Imaging prices at CHI Health Missouri Valley
Missouri Valley, IA · every code in this section with a posted price and a Medicare benchmark.
326 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abdomen 1 View (74018) range across 2 matching MRF lines |
$24.99–$147.49 | $51–$301 | varies |
| Abdomen 2 views (74019) | $210.21 | $429 | 2.0× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $692.37 | $1,413 | 1.7× |
| Adrenal Cortex & Medulla Img (78075) | $1,312.22 | $2,678 | 1.0× |
| Angiography extremity bilateral rs&i (75716) | $2,076.13 | $4,237 | 0.6× |
| Angiography extremity unilateral rs&i (75710) | $1,310.26 | $2,674 | 0.4× |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$29.89–$107.80 | $61–$220 | varies |
| Arthrogram hip (73525) | $358.68 | $732 | 1.0× |
| Bone age studies (77072) | $104.86 | $214 | 1.0× |
| Bone Imaging 3 Phase (78315) | $1,452.36 | $2,964 | 3.5× |
| Bone Imaging Limited Area (78300) | $631.12 | $1,288 | 1.5× |
| Bone Imaging Multiple Areas (78305) | $1,231.86 | $2,514 | 3.0× |
| Bone Imaging Whole Body (78306) | $1,001.56 | $2,044 | 2.4× |
| Bone marrow imaging limited area (78102) | $289.59 | $591 | 0.7× |
| Bone marrow imaging; multiple areas (78103) | $578.20 | $1,180 | 1.4× |
| Bone survey infant (77076) | $115.15 | $235 | 1.1× |
| Brain Flow Imaging Only (78610) | $242.06 | $494 | 0.4× |
| Brain Image W/Flow < 4 Views (78601) | $578.69 | $1,181 | 1.4× |
| Brain imaging < 4 static views (78600) | $283.22 | $578 | 0.7× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $487.55 | $995 | 0.9× |
| Brain Imaging Minimum 4 Static Views (78605) | $326.34 | $666 | 0.6× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $2,477.44 | $5,056 | 1.7× |
| Card Bl Pool Gated Spect Rest Wal Motn Ejct Frct (78494) | $350.35 | $715 | 0.9× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $1,249.01 | $2,549 | 3.5× |
| Cardiac Shunt Detection (78428) | $328.79 | $671 | 0.8× |
| Cat Scan Follow-Up Study (76380) range across 3 matching MRF lines |
$585.55–$772.73 | $1,195–$1,577 | varies |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $541.94 | $1,106 | 1.0× |
| Cerebrospinal Fluid Scan (78630) | $515.97 | $1,053 | 0.9× |
| Chest 1 view (71045) range across 2 matching MRF lines |
$23.03–$147.49 | $47–$301 | varies |
| Chest 2 views (71046) range across 5 matching MRF lines |
$28.91–$222.46 | $59–$454 | varies |
| Chest 3 views (71047) | $181.30 | $370 | 2.0× |
| Chest 4 or more views (71048) range across 2 matching MRF lines |
$203.35–$212.17 | $415–$433 | varies |
| Clavicle complete (73000) range across 2 matching MRF lines |
$28.42–$176.40 | $58–$360 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $105.35 | $215 | 1.0× |
| Contrast Exam Abdominl Aorta (75625) | $1,716.96 | $3,504 | 0.5× |
| Contrast X-Ray Bladder (74430) | $240.10 | $490 | 0.7× |
| Contrast X-Ray Of Knee Joint (73580) | $383.18 | $782 | 1.1× |
| CT abdomen and pelvis without and with contrast (74178) | $4,457.53 | $9,097 | 12.5× |
| CT abdomen and pelvis without contrast (74176) | $3,223.22 | $6,578 | 13.2× |
| CT abdomen w contrast (74160) | $1,725.29 | $3,521 | 9.6× |
| CT abdomen w wo contrast (74170) | $2,140.32 | $4,368 | 11.9× |
| CT abdomen w/o contrast (74150) | $1,596.42 | $3,258 | 14.9× |
| CT Angio Abdomen and Pelvis (74174) | $4,467.82 | $9,118 | 12.5× |
| CT Angio Chest (71275) | $2,002.63 | $4,087 | 11.2× |
| CT Angio Head (70496) | $1,860.53 | $3,797 | 10.4× |
| CT angio hrt w/3d image (75574) | $1,500.38 | $3,062 | 4.2× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $1,612.10 | $3,290 | 9.0× |
| CT Angio Neck (70498) | $1,879.15 | $3,835 | 10.5× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $1,626.31 | $3,319 | 9.1× |
| CT bone density (77078) | $235.69 | $481 | 2.6× |
| CT cervical spine w/ contrast (72126) | $1,515.08 | $3,092 | 4.2× |
| CT cervical spine w/o contrast (72125) | $1,515.08 | $3,092 | 14.2× |
| CT cervical spine w/wo cont (72127) | $1,938.93 | $3,957 | 10.8× |
| CT chest w contrast (71260) | $1,750.28 | $3,572 | 9.8× |
| CT chest w/wo contrast (71270) | $2,065.35 | $4,215 | 11.5× |
| CT Colonogrphy Dx Image Postprocess W/Contrast (74262) | $1,213.24 | $2,476 | 6.8× |
| CT colonogrphy dx image postprocess w/o contrast (74261) | $1,550.36 | $3,164 | 14.5× |
| CT head/brain with contrast (70460) | $1,530.27 | $3,123 | 8.5× |
| CT head/brain without and with contrast (70470) | $1,868.86 | $3,814 | 10.4× |
| CT heart contrast eval cardiac structure&morph (75572) | $1,198.05 | $2,445 | 3.4× |
| CT hrt w/3d image congen (75573) | $1,458.73 | $2,977 | 4.1× |
| CT iac w contrast (70481) | $1,462.16 | $2,984 | 8.1× |
| CT l-spine w&w/o contrast (72133) | $1,817.90 | $3,710 | 10.1× |
| CT lower ext w/o (73700) | $1,577.80 | $3,220 | 14.7× |
| CT lower extremity w/contrast material (73701) | $1,719.90 | $3,510 | 9.6× |
| CT lumbar spine w contrast (72132) | $1,651.30 | $3,370 | 4.6× |
| CT lumbar spine w/o contrast (72131) | $1,539.58 | $3,142 | 14.4× |
| CT maxillofacial w contrast (70487) | $1,468.04 | $2,996 | 8.2× |
| CT maxillofacial wo contrast (70486) | $1,372 | $2,800 | 12.8× |
| CT neck tissue combo (70492) | $1,890.91 | $3,859 | 10.5× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,750.77 | $3,573 | 9.8× |
| CT orbits w/o contrast (70480) | $1,337.70 | $2,730 | 12.5× |
| CT pelvis w&w/o contrast (72194) | $1,873.76 | $3,824 | 10.4× |
| CT pelvis w/o contrast (72192) | $1,574.86 | $3,214 | 14.7× |
| CT scan of leg combo (73702) | $1,913.94 | $3,906 | 10.7× |
| CT scans face/jaw combo (70488) | $1,728.72 | $3,528 | 9.6× |
| CT soft tissue neck w contrast (70491) | $1,630.23 | $3,327 | 9.1× |
| CT soft tissue neck w/o contrast (70490) | $1,434.72 | $2,928 | 13.4× |
| CT thoracic spine w contrast (72129) | $1,585.64 | $3,236 | 8.8× |
| CT thoracic spine w/o contrast (72128) | $1,495.97 | $3,053 | 14.0× |
| CT thoracic spine w/wo cont (72130) | $1,885.03 | $3,847 | 10.5× |
| CT thorax w/o contrast (71250) | $1,557.71 | $3,179 | 14.6× |
| CT upper ext wo (73200) | $1,319.57 | $2,693 | 12.3× |
| CT upper extremity w/o & w/contrast material (73202) | $1,681.68 | $3,432 | 9.4× |
| CT upper extremity with contrast (73201) | $1,256.85 | $2,565 | 3.5× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $2,065.35 | $4,215 | 11.5× |
| Cta Abdomen (74175) | $2,010.96 | $4,104 | 11.2× |
| CTA pelvis (72191) | $1,510.18 | $3,082 | 8.4× |
| Dilation ureters/urethra rs&i (74485) | $742.35 | $1,515 | 0.3× |
| Dxa Bone Density Axial (77080) range across 3 matching MRF lines |
$41.16–$267.54 | $84–$546 | varies |
| Dxa bone density study (77085) | $101.92 | $208 | 1.0× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $147 | $300 | 1.7× |
| Echo exam uterus (76831) | $287.63 | $587 | 1.2× |
| Esophagram (74220) | $220.99 | $451 | 1.2× |
| Fetal Biophys Profile W/Nst (76818) | $278.81 | $569 | 2.6× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $296.94 | $606 | 2.8× |
| Fetal MRI w/placntl matrnl plvc img sing/1st ges (74712) | $232.26 | $474 | 1.0× |
| Fluoroscopy up to 1 hr (76000) range across 5 matching MRF lines |
$58.80–$327.81 | $120–$669 | varies |
| Foot 2 views (73620) range across 2 matching MRF lines |
$25.97–$168.07 | $53–$343 | varies |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$26.95–$175.42 | $55–$358 | varies |
| Gastric emptying imaging study (78264) | $1,293.11 | $2,639 | 3.2× |
| Gastroesophageal Reflux Exam (78262) | $623.77 | $1,273 | 1.5× |
| Gated Heart Planar Single (78472) | $1,297.52 | $2,648 | 3.2× |
| Gated Heart, Multiple (78473) | $974.12 | $1,988 | 2.4× |
| Hand 2 views (73120) range across 2 matching MRF lines |
$25.97–$164.64 | $53–$336 | varies |
| Hepatobil Syst Image W/Drug (78227) | $1,425.41 | $2,909 | 2.6× |
| Hepatobiliary System Imaging (78226) | $1,339.66 | $2,734 | 3.3× |
| Ht Musc Image Planar Mult (78454) | $1,692.95 | $3,455 | 1.3× |
| Ht Muscle Image Spect Sing (78451) | $1,045.66 | $2,134 | 0.8× |
| Hysterosalpingogram (74740) | $299.88 | $612 | 1.2× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $183.26 | $374 | 2.1× |
| Joint Survey Single View (77077) | $149.45 | $305 | 1.4× |
| K Flow/Funct Image Multiple (78709) | $1,381.80 | $2,820 | 2.5× |
| K Flow/Funct Image W/Drug (78708) | $1,216.67 | $2,483 | 2.2× |
| K Flow/Funct Image W/O Drug (78707) | $1,103.48 | $2,252 | 2.0× |
| Kidney Funcj Study Non-Img Radioisotopic Study (78725) | $317.03 | $647 | 0.8× |
| Kidney Imaging Morphol (78700) | $353.29 | $721 | 0.9× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $792.82 | $1,618 | 1.9× |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$35.77–$220.50 | $73–$450 | varies |
| Leveen/Shunt Patency Exam (78291) | $533.61 | $1,089 | 1.3× |
| Liver & Spleen Imaging Static Only (78215) | $512.05 | $1,045 | 1.3× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $345.94 | $706 | 0.8× |
| Liver imaging static only (78201) | $257.25 | $525 | 0.5× |
| Lung Perf&Ventilat Diferentl (78598) | $1,787.52 | $3,648 | 3.2× |
| Lung perfusion differential (78597) | $178.36 | $364 | 0.4× |
| Lung Ventilat&Perfus Imaging (78582) | $1,122.10 | $2,290 | 2.0× |
| Lung Ventilation Imaging (78579) | $482.16 | $984 | 1.2× |
| Lymph System Imaging (78195) | $824.67 | $1,683 | 1.5× |
| Magnetic Image Jaw Joint (70336) | $1,370.53 | $2,797 | 5.6× |
| Mammary ductogram or galactogram single (77053) | $206.78 | $422 | 0.8× |
| Meckels Divert Exam (78290) | $685.51 | $1,399 | 1.7× |
| Mra Head W/O & W/Contrast Material (70546) | $2,680.79 | $5,471 | 7.5× |
| MRA head w/o contrast (70544) | $2,311.33 | $4,717 | 9.5× |
| MRA head with contrast (70545) | $2,311.33 | $4,717 | 6.5× |
| MRA neck w contrast (70548) | $1,610.14 | $3,286 | 4.5× |
| Mra Neck W/O &W/Contrast Material (70549) | $1,825.74 | $3,726 | 5.1× |
| MRA neck w/o contrast (70547) | $1,267.14 | $2,586 | 5.2× |
| MRI abdomen w contrast (74182) | $2,146.20 | $4,380 | 6.0× |
| MRI abdomen w/o contrast (74181) | $1,702.26 | $3,474 | 7.0× |
| MRI any jt lower extrem w/contrast material (73722) | $1,863.96 | $3,804 | 2.3× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $2,120.23 | $4,327 | 5.9× |
| MRI any jt upper extremity w/contrast matrl (73222) | $1,855.14 | $3,786 | 2.3× |
| MRI cardiac w/o contrast (75557) | $1,151.01 | $2,349 | 4.7× |
| MRI cervical spine w contrast (72142) | $2,321.13 | $4,737 | 6.5× |
| MRI cervical spine w/o cont (72141) | $2,321.13 | $4,737 | 9.5× |
| MRI chest w/o contrast (71550) | $1,365.14 | $2,786 | 5.6× |
| MRI chest with contrast (71551) | $1,827.70 | $3,730 | 2.3× |
| MRI chest wo w contrast (71552) | $2,095.24 | $4,276 | 5.9× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $1,697.36 | $3,464 | 4.8× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $2,023.70 | $4,130 | 5.7× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $1,632.19 | $3,331 | 6.7× |
| MRI lumbar spine w contrast (72149) | $2,285.85 | $4,665 | 6.4× |
| Mri Neck Spine W/O & W/Dye (72156) | $2,576.42 | $5,258 | 7.2× |
| MRI orbit face &/neck w/o contrast (70540) | $1,455.79 | $2,971 | 6.0× |
| MRI orbit face neck w contrast (70542) | $1,946.28 | $3,972 | 5.5× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $2,231.46 | $4,554 | 6.3× |
| MRI pelvis w contrast (72196) | $1,520.96 | $3,104 | 4.3× |
| MRI pelvis w/o & w contrast (72197) | $2,343.67 | $4,783 | 6.6× |
| MRI pelvis w/o contrast (72195) | $1,789.48 | $3,652 | 7.3× |
| MRI thoracic spine w/o contrast (72146) | $2,245.18 | $4,582 | 9.2× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $1,216.67 | $2,483 | 3.4× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $1,182.37 | $2,413 | 4.8× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $1,886.50 | $3,850 | 5.3× |
| MRI, abdomen, combo (74183) | $2,467.15 | $5,035 | 6.9× |
| MRI, dorsal spine combo (72157) | $2,492.14 | $5,086 | 7.0× |
| MRI, dorsal spine contrast (72147) | $2,357.39 | $4,811 | 6.6× |
| MRI, joint upper extrem (73221) | $1,701.77 | $3,473 | 7.0× |
| MRI, joint upper extrem combo (73223) | $2,110.43 | $4,307 | 5.9× |
| MRI, lumbar spine combo (72158) | $2,537.22 | $5,178 | 7.1× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) | $1,637.58 | $3,342 | 1.2× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $622.30 | $1,270 | 0.5× |
| Myocardial Spect Multiple Studies (78452) range across 2 matching MRF lines |
$106.82–$2,489.69 | $218–$5,081 | varies |
| Myocrd Img Pet Metab Eval Single Study Cncrnt CT (78429) | $1,071.63 | $2,187 | 0.7× |
| Neck soft tissue (70360) | $167.09 | $341 | 1.9× |
| Nm csf leak detection (78650) | $442.96 | $904 | 0.3× |
| Nm whole blood volume (78122) | $377.79 | $771 | 0.7× |
| Nonvascular Shunt X-Ray (75809) | $299.88 | $612 | 2.8× |
| Nuclear Rx Intra-Arterial (79445) | $1,125.04 | $2,296 | 4.7× |
| Nuclear Rx Oral Admin (79005) | $1,016.75 | $2,075 | 4.3× |
| Ob us nuchal meas 1 gest (76813) | $220.99 | $451 | 2.1× |
| Optic foramina (70190) | $134.75 | $275 | 1.5× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $230.30 | $470 | 0.4× |
| Parathyroid Planar Imaging (78070) | $649.25 | $1,325 | 1.6× |
| Parathyroid planar imaging w/wo subtraction (78071) | $285.67 | $583 | 0.7× |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$32.83–$188.16 | $67–$384 | varies |
| Pet Image W/Ct Lmtd (78814) | $2,626.89 | $5,361 | 1.8× |
| PET image w/CT, full body (78816) | $3,324.65 | $6,785 | 2.3× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $3,324.65 | $6,785 | 2.3× |
| Pulmonary Perfusion Imaging Particulate (78580) | $601.23 | $1,227 | 1.5× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $227.36 | $464 | 2.1× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $430.71 | $879 | 0.8× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$32.34–$215.11 | $66–$439 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$26.95–$151.41 | $55–$309 | varies |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$32.34–$196.98 | $66–$402 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $156.80 | $320 | 1.5× |
| Radex fingr minimum 2 views (73140) range across 2 matching MRF lines |
$31.36–$120.05 | $64–$245 | varies |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$28.91–$207.27 | $59–$423 | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$30.38–$200.90 | $62–$410 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 2 matching MRF lines |
$27.93–$136.71 | $57–$279 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $209.72 | $428 | 2.0× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $165.13 | $337 | 1.9× |
| Radex Ribs Unilateral 2 Views (71100) range across 2 matching MRF lines |
$33.32–$224.42 | $68–$458 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$28.91–$193.06 | $59–$394 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $106.82 | $218 | 1.2× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $299.88 | $612 | 1.7× |
| Radex Spine 1 View Specify Level (72020) range across 2 matching MRF lines |
$19.60–$168.07 | $40–$343 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$29.89–$131.81 | $61–$269 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $160.72 | $328 | 1.8× |
| Radex Toe Minimum 2 Views (73660) range across 3 matching MRF lines |
$28.91–$143.57 | $59–$293 | varies |
| Radex upper extremity infant minimum 2 views (73092) | $108.29 | $221 | 1.0× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$36.75–$200.90 | $75–$410 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $166.11 | $339 | 1.6× |
| Radiolog exam mandible compl minimum 4 views (70110) | $240.10 | $490 | 2.2× |
| Radiologic exam colon double contrast study (74280) | $357.21 | $729 | 2.0× |
| Radiologic exam colon single contrast study (74270) | $215.11 | $439 | 1.2× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $148.96 | $304 | 0.8× |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$40.67–$265.09 | $83–$541 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $221.97 | $453 | 2.1× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $191.59 | $391 | 1.1× |
| Radiologic exam swallow function contrast study (74230) | $341.04 | $696 | 1.9× |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$279.30–$309.19 | $570–$631 | varies |
| Radiologic examination femur 1 view (73551) | $66.64 | $136 | 0.7× |
| Radiologic examination femur minimum 2 views (73552) | $66.64 | $136 | 0.7× |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$30.87–$145.04 | $63–$296 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $308.70 | $630 | 2.9× |
| Radiologic Examination Salivary Gland Calculus (70380) | $131.81 | $269 | 1.5× |
| Radiologic examination tibia & fibula 2 views (73590) range across 2 matching MRF lines |
$28.42–$132.79 | $58–$271 | varies |
| Ribs bilateral 3 views (71110) | $219.52 | $448 | 2.1× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $440.02 | $898 | 1.1× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $886.41 | $1,809 | 2.2× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $1,017.24 | $2,076 | 1.8× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $1,017.24 | $2,076 | 1.8× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 5 matching MRF lines |
$792.82–$1,500.38 | $1,618–$3,062 | varies |
| Rp Therapy Intravenous Administration (79101) | $1,057.91 | $2,159 | 4.4× |
| Scapula (73010) | $147.98 | $302 | 1.4× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $66.15 | $135 | 2.8× |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$23.03–$181.30 | $47–$370 | varies |
| Shoulder Arthrography (73040) | $324.87 | $663 | 0.9× |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$36.26–$194.53 | $74–$397 | varies |
| Speech evaluation, complex (70371) | $274.89 | $561 | 1.1× |
| Sternoclavicular joints (71130) | $143.57 | $293 | 1.6× |
| Testicular Imaging W/Flow (78761) | $703.64 | $1,436 | 1.7× |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$34.30–$230.79 | $70–$471 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$34.79–$235.20 | $71–$480 | varies |
| Thoracolumbar 2 views (72080) | $189.63 | $387 | 2.1× |
| Thyroid Carcinoma Metastases Img Lmtd Area (78015) | $427.77 | $873 | 1.0× |
| Thyroid Imaging With Vascular Flow (78013) | $336.14 | $686 | 0.8× |
| Thyroid Met Imaging Body (78018) | $1,100.05 | $2,245 | 2.0× |
| Thyroid Uptake Measurement (78012) | $458.64 | $936 | 1.1× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $754.11 | $1,539 | 1.8× |
| Ultrasound Breast Limited (76642) | $104.86 | $214 | 1.2× |
| Ultrasound Exam Aaa Screen (76706) | $115.15 | $235 | 1.1× |
| Ultrasound, abdomen limited (76705) | $298.41 | $609 | 2.8× |
| Umbilical-artery Doppler (OB) (76820) | $173.46 | $354 | 1.6× |
| Unlisted us procedure (76999) | $156.80 | $320 | 1.8× |
| Upper gi w/o kub (74240) range across 2 matching MRF lines |
$246.47–$368.97 | $503–$753 | varies |
| Urethrocystogram voiding (74455) | $245.49 | $501 | 1.0× |
| Urethrocystography retrograde (74450) | $294 | $600 | 1.2× |
| Us breast unilateral complete (76641) | $104.86 | $214 | 1.0× |
| Us chest (76604) | $269.50 | $550 | 2.5× |
| Us complete joint (76881) | $392.49 | $801 | 3.7× |
| Us exam, pelvic, limited (76857) | $299.39 | $611 | 2.8× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $350.35 | $715 | 3.3× |
| Us ob detailed single fetus (76811) | $724.22 | $1,478 | 3.0× |
| Us ob limited 1 or more fetuses (76815) | $257.74 | $526 | 2.4× |
| Us ob transvaginal (76817) | $396.41 | $809 | 3.7× |
| Us pelvic non ob complete (76856) | $482.65 | $985 | 4.5× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $637.98 | $1,302 | 6.0× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $178.36 | $364 | 1.7× |
| Us retroperitoneal complete (76770) | $482.65 | $985 | 4.5× |
| Us retroperitoneal limited (76775) | $362.11 | $739 | 3.4× |
| Us scrotum and contents (76870) | $301.84 | $616 | 2.8× |
| Us spinal canal and contents (76800) | $797.23 | $1,627 | 7.5× |
| Us thyroid (76536) | $349.37 | $713 | 3.3× |
| Us transrectal (76872) range across 2 matching MRF lines |
$45.57–$657.58 | $93–$1,342 | varies |
| Vascular Flow Imaging (78445) | $474.32 | $968 | 1.2× |
| Venography extremity bilateral rs&i (75822) | $797.72 | $1,628 | 0.5× |
| Venography extremity unilateral rs&i (75820) | $578.69 | $1,181 | 0.4× |
| Venous thrombosis imaging (78457) | $509.11 | $1,039 | 0.9× |
| Venous Thrombosis Imaging Venogram Bilateral (78458) | $718.34 | $1,466 | 1.8× |
| Vertebral fracture assessment via dxa (77086) | $220.99 | $451 | 2.5× |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$29.89–$168.56 | $61–$344 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$35.77–$132.30 | $73–$270 | varies |
| X-ray antegrade pyelogram tube (74425) | $669.83 | $1,367 | 1.9× |
| X-Ray Aorta Leg Arteries (75630) | $1,634.64 | $3,336 | 0.5× |
| X-Ray Bend Only L-S Spine (72120) | $759.50 | $1,550 | 7.1× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$26.95–$174.44 | $55–$356 | varies |
| X-Ray Exam Breast Specimen (76098) | $86.73 | $177 | 0.2× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $54.39 | $111 | 0.6× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $286.65 | $585 | 2.7× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $166.11 | $339 | 1.6× |
| X-Ray Exam Hip Uni 1 View (73501) | $156.31 | $319 | 1.8× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $66.64 | $136 | 0.7× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $111.23 | $227 | 1.0× |
| X-Ray Exam Hips Bi 2 Views (73521) | $111.23 | $227 | 1.0× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $111.23 | $227 | 1.0× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $210.21 | $429 | 2.0× |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$42.14–$608.58 | $86–$1,242 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$35.28–$214.13 | $72–$437 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$56.35–$248.43 | $115–$507 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) | $255.29 | $521 | 2.4× |
| X-ray eye for foreign body (70030) | $101.43 | $207 | 1.1× |
| X-ray humerus (73060) range across 2 matching MRF lines |
$29.89–$190.61 | $61–$389 | varies |
| X-ray IV pyelogram (ivp) (74400) | $368.97 | $753 | 2.1× |
| X-ray IV pyelogram+tomography (74415) | $374.36 | $764 | 2.1× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $121.52 | $248 | 1.4× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $162.68 | $332 | 1.8× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$36.75–$247.45 | $75–$505 | varies |
| X-ray nose-rectum child f.b. (76010) | $212.17 | $433 | 2.4× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $326.34 | $666 | 3.1× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $196.49 | $401 | 1.8× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) range across 2 matching MRF lines |
$28.42–$195.02 | $58–$398 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $149.94 | $306 | 1.7× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$37.73–$201.39 | $77–$411 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $239.61 | $489 | 2.2× |
| X-Ray Stress View (77071) | $49.49 | $101 | 0.6× |
| X-ray thoracic spine 4 vw (72074) | $267.54 | $546 | 2.5× |
| X-Ray Tmj Unilat (70328) | $119.56 | $244 | 1.3× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $408.66 | $834 | 1.1× |
| X-Rays Bone Length Studies (77073) | $114.66 | $234 | 1.1× |
| X-Rays Bone Survey Complete (77075) | $220.99 | $451 | 2.1× |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$45.57–$299.88 | $93–$612 | varies |
| Xr facial bones less than 3 views (70140) | $108.78 | $222 | 1.2× |
| XR Mastoids < 3 Views Bilateral (70120) | $136.22 | $278 | 1.3× |
| Xr orbits complete 4 views (70200) | $174.44 | $356 | 1.6× |
| Xr Tomogram Single Plane (76100) | $239.61 | $489 | 2.2× |
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.