Imaging prices at Cgh Medical Center
Sterling, IL · every code in this section with a posted price and a Medicare benchmark.
267 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 3 matching MRF lines |
$43.94–$260.26 | $169–$1,001 | varies |
| Abdomen 2 views (74019) range across 3 matching MRF lines |
$67.60–$330.98 | $260–$1,273 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) range across 3 matching MRF lines |
$131.82–$411.84 | $507–$1,584 | varies |
| Angiography extremity bilateral rs&i (75716) range across 3 matching MRF lines |
$113.36–$2,261.22 | $436–$8,697 | varies |
| Angiography extremity unilateral rs&i (75710) range across 5 matching MRF lines |
$164.32–$1,734.20 | $632–$6,670 | varies |
| Ankle 2 views (73600) range across 6 matching MRF lines |
$47.32–$222.56 | $182–$856 | varies |
| Artery X-Rays Abdomen (75726) unusually low: confirm this is the full procedure |
$2,099.76 | $8,076 | 0.4× |
| Artery X-Rays Pelvis (75736) likely a partial charge, not the full procedure |
$1,595.36 | $6,136 | 0.3× |
| Arthrogram ankle (73615) range across 4 matching MRF lines |
$78.26–$511.94 | $301–$1,969 | varies |
| Arthrogram hip (73525) range across 4 matching MRF lines |
$90.22–$969.02 | $347–$3,727 | varies |
| Arthrogram Wrist (73115) range across 4 matching MRF lines |
$65–$763.36 | $250–$2,936 | varies |
| Bone age studies (77072) range across 3 matching MRF lines |
$41.60–$160.68 | $160–$618 | varies |
| Bone Imaging 3 Phase (78315) range across 3 matching MRF lines |
$108.68–$958.10 | $418–$3,685 | varies |
| Bone Imaging Limited Area (78300) range across 3 matching MRF lines |
$76.96–$984.10 | $296–$3,785 | varies |
| Bone Imaging Multiple Areas (78305) range across 3 matching MRF lines |
$95.16–$1,483.82 | $366–$5,707 | varies |
| Bone Imaging Whole Body (78306) range across 3 matching MRF lines |
$137.02–$894.66 | $527–$3,441 | varies |
| Bone survey infant (77076) range across 3 matching MRF lines |
$26.26–$189.28 | $101–$728 | varies |
| Cat Scan Follow-Up Study (76380) range across 3 matching MRF lines |
$102.70–$859.56 | $395–$3,306 | varies |
| Chest 1 view (71045) range across 3 matching MRF lines |
$34.06–$177.32 | $131–$682 | varies |
| Chest 2 views (71046) range across 3 matching MRF lines |
$41.08–$265.98 | $158–$1,023 | varies |
| Chest 3 views (71047) range across 3 matching MRF lines |
$67.34–$215.28 | $259–$828 | varies |
| Chest 4 or more views (71048) range across 3 matching MRF lines |
$43.94–$257.40 | $169–$990 | varies |
| Clavicle complete (73000) range across 5 matching MRF lines |
$56.94–$239.98 | $219–$923 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 3 matching MRF lines |
$86.84–$189.28 | $334–$728 | varies |
| Contrast Exam Abdominl Aorta (75625) | $2,010.32 | $7,732 | 0.6× |
| Contrast X-Ray Bladder (74430) range across 3 matching MRF lines |
$97.24–$445.38 | $374–$1,713 | varies |
| Contrast X-Ray Of Elbow (73085) range across 4 matching MRF lines |
$65–$763.36 | $250–$2,936 | varies |
| Contrast X-Ray Of Knee Joint (73580) range across 4 matching MRF lines |
$92.82–$655.20 | $357–$2,520 | varies |
| CT abdomen and pelvis without and with contrast (74178) range across 3 matching MRF lines |
$288.60–$2,631.46 | $1,110–$10,121 | varies |
| CT abdomen and pelvis without contrast (74176) range across 3 matching MRF lines |
$290.42–$2,072.20 | $1,117–$7,970 | varies |
| CT abdomen w contrast (74160) range across 3 matching MRF lines |
$173.16–$1,319.76 | $666–$5,076 | varies |
| CT abdomen w wo contrast (74170) range across 3 matching MRF lines |
$197.34–$1,854.58 | $759–$7,133 | varies |
| CT abdomen w/o contrast (74150) range across 3 matching MRF lines |
$195.52–$1,073.80 | $752–$4,130 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 3 matching MRF lines |
$355.16–$3,054.74 | $1,366–$11,749 | varies |
| CT Angio Chest (71275) range across 3 matching MRF lines |
$264.68–$1,727.96 | $1,018–$6,646 | varies |
| CT Angio Head (70496) range across 3 matching MRF lines |
$266.50–$1,477.06 | $1,025–$5,681 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 3 matching MRF lines |
$208.78–$3,028.48 | $803–$11,648 | varies |
| CT Angio Neck (70498) range across 3 matching MRF lines |
$257.14–$1,715.22 | $989–$6,597 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 3 matching MRF lines |
$212.68–$2,501.20 | $818–$9,620 | varies |
| CT cervical spine w/ contrast (72126) range across 3 matching MRF lines |
$193.70–$1,783.34 | $745–$6,859 | varies |
| CT cervical spine w/o contrast (72125) range across 3 matching MRF lines |
$148.98–$1,159.60 | $573–$4,460 | varies |
| CT cervical spine w/wo cont (72127) range across 3 matching MRF lines |
$427.44–$1,299.22 | $1,644–$4,997 | varies |
| CT chest w contrast (71260) range across 3 matching MRF lines |
$144.30–$1,318.20 | $555–$5,070 | varies |
| CT chest w/wo contrast (71270) range across 3 matching MRF lines |
$221.78–$1,326.26 | $853–$5,101 | varies |
| CT head/brain with contrast (70460) range across 3 matching MRF lines |
$166.66–$1,073.80 | $641–$4,130 | varies |
| CT head/brain without and with contrast (70470) range across 3 matching MRF lines |
$208.52–$1,145.30 | $802–$4,405 | varies |
| CT heart no contrast quant eval coronry calcium (75571) | $7.80 | $30 | 0.1× |
| CT iac w contrast (70481) range across 3 matching MRF lines |
$142.48–$1,296.88 | $548–$4,988 | varies |
| CT l-spine w&w/o contrast (72133) range across 3 matching MRF lines |
$168.22–$1,846.26 | $647–$7,101 | varies |
| CT lower ext w/o (73700) range across 5 matching MRF lines |
$203.06–$1,672.32 | $781–$6,432 | varies |
| CT lower extremity w/contrast material (73701) range across 5 matching MRF lines |
$192.14–$1,830.66 | $739–$7,041 | varies |
| CT lumbar spine w contrast (72132) range across 3 matching MRF lines |
$188.24–$1,224.86 | $724–$4,711 | varies |
| CT lumbar spine w/o contrast (72131) range across 3 matching MRF lines |
$152.88–$1,296.88 | $588–$4,988 | varies |
| CT maxillofacial w contrast (70487) range across 3 matching MRF lines |
$196.82–$1,728.48 | $757–$6,648 | varies |
| CT maxillofacial wo contrast (70486) range across 4 matching MRF lines |
$178.10–$1,144.52 | $685–$4,402 | varies |
| CT neck tissue combo (70492) range across 3 matching MRF lines |
$227.76–$1,715.22 | $876–$6,597 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 3 matching MRF lines |
$77.48–$1,284.40 | $298–$4,940 | varies |
| CT orbits w/o contrast (70480) range across 3 matching MRF lines |
$140.66–$1,080.56 | $541–$4,156 | varies |
| CT pelvis w&w/o contrast (72194) range across 3 matching MRF lines |
$197.34–$2,264.34 | $759–$8,709 | varies |
| CT pelvis w/o contrast (72192) range across 3 matching MRF lines |
$192.92–$1,090.18 | $742–$4,193 | varies |
| CT scans face/jaw combo (70488) range across 3 matching MRF lines |
$212.68–$1,252.68 | $818–$4,818 | varies |
| CT soft tissue neck w contrast (70491) range across 3 matching MRF lines |
$188.24–$1,075.36 | $724–$4,136 | varies |
| CT soft tissue neck w/o contrast (70490) range across 3 matching MRF lines |
$176.02–$1,057.42 | $677–$4,067 | varies |
| CT thoracic spine w contrast (72129) range across 3 matching MRF lines |
$169.52–$1,478.62 | $652–$5,687 | varies |
| CT thoracic spine w/o contrast (72128) range across 3 matching MRF lines |
$143.78–$1,284.40 | $553–$4,940 | varies |
| CT thoracic spine w/wo cont (72130) range across 3 matching MRF lines |
$177.58–$1,834.30 | $683–$7,055 | varies |
| CT thorax w/o contrast (71250) range across 3 matching MRF lines |
$148.72–$1,233.44 | $572–$4,744 | varies |
| CT upper ext wo (73200) range across 5 matching MRF lines |
$210.34–$1,674.92 | $809–$6,442 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 5 matching MRF lines |
$238.42–$2,337.92 | $917–$8,992 | varies |
| CT upper extremity with contrast (73201) range across 5 matching MRF lines |
$217.88–$1,747.46 | $838–$6,721 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 3 matching MRF lines |
$346.32–$2,575.82 | $1,332–$9,907 | varies |
| Cta Abdomen (74175) range across 3 matching MRF lines |
$251.94–$1,925.30 | $969–$7,405 | varies |
| CTA pelvis (72191) range across 3 matching MRF lines |
$251.94–$1,927.90 | $969–$7,415 | varies |
| Discography Cerv/Thor Spine (72285) range across 3 matching MRF lines |
$197.60–$1,308.32 | $760–$5,032 | varies |
| Diskography lumbar (72295) range across 3 matching MRF lines |
$186.94–$1,308.32 | $719–$5,032 | varies |
| Dxa Bone Density Axial (77080) range across 3 matching MRF lines |
$37.44–$293.80 | $144–$1,130 | varies |
| Dxa bone density study (77085) range across 3 matching MRF lines |
$56.16–$293.80 | $216–$1,130 | varies |
| Dxa bone density study 1/>sites appendiclr skel (77081) range across 3 matching MRF lines |
$26.78–$149.50 | $103–$575 | varies |
| Esophagram (74220) range across 3 matching MRF lines |
$68.90–$460.46 | $265–$1,771 | varies |
| Fetal Biophys Profile W/Nst (76818) | $754.26 | $2,901 | 6.7× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $720.72 | $2,772 | 6.4× |
| Fluoroscopy up to 1 hr (76000) range across 3 matching MRF lines |
$42.64–$1,051.18 | $164–$4,043 | varies |
| Foot 2 views (73620) range across 6 matching MRF lines |
$47.06–$317.46 | $181–$1,221 | varies |
| Forearm 2 views (73090) range across 6 matching MRF lines |
$55.64–$260.78 | $214–$1,003 | varies |
| Gastric emptying imaging study (78264) range across 3 matching MRF lines |
$115.18–$1,585.74 | $443–$6,099 | varies |
| Gated Heart Planar Single (78472) | $1,002.04 | $3,854 | 2.3× |
| Hand 2 views (73120) range across 5 matching MRF lines |
$23.66–$125.84 | $91–$484 | varies |
| Hepatobil Syst Image W/Drug (78227) range across 3 matching MRF lines |
$155.22–$2,426.06 | $597–$9,331 | varies |
| Hepatobiliary System Imaging (78226) range across 3 matching MRF lines |
$155.22–$1,342.38 | $597–$5,163 | varies |
| Ht Muscle Image Spect Sing (78451) range across 3 matching MRF lines |
$193.70–$2,307.50 | $745–$8,875 | varies |
| Hysterosalpingogram (74740) range across 3 matching MRF lines |
$74.62–$704.08 | $287–$2,708 | varies |
| K Flow/Funct Image W/Drug (78708) range across 3 matching MRF lines |
$85.28–$1,886.56 | $328–$7,256 | varies |
| K Flow/Funct Image W/O Drug (78707) range across 3 matching MRF lines |
$85.28–$1,784.90 | $328–$6,865 | varies |
| Kidney Imaging Morphol (78700) range across 3 matching MRF lines |
$77.48–$1,483.82 | $298–$5,707 | varies |
| Knee 3 Views (73562) range across 6 matching MRF lines |
$64.22–$419.90 | $247–$1,615 | varies |
| Liver & Spleen Imaging Static Only (78215) range across 3 matching MRF lines |
$103.48–$996.32 | $398–$3,832 | varies |
| Lung Ventilat&Perfus Imaging (78582) range across 3 matching MRF lines |
$161.72–$1,024.14 | $622–$3,939 | varies |
| Lymph System Imaging (78195) range across 3 matching MRF lines |
$666.38–$2,343.64 | $2,563–$9,014 | varies |
| Mammary ductogram or galactogram multiple (77054) range across 3 matching MRF lines |
$40.82–$310.96 | $157–$1,196 | varies |
| Mammary ductogram or galactogram single (77053) range across 3 matching MRF lines |
$38.22–$238.94 | $147–$919 | varies |
| Meckels Divert Exam (78290) range across 3 matching MRF lines |
$86.84–$1,207.18 | $334–$4,643 | varies |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $17.68 | $68 | 0.6× |
| Mra Head W/O & W/Contrast Material (70546) range across 3 matching MRF lines |
$676–$1,635.66 | $2,600–$6,291 | varies |
| MRA head w/o contrast (70544) range across 3 matching MRF lines |
$201.76–$1,626.30 | $776–$6,255 | varies |
| MRA neck w contrast (70548) range across 3 matching MRF lines |
$244.92–$1,881.88 | $942–$7,238 | varies |
| Mra Neck W/O &W/Contrast Material (70549) range across 3 matching MRF lines |
$320.06–$1,079.52 | $1,231–$4,152 | varies |
| MRA neck w/o contrast (70547) range across 3 matching MRF lines |
$190.06–$1,902.94 | $731–$7,319 | varies |
| MRI abdomen w contrast (74182) range across 3 matching MRF lines |
$245.96–$1,602.12 | $946–$6,162 | varies |
| MRI abdomen w/o contrast (74181) range across 3 matching MRF lines |
$277.42–$1,284.14 | $1,067–$4,939 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 4 matching MRF lines |
$259.74–$1,510.60 | $999–$5,810 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 4 matching MRF lines |
$414.18–$1,713.66 | $1,593–$6,591 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 4 matching MRF lines |
$291.98–$1,467.96 | $1,123–$5,646 | varies |
| MRI Breast W/O Contrast Bilateral (77047) range across 3 matching MRF lines |
$264.42–$2,196.48 | $1,017–$8,448 | varies |
| MRI cervical spine w contrast (72142) range across 3 matching MRF lines |
$321.10–$1,170 | $1,235–$4,500 | varies |
| MRI cervical spine w/o cont (72141) range across 3 matching MRF lines |
$315.12–$1,329.38 | $1,212–$5,113 | varies |
| MRI chest w/o contrast (71550) range across 3 matching MRF lines |
$210.60–$1,415.70 | $810–$5,445 | varies |
| MRI chest with contrast (71551) range across 3 matching MRF lines |
$221.78–$1,475.76 | $853–$5,676 | varies |
| MRI chest wo w contrast (71552) range across 3 matching MRF lines |
$327.08–$1,634.88 | $1,258–$6,288 | varies |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 4 matching MRF lines |
$278.98–$1,645.80 | $1,073–$6,330 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 4 matching MRF lines |
$414.18–$1,625 | $1,593–$6,250 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 4 matching MRF lines |
$359.32–$1,395.94 | $1,382–$5,369 | varies |
| MRI lumbar spine w contrast (72149) range across 3 matching MRF lines |
$323.96–$1,294.54 | $1,246–$4,979 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 3 matching MRF lines |
$550.68–$1,603.42 | $2,118–$6,167 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 3 matching MRF lines |
$239.20–$1,438.06 | $920–$5,531 | varies |
| MRI orbit face neck w contrast (70542) range across 3 matching MRF lines |
$293.80–$1,257.10 | $1,130–$4,835 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 3 matching MRF lines |
$460.46–$1,515.80 | $1,771–$5,830 | varies |
| MRI pelvis w contrast (72196) range across 3 matching MRF lines |
$305.24–$1,601.86 | $1,174–$6,161 | varies |
| MRI pelvis w/o & w contrast (72197) range across 3 matching MRF lines |
$460.20–$1,652.56 | $1,770–$6,356 | varies |
| MRI pelvis w/o contrast (72195) range across 3 matching MRF lines |
$262.86–$991.38 | $1,011–$3,813 | varies |
| MRI thoracic spine w/o contrast (72146) range across 3 matching MRF lines |
$377.52–$1,314.82 | $1,452–$5,057 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 4 matching MRF lines |
$291.98–$1,602.38 | $1,123–$6,163 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 4 matching MRF lines |
$325.78–$1,424.80 | $1,253–$5,480 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 4 matching MRF lines |
$367.38–$1,638 | $1,413–$6,300 | varies |
| MRI, abdomen, combo (74183) range across 3 matching MRF lines |
$459.42–$1,604.20 | $1,767–$6,170 | varies |
| MRI, dorsal spine combo (72157) range across 3 matching MRF lines |
$482.04–$1,586 | $1,854–$6,100 | varies |
| MRI, dorsal spine contrast (72147) range across 3 matching MRF lines |
$314.86–$1,705.08 | $1,211–$6,558 | varies |
| MRI, joint upper extrem (73221) range across 4 matching MRF lines |
$325.78–$1,392.82 | $1,253–$5,357 | varies |
| MRI, joint upper extrem combo (73223) range across 4 matching MRF lines |
$367.38–$1,631.50 | $1,413–$6,275 | varies |
| MRI, lumbar spine combo (72158) range across 3 matching MRF lines |
$816.66–$1,636.44 | $3,141–$6,294 | varies |
| Myocardial Spect Multiple Studies (78452) | $3,191.24 | $12,274 | 2.3× |
| Neck soft tissue (70360) range across 3 matching MRF lines |
$33.80–$211.64 | $130–$814 | varies |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) | $210.34 | $809 | 1.9× |
| Parathyroid Planar Imaging (78070) range across 3 matching MRF lines |
$43.94–$840.32 | $169–$3,232 | varies |
| Parathyroid planar imaging w/wo subtraction (78071) range across 3 matching MRF lines |
$193.70–$1,128.40 | $745–$4,340 | varies |
| Pelvis 1 or 2 views (72170) range across 3 matching MRF lines |
$36.14–$216.84 | $139–$834 | varies |
| Pet Image Skull-Thigh (78812) | $144.04 | $554 | 0.1× |
| Pet Image W/Ct Lmtd (78814) range across 4 matching MRF lines |
$170.30–$3,124.94 | $655–$12,019 | varies |
| PET image w/CT, full body (78816) range across 4 matching MRF lines |
$192.40–$2,183.74 | $740–$8,399 | varies |
| PET imaging CT attenuation skull base mid-thigh (78815) range across 4 matching MRF lines |
$186.68–$3,822.52 | $718–$14,702 | varies |
| Pet Imaging Limited Area Chest Head/Neck (78811) | $116.22 | $447 | 0.1× |
| Pulmonary Perfusion Imaging Particulate (78580) range across 3 matching MRF lines |
$86.58–$560.04 | $333–$2,154 | varies |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 3 matching MRF lines |
$66.82–$317.46 | $257–$1,221 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 3 matching MRF lines |
$27.56–$472.68 | $106–$1,818 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 6 matching MRF lines |
$59.80–$373.62 | $230–$1,437 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 6 matching MRF lines |
$40.56–$207.74 | $156–$799 | varies |
| Radex elbow complete minimum 3 views (73080) range across 6 matching MRF lines |
$53.56–$239.46 | $206–$921 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 3 matching MRF lines |
$43.16–$286.52 | $166–$1,102 | varies |
| Radex fingr minimum 2 views (73140) range across 6 matching MRF lines |
$58.50–$203.32 | $225–$782 | varies |
| Radex foot complete minimum 3 views (73630) range across 6 matching MRF lines |
$54.86–$298.48 | $211–$1,148 | varies |
| Radex Hand Minimum 3 Views (73130) range across 6 matching MRF lines |
$60.32–$304.72 | $232–$1,172 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 5 matching MRF lines |
$41.86–$328.90 | $161–$1,265 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) range across 3 matching MRF lines |
$40.56–$262.34 | $156–$1,009 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 3 matching MRF lines |
$28.86–$364 | $111–$1,400 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 4 matching MRF lines |
$43.42–$329.94 | $167–$1,269 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 6 matching MRF lines |
$70.46–$372.06 | $271–$1,431 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 3 matching MRF lines |
$30.16–$145.34 | $116–$559 | varies |
| Radex Spine 1 View Specify Level (72020) range across 3 matching MRF lines |
$27.30–$207.48 | $105–$798 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 3 matching MRF lines |
$38.74–$184.34 | $149–$709 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 3 matching MRF lines |
$56.94–$508.82 | $219–$1,957 | varies |
| Radex Toe Minimum 2 Views (73660) range across 6 matching MRF lines |
$36.14–$261.04 | $139–$1,004 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 5 matching MRF lines |
$38.74–$76.70 | $149–$295 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 6 matching MRF lines |
$49.92–$323.96 | $192–$1,246 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) range across 3 matching MRF lines |
$55.12–$249.60 | $212–$960 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 3 matching MRF lines |
$85.80–$257.40 | $330–$990 | varies |
| Radiologic exam colon double contrast study (74280) range across 3 matching MRF lines |
$141.44–$1,184.56 | $544–$4,556 | varies |
| Radiologic exam colon single contrast study (74270) range across 3 matching MRF lines |
$94.64–$440.44 | $364–$1,694 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 6 matching MRF lines |
$69.68–$375.44 | $268–$1,444 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 3 matching MRF lines |
$35.62–$190.32 | $137–$732 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 3 matching MRF lines |
$76.44–$823.16 | $294–$3,166 | varies |
| Radiologic exam swallow function contrast study (74230) range across 3 matching MRF lines |
$106.34–$494.26 | $409–$1,901 | varies |
| Radiologic exam upr gi trc double contrast study (74246) range across 3 matching MRF lines |
$152.88–$1,472.38 | $588–$5,663 | varies |
| Radiologic examination femur 1 view (73551) range across 5 matching MRF lines |
$69.68–$183.04 | $268–$704 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 6 matching MRF lines |
$59.80–$408.46 | $230–$1,571 | varies |
| Radiologic examination knee 1/2 views (73560) range across 6 matching MRF lines |
$45.24–$354.64 | $174–$1,364 | varies |
| Radiologic Examination Osseous Survey Limited (77074) range across 3 matching MRF lines |
$42.64–$197.60 | $164–$760 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 6 matching MRF lines |
$59.80–$379.86 | $230–$1,461 | varies |
| Ribs bilateral 3 views (71110) range across 3 matching MRF lines |
$53.56–$288.08 | $206–$1,108 | varies |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) range across 3 matching MRF lines |
$152.10–$2,568.28 | $585–$9,878 | varies |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) range across 3 matching MRF lines |
$108.68–$1,033.76 | $418–$3,976 | varies |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 3 matching MRF lines |
$202.54–$1,785.42 | $779–$6,867 | varies |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) range across 3 matching MRF lines |
$119.34–$2,048.02 | $459–$7,877 | varies |
| Scapula (73010) range across 6 matching MRF lines |
$69.68–$273.78 | $268–$1,053 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $39.52 | $152 | 1.7× |
| Shoulder 1 view (73020) range across 5 matching MRF lines |
$50.70–$465.92 | $195–$1,792 | varies |
| Shoulder Arthrography (73040) range across 4 matching MRF lines |
$79.30–$633.88 | $305–$2,438 | varies |
| Skull less than 4 views (70250) range across 3 matching MRF lines |
$69.42–$283.92 | $267–$1,092 | varies |
| Sternoclavicular joints (71130) range across 3 matching MRF lines |
$35.88–$93.60 | $138–$360 | varies |
| Thoracic spine 2 views (72070) range across 3 matching MRF lines |
$40.56–$219.18 | $156–$843 | varies |
| Thoracic spine 3 views (72072) range across 3 matching MRF lines |
$43.16–$315.90 | $166–$1,215 | varies |
| Thoracolumbar 2 views (72080) range across 3 matching MRF lines |
$45.24–$178.88 | $174–$688 | varies |
| Thyroid Imaging With Vascular Flow (78013) range across 3 matching MRF lines |
$79.30–$636.48 | $305–$2,448 | varies |
| Thyroid Uptake Measurement (78012) range across 3 matching MRF lines |
$35.88–$767.78 | $138–$2,953 | varies |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) range across 3 matching MRF lines |
$92.56–$1,152.84 | $356–$4,434 | varies |
| Ultrasound Breast Limited (76642) range across 5 matching MRF lines |
$65.52–$396.50 | $252–$1,525 | varies |
| Ultrasound Elastography Parenchyma (76981) range across 3 matching MRF lines |
$77.48–$348.14 | $298–$1,339 | varies |
| Ultrasound Exam Aaa Screen (76706) range across 3 matching MRF lines |
$51.74–$182.26 | $199–$701 | varies |
| Ultrasound, abdomen limited (76705) range across 3 matching MRF lines |
$168.74–$719.68 | $649–$2,768 | varies |
| Unlisted Dx Radiographic Procedure (76499) | $20.80 | $80 | 0.2× |
| Unlisted us procedure (76999) range across 3 matching MRF lines |
$49.92–$117.78 | $192–$453 | varies |
| Upper gi w/o kub (74240) range across 3 matching MRF lines |
$130.26–$940.42 | $501–$3,617 | varies |
| Ureteral Reflux Study (78740) range across 3 matching MRF lines |
$65.52–$1,658.02 | $252–$6,377 | varies |
| Urethrocystogram voiding (74455) range across 3 matching MRF lines |
$105.04–$515.84 | $404–$1,984 | varies |
| Urethrocystography retrograde (74450) range across 3 matching MRF lines |
$101.40–$464.88 | $390–$1,788 | varies |
| Us breast unilateral complete (76641) range across 5 matching MRF lines |
$168.74–$1,343.16 | $649–$5,166 | varies |
| Us chest (76604) range across 3 matching MRF lines |
$111.54–$298.48 | $429–$1,148 | varies |
| Us complete joint (76881) | $78.78 | $303 | 0.7× |
| Us exam, pelvic, limited (76857) range across 3 matching MRF lines |
$91–$880.88 | $350–$3,388 | varies |
| Us kidney transplant (76776) | $125.32 | $482 | 1.1× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 3 matching MRF lines |
$202.80–$757.64 | $780–$2,914 | varies |
| Us ob limited 1 or more fetuses (76815) range across 3 matching MRF lines |
$124.54–$687.44 | $479–$2,644 | varies |
| Us ob transvaginal (76817) range across 3 matching MRF lines |
$136.50–$306.28 | $525–$1,178 | varies |
| Us pelvic non ob complete (76856) range across 3 matching MRF lines |
$153.66–$886.86 | $591–$3,411 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 3 matching MRF lines |
$555.88–$663.26 | $2,138–$2,551 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $754 | $2,900 | 6.7× |
| Us retroperitoneal complete (76770) range across 3 matching MRF lines |
$192.14–$606.32 | $739–$2,332 | varies |
| Us retroperitoneal limited (76775) range across 3 matching MRF lines |
$112.84–$525.20 | $434–$2,020 | varies |
| Us scrotum and contents (76870) range across 3 matching MRF lines |
$195.78–$664.04 | $753–$2,554 | varies |
| Us thyroid (76536) range across 3 matching MRF lines |
$102.70–$627.64 | $395–$2,414 | varies |
| Venography caval inferior serialography rs&i (75825) range across 3 matching MRF lines |
$149.76–$2,715.18 | $576–$10,443 | varies |
| Venography extremity bilateral rs&i (75822) range across 3 matching MRF lines |
$226.46–$2,108.60 | $871–$8,110 | varies |
| Venography extremity unilateral rs&i (75820) range across 5 matching MRF lines |
$151.06–$757.12 | $581–$2,912 | varies |
| Vertebral fracture assessment via dxa (77086) range across 3 matching MRF lines |
$31.72–$243.88 | $122–$938 | varies |
| Wrist 2 views (73100) range across 6 matching MRF lines |
$78.78–$196.82 | $303–$757 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 3 matching MRF lines |
$31.46–$241.28 | $121–$928 | varies |
| X-ray antegrade pyelogram tube (74425) range across 3 matching MRF lines |
$83.72–$348.92 | $322–$1,342 | varies |
| X-Ray Aorta Leg Arteries (75630) | $2,578.42 | $9,917 | 0.8× |
| X-Ray Bend Only L-S Spine (72120) range across 3 matching MRF lines |
$74.36–$302.38 | $286–$1,163 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 5 matching MRF lines |
$42.64–$195.78 | $164–$753 | varies |
| X-Ray Exam Breast Specimen (76098) range across 3 matching MRF lines |
$26.26–$187.72 | $101–$722 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 3 matching MRF lines |
$49.66–$153.66 | $191–$591 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 5 matching MRF lines |
$36.14–$150.28 | $139–$578 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 6 matching MRF lines |
$70.46–$170.04 | $271–$654 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 3 matching MRF lines |
$62.92–$219.18 | $242–$843 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 3 matching MRF lines |
$65–$201.24 | $250–$774 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 3 matching MRF lines |
$44.72–$297.70 | $172–$1,145 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 3 matching MRF lines |
$67.34–$379.86 | $259–$1,461 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 5 matching MRF lines |
$52.52–$304.98 | $202–$1,173 | varies |
| X-ray eye for foreign body (70030) range across 3 matching MRF lines |
$65–$283.40 | $250–$1,090 | varies |
| X-ray humerus (73060) range across 6 matching MRF lines |
$55.64–$266.24 | $214–$1,024 | varies |
| X-ray IV pyelogram (ivp) (74400) range across 3 matching MRF lines |
$106.34–$767.26 | $409–$2,951 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 3 matching MRF lines |
$38.22–$160.42 | $147–$617 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 3 matching MRF lines |
$28.60–$99.32 | $110–$382 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 3 matching MRF lines |
$40.56–$299.78 | $156–$1,153 | varies |
| X-ray nose-rectum child f.b. (76010) range across 3 matching MRF lines |
$30.94–$99.06 | $119–$381 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 3 matching MRF lines |
$53.56–$354.38 | $206–$1,363 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 3 matching MRF lines |
$40.04–$234.78 | $154–$903 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 3 matching MRF lines |
$42.12–$294.06 | $162–$1,131 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 3 matching MRF lines |
$69.94–$256.88 | $269–$988 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 3 matching MRF lines |
$43.16–$143.78 | $166–$553 | varies |
| X-Ray Tmj Unilat (70328) range across 4 matching MRF lines |
$38.74–$169.78 | $149–$653 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 3 matching MRF lines |
$71.50–$611 | $275–$2,350 | varies |
| X-Rays Bone Length Studies (77073) range across 3 matching MRF lines |
$26.52–$371.80 | $102–$1,430 | varies |
| X-Rays Bone Survey Complete (77075) range across 3 matching MRF lines |
$57.98–$936 | $223–$3,600 | varies |
| Xr c-spine 4 or 5 views (72050) range across 3 matching MRF lines |
$58.76–$473.72 | $226–$1,822 | varies |
| Xr facial bones less than 3 views (70140) range across 3 matching MRF lines |
$32.50–$251.68 | $125–$968 | varies |
| XR Mastoids < 3 Views Bilateral (70120) range across 3 matching MRF lines |
$22.36–$168.22 | $86–$647 | varies |
| Xr orbits complete 4 views (70200) range across 3 matching MRF lines |
$38.74–$307.84 | $149–$1,184 | 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.