Imaging prices at Broadlawns Medical Center

Des Moines, IA · every code in this section with a posted price and a Medicare benchmark.

291 codes. Prices are the hospital's own posted facility charges.

Compare against other hospitals interactively →

ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018)
range across 2 matching MRF lines		 $32–$400 $32–$400 varies
Abdomen 2 views (74019)
range across 2 matching MRF lines		 $40–$691 $40–$691 varies
Acute Gastrointestinal Blood Loss Imaging (78278)
range across 2 matching MRF lines		 $152–$1,766 $152–$1,766 varies
Angiography extremity unilateral rs&i (75710) $9,040 $9,040 3.0×
Ankle 2 views (73600)
range across 5 matching MRF lines		 $24–$493 $24–$493 varies
Arthrogram ankle (73615)
range across 2 matching MRF lines		 $75–$2,101 $75–$2,101 varies
Arthrogram hip (73525)
range across 4 matching MRF lines		 $87–$2,244 $87–$2,244 varies
Arthrogram Wrist (73115)
range across 2 matching MRF lines		 $95–$2,101 $95–$2,101 varies
Bone age studies (77072)
range across 3 matching MRF lines		 $32–$306 $32–$306 varies
Bone Imaging 3 Phase (78315)
range across 2 matching MRF lines		 $158–$1,801 $158–$1,801 varies
Bone Imaging Limited Area (78300)
range across 2 matching MRF lines		 $99–$1,643 $99–$1,643 varies
Bone Imaging Multiple Areas (78305)
range across 2 matching MRF lines		 $124–$1,667 $124–$1,667 varies
Bone Imaging Whole Body (78306)
range across 2 matching MRF lines		 $132–$1,959 $132–$1,959 varies
Bone marrow imaging limited area (78102)
range across 2 matching MRF lines		 $85–$1,926 $85–$1,926 varies
Bone marrow imaging; multiple areas (78103)
range across 2 matching MRF lines		 $114–$1,725 $114–$1,725 varies
Bone marrow imaging; whole body (78104)
range across 2 matching MRF lines		 $122–$1,926 $122–$1,926 varies
Bone survey infant (77076)
range across 3 matching MRF lines		 $111–$494 $111–$494 varies
Brain Imaging Pet Metabolic Evaluation (78608)
range across 2 matching MRF lines		 $238–$8,335 $238–$8,335 varies
Cat Scan Follow-Up Study (76380)
range across 2 matching MRF lines		 $152–$621 $152–$621 varies
Chest 1 view (71045)
range across 2 matching MRF lines		 $32–$400 $32–$400 varies
Chest 2 views (71046)
range across 2 matching MRF lines		 $37–$400 $37–$400 varies
Chest 3 views (71047)
range across 2 matching MRF lines		 $50–$400 $50–$400 varies
Chest 4 or more views (71048)
range across 2 matching MRF lines		 $57–$691 $57–$691 varies
Clavicle complete (73000)
range across 5 matching MRF lines		 $25–$493 $25–$493 varies
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271)
range across 2 matching MRF lines		 $153–$491 $153–$491 varies
Contrast X-Ray Bladder (74430)
range across 2 matching MRF lines		 $54–$1,242 $54–$1,242 varies
Contrast X-Ray Of Elbow (73085)
range across 2 matching MRF lines		 $98–$2,101 $98–$2,101 varies
Contrast X-Ray Of Knee Joint (73580)
range across 3 matching MRF lines		 $72–$2,244 $72–$2,244 varies
Contrast Xray Throat/Cerv Esopha (74210)
range across 2 matching MRF lines		 $98–$1,026 $98–$1,026 varies
CT abdomen and pelvis without and with contrast (74178)
range across 2 matching MRF lines		 $309–$3,014 $309–$3,014 varies
CT abdomen and pelvis without contrast (74176)
range across 2 matching MRF lines		 $268–$1,912 $268–$1,912 varies
CT abdomen w contrast (74160)
range across 2 matching MRF lines		 $199–$1,859 $199–$1,859 varies
CT abdomen w wo contrast (74170)
range across 2 matching MRF lines		 $219–$2,059 $219–$2,059 varies
CT abdomen w/o contrast (74150)
range across 2 matching MRF lines		 $185–$1,087 $185–$1,087 varies
CT Angio Abdomen and Pelvis (74174)
range across 2 matching MRF lines		 $628–$3,014 $628–$3,014 varies
CT Angio Chest (71275)
range across 2 matching MRF lines		 $295–$2,122 $295–$2,122 varies
CT Angio Head (70496)
range across 2 matching MRF lines		 $269–$2,122 $269–$2,122 varies
CT angio hrt w/3d image (75574)
range across 2 matching MRF lines		 $378–$1,468 $378–$1,468 varies
Ct Angio Lwr Extr W/O&W/Dye (73706)
range across 4 matching MRF lines		 $270–$2,075 $270–$2,075 varies
CT Angio Neck (70498)
range across 2 matching MRF lines		 $269–$2,122 $269–$2,122 varies
Ct Angio Upr Extrm W/O&W/Dye (73206)
range across 2 matching MRF lines		 $918–$1,593 $918–$1,593 varies
CT bone density (77078)
range across 2 matching MRF lines		 $42–$400 $42–$400 varies
CT cervical spine w/ contrast (72126)
range across 2 matching MRF lines		 $170–$1,852 $170–$1,852 varies
CT cervical spine w/o contrast (72125)
range across 2 matching MRF lines		 $167–$1,087 $167–$1,087 varies
CT cervical spine w/wo cont (72127)
range across 2 matching MRF lines		 $177–$1,870 $177–$1,870 varies
CT chest w contrast (71260)
range across 2 matching MRF lines		 $195–$1,859 $195–$1,859 varies
CT chest w/wo contrast (71270)
range across 2 matching MRF lines		 $200–$2,059 $200–$2,059 varies
CT head/brain with contrast (70460)
range across 2 matching MRF lines		 $175–$1,859 $175–$1,859 varies
CT head/brain without and with contrast (70470)
range across 2 matching MRF lines		 $198–$2,059 $198–$2,059 varies
CT heart contrast eval cardiac structure&morph (75572)
range across 2 matching MRF lines		 $278–$1,468 $278–$1,468 varies
CT heart no contrast quant eval coronry calcium (75571)
range across 2 matching MRF lines		 $30–$81 $30–$81 varies
CT hrt w/3d image congen (75573)
range across 2 matching MRF lines		 $412–$1,138 $412–$1,138 varies
CT iac w contrast (70481)
range across 2 matching MRF lines		 $214–$1,859 $214–$1,859 varies
CT l-spine w&w/o contrast (72133)
range across 2 matching MRF lines		 $196–$2,059 $196–$2,059 varies
CT lower ext w/o (73700)
range across 4 matching MRF lines		 $147–$1,087 $147–$1,087 varies
CT lower extremity w/contrast material (73701)
range across 4 matching MRF lines		 $170–$1,859 $170–$1,859 varies
CT lumbar spine w contrast (72132)
range across 2 matching MRF lines		 $175–$2,027 $175–$2,027 varies
CT lumbar spine w/o contrast (72131)
range across 2 matching MRF lines		 $155–$1,087 $155–$1,087 varies
CT maxillofacial w contrast (70487)
range across 2 matching MRF lines		 $201–$1,859 $201–$1,859 varies
CT maxillofacial wo contrast (70486)
range across 2 matching MRF lines		 $178–$1,087 $178–$1,087 varies
CT neck tissue combo (70492)
range across 2 matching MRF lines		 $223–$2,046 $223–$2,046 varies
Ct Orbit/Ear/Fossa W/O&W/Dye (70482)
range across 4 matching MRF lines		 $186–$2,059 $186–$2,059 varies
CT orbits w/o contrast (70480)
range across 2 matching MRF lines		 $200–$1,087 $200–$1,087 varies
CT pelvis w&w/o contrast (72194)
range across 2 matching MRF lines		 $190–$2,046 $190–$2,046 varies
CT pelvis w/o contrast (72192)
range across 2 matching MRF lines		 $170–$1,087 $170–$1,087 varies
CT scan of leg combo (73702)
range across 2 matching MRF lines		 $176–$1,928 $176–$1,928 varies
CT scans face/jaw combo (70488)
range across 2 matching MRF lines		 $232–$1,738 $232–$1,738 varies
CT soft tissue neck w contrast (70491)
range across 2 matching MRF lines		 $215–$1,859 $215–$1,859 varies
CT soft tissue neck w/o contrast (70490)
range across 2 matching MRF lines		 $200–$1,087 $200–$1,087 varies
CT thoracic spine w contrast (72129)
range across 2 matching MRF lines		 $176–$1,842 $176–$1,842 varies
CT thoracic spine w/o contrast (72128)
range across 2 matching MRF lines		 $155–$1,087 $155–$1,087 varies
CT thoracic spine w/wo cont (72130)
range across 2 matching MRF lines		 $208–$1,593 $208–$1,593 varies
CT thorax w/o contrast (71250)
range across 2 matching MRF lines		 $168–$1,087 $168–$1,087 varies
CT upper ext wo (73200)
range across 4 matching MRF lines		 $147–$1,087 $147–$1,087 varies
CT upper extremity w/o & w/contrast material (73202)
range across 2 matching MRF lines		 $195–$1,738 $195–$1,738 varies
CT upper extremity with contrast (73201)
range across 4 matching MRF lines		 $169–$2,244 $169–$2,244 varies
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635)
range across 2 matching MRF lines		 $680–$2,122 $680–$2,122 varies
Cta Abdomen (74175)
range across 2 matching MRF lines		 $293–$2,122 $293–$2,122 varies
CTA head&neck c+ w/noncontrast img&post-pxessing (70471)
range across 2 matching MRF lines		 $258–$2,122 $258–$2,122 varies
CTA pelvis (72191)
range across 2 matching MRF lines		 $278–$2,122 $278–$2,122 varies
Dxa Bone Density Axial (77080)
range across 2 matching MRF lines		 $35–$511 $35–$511 varies
Dxa bone density study (77085)
range across 2 matching MRF lines		 $52–$691 $52–$691 varies
Dxa bone density study 1/>sites appendiclr skel (77081)
range across 2 matching MRF lines		 $37–$249 $37–$249 varies
Echo exam uterus (76831)
range across 2 matching MRF lines		 $106–$941 $106–$941 varies
Esophagram (74220)
range across 2 matching MRF lines		 $84–$575 $84–$575 varies
Fetal Biophys Profile W/Nst (76818)
range across 5 matching MRF lines		 $90–$624 $90–$624 varies
Fetal Biophysical Profile W/O Non-Stress Testing (76819)
range across 2 matching MRF lines		 $128–$655 $128–$655 varies
Fluoroscopy up to 1 hr (76000)
range across 5 matching MRF lines		 $26–$790 $26–$790 varies
Foot 2 views (73620)
range across 5 matching MRF lines		 $23–$493 $23–$493 varies
Forearm 2 views (73090)
range across 5 matching MRF lines		 $24–$493 $24–$493 varies
Gastric emptying imaging study (78264)
range across 2 matching MRF lines		 $123–$1,766 $123–$1,766 varies
Gastric Emptyng Imag Std W/Sm Bwl Transit (78265)
range across 2 matching MRF lines		 $1,037–$2,124 $1,037–$2,124 varies
Gastric Mucosa Imaging (78261)
range across 2 matching MRF lines		 $107–$1,595 $107–$1,595 varies
Gated Heart Planar Single (78472)
range across 2 matching MRF lines		 $147–$2,124 $147–$2,124 varies
Hand 2 views (73120)
range across 5 matching MRF lines		 $25–$664 $25–$664 varies
Hdr Rdncl Ntrstl/Icav Brchtx (77772) $850 $850 1.3×
Hepatobil Syst Image W/Drug (78227)
range across 2 matching MRF lines		 $146–$2,165 $146–$2,165 varies
Hepatobiliary System Imaging (78226)
range across 2 matching MRF lines		 $211–$1,978 $211–$1,978 varies
Ht Muscle Image Spect Sing (78451)
range across 2 matching MRF lines		 $976–$7,360 $976–$7,360 varies
Hysterosalpingogram (74740)
range across 2 matching MRF lines		 $63–$1,598 $63–$1,598 varies
Infant hip ultrasound, limited static exam (76886)
range across 2 matching MRF lines		 $99–$451 $99–$451 varies
Infusion Ivp (74410)
range across 2 matching MRF lines		 $77–$1,312 $77–$1,312 varies
Interstitial radiation source applic complex (77778) $1,390 $1,390 2.1×
K Flow/Funct Image W/Drug (78708)
range across 2 matching MRF lines		 $184–$2,292 $184–$2,292 varies
K Flow/Funct Image W/O Drug (78707)
range across 2 matching MRF lines		 $147–$2,292 $147–$2,292 varies
Knee 3 Views (73562)
range across 5 matching MRF lines		 $30–$493 $30–$493 varies
Liver & Spleen Imaging Static Only (78215)
range across 2 matching MRF lines		 $76–$1,978 $76–$1,978 varies
Lung Ventilat&Perfus Imaging (78582)
range across 2 matching MRF lines		 $303–$2,313 $303–$2,313 varies
Lung Ventilation Imaging (78579)
range across 2 matching MRF lines		 $139–$1,366 $139–$1,366 varies
Lymph System Imaging (78195)
range across 2 matching MRF lines		 $179–$1,926 $179–$1,926 varies
Magnetic Resonance Elastography (76391)
range across 2 matching MRF lines		 $182–$1,339 $182–$1,339 varies
Mammary ductogram or galactogram multiple (77054)
range across 4 matching MRF lines		 $76–$1,357 $76–$1,357 varies
Mammary ductogram or galactogram single (77053)
range across 2 matching MRF lines		 $58–$1,448 $58–$1,448 varies
Mr safety implant&/fb assmt clin staf 1st 15 min (76014) $137 $137 4.9×
Mra Head W/O & W/Contrast Material (70546)
range across 2 matching MRF lines		 $278–$3,434 $278–$3,434 varies
MRA head w/o contrast (70544)
range across 2 matching MRF lines		 $186–$2,118 $186–$2,118 varies
MRA neck w contrast (70548)
range across 2 matching MRF lines		 $1,136–$2,531 $1,136–$2,531 varies
Mra Neck W/O &W/Contrast Material (70549)
range across 2 matching MRF lines		 $258–$3,434 $258–$3,434 varies
MRA neck w/o contrast (70547)
range across 2 matching MRF lines		 $198–$2,576 $198–$2,576 varies
MRI abdomen w contrast (74182)
range across 2 matching MRF lines		 $247–$2,590 $247–$2,590 varies
MRI abdomen w/o contrast (74181)
range across 2 matching MRF lines		 $224–$2,118 $224–$2,118 varies
MRI any jt lower extrem w/contrast material (73722)
range across 2 matching MRF lines		 $254–$2,935 $254–$2,935 varies
MRI any jt lower extrem w/o & w/contrast matrl (73723)
range across 2 matching MRF lines		 $332–$3,434 $332–$3,434 varies
MRI any jt upper extremity w/contrast matrl (73222)
range across 4 matching MRF lines		 $471–$2,935 $471–$2,935 varies
MRI Breast W/O Contrast Bilateral (77047)
range across 2 matching MRF lines		 $225–$1,265 $225–$1,265 varies
MRI Breast Without Contrast Material Unilateral (77046)
range across 2 matching MRF lines		 $203–$1,265 $203–$1,265 varies
MRI cervical spine w contrast (72142)
range across 2 matching MRF lines		 $298–$2,840 $298–$2,840 varies
MRI cervical spine w/o cont (72141)
range across 2 matching MRF lines		 $249–$2,118 $249–$2,118 varies
MRI chest w/o contrast (71550)
range across 2 matching MRF lines		 $210–$2,573 $210–$2,573 varies
MRI chest wo w contrast (71552)
range across 2 matching MRF lines		 $321–$3,079 $321–$3,079 varies
MRI lower extrem oth/thn jt w/contrast matrl (73719)
range across 2 matching MRF lines		 $251–$2,840 $251–$2,840 varies
MRI lower extrem oth/thn jt w/o & w/contr matr (73720)
range across 4 matching MRF lines		 $314–$3,434 $314–$3,434 varies
MRI lower extrem oth/thn jt w/o contr matrl (73718)
range across 4 matching MRF lines		 $198–$2,118 $198–$2,118 varies
Mri Neck Spine W/O & W/Dye (72156)
range across 2 matching MRF lines		 $396–$3,434 $396–$3,434 varies
MRI orbit face &/neck w/o contrast (70540)
range across 2 matching MRF lines		 $208–$2,118 $208–$2,118 varies
Mri Orbt/Fac/Nck W/O &W/Dye (70543)
range across 2 matching MRF lines		 $331–$3,434 $331–$3,434 varies
MRI pelvis w/o & w contrast (72197)
range across 2 matching MRF lines		 $346–$3,434 $346–$3,434 varies
MRI pelvis w/o contrast (72195)
range across 2 matching MRF lines		 $227–$2,118 $227–$2,118 varies
MRI thoracic spine w/o contrast (72146)
range across 2 matching MRF lines		 $249–$2,118 $249–$2,118 varies
MRI upper extremity oth than jt w/contr matrl (73219)
range across 2 matching MRF lines		 $231–$2,724 $231–$2,724 varies
MRI upper extremity oth than jt w/o contr matrl (73218)
range across 4 matching MRF lines		 $199–$2,118 $199–$2,118 varies
Mri Uppr Extremity W/O&W/Dye (73220)
range across 4 matching MRF lines		 $315–$3,434 $315–$3,434 varies
MRI, abdomen, combo (74183)
range across 2 matching MRF lines		 $1,397–$3,434 $1,397–$3,434 varies
MRI, dorsal spine combo (72157)
range across 2 matching MRF lines		 $396–$3,434 $396–$3,434 varies
MRI, joint upper extrem (73221)
range across 7 matching MRF lines		 $200–$2,118 $200–$2,118 varies
MRI, joint upper extrem combo (73223)
range across 4 matching MRF lines		 $332–$3,434 $332–$3,434 varies
MRI, lumbar spine combo (72158)
range across 2 matching MRF lines		 $363–$3,434 $363–$3,434 varies
Myelogram Lumbar (72265)
range across 2 matching MRF lines		 $119–$3,327 $119–$3,327 varies
Myocardial Spect Multiple Studies (78452)
range across 2 matching MRF lines		 $249–$4,668 $249–$4,668 varies
N-invas est c ffr sw aly CTA (75580)
range across 2 matching MRF lines		 $98–$5,621 $98–$5,621 varies
Neck soft tissue (70360)
range across 3 matching MRF lines		 $30–$321 $30–$321 varies
Nonvascular Shunt X-Ray (75809)
range across 2 matching MRF lines		 $80–$614 $80–$614 varies
Ob us nuchal meas 1 gest (76813)
range across 2 matching MRF lines		 $200–$679 $200–$679 varies
Oph bmtry us echograpy a-scan io lens pwr cal (76519)
range across 4 matching MRF lines		 $92–$340 $92–$340 varies
Ophthalmic ultrasound dx b-scan w/wo a-scan (76512)
range across 8 matching MRF lines		 $93–$345 $93–$345 varies
Ophthalmic US Dx Corneal Pachymetry Uni/Bi (76514)
range across 7 matching MRF lines		 $21–$158 $21–$158 varies
Panoramic X-ray of jaws (70355)
range across 2 matching MRF lines		 $39–$400 $39–$400 varies
Parathyroid Planar Imaging (78070)
range across 2 matching MRF lines		 $122–$1,605 $122–$1,605 varies
Parathyroid planar imaging w/wo subtraction (78071)
range across 2 matching MRF lines		 $195–$2,305 $195–$2,305 varies
Pelvis 1 or 2 views (72170)
range across 3 matching MRF lines		 $32–$321 $32–$321 varies
Pet Image Skull-Thigh (78812)
range across 2 matching MRF lines		 $309–$8,335 $309–$8,335 varies
Pet Image W/Ct Lmtd (78814)
range across 2 matching MRF lines		 $356–$8,335 $356–$8,335 varies
PET image w/CT, full body (78816)
range across 3 matching MRF lines		 $397–$8,335 $397–$8,335 varies
PET imaging CT attenuation skull base mid-thigh (78815)
range across 4 matching MRF lines		 $403–$8,335 $403–$8,335 varies
PET whole body (78813)
range across 2 matching MRF lines		 $322–$8,335 $322–$8,335 varies
Pulmonary Perfusion Imaging Particulate (78580)
range across 2 matching MRF lines		 $115–$1,524 $115–$1,524 varies
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022)
range across 3 matching MRF lines		 $55–$494 $55–$494 varies
Radex abscess/fistula/sinus tract rs&i (76080)
range across 2 matching MRF lines		 $85–$1,758 $85–$1,758 varies
Radex Ankle Complete Minimum 3 Views (73610)
range across 5 matching MRF lines		 $26–$493 $26–$493 varies
Radex Calcaneus Minimum 2 Views (73650)
range across 5 matching MRF lines		 $24–$493 $24–$493 varies
Radex elbow complete minimum 3 views (73080)
range across 5 matching MRF lines		 $26–$493 $26–$493 varies
Radex Facial Bones Complete Minimum 3 Views (70150)
range across 3 matching MRF lines		 $42–$494 $42–$494 varies
Radex fingr minimum 2 views (73140)
range across 5 matching MRF lines		 $11–$493 $11–$493 varies
Radex foot complete minimum 3 views (73630)
range across 5 matching MRF lines		 $25–$493 $25–$493 varies
Radex Hand Minimum 3 Views (73130)
range across 5 matching MRF lines		 $26–$493 $26–$493 varies
Radex lower extremity infant minimum 2 views (73592)
range across 5 matching MRF lines		 $24–$493 $24–$493 varies
Radex Nasal Bones Complete Minimum 3 Views (70160)
range across 3 matching MRF lines		 $31–$321 $31–$321 varies
Radex Ribs Unilateral 2 Views (71100)
range across 3 matching MRF lines		 $37–$321 $37–$321 varies
Radex shoulder complete minimum 2 views (73030)
range across 5 matching MRF lines		 $30–$493 $30–$493 varies
Radex sm int w/mlt srl imges via enteroclss tube (74251)
range across 2 matching MRF lines		 $161–$961 $161–$961 varies
Radex Spine 1 View Specify Level (72020)
range across 3 matching MRF lines		 $24–$306 $24–$306 varies
Radex Sternum Minimum 2 Views (71120)
range across 3 matching MRF lines		 $33–$321 $33–$321 varies
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330)
range across 2 matching MRF lines		 $40–$311 $40–$311 varies
Radex Toe Minimum 2 Views (73660)
range across 5 matching MRF lines		 $20–$493 $20–$493 varies
Radex upper extremity infant minimum 2 views (73092)
range across 3 matching MRF lines		 $26–$306 $26–$306 varies
Radex Wrist Complete Minimum 3 Views (73110)
range across 5 matching MRF lines		 $26–$493 $26–$493 varies
Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084)
range across 2 matching MRF lines		 $61–$604 $61–$604 varies
Radiolog exam mandible compl minimum 4 views (70110)
range across 3 matching MRF lines		 $42–$494 $42–$494 varies
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021)
range across 2 matching MRF lines		 $47–$691 $47–$691 varies
Radiologic exam colon double contrast study (74280)
range across 2 matching MRF lines		 $172–$847 $172–$847 varies
Radiologic exam colon single contrast study (74270)
range across 2 matching MRF lines		 $142–$847 $142–$847 varies
Radiologic Exam Esophagus Double Contrast Study (74221)
range across 2 matching MRF lines		 $115–$1,026 $115–$1,026 varies
Radiologic exam knee complete 4/more views (73564)
range across 5 matching MRF lines		 $35–$664 $35–$664 varies
Radiologic Exam Small Int Single Contrast Study (74250)
range across 2 matching MRF lines		 $112–$575 $112–$575 varies
Radiologic exam swallow function contrast study (74230)
range across 2 matching MRF lines		 $85–$575 $85–$575 varies
Radiologic exam upr gi trc double contrast study (74246)
range across 2 matching MRF lines		 $116–$1,469 $116–$1,469 varies
Radiologic examination femur 1 view (73551)
range across 3 matching MRF lines		 $80–$405 $80–$405 varies
Radiologic examination femur minimum 2 views (73552)
range across 5 matching MRF lines		 $28–$493 $28–$493 varies
Radiologic examination knee 1/2 views (73560)
range across 5 matching MRF lines		 $25–$493 $25–$493 varies
Radiologic Examination Osseous Survey Limited (77074)
range across 3 matching MRF lines		 $72–$494 $72–$494 varies
Radiologic examination tibia & fibula 2 views (73590)
range across 5 matching MRF lines		 $24–$493 $24–$493 varies
Ribs bilateral 3 views (71110)
range across 3 matching MRF lines		 $82–$494 $82–$494 varies
Rp loclzj tum plnr 1 area single day imaging (78800)
range across 2 matching MRF lines		 $103–$2,124 $103–$2,124 varies
Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804)
range across 2 matching MRF lines		 $171–$7,360 $171–$7,360 varies
Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802)
range across 2 matching MRF lines		 $140–$4,472 $140–$4,472 varies
Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803)
range across 2 matching MRF lines		 $173–$4,472 $173–$4,472 varies
Scapula (73010)
range across 5 matching MRF lines		 $28–$664 $28–$664 varies
Screening Digital Breast Tomosynthesis Bi (77063)
range across 4 matching MRF lines		 $76–$144 $76–$144 varies
Shoulder 1 view (73020)
range across 5 matching MRF lines		 $23–$493 $23–$493 varies
Shoulder Arthrography (73040)
range across 4 matching MRF lines		 $84–$2,244 $84–$2,244 varies
Sialogram (70390)
range across 2 matching MRF lines		 $66–$2,058 $66–$2,058 varies
Skull less than 4 views (70250)
range across 2 matching MRF lines		 $41–$321 $41–$321 varies
Sternoclavicular joints (71130)
range across 3 matching MRF lines		 $37–$321 $37–$321 varies
Therapeutic Enema Rdctj Intussusception/Obstrcj (74283)
range across 2 matching MRF lines		 $336–$1,172 $336–$1,172 varies
Thoracic spine 2 views (72070)
range across 3 matching MRF lines		 $37–$321 $37–$321 varies
Thoracic spine 3 views (72072)
range across 3 matching MRF lines		 $37–$494 $37–$494 varies
Thoracolumbar 2 views (72080)
range across 3 matching MRF lines		 $39–$321 $39–$321 varies
Thyroid Imaging With Vascular Flow (78013)
range across 2 matching MRF lines		 $61–$1,036 $61–$1,036 varies
Thyroid Uptake Measurement (78012)
range across 2 matching MRF lines		 $32–$789 $32–$789 varies
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014)
range across 2 matching MRF lines		 $78–$1,605 $78–$1,605 varies
Ultrasound Breast Limited (76642)
range across 4 matching MRF lines		 $115–$879 $115–$879 varies
Ultrasound Elastography Parenchyma (76981)
range across 2 matching MRF lines		 $81–$575 $81–$575 varies
Ultrasound Exam Aaa Screen (76706)
range across 2 matching MRF lines		 $266–$679 $266–$679 varies
Ultrasound, abdomen limited (76705)
range across 5 matching MRF lines		 $49–$624 $49–$624 varies
Umbilical-artery Doppler (OB) (76820)
range across 2 matching MRF lines		 $85–$614 $85–$614 varies
Unlisted us procedure (76999)
range across 2 matching MRF lines		 $94–$428 $94–$428 varies
Upper gi w/o kub (74240)
range across 2 matching MRF lines		 $111–$847 $111–$847 varies
Urea Breath Test C-14 Isotopic Acquisj Analysis (78267)
range across 2 matching MRF lines		 $35–$871 $35–$871 varies
Urea breath test c-14 isotopic analysis (78268) $560 $560 5.9×
Urethrocystogram voiding (74455)
range across 2 matching MRF lines		 $60–$1,622 $60–$1,622 varies
Urethrocystography retrograde (74450)
range across 4 matching MRF lines		 $57–$1,365 $57–$1,365 varies
Us breast unilateral complete (76641)
range across 4 matching MRF lines		 $120–$958 $120–$958 varies
Us chest (76604)
range across 6 matching MRF lines		 $49–$636 $49–$636 varies
Us complete joint (76881)
range across 6 matching MRF lines		 $103–$691 $103–$691 varies
Us exam, pelvic, limited (76857)
range across 7 matching MRF lines		 $42–$451 $42–$451 varies
Us kidney transplant (76776)
range across 2 matching MRF lines		 $126–$679 $126–$679 varies
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882)
range across 9 matching MRF lines		 $41–$691 $41–$691 varies
Us ob detailed single fetus (76811)
range across 2 matching MRF lines		 $318–$747 $318–$747 varies
Us ob limited 1 or more fetuses (76815)
range across 5 matching MRF lines		 $55–$451 $55–$451 varies
Us ob transvaginal (76817)
range across 5 matching MRF lines		 $65–$451 $65–$451 varies
Us pelvic non ob complete (76856)
range across 2 matching MRF lines		 $108–$624 $108–$624 varies
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801)
range across 5 matching MRF lines		 $85–$624 $85–$624 varies
Us preg uterus real time f/u trnsabdl per fetus (76816)
range across 5 matching MRF lines		 $73–$451 $73–$451 varies
Us retroperitoneal complete (76770)
range across 2 matching MRF lines		 $122–$632 $122–$632 varies
Us retroperitoneal limited (76775)
range across 5 matching MRF lines		 $48–$624 $48–$624 varies
Us scrotum and contents (76870)
range across 2 matching MRF lines		 $102–$624 $102–$624 varies
Us spinal canal and contents (76800)
range across 2 matching MRF lines		 $186–$614 $186–$614 varies
Us thyroid (76536)
range across 2 matching MRF lines		 $91–$624 $91–$624 varies
Us transrectal (76872)
range across 5 matching MRF lines		 $59–$345 $59–$345 varies
Venogram Sinus/Jugular (75860) $9,040 $9,040 3.0×
Venography extremity bilateral rs&i (75822)
range across 2 matching MRF lines		 $185–$4,308 $185–$4,308 varies
Venography extremity unilateral rs&i (75820)
range across 2 matching MRF lines		 $135–$4,918 $135–$4,918 varies
Vertebral fracture assessment via dxa (77086)
range across 2 matching MRF lines		 $31–$400 $31–$400 varies
Wrist 2 views (73100)
range across 5 matching MRF lines		 $25–$493 $25–$493 varies
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050)
range across 3 matching MRF lines		 $36–$321 $36–$321 varies
X-ray antegrade pyelogram tube (74425)
range across 2 matching MRF lines		 $70–$1,444 $70–$1,444 varies
X-Ray Bend Only L-S Spine (72120)
range across 2 matching MRF lines		 $40–$399 $40–$399 varies
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070)
range across 5 matching MRF lines		 $25–$493 $25–$493 varies
X-Ray Exam Breast Specimen (76098)
range across 2 matching MRF lines		 $44–$2,216 $44–$2,216 varies
X-Ray Exam Entire Spi 1 Vw (72081)
range across 3 matching MRF lines		 $111–$405 $111–$405 varies
X-Ray Exam Entire Spi 2/3 Vw (72082)
range across 3 matching MRF lines		 $175–$614 $175–$614 varies
X-Ray Exam Entire Spi 4/5 Vw (72083)
range across 2 matching MRF lines		 $51–$604 $51–$604 varies
X-Ray Exam Hip Uni 1 View (73501)
range across 3 matching MRF lines		 $87–$405 $87–$405 varies
X-Ray Exam Hip Uni 2-3 Views (73502)
range across 3 matching MRF lines		 $117–$405 $117–$405 varies
X-Ray Exam Hips Bi 2 Views (73521)
range across 3 matching MRF lines		 $113–$614 $113–$614 varies
X-Ray Exam Hips Bi 3-4 Views (73522)
range across 2 matching MRF lines		 $140–$848 $140–$848 varies
X-Ray Exam L-S Spine Bending (72114)
range across 3 matching MRF lines		 $58–$494 $58–$494 varies
X-Ray Exam Neck Spine 2-3 Vw (72040)
range across 3 matching MRF lines		 $39–$321 $39–$321 varies
X-Ray Exam Neck Spine 6/>Vws (72052)
range across 3 matching MRF lines		 $61–$494 $61–$494 varies
X-Ray Exam Unilat Ribs/Chest (71101)
range across 3 matching MRF lines		 $44–$494 $44–$494 varies
X-ray eye for foreign body (70030)
range across 5 matching MRF lines		 $28–$493 $28–$493 varies
X-ray humerus (73060)
range across 3 matching MRF lines		 $31–$321 $31–$321 varies
X-ray IV pyelogram (ivp) (74400)
range across 2 matching MRF lines		 $81–$1,622 $81–$1,622 varies
X-ray IV pyelogram+tomography (74415)
range across 2 matching MRF lines		 $78–$1,312 $78–$1,312 varies
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100)
range across 2 matching MRF lines		 $32–$399 $32–$399 varies
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565)
range across 3 matching MRF lines		 $33–$321 $33–$321 varies
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100)
range across 3 matching MRF lines		 $39–$321 $39–$321 varies
X-ray nose-rectum child f.b. (76010)
range across 3 matching MRF lines		 $32–$321 $32–$321 varies
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111)
range across 3 matching MRF lines		 $55–$494 $55–$494 varies
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202)
range across 3 matching MRF lines		 $32–$321 $32–$321 varies
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220)
range across 3 matching MRF lines		 $31–$321 $31–$321 varies
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220)
range across 2 matching MRF lines		 $42–$456 $42–$456 varies
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260)
range across 3 matching MRF lines		 $59–$494 $59–$494 varies
X-Ray Stress View (77071)
range across 7 matching MRF lines		 $160–$321 $160–$321 varies
X-ray thoracic spine 4 vw (72074)
range across 2 matching MRF lines		 $39–$679 $39–$679 varies
X-Ray Urinary Tract Exam With Contrast Material (74420)
range across 4 matching MRF lines		 $71–$1,785 $71–$1,785 varies
X-Rays Bone Length Studies (77073)
range across 2 matching MRF lines		 $128–$491 $128–$491 varies
X-Rays Bone Survey Complete (77075)
range across 2 matching MRF lines		 $92–$655 $92–$655 varies
Xr c-spine 4 or 5 views (72050)
range across 3 matching MRF lines		 $55–$494 $55–$494 varies
Xr facial bones less than 3 views (70140)
range across 3 matching MRF lines		 $31–$306 $31–$306 varies
Xr orbits complete 4 views (70200)
range across 3 matching MRF lines		 $47–$494 $47–$494 varies

A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.