Imaging prices at CarolinaEast Medical Center
New Bern, NC · every code in this section with a posted price and a Medicare benchmark.
341 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) range across 2 matching MRF lines |
$832.80–$4,519.20 | $1,388–$7,532 | varies |
| Abdomen 1 View (74018) range across 2 matching MRF lines |
$62.40–$252.60 | $104–$421 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$73.80–$330 | $123–$550 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $865.80 | $1,443 | 2.3× |
| Angio internal mammary (75756) | $128.40 | $214 | 0.0× |
| Angio pulmonary bilat (75743) | $3,577.80 | $5,963 | 1.2× |
| Angiography extremity bilateral rs&i (75716) range across 2 matching MRF lines |
$213–$4,580.40 | $355–$7,634 | varies |
| Angiography extremity unilateral rs&i (75710) range across 2 matching MRF lines |
$162–$2,843.40 | $270–$4,739 | varies |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$75–$399.60 | $125–$666 | varies |
| Aortography thoracic serialography rs&i (75605) range across 2 matching MRF lines |
$379.20–$3,206.40 | $632–$5,344 | varies |
| Aortography thoracic w/o serialography rs&i (75600) range across 2 matching MRF lines |
$382.80–$2,056.20 | $638–$3,427 | varies |
| Artery X-Rays Abdomen (75726) range across 2 matching MRF lines |
$5,197.20 | $402–$8,662 | 1.0× |
| Artery X-Rays Pelvis (75736) range across 2 matching MRF lines |
$235.80–$4,096.20 | $393–$6,827 | varies |
| Arthrogram ankle (73615) | $313.80 | $523 | 0.9× |
| Arthrogram hip (73525) | $679.20 | $1,132 | 2.0× |
| Arthrogram Wrist (73115) | $564.60 | $941 | 1.7× |
| Basic radiation dosimetry calculation (77300) range across 2 matching MRF lines |
$70.80–$438 | $118–$730 | varies |
| Bone age studies (77072) range across 2 matching MRF lines |
$39.60–$85.80 | $66–$143 | varies |
| Bone Imaging 3 Phase (78315) range across 2 matching MRF lines |
$511.20–$1,655.40 | $852–$2,759 | varies |
| Bone Imaging Limited Area (78300) range across 2 matching MRF lines |
$348–$995.40 | $580–$1,659 | varies |
| Bone Imaging Whole Body (78306) range across 2 matching MRF lines |
$486–$1,539.60 | $810–$2,566 | varies |
| Bone marrow imaging limited area (78102) | $738 | $1,230 | 1.9× |
| Bone survey infant (77076) range across 2 matching MRF lines |
$147.60–$219.60 | $246–$366 | varies |
| Brachytx isodose complex (77318) | $379.20 | $632 | 1.1× |
| Brachytx isodose intermed (77317) | $250.80 | $418 | 0.7× |
| Brachytx Isodose Plan Simple (77316) | $169.20 | $282 | 0.5× |
| Brain Image W/Flow < 4 Views (78601) | $522.60 | $871 | 1.4× |
| Cardiac Shunt Detection (78428) | $286.80 | $478 | 0.8× |
| Cat Scan Follow-Up Study (76380) | $194.40 | $324 | 2.3× |
| Cerebrospinal Fluid Scan (78630) | $1,402.80 | $2,338 | 2.7× |
| Chest 1 view (71045) range across 3 matching MRF lines |
$69.60–$210 | $116–$350 | varies |
| Chest 2 views (71046) range across 3 matching MRF lines |
$69.60–$262.20 | $116–$437 | varies |
| Chest 3 views (71047) range across 2 matching MRF lines |
$84–$257.40 | $140–$429 | varies |
| Chest 4 or more views (71048) range across 2 matching MRF lines |
$87–$410.40 | $145–$684 | varies |
| Cineradiograpy/vidradiograpy xcpt where spec (76120) range across 2 matching MRF lines |
$25.20–$158.40 | $42–$264 | varies |
| Clavicle complete (73000) range across 2 matching MRF lines |
$69–$253.80 | $115–$423 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $326.40 | $544 | 3.3× |
| Continuing medical physics consltj pr wk (77336) range across 2 matching MRF lines |
$206.40–$492.60 | $344–$821 | varies |
| Contrast Exam Abdominl Aorta (75625) range across 2 matching MRF lines |
$154.80–$2,563.80 | $258–$4,273 | varies |
| Contrast X-Ray Bladder (74430) range across 2 matching MRF lines |
$124.20–$465 | $207–$775 | varies |
| Contrast X-Ray Of Elbow (73085) | $561.60 | $936 | 1.7× |
| Contrast X-Ray Of Knee Joint (73580) | $621.60 | $1,036 | 1.9× |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$995.40–$4,325.40 | $1,659–$7,209 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$519–$3,017.40 | $865–$5,029 | varies |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$742.20–$2,035.20 | $1,237–$3,392 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$912.60–$2,261.40 | $1,521–$3,769 | varies |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$622.80–$1,619.40 | $1,038–$2,699 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$1,320–$3,744.60 | $2,200–$6,241 | varies |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$1,039.20–$2,334 | $1,732–$3,890 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$1,274.40–$2,263.20 | $2,124–$3,772 | varies |
| CT angio hrt w/3d image (75574) range across 2 matching MRF lines |
$1,008.60–$2,088.60 | $1,681–$3,481 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
$1,081.20–$2,955.76 | $1,802–$4,926.26 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$1,272.60–$2,275.20 | $2,121–$3,792 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 3 matching MRF lines |
$1,080–$3,421.80 | $1,800–$5,703 | varies |
| CT cervical spine w/ contrast (72126) range across 2 matching MRF lines |
$925.80–$2,211.60 | $1,543–$3,686 | varies |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$766.80–$1,639.20 | $1,278–$2,732 | varies |
| CT cervical spine w/wo cont (72127) | $2,395.80 | $3,993 | 14.3× |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$775.20–$1,767 | $1,292–$2,945 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$984–$2,225.40 | $1,640–$3,709 | varies |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$755.40–$1,680 | $1,259–$2,800 | varies |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$963.60–$1,965 | $1,606–$3,275 | varies |
| CT heart contrast eval cardiac structure&morph (75572) range across 2 matching MRF lines |
$436.20–$1,455 | $727–$2,425 | varies |
| CT heart no contrast quant eval coronry calcium (75571) range across 2 matching MRF lines |
$106.20–$150 | $177–$250 | varies |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$769.80–$1,746.60 | $1,283–$2,911 | varies |
| CT l-spine w&w/o contrast (72133) | $2,505.60 | $4,176 | 14.9× |
| CT lower ext w/o (73700) range across 4 matching MRF lines |
$588.60–$2,192.40 | $981–$3,654 | varies |
| CT lower extremity w/contrast material (73701) range across 3 matching MRF lines |
$666–$2,746.20 | $1,110–$4,577 | varies |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$900.60–$2,026.80 | $1,501–$3,378 | varies |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$761.40–$1,507.20 | $1,269–$2,512 | varies |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$762–$1,800.60 | $1,270–$3,001 | varies |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$662.40–$1,398.60 | $1,104–$2,331 | varies |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$952.80–$2,130.60 | $1,588–$3,551 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 2 matching MRF lines |
$958.80–$2,073 | $1,598–$3,455 | varies |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$691.20–$1,401.60 | $1,152–$2,336 | varies |
| CT pelvis w&w/o contrast (72194) range across 2 matching MRF lines |
$966–$1,999.20 | $1,610–$3,332 | varies |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$677.40–$1,322.40 | $1,129–$2,204 | varies |
| CT scan of leg combo (73702) range across 3 matching MRF lines |
$864.60–$3,136.80 | $1,441–$5,228 | varies |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
$943.20–$2,092.20 | $1,572–$3,487 | varies |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$1,001.40–$1,858.80 | $1,669–$3,098 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$671.40–$1,395 | $1,119–$2,325 | varies |
| CT thoracic spine w contrast (72129) range across 2 matching MRF lines |
$918–$2,159.40 | $1,530–$3,599 | varies |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$764.40–$1,386.60 | $1,274–$2,311 | varies |
| CT thoracic spine w/wo cont (72130) | $2,412 | $4,020 | 14.4× |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$692.40–$1,386.60 | $1,154–$2,311 | varies |
| CT upper ext wo (73200) range across 3 matching MRF lines |
$579–$2,521.80 | $965–$4,203 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 3 matching MRF lines |
$798.60–$3,240 | $1,331–$5,400 | varies |
| CT upper extremity with contrast (73201) range across 3 matching MRF lines |
$667.80–$3,000.60 | $1,113–$5,001 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$1,740.60–$2,132.40 | $2,901–$3,554 | varies |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$1,116.60–$2,241 | $1,861–$3,735 | varies |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $4,546.20 | $7,577 | 13.6× |
| CTA pelvis (72191) range across 2 matching MRF lines |
$1,228.80–$2,266.20 | $2,048–$3,777 | varies |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$165–$450 | $275–$750 | varies |
| Dxa bone density study (77085) | $121.20 | $202 | 1.2× |
| Echo exam uterus (76831) | $660 | $1,100 | 2.9× |
| Echo Guide For Artery Repair (76936) range across 2 matching MRF lines |
$288–$549 | $480–$915 | varies |
| Esophagram (74220) range across 2 matching MRF lines |
$44.40–$414.60 | $74–$691 | varies |
| Fetal Biophys Profile W/Nst (76818) | $444.60 | $741 | 4.4× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $355.80 | $593 | 3.6× |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$201–$457.80 | $335–$763 | varies |
| Foot 2 views (73620) range across 3 matching MRF lines |
$63–$381.60 | $105–$636 | varies |
| Forearm 2 views (73090) range across 3 matching MRF lines |
$84–$426 | $140–$710 | varies |
| Gastric emptying imaging study (78264) range across 2 matching MRF lines |
$445.20–$1,429.80 | $742–$2,383 | varies |
| Gated Heart Planar Single (78472) range across 2 matching MRF lines |
$688.80–$1,212.60 | $1,148–$2,021 | varies |
| GI Endoscopic US S&I (76975) | $85.20 | $142 | 0.4× |
| Hand 2 views (73120) range across 3 matching MRF lines |
$84–$388.20 | $140–$647 | varies |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $2,290.20 | $3,817 | 0.8× |
| Hepatobil Syst Image W/Drug (78227) range across 2 matching MRF lines |
$510.60–$1,761 | $851–$2,935 | varies |
| Hepatobiliary System Imaging (78226) range across 2 matching MRF lines |
$449.40–$1,393.80 | $749–$2,323 | varies |
| Ht Muscle Image Spect Sing (78451) range across 2 matching MRF lines |
$593.40–$2,427.60 | $989–$4,046 | varies |
| Hysterosalpingogram (74740) | $497.40 | $829 | 2.2× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $160.80 | $268 | 1.9× |
| Infant hip ultrasound, limited static exam (76886) | $160.80 | $268 | 1.9× |
| Interstitial radiation source applic complex (77778) | $901.20 | $1,502 | 1.4× |
| Intraop radiaj tx deliver xray single tx session (77424) likely a partial charge, not the full procedure |
$966 | $1,610 | 0.1× |
| Joint Survey Single View (77077) | $136.20 | $227 | 1.4× |
| K Flow/Funct Image W/Drug (78708) range across 2 matching MRF lines |
$463.80–$1,483.80 | $773–$2,473 | varies |
| K Flow/Funct Image W/O Drug (78707) range across 2 matching MRF lines |
$545.40–$1,206.60 | $909–$2,011 | varies |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$77.40–$498.60 | $129–$831 | varies |
| Liver & Spleen Imaging Static Only (78215) range across 2 matching MRF lines |
$359.40–$1,009.20 | $599–$1,682 | varies |
| Liver imaging static only (78201) | $783.60 | $1,306 | 1.5× |
| Lung perfusion differential (78597) | $589.80 | $983 | 1.5× |
| Lung Ventilat&Perfus Imaging (78582) range across 2 matching MRF lines |
$762.60–$1,195.80 | $1,271–$1,993 | varies |
| Lung Ventilation Imaging (78579) | $363 | $605 | 0.9× |
| Lymph System Imaging (78195) range across 2 matching MRF lines |
$193.80–$1,363.80 | $323–$2,273 | varies |
| Magnetic Image Jaw Joint (70336) | $2,043.60 | $3,406 | 9.0× |
| Mammary ductogram or galactogram single (77053) | $836.40 | $1,394 | 3.7× |
| Meckels Divert Exam (78290) | $873.60 | $1,456 | 2.3× |
| Mlc imrt design & construction per imrt plan (77338) range across 2 matching MRF lines |
$465.60–$1,874.40 | $776–$3,124 | varies |
| MRA head w/o contrast (70544) | $2,070 | $3,450 | 9.1× |
| Mra Neck W/O &W/Contrast Material (70549) | $2,959.80 | $4,933 | 8.9× |
| MRA neck w/o contrast (70547) | $1,899 | $3,165 | 8.3× |
| MRI abdomen w contrast (74182) | $2,703.60 | $4,506 | 8.1× |
| MRI abdomen w/o contrast (74181) | $2,434.80 | $4,058 | 10.7× |
| MRI any jt lower extrem w/contrast material (73722) | $2,509.80 | $4,183 | 3.3× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $2,910.60 | $4,851 | 8.7× |
| MRI any jt upper extremity w/contrast matrl (73222) range across 2 matching MRF lines |
$2,552.40–$3,828.60 | $4,254–$6,381 | varies |
| MRI Breast W/O Contrast Bilateral (77047) | $1,987.20 | $3,312 | 8.7× |
| MRI Breast Without Contrast Material Unilateral (77046) | $1,289.40 | $2,149 | 5.7× |
| MRI cervical spine w contrast (72142) | $2,812.20 | $4,687 | 8.4× |
| MRI cervical spine w/o cont (72141) | $2,298.60 | $3,831 | 10.1× |
| MRI chest w/o contrast (71550) | $2,090.40 | $3,484 | 9.2× |
| MRI chest with contrast (71551) | $2,407.80 | $4,013 | 3.2× |
| MRI chest wo w contrast (71552) | $3,246.60 | $5,411 | 9.7× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $2,400 | $4,000 | 7.2× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $3,036 | $5,060 | 9.1× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines |
$2,149.80–$3,225 | $3,583–$5,375 | varies |
| MRI lumbar spine w contrast (72149) | $2,679 | $4,465 | 8.0× |
| Mri Neck Spine W/O & W/Dye (72156) | $3,084 | $5,140 | 9.2× |
| MRI orbit face &/neck w/o contrast (70540) | $2,015.40 | $3,359 | 8.8× |
| MRI orbit face neck w contrast (70542) | $2,617.20 | $4,362 | 7.8× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $3,127.80 | $5,213 | 9.4× |
| MRI pelvis w contrast (72196) | $2,400 | $4,000 | 7.2× |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$1,795.20–$3,210.60 | $2,992–$5,351 | varies |
| MRI pelvis w/o contrast (72195) | $2,128.80 | $3,548 | 9.3× |
| MRI thoracic spine w/o contrast (72146) | $2,140.20 | $3,567 | 9.4× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $2,400 | $4,000 | 7.2× |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 2 matching MRF lines |
$2,034–$3,051 | $3,390–$5,085 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 2 matching MRF lines |
$2,905.80–$4,359 | $4,843–$7,265 | varies |
| MRI, abdomen, combo (74183) | $3,191.40 | $5,319 | 9.6× |
| MRI, dorsal spine combo (72157) | $3,079.80 | $5,133 | 9.2× |
| MRI, dorsal spine contrast (72147) | $2,835 | $4,725 | 8.5× |
| MRI, joint upper extrem (73221) range across 2 matching MRF lines |
$2,080.20–$2,220 | $3,467–$3,700 | varies |
| MRI, joint upper extrem combo (73223) range across 2 matching MRF lines |
$2,844.60–$4,267.20 | $4,741–$7,112 | varies |
| MRI, lumbar spine combo (72158) | $3,245.40 | $5,409 | 9.7× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) | $216 | $360 | 0.2× |
| Myocardial Spect Multiple Studies (78452) range across 2 matching MRF lines |
$1,747.20–$3,265.80 | $2,912–$5,443 | varies |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$49.80–$263.40 | $83–$439 | varies |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $225.60 | $376 | 0.6× |
| Nonvascular Shunt X-Ray (75809) | $115.20 | $192 | 1.2× |
| Ntsty modul radthx pln dose-vol histos (77301) range across 2 matching MRF lines |
$901.80–$3,913.80 | $1,503–$6,523 | varies |
| Nuclear Rx Intra-Arterial (79445) | $600 | $1,000 | 2.7× |
| Nuclear Rx Oral Admin (79005) range across 2 matching MRF lines |
$562.20–$1,119.60 | $937–$1,866 | varies |
| Panoramic X-ray of jaws (70355) | $223.20 | $372 | 2.7× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $1,108.80 | $1,848 | 2.1× |
| Parathyroid Planar Imaging (78070) range across 2 matching MRF lines |
$470.40–$827.40 | $784–$1,379 | varies |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$91.20–$277.20 | $152–$462 | varies |
| Peritoneogram Rs&I (74190) | $553.80 | $923 | 1.1× |
| Pet Image W/Ct Lmtd (78814) range across 2 matching MRF lines |
$1,490.40–$1,699.20 | $2,484–$2,832 | varies |
| PET image w/CT, full body (78816) | $4,683.60 | $7,806 | 3.4× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $4,365 | $7,275 | 3.2× |
| Pulmonary Perfusion Imaging Particulate (78580) range across 2 matching MRF lines |
$479.40–$924 | $799–$1,540 | varies |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$79.80–$471 | $133–$785 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) | $489 | $815 | 0.9× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$72.60–$492.60 | $121–$821 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$61.80–$355.80 | $103–$593 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$75–$487.80 | $125–$813 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$79.20–$364.80 | $132–$608 | varies |
| Radex fingr minimum 2 views (73140) range across 2 matching MRF lines |
$72–$236.40 | $120–$394 | varies |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$81–$451.20 | $135–$752 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$96–$449.40 | $160–$749 | varies |
| Radex lower extremity infant minimum 2 views (73592) | $56.65 | $94.41 | 0.7× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) range across 2 matching MRF lines |
$69–$158.40 | $115–$264 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$46.20–$238.80 | $77–$398 | varies |
| Radex Pharynx/Larx W/Fluor&/Magnification Tq (70370) | $117.60 | $196 | 1.4× |
| Radex Ribs Unilateral 2 Views (71100) | $88.20 | $147 | 1.1× |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$84.60–$313.20 | $141–$522 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$55.80–$223.20 | $93–$372 | varies |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $615.60 | $1,026 | 3.7× |
| Radex Spine 1 View Specify Level (72020) range across 2 matching MRF lines |
$45–$270.60 | $75–$451 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$72.60–$229.20 | $121–$382 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$76.80–$226.80 | $128–$378 | varies |
| Radex Toe Minimum 2 Views (73660) range across 2 matching MRF lines |
$57.60–$208.20 | $96–$347 | varies |
| Radex upper extremity infant minimum 2 views (73092) | $68.40 | $114 | 0.7× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$108–$457.20 | $180–$762 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $147.60 | $246 | 1.5× |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $14,637.60 | $24,396 | 2.1× |
| Radiation treatment delivery level 1 (77402) range across 3 matching MRF lines |
$321.60–$1,623.60 | $536–$2,706 | varies |
| Radiation treatment delivery level 2 (77407) range across 2 matching MRF lines |
$473.40–$2,113.80 | $789–$3,523 | varies |
| Radiation treatment delivery level 3 (77412) range across 2 matching MRF lines |
$304.20–$633 | $507–$1,055 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$66–$366 | $110–$610 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 2 matching MRF lines |
$72–$471 | $120–$785 | varies |
| Radiologic exam colon double contrast study (74280) | $682.80 | $1,138 | 4.1× |
| Radiologic exam colon single contrast study (74270) | $538.80 | $898 | 3.2× |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$91.80–$555.60 | $153–$926 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) | $478.80 | $798 | 2.9× |
| Radiologic exam swallow function contrast study (74230) | $372.60 | $621 | 2.2× |
| Radiologic exam upr gi trc double contrast study (74246) | $523.80 | $873 | 3.1× |
| Radiologic examination femur 1 view (73551) range across 2 matching MRF lines |
$76.20–$184.20 | $127–$307 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines |
$88.80–$387 | $148–$645 | varies |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$69–$417.60 | $115–$696 | varies |
| Radiologic Examination Osseous Survey Limited (77074) range across 2 matching MRF lines |
$79.80–$330 | $133–$550 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$69–$396 | $115–$660 | varies |
| Radiologic examination, internal auditory meati, complete Non-Facility (70134) | $316.80 | $528 | 0.6× |
| Ribs bilateral 3 views (71110) | $90 | $150 | 0.9× |
| Rp loclzj tum plnr 1 area single day imaging (78800) range across 2 matching MRF lines |
$262.80–$939 | $438–$1,565 | varies |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $1,249.20 | $2,082 | 3.3× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $2,139 | $3,565 | 4.1× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 2 matching MRF lines |
$1,234.80–$1,311.60 | $2,058–$2,186 | varies |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) range across 2 matching MRF lines |
$1,387.80–$1,601.40 | $2,313–$2,669 | varies |
| Rp Ther Radiolbld Monoclonal Antibody IV Infus (79403) | $318 | $530 | 1.4× |
| Rp Therapy Intravenous Administration (79101) | $832.80 | $1,388 | 3.7× |
| Scapula (73010) range across 2 matching MRF lines |
$65.40–$239.40 | $109–$399 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 2 matching MRF lines |
$44.40–$54.60 | $74–$91 | varies |
| Sella turcica (70240) | $56.65 | $94.41 | 0.7× |
| Shoulder 1 view (73020) range across 4 matching MRF lines |
$59.40–$382.80 | $99–$638 | varies |
| Shoulder Arthrography (73040) | $655.80 | $1,093 | 2.0× |
| Sialogram (70390) | $330.60 | $551 | 1.4× |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$61.20–$316.20 | $102–$527 | varies |
| Special dosimetry (77331) range across 2 matching MRF lines |
$93–$438.60 | $155–$731 | varies |
| Special Physics Consult (77370) range across 2 matching MRF lines |
$250.80–$840.60 | $418–$1,401 | varies |
| Special teletherapy port plan (77321) range across 2 matching MRF lines |
$200.40–$789.60 | $334–$1,316 | varies |
| Special treatment procedure (77470) range across 2 matching MRF lines |
$580.80–$1,345.20 | $968–$2,242 | varies |
| Stereotactic Body Radiation Delivery (77373) | $4,209.60 | $7,016 | 2.5× |
| Sternoclavicular joints (71130) range across 2 matching MRF lines |
$89.40–$235.20 | $149–$392 | varies |
| Surf radj ther orthvlt dlvr>150-500 kv per fxj (77438) | $213.60 | $356 | 2.2× |
| Surf radj ther supfc dlvr<=150 kv per fraction (77437) | $213.60 | $356 | 2.2× |
| Surf radj ther supfc/orthvlt treatment planning (77436) | $78 | $130 | 2.2× |
| Telethx isodose pln cplx w/basic dosimetry (77307) range across 2 matching MRF lines |
$375–$1,177.80 | $625–$1,963 | varies |
| Telethx isodose pln smpl w/dosimetry calculation (77306) range across 2 matching MRF lines |
$211.20–$453.60 | $352–$756 | varies |
| Temporomandble Jt Arthrography Rs&I (70332) | $313.80 | $523 | 1.4× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) range across 2 matching MRF lines |
$268.20–$1,573.80 | $447–$2,623 | varies |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) range across 2 matching MRF lines |
$183.60–$1,246.80 | $306–$2,078 | varies |
| Ther rad simulaj-aided field setting simple (77280) range across 2 matching MRF lines |
$117.60–$859.20 | $196–$1,432 | varies |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $306 | $510 | 1.8× |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$85.80–$330 | $143–$550 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$49.80–$351.60 | $83–$586 | varies |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$82.20–$312.60 | $137–$521 | varies |
| Thyroid Carcinoma Metastases Img Lmtd Area (78015) | $333 | $555 | 0.9× |
| Thyroid Imaging With Vascular Flow (78013) range across 2 matching MRF lines |
$364.80–$628.80 | $608–$1,048 | varies |
| Thyroid Met Imaging Body (78018) | $1,696.20 | $2,827 | 3.3× |
| Thyroid Uptake Measurement (78012) range across 2 matching MRF lines |
$147–$434.40 | $245–$724 | varies |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) range across 2 matching MRF lines |
$433.20–$919.20 | $722–$1,532 | varies |
| Tx Devices Design & Construction Complex (77334) range across 2 matching MRF lines |
$145.80–$1,012.20 | $243–$1,687 | varies |
| Tx devices design & construction intermediate (77333) range across 2 matching MRF lines |
$93.60–$654.60 | $156–$1,091 | varies |
| Tx devices design & construction simple (77332) range across 2 matching MRF lines |
$74.40–$446.40 | $124–$744 | varies |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$129–$483.60 | $215–$806 | varies |
| Ultrasound elastography first target lesion (76982) range across 2 matching MRF lines |
$348.60–$510 | $581–$850 | varies |
| Ultrasound Elastography Parenchyma (76981) | $230.40 | $384 | 2.3× |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
$184.20–$356.40 | $307–$594 | varies |
| Ultrasound, abdomen limited (76705) range across 3 matching MRF lines |
$72.92–$672.60 | $121.54–$1,121 | varies |
| Umbilical-artery Doppler (OB) (76820) | $175.20 | $292 | 1.8× |
| Unlisted magnetic resonance procedure (76498) | $788.40 | $1,314 | 9.5× |
| Unlisted us procedure (76999) | $111 | $185 | 1.3× |
| Upper gi w/o kub (74240) | $590.40 | $984 | 3.5× |
| Urethrocystogram voiding (74455) range across 2 matching MRF lines |
$543.60–$591.60 | $906–$986 | varies |
| Urethrocystography retrograde (74450) range across 2 matching MRF lines |
$164.40–$483 | $274–$805 | varies |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$88.80–$559.80 | $148–$933 | varies |
| Us chest (76604) range across 2 matching MRF lines |
$135.60–$364.80 | $226–$608 | varies |
| Us complete joint (76881) range across 3 matching MRF lines |
$138–$872.40 | $230–$1,454 | varies |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$180–$470.40 | $300–$784 | varies |
| Us head (76506) | $244.20 | $407 | 2.4× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$85.20–$418.80 | $142–$698 | varies |
| Us ob detailed single fetus (76811) | $732 | $1,220 | 3.2× |
| Us ob limited 1 or more fetuses (76815) | $400.80 | $668 | 4.0× |
| Us ob transvaginal (76817) | $579.60 | $966 | 5.8× |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$192.60–$763.80 | $321–$1,273 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$147–$540.60 | $245–$901 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $345.60 | $576 | 3.5× |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$195.60–$658.80 | $326–$1,098 | varies |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$159–$469.20 | $265–$782 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$178.20–$620.40 | $297–$1,034 | varies |
| Us spinal canal and contents (76800) | $208.80 | $348 | 2.1× |
| Us thyroid (76536) range across 2 matching MRF lines |
$152.40–$566.40 | $254–$944 | varies |
| Us transrectal (76872) range across 2 matching MRF lines |
$232.20–$464.40 | $387–$774 | varies |
| Vein X-Ray Chest (75827) | $2,098.20 | $3,497 | 1.4× |
| Venogram Sinus/Jugular (75860) | $169.80 | $283 | 0.1× |
| Venography caval inferior serialography rs&i (75825) range across 2 matching MRF lines |
$171–$3,677.40 | $285–$6,129 | varies |
| Venography extremity bilateral rs&i (75822) range across 2 matching MRF lines |
$149.40–$1,326 | $249–$2,210 | varies |
| Venography extremity unilateral rs&i (75820) range across 2 matching MRF lines |
$100.80–$1,029.60 | $168–$1,716 | varies |
| Venous sampling by catheter (75893) | $3,538.80 | $5,898 | 0.7× |
| Wrist 2 views (73100) range across 3 matching MRF lines |
$71.40–$352.80 | $119–$588 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$72.60–$247.20 | $121–$412 | varies |
| X-ray antegrade pyelogram tube (74425) | $643.20 | $1,072 | 1.9× |
| X-Ray Aorta Leg Arteries (75630) range across 2 matching MRF lines |
$443.40–$2,900.40 | $739–$4,834 | varies |
| X-Ray Bend Only L-S Spine (72120) range across 2 matching MRF lines |
$74.63–$96 | $124.38–$160 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$64.80–$372.60 | $108–$621 | varies |
| X-Ray Exam Breast Specimen (76098) range across 2 matching MRF lines |
$51.60–$590.40 | $86–$984 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 2 matching MRF lines |
$67.20–$310.20 | $112–$517 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$111–$405 | $185–$675 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 2 matching MRF lines |
$65.40–$215.40 | $109–$359 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 2 matching MRF lines |
$81.60–$255.60 | $136–$426 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) | $124.20 | $207 | 1.2× |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$98.40–$306.60 | $164–$511 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 2 matching MRF lines |
$88.80–$324 | $148–$540 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) | $171 | $285 | 1.7× |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$123–$518.40 | $205–$864 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$85.20–$396 | $142–$660 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$156.60–$574.80 | $261–$958 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 2 matching MRF lines |
$77.40–$376.80 | $129–$628 | varies |
| X-ray humerus (73060) range across 3 matching MRF lines |
$78–$390.60 | $130–$651 | varies |
| X-ray IV pyelogram (ivp) (74400) | $864.60 | $1,441 | 5.2× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 2 matching MRF lines |
$42.60–$220.80 | $71–$368 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$74.40–$241.20 | $124–$402 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$87–$351.60 | $145–$586 | varies |
| X-ray nose-rectum child f.b. (76010) | $57 | $95 | 0.7× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$103.80–$468.60 | $173–$781 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$93–$258.60 | $155–$431 | varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) range across 2 matching MRF lines |
$44.40–$226.20 | $74–$377 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$96.60–$256.80 | $161–$428 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$92.40–$346.80 | $154–$578 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$87–$453 | $145–$755 | varies |
| X-Ray Stress View (77071) | $150 | $250 | 1.8× |
| X-ray thoracic spine 4 vw (72074) range across 2 matching MRF lines |
$96–$402.60 | $160–$671 | varies |
| X-Ray Tmj Unilat (70328) range across 2 matching MRF lines |
$90.60–$92.40 | $151–$154 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 2 matching MRF lines |
$250.20–$799.80 | $417–$1,333 | varies |
| X-Rays Bone Length Studies (77073) range across 2 matching MRF lines |
$69.60–$323.40 | $116–$539 | varies |
| X-Rays Bone Survey Complete (77075) | $189 | $315 | 1.9× |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$119.40–$552 | $199–$920 | varies |
| Xr facial bones less than 3 views (70140) | $231 | $385 | 2.8× |
| XR Mastoids < 3 Views Bilateral (70120) | $67.80 | $113 | 0.7× |
| Xr orbits complete 4 views (70200) range across 3 matching MRF lines |
$79.80–$435.60 | $133–$726 | 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.