Imaging prices at Centerpoint Health – Versailles
Versailles, KY · every code in this section with a posted price and a Medicare benchmark.
247 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 |
$227.54–$248.02 | $568.84–$620.04 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$466.58–$508.58 | $1,166.46–$1,271.44 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) range across 2 matching MRF lines |
$710.76–$774.73 | $1,776.91–$1,936.83 | varies |
| Angiography extremity unilateral rs&i (75710) | $819 | $2,047.50 | 0.3× |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$270.51–$294.85 | $676.27–$737.13 | varies |
| Arthrogram Wrist (73115) | $196.14 | $490.35 | 0.6× |
| Bone age studies (77072) range across 2 matching MRF lines |
$190.20–$207.32 | $475.50–$518.30 | varies |
| Bone Imaging 3 Phase (78315) range across 2 matching MRF lines |
$1,396.18–$1,521.83 | $3,490.44–$3,804.58 | varies |
| Bone Imaging Limited Area (78300) range across 2 matching MRF lines |
$798.83–$870.72 | $1,997.07–$2,176.81 | varies |
| Bone Imaging Multiple Areas (78305) range across 2 matching MRF lines |
$1,142.58–$1,245.42 | $2,856.46–$3,113.54 | varies |
| Bone Imaging Whole Body (78306) range across 2 matching MRF lines |
$1,399–$1,524.90 | $3,497.49–$3,812.26 | varies |
| Bone marrow imaging limited area (78102) | $387.24 | $968.10 | 1.0× |
| Bone marrow imaging; multiple areas (78103) | $370.86 | $927.15 | 0.9× |
| Bone marrow imaging; whole body (78104) range across 2 matching MRF lines |
$885.47–$965.16 | $2,213.67–$2,412.90 | varies |
| Bone survey infant (77076) | $57.96 | $144.90 | 0.6× |
| Brain Flow Imaging Only (78610) | $177.24 | $443.10 | 0.3× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $478.38 | $1,195.95 | 0.9× |
| Brain Imaging Minimum 4 Static Views (78605) | $284.34 | $710.85 | 0.5× |
| Cardiac blood pool imaging, first pass technique; multiple studies, resting and with stress (exercise and/or… (78483) | $25.20 | $63 | 0.0× |
| Cat Scan Follow-Up Study (76380) | $335.58 | $838.95 | 3.9× |
| Chest 1 view (71045) range across 3 matching MRF lines |
$114.22–$221.13 | $285.55–$552.83 | varies |
| Chest 2 views (71046) range across 2 matching MRF lines |
$264.16–$287.94 | $660.41–$719.85 | varies |
| Chest 3 views (71047) range across 2 matching MRF lines |
$202.87–$221.13 | $507.18–$552.83 | varies |
| Chest 4 or more views (71048) range across 2 matching MRF lines |
$200.60–$218.65 | $501.49–$546.62 | varies |
| Cholecystography Oral Contrast (74290) | $172.20 | $430.50 | 1.0× |
| Clavicle complete (73000) range across 2 matching MRF lines |
$259.24–$282.57 | $648.09–$706.42 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 2 matching MRF lines |
$105.67–$115.18 | $264.17–$287.95 | varies |
| Contrast X-Ray Bladder (74430) range across 2 matching MRF lines |
$505.78–$551.30 | $1,264.46–$1,378.26 | varies |
| Contrast X-Ray Of Knee Joint (73580) | $293.16 | $732.90 | 0.9× |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$3,913.80–$4,266.04 | $9,784.50–$10,665.11 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$3,109.35–$3,389.19 | $7,773.37–$8,472.97 | varies |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$1,784.30–$1,944.89 | $4,460.76–$4,862.23 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$2,142.88–$2,335.74 | $5,357.19–$5,839.34 | varies |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$1,540.59–$1,679.24 | $3,851.47–$4,198.10 | varies |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$1,617.38–$1,762.94 | $4,043.44–$4,407.35 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$1,601.88–$1,746.04 | $4,004.69–$4,365.11 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
$1,617.38–$1,762.94 | $4,043.44–$4,407.35 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$1,715.29–$1,869.66 | $4,288.22–$4,674.16 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 2 matching MRF lines |
$1,421.54–$1,549.48 | $3,553.85–$3,873.70 | varies |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$1,365.18–$1,488.05 | $3,412.95–$3,720.12 | varies |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$1,725.14–$1,880.40 | $4,312.85–$4,701.01 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$1,820.24–$1,984.06 | $4,550.59–$4,960.14 | varies |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$1,527.20–$1,664.65 | $3,818.01–$4,161.63 | varies |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$1,601.88–$1,746.04 | $4,004.69–$4,365.11 | varies |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$1,810.38–$1,973.32 | $4,525.96–$4,933.30 | varies |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$352.21–$383.91 | $880.53–$959.78 | varies |
| CT lower extremity w/contrast material (73701) range across 3 matching MRF lines |
$233.94–$427.68 | $584.85–$1,069.19 | varies |
| CT lumbar spine w contrast (72132) | $853.44 | $2,133.60 | 2.5× |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$1,723.74–$1,878.88 | $4,309.35–$4,697.19 | varies |
| CT maxillofacial w contrast (70487) range across 3 matching MRF lines |
$805.14–$1,471.93 | $2,012.85–$3,679.82 | varies |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$1,282.76–$1,398.20 | $3,206.89–$3,495.51 | varies |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$2,013.26–$2,194.45 | $5,033.15–$5,486.13 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,168.86 | $2,922.15 | 6.8× |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$1,295.44–$1,412.03 | $3,238.61–$3,530.08 | varies |
| CT pelvis w&w/o contrast (72194) range across 2 matching MRF lines |
$1,960.42–$2,136.86 | $4,901.05–$5,342.14 | varies |
| CT pelvis w/o contrast (72192) range across 3 matching MRF lines |
$923.58–$1,688.44 | $2,308.95–$4,221.11 | varies |
| CT scan of leg combo (73702) | $262.08 | $655.20 | 1.5× |
| CT scans face/jaw combo (70488) range across 3 matching MRF lines |
$864.78–$1,580.95 | $2,161.95–$3,952.38 | varies |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$1,803.34–$1,965.64 | $4,508.34–$4,914.09 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$1,650.48–$1,799.02 | $4,126.19–$4,497.55 | varies |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$1,639.21–$1,786.74 | $4,098.02–$4,466.84 | varies |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$1,618.77–$1,764.46 | $4,046.93–$4,411.15 | varies |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$352.21–$383.91 | $880.53–$959.78 | varies |
| CT upper extremity w/o & w/contrast material (73202) | $262.08 | $655.20 | 1.5× |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$392.36–$427.68 | $980.91–$1,069.19 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$2,149.91–$2,343.40 | $5,374.77–$5,858.50 | varies |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$2,142.88–$2,335.74 | $5,357.19–$5,839.34 | varies |
| CTA pelvis (72191) range across 2 matching MRF lines |
$1,770.93–$1,930.31 | $4,427.32–$4,825.78 | varies |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$358.55–$390.82 | $896.38–$977.05 | varies |
| Echo Guide For Artery Repair (76936) range across 2 matching MRF lines |
$535.36–$583.55 | $1,338.41–$1,458.87 | varies |
| Echograp Trans R Pros Study (76873) | $304.92 | $762.30 | 3.0× |
| Esophagram (74220) range across 3 matching MRF lines |
$150.78–$275.65 | $376.95–$689.13 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $304.50 | $761.25 | 3.0× |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$381.10–$415.40 | $952.74–$1,038.49 | varies |
| Foot 2 views (73620) range across 2 matching MRF lines |
$268.39–$292.54 | $670.97–$731.36 | varies |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$248.66–$271.04 | $621.65–$677.60 | varies |
| Gastric emptying imaging study (78264) range across 2 matching MRF lines |
$1,302.49–$1,419.71 | $3,256.22–$3,549.28 | varies |
| Gastric Emptyng Imag Std W/Sm Bwl Transit (78265) range across 2 matching MRF lines |
$1,563.16–$1,703.84 | $3,907.90–$4,259.61 | varies |
| Gastroesophageal Reflux Exam (78262) range across 2 matching MRF lines |
$386.02–$420.77 | $965.06–$1,051.92 | varies |
| Gated Heart Planar Single (78472) range across 2 matching MRF lines |
$1,114.40–$1,214.70 | $2,786–$3,036.74 | varies |
| Hand 2 views (73120) range across 2 matching MRF lines |
$247.97–$270.28 | $619.92–$675.71 | varies |
| Hepatobil Syst Image W/Drug (78227) range across 2 matching MRF lines |
$990.43–$1,079.57 | $2,476.08–$2,698.93 | varies |
| Ht Muscle Image Spect Sing (78451) | $1,740.90 | $4,352.25 | 1.4× |
| Hysterosalpingogram (74740) | $282.66 | $706.65 | 1.2× |
| Infant hip ultrasound with hip movement (dynamic) (76885) range across 2 matching MRF lines |
$643.14–$701.02 | $1,607.85–$1,752.56 | varies |
| Infusion Ivp (74410) range across 2 matching MRF lines |
$656.53–$715.62 | $1,641.32–$1,789.04 | varies |
| Joint Survey Single View (77077) range across 2 matching MRF lines |
$184.56–$201.17 | $461.40–$502.93 | varies |
| K Flow/Funct Image Multiple (78709) | $811.44 | $2,028.60 | 1.5× |
| K Flow/Funct Image W/O Drug (78707) range across 3 matching MRF lines |
$588.84–$1,076.49 | $1,472.10–$2,691.23 | varies |
| Kidney Imaging Morphol (78700) range across 2 matching MRF lines |
$1,098.91–$1,197.81 | $2,747.27–$2,994.52 | varies |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $561.96 | $1,404.90 | 1.4× |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$312.76–$340.91 | $781.91–$852.28 | varies |
| Labeled RBC Sequestration Differntl Organ/Tissue (78140) | $402.78 | $1,006.95 | 1.0× |
| Liver & Spleen Imaging Static Only (78215) | $500.22 | $1,250.55 | 1.3× |
| Liver & Spleen Imaging W/Vascular Flow (78216) range across 2 matching MRF lines |
$1,253.19–$1,365.98 | $3,132.97–$3,414.94 | varies |
| Liver imaging static only (78201) range across 2 matching MRF lines |
$790.37–$861.50 | $1,975.92–$2,153.75 | varies |
| Liver imaging w/vascular flow (78202) | $337.68 | $844.20 | 0.6× |
| Lung Ventilat&Perfus Imaging (78582) range across 2 matching MRF lines |
$813.61–$886.84 | $2,034.03–$2,217.09 | varies |
| Magnetic Image Jaw Joint (70336) range across 2 matching MRF lines |
$1,808.98–$1,971.78 | $4,522.44–$4,929.46 | varies |
| Meckels Divert Exam (78290) range across 2 matching MRF lines |
$673.44–$734.04 | $1,683.59–$1,835.11 | varies |
| Mra Head W/O & W/Contrast Material (70546) range across 2 matching MRF lines |
$2,083.70–$2,271.23 | $5,209.25–$5,678.08 | varies |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$1,911.11–$2,083.11 | $4,777.77–$5,207.77 | varies |
| Mra Neck W/O &W/Contrast Material (70549) range across 2 matching MRF lines |
$2,950.84–$3,216.42 | $7,377.11–$8,041.05 | varies |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$1,987.18–$2,166.03 | $4,967.95–$5,415.07 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 2 matching MRF lines |
$2,273.88–$2,478.53 | $5,684.71–$6,196.33 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$2,387.31–$2,602.16 | $5,968.27–$6,505.41 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 2 matching MRF lines |
$2,234.44–$2,435.54 | $5,586.11–$6,088.86 | varies |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$2,263.32–$2,467.02 | $5,658.30–$6,167.55 | varies |
| MRI chest w/o contrast (71550) range across 2 matching MRF lines |
$1,253.88–$1,366.73 | $3,134.70–$3,416.82 | varies |
| MRI chest wo w contrast (71552) range across 2 matching MRF lines |
$2,124.55–$2,315.76 | $5,311.37–$5,789.39 | varies |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 2 matching MRF lines |
$2,214.71–$2,414.04 | $5,536.78–$6,035.09 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 2 matching MRF lines |
$2,254.87–$2,457.81 | $5,637.18–$6,144.53 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 3 matching MRF lines |
$2,214.71–$2,414.04 | $5,536.78–$6,035.09 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$2,642.31–$2,880.12 | $6,605.78–$7,200.30 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 2 matching MRF lines |
$1,899.84–$2,070.82 | $4,749.59–$5,177.05 | varies |
| MRI orbit face neck w contrast (70542) range across 3 matching MRF lines |
$1,353.24–$2,473.94 | $3,383.10–$6,184.85 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 3 matching MRF lines |
$1,581.72–$2,891.63 | $3,954.30–$7,229.08 | varies |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$2,382.38–$2,596.80 | $5,955.95–$6,491.99 | varies |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$1,967.47–$2,144.54 | $4,918.67–$5,361.35 | varies |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$2,214.02–$2,413.28 | $5,535.05–$6,033.20 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 2 matching MRF lines |
$2,273.88–$2,478.53 | $5,684.71–$6,196.33 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 2 matching MRF lines |
$2,167.52–$2,362.60 | $5,418.81–$5,906.50 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 2 matching MRF lines |
$2,430.28–$2,649 | $6,075.70–$6,622.51 | varies |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$2,195–$2,392.54 | $5,487.49–$5,981.36 | varies |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$2,642.31–$2,880.12 | $6,605.78–$7,200.30 | varies |
| MRI, joint upper extrem (73221) range across 2 matching MRF lines |
$2,164.71–$2,359.54 | $5,411.78–$5,898.84 | varies |
| MRI, joint upper extrem combo (73223) range across 2 matching MRF lines |
$2,323.20–$2,532.29 | $5,808–$6,330.72 | varies |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$2,713.45–$2,957.66 | $6,783.63–$7,394.16 | varies |
| Myelogram cervical (72240) | $491.40 | $1,228.50 | 0.6× |
| Myelogram Lumbar (72265) | $546.84 | $1,367.10 | 0.7× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $227.64 | $569.10 | 0.6× |
| Myocardial Spect Multiple Studies (78452) range across 2 matching MRF lines |
$3,172.04–$3,457.52 | $7,930.10–$8,643.81 | varies |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$224.01–$244.17 | $560.03–$610.43 | varies |
| Nuclear Rx Oral Admin (79005) range across 2 matching MRF lines |
$742.47–$809.29 | $1,856.17–$2,023.23 | varies |
| Panoramic X-ray of jaws (70355) | $123.90 | $309.75 | 1.5× |
| Parathyroid Planar Imaging (78070) range across 2 matching MRF lines |
$605.11–$659.57 | $1,512.78–$1,648.93 | varies |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$261.34–$284.86 | $653.36–$712.16 | varies |
| Pulmonary Perfusion Imaging Particulate (78580) | $616.14 | $1,540.35 | 1.6× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$429–$467.62 | $1,072.51–$1,169.04 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) | $360.66 | $901.65 | 0.7× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$287.40–$313.27 | $718.50–$783.17 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$150.36–$274.89 | $375.90–$687.22 | varies |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$276.84–$301.76 | $692.10–$754.39 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 3 matching MRF lines |
$234.36–$428.46 | $585.90–$1,071.14 | varies |
| Radex fingr minimum 2 views (73140) range across 2 matching MRF lines |
$221.19–$241.10 | $552.98–$602.75 | varies |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$276.84–$301.76 | $692.10–$754.39 | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$285.30–$310.97 | $713.24–$777.43 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 2 matching MRF lines |
$177.52–$193.50 | $443.81–$483.75 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) range across 2 matching MRF lines |
$188.79–$205.78 | $471.98–$514.46 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 3 matching MRF lines |
$178.50–$326.33 | $446.25–$815.82 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 2 matching MRF lines |
$313.47–$341.68 | $783.68–$854.21 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$184.80–$337.84 | $462–$844.61 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 3 matching MRF lines |
$66.78–$122.09 | $166.95–$305.23 | varies |
| Radex Spine 1 View Specify Level (72020) range across 2 matching MRF lines |
$226.83–$247.25 | $567.08–$618.12 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$282.48–$307.90 | $706.19–$769.75 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$221.19–$241.10 | $552.98–$602.75 | varies |
| Radex Toe Minimum 2 Views (73660) range across 2 matching MRF lines |
$212.03–$231.11 | $530.07–$577.78 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 2 matching MRF lines |
$164.13–$178.90 | $410.32–$447.25 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$198.66–$216.54 | $496.64–$541.34 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$336.01–$366.25 | $840.02–$915.62 | varies |
| Radiologic exam colon double contrast study (74280) range across 2 matching MRF lines |
$781.92–$852.29 | $1,954.79–$2,130.72 | varies |
| Radiologic exam colon single contrast study (74270) range across 2 matching MRF lines |
$600.87–$654.95 | $1,502.18–$1,637.38 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$333.20–$363.18 | $832.99–$907.96 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 2 matching MRF lines |
$570.58–$621.94 | $1,426.46–$1,554.84 | varies |
| Radiologic exam swallow function contrast study (74230) range across 2 matching MRF lines |
$431.12–$469.92 | $1,077.79–$1,174.79 | varies |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$519.16–$565.88 | $1,297.90–$1,414.71 | varies |
| Radiologic examination femur 1 view (73551) range across 2 matching MRF lines |
$137.54–$149.92 | $343.85–$374.80 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$353.55–$385.37 | $883.88–$963.43 | varies |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$238.10–$259.52 | $595.24–$648.81 | varies |
| Radiologic Examination Osseous Survey Limited (77074) range across 2 matching MRF lines |
$398–$433.82 | $994.99–$1,084.54 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 2 matching MRF lines |
$282.48–$307.90 | $706.19–$769.75 | varies |
| Ribs bilateral 3 views (71110) | $238.98 | $597.45 | 2.3× |
| Rp loclzj tum plnr 1 area single day imaging (78800) range across 2 matching MRF lines |
$606.51–$661.09 | $1,516.27–$1,652.73 | varies |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $177.24 | $443.10 | 0.5× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) range across 2 matching MRF lines |
$800.93–$873.01 | $2,002.32–$2,182.53 | varies |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 2 matching MRF lines |
$1,242.61–$1,354.44 | $3,106.52–$3,386.11 | varies |
| Scapula (73010) range across 2 matching MRF lines |
$290.93–$317.12 | $727.33–$792.79 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 2 matching MRF lines |
$40.20–$43.82 | $100.50–$109.55 | varies |
| Sella turcica (70240) range across 2 matching MRF lines |
$156.38–$170.46 | $390.95–$426.14 | varies |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$228.23–$248.77 | $570.57–$621.92 | varies |
| Shoulder Arthrography (73040) range across 2 matching MRF lines |
$705.13–$768.59 | $1,762.83–$1,921.48 | varies |
| Skull less than 4 views (70250) range across 3 matching MRF lines |
$178.08–$325.56 | $445.20–$813.89 | varies |
| Sternoclavicular joints (71130) range across 2 matching MRF lines |
$157.09–$171.23 | $392.73–$428.08 | varies |
| Temporomandble Jt Arthrography Rs&I (70332) | $246.12 | $615.30 | 1.1× |
| Testicular Imaging W/Flow (78761) range across 3 matching MRF lines |
$270.48–$494.48 | $676.20–$1,236.20 | varies |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$341.64–$372.39 | $854.11–$930.98 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$411.38–$448.40 | $1,028.45–$1,121.01 | varies |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$306.42–$334 | $766.06–$835.01 | varies |
| Thyroid Imaging With Vascular Flow (78013) range across 2 matching MRF lines |
$791.08–$862.28 | $1,977.71–$2,155.70 | varies |
| Thyroid Met Imaging Body (78018) range across 2 matching MRF lines |
$1,438.45–$1,567.91 | $3,596.12–$3,919.77 | varies |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) range across 2 matching MRF lines |
$627.64–$684.13 | $1,569.11–$1,710.33 | varies |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$167.16–$250.32 | $417.90–$625.80 | varies |
| Ultrasound, abdomen limited (76705) range across 3 matching MRF lines |
$578.33–$630.38 | $1,445.83–$1,575.95 | varies |
| Upper gi w/o kub (74240) range across 2 matching MRF lines |
$629.76–$686.44 | $1,574.41–$1,716.11 | varies |
| Ureteral Reflux Study (78740) range across 2 matching MRF lines |
$679.06–$740.18 | $1,697.66–$1,850.45 | varies |
| Urethrocystogram voiding (74455) range across 2 matching MRF lines |
$464.22–$506 | $1,160.54–$1,264.99 | varies |
| Urethrocystography retrograde (74450) | $208.32 | $520.80 | 0.9× |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$373.35–$610.43 | $933.37–$1,526.07 | varies |
| Us chest (76604) range across 2 matching MRF lines |
$267.69–$291.78 | $669.22–$729.45 | varies |
| Us complete joint (76881) range across 2 matching MRF lines |
$456.46–$497.54 | $1,141.16–$1,243.86 | varies |
| Us exam, pelvic, limited (76857) range across 3 matching MRF lines |
$214.20–$391.59 | $535.50–$978.98 | varies |
| Us ob detailed single fetus (76811) | $309.96 | $774.90 | 1.3× |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$191.61–$208.85 | $479.02–$522.13 | varies |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$595.96–$649.60 | $1,489.90–$1,623.99 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 2 matching MRF lines |
$352.92–$384.68 | $882.29–$961.70 | varies |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$605.11–$659.57 | $1,512.78–$1,648.93 | varies |
| Us retroperitoneal limited (76775) range across 3 matching MRF lines |
$207.48–$379.31 | $518.70–$948.27 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$562.14–$612.73 | $1,405.34–$1,531.82 | varies |
| Us thyroid (76536) range across 2 matching MRF lines |
$582.57–$635 | $1,456.42–$1,587.50 | varies |
| Us transrectal (76872) range across 2 matching MRF lines |
$344.46–$375.46 | $861.15–$938.65 | varies |
| Vascular Flow Imaging (78445) | $177.24 | $443.10 | 0.5× |
| Venography extremity bilateral rs&i (75822) range across 2 matching MRF lines |
$1,139.06–$1,241.57 | $2,847.64–$3,103.93 | varies |
| Venography extremity unilateral rs&i (75820) range across 3 matching MRF lines |
$430.08–$786.26 | $1,075.20–$1,965.65 | varies |
| Vertebral fracture assessment via dxa (77086) range across 2 matching MRF lines |
$178.92–$195.02 | $447.30–$487.56 | varies |
| Wrist 2 views (73100) range across 3 matching MRF lines |
$96.60–$176.60 | $241.50–$441.49 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 3 matching MRF lines |
$182.70–$334 | $456.75–$835.01 | varies |
| X-ray antegrade pyelogram tube (74425) | $208.32 | $520.80 | 0.6× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$240.21–$261.83 | $600.53–$654.58 | varies |
| X-Ray Exam Breast Specimen (76098) range across 2 matching MRF lines |
$221.19–$241.10 | $552.98–$602.75 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 2 matching MRF lines |
$194.56–$212.07 | $486.39–$530.17 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$670.21–$730.53 | $1,675.53–$1,826.33 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 3 matching MRF lines |
$181.97–$309.32 | $454.93–$773.31 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 3 matching MRF lines |
$146.26–$334.92 | $365.64–$837.29 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$487.05–$530.89 | $1,217.63–$1,327.22 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$674.12–$734.80 | $1,685.31–$1,836.99 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$314.89–$343.23 | $787.22–$858.07 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$496.62–$541.32 | $1,241.56–$1,353.30 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) | $231.42 | $578.55 | 2.3× |
| X-ray eye for foreign body (70030) | $120.12 | $300.30 | 1.4× |
| X-ray humerus (73060) range across 2 matching MRF lines |
$197.24–$215 | $493.11–$537.49 | varies |
| X-ray IV pyelogram (ivp) (74400) | $459.06 | $1,147.65 | 2.7× |
| X-ray IV pyelogram+tomography (74415) | $498.96 | $1,247.40 | 2.9× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $49.14 | $122.85 | 0.6× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$250.08–$272.59 | $625.21–$681.48 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$312.76–$340.91 | $781.91–$852.28 | varies |
| X-ray nose-rectum child f.b. (76010) | $137.36 | $343.41 | 1.6× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$402.22–$438.42 | $1,005.55–$1,096.05 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$277.55–$302.53 | $693.88–$756.33 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$290.22–$316.34 | $725.56–$790.86 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$446.61–$486.80 | $1,116.52–$1,217.01 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$485.36–$529.04 | $1,213.39–$1,322.60 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 2 matching MRF lines |
$630.47–$687.21 | $1,576.17–$1,718.03 | varies |
| X-Rays Bone Length Studies (77073) range across 2 matching MRF lines |
$182.45–$198.87 | $456.13–$497.18 | varies |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$645.26–$703.33 | $1,613.14–$1,758.32 | varies |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$483.25–$526.74 | $1,208.12–$1,316.85 | varies |
| Xr facial bones less than 3 views (70140) range across 2 matching MRF lines |
$109.88–$119.77 | $274.71–$299.43 | varies |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$393.08–$428.46 | $982.70–$1,071.14 | 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.