Imaging prices at Cherokee Medical Center
Gaffney, SC · every code in this section with a posted price and a Medicare benchmark.
352 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) | $6,623.40 | $11,039 | 5.1× |
| Abdomen 1 View (74018) range across 2 matching MRF lines |
$43.20–$337.80 | $72–$563 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$52.20–$621.60 | $87–$1,036 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,348.20 | $2,247 | 3.6× |
| Angio pulmonary bilat (75743) | $2,722.80 | $4,538 | 0.9× |
| Angiography extremity bilateral rs&i (75716) | $3,664.20 | $6,107 | 1.2× |
| Angiography extremity unilateral rs&i (75710) | $2,583.60 | $4,306 | 0.9× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $2,614.80 | $4,358 | 0.9× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $3,310.80 | $5,518 | 1.1× |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$84–$406.80 | $140–$678 | varies |
| Aortography thoracic serialography rs&i (75605) | $3,334.80 | $5,558 | 0.6× |
| Artery X-Rays Abdomen (75726) | $6,175.20 | $10,292 | 1.2× |
| Artery X-Rays Pelvis (75736) | $3,880.80 | $6,468 | 0.7× |
| Artery X-Rays Spine (75705) | $5,486.40 | $9,144 | 1.0× |
| Arthrogram ankle (73615) | $753.60 | $1,256 | 2.3× |
| Arthrogram hip (73525) | $1,212 | $2,020 | 3.7× |
| Arthrogram Wrist (73115) | $666 | $1,110 | 2.0× |
| Basic radiation dosimetry calculation (77300) | $582 | $970 | 4.6× |
| Bone age studies (77072) | $248.40 | $414 | 2.5× |
| Bone Imaging 3 Phase (78315) | $2,602.80 | $4,338 | 6.9× |
| Bone Imaging Limited Area (78300) | $1,351.80 | $2,253 | 3.6× |
| Bone Imaging Whole Body (78306) | $1,876.80 | $3,128 | 5.0× |
| Bone survey infant (77076) | $314.40 | $524 | 3.2× |
| Brachytx isodose intermed (77317) | $1,397.40 | $2,329 | 3.9× |
| Brachytx Isodose Plan Simple (77316) | $925.20 | $1,542 | 2.6× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $5,049 | $8,415 | 3.7× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $2,472 | $4,120 | 7.5× |
| Cat Scan Follow-Up Study (76380) | $649.80 | $1,083 | 7.9× |
| Chest 1 view (71045) range across 2 matching MRF lines |
$26.40–$337.80 | $44–$563 | varies |
| Chest 2 views (71046) range across 2 matching MRF lines |
$47.40–$337.80 | $79–$563 | varies |
| Chest 3 views (71047) | $337.80 | $563 | 4.1× |
| Chest 4 or more views (71048) range across 2 matching MRF lines |
$66–$621.60 | $110–$1,036 | varies |
| Cisternography Positive Contrast Rs&I (70015) | $935.40 | $1,559 | 1.3× |
| Clavicle complete (73000) range across 2 matching MRF lines |
$76.20–$477.60 | $127–$796 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $215.40 | $359 | 2.2× |
| Continuing medical physics consltj pr wk (77336) | $863.40 | $1,439 | 6.8× |
| Contrast Exam Abdominl Aorta (75625) | $3,259.20 | $5,432 | 1.1× |
| Contrast X-Ray Bladder (74430) range across 2 matching MRF lines |
$289.80–$928.80 | $483–$1,548 | varies |
| Contrast X-Ray Of Elbow (73085) | $1,220.40 | $2,034 | 3.7× |
| Contrast X-Ray Of Knee Joint (73580) | $1,128 | $1,880 | 3.4× |
| CT abdomen and pelvis without and with contrast (74178) | $4,936.80 | $8,228 | 15.0× |
| CT abdomen and pelvis without contrast (74176) | $2,704.80 | $4,508 | 12.0× |
| CT abdomen w contrast (74160) | $1,550.40 | $2,584 | 9.3× |
| CT abdomen w wo contrast (74170) | $1,843.20 | $3,072 | 11.1× |
| CT abdomen w/o contrast (74150) | $986.40 | $1,644 | 10.0× |
| CT Angio Abdomen and Pelvis (74174) | $2,587.20 | $4,312 | 7.8× |
| CT Angio Chest (71275) | $1,963.20 | $3,272 | 11.8× |
| CT Angio Head (70496) | $2,306.40 | $3,844 | 13.9× |
| CT angio hrt w/3d image (75574) | $1,672.20 | $2,787 | 5.1× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $1,963.20 | $3,272 | 11.8× |
| CT Angio Neck (70498) | $2,496 | $4,160 | 15.1× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $2,661 | $4,435 | 16.0× |
| CT cervical spine w/ contrast (72126) | $2,153.40 | $3,589 | 6.5× |
| CT cervical spine w/o contrast (72125) | $1,477.80 | $2,463 | 15.0× |
| CT cervical spine w/wo cont (72127) | $2,259 | $3,765 | 13.6× |
| CT chest w contrast (71260) | $2,001.60 | $3,336 | 12.1× |
| CT chest w/wo contrast (71270) | $2,494.80 | $4,158 | 15.0× |
| CT colonogrphy dx image postprocess w/o contrast (74261) | $2,217 | $3,695 | 22.4× |
| CT head/brain with contrast (70460) | $1,717.20 | $2,862 | 10.4× |
| CT head/brain without and with contrast (70470) | $2,181 | $3,635 | 13.2× |
| CT hrt w/3d image congen (75573) | $2,102.40 | $3,504 | 6.4× |
| CT iac w contrast (70481) | $1,912.20 | $3,187 | 11.5× |
| CT l-spine w&w/o contrast (72133) | $2,661.60 | $4,436 | 16.0× |
| CT lower ext w/o (73700) | $1,553.40 | $2,589 | 15.7× |
| CT lower extremity w/contrast material (73701) | $1,717.20 | $2,862 | 10.4× |
| CT lumbar spine w contrast (72132) | $2,179.80 | $3,633 | 6.6× |
| CT lumbar spine w/o contrast (72131) | $1,728.60 | $2,881 | 17.5× |
| CT maxillofacial w contrast (70487) | $1,912.20 | $3,187 | 11.5× |
| CT maxillofacial wo contrast (70486) | $1,220.40 | $2,034 | 12.3× |
| CT neck tissue combo (70492) | $3,012 | $5,020 | 18.2× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $2,019.60 | $3,366 | 12.2× |
| CT orbits w/o contrast (70480) | $1,588.80 | $2,648 | 16.1× |
| CT pelvis w&w/o contrast (72194) | $1,972.80 | $3,288 | 11.9× |
| CT pelvis w/o contrast (72192) | $1,164.60 | $1,941 | 11.8× |
| CT scan of leg combo (73702) | $1,902 | $3,170 | 11.5× |
| CT scans face/jaw combo (70488) | $2,125.20 | $3,542 | 12.8× |
| CT soft tissue neck w contrast (70491) | $1,999.80 | $3,333 | 12.1× |
| CT soft tissue neck w/o contrast (70490) | $986.40 | $1,644 | 10.0× |
| CT thoracic spine w contrast (72129) | $1,717.20 | $2,862 | 10.4× |
| CT thoracic spine w/o contrast (72128) | $1,084.80 | $1,808 | 11.0× |
| CT thoracic spine w/wo cont (72130) | $1,902 | $3,170 | 11.5× |
| CT thorax w/o contrast (71250) | $1,164.60 | $1,941 | 11.8× |
| CT upper ext wo (73200) | $1,553.40 | $2,589 | 15.7× |
| CT upper extremity w/o & w/contrast material (73202) | $2,420.40 | $4,034 | 14.6× |
| CT upper extremity with contrast (73201) | $1,900.20 | $3,167 | 5.8× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $2,530.20 | $4,217 | 15.3× |
| Cta Abdomen (74175) | $1,843.20 | $3,072 | 11.1× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $2,694.60 | $4,491 | 8.2× |
| CTA pelvis (72191) | $2,766.60 | $4,611 | 16.7× |
| Dilation ureters/urethra rs&i (74485) | $2,175 | $3,625 | 1.1× |
| Diskography lumbar (72295) | $4,660.80 | $7,768 | 2.5× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) | $380.40 | $634 | 3.8× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $718.80 | $1,198 | 7.3× |
| Doppler Fetal Mid Cerebral Artery (76821) | $469.80 | $783 | 4.8× |
| Dxa Bone Density Axial (77080) | $289.80 | $483 | 2.9× |
| Echo exam of fetal heart (76825) | $571.80 | $953 | 1.1× |
| Echo exam uterus (76831) | $678.60 | $1,131 | 3.0× |
| Echo Guide For Artery Repair (76936) | $490.20 | $817 | 2.4× |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) | $490.20 | $817 | 2.2× |
| Echograp Trans R Pros Study (76873) | $507.60 | $846 | 5.1× |
| Esophagram (74220) | $466.20 | $777 | 2.8× |
| Fetal Biophys Profile W/Nst (76818) range across 3 matching MRF lines |
$203.40–$567.60 | $339–$946 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 3 matching MRF lines |
$225.60–$415.80 | $376–$693 | varies |
| Fetal MRI w/placntl matrnl plvc img sing/1st ges (74712) | $633 | $1,055 | 2.8× |
| Fluoroscopy up to 1 hr (76000) | $1,263.60 | $2,106 | 5.6× |
| Follow-Up Angiography (75898) | $666 | $1,110 | 0.2× |
| Foot 2 views (73620) range across 2 matching MRF lines |
$67.80–$227.40 | $113–$379 | varies |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$84.60–$480 | $141–$800 | varies |
| Gastric emptying imaging study (78264) | $2,317.20 | $3,862 | 6.1× |
| Gated Heart Planar Single (78472) | $2,452.80 | $4,088 | 6.5× |
| Hand 2 views (73120) range across 2 matching MRF lines |
$70.80–$342.60 | $118–$571 | varies |
| Hdr Rdncl Ntrstl/Icav Brchtx (77772) | $4,455 | $7,425 | 6.8× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) | $3,135.60 | $5,226 | 4.8× |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) | $1,609.20 | $2,682 | 2.4× |
| Heart Image (Pet) Multiple (78492) | $8,931.60 | $14,886 | 6.6× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $3,177.60 | $5,296 | 1.1× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $5,292.60 | $8,821 | 1.8× |
| Hepatobil Syst Image W/Drug (78227) | $3,474 | $5,790 | 6.8× |
| Hepatobiliary System Imaging (78226) | $2,711.40 | $4,519 | 7.2× |
| Ht Muscle Image Spect Sing (78451) | $2,760 | $4,600 | 2.3× |
| Hysterosalpingogram (74740) | $994.20 | $1,657 | 4.4× |
| Image fusion (77399) | $210 | $350 | 1.7× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $494.40 | $824 | 6.0× |
| Infant hip ultrasound, limited static exam (76886) | $355.80 | $593 | 4.3× |
| Infusion Ivp (74410) | $1,300.20 | $2,167 | 7.8× |
| Joint Survey Single View (77077) | $211.20 | $352 | 2.1× |
| K Flow/Funct Image W/Drug (78708) | $2,311.20 | $3,852 | 4.5× |
| K Flow/Funct Image W/O Drug (78707) | $1,513.80 | $2,523 | 2.9× |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$82.80–$402 | $138–$670 | varies |
| Lung Ventilat&Perfus Imaging (78582) | $1,557.60 | $2,596 | 3.0× |
| Lymph System Imaging (78195) | $2,079.60 | $3,466 | 4.1× |
| Lymphangiography, pelvic/abdominal, unilateral (75805) | $1,387.20 | $2,312 | 0.5× |
| Magnetic Image Jaw Joint (70336) | $1,682.40 | $2,804 | 7.5× |
| Mammary ductogram or galactogram single (77053) | $1,261.20 | $2,102 | 5.6× |
| Mlc imrt design & construction per imrt plan (77338) | $3,609 | $6,015 | 10.2× |
| Mra Head W/O & W/Contrast Material (70546) | $3,196.80 | $5,328 | 9.7× |
| MRA head w/o contrast (70544) | $1,917.60 | $3,196 | 8.5× |
| MRA head with contrast (70545) | $2,217 | $3,695 | 6.7× |
| MRA neck w contrast (70548) | $1,861.20 | $3,102 | 5.6× |
| Mra Neck W/O &W/Contrast Material (70549) | $3,696 | $6,160 | 11.2× |
| MRA neck w/o contrast (70547) | $1,519.80 | $2,533 | 6.7× |
| MRI abdomen w contrast (74182) | $1,563.60 | $2,606 | 4.7× |
| MRI abdomen w/o contrast (74181) | $1,213.80 | $2,023 | 5.4× |
| MRI any jt lower extrem w/contrast material (73722) | $2,142 | $3,570 | 2.9× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $2,832.60 | $4,721 | 8.6× |
| MRI any jt upper extremity w/contrast matrl (73222) | $1,489.20 | $2,482 | 2.0× |
| MRI Breast W/O Contrast Bilateral (77047) | $2,091 | $3,485 | 9.3× |
| MRI Breast Without Contrast Material Unilateral (77046) | $2,091 | $3,485 | 9.3× |
| MRI cardiac w/o contrast (75557) | $1,444.80 | $2,408 | 6.4× |
| MRI cervical spine w contrast (72142) | $2,142 | $3,570 | 6.5× |
| MRI cervical spine w/o cont (72141) | $1,854.60 | $3,091 | 8.2× |
| MRI chest w/o contrast (71550) | $1,596 | $2,660 | 7.1× |
| MRI chest with contrast (71551) | $2,039.40 | $3,399 | 2.8× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $2,039.40 | $3,399 | 6.2× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $2,737.20 | $4,562 | 8.3× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $1,735.20 | $2,892 | 7.7× |
| MRI lumbar spine w contrast (72149) | $2,142 | $3,570 | 6.5× |
| Mri Neck Spine W/O & W/Dye (72156) | $2,832.60 | $4,721 | 8.6× |
| MRI orbit face &/neck w/o contrast (70540) | $1,696.80 | $2,828 | 7.5× |
| MRI orbit face neck w contrast (70542) | $2,635.80 | $4,393 | 8.0× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $2,461.20 | $4,102 | 7.5× |
| MRI pelvis w contrast (72196) | $1,504.20 | $2,507 | 4.6× |
| MRI pelvis w/o & w contrast (72197) | $1,824.60 | $3,041 | 5.5× |
| MRI pelvis w/o contrast (72195) | $1,155.60 | $1,926 | 5.1× |
| MRI thoracic spine w/o contrast (72146) | $2,648.40 | $4,414 | 11.7× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $1,489.20 | $2,482 | 4.5× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $1,155.60 | $1,926 | 5.1× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $2,737.20 | $4,562 | 8.3× |
| MRI, abdomen, combo (74183) | $1,824.60 | $3,041 | 5.5× |
| MRI, dorsal spine combo (72157) | $2,832.60 | $4,721 | 8.6× |
| MRI, dorsal spine contrast (72147) | $2,742.60 | $4,571 | 8.3× |
| MRI, joint upper extrem (73221) | $1,213.80 | $2,023 | 5.4× |
| MRI, joint upper extrem combo (73223) | $1,916.40 | $3,194 | 5.8× |
| MRI, lumbar spine combo (72158) | $2,832.60 | $4,721 | 8.6× |
| Myelogram cervical (72240) | $2,592.60 | $4,321 | 3.5× |
| Myelogram Lumbar (72265) | $2,665.20 | $4,442 | 3.6× |
| Myelography thoracic (72255) | $1,966.20 | $3,277 | 2.7× |
| Myelograpy 2/more regions rs&i (72270) | $2,686.20 | $4,477 | 3.6× |
| Myocardial Spect Multiple Studies (78452) | $4,072.80 | $6,788 | 3.3× |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$48–$448.20 | $80–$747 | varies |
| Ntsty modul radthx pln dose-vol histos (77301) | $7,725.60 | $12,876 | 5.9× |
| Nuclear Rx Intra-Arterial (79445) | $1,621.80 | $2,703 | 7.4× |
| Ob us nuchal meas 1 gest (76813) | $338.40 | $564 | 3.4× |
| Oph US Dx B-Scan&Quan a-Scan Sm Pt Enctr (76510) | $387.60 | $646 | 3.1× |
| Ophthalmic Biometry US Echograpy a-Scan (76516) | $341.40 | $569 | 3.5× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) | $328.80 | $548 | 3.3× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $2,329.80 | $3,883 | 4.5× |
| Parathyroid Planar Imaging (78070) | $1,530 | $2,550 | 4.0× |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$70.20–$342.60 | $117–$571 | varies |
| Peritoneogram Rs&I (74190) | $558.60 | $931 | 1.1× |
| Pet Image Skull-Thigh (78812) | $6,027 | $10,045 | 4.5× |
| Pet Image W/Ct Lmtd (78814) | $3,457.20 | $5,762 | 2.6× |
| PET image w/CT, full body (78816) | $6,027 | $10,045 | 4.5× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $6,027 | $10,045 | 4.5× |
| Pet Imaging Limited Area Chest Head/Neck (78811) | $6,027 | $10,045 | 4.9× |
| Pet Myocardial Sngl Study (78491) | $7,199.40 | $11,999 | 5.3× |
| PET whole body (78813) | $6,027 | $10,045 | 4.5× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $3,630 | $6,050 | 1.2× |
| Pulmonary Perfusion Imaging Particulate (78580) | $935.40 | $1,559 | 2.5× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$114.60–$553.80 | $191–$923 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) | $955.20 | $1,592 | 1.8× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$95.40–$477 | $159–$795 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$81–$433.20 | $135–$722 | varies |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$91.20–$471.60 | $152–$786 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$116.40–$304.80 | $194–$508 | varies |
| Radex fingr minimum 2 views (73140) range across 2 matching MRF lines |
$70.20–$364.80 | $117–$608 | varies |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$102–$468 | $170–$780 | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$87–$498 | $145–$830 | varies |
| Radex lower extremity infant minimum 2 views (73592) | $331.20 | $552 | 4.0× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $248.40 | $414 | 2.5× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$87–$342.60 | $145–$571 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 2 matching MRF lines |
$91.80–$511.80 | $153–$853 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$97.80–$525 | $163–$875 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$71.40–$248.40 | $119–$414 | varies |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $790.20 | $1,317 | 4.8× |
| Radex Spine 1 View Specify Level (72020) range across 2 matching MRF lines |
$34.20–$428.40 | $57–$714 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$78.60–$514.20 | $131–$857 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$87–$248.40 | $145–$414 | varies |
| Radex Toe Minimum 2 Views (73660) range across 2 matching MRF lines |
$73.80–$466.20 | $123–$777 | varies |
| Radex upper extremity infant minimum 2 views (73092) | $486 | $810 | 4.9× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$87–$481.20 | $145–$802 | varies |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $18,231 | $30,385 | 2.6× |
| Radiation treatment delivery level 1 (77402) | $507 | $845 | 5.3× |
| Radiation treatment delivery level 2 (77407) | $918.60 | $1,531 | 2.5× |
| Radiation treatment delivery level 3 (77412) | $1,055.40 | $1,759 | 2.0× |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$105–$703.80 | $175–$1,173 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 2 matching MRF lines |
$61.20–$621.60 | $102–$1,036 | varies |
| Radiologic exam colon double contrast study (74280) | $790.20 | $1,317 | 4.8× |
| Radiologic exam colon single contrast study (74270) | $666.60 | $1,111 | 4.0× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $808.80 | $1,348 | 4.9× |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$97.20–$462.60 | $162–$771 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $376.20 | $627 | 3.8× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $510.60 | $851 | 3.1× |
| Radiologic exam swallow function contrast study (74230) | $446.40 | $744 | 2.7× |
| Radiologic exam upr gi trc double contrast study (74246) | $1,021.20 | $1,702 | 6.2× |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$55.80–$226.20 | $93–$377 | varies |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$75–$313.20 | $125–$522 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $412.20 | $687 | 4.2× |
| Radiologic examination tibia & fibula 2 views (73590) range across 2 matching MRF lines |
$85.20–$309 | $142–$515 | varies |
| Renal Cyst Study (74470) | $878.40 | $1,464 | 1.7× |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$103.20–$248.40 | $172–$414 | varies |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $1,497.60 | $2,496 | 4.0× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $6,186 | $10,310 | 12.1× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $3,108.60 | $5,181 | 2.3× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $2,877.60 | $4,796 | 2.4× |
| Scapula (73010) range across 2 matching MRF lines |
$51.60–$530.40 | $86–$884 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $142.80 | $238 | 6.1× |
| Sella turcica (70240) | $248.40 | $414 | 3.0× |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$36–$210.60 | $60–$351 | varies |
| Shoulder Arthrography (73040) | $1,373.40 | $2,289 | 4.2× |
| Sialogram (70390) | $463.80 | $773 | 2.1× |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$90–$248.40 | $150–$414 | varies |
| Special dosimetry (77331) | $688.80 | $1,148 | 5.4× |
| Special Physics Consult (77370) | $1,387.20 | $2,312 | 10.9× |
| Special teletherapy port plan (77321) | $1,608.60 | $2,681 | 4.5× |
| Special treatment procedure (77470) | $2,853 | $4,755 | 5.5× |
| Stereotactic Body Radiation Delivery (77373) | $13,619.40 | $22,699 | 8.1× |
| Sternoclavicular joints (71130) | $248.40 | $414 | 3.0× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $1,582.80 | $2,638 | 4.5× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $678.60 | $1,131 | 1.9× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $2,203.20 | $3,672 | 6.2× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $1,838.40 | $3,064 | 5.2× |
| Ther rad simulaj-aided field setting simple (77280) | $1,179.60 | $1,966 | 9.3× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $553.80 | $923 | 3.3× |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$86.40–$501.60 | $144–$836 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$57.60–$610.20 | $96–$1,017 | varies |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$86.40–$543.60 | $144–$906 | varies |
| Thyroid Imaging With Vascular Flow (78013) | $728.40 | $1,214 | 1.9× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,226.40 | $2,044 | 3.2× |
| Tx Devices Design & Construction Complex (77334) | $1,917.60 | $3,196 | 5.4× |
| Tx devices design & construction intermediate (77333) | $1,561.20 | $2,602 | 12.3× |
| Tx devices design & construction simple (77332) | $1,027.20 | $1,712 | 8.1× |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$109.20–$341.40 | $182–$569 | varies |
| Ultrasound elastography first target lesion (76982) | $402.60 | $671 | 4.1× |
| Ultrasound Elastography Parenchyma (76981) | $402.60 | $671 | 4.1× |
| Ultrasound Exam Aaa Screen (76706) | $445.20 | $742 | 4.5× |
| Ultrasound, abdomen limited (76705) range across 3 matching MRF lines |
$153–$647.40 | $255–$1,079 | varies |
| Umbilical-artery Doppler (OB) (76820) | $473.40 | $789 | 4.8× |
| Unlisted fluoroscopic procedure (76496) | $451.80 | $753 | 5.5× |
| Unlisted magnetic resonance procedure (76498) | $2,393.40 | $3,989 | 29.1× |
| Unlisted Miscellaneous Px Dx Nuclear Medicine (78999) | $392.40 | $654 | 1.0× |
| Unlisted us procedure (76999) | $391.80 | $653 | 4.8× |
| Upper gi w/o kub (74240) | $789.60 | $1,316 | 4.8× |
| Urethrocystogram voiding (74455) range across 2 matching MRF lines |
$214.20–$761.40 | $357–$1,269 | varies |
| Urethrocystography retrograde (74450) range across 2 matching MRF lines |
$408–$760.80 | $680–$1,268 | varies |
| Us breast unilateral complete (76641) | $369.60 | $616 | 3.7× |
| Us chest (76604) | $341.40 | $569 | 3.5× |
| Us complete joint (76881) | $787.80 | $1,313 | 8.0× |
| Us exam, pelvic, limited (76857) range across 3 matching MRF lines |
$135–$595.20 | $225–$992 | varies |
| Us head (76506) | $604.80 | $1,008 | 6.1× |
| Us kidney transplant (76776) | $296.40 | $494 | 3.0× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 3 matching MRF lines |
$74.40–$591 | $124–$985 | varies |
| Us ob detailed single fetus (76811) | $621 | $1,035 | 2.8× |
| Us ob limited 1 or more fetuses (76815) range across 3 matching MRF lines |
$187.80–$696.60 | $313–$1,161 | varies |
| Us ob transvaginal (76817) range across 3 matching MRF lines |
$190.20–$703.80 | $317–$1,173 | varies |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$262.20–$647.40 | $437–$1,079 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 3 matching MRF lines |
$231.60–$713.40 | $386–$1,189 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 3 matching MRF lines |
$148.80–$582 | $248–$970 | varies |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$278.40–$829.80 | $464–$1,383 | varies |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$264.60–$647.40 | $441–$1,079 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$184.80–$943.20 | $308–$1,572 | varies |
| Us spinal canal and contents (76800) | $451.80 | $753 | 4.6× |
| Us thyroid (76536) range across 3 matching MRF lines |
$238.20–$480 | $397–$800 | varies |
| Us transrectal (76872) range across 2 matching MRF lines |
$51–$338.40 | $85–$564 | varies |
| Vascular Flow Imaging (78445) | $1,797.60 | $2,996 | 4.8× |
| Vein X-Ray Chest (75827) | $3,324 | $5,540 | 2.2× |
| Vein X-Ray Liver W/O Hemodyn (75887) | $3,324 | $5,540 | 1.1× |
| Venogram Sinus/Jugular (75860) | $3,324 | $5,540 | 1.1× |
| Venography caval inferior serialography rs&i (75825) | $5,310 | $8,850 | 1.8× |
| Venography extremity bilateral rs&i (75822) | $2,616 | $4,360 | 1.8× |
| Venography extremity unilateral rs&i (75820) | $2,098.20 | $3,497 | 1.4× |
| Venography Renal Bilateral (75833) | $4,711.20 | $7,852 | 1.6× |
| Venography Renal Unilateral (75831) | $4,144.20 | $6,907 | 1.4× |
| Venous sampling by catheter (75893) | $5,310 | $8,850 | 1.0× |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$76.20–$248.40 | $127–$414 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$83.40–$343.80 | $139–$573 | varies |
| X-ray antegrade pyelogram tube (74425) | $529.80 | $883 | 1.6× |
| X-Ray Aorta Leg Arteries (75630) | $3,903 | $6,505 | 1.3× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$73.80–$364.80 | $123–$608 | varies |
| X-Ray Exam Breast Specimen (76098) | $1,906.20 | $3,177 | 3.7× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $203.40 | $339 | 2.5× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$112.80–$336 | $188–$560 | varies |
| X-Ray Exam Hip Uni 1 View (73501) | $319.80 | $533 | 3.9× |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 2 matching MRF lines |
$148.80–$249.60 | $248–$416 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) | $610.20 | $1,017 | 6.2× |
| X-Ray Exam Hips Bi 2 Views (73521) | $595.20 | $992 | 6.0× |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 2 matching MRF lines |
$91.20–$597 | $152–$995 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) range across 2 matching MRF lines |
$188.40–$346.80 | $314–$578 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$188.40–$1,132.80 | $314–$1,888 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$84.60–$550.80 | $141–$918 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$91.80–$904.80 | $153–$1,508 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 2 matching MRF lines |
$55.20–$564.60 | $92–$941 | varies |
| X-ray eye for foreign body (70030) | $524.40 | $874 | 6.4× |
| X-ray humerus (73060) range across 2 matching MRF lines |
$91.20–$313.20 | $152–$522 | varies |
| X-ray IV pyelogram (ivp) (74400) | $1,489.20 | $2,482 | 9.0× |
| X-ray IV pyelogram+tomography (74415) | $848.40 | $1,414 | 5.1× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$91.80–$378 | $153–$630 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$95.40–$634.20 | $159–$1,057 | varies |
| X-ray nose-rectum child f.b. (76010) range across 2 matching MRF lines |
$148.80–$248.40 | $248–$414 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 3 matching MRF lines |
$201.60–$568.80 | $336–$948 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$80.40–$524.40 | $134–$874 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$90.60–$500.40 | $151–$834 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$60.60–$342.60 | $101–$571 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$67.80–$314.40 | $113–$524 | varies |
| X-ray thoracic spine 4 vw (72074) range across 2 matching MRF lines |
$91.20–$664.20 | $152–$1,107 | varies |
| X-Ray Tmj Unilat (70328) | $319.80 | $533 | 3.9× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $1,218 | $2,030 | 3.7× |
| X-Rays Bone Length Studies (77073) | $248.40 | $414 | 2.5× |
| X-Rays Bone Survey Complete (77075) | $616.20 | $1,027 | 6.2× |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$122.40–$706.20 | $204–$1,177 | varies |
| Xr facial bones less than 3 views (70140) | $248.40 | $414 | 3.0× |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$108–$681.60 | $180–$1,136 | 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.