Imaging prices at Cabell Huntington Hospital
Huntington, WV · every code in this section with a posted price and a Medicare benchmark.
384 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 3-D radiotherapy plan dose-volume histograms (77295) | $7,731.49 | $7,731.49 | 5.8× |
| Abdomen 1 View (74018) range across 8 matching MRF lines |
$432.85–$450.18 | $432.85–$450.18 | varies |
| Abdomen 2 views (74019) | $450.18 | $450.18 | 4.5× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $2,766.90 | $2,766.90 | 7.2× |
| Angio internal mammary (75756) | $6,501.14 | $6,501.14 | 2.1× |
| Angio pulmonary bilat (75743) range across 3 matching MRF lines |
$6,664.76–$20,254.51 | $6,664.76–$20,254.51 | varies |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $20,254.51 | $20,254.51 | 6.7× |
| Angiography extremity bilateral rs&i (75716) | $20,254.51 | $20,254.51 | 6.7× |
| Angiography extremity unilateral rs&i (75710) | $20,254.51 | $20,254.51 | 6.7× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $20,254.51 | $20,254.51 | 6.7× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $6,501.14 | $6,501.14 | 2.1× |
| Ankle 2 views (73600) range across 6 matching MRF lines |
$450.18–$900.37 | $450.18–$900.37 | varies |
| Aortography thoracic serialography rs&i (75605) | $20,254.51 | $20,254.51 | 3.8× |
| Aortography thoracic w/o serialography rs&i (75600) | $20,254.51 | $20,254.51 | 6.7× |
| Artery X-Rays Abdomen (75726) | $35,483.32 | $35,483.32 | 6.6× |
| Artery X-Rays Adrenal Gland (75731) | $20,254.51 | $20,254.51 | 6.7× |
| Artery X-Rays Pelvis (75736) | $20,254.51 | $20,254.51 | 3.8× |
| Artery X-Rays Spine (75705) | $35,483.32 | $35,483.32 | 6.6× |
| Arthrogram ankle (73615) | $2,667.57 | $2,667.57 | 8.0× |
| Arthrogram hip (73525) range across 8 matching MRF lines |
$2,667.57–$5,335.15 | $2,667.57–$5,335.15 | varies |
| Arthrogram Wrist (73115) range across 3 matching MRF lines |
$2,667.57–$5,335.15 | $2,667.57–$5,335.15 | varies |
| Basic radiation dosimetry calculation (77300) | $675.26 | $675.26 | 5.2× |
| Bone age studies (77072) | $450.18 | $450.18 | 4.5× |
| Bone Imaging 3 Phase (78315) | $2,768.07 | $2,768.07 | 7.2× |
| Bone Imaging Limited Area (78300) | $2,768.07 | $2,768.07 | 7.2× |
| Bone Imaging Whole Body (78306) | $2,768.07 | $2,768.07 | 7.2× |
| Bone marrow imaging; whole body (78104) | $944.73 | $944.73 | 2.5× |
| Bone survey infant (77076) | $714.65 | $714.65 | 7.1× |
| Brachytx isodose complex (77318) | $1,785.43 | $1,785.43 | 5.0× |
| Brachytx isodose intermed (77317) | $1,421.65 | $1,421.65 | 4.0× |
| Brachytx Isodose Plan Simple (77316) | $827.48 | $827.48 | 2.3× |
| Brain Flow Imaging Only (78610) | $4,555.85 | $4,555.85 | 8.7× |
| Brain Imaging Minimum 4 Static Views (78605) | $4,555.85 | $4,555.85 | 8.7× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $20,033.84 | $20,033.84 | 14.6× |
| Card Bl Pool Gated Spect Rest Wal Motn Ejct Frct (78494) | $3,274.38 | $3,274.38 | 8.5× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $6,028.05 | $6,028.05 | 18.0× |
| Cat Scan Follow-Up Study (76380) | $1,216.84 | $1,216.84 | 14.6× |
| Chest 1 view (71045) range across 12 matching MRF lines |
$27.71–$450.18 | $27.71–$450.18 | varies |
| Chest 2 views (71046) range across 6 matching MRF lines |
$432.85–$450.18 | $432.85–$450.18 | varies |
| Chest 3 views (71047) | $450.18 | $450.18 | 5.4× |
| Chest 4 or more views (71048) | $450.18 | $450.18 | 4.5× |
| Chg us nrv&acc strux 1 xtr compre w/img pr extremity (76883) range across 2 matching MRF lines |
$111.88–$791.34 | $111.88–$791.34 | varies |
| Clavicle complete (73000) range across 5 matching MRF lines |
$450.18–$900.37 | $450.18–$900.37 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $155.96 | $155.96 | 1.6× |
| Continuing medical physics consltj pr wk (77336) | $1,632.93 | $1,632.93 | 12.7× |
| Contrast Exam Abdominl Aorta (75625) range across 4 matching MRF lines |
$17,820.85–$20,254.51 | $17,820.85–$20,254.51 | varies |
| Contrast X-Ray Bladder (74430) | $2,025.80 | $2,025.80 | 6.1× |
| Contrast X-Ray Of Elbow (73085) range across 3 matching MRF lines |
$2,667.57–$5,335.15 | $2,667.57–$5,335.15 | varies |
| Contrast X-Ray Of Knee Joint (73580) range across 3 matching MRF lines |
$2,667.57–$5,335.15 | $2,667.57–$5,335.15 | varies |
| Corpora cavernosography (74445) | $2,025.80 | $2,025.80 | 20.2× |
| CT abdomen and pelvis without and with contrast (74178) | $5,963.99 | $5,963.99 | 17.8× |
| CT abdomen and pelvis without contrast (74176) | $3,696.33 | $3,696.33 | 16.1× |
| CT abdomen w contrast (74160) | $3,806.53 | $3,806.53 | 22.6× |
| CT abdomen w wo contrast (74170) | $4,285.80 | $4,285.80 | 25.5× |
| CT abdomen w/o contrast (74150) | $1,933.23 | $1,933.23 | 19.3× |
| CT Angio Abdomen and Pelvis (74174) | $5,963.99 | $5,963.99 | 17.8× |
| CT Angio Chest (71275) | $4,463.59 | $4,463.59 | 26.5× |
| CT Angio Head (70496) range across 2 matching MRF lines |
$4,463.59–$6,767.37 | $4,463.59–$6,767.37 | varies |
| CT angio hrt w/3d image (75574) | $3,838.57 | $3,838.57 | 11.5× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $4,463.59 | $4,463.59 | 26.5× |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$4,463.59–$6,767.37 | $4,463.59–$6,767.37 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $4,463.59 | $4,463.59 | 26.5× |
| CT cervical spine w/ contrast (72126) | $3,806.53 | $3,806.53 | 11.4× |
| CT cervical spine w/o contrast (72125) | $1,933.23 | $1,933.23 | 19.3× |
| CT cervical spine w/wo cont (72127) | $4,285.80 | $4,285.80 | 25.5× |
| CT chest w contrast (71260) | $3,806.53 | $3,806.53 | 22.6× |
| CT chest w/wo contrast (71270) | $4,285.80 | $4,285.80 | 25.5× |
| CT colonography screening (74263) | $5,730.38 | $5,730.38 | 25.0× |
| CT colonogrphy dx image postprocess w/o contrast (74261) | $1,933.23 | $1,933.23 | 19.3× |
| CT head/brain with contrast (70460) | $3,806.53 | $3,806.53 | 22.6× |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$4,130.90–$4,285.80 | $4,130.90–$4,285.80 | varies |
| CT heart contrast eval cardiac structure&morph (75572) | $3,838.57 | $3,838.57 | 11.5× |
| CT heart no contrast quant eval coronry calcium (75571) range across 3 matching MRF lines |
$82.29–$337.92 | $82.29–$337.92 | varies |
| CT iac w contrast (70481) | $3,806.53 | $3,806.53 | 22.6× |
| CT l-spine w&w/o contrast (72133) | $4,285.80 | $4,285.80 | 25.5× |
| CT lower ext w/o (73700) range across 3 matching MRF lines |
$1,933.23–$3,867.65 | $1,933.23–$3,867.65 | varies |
| CT lower extremity w/contrast material (73701) range across 3 matching MRF lines |
$3,806.53–$7,613.37 | $3,806.53–$7,613.37 | varies |
| CT lumbar spine w contrast (72132) | $3,806.53 | $3,806.53 | 11.4× |
| CT lumbar spine w/o contrast (72131) | $1,933.23 | $1,933.23 | 19.3× |
| CT maxillofacial w contrast (70487) | $3,806.53 | $3,806.53 | 22.6× |
| CT maxillofacial wo contrast (70486) | $1,933.23 | $1,933.23 | 19.3× |
| CT neck tissue combo (70492) | $4,285.80 | $4,285.80 | 25.5× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $4,285.80 | $4,285.80 | 25.5× |
| CT orbits w/o contrast (70480) | $1,933.23 | $1,933.23 | 19.3× |
| CT pelvis w&w/o contrast (72194) | $4,285.80 | $4,285.80 | 25.5× |
| CT pelvis w/o contrast (72192) | $1,933.23 | $1,933.23 | 19.3× |
| CT scan of leg combo (73702) range across 3 matching MRF lines |
$4,285.80–$8,572.79 | $4,285.80–$8,572.79 | varies |
| CT scans face/jaw combo (70488) | $4,285.80 | $4,285.80 | 25.5× |
| CT soft tissue neck w contrast (70491) | $4,285.80 | $4,285.80 | 25.5× |
| CT soft tissue neck w/o contrast (70490) | $1,933.23 | $1,933.23 | 19.3× |
| CT thoracic spine w contrast (72129) | $3,806.53 | $3,806.53 | 22.6× |
| CT thoracic spine w/o contrast (72128) | $1,933.23 | $1,933.23 | 19.3× |
| CT thoracic spine w/wo cont (72130) | $4,285.80 | $4,285.80 | 25.5× |
| CT thorax w/o contrast (71250) | $1,933.23 | $1,933.23 | 19.3× |
| CT upper ext wo (73200) | $1,933.23 | $1,933.23 | 19.3× |
| CT upper extremity w/o & w/contrast material (73202) | $4,285.80 | $4,285.80 | 25.5× |
| CT upper extremity with contrast (73201) | $3,806.53 | $3,806.53 | 11.4× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $4,463.59 | $4,463.59 | 26.5× |
| Cta Abdomen (74175) | $4,463.59 | $4,463.59 | 26.5× |
| CTA pelvis (72191) | $4,463.59 | $4,463.59 | 26.5× |
| Dilation ureters/urethra rs&i (74485) range across 7 matching MRF lines |
$9,471.39–$18,942.17 | $9,471.39–$18,942.17 | varies |
| Discography Cerv/Thor Spine (72285) range across 3 matching MRF lines |
$21,704.96–$42,205.72 | $21,704.96–$42,205.72 | varies |
| Diskography lumbar (72295) | $25,491.81 | $25,491.81 | 13.6× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) | $563.61 | $563.61 | 5.6× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $549.50 | $549.50 | 5.5× |
| Doppler Fetal Mid Cerebral Artery (76821) | $495.13 | $495.13 | 4.9× |
| Dxa Bone Density Axial (77080) | $708.48 | $708.48 | 7.1× |
| Dxa bone density study (77085) | $708.48 | $708.48 | 7.1× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $438.13 | $438.13 | 5.2× |
| Echo exam of fetal heart (76825) range across 3 matching MRF lines |
$747.27–$1,503.92 | $747.27–$1,503.92 | varies |
| Echo Guide For Artery Repair (76936) | $1,030.53 | $1,030.53 | 5.0× |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) | $523.05 | $523.05 | 2.3× |
| Esophagram (74220) | $801.04 | $801.04 | 4.8× |
| Fetal Biophys Profile W/Nst (76818) | $1,255.32 | $1,255.32 | 12.5× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $1,255.32 | $1,255.32 | 12.5× |
| Fluoroscopy up to 1 hr (76000) range across 10 matching MRF lines |
$1,350.24–$1,388.15 | $1,350.24–$1,388.15 | varies |
| Follow-Up Angiography (75898) | $6,501.14 | $6,501.14 | 2.1× |
| Foot 2 views (73620) range across 5 matching MRF lines |
$450.18–$900.37 | $450.18–$900.37 | varies |
| Forearm 2 views (73090) range across 5 matching MRF lines |
$450.18–$900.37 | $450.18–$900.37 | varies |
| Gastric emptying imaging study (78264) | $2,766.90 | $2,766.90 | 7.2× |
| Gastric Mucosa Imaging (78261) | $2,766.90 | $2,766.90 | 7.2× |
| Gastroesophageal Reflux Exam (78262) | $2,766.90 | $2,766.90 | 7.2× |
| Gated Heart Planar Single (78472) range across 2 matching MRF lines |
$603.28–$3,274.38 | $603.28–$3,274.38 | varies |
| Hand 2 views (73120) range across 6 matching MRF lines |
$450.18–$900.37 | $450.18–$900.37 | varies |
| Hdr Rdncl Ntrstl/Icav Brchtx (77772) | $8,116.73 | $8,116.73 | 12.1× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) | $8,116.73 | $8,116.73 | 12.1× |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) | $3,955.22 | $3,955.22 | 5.9× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $20,254.51 | $20,254.51 | 6.7× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $20,254.51 | $20,254.51 | 6.7× |
| Hepatobil Syst Image W/Drug (78227) | $3,182.99 | $3,182.99 | 6.1× |
| Hepatobiliary System Imaging (78226) | $3,182.99 | $3,182.99 | 8.3× |
| Ht Muscle Image Spect Sing (78451) range across 2 matching MRF lines |
$1,718.15–$9,857.22 | $1,718.15–$9,857.22 | varies |
| Hysterosalpingogram (74740) | $2,499.20 | $2,499.20 | 10.9× |
| Image fusion (77399) | $374.66 | $374.66 | 2.9× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $791.34 | $791.34 | 9.5× |
| Infant hip ultrasound, limited static exam (76886) | $791.34 | $791.34 | 9.5× |
| Joint Survey Single View (77077) | $450.18 | $450.18 | 4.5× |
| K Flow/Funct Image W/Drug (78708) | $3,563.52 | $3,563.52 | 6.8× |
| K Flow/Funct Image W/O Drug (78707) | $3,563.52 | $3,563.52 | 6.8× |
| Kidney Imaging Morphol (78700) | $2,848.78 | $2,848.78 | 7.4× |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$450.18–$900.37 | $450.18–$900.37 | varies |
| Leveen/Shunt Patency Exam (78291) | $2,766.90 | $2,766.90 | 7.2× |
| Liver & Spleen Imaging Static Only (78215) | $3,182.99 | $3,182.99 | 8.3× |
| Liver imaging static only (78201) | $3,182.99 | $3,182.99 | 6.1× |
| Liver imaging w/vascular flow (78202) | $3,182.99 | $3,182.99 | 6.1× |
| Lung Perf&Ventilat Diferentl (78598) | $6,296.92 | $6,296.92 | 12.1× |
| Lung perfusion differential (78597) | $2,615.26 | $2,615.26 | 6.8× |
| Lung Ventilat&Perfus Imaging (78582) | $3,682.23 | $3,682.23 | 7.1× |
| Lung Ventilation Imaging (78579) | $2,615.26 | $2,615.26 | 6.8× |
| Lymph System Imaging (78195) | $2,959.95 | $2,959.95 | 5.7× |
| Lymphangiography Extremity Only Bilateral Rs&I (75803) | $5,807.08 | $5,807.08 | 3.8× |
| Lymphangiography extremity only unilateral rs&i (75801) | $2,499.20 | $2,499.20 | 4.2× |
| Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) | $11,614.73 | $11,614.73 | 3.8× |
| Lymphangiography, pelvic/abdominal, unilateral (75805) | $5,807.08 | $5,807.08 | 1.9× |
| Magnetic Image Jaw Joint (70336) | $3,604.67 | $3,604.67 | 15.7× |
| Mammary ductogram or galactogram multiple (77054) | $1,051.98 | $1,051.98 | 4.6× |
| Mammary ductogram or galactogram single (77053) | $795.44 | $795.44 | 3.5× |
| Meckels Divert Exam (78290) | $2,766.90 | $2,766.90 | 7.2× |
| Mlc imrt design & construction per imrt plan (77338) | $793.97 | $793.97 | 2.2× |
| Mr safety determination physician/other qhp (76016) | $221.36 | $221.36 | 2.7× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $61.57 | $61.57 | 2.2× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) | $230.76 | $230.76 | 2.5× |
| Mra Head W/O & W/Contrast Material (70546) | $6,028.05 | $6,028.05 | 18.0× |
| MRA head w/o contrast (70544) | $3,604.67 | $3,604.67 | 15.7× |
| MRA head with contrast (70545) | $5,215.84 | $5,215.84 | 15.6× |
| MRA neck w contrast (70548) | $5,215.84 | $5,215.84 | 15.6× |
| Mra Neck W/O &W/Contrast Material (70549) | $6,028.05 | $6,028.05 | 18.0× |
| MRA neck w/o contrast (70547) | $3,604.67 | $3,604.67 | 15.7× |
| MRI abdomen w contrast (74182) | $5,215.84 | $5,215.84 | 15.6× |
| MRI abdomen w/o contrast (74181) | $3,604.67 | $3,604.67 | 15.7× |
| MRI any jt lower extrem w/contrast material (73722) | $5,215.84 | $5,215.84 | 6.9× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $6,028.05 | $6,028.05 | 18.0× |
| MRI any jt upper extremity w/contrast matrl (73222) | $5,215.84 | $5,215.84 | 6.9× |
| MRI bone marrow blood supply (77084) | $3,604.67 | $3,604.67 | 15.7× |
| MRI brain functional w/o physician admnistration (70554) | $3,604.67 | $3,604.67 | 15.7× |
| MRI brain functional w/physician admnistration (70555) | $3,604.67 | $3,604.67 | 15.7× |
| MRI Breast W/O Contrast Bilateral (77047) | $6,472.35 | $6,472.35 | 28.3× |
| MRI Breast Without Contrast Material Unilateral (77046) | $4,771.83 | $4,771.83 | 20.8× |
| MRI cardiac w/o contrast (75557) | $3,604.67 | $3,604.67 | 15.7× |
| MRI cervical spine w contrast (72142) range across 2 matching MRF lines |
$2,607.93–$5,215.84 | $2,607.93–$5,215.84 | varies |
| MRI cervical spine w/o cont (72141) range across 6 matching MRF lines |
$1,802.49–$3,604.67 | $1,802.49–$3,604.67 | varies |
| MRI chest w/o contrast (71550) range across 2 matching MRF lines |
$3,474.37–$3,604.67 | $3,474.37–$3,604.67 | varies |
| MRI chest with contrast (71551) range across 2 matching MRF lines |
$5,027.32–$5,215.84 | $5,027.32–$5,215.84 | varies |
| MRI chest wo w contrast (71552) range across 2 matching MRF lines |
$5,810.17–$6,028.05 | $5,810.17–$6,028.05 | varies |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $5,215.84 | $5,215.84 | 15.6× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 9 matching MRF lines |
$6,028.05–$12,055.79 | $6,028.05–$12,055.79 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 9 matching MRF lines |
$3,604.67–$7,209.03 | $3,604.67–$7,209.03 | varies |
| MRI lumbar spine w contrast (72149) range across 2 matching MRF lines |
$2,607.93–$5,215.84 | $2,607.93–$5,215.84 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 3 matching MRF lines |
$3,014.02–$6,028.05 | $3,014.02–$6,028.05 | varies |
| MRI orbit face &/neck w/o contrast (70540) | $3,604.67 | $3,604.67 | 15.7× |
| MRI orbit face neck w contrast (70542) | $5,215.84 | $5,215.84 | 15.6× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $6,028.05 | $6,028.05 | 18.0× |
| MRI pelvis w contrast (72196) | $5,215.84 | $5,215.84 | 15.6× |
| MRI pelvis w/o & w contrast (72197) | $6,028.05 | $6,028.05 | 18.0× |
| MRI pelvis w/o contrast (72195) | $3,604.67 | $3,604.67 | 15.7× |
| MRI spectroscopy (76390) | $4,565.84 | $4,565.84 | 54.7× |
| MRI thoracic spine w/o contrast (72146) range across 3 matching MRF lines |
$1,802.49–$3,604.67 | $1,802.49–$3,604.67 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) | $5,215.84 | $5,215.84 | 15.6× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $3,604.67 | $3,604.67 | 15.7× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $6,028.05 | $6,028.05 | 18.0× |
| MRI, abdomen, combo (74183) | $6,028.05 | $6,028.05 | 18.0× |
| MRI, dorsal spine combo (72157) range across 4 matching MRF lines |
$2,773.35–$6,028.05 | $2,773.35–$6,028.05 | varies |
| MRI, dorsal spine contrast (72147) range across 2 matching MRF lines |
$2,607.93–$5,215.84 | $2,607.93–$5,215.84 | varies |
| MRI, joint upper extrem (73221) | $3,604.67 | $3,604.67 | 15.7× |
| MRI, joint upper extrem combo (73223) | $6,028.05 | $6,028.05 | 18.0× |
| MRI, lumbar spine combo (72158) range across 3 matching MRF lines |
$3,014.02–$6,028.05 | $3,014.02–$6,028.05 | varies |
| Myelogram cervical (72240) | $4,696.61 | $4,696.61 | 6.2× |
| Myelogram Lumbar (72265) | $4,696.61 | $4,696.61 | 6.2× |
| Myelography thoracic (72255) | $4,696.61 | $4,696.61 | 6.2× |
| Myelograpy 2/more regions rs&i (72270) | $4,696.61 | $4,696.61 | 6.2× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $3,274.38 | $3,274.38 | 8.5× |
| Myocardial Spect Multiple Studies (78452) range across 5 matching MRF lines |
$1,814.23–$9,857.22 | $1,814.23–$9,857.22 | varies |
| Neck soft tissue (70360) | $450.18 | $450.18 | 5.4× |
| Nfs/Instlj Radioelmnt Sln 3 Mo Follow-Up Care (77750) | $586.23 | $586.23 | 1.6× |
| Nm csf leak detection (78650) | $4,555.85 | $4,555.85 | 3.7× |
| Nonvascular Shunt X-Ray (75809) | $714.65 | $714.65 | 7.1× |
| Ntsty modul radthx pln dose-vol histos (77301) | $18,656.84 | $18,656.84 | 14.1× |
| Nuclear Rx Intra-Arterial (79445) | $2,011.12 | $2,011.12 | 9.0× |
| Nuclear Rx Oral Admin (79005) range across 2 matching MRF lines |
$385.24–$2,185.66 | $385.24–$2,185.66 | varies |
| Ob us nuchal meas 1 gest (76813) range across 2 matching MRF lines |
$296.80–$594.46 | $296.80–$594.46 | varies |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) | $1,255.32 | $1,255.32 | 12.5× |
| Panoramic X-ray of jaws (70355) | $335.58 | $335.58 | 4.0× |
| Parathyroid Planar Imaging (78070) | $2,451.60 | $2,451.60 | 6.4× |
| Parathyroid planar imaging w/wo subtraction (78071) | $6,312.19 | $6,312.19 | 16.5× |
| Pelvis 1 or 2 views (72170) | $450.18 | $450.18 | 4.5× |
| Peritoneogram Rs&I (74190) | $5,807.08 | $5,807.08 | 11.1× |
| Pet Image W/Ct Lmtd (78814) | $20,033.84 | $20,033.84 | 14.6× |
| PET image w/CT, full body (78816) range across 6 matching MRF lines |
$18,701.91–$20,033.84 | $18,701.91–$20,033.84 | varies |
| PET imaging CT attenuation skull base mid-thigh (78815) | $20,033.84 | $20,033.84 | 14.6× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $20,254.51 | $20,254.51 | 6.7× |
| Pulmonary Perfusion Imaging Particulate (78580) | $2,615.26 | $2,615.26 | 6.8× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $714.65 | $714.65 | 7.1× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $2,499.20 | $2,499.20 | 4.8× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$450.18–$900.37 | $450.18–$900.37 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$450.18–$900.37 | $450.18–$900.37 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$450.18–$900.37 | $450.18–$900.37 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $714.65 | $714.65 | 7.1× |
| Radex fingr minimum 2 views (73140) range across 5 matching MRF lines |
$450.18–$900.37 | $450.18–$900.37 | varies |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$450.18–$900.37 | $450.18–$900.37 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$450.18–$900.37 | $450.18–$900.37 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 5 matching MRF lines |
$450.18–$900.37 | $450.18–$900.37 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $450.18 | $450.18 | 4.5× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $450.18 | $450.18 | 5.4× |
| Radex Ribs Unilateral 2 Views (71100) | $450.18 | $450.18 | 5.4× |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$450.18–$900.37 | $450.18–$900.37 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $450.18 | $450.18 | 5.4× |
| Radex Spine 1 View Specify Level (72020) | $450.18 | $450.18 | 5.4× |
| Radex Sternum Minimum 2 Views (71120) | $450.18 | $450.18 | 5.4× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $450.18 | $450.18 | 5.4× |
| Radex Toe Minimum 2 Views (73660) range across 5 matching MRF lines |
$450.18–$900.37 | $450.18–$900.37 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 5 matching MRF lines |
$714.65–$1,429.28 | $714.65–$1,429.28 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$450.18–$900.37 | $450.18–$900.37 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $401.32 | $401.32 | 4.0× |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $20,054.12 | $20,054.12 | 2.8× |
| Radiation treatment delivery level 1 (77402) | $1,207.72 | $1,207.72 | 12.3× |
| Radiation treatment delivery level 2 (77407) | $1,606.48 | $1,606.48 | 4.3× |
| Radiation treatment delivery level 3 (77412) | $2,064.30 | $2,064.30 | 3.9× |
| Radiolog exam mandible compl minimum 4 views (70110) | $714.65 | $714.65 | 7.1× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $714.65 | $714.65 | 7.1× |
| Radiologic exam colon double contrast study (74280) | $1,188.91 | $1,188.91 | 7.1× |
| Radiologic exam colon single contrast study (74270) | $1,188.91 | $1,188.91 | 7.1× |
| Radiologic exam knee complete 4/more views (73564) range across 8 matching MRF lines |
$450.18–$900.37 | $450.18–$900.37 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $450.18 | $450.18 | 4.5× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $801.04 | $801.04 | 4.8× |
| Radiologic exam swallow function contrast study (74230) | $801.04 | $801.04 | 4.8× |
| Radiologic exam upr gi trc double contrast study (74246) | $1,188.91 | $1,188.91 | 7.1× |
| Radiologic examination femur minimum 2 views (73552) range across 5 matching MRF lines |
$450.18–$900.37 | $450.18–$900.37 | varies |
| Radiologic examination knee 1/2 views (73560) range across 6 matching MRF lines |
$450.18–$900.37 | $450.18–$900.37 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $714.65 | $714.65 | 7.1× |
| Radiologic examination tibia & fibula 2 views (73590) range across 5 matching MRF lines |
$450.18–$900.37 | $450.18–$900.37 | varies |
| Ribs bilateral 3 views (71110) | $714.65 | $714.65 | 7.1× |
| Rp loclzj tum plnr 1 area single day imaging (78800) range across 2 matching MRF lines |
$3,271.14–$5,613.72 | $3,271.14–$5,613.72 | varies |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $3,271.14 | $3,271.14 | 8.5× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) range across 2 matching MRF lines |
$5,613.72–$9,890.41 | $5,613.72–$9,890.41 | varies |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $5,613.72 | $5,613.72 | 10.8× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 7 matching MRF lines |
$2,768.07–$9,890.41 | $2,768.07–$9,890.41 | varies |
| Rp Therapy Intravenous Administration (79101) | $2,185.66 | $2,185.66 | 9.8× |
| Salivary Gland Imaging (78230) | $2,766.90 | $2,766.90 | 7.2× |
| Scapula (73010) range across 3 matching MRF lines |
$450.18–$900.37 | $450.18–$900.37 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $40.85 | $40.85 | 1.7× |
| Shoulder 1 view (73020) range across 5 matching MRF lines |
$450.18–$900.37 | $450.18–$900.37 | varies |
| Shoulder Arthrography (73040) range across 9 matching MRF lines |
$2,667.57–$5,335.15 | $2,667.57–$5,335.15 | varies |
| Skull less than 4 views (70250) | $450.18 | $450.18 | 4.5× |
| Special dosimetry (77331) | $842.76 | $842.76 | 6.5× |
| Special Physics Consult (77370) | $1,124.85 | $1,124.85 | 8.7× |
| Special teletherapy port plan (77321) | $2,015.52 | $2,015.52 | 5.6× |
| Special treatment procedure (77470) | $3,301.11 | $3,301.11 | 6.2× |
| Stereotactic Body Radiation Delivery (77373) | $7,792.92 | $7,792.92 | 4.5× |
| Sternoclavicular joints (71130) | $450.18 | $450.18 | 5.4× |
| Superior sagittal sinus venogram (75870) | $2,499.20 | $2,499.20 | 0.8× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $3,072.51 | $3,072.51 | 8.6× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $904.17 | $904.17 | 2.5× |
| Temporomandble Jt Arthrography Rs&I (70332) | $2,667.57 | $2,667.57 | 11.7× |
| Testicular Imaging W/Flow (78761) | $3,563.52 | $3,563.52 | 9.3× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) range across 2 matching MRF lines |
$2,306.14–$3,726.31 | $2,306.14–$3,726.31 | varies |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $1,347.60 | $1,347.60 | 3.8× |
| Ther rad simulaj-aided field setting simple (77280) | $903.30 | $903.30 | 7.0× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $1,188.91 | $1,188.91 | 7.1× |
| Thoracic spine 3 views (72072) | $714.65 | $714.65 | 7.1× |
| Thoracolumbar 2 views (72080) | $450.18 | $450.18 | 5.4× |
| Thyroid Imaging With Vascular Flow (78013) | $6,312.19 | $6,312.19 | 16.5× |
| Thyroid Uptake Measurement (78012) | $1,199.79 | $1,199.79 | 3.1× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $2,451.60 | $2,451.60 | 6.4× |
| Tx Devices Design & Construction Complex (77334) | $1,643.51 | $1,643.51 | 4.6× |
| Tx devices design & construction intermediate (77333) | $1,347.60 | $1,347.60 | 10.5× |
| Tx devices design & construction simple (77332) | $975.59 | $975.59 | 7.6× |
| Ultrasound Breast Limited (76642) | $776.64 | $776.64 | 9.3× |
| Ultrasound Exam Aaa Screen (76706) | $1,255.32 | $1,255.32 | 12.5× |
| Ultrasound, abdomen limited (76705) | $1,255.32 | $1,255.32 | 12.5× |
| Umbilical-artery Doppler (OB) (76820) | $791.34 | $791.34 | 7.9× |
| Unlisted Dx Radiographic Procedure (76499) | $450.18 | $450.18 | 5.4× |
| Unlisted Miscellaneous Px Dx Nuclear Medicine (78999) | $5,613.72 | $5,613.72 | 14.6× |
| Unlisted Procedure Clinical Brachytherapy (77799) | $1,451.63 | $1,451.63 | 14.8× |
| Unlisted us procedure (76999) | $488.67 | $488.67 | 5.9× |
| Upper gi w/o kub (74240) | $1,188.91 | $1,188.91 | 7.1× |
| Ureteral Reflux Study (78740) | $3,563.52 | $3,563.52 | 9.3× |
| Urethrocystogram voiding (74455) | $2,025.80 | $2,025.80 | 8.9× |
| Urethrocystography retrograde (74450) | $2,025.80 | $2,025.80 | 8.9× |
| Us breast unilateral complete (76641) | $776.64 | $776.64 | 7.7× |
| Us chest (76604) | $791.34 | $791.34 | 7.9× |
| Us complete joint (76881) range across 3 matching MRF lines |
$2,510.06–$5,020.44 | $2,510.06–$5,020.44 | varies |
| Us exam, pelvic, limited (76857) | $791.34 | $791.34 | 7.9× |
| Us head (76506) | $791.34 | $791.34 | 7.9× |
| Us kidney transplant (76776) | $1,145.13 | $1,145.13 | 11.4× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 8 matching MRF lines |
$791.34–$1,581.51 | $791.34–$1,581.51 | varies |
| Us ob detailed single fetus (76811) | $1,776.33 | $1,776.33 | 7.8× |
| Us ob limited 1 or more fetuses (76815) | $791.34 | $791.34 | 7.9× |
| Us ob transvaginal (76817) | $801.34 | $801.34 | 8.0× |
| Us pelvic non ob complete (76856) range across 3 matching MRF lines |
$1,255.32–$2,061.06 | $1,255.32–$2,061.06 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 3 matching MRF lines |
$441.07–$1,472.77 | $441.07–$1,472.77 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $801.34 | $801.34 | 8.0× |
| Us retroperitoneal complete (76770) | $1,255.32 | $1,255.32 | 12.5× |
| Us retroperitoneal limited (76775) | $1,255.32 | $1,255.32 | 12.5× |
| Us scrotum and contents (76870) | $1,255.32 | $1,255.32 | 12.5× |
| Us spinal canal and contents (76800) | $791.34 | $791.34 | 7.9× |
| Us thyroid (76536) | $1,255.32 | $1,255.32 | 12.5× |
| Us transrectal (76872) | $231.50 | $231.50 | 2.3× |
| Vasogram (74440) | $2,025.80 | $2,025.80 | 8.9× |
| Vein X-Ray Chest (75827) | $6,501.14 | $6,501.14 | 4.3× |
| Vein X-Ray Liver W/O Hemodyn (75887) | $6,501.14 | $6,501.14 | 2.1× |
| Vein X-Ray Spleen/Liver (75810) | $20,254.51 | $20,254.51 | 6.7× |
| Venogram Sinus/Jugular (75860) | $6,501.14 | $6,501.14 | 2.1× |
| Venography Adrenal Unilateral (75840) | $20,254.51 | $20,254.51 | 6.7× |
| Venography caval inferior serialography rs&i (75825) range across 3 matching MRF lines |
$6,664.76–$20,254.51 | $6,664.76–$20,254.51 | varies |
| Venography extremity bilateral rs&i (75822) | $5,807.08 | $5,807.08 | 3.8× |
| Venography extremity unilateral rs&i (75820) | $6,501.14 | $6,501.14 | 4.3× |
| Venography Renal Bilateral (75833) | $20,254.51 | $20,254.51 | 6.7× |
| Venography Renal Unilateral (75831) | $20,254.51 | $20,254.51 | 6.7× |
| Venous sampling by catheter (75893) | $20,254.51 | $20,254.51 | 3.8× |
| Wrist 2 views (73100) range across 5 matching MRF lines |
$450.18–$900.37 | $450.18–$900.37 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $450.18 | $450.18 | 5.4× |
| X-ray antegrade pyelogram tube (74425) | $2,025.80 | $2,025.80 | 6.1× |
| X-Ray Aorta Leg Arteries (75630) | $20,254.51 | $20,254.51 | 6.7× |
| X-Ray Bend Only L-S Spine (72120) | $714.65 | $714.65 | 7.1× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $450.18 | $450.18 | 5.4× |
| X-Ray Exam Breast Specimen (76098) | $548.91 | $548.91 | 1.0× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $450.18 | $450.18 | 4.5× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $540.23 | $540.23 | 5.4× |
| X-Ray Exam Hip Uni 1 View (73501) | $450.18 | $450.18 | 5.4× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $450.18 | $450.18 | 5.4× |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$638.82–$1,227.70 | $638.82–$1,227.70 | varies |
| X-Ray Exam L-S Spine Bending (72114) | $714.65 | $714.65 | 7.1× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $450.18 | $450.18 | 5.4× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $714.65 | $714.65 | 7.1× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $714.65 | $714.65 | 7.1× |
| X-ray humerus (73060) range across 5 matching MRF lines |
$450.18–$900.37 | $450.18–$900.37 | varies |
| X-ray IV pyelogram (ivp) (74400) | $2,025.80 | $2,025.80 | 12.0× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $450.18 | $450.18 | 5.4× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $900.37 | $900.37 | 10.8× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $450.18 | $450.18 | 4.5× |
| X-ray nose-rectum child f.b. (76010) | $450.18 | $450.18 | 5.4× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $714.65 | $714.65 | 7.1× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $450.18 | $450.18 | 4.5× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $450.18 | $450.18 | 5.4× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $450.18 | $450.18 | 5.4× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $714.65 | $714.65 | 7.1× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 3 matching MRF lines |
$2,025.80–$4,050.15 | $2,025.80–$4,050.15 | varies |
| X-Rays Bone Length Studies (77073) | $450.18 | $450.18 | 4.5× |
| X-Rays Bone Survey Complete (77075) | $714.65 | $714.65 | 7.1× |
| Xr c-spine 4 or 5 views (72050) | $714.65 | $714.65 | 7.1× |
| Xr facial bones less than 3 views (70140) | $450.18 | $450.18 | 5.4× |
| XR Mastoids < 3 Views Bilateral (70120) | $450.18 | $450.18 | 4.5× |
| Xr orbits complete 4 views (70200) | $450.18 | $450.18 | 4.5× |
| Xr Tomogram Single Plane (76100) | $714.65 | $714.65 | 7.1× |
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.