Imaging prices at Brigham and Women's Hospital
Boston, MA · every code in this section with a posted price and a Medicare benchmark.
282 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) | $7,454.25 | $9,939 | 4.5× |
| Abdomen 1 View (74018) | $290.25 | $387 | 2.8× |
| Abdomen 2 views (74019) | $409.50 | $546 | 3.3× |
| Angiography extremity bilateral rs&i (75716) | $7,063.50 | $9,418 | 1.9× |
| Artery X-Rays Abdomen (75726) | $10,619.25 | $14,159 | 1.6× |
| Artery X-Rays Pelvis (75736) | $6,487.50 | $8,650 | 1.0× |
| Artery X-Rays Spine (75705) likely a partial charge, not the full procedure |
$1,723.50 | $2,298 | 0.3× |
| Basic radiation dosimetry calculation (77300) | $986.25 | $1,315 | 6.1× |
| Bone age studies (77072) | $261.75 | $349 | 2.1× |
| Bone Imaging 3 Phase (78315) | $1,933.50 | $2,578 | 4.0× |
| Bone Imaging Whole Body (78306) | $1,425.75 | $1,901 | 3.0× |
| Bone marrow imaging; whole body (78104) | $1,441.50 | $1,922 | 3.0× |
| Brachytx isodose complex (77318) | $1,268.25 | $1,691 | 2.8× |
| Brachytx Isodose Plan Simple (77316) | $717.75 | $957 | 1.6× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $4,779.75 | $6,373 | 2.8× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $3,444.75 | $4,593 | 8.2× |
| Cardiac MRI w/w/o contrast w/stress (75563) | $4,313.25 | $5,751 | 4.6× |
| Chest 1 view (71045) | $280.50 | $374 | 2.7× |
| Chest 2 views (71046) | $354 | $472 | 3.4× |
| Chest 3 views (71047) | $425.25 | $567 | 4.1× |
| Chest 4 or more views (71048) | $513 | $684 | 4.1× |
| Chg us nrv&acc strux 1 xtr compre w/img pr extremity (76883) | $291 | $388 | 2.3× |
| Clavicle complete (73000) | $319.50 | $426 | 3.1× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $708.75 | $945 | 5.7× |
| Continuing medical physics consltj pr wk (77336) | $1,047.75 | $1,397 | 6.5× |
| Contrast Exam Abdominl Aorta (75625) | $5,832 | $7,776 | 1.5× |
| Contrast X-Ray Bladder (74430) | $820.50 | $1,094 | 2.0× |
| CT abdomen and pelvis without and with contrast (74178) | $2,698.50 | $3,598 | 6.5× |
| CT abdomen and pelvis without contrast (74176) | $1,323.75 | $1,765 | 4.6× |
| CT abdomen w contrast (74160) | $2,259.75 | $3,013 | 10.7× |
| CT abdomen w wo contrast (74170) | $2,434.50 | $3,246 | 11.6× |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$1,548.75–$1,644.75 | $2,065–$2,193 | varies |
| CT Angio Abdomen and Pelvis (74174) | $3,394.50 | $4,526 | 8.1× |
| CT Angio Chest (71275) | $3,125.25 | $4,167 | 14.9× |
| CT Angio Head (70496) | $3,700.50 | $4,934 | 17.6× |
| CT angio hrt w/3d image (75574) | $2,659.50 | $3,546 | 6.4× |
| CT Angio Neck (70498) | $3,553.50 | $4,738 | 16.9× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 3 matching MRF lines |
$2,512.50–$2,643 | $3,350–$3,524 | varies |
| CT cervical spine w/ contrast (72126) | $2,091.75 | $2,789 | 5.0× |
| CT cervical spine w/o contrast (72125) | $1,719 | $2,292 | 13.7× |
| CT cervical spine w/wo cont (72127) | $2,518.50 | $3,358 | 12.0× |
| CT chest w contrast (71260) | $2,118.75 | $2,825 | 10.1× |
| CT chest w/wo contrast (71270) | $2,717.25 | $3,623 | 12.9× |
| CT colonography screening (74263) | $3,360 | $4,480 | 11.8× |
| CT Colonogrphy Dx Image Postprocess W/Contrast (74262) | $4,341.75 | $5,789 | 20.7× |
| CT colonogrphy dx image postprocess w/o contrast (74261) | $3,874.50 | $5,166 | 30.9× |
| CT head/brain with contrast (70460) | $1,775.25 | $2,367 | 8.4× |
| CT head/brain without and with contrast (70470) | $2,116.50 | $2,822 | 10.1× |
| CT heart contrast eval cardiac structure&morph (75572) | $813 | $1,084 | 1.9× |
| CT heart no contrast quant eval coronry calcium (75571) | $335.25 | $447 | 3.2× |
| CT hrt w/3d image congen (75573) | $1,089.75 | $1,453 | 2.6× |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$2,384.25–$2,532 | $3,179–$3,376 | varies |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$1,601.25–$1,697.25 | $2,135–$2,263 | varies |
| CT lower extremity w/contrast material (73701) range across 3 matching MRF lines |
$1,944–$2,047.50 | $2,592–$2,730 | varies |
| CT lumbar spine w contrast (72132) | $2,100.75 | $2,801 | 5.0× |
| CT lumbar spine w/o contrast (72131) | $1,708.50 | $2,278 | 13.6× |
| CT maxillofacial w contrast (70487) | $2,199.75 | $2,933 | 10.5× |
| CT maxillofacial wo contrast (70486) | $1,795.50 | $2,394 | 14.3× |
| CT neck tissue combo (70492) | $2,622.75 | $3,497 | 12.5× |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$2,071.50–$2,200.50 | $2,762–$2,934 | varies |
| CT pelvis w&w/o contrast (72194) | $2,600.25 | $3,467 | 12.4× |
| CT pelvis w/o contrast (72192) | $1,617 | $2,156 | 12.9× |
| CT scans face/jaw combo (70488) | $2,637 | $3,516 | 12.5× |
| CT soft tissue neck w contrast (70491) | $2,142.75 | $2,857 | 10.2× |
| CT soft tissue neck w/o contrast (70490) | $1,764 | $2,352 | 14.1× |
| CT thoracic spine w contrast (72129) | $2,076 | $2,768 | 9.9× |
| CT thoracic spine w/o contrast (72128) | $1,694.25 | $2,259 | 13.5× |
| CT thorax w/o contrast (71250) | $1,740.75 | $2,321 | 13.9× |
| CT upper ext wo (73200) range across 3 matching MRF lines |
$1,591.50–$1,681.50 | $2,122–$2,242 | varies |
| CT upper extremity with contrast (73201) range across 3 matching MRF lines |
$1,893–$1,905.75 | $2,524–$2,541 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $2,903.25 | $3,871 | 13.8× |
| Cta Abdomen (74175) | $2,502 | $3,336 | 11.9× |
| CTA pelvis (72191) | $2,562.75 | $3,417 | 12.2× |
| Doppler Fetal Mid Cerebral Artery (76821) | $494.25 | $659 | 3.9× |
| Dxa Bone Density Axial (77080) | $495 | $660 | 4.0× |
| Dxa bone density study (77085) | $469.50 | $626 | 3.7× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $289.50 | $386 | 2.8× |
| Echo exam uterus (76831) | $678.75 | $905 | 2.4× |
| Esophageal Motility Study (78258) | $1,364.25 | $1,819 | 2.8× |
| Esophagram (74220) | $991.50 | $1,322 | 4.7× |
| Fetal Biophys Profile W/Nst (76818) | $613.50 | $818 | 4.9× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $456.75 | $609 | 3.6× |
| Fluoroscopy up to 1 hr (76000) range across 3 matching MRF lines |
$48.75–$1,296.75 | $65–$1,729 | varies |
| Follow-Up Angiography (75898) | $2,391 | $3,188 | 0.6× |
| Forearm 2 views (73090) | $307.50 | $410 | 2.9× |
| Gastric emptying imaging study (78264) | $1,639.50 | $2,186 | 3.4× |
| Gastric Emptyng Imag Std W/Sm Bwl Transit (78265) | $1,906.50 | $2,542 | 4.0× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77772) | $4,015.50 | $5,354 | 4.8× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) | $2,546.25 | $3,395 | 3.1× |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) | $1,397.25 | $1,863 | 1.7× |
| Hepatobil Syst Image W/Drug (78227) | $2,415 | $3,220 | 3.7× |
| Hepatobiliary System Imaging (78226) | $1,545 | $2,060 | 3.2× |
| Ht Muscle Image Spect Sing (78451) | $3,828 | $5,104 | 2.5× |
| Hysterosalpingogram (74740) | $946.50 | $1,262 | 3.3× |
| Infant hip ultrasound, limited static exam (76886) | $659.25 | $879 | 6.3× |
| Interstitial radiation source applic complex (77778) | $5,497.50 | $7,330 | 6.6× |
| Joint Survey Single View (77077) | $436.50 | $582 | 3.5× |
| K Flow/Funct Image W/Drug (78708) | $1,650 | $2,200 | 2.5× |
| K Flow/Funct Image W/O Drug (78707) | $1,328.25 | $1,771 | 2.0× |
| Knee 3 Views (73562) | $404.25 | $539 | 3.9× |
| Labeled RBC Sequestration Differntl Organ/Tissue (78140) | $1,582.50 | $2,110 | 3.3× |
| Lung Perf&Ventilat Diferentl (78598) | $1,650.75 | $2,201 | 2.5× |
| Lung perfusion differential (78597) | $1,071 | $1,428 | 2.2× |
| Lung Ventilat&Perfus Imaging (78582) | $1,800 | $2,400 | 2.8× |
| Lymph System Imaging (78195) | $2,015.25 | $2,687 | 3.1× |
| Magnetic Image Jaw Joint (70336) | $3,222.75 | $4,297 | 11.3× |
| Magnetic Resonance Elastography (76391) | $1,101 | $1,468 | 3.9× |
| Mlc imrt design & construction per imrt plan (77338) | $6,709.50 | $8,946 | 15.0× |
| Mra Head W/O & W/Contrast Material (70546) | $4,254.75 | $5,673 | 10.2× |
| MRA head w/o contrast (70544) | $3,663 | $4,884 | 12.8× |
| MRA neck w contrast (70548) | $3,722.25 | $4,963 | 8.9× |
| Mra Neck W/O &W/Contrast Material (70549) | $4,252.50 | $5,670 | 10.2× |
| MRA neck w/o contrast (70547) | $3,522.75 | $4,697 | 12.3× |
| MRI abdomen w/o contrast (74181) | $3,247.50 | $4,330 | 11.4× |
| MRI any jt lower extrem w/contrast material (73722) | $2,649 | $3,532 | 2.8× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $3,381 | $4,508 | 8.1× |
| MRI any jt upper extremity w/contrast matrl (73222) range across 2 matching MRF lines |
$309.75–$2,857.50 | $413–$3,810 | varies |
| MRI brain functional w/o physician admnistration (70554) | $3,825.75 | $5,101 | 13.4× |
| MRI Breast W/O Contrast Bilateral (77047) | $4,144.50 | $5,526 | 14.5× |
| MRI Breast Without Contrast Material Unilateral (77046) | $4,125.75 | $5,501 | 14.4× |
| MRI cardiac w/o contrast (75557) | $3,312 | $4,416 | 11.6× |
| MRI cervical spine w contrast (72142) | $4,025.25 | $5,367 | 9.6× |
| MRI cervical spine w/o cont (72141) | $3,309.75 | $4,413 | 11.6× |
| MRI chest w/o contrast (71550) | $4,144.50 | $5,526 | 14.5× |
| MRI chest with contrast (71551) | $4,582.50 | $6,110 | 4.9× |
| MRI chest wo w contrast (71552) | $5,789.25 | $7,719 | 13.8× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $4,870.50 | $6,494 | 11.6× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $3,628.50 | $4,838 | 12.7× |
| Mri Neck Spine W/O & W/Dye (72156) | $4,840.50 | $6,454 | 11.6× |
| MRI orbit face &/neck w/o contrast (70540) | $3,553.50 | $4,738 | 12.4× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $4,082.25 | $5,443 | 9.8× |
| MRI pelvis w contrast (72196) | $3,930.75 | $5,241 | 9.4× |
| MRI pelvis w/o & w contrast (72197) | $4,878.75 | $6,505 | 11.7× |
| MRI pelvis w/o contrast (72195) | $3,684.75 | $4,913 | 12.9× |
| MRI spectroscopy (76390) | $2,682.75 | $3,577 | 25.7× |
| MRI thoracic spine w/o contrast (72146) | $3,329.25 | $4,439 | 11.6× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $3,765 | $5,020 | 13.2× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $4,878 | $6,504 | 11.7× |
| MRI, abdomen, combo (74183) | $4,888.50 | $6,518 | 11.7× |
| MRI, dorsal spine combo (72157) | $4,464.75 | $5,953 | 10.7× |
| MRI, dorsal spine contrast (72147) | $3,691.50 | $4,922 | 8.8× |
| MRI, joint upper extrem (73221) | $2,696.25 | $3,595 | 9.4× |
| MRI, joint upper extrem combo (73223) | $3,519 | $4,692 | 8.4× |
| MRI, lumbar spine combo (72158) | $4,788 | $6,384 | 11.5× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) | $3,662.25 | $4,883 | 2.4× |
| Myocardial Spect Multiple Studies (78452) | $4,008.75 | $5,345 | 2.6× |
| Myocrd Img Pet Metab Eval Single Study Cncrnt CT (78429) | $4,389 | $5,852 | 2.6× |
| Myocrd img PET prfuj 1std rest/stress cncrnt CT (78430) | $6,128.25 | $8,171 | 3.6× |
| Myocrd Img Pet Prfuj Mlt Std Rst&Strs Cncrnt CT (78431) | $6,261 | $8,348 | 2.4× |
| Myocrd Img Pet Prfuj W/Metab 2rtracer Cncrnt CT (78433) | $8,286 | $11,048 | 3.1× |
| N-invas est c ffr sw aly CTA (75580) | $5,831.25 | $7,775 | 5.7× |
| Neck soft tissue (70360) | $314.25 | $419 | 3.0× |
| Ntsty modul radthx pln dose-vol histos (77301) | $15,705 | $20,940 | 9.5× |
| Nuclear Rx Intra-Arterial (79445) | $1,884 | $2,512 | 6.7× |
| Nuclear Rx Oral Admin (79005) range across 2 matching MRF lines |
$271.50–$1,012.50 | $362–$1,350 | varies |
| Ob us nuchal meas 1 gest (76813) | $631.50 | $842 | 5.0× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $2,522.25 | $3,363 | 3.9× |
| Pelvis 1 or 2 views (72170) | $258.75 | $345 | 2.1× |
| Pet Image W/Ct Lmtd (78814) | $4,833 | $6,444 | 2.8× |
| PET image w/CT, full body (78816) | $4,839 | $6,452 | 2.8× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $4,783.50 | $6,378 | 2.8× |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,221.75 | $1,629 | 2.6× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $826.50 | $1,102 | 1.3× |
| Radex Ankle Complete Minimum 3 Views (73610) | $442.50 | $590 | 4.2× |
| Radex Calcaneus Minimum 2 Views (73650) | $315 | $420 | 3.0× |
| Radex elbow complete minimum 3 views (73080) | $406.50 | $542 | 3.9× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $487.50 | $650 | 3.9× |
| Radex fingr minimum 2 views (73140) | $354.75 | $473 | 3.4× |
| Radex foot complete minimum 3 views (73630) | $365.25 | $487 | 3.5× |
| Radex Hand Minimum 3 Views (73130) | $365.25 | $487 | 3.5× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $371.25 | $495 | 3.6× |
| Radex Ribs Unilateral 2 Views (71100) | $365.25 | $487 | 3.5× |
| Radex shoulder complete minimum 2 views (73030) | $339 | $452 | 3.3× |
| Radex Spine 1 View Specify Level (72020) | $259.50 | $346 | 2.5× |
| Radex Sternum Minimum 2 Views (71120) | $364.50 | $486 | 3.5× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $543.75 | $725 | 5.2× |
| Radex Wrist Complete Minimum 3 Views (73110) | $408 | $544 | 3.9× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $672.75 | $897 | 5.4× |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $31,943.25 | $42,591 | 3.6× |
| Radiation treatment delivery level 3 (77412) | $1,887.75 | $2,517 | 2.9× |
| Radiolog exam mandible compl minimum 4 views (70110) | $408 | $544 | 3.3× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $447 | $596 | 3.6× |
| Radiologic exam colon single contrast study (74270) | $1,916.25 | $2,555 | 9.1× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $709.50 | $946 | 3.4× |
| Radiologic exam knee complete 4/more views (73564) | $485.25 | $647 | 3.9× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $308.25 | $411 | 2.5× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $993 | $1,324 | 4.7× |
| Radiologic exam swallow function contrast study (74230) | $987 | $1,316 | 4.7× |
| Radiologic exam upr gi trc double contrast study (74246) | $1,523.25 | $2,031 | 7.2× |
| Radiologic examination femur minimum 2 views (73552) | $261 | $348 | 2.5× |
| Radiologic examination knee 1/2 views (73560) | $327 | $436 | 3.1× |
| Radiologic examination tibia & fibula 2 views (73590) | $303 | $404 | 2.9× |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77768) | $1,776 | $2,368 | 3.8× |
| Ribs bilateral 3 views (71110) | $454.50 | $606 | 3.6× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $1,215 | $1,620 | 2.5× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $1,677 | $2,236 | 3.5× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $3,219.75 | $4,293 | 4.9× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $1,866 | $2,488 | 2.9× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $3,143.25 | $4,191 | 4.8× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $4,719.75 | $6,293 | 2.8× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $3,784.50 | $5,046 | 2.4× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $162.75 | $217 | 7.0× |
| Shoulder 1 view (73020) | $255 | $340 | 2.4× |
| Skull less than 4 views (70250) | $411 | $548 | 3.3× |
| Special Physics Consult (77370) | $859.50 | $1,146 | 5.3× |
| Special teletherapy port plan (77321) | $1,485.75 | $1,981 | 3.3× |
| Special treatment procedure (77470) | $4,605 | $6,140 | 7.0× |
| Stereotactic Body Radiation Delivery (77373) | $23,896.50 | $31,862 | 11.2× |
| Tbs technical calculation only (77091) | $351.75 | $469 | 3.4× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $2,263.50 | $3,018 | 5.0× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $4,074.75 | $5,433 | 9.1× |
| Ther rad simulaj-aided field setting simple (77280) | $2,202 | $2,936 | 13.7× |
| Thoracic spine 2 views (72070) | $377.25 | $503 | 3.0× |
| Thoracic spine 3 views (72072) | $432 | $576 | 3.4× |
| Thoracolumbar 2 views (72080) | $310.50 | $414 | 3.0× |
| Thyroid Met Imaging Body (78018) | $1,820.25 | $2,427 | 2.8× |
| Thyroid Uptake Measurement (78012) range across 2 matching MRF lines |
$28.50–$456 | $38–$608 | varies |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) range across 2 matching MRF lines |
$86.25–$1,335.75 | $115–$1,781 | varies |
| Tx Devices Design & Construction Complex (77334) | $2,082.75 | $2,777 | 4.6× |
| Tx devices design & construction simple (77332) | $1,013.25 | $1,351 | 6.3× |
| Ultrasound Breast Limited (76642) | $273 | $364 | 2.6× |
| Ultrasound Elastography Parenchyma (76981) range across 2 matching MRF lines |
$93–$408 | $124–$544 | varies |
| Ultrasound Exam Aaa Screen (76706) | $336.75 | $449 | 2.7× |
| Ultrasound trgt dynamic microbubble 1st lesion (76978) | $1,623 | $2,164 | 3.9× |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$90.75–$605.25 | $121–$807 | varies |
| Umbilical-artery Doppler (OB) (76820) | $410.25 | $547 | 3.3× |
| Unlisted Miscellaneous Px Dx Nuclear Medicine (78999) | $270 | $360 | 0.6× |
| Upper gi w/o kub (74240) | $1,248 | $1,664 | 5.9× |
| Urethrocystography retrograde (74450) | $858 | $1,144 | 3.0× |
| Us breast unilateral complete (76641) | $357 | $476 | 2.8× |
| Us chest (76604) range across 2 matching MRF lines |
$87.75–$449.25 | $117–$599 | varies |
| Us complete joint (76881) | $627 | $836 | 5.0× |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$76.50–$570 | $102–$760 | varies |
| Us kidney transplant (76776) | $792 | $1,056 | 6.3× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$106.50–$256.50 | $142–$342 | varies |
| Us ob detailed single fetus (76811) | $804 | $1,072 | 2.8× |
| Us ob limited 1 or more fetuses (76815) | $467.25 | $623 | 3.7× |
| Us ob transvaginal (76817) | $528 | $704 | 4.2× |
| Us pelvic non ob complete (76856) | $673.50 | $898 | 5.4× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $659.25 | $879 | 5.3× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $612.75 | $817 | 4.9× |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$113.25–$707.25 | $151–$943 | varies |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$106.50–$601.50 | $142–$802 | varies |
| Us scrotum and contents (76870) | $669.75 | $893 | 5.3× |
| Us thyroid (76536) | $621 | $828 | 5.0× |
| Us transrectal (76872) | $819 | $1,092 | 6.5× |
| Venography caval inferior serialography rs&i (75825) | $5,650.50 | $7,534 | 1.5× |
| Venography extremity unilateral rs&i (75820) | $1,587.75 | $2,117 | 0.8× |
| Venous sampling by catheter (75893) | $5,952.75 | $7,937 | 0.9× |
| Wrist 2 views (73100) | $340.50 | $454 | 3.3× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $421.50 | $562 | 4.0× |
| X-ray antegrade pyelogram tube (74425) | $1,095.75 | $1,461 | 2.6× |
| X-Ray Bend Only L-S Spine (72120) | $571.50 | $762 | 4.6× |
| X-Ray Exam Breast Specimen (76098) | $871.50 | $1,162 | 1.3× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $290.25 | $387 | 2.8× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $516 | $688 | 4.1× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $565.50 | $754 | 4.5× |
| X-Ray Exam Hip Uni 1 View (73501) | $228.75 | $305 | 2.2× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $342 | $456 | 3.3× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $423 | $564 | 3.4× |
| X-Ray Exam Hips Bi 2 Views (73521) | $321.75 | $429 | 2.6× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $382.50 | $510 | 3.1× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $462.75 | $617 | 3.7× |
| X-Ray Exam L-S Spine Bending (72114) | $837 | $1,116 | 6.7× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $426.75 | $569 | 4.1× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $768.75 | $1,025 | 6.1× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $447 | $596 | 3.6× |
| X-ray humerus (73060) | $333.75 | $445 | 3.2× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $362.25 | $483 | 3.5× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $450.75 | $601 | 3.6× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $603 | $804 | 4.8× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $407.25 | $543 | 3.3× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $233.25 | $311 | 1.9× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $328.50 | $438 | 3.1× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $431.25 | $575 | 4.1× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $536.25 | $715 | 4.3× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $1,023 | $1,364 | 2.4× |
| X-Rays Bone Length Studies (77073) | $417 | $556 | 3.3× |
| X-Rays Bone Survey Complete (77075) | $964.50 | $1,286 | 7.7× |
| Xr c-spine 4 or 5 views (72050) | $596.25 | $795 | 4.8× |
| Xr orbits complete 4 views (70200) | $493.50 | $658 | 3.9× |
| Xr Tomogram Single Plane (76100) | $1,941 | $2,588 | 15.5× |
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.