Imaging prices at Centerpoint Medical Center
Independence, MO · every code in this section with a posted price and a Medicare benchmark.
392 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 3-D radiotherapy plan dose-volume histograms (77295) range across 2 matching MRF lines |
$10,110.93–$10,494.76 | $10,110.93–$10,494.76 | varies |
| Abdomen 1 View (74018) range across 2 matching MRF lines |
$1,380.27–$2,000.37 | $1,380.27–$2,000.37 | varies |
| Abdomen 2 views (74019) | $2,648.92 | $2,648.92 | 25.3× |
| Acute Gastrointestinal Blood Loss Imaging (78278) range across 2 matching MRF lines |
$7,747.18–$9,838.27 | $7,747.18–$9,838.27 | varies |
| Angio internal mammary (75756) | $16,485.15 | $16,485.15 | 5.2× |
| Angio pulmonary bilat (75743) | $38,690.47 | $38,690.47 | 12.2× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $20,221.81 | $20,221.81 | 6.4× |
| Angiography extremity bilateral rs&i (75716) range across 4 matching MRF lines |
$26,209.12–$42,508.10 | $26,209.12–$42,508.10 | varies |
| Angiography extremity unilateral rs&i (75710) range across 6 matching MRF lines |
$1,582.44–$42,508.10 | $1,582.44–$42,508.10 | varies |
| Angiography pulmonary unilateral slctv rs&i (75741) | $13,900.57 | $13,900.57 | 4.4× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $19,225.05 | $19,225.05 | 6.1× |
| Ankle 2 views (73600) range across 7 matching MRF lines |
$787.50–$4,121 | $787.50–$4,121 | varies |
| Aortography thoracic serialography rs&i (75605) | $38,690.47 | $38,690.47 | 6.9× |
| Artery X-Rays Abdomen (75726) | $38,690.47 | $38,690.47 | 6.9× |
| Artery X-Rays Adrenal Gland (75731) | $26,461.90 | $26,461.90 | 8.4× |
| Artery X-Rays Pelvis (75736) | $38,690.47 | $38,690.47 | 6.9× |
| Artery X-Rays Spine (75705) | $11,973.95 | $11,973.95 | 2.1× |
| Arthrogram ankle (73615) range across 4 matching MRF lines |
$4,693.19–$4,829.90 | $4,693.19–$4,829.90 | varies |
| Arthrogram hip (73525) range across 4 matching MRF lines |
$11,309.88–$11,639.33 | $11,309.88–$11,639.33 | varies |
| Arthrogram Wrist (73115) range across 4 matching MRF lines |
$5,721.58–$7,066.19 | $5,721.58–$7,066.19 | varies |
| Basic radiation dosimetry calculation (77300) range across 3 matching MRF lines |
$1,057.56–$3,610.82 | $1,057.56–$3,610.82 | varies |
| Bone age studies (77072) range across 2 matching MRF lines |
$1,633.94–$1,743.84 | $1,633.94–$1,743.84 | varies |
| Bone Imaging 3 Phase (78315) | $10,944.52 | $10,944.52 | 27.3× |
| Bone Imaging Limited Area (78300) | $10,944.52 | $10,944.52 | 27.3× |
| Bone Imaging Multiple Areas (78305) | $10,944.52 | $10,944.52 | 27.3× |
| Bone Imaging Whole Body (78306) | $10,944.52 | $10,944.52 | 27.3× |
| Bone marrow imaging limited area (78102) range across 2 matching MRF lines |
$4,681.39–$9,431.85 | $4,681.39–$9,431.85 | varies |
| Bone survey infant (77076) range across 2 matching MRF lines |
$3,806.04–$3,916.91 | $3,806.04–$3,916.91 | varies |
| Brachytx isodose complex (77318) | $3,343.86 | $3,343.86 | 8.9× |
| Brachytx isodose intermed (77317) | $3,343.86 | $3,343.86 | 8.9× |
| Brachytx Isodose Plan Simple (77316) | $1,203.02 | $1,203.02 | 3.2× |
| Brain Flow Imaging Only (78610) range across 3 matching MRF lines |
$4,440.80–$12,454.61 | $4,440.80–$12,454.61 | varies |
| Brain Image W/Flow < 4 Views (78601) | $4,086.56 | $4,086.56 | 10.2× |
| Brain Imaging Minimum 4 Static Views (78605) range across 2 matching MRF lines |
$7,901.56–$12,454.61 | $7,901.56–$12,454.61 | varies |
| Brain Imaging Pet Metabolic Evaluation (78608) range across 4 matching MRF lines |
$14,122.31–$16,093.02 | $14,122.31–$16,093.02 | varies |
| Cardiac MRI w/w/o contrast & further seq (75561) | $5,132.81 | $5,132.81 | 14.7× |
| Cardiac MRI w/w/o contrast w/stress (75563) | $5,132.81 | $5,132.81 | 6.5× |
| Cat Scan Follow-Up Study (76380) range across 2 matching MRF lines |
$5,141.98–$5,450.51 | $5,141.98–$5,450.51 | varies |
| Cerebrospinal Fluid Scan (78630) range across 2 matching MRF lines |
$8,433.92–$9,162.25 | $8,433.92–$9,162.25 | varies |
| Chest 1 view (71045) range across 2 matching MRF lines |
$1,200.21–$1,274.99 | $1,200.21–$1,274.99 | varies |
| Chest 2 views (71046) range across 2 matching MRF lines |
$1,487.95–$1,731.58 | $1,487.95–$1,731.58 | varies |
| Chest 3 views (71047) range across 2 matching MRF lines |
$2,547.41–$3,381.39 | $2,547.41–$3,381.39 | varies |
| Chest 4 or more views (71048) range across 2 matching MRF lines |
$2,487.94–$3,381.39 | $2,487.94–$3,381.39 | varies |
| Clavicle complete (73000) range across 6 matching MRF lines |
$1,582.44–$4,477.41 | $1,582.44–$4,477.41 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $510.29 | $510.29 | 4.9× |
| Continuing medical physics consltj pr wk (77336) | $1,157.30 | $1,157.30 | 8.6× |
| Contrast Exam Abdominl Aorta (75625) | $38,690.47 | $38,690.47 | 12.2× |
| Contrast X-Ray Bladder (74430) range across 3 matching MRF lines |
$2,388.82–$5,170.86 | $2,388.82–$5,170.86 | varies |
| Contrast X-Ray Of Elbow (73085) range across 4 matching MRF lines |
$4,693.19–$4,829.90 | $4,693.19–$4,829.90 | varies |
| Contrast X-Ray Of Knee Joint (73580) range across 4 matching MRF lines |
$5,272.61–$5,426.17 | $5,272.61–$5,426.17 | varies |
| Contrast Xray Throat/Cerv Esopha (74210) | $2,146.65 | $2,146.65 | 12.2× |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$24,135.33–$25,583.42 | $24,135.33–$25,583.42 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$19,907.59–$21,102.05 | $19,907.59–$21,102.05 | varies |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$11,110.67–$11,778.49 | $11,110.67–$11,778.49 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$12,106.29–$12,832.64 | $12,106.29–$12,832.64 | varies |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$9,942.61–$10,539.19 | $9,942.61–$10,539.19 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 3 matching MRF lines |
$4,381.48–$6,565.46 | $4,381.48–$6,565.46 | varies |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$15,359.84–$16,285.73 | $15,359.84–$16,285.73 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$14,710.72–$15,594.50 | $14,710.72–$15,594.50 | varies |
| CT angio hrt w/3d image (75574) | $1,955.46 | $1,955.46 | 5.6× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 6 matching MRF lines |
$12,780.03–$27,167.31 | $12,780.03–$27,167.31 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$16,085.15–$17,054.55 | $16,085.15–$17,054.55 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 4 matching MRF lines |
$12,236.87–$25,777.26 | $12,236.87–$25,777.26 | varies |
| CT Cere Prfuj Alys C+ W/O CT/Cta Same Anatomy (70473) | $716.80 | $716.80 | 4.1× |
| CT cervical spine w/ contrast (72126) range across 2 matching MRF lines |
$11,462.26–$12,148.85 | $11,462.26–$12,148.85 | varies |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$10,939.13–$11,595.46 | $10,939.13–$11,595.46 | varies |
| CT cervical spine w/wo cont (72127) range across 2 matching MRF lines |
$12,106.29–$12,832.64 | $12,106.29–$12,832.64 | varies |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$9,993.41–$10,592.99 | $9,993.41–$10,592.99 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$12,106.29–$12,832.64 | $12,106.29–$12,832.64 | varies |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$10,781.65–$11,428.59 | $10,781.65–$11,428.59 | varies |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$11,941.73–$12,658.22 | $11,941.73–$12,658.22 | varies |
| CT heart contrast eval cardiac structure&morph (75572) | $1,955.46 | $1,955.46 | 5.6× |
| CT heart no contrast quant eval coronry calcium (75571) range across 2 matching MRF lines |
$71.12–$76.38 | $71.12–$76.38 | varies |
| CT hrt w/3d image congen (75573) | $1,955.46 | $1,955.46 | 5.6× |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$12,099.13–$12,825.09 | $12,099.13–$12,825.09 | varies |
| CT l-spine w&w/o contrast (72133) range across 2 matching MRF lines |
$9,282.81–$9,839.28 | $9,282.81–$9,839.28 | varies |
| CT lower ext w/o (73700) range across 6 matching MRF lines |
$10,613.05–$22,498.52 | $10,613.05–$22,498.52 | varies |
| CT lower extremity w/contrast material (73701) range across 6 matching MRF lines |
$11,071.15–$23,470.87 | $11,071.15–$23,470.87 | varies |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$11,462.26–$12,150 | $11,462.26–$12,150 | varies |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$10,947.24–$11,604.07 | $10,947.24–$11,604.07 | varies |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$12,106.29–$12,832.64 | $12,106.29–$12,832.64 | varies |
| CT maxillofacial wo contrast (70486) range across 3 matching MRF lines |
$7,431.93–$12,309.33 | $7,431.93–$12,309.33 | varies |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$12,106.29–$12,832.64 | $12,106.29–$12,832.64 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 2 matching MRF lines |
$18,245.76–$19,340.46 | $18,245.76–$19,340.46 | varies |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$11,612.57–$12,309.33 | $11,612.57–$12,309.33 | varies |
| CT pelvis w&w/o contrast (72194) range across 2 matching MRF lines |
$12,029.08–$12,748.56 | $12,029.08–$12,748.56 | varies |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$9,964.96–$10,562.84 | $9,964.96–$10,562.84 | varies |
| CT scan of leg combo (73702) range across 6 matching MRF lines |
$9,324.98–$23,494.48 | $9,324.98–$23,494.48 | varies |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
$15,204.90–$16,116.69 | $15,204.90–$16,116.69 | varies |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$11,110.67–$11,778.49 | $11,110.67–$11,778.49 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$10,613.05–$11,249.83 | $10,613.05–$11,249.83 | varies |
| CT thoracic spine w contrast (72129) range across 2 matching MRF lines |
$12,256.37–$12,989.83 | $12,256.37–$12,989.83 | varies |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$10,947.24–$11,604.07 | $10,947.24–$11,604.07 | varies |
| CT thoracic spine w/wo cont (72130) range across 2 matching MRF lines |
$12,106.29–$12,832.64 | $12,106.29–$12,832.64 | varies |
| CT thorax w/o contrast (71250) range across 3 matching MRF lines |
$8,564.33–$10,487.44 | $8,564.33–$10,487.44 | varies |
| CT upper ext wo (73200) range across 6 matching MRF lines |
$10,613.05–$22,498.52 | $10,613.05–$22,498.52 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 6 matching MRF lines |
$9,324.98–$28,192.32 | $9,324.98–$28,192.32 | varies |
| CT upper extremity with contrast (73201) range across 6 matching MRF lines |
$11,071.15–$22,142.34 | $11,071.15–$22,142.34 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$20,210.43–$21,425.93 | $20,210.43–$21,425.93 | varies |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$15,150.63–$16,062.89 | $15,150.63–$16,062.89 | varies |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $14,176.82 | $14,176.82 | 40.6× |
| CTA pelvis (72191) range across 2 matching MRF lines |
$15,153.67–$16,062.89 | $15,153.67–$16,062.89 | varies |
| Dilation ureters/urethra rs&i (74485) | $10,000.07 | $10,000.07 | 4.8× |
| Dxa Bone Density Axial (77080) | $1,934.75 | $1,934.75 | 18.5× |
| Dxa bone density study (77085) | $1,300.70 | $1,300.70 | 12.4× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $913.61 | $913.61 | 10.5× |
| Echo exam uterus (76831) range across 2 matching MRF lines |
$5,074.95–$5,721.77 | $5,074.95–$5,721.77 | varies |
| Echo Guide For Artery Repair (76936) range across 2 matching MRF lines |
$8,276.40–$8,652.62 | $8,276.40–$8,652.62 | varies |
| Esophagram (74220) range across 2 matching MRF lines |
$2,224.83–$2,973 | $2,224.83–$2,973 | varies |
| Fetal Biophys Profile W/Nst (76818) | $2,547.29 | $2,547.29 | 24.3× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 2 matching MRF lines |
$2,811.50–$3,557.98 | $2,811.50–$3,557.98 | varies |
| Fluoroscopy up to 1 hr (76000) range across 5 matching MRF lines |
$2,505.72–$12,564.26 | $2,505.72–$12,564.26 | varies |
| Follow-Up Angiography (75898) | $5,600.77 | $5,600.77 | 1.8× |
| Foot 2 views (73620) range across 8 matching MRF lines |
$817.63–$4,339.64 | $817.63–$4,339.64 | varies |
| Forearm 2 views (73090) range across 8 matching MRF lines |
$1,140.81–$4,181.91 | $1,140.81–$4,181.91 | varies |
| Gastric emptying imaging study (78264) range across 3 matching MRF lines |
$13,786.34–$15,088.15 | $13,786.34–$15,088.15 | varies |
| Gastric Emptyng Imag Std W/Sm Bwl Transit (78265) | $3,226.06 | $3,226.06 | 8.1× |
| Gated Heart Planar Single (78472) range across 4 matching MRF lines |
$3,236.35–$16,935.18 | $3,236.35–$16,935.18 | varies |
| Gstrc Emptng Imag Std W/Sm Bwl Col Trnst Mlt Day (78266) | $4,280.35 | $4,280.35 | 7.9× |
| Hand 2 views (73120) range across 8 matching MRF lines |
$1,434.32–$4,101.11 | $1,434.32–$4,101.11 | varies |
| Heart Image (Pet) Multiple (78492) | $11,156.57 | $11,156.57 | 7.8× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $38,690.47 | $38,690.47 | 12.2× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $14,659.63 | $14,659.63 | 4.6× |
| Hepatobil Syst Image W/Drug (78227) | $6,645.50 | $6,645.50 | 12.2× |
| Hepatobiliary System Imaging (78226) | $6,645.50 | $6,645.50 | 16.6× |
| Ht Musc Image Planar Mult (78454) | $22,532.42 | $22,532.42 | 17.4× |
| Ht Muscle Image Spect Sing (78451) range across 2 matching MRF lines |
$14,521.76–$18,203.02 | $14,521.76–$18,203.02 | varies |
| Hysterosalpingogram (74740) range across 2 matching MRF lines |
$5,768.06–$6,987.67 | $5,768.06–$6,987.67 | varies |
| Infant hip ultrasound with hip movement (dynamic) (76885) range across 2 matching MRF lines |
$839.37–$1,476.64 | $839.37–$1,476.64 | varies |
| Infant hip ultrasound, limited static exam (76886) | $3,967.77 | $3,967.77 | 45.5× |
| Infusion Ivp (74410) | $4,513.14 | $4,513.14 | 25.7× |
| Interstitial radiation source applic complex (77778) range across 3 matching MRF lines |
$6,751.93–$138,766.86 | $6,751.93–$138,766.86 | varies |
| K Flow/Funct Image Multiple (78709) | $17,832.40 | $17,832.40 | 32.8× |
| K Flow/Funct Image W/Drug (78708) range across 2 matching MRF lines |
$10,046.62–$10,138.49 | $10,046.62–$10,138.49 | varies |
| K Flow/Funct Image W/O Drug (78707) range across 2 matching MRF lines |
$13,147.54–$15,479.57 | $13,147.54–$15,479.57 | varies |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $5,477.26 | $5,477.26 | 13.7× |
| Knee 3 Views (73562) range across 9 matching MRF lines |
$1,541.22–$4,982.25 | $1,541.22–$4,982.25 | varies |
| Leveen/Shunt Patency Exam (78291) range across 2 matching MRF lines |
$8,171.93–$9,079.29 | $8,171.93–$9,079.29 | varies |
| Liver & Spleen Imaging Static Only (78215) range across 2 matching MRF lines |
$7,696.48–$10,382.22 | $7,696.48–$10,382.22 | varies |
| Liver & Spleen Imaging W/Vascular Flow (78216) range across 2 matching MRF lines |
$9,896.28–$10,787.58 | $9,896.28–$10,787.58 | varies |
| Lung Perf&Ventilat Diferentl (78598) | $7,166.20 | $7,166.20 | 13.2× |
| Lung perfusion differential (78597) | $4,584.98 | $4,584.98 | 11.5× |
| Lung Ventilat&Perfus Imaging (78582) range across 2 matching MRF lines |
$4,659.74–$7,166.20 | $4,659.74–$7,166.20 | varies |
| Lung Ventilation Imaging (78579) | $4,584.98 | $4,584.98 | 11.5× |
| Lymph System Imaging (78195) range across 2 matching MRF lines |
$9,431.85–$10,539.99 | $9,431.85–$10,539.99 | varies |
| Magnetic Image Jaw Joint (70336) | $6,488.20 | $6,488.20 | 27.1× |
| Magnetic Resonance Elastography (76391) | $2,545.14 | $2,545.14 | 10.6× |
| Mammary ductogram or galactogram multiple (77054) range across 3 matching MRF lines |
$2,297.99–$8,473.51 | $2,297.99–$8,473.51 | varies |
| Mammary ductogram or galactogram single (77053) range across 3 matching MRF lines |
$1,640.60–$6,359.34 | $1,640.60–$6,359.34 | varies |
| Meckels Divert Exam (78290) range across 2 matching MRF lines |
$5,126.47–$9,079.29 | $5,126.47–$9,079.29 | varies |
| Mlc imrt design & construction per imrt plan (77338) | $2,873.05 | $2,873.05 | 7.7× |
| Mr safety determination physician/other qhp (76016) | $387.42 | $387.42 | 4.4× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $107.76 | $107.76 | 3.7× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) | $403.88 | $403.88 | 4.2× |
| Mr safety implt pos&/immoblj (76019) | $261.36 | $261.36 | 4.4× |
| Mr safety med physics xm customization plng&mntr (76017) | $1,063.57 | $1,063.57 | 4.5× |
| Mra Head W/O & W/Contrast Material (70546) | $13,128.61 | $13,128.61 | 37.6× |
| MRA head w/o contrast (70544) | $16,658.98 | $16,658.98 | 69.7× |
| MRA head with contrast (70545) | $15,580.02 | $15,580.02 | 44.6× |
| MRA neck w contrast (70548) | $18,514 | $18,514 | 53.0× |
| Mra Neck W/O &W/Contrast Material (70549) | $18,847.49 | $18,847.49 | 53.9× |
| MRA neck w/o contrast (70547) | $16,936.72 | $16,936.72 | 70.9× |
| MRI abdomen w contrast (74182) | $15,584.39 | $15,584.39 | 44.6× |
| MRI abdomen w/o contrast (74181) | $13,134.32 | $13,134.32 | 55.0× |
| MRI any jt lower extrem w/contrast material (73722) range across 3 matching MRF lines |
$15,492.96–$20,773.59 | $15,492.96–$20,773.59 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 3 matching MRF lines |
$16,936.72–$33,475.37 | $16,936.72–$33,475.37 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 3 matching MRF lines |
$14,446.03–$19,370.01 | $14,446.03–$19,370.01 | varies |
| MRI brain functional w/o physician admnistration (70554) | $3,161.96 | $3,161.96 | 13.2× |
| MRI Breast W/O Contrast Bilateral (77047) | $19,891.30 | $19,891.30 | 83.2× |
| MRI cardiac w/o cont stress (75559) | $3,161.96 | $3,161.96 | 5.8× |
| MRI cardiac w/o contrast (75557) | $3,161.96 | $3,161.96 | 13.2× |
| MRI cervical spine w contrast (72142) | $17,630.24 | $17,630.24 | 50.5× |
| MRI cervical spine w/o cont (72141) | $12,802.34 | $12,802.34 | 53.6× |
| MRI chest w/o contrast (71550) | $14,167.49 | $14,167.49 | 59.3× |
| MRI chest with contrast (71551) | $16,810.77 | $16,810.77 | 21.4× |
| MRI chest wo w contrast (71552) | $17,142.33 | $17,142.33 | 49.1× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 4 matching MRF lines |
$14,446.03–$19,365.20 | $14,446.03–$19,365.20 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 3 matching MRF lines |
$13,267.89–$17,785.44 | $13,267.89–$17,785.44 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 3 matching MRF lines |
$11,159.45–$19,423.67 | $11,159.45–$19,423.67 | varies |
| MRI lumbar spine w contrast (72149) | $17,778.60 | $17,778.60 | 50.9× |
| Mri Neck Spine W/O & W/Dye (72156) | $17,602.77 | $17,602.77 | 50.4× |
| MRI orbit face &/neck w/o contrast (70540) | $12,802.34 | $12,802.34 | 53.6× |
| MRI orbit face neck w contrast (70542) | $13,128.61 | $13,128.61 | 37.6× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $15,886.48 | $15,886.48 | 45.5× |
| MRI pelvis w contrast (72196) | $7,015.86 | $7,015.86 | 20.1× |
| MRI pelvis w/o & w contrast (72197) | $10,822.56 | $10,822.56 | 31.0× |
| MRI pelvis w/o contrast (72195) | $13,134.32 | $13,134.32 | 55.0× |
| MRI thoracic spine w/o contrast (72146) | $12,802.34 | $12,802.34 | 53.6× |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 4 matching MRF lines |
$15,584.39–$21,144.31 | $15,584.39–$21,144.31 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 3 matching MRF lines |
$13,134.32–$17,615.91 | $13,134.32–$17,615.91 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 3 matching MRF lines |
$13,267.89–$17,785.44 | $13,267.89–$17,785.44 | varies |
| MRI, abdomen, combo (74183) | $15,889.72 | $15,889.72 | 45.5× |
| MRI, dorsal spine combo (72157) | $17,778.60 | $17,778.60 | 50.9× |
| MRI, dorsal spine contrast (72147) | $17,778.60 | $17,778.60 | 50.9× |
| MRI, joint upper extrem (73221) range across 3 matching MRF lines |
$12,802.34–$17,170.21 | $12,802.34–$17,170.21 | varies |
| MRI, joint upper extrem combo (73223) range across 3 matching MRF lines |
$15,889.72–$19,370.01 | $15,889.72–$19,370.01 | varies |
| MRI, lumbar spine combo (72158) | $17,778.60 | $17,778.60 | 50.9× |
| Myelogram cervical (72240) range across 3 matching MRF lines |
$9,745.48–$10,330.22 | $9,745.48–$10,330.22 | varies |
| Myelogram Lumbar (72265) range across 3 matching MRF lines |
$5,585.29–$5,917.97 | $5,585.29–$5,917.97 | varies |
| Myelography thoracic (72255) range across 3 matching MRF lines |
$10,230.54–$10,844.38 | $10,230.54–$10,844.38 | varies |
| Myelograpy 2/more regions rs&i (72270) range across 2 matching MRF lines |
$20,074.40–$20,659.06 | $20,074.40–$20,659.06 | varies |
| Myocardial Imaging Pet Metabolic Evaluation (78459) | $7,946.77 | $7,946.77 | 6.1× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $13,470.01 | $13,470.01 | 10.4× |
| Myocardial Spect Multiple Studies (78452) range across 2 matching MRF lines |
$17,220.38–$21,585.72 | $17,220.38–$21,585.72 | varies |
| Myocrd Img Pet Metab Eval Single Study Cncrnt CT (78429) | $9,000.33 | $9,000.33 | 6.3× |
| Myocrd img PET prfuj 1std rest/stress cncrnt CT (78430) | $9,000.33 | $9,000.33 | 6.3× |
| Myocrd Img Pet Prfuj Mlt Std Rst&Strs Cncrnt CT (78431) | $13,399.90 | $13,399.90 | 6.1× |
| Myocrd Img Pet Prfuj W/Metab 2rtracer Cncrnt CT (78433) | $16,377.06 | $16,377.06 | 7.4× |
| Myocrd Img Pet Prfuj W/Metab Dual Radiotracer (78432) | $12,717.33 | $12,717.33 | 8.4× |
| N-invas est c ffr sw aly CTA (75580) | $7,602.65 | $7,602.65 | 8.8× |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$1,472.97–$1,568.86 | $1,472.97–$1,568.86 | varies |
| Nm myocard infarct spect (78469) | $8,175.01 | $8,175.01 | 15.0× |
| Nonvascular Shunt X-Ray (75809) | $855.99 | $855.99 | 8.2× |
| Ntsty modul radthx pln dose-vol histos (77301) | $10,110.93 | $10,110.93 | 7.3× |
| Nuclear Rx Intra-Arterial (79445) | $3,278.89 | $3,278.89 | 14.0× |
| Nuclear Rx Oral Admin (79005) range across 5 matching MRF lines |
$6,613.49–$20,262.78 | $6,613.49–$20,262.78 | varies |
| Panoramic X-ray of jaws (70355) | $2,329.48 | $2,329.48 | 26.7× |
| Parathyroid Planar Imaging (78070) range across 2 matching MRF lines |
$4,484.04–$5,741.64 | $4,484.04–$5,741.64 | varies |
| Parathyroid planar imaging w/wo subtraction (78071) | $4,460.83 | $4,460.83 | 11.1× |
| Pelvis 1 or 2 views (72170) range across 3 matching MRF lines |
$1,281.20–$2,093.56 | $1,281.20–$2,093.56 | varies |
| Peritoneogram Rs&I (74190) | $7,723.58 | $7,723.58 | 14.1× |
| Pet Image W/Ct Lmtd (78814) range across 3 matching MRF lines |
$14,122.31–$16,093.02 | $14,122.31–$16,093.02 | varies |
| PET image w/CT, full body (78816) range across 4 matching MRF lines |
$14,122.31–$16,093.02 | $14,122.31–$16,093.02 | varies |
| PET imaging CT attenuation skull base mid-thigh (78815) | $14,122.31 | $14,122.31 | 9.9× |
| Pet Myocardial Sngl Study (78491) | $11,156.57 | $11,156.57 | 7.8× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $29,912.54 | $29,912.54 | 9.5× |
| Pulmonary Perfusion Imaging Particulate (78580) range across 2 matching MRF lines |
$8,782.58–$8,863.12 | $8,782.58–$8,863.12 | varies |
| Quan&Charac C Atherosclerotc Plaq Asses Sev C Ds (75577) | $3,802 | $3,802 | 4.1× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$3,739.01–$3,847.97 | $3,739.01–$3,847.97 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) | $3,206.12 | $3,206.12 | 5.9× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 8 matching MRF lines |
$1,238.61–$4,258.75 | $1,238.61–$4,258.75 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 6 matching MRF lines |
$1,476.90–$3,054.29 | $1,476.90–$3,054.29 | varies |
| Radex elbow complete minimum 3 views (73080) range across 6 matching MRF lines |
$1,818.04–$4,941.20 | $1,818.04–$4,941.20 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 3 matching MRF lines |
$2,608.62–$2,717.72 | $2,608.62–$2,717.72 | varies |
| Radex fingr minimum 2 views (73140) range across 5 matching MRF lines |
$1,012.04–$1,476.90 | $1,012.04–$1,476.90 | varies |
| Radex foot complete minimum 3 views (73630) range across 7 matching MRF lines |
$1,287.56–$4,486.67 | $1,287.56–$4,486.67 | varies |
| Radex Hand Minimum 3 Views (73130) range across 8 matching MRF lines |
$1,130.48–$4,241.57 | $1,130.48–$4,241.57 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 6 matching MRF lines |
$1,476.90–$4,725.17 | $1,476.90–$4,725.17 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$1,846.39–$2,239.41 | $1,846.39–$2,239.41 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 5 matching MRF lines |
$2,087.17–$2,868.77 | $2,087.17–$2,868.77 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 8 matching MRF lines |
$919.33–$4,983.58 | $919.33–$4,983.58 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$1,472.97–$1,515.82 | $1,472.97–$1,515.82 | varies |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) range across 2 matching MRF lines |
$5,911.17–$6,083.41 | $5,911.17–$6,083.41 | varies |
| Radex Spine 1 View Specify Level (72020) range across 6 matching MRF lines |
$1,641.65–$2,140.01 | $1,641.65–$2,140.01 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$1,900.47–$2,048.55 | $1,900.47–$2,048.55 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$2,263.53–$2,717.72 | $2,263.53–$2,717.72 | varies |
| Radex Toe Minimum 2 Views (73660) range across 7 matching MRF lines |
$817.63–$1,476.90 | $817.63–$1,476.90 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 6 matching MRF lines |
$1,476.90–$4,725.17 | $1,476.90–$4,725.17 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 8 matching MRF lines |
$1,467.83–$4,448.29 | $1,467.83–$4,448.29 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $1,762.01 | $1,762.01 | 16.8× |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $73,387.57 | $73,387.57 | 9.9× |
| Radiation treatment delivery level 1 (77402) range across 2 matching MRF lines |
$1,064.44–$1,086.51 | $1,064.44–$1,086.51 | varies |
| Radiation treatment delivery level 2 (77407) range across 2 matching MRF lines |
$1,064.44–$1,086.51 | $1,064.44–$1,086.51 | varies |
| Radiation treatment delivery level 3 (77412) | $2,054.31 | $2,054.31 | 3.7× |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$2,387.15–$2,717.72 | $2,387.15–$2,717.72 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $2,648.92 | $2,648.92 | 25.3× |
| Radiologic exam colon double contrast study (74280) range across 2 matching MRF lines |
$5,777.34–$5,945.60 | $5,777.34–$5,945.60 | varies |
| Radiologic exam colon single contrast study (74270) range across 2 matching MRF lines |
$3,750.69–$3,859.89 | $3,750.69–$3,859.89 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 6 matching MRF lines |
$2,217.23–$4,673.57 | $2,217.23–$4,673.57 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$2,197.89–$2,577.29 | $2,197.89–$2,577.29 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 2 matching MRF lines |
$4,326.20–$4,452.17 | $4,326.20–$4,452.17 | varies |
| Radiologic exam swallow function contrast study (74230) range across 2 matching MRF lines |
$3,634.64–$3,739.29 | $3,634.64–$3,739.29 | varies |
| Radiologic exam upr gi trc double contrast study (74246) | $4,791.41 | $4,791.41 | 27.3× |
| Radiologic examination femur 1 view (73551) | $558.05 | $558.05 | 6.4× |
| Radiologic examination femur minimum 2 views (73552) | $558.05 | $558.05 | 6.4× |
| Radiologic examination knee 1/2 views (73560) range across 9 matching MRF lines |
$1,093.03–$4,686.84 | $1,093.03–$4,686.84 | varies |
| Radiologic Examination Osseous Survey Limited (77074) range across 2 matching MRF lines |
$2,512.05–$4,525.16 | $2,512.05–$4,525.16 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 7 matching MRF lines |
$1,266.93–$4,477.41 | $1,266.93–$4,477.41 | varies |
| Red Cell Volume Determination Spx Mult Samplings (78121) | $5,850.94 | $5,850.94 | 10.8× |
| Renal Cyst Study (74470) | $7,330.61 | $7,330.61 | 13.4× |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$4,189.74–$4,311.79 | $4,189.74–$4,311.79 | varies |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $10,944.52 | $10,944.52 | 27.3× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $10,944.52 | $10,944.52 | 27.3× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $14,122.43 | $14,122.43 | 26.0× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $13,705.43 | $13,705.43 | 25.2× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $13,705.43 | $13,705.43 | 25.2× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $13,705.43 | $13,705.43 | 10.6× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $14,709.40 | $14,709.40 | 10.3× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $13,705.43 | $13,705.43 | 10.6× |
| Rp Therapy Intravenous Administration (79101) range across 2 matching MRF lines |
$4,537.14–$9,335.28 | $4,537.14–$9,335.28 | varies |
| Scapula (73010) range across 6 matching MRF lines |
$1,465.20–$4,477.41 | $1,465.20–$4,477.41 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $61.44 | $61.44 | 2.6× |
| Shoulder 1 view (73020) range across 6 matching MRF lines |
$930.94–$2,762.78 | $930.94–$2,762.78 | varies |
| Shoulder Arthrography (73040) range across 4 matching MRF lines |
$5,721.58–$7,066.19 | $5,721.58–$7,066.19 | varies |
| Sialogram (70390) range across 2 matching MRF lines |
$3,143.06–$3,435.20 | $3,143.06–$3,435.20 | varies |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$2,096.15–$2,157.21 | $2,096.15–$2,157.21 | varies |
| Special dosimetry (77331) | $1,057.56 | $1,057.56 | 7.9× |
| Special Physics Consult (77370) range across 2 matching MRF lines |
$1,157.30–$1,641 | $1,157.30–$1,641 | varies |
| Special teletherapy port plan (77321) | $2,873.05 | $2,873.05 | 7.7× |
| Special treatment procedure (77470) range across 2 matching MRF lines |
$4,977.69–$5,519.01 | $4,977.69–$5,519.01 | varies |
| Srs Multisource (77371) | $38,196.05 | $38,196.05 | 5.2× |
| Stereotactic Body Radiation Delivery (77373) | $16,253.23 | $16,253.23 | 9.1× |
| Sternoclavicular joints (71130) range across 2 matching MRF lines |
$1,937.79–$2,023.41 | $1,937.79–$2,023.41 | varies |
| Superior sagittal sinus venogram (75870) | $11,973.95 | $11,973.95 | 3.8× |
| Tbs techl prep&transmis data alys pfrmd elsewhr (77090) | $731.06 | $731.06 | 8.4× |
| Tbs technical calculation only (77091) | $731.06 | $731.06 | 8.4× |
| Telethx isodose pln cplx w/basic dosimetry (77307) range across 2 matching MRF lines |
$1,203.02–$2,873.05 | $1,203.02–$2,873.05 | varies |
| Telethx isodose pln smpl w/dosimetry calculation (77306) range across 2 matching MRF lines |
$1,203.02–$1,641 | $1,203.02–$1,641 | varies |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $3,066.67 | $3,066.67 | 8.2× |
| Ther rad simulaj-aided field setting simple (77280) | $1,641 | $1,641 | 12.2× |
| Thoracic spine 2 views (72070) range across 3 matching MRF lines |
$1,654.54–$2,505.72 | $1,654.54–$2,505.72 | varies |
| Thoracic spine 3 views (72072) range across 3 matching MRF lines |
$1,654.54–$2,546.79 | $1,654.54–$2,546.79 | varies |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$2,263.53–$2,329.48 | $2,263.53–$2,329.48 | varies |
| Thyroid Imaging With Vascular Flow (78013) | $2,265.38 | $2,265.38 | 5.7× |
| Thyroid Met Imaging Body (78018) range across 2 matching MRF lines |
$12,301.96–$12,414.80 | $12,301.96–$12,414.80 | varies |
| Thyroid Uptake Measurement (78012) | $1,721.69 | $1,721.69 | 4.3× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $3,517.01 | $3,517.01 | 8.8× |
| Tx Devices Design & Construction Complex (77334) | $3,066.67 | $3,066.67 | 8.2× |
| Tx devices design & construction simple (77332) range across 3 matching MRF lines |
$1,057.56–$6,907.62 | $1,057.56–$6,907.62 | varies |
| Ultrasound Breast Limited (76642) | $900.96 | $900.96 | 10.3× |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
$530.87–$837.95 | $530.87–$837.95 | varies |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$5,171.74–$5,948.47 | $5,171.74–$5,948.47 | varies |
| Umbilical-artery Doppler (OB) (76820) range across 2 matching MRF lines |
$1,763.33–$2,783.30 | $1,763.33–$2,783.30 | varies |
| Unlisted fluoroscopic procedure (76496) | $457.64 | $457.64 | 5.2× |
| Upper gi w/o kub (74240) | $4,791.41 | $4,791.41 | 27.3× |
| Urethrocystogram voiding (74455) range across 2 matching MRF lines |
$4,468.11–$5,170.86 | $4,468.11–$5,170.86 | varies |
| Urethrocystography retrograde (74450) range across 2 matching MRF lines |
$4,127.61–$5,170.86 | $4,127.61–$5,170.86 | varies |
| Us breast unilateral complete (76641) | $900.96 | $900.96 | 8.6× |
| Us chest (76604) range across 2 matching MRF lines |
$2,184.34–$3,557.98 | $2,184.34–$3,557.98 | varies |
| Us complete joint (76881) range across 2 matching MRF lines |
$5,888.95–$6,156.35 | $5,888.95–$6,156.35 | varies |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$2,538.82–$2,654.20 | $2,538.82–$2,654.20 | varies |
| Us head (76506) range across 2 matching MRF lines |
$1,649.86–$1,724.78 | $1,649.86–$1,724.78 | varies |
| Us kidney transplant (76776) range across 3 matching MRF lines |
$3,216.47–$3,557.98 | $3,216.47–$3,557.98 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 3 matching MRF lines |
$2,288.29–$3,776.07 | $2,288.29–$3,776.07 | varies |
| Us ob detailed single fetus (76811) range across 2 matching MRF lines |
$5,599.88–$5,854.37 | $5,599.88–$5,854.37 | varies |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$2,370.07–$2,849.53 | $2,370.07–$2,849.53 | varies |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$4,523.28–$5,438.19 | $4,523.28–$5,438.19 | varies |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$5,284.94–$5,525.09 | $5,284.94–$5,525.09 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$3,655.38–$4,394.72 | $3,655.38–$4,394.72 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 2 matching MRF lines |
$2,370.07–$4,919.24 | $2,370.07–$4,919.24 | varies |
| Us retroperitoneal complete (76770) range across 5 matching MRF lines |
$3,506.88–$6,723.87 | $3,506.88–$6,723.87 | varies |
| Us retroperitoneal limited (76775) | $3,216.47 | $3,216.47 | 30.7× |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$4,139.52–$4,327.68 | $4,139.52–$4,327.68 | varies |
| Us spinal canal and contents (76800) range across 2 matching MRF lines |
$1,649.86–$3,557.98 | $1,649.86–$3,557.98 | varies |
| Us thyroid (76536) range across 2 matching MRF lines |
$4,139.52–$4,327.68 | $4,139.52–$4,327.68 | varies |
| Us transrectal (76872) | $4,084.63 | $4,084.63 | 39.0× |
| Vascular Flow Imaging (78445) range across 2 matching MRF lines |
$7,401.77–$7,469.65 | $7,401.77–$7,469.65 | varies |
| Vein X-Ray Chest (75827) | $22,132.84 | $22,132.84 | 14.0× |
| Vein X-Ray Liver W/O Hemodyn (75887) | $13,597.53 | $13,597.53 | 4.3× |
| Vein X-Ray Skull Epidural (75872) | $11,973.95 | $11,973.95 | 19.1× |
| Vein X-Ray Spleen/Liver (75810) | $16,920.63 | $16,920.63 | 5.4× |
| Venogram Sinus/Jugular (75860) | $9,895.27 | $9,895.27 | 3.1× |
| Venography Adrenal Unilateral (75840) | $27,990.67 | $27,990.67 | 8.9× |
| Venography caval inferior serialography rs&i (75825) | $16,495.99 | $16,495.99 | 5.2× |
| Venography extremity bilateral rs&i (75822) range across 3 matching MRF lines |
$11,973.95–$20,516.06 | $11,973.95–$20,516.06 | varies |
| Venography extremity unilateral rs&i (75820) range across 7 matching MRF lines |
$11,973.95–$13,083.71 | $11,973.95–$13,083.71 | varies |
| Venography Renal Bilateral (75833) | $18,890.52 | $18,890.52 | 6.0× |
| Venography Renal Unilateral (75831) | $16,920.63 | $16,920.63 | 5.4× |
| Venous sampling by catheter (75893) | $11,628.97 | $11,628.97 | 2.1× |
| Vertebral fracture assessment via dxa (77086) | $588.23 | $588.23 | 6.7× |
| Wrist 2 views (73100) range across 6 matching MRF lines |
$1,626.22–$4,303.81 | $1,626.22–$4,303.81 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$1,950.70–$2,239.41 | $1,950.70–$2,239.41 | varies |
| X-ray antegrade pyelogram tube (74425) range across 2 matching MRF lines |
$4,366.84–$4,699.02 | $4,366.84–$4,699.02 | varies |
| X-Ray Aorta Leg Arteries (75630) | $38,690.47 | $38,690.47 | 12.2× |
| X-Ray Bend Only L-S Spine (72120) range across 3 matching MRF lines |
$2,447.48–$3,969.53 | $2,447.48–$3,969.53 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 7 matching MRF lines |
$1,192.30–$4,786.14 | $1,192.30–$4,786.14 | varies |
| X-Ray Exam Breast Specimen (76098) range across 4 matching MRF lines |
$904.54–$1,879.82 | $904.54–$1,879.82 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) | $345.85 | $345.85 | 4.0× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $553.10 | $553.10 | 5.3× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $1,762.01 | $1,762.01 | 16.8× |
| X-Ray Exam Hip Uni 1 View (73501) range across 3 matching MRF lines |
$344.08–$558.05 | $344.08–$558.05 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 3 matching MRF lines |
$344.08–$558.05 | $344.08–$558.05 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) range across 3 matching MRF lines |
$569.82–$924.19 | $569.82–$924.19 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) | $924.19 | $924.19 | 8.8× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $924.19 | $924.19 | 8.8× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $1,762.01 | $1,762.01 | 16.8× |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$3,857.19–$3,969.53 | $3,857.19–$3,969.53 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 3 matching MRF lines |
$1,192.30–$3,002.63 | $1,192.30–$3,002.63 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 3 matching MRF lines |
$2,340.79–$4,582.13 | $2,340.79–$4,582.13 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 4 matching MRF lines |
$3,126.21–$4,311.79 | $3,126.21–$4,311.79 | varies |
| X-ray eye for foreign body (70030) range across 6 matching MRF lines |
$1,912.14–$3,938.11 | $1,912.14–$3,938.11 | varies |
| X-ray humerus (73060) range across 6 matching MRF lines |
$1,671.26–$3,446.54 | $1,671.26–$3,446.54 | varies |
| X-ray IV pyelogram (ivp) (74400) range across 2 matching MRF lines |
$5,170.86–$5,956.13 | $5,170.86–$5,956.13 | varies |
| X-ray IV pyelogram+tomography (74415) range across 2 matching MRF lines |
$5,197.95–$12,568.48 | $5,197.95–$12,568.48 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 2 matching MRF lines |
$2,387.15–$2,456.01 | $2,387.15–$2,456.01 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 3 matching MRF lines |
$1,122.69–$4,686.84 | $1,122.69–$4,686.84 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 3 matching MRF lines |
$1,738.21–$2,398.36 | $1,738.21–$2,398.36 | varies |
| X-ray nose-rectum child f.b. (76010) range across 2 matching MRF lines |
$1,476.90–$2,142.69 | $1,476.90–$2,142.69 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$5,572.60–$5,734.91 | $5,572.60–$5,734.91 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 3 matching MRF lines |
$1,620.99–$3,090.05 | $1,620.99–$3,090.05 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$1,830.93–$2,671.26 | $1,830.93–$2,671.26 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$2,410.35–$3,123.25 | $2,410.35–$3,123.25 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$2,512.05–$3,172.15 | $2,512.05–$3,172.15 | varies |
| X-ray thoracic spine 4 vw (72074) range across 2 matching MRF lines |
$3,298.77–$3,394.83 | $3,298.77–$3,394.83 | varies |
| X-Ray Tmj Unilat (70328) range across 3 matching MRF lines |
$1,515.48–$1,559.66 | $1,515.48–$1,559.66 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 2 matching MRF lines |
$4,291.93–$5,170.86 | $4,291.93–$5,170.86 | varies |
| X-Rays Bone Length Studies (77073) range across 3 matching MRF lines |
$2,098.95–$4,525.16 | $2,098.95–$4,525.16 | varies |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$3,779.09–$6,332.49 | $3,779.09–$6,332.49 | varies |
| Xr c-spine 4 or 5 views (72050) range across 3 matching MRF lines |
$2,270.02–$3,603.03 | $2,270.02–$3,603.03 | varies |
| Xr facial bones less than 3 views (70140) range across 2 matching MRF lines |
$2,461.78–$2,533.54 | $2,461.78–$2,533.54 | varies |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$2,295.35–$2,671.26 | $2,295.35–$2,671.26 | varies |
| Xr Tomogram Single Plane (76100) range across 2 matching MRF lines |
$3,171.26–$3,581.73 | $3,171.26–$3,581.73 | 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.