Imaging prices at Bristol Hospital
Bristol, CT · every code in this section with a posted price and a Medicare benchmark.
334 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) | $257.40 | $468 | 2.5× |
| Abdomen 2 views (74019) | $385.55 | $701 | 3.1× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,321.65 | $2,403 | 2.8× |
| Angio internal mammary (75756) | $7,949.70 | $14,454 | 2.1× |
| Angio pulmonary bilat (75743) | $7,949.70 | $14,454 | 2.1× |
| Angiography extremity bilateral rs&i (75716) | $7,949.70 | $14,454 | 2.1× |
| Angiography extremity unilateral rs&i (75710) | $7,949.70 | $14,454 | 2.1× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $7,949.70 | $14,454 | 2.1× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $7,949.70 | $14,454 | 2.1× |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$343.20–$627.55 | $624–$1,141 | varies |
| Artery X-Rays Abdomen (75726) | $13,706 | $24,920 | 2.1× |
| Artery X-Rays Pelvis (75736) | $13,706 | $24,920 | 2.1× |
| Arthrogram ankle (73615) | $959.20 | $1,744 | 2.3× |
| Arthrogram hip (73525) range across 2 matching MRF lines |
$959.20–$1,064.80 | $1,744–$1,936 | varies |
| Arthrogram Wrist (73115) | $959.20 | $1,744 | 2.3× |
| Bone age studies (77072) | $319 | $580 | 2.5× |
| Bone Imaging 3 Phase (78315) | $1,194.60 | $2,172 | 2.5× |
| Bone Imaging Limited Area (78300) | $1,028.50 | $1,870 | 2.1× |
| Bone Imaging Multiple Areas (78305) | $1,098.35 | $1,997 | 2.3× |
| Bone Imaging Whole Body (78306) | $1,062.60 | $1,932 | 2.2× |
| Bone marrow imaging limited area (78102) | $1,028.50 | $1,870 | 2.1× |
| Bone marrow imaging; whole body (78104) | $1,028.50 | $1,870 | 2.1× |
| Bone survey infant (77076) | $290.40 | $528 | 2.3× |
| Brain Image W/Flow < 4 Views (78601) | $1,028.66 | $1,870.28 | 2.1× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $4,052.40 | $7,368 | 2.4× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $1,607.10 | $2,922 | 3.8× |
| Cat Scan Follow-Up Study (76380) | $577.50 | $1,050 | 5.5× |
| Chest 1 view (71045) | $238.70 | $434 | 2.3× |
| Chest 2 views (71046) | $276.10 | $502 | 2.6× |
| Chest 3 views (71047) | $334.95 | $609 | 3.2× |
| Chest 4 or more views (71048) | $360.25 | $655 | 2.9× |
| Cholecystography Oral Contrast (74290) | $463.65 | $843 | 2.2× |
| Clavicle complete (73000) range across 2 matching MRF lines |
$479.60–$584.10 | $872–$1,062 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $479.60 | $872 | 3.8× |
| Contrast Exam Abdominl Aorta (75625) | $7,949.70 | $14,454 | 2.1× |
| Contrast X-Ray Bladder (74430) | $959.20 | $1,744 | 2.3× |
| Contrast X-Ray Of Elbow (73085) | $959.20 | $1,744 | 2.3× |
| Contrast X-Ray Of Knee Joint (73580) | $959.20 | $1,744 | 2.3× |
| Contrast Xray Throat/Cerv Esopha (74210) | $463.65 | $843 | 2.2× |
| CT abdomen and pelvis without and with contrast (74178) | $2,158.20 | $3,924 | 5.2× |
| CT abdomen and pelvis without contrast (74176) | $1,566.95 | $2,849 | 5.5× |
| CT abdomen w contrast (74160) | $1,554.85 | $2,827 | 7.4× |
| CT abdomen w wo contrast (74170) | $1,718.20 | $3,124 | 8.2× |
| CT abdomen w/o contrast (74150) | $915.20 | $1,664 | 7.3× |
| CT Angio Abdomen and Pelvis (74174) | $1,566.95 | $2,849 | 3.7× |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$937.20–$1,499.85 | $1,704–$2,727 | varies |
| CT Angio Head (70496) | $1,411.85 | $2,567 | 6.7× |
| CT angio hrt w/3d image (75574) | $1,663.75 | $3,025 | 4.0× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
$1,479.50–$1,718.20 | $2,690–$3,124 | varies |
| CT Angio Neck (70498) | $1,411.85 | $2,567 | 6.7× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 2 matching MRF lines |
$1,419.55–$1,718.20 | $2,581–$3,124 | varies |
| CT cervical spine w/ contrast (72126) | $2,050.95 | $3,729 | 4.9× |
| CT cervical spine w/o contrast (72125) | $1,028.50 | $1,870 | 8.2× |
| CT cervical spine w/wo cont (72127) | $1,640.10 | $2,982 | 7.8× |
| CT chest w contrast (71260) | $1,503.70 | $2,734 | 7.2× |
| CT chest w/wo contrast (71270) | $1,530.65 | $2,783 | 7.3× |
| CT colonography screening (74263) | $766.70 | $1,394 | 2.7× |
| CT Colonogrphy Dx Image Postprocess W/Contrast (74262) | $766.70 | $1,394 | 3.6× |
| CT colonogrphy dx image postprocess w/o contrast (74261) | $843.70 | $1,534 | 6.7× |
| CT head/brain with contrast (70460) | $1,366.20 | $2,484 | 6.5× |
| CT head/brain without and with contrast (70470) | $1,626.90 | $2,958 | 7.7× |
| CT heart no contrast quant eval coronry calcium (75571) | $232.10 | $422 | 2.2× |
| CT iac w contrast (70481) | $1,569.70 | $2,854 | 7.5× |
| CT l-spine w&w/o contrast (72133) | $1,718.20 | $3,124 | 8.2× |
| CT lower ext w/o (73700) | $1,028.50 | $1,870 | 8.2× |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$1,444.85–$1,718.20 | $2,627–$3,124 | varies |
| CT lumbar spine w contrast (72132) | $1,961.30 | $3,566 | 4.7× |
| CT lumbar spine w/o contrast (72131) | $1,028.50 | $1,870 | 8.2× |
| CT maxillofacial w contrast (70487) | $1,569.70 | $2,854 | 7.5× |
| CT maxillofacial wo contrast (70486) | $1,028.50 | $1,870 | 8.2× |
| CT neck tissue combo (70492) | $1,718.20 | $3,124 | 8.2× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,697.85 | $3,087 | 8.1× |
| CT orbits w/o contrast (70480) | $1,028.50 | $1,870 | 8.2× |
| CT pelvis w&w/o contrast (72194) | $1,718.20 | $3,124 | 8.2× |
| CT pelvis w/o contrast (72192) | $922.35 | $1,677 | 7.4× |
| CT scan of leg combo (73702) range across 3 matching MRF lines |
$1,536.70–$1,718.20 | $2,794–$3,124 | varies |
| CT scans face/jaw combo (70488) | $1,475.10 | $2,682 | 7.0× |
| CT soft tissue neck w contrast (70491) | $1,718.20 | $3,124 | 8.2× |
| CT soft tissue neck w/o contrast (70490) | $1,028.50 | $1,870 | 8.2× |
| CT thoracic spine w contrast (72129) | $1,023.55 | $1,861 | 4.9× |
| CT thoracic spine w/o contrast (72128) | $1,028.50 | $1,870 | 8.2× |
| CT thoracic spine w/wo cont (72130) | $1,422.85 | $2,587 | 6.8× |
| CT thorax w/o contrast (71250) | $886.05 | $1,611 | 7.1× |
| CT unlisted procedure (76497) | $448.25 | $815 | 4.3× |
| CT upper ext wo (73200) | $1,028.50 | $1,870 | 8.2× |
| CT upper extremity w/o & w/contrast material (73202) range across 3 matching MRF lines |
$1,640.10–$1,718.20 | $2,982–$3,124 | varies |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$2,107.05–$3,554.65 | $3,831–$6,463 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,718.20 | $3,124 | 8.2× |
| Cta Abdomen (74175) | $1,718.20 | $3,124 | 8.2× |
| CTA pelvis (72191) | $1,661 | $3,020 | 7.9× |
| Dilation ureters/urethra rs&i (74485) | $5,261.30 | $9,566 | 2.1× |
| Discography Cerv/Thor Spine (72285) | $4,815.25 | $8,755 | 2.1× |
| Diskography lumbar (72295) | $4,815.25 | $8,755 | 2.1× |
| Doppler Fetal Mid Cerebral Artery (76821) | $275 | $500 | 2.2× |
| Dxa Bone Density Axial (77080) | $275 | $500 | 2.2× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $226.60 | $412 | 2.2× |
| Echo exam uterus (76831) | $699.05 | $1,271 | 2.4× |
| Echo Guide For Artery Repair (76936) | $782.65 | $1,423 | 3.0× |
| Esophageal Motility Study (78258) | $1,028.50 | $1,870 | 2.1× |
| Esophagram (74220) | $683.65 | $1,243 | 3.3× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $573.65 | $1,043 | 4.6× |
| Fluoroscopy up to 1 hr (76000) | $611.05 | $1,111 | 2.1× |
| Follow-Up Angiography (75898) | $7,949.70 | $14,454 | 2.1× |
| Foot 2 views (73620) range across 3 matching MRF lines |
$317.90–$642.40 | $578–$1,168 | varies |
| Forearm 2 views (73090) range across 3 matching MRF lines |
$405.90–$446.60 | $738–$812 | varies |
| Gastric emptying imaging study (78264) | $1,278.20 | $2,324 | 2.7× |
| Gastroesophageal Reflux Exam (78262) | $1,028.50 | $1,870 | 2.1× |
| Gated Heart Planar Single (78472) | $1,321.65 | $2,403 | 2.8× |
| Hand 2 views (73120) range across 2 matching MRF lines |
$303.60–$777.15 | $552–$1,413 | varies |
| Heart first pass single,planar (78481) | $1,348.05 | $2,451 | 2.1× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $7,949.70 | $14,454 | 2.1× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $7,949.70 | $14,454 | 2.1× |
| Hepatobil Syst Image W/Drug (78227) | $1,348.05 | $2,451 | 2.1× |
| Hepatobiliary System Imaging (78226) | $1,258.95 | $2,289 | 2.6× |
| Ht Musc Image Planar Mult (78454) | $3,541.45 | $6,439 | 2.3× |
| Ht Muscle Image Spect Sing (78451) | $3,541.45 | $6,439 | 2.3× |
| Hysterosalpingogram (74740) range across 2 matching MRF lines |
$782.10–$859.65 | $1,422–$1,563 | varies |
| K Flow/Funct Image Multiple (78709) | $1,348.05 | $2,451 | 2.1× |
| K Flow/Funct Image W/Drug (78708) | $1,348.05 | $2,451 | 2.1× |
| K Flow/Funct Image W/O Drug (78707) | $1,348.05 | $2,451 | 2.1× |
| Kidney Imaging Morphol (78700) | $1,028.50 | $1,870 | 2.1× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $1,028.50 | $1,870 | 2.1× |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$449.90–$838.20 | $818–$1,524 | varies |
| Liver & Spleen Imaging Static Only (78215) | $1,369.50 | $2,490 | 2.9× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $1,082.95 | $1,969 | 2.3× |
| Liver imaging static only (78201) | $1,348.05 | $2,451 | 2.1× |
| Liver imaging w/vascular flow (78202) | $1,348.05 | $2,451 | 2.1× |
| Lung perfusion differential (78597) | $1,028.50 | $1,870 | 2.1× |
| Lung Ventilat&Perfus Imaging (78582) | $1,348.05 | $2,451 | 2.1× |
| Lung Ventilation Imaging (78579) | $1,028.50 | $1,870 | 2.1× |
| Lymph System Imaging (78195) | $1,348.05 | $2,451 | 2.1× |
| Magnetic Image Jaw Joint (70336) range across 2 matching MRF lines |
$1,654.40–$2,252.80 | $3,008–$4,096 | varies |
| Mammary ductogram or galactogram multiple (77054) range across 2 matching MRF lines |
$661.10–$792 | $1,202–$1,440 | varies |
| Mammary ductogram or galactogram single (77053) | $661.10 | $1,202 | 2.3× |
| Meckels Divert Exam (78290) | $1,028.50 | $1,870 | 2.1× |
| Mra Head W/O & W/Contrast Material (70546) | $1,793.55 | $3,261 | 4.3× |
| MRA head w/o contrast (70544) | $1,492.70 | $2,714 | 5.2× |
| MRA head with contrast (70545) | $1,560.90 | $2,838 | 3.7× |
| MRA neck w contrast (70548) | $1,342.55 | $2,441 | 3.2× |
| Mra Neck W/O &W/Contrast Material (70549) | $1,982.75 | $3,605 | 4.7× |
| MRA neck w/o contrast (70547) | $1,166.55 | $2,121 | 4.1× |
| MRI abdomen w contrast (74182) | $1,606 | $2,920 | 3.8× |
| MRI abdomen w/o contrast (74181) | $1,284.25 | $2,335 | 4.5× |
| MRI any jt lower extrem w/contrast material (73722) range across 2 matching MRF lines |
$1,997.05–$2,626.25 | $3,631–$4,775 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$2,361.15–$3,554.65 | $4,293–$6,463 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 2 matching MRF lines |
$1,997.05–$3,290.65 | $3,631–$5,983 | varies |
| MRI bone marrow blood supply (77084) | $611.05 | $1,111 | 2.1× |
| MRI Breast W/O Contrast Bilateral (77047) | $611.05 | $1,111 | 2.1× |
| MRI Breast Without Contrast Material Unilateral (77046) range across 2 matching MRF lines |
$1,771–$1,771.18 | $3,220–$3,220.31 | varies |
| MRI cardiac w/o contrast (75557) | $1,361.25 | $2,475 | 4.8× |
| MRI cervical spine w contrast (72142) | $1,877.15 | $3,413 | 4.5× |
| MRI cervical spine w/o cont (72141) | $1,795.20 | $3,264 | 6.3× |
| MRI chest w/o contrast (71550) | $1,586.20 | $2,884 | 5.5× |
| MRI chest with contrast (71551) | $1,997.05 | $3,631 | 2.1× |
| MRI chest wo w contrast (71552) | $3,132.25 | $5,695 | 7.5× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 2 matching MRF lines |
$1,288.10–$2,228.05 | $2,342–$4,051 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 2 matching MRF lines |
$2,717–$3,554.65 | $4,940–$6,463 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines |
$1,599.95–$2,187.35 | $2,909–$3,977 | varies |
| MRI lumbar spine w contrast (72149) | $1,777.60 | $3,232 | 4.3× |
| Mri Neck Spine W/O & W/Dye (72156) | $3,391.30 | $6,166 | 8.1× |
| MRI orbit face &/neck w/o contrast (70540) | $1,733.60 | $3,152 | 6.1× |
| MRI orbit face neck w contrast (70542) | $1,812.80 | $3,296 | 4.3× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $2,336.95 | $4,249 | 5.6× |
| MRI pelvis w contrast (72196) | $1,706.10 | $3,102 | 4.1× |
| MRI pelvis w/o & w contrast (72197) | $2,309.45 | $4,199 | 5.5× |
| MRI pelvis w/o contrast (72195) | $1,632.40 | $2,968 | 5.7× |
| MRI thoracic spine w/o contrast (72146) | $1,739.10 | $3,162 | 6.1× |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 2 matching MRF lines |
$1,485.55–$2,228.05 | $2,701–$4,051 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 2 matching MRF lines |
$1,482.80–$2,291.85 | $2,696–$4,167 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 2 matching MRF lines |
$2,105.95–$3,554.65 | $3,829–$6,463 | varies |
| MRI, abdomen, combo (74183) | $2,309.45 | $4,199 | 5.5× |
| MRI, dorsal spine combo (72157) | $3,213.10 | $5,842 | 7.7× |
| MRI, dorsal spine contrast (72147) | $1,851.30 | $3,366 | 4.4× |
| MRI, joint upper extrem (73221) range across 2 matching MRF lines |
$1,356.30–$2,252.80 | $2,466–$4,096 | varies |
| MRI, joint upper extrem combo (73223) range across 2 matching MRF lines |
$2,057.55–$3,554.65 | $3,741–$6,463 | varies |
| MRI, lumbar spine combo (72158) | $3,558.50 | $6,470 | 8.5× |
| Myelogram cervical (72240) | $1,997.05 | $3,631 | 2.1× |
| Myelogram Lumbar (72265) | $1,997.05 | $3,631 | 2.1× |
| Myelography thoracic (72255) | $1,997.05 | $3,631 | 2.1× |
| Myocardial Spect Multiple Studies (78452) | $3,792.25 | $6,895 | 2.4× |
| Neck soft tissue (70360) | $288.20 | $524 | 2.8× |
| Nonvascular Shunt X-Ray (75809) | $275 | $500 | 2.2× |
| Nuclear Rx Oral Admin (79005) range across 2 matching MRF lines |
$847.55–$933.35 | $1,541–$1,697 | varies |
| Ob us nuchal meas 1 gest (76813) | $275 | $500 | 2.2× |
| Parathyroid Planar Imaging (78070) | $1,653.85 | $3,007 | 3.5× |
| Parathyroid planar imaging w/wo subtraction (78071) | $2,042.70 | $3,714 | 4.3× |
| Pelvis 1 or 2 views (72170) | $327.80 | $596 | 2.6× |
| Pet Image W/Ct Lmtd (78814) | $3,901.70 | $7,094 | 2.3× |
| PET image w/CT, full body (78816) | $5,302 | $9,640 | 3.1× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $3,901.70 | $7,094 | 2.3× |
| Pet Imaging Limited Area Chest Head/Neck (78811) | $3,541.45 | $6,439 | 2.3× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $7,949.70 | $14,454 | 2.1× |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,028.50 | $1,870 | 2.1× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $763.95 | $1,389 | 6.1× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $1,376.10 | $2,502 | 2.1× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$425.70–$838.20 | $774–$1,524 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$445.50–$596.75 | $810–$1,085 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$421.85–$838.20 | $767–$1,524 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $502.70 | $914 | 4.0× |
| Radex fingr minimum 2 views (73140) | $348.15 | $633 | 3.3× |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$468.05–$490.05 | $851–$891 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$406.45–$838.20 | $739–$1,524 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 3 matching MRF lines |
$287.10–$688.60 | $522–$1,252 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $583.55 | $1,061 | 4.7× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $344.30 | $626 | 3.3× |
| Radex Pharynx/Larx W/Fluor&/Magnification Tq (70370) | $432.30 | $786 | 4.1× |
| Radex Ribs Unilateral 2 Views (71100) | $244.75 | $445 | 2.3× |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$490.05–$838.20 | $891–$1,524 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $496.10 | $902 | 4.8× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) range across 2 matching MRF lines |
$681.45–$785.40 | $1,239–$1,428 | varies |
| Radex Spine 1 View Specify Level (72020) | $426.80 | $776 | 4.1× |
| Radex Sternum Minimum 2 Views (71120) | $407 | $740 | 3.9× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $276.10 | $502 | 2.6× |
| Radex Toe Minimum 2 Views (73660) | $446.60 | $812 | 4.3× |
| Radex upper extremity infant minimum 2 views (73092) range across 3 matching MRF lines |
$287.10–$625.35 | $522–$1,137 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$414.70–$838.20 | $754–$1,524 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $607.75 | $1,105 | 4.8× |
| Radiolog exam mandible compl minimum 4 views (70110) | $533.50 | $970 | 4.3× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $385.55 | $701 | 3.1× |
| Radiologic exam colon double contrast study (74280) | $1,398.65 | $2,543 | 6.7× |
| Radiologic exam colon single contrast study (74270) | $810.15 | $1,473 | 3.9× |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$436.70–$996.05 | $794–$1,811 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $377.85 | $687 | 3.0× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $676.50 | $1,230 | 3.2× |
| Radiologic exam swallow function contrast study (74230) | $554.40 | $1,008 | 2.6× |
| Radiologic Exam Teeth Prtl Exam < Full Mouth (70310) | $611.05 | $1,111 | 2.1× |
| Radiologic exam upr gi trc double contrast study (74246) | $586.85 | $1,067 | 2.8× |
| Radiologic examination femur 1 view (73551) range across 2 matching MRF lines |
$500.50–$838.20 | $910–$1,524 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$500.50–$838.20 | $910–$1,524 | varies |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$304.70–$678.15 | $554–$1,233 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $453.20 | $824 | 3.6× |
| Radiologic examination tibia & fibula 2 views (73590) range across 2 matching MRF lines |
$482.35–$838.20 | $877–$1,524 | varies |
| Radiologic examination, teeth; single view Non-Facility (70300) | $226.60 | $412 | 2.2× |
| Renal Cyst Study (74470) | $2,159.30 | $3,926 | 3.3× |
| Ribs bilateral 3 views (71110) | $415.25 | $755 | 3.3× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $1,098.35 | $1,997 | 2.3× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $2,016.30 | $3,666 | 4.2× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $3,541.45 | $6,439 | 5.4× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $3,541.45 | $6,439 | 5.4× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $3,796.10 | $6,902 | 5.8× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $3,796.10 | $6,902 | 2.4× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $4,305.95 | $7,829 | 2.5× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $3,796.10 | $6,902 | 2.4× |
| Rp Therapy Intravenous Administration (79101) | $642.40 | $1,168 | 2.3× |
| Scapula (73010) range across 2 matching MRF lines |
$543.95–$849.75 | $989–$1,545 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 2 matching MRF lines |
$62.15–$106.70 | $113–$194 | varies |
| Sella turcica (70240) | $338.80 | $616 | 3.2× |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$272.25–$631.40 | $495–$1,148 | varies |
| Shoulder Arthrography (73040) range across 2 matching MRF lines |
$959.20–$1,591.70 | $1,744–$2,894 | varies |
| Sialogram (70390) | $656.15 | $1,193 | 2.3× |
| Skull less than 4 views (70250) | $524.70 | $954 | 4.2× |
| Sternoclavicular joints (71130) | $490.05 | $891 | 4.7× |
| Thoracic spine 2 views (72070) | $380.60 | $692 | 3.0× |
| Thoracic spine 3 views (72072) | $275 | $500 | 2.2× |
| Thyroid Imaging With Vascular Flow (78013) | $1,028.50 | $1,870 | 2.1× |
| Thyroid Met Imaging Body (78018) | $2,474.45 | $4,499 | 3.8× |
| Thyroid Uptake Measurement (78012) | $1,028.50 | $1,870 | 2.1× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,028.50 | $1,870 | 2.1× |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$424.05–$466.40 | $771–$848 | varies |
| Ultrasound Exam Aaa Screen (76706) | $591.80 | $1,076 | 4.7× |
| Ultrasound, abdomen limited (76705) | $651.20 | $1,184 | 5.2× |
| Umbilical-artery Doppler (OB) (76820) | $292.05 | $531 | 2.3× |
| Upper gi w/o kub (74240) | $774.40 | $1,408 | 3.7× |
| Ureteral Reflux Study (78740) | $1,028.50 | $1,870 | 2.1× |
| Urethrocystogram voiding (74455) | $685.85 | $1,247 | 2.4× |
| Urethrocystography retrograde (74450) | $611.05 | $1,111 | 2.1× |
| Us breast unilateral complete (76641) range across 2 matching MRF lines |
$443.30–$466.40 | $806–$848 | varies |
| Us chest (76604) | $498.85 | $907 | 4.0× |
| Us exam, pelvic, limited (76857) | $380.05 | $691 | 3.0× |
| Us head (76506) | $289.85 | $527 | 2.3× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $275 | $500 | 2.2× |
| Us ob detailed single fetus (76811) | $611.05 | $1,111 | 2.1× |
| Us ob limited 1 or more fetuses (76815) | $275 | $500 | 2.2× |
| Us ob transvaginal (76817) | $676.50 | $1,230 | 5.4× |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$552.20–$644.05 | $1,004–$1,171 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $442.20 | $804 | 3.5× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $275 | $500 | 2.2× |
| Us retroperitoneal complete (76770) | $922.35 | $1,677 | 7.4× |
| Us retroperitoneal limited (76775) | $651.20 | $1,184 | 5.2× |
| Us scrotum and contents (76870) | $645.70 | $1,174 | 5.2× |
| Us thyroid (76536) | $526.90 | $958 | 4.2× |
| Us transrectal (76872) | $1,028.50 | $1,870 | 8.2× |
| Vascular Flow Imaging (78445) | $1,028.50 | $1,870 | 2.1× |
| Vein X-Ray Chest (75827) | $3,994.10 | $7,262 | 2.1× |
| Venography caval inferior serialography rs&i (75825) | $7,949.70 | $14,454 | 2.1× |
| Venography extremity bilateral rs&i (75822) | $3,994.10 | $7,262 | 2.1× |
| Venography extremity unilateral rs&i (75820) | $3,994.10 | $7,262 | 2.1× |
| Venography Renal Bilateral (75833) | $7,949.70 | $14,454 | 2.1× |
| Venography Renal Unilateral (75831) | $7,949.70 | $14,454 | 2.1× |
| Venous sampling by catheter (75893) | $13,706 | $24,920 | 2.1× |
| Venous thrombosis imaging (78457) | $1,348.05 | $2,451 | 2.1× |
| Venous Thrombosis Imaging Venogram Bilateral (78458) | $1,028.50 | $1,870 | 2.1× |
| Vertebral fracture assessment via dxa (77086) | $226.60 | $412 | 2.2× |
| Wrist 2 views (73100) range across 3 matching MRF lines |
$414.70–$840.40 | $754–$1,528 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $383.35 | $697 | 3.7× |
| X-ray antegrade pyelogram tube (74425) | $959.20 | $1,744 | 2.3× |
| X-Ray Aorta Leg Arteries (75630) | $7,949.70 | $14,454 | 2.1× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$347.05–$469.15 | $631–$853 | varies |
| X-Ray Exam Breast Specimen (76098) | $1,376.10 | $2,502 | 2.1× |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 2 matching MRF lines |
$380.60–$543.40 | $692–$988 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 3 matching MRF lines |
$487.30–$536.25 | $886–$975 | varies |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $508.75 | $925 | 4.1× |
| X-Ray Exam Hip Uni 1 View (73501) | $226.60 | $412 | 2.2× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $402.05 | $731 | 3.9× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $365.20 | $664 | 2.9× |
| X-Ray Exam Hips Bi 2 Views (73521) | $756.80 | $1,376 | 6.0× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $812.90 | $1,478 | 6.5× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $810.15 | $1,473 | 6.5× |
| X-Ray Exam L-S Spine Bending (72114) | $509.85 | $927 | 4.1× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $308.55 | $561 | 3.0× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $624.80 | $1,136 | 5.0× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $497.20 | $904 | 4.0× |
| X-ray eye for foreign body (70030) | $368.50 | $670 | 3.5× |
| X-ray humerus (73060) range across 3 matching MRF lines |
$454.85–$757.90 | $827–$1,378 | varies |
| X-ray IV pyelogram (ivp) (74400) | $935 | $1,700 | 4.4× |
| X-ray IV pyelogram+tomography (74415) | $1,560.90 | $2,838 | 7.4× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $226.60 | $412 | 2.2× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $263.45 | $479 | 2.5× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $337.15 | $613 | 2.7× |
| X-ray nose-rectum child f.b. (76010) | $237.60 | $432 | 2.3× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $664.40 | $1,208 | 5.3× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $403.70 | $734 | 3.2× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $275 | $500 | 2.2× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $349.25 | $635 | 3.3× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $580.25 | $1,055 | 5.6× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $524.70 | $954 | 4.2× |
| X-Ray Stress View (77071) | $595.10 | $1,082 | 5.7× |
| X-ray thoracic spine 4 vw (72074) | $509.30 | $926 | 4.1× |
| X-Ray Tmj Unilat (70328) | $339.35 | $617 | 3.3× |
| X-Rays Bone Length Studies (77073) | $400.95 | $729 | 3.2× |
| X-Rays Bone Survey Complete (77075) | $980.65 | $1,783 | 7.8× |
| Xr c-spine 4 or 5 views (72050) | $606.65 | $1,103 | 4.8× |
| Xr facial bones less than 3 views (70140) | $297.55 | $541 | 2.9× |
| Xr orbits complete 4 views (70200) | $522.50 | $950 | 4.2× |
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.