Imaging prices at CHI Health Schuyler
Schuyler, NE · 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 |
$43.35–$255.85 | $51–$301 | varies |
| Abdomen 2 views (74019) | $364.65 | $429 | 3.4× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,201.05 | $1,413 | 2.9× |
| Adrenal Cortex & Medulla Img (78075) | $2,276.30 | $2,678 | 1.7× |
| Angiography extremity bilateral rs&i (75716) | $3,601.45 | $4,237 | 1.1× |
| Angiography extremity unilateral rs&i (75710) | $2,272.90 | $2,674 | 0.7× |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$51.85–$187 | $61–$220 | varies |
| Arthrogram hip (73525) | $622.20 | $732 | 1.7× |
| Bone age studies (77072) | $181.90 | $214 | 1.7× |
| Bone Imaging 3 Phase (78315) | $2,519.40 | $2,964 | 6.1× |
| Bone Imaging Limited Area (78300) | $1,094.80 | $1,288 | 2.6× |
| Bone Imaging Multiple Areas (78305) | $2,136.90 | $2,514 | 5.1× |
| Bone Imaging Whole Body (78306) | $1,737.40 | $2,044 | 4.2× |
| Bone marrow imaging limited area (78102) | $502.35 | $591 | 1.2× |
| Bone marrow imaging; multiple areas (78103) | $1,003 | $1,180 | 2.4× |
| Bone survey infant (77076) | $199.75 | $235 | 1.8× |
| Brain Flow Imaging Only (78610) | $419.90 | $494 | 0.7× |
| Brain Image W/Flow < 4 Views (78601) | $1,003.85 | $1,181 | 2.4× |
| Brain imaging < 4 static views (78600) | $491.30 | $578 | 1.2× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $845.75 | $995 | 1.5× |
| Brain Imaging Minimum 4 Static Views (78605) | $566.10 | $666 | 1.0× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $4,297.60 | $5,056 | 2.9× |
| Card Bl Pool Gated Spect Rest Wal Motn Ejct Frct (78494) | $607.75 | $715 | 1.5× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $2,166.65 | $2,549 | 6.0× |
| Cardiac Shunt Detection (78428) | $570.35 | $671 | 1.4× |
| Cat Scan Follow-Up Study (76380) range across 3 matching MRF lines |
$1,015.75–$1,340.45 | $1,195–$1,577 | varies |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $940.10 | $1,106 | 1.7× |
| Cerebrospinal Fluid Scan (78630) | $895.05 | $1,053 | 1.6× |
| Chest 1 view (71045) range across 2 matching MRF lines |
$39.95–$255.85 | $47–$301 | varies |
| Chest 2 views (71046) range across 5 matching MRF lines |
$50.15–$385.90 | $59–$454 | varies |
| Chest 3 views (71047) | $314.50 | $370 | 3.5× |
| Chest 4 or more views (71048) range across 2 matching MRF lines |
$352.75–$368.05 | $415–$433 | varies |
| Clavicle complete (73000) range across 2 matching MRF lines |
$49.30–$306 | $58–$360 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $182.75 | $215 | 1.7× |
| Contrast Exam Abdominl Aorta (75625) | $2,978.40 | $3,504 | 0.9× |
| Contrast X-Ray Bladder (74430) | $416.50 | $490 | 1.1× |
| Contrast X-Ray Of Knee Joint (73580) | $664.70 | $782 | 1.8× |
| CT abdomen and pelvis without and with contrast (74178) | $7,732.45 | $9,097 | 21.3× |
| CT abdomen and pelvis without contrast (74176) | $5,591.30 | $6,578 | 22.6× |
| CT abdomen w contrast (74160) | $2,992.85 | $3,521 | 16.4× |
| CT abdomen w wo contrast (74170) | $3,712.80 | $4,368 | 20.4× |
| CT abdomen w/o contrast (74150) | $2,769.30 | $3,258 | 25.5× |
| CT Angio Abdomen and Pelvis (74174) | $7,750.30 | $9,118 | 21.4× |
| CT Angio Chest (71275) | $3,473.95 | $4,087 | 19.1× |
| CT Angio Head (70496) | $3,227.45 | $3,797 | 17.7× |
| CT angio hrt w/3d image (75574) | $2,602.70 | $3,062 | 7.2× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $2,796.50 | $3,290 | 15.4× |
| CT Angio Neck (70498) | $3,259.75 | $3,835 | 17.9× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $2,821.15 | $3,319 | 15.5× |
| CT bone density (77078) | $408.85 | $481 | 4.5× |
| CT cervical spine w/ contrast (72126) | $2,628.20 | $3,092 | 7.3× |
| CT cervical spine w/o contrast (72125) | $2,628.20 | $3,092 | 24.2× |
| CT cervical spine w/wo cont (72127) | $3,363.45 | $3,957 | 18.5× |
| CT chest w contrast (71260) | $3,036.20 | $3,572 | 16.7× |
| CT chest w/wo contrast (71270) | $3,582.75 | $4,215 | 19.7× |
| CT Colonogrphy Dx Image Postprocess W/Contrast (74262) | $2,104.60 | $2,476 | 11.6× |
| CT colonogrphy dx image postprocess w/o contrast (74261) | $2,689.40 | $3,164 | 24.8× |
| CT head/brain with contrast (70460) | $2,654.55 | $3,123 | 14.6× |
| CT head/brain without and with contrast (70470) | $3,241.90 | $3,814 | 17.8× |
| CT heart contrast eval cardiac structure&morph (75572) | $2,078.25 | $2,445 | 5.7× |
| CT hrt w/3d image congen (75573) | $2,530.45 | $2,977 | 7.0× |
| CT iac w contrast (70481) | $2,536.40 | $2,984 | 13.9× |
| CT l-spine w&w/o contrast (72133) | $3,153.50 | $3,710 | 17.3× |
| CT lower ext w/o (73700) | $2,737 | $3,220 | 25.2× |
| CT lower extremity w/contrast material (73701) | $2,983.50 | $3,510 | 16.4× |
| CT lumbar spine w contrast (72132) | $2,864.50 | $3,370 | 7.9× |
| CT lumbar spine w/o contrast (72131) | $2,670.70 | $3,142 | 24.6× |
| CT maxillofacial w contrast (70487) | $2,546.60 | $2,996 | 14.0× |
| CT maxillofacial wo contrast (70486) | $2,380 | $2,800 | 21.9× |
| CT neck tissue combo (70492) | $3,280.15 | $3,859 | 18.0× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $3,037.05 | $3,573 | 16.7× |
| CT orbits w/o contrast (70480) | $2,320.50 | $2,730 | 21.4× |
| CT pelvis w&w/o contrast (72194) | $3,250.40 | $3,824 | 17.8× |
| CT pelvis w/o contrast (72192) | $2,731.90 | $3,214 | 25.2× |
| CT scan of leg combo (73702) | $3,320.10 | $3,906 | 18.2× |
| CT scans face/jaw combo (70488) | $2,998.80 | $3,528 | 16.5× |
| CT soft tissue neck w contrast (70491) | $2,827.95 | $3,327 | 15.5× |
| CT soft tissue neck w/o contrast (70490) | $2,488.80 | $2,928 | 22.9× |
| CT thoracic spine w contrast (72129) | $2,750.60 | $3,236 | 15.1× |
| CT thoracic spine w/o contrast (72128) | $2,595.05 | $3,053 | 23.9× |
| CT thoracic spine w/wo cont (72130) | $3,269.95 | $3,847 | 18.0× |
| CT thorax w/o contrast (71250) | $2,702.15 | $3,179 | 24.9× |
| CT upper ext wo (73200) | $2,289.05 | $2,693 | 21.1× |
| CT upper extremity w/o & w/contrast material (73202) | $2,917.20 | $3,432 | 16.0× |
| CT upper extremity with contrast (73201) | $2,180.25 | $2,565 | 6.0× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $3,582.75 | $4,215 | 19.7× |
| Cta Abdomen (74175) | $3,488.40 | $4,104 | 19.2× |
| CTA pelvis (72191) | $2,619.70 | $3,082 | 14.4× |
| Dilation ureters/urethra rs&i (74485) | $1,287.75 | $1,515 | 0.6× |
| Dxa Bone Density Axial (77080) range across 3 matching MRF lines |
$71.40–$464.10 | $84–$546 | varies |
| Dxa bone density study (77085) | $176.80 | $208 | 1.6× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $255 | $300 | 2.8× |
| Echo exam uterus (76831) | $498.95 | $587 | 2.0× |
| Esophagram (74220) | $383.35 | $451 | 2.1× |
| Fetal Biophys Profile W/Nst (76818) | $483.65 | $569 | 4.5× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $515.10 | $606 | 4.7× |
| Fetal MRI w/placntl matrnl plvc img sing/1st ges (74712) | $402.90 | $474 | 1.6× |
| Fluoroscopy up to 1 hr (76000) range across 5 matching MRF lines |
$102–$568.65 | $120–$669 | varies |
| Foot 2 views (73620) range across 2 matching MRF lines |
$45.05–$291.55 | $53–$343 | varies |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$46.75–$304.30 | $55–$358 | varies |
| Gastric emptying imaging study (78264) | $2,243.15 | $2,639 | 5.4× |
| Gastroesophageal Reflux Exam (78262) | $1,082.05 | $1,273 | 2.6× |
| Gated Heart Planar Single (78472) | $2,250.80 | $2,648 | 5.4× |
| Gated Heart, Multiple (78473) | $1,689.80 | $1,988 | 4.1× |
| Hand 2 views (73120) range across 2 matching MRF lines |
$45.05–$285.60 | $53–$336 | varies |
| Hepatobil Syst Image W/Drug (78227) | $2,472.65 | $2,909 | 4.4× |
| Hepatobiliary System Imaging (78226) | $2,323.90 | $2,734 | 5.6× |
| Ht Musc Image Planar Mult (78454) | $2,936.75 | $3,455 | 2.2× |
| Ht Muscle Image Spect Sing (78451) | $1,813.90 | $2,134 | 1.3× |
| Hysterosalpingogram (74740) | $520.20 | $612 | 2.1× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $317.90 | $374 | 3.5× |
| Joint Survey Single View (77077) | $259.25 | $305 | 2.4× |
| K Flow/Funct Image Multiple (78709) | $2,397 | $2,820 | 4.3× |
| K Flow/Funct Image W/Drug (78708) | $2,110.55 | $2,483 | 3.7× |
| K Flow/Funct Image W/O Drug (78707) | $1,914.20 | $2,252 | 3.4× |
| Kidney Funcj Study Non-Img Radioisotopic Study (78725) | $549.95 | $647 | 1.3× |
| Kidney Imaging Morphol (78700) | $612.85 | $721 | 1.5× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $1,375.30 | $1,618 | 3.3× |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$62.05–$382.50 | $73–$450 | varies |
| Leveen/Shunt Patency Exam (78291) | $925.65 | $1,089 | 2.2× |
| Liver & Spleen Imaging Static Only (78215) | $888.25 | $1,045 | 2.1× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $600.10 | $706 | 1.4× |
| Liver imaging static only (78201) | $446.25 | $525 | 0.8× |
| Lung Perf&Ventilat Diferentl (78598) | $3,100.80 | $3,648 | 5.5× |
| Lung perfusion differential (78597) | $309.40 | $364 | 0.7× |
| Lung Ventilat&Perfus Imaging (78582) | $1,946.50 | $2,290 | 3.5× |
| Lung Ventilation Imaging (78579) | $836.40 | $984 | 2.0× |
| Lymph System Imaging (78195) | $1,430.55 | $1,683 | 2.5× |
| Magnetic Image Jaw Joint (70336) | $2,377.45 | $2,797 | 9.6× |
| Mammary ductogram or galactogram single (77053) | $358.70 | $422 | 1.4× |
| Meckels Divert Exam (78290) | $1,189.15 | $1,399 | 2.9× |
| Mra Head W/O & W/Contrast Material (70546) | $4,650.35 | $5,471 | 12.8× |
| MRA head w/o contrast (70544) | $4,009.45 | $4,717 | 16.2× |
| MRA head with contrast (70545) | $4,009.45 | $4,717 | 11.1× |
| MRA neck w contrast (70548) | $2,793.10 | $3,286 | 7.7× |
| Mra Neck W/O &W/Contrast Material (70549) | $3,167.10 | $3,726 | 8.7× |
| MRA neck w/o contrast (70547) | $2,198.10 | $2,586 | 8.9× |
| MRI abdomen w contrast (74182) | $3,723 | $4,380 | 10.3× |
| MRI abdomen w/o contrast (74181) | $2,952.90 | $3,474 | 11.9× |
| MRI any jt lower extrem w/contrast material (73722) | $3,233.40 | $3,804 | 4.0× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $3,677.95 | $4,327 | 10.2× |
| MRI any jt upper extremity w/contrast matrl (73222) | $3,218.10 | $3,786 | 4.0× |
| MRI cardiac w/o contrast (75557) | $1,996.65 | $2,349 | 8.1× |
| MRI cervical spine w contrast (72142) | $4,026.45 | $4,737 | 11.1× |
| MRI cervical spine w/o cont (72141) | $4,026.45 | $4,737 | 16.3× |
| MRI chest w/o contrast (71550) | $2,368.10 | $2,786 | 9.6× |
| MRI chest with contrast (71551) | $3,170.50 | $3,730 | 3.9× |
| MRI chest wo w contrast (71552) | $3,634.60 | $4,276 | 10.0× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $2,944.40 | $3,464 | 8.1× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $3,510.50 | $4,130 | 9.7× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $2,831.35 | $3,331 | 11.4× |
| MRI lumbar spine w contrast (72149) | $3,965.25 | $4,665 | 10.9× |
| Mri Neck Spine W/O & W/Dye (72156) | $4,469.30 | $5,258 | 12.3× |
| MRI orbit face &/neck w/o contrast (70540) | $2,525.35 | $2,971 | 10.2× |
| MRI orbit face neck w contrast (70542) | $3,376.20 | $3,972 | 9.3× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $3,870.90 | $4,554 | 10.7× |
| MRI pelvis w contrast (72196) | $2,638.40 | $3,104 | 7.3× |
| MRI pelvis w/o & w contrast (72197) | $4,065.55 | $4,783 | 11.2× |
| MRI pelvis w/o contrast (72195) | $3,104.20 | $3,652 | 12.5× |
| MRI thoracic spine w/o contrast (72146) | $3,894.70 | $4,582 | 15.7× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $2,110.55 | $2,483 | 5.8× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $2,051.05 | $2,413 | 8.3× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $3,272.50 | $3,850 | 9.0× |
| MRI, abdomen, combo (74183) | $4,279.75 | $5,035 | 11.8× |
| MRI, dorsal spine combo (72157) | $4,323.10 | $5,086 | 11.9× |
| MRI, dorsal spine contrast (72147) | $4,089.35 | $4,811 | 11.3× |
| MRI, joint upper extrem (73221) | $2,952.05 | $3,473 | 11.9× |
| MRI, joint upper extrem combo (73223) | $3,660.95 | $4,307 | 10.1× |
| MRI, lumbar spine combo (72158) | $4,401.30 | $5,178 | 12.1× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) | $2,840.70 | $3,342 | 2.1× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $1,079.50 | $1,270 | 0.8× |
| Myocardial Spect Multiple Studies (78452) range across 2 matching MRF lines |
$185.30–$4,318.85 | $218–$5,081 | varies |
| Myocrd Img Pet Metab Eval Single Study Cncrnt CT (78429) | $1,858.95 | $2,187 | 1.3× |
| Neck soft tissue (70360) | $289.85 | $341 | 3.2× |
| Nm csf leak detection (78650) | $768.40 | $904 | 0.6× |
| Nm whole blood volume (78122) | $655.35 | $771 | 1.2× |
| Nonvascular Shunt X-Ray (75809) | $520.20 | $612 | 4.8× |
| Nuclear Rx Intra-Arterial (79445) | $1,951.60 | $2,296 | 8.1× |
| Nuclear Rx Oral Admin (79005) | $1,763.75 | $2,075 | 7.3× |
| Ob us nuchal meas 1 gest (76813) | $383.35 | $451 | 3.5× |
| Optic foramina (70190) | $233.75 | $275 | 2.6× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $399.50 | $470 | 0.7× |
| Parathyroid Planar Imaging (78070) | $1,126.25 | $1,325 | 2.7× |
| Parathyroid planar imaging w/wo subtraction (78071) | $495.55 | $583 | 1.2× |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$56.95–$326.40 | $67–$384 | varies |
| Pet Image W/Ct Lmtd (78814) | $4,556.85 | $5,361 | 3.1× |
| PET image w/CT, full body (78816) | $5,767.25 | $6,785 | 3.9× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $5,767.25 | $6,785 | 3.9× |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,042.95 | $1,227 | 2.5× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $394.40 | $464 | 3.6× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $747.15 | $879 | 1.3× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$56.10–$373.15 | $66–$439 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$46.75–$262.65 | $55–$309 | varies |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$56.10–$341.70 | $66–$402 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $272 | $320 | 2.5× |
| Radex fingr minimum 2 views (73140) range across 2 matching MRF lines |
$54.40–$208.25 | $64–$245 | varies |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$50.15–$359.55 | $59–$423 | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$52.70–$348.50 | $62–$410 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 2 matching MRF lines |
$48.45–$237.15 | $57–$279 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $363.80 | $428 | 3.4× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $286.45 | $337 | 3.2× |
| Radex Ribs Unilateral 2 Views (71100) range across 2 matching MRF lines |
$57.80–$389.30 | $68–$458 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$50.15–$334.90 | $59–$394 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $185.30 | $218 | 2.1× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $520.20 | $612 | 2.9× |
| Radex Spine 1 View Specify Level (72020) range across 2 matching MRF lines |
$34–$291.55 | $40–$343 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$51.85–$228.65 | $61–$269 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $278.80 | $328 | 3.1× |
| Radex Toe Minimum 2 Views (73660) range across 3 matching MRF lines |
$50.15–$249.05 | $59–$293 | varies |
| Radex upper extremity infant minimum 2 views (73092) | $187.85 | $221 | 1.7× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$63.75–$348.50 | $75–$410 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $288.15 | $339 | 2.7× |
| Radiolog exam mandible compl minimum 4 views (70110) | $416.50 | $490 | 3.8× |
| Radiologic exam colon double contrast study (74280) | $619.65 | $729 | 3.4× |
| Radiologic exam colon single contrast study (74270) | $373.15 | $439 | 2.0× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $258.40 | $304 | 1.4× |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$70.55–$459.85 | $83–$541 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $385.05 | $453 | 3.5× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $332.35 | $391 | 1.8× |
| Radiologic exam swallow function contrast study (74230) | $591.60 | $696 | 3.2× |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$484.50–$536.35 | $570–$631 | varies |
| Radiologic examination femur 1 view (73551) | $115.60 | $136 | 1.3× |
| Radiologic examination femur minimum 2 views (73552) | $115.60 | $136 | 1.3× |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$53.55–$251.60 | $63–$296 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $535.50 | $630 | 4.9× |
| Radiologic Examination Salivary Gland Calculus (70380) | $228.65 | $269 | 2.5× |
| Radiologic examination tibia & fibula 2 views (73590) range across 2 matching MRF lines |
$49.30–$230.35 | $58–$271 | varies |
| Ribs bilateral 3 views (71110) | $380.80 | $448 | 3.5× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $763.30 | $898 | 1.8× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $1,537.65 | $1,809 | 3.7× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $1,764.60 | $2,076 | 3.1× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $1,764.60 | $2,076 | 3.1× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 5 matching MRF lines |
$1,375.30–$2,602.70 | $1,618–$3,062 | varies |
| Rp Therapy Intravenous Administration (79101) | $1,835.15 | $2,159 | 7.6× |
| Scapula (73010) | $256.70 | $302 | 2.4× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $114.75 | $135 | 4.9× |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$39.95–$314.50 | $47–$370 | varies |
| Shoulder Arthrography (73040) | $563.55 | $663 | 1.6× |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$62.90–$337.45 | $74–$397 | varies |
| Speech evaluation, complex (70371) | $476.85 | $561 | 1.9× |
| Sternoclavicular joints (71130) | $249.05 | $293 | 2.8× |
| Testicular Imaging W/Flow (78761) | $1,220.60 | $1,436 | 2.9× |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$59.50–$400.35 | $70–$471 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$60.35–$408 | $71–$480 | varies |
| Thoracolumbar 2 views (72080) | $328.95 | $387 | 3.6× |
| Thyroid Carcinoma Metastases Img Lmtd Area (78015) | $742.05 | $873 | 1.8× |
| Thyroid Imaging With Vascular Flow (78013) | $583.10 | $686 | 1.4× |
| Thyroid Met Imaging Body (78018) | $1,908.25 | $2,245 | 3.4× |
| Thyroid Uptake Measurement (78012) | $795.60 | $936 | 1.9× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,308.15 | $1,539 | 3.2× |
| Ultrasound Breast Limited (76642) | $181.90 | $214 | 2.0× |
| Ultrasound Exam Aaa Screen (76706) | $199.75 | $235 | 1.8× |
| Ultrasound, abdomen limited (76705) | $517.65 | $609 | 4.8× |
| Umbilical-artery Doppler (OB) (76820) | $300.90 | $354 | 2.8× |
| Unlisted us procedure (76999) | $272 | $320 | 3.0× |
| Upper gi w/o kub (74240) range across 2 matching MRF lines |
$427.55–$640.05 | $503–$753 | varies |
| Urethrocystogram voiding (74455) | $425.85 | $501 | 1.7× |
| Urethrocystography retrograde (74450) | $510 | $600 | 2.1× |
| Us breast unilateral complete (76641) | $181.90 | $214 | 1.7× |
| Us chest (76604) | $467.50 | $550 | 4.3× |
| Us complete joint (76881) | $680.85 | $801 | 6.3× |
| Us exam, pelvic, limited (76857) | $519.35 | $611 | 4.8× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $607.75 | $715 | 5.6× |
| Us ob detailed single fetus (76811) | $1,256.30 | $1,478 | 5.1× |
| Us ob limited 1 or more fetuses (76815) | $447.10 | $526 | 4.1× |
| Us ob transvaginal (76817) | $687.65 | $809 | 6.3× |
| Us pelvic non ob complete (76856) | $837.25 | $985 | 7.7× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $1,106.70 | $1,302 | 10.2× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $309.40 | $364 | 2.9× |
| Us retroperitoneal complete (76770) | $837.25 | $985 | 7.7× |
| Us retroperitoneal limited (76775) | $628.15 | $739 | 5.8× |
| Us scrotum and contents (76870) | $523.60 | $616 | 4.8× |
| Us spinal canal and contents (76800) | $1,382.95 | $1,627 | 12.7× |
| Us thyroid (76536) | $606.05 | $713 | 5.6× |
| Us transrectal (76872) range across 2 matching MRF lines |
$79.05–$1,140.70 | $93–$1,342 | varies |
| Vascular Flow Imaging (78445) | $822.80 | $968 | 2.0× |
| Venography extremity bilateral rs&i (75822) | $1,383.80 | $1,628 | 0.8× |
| Venography extremity unilateral rs&i (75820) | $1,003.85 | $1,181 | 0.6× |
| Venous thrombosis imaging (78457) | $883.15 | $1,039 | 1.6× |
| Venous Thrombosis Imaging Venogram Bilateral (78458) | $1,246.10 | $1,466 | 3.0× |
| Vertebral fracture assessment via dxa (77086) | $383.35 | $451 | 4.2× |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$51.85–$292.40 | $61–$344 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$62.05–$229.50 | $73–$270 | varies |
| X-ray antegrade pyelogram tube (74425) | $1,161.95 | $1,367 | 3.2× |
| X-Ray Aorta Leg Arteries (75630) | $2,835.60 | $3,336 | 0.9× |
| X-Ray Bend Only L-S Spine (72120) | $1,317.50 | $1,550 | 12.1× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$46.75–$302.60 | $55–$356 | varies |
| X-Ray Exam Breast Specimen (76098) | $150.45 | $177 | 0.3× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $94.35 | $111 | 1.0× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $497.25 | $585 | 4.6× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $288.15 | $339 | 2.7× |
| X-Ray Exam Hip Uni 1 View (73501) | $271.15 | $319 | 3.0× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $115.60 | $136 | 1.3× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $192.95 | $227 | 1.8× |
| X-Ray Exam Hips Bi 2 Views (73521) | $192.95 | $227 | 1.8× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $192.95 | $227 | 1.8× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $364.65 | $429 | 3.4× |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$73.10–$1,055.70 | $86–$1,242 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$61.20–$371.45 | $72–$437 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$97.75–$430.95 | $115–$507 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) | $442.85 | $521 | 4.1× |
| X-ray eye for foreign body (70030) | $175.95 | $207 | 1.9× |
| X-ray humerus (73060) range across 2 matching MRF lines |
$51.85–$330.65 | $61–$389 | varies |
| X-ray IV pyelogram (ivp) (74400) | $640.05 | $753 | 3.5× |
| X-ray IV pyelogram+tomography (74415) | $649.40 | $764 | 3.6× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $210.80 | $248 | 2.3× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $282.20 | $332 | 3.1× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$63.75–$429.25 | $75–$505 | varies |
| X-ray nose-rectum child f.b. (76010) | $368.05 | $433 | 4.1× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $566.10 | $666 | 5.2× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $340.85 | $401 | 3.1× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) range across 2 matching MRF lines |
$49.30–$338.30 | $58–$398 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $260.10 | $306 | 2.9× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$65.45–$349.35 | $77–$411 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $415.65 | $489 | 3.8× |
| X-Ray Stress View (77071) | $85.85 | $101 | 0.9× |
| X-ray thoracic spine 4 vw (72074) | $464.10 | $546 | 4.3× |
| X-Ray Tmj Unilat (70328) | $207.40 | $244 | 2.3× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $708.90 | $834 | 2.0× |
| X-Rays Bone Length Studies (77073) | $198.90 | $234 | 1.8× |
| X-Rays Bone Survey Complete (77075) | $383.35 | $451 | 3.5× |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$79.05–$520.20 | $93–$612 | varies |
| Xr facial bones less than 3 views (70140) | $188.70 | $222 | 2.1× |
| XR Mastoids < 3 Views Bilateral (70120) | $236.30 | $278 | 2.2× |
| Xr orbits complete 4 views (70200) | $302.60 | $356 | 2.8× |
| Xr Tomogram Single Plane (76100) | $415.65 | $489 | 3.8× |
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.