Imaging prices at Carlinville Area Hospital
Carlinville, IL · every code in this section with a posted price and a Medicare benchmark.
297 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abdomen 1 View (74018) range across 3 matching MRF lines |
$118.30–$295.40 | $169–$422 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$152.60–$381.50 | $218–$545 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) range across 2 matching MRF lines |
$507.50–$1,657.60 | $725–$2,368 | varies |
| Adrenal Cortex & Medulla Img (78075) | $430.50 | $615 | 0.3× |
| Angiography extremity unilateral rs&i (75710) | $1,868.30 | $2,669 | 0.6× |
| Ankle 2 views (73600) range across 4 matching MRF lines |
$102.20–$254.80 | $146–$364 | varies |
| Bone age studies (77072) range across 2 matching MRF lines |
$179.20–$448.70 | $256–$641 | varies |
| Bone Imaging 3 Phase (78315) | $1,690.50 | $2,415 | 3.9× |
| Bone Imaging Limited Area (78300) | $887.60 | $1,268 | 2.1× |
| Bone Imaging Multiple Areas (78305) | $1,499.40 | $2,142 | 3.5× |
| Bone Imaging Whole Body (78306) | $1,750 | $2,500 | 4.1× |
| Bone marrow imaging limited area (78102) | $530.60 | $758 | 1.2× |
| Bone marrow imaging; multiple areas (78103) | $737.80 | $1,054 | 1.7× |
| Bone marrow imaging; whole body (78104) | $828.10 | $1,183 | 1.9× |
| Bone survey infant (77076) range across 2 matching MRF lines |
$58.80–$147.70 | $84–$211 | varies |
| Brain Flow Imaging Only (78610) range across 2 matching MRF lines |
$277.90–$587.30 | $397–$839 | varies |
| Brain Image W/Flow < 4 Views (78601) | $578.20 | $826 | 1.3× |
| Brain imaging < 4 static views (78600) | $483 | $690 | 1.1× |
| Cardiac blood pool imaging, first pass technique; multiple studies, resting and with stress (exercise and/or… (78483) | $2,886.80 | $4,124 | 5.0× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $2,161.60 | $3,088 | 5.8× |
| Cardiac MRI w/w/o contrast w/stress (75563) | $2,581.60 | $3,688 | 3.1× |
| Cardiac Shunt Detection (78428) | $804.30 | $1,149 | 1.9× |
| Cat Scan Follow-Up Study (76380) | $924 | $1,320 | 9.9× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $530.60 | $758 | 0.9× |
| Cerebrospinal fluid flow, imaging (not including introduction of material); ventriculography Non-Facility (78635) | $483 | $690 | 0.8× |
| Cerebrospinal Fluid Scan (78630) | $1,297.10 | $1,853 | 2.2× |
| Chest 1 view (71045) | $281.40 | $402 | 3.0× |
| Chest 2 views (71046) range across 3 matching MRF lines |
$141.40–$352.80 | $202–$504 | varies |
| Chest 3 views (71047) | $298.20 | $426 | 3.2× |
| Chest 4 or more views (71048) range across 2 matching MRF lines |
$116.20–$289.80 | $166–$414 | varies |
| Cholecystography Oral Contrast (74290) | $312.90 | $447 | 1.7× |
| Clavicle complete (73000) range across 2 matching MRF lines |
$154.70–$385.70 | $221–$551 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $1,533.70 | $2,191 | 13.7× |
| Contrast X-Ray Bladder (74430) | $268.10 | $383 | 0.7× |
| Contrast Xray Throat/Cerv Esopha (74210) | $228.90 | $327 | 1.2× |
| CT abdomen and pelvis without and with contrast (74178) | $4,398.80 | $6,284 | 11.8× |
| CT abdomen and pelvis without contrast (74176) | $3,472.70 | $4,961 | 13.6× |
| CT abdomen w contrast (74160) | $2,624.30 | $3,749 | 14.0× |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$2,963.10–$3,017.70 | $4,233–$4,311 | varies |
| CT abdomen w/o contrast (74150) | $2,237.90 | $3,197 | 20.0× |
| CT Angio Abdomen and Pelvis (74174) | $4,438 | $6,340 | 11.9× |
| CT Angio Chest (71275) | $2,778.30 | $3,969 | 14.8× |
| CT Angio Head (70496) | $2,996 | $4,280 | 15.9× |
| CT angio hrt w/3d image (75574) | $2,778.30 | $3,969 | 7.4× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
$2,685.90–$2,841.30 | $3,837–$4,059 | varies |
| CT Angio Neck (70498) | $2,807 | $4,010 | 14.9× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $2,841.30 | $4,059 | 15.1× |
| CT cervical spine w/ contrast (72126) | $2,347.10 | $3,353 | 6.3× |
| CT cervical spine w/o contrast (72125) | $2,293.20 | $3,276 | 20.5× |
| CT cervical spine w/wo cont (72127) | $2,963.10 | $4,233 | 15.8× |
| CT chest w contrast (71260) | $2,603.30 | $3,719 | 13.9× |
| CT chest w/wo contrast (71270) | $3,010 | $4,300 | 16.0× |
| CT head/brain with contrast (70460) | $2,691.50 | $3,845 | 14.3× |
| CT head/brain without and with contrast (70470) | $2,963.10 | $4,233 | 15.8× |
| CT iac w contrast (70481) range across 3 matching MRF lines |
$2,691.50–$2,773.40 | $3,845–$3,962 | varies |
| CT l-spine w&w/o contrast (72133) | $2,963.10 | $4,233 | 15.8× |
| CT lower ext w/o (73700) | $1,934.10 | $2,763 | 17.3× |
| CT lower extremity w/contrast material (73701) | $2,691.50 | $3,845 | 14.3× |
| CT lumbar spine w contrast (72132) | $2,691.50 | $3,845 | 7.2× |
| CT lumbar spine w/o contrast (72131) | $2,172.10 | $3,103 | 19.4× |
| CT maxillofacial w contrast (70487) | $2,691.50 | $3,845 | 14.3× |
| CT maxillofacial wo contrast (70486) | $1,866.90 | $2,667 | 16.7× |
| CT neck tissue combo (70492) | $2,963.10 | $4,233 | 15.8× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $2,963.10 | $4,233 | 15.8× |
| CT orbits w/o contrast (70480) range across 4 matching MRF lines |
$1,547–$2,102.10 | $2,210–$3,003 | varies |
| CT pelvis w&w/o contrast (72194) | $2,963.10 | $4,233 | 15.8× |
| CT pelvis w/o contrast (72192) | $1,864.80 | $2,664 | 16.6× |
| CT scan of leg combo (73702) | $2,963.10 | $4,233 | 15.8× |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
$2,963.10–$3,052 | $4,233–$4,360 | varies |
| CT soft tissue neck w contrast (70491) | $2,691.50 | $3,845 | 14.3× |
| CT soft tissue neck w/o contrast (70490) | $2,070.60 | $2,958 | 18.5× |
| CT thoracic spine w contrast (72129) range across 2 matching MRF lines |
$764.40–$2,603.30 | $1,092–$3,719 | varies |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$764.40–$2,331.70 | $1,092–$3,331 | varies |
| CT thoracic spine w/wo cont (72130) | $2,963.10 | $4,233 | 15.8× |
| CT thorax w/o contrast (71250) range across 3 matching MRF lines |
$1,489.60–$1,988 | $2,128–$2,840 | varies |
| CT unlisted procedure (76497) | $883.40 | $1,262 | 9.5× |
| CT upper ext wo (73200) | $1,990.80 | $2,844 | 17.8× |
| CT upper extremity w/o & w/contrast material (73202) | $2,963.10 | $4,233 | 15.8× |
| CT upper extremity with contrast (73201) | $2,772.70 | $3,961 | 7.4× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $2,841.30 | $4,059 | 15.1× |
| Cta Abdomen (74175) | $3,017.70 | $4,311 | 16.1× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $2,996 | $4,280 | 8.0× |
| CTA pelvis (72191) | $2,289.70 | $3,271 | 12.2× |
| Dxa Bone Density Axial (77080) | $559.30 | $799 | 5.0× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $284.90 | $407 | 3.1× |
| Esophageal Motility Study (78258) | $804.30 | $1,149 | 1.9× |
| Esophagram (74220) range across 2 matching MRF lines |
$269.50–$674.10 | $385–$963 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $228.90 | $327 | 2.0× |
| Fluoroscopy up to 1 hr (76000) range across 3 matching MRF lines |
$137.90–$475.30 | $197–$679 | varies |
| Foot 2 views (73620) range across 4 matching MRF lines |
$165.20–$413.70 | $236–$591 | varies |
| Forearm 2 views (73090) range across 4 matching MRF lines |
$142.80–$356.30 | $204–$509 | varies |
| Gastric emptying imaging study (78264) | $1,364.30 | $1,949 | 3.2× |
| Gastric Mucosa Imaging (78261) | $909.30 | $1,299 | 2.1× |
| Gated Heart Planar Single (78472) | $1,376.20 | $1,966 | 3.2× |
| Gated Heart, Multiple (78473) | $2,139.20 | $3,056 | 5.0× |
| Hand 2 views (73120) range across 4 matching MRF lines |
$127.40–$317.80 | $182–$454 | varies |
| Heart first pass single,planar (78481) | $1,703.10 | $2,433 | 2.9× |
| Hepatobil Syst Image W/Drug (78227) | $2,012.50 | $2,875 | 3.5× |
| Hepatobiliary System Imaging (78226) | $1,946.70 | $2,781 | 4.5× |
| Ht Musc Image Planar Mult (78454) | $1,251.60 | $1,788 | 0.9× |
| Ht Muscle Image Spect Sing (78451) | $1,251.60 | $1,788 | 0.9× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $764.40 | $1,092 | 8.2× |
| Infusion Ivp (74410) | $557.20 | $796 | 3.0× |
| Joint Survey Single View (77077) range across 4 matching MRF lines |
$39.20–$408.10 | $56–$583 | varies |
| K Flow/Funct Image Multiple (78709) | $2,083.90 | $2,977 | 3.6× |
| K Flow/Funct Image W/Drug (78708) | $1,990.80 | $2,844 | 3.4× |
| K Flow/Funct Image W/O Drug (78707) | $1,651.30 | $2,359 | 2.8× |
| Kidney Funcj Study Non-Img Radioisotopic Study (78725) | $430.50 | $615 | 1.0× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $1,024.10 | $1,463 | 2.4× |
| Knee 3 Views (73562) range across 4 matching MRF lines |
$126–$314.30 | $180–$449 | varies |
| Liver & Spleen Imaging Static Only (78215) | $898.10 | $1,283 | 2.1× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $1,122.80 | $1,604 | 2.6× |
| Liver imaging static only (78201) | $679 | $970 | 1.2× |
| Liver imaging w/vascular flow (78202) | $795.90 | $1,137 | 1.4× |
| Lung Ventilat&Perfus Imaging (78582) | $1,666 | $2,380 | 2.9× |
| Lung Ventilation Imaging (78579) | $1,175.30 | $1,679 | 2.7× |
| Lymph System Imaging (78195) | $1,039.50 | $1,485 | 1.8× |
| Magnetic Image Jaw Joint (70336) | $2,566.20 | $3,666 | 10.0× |
| Meckels Divert Exam (78290) range across 2 matching MRF lines |
$373.10–$1,229.90 | $533–$1,757 | varies |
| Mra Head W/O & W/Contrast Material (70546) | $3,271.10 | $4,673 | 8.7× |
| MRA head w/o contrast (70544) | $2,870.70 | $4,101 | 11.2× |
| MRA head with contrast (70545) | $3,085.60 | $4,408 | 8.3× |
| MRA neck w contrast (70548) | $2,471.70 | $3,531 | 6.6× |
| Mra Neck W/O &W/Contrast Material (70549) | $3,525.20 | $5,036 | 9.4× |
| MRA neck w/o contrast (70547) | $2,611 | $3,730 | 10.2× |
| MRI abdomen w contrast (74182) | $2,473.80 | $3,534 | 6.6× |
| MRI abdomen w/o contrast (74181) | $3,223.50 | $4,605 | 12.6× |
| MRI any jt lower extrem w/contrast material (73722) | $2,373 | $3,390 | 2.8× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $2,608.20 | $3,726 | 7.0× |
| MRI any jt upper extremity w/contrast matrl (73222) | $3,106.60 | $4,438 | 3.7× |
| MRI cardiac w/o cont stress (75559) | $2,211.30 | $3,159 | 3.8× |
| MRI cardiac w/o contrast (75557) | $1,368.50 | $1,955 | 5.4× |
| MRI cervical spine w contrast (72142) | $3,129.70 | $4,471 | 8.4× |
| MRI cervical spine w/o cont (72141) | $2,928.10 | $4,183 | 11.5× |
| MRI chest w/o contrast (71550) | $3,259.20 | $4,656 | 12.7× |
| MRI chest with contrast (71551) | $3,411.10 | $4,873 | 4.1× |
| MRI chest wo w contrast (71552) | $3,737.30 | $5,339 | 10.0× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $2,242.80 | $3,204 | 6.0× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $4,038.30 | $5,769 | 10.8× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $2,852.50 | $4,075 | 11.2× |
| MRI lumbar spine w contrast (72149) | $3,473.40 | $4,962 | 9.3× |
| Mri Neck Spine W/O & W/Dye (72156) | $4,499.60 | $6,428 | 12.0× |
| MRI orbit face &/neck w/o contrast (70540) | $3,335.50 | $4,765 | 13.0× |
| MRI orbit face neck w contrast (70542) | $2,405.90 | $3,437 | 6.4× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $4,022.20 | $5,746 | 10.8× |
| MRI pelvis w contrast (72196) | $3,135.30 | $4,479 | 8.4× |
| MRI pelvis w/o & w contrast (72197) | $4,019.40 | $5,742 | 10.8× |
| MRI pelvis w/o contrast (72195) | $2,083.90 | $2,977 | 8.2× |
| MRI spectroscopy (76390) | $2,993.90 | $4,277 | 32.1× |
| MRI thoracic spine w/o contrast (72146) | $2,896.60 | $4,138 | 11.3× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $2,588.60 | $3,698 | 6.9× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $2,000.60 | $2,858 | 7.8× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $3,190.60 | $4,558 | 8.5× |
| MRI, abdomen, combo (74183) | $3,726.80 | $5,324 | 10.0× |
| MRI, dorsal spine combo (72157) | $4,648.70 | $6,641 | 12.4× |
| MRI, dorsal spine contrast (72147) | $3,444 | $4,920 | 9.2× |
| MRI, joint upper extrem (73221) | $1,893.50 | $2,705 | 7.4× |
| MRI, joint upper extrem combo (73223) | $4,315.50 | $6,165 | 11.5× |
| MRI, lumbar spine combo (72158) | $4,168.50 | $5,955 | 11.1× |
| Myelogram Lumbar (72265) | $499.10 | $713 | 0.6× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $1,284.50 | $1,835 | 3.0× |
| Myocardial imaging, infarct avid, planar; with ejection fraction by first pass technique Non-Facility (78468) | $589.40 | $842 | 1.0× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $1,289.40 | $1,842 | 0.9× |
| Myocardial Spect Multiple Studies (78452) | $3,406.90 | $4,867 | 2.5× |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$105–$262.50 | $150–$375 | varies |
| Nm csf leak detection (78650) | $973 | $1,390 | 0.7× |
| Nm myocard infarct spect (78469) | $1,525.30 | $2,179 | 2.6× |
| Nonvascular Shunt X-Ray (75809) range across 2 matching MRF lines |
$100.10–$250.60 | $143–$358 | varies |
| Parathyroid Planar Imaging (78070) | $909.30 | $1,299 | 2.1× |
| Parathyroid planar imaging w/wo subtraction (78071) | $942.90 | $1,347 | 2.2× |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$162.40–$406.70 | $232–$581 | varies |
| Pulmonary Perfusion Imaging Particulate (78580) range across 2 matching MRF lines |
$648.90–$1,468.60 | $927–$2,098 | varies |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 4 matching MRF lines |
$94.50–$534.80 | $135–$764 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) | $423.50 | $605 | 0.7× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 4 matching MRF lines |
$158.90–$397.60 | $227–$568 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 4 matching MRF lines |
$93.10–$240.10 | $133–$343 | varies |
| Radex elbow complete minimum 3 views (73080) range across 4 matching MRF lines |
$148.40–$370.30 | $212–$529 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 4 matching MRF lines |
$60.20–$425.60 | $86–$608 | varies |
| Radex fingr minimum 2 views (73140) range across 20 matching MRF lines |
$102.20–$255.50 | $146–$365 | varies |
| Radex foot complete minimum 3 views (73630) range across 4 matching MRF lines |
$177.80–$445.20 | $254–$636 | varies |
| Radex Hand Minimum 3 Views (73130) range across 4 matching MRF lines |
$144.20–$361.20 | $206–$516 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 2 matching MRF lines |
$78.40–$196.70 | $112–$281 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) range across 2 matching MRF lines |
$105.70–$264.60 | $151–$378 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$114.10–$284.90 | $163–$407 | varies |
| Radex Pharynx/Larx W/Fluor&/Magnification Tq (70370) range across 2 matching MRF lines |
$93.80–$235.20 | $134–$336 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 4 matching MRF lines |
$127.40–$318.50 | $182–$455 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 12 matching MRF lines |
$33.60–$380.10 | $48–$543 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$109.20–$274.40 | $156–$392 | varies |
| Radex Spine 1 View Specify Level (72020) range across 4 matching MRF lines |
$50.40–$240.80 | $72–$344 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$93.10–$233.10 | $133–$333 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$93.80–$235.20 | $134–$336 | varies |
| Radex Toe Minimum 2 Views (73660) range across 24 matching MRF lines |
$51.80–$255.50 | $74–$365 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 2 matching MRF lines |
$64.40–$161 | $92–$230 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 4 matching MRF lines |
$144.20–$361.20 | $206–$516 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$122.50–$306.60 | $175–$438 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 2 matching MRF lines |
$130.90–$326.90 | $187–$467 | varies |
| Radiologic exam colon double contrast study (74280) | $700 | $1,000 | 3.7× |
| Radiologic exam colon single contrast study (74270) range across 2 matching MRF lines |
$665–$718.90 | $950–$1,027 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 6 matching MRF lines |
$122.50–$351.40 | $175–$502 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 4 matching MRF lines |
$29.40–$359.10 | $42–$513 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) | $669.20 | $956 | 3.6× |
| Radiologic exam swallow function contrast study (74230) | $591.50 | $845 | 3.1× |
| Radiologic exam upr gi trc double contrast study (74246) | $709.80 | $1,014 | 3.8× |
| Radiologic examination femur 1 view (73551) range across 4 matching MRF lines |
$128.80–$322 | $184–$460 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 4 matching MRF lines |
$155.40–$387.80 | $222–$554 | varies |
| Radiologic examination knee 1/2 views (73560) range across 4 matching MRF lines |
$116.90–$291.90 | $167–$417 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 4 matching MRF lines |
$137.90–$346.50 | $197–$495 | varies |
| Renal Cyst Study (74470) | $108.50 | $155 | 0.2× |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$155.40–$387.10 | $222–$553 | varies |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $1,016.40 | $1,452 | 2.4× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $1,390.20 | $1,986 | 3.2× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $2,074.10 | $2,963 | 3.6× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $1,817.20 | $2,596 | 3.1× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $1,978.20 | $2,826 | 3.4× |
| Salivary Gland Imaging (78230) | $716.80 | $1,024 | 1.7× |
| Salivary Gland Imaging Serial Images (78231) | $1,016.40 | $1,452 | 2.4× |
| Scapula (73010) range across 4 matching MRF lines |
$128.10–$319.20 | $183–$456 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $91.70 | $131 | 3.9× |
| Sella turcica (70240) range across 2 matching MRF lines |
$81.90–$203.70 | $117–$291 | varies |
| Shoulder 1 view (73020) range across 4 matching MRF lines |
$101.50–$253.40 | $145–$362 | varies |
| Shoulder Arthrography (73040) range across 2 matching MRF lines |
$373.10–$485.10 | $533–$693 | varies |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$134.40–$336.70 | $192–$481 | varies |
| Spleen Imaging (78185) | $443.10 | $633 | 1.0× |
| Sternoclavicular joints (71130) range across 2 matching MRF lines |
$81.20–$203.70 | $116–$291 | varies |
| Testicular Imaging W/Flow (78761) | $1,338.40 | $1,912 | 3.1× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $163.80 | $234 | 0.9× |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$121.10–$303.10 | $173–$433 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$151.90–$380.80 | $217–$544 | varies |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$142.80–$357 | $204–$510 | varies |
| Thyroid Carcinoma Metastases Img Lmtd Area (78015) | $694.40 | $992 | 1.6× |
| Thyroid Met Imaging Body (78018) | $1,284.50 | $1,835 | 2.2× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,260.70 | $1,801 | 2.9× |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$543.20–$735 | $776–$1,050 | varies |
| Ultrasound Exam Aaa Screen (76706) | $586.60 | $838 | 5.2× |
| Ultrasound, abdomen limited (76705) range across 7 matching MRF lines |
$278.60–$892.50 | $398–$1,275 | varies |
| Unlisted us procedure (76999) | $279.30 | $399 | 3.0× |
| Upper gi w/o kub (74240) range across 2 matching MRF lines |
$700.70–$806.40 | $1,001–$1,152 | varies |
| Ureteral Reflux Study (78740) | $1,270.50 | $1,815 | 3.0× |
| Urethrocystogram voiding (74455) | $561.40 | $802 | 2.2× |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$272.30–$1,083.60 | $389–$1,548 | varies |
| Us chest (76604) | $392.70 | $561 | 3.5× |
| Us complete joint (76881) range across 3 matching MRF lines |
$90.30–$513.80 | $129–$734 | varies |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$331.10–$791.70 | $473–$1,131 | varies |
| Us kidney transplant (76776) | $879.90 | $1,257 | 7.9× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 3 matching MRF lines |
$441.70–$635.60 | $631–$908 | varies |
| Us ob limited 1 or more fetuses (76815) | $424.90 | $607 | 3.8× |
| Us ob transvaginal (76817) | $769.30 | $1,099 | 6.9× |
| Us pelvic non ob complete (76856) | $954.10 | $1,363 | 8.5× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $508.20 | $726 | 4.5× |
| Us retroperitoneal complete (76770) | $914.20 | $1,306 | 8.2× |
| Us retroperitoneal limited (76775) | $773.50 | $1,105 | 6.9× |
| Us scrotum and contents (76870) | $809.20 | $1,156 | 7.2× |
| Us thyroid (76536) range across 6 matching MRF lines |
$332.50–$733.60 | $475–$1,048 | varies |
| Us transrectal (76872) | $864.50 | $1,235 | 7.7× |
| Venography extremity bilateral rs&i (75822) | $810.60 | $1,158 | 0.5× |
| Venography extremity unilateral rs&i (75820) range across 3 matching MRF lines |
$105–$303.80 | $150–$434 | varies |
| Venous thrombosis imaging (78457) | $961.10 | $1,373 | 1.7× |
| Venous Thrombosis Imaging Venogram Bilateral (78458) | $1,540 | $2,200 | 3.6× |
| Wrist 2 views (73100) range across 4 matching MRF lines |
$127.40–$317.80 | $182–$454 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 4 matching MRF lines |
$58.80–$273 | $84–$390 | varies |
| X-ray antegrade pyelogram tube (74425) | $368.90 | $527 | 1.0× |
| X-Ray Bend Only L-S Spine (72120) range across 2 matching MRF lines |
$98–$244.30 | $140–$349 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 4 matching MRF lines |
$105.70–$265.30 | $151–$379 | varies |
| X-Ray Exam Breast Specimen (76098) | $98.70 | $141 | 0.2× |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 2 matching MRF lines |
$102.20–$255.50 | $146–$365 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$176.40–$441 | $252–$630 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 6 matching MRF lines |
$121.80–$304.50 | $174–$435 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 8 matching MRF lines |
$153.30–$383.60 | $219–$548 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) range across 8 matching MRF lines |
$128.80–$451.50 | $184–$645 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$231–$576.80 | $330–$824 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 4 matching MRF lines |
$200.20–$499.10 | $286–$713 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) range across 2 matching MRF lines |
$228.90–$571.20 | $327–$816 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$231–$576.80 | $330–$824 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$158.20–$394.80 | $226–$564 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$202.30–$505.40 | $289–$722 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 6 matching MRF lines |
$39.90–$511 | $57–$730 | varies |
| X-ray eye for foreign body (70030) range across 2 matching MRF lines |
$91–$228.20 | $130–$326 | varies |
| X-ray humerus (73060) range across 4 matching MRF lines |
$160.30–$399.70 | $229–$571 | varies |
| X-ray IV pyelogram (ivp) (74400) range across 2 matching MRF lines |
$245.70–$508.90 | $351–$727 | varies |
| X-ray IV pyelogram+tomography (74415) | $374.50 | $535 | 2.0× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 2 matching MRF lines |
$62.30–$156.10 | $89–$223 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$91–$226.80 | $130–$324 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$158.20–$394.80 | $226–$564 | varies |
| X-ray nose-rectum child f.b. (76010) range across 2 matching MRF lines |
$116.20–$289.80 | $166–$414 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 4 matching MRF lines |
$72.80–$681.10 | $104–$973 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$102.90–$513.10 | $147–$733 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$222.60–$556.50 | $318–$795 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$167.30–$420 | $239–$600 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$187.60–$468.30 | $268–$669 | varies |
| X-Ray Stress View (77071) range across 4 matching MRF lines |
$53.20–$152.60 | $76–$218 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $637.70 | $911 | 1.7× |
| X-Rays Bone Length Studies (77073) | $320.60 | $458 | 2.9× |
| X-Rays Bone Survey Complete (77075) range across 4 matching MRF lines |
$280–$707 | $400–$1,010 | varies |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$231.70–$578.90 | $331–$827 | varies |
| Xr facial bones less than 3 views (70140) range across 2 matching MRF lines |
$90.30–$226.10 | $129–$323 | varies |
| XR Mastoids < 3 Views Bilateral (70120) range across 2 matching MRF lines |
$81.90–$203.70 | $117–$291 | varies |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$91–$228.90 | $130–$327 | 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.