Imaging prices at Castleview Hospital
Price, UT · every code in this section with a posted price and a Medicare benchmark.
328 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 2 matching MRF lines |
$233.66–$250.02 | $424.84–$454.58 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$312.17–$334.03 | $567.59–$607.32 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) range across 2 matching MRF lines |
$1,581.46–$1,692.17 | $2,875.39–$3,076.67 | varies |
| Acute venous thrombosis imaging, peptide Non-Facility (78456) | $258.50 | $470 | 0.2× |
| Angiography extremity unilateral rs&i (75710) | $442.75 | $805 | 0.1× |
| Ankle 2 views (73600) range across 4 matching MRF lines |
$286.81–$306.88 | $521.47–$557.97 | varies |
| Arthrogram ankle (73615) range across 2 matching MRF lines |
$563.43–$602.87 | $1,024.42–$1,096.13 | varies |
| Arthrogram hip (73525) range across 3 matching MRF lines |
$506.49–$541.94 | $920.89–$985.35 | varies |
| Arthrogram Wrist (73115) range across 3 matching MRF lines |
$592.92–$634.42 | $1,078.03–$1,153.49 | varies |
| Bone age studies (77072) range across 2 matching MRF lines |
$386.87–$413.95 | $703.40–$752.64 | varies |
| Bone Imaging 3 Phase (78315) range across 2 matching MRF lines |
$1,946.83–$2,083.11 | $3,539.69–$3,787.47 | varies |
| Bone Imaging Limited Area (78300) range across 2 matching MRF lines |
$1,236.69–$1,323.26 | $2,248.52–$2,405.92 | varies |
| Bone Imaging Multiple Areas (78305) | $741.68 | $1,348.50 | 1.8× |
| Bone Imaging Whole Body (78306) range across 2 matching MRF lines |
$1,401.95–$1,500.09 | $2,549–$2,727.43 | varies |
| Bone marrow imaging limited area (78102) | $356.40 | $648 | 0.9× |
| Bone marrow imaging; multiple areas (78103) | $387.20 | $704 | 1.0× |
| Bone marrow imaging; whole body (78104) | $481.25 | $875 | 1.2× |
| Bone survey infant (77076) range across 2 matching MRF lines |
$432.84–$463.14 | $786.99–$842.08 | varies |
| Brain Flow Imaging Only (78610) range across 2 matching MRF lines |
$235.12–$235.13 | $427.50 | varies |
| Brain imaging < 4 static views (78600) | $224.95 | $409 | 0.6× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $481.25 | $875 | 0.9× |
| Brain Imaging Minimum 4 Static Views (78605) range across 2 matching MRF lines |
$270.32–$270.33 | $491.50 | varies |
| Cardiac blood pool imaging, first pass technique; multiple studies, resting and with stress (exercise and/or… (78483) | $964.15 | $1,753 | 1.8× |
| Cardiac Shunt Detection (78428) range across 2 matching MRF lines |
$712.52–$712.53 | $1,295.50 | varies |
| Cat Scan Follow-Up Study (76380) range across 2 matching MRF lines |
$1,513.32–$1,619.26 | $2,751.50–$2,944.11 | varies |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $943.80 | $1,716 | 1.7× |
| Cerebrospinal Fluid Scan (78630) range across 2 matching MRF lines |
$1,742.15–$1,864.10 | $3,167.54–$3,389.27 | varies |
| Chest 1 view (71045) range across 3 matching MRF lines |
$286.32–$306.37 | $520.59–$557.03 | varies |
| Chest 2 views (71046) range across 2 matching MRF lines |
$390.71–$418.07 | $710.39–$760.12 | varies |
| Chest 3 views (71047) range across 2 matching MRF lines |
$457.67–$489.71 | $832.13–$890.38 | varies |
| Chest 4 or more views (71048) range across 2 matching MRF lines |
$510.55–$546.29 | $928.28–$993.26 | varies |
| Cholecystography Oral Contrast (74290) | $304.15 | $553 | 1.7× |
| Cineradiograpy/vidradiograpy xcpt where spec (76120) | $108.35 | $197 | 1.0× |
| Clavicle complete (73000) range across 2 matching MRF lines |
$316.02–$338.14 | $574.58–$614.80 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 2 matching MRF lines |
$827.21–$885.12 | $1,504.02–$1,609.30 | varies |
| Contrast X-Ray Bladder (74430) range across 3 matching MRF lines |
$449.90–$890.15 | $818–$1,618.46 | varies |
| Contrast X-Ray Of Elbow (73085) range across 2 matching MRF lines |
$563.43–$602.87 | $1,024.42–$1,096.13 | varies |
| Contrast X-Ray Of Knee Joint (73580) range across 2 matching MRF lines |
$563.43–$602.87 | $1,024.42–$1,096.13 | varies |
| Corpora cavernosography (74445) range across 2 matching MRF lines |
$803.45–$859.69 | $1,460.81–$1,563.07 | varies |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$4,097.64–$4,384.47 | $7,450.25–$7,971.77 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$3,081.61–$3,297.32 | $5,602.92–$5,995.12 | varies |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$2,026.32–$2,168.16 | $3,684.21–$3,942.10 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$2,304.98–$2,466.33 | $4,190.88–$4,484.24 | varies |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$1,736.16–$1,857.70 | $3,156.66–$3,377.63 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$3,989.42–$4,268.69 | $7,253.50–$7,761.25 | varies |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$2,596.10–$2,777.82 | $4,720.18–$5,050.59 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$1,931.51–$2,066.72 | $3,511.84–$3,757.67 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 3 matching MRF lines |
$2,473.52–$2,705.08 | $4,497.31–$4,918.32 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$2,344.25–$2,508.35 | $4,262.27–$4,560.63 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 2 matching MRF lines |
$2,528.11–$2,705.08 | $4,596.56–$4,918.32 | varies |
| CT bone density (77078) | $503.94 | $916.25 | 5.7× |
| CT cervical spine w/ contrast (72126) range across 2 matching MRF lines |
$2,038.76–$2,181.48 | $3,706.84–$3,966.32 | varies |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$2,045.47–$2,188.65 | $3,719.03–$3,979.36 | varies |
| CT cervical spine w/wo cont (72127) range across 2 matching MRF lines |
$1,928.26–$2,063.24 | $3,505.93–$3,751.35 | varies |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$2,316.49–$2,478.65 | $4,211.80–$4,506.63 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$2,462.03–$2,634.37 | $4,476.42–$4,789.77 | varies |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$1,499.62–$1,604.60 | $2,726.59–$2,917.45 | varies |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$1,909.50–$2,043.16 | $3,471.81–$3,714.84 | varies |
| CT heart no contrast quant eval coronry calcium (75571) range across 2 matching MRF lines |
$220.99–$236.46 | $401.80–$429.93 | varies |
| CT iac w contrast (70481) range across 4 matching MRF lines |
$726.28–$2,062.16 | $1,320.50–$3,749.38 | varies |
| CT l-spine w&w/o contrast (72133) range across 2 matching MRF lines |
$1,836.74–$1,965.31 | $3,339.52–$3,573.29 | varies |
| CT lower ext w/o (73700) range across 3 matching MRF lines |
$810.50–$1,590.25 | $1,473.63–$2,891.36 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$1,528.36–$1,635.35 | $2,778.84–$2,973.36 | varies |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$1,854.90–$1,984.75 | $3,372.55–$3,608.63 | varies |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$1,785.95–$1,910.96 | $3,247.18–$3,474.48 | varies |
| CT maxillofacial w contrast (70487) range across 3 matching MRF lines |
$822.70–$1,905.84 | $1,495.81–$3,465.16 | varies |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$1,631.10–$1,745.27 | $2,965.63–$3,173.22 | varies |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$2,186.23–$2,339.27 | $3,974.97–$4,253.22 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 4 matching MRF lines |
$787.05–$2,103.60 | $1,431–$3,824.73 | varies |
| CT orbits w/o contrast (70480) range across 5 matching MRF lines |
$754.60–$2,141.61 | $1,372–$3,893.83 | varies |
| CT pelvis w&w/o contrast (72194) range across 2 matching MRF lines |
$2,001.50–$2,141.61 | $3,639.09–$3,893.83 | varies |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$1,415.36–$1,514.44 | $2,573.39–$2,753.53 | varies |
| CT scan of leg combo (73702) range across 2 matching MRF lines |
$1,716.72–$1,836.89 | $3,121.31–$3,339.80 | varies |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
$1,858.74–$1,988.85 | $3,379.52–$3,616.09 | varies |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$2,004.29–$2,144.59 | $3,644.16–$3,899.25 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$1,764.90–$1,888.44 | $3,208.90–$3,433.52 | varies |
| CT thoracic spine w contrast (72129) range across 2 matching MRF lines |
$2,038.76–$2,181.48 | $3,706.84–$3,966.32 | varies |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$1,370.35–$1,466.28 | $2,491.55–$2,665.96 | varies |
| CT thoracic spine w/wo cont (72130) range across 2 matching MRF lines |
$1,928.26–$2,063.24 | $3,505.93–$3,751.35 | varies |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$1,435.46–$1,535.95 | $2,609.93–$2,792.63 | varies |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$1,465.16–$1,567.73 | $2,663.93–$2,850.41 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 2 matching MRF lines |
$1,716.72–$1,836.89 | $3,121.31–$3,339.80 | varies |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$1,528.36–$1,635.35 | $2,778.84–$2,973.36 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$3,989.42–$4,268.69 | $7,253.50–$7,761.25 | varies |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$2,528.11–$2,705.08 | $4,596.56–$4,918.32 | varies |
| CTA pelvis (72191) range across 2 matching MRF lines |
$2,684.92–$2,872.87 | $4,881.68–$5,223.40 | varies |
| Dxa Bone Density Axial (77080) range across 3 matching MRF lines |
$540.10–$577.91 | $982–$1,050.74 | varies |
| Dxa bone density study (77085) | $339.90 | $618 | 3.2× |
| Dxa bone density study 1/>sites appendiclr skel (77081) range across 2 matching MRF lines |
$300.02–$321.03 | $545.50–$583.69 | varies |
| Echo exam uterus (76831) range across 2 matching MRF lines |
$487.42–$521.53 | $886.21–$948.24 | varies |
| Esophagram (74220) range across 3 matching MRF lines |
$231.55–$449.83 | $421–$817.87 | varies |
| Fetal Biophys Profile W/Nst (76818) range across 2 matching MRF lines |
$185.35–$865.45 | $337–$1,573.54 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 2 matching MRF lines |
$454.86–$486.70 | $827.02–$884.91 | varies |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$830.63–$888.78 | $1,510.24–$1,615.96 | varies |
| Foot 2 views (73620) range across 4 matching MRF lines |
$168.05–$270.51 | $305.54–$491.83 | varies |
| Forearm 2 views (73090) range across 3 matching MRF lines |
$253.56–$343.26 | $461.01–$624.11 | varies |
| Gastric emptying imaging study (78264) range across 2 matching MRF lines |
$1,641.36–$1,756.25 | $2,984.29–$3,193.19 | varies |
| Gastric Mucosa Imaging (78261) | $407 | $740 | 1.0× |
| Gastroesophageal Reflux Exam (78262) range across 2 matching MRF lines |
$856.33–$916.27 | $1,556.96–$1,665.95 | varies |
| Gated Heart Planar Single (78472) range across 2 matching MRF lines |
$636.62–$636.63 | $1,157.50 | varies |
| Hand 2 views (73120) range across 3 matching MRF lines |
$214.37–$304.32 | $389.77–$553.30 | varies |
| Heart first pass single,planar (78481) range across 2 matching MRF lines |
$652.02–$652.03 | $1,185.50 | varies |
| Hepatobil Syst Image W/Drug (78227) range across 2 matching MRF lines |
$1,394.29–$1,491.89 | $2,535.07–$2,712.52 | varies |
| Hepatobiliary System Imaging (78226) range across 2 matching MRF lines |
$1,146.26–$1,226.50 | $2,084.11–$2,230 | varies |
| Ht Muscle Image Spect Sing (78451) range across 2 matching MRF lines |
$3,024.60–$3,236.32 | $5,499.27–$5,884.22 | varies |
| Hysterosalpingogram (74740) range across 3 matching MRF lines |
$1,049.55–$1,123.02 | $1,908.27–$2,041.85 | varies |
| Infant hip ultrasound with hip movement (dynamic) (76885) range across 2 matching MRF lines |
$509.53–$545.20 | $926.42–$991.27 | varies |
| Infant hip ultrasound, limited static exam (76886) | $221.10 | $402 | 2.5× |
| Infusion Ivp (74410) | $465.30 | $846 | 2.6× |
| Joint Survey Single View (77077) range across 2 matching MRF lines |
$219.68–$235.05 | $399.41–$427.37 | varies |
| K Flow/Funct Image Multiple (78709) | $1,433.58 | $2,606.50 | 2.6× |
| K Flow/Funct Image W/Drug (78708) range across 2 matching MRF lines |
$2,600.49–$2,782.53 | $4,728.17–$5,059.14 | varies |
| K Flow/Funct Image W/O Drug (78707) range across 3 matching MRF lines |
$646.80–$1,531.11 | $1,176–$2,783.83 | varies |
| Kidney Funcj Study Non-Img Radioisotopic Study (78725) range across 2 matching MRF lines |
$527.72–$527.73 | $959.50 | varies |
| Kidney Imaging Morphol (78700) | $328.90 | $598 | 0.8× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) range across 2 matching MRF lines |
$408.10–$646.80 | $742–$1,176 | varies |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$312.17–$334.03 | $567.59–$607.32 | varies |
| Labeled RBC Sequestration Differntl Organ/Tissue (78140) | $188.10 | $342 | 0.5× |
| Leveen/Shunt Patency Exam (78291) range across 2 matching MRF lines |
$1,112.92–$1,112.93 | $2,023.50 | varies |
| Liver & Spleen Imaging Static Only (78215) | $323.40 | $588 | 0.8× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $639.10 | $1,162 | 1.6× |
| Lung Ventilat&Perfus Imaging (78582) range across 2 matching MRF lines |
$2,481.18–$2,654.86 | $4,511.23–$4,827.02 | varies |
| Lymph System Imaging (78195) range across 2 matching MRF lines |
$1,812.52–$1,939.39 | $3,295.49–$3,526.17 | varies |
| Magnetic Image Jaw Joint (70336) range across 2 matching MRF lines |
$3,805.68–$4,072.07 | $6,919.41–$7,403.77 | varies |
| Mammary ductogram or galactogram multiple (77054) range across 2 matching MRF lines |
$780.06–$834.67 | $1,418.30–$1,517.58 | varies |
| Mammary ductogram or galactogram single (77053) range across 2 matching MRF lines |
$375.28–$401.55 | $682.33–$730.09 | varies |
| Meckels Divert Exam (78290) range across 2 matching MRF lines |
$1,026.16–$1,097.99 | $1,865.75–$1,996.35 | varies |
| Mra Head W/O & W/Contrast Material (70546) | $1,809.50 | $3,290 | 5.1× |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$2,684.19–$2,872.08 | $4,880.35–$5,221.97 | varies |
| MRA head with contrast (70545) range across 2 matching MRF lines |
$2,850.69–$3,050.23 | $5,183.07–$5,545.88 | varies |
| MRA neck w contrast (70548) range across 2 matching MRF lines |
$2,850.69–$3,050.23 | $5,183.07–$5,545.88 | varies |
| Mra Neck W/O &W/Contrast Material (70549) range across 2 matching MRF lines |
$3,150.56–$3,371.10 | $5,728.29–$6,129.27 | varies |
| MRA neck w/o contrast (70547) range across 2 matching MRF lines |
$2,684.19–$2,872.08 | $4,880.35–$5,221.97 | varies |
| MRI abdomen w contrast (74182) range across 2 matching MRF lines |
$3,003.23–$3,213.46 | $5,460.42–$5,842.65 | varies |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$2,827.82–$3,025.78 | $5,141.50–$5,501.41 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 3 matching MRF lines |
$2,712.38–$2,902.25 | $4,931.60–$5,276.81 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 3 matching MRF lines |
$3,003.23–$3,213.46 | $5,460.42–$5,842.65 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 2 matching MRF lines |
$2,553.96–$2,732.74 | $4,643.56–$4,968.61 | varies |
| MRI bone marrow blood supply (77084) range across 2 matching MRF lines |
$2,463.22–$2,635.64 | $4,478.58–$4,792.08 | varies |
| MRI Breast W/O Contrast Bilateral (77047) range across 2 matching MRF lines |
$1,177–$3,663.10 | $2,140–$6,660.18 | varies |
| MRI Breast Without Contrast Material Unilateral (77046) range across 2 matching MRF lines |
$1,177–$2,881.82 | $2,140–$5,239.67 | varies |
| MRI cardiac w/o contrast (75557) | $1,206.70 | $2,194 | 5.0× |
| MRI cervical spine w contrast (72142) range across 2 matching MRF lines |
$3,147.66–$3,367.99 | $5,723.01–$6,123.62 | varies |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$2,727.29–$2,918.20 | $4,958.71–$5,305.82 | varies |
| MRI chest w/o contrast (71550) range across 2 matching MRF lines |
$3,337.86–$3,571.51 | $6,068.83–$6,493.65 | varies |
| MRI chest with contrast (71551) range across 2 matching MRF lines |
$3,337.86–$3,571.51 | $6,068.83–$6,493.65 | varies |
| MRI chest wo w contrast (71552) range across 2 matching MRF lines |
$3,641.93–$3,896.87 | $6,621.69–$7,085.21 | varies |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 3 matching MRF lines |
$2,691.02–$2,879.39 | $4,892.77–$5,235.26 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 2 matching MRF lines |
$2,553.96–$2,732.74 | $4,643.56–$4,968.61 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines |
$2,166.13–$2,317.76 | $3,938.42–$4,214.11 | varies |
| MRI lumbar spine w contrast (72149) range across 2 matching MRF lines |
$4,195.19–$4,488.85 | $7,627.61–$8,161.54 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$3,112.26–$3,330.12 | $5,658.65–$6,054.76 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 2 matching MRF lines |
$2,556.77–$2,735.75 | $4,648.68–$4,974.09 | varies |
| MRI orbit face neck w contrast (70542) range across 4 matching MRF lines |
$2,556.20–$3,199.33 | $4,647.63–$5,816.96 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 3 matching MRF lines |
$3,443.59–$3,684.64 | $6,261.07–$6,699.34 | varies |
| MRI pelvis w contrast (72196) range across 2 matching MRF lines |
$2,624.91–$2,808.65 | $4,772.56–$5,106.64 | varies |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$2,677.49–$2,864.92 | $4,868.17–$5,208.94 | varies |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$2,471.60–$2,644.61 | $4,493.81–$4,808.38 | varies |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$3,013.61–$3,224.56 | $5,479.29–$5,862.84 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 3 matching MRF lines |
$2,902.25–$3,507.29 | $5,276.81–$6,376.89 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 2 matching MRF lines |
$2,553.96–$2,732.74 | $4,643.56–$4,968.61 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 2 matching MRF lines |
$2,827.82–$3,025.78 | $5,141.50–$5,501.41 | varies |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$3,027.01–$3,238.91 | $5,503.66–$5,888.92 | varies |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$3,356.44–$3,591.38 | $6,102.61–$6,529.79 | varies |
| MRI, dorsal spine contrast (72147) range across 2 matching MRF lines |
$3,273.78–$3,502.94 | $5,952.32–$6,368.98 | varies |
| MRI, joint upper extrem (73221) range across 2 matching MRF lines |
$2,553.96–$2,732.74 | $4,643.56–$4,968.61 | varies |
| MRI, joint upper extrem combo (73223) range across 3 matching MRF lines |
$2,827.82–$3,213.46 | $5,141.50–$5,842.65 | varies |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$4,414.60–$4,723.63 | $8,026.55–$8,588.41 | varies |
| Myelogram cervical (72240) | $207.08 | $376.50 | 0.3× |
| Myelogram Lumbar (72265) range across 2 matching MRF lines |
$331.48–$331.49 | $602.70 | varies |
| Myelography thoracic (72255) range across 2 matching MRF lines |
$1,561.13–$1,670.41 | $2,838.42–$3,037.11 | varies |
| Myelograpy 2/more regions rs&i (72270) | $348.70 | $634 | 0.4× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $543.68 | $988.50 | 1.3× |
| Myocardial Spect Multiple Studies (78452) range across 2 matching MRF lines |
$3,872.59–$4,143.68 | $7,041.08–$7,533.96 | varies |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$320.80–$343.26 | $583.28–$624.11 | varies |
| Nm myocard infarct spect (78469) | $532.95 | $969 | 1.0× |
| Nuclear Rx Oral Admin (79005) range across 3 matching MRF lines |
$232.10–$726.91 | $422–$1,321.66 | varies |
| Ob us nuchal meas 1 gest (76813) range across 2 matching MRF lines |
$562.41–$601.78 | $1,022.56–$1,094.14 | varies |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) range across 2 matching MRF lines |
$196.62–$196.63 | $357.50 | varies |
| Optic foramina (70190) range across 2 matching MRF lines |
$253.24–$270.96 | $460.43–$492.66 | varies |
| Parathyroid Planar Imaging (78070) range across 2 matching MRF lines |
$1,059.13–$1,133.27 | $1,925.69–$2,060.49 | varies |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$182.91–$195.72 | $332.57–$355.85 | varies |
| Pulmonary Perfusion Imaging Particulate (78580) range across 2 matching MRF lines |
$1,202.77–$1,286.96 | $2,186.85–$2,339.93 | varies |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$439.55–$470.32 | $799.18–$855.12 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 2 matching MRF lines |
$508.51–$544.11 | $924.57–$989.29 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$355.28–$380.15 | $645.96–$691.18 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$274.83–$294.07 | $499.69–$534.67 | varies |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$337.07–$360.67 | $612.86–$655.76 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$615.75–$658.86 | $1,119.55–$1,197.92 | varies |
| Radex fingr minimum 2 views (73140) range across 2 matching MRF lines |
$253.78–$271.54 | $461.41–$493.71 | varies |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$344.75–$368.88 | $626.81–$670.69 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$355.28–$626.96 | $645.96–$1,139.92 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 3 matching MRF lines |
$420.04–$449.44 | $763.71–$817.17 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) range across 2 matching MRF lines |
$459.69–$491.87 | $835.80–$894.31 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 3 matching MRF lines |
$209.55–$458.02 | $381–$832.77 | varies |
| Radex Pharynx/Larx W/Fluor&/Magnification Tq (70370) | $121 | $220 | 1.4× |
| Radex Ribs Unilateral 2 Views (71100) range across 3 matching MRF lines |
$166.65–$310.48 | $303–$564.50 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$288.23–$308.41 | $524.06–$560.74 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 3 matching MRF lines |
$182.60–$340.19 | $332–$618.52 | varies |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) range across 2 matching MRF lines |
$1,064.81–$1,139.35 | $1,936.02–$2,071.54 | varies |
| Radex Spine 1 View Specify Level (72020) range across 2 matching MRF lines |
$255.29–$273.16 | $464.16–$496.65 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 3 matching MRF lines |
$254.10–$473.40 | $462–$860.72 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$515.63–$551.73 | $937.51–$1,003.14 | varies |
| Radex Toe Minimum 2 Views (73660) range across 2 matching MRF lines |
$240.38–$257.20 | $437.05–$467.64 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 2 matching MRF lines |
$388.51–$415.71 | $706.38–$755.83 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$330.38–$353.51 | $600.70–$642.75 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$549.68–$588.15 | $999.41–$1,069.37 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 2 matching MRF lines |
$375.28–$401.55 | $682.33–$730.09 | varies |
| Radiologic exam colon double contrast study (74280) range across 2 matching MRF lines |
$755.56–$808.45 | $1,373.74–$1,469.90 | varies |
| Radiologic exam colon single contrast study (74270) range across 2 matching MRF lines |
$543.93–$582 | $988.96–$1,058.19 | varies |
| Radiologic Exam Esophagus Double Contrast Study (74221) range across 2 matching MRF lines |
$365.68–$391.28 | $664.87–$711.41 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$378.26–$404.73 | $687.74–$735.88 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$330.38–$353.51 | $600.70–$642.75 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 2 matching MRF lines |
$845.59–$904.78 | $1,537.43–$1,645.05 | varies |
| Radiologic exam swallow function contrast study (74230) range across 2 matching MRF lines |
$538.19–$575.86 | $978.52–$1,047.02 | varies |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$731.62–$782.83 | $1,330.21–$1,423.32 | varies |
| Radiologic examination femur 1 view (73551) range across 2 matching MRF lines |
$205.45–$219.83 | $373.54–$399.69 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$360.06–$385.26 | $654.65–$700.48 | varies |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$226.94–$242.83 | $412.62–$441.50 | varies |
| Radiologic Examination Osseous Survey Limited (77074) range across 2 matching MRF lines |
$476.90–$510.29 | $867.10–$927.80 | varies |
| Radiologic Examination Salivary Gland Calculus (70380) range across 2 matching MRF lines |
$326.46–$349.31 | $593.56–$635.11 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 4 matching MRF lines |
$235.68–$399.61 | $428.50–$726.57 | varies |
| Radiologic examination, internal auditory meati, complete Non-Facility (70134) range across 2 matching MRF lines |
$335.63–$359.12 | $610.23–$652.95 | varies |
| Radiologic examination, teeth; single view Non-Facility (70300) | $35.20 | $64 | 0.4× |
| Radiopharm Dacryocystography (78660) range across 2 matching MRF lines |
$393.52–$393.53 | $715.50 | varies |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$297.81–$318.66 | $541.48–$579.38 | varies |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $435.60 | $792 | 1.1× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) range across 2 matching MRF lines |
$515.62–$515.63 | $937.50 | varies |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $662.20 | $1,204 | 1.2× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) range across 2 matching MRF lines |
$3,473.78–$3,716.95 | $6,315.97–$6,758.09 | varies |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 3 matching MRF lines |
$1,008.15–$2,605.17 | $1,833–$4,736.68 | varies |
| Salivary Gland Imaging Serial Images (78231) | $396 | $720 | 1.0× |
| Scapula (73010) range across 2 matching MRF lines |
$284.40–$304.32 | $517.10–$553.30 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 2 matching MRF lines |
$70.91–$75.88 | $128.93–$137.96 | varies |
| Sella turcica (70240) range across 2 matching MRF lines |
$353.92–$378.69 | $643.49–$688.53 | varies |
| Shoulder 1 view (73020) range across 3 matching MRF lines |
$201.38–$215.47 | $366.14–$391.77 | varies |
| Shoulder Arthrography (73040) range across 2 matching MRF lines |
$689.48–$737.74 | $1,253.60–$1,341.35 | varies |
| Sialogram (70390) | $66 | $120 | 0.3× |
| Skull less than 4 views (70250) range across 3 matching MRF lines |
$480.73–$598.53 | $874.06–$1,088.23 | varies |
| Spleen Imaging (78185) | $996.88 | $1,812.50 | 2.5× |
| Sternoclavicular joints (71130) range across 2 matching MRF lines |
$317.93–$340.19 | $578.06–$618.52 | varies |
| Testicular Imaging W/Flow (78761) range across 2 matching MRF lines |
$544.22–$544.23 | $989.50 | varies |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) range across 2 matching MRF lines |
$612.26–$655.12 | $1,113.20–$1,191.12 | varies |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$448.17–$479.54 | $814.85–$871.89 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$471.15–$504.12 | $856.63–$916.59 | varies |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$448.17–$479.54 | $814.85–$871.89 | varies |
| Thyroid Carcinoma Metastases Img Lmtd Area (78015) | $538.18 | $978.50 | 1.3× |
| Thyroid Imaging With Vascular Flow (78013) range across 2 matching MRF lines |
$897.01–$959.81 | $1,630.93–$1,745.10 | varies |
| Thyroid Met Imaging Body (78018) | $1,065.90 | $1,938 | 1.9× |
| Thyroid Uptake Measurement (78012) range across 2 matching MRF lines |
$1,250.64–$1,338.18 | $2,273.89–$2,433.06 | varies |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) range across 2 matching MRF lines |
$1,250.64–$1,338.18 | $2,273.89–$2,433.06 | varies |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$439.55–$470.32 | $799.18–$855.12 | varies |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
$556.37–$595.32 | $1,011.59–$1,082.40 | varies |
| Ultrasound, abdomen limited (76705) range across 9 matching MRF lines |
$482.61–$640.40 | $877.47–$1,164.36 | varies |
| Umbilical-artery Doppler (OB) (76820) range across 2 matching MRF lines |
$334.21–$357.60 | $607.65–$650.19 | varies |
| Unlisted Dx Radiographic Procedure (76499) range across 2 matching MRF lines |
$41.25–$44.14 | $75–$80.25 | varies |
| Upper gi w/o kub (74240) range across 2 matching MRF lines |
$506.58–$542.04 | $921.05–$985.52 | varies |
| Ureteral Reflux Study (78740) | $493.35 | $897 | 1.2× |
| Urethrocystogram voiding (74455) range across 2 matching MRF lines |
$499.88–$534.87 | $908.87–$972.49 | varies |
| Urethrocystography retrograde (74450) range across 2 matching MRF lines |
$1,131.93–$1,211.16 | $2,058.05–$2,202.11 | varies |
| Us bone density measurement (76977) | $109.45 | $199 | 1.0× |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$360.10–$525.65 | $654.73–$955.72 | varies |
| Us chest (76604) range across 2 matching MRF lines |
$364.85–$390.39 | $663.36–$709.80 | varies |
| Us complete joint (76881) range across 2 matching MRF lines |
$712.92–$762.82 | $1,296.21–$1,386.94 | varies |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$365.82–$391.42 | $665.12–$711.68 | varies |
| Us head (76506) range across 2 matching MRF lines |
$771.92–$825.95 | $1,403.49–$1,501.73 | varies |
| Us kidney transplant (76776) | $424.60 | $772 | 4.0× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$559.24–$598.39 | $1,016.80–$1,087.98 | varies |
| Us ob detailed single fetus (76811) range across 2 matching MRF lines |
$826.24–$884.08 | $1,502.26–$1,607.42 | varies |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$373.47–$399.61 | $679.04–$726.57 | varies |
| Us ob transvaginal (76817) range across 3 matching MRF lines |
$266.41–$589.18 | $484.38–$1,071.23 | varies |
| Us pelvic non ob complete (76856) range across 3 matching MRF lines |
$454.85–$717.26 | $827–$1,304.11 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$555.41–$594.29 | $1,009.84–$1,080.53 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 2 matching MRF lines |
$545.84–$584.05 | $992.43–$1,061.90 | varies |
| Us retroperitoneal complete (76770) range across 4 matching MRF lines |
$250.80–$665.01 | $456–$1,209.10 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$641.60–$686.52 | $1,166.55–$1,248.21 | varies |
| Us spinal canal and contents (76800) range across 2 matching MRF lines |
$525.38–$562.16 | $955.23–$1,022.10 | varies |
| Us thyroid (76536) range across 3 matching MRF lines |
$578.40–$724.43 | $1,051.64–$1,317.14 | varies |
| Us transrectal (76872) range across 2 matching MRF lines |
$362.06–$387.41 | $658.30–$704.38 | varies |
| Vascular Flow Imaging (78445) | $497.48 | $904.50 | 1.2× |
| Venography extremity bilateral rs&i (75822) range across 2 matching MRF lines |
$324.44–$347.15 | $589.89–$631.18 | varies |
| Venography extremity unilateral rs&i (75820) range across 2 matching MRF lines |
$221.72–$237.24 | $403.13–$431.35 | varies |
| Venous thrombosis imaging (78457) | $323.40 | $588 | 0.6× |
| Venous Thrombosis Imaging Venogram Bilateral (78458) | $451.55 | $821 | 1.1× |
| Vertebral fracture assessment via dxa (77086) range across 2 matching MRF lines |
$344.77–$368.90 | $626.85–$670.73 | varies |
| Wrist 2 views (73100) range across 3 matching MRF lines |
$177.39–$271.54 | $322.52–$493.71 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 3 matching MRF lines |
$523.81–$560.48 | $952.39–$1,019.06 | varies |
| X-ray antegrade pyelogram tube (74425) range across 2 matching MRF lines |
$743.44–$795.48 | $1,351.71–$1,446.33 | varies |
| X-Ray Bend Only L-S Spine (72120) range across 2 matching MRF lines |
$337.66–$361.29 | $613.92–$656.89 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 4 matching MRF lines |
$197.76–$302.27 | $359.56–$549.59 | varies |
| X-Ray Exam Breast Specimen (76098) range across 3 matching MRF lines |
$192.63–$212.10 | $350.23–$385.64 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 2 matching MRF lines |
$407.95–$436.51 | $741.73–$793.65 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$553.51–$592.26 | $1,006.38–$1,076.83 | varies |
| X-Ray Exam Entire Spi 4/5 Vw (72083) range across 2 matching MRF lines |
$665.13–$711.68 | $1,209.32–$1,293.97 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 4 matching MRF lines |
$97.60–$183.91 | $177.45–$334.38 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 3 matching MRF lines |
$115.50–$285.88 | $210–$519.78 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) range across 2 matching MRF lines |
$334.61–$358.03 | $608.38–$650.97 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$267.18–$285.88 | $485.78–$519.78 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 2 matching MRF lines |
$334.61–$358.03 | $608.38–$650.97 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) range across 2 matching MRF lines |
$487.16–$521.26 | $885.74–$947.74 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$593.72–$635.29 | $1,079.50–$1,155.07 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$432.84–$463.14 | $786.99–$842.08 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$664.59–$711.11 | $1,208.35–$1,292.93 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 2 matching MRF lines |
$394.53–$422.15 | $717.33–$767.54 | varies |
| X-ray eye for foreign body (70030) range across 2 matching MRF lines |
$384.43–$411.35 | $698.97–$747.90 | varies |
| X-ray humerus (73060) range across 3 matching MRF lines |
$192.63–$277.68 | $350.23–$504.88 | varies |
| X-ray IV pyelogram (ivp) (74400) range across 2 matching MRF lines |
$616.32–$659.46 | $1,120.58–$1,199.02 | varies |
| X-ray IV pyelogram+tomography (74415) range across 2 matching MRF lines |
$388.02–$388.03 | $705.50 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 2 matching MRF lines |
$416.97–$446.16 | $758.13–$811.20 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$293.99–$314.57 | $534.52–$571.94 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$415.61–$444.70 | $755.65–$808.55 | varies |
| X-ray nose-rectum child f.b. (76010) range across 2 matching MRF lines |
$386.87–$413.95 | $703.40–$752.64 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$487.42–$521.53 | $886.21–$948.24 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$437.62–$468.26 | $795.68–$851.38 | varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) range across 2 matching MRF lines |
$370.60–$396.54 | $673.81–$720.98 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$437.62–$468.26 | $795.68–$851.38 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$529.56–$566.63 | $962.84–$1,030.24 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$701.75–$750.87 | $1,275.91–$1,365.22 | varies |
| X-Ray Stress View (77071) | $232.90 | $423.45 | 2.6× |
| X-ray thoracic spine 4 vw (72074) range across 2 matching MRF lines |
$170.22–$170.23 | $309.50 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 2 matching MRF lines |
$740.23–$792.05 | $1,345.88–$1,440.09 | varies |
| X-Rays Bone Length Studies (77073) range across 3 matching MRF lines |
$465.71–$571.76 | $846.74–$1,039.56 | varies |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$896.34–$959.08 | $1,629.70–$1,743.78 | varies |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$540.10–$577.91 | $982–$1,050.74 | varies |
| Xr facial bones less than 3 views (70140) range across 2 matching MRF lines |
$308.16–$329.74 | $560.30–$599.52 | varies |
| XR Mastoids < 3 Views Bilateral (70120) range across 2 matching MRF lines |
$381.38–$408.08 | $693.42–$741.96 | varies |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$416.97–$446.16 | $758.13–$811.20 | varies |
| Xr Tomogram Single Plane (76100) | $109.18 | $198.50 | 1.0× |
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.