Imaging prices at Children's Minnesota - Minneapolis Hospital
Minneapolis, MN · every code in this section with a posted price and a Medicare benchmark.
385 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) | $9,773 | $9,773 | 6.7× |
| Abdomen 1 View (74018) range across 2 matching MRF lines |
$323–$409 | $323–$409 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$686–$752 | $686–$752 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,673 | $1,673 | 4.0× |
| Adrenal Cortex & Medulla Img (78075) | $2,540 | $2,540 | 1.9× |
| Angio internal mammary (75756) range across 2 matching MRF lines |
$3,104–$3,376 | $3,104–$3,376 | varies |
| Angio pulmonary bilat (75743) | $9,671 | $9,671 | 2.9× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $9,671 | $9,671 | 2.9× |
| Angiography extremity bilateral rs&i (75716) | $9,671 | $9,671 | 2.9× |
| Angiography extremity unilateral rs&i (75710) range across 5 matching MRF lines |
$1,140–$9,671 | $1,140–$9,671 | varies |
| Angiography pulmonary unilateral slctv rs&i (75741) | $9,671 | $9,671 | 2.9× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $3,104 | $3,104 | 0.9× |
| Ankle 2 views (73600) range across 8 matching MRF lines |
$334–$493 | $334–$493 | varies |
| Aortography thoracic serialography rs&i (75605) | $9,671 | $9,671 | 1.7× |
| Aortography thoracic w/o serialography rs&i (75600) | $9,671 | $9,671 | 2.9× |
| Artery X-Rays Abdomen (75726) range across 4 matching MRF lines |
$16,448–$16,941 | $16,448–$16,941 | varies |
| Artery X-Rays Adrenal Gland (75731) | $9,671 | $9,671 | 2.9× |
| Artery X-Rays Pelvis (75736) | $9,671 | $9,671 | 1.7× |
| Artery X-Rays Spine (75705) | $16,941 | $16,941 | 2.9× |
| Arthrogram ankle (73615) | $1,275 | $1,275 | 3.5× |
| Arthrogram hip (73525) | $1,275 | $1,275 | 3.5× |
| Arthrogram Wrist (73115) | $1,358 | $1,358 | 3.7× |
| Basic radiation dosimetry calculation (77300) | $769 | $769 | 5.5× |
| Bone age studies (77072) range across 3 matching MRF lines |
$258–$367 | $258–$367 | varies |
| Bone Imaging 3 Phase (78315) | $1,153 | $1,153 | 2.8× |
| Bone Imaging Limited Area (78300) | $1,129 | $1,129 | 2.7× |
| Bone Imaging Multiple Areas (78305) | $879 | $879 | 2.1× |
| Bone Imaging Whole Body (78306) | $2,007 | $2,007 | 4.8× |
| Bone survey infant (77076) range across 4 matching MRF lines |
$789–$994 | $789–$994 | varies |
| Brain Flow Imaging Only (78610) | $854 | $854 | 1.5× |
| Brain Image W/Flow < 4 Views (78601) range across 2 matching MRF lines |
$1,476–$1,848 | $1,476–$1,848 | varies |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $2,027 | $2,027 | 3.6× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $4,089 | $4,089 | 2.7× |
| Cardiac MRI w/w/o contrast & further seq (75561) range across 3 matching MRF lines |
$2,221–$3,704 | $2,221–$3,704 | varies |
| Cardiac MRI w/w/o contrast w/stress (75563) | $3,704 | $3,704 | 4.5× |
| Cat Scan Follow-Up Study (76380) | $602 | $602 | 6.6× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $907 | $907 | 1.6× |
| Cerebrospinal Fluid Scan (78630) | $4,192 | $4,192 | 7.4× |
| Chest 1 view (71045) | $571 | $571 | 6.3× |
| Chest 2 views (71046) range across 2 matching MRF lines |
$755–$833 | $755–$833 | varies |
| Chest 3 views (71047) range across 2 matching MRF lines |
$1,118–$1,181 | $1,118–$1,181 | varies |
| Chest 4 or more views (71048) range across 2 matching MRF lines |
$1,118–$1,181 | $1,118–$1,181 | varies |
| Cineradiograpy/vidradiograpy xcpt where spec (76120) | $407 | $407 | 3.7× |
| Cisternography Positive Contrast Rs&I (70015) | $2,104 | $2,104 | 2.6× |
| Clavicle complete (73000) range across 6 matching MRF lines |
$324–$524 | $324–$524 | varies |
| Continuing medical physics consltj pr wk (77336) | $775 | $775 | 5.5× |
| Contrast Exam Abdominl Aorta (75625) | $9,671 | $9,671 | 2.9× |
| Contrast X-Ray Bladder (74430) range across 3 matching MRF lines |
$1,029–$1,104 | $1,029–$1,104 | varies |
| Contrast X-Ray Of Elbow (73085) | $585 | $585 | 1.6× |
| Contrast X-Ray Of Knee Joint (73580) | $1,275 | $1,275 | 3.5× |
| CT abdomen and pelvis without and with contrast (74178) | $3,851 | $3,851 | 10.5× |
| CT abdomen and pelvis without contrast (74176) | $2,949 | $2,949 | 11.8× |
| CT abdomen w contrast (74160) | $1,659 | $1,659 | 9.0× |
| CT abdomen w wo contrast (74170) | $2,148 | $2,148 | 11.7× |
| CT abdomen w/o contrast (74150) | $1,587 | $1,587 | 14.5× |
| CT Angio Abdomen and Pelvis (74174) | $4,821 | $4,821 | 13.2× |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$1,499–$3,219 | $1,499–$3,219 | varies |
| CT Angio Head (70496) range across 3 matching MRF lines |
$1,353–$2,561 | $1,353–$2,561 | varies |
| CT angio hrt w/3d image (75574) | $3,576 | $3,576 | 9.8× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 5 matching MRF lines |
$2,392–$3,292 | $2,392–$3,292 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$1,537–$3,219 | $1,537–$3,219 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 4 matching MRF lines |
$2,015–$3,292 | $2,015–$3,292 | varies |
| CT Cere Prfuj Alys C+ W/O CT/Cta Same Anatomy (70473) | $3,065 | $3,065 | 16.7× |
| CT cervical spine w/ contrast (72126) | $1,843 | $1,843 | 5.0× |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$819–$1,229 | $819–$1,229 | varies |
| CT cervical spine w/wo cont (72127) | $2,963 | $2,963 | 16.1× |
| CT chest w contrast (71260) | $1,515 | $1,515 | 8.2× |
| CT chest w/wo contrast (71270) | $2,345 | $2,345 | 12.8× |
| CT head/brain with contrast (70460) | $1,297 | $1,297 | 7.1× |
| CT head/brain without and with contrast (70470) | $2,160 | $2,160 | 11.8× |
| CT heart contrast eval cardiac structure&morph (75572) | $2,699 | $2,699 | 7.4× |
| CT hrt w/3d image congen (75573) | $1,244 | $1,244 | 3.4× |
| CT iac w contrast (70481) | $1,512 | $1,512 | 8.2× |
| CT l-spine w&w/o contrast (72133) | $2,963 | $2,963 | 16.1× |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$1,196–$1,482 | $1,196–$1,482 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$1,843–$2,013 | $1,843–$2,013 | varies |
| CT lumbar spine w contrast (72132) | $1,298 | $1,298 | 3.6× |
| CT lumbar spine w/o contrast (72131) | $1,238 | $1,238 | 11.3× |
| CT maxillofacial w contrast (70487) | $1,498 | $1,498 | 8.2× |
| CT maxillofacial wo contrast (70486) | $1,233 | $1,233 | 11.3× |
| CT neck tissue combo (70492) | $2,346 | $2,346 | 12.8× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $2,345 | $2,345 | 12.8× |
| CT orbits w/o contrast (70480) | $1,244 | $1,244 | 11.4× |
| CT pelvis w&w/o contrast (72194) | $2,345 | $2,345 | 12.8× |
| CT pelvis w/o contrast (72192) | $1,563 | $1,563 | 14.3× |
| CT scan of leg combo (73702) | $2,345 | $2,345 | 12.8× |
| CT scans face/jaw combo (70488) | $2,148 | $2,148 | 11.7× |
| CT soft tissue neck w contrast (70491) | $1,515 | $1,515 | 8.2× |
| CT soft tissue neck w/o contrast (70490) | $1,176 | $1,176 | 10.7× |
| CT thoracic spine w contrast (72129) | $2,545 | $2,545 | 13.9× |
| CT thoracic spine w/o contrast (72128) | $1,226 | $1,226 | 11.2× |
| CT thoracic spine w/wo cont (72130) | $2,963 | $2,963 | 16.1× |
| CT thorax w/o contrast (71250) | $1,228 | $1,228 | 11.2× |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$1,234–$1,246 | $1,234–$1,246 | varies |
| CT upper extremity w/o & w/contrast material (73202) | $2,963 | $2,963 | 16.1× |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$2,013–$2,546 | $2,013–$2,546 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $7,933 | $7,933 | 43.2× |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$1,923–$2,543 | $1,923–$2,543 | varies |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $853 | $853 | 2.3× |
| CTA pelvis (72191) range across 2 matching MRF lines |
$1,633–$3,219 | $1,633–$3,219 | varies |
| Dacryocystography, nasolacrimal duct, radiological supervision and interpretation Non-Facility (70170) | $1,192 | $1,192 | 4.8× |
| Dilation ureters/urethra rs&i (74485) | $4,523 | $4,523 | 2.1× |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$238–$399 | $238–$399 | varies |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $105 | $105 | 1.2× |
| Echo exam of fetal heart (76825) | $410 | $410 | 0.7× |
| Echo Guide For Artery Repair (76936) | $5,177 | $5,177 | 22.9× |
| Esophagram (74220) range across 2 matching MRF lines |
$609–$773 | $609–$773 | varies |
| Fetal MRI w/placntl matrnl plvc img sing/1st ges (74712) | $3,918 | $3,918 | 15.7× |
| Fluoroscopy up to 1 hr (76000) range across 7 matching MRF lines |
$410–$591 | $410–$591 | varies |
| Follow-Up Angiography (75898) range across 3 matching MRF lines |
$3,104–$3,167 | $3,104–$3,167 | varies |
| Foot 2 views (73620) range across 12 matching MRF lines |
$5–$440 | $5–$440 | varies |
| Forearm 2 views (73090) range across 8 matching MRF lines |
$323–$538 | $323–$538 | varies |
| Gastric emptying imaging study (78264) | $1,267 | $1,267 | 3.0× |
| Gastric Emptyng Imag Std W/Sm Bwl Transit (78265) | $1,415 | $1,415 | 3.4× |
| Gastroesophageal Reflux Exam (78262) | $1,172 | $1,172 | 2.8× |
| Gated Heart Planar Single (78472) | $4,433 | $4,433 | 10.6× |
| Gstrc Emptng Imag Std W/Sm Bwl Col Trnst Mlt Day (78266) | $1,415 | $1,415 | 2.5× |
| Hand 2 views (73120) range across 8 matching MRF lines |
$307–$508 | $307–$508 | varies |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) | $976 | $976 | 1.3× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $9,671 | $9,671 | 2.9× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) range across 4 matching MRF lines |
$2,495–$2,570 | $2,495–$2,570 | varies |
| Hepatobil Syst Image W/Drug (78227) | $1,656 | $1,656 | 2.9× |
| Hepatobiliary System Imaging (78226) | $1,847 | $1,847 | 4.4× |
| Ht Musc Image Planar Mult (78454) | $4,433 | $4,433 | 3.3× |
| Image fusion (77399) | $4,650 | $4,650 | 33.0× |
| Infant hip ultrasound with hip movement (dynamic) (76885) range across 3 matching MRF lines |
$705–$865 | $705–$865 | varies |
| Infant hip ultrasound, limited static exam (76886) | $727 | $727 | 8.0× |
| Joint Survey Single View (77077) range across 3 matching MRF lines |
$260–$323 | $260–$323 | varies |
| K Flow/Funct Image Multiple (78709) | $2,655 | $2,655 | 4.7× |
| K Flow/Funct Image W/Drug (78708) | $1,582 | $1,582 | 2.8× |
| K Flow/Funct Image W/O Drug (78707) | $1,510 | $1,510 | 2.7× |
| Kidney Funcj Study Non-Img Radioisotopic Study (78725) | $2,044 | $2,044 | 4.9× |
| Kidney Imaging Morphol (78700) | $769 | $769 | 1.8× |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$396–$397 | $396–$397 | varies |
| Leveen/Shunt Patency Exam (78291) | $1,811 | $1,811 | 4.3× |
| Liver & Spleen Imaging Static Only (78215) | $1,656 | $1,656 | 4.0× |
| Lung Perf&Ventilat Diferentl (78598) | $4,192 | $4,192 | 7.4× |
| Lung Ventilat&Perfus Imaging (78582) | $1,101 | $1,101 | 1.9× |
| Lung Ventilation Imaging (78579) range across 3 matching MRF lines |
$1,218–$1,510 | $1,218–$1,510 | varies |
| Lymph System Imaging (78195) | $2,342 | $2,342 | 4.1× |
| Lymphangiography Extremity Only Bilateral Rs&I (75803) | $2,772 | $2,772 | 1.7× |
| Lymphangiography extremity only unilateral rs&i (75801) | $1,192 | $1,192 | 1.8× |
| Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) | $3,016 | $3,016 | 0.9× |
| Lymphangiography, pelvic/abdominal, unilateral (75805) | $2,772 | $2,772 | 0.8× |
| Magnetic Image Jaw Joint (70336) | $3,682 | $3,682 | 14.7× |
| Magnetic resonance (eg, proton) imaging, brain (including brain stem andskull base), during open intracranial procedure… (70558) range across 2 matching MRF lines |
$4,962–$9,468 | $4,962–$9,468 | varies |
| Magnetic resonance (eg, proton) imaging, brain (including brain stem andskull base), during open intracranial procedure… (70557) range across 2 matching MRF lines |
$4,962–$7,886 | $4,962–$7,886 | varies |
| Magnetic resonance (eg, proton) imaging, brain (including brain stem andskull base), during open intracranial procedure… (70559) range across 2 matching MRF lines |
$10,048–$10,667 | $10,048–$10,667 | varies |
| Magnetic Resonance Elastography (76391) | $1,697 | $1,697 | 6.8× |
| Meckels Divert Exam (78290) | $1,479 | $1,479 | 3.5× |
| Mlc imrt design & construction per imrt plan (77338) | $14,374 | $14,374 | 36.7× |
| Mra Head W/O & W/Contrast Material (70546) | $5,999 | $5,999 | 16.4× |
| MRA head w/o contrast (70544) | $3,313 | $3,313 | 13.3× |
| MRA head with contrast (70545) | $4,233 | $4,233 | 11.6× |
| MRA neck w contrast (70548) | $4,147 | $4,147 | 11.3× |
| Mra Neck W/O &W/Contrast Material (70549) | $4,102 | $4,102 | 11.2× |
| MRA neck w/o contrast (70547) range across 2 matching MRF lines |
$2,476–$2,987 | $2,476–$2,987 | varies |
| MRI abdomen w contrast (74182) | $3,985 | $3,985 | 10.9× |
| MRI abdomen w/o contrast (74181) range across 4 matching MRF lines |
$2,658–$2,695 | $2,658–$2,695 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 2 matching MRF lines |
$3,798–$4,017 | $3,798–$4,017 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 4 matching MRF lines |
$3,705–$3,709 | $3,705–$3,709 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 3 matching MRF lines |
$3,323–$3,330 | $3,323–$3,330 | varies |
| MRI bone marrow blood supply (77084) | $4,233 | $4,233 | 16.9× |
| MRI brain functional w/o physician admnistration (70554) range across 2 matching MRF lines |
$1,803–$1,861 | $1,803–$1,861 | varies |
| MRI brain functional w/physician admnistration (70555) | $1,861 | $1,861 | 7.4× |
| MRI cardiac w/o cont stress (75559) | $3,704 | $3,704 | 6.5× |
| MRI cardiac w/o contrast (75557) range across 3 matching MRF lines |
$1,665–$3,486 | $1,665–$3,486 | varies |
| MRI cervical spine w contrast (72142) range across 3 matching MRF lines |
$2,336–$3,598 | $2,336–$3,598 | varies |
| MRI cervical spine w/o cont (72141) range across 4 matching MRF lines |
$2,306–$3,135 | $2,306–$3,135 | varies |
| MRI chest w/o contrast (71550) range across 4 matching MRF lines |
$1,853–$2,385 | $1,853–$2,385 | varies |
| MRI chest with contrast (71551) range across 3 matching MRF lines |
$1,989–$3,540 | $1,989–$3,540 | varies |
| MRI chest wo w contrast (71552) range across 3 matching MRF lines |
$2,785–$3,836 | $2,785–$3,836 | varies |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 3 matching MRF lines |
$3,138–$4,446 | $3,138–$4,446 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 4 matching MRF lines |
$3,725–$3,780 | $3,725–$3,780 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 4 matching MRF lines |
$2,609–$2,612 | $2,609–$2,612 | varies |
| MRI lumbar spine w contrast (72149) range across 3 matching MRF lines |
$2,310–$3,590 | $2,310–$3,590 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 4 matching MRF lines |
$2,561–$4,455 | $2,561–$4,455 | varies |
| MRI orbit face &/neck w/o contrast (70540) | $2,620 | $2,620 | 10.5× |
| MRI orbit face neck w contrast (70542) range across 2 matching MRF lines |
$3,334–$3,540 | $3,334–$3,540 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $3,885 | $3,885 | 10.6× |
| MRI pelvis w contrast (72196) | $2,955 | $2,955 | 8.1× |
| MRI pelvis w/o & w contrast (72197) | $3,953 | $3,953 | 10.8× |
| MRI pelvis w/o contrast (72195) range across 3 matching MRF lines |
$2,582–$2,837 | $2,582–$2,837 | varies |
| MRI spectroscopy (76390) | $3,081 | $3,081 | 33.8× |
| MRI thoracic spine w/o contrast (72146) range across 4 matching MRF lines |
$1,871–$3,203 | $1,871–$3,203 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 2 matching MRF lines |
$3,647–$4,017 | $3,647–$4,017 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 4 matching MRF lines |
$2,377–$2,944 | $2,377–$2,944 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 4 matching MRF lines |
$3,986–$4,139 | $3,986–$4,139 | varies |
| MRI, abdomen, combo (74183) range across 4 matching MRF lines |
$3,308–$4,215 | $3,308–$4,215 | varies |
| MRI, dorsal spine combo (72157) range across 4 matching MRF lines |
$3,312–$4,413 | $3,312–$4,413 | varies |
| MRI, dorsal spine contrast (72147) range across 3 matching MRF lines |
$2,310–$3,568 | $2,310–$3,568 | varies |
| MRI, joint upper extrem (73221) range across 4 matching MRF lines |
$2,566–$2,600 | $2,566–$2,600 | varies |
| MRI, joint upper extrem combo (73223) range across 4 matching MRF lines |
$3,758–$4,001 | $3,758–$4,001 | varies |
| MRI, lumbar spine combo (72158) range across 4 matching MRF lines |
$3,017–$4,467 | $3,017–$4,467 | varies |
| Myelogram cervical (72240) | $900 | $900 | 1.1× |
| Myelogram Lumbar (72265) | $951 | $951 | 1.2× |
| Myelography thoracic (72255) | $955 | $955 | 1.2× |
| Myelograpy 2/more regions rs&i (72270) | $1,039 | $1,039 | 1.3× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $2,051 | $2,051 | 1.5× |
| Neck soft tissue (70360) range across 5 matching MRF lines |
$305–$493 | $305–$493 | varies |
| Nm csf leak detection (78650) | $4,192 | $4,192 | 3.1× |
| Nonvascular Shunt X-Ray (75809) | $1,011 | $1,011 | 9.2× |
| Ntsty modul radthx pln dose-vol histos (77301) | $10,007 | $10,007 | 6.9× |
| Nuclear Rx Oral Admin (79005) range across 2 matching MRF lines |
$2,235–$2,364 | $2,235–$2,364 | varies |
| Ophthalmic Ultrasonic Foreign Body Localization (76529) | $646 | $646 | 7.1× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) | $646 | $646 | 5.9× |
| Optic foramina (70190) | $438 | $438 | 4.8× |
| Panoramic X-ray of jaws (70355) | $448 | $448 | 4.9× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $2,118 | $2,118 | 3.7× |
| Parathyroid Planar Imaging (78070) range across 2 matching MRF lines |
$2,294–$2,553 | $2,294–$2,553 | varies |
| Parathyroid planar imaging w/wo subtraction (78071) | $1,531 | $1,531 | 3.7× |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$305–$408 | $305–$408 | varies |
| Perineogram (74775) | $798 | $798 | 3.2× |
| Peritoneogram Rs&I (74190) | $2,772 | $2,772 | 4.8× |
| Pet Image Skull-Thigh (78812) | $4,973 | $4,973 | 3.3× |
| Pet Image W/Ct Lmtd (78814) | $5,285 | $5,285 | 3.5× |
| PET image w/CT, full body (78816) | $5,710 | $5,710 | 3.8× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $6,128 | $6,128 | 4.1× |
| Pet Imaging Limited Area Chest Head/Neck (78811) | $4,864 | $4,864 | 3.6× |
| PET whole body (78813) | $5,075 | $5,075 | 3.4× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $2,320 | $2,320 | 0.7× |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,172 | $1,172 | 2.8× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $762 | $762 | 7.0× |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 3 matching MRF lines |
$1,193–$1,203 | $1,193–$1,203 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) | $391 | $391 | 4.3× |
| Radex Calcaneus Minimum 2 Views (73650) range across 4 matching MRF lines |
$312–$419 | $312–$419 | varies |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$342–$343 | $342–$343 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $451 | $451 | 4.1× |
| Radex fingr minimum 2 views (73140) range across 4 matching MRF lines |
$302–$347 | $302–$347 | varies |
| Radex foot complete minimum 3 views (73630) | $384 | $384 | 4.2× |
| Radex Hand Minimum 3 Views (73130) | $354 | $354 | 3.9× |
| Radex lower extremity infant minimum 2 views (73592) range across 8 matching MRF lines |
$335–$441 | $335–$441 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $431 | $431 | 3.9× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$419–$601 | $419–$601 | varies |
| Radex Pharynx/Larx W/Fluor&/Magnification Tq (70370) | $437 | $437 | 4.8× |
| Radex Ribs Unilateral 2 Views (71100) range across 3 matching MRF lines |
$303–$406 | $303–$406 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 4 matching MRF lines |
$361–$492 | $361–$492 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$267–$473 | $267–$473 | varies |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $755 | $755 | 4.1× |
| Radex Spine 1 View Specify Level (72020) range across 8 matching MRF lines |
$248–$348 | $248–$348 | varies |
| Radex Sternum Minimum 2 Views (71120) | $300 | $300 | 3.3× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $528 | $528 | 5.8× |
| Radex Toe Minimum 2 Views (73660) range across 4 matching MRF lines |
$340–$348 | $340–$348 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 8 matching MRF lines |
$306–$451 | $306–$451 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$353–$354 | $353–$354 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $550 | $550 | 5.0× |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $30,884 | $30,884 | 4.0× |
| Radiation treatment delivery level 2 (77407) | $8,879 | $8,879 | 22.0× |
| Radiation treatment delivery level 3 (77412) | $2,087 | $2,087 | 3.6× |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$451–$638 | $451–$638 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 2 matching MRF lines |
$1,118–$1,181 | $1,118–$1,181 | varies |
| Radiologic exam colon double contrast study (74280) range across 2 matching MRF lines |
$899–$1,266 | $899–$1,266 | varies |
| Radiologic exam colon single contrast study (74270) range across 2 matching MRF lines |
$612–$755 | $612–$755 | varies |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $259 | $259 | 1.4× |
| Radiologic exam knee complete 4/more views (73564) | $430 | $430 | 3.9× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $354 | $354 | 3.2× |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 2 matching MRF lines |
$728–$873 | $728–$873 | varies |
| Radiologic exam swallow function contrast study (74230) range across 2 matching MRF lines |
$717–$755 | $717–$755 | varies |
| Radiologic exam upr gi trc double contrast study (74246) | $1,016 | $1,016 | 5.5× |
| Radiologic examination femur 1 view (73551) range across 4 matching MRF lines |
$395–$492 | $395–$492 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 4 matching MRF lines |
$391–$492 | $391–$492 | varies |
| Radiologic examination knee 1/2 views (73560) range across 4 matching MRF lines |
$361–$472 | $361–$472 | varies |
| Radiologic Examination Osseous Survey Limited (77074) range across 2 matching MRF lines |
$830–$994 | $830–$994 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 12 matching MRF lines |
$291–$473 | $291–$473 | varies |
| Renal Cyst Study (74470) range across 3 matching MRF lines |
$2,692–$2,772 | $2,692–$2,772 | varies |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$410–$648 | $410–$648 | varies |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $1,312 | $1,312 | 3.1× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $1,312 | $1,312 | 3.1× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $3,541 | $3,541 | 6.2× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $2,306 | $2,306 | 4.1× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $2,306 | $2,306 | 4.1× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $2,245 | $2,245 | 1.7× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $2,742 | $2,742 | 1.8× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $1,842 | $1,842 | 1.4× |
| Rp Therapy Intravenous Administration (79101) | $1,384 | $1,384 | 5.7× |
| Salivary Gland Function Study (78232) | $939 | $939 | 2.2× |
| Salivary Gland Imaging (78230) | $830 | $830 | 2.0× |
| Salivary Gland Imaging Serial Images (78231) | $977 | $977 | 2.3× |
| Scapula (73010) range across 4 matching MRF lines |
$284–$487 | $284–$487 | varies |
| Sella turcica (70240) | $272 | $272 | 3.0× |
| Shoulder 1 view (73020) range across 4 matching MRF lines |
$294–$487 | $294–$487 | varies |
| Shoulder Arthrography (73040) | $1,275 | $1,275 | 3.5× |
| Sialogram (70390) | $1,192 | $1,192 | 4.8× |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$409–$515 | $409–$515 | varies |
| Special dosimetry (77331) | $406 | $406 | 2.9× |
| Special Physics Consult (77370) | $728 | $728 | 5.2× |
| Special teletherapy port plan (77321) | $892 | $892 | 2.3× |
| Special treatment procedure (77470) | $3,325 | $3,325 | 5.7× |
| Speech evaluation, complex (70371) | $1,108 | $1,108 | 4.4× |
| Stereotactic Body Radiation Delivery (77373) range across 2 matching MRF lines |
$3,662–$11,491 | $3,662–$11,491 | varies |
| Sternoclavicular joints (71130) | $323 | $323 | 3.5× |
| Superior sagittal sinus venogram (75870) | $1,297 | $1,297 | 0.4× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $5,292 | $5,292 | 13.5× |
| Testicular Imaging W/Flow (78761) | $1,233 | $1,233 | 2.9× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $6,199 | $6,199 | 15.8× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $1,171 | $1,171 | 3.0× |
| Ther rad simulaj-aided field setting simple (77280) | $503 | $503 | 3.6× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) range across 2 matching MRF lines |
$936–$1,102 | $936–$1,102 | varies |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$381–$566 | $381–$566 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$486–$685 | $486–$685 | varies |
| Thoracolumbar 2 views (72080) | $406 | $406 | 4.5× |
| Thyroid Imaging With Vascular Flow (78013) | $693 | $693 | 1.7× |
| Thyroid Met Imaging Body (78018) | $2,813 | $2,813 | 4.9× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) range across 2 matching MRF lines |
$941–$1,099 | $941–$1,099 | varies |
| Tx Devices Design & Construction Complex (77334) | $1,552 | $1,552 | 4.0× |
| Tx devices design & construction intermediate (77333) | $814 | $814 | 5.8× |
| Tx devices design & construction simple (77332) | $416 | $416 | 3.0× |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$507–$646 | $507–$646 | varies |
| Ultrasound elastography first target lesion (76982) | $591 | $591 | 5.4× |
| Ultrasound Elastography Parenchyma (76981) | $954 | $954 | 8.7× |
| Ultrasound, abdomen limited (76705) range across 20 matching MRF lines |
$452–$647 | $452–$647 | varies |
| Unlisted Dx Radiographic Procedure (76499) range across 2 matching MRF lines |
$318–$2,387 | $318–$2,387 | varies |
| Unlisted magnetic resonance procedure (76498) range across 4 matching MRF lines |
$1,923–$5,032 | $1,923–$5,032 | varies |
| Unlisted us procedure (76999) range across 4 matching MRF lines |
$367–$646 | $367–$646 | varies |
| Upper gi w/o kub (74240) range across 2 matching MRF lines |
$721–$755 | $721–$755 | varies |
| Ureteral Reflux Study (78740) | $1,690 | $1,690 | 4.0× |
| Urethrocystogram voiding (74455) | $886 | $886 | 3.5× |
| Urethrocystography retrograde (74450) range across 3 matching MRF lines |
$894–$1,011 | $894–$1,011 | varies |
| Us chest (76604) range across 3 matching MRF lines |
$623–$997 | $623–$997 | varies |
| Us complete joint (76881) | $615 | $615 | 5.6× |
| Us exam, pelvic, limited (76857) range across 5 matching MRF lines |
$531–$769 | $531–$769 | varies |
| Us head (76506) range across 2 matching MRF lines |
$560–$963 | $560–$963 | varies |
| Us kidney transplant (76776) | $381 | $381 | 3.5× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 7 matching MRF lines |
$677–$697 | $677–$697 | varies |
| Us ob detailed single fetus (76811) | $322 | $322 | 1.3× |
| Us ob limited 1 or more fetuses (76815) | $881 | $881 | 8.0× |
| Us ob transvaginal (76817) | $321 | $321 | 2.9× |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$793–$1,151 | $793–$1,151 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $297 | $297 | 2.7× |
| Us retroperitoneal complete (76770) range across 3 matching MRF lines |
$700–$1,089 | $700–$1,089 | varies |
| Us retroperitoneal limited (76775) | $692 | $692 | 6.3× |
| Us scrotum and contents (76870) | $728 | $728 | 6.6× |
| Us spinal canal and contents (76800) range across 2 matching MRF lines |
$834–$1,243 | $834–$1,243 | varies |
| Us thyroid (76536) range across 6 matching MRF lines |
$601–$786 | $601–$786 | varies |
| Vascular Flow Imaging (78445) | $1,234 | $1,234 | 2.9× |
| Vein X-Ray Chest (75827) range across 4 matching MRF lines |
$2,031–$2,131 | $2,031–$2,131 | varies |
| Vein X-Ray Skull Epidural (75872) range across 3 matching MRF lines |
$1,644–$3,104 | $1,644–$3,104 | varies |
| Vein X-Ray Spleen/Liver (75810) range across 3 matching MRF lines |
$3,152–$9,671 | $3,152–$9,671 | varies |
| Venogram Sinus/Jugular (75860) range across 4 matching MRF lines |
$3,104–$3,376 | $3,104–$3,376 | varies |
| Venography Adrenal Unilateral (75840) | $9,671 | $9,671 | 2.9× |
| Venography caval inferior serialography rs&i (75825) | $9,672 | $9,672 | 2.9× |
| Venography extremity bilateral rs&i (75822) range across 4 matching MRF lines |
$2,214–$2,673 | $2,214–$2,673 | varies |
| Venography extremity unilateral rs&i (75820) range across 4 matching MRF lines |
$1,273–$2,075 | $1,273–$2,075 | varies |
| Venography Orbital Rs&I (75880) range across 3 matching MRF lines |
$1,644–$3,104 | $1,644–$3,104 | varies |
| Venography Renal Bilateral (75833) | $9,671 | $9,671 | 2.9× |
| Venography Renal Unilateral (75831) | $2,570 | $2,570 | 0.8× |
| Venous sampling by catheter (75893) range across 3 matching MRF lines |
$1,281–$9,671 | $1,281–$9,671 | varies |
| Wrist 2 views (73100) range across 8 matching MRF lines |
$302–$444 | $302–$444 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $354 | $354 | 3.9× |
| X-ray antegrade pyelogram tube (74425) | $1,011 | $1,011 | 2.8× |
| X-Ray Aorta Leg Arteries (75630) | $9,671 | $9,671 | 2.9× |
| X-Ray Bend Only L-S Spine (72120) | $398 | $398 | 3.6× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 8 matching MRF lines |
$314–$453 | $314–$453 | varies |
| X-Ray Exam Breast Specimen (76098) | $261 | $261 | 0.5× |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 3 matching MRF lines |
$309–$459 | $309–$459 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 3 matching MRF lines |
$502–$613 | $502–$613 | varies |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $438 | $438 | 4.0× |
| X-Ray Exam Hip Uni 1 View (73501) range across 4 matching MRF lines |
$260–$302 | $260–$302 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $378 | $378 | 4.1× |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$324–$385 | $324–$385 | varies |
| X-Ray Exam L-S Spine Bending (72114) | $734 | $734 | 6.7× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 3 matching MRF lines |
$299–$397 | $299–$397 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $462 | $462 | 4.2× |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 4 matching MRF lines |
$407–$687 | $407–$687 | varies |
| X-ray head for orthodontia (70350) | $185 | $185 | 2.0× |
| X-ray humerus (73060) range across 8 matching MRF lines |
$345–$566 | $345–$566 | varies |
| X-ray IV pyelogram (ivp) (74400) | $803 | $803 | 4.4× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $323 | $323 | 3.5× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$291–$306 | $291–$306 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$398–$493 | $398–$493 | varies |
| X-ray nose-rectum child f.b. (76010) range across 2 matching MRF lines |
$276–$387 | $276–$387 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $480 | $480 | 4.4× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $598 | $598 | 5.5× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $306 | $306 | 2.8× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$410–$498 | $410–$498 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$571–$597 | $571–$597 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $470 | $470 | 4.3× |
| X-Ray Tmj Unilat (70328) | $306 | $306 | 3.4× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 2 matching MRF lines |
$871–$995 | $871–$995 | varies |
| X-Rays Bone Length Studies (77073) | $301 | $301 | 2.7× |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$1,359–$1,595 | $1,359–$1,595 | varies |
| Xr c-spine 4 or 5 views (72050) | $432 | $432 | 3.9× |
| Xr facial bones less than 3 views (70140) range across 3 matching MRF lines |
$323–$511 | $323–$511 | varies |
| XR Mastoids < 3 Views Bilateral (70120) | $323 | $323 | 2.9× |
| Xr orbits complete 4 views (70200) | $364 | $364 | 3.3× |
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.