Imaging prices at Charleston Area Medical Center
Charleston, WV · every code in this section with a posted price and a Medicare benchmark.
411 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 5 matching MRF lines |
$634–$6,722 | $634–$6,722 | varies |
| Abdomen 1 View (74018) | $434 | $434 | 5.2× |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$436–$461 | $436–$461 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) range across 3 matching MRF lines |
$133–$3,782 | $133–$3,782 | varies |
| Angio internal mammary (75756) range across 8 matching MRF lines |
$164–$6,076 | $164–$6,076 | varies |
| Angio pulmonary bilat (75743) range across 4 matching MRF lines |
$308–$5,403 | $308–$5,403 | varies |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) range across 4 matching MRF lines |
$181–$768 | $181–$768 | varies |
| Angiography extremity bilateral rs&i (75716) range across 4 matching MRF lines |
$689–$6,257 | $689–$6,257 | varies |
| Angiography extremity unilateral rs&i (75710) range across 8 matching MRF lines |
$562–$5,781 | $562–$5,781 | varies |
| Angiography pulmonary unilateral slctv rs&i (75741) range across 7 matching MRF lines |
$242–$4,855 | $242–$4,855 | varies |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) range across 4 matching MRF lines |
$216–$4,637 | $216–$4,637 | varies |
| Ankle 2 views (73600) range across 6 matching MRF lines |
$454–$552 | $454–$552 | varies |
| Aortography thoracic serialography rs&i (75605) range across 3 matching MRF lines |
$3,188–$10,681 | $3,188–$10,681 | varies |
| Aortography thoracic w/o serialography rs&i (75600) | $72 | $72 | 0.0× |
| Artery X-Rays Abdomen (75726) range across 6 matching MRF lines |
$5,604–$6,790 | $5,604–$6,790 | varies |
| Artery X-Rays Adrenal Gland (75731) range across 4 matching MRF lines |
$3,130–$3,494 | $3,130–$3,494 | varies |
| Artery X-Rays Pelvis (75736) range across 2 matching MRF lines |
$6,294–$7,026 | $6,294–$7,026 | varies |
| Artery X-Rays Spine (75705) range across 4 matching MRF lines |
$348–$6,277 | $348–$6,277 | varies |
| Arthrogram ankle (73615) range across 6 matching MRF lines |
$1,031–$2,059 | $1,031–$2,059 | varies |
| Arthrogram hip (73525) range across 6 matching MRF lines |
$982–$2,059 | $982–$2,059 | varies |
| Arthrogram Wrist (73115) range across 6 matching MRF lines |
$899–$2,057 | $899–$2,057 | varies |
| Basic radiation dosimetry calculation (77300) range across 5 matching MRF lines |
$95–$738 | $95–$738 | varies |
| Bone age studies (77072) range across 2 matching MRF lines |
$454–$552 | $454–$552 | varies |
| Bone Imaging 3 Phase (78315) range across 3 matching MRF lines |
$136–$2,749 | $136–$2,749 | varies |
| Bone Imaging Limited Area (78300) range across 3 matching MRF lines |
$84–$1,012 | $84–$1,012 | varies |
| Bone Imaging Whole Body (78306) range across 3 matching MRF lines |
$114–$2,560 | $114–$2,560 | varies |
| Bone marrow imaging; whole body (78104) | $603 | $603 | 1.6× |
| Bone survey infant (77076) range across 2 matching MRF lines |
$143–$457 | $143–$457 | varies |
| Brachytx isodose complex (77318) range across 5 matching MRF lines |
$428–$1,998 | $428–$1,998 | varies |
| Brachytx isodose intermed (77317) range across 5 matching MRF lines |
$272–$1,998 | $272–$1,998 | varies |
| Brachytx Isodose Plan Simple (77316) range across 5 matching MRF lines |
$207–$738 | $207–$738 | varies |
| Brain Image W/Flow < 4 Views (78601) range across 3 matching MRF lines |
$68–$1,534 | $68–$1,534 | varies |
| Brain Imaging Minimum 4 Static Views (78605) range across 3 matching MRF lines |
$73–$2,050 | $73–$2,050 | varies |
| Cardiac MRI w/w/o contrast & further seq (75561) range across 3 matching MRF lines |
$456–$4,065 | $456–$4,065 | varies |
| Cardiac MRI w/w/o contrast w/stress (75563) range across 2 matching MRF lines |
$523–$1,674 | $523–$1,674 | varies |
| Cardiac Shunt Detection (78428) range across 3 matching MRF lines |
$104–$788 | $104–$788 | varies |
| Cat Scan Follow-Up Study (76380) | $938 | $938 | 11.2× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) range across 3 matching MRF lines |
$76–$2,458 | $76–$2,458 | varies |
| Cerebrospinal Fluid Scan (78630) range across 3 matching MRF lines |
$92–$2,810 | $92–$2,810 | varies |
| Chest 1 view (71045) | $140 | $140 | 1.7× |
| Chest 2 views (71046) range across 3 matching MRF lines |
$344–$433 | $344–$433 | varies |
| Chest 3 views (71047) range across 2 matching MRF lines |
$450–$474 | $450–$474 | varies |
| Chest 4 or more views (71048) range across 4 matching MRF lines |
$43–$474 | $43–$474 | varies |
| Chg us nrv&acc strux 1 xtr compre w/img pr extremity (76883) | $42 | $42 | 0.4× |
| Cineradiograpy/vidradiograpy xcpt where spec (76120) range across 3 matching MRF lines |
$64–$216 | $64–$216 | varies |
| Clavicle complete (73000) range across 6 matching MRF lines |
$454–$552 | $454–$552 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 2 matching MRF lines |
$278–$302 | $278–$302 | varies |
| Continuing medical physics consltj pr wk (77336) range across 2 matching MRF lines |
$691–$750 | $691–$750 | varies |
| Contrast Exam Abdominl Aorta (75625) range across 6 matching MRF lines |
$205–$11,306 | $205–$11,306 | varies |
| Contrast X-Ray Bladder (74430) range across 4 matching MRF lines |
$63–$1,092 | $63–$1,092 | varies |
| Contrast X-Ray Of Elbow (73085) range across 6 matching MRF lines |
$1,031–$2,390 | $1,031–$2,390 | varies |
| Contrast X-Ray Of Knee Joint (73580) range across 6 matching MRF lines |
$1,031–$2,057 | $1,031–$2,057 | varies |
| Contrast Xray Throat/Cerv Esopha (74210) range across 2 matching MRF lines |
$464–$540 | $464–$540 | varies |
| Corpora cavernosography (74445) | $224 | $224 | 2.2× |
| CT abdomen and pelvis without and with contrast (74178) range across 10 matching MRF lines |
$6,038–$7,722 | $6,038–$7,722 | varies |
| CT abdomen and pelvis without contrast (74176) range across 3 matching MRF lines |
$3,744–$4,832 | $3,744–$4,832 | varies |
| CT abdomen w contrast (74160) range across 3 matching MRF lines |
$3,136–$4,071 | $3,136–$4,071 | varies |
| CT abdomen w wo contrast (74170) range across 3 matching MRF lines |
$4,142–$5,335 | $4,142–$5,335 | varies |
| CT abdomen w/o contrast (74150) range across 4 matching MRF lines |
$225–$2,585 | $225–$2,585 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 6 matching MRF lines |
$286–$7,685 | $286–$7,685 | varies |
| CT Angio Chest (71275) range across 11 matching MRF lines |
$237–$3,805 | $237–$3,805 | varies |
| CT Angio Head (70496) range across 3 matching MRF lines |
$3,728–$4,813 | $3,728–$4,813 | varies |
| CT angio hrt w/3d image (75574) range across 6 matching MRF lines |
$363–$2,275 | $363–$2,275 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 7 matching MRF lines |
$3,073–$3,989 | $3,073–$3,989 | varies |
| CT Angio Neck (70498) range across 3 matching MRF lines |
$3,728–$4,813 | $3,728–$4,813 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 6 matching MRF lines |
$2,799–$3,359 | $2,799–$3,359 | varies |
| CT bone density (77078) range across 3 matching MRF lines |
$32–$222 | $32–$222 | varies |
| CT cervical spine w/ contrast (72126) range across 2 matching MRF lines |
$2,642–$3,059 | $2,642–$3,059 | varies |
| CT cervical spine w/o contrast (72125) range across 3 matching MRF lines |
$1,957–$2,585 | $1,957–$2,585 | varies |
| CT cervical spine w/wo cont (72127) range across 2 matching MRF lines |
$3,177–$3,796 | $3,177–$3,796 | varies |
| CT chest w contrast (71260) range across 4 matching MRF lines |
$2,471–$3,233 | $2,471–$3,233 | varies |
| CT chest w/wo contrast (71270) range across 4 matching MRF lines |
$2,882–$3,748 | $2,882–$3,748 | varies |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$2,072–$2,516 | $2,072–$2,516 | varies |
| CT head/brain without and with contrast (70470) range across 3 matching MRF lines |
$2,500–$3,268 | $2,500–$3,268 | varies |
| CT heart contrast eval cardiac structure&morph (75572) range across 13 matching MRF lines |
$363–$1,825 | $363–$1,825 | varies |
| CT heart no contrast quant eval coronry calcium (75571) range across 5 matching MRF lines |
$363–$547 | $363–$547 | varies |
| CT hrt w/3d image congen (75573) range across 2 matching MRF lines |
$363–$1,438 | $363–$1,438 | varies |
| CT iac w contrast (70481) range across 4 matching MRF lines |
$3,855–$4,584 | $3,855–$4,584 | varies |
| CT l-spine w&w/o contrast (72133) range across 3 matching MRF lines |
$2,435–$3,072 | $2,435–$3,072 | varies |
| CT lower ext w/o (73700) range across 40 matching MRF lines |
$1,957–$2,585 | $1,957–$2,585 | varies |
| CT lower extremity w/contrast material (73701) range across 40 matching MRF lines |
$2,213–$2,906 | $2,213–$2,906 | varies |
| CT lumbar spine w contrast (72132) range across 3 matching MRF lines |
$2,461–$3,220 | $2,461–$3,220 | varies |
| CT lumbar spine w/o contrast (72131) range across 3 matching MRF lines |
$1,957–$2,585 | $1,957–$2,585 | varies |
| CT maxillofacial w contrast (70487) range across 10 matching MRF lines |
$2,767–$3,321 | $2,767–$3,321 | varies |
| CT maxillofacial wo contrast (70486) range across 11 matching MRF lines |
$1,957–$2,585 | $1,957–$2,585 | varies |
| CT neck tissue combo (70492) range across 4 matching MRF lines |
$4,337–$5,581 | $4,337–$5,581 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 4 matching MRF lines |
$4,337–$5,241 | $4,337–$5,241 | varies |
| CT orbits w/o contrast (70480) range across 5 matching MRF lines |
$1,957–$2,585 | $1,957–$2,585 | varies |
| CT pelvis w&w/o contrast (72194) range across 3 matching MRF lines |
$4,142–$5,335 | $4,142–$5,335 | varies |
| CT pelvis w/o contrast (72192) range across 3 matching MRF lines |
$1,957–$2,585 | $1,957–$2,585 | varies |
| CT scan of leg combo (73702) range across 39 matching MRF lines |
$2,663–$3,283 | $2,663–$3,283 | varies |
| CT scans face/jaw combo (70488) range across 10 matching MRF lines |
$4,337–$5,143 | $4,337–$5,143 | varies |
| CT soft tissue neck w contrast (70491) range across 3 matching MRF lines |
$2,631–$3,434 | $2,631–$3,434 | varies |
| CT soft tissue neck w/o contrast (70490) range across 3 matching MRF lines |
$1,957–$2,585 | $1,957–$2,585 | varies |
| CT thoracic spine w contrast (72129) range across 2 matching MRF lines |
$2,210–$2,676 | $2,210–$2,676 | varies |
| CT thoracic spine w/o contrast (72128) range across 3 matching MRF lines |
$1,957–$2,585 | $1,957–$2,585 | varies |
| CT thoracic spine w/wo cont (72130) range across 2 matching MRF lines |
$2,761–$3,314 | $2,761–$3,314 | varies |
| CT thorax w/o contrast (71250) range across 8 matching MRF lines |
$233–$2,585 | $233–$2,585 | varies |
| CT unlisted procedure (76497) | $130 | $130 | 1.6× |
| CT upper ext wo (73200) range across 40 matching MRF lines |
$1,957–$2,585 | $1,957–$2,585 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 39 matching MRF lines |
$3,084–$3,688 | $3,084–$3,688 | varies |
| CT upper extremity with contrast (73201) range across 40 matching MRF lines |
$2,305–$3,025 | $2,305–$3,025 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 3 matching MRF lines |
$4,100–$5,089 | $4,100–$5,089 | varies |
| Cta Abdomen (74175) range across 3 matching MRF lines |
$3,946–$5,089 | $3,946–$5,089 | varies |
| CTA pelvis (72191) range across 2 matching MRF lines |
$2,928–$3,508 | $2,928–$3,508 | varies |
| Dilation ureters/urethra rs&i (74485) range across 6 matching MRF lines |
$98–$1,781 | $98–$1,781 | varies |
| Discography Cerv/Thor Spine (72285) | $2,272 | $2,272 | 1.2× |
| Diskography lumbar (72295) range across 3 matching MRF lines |
$3,087–$4,039 | $3,087–$4,039 | varies |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) range across 2 matching MRF lines |
$79–$1,070 | $79–$1,070 | varies |
| Doppler Echo Fetal Spectral Display Complete (76827) range across 2 matching MRF lines |
$81–$1,630 | $81–$1,630 | varies |
| Doppler Fetal Mid Cerebral Artery (76821) range across 2 matching MRF lines |
$95–$869 | $95–$869 | varies |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$660–$767 | $660–$767 | varies |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $593 | $593 | 7.1× |
| Echo exam of fetal heart (76825) range across 2 matching MRF lines |
$235–$1,806 | $235–$1,806 | varies |
| Echo exam uterus (76831) range across 2 matching MRF lines |
$104–$495 | $104–$495 | varies |
| Echo Guide For Artery Repair (76936) | $285 | $285 | 1.4× |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) range across 2 matching MRF lines |
$119–$1,227 | $119–$1,227 | varies |
| Echograp Trans R Pros Study (76873) | $157 | $157 | 1.6× |
| Esophagram (74220) range across 2 matching MRF lines |
$811–$967 | $811–$967 | varies |
| Fetal Biophys Profile W/Nst (76818) range across 5 matching MRF lines |
$436–$1,432 | $436–$1,432 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 6 matching MRF lines |
$128–$917 | $128–$917 | varies |
| Fluoroscopy up to 1 hr (76000) range across 10 matching MRF lines |
$34–$7,777 | $34–$7,777 | varies |
| Follow-Up Angiography (75898) range across 4 matching MRF lines |
$237–$3,764 | $237–$3,764 | varies |
| Foot 2 views (73620) range across 6 matching MRF lines |
$418–$509 | $418–$509 | varies |
| Forearm 2 views (73090) range across 6 matching MRF lines |
$454–$552 | $454–$552 | varies |
| Gastric emptying imaging study (78264) range across 3 matching MRF lines |
$105–$3,486 | $105–$3,486 | varies |
| Gastroesophageal Reflux Exam (78262) range across 3 matching MRF lines |
$93–$3,420 | $93–$3,420 | varies |
| Gated Heart Planar Single (78472) range across 3 matching MRF lines |
$132–$2,597 | $132–$2,597 | varies |
| Gated Heart, Multiple (78473) range across 2 matching MRF lines |
$183–$796 | $183–$796 | varies |
| Hand 2 views (73120) range across 6 matching MRF lines |
$326–$402 | $326–$402 | varies |
| Hdr Rdncl Ntrstl/Icav Brchtx (77772) range across 5 matching MRF lines |
$794–$1,439 | $794–$1,439 | varies |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) range across 5 matching MRF lines |
$562–$1,439 | $562–$1,439 | varies |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) range across 5 matching MRF lines |
$288–$1,439 | $288–$1,439 | varies |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) range across 2 matching MRF lines |
$4,801–$5,359 | $4,801–$5,359 | varies |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) range across 2 matching MRF lines |
$4,801–$5,359 | $4,801–$5,359 | varies |
| Hepatobil Syst Image W/Drug (78227) range across 4 matching MRF lines |
$121–$4,538 | $121–$4,538 | varies |
| Hepatobiliary System Imaging (78226) | $99 | $99 | 0.3× |
| Ht Muscle Image Spect Sing (78451) range across 6 matching MRF lines |
$97–$5,329 | $97–$5,329 | varies |
| Hysterosalpingogram (74740) | $1,525 | $1,525 | 6.7× |
| Infant hip ultrasound with hip movement (dynamic) (76885) range across 2 matching MRF lines |
$800–$978 | $800–$978 | varies |
| Infant hip ultrasound, limited static exam (76886) range across 2 matching MRF lines |
$200–$233 | $200–$233 | varies |
| Intracavitary Radiation Source Applic Complex (77763) range across 5 matching MRF lines |
$1,281–$2,087 | $1,281–$2,087 | varies |
| Intracavitary Radiation Source Applic Intermed (77762) range across 5 matching MRF lines |
$852–$2,087 | $852–$2,087 | varies |
| Intracavitary radiation source applic simple (77761) range across 5 matching MRF lines |
$569–$2,087 | $569–$2,087 | varies |
| K Flow/Funct Image Multiple (78709) range across 3 matching MRF lines |
$186–$5,792 | $186–$5,792 | varies |
| K Flow/Funct Image W/Drug (78708) range across 3 matching MRF lines |
$161–$4,279 | $161–$4,279 | varies |
| K Flow/Funct Image W/O Drug (78707) range across 3 matching MRF lines |
$127–$3,391 | $127–$3,391 | varies |
| Kidney Imaging Morphol (78700) range across 3 matching MRF lines |
$61–$1,816 | $61–$1,816 | varies |
| Knee 3 Views (73562) range across 6 matching MRF lines |
$454–$552 | $454–$552 | varies |
| Leveen/Shunt Patency Exam (78291) range across 3 matching MRF lines |
$115–$1,871 | $115–$1,871 | varies |
| Liver & Spleen Imaging Static Only (78215) range across 3 matching MRF lines |
$65–$2,812 | $65–$2,812 | varies |
| Liver imaging static only (78201) range across 2 matching MRF lines |
$58–$968 | $58–$968 | varies |
| Liver imaging w/vascular flow (78202) range across 2 matching MRF lines |
$66–$968 | $66–$968 | varies |
| Lung Perf&Ventilat Diferentl (78598) range across 3 matching MRF lines |
$112–$1,818 | $112–$1,818 | varies |
| Lung Ventilat&Perfus Imaging (78582) range across 4 matching MRF lines |
$65–$2,544 | $65–$2,544 | varies |
| Lung Ventilation Imaging (78579) range across 2 matching MRF lines |
$1,188–$1,378 | $1,188–$1,378 | varies |
| Lymph System Imaging (78195) range across 3 matching MRF lines |
$159–$3,205 | $159–$3,205 | varies |
| Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) | $186 | $186 | 0.1× |
| Magnetic Image Jaw Joint (70336) range across 2 matching MRF lines |
$3,546–$4,114 | $3,546–$4,114 | varies |
| Mammary ductogram or galactogram multiple (77054) range across 9 matching MRF lines |
$380–$1,875 | $380–$1,875 | varies |
| Mammary ductogram or galactogram single (77053) range across 8 matching MRF lines |
$407–$1,391 | $407–$1,391 | varies |
| Meckels Divert Exam (78290) range across 3 matching MRF lines |
$91–$3,609 | $91–$3,609 | varies |
| Mlc imrt design & construction per imrt plan (77338) range across 5 matching MRF lines |
$635–$2,028 | $635–$2,028 | varies |
| Mra Head W/O & W/Contrast Material (70546) range across 3 matching MRF lines |
$5,066–$6,498 | $5,066–$6,498 | varies |
| MRA head w/o contrast (70544) range across 4 matching MRF lines |
$2,337–$3,065 | $2,337–$3,065 | varies |
| MRA head with contrast (70545) range across 4 matching MRF lines |
$3,193–$4,140 | $3,193–$4,140 | varies |
| MRA neck w contrast (70548) range across 3 matching MRF lines |
$2,978–$3,871 | $2,978–$3,871 | varies |
| Mra Neck W/O &W/Contrast Material (70549) range across 3 matching MRF lines |
$4,534–$5,829 | $4,534–$5,829 | varies |
| MRA neck w/o contrast (70547) range across 3 matching MRF lines |
$2,388–$3,295 | $2,388–$3,295 | varies |
| MRI abdomen w contrast (74182) range across 2 matching MRF lines |
$4,884–$5,664 | $4,884–$5,664 | varies |
| MRI abdomen w/o contrast (74181) range across 3 matching MRF lines |
$3,358–$4,348 | $3,358–$4,348 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 19 matching MRF lines |
$5,101–$6,421 | $5,101–$6,421 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 19 matching MRF lines |
$6,105–$7,685 | $6,105–$7,685 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 12 matching MRF lines |
$2,187–$2,649 | $2,187–$2,649 | varies |
| MRI brain functional w/o physician admnistration (70554) range across 2 matching MRF lines |
$1,899–$2,204 | $1,899–$2,204 | varies |
| MRI Breast W/O Contrast Bilateral (77047) range across 2 matching MRF lines |
$6,342–$7,469 | $6,342–$7,469 | varies |
| MRI Breast Without Contrast Material Unilateral (77046) range across 4 matching MRF lines |
$5,145–$5,710 | $5,145–$5,710 | varies |
| MRI cardiac w/o cont stress (75559) range across 2 matching MRF lines |
$470–$1,153 | $470–$1,153 | varies |
| MRI cardiac w/o contrast (75557) range across 3 matching MRF lines |
$414–$2,736 | $414–$2,736 | varies |
| MRI cervical spine w contrast (72142) range across 4 matching MRF lines |
$234–$6,472 | $234–$6,472 | varies |
| MRI cervical spine w/o cont (72141) range across 3 matching MRF lines |
$3,554–$4,636 | $3,554–$4,636 | varies |
| MRI chest w/o contrast (71550) range across 2 matching MRF lines |
$2,718–$3,265 | $2,718–$3,265 | varies |
| MRI chest with contrast (71551) range across 2 matching MRF lines |
$3,952–$4,585 | $3,952–$4,585 | varies |
| MRI chest wo w contrast (71552) range across 2 matching MRF lines |
$4,845–$5,731 | $4,845–$5,731 | varies |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 19 matching MRF lines |
$5,215–$6,564 | $5,215–$6,564 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 19 matching MRF lines |
$6,105–$7,805 | $6,105–$7,805 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 19 matching MRF lines |
$3,495–$4,521 | $3,495–$4,521 | varies |
| MRI lumbar spine w contrast (72149) range across 3 matching MRF lines |
$5,275–$6,760 | $5,275–$6,760 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 3 matching MRF lines |
$6,773–$7,789 | $6,773–$7,789 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 3 matching MRF lines |
$3,546–$4,585 | $3,546–$4,585 | varies |
| MRI orbit face neck w contrast (70542) range across 2 matching MRF lines |
$5,030–$5,836 | $5,030–$5,836 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 3 matching MRF lines |
$5,891–$7,539 | $5,891–$7,539 | varies |
| MRI pelvis w contrast (72196) range across 6 matching MRF lines |
$4,619–$5,358 | $4,619–$5,358 | varies |
| MRI pelvis w/o & w contrast (72197) range across 7 matching MRF lines |
$5,652–$7,235 | $5,652–$7,235 | varies |
| MRI pelvis w/o contrast (72195) range across 7 matching MRF lines |
$3,103–$4,026 | $3,103–$4,026 | varies |
| MRI spectroscopy (76390) range across 2 matching MRF lines |
$3,175–$3,684 | $3,175–$3,684 | varies |
| MRI thoracic spine w/o contrast (72146) range across 3 matching MRF lines |
$3,646–$4,713 | $3,646–$4,713 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 14 matching MRF lines |
$5,246–$6,085 | $5,246–$6,085 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 19 matching MRF lines |
$3,492–$4,396 | $3,492–$4,396 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 19 matching MRF lines |
$6,020–$7,579 | $6,020–$7,579 | varies |
| MRI, abdomen, combo (74183) range across 5 matching MRF lines |
$5,977–$7,643 | $5,977–$7,643 | varies |
| MRI, dorsal spine combo (72157) range across 3 matching MRF lines |
$6,092–$7,789 | $6,092–$7,789 | varies |
| MRI, dorsal spine contrast (72147) range across 3 matching MRF lines |
$5,275–$6,639 | $5,275–$6,639 | varies |
| MRI, joint upper extrem (73221) range across 17 matching MRF lines |
$3,651–$4,695 | $3,651–$4,695 | varies |
| MRI, joint upper extrem combo (73223) range across 17 matching MRF lines |
$6,103–$7,803 | $6,103–$7,803 | varies |
| MRI, lumbar spine combo (72158) range across 3 matching MRF lines |
$6,092–$7,789 | $6,092–$7,789 | varies |
| Myelogram cervical (72240) range across 2 matching MRF lines |
$1,603–$1,860 | $1,603–$1,860 | varies |
| Myelogram Lumbar (72265) range across 2 matching MRF lines |
$1,406–$1,632 | $1,406–$1,632 | varies |
| Myelography thoracic (72255) range across 2 matching MRF lines |
$1,603–$1,860 | $1,603–$1,860 | varies |
| Myelograpy 2/more regions rs&i (72270) range across 2 matching MRF lines |
$2,204–$2,558 | $2,204–$2,558 | varies |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) range across 2 matching MRF lines |
$115–$4,154 | $115–$4,154 | varies |
| Myocardial Spect Multiple Studies (78452) range across 8 matching MRF lines |
$245–$5,577 | $245–$5,577 | varies |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$368–$452 | $368–$452 | varies |
| Nonvascular Shunt X-Ray (75809) range across 4 matching MRF lines |
$65–$586 | $65–$586 | varies |
| Ntsty modul radthx pln dose-vol histos (77301) range across 5 matching MRF lines |
$1,184–$6,632 | $1,184–$6,632 | varies |
| Nuclear Rx Intra-Arterial (79445) range across 4 matching MRF lines |
$294–$537 | $294–$537 | varies |
| Nuclear Rx Oral Admin (79005) range across 3 matching MRF lines |
$242–$1,436 | $242–$1,436 | varies |
| Ob us nuchal meas 1 gest (76813) | $368 | $368 | 3.7× |
| Oph bmtry us echograpy a-scan io lens pwr cal (76519) range across 2 matching MRF lines |
$206–$374 | $206–$374 | varies |
| Oph US Dx B-Scan&Quan a-Scan Sm Pt Enctr (76510) | $277 | $277 | 2.2× |
| Ophthalmic Biometry US Echograpy a-Scan (76516) range across 2 matching MRF lines |
$196–$299 | $196–$299 | varies |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) range across 2 matching MRF lines |
$57–$258 | $57–$258 | varies |
| Ophthalmic US Dx Corneal Pachymetry Uni/Bi (76514) range across 4 matching MRF lines |
$38–$118 | $38–$118 | varies |
| Optic foramina (70190) | $130 | $130 | 1.6× |
| Panoramic X-ray of jaws (70355) range across 5 matching MRF lines |
$78–$427 | $78–$427 | varies |
| Parathyroid Planar Imaging (78070) range across 3 matching MRF lines |
$106–$3,521 | $106–$3,521 | varies |
| Parathyroid planar imaging w/wo subtraction (78071) range across 3 matching MRF lines |
$161–$3,035 | $161–$3,035 | varies |
| Pelvis 1 or 2 views (72170) range across 3 matching MRF lines |
$444–$588 | $444–$588 | varies |
| Peritoneogram Rs&I (74190) | $65 | $65 | 0.1× |
| Pet Image W/Ct Lmtd (78814) range across 3 matching MRF lines |
$7,390–$8,572 | $7,390–$8,572 | varies |
| PET image w/CT, full body (78816) range across 2 matching MRF lines |
$7,390–$8,572 | $7,390–$8,572 | varies |
| PET imaging CT attenuation skull base mid-thigh (78815) range across 7 matching MRF lines |
$7,390–$8,573 | $7,390–$8,573 | varies |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) range across 3 matching MRF lines |
$194–$5,754 | $194–$5,754 | varies |
| Pulmonary Perfusion Imaging Particulate (78580) range across 3 matching MRF lines |
$99–$1,445 | $99–$1,445 | varies |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$687–$821 | $687–$821 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 7 matching MRF lines |
$72–$1,963 | $72–$1,963 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 6 matching MRF lines |
$454–$552 | $454–$552 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 6 matching MRF lines |
$432–$527 | $432–$527 | varies |
| Radex elbow complete minimum 3 views (73080) range across 6 matching MRF lines |
$454–$552 | $454–$552 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 3 matching MRF lines |
$93–$711 | $93–$711 | varies |
| Radex fingr minimum 2 views (73140) range across 20 matching MRF lines |
$409–$500 | $409–$500 | varies |
| Radex foot complete minimum 3 views (73630) range across 6 matching MRF lines |
$454–$552 | $454–$552 | varies |
| Radex Hand Minimum 3 Views (73130) range across 6 matching MRF lines |
$454–$552 | $454–$552 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 6 matching MRF lines |
$289–$361 | $289–$361 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) range across 9 matching MRF lines |
$93–$504 | $93–$504 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 3 matching MRF lines |
$200–$495 | $200–$495 | varies |
| Radex Pharynx/Larx W/Fluor&/Magnification Tq (70370) range across 2 matching MRF lines |
$484–$563 | $484–$563 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 4 matching MRF lines |
$454–$552 | $454–$552 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 6 matching MRF lines |
$454–$552 | $454–$552 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 3 matching MRF lines |
$66–$392 | $66–$392 | varies |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) range across 2 matching MRF lines |
$1,397–$1,646 | $1,397–$1,646 | varies |
| Radex Spine 1 View Specify Level (72020) range across 10 matching MRF lines |
$454–$552 | $454–$552 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$454–$552 | $454–$552 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$454–$552 | $454–$552 | varies |
| Radex Toe Minimum 2 Views (73660) range across 20 matching MRF lines |
$328–$405 | $328–$405 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 6 matching MRF lines |
$494–$597 | $494–$597 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 10 matching MRF lines |
$454–$552 | $454–$552 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) range across 2 matching MRF lines |
$454–$528 | $454–$528 | varies |
| Radiation Delivery Stereotactic Cranial Linear (77372) range across 2 matching MRF lines |
$21,479–$23,305 | $21,479–$23,305 | varies |
| Radiation treatment delivery level 1 (77402) range across 2 matching MRF lines |
$963–$1,045 | $963–$1,045 | varies |
| Radiation treatment delivery level 2 (77407) range across 2 matching MRF lines |
$963–$1,045 | $963–$1,045 | varies |
| Radiation treatment delivery level 3 (77412) range across 2 matching MRF lines |
$963–$1,045 | $963–$1,045 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) range across 3 matching MRF lines |
$93–$414 | $93–$414 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 2 matching MRF lines |
$462–$487 | $462–$487 | varies |
| Radiologic exam colon double contrast study (74280) range across 2 matching MRF lines |
$1,203–$1,421 | $1,203–$1,421 | varies |
| Radiologic exam colon single contrast study (74270) range across 4 matching MRF lines |
$1,203–$1,421 | $1,203–$1,421 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 6 matching MRF lines |
$454–$552 | $454–$552 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$454–$552 | $454–$552 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 2 matching MRF lines |
$811–$967 | $811–$967 | varies |
| Radiologic exam swallow function contrast study (74230) range across 2 matching MRF lines |
$592–$711 | $592–$711 | varies |
| Radiologic Exam Teeth Prtl Exam < Full Mouth (70310) | $290 | $290 | 1.3× |
| Radiologic exam upr gi trc double contrast study (74246) range across 4 matching MRF lines |
$1,077–$1,275 | $1,077–$1,275 | varies |
| Radiologic examination femur 1 view (73551) range across 6 matching MRF lines |
$465–$565 | $465–$565 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 7 matching MRF lines |
$24–$552 | $24–$552 | varies |
| Radiologic examination knee 1/2 views (73560) range across 6 matching MRF lines |
$165–$206 | $165–$206 | varies |
| Radiologic Examination Osseous Survey Limited (77074) range across 2 matching MRF lines |
$759–$837 | $759–$837 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 6 matching MRF lines |
$441–$535 | $441–$535 | varies |
| Radiologic examination, internal auditory meati, complete Non-Facility (70134) | $788 | $788 | 1.5× |
| Radiologic examination, teeth; single view Non-Facility (70300) | $131 | $131 | 1.6× |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77768) | $446 | $446 | 1.2× |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77767) | $446 | $446 | 1.2× |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$639–$767 | $639–$767 | varies |
| Rp loclzj tum plnr 1 area single day imaging (78800) range across 6 matching MRF lines |
$88–$2,092 | $88–$2,092 | varies |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) range across 3 matching MRF lines |
$99–$2,058 | $99–$2,058 | varies |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) range across 9 matching MRF lines |
$135–$2,192 | $135–$2,192 | varies |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) range across 3 matching MRF lines |
$105–$2,940 | $105–$2,940 | varies |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 22 matching MRF lines |
$143–$3,560 | $143–$3,560 | varies |
| Rp Therapy Intravenous Administration (79101) range across 7 matching MRF lines |
$268–$1,453 | $268–$1,453 | varies |
| Scapula (73010) range across 6 matching MRF lines |
$395–$484 | $395–$484 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 2 matching MRF lines |
$229–$249 | $229–$249 | varies |
| Sella turcica (70240) range across 3 matching MRF lines |
$70–$365 | $70–$365 | varies |
| Shoulder 1 view (73020) range across 6 matching MRF lines |
$454–$552 | $454–$552 | varies |
| Shoulder Arthrography (73040) range across 6 matching MRF lines |
$1,240–$2,159 | $1,240–$2,159 | varies |
| Sialogram (70390) range across 2 matching MRF lines |
$775–$900 | $775–$900 | varies |
| Skull less than 4 views (70250) range across 3 matching MRF lines |
$373–$622 | $373–$622 | varies |
| Special dosimetry (77331) range across 5 matching MRF lines |
$130–$738 | $130–$738 | varies |
| Special Physics Consult (77370) range across 2 matching MRF lines |
$691–$750 | $691–$750 | varies |
| Special teletherapy port plan (77321) range across 5 matching MRF lines |
$141–$1,998 | $141–$1,998 | varies |
| Special treatment procedure (77470) range across 6 matching MRF lines |
$312–$1,913 | $312–$1,913 | varies |
| Srs Multisource (77371) range across 2 matching MRF lines |
$21,479–$23,305 | $21,479–$23,305 | varies |
| Stereotactic Body Radiation Delivery (77373) range across 2 matching MRF lines |
$8,270–$8,973 | $8,270–$8,973 | varies |
| Sternoclavicular joints (71130) range across 2 matching MRF lines |
$454–$552 | $454–$552 | varies |
| Superior sagittal sinus venogram (75870) | $170 | $170 | 0.1× |
| Telethx isodose pln cplx w/basic dosimetry (77307) range across 5 matching MRF lines |
$428–$738 | $428–$738 | varies |
| Telethx isodose pln smpl w/dosimetry calculation (77306) range across 5 matching MRF lines |
$207–$738 | $207–$738 | varies |
| Temporomandble Jt Arthrography Rs&I (70332) range across 6 matching MRF lines |
$1,031–$2,390 | $1,031–$2,390 | varies |
| Testicular Imaging W/Flow (78761) | $97 | $97 | 0.3× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) range across 5 matching MRF lines |
$232–$2,026 | $232–$2,026 | varies |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) range across 5 matching MRF lines |
$159–$2,026 | $159–$2,026 | varies |
| Ther rad simulaj-aided field setting simple (77280) range across 5 matching MRF lines |
$106–$750 | $106–$750 | varies |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $1,421 | $1,421 | 8.4× |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$509–$616 | $509–$616 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$575–$692 | $575–$692 | varies |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$454–$552 | $454–$552 | varies |
| Thyroid Imaging With Vascular Flow (78013) range across 3 matching MRF lines |
$50–$1,557 | $50–$1,557 | varies |
| Thyroid Met Imaging Body (78018) range across 3 matching MRF lines |
$113–$3,623 | $113–$3,623 | varies |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) range across 3 matching MRF lines |
$66–$2,166 | $66–$2,166 | varies |
| Tx Devices Design & Construction Complex (77334) range across 5 matching MRF lines |
$170–$1,389 | $170–$1,389 | varies |
| Tx devices design & construction intermediate (77333) range across 5 matching MRF lines |
$111–$1,389 | $111–$1,389 | varies |
| Tx devices design & construction simple (77332) range across 5 matching MRF lines |
$67–$1,389 | $67–$1,389 | varies |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$97–$947 | $97–$947 | varies |
| Ultrasound Elastography Parenchyma (76981) | $187 | $187 | 1.9× |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
$1,100–$1,194 | $1,100–$1,194 | varies |
| Ultrasound, abdomen limited (76705) range across 3 matching MRF lines |
$316–$1,136 | $316–$1,136 | varies |
| Umbilical-artery Doppler (OB) (76820) | $773 | $773 | 7.7× |
| Unlis px ther radiol clinical tx planning (77299) range across 4 matching MRF lines |
$195–$208 | $195–$208 | varies |
| Unlisted Dx Radiographic Procedure (76499) range across 2 matching MRF lines |
$436–$596 | $436–$596 | varies |
| Unlisted fluoroscopic procedure (76496) | $118 | $118 | 1.4× |
| Unlisted Procedure Clinical Brachytherapy (77799) | $2,087 | $2,087 | 21.3× |
| Upper gi w/o kub (74240) range across 8 matching MRF lines |
$1,065–$1,259 | $1,065–$1,259 | varies |
| Urea Breath Test C-14 Isotopic Acquisj Analysis (78267) | $59 | $59 | 5.3× |
| Ureteral Reflux Study (78740) range across 3 matching MRF lines |
$76–$2,344 | $76–$2,344 | varies |
| Urethrocystogram voiding (74455) range across 2 matching MRF lines |
$1,148–$1,357 | $1,148–$1,357 | varies |
| Urethrocystography retrograde (74450) range across 2 matching MRF lines |
$1,169–$1,383 | $1,169–$1,383 | varies |
| Us breast unilateral complete (76641) range across 7 matching MRF lines |
$764–$963 | $764–$963 | varies |
| Us chest (76604) | $98 | $98 | 1.0× |
| Us complete joint (76881) range across 17 matching MRF lines |
$118–$1,136 | $118–$1,136 | varies |
| Us exam, pelvic, limited (76857) range across 5 matching MRF lines |
$83–$841 | $83–$841 | varies |
| Us head (76506) range across 2 matching MRF lines |
$800–$978 | $800–$978 | varies |
| Us kidney transplant (76776) range across 6 matching MRF lines |
$1,089–$1,314 | $1,089–$1,314 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$203–$833 | $203–$833 | varies |
| Us ob detailed single fetus (76811) range across 3 matching MRF lines |
$270–$1,404 | $270–$1,404 | varies |
| Us ob limited 1 or more fetuses (76815) | $294 | $294 | 2.9× |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$125–$1,039 | $125–$1,039 | varies |
| Us pelvic non ob complete (76856) range across 6 matching MRF lines |
$99–$1,274 | $99–$1,274 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$433–$806 | $433–$806 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 2 matching MRF lines |
$140–$1,070 | $140–$1,070 | varies |
| Us retroperitoneal complete (76770) range across 3 matching MRF lines |
$1,089–$1,439 | $1,089–$1,439 | varies |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$205–$1,074 | $205–$1,074 | varies |
| Us scrotum and contents (76870) range across 3 matching MRF lines |
$823–$1,091 | $823–$1,091 | varies |
| Us spinal canal and contents (76800) range across 2 matching MRF lines |
$800–$978 | $800–$978 | varies |
| Us thyroid (76536) range across 2 matching MRF lines |
$73–$207 | $73–$207 | varies |
| Us transrectal (76872) range across 3 matching MRF lines |
$128–$993 | $128–$993 | varies |
| Vein X-Ray Chest (75827) range across 4 matching MRF lines |
$396–$6,156 | $396–$6,156 | varies |
| Vein X-Ray Liver W/O Hemodyn (75887) range across 3 matching MRF lines |
$196–$4,959 | $196–$4,959 | varies |
| Venogram Sinus/Jugular (75860) range across 2 matching MRF lines |
$3,468–$3,872 | $3,468–$3,872 | varies |
| Venography Adrenal Unilateral (75840) range across 4 matching MRF lines |
$4,408–$4,921 | $4,408–$4,921 | varies |
| Venography caval inferior serialography rs&i (75825) range across 3 matching MRF lines |
$475–$6,156 | $475–$6,156 | varies |
| Venography extremity bilateral rs&i (75822) range across 3 matching MRF lines |
$396–$3,654 | $396–$3,654 | varies |
| Venography extremity unilateral rs&i (75820) range across 5 matching MRF lines |
$1,185–$3,472 | $1,185–$3,472 | varies |
| Venography Renal Bilateral (75833) range across 4 matching MRF lines |
$195–$5,523 | $195–$5,523 | varies |
| Venography Renal Unilateral (75831) range across 4 matching MRF lines |
$4,841–$5,405 | $4,841–$5,405 | varies |
| Venous sampling by catheter (75893) range across 10 matching MRF lines |
$1,179–$1,486 | $1,179–$1,486 | varies |
| Venous thrombosis imaging (78457) | $96 | $96 | 0.2× |
| Vertebral fracture assessment via dxa (77086) range across 2 matching MRF lines |
$849–$949 | $849–$949 | varies |
| Wrist 2 views (73100) range across 6 matching MRF lines |
$337–$417 | $337–$417 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 3 matching MRF lines |
$380–$465 | $380–$465 | varies |
| X-ray antegrade pyelogram tube (74425) | $781 | $781 | 2.3× |
| X-Ray Aorta Leg Arteries (75630) range across 7 matching MRF lines |
$221–$14,165 | $221–$14,165 | varies |
| X-Ray Bend Only L-S Spine (72120) range across 2 matching MRF lines |
$578–$696 | $578–$696 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 6 matching MRF lines |
$421–$513 | $421–$513 | varies |
| X-Ray Exam Breast Specimen (76098) range across 4 matching MRF lines |
$364–$855 | $364–$855 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 2 matching MRF lines |
$414–$507 | $414–$507 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$454–$552 | $454–$552 | varies |
| X-Ray Exam Entire Spi 4/5 Vw (72083) range across 2 matching MRF lines |
$721–$837 | $721–$837 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 5 matching MRF lines |
$25–$362 | $25–$362 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 5 matching MRF lines |
$324–$552 | $324–$552 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) range across 5 matching MRF lines |
$37–$850 | $37–$850 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$577–$694 | $577–$694 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 2 matching MRF lines |
$711–$850 | $711–$850 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) range across 2 matching MRF lines |
$842–$1,003 | $842–$1,003 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$894–$1,062 | $894–$1,062 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$454–$552 | $454–$552 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 3 matching MRF lines |
$725–$865 | $725–$865 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 4 matching MRF lines |
$547–$660 | $547–$660 | varies |
| X-ray eye for foreign body (70030) range across 9 matching MRF lines |
$122–$644 | $122–$644 | varies |
| X-ray head for orthodontia (70350) | $24 | $24 | 0.3× |
| X-ray humerus (73060) range across 6 matching MRF lines |
$454–$552 | $454–$552 | varies |
| X-ray IV pyelogram (ivp) (74400) range across 2 matching MRF lines |
$926–$1,058 | $926–$1,058 | varies |
| X-ray IV pyelogram+tomography (74415) range across 2 matching MRF lines |
$1,072–$1,197 | $1,072–$1,197 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 3 matching MRF lines |
$122–$532 | $122–$532 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$350–$431 | $350–$431 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$454–$552 | $454–$552 | varies |
| X-ray nose-rectum child f.b. (76010) range across 2 matching MRF lines |
$404–$475 | $404–$475 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$730–$838 | $730–$838 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$509–$552 | $509–$552 | varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) range across 2 matching MRF lines |
$405–$494 | $405–$494 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$509–$552 | $509–$552 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 3 matching MRF lines |
$130–$552 | $130–$552 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 3 matching MRF lines |
$141–$634 | $141–$634 | varies |
| X-Ray Stress View (77071) | $122 | $122 | 1.5× |
| X-ray thoracic spine 4 vw (72074) range across 2 matching MRF lines |
$597–$719 | $597–$719 | varies |
| X-Ray Tmj Unilat (70328) range across 4 matching MRF lines |
$283–$329 | $283–$329 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 7 matching MRF lines |
$69–$1,795 | $69–$1,795 | varies |
| X-Rays Bone Length Studies (77073) range across 4 matching MRF lines |
$552–$558 | $552–$558 | varies |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$862–$923 | $862–$923 | varies |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$725–$865 | $725–$865 | varies |
| Xr facial bones less than 3 views (70140) range across 3 matching MRF lines |
$93–$552 | $93–$552 | varies |
| XR Mastoids < 3 Views Bilateral (70120) range across 9 matching MRF lines |
$93–$528 | $93–$528 | varies |
| Xr orbits complete 4 views (70200) range across 8 matching MRF lines |
$307–$552 | $307–$552 | varies |
| Xr Tomogram Single Plane (76100) range across 2 matching MRF lines |
$708–$749 | $708–$749 | 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.