Imaging prices at Brooklyn Hospital Center - Downtown Campus
Brooklyn, NY · every code in this section with a posted price and a Medicare benchmark.
325 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) | $17,599.47 | $17,599.47 | 10.2× |
| Abdomen 1 View (74018) range across 3 matching MRF lines |
$293.27–$586.54 | $293.27–$586.54 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$560.65–$641.89 | $560.65–$641.89 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,852.67 | $1,852.67 | 3.7× |
| Adrenal Cortex & Medulla Img (78075) | $6,033.01 | $6,033.01 | 3.7× |
| Angio pulmonary bilat (75743) | $14,815.17 | $14,815.17 | 3.8× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $14,815.17 | $14,815.17 | 3.8× |
| Angiography extremity bilateral rs&i (75716) range across 6 matching MRF lines |
$5,470.47–$14,815.17 | $5,470.47–$14,815.17 | varies |
| Angiography extremity unilateral rs&i (75710) range across 9 matching MRF lines |
$3,077.13–$14,815.17 | $3,077.13–$14,815.17 | varies |
| Angiography pulmonary unilateral slctv rs&i (75741) | $14,815.17 | $14,815.17 | 3.8× |
| Ankle 2 views (73600) range across 6 matching MRF lines |
$394.94–$832.32 | $394.94–$832.32 | varies |
| Aortography thoracic w/o serialography rs&i (75600) | $14,815.17 | $14,815.17 | 3.8× |
| Artery X-Rays Abdomen (75726) | $14,815.17 | $14,815.17 | 2.1× |
| Artery X-Rays Pelvis (75736) | $14,815.17 | $14,815.17 | 2.1× |
| Arthrogram ankle (73615) range across 2 matching MRF lines |
$1,678.94–$3,357.96 | $1,678.94–$3,357.96 | varies |
| Arthrogram hip (73525) range across 2 matching MRF lines |
$1,678.94–$3,357.96 | $1,678.94–$3,357.96 | varies |
| Arthrogram Wrist (73115) range across 2 matching MRF lines |
$1,678.94–$3,357.96 | $1,678.94–$3,357.96 | varies |
| Basic radiation dosimetry calculation (77300) range across 2 matching MRF lines |
$1,511.05–$1,916.24 | $1,511.05–$1,916.24 | varies |
| Bone age studies (77072) range across 2 matching MRF lines |
$996–$1,140.32 | $996–$1,140.32 | varies |
| Bone Imaging 3 Phase (78315) range across 2 matching MRF lines |
$2,943.79–$3,370.35 | $2,943.79–$3,370.35 | varies |
| Bone Imaging Multiple Areas (78305) | $1,788.87 | $1,788.87 | 3.6× |
| Bone Imaging Whole Body (78306) range across 2 matching MRF lines |
$2,657.06–$3,042.06 | $2,657.06–$3,042.06 | varies |
| Bone survey infant (77076) range across 2 matching MRF lines |
$1,707.86–$1,827.41 | $1,707.86–$1,827.41 | varies |
| Brachytx isodose complex (77318) | $1,933.85 | $1,933.85 | 4.1× |
| Brachytx isodose intermed (77317) | $1,933.85 | $1,933.85 | 4.1× |
| Brachytx Isodose Plan Simple (77316) | $695.71 | $695.71 | 1.5× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $4,358.98 | $4,358.98 | 6.4× |
| Cat Scan Follow-Up Study (76380) | $829.67 | $829.67 | 7.6× |
| Cerebrospinal Fluid Scan (78630) | $4,358.98 | $4,358.98 | 6.4× |
| Chest 1 view (71045) range across 3 matching MRF lines |
$293.27–$335.77 | $293.27–$335.77 | varies |
| Chest 2 views (71046) range across 2 matching MRF lines |
$293.27–$335.77 | $293.27–$335.77 | varies |
| Chest 3 views (71047) range across 2 matching MRF lines |
$293.27–$335.77 | $293.27–$335.77 | varies |
| Chest 4 or more views (71048) | $641.89 | $641.89 | 4.9× |
| Clavicle complete (73000) range across 5 matching MRF lines |
$795.96–$1,591.92 | $795.96–$1,591.92 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 2 matching MRF lines |
$644.74–$738.16 | $644.74–$738.16 | varies |
| Continuing medical physics consltj pr wk (77336) | $1,421.05 | $1,421.05 | 8.5× |
| Contrast Exam Abdominl Aorta (75625) range across 4 matching MRF lines |
$3,402.07–$14,815.17 | $3,402.07–$14,815.17 | varies |
| Contrast X-Ray Bladder (74430) | $1,287.55 | $1,287.55 | 3.0× |
| Contrast X-Ray Of Elbow (73085) range across 3 matching MRF lines |
$1,569.10–$3,357.96 | $1,569.10–$3,357.96 | varies |
| Contrast X-Ray Of Knee Joint (73580) range across 2 matching MRF lines |
$1,678.94–$3,357.96 | $1,678.94–$3,357.96 | varies |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$6,134.86–$7,023.80 | $6,134.86–$7,023.80 | varies |
| CT abdomen and pelvis without contrast (74176) range across 3 matching MRF lines |
$1,417.13–$5,208.65 | $1,417.13–$5,208.65 | varies |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$3,476.91–$3,980.71 | $3,476.91–$3,980.71 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$4,050.92–$4,637.89 | $4,050.92–$4,637.89 | varies |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$2,976.37–$3,407.65 | $2,976.37–$3,407.65 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$2,773.56–$3,175.45 | $2,773.56–$3,175.45 | varies |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$4,087.11–$4,679.33 | $4,087.11–$4,679.33 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$2,715.48–$3,108.95 | $2,715.48–$3,108.95 | varies |
| CT angio hrt w/3d image (75574) | $1,475.65 | $1,475.65 | 3.4× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 4 matching MRF lines |
$2,746.43–$4,716.61 | $2,746.43–$4,716.61 | varies |
| CT Angio Neck (70498) range across 3 matching MRF lines |
$9,201.42–$10,534.71 | $9,201.42–$10,534.71 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 2 matching MRF lines |
$4,898.03–$5,240.89 | $4,898.03–$5,240.89 | varies |
| CT cervical spine w/ contrast (72126) | $2,413.12 | $2,413.12 | 5.5× |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$1,451.40–$1,661.71 | $1,451.40–$1,661.71 | varies |
| CT cervical spine w/wo cont (72127) | $2,585.95 | $2,585.95 | 11.8× |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$2,764.17–$3,164.70 | $2,764.17–$3,164.70 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$4,045.60–$4,631.81 | $4,045.60–$4,631.81 | varies |
| CT head/brain with contrast (70460) range across 3 matching MRF lines |
$2,688.92–$3,078.54 | $2,688.92–$3,078.54 | varies |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$3,660.75–$4,191.19 | $3,660.75–$4,191.19 | varies |
| CT heart contrast eval cardiac structure&morph (75572) | $1,475.65 | $1,475.65 | 3.4× |
| CT heart no contrast quant eval coronry calcium (75571) | $283.38 | $283.38 | 2.6× |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$2,491–$2,851.95 | $2,491–$2,851.95 | varies |
| CT l-spine w&w/o contrast (72133) range across 2 matching MRF lines |
$6,263.77–$7,171.39 | $6,263.77–$7,171.39 | varies |
| CT lower ext w/o (73700) range across 6 matching MRF lines |
$2,166–$4,332 | $2,166–$4,332 | varies |
| CT lower extremity w/contrast material (73701) range across 4 matching MRF lines |
$2,381.30–$4,090.76 | $2,381.30–$4,090.76 | varies |
| CT lumbar spine w contrast (72132) range across 3 matching MRF lines |
$2,664.48–$3,050.56 | $2,664.48–$3,050.56 | varies |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$2,505.53–$2,868.58 | $2,505.53–$2,868.58 | varies |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$2,999.11–$3,433.68 | $2,999.11–$3,433.68 | varies |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$2,314.68–$2,650.08 | $2,314.68–$2,650.08 | varies |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$2,699.65–$3,090.83 | $2,699.65–$3,090.83 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 2 matching MRF lines |
$3,779.39–$4,043.95 | $3,779.39–$4,043.95 | varies |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$2,422.01–$2,772.96 | $2,422.01–$2,772.96 | varies |
| CT pelvis w&w/o contrast (72194) range across 2 matching MRF lines |
$3,870.90–$4,141.86 | $3,870.90–$4,141.86 | varies |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$2,710.40–$3,103.14 | $2,710.40–$3,103.14 | varies |
| CT scan of leg combo (73702) range across 2 matching MRF lines |
$2,972.60–$4,460.16 | $2,972.60–$4,460.16 | varies |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
$3,940.51–$4,216.35 | $3,940.51–$4,216.35 | varies |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$2,503.92–$2,866.73 | $2,503.92–$2,866.73 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$2,308.15–$2,642.60 | $2,308.15–$2,642.60 | varies |
| CT thoracic spine w contrast (72129) range across 2 matching MRF lines |
$2,048.34–$2,191.72 | $2,048.34–$2,191.72 | varies |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$1,643.53–$1,881.68 | $1,643.53–$1,881.68 | varies |
| CT thoracic spine w/wo cont (72130) | $2,443.47 | $2,443.47 | 11.2× |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$2,710.40–$3,103.14 | $2,710.40–$3,103.14 | varies |
| CT upper ext wo (73200) range across 5 matching MRF lines |
$2,301.61–$3,952.24 | $2,301.61–$3,952.24 | varies |
| CT upper extremity w/o & w/contrast material (73202) | $3,258.32 | $3,258.32 | 14.9× |
| CT upper extremity with contrast (73201) range across 4 matching MRF lines |
$2,631.80–$4,519.29 | $2,631.80–$4,519.29 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 3 matching MRF lines |
$1,691.50–$3,217.28 | $1,691.50–$3,217.28 | varies |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$4,209.72–$4,819.71 | $4,209.72–$4,819.71 | varies |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $1,164.93 | $1,164.93 | 2.7× |
| CTA pelvis (72191) range across 2 matching MRF lines |
$9,201.42–$10,534.71 | $9,201.42–$10,534.71 | varies |
| Dilation ureters/urethra rs&i (74485) | $8,848.50 | $8,848.50 | 3.4× |
| Doppler Fetal Mid Cerebral Artery (76821) range across 2 matching MRF lines |
$397.48–$455.07 | $397.48–$455.07 | varies |
| Dxa Bone Density Axial (77080) range across 3 matching MRF lines |
$60–$1,259.87 | $60–$1,259.87 | varies |
| Dxa bone density study (77085) | $584.57 | $584.57 | 4.5× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $750.72 | $750.72 | 6.9× |
| Echo exam uterus (76831) | $1,118.47 | $1,118.47 | 3.8× |
| Echograp Trans R Pros Study (76873) | $1,672.24 | $1,672.24 | 12.8× |
| Esophageal Motility Study (78258) | $1,749.41 | $1,749.41 | 3.5× |
| Esophagram (74220) range across 2 matching MRF lines |
$849.69–$972.81 | $849.69–$972.81 | varies |
| Fetal Biophys Profile W/Nst (76818) range across 3 matching MRF lines |
$614.79–$703.88 | $614.79–$703.88 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 2 matching MRF lines |
$585.53–$670.38 | $585.53–$670.38 | varies |
| Fluoroscopy up to 1 hr (76000) range across 7 matching MRF lines |
$1,218.43–$6,154.27 | $1,218.43–$6,154.27 | varies |
| Foot 2 views (73620) range across 3 matching MRF lines |
$553.90–$634.16 | $553.90–$634.16 | varies |
| Forearm 2 views (73090) range across 5 matching MRF lines |
$430.25–$738.86 | $430.25–$738.86 | varies |
| Gastric emptying imaging study (78264) range across 2 matching MRF lines |
$2,284.51–$2,615.54 | $2,284.51–$2,615.54 | varies |
| Gastroesophageal Reflux Exam (78262) | $1,749.41 | $1,749.41 | 3.5× |
| Gated Heart Planar Single (78472) | $3,654.83 | $3,654.83 | 7.3× |
| Hand 2 views (73120) range across 2 matching MRF lines |
$287.65–$329.34 | $287.65–$329.34 | varies |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) | $4,081.71 | $4,081.71 | 4.7× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $14,815.17 | $14,815.17 | 3.8× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $14,815.17 | $14,815.17 | 3.8× |
| Hepatobil Syst Image W/Drug (78227) range across 2 matching MRF lines |
$1,702.21–$1,948.86 | $1,702.21–$1,948.86 | varies |
| Hepatobiliary System Imaging (78226) range across 2 matching MRF lines |
$1,811.41–$1,938.21 | $1,811.41–$1,938.21 | varies |
| Ht Musc Image Planar Mult (78454) range across 2 matching MRF lines |
$4,852.06–$5,555.12 | $4,852.06–$5,555.12 | varies |
| Ht Muscle Image Spect Sing (78451) | $5,232.54 | $5,232.54 | 3.2× |
| Hysterosalpingogram (74740) range across 2 matching MRF lines |
$3,012.36–$3,448.86 | $3,012.36–$3,448.86 | varies |
| Infant hip ultrasound with hip movement (dynamic) (76885) range across 2 matching MRF lines |
$559.30–$640.34 | $559.30–$640.34 | varies |
| Interstitial radiation source applic complex (77778) | $8,256.83 | $8,256.83 | 9.5× |
| Intracavitary Radiation Source Applic Complex (77763) | $3,892.23 | $3,892.23 | 4.5× |
| Intracavitary Radiation Source Applic Intermed (77762) | $1,923.46 | $1,923.46 | 2.8× |
| Intracavitary radiation source applic simple (77761) | $2,594.80 | $2,594.80 | 3.8× |
| K Flow/Funct Image Multiple (78709) range across 2 matching MRF lines |
$3,345.01–$3,829.70 | $3,345.01–$3,829.70 | varies |
| K Flow/Funct Image W/O Drug (78707) | $2,350.02 | $2,350.02 | 3.5× |
| Knee 3 Views (73562) range across 4 matching MRF lines |
$574.38–$987.60 | $574.38–$987.60 | varies |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $3,049.57 | $3,049.57 | 6.1× |
| Lung perfusion differential (78597) | $4,012.21 | $4,012.21 | 8.0× |
| Lung Ventilat&Perfus Imaging (78582) range across 2 matching MRF lines |
$2,126.74–$2,434.90 | $2,126.74–$2,434.90 | varies |
| Lymph System Imaging (78195) range across 2 matching MRF lines |
$2,970.86–$3,401.34 | $2,970.86–$3,401.34 | varies |
| Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) | $4,264.32 | $4,264.32 | 1.1× |
| Magnetic Image Jaw Joint (70336) range across 2 matching MRF lines |
$4,379.38–$5,013.96 | $4,379.38–$5,013.96 | varies |
| Meckels Divert Exam (78290) | $1,749.41 | $1,749.41 | 3.5× |
| Mlc imrt design & construction per imrt plan (77338) | $6,774.85 | $6,774.85 | 14.5× |
| Mra Head W/O & W/Contrast Material (70546) range across 2 matching MRF lines |
$7,713.52–$8,253.47 | $7,713.52–$8,253.47 | varies |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$4,776.73–$5,468.88 | $4,776.73–$5,468.88 | varies |
| MRA head with contrast (70545) | $6,420.13 | $6,420.13 | 14.7× |
| MRA neck w contrast (70548) | $8,195.31 | $8,195.31 | 18.8× |
| Mra Neck W/O &W/Contrast Material (70549) | $11,873.23 | $11,873.23 | 27.3× |
| MRA neck w/o contrast (70547) range across 2 matching MRF lines |
$4,280.76–$4,901.04 | $4,280.76–$4,901.04 | varies |
| MRI abdomen w contrast (74182) | $8,388.47 | $8,388.47 | 19.3× |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$5,168.24–$5,917.12 | $5,168.24–$5,917.12 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 3 matching MRF lines |
$5,290.11–$17,854.20 | $5,290.11–$17,854.20 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 4 matching MRF lines |
$5,565.55–$20,870.89 | $5,565.55–$20,870.89 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 3 matching MRF lines |
$12,266.77–$28,088.45 | $12,266.77–$28,088.45 | varies |
| MRI Breast W/O Contrast Bilateral (77047) range across 2 matching MRF lines |
$1,014.32–$1,161.29 | $1,014.32–$1,161.29 | varies |
| MRI Breast Without Contrast Material Unilateral (77046) | $1,161.29 | $1,161.29 | 3.9× |
| MRI cervical spine w contrast (72142) | $7,557.28 | $7,557.28 | 17.4× |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$6,598.45–$7,554.56 | $6,598.45–$7,554.56 | varies |
| MRI chest w/o contrast (71550) range across 3 matching MRF lines |
$3,257.93–$3,730.01 | $3,257.93–$3,730.01 | varies |
| MRI chest with contrast (71551) | $4,312.64 | $4,312.64 | 4.4× |
| MRI chest wo w contrast (71552) range across 2 matching MRF lines |
$4,599.59–$5,266.07 | $4,599.59–$5,266.07 | varies |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 3 matching MRF lines |
$5,199.54–$13,225.35 | $5,199.54–$13,225.35 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 5 matching MRF lines |
$5,097.85–$13,913.92 | $5,097.85–$13,913.92 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 4 matching MRF lines |
$6,233.54–$7,932.78 | $6,233.54–$7,932.78 | varies |
| MRI lumbar spine w contrast (72149) | $7,583.86 | $7,583.86 | 17.4× |
| Mri Neck Spine W/O & W/Dye (72156) range across 3 matching MRF lines |
$9,347.07–$10,701.46 | $9,347.07–$10,701.46 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 3 matching MRF lines |
$4,683.18–$5,619.83 | $4,683.18–$5,619.83 | varies |
| MRI orbit face neck w contrast (70542) | $8,105.89 | $8,105.89 | 18.6× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 3 matching MRF lines |
$8,637.06–$9,888.57 | $8,637.06–$9,888.57 | varies |
| MRI pelvis w contrast (72196) | $8,275.44 | $8,275.44 | 19.0× |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$8,187.29–$9,373.63 | $8,187.29–$9,373.63 | varies |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$6,265.60–$7,173.48 | $6,265.60–$7,173.48 | varies |
| MRI spectroscopy (76390) | $6,845.41 | $6,845.41 | 63.0× |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$6,725.61–$7,700.15 | $6,725.61–$7,700.15 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 3 matching MRF lines |
$5,080.78–$12,701.98 | $5,080.78–$12,701.98 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 5 matching MRF lines |
$5,206.86–$12,701.98 | $5,206.86–$12,701.98 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 5 matching MRF lines |
$5,020.74–$14,370.57 | $5,020.74–$14,370.57 | varies |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$9,037.27–$10,346.77 | $9,037.27–$10,346.77 | varies |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$10,644.04–$12,186.36 | $10,644.04–$12,186.36 | varies |
| MRI, dorsal spine contrast (72147) | $8,198.39 | $8,198.39 | 18.8× |
| MRI, joint upper extrem (73221) range across 3 matching MRF lines |
$4,876.24–$11,304.37 | $4,876.24–$11,304.37 | varies |
| MRI, joint upper extrem combo (73223) range across 2 matching MRF lines |
$4,861.17–$5,565.55 | $4,861.17–$5,565.55 | varies |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$9,357.96–$10,713.93 | $9,357.96–$10,713.93 | varies |
| Myelogram cervical (72240) | $3,648.58 | $3,648.58 | 3.7× |
| Myelogram Lumbar (72265) | $3,648.58 | $3,648.58 | 3.7× |
| Myelography thoracic (72255) | $3,648.58 | $3,648.58 | 3.7× |
| Myelograpy 2/more regions rs&i (72270) | $3,648.58 | $3,648.58 | 3.7× |
| Myocardial Spect Multiple Studies (78452) range across 4 matching MRF lines |
$5,038.67–$6,653.56 | $5,038.67–$6,653.56 | varies |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$535.16–$612.70 | $535.16–$612.70 | varies |
| Ntsty modul radthx pln dose-vol histos (77301) | $15,656.88 | $15,656.88 | 9.1× |
| Nuclear Rx Oral Admin (79005) range across 2 matching MRF lines |
$2,524.68–$2,890.51 | $2,524.68–$2,890.51 | varies |
| Ob us nuchal meas 1 gest (76813) range across 2 matching MRF lines |
$397.48–$455.07 | $397.48–$455.07 | varies |
| Parathyroid imaging w/tomographic spect & CT (78072) | $2,119.07 | $2,119.07 | 3.1× |
| Parathyroid Planar Imaging (78070) range across 2 matching MRF lines |
$2,279.73–$2,610.06 | $2,279.73–$2,610.06 | varies |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$664.17–$760.41 | $664.17–$760.41 | varies |
| Pet Image Skull-Thigh (78812) | $7,226.01 | $7,226.01 | 4.0× |
| Pet Image W/Ct Lmtd (78814) | $7,226.01 | $7,226.01 | 4.0× |
| PET image w/CT, full body (78816) | $7,226.01 | $7,226.01 | 4.0× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $6,069.96 | $6,069.96 | 3.4× |
| Pulmonary Perfusion Imaging Particulate (78580) range across 2 matching MRF lines |
$1,256.78–$1,438.88 | $1,256.78–$1,438.88 | varies |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 3 matching MRF lines |
$638.59–$766.45 | $638.59–$766.45 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) | $1,681.11 | $1,681.11 | 2.5× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 4 matching MRF lines |
$544.83–$935.88 | $544.83–$935.88 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 4 matching MRF lines |
$567.89–$975.26 | $567.89–$975.26 | varies |
| Radex elbow complete minimum 3 views (73080) range across 4 matching MRF lines |
$520.58–$893.99 | $520.58–$893.99 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$589.70–$675.15 | $589.70–$675.15 | varies |
| Radex fingr minimum 2 views (73140) range across 3 matching MRF lines |
$499.96–$572.41 | $499.96–$572.41 | varies |
| Radex foot complete minimum 3 views (73630) range across 4 matching MRF lines |
$632.41–$1,086.09 | $632.41–$1,086.09 | varies |
| Radex Hand Minimum 3 Views (73130) range across 4 matching MRF lines |
$771.73–$1,326.86 | $771.73–$1,326.86 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $329.34 | $329.34 | 2.5× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 3 matching MRF lines |
$615.79–$705.02 | $615.79–$705.02 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 2 matching MRF lines |
$575.23–$658.59 | $575.23–$658.59 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 4 matching MRF lines |
$683.13–$938.34 | $683.13–$938.34 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$472.88–$505.98 | $472.88–$505.98 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$287.65–$329.34 | $287.65–$329.34 | varies |
| Radex Toe Minimum 2 Views (73660) range across 6 matching MRF lines |
$402.28–$860.88 | $402.28–$860.88 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$453.89–$1,039.32 | $453.89–$1,039.32 | varies |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $60,059.99 | $60,059.99 | 6.5× |
| Radiation treatment delivery level 1 (77402) | $615.54 | $615.54 | 4.8× |
| Radiation treatment delivery level 2 (77407) | $615.60 | $615.60 | 1.3× |
| Radiation treatment delivery level 3 (77412) | $1,188.09 | $1,188.09 | 1.7× |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$689.53–$789.45 | $689.53–$789.45 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $641.89 | $641.89 | 4.9× |
| Radiologic exam colon double contrast study (74280) | $1,812.65 | $1,812.65 | 8.3× |
| Radiologic exam colon single contrast study (74270) | $1,586.07 | $1,586.07 | 7.2× |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$621.68–$711.76 | $621.68–$711.76 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) | $1,387.33 | $1,387.33 | 6.3× |
| Radiologic exam swallow function contrast study (74230) range across 2 matching MRF lines |
$941.69–$1,007.61 | $941.69–$1,007.61 | varies |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$1,385.34–$1,586.07 | $1,385.34–$1,586.07 | varies |
| Radiologic examination femur 1 view (73551) range across 4 matching MRF lines |
$296.53–$356.46 | $296.53–$356.46 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 5 matching MRF lines |
$501.20–$859.52 | $501.20–$859.52 | varies |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$534.11–$611.51 | $534.11–$611.51 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $926.58 | $926.58 | 7.1× |
| Radiologic examination tibia & fibula 2 views (73590) range across 4 matching MRF lines |
$561.42–$963 | $561.42–$963 | varies |
| Renal Cyst Study (74470) | $4,579.25 | $4,579.25 | 6.7× |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$719.06–$823.25 | $719.06–$823.25 | varies |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $3,472.29 | $3,472.29 | 7.0× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $3,472.29 | $3,472.29 | 7.0× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $7,559.56 | $7,559.56 | 11.2× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) range across 2 matching MRF lines |
$3,090.81–$3,538.67 | $3,090.81–$3,538.67 | varies |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 2 matching MRF lines |
$4,549.23–$5,208.42 | $4,549.23–$5,208.42 | varies |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $6,789.75 | $6,789.75 | 3.8× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $5,985.40 | $5,985.40 | 3.7× |
| Salivary Gland Function Study (78232) | $1,749.41 | $1,749.41 | 3.5× |
| Salivary Gland Imaging Serial Images (78231) | $1,749.41 | $1,749.41 | 3.5× |
| Scapula (73010) range across 4 matching MRF lines |
$587.26–$673.31 | $587.26–$673.31 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 3 matching MRF lines |
$211.16–$241.76 | $211.16–$241.76 | varies |
| Shoulder Arthrography (73040) range across 2 matching MRF lines |
$1,678.94–$3,357.96 | $1,678.94–$3,357.96 | varies |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$968–$1,108.26 | $968–$1,108.26 | varies |
| Special dosimetry (77331) | $1,018.92 | $1,018.92 | 6.1× |
| Special Physics Consult (77370) | $1,968.02 | $1,968.02 | 11.7× |
| Special teletherapy port plan (77321) | $2,204.53 | $2,204.53 | 4.7× |
| Special treatment procedure (77470) | $2,576.57 | $2,576.57 | 3.7× |
| Stereotactic Body Radiation Delivery (77373) | $11,700.76 | $11,700.76 | 5.2× |
| Sternoclavicular joints (71130) range across 2 matching MRF lines |
$484–$554.13 | $484–$554.13 | varies |
| Telethx isodose pln cplx w/basic dosimetry (77307) range across 2 matching MRF lines |
$695.79–$2,552.54 | $695.79–$2,552.54 | varies |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $695.71 | $695.71 | 1.5× |
| Testicular Imaging W/Flow (78761) | $2,350.02 | $2,350.02 | 4.7× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) range across 2 matching MRF lines |
$6,490.57–$7,155.82 | $6,490.57–$7,155.82 | varies |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) range across 2 matching MRF lines |
$4,751.69–$5,238.76 | $4,751.69–$5,238.76 | varies |
| Ther rad simulaj-aided field setting simple (77280) range across 2 matching MRF lines |
$2,867.84–$3,161.79 | $2,867.84–$3,161.79 | varies |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$890.57–$1,019.61 | $890.57–$1,019.61 | varies |
| Thyroid Imaging With Vascular Flow (78013) | $1,544.18 | $1,544.18 | 3.1× |
| Thyroid Met Imaging Body (78018) range across 2 matching MRF lines |
$2,789.24–$3,193.40 | $2,789.24–$3,193.40 | varies |
| Thyroid Uptake Measurement (78012) | $819.91 | $819.91 | 1.6× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) range across 2 matching MRF lines |
$1,401.46–$1,604.53 | $1,401.46–$1,604.53 | varies |
| Tx Devices Design & Construction Complex (77334) range across 2 matching MRF lines |
$2,438.40–$3,091.55 | $2,438.40–$3,091.55 | varies |
| Tx devices design & construction intermediate (77333) range across 2 matching MRF lines |
$2,001.41–$2,206.60 | $2,001.41–$2,206.60 | varies |
| Tx devices design & construction simple (77332) range across 2 matching MRF lines |
$1,543.59–$1,701.82 | $1,543.59–$1,701.82 | varies |
| Ultrasound Breast Limited (76642) range across 4 matching MRF lines |
$492.36–$845.62 | $492.36–$845.62 | varies |
| Ultrasound elastography first target lesion (76982) | $566.67 | $566.67 | 4.3× |
| Ultrasound Elastography Parenchyma (76981) range across 2 matching MRF lines |
$494.95–$566.67 | $494.95–$566.67 | varies |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
$492.57–$563.94 | $492.57–$563.94 | varies |
| Ultrasound trgt dynamic microbubble 1st lesion (76978) | $1,016.08 | $1,016.08 | 2.3× |
| Ultrasound, abdomen limited (76705) range across 4 matching MRF lines |
$653.50–$2,506.08 | $653.50–$2,506.08 | varies |
| Umbilical-artery Doppler (OB) (76820) range across 2 matching MRF lines |
$397.48–$455.07 | $397.48–$455.07 | varies |
| Upper gi w/o kub (74240) range across 2 matching MRF lines |
$1,290.68–$1,477.70 | $1,290.68–$1,477.70 | varies |
| Urethrocystogram voiding (74455) range across 2 matching MRF lines |
$1,616.01–$1,850.17 | $1,616.01–$1,850.17 | varies |
| Us breast unilateral complete (76641) range across 4 matching MRF lines |
$492.36–$845.62 | $492.36–$845.62 | varies |
| Us chest (76604) range across 3 matching MRF lines |
$350.23–$1,135.74 | $350.23–$1,135.74 | varies |
| Us complete joint (76881) range across 2 matching MRF lines |
$574.56–$657.81 | $574.56–$657.81 | varies |
| Us exam, pelvic, limited (76857) range across 3 matching MRF lines |
$455.07–$1,158.37 | $455.07–$1,158.37 | varies |
| Us head (76506) range across 2 matching MRF lines |
$649.43–$743.53 | $649.43–$743.53 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$596.21–$682.60 | $596.21–$682.60 | varies |
| Us ob detailed single fetus (76811) range across 3 matching MRF lines |
$976.92–$1,118.47 | $976.92–$1,118.47 | varies |
| Us ob limited 1 or more fetuses (76815) range across 4 matching MRF lines |
$397.48–$892.64 | $397.48–$892.64 | varies |
| Us ob transvaginal (76817) range across 4 matching MRF lines |
$397.48–$1,516.37 | $397.48–$1,516.37 | varies |
| Us pelvic non ob complete (76856) range across 3 matching MRF lines |
$703.88–$1,536.83 | $703.88–$1,536.83 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 3 matching MRF lines |
$703.88–$1,927.17 | $703.88–$1,927.17 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 3 matching MRF lines |
$397.48–$581.30 | $397.48–$581.30 | varies |
| Us retroperitoneal complete (76770) range across 3 matching MRF lines |
$40–$1,954.82 | $40–$1,954.82 | varies |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$834.12–$954.99 | $834.12–$954.99 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$1,359.87–$1,556.91 | $1,359.87–$1,556.91 | varies |
| Us spinal canal and contents (76800) range across 2 matching MRF lines |
$657.83–$703.88 | $657.83–$703.88 | varies |
| Us thyroid (76536) range across 3 matching MRF lines |
$1,336.41–$16,411.36 | $1,336.41–$16,411.36 | varies |
| Us transrectal (76872) | $6,228.03 | $6,228.03 | 47.7× |
| Vascular Flow Imaging (78445) range across 2 matching MRF lines |
$1,328.47–$1,464.66 | $1,328.47–$1,464.66 | varies |
| Vein X-Ray Chest (75827) | $5,672.77 | $5,672.77 | 2.9× |
| Vein X-Ray Spleen/Liver (75810) | $14,815.17 | $14,815.17 | 3.8× |
| Venogram Sinus/Jugular (75860) | $5,254.01 | $5,254.01 | 1.3× |
| Venography caval inferior serialography rs&i (75825) range across 2 matching MRF lines |
$12,940.14–$14,815.17 | $12,940.14–$14,815.17 | varies |
| Venography extremity bilateral rs&i (75822) range across 2 matching MRF lines |
$4,589.06–$5,254.01 | $4,589.06–$5,254.01 | varies |
| Venography extremity unilateral rs&i (75820) | $5,254.01 | $5,254.01 | 2.7× |
| Venography Renal Unilateral (75831) | $14,815.17 | $14,815.17 | 3.8× |
| Wrist 2 views (73100) range across 3 matching MRF lines |
$453.89–$780.70 | $453.89–$780.70 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$287.65–$329.34 | $287.65–$329.34 | varies |
| X-ray antegrade pyelogram tube (74425) | $2,021.07 | $2,021.07 | 4.6× |
| X-Ray Aorta Leg Arteries (75630) range across 2 matching MRF lines |
$12,940.14–$14,815.17 | $12,940.14–$14,815.17 | varies |
| X-Ray Bend Only L-S Spine (72120) range across 2 matching MRF lines |
$1,021.80–$1,169.86 | $1,021.80–$1,169.86 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$373.19–$746.38 | $373.19–$746.38 | varies |
| X-Ray Exam Breast Specimen (76098) range across 2 matching MRF lines |
$2,599.48–$2,976.14 | $2,599.48–$2,976.14 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 2 matching MRF lines |
$311.35–$356.46 | $311.35–$356.46 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$515.62–$590.33 | $515.62–$590.33 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 2 matching MRF lines |
$593.13–$679.08 | $593.13–$679.08 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 2 matching MRF lines |
$311.35–$356.46 | $311.35–$356.46 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) | $590.33 | $590.33 | 4.5× |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 2 matching MRF lines |
$515.62–$590.33 | $515.62–$590.33 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) range across 2 matching MRF lines |
$983.02–$1,125.46 | $983.02–$1,125.46 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$1,058.37–$1,211.73 | $1,058.37–$1,211.73 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$655.85–$750.88 | $655.85–$750.88 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$1,069.12–$1,224.04 | $1,069.12–$1,224.04 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 2 matching MRF lines |
$1,017.52–$1,164.96 | $1,017.52–$1,164.96 | varies |
| X-ray humerus (73060) range across 4 matching MRF lines |
$544.21–$933.44 | $544.21–$933.44 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$624.91–$715.46 | $624.91–$715.46 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$804.51–$921.09 | $804.51–$921.09 | varies |
| X-ray nose-rectum child f.b. (76010) | $119.28 | $119.28 | 1.1× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 3 matching MRF lines |
$1,206.79–$1,381.66 | $1,206.79–$1,381.66 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$567.32–$649.52 | $567.32–$649.52 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$828.16–$948.16 | $828.16–$948.16 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$603.78–$691.26 | $603.78–$691.26 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$1,102.46–$1,262.20 | $1,102.46–$1,262.20 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 5 matching MRF lines |
$124.65–$5,402.64 | $124.65–$5,402.64 | varies |
| X-Rays Bone Length Studies (77073) range across 2 matching MRF lines |
$996–$1,140.32 | $996–$1,140.32 | varies |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$950.64–$1,088.38 | $950.64–$1,088.38 | varies |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$983.04–$1,125.48 | $983.04–$1,125.48 | varies |
| Xr facial bones less than 3 views (70140) | $593.44 | $593.44 | 5.5× |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$608.59–$696.77 | $608.59–$696.77 | 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.