |
| Us ob transvaginal (76817) | $201.22 | $447.15 | 1.6× |
| Us pelvic non ob complete (76856) | $211.43 | $469.84 | 1.7× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $193.87 | $430.83 | 1.5× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $162.36 | $360.79 | 1.3× |
| Us retroperitoneal complete (76770) | $211.43 | $469.84 | 1.7× |
| Us retroperitoneal limited (76775) | $206.10 | $458 | 1.6× |
| Us scrotum and contents (76870) | $206.10 | $458 | 1.6× |
| Us spinal canal and contents (76800) | $156.04 | $346.75 | 1.2× |
| Us thyroid (76536) | $206.10 | $458 | 1.6× |
| Us transrectal (76872) | $187.29 | $416.19 | 1.5× |
| Vascular Flow Imaging (78445) | $528.09 | $1,173.54 | 1.1× |
| Vasogram (74440) | $317.13 | $704.73 | 1.1× |
| Vein X-Ray Chest (75827) | $1,248.18 | $2,773.73 | 0.7× |
| Vein X-Ray Liver W/O Hemodyn (75887) | $1,643.67 | $3,652.60 | 0.4× |
| Vein X-Ray Spleen/Liver (75810) | $2,807.34 | $6,238.54 | 0.7× |
| Venogram Sinus/Jugular (75860) | $3,402.33 | $7,560.74 | 0.9× |
| Venography Adrenal Unilateral (75840) | $3,862.66 | $8,583.68 | 1.0× |
| Venography caval inferior serialography rs&i (75825) | $3,862.66 | $8,583.68 | 1.0× |
| Venography extremity bilateral rs&i (75822) | $1,419.18 | $3,153.73 | 0.8× |
| Venography extremity unilateral rs&i (75820) | $1,023.79 | $2,275.08 | 0.5× |
| Venography Renal Bilateral (75833) | $3,578.21 | $7,951.58 | 0.9× |
| Venography Renal Unilateral (75831) | $3,862.66 | $8,583.68 | 1.0× |
| Venous sampling by catheter (75893) | $5,978.70 | $13,285.99 | 0.9× |
| Vertebral fracture assessment via dxa (77086) | $94.86 | $210.81 | 0.9× |
| Wrist 2 views (73100) | $107.09 | $237.98 | 1.0× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $107.09 | $237.98 | 1.0× |
| X-ray antegrade pyelogram tube (74425) | $549.74 | $1,221.65 | 1.3× |
| X-Ray Aorta Leg Arteries (75630) | $3,862.66 | $8,583.68 | 1.0× |
| X-Ray Bend Only L-S Spine (72120) | $130.89 | $290.86 | 1.0× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $107.09 | $237.98 | 1.0× |
| X-Ray Exam Breast Specimen (76098) | $605.19 | $1,344.87 | 0.9× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $107.09 | $237.98 | 1.0× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $182.14 | $404.75 | 1.5× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $265.79 | $590.64 | 2.1× |
| X-Ray Exam Hip Uni 1 View (73501) | $101.03 | $224.51 | 1.0× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $94.86 | $210.81 | 0.9× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $193.06 | $429.03 | 1.5× |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$13.95–$193.06 | $31–$429.03 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $193.06 | $429.03 | 1.5× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $267.04 | $593.43 | 2.1× |
| X-Ray Exam L-S Spine Bending (72114) | $205.48 | $456.61 | 1.6× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $107.09 | $237.98 | 1.0× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $205.48 | $456.61 | 1.6× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $165.81 | $368.46 | 1.3× |
| X-ray eye for foreign body (70030) | $94.86 | $210.81 | 0.9× |
| X-ray humerus (73060) | $107.09 | $237.98 | 1.0× |
| X-ray IV pyelogram (ivp) (74400) | $306.35 | $680.77 | 1.5× |
| X-ray IV pyelogram+tomography (74415) | $332.86 | $739.70 | 1.6× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $101.03 | $224.51 | 1.0× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $107.09 | $237.98 | 1.0× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $147.95 | $328.78 | 1.2× |
| X-ray nose-rectum child f.b. (76010) | $94.86 | $210.81 | 0.9× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $192.44 | $427.65 | 1.5× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $177.99 | $395.53 | 1.4× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $162.99 | $362.19 | 1.3× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $107.09 | $237.98 | 1.0× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $116.61 | $259.14 | 1.1× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $181.55 | $403.44 | 1.4× |
| X-Ray Stress View (77071) | $94.86 | $210.81 | 0.9× |
| X-ray thoracic spine 4 vw (72074) | $193.87 | $430.83 | 1.5× |
| X-Ray Tmj Unilat (70328) | $107.09 | $237.98 | 1.0× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $607.66 | $1,350.36 | 1.5× |
| X-Rays Bone Length Studies (77073) | $139.39 | $309.76 | 1.1× |
| X-Rays Bone Survey Complete (77075) | $205.48 | $456.61 | 1.6× |
| Xr c-spine 4 or 5 views (72050) | $205.48 | $456.61 | 1.6× |
| Xr facial bones less than 3 views (70140) | $107.09 | $237.98 | 1.0× |
| XR Mastoids < 3 Views Bilateral (70120) | $196.33 | $436.28 | 1.6× |
| Xr orbits complete 4 views (70200) | $147.95 | $328.78 | 1.2× |
| Xr Tomogram Single Plane (76100) | $170.47 | $378.82 | 1.4× |
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.