Imaging prices at Bronson South Haven Hospital
South Haven, MI · every code in this section with a posted price and a Medicare benchmark.
427 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) | $4,283.04 | $5,353.80 | 3.1× |
| Abdomen 1 View (74018) | $249.60 | $312 | 2.9× |
| Abdomen 2 views (74019) | $276.34 | $345.42 | 2.7× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $832.96 | $1,041.20 | 2.1× |
| Angio internal mammary (75756) range across 2 matching MRF lines |
$1,612.18–$2,111.33 | $2,015.23–$2,639.16 | varies |
| Angio pulmonary bilat (75743) | $2,855.62 | $3,569.52 | 0.9× |
| Angiography extremity bilateral rs&i (75716) | $2,590.10 | $3,237.62 | 0.8× |
| Angiography extremity unilateral rs&i (75710) | $3,090.06 | $3,862.58 | 1.0× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $1,640.52 | $2,050.65 | 0.5× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $1,388.17 | $1,735.21 | 0.4× |
| Ankle 2 views (73600) range across 4 matching MRF lines |
$198.46–$238.14 | $248.07–$297.68 | varies |
| Aortography thoracic serialography rs&i (75605) | $3,358.71 | $4,198.39 | 0.6× |
| Artery X-Rays Abdomen (75726) | $2,998.36 | $3,747.95 | 0.5× |
| Artery X-Rays Pelvis (75736) unusually low: confirm this is the full procedure |
$2,665.16 | $3,331.45 | 0.5× |
| Artery X-Rays Spine (75705) | $3,102.16 | $3,877.70 | 0.6× |
| Arthrogram hip (73525) | $499.65 | $624.56 | 1.4× |
| Arthrogram Wrist (73115) | $547.43 | $684.29 | 1.6× |
| Basic radiation dosimetry calculation (77300) | $352.33 | $440.41 | 2.6× |
| Bone age studies (77072) | $250.05 | $312.56 | 2.4× |
| Bone Imaging 3 Phase (78315) | $1,415.95 | $1,769.94 | 3.6× |
| Bone Imaging Limited Area (78300) | $982.85 | $1,228.56 | 2.5× |
| Bone Imaging Multiple Areas (78305) | $1,057.61 | $1,322.01 | 2.7× |
| Bone Imaging Whole Body (78306) | $1,441.02 | $1,801.27 | 3.6× |
| Bone marrow imaging limited area (78102) | $735.76 | $919.70 | 1.8× |
| Bone marrow imaging; multiple areas (78103) | $937.92 | $1,172.40 | 2.4× |
| Bone marrow imaging; whole body (78104) | $870.12 | $1,087.65 | 2.2× |
| Bone survey infant (77076) | $316.58 | $395.72 | 3.0× |
| Brachytx isodose complex (77318) | $558.91 | $698.64 | 1.5× |
| Brachytx isodose intermed (77317) | $508.10 | $635.12 | 1.4× |
| Brachytx Isodose Plan Simple (77316) | $191.65 | $239.56 | 0.5× |
| Brain Image W/Flow < 4 Views (78601) | $1,057.61 | $1,322.01 | 2.7× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $4,333.63 | $5,417.04 | 3.0× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $808.64 | $1,010.80 | 2.3× |
| Cardiovasc nucl exam unlisted (78499) | $655.67 | $819.59 | 1.6× |
| Cat Scan Follow-Up Study (76380) | $575.68 | $719.60 | 6.6× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $713.88 | $892.35 | 1.3× |
| Cerebrospinal Fluid Scan (78630) | $832.96 | $1,041.20 | 1.5× |
| Chest 1 view (71045) | $221.07 | $276.34 | 2.5× |
| Chest 2 views (71046) | $247.81 | $309.76 | 2.9× |
| Chest 3 views (71047) | $274.56 | $343.20 | 3.2× |
| Chest 4 or more views (71048) | $301.30 | $376.62 | 2.9× |
| Clavicle complete (73000) range across 2 matching MRF lines |
$258.26–$277.72 | $322.82–$347.15 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $1,235.50 | $1,544.37 | 11.9× |
| Continuing medical physics consltj pr wk (77336) | $477.11 | $596.39 | 3.6× |
| Contrast Exam Abdominl Aorta (75625) | $2,831.82 | $3,539.77 | 0.9× |
| Contrast X-Ray Bladder (74430) range across 2 matching MRF lines |
$358.26–$666.30 | $447.83–$832.87 | varies |
| Contrast X-Ray Of Elbow (73085) | $499.65 | $624.56 | 1.4× |
| Contrast X-Ray Of Knee Joint (73580) | $499.65 | $624.56 | 1.4× |
| Contrast Xray Throat/Cerv Esopha (74210) | $225.89 | $282.36 | 1.3× |
| CT abdomen and pelvis without and with contrast (74178) | $3,617.84 | $4,522.30 | 10.4× |
| CT abdomen and pelvis without contrast (74176) | $2,041.85 | $2,552.31 | 8.6× |
| CT abdomen w contrast (74160) | $1,599.16 | $1,998.95 | 9.2× |
| CT abdomen w wo contrast (74170) | $2,002.16 | $2,502.70 | 11.5× |
| CT abdomen w/o contrast (74150) | $1,311.23 | $1,639.04 | 12.6× |
| CT Angio Abdomen and Pelvis (74174) | $2,517.86 | $3,147.33 | 7.2× |
| CT Angio Chest (71275) | $1,687.49 | $2,109.36 | 9.7× |
| CT Angio Head (70496) | $891.42 | $1,114.27 | 5.1× |
| CT angio hrt w/3d image (75574) range across 2 matching MRF lines |
$1,074.62–$1,126.42 | $1,343.28–$1,408.02 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $1,553.78 | $1,942.22 | 8.9× |
| CT Angio Neck (70498) | $891.42 | $1,114.27 | 5.1× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $1,497.58 | $1,871.98 | 8.6× |
| CT Cere Prfuj Alys C+ W/O CT/Cta Same Anatomy (70473) | $826.80 | $1,033.50 | 4.7× |
| CT cervical spine w/ contrast (72126) | $1,581.90 | $1,977.38 | 4.6× |
| CT cervical spine w/o contrast (72125) | $1,320.22 | $1,650.28 | 12.7× |
| CT cervical spine w/wo cont (72127) | $1,797.73 | $2,247.16 | 10.3× |
| CT chest w contrast (71260) | $1,417.51 | $1,771.89 | 8.1× |
| CT chest w/wo contrast (71270) | $1,677.64 | $2,097.05 | 9.6× |
| CT colonography screening (74263) | $827.41 | $1,034.26 | 3.5× |
| CT Colonogrphy Dx Image Postprocess W/Contrast (74262) | $1,049.81 | $1,312.26 | 6.0× |
| CT colonogrphy dx image postprocess w/o contrast (74261) | $1,049.81 | $1,312.26 | 10.1× |
| CT head/brain with contrast (70460) | $1,324.13 | $1,655.16 | 7.6× |
| CT head/brain without and with contrast (70470) | $1,489.94 | $1,862.42 | 8.5× |
| CT heart contrast eval cardiac structure&morph (75572) | $1,126.42 | $1,408.02 | 3.2× |
| CT hrt w/3d image congen (75573) | $1,104.33 | $1,380.41 | 3.2× |
| CT iac w contrast (70481) | $1,288.98 | $1,611.23 | 7.4× |
| CT l-spine w&w/o contrast (72133) | $1,797.73 | $2,247.16 | 10.3× |
| CT lower ext w/o (73700) range across 4 matching MRF lines |
$1,101.16–$1,651.74 | $1,376.45–$2,064.67 | varies |
| CT lower extremity w/contrast material (73701) range across 3 matching MRF lines |
$1,261.22–$1,682.05 | $1,576.53–$2,102.56 | varies |
| CT lumbar spine w contrast (72132) | $1,613.54 | $2,016.93 | 4.6× |
| CT lumbar spine w/o contrast (72131) | $1,320.22 | $1,650.28 | 12.7× |
| CT maxillofacial w contrast (70487) | $1,298.83 | $1,623.54 | 7.4× |
| CT maxillofacial wo contrast (70486) | $1,151.28 | $1,439.10 | 11.1× |
| CT neck tissue combo (70492) | $1,535.27 | $1,919.09 | 8.8× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,222.93 | $1,528.66 | 7.0× |
| CT orbits w/o contrast (70480) | $1,171.32 | $1,464.15 | 11.2× |
| CT pelvis w&w/o contrast (72194) | $1,799.85 | $2,249.81 | 10.3× |
| CT pelvis w/o contrast (72192) | $1,158.84 | $1,448.55 | 11.1× |
| CT scan of leg combo (73702) range across 5 matching MRF lines |
$564.39–$2,136.77 | $705.49–$2,670.96 | varies |
| CT scans face/jaw combo (70488) | $1,222.93 | $1,528.66 | 7.0× |
| CT soft tissue neck w contrast (70491) | $1,333.56 | $1,666.95 | 7.6× |
| CT soft tissue neck w/o contrast (70490) | $1,128.70 | $1,410.88 | 10.8× |
| CT thoracic spine w contrast (72129) | $1,613.54 | $2,016.93 | 9.2× |
| CT thoracic spine w/o contrast (72128) | $1,320.22 | $1,650.28 | 12.7× |
| CT thoracic spine w/wo cont (72130) | $1,797.73 | $2,247.16 | 10.3× |
| CT thorax w/o contrast (71250) | $1,235.50 | $1,544.37 | 11.9× |
| CT unlisted procedure (76497) | $222.23 | $277.79 | 2.6× |
| CT upper ext wo (73200) | $991.59 | $1,239.49 | 9.5× |
| CT upper extremity w/o & w/contrast material (73202) | $1,379.74 | $1,724.67 | 7.9× |
| CT upper extremity with contrast (73201) | $1,183.46 | $1,479.33 | 3.4× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,759.65 | $2,199.56 | 10.1× |
| Cta Abdomen (74175) | $895.50 | $1,119.37 | 5.1× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $1,749.60 | $2,187 | 5.0× |
| CTA pelvis (72191) | $1,590.56 | $1,988.20 | 9.1× |
| Dilation ureters/urethra rs&i (74485) | $1,597.73 | $1,997.16 | 0.8× |
| Discography Cerv/Thor Spine (72285) | $2,087.44 | $2,609.30 | 1.1× |
| Diskography lumbar (72295) | $2,390.09 | $2,987.61 | 1.2× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) | $347.22 | $434.03 | 3.3× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $572.20 | $715.25 | 5.5× |
| Doppler Fetal Mid Cerebral Artery (76821) | $238.14 | $297.68 | 2.3× |
| Dxa Bone Density Axial (77080) | $441.96 | $552.45 | 4.2× |
| Dxa bone density study (77085) | $638.82 | $798.52 | 6.1× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $166.65 | $208.31 | 1.9× |
| Echo exam of fetal heart (76825) | $788.95 | $986.19 | 1.4× |
| Echo exam uterus (76831) | $291.62 | $364.53 | 1.2× |
| Echo Guide For Artery Repair (76936) | $666.30 | $832.87 | 3.1× |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) range across 2 matching MRF lines |
$564.60–$601.06 | $705.75–$751.33 | varies |
| Echograp Trans R Pros Study (76873) | $237.71 | $297.14 | 2.3× |
| Esophagram (74220) | $524.59 | $655.74 | 3.0× |
| Fetal Biophys Profile W/Nst (76818) | $278.46 | $348.08 | 2.7× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 2 matching MRF lines |
$396.58–$524.59 | $495.72–$655.74 | varies |
| Fetal MRI w/placntl matrnl plvc img sing/1st ges (74712) | $299.63 | $374.54 | 1.3× |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$458.26–$1,522.35 | $572.82–$1,902.94 | varies |
| Follow-Up Angiography (75898) | $1,400.96 | $1,751.20 | 0.4× |
| Foot 2 views (73620) range across 4 matching MRF lines |
$203.92–$238.14 | $254.90–$297.68 | varies |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$250.05–$277.72 | $312.56–$347.15 | varies |
| Gastric emptying imaging study (78264) | $1,166.14 | $1,457.68 | 2.9× |
| Gastric Emptyng Imag Std W/Sm Bwl Transit (78265) | $1,228.49 | $1,535.61 | 3.1× |
| Gastroesophageal Reflux Exam (78262) | $1,032.86 | $1,291.08 | 2.6× |
| Gated Heart Planar Single (78472) | $1,082.67 | $1,353.34 | 2.7× |
| Gstrc Emptng Imag Std W/Sm Bwl Col Trnst Mlt Day (78266) | $1,179.34 | $1,474.18 | 2.2× |
| Hand 2 views (73120) range across 2 matching MRF lines |
$250.05–$277.72 | $312.56–$347.15 | varies |
| Hdr Rdncl Ntrstl/Icav Brchtx (77772) | $1,990.14 | $2,487.67 | 2.9× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) | $1,803.40 | $2,254.25 | 2.6× |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) | $1,623.56 | $2,029.45 | 2.3× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $3,511.98 | $4,389.97 | 1.1× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $2,897.81 | $3,622.26 | 0.9× |
| Hepatobil Syst Image W/Drug (78227) | $1,204.87 | $1,506.09 | 2.2× |
| Hepatobiliary System Imaging (78226) | $1,204.87 | $1,506.09 | 3.0× |
| Ht Muscle Image Spect Sing (78451) | $1,494.50 | $1,868.13 | 1.2× |
| Hysterosalpingogram (74740) | $583.13 | $728.91 | 2.5× |
| Image fusion (77399) | $350.62 | $438.28 | 2.6× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $317.18 | $396.48 | 3.7× |
| Infant hip ultrasound, limited static exam (76886) | $264.55 | $330.69 | 3.1× |
| Infusion Ivp (74410) | $646.99 | $808.74 | 3.7× |
| Interstitial radiation source applic complex (77778) | $2,315.13 | $2,893.91 | 3.3× |
| Intracavitary Radiation Source Applic Intermed (77762) | $467.78 | $584.73 | 0.8× |
| Intracavitary radiation source applic simple (77761) | $356.57 | $445.71 | 0.6× |
| Joint Survey Single View (77077) | $256.05 | $320.06 | 2.5× |
| K Flow/Funct Image W/Drug (78708) | $1,374.26 | $1,717.83 | 2.5× |
| K Flow/Funct Image W/O Drug (78707) | $1,082.55 | $1,353.19 | 2.0× |
| Kidney Imaging Morphol (78700) | $1,110.46 | $1,388.07 | 2.8× |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$299.94–$396.58 | $374.92–$495.72 | varies |
| Liver & Spleen Imaging Static Only (78215) | $749.55 | $936.94 | 1.9× |
| Lung Perf&Ventilat Diferentl (78598) | $1,359.74 | $1,699.68 | 2.5× |
| Lung perfusion differential (78597) | $994.85 | $1,243.56 | 2.5× |
| Lung Ventilat&Perfus Imaging (78582) | $1,359.74 | $1,699.68 | 2.5× |
| Lung Ventilation Imaging (78579) | $994.85 | $1,243.56 | 2.5× |
| Lymph System Imaging (78195) | $1,072.55 | $1,340.69 | 2.0× |
| Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) | $2,471 | $3,088.75 | 0.8× |
| Lymphangiography, pelvic/abdominal, unilateral (75805) | $1,060.47 | $1,325.59 | 0.3× |
| Magnetic Image Jaw Joint (70336) | $1,691.49 | $2,114.36 | 7.1× |
| Magnetic Resonance Elastography (76391) | $293.74 | $367.18 | 1.2× |
| Mammary ductogram or galactogram multiple (77054) | $483.12 | $603.90 | 2.0× |
| Mammary ductogram or galactogram single (77053) | $583.01 | $728.76 | 2.5× |
| Meckels Divert Exam (78290) | $935.17 | $1,168.96 | 2.3× |
| Medical physics dose eval radiation expos w/rprt (76145) | $215.42 | $269.27 | 0.6× |
| Mlc imrt design & construction per imrt plan (77338) | $696.15 | $870.19 | 1.9× |
| Mr safety determination physician/other qhp (76016) | $211.20 | $264 | 2.4× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $43.25 | $54.06 | 1.5× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) | $159.94 | $199.92 | 1.7× |
| Mra Head W/O & W/Contrast Material (70546) | $2,491.09 | $3,113.86 | 7.2× |
| MRA head w/o contrast (70544) | $1,476.30 | $1,845.38 | 6.2× |
| MRA head with contrast (70545) | $1,809.05 | $2,261.31 | 5.2× |
| MRA neck w contrast (70548) | $1,962.18 | $2,452.72 | 5.6× |
| Mra Neck W/O &W/Contrast Material (70549) | $2,306.43 | $2,883.04 | 6.6× |
| MRA neck w/o contrast (70547) | $1,635.96 | $2,044.95 | 6.9× |
| MRI abdomen w contrast (74182) | $1,929.61 | $2,412.01 | 5.6× |
| MRI abdomen w/o contrast (74181) | $1,722.13 | $2,152.66 | 7.2× |
| MRI any jt lower extrem w/contrast material (73722) range across 3 matching MRF lines |
$1,837.68–$2,756.52 | $2,297.10–$3,445.65 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 3 matching MRF lines |
$2,067.39–$3,101.10 | $2,584.24–$3,876.37 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 3 matching MRF lines |
$1,869.34–$2,804.02 | $2,336.68–$3,505.03 | varies |
| MRI bone marrow blood supply (77084) | $1,152.64 | $1,440.80 | 4.8× |
| MRI Breast W/O Contrast Bilateral (77047) | $1,740.46 | $2,175.58 | 7.3× |
| MRI Breast Without Contrast Material Unilateral (77046) | $1,280.11 | $1,600.14 | 5.4× |
| MRI cardiac w/o contrast (75557) | $1,757.36 | $2,196.70 | 7.4× |
| MRI cervical spine w contrast (72142) range across 2 matching MRF lines |
$947.18–$1,895.03 | $1,183.98–$2,368.79 | varies |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$933.86–$1,867.04 | $1,167.33–$2,333.80 | varies |
| MRI chest w/o contrast (71550) | $1,658.32 | $2,072.90 | 7.0× |
| MRI chest with contrast (71551) | $1,903.73 | $2,379.66 | 2.4× |
| MRI chest wo w contrast (71552) | $2,491.09 | $3,113.86 | 7.2× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 3 matching MRF lines |
$1,929.60–$2,894.41 | $2,412–$3,618.01 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 3 matching MRF lines |
$2,472.23–$3,708.35 | $3,090.29–$4,635.44 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 3 matching MRF lines |
$1,740.46–$2,610.70 | $2,175.58–$3,263.37 | varies |
| MRI lumbar spine w contrast (72149) range across 2 matching MRF lines |
$667.29–$1,830.43 | $834.11–$2,288.04 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$725.36–$2,261.86 | $906.70–$2,827.33 | varies |
| MRI orbit face &/neck w/o contrast (70540) | $1,660.66 | $2,075.82 | 7.0× |
| MRI orbit face neck w contrast (70542) | $1,751.54 | $2,189.42 | 5.0× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $2,275.61 | $2,844.51 | 6.5× |
| MRI pelvis w contrast (72196) | $1,830.43 | $2,288.04 | 5.3× |
| MRI pelvis w/o & w contrast (72197) | $2,488.11 | $3,110.14 | 7.2× |
| MRI pelvis w/o contrast (72195) | $1,658.71 | $2,073.39 | 7.0× |
| MRI spectroscopy (76390) | $1,550.53 | $1,938.16 | 17.9× |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$580.26–$1,579.67 | $725.33–$1,974.59 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 3 matching MRF lines |
$1,900.60–$2,850.90 | $2,375.75–$3,563.63 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 3 matching MRF lines |
$1,628.10–$2,442.15 | $2,035.12–$3,052.69 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 3 matching MRF lines |
$1,869.34–$2,804.02 | $2,336.68–$3,505.03 | varies |
| MRI, abdomen, combo (74183) | $2,521.69 | $3,152.11 | 7.3× |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$754.39–$2,154.09 | $942.99–$2,692.61 | varies |
| MRI, dorsal spine contrast (72147) range across 2 matching MRF lines |
$933.86–$1,830.43 | $1,167.33–$2,288.04 | varies |
| MRI, joint upper extrem (73221) range across 3 matching MRF lines |
$1,628.10–$2,442.15 | $2,035.12–$3,052.69 | varies |
| MRI, joint upper extrem combo (73223) range across 3 matching MRF lines |
$2,006.85–$3,010.26 | $2,508.56–$3,762.83 | varies |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$2,378.80–$2,597.71 | $2,973.50–$3,247.14 | varies |
| Musculoskeletal Nuclear Exam (78399) | $1,569.25 | $1,961.56 | 3.9× |
| Myelogram cervical (72240) | $825.47 | $1,031.84 | 1.1× |
| Myelogram Lumbar (72265) | $749.66 | $937.08 | 1.0× |
| Myelography thoracic (72255) | $826.73 | $1,033.41 | 1.1× |
| Myelograpy 2/more regions rs&i (72270) | $1,110.46 | $1,388.07 | 1.4× |
| Myocardial Spect Multiple Studies (78452) | $4,184.62 | $5,230.77 | 3.2× |
| Myocrd img PET prfuj 1std rest/stress cncrnt CT (78430) | $2,136.80 | $2,671 | 1.5× |
| Myocrd Img Pet Prfuj Mlt Std Rst&Strs Cncrnt CT (78431) | $4,359.07 | $5,448.84 | 2.0× |
| Neck soft tissue (70360) | $253.40 | $316.75 | 2.9× |
| Nervous system nuclear exam (78699) | $655.67 | $819.59 | 1.6× |
| Nfs/Instlj Radioelmnt Sln 3 Mo Follow-Up Care (77750) | $270.82 | $338.53 | 0.7× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $333.09 | $416.36 | 0.8× |
| Nm csf leak detection (78650) | $832.96 | $1,041.20 | 0.6× |
| Nm unlisted gi procedure (78299) | $655.67 | $819.59 | 1.6× |
| Nonvascular Shunt X-Ray (75809) | $594.92 | $743.65 | 5.7× |
| Ntsty modul radthx pln dose-vol histos (77301) | $5,814.57 | $7,268.21 | 4.2× |
| Nuclear medicine study of endocrine organs (78099) | $655.67 | $819.59 | 1.6× |
| Nuclear Rx Intra-Arterial (79445) | $875.66 | $1,094.58 | 3.8× |
| Nuclear Rx Oral Admin (79005) | $634.61 | $793.26 | 2.7× |
| Ob us nuchal meas 1 gest (76813) | $374.05 | $467.56 | 3.6× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) range across 2 matching MRF lines |
$989.38–$1,978.87 | $1,236.73–$2,473.59 | varies |
| Optic foramina (70190) | $222.13 | $277.66 | 2.6× |
| Parathyroid Planar Imaging (78070) | $749.66 | $937.08 | 1.9× |
| Parathyroid planar imaging w/wo subtraction (78071) | $842.21 | $1,052.76 | 2.1× |
| Pelvis 1 or 2 views (72170) | $241.82 | $302.27 | 2.3× |
| Peritoneogram Rs&I (74190) | $464.03 | $580.04 | 0.9× |
| Pet Image Skull-Thigh (78812) | $3,968.50 | $4,960.63 | 2.8× |
| Pet Image W/Ct Lmtd (78814) range across 2 matching MRF lines |
$4,567.44–$4,813.64 | $5,709.30–$6,017.05 | varies |
| PET image w/CT, full body (78816) range across 2 matching MRF lines |
$4,658.79–$5,905.31 | $5,823.49–$7,381.64 | varies |
| PET imaging CT attenuation skull base mid-thigh (78815) range across 3 matching MRF lines |
$3,531.70–$6,321.47 | $4,414.62–$7,901.84 | varies |
| Pet Imaging Limited Area Chest Head/Neck (78811) | $2,143.86 | $2,679.83 | 1.7× |
| PET whole body (78813) | $4,653.18 | $5,816.48 | 3.3× |
| Pulmonary Perfusion Imaging Particulate (78580) | $832.96 | $1,041.20 | 2.1× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $400.17 | $500.21 | 3.8× |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 3 matching MRF lines |
$317.18–$333.09 | $396.48–$416.36 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$291.62–$317.18 | $364.53–$396.48 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$250.05–$277.72 | $312.56–$347.15 | varies |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$291.62–$317.18 | $364.53–$396.48 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $283.09 | $353.86 | 2.7× |
| Radex fingr minimum 2 views (73140) range across 2 matching MRF lines |
$158.34–$182.66 | $197.92–$228.33 | varies |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$291.62–$317.18 | $364.53–$396.48 | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$333.09–$368.54 | $416.36–$460.68 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 2 matching MRF lines |
$277.72–$291.62 | $347.15–$364.53 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $113.26 | $141.58 | 1.1× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $162.23 | $202.79 | 1.9× |
| Radex Ribs Unilateral 2 Views (71100) | $291.62 | $364.53 | 3.4× |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$333.09–$368.54 | $416.36–$460.68 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $166.65 | $208.31 | 1.9× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $666.30 | $832.87 | 3.8× |
| Radex Spine 1 View Specify Level (72020) | $153.17 | $191.46 | 1.8× |
| Radex Sternum Minimum 2 Views (71120) | $291.62 | $364.53 | 3.4× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $333.09 | $416.36 | 3.8× |
| Radex Toe Minimum 2 Views (73660) range across 2 matching MRF lines |
$158.34–$182.66 | $197.92–$228.33 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 2 matching MRF lines |
$250.05–$277.72 | $312.56–$347.15 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$333.09–$368.54 | $416.36–$460.68 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $491.39 | $614.24 | 4.7× |
| Radiation Delivery Stereotactic Cranial Linear (77372) unusually low: confirm this is the full procedure |
$2,530.77 | $3,163.46 | 0.3× |
| Radiation treatment delivery level 1 (77402) range across 2 matching MRF lines |
$188.69–$203.32 | $235.86–$254.15 | varies |
| Radiation treatment delivery level 2 (77407) range across 2 matching MRF lines |
$343.98–$768.61 | $429.97–$960.76 | varies |
| Radiation treatment delivery level 3 (77412) range across 2 matching MRF lines |
$572.20–$1,101.12 | $715.25–$1,376.40 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) | $374.99 | $468.74 | 3.6× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $303.08 | $378.85 | 2.9× |
| Radiologic exam colon double contrast study (74280) | $999.50 | $1,249.37 | 5.7× |
| Radiologic exam colon single contrast study (74270) | $699.67 | $874.59 | 4.0× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $524.59 | $655.74 | 3.0× |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$333.09–$357.10 | $416.36–$446.38 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $333.09 | $416.36 | 3.2× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $499.85 | $624.81 | 2.9× |
| Radiologic exam swallow function contrast study (74230) | $474.90 | $593.63 | 2.7× |
| Radiologic exam teeth complete full mouth (70320) | $182.66 | $228.33 | 0.8× |
| Radiologic Exam Teeth Prtl Exam < Full Mouth (70310) | $138.14 | $172.67 | 0.6× |
| Radiologic exam upr gi trc double contrast study (74246) | $476.17 | $595.21 | 2.7× |
| Radiologic examination femur 1 view (73551) range across 2 matching MRF lines |
$203.92–$290.90 | $254.90–$363.63 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$203.92–$290.90 | $254.90–$363.63 | varies |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$250.05–$277.72 | $312.56–$347.15 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $251.42 | $314.28 | 2.4× |
| Radiologic examination tibia & fibula 2 views (73590) range across 2 matching MRF lines |
$291.62–$317.18 | $364.53–$396.48 | varies |
| Radiopharmaceutical therapy, by intracavitary administration Non-Facility (79200) | $634.61 | $793.26 | 2.7× |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77768) | $442.26 | $552.83 | 1.2× |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77767) | $393.12 | $491.40 | 1.0× |
| Renal Cyst Study (74470) | $673.76 | $842.20 | 1.2× |
| Ribs bilateral 3 views (71110) | $374.99 | $468.74 | 3.6× |
| Rp loclzj tum plnr 1 area single day imaging (78800) range across 2 matching MRF lines |
$645.88–$965.70 | $807.35–$1,207.13 | varies |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $1,051.60 | $1,314.50 | 2.6× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $1,903.82 | $2,379.77 | 3.5× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $1,415.75 | $1,769.69 | 2.6× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $1,612.18 | $2,015.23 | 3.0× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $1,620.08 | $2,025.10 | 1.3× |
| Rp Ther Radiolbld Monoclonal Antibody IV Infus (79403) | $1,582.94 | $1,978.67 | 6.8× |
| Rp Therapy Intravenous Administration (79101) | $634.61 | $793.26 | 2.7× |
| Rp Therapy Unlisted Procedure (79999) | $655.67 | $819.59 | 2.8× |
| Scapula (73010) range across 2 matching MRF lines |
$249.70–$299.94 | $312.12–$374.92 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $84.22 | $105.27 | 3.6× |
| Sella turcica (70240) | $291.62 | $364.53 | 3.4× |
| Shoulder 1 view (73020) range across 3 matching MRF lines |
$108.34–$203.92 | $135.42–$254.90 | varies |
| Shoulder Arthrography (73040) | $499.65 | $624.56 | 1.4× |
| Sialogram (70390) | $475.96 | $594.95 | 2.0× |
| Skull less than 4 views (70250) | $291.62 | $364.53 | 2.8× |
| Special dosimetry (77331) | $125.65 | $157.06 | 0.9× |
| Special Physics Consult (77370) | $454.19 | $567.74 | 3.4× |
| Special teletherapy port plan (77321) | $451.65 | $564.56 | 1.2× |
| Special treatment procedure (77470) | $1,295.52 | $1,619.40 | 2.4× |
| Stereotactic Body Radiation Delivery (77373) range across 2 matching MRF lines |
$2,893.54–$4,329.73 | $3,616.93–$5,412.16 | varies |
| Sternoclavicular joints (71130) | $250.05 | $312.56 | 2.9× |
| Superior sagittal sinus venogram (75870) | $1,992.97 | $2,491.21 | 0.6× |
| Tbs technical calculation only (77091) | $203.92 | $254.90 | 2.4× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $944.90 | $1,181.13 | 2.5× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $206.30 | $257.88 | 0.6× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $1,393.16 | $1,741.45 | 3.7× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $973.82 | $1,217.27 | 2.6× |
| Ther rad simulaj-aided field setting simple (77280) | $594.28 | $742.85 | 4.4× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $487.14 | $608.92 | 2.8× |
| Thoracic spine 2 views (72070) | $291.62 | $364.53 | 2.8× |
| Thoracic spine 3 views (72072) | $333.09 | $416.36 | 3.2× |
| Thoracolumbar 2 views (72080) | $312.46 | $390.58 | 3.6× |
| Thyroid Imaging With Vascular Flow (78013) | $476.06 | $595.08 | 1.2× |
| Thyroid Met Imaging Body (78018) | $1,030.97 | $1,288.71 | 1.9× |
| Thyroid Uptake Measurement (78012) | $862.21 | $1,077.76 | 2.2× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,000.12 | $1,250.15 | 2.5× |
| Tx Devices Design & Construction Complex (77334) | $775.11 | $968.89 | 2.1× |
| Tx devices design & construction intermediate (77333) | $425.33 | $531.66 | 3.2× |
| Tx devices design & construction simple (77332) | $337.89 | $422.36 | 2.5× |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$458.26–$458.96 | $572.82–$573.70 | varies |
| Ultrasound elastography first target lesion (76982) range across 2 matching MRF lines |
$169.79–$252.96 | $212.24–$316.20 | varies |
| Ultrasound Elastography Parenchyma (76981) | $235.01 | $293.76 | 2.3× |
| Ultrasound Exam Aaa Screen (76706) | $299.49 | $374.36 | 2.9× |
| Ultrasound, abdomen limited (76705) | $666.39 | $832.99 | 6.4× |
| Umbilical-artery Doppler (OB) (76820) | $238.14 | $297.68 | 2.3× |
| Unlisted Dx Radiographic Procedure (76499) | $73.38 | $91.72 | 0.8× |
| Unlisted fluoroscopic procedure (76496) | $234.45 | $293.06 | 2.7× |
| Unlisted genitourinary px dx nuclear medicine (78799) | $655.67 | $819.59 | 1.6× |
| Unlisted hematopoietic, reticuloendothelial and lymphatic procedure, diagnostic nuclear medicine (78199) | $612.28 | $765.35 | 1.5× |
| Unlisted magnetic resonance procedure (76498) | $780.05 | $975.06 | 9.0× |
| Unlisted Miscellaneous Px Dx Nuclear Medicine (78999) | $655.67 | $819.59 | 1.6× |
| Unlisted respiratory px dx nuclear medicine (78599) range across 2 matching MRF lines |
$655.67–$680.09 | $819.59–$850.11 | varies |
| Unlisted us procedure (76999) | $177.29 | $221.61 | 2.0× |
| Upper gi w/o kub (74240) | $252.20 | $315.25 | 1.4× |
| Ureteral Reflux Study (78740) | $872.54 | $1,090.67 | 2.2× |
| Urethrocystogram voiding (74455) | $416.48 | $520.60 | 1.8× |
| Urethrocystography retrograde (74450) | $461.55 | $576.94 | 1.9× |
| Us breast unilateral complete (76641) range across 2 matching MRF lines |
$458.26–$491.39 | $572.82–$614.24 | varies |
| Us chest (76604) | $458.26 | $572.82 | 4.4× |
| Us complete joint (76881) | $560.60 | $700.75 | 5.4× |
| Us exam, pelvic, limited (76857) | $416.48 | $520.60 | 4.0× |
| Us head (76506) | $674.30 | $842.88 | 6.5× |
| Us kidney transplant (76776) | $416.48 | $520.60 | 4.0× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $560.60 | $700.75 | 5.4× |
| Us ob detailed single fetus (76811) | $475.96 | $594.95 | 2.0× |
| Us ob limited 1 or more fetuses (76815) | $396.66 | $495.83 | 3.8× |
| Us ob transvaginal (76817) | $324.99 | $406.24 | 3.1× |
| Us pelvic non ob complete (76856) | $749.66 | $937.08 | 7.2× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $474.80 | $593.50 | 4.6× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $396.58 | $495.72 | 3.8× |
| Us retroperitoneal complete (76770) | $624.82 | $781.02 | 6.0× |
| Us retroperitoneal limited (76775) | $624.82 | $781.02 | 6.0× |
| Us scrotum and contents (76870) | $583.13 | $728.91 | 5.6× |
| Us spinal canal and contents (76800) | $396.58 | $495.72 | 3.8× |
| Us thyroid (76536) | $641.34 | $801.68 | 6.2× |
| Us transrectal (76872) | $886.22 | $1,107.77 | 8.5× |
| Vein X-Ray Chest (75827) | $2,165.83 | $2,707.29 | 1.4× |
| Vein X-Ray Liver W/O Hemodyn (75887) | $2,585.19 | $3,231.49 | 0.8× |
| Vein X-Ray Spleen/Liver (75810) | $3,427.96 | $4,284.95 | 1.1× |
| Venogram Sinus/Jugular (75860) | $4,094.86 | $5,118.57 | 1.3× |
| Venography Adrenal Unilateral (75840) | $7,195.44 | $8,994.30 | 2.3× |
| Venography caval inferior serialography rs&i (75825) | $2,831.82 | $3,539.77 | 0.9× |
| Venography extremity bilateral rs&i (75822) | $1,165.94 | $1,457.43 | 0.7× |
| Venography extremity unilateral rs&i (75820) | $916.11 | $1,145.14 | 0.6× |
| Venography Renal Bilateral (75833) | $3,102.16 | $3,877.70 | 1.0× |
| Venography Renal Unilateral (75831) | $2,913.26 | $3,641.57 | 0.9× |
| Venous sampling by catheter (75893) | $2,844.14 | $3,555.17 | 0.5× |
| Vertebral fracture assessment via dxa (77086) | $159.66 | $199.57 | 1.8× |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$208.46–$238.14 | $260.57–$297.68 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $291.62 | $364.53 | 3.4× |
| X-ray antegrade pyelogram tube (74425) range across 2 matching MRF lines |
$378.16–$396.58 | $472.70–$495.72 | varies |
| X-Ray Aorta Leg Arteries (75630) | $2,665.16 | $3,331.45 | 0.8× |
| X-Ray Bend Only L-S Spine (72120) | $317.18 | $396.48 | 3.0× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$291.62–$317.18 | $364.53–$396.48 | varies |
| X-Ray Exam Breast Specimen (76098) | $172.02 | $215.02 | 0.3× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $122.84 | $153.55 | 1.4× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $294.84 | $368.55 | 2.8× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $393.12 | $491.40 | 3.8× |
| X-Ray Exam Hip Uni 1 View (73501) | $122.84 | $153.55 | 1.4× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $245.70 | $307.12 | 2.8× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $319.41 | $399.26 | 3.1× |
| X-Ray Exam Hips Bi 2 Views (73521) | $319.41 | $399.26 | 3.1× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $393.12 | $491.40 | 3.8× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $442.26 | $552.83 | 4.2× |
| X-Ray Exam L-S Spine Bending (72114) | $459.63 | $574.54 | 4.4× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $308.36 | $385.45 | 3.6× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $416.48 | $520.60 | 4.0× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $333.09 | $416.36 | 3.2× |
| X-ray eye for foreign body (70030) | $375.10 | $468.87 | 4.3× |
| X-ray humerus (73060) range across 2 matching MRF lines |
$250.05–$277.72 | $312.56–$347.15 | varies |
| X-ray IV pyelogram (ivp) (74400) | $832.96 | $1,041.20 | 4.8× |
| X-ray IV pyelogram+tomography (74415) | $999.38 | $1,249.22 | 5.7× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $199.91 | $249.89 | 2.3× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $333.09 | $416.36 | 3.8× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $333.09 | $416.36 | 3.2× |
| X-ray nose-rectum child f.b. (76010) | $225.19 | $281.49 | 2.6× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $374.99 | $468.74 | 3.6× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $291.62 | $364.53 | 2.8× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $154.03 | $192.54 | 1.5× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $250.05 | $312.56 | 2.9× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $291.83 | $364.79 | 3.4× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $333.09 | $416.36 | 3.2× |
| X-Ray Stress View (77071) | $173.70 | $217.13 | 2.0× |
| X-ray thoracic spine 4 vw (72074) | $416.48 | $520.60 | 4.0× |
| X-Ray Tmj Unilat (70328) | $91.06 | $113.83 | 1.1× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $1,082.67 | $1,353.34 | 3.1× |
| X-Rays Bone Length Studies (77073) range across 2 matching MRF lines |
$238.14–$564.43 | $297.68–$705.54 | varies |
| X-Rays Bone Survey Complete (77075) | $499.85 | $624.81 | 4.8× |
| Xr c-spine 4 or 5 views (72050) | $383.21 | $479.01 | 3.7× |
| Xr facial bones less than 3 views (70140) | $110.96 | $138.70 | 1.3× |
| XR Mastoids < 3 Views Bilateral (70120) | $91.06 | $113.83 | 0.9× |
| Xr orbits complete 4 views (70200) | $283.09 | $353.86 | 2.7× |
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.