Imaging prices at Centerpoint Health – Winchester
Winchester, KY · every code in this section with a posted price and a Medicare benchmark.
320 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 |
$298.82–$325.71 | $747.04–$814.27 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$238.98–$260.49 | $597.45–$651.22 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) range across 2 matching MRF lines |
$1,527.31–$1,664.77 | $3,818.28–$4,161.93 | varies |
| Adrenal Cortex & Medulla Img (78075) | $1,026.12 | $2,565.30 | 0.8× |
| Angio internal mammary (75756) range across 2 matching MRF lines |
$13,143.80–$14,326.75 | $32,859.51–$35,816.87 | varies |
| Angio pulmonary bilat (75743) range across 4 matching MRF lines |
$2,710.70–$14,326.75 | $6,776.74–$35,816.87 | varies |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $1,726.71 | $4,316.78 | 0.6× |
| Angiography extremity bilateral rs&i (75716) range across 4 matching MRF lines |
$2,710.70–$14,326.75 | $6,776.74–$35,816.87 | varies |
| Angiography extremity unilateral rs&i (75710) range across 3 matching MRF lines |
$5,432.30–$14,326.75 | $13,580.75–$35,816.87 | varies |
| Angiography pulmonary unilateral slctv rs&i (75741) range across 4 matching MRF lines |
$5,015.11–$14,326.75 | $12,537.77–$35,816.87 | varies |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) range across 4 matching MRF lines |
$1,078.91–$8,431.18 | $2,697.27–$21,077.94 | varies |
| Ankle 2 views (73600) range across 4 matching MRF lines |
$76.78–$380.47 | $191.95–$951.18 | varies |
| Aortography thoracic serialography rs&i (75605) range across 4 matching MRF lines |
$2,908.42–$26,051.23 | $7,271.04–$65,128.08 | varies |
| Artery X-Rays Abdomen (75726) range across 4 matching MRF lines |
$2,710.70–$23,764.21 | $6,776.74–$59,410.52 | varies |
| Artery X-Rays Adrenal Gland (75731) | $1,726.71 | $4,316.78 | 0.6× |
| Artery X-Rays Pelvis (75736) range across 3 matching MRF lines |
$1,726.71–$3,460.37 | $4,316.78–$8,650.92 | varies |
| Arthrogram ankle (73615) | $345.44 | $863.59 | 1.0× |
| Arthrogram hip (73525) range across 3 matching MRF lines |
$603.92–$692.26 | $1,509.79–$1,730.65 | varies |
| Arthrogram Wrist (73115) range across 2 matching MRF lines |
$635.10–$692.26 | $1,587.75–$1,730.65 | varies |
| Bone age studies (77072) range across 2 matching MRF lines |
$197.52–$215.29 | $493.79–$538.23 | varies |
| Bone Imaging 3 Phase (78315) range across 2 matching MRF lines |
$1,427.69–$1,556.18 | $3,569.23–$3,890.46 | varies |
| Bone Imaging Limited Area (78300) range across 2 matching MRF lines |
$870.08–$948.39 | $2,175.21–$2,370.98 | varies |
| Bone Imaging Multiple Areas (78305) range across 2 matching MRF lines |
$1,040.34–$1,133.98 | $2,600.86–$2,834.94 | varies |
| Bone Imaging Whole Body (78306) range across 2 matching MRF lines |
$1,409.82–$1,536.70 | $3,524.55–$3,841.76 | varies |
| Bone survey infant (77076) range across 2 matching MRF lines |
$492.07–$536.36 | $1,230.17–$1,340.89 | varies |
| Brain Flow Imaging Only (78610) | $210.23 | $525.57 | 0.4× |
| Brain imaging < 4 static views (78600) | $233.84 | $584.60 | 0.6× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) range across 2 matching MRF lines |
$802.88–$875.14 | $2,007.21–$2,187.86 | varies |
| Brain Imaging Pet Metabolic Evaluation (78608) range across 2 matching MRF lines |
$2,408.96–$2,625.77 | $6,022.41–$6,564.43 | varies |
| Cat Scan Follow-Up Study (76380) range across 3 matching MRF lines |
$268.70–$477.40 | $671.75–$1,193.51 | varies |
| Cerebrospinal Fluid Scan (78630) range across 2 matching MRF lines |
$1,007.13–$1,097.77 | $2,517.82–$2,744.42 | varies |
| Chest 1 view (71045) range across 2 matching MRF lines |
$306.48–$334.06 | $766.19–$835.15 | varies |
| Chest 2 views (71046) range across 2 matching MRF lines |
$381.41–$415.74 | $953.52–$1,039.34 | varies |
| Chest 3 views (71047) range across 2 matching MRF lines |
$380.55–$414.80 | $951.38–$1,037 | varies |
| Chest 4 or more views (71048) range across 2 matching MRF lines |
$555.07–$605.03 | $1,387.68–$1,512.57 | varies |
| Clavicle complete (73000) range across 2 matching MRF lines |
$326.06–$355.41 | $815.16–$888.52 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 2 matching MRF lines |
$127.79–$139.29 | $319.47–$348.22 | varies |
| Contrast Exam Abdominl Aorta (75625) range across 4 matching MRF lines |
$2,710.70–$14,326.75 | $6,776.74–$35,816.87 | varies |
| Contrast X-Ray Bladder (74430) range across 2 matching MRF lines |
$664.05–$723.82 | $1,660.13–$1,809.54 | varies |
| Contrast X-Ray Of Elbow (73085) range across 2 matching MRF lines |
$635.10–$692.26 | $1,587.75–$1,730.65 | varies |
| Contrast X-Ray Of Knee Joint (73580) range across 3 matching MRF lines |
$635.10–$692.26 | $1,587.75–$1,730.65 | varies |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$4,781.14–$5,211.44 | $11,952.84–$13,028.60 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$3,693.98–$4,026.43 | $9,234.94–$10,066.08 | varies |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$2,390.57–$2,605.72 | $5,976.42–$6,514.30 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$2,346.30–$2,557.46 | $5,865.74–$6,393.66 | varies |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$1,650.75–$1,799.32 | $4,126.88–$4,498.30 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$2,660.43–$2,899.87 | $6,651.08–$7,249.68 | varies |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$2,793.26–$3,044.65 | $6,983.15–$7,611.63 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$2,012.57–$2,193.70 | $5,031.42–$5,484.25 | varies |
| CT angio hrt w/3d image (75574) range across 2 matching MRF lines |
$597.64–$651.43 | $1,494.11–$1,628.58 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
$2,793.26–$3,044.65 | $6,983.15–$7,611.63 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$1,333.20–$1,453.19 | $3,333–$3,632.97 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 2 matching MRF lines |
$2,793.26–$3,044.65 | $6,983.15–$7,611.63 | varies |
| CT cervical spine w/ contrast (72126) range across 2 matching MRF lines |
$1,965.74–$2,142.66 | $4,914.35–$5,356.64 | varies |
| CT cervical spine w/o contrast (72125) range across 3 matching MRF lines |
$189.36–$1,799.32 | $473.40–$4,498.30 | varies |
| CT cervical spine w/wo cont (72127) range across 2 matching MRF lines |
$2,346.30–$2,557.46 | $5,865.74–$6,393.66 | varies |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$1,965.74–$2,142.66 | $4,914.35–$5,356.64 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$2,346.30–$2,557.46 | $5,865.74–$6,393.66 | varies |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$1,965.74–$2,142.66 | $4,914.35–$5,356.64 | varies |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$2,346.30–$2,557.46 | $5,865.74–$6,393.66 | varies |
| CT heart contrast eval cardiac structure&morph (75572) range across 2 matching MRF lines |
$597.64–$651.43 | $1,494.11–$1,628.58 | varies |
| CT heart no contrast quant eval coronry calcium (75571) range across 2 matching MRF lines |
$66.80–$72.81 | $167–$182.03 | varies |
| CT hrt w/3d image congen (75573) range across 2 matching MRF lines |
$597.64–$651.43 | $1,494.11–$1,628.58 | varies |
| CT iac w contrast (70481) range across 3 matching MRF lines |
$1,965.74–$2,187.21 | $4,914.35–$5,468.02 | varies |
| CT l-spine w&w/o contrast (72133) range across 2 matching MRF lines |
$2,346.30–$2,557.46 | $5,865.74–$6,393.66 | varies |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$1,650.75–$1,799.32 | $4,126.88–$4,498.30 | varies |
| CT lower extremity w/contrast material (73701) range across 3 matching MRF lines |
$1,591.20–$2,142.66 | $3,977.99–$5,356.64 | varies |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$1,650.75–$1,799.32 | $4,126.88–$4,498.30 | varies |
| CT lumbar spine w/o contrast (72131) range across 3 matching MRF lines |
$189.36–$2,369.09 | $473.40–$5,922.72 | varies |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$1,965.74–$2,142.66 | $4,914.35–$5,356.64 | varies |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$1,650.75–$1,799.32 | $4,126.88–$4,498.30 | varies |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$2,346.30–$2,557.46 | $5,865.74–$6,393.66 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 2 matching MRF lines |
$2,346.30–$2,557.46 | $5,865.74–$6,393.66 | varies |
| CT orbits w/o contrast (70480) range across 3 matching MRF lines |
$1,388.54–$1,799.32 | $3,471.35–$4,498.30 | varies |
| CT pelvis w&w/o contrast (72194) range across 2 matching MRF lines |
$2,622.14–$2,858.13 | $6,555.35–$7,145.33 | varies |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$1,901.05–$2,072.15 | $4,752.63–$5,180.37 | varies |
| CT scan of leg combo (73702) range across 3 matching MRF lines |
$685.55–$2,557.46 | $1,713.88–$6,393.66 | varies |
| CT scans face/jaw combo (70488) range across 3 matching MRF lines |
$1,015.64–$2,557.46 | $2,539.11–$6,393.66 | varies |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$2,281.59–$2,486.94 | $5,703.98–$6,217.34 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$1,650.75–$1,799.32 | $4,126.88–$4,498.30 | varies |
| CT thoracic spine w contrast (72129) range across 2 matching MRF lines |
$1,965.74–$2,142.66 | $4,914.35–$5,356.64 | varies |
| CT thoracic spine w/o contrast (72128) range across 3 matching MRF lines |
$189.36–$2,072.15 | $473.40–$5,180.37 | varies |
| CT thoracic spine w/wo cont (72130) range across 2 matching MRF lines |
$2,346.30–$2,557.46 | $5,865.74–$6,393.66 | varies |
| CT thorax w/o contrast (71250) range across 3 matching MRF lines |
$112.28–$2,072.15 | $280.70–$5,180.37 | varies |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$1,650.75–$1,799.32 | $4,126.88–$4,498.30 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 2 matching MRF lines |
$2,346.30–$2,557.46 | $5,865.74–$6,393.66 | varies |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$1,965.74–$2,142.66 | $4,914.35–$5,356.64 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$2,793.26–$3,044.65 | $6,983.15–$7,611.63 | varies |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$2,793.26–$3,044.65 | $6,983.15–$7,611.63 | varies |
| CTA pelvis (72191) range across 2 matching MRF lines |
$2,228.82–$2,429.41 | $5,572.04–$6,073.52 | varies |
| Dilation ureters/urethra rs&i (74485) range across 3 matching MRF lines |
$1,585.94–$3,178.26 | $3,964.86–$7,945.66 | varies |
| Discography Cerv/Thor Spine (72285) | $1,243.29 | $3,108.22 | 0.7× |
| Diskography lumbar (72295) | $1,243.29 | $3,108.22 | 0.7× |
| Dxa Bone Density Axial (77080) range across 3 matching MRF lines |
$229.67–$503.88 | $574.18–$1,259.70 | varies |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $229.67 | $574.18 | 2.7× |
| Echo Guide For Artery Repair (76936) range across 3 matching MRF lines |
$1,079.50–$1,307.60 | $2,698.76–$3,269 | varies |
| Esophagram (74220) range across 3 matching MRF lines |
$393.32–$651.43 | $983.30–$1,628.58 | varies |
| Fetal Biophys Profile W/Nst (76818) | $531.58 | $1,328.95 | 5.2× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 2 matching MRF lines |
$905.83–$987.36 | $2,264.58–$2,468.39 | varies |
| Fluoroscopy up to 1 hr (76000) range across 3 matching MRF lines |
$418.01–$1,205.27 | $1,045.02–$3,013.17 | varies |
| Follow-Up Angiography (75898) range across 4 matching MRF lines |
$886.28–$8,431.18 | $2,215.70–$21,077.94 | varies |
| Foot 2 views (73620) range across 4 matching MRF lines |
$76.78–$276.54 | $191.95–$691.35 | varies |
| Forearm 2 views (73090) range across 3 matching MRF lines |
$242.20–$367.47 | $605.51–$918.68 | varies |
| Gastric emptying imaging study (78264) range across 2 matching MRF lines |
$1,527.31–$1,664.77 | $3,818.28–$4,161.93 | varies |
| Gastric Mucosa Imaging (78261) | $738.56 | $1,846.41 | 1.9× |
| Gastroesophageal Reflux Exam (78262) | $746.90 | $1,867.25 | 1.9× |
| Gated Heart Planar Single (78472) | $326.45 | $816.12 | 0.8× |
| Gated Heart, Multiple (78473) range across 2 matching MRF lines |
$600.19–$654.21 | $1,500.48–$1,635.52 | varies |
| Hand 2 views (73120) range across 4 matching MRF lines |
$242.20–$310.88 | $10.50–$777.20 | varies |
| Hepatobil Syst Image W/Drug (78227) range across 2 matching MRF lines |
$1,195.29–$1,302.87 | $2,988.23–$3,257.17 | varies |
| Hepatobiliary System Imaging (78226) range across 2 matching MRF lines |
$1,045.45–$1,139.54 | $2,613.62–$2,848.85 | varies |
| Ht Muscle Image Spect Sing (78451) range across 2 matching MRF lines |
$1,953.83–$2,129.68 | $4,884.58–$5,324.19 | varies |
| Hysterosalpingogram (74740) range across 3 matching MRF lines |
$345.44–$1,184.08 | $863.59–$2,960.19 | varies |
| Infant hip ultrasound with hip movement (dynamic) (76885) range across 3 matching MRF lines |
$218.10–$437.07 | $545.24–$1,092.67 | varies |
| K Flow/Funct Image Multiple (78709) range across 2 matching MRF lines |
$1,452.40–$1,583.12 | $3,631–$3,957.79 | varies |
| K Flow/Funct Image W/O Drug (78707) range across 2 matching MRF lines |
$951.80–$1,037.47 | $2,379.51–$2,593.67 | varies |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) range across 2 matching MRF lines |
$921.16–$1,004.07 | $2,302.91–$2,510.17 | varies |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$353.31–$385.11 | $883.28–$962.78 | varies |
| Labeled RBC Sequestration Differntl Organ/Tissue (78140) | $828.86 | $2,072.15 | 2.1× |
| Liver & Spleen Imaging Static Only (78215) range across 2 matching MRF lines |
$571.26–$622.67 | $1,428.15–$1,556.68 | varies |
| Lung Ventilat&Perfus Imaging (78582) range across 2 matching MRF lines |
$1,269.34–$1,383.58 | $3,173.36–$3,458.96 | varies |
| Lung Ventilation Imaging (78579) range across 2 matching MRF lines |
$657.23–$716.38 | $1,643.07–$1,790.95 | varies |
| Lymph System Imaging (78195) range across 2 matching MRF lines |
$778.12–$848.16 | $1,945.31–$2,120.39 | varies |
| Magnetic Image Jaw Joint (70336) range across 2 matching MRF lines |
$1,679.70–$1,830.87 | $4,199.25–$4,577.18 | varies |
| Mammary ductogram or galactogram multiple (77054) range across 2 matching MRF lines |
$815.59–$889 | $2,038.98–$2,222.49 | varies |
| Mammary ductogram or galactogram single (77053) range across 2 matching MRF lines |
$596.78–$650.50 | $1,491.96–$1,626.24 | varies |
| Meckels Divert Exam (78290) range across 2 matching MRF lines |
$1,527.31–$1,664.77 | $3,818.28–$4,161.93 | varies |
| Mra Head W/O & W/Contrast Material (70546) | $1,450.27 | $3,625.68 | 4.3× |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$1,999.80–$2,179.78 | $4,999.49–$5,449.44 | varies |
| MRA head with contrast (70545) | $1,305.34 | $3,263.35 | 3.8× |
| MRA neck w contrast (70548) range across 2 matching MRF lines |
$2,399.94–$2,615.94 | $5,999.85–$6,539.84 | varies |
| Mra Neck W/O &W/Contrast Material (70549) range across 2 matching MRF lines |
$2,666.40–$2,906.38 | $6,666–$7,265.94 | varies |
| MRA neck w/o contrast (70547) range across 2 matching MRF lines |
$1,999.80–$2,179.78 | $4,999.49–$5,449.44 | varies |
| MRI abdomen w contrast (74182) range across 2 matching MRF lines |
$2,399.94–$2,615.94 | $5,999.85–$6,539.84 | varies |
| MRI abdomen w/o contrast (74181) range across 3 matching MRF lines |
$1,461.75–$2,179.78 | $3,654.38–$5,449.44 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 4 matching MRF lines |
$1,305.34–$2,615.94 | $3,263.35–$6,539.84 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 3 matching MRF lines |
$1,450.27–$2,906.38 | $3,625.68–$7,265.94 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 2 matching MRF lines |
$2,399.94–$2,615.94 | $5,999.85–$6,539.84 | varies |
| MRI Breast W/O Contrast Bilateral (77047) range across 2 matching MRF lines |
$368.28–$401.42 | $920.70–$1,003.56 | varies |
| MRI Breast Without Contrast Material Unilateral (77046) range across 2 matching MRF lines |
$368.28–$401.42 | $920.70–$1,003.56 | varies |
| MRI cervical spine w contrast (72142) range across 2 matching MRF lines |
$2,399.94–$2,615.94 | $5,999.85–$6,539.84 | varies |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$1,999.80–$2,179.78 | $4,999.49–$5,449.44 | varies |
| MRI chest w/o contrast (71550) range across 3 matching MRF lines |
$1,087.70–$2,179.78 | $2,719.26–$5,449.44 | varies |
| MRI chest with contrast (71551) range across 3 matching MRF lines |
$1,305.34–$2,615.94 | $3,263.35–$6,539.84 | varies |
| MRI chest wo w contrast (71552) range across 3 matching MRF lines |
$1,450.27–$2,906.38 | $3,625.68–$7,265.94 | varies |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 2 matching MRF lines |
$2,399.94–$2,615.94 | $5,999.85–$6,539.84 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 2 matching MRF lines |
$2,666.40–$2,906.38 | $6,666–$7,265.94 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines |
$1,999.80–$2,179.78 | $4,999.49–$5,449.44 | varies |
| MRI lumbar spine w contrast (72149) range across 2 matching MRF lines |
$2,399.94–$2,615.94 | $5,999.85–$6,539.84 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$2,666.40–$2,906.38 | $6,666–$7,265.94 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 3 matching MRF lines |
$1,087.70–$2,179.78 | $2,719.26–$5,449.44 | varies |
| MRI orbit face neck w contrast (70542) range across 3 matching MRF lines |
$1,305.34–$2,491.36 | $3,263.35–$6,228.41 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 4 matching MRF lines |
$1,381.28–$2,906.38 | $3,453.20–$7,265.94 | varies |
| MRI pelvis w contrast (72196) range across 2 matching MRF lines |
$2,399.94–$2,615.94 | $5,999.85–$6,539.84 | varies |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$2,666.40–$2,906.38 | $6,666–$7,265.94 | varies |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$1,999.80–$2,179.78 | $4,999.49–$5,449.44 | varies |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$1,999.80–$2,179.78 | $4,999.49–$5,449.44 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 2 matching MRF lines |
$2,399.94–$2,615.94 | $5,999.85–$6,539.84 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 2 matching MRF lines |
$1,999.80–$2,179.78 | $4,999.49–$5,449.44 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 2 matching MRF lines |
$2,666.40–$2,906.38 | $6,666–$7,265.94 | varies |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$2,666.40–$2,906.38 | $6,666–$7,265.94 | varies |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$2,666.40–$2,906.38 | $6,666–$7,265.94 | varies |
| MRI, dorsal spine contrast (72147) range across 2 matching MRF lines |
$2,399.94–$2,615.94 | $5,999.85–$6,539.84 | varies |
| MRI, joint upper extrem (73221) range across 2 matching MRF lines |
$1,999.80–$2,179.78 | $4,999.49–$5,449.44 | varies |
| MRI, joint upper extrem combo (73223) range across 2 matching MRF lines |
$2,666.40–$2,906.38 | $6,666–$7,265.94 | varies |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$2,666.40–$2,906.38 | $6,666–$7,265.94 | varies |
| Myelogram cervical (72240) range across 2 matching MRF lines |
$757.09–$833.84 | $1,892.72–$2,084.60 | varies |
| Myelogram Lumbar (72265) range across 3 matching MRF lines |
$794.13–$1,591.46 | $1,985.33–$3,978.65 | varies |
| Myelography thoracic (72255) range across 2 matching MRF lines |
$757.09–$833.84 | $1,892.72–$2,084.60 | varies |
| Myelograpy 2/more regions rs&i (72270) range across 2 matching MRF lines |
$794.13–$833.84 | $1,985.33–$2,084.60 | varies |
| Myocardial Spect Multiple Studies (78452) range across 2 matching MRF lines |
$4,547.01–$4,956.24 | $11,367.52–$12,390.60 | varies |
| N-invas est c ffr sw aly CTA (75580) range across 2 matching MRF lines |
$3,400.88–$3,706.96 | $8,502.19–$9,267.39 | varies |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$201.77–$219.93 | $504.43–$549.83 | varies |
| Nonvascular Shunt X-Ray (75809) range across 2 matching MRF lines |
$360.04–$392.45 | $900.11–$981.12 | varies |
| Nuclear Rx Oral Admin (79005) range across 4 matching MRF lines |
$332.94–$716.38 | $832.34–$1,790.95 | varies |
| Parathyroid Planar Imaging (78070) range across 2 matching MRF lines |
$922.01–$1,004.99 | $2,305.03–$2,512.48 | varies |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$358.42–$390.68 | $896.05–$976.69 | varies |
| Pet Image W/Ct Lmtd (78814) range across 2 matching MRF lines |
$2,454.46–$2,675.36 | $6,136.14–$6,688.39 | varies |
| PET image w/CT, full body (78816) range across 2 matching MRF lines |
$2,454.46–$2,675.36 | $6,136.14–$6,688.39 | varies |
| PET imaging CT attenuation skull base mid-thigh (78815) range across 2 matching MRF lines |
$2,454.46–$2,675.36 | $6,136.14–$6,688.39 | varies |
| Pulmonary Perfusion Imaging Particulate (78580) range across 2 matching MRF lines |
$641.91–$699.68 | $1,604.77–$1,749.20 | varies |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$515.92–$562.35 | $1,289.79–$1,405.87 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 3 matching MRF lines |
$325.06–$622.67 | $812.66–$1,556.68 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$76.78–$414.80 | $191.95–$1,037 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$76.78–$293.24 | $191.95–$733.09 | varies |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$390.76–$425.93 | $976.91–$1,064.83 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$420.56–$458.41 | $1,051.40–$1,146.03 | varies |
| Radex fingr minimum 2 views (73140) | $112.98 | $282.46 | 1.3× |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$76.78–$414.80 | $191.95–$1,037 | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$337.13–$367.47 | $842.83–$918.68 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 2 matching MRF lines |
$203.47–$221.78 | $508.67–$554.45 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) range across 2 matching MRF lines |
$234.97–$256.12 | $587.43–$640.30 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 3 matching MRF lines |
$295.43–$461.20 | $738.57–$1,152.99 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 2 matching MRF lines |
$317.55–$346.13 | $793.88–$865.33 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$380.55–$484.40 | $951.38–$1,211.01 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 3 matching MRF lines |
$120.86–$346.13 | $302.14–$865.33 | varies |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) range across 2 matching MRF lines |
$599.35–$653.29 | $1,498.38–$1,633.23 | varies |
| Radex Spine 1 View Specify Level (72020) range across 4 matching MRF lines |
$242.20–$276.54 | $605.51–$691.35 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$285.21–$310.88 | $713.03–$777.20 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$317.55–$346.13 | $793.88–$865.33 | varies |
| Radex Toe Minimum 2 Views (73660) range across 2 matching MRF lines |
$120.39–$162.53 | $300.98–$406.33 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 2 matching MRF lines |
$203.47–$221.78 | $508.67–$554.45 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$380.47–$414.80 | $951.18–$1,037 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$258.81–$282.10 | $647.03–$705.26 | varies |
| Radiologic exam colon double contrast study (74280) range across 2 matching MRF lines |
$772.17–$841.67 | $1,930.43–$2,104.17 | varies |
| Radiologic exam colon single contrast study (74270) range across 2 matching MRF lines |
$695.55–$758.15 | $1,738.87–$1,895.37 | varies |
| Radiologic Exam Esophagus Double Contrast Study (74221) range across 2 matching MRF lines |
$277.17–$302.12 | $692.93–$755.29 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$492.93–$537.29 | $1,232.32–$1,343.23 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$475.91–$518.74 | $1,189.77–$1,296.85 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 2 matching MRF lines |
$599.35–$653.29 | $1,498.38–$1,633.23 | varies |
| Radiologic exam swallow function contrast study (74230) range across 2 matching MRF lines |
$481.85–$525.22 | $1,204.63–$1,313.05 | varies |
| Radiologic exam upr gi trc double contrast study (74246) range across 3 matching MRF lines |
$867.52–$945.60 | $2,168.80–$2,363.99 | varies |
| Radiologic examination femur 1 view (73551) range across 2 matching MRF lines |
$237.52–$258.90 | $593.81–$647.25 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$358.68–$390.96 | $896.71–$977.41 | varies |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$203.47–$266.33 | $508.67–$665.82 | varies |
| Radiologic Examination Osseous Survey Limited (77074) range across 2 matching MRF lines |
$380.55–$414.80 | $951.38–$1,037 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$242.20–$414.80 | $605.51–$1,037 | varies |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$293.71–$320.14 | $734.27–$800.35 | varies |
| Rp loclzj tum plnr 1 area single day imaging (78800) range across 2 matching MRF lines |
$1,270.20–$1,384.52 | $3,175.51–$3,461.31 | varies |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $932.58 | $2,331.46 | 2.4× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) range across 2 matching MRF lines |
$1,714.60–$1,868.92 | $4,286.51–$4,672.30 | varies |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $690.87 | $1,727.18 | 1.3× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 3 matching MRF lines |
$1,055.09–$1,868.92 | $2,637.72–$4,672.30 | varies |
| Rp Therapy Intravenous Administration (79101) | $536.68 | $1,341.69 | 2.4× |
| Salivary Gland Imaging Serial Images (78231) | $241.72 | $604.29 | 0.6× |
| Scapula (73010) range across 2 matching MRF lines |
$372.03–$405.52 | $930.08–$1,013.79 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 3 matching MRF lines |
$33.17–$45.81 | $82.93–$114.52 | varies |
| Sella turcica (70240) | $127.80 | $319.50 | 1.5× |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$332.87–$362.83 | $832.18–$907.08 | varies |
| Shoulder Arthrography (73040) range across 3 matching MRF lines |
$603.92–$692.26 | $1,509.79–$1,730.65 | varies |
| Sialogram (70390) | $326.45 | $816.12 | 1.4× |
| Skull less than 4 views (70250) range across 3 matching MRF lines |
$258.81–$444.50 | $647.03–$1,111.24 | varies |
| Spleen Imaging (78185) | $310.71 | $776.77 | 0.8× |
| Sternoclavicular joints (71130) range across 2 matching MRF lines |
$187.30–$204.16 | $468.25–$510.39 | varies |
| Testicular Imaging W/Flow (78761) | $460.27 | $1,150.68 | 1.2× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) range across 2 matching MRF lines |
$695.55–$758.15 | $1,738.87–$1,895.37 | varies |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$380.55–$414.80 | $951.38–$1,037 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$488.66–$532.64 | $1,221.66–$1,331.61 | varies |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$435.03–$474.18 | $1,087.58–$1,185.46 | varies |
| Thyroid Imaging With Vascular Flow (78013) range across 2 matching MRF lines |
$263.08–$286.75 | $657.69–$716.88 | varies |
| Thyroid Met Imaging Body (78018) range across 2 matching MRF lines |
$1,270.20–$1,384.52 | $3,175.51–$3,461.31 | varies |
| Thyroid Uptake Measurement (78012) range across 2 matching MRF lines |
$200.07–$218.08 | $500.17–$545.19 | varies |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) range across 2 matching MRF lines |
$407.80–$444.50 | $1,019.49–$1,111.24 | varies |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$446.96–$682.06 | $1,117.40–$1,705.16 | varies |
| Ultrasound Elastography Parenchyma (76981) range across 2 matching MRF lines |
$173.72–$189.36 | $434.31–$473.40 | varies |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
$297.67–$324.46 | $744.17–$811.15 | varies |
| Ultrasound, abdomen limited (76705) range across 7 matching MRF lines |
$8.40–$1,086.65 | $10.50–$2,716.62 | varies |
| Unlisted us procedure (76999) | $91.22 | $228.05 | 1.1× |
| Upper gi w/o kub (74240) range across 3 matching MRF lines |
$679.28–$744.23 | $1,698.19–$1,860.58 | varies |
| Urethrocystogram voiding (74455) range across 2 matching MRF lines |
$553.37–$603.17 | $1,383.42–$1,507.93 | varies |
| Urethrocystography retrograde (74450) range across 2 matching MRF lines |
$384.80–$419.44 | $962.01–$1,048.59 | varies |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$501.10–$768.36 | $1,252.76–$1,920.89 | varies |
| Us chest (76604) range across 2 matching MRF lines |
$233.27–$254.27 | $583.18–$635.67 | varies |
| Us complete joint (76881) | $305.15 | $762.88 | 3.0× |
| Us exam, pelvic, limited (76857) range across 3 matching MRF lines |
$283.50–$440.78 | $708.74–$1,101.96 | varies |
| Us head (76506) range across 2 matching MRF lines |
$303.92–$331.27 | $759.80–$828.18 | varies |
| Us kidney transplant (76776) range across 2 matching MRF lines |
$562.74–$613.39 | $1,406.85–$1,533.47 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$561.03–$611.52 | $1,402.57–$1,528.80 | varies |
| Us ob detailed single fetus (76811) range across 2 matching MRF lines |
$1,037.79–$1,131.19 | $2,594.48–$2,827.98 | varies |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$586.57–$639.36 | $1,466.43–$1,598.41 | varies |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$830.90–$905.68 | $2,077.26–$2,264.21 | varies |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$776.43–$846.31 | $1,941.08–$2,115.78 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$520.18–$567 | $1,300.45–$1,417.49 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 2 matching MRF lines |
$321.81–$350.77 | $804.52–$876.93 | varies |
| Us retroperitoneal complete (76770) range across 5 matching MRF lines |
$306.54–$632.88 | $766.35–$1,582.21 | varies |
| Us retroperitoneal limited (76775) range across 3 matching MRF lines |
$356.72–$613.39 | $891.80–$1,533.47 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$775.57–$845.37 | $1,938.93–$2,113.43 | varies |
| Us spinal canal and contents (76800) range across 2 matching MRF lines |
$704.06–$767.42 | $1,760.14–$1,918.55 | varies |
| Us thyroid (76536) range across 3 matching MRF lines |
$721.94–$786.92 | $1,804.86–$1,967.30 | varies |
| Vein X-Ray Chest (75827) range across 4 matching MRF lines |
$528.34–$8,251.36 | $1,320.85–$20,628.39 | varies |
| Venography Adrenal Unilateral (75840) | $2,417.12 | $6,042.80 | 0.8× |
| Venography caval inferior serialography rs&i (75825) range across 4 matching MRF lines |
$1,554–$14,326.75 | $3,884.99–$35,816.87 | varies |
| Venography extremity bilateral rs&i (75822) range across 4 matching MRF lines |
$1,139.56–$8,431.18 | $2,848.91–$21,077.94 | varies |
| Venography extremity unilateral rs&i (75820) range across 4 matching MRF lines |
$768.20–$3,257.63 | $1,920.50–$8,144.08 | varies |
| Venography Renal Bilateral (75833) range across 3 matching MRF lines |
$5,117.19–$14,326.75 | $12,792.97–$35,816.87 | varies |
| Venography Renal Unilateral (75831) range across 3 matching MRF lines |
$5,117.19–$14,326.75 | $12,792.97–$35,816.87 | varies |
| Venous sampling by catheter (75893) range across 2 matching MRF lines |
$3,023.47–$3,295.58 | $7,558.67–$8,238.95 | varies |
| Venous thrombosis imaging (78457) | $326.24 | $815.61 | 0.6× |
| Venous Thrombosis Imaging Venogram Bilateral (78458) | $387.50 | $968.75 | 1.0× |
| Wrist 2 views (73100) range across 4 matching MRF lines |
$172.60–$296.02 | $431.51–$740.06 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$264.76–$288.59 | $661.90–$721.47 | varies |
| X-ray antegrade pyelogram tube (74425) range across 3 matching MRF lines |
$684.85–$889 | $1,712.13–$2,222.49 | varies |
| X-Ray Aorta Leg Arteries (75630) range across 4 matching MRF lines |
$2,710.70–$14,326.75 | $6,776.74–$35,816.87 | varies |
| X-Ray Bend Only L-S Spine (72120) range across 2 matching MRF lines |
$666.60–$726.60 | $1,666.50–$1,816.49 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$242.20–$343.36 | $605.51–$858.40 | varies |
| X-Ray Exam Breast Specimen (76098) range across 3 matching MRF lines |
$556.78–$716.38 | $1,391.94–$1,790.95 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$189.96–$207.06 | $474.91–$517.65 | varies |
| X-Ray Exam Entire Spi 4/5 Vw (72083) range across 2 matching MRF lines |
$741.52–$808.25 | $1,853.79–$2,020.63 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 2 matching MRF lines |
$140.85–$153.52 | $352.12–$383.81 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 2 matching MRF lines |
$337.13–$367.47 | $842.83–$918.68 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) | $183.37 | $458.42 | 1.8× |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$337.13–$367.47 | $842.83–$918.68 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 2 matching MRF lines |
$337.13–$367.47 | $842.83–$918.68 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) range across 2 matching MRF lines |
$337.13–$367.47 | $842.83–$918.68 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$787.49–$858.37 | $1,968.73–$2,145.92 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$320.11–$348.92 | $800.27–$872.29 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$492.93–$537.29 | $1,232.32–$1,343.23 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 2 matching MRF lines |
$380.55–$414.80 | $951.38–$1,037 | varies |
| X-ray eye for foreign body (70030) range across 2 matching MRF lines |
$194.96–$212.50 | $487.39–$531.26 | varies |
| X-ray humerus (73060) range across 3 matching MRF lines |
$242.20–$335.93 | $605.51–$839.82 | varies |
| X-ray IV pyelogram (ivp) (74400) range across 3 matching MRF lines |
$561.22–$792.49 | $1,403.04–$1,981.22 | varies |
| X-ray IV pyelogram+tomography (74415) | $449.16 | $1,122.90 | 2.6× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $96.32 | $240.79 | 1.1× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$161.76–$176.32 | $404.40–$440.80 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$277.55–$302.53 | $693.88–$756.33 | varies |
| X-ray nose-rectum child f.b. (76010) range across 2 matching MRF lines |
$166.86–$181.88 | $417.15–$454.69 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$412.90–$450.06 | $1,032.24–$1,125.14 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$318.41–$347.06 | $796.02–$867.66 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$320.95–$349.83 | $802.37–$874.58 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$543.16–$592.04 | $1,357.90–$1,480.11 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$587.43–$640.30 | $1,468.58–$1,600.75 | varies |
| X-Ray Stress View (77071) | $89.83 | $224.58 | 1.1× |
| X-ray thoracic spine 4 vw (72074) range across 2 matching MRF lines |
$358.42–$390.68 | $896.05–$976.69 | varies |
| X-Ray Tmj Unilat (70328) range across 2 matching MRF lines |
$210.29–$229.21 | $525.72–$573.03 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 2 matching MRF lines |
$400.14–$436.15 | $1,000.34–$1,090.37 | varies |
| X-Rays Bone Length Studies (77073) range across 2 matching MRF lines |
$327.76–$357.26 | $819.40–$893.15 | varies |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$662.34–$721.95 | $1,655.84–$1,804.87 | varies |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$654.68–$713.60 | $1,636.69–$1,783.99 | varies |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$211.13–$230.13 | $527.82–$575.32 | varies |
| Xr Tomogram Single Plane (76100) | $192.63 | $481.57 | 1.9× |
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.