Imaging prices at CHI St. Alexius Health Williston (Williston, ND)

313 codes. Prices are the hospital's own posted facility charges.

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Procedure	Posted cash	Posted gross	× Medicare
3-D radiotherapy plan dose-volume histograms (77295) range across 2 matching MRF lines	$378.74–$3,162.74	$653–$5,453	varies
Abdomen 1 View (74018) range across 2 matching MRF lines	$23.78–$129.34	$41–$223	varies
Abdomen 2 views (74019) range across 2 matching MRF lines	$34.22–$149.64	$59–$258	varies
Acute Gastrointestinal Blood Loss Imaging (78278) range across 2 matching MRF lines	$115.42–$904.80	$199–$1,560	varies
Ankle 2 views (73600) range across 2 matching MRF lines	$22.04–$138.04	$38–$238	varies
Arthrogram ankle (73615) range across 2 matching MRF lines	$64.96–$422.82	$112–$729	varies
Arthrogram hip (73525) range across 2 matching MRF lines	$64.96–$403.10	$112–$695	varies
Arthrogram Wrist (73115) range across 2 matching MRF lines	$64.96–$320.74	$112–$553	varies
Basic radiation dosimetry calculation (77300) range across 2 matching MRF lines	$55.10–$204.16	$95–$352	varies
Bone age studies (77072) range across 2 matching MRF lines	$24.94–$114.26	$43–$197	varies
Bone Imaging 3 Phase (78315) range across 2 matching MRF lines	$118.90–$969.18	$205–$1,671	varies
Bone Imaging Limited Area (78300) range across 2 matching MRF lines	$73.66–$513.88	$127–$886	varies
Bone Imaging Multiple Areas (78305) range across 2 matching MRF lines	$97.44–$726.74	$168–$1,253	varies
Bone Imaging Whole Body (78306) range across 2 matching MRF lines	$100.92–$969.18	$174–$1,671	varies
Bone survey infant (77076) range across 2 matching MRF lines	$82.36–$238.38	$142–$411	varies
Brain Imaging Pet Metabolic Evaluation (78608) range across 2 matching MRF lines	$174–$3,625	$300–$6,250	varies
Cat Scan Follow-Up Study (76380) range across 2 matching MRF lines	$114.84–$556.80	$198–$960	varies
Chest 1 view (71045) range across 4 matching MRF lines	$15.66–$116	$27–$200	varies
Chest 2 views (71046) range across 2 matching MRF lines	$27.26–$150.80	$47–$260	varies
Chest 3 views (71047) range across 2 matching MRF lines	$34.22–$178.64	$59–$308	varies
Chest 4 or more views (71048) range across 2 matching MRF lines	$37.70–$192.56	$65–$332	varies
Clavicle complete (73000) range across 4 matching MRF lines	$22.04–$154.86	$38–$267	varies
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 3 matching MRF lines	$83.52–$656.56	$144–$1,132	varies
Continuing medical physics consltj pr wk (77336)	$342.78	$591	2.5×
Contrast X-Ray Bladder (74430) range across 2 matching MRF lines	$38.86–$224.46	$67–$387	varies
Contrast X-Ray Of Elbow (73085) range across 3 matching MRF lines	$64.96–$422.82	$112–$729	varies
Contrast X-Ray Of Knee Joint (73580) range across 2 matching MRF lines	$64.96–$527.22	$112–$909	varies
Contrast Xray Throat/Cerv Esopha (74210) range across 2 matching MRF lines	$43.50–$252.88	$75–$436	varies
CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines	$232–$3,176.08	$400–$5,476	varies
CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines	$201.84–$2,158.76	$348–$3,722	varies
CT abdomen w contrast (74160) range across 2 matching MRF lines	$147.90–$1,325.30	$255–$2,285	varies
CT abdomen w wo contrast (74170) range across 2 matching MRF lines	$162.40–$1,670.40	$280–$2,880	varies
CT abdomen w/o contrast (74150)	$1,113.60	$1,920	10.4×
CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines	$185.02–$1,709.84	$319–$2,948	varies
CT Angio Chest (71275) range across 2 matching MRF lines	$221.56–$1,788.14	$382–$3,083	varies
CT Angio Head (70496) range across 2 matching MRF lines	$202.42–$1,872.24	$349–$3,228	varies
CT angio hrt w/3d image (75574) range across 2 matching MRF lines	$225.04–$1,886.16	$388–$3,252	varies
Ct Angio Lwr Extr W/O&W/Dye (73706) range across 3 matching MRF lines	$219.82–$1,861.22	$379–$3,209	varies
CT Angio Neck (70498) range across 2 matching MRF lines	$202.42–$1,878.62	$349–$3,239	varies
Ct Angio Upr Extrm W/O&W/Dye (73206) range across 2 matching MRF lines	$209.96–$1,351.40	$362–$2,330	varies
CT cervical spine w/ contrast (72126) range across 2 matching MRF lines	$103.82–$1,340.38	$179–$2,311	varies
CT cervical spine w/o contrast (72125) range across 2 matching MRF lines	$124.70–$1,055.60	$215–$1,820	varies
CT cervical spine w/wo cont (72127) range across 2 matching MRF lines	$103.82–$1,086.92	$179–$1,874	varies
CT chest w contrast (71260) range across 2 matching MRF lines	$145–$1,262.08	$250–$2,176	varies
CT chest w/wo contrast (71270) range across 2 matching MRF lines	$160.08–$1,666.34	$276–$2,873	varies
CT head/brain with contrast (70460) range across 2 matching MRF lines	$131.66–$1,066.04	$227–$1,838	varies
CT head/brain without and with contrast (70470) range across 2 matching MRF lines	$147.90–$1,323.56	$255–$2,282	varies
CT heart contrast eval cardiac structure&morph (75572)	$1,245.26	$2,147	3.5×
CT heart no contrast quant eval coronry calcium (75571) range across 2 matching MRF lines	$50.46–$452.98	$87–$781	varies
CT hrt w/3d image congen (75573)	$1,659.96	$2,862	4.7×
CT iac w contrast (70481) range across 2 matching MRF lines	$160.08–$1,055.60	$276–$1,820	varies
CT l-spine w&w/o contrast (72133) range across 2 matching MRF lines	$147.90–$1,670.40	$255–$2,880	varies
CT lower ext w/o (73700) range across 7 matching MRF lines	$116.58–$1,827.58	$201–$3,151	varies
CT lower extremity w/contrast material (73701) range across 4 matching MRF lines	$135.72–$2,359.44	$234–$4,068	varies
CT lumbar spine w contrast (72132) range across 2 matching MRF lines	$142.68–$1,457.54	$246–$2,513	varies
CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines	$116.58–$1,064.30	$201–$1,835	varies
CT maxillofacial w contrast (70487) range across 2 matching MRF lines	$150.80–$1,048.64	$260–$1,808	varies
CT maxillofacial wo contrast (70486) range across 2 matching MRF lines	$132.82–$888.56	$229–$1,532	varies
CT neck tissue combo (70492) range across 2 matching MRF lines	$168.78–$1,327.62	$291–$2,289	varies
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 2 matching MRF lines	$168.78–$1,466.24	$291–$2,528	varies
CT orbits w/o contrast (70480) range across 2 matching MRF lines	$168.78–$1,466.24	$291–$2,528	varies
CT pelvis w&w/o contrast (72194) range across 2 matching MRF lines	$142.68–$1,596.74	$246–$2,753	varies
CT pelvis w/o contrast (72192) range across 2 matching MRF lines	$127.02–$1,108.96	$219–$1,912	varies
CT scan of leg combo (73702) range across 4 matching MRF lines	$142.68–$2,993.38	$246–$5,161	varies
CT scans face/jaw combo (70488) range across 2 matching MRF lines	$165.30–$1,261.50	$285–$2,175	varies
CT soft tissue neck w contrast (70491) range across 2 matching MRF lines	$160.08–$1,061.98	$276–$1,831	varies
CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines	$148.48–$934.96	$256–$1,612	varies
CT thoracic spine w contrast (72129) range across 2 matching MRF lines	$142.68–$1,224.38	$246–$2,111	varies
CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines	$116.58–$1,055.60	$201–$1,820	varies
CT thoracic spine w/wo cont (72130) range across 2 matching MRF lines	$103.82–$1,097.94	$179–$1,893	varies
CT thorax w/o contrast (71250)	$1,060.24	$1,828	9.9×
CT upper ext wo (73200) range across 2 matching MRF lines	$116.58–$1,212.78	$201–$2,091	varies
CT upper extremity w/o & w/contrast material (73202) range across 2 matching MRF lines	$142.68–$1,394.90	$246–$2,405	varies
CT upper extremity with contrast (73201) range across 2 matching MRF lines	$135.72–$1,067.20	$234–$1,840	varies
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines	$276.66–$2,198.78	$477–$3,791	varies
Cta Abdomen (74175) range across 2 matching MRF lines	$219.82–$1,709.84	$379–$2,948	varies
CTA pelvis (72191) range across 2 matching MRF lines	$209.96–$2,170.36	$362–$3,742	varies
Dacryocystography, nasolacrimal duct, radiological supervision and interpretation Non-Facility (70170) range across 2 matching MRF lines	$37.12–$215.76	$64–$372	varies
Dilation ureters/urethra rs&i (74485) range across 2 matching MRF lines	$64.96–$466.90	$112–$805	varies
Doppler Fetal Mid Cerebral Artery (76821) range across 2 matching MRF lines	$82.36–$214.60	$142–$370	varies
Dxa Bone Density Axial (77080) range across 2 matching MRF lines	$25.52–$425.72	$44–$734	varies
Dxa bone density study 1/>sites appendiclr skel (77081) range across 2 matching MRF lines	$27.26–$85.26	$47–$147	varies
Echo exam of fetal heart (76825)	$415.28	$716	0.7×
Echo exam uterus (76831) range across 2 matching MRF lines	$84.68–$386.86	$146–$667	varies
Echo Guide For Artery Repair (76936) range across 2 matching MRF lines	$230.26–$1,092.72	$397–$1,884	varies
Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826)	$268.54	$463	1.1×
Esophagram (74220) range across 2 matching MRF lines	$55.10–$291.16	$95–$502	varies
Fetal Biophys Profile W/Nst (76818) range across 2 matching MRF lines	$122.38–$279.56	$211–$482	varies
Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 3 matching MRF lines	$91.06–$310.88	$157–$536	varies
Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines	$23.20–$301.60	$40–$520	varies
Foot 2 views (73620) range across 2 matching MRF lines	$22.04–$129.92	$38–$224	varies
Forearm 2 views (73090) range across 3 matching MRF lines	$22.04–$156.02	$38–$269	varies
Gastric emptying imaging study (78264) range across 2 matching MRF lines	$93.38–$856.08	$161–$1,476	varies
Gastroesophageal Reflux Exam (78262) range across 2 matching MRF lines	$79.46–$661.20	$137–$1,140	varies
Gated Heart Planar Single (78472) range across 2 matching MRF lines	$114.84–$920.46	$198–$1,587	varies
Hand 2 views (73120) range across 2 matching MRF lines	$22.04–$121.22	$38–$209	varies
Hepatobil Syst Image W/Drug (78227) range across 2 matching MRF lines	$106.14–$1,411.72	$183–$2,434	varies
Hepatobiliary System Imaging (78226) range across 2 matching MRF lines	$87.58–$1,073	$151–$1,850	varies
Ht Musc Image Planar Mult (78454) range across 2 matching MRF lines	$154.86–$1,469.72	$267–$2,534	varies
Ht Muscle Image Spect Sing (78451) range across 2 matching MRF lines	$160.08–$1,270.20	$276–$2,190	varies
Hysterosalpingogram (74740) range across 2 matching MRF lines	$45.82–$422.82	$79–$729	varies
Image fusion (77399)	$386.28	$666	2.8×
Infant hip ultrasound with hip movement (dynamic) (76885) range across 2 matching MRF lines	$87.58–$338.14	$151–$583	varies
Infant hip ultrasound, limited static exam (76886) range across 2 matching MRF lines	$73.66–$258.68	$127–$446	varies
Infusion Ivp (74410)	$58	$100	0.3×
K Flow/Funct Image Multiple (78709) range across 2 matching MRF lines	$164.14–$1,222.06	$283–$2,107	varies
K Flow/Funct Image W/Drug (78708) range across 2 matching MRF lines	$140.36–$847.38	$242–$1,461	varies
K Flow/Funct Image W/O Drug (78707) range across 2 matching MRF lines	$111.94–$684.40	$193–$1,180	varies
Kidney Imaging Morphoogy W/Vascular Flow (78701) range across 2 matching MRF lines	$58–$806.78	$100–$1,391	varies
Knee 3 Views (73562) range across 2 matching MRF lines	$23.78–$156.60	$41–$270	varies
Liver & Spleen Imaging Static Only (78215) range across 2 matching MRF lines	$58–$607.84	$100–$1,048	varies
Lung Perf&Ventilat Diferentl (78598) range across 2 matching MRF lines	$100.34–$1,084.60	$173–$1,870	varies
Lung Ventilat&Perfus Imaging (78582) range across 2 matching MRF lines	$124.70–$935.54	$215–$1,613	varies
Lung Ventilation Imaging (78579) range across 2 matching MRF lines	$58–$586.38	$100–$1,011	varies
Lymph System Imaging (78195) range across 2 matching MRF lines	$139.20–$890.88	$240–$1,536	varies
Magnetic Image Jaw Joint (70336)	$171.68	$296	0.7×
Mammary ductogram or galactogram single (77053) range across 2 matching MRF lines	$43.50–$527.22	$75–$909	varies
Meckels Divert Exam (78290) range across 2 matching MRF lines	$79.46–$885.66	$137–$1,527	varies
Mlc imrt design & construction per imrt plan (77338) range across 2 matching MRF lines	$378.74–$871.16	$653–$1,502	varies
Mra Head W/O & W/Contrast Material (70546) range across 2 matching MRF lines	$208.80–$2,828.66	$360–$4,877	varies
MRA head w/o contrast (70544) range across 2 matching MRF lines	$139.20–$1,704.04	$240–$2,938	varies
MRA head with contrast (70545) range across 2 matching MRF lines	$139.20–$1,686.64	$240–$2,908	varies
MRA neck w contrast (70548) range across 2 matching MRF lines	$139.20–$1,783.50	$240–$3,075	varies
Mra Neck W/O &W/Contrast Material (70549) range across 2 matching MRF lines	$208.80–$2,830.98	$360–$4,881	varies
MRA neck w/o contrast (70547) range across 2 matching MRF lines	$139.20–$1,698.82	$240–$2,929	varies
MRI abdomen w contrast (74182) range across 2 matching MRF lines	$200.10–$2,006.22	$345–$3,459	varies
MRI abdomen w/o contrast (74181) range across 2 matching MRF lines	$169.36–$1,909.36	$292–$3,292	varies
MRI any jt lower extrem w/contrast material (73722) range across 4 matching MRF lines	$188.50–$4,119.16	$325–$7,102	varies
MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 4 matching MRF lines	$248.24–$4,975.24	$428–$8,578	varies
MRI any jt upper extremity w/contrast matrl (73222) range across 2 matching MRF lines	$188.50–$1,787.56	$325–$3,082	varies
MRI cervical spine w contrast (72142) range across 2 matching MRF lines	$221.56–$1,901.24	$382–$3,278	varies
MRI cervical spine w/o cont (72141) range across 2 matching MRF lines	$186.18–$1,545.70	$321–$2,665	varies
MRI chest w/o contrast (71550)	$1,686.64	$2,908	6.9×
MRI chest with contrast (71551) range across 2 matching MRF lines	$200.10–$1,922.70	$345–$3,315	varies
MRI chest wo w contrast (71552) range across 2 matching MRF lines	$261–$3,035.14	$450–$5,233	varies
MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 2 matching MRF lines	$188.50–$1,845.56	$325–$3,182	varies
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 2 matching MRF lines	$248.24–$3,230.02	$428–$5,569	varies
MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines	$157.18–$1,647.78	$271–$2,841	varies
MRI lumbar spine w contrast (72149) range across 2 matching MRF lines	$206.48–$1,890.22	$356–$3,259	varies
Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines	$296.96–$3,292.08	$512–$5,676	varies
MRI orbit face &/neck w/o contrast (70540) range across 2 matching MRF lines	$157.18–$1,637.34	$271–$2,823	varies
MRI orbit face neck w contrast (70542) range across 2 matching MRF lines	$188.50–$1,829.90	$325–$3,155	varies
Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 2 matching MRF lines	$248.24–$3,209.72	$428–$5,534	varies
MRI pelvis w contrast (72196) range across 2 matching MRF lines	$200.10–$1,881.52	$345–$3,244	varies
MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines	$261–$3,234.66	$450–$5,577	varies
MRI pelvis w/o contrast (72195) range across 2 matching MRF lines	$169.36–$1,650.10	$292–$2,845	varies
MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines	$186.18–$1,632.70	$321–$2,815	varies
MRI upper extremity oth than jt w/contr matrl (73219) range across 2 matching MRF lines	$188.50–$1,972.58	$325–$3,401	varies
MRI upper extremity oth than jt w/o contr matrl (73218) range across 2 matching MRF lines	$157.18–$1,761.46	$271–$3,037	varies
Mri Uppr Extremity W/O&W/Dye (73220) range across 2 matching MRF lines	$248.24–$3,381.98	$428–$5,831	varies
MRI, abdomen, combo (74183) range across 2 matching MRF lines	$261–$3,235.82	$450–$5,579	varies
MRI, dorsal spine combo (72157) range across 2 matching MRF lines	$296.96–$3,264.82	$512–$5,629	varies
MRI, dorsal spine contrast (72147) range across 2 matching MRF lines	$221.56–$1,763.20	$382–$3,040	varies
MRI, joint upper extrem (73221) range across 2 matching MRF lines	$157.18–$1,595.58	$271–$2,751	varies
MRI, joint upper extrem combo (73223) range across 2 matching MRF lines	$248.24–$3,494.50	$428–$6,025	varies
MRI, lumbar spine combo (72158) range across 2 matching MRF lines	$272.60–$3,287.44	$470–$5,668	varies
Myelogram cervical (72240) range across 2 matching MRF lines	$107.30–$906.54	$185–$1,563	varies
Myelogram Lumbar (72265) range across 2 matching MRF lines	$97.44–$1,162.32	$168–$2,004	varies
Myocardial Spect Multiple Studies (78452) range across 2 matching MRF lines	$188.50–$1,814.24	$325–$3,128	varies
Neck soft tissue (70360) range across 2 matching MRF lines	$23.20–$176.90	$40–$305	varies
Ntsty modul radthx pln dose-vol histos (77301) range across 2 matching MRF lines	$705.86–$5,570.32	$1,217–$9,604	varies
Nuclear Rx Oral Admin (79005) range across 2 matching MRF lines	$208.80–$312.04	$360–$538	varies
Ob us nuchal meas 1 gest (76813)	$242.44	$418	2.3×
Oph US Dx B-Scan&Quan a-Scan Sm Pt Enctr (76510)	$426.88	$736	3.1×
Optic foramina (70190) range across 2 matching MRF lines	$26.68–$132.82	$46–$229	varies
Parathyroid Planar Imaging (78070) range across 2 matching MRF lines	$95.70–$569.56	$165–$982	varies
Pelvis 1 or 2 views (72170) range across 2 matching MRF lines	$23.20–$131.66	$40–$227	varies
Pet Image W/Ct Lmtd (78814) range across 2 matching MRF lines	$254.62–$3,749.12	$439–$6,464	varies
PET image w/CT, full body (78816) range across 2 matching MRF lines	$288.26–$4,123.80	$497–$7,110	varies
PET imaging CT attenuation skull base mid-thigh (78815) range across 2 matching MRF lines	$282.46–$3,749.12	$487–$6,464	varies
Pulmonary Perfusion Imaging Particulate (78580) range across 2 matching MRF lines	$87.58–$904.80	$151–$1,560	varies
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines	$38.86–$211.70	$67–$365	varies
Radex abscess/fistula/sinus tract rs&i (76080) range across 2 matching MRF lines	$64.96–$243.60	$112–$420	varies
Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines	$23.20–$148.48	$40–$256	varies
Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines	$23.20–$157.18	$40–$271	varies
Radex Facial Bones Complete Minimum 3 Views (70150)	$179.22	$309	1.7×
Radex fingr minimum 2 views (73140) range across 2 matching MRF lines	$17.40–$111.94	$30–$193	varies
Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines	$23.20–$139.78	$40–$241	varies
Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines	$23.20–$139.78	$40–$241	varies
Radex lower extremity infant minimum 2 views (73592) range across 2 matching MRF lines	$22.04–$124.12	$38–$214	varies
Radex Mastoids Compl Minimum 3 Views PR Side (70130) range across 2 matching MRF lines	$24.94–$186.18	$43–$321	varies
Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines	$23.20–$143.84	$40–$248	varies
Radex Pharynx/Larx W/Fluor&/Magnification Tq (70370)	$38.86	$67	0.4×
Radex Ribs Unilateral 2 Views (71100) range across 2 matching MRF lines	$27.26–$152.54	$47–$263	varies
Radex shoulder complete minimum 2 views (73030) range across 4 matching MRF lines	$59.74–$172.84	$103–$298	varies
Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines	$15.66–$92.80	$27–$160	varies
Radex Spine 1 View Specify Level (72020) range across 2 matching MRF lines	$20.88–$106.14	$36–$183	varies
Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines	$25.52–$132.82	$44–$229	varies
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines	$29–$172.26	$50–$297	varies
Radex Toe Minimum 2 Views (73660) range across 2 matching MRF lines	$17.40–$107.30	$30–$185	varies
Radex upper extremity infant minimum 2 views (73092) range across 3 matching MRF lines	$22.04–$273.76	$38–$472	varies
Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines	$23.20–$135.72	$40–$234	varies
Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) range across 2 matching MRF lines	$35.96–$233.74	$62–$403	varies
Radiation treatment delivery level 1 (77402)	$368.30	$635	3.5×
Radiation treatment delivery level 2 (77407)	$510.40	$880	1.3×
Radiation treatment delivery level 3 (77412)	$758.06	$1,307	1.3×
Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines	$30.74–$309.14	$53–$533	varies
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 2 matching MRF lines	$38.86–$211.70	$67–$365	varies
Radiologic exam colon double contrast study (74280) range across 2 matching MRF lines	$115.42–$533.60	$199–$920	varies
Radiologic exam colon single contrast study (74270) range across 2 matching MRF lines	$81.78–$386.86	$141–$667	varies
Radiologic exam knee complete 4/more views (73564) range across 4 matching MRF lines	$27.26–$259.84	$47–$448	varies
Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines	$26.68–$178.64	$46–$308	varies
Radiologic Exam Small Int Single Contrast Study (74250)	$303.92	$524	1.7×
Radiologic exam swallow function contrast study (74230) range across 2 matching MRF lines	$63.22–$354.96	$109–$612	varies
Radiologic exam upr gi trc double contrast study (74246) range across 3 matching MRF lines	$81.78–$387.44	$141–$668	varies
Radiologic examination femur 1 view (73551) range across 4 matching MRF lines	$14.50–$78.30	$25–$135	varies
Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines	$17.40–$71.92	$30–$124	varies
Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines	$23.20–$133.40	$40–$230	varies
Radiologic Examination Salivary Gland Calculus (70380) range across 2 matching MRF lines	$23.20–$143.84	$40–$248	varies
Radiologic examination tibia & fibula 2 views (73590) range across 4 matching MRF lines	$23.20–$164.14	$40–$283	varies
Radiologic examination, teeth; single view Non-Facility (70300) range across 2 matching MRF lines	$12.76–$53.94	$22–$93	varies
Renal Cyst Study (74470) range across 2 matching MRF lines	$64.96–$254.04	$112–$438	varies
Ribs bilateral 3 views (71110) range across 4 matching MRF lines	$29–$201.84	$50–$348	varies
Rp loclzj tum plnr 1 area single day imaging (78800) range across 2 matching MRF lines	$56.84–$522	$98–$900	varies
Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 4 matching MRF lines	$98.02–$1,045.74	$169–$1,803	varies
Scapula (73010) range across 2 matching MRF lines	$23.20–$156.60	$40–$270	varies
Screening Digital Breast Tomosynthesis Bi (77063) range across 2 matching MRF lines	$104.40–$116.58	$180–$201	varies
Shoulder 1 view (73020) range across 4 matching MRF lines	$20.88–$135.72	$36–$234	varies
Shoulder Arthrography (73040) range across 2 matching MRF lines	$64.96–$422.82	$112–$729	varies
Sialogram (70390) range across 2 matching MRF lines	$45.82–$360.18	$79–$621	varies
Skull less than 4 views (70250)	$168.20	$290	1.6×
Special dosimetry (77331) range across 2 matching MRF lines	$77.14–$240.70	$133–$415	varies
Special Physics Consult (77370)	$435	$750	3.2×
Special teletherapy port plan (77321) range across 2 matching MRF lines	$84.10–$497.06	$145–$857	varies
Special treatment procedure (77470) range across 2 matching MRF lines	$179.80–$1,334	$310–$2,300	varies
Sternoclavicular joints (71130) range across 2 matching MRF lines	$27.26–$143.84	$47–$248	varies
Telethx isodose pln cplx w/basic dosimetry (77307) range across 2 matching MRF lines	$256.36–$1,383.88	$442–$2,386	varies
Telethx isodose pln smpl w/dosimetry calculation (77306)	$653.66	$1,127	1.7×
Testicular Imaging W/Flow (78761) range across 2 matching MRF lines	$84.10–$658.30	$145–$1,135	varies
Ther Rad Simulaj-Aided Field Setting Complex (77290) range across 2 matching MRF lines	$138.04–$1,401.86	$238–$2,417	varies
Ther Rad Simulaj-Aided Field Setting Intermed (77285)	$911.18	$1,571	2.4×
Ther rad simulaj-aided field setting simple (77280) range across 2 matching MRF lines	$62.64–$701.22	$108–$1,209	varies
Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) range across 2 matching MRF lines	$232.58–$539.98	$401–$931	varies
Thoracic spine 2 views (72070) range across 2 matching MRF lines	$27.26–$156.60	$47–$270	varies
Thoracic spine 3 views (72072) range across 2 matching MRF lines	$27.26–$178.06	$47–$307	varies
Thoracolumbar 2 views (72080) range across 2 matching MRF lines	$27.26–$154.28	$47–$266	varies
Thyroid Imaging With Vascular Flow (78013) range across 2 matching MRF lines	$30.16–$433.84	$52–$748	varies
Thyroid Met Imaging Body (78018) range across 2 matching MRF lines	$100.92–$1,110.12	$174–$1,914	varies
Thyroid Uptake Measurement (78012) range across 2 matching MRF lines	$18.56–$260.42	$32–$449	varies
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) range across 2 matching MRF lines	$38.86–$668.74	$67–$1,153	varies
Tx Devices Design & Construction Complex (77334) range across 2 matching MRF lines	$101.50–$506.92	$175–$874	varies
Tx devices design & construction intermediate (77333) range across 2 matching MRF lines	$66.70–$425.72	$115–$734	varies
Tx devices design & construction simple (77332) range across 2 matching MRF lines	$40.02–$268.54	$69–$463	varies
Ultrasound Breast Limited (76642) range across 2 matching MRF lines	$64.96–$253.46	$112–$437	varies
Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines	$45.82–$193.72	$79–$334	varies
Ultrasound, abdomen limited (76705) range across 2 matching MRF lines	$70.18–$386.28	$121–$666	varies
Umbilical-artery Doppler (OB) (76820) range across 2 matching MRF lines	$59.16–$211.12	$102–$364	varies
Unlisted Dx Radiographic Procedure (76499)	$403.10	$695	4.5×
Unlisted us procedure (76999) range across 2 matching MRF lines	$58–$313.20	$100–$540	varies
Upper gi w/o kub (74240) range across 3 matching MRF lines	$81.78–$316.10	$141–$545	varies
Ureteral Reflux Study (78740) range across 2 matching MRF lines	$67.86–$643.80	$117–$1,110	varies
Urethrocystogram voiding (74455) range across 2 matching MRF lines	$39.44–$445.44	$68–$768	varies
Urethrocystography retrograde (74450)	$309.14	$533	1.3×
Us breast unilateral complete (76641) range across 2 matching MRF lines	$64.96–$253.46	$112–$437	varies
Us chest (76604) range across 2 matching MRF lines	$66.12–$201.84	$114–$348	varies
Us complete joint (76881) range across 2 matching MRF lines	$74.24–$295.80	$128–$510	varies
Us exam, pelvic, limited (76857) range across 5 matching MRF lines	$20.30–$298.12	$35–$514	varies
Us head (76506)	$279.56	$482	2.6×
Us kidney transplant (76776) range across 2 matching MRF lines	$89.32–$352.06	$154–$607	varies
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines	$58–$207.06	$100–$357	varies
Us ob detailed single fetus (76811) range across 2 matching MRF lines	$219.82–$461.10	$379–$795	varies
Us ob limited 1 or more fetuses (76815) range across 5 matching MRF lines	$33.64–$403.10	$58–$695	varies
Us ob transvaginal (76817) range across 5 matching MRF lines	$37.70–$223.88	$65–$386	varies
Us pelvic non ob complete (76856) range across 2 matching MRF lines	$81.78–$363.66	$141–$627	varies
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines	$115.42–$311.46	$199–$537	varies
Us preg uterus real time f/u trnsabdl per fetus (76816) range across 2 matching MRF lines	$100.34–$432.10	$173–$745	varies
Us retroperitoneal complete (76770) range across 2 matching MRF lines	$87.58–$373.52	$151–$644	varies
Us retroperitoneal limited (76775) range across 2 matching MRF lines	$69.60–$316.10	$120–$545	varies
Us scrotum and contents (76870) range across 4 matching MRF lines	$47.56–$302.18	$82–$521	varies
Us spinal canal and contents (76800) range across 2 matching MRF lines	$98.60–$230.84	$170–$398	varies
Us thyroid (76536) range across 2 matching MRF lines	$240.70–$360.18	$415–$621	varies
Us transrectal (76872) range across 2 matching MRF lines	$51.62–$156.60	$89–$270	varies
Venography extremity bilateral rs&i (75822)	$730.22	$1,259	0.5×
Venography extremity unilateral rs&i (75820) range across 2 matching MRF lines	$82.36–$730.22	$142–$1,259	varies
Vertebral fracture assessment via dxa (77086) range across 2 matching MRF lines	$23.20–$325.96	$40–$562	varies
Wrist 2 views (73100) range across 4 matching MRF lines	$22.04–$251.14	$38–$433	varies
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050)	$219.82	$379	2.5×
X-ray antegrade pyelogram tube (74425) range across 2 matching MRF lines	$43.50–$276.08	$75–$476	varies
X-Ray Bend Only L-S Spine (72120) range across 2 matching MRF lines	$27.26–$175.16	$47–$302	varies
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines	$20.88–$143.26	$36–$247	varies
X-Ray Exam Breast Specimen (76098) range across 4 matching MRF lines	$22.04–$115.42	$38–$199	varies
X-Ray Exam Entire Spi 1 Vw (72081) range across 2 matching MRF lines	$24.36–$71.34	$42–$123	varies
X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines	$28.42–$119.48	$49–$206	varies
X-Ray Exam Entire Spi 4/5 Vw (72083) range across 2 matching MRF lines	$30.74–$225.62	$53–$389	varies
X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines	$22.04–$118.90	$38–$205	varies
X-Ray Exam Hips Bi 3-4 Views (73522) range across 2 matching MRF lines	$26.68–$118.90	$46–$205	varies
X-Ray Exam Hips Bi 5/> Views (73523) range across 2 matching MRF lines	$28.42–$225.04	$49–$388	varies
X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines	$38.86–$307.98	$67–$531	varies
X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines	$27.26–$145.58	$47–$251	varies
X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines	$43.50–$412.38	$75–$711	varies
X-Ray Exam Unilat Ribs/Chest (71101) range across 2 matching MRF lines	$34.22–$181.54	$59–$313	varies
X-ray eye for foreign body (70030) range across 2 matching MRF lines	$23.20–$115.42	$40–$199	varies
X-ray humerus (73060) range across 2 matching MRF lines	$59.74–$91.06	$103–$157	varies
X-ray IV pyelogram (ivp) (74400) range across 2 matching MRF lines	$58–$429.20	$100–$740	varies
X-ray IV pyelogram+tomography (74415) range across 2 matching MRF lines	$58–$447.76	$100–$772	varies
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 2 matching MRF lines	$23.78–$114.26	$41–$197	varies
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines	$23.20–$131.66	$40–$227	varies
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines	$27.26–$175.16	$47–$302	varies
X-ray nose-rectum child f.b. (76010) range across 2 matching MRF lines	$23.78–$143.84	$41–$248	varies
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 4 matching MRF lines	$38.86–$270.86	$67–$467	varies
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines	$24.94–$278.40	$43–$480	varies
X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) range across 2 matching MRF lines	$23.20–$177.48	$40–$306	varies
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines	$23.20–$145.58	$40–$251	varies
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines	$23.20–$109.62	$40–$189	varies
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines	$41.18–$238.96	$71–$412	varies
X-Ray Stress View (77071) range across 2 matching MRF lines	$49.88–$125.86	$86–$217	varies
X-ray thoracic spine 4 vw (72074) range across 2 matching MRF lines	$27.26–$220.98	$47–$381	varies
X-Ray Urinary Tract Exam With Contrast Material (74420) range across 2 matching MRF lines	$43.50–$527.22	$75–$909	varies
X-Rays Bone Length Studies (77073) range across 2 matching MRF lines	$34.22–$220.40	$59–$380	varies
X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines	$64.96–$325.96	$112–$562	varies
Xr c-spine 4 or 5 views (72050)	$215.76	$372	2.0×
Xr facial bones less than 3 views (70140) range across 2 matching MRF lines	$31.90–$139.78	$55–$241	varies
Xr orbits complete 4 views (70200) range across 2 matching MRF lines	$35.38–$169.36	$61–$292	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.