Imaging prices at Children's Mercy Hospital Kansas
Overland Park, KS · every code in this section with a posted price and a Medicare benchmark.
335 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) | $213.60 | $445 | 2.6× |
| Abdomen 2 views (74019) | $260.64 | $543 | 2.6× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $3,174.72 | $6,614 | 8.4× |
| Angio pulmonary bilat (75743) | $1,485.60 | $3,095 | 0.5× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $2,256 | $4,700 | 0.8× |
| Angiography extremity bilateral rs&i (75716) | $1,478.88 | $3,081 | 0.5× |
| Angiography extremity unilateral rs&i (75710) | $1,423.68 | $2,966 | 0.5× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $1,458.24 | $3,038 | 0.5× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $1,692 | $3,525 | 0.6× |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$247.20–$371.04 | $515–$773 | varies |
| Aortography thoracic w/o serialography rs&i (75600) | $3,342.72 | $6,964 | 1.1× |
| Artery X-Rays Abdomen (75726) unusually low: confirm this is the full procedure |
$1,602.72 | $3,339 | 0.3× |
| Artery X-Rays Adrenal Gland (75731) | $2,036.16 | $4,242 | 0.7× |
| Arthrogram ankle (73615) range across 2 matching MRF lines |
$1,039.20–$1,560 | $2,165–$3,250 | varies |
| Arthrogram hip (73525) range across 3 matching MRF lines |
$1,039.20–$1,560 | $2,165–$3,250 | varies |
| Arthrogram Wrist (73115) range across 2 matching MRF lines |
$1,095.84–$1,643.52 | $2,283–$3,424 | varies |
| Bone age studies (77072) | $170.40 | $355 | 1.7× |
| Bone Imaging 3 Phase (78315) | $3,136.32 | $6,534 | 8.3× |
| Bone Imaging Whole Body (78306) | $2,687.52 | $5,599 | 7.1× |
| Bone survey infant (77076) | $741.60 | $1,545 | 7.5× |
| Brain Flow Imaging Only (78610) | $1,716.48 | $3,576 | 3.3× |
| Brain Image W/Flow < 4 Views (78601) | $2,040 | $4,250 | 5.4× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $5,543.04 | $11,548 | 4.1× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $2,901.60 | $6,045 | 8.8× |
| Cardiac MRI w/w/o contrast w/stress (75563) | $3,420.48 | $7,126 | 4.6× |
| Cat Scan Follow-Up Study (76380) | $1,643.52 | $3,424 | 19.9× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $3,128.64 | $6,518 | 6.1× |
| Chest 1 view (71045) range across 2 matching MRF lines |
$173.76–$260.64 | $362–$543 | varies |
| Chest 2 views (71046) | $233.76 | $487 | 2.8× |
| Chest 3 views (71047) | $293.76 | $612 | 3.6× |
| Chest 4 or more views (71048) | $313.92 | $654 | 3.2× |
| Cholecystography Oral Contrast (74290) | $718.08 | $1,496 | 4.3× |
| Clavicle complete (73000) range across 2 matching MRF lines |
$243.84–$367.68 | $508–$766 | varies |
| Contrast Exam Abdominl Aorta (75625) | $1,245.12 | $2,594 | 0.4× |
| Contrast X-Ray Bladder (74430) | $260.64 | $543 | 0.8× |
| Contrast X-Ray Of Elbow (73085) range across 2 matching MRF lines |
$821.76–$1,232.64 | $1,712–$2,568 | varies |
| Contrast X-Ray Of Knee Joint (73580) range across 2 matching MRF lines |
$998.88–$1,500 | $2,081–$3,125 | varies |
| CT abdomen and pelvis without and with contrast (74178) | $4,725.60 | $9,845 | 14.3× |
| CT abdomen and pelvis without contrast (74176) | $1,933.92 | $4,029 | 8.6× |
| CT abdomen w contrast (74160) | $3,329.76 | $6,937 | 20.1× |
| CT abdomen w wo contrast (74170) | $3,765.12 | $7,844 | 22.7× |
| CT abdomen w/o contrast (74150) | $1,540.80 | $3,210 | 15.6× |
| CT Angio Abdomen and Pelvis (74174) | $5,293.92 | $11,029 | 16.0× |
| CT Angio Chest (71275) | $3,722.40 | $7,755 | 22.4× |
| CT Angio Head (70496) | $3,680.16 | $7,667 | 22.2× |
| CT angio hrt w/3d image (75574) | $3,994.56 | $8,322 | 12.1× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
$4,472.16–$6,708 | $9,317–$13,975 | varies |
| CT Angio Neck (70498) | $3,674.40 | $7,655 | 22.1× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 2 matching MRF lines |
$4,067.04–$6,103.68 | $8,473–$12,716 | varies |
| CT bone density (77078) | $1,065.60 | $2,220 | 12.9× |
| CT cervical spine w/ contrast (72126) | $2,554.08 | $5,321 | 7.7× |
| CT cervical spine w/o contrast (72125) | $1,899.36 | $3,957 | 19.2× |
| CT cervical spine w/wo cont (72127) | $3,157.92 | $6,579 | 19.0× |
| CT chest w contrast (71260) | $2,127.36 | $4,432 | 12.8× |
| CT chest w/wo contrast (71270) | $2,622.72 | $5,464 | 15.8× |
| CT head/brain with contrast (70460) | $1,806.72 | $3,764 | 10.9× |
| CT head/brain without and with contrast (70470) | $2,169.60 | $4,520 | 13.1× |
| CT heart contrast eval cardiac structure&morph (75572) | $2,767.68 | $5,766 | 8.4× |
| CT heart no contrast quant eval coronry calcium (75571) | $1,359.84 | $2,833 | 16.5× |
| CT hrt w/3d image congen (75573) | $3,516.96 | $7,327 | 10.6× |
| CT iac w contrast (70481) | $3,102.72 | $6,464 | 18.7× |
| CT l-spine w&w/o contrast (72133) | $3,165.60 | $6,595 | 19.1× |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$1,571.04–$2,356.80 | $3,273–$4,910 | varies |
| CT lower extremity w/contrast material (73701) | $2,133.12 | $4,444 | 12.8× |
| CT lumbar spine w contrast (72132) | $2,561.28 | $5,336 | 7.8× |
| CT lumbar spine w/o contrast (72131) | $1,884.48 | $3,926 | 19.0× |
| CT maxillofacial w contrast (70487) | $1,885.44 | $3,928 | 11.4× |
| CT maxillofacial wo contrast (70486) | $1,668 | $3,475 | 16.9× |
| CT neck tissue combo (70492) | $2,779.68 | $5,791 | 16.7× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $3,690.72 | $7,689 | 22.2× |
| CT orbits w/o contrast (70480) | $2,398.56 | $4,997 | 24.2× |
| CT pelvis w&w/o contrast (72194) | $3,746.88 | $7,806 | 22.6× |
| CT pelvis w/o contrast (72192) | $1,559.04 | $3,248 | 15.8× |
| CT scan of leg combo (73702) | $2,622.72 | $5,464 | 15.8× |
| CT scans face/jaw combo (70488) | $2,380.80 | $4,960 | 14.3× |
| CT soft tissue neck w contrast (70491) | $2,278.08 | $4,746 | 13.7× |
| CT soft tissue neck w/o contrast (70490) | $1,710.24 | $3,563 | 17.3× |
| CT thoracic spine w contrast (72129) | $2,576.16 | $5,367 | 15.5× |
| CT thoracic spine w/o contrast (72128) | $1,899.36 | $3,957 | 19.2× |
| CT thoracic spine w/wo cont (72130) | $3,187.20 | $6,640 | 19.2× |
| CT thorax w/o contrast (71250) | $1,565.28 | $3,261 | 15.8× |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$2,187.84–$3,281.28 | $4,558–$6,836 | varies |
| CT upper extremity w/o & w/contrast material (73202) | $3,668.16 | $7,642 | 22.1× |
| CT upper extremity with contrast (73201) | $2,792.16 | $5,817 | 8.5× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $5,668.32 | $11,809 | 34.1× |
| Cta Abdomen (74175) | $4,212 | $8,775 | 25.4× |
| CTA pelvis (72191) | $4,206.24 | $8,763 | 25.3× |
| Dilation ureters/urethra rs&i (74485) | $1,671.36 | $3,482 | 0.8× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) | $238.56 | $497 | 2.4× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $443.04 | $923 | 4.5× |
| Doppler Fetal Mid Cerebral Artery (76821) | $577.92 | $1,204 | 5.8× |
| Dxa Bone Density Axial (77080) | $287.52 | $599 | 2.9× |
| Echo exam of fetal heart (76825) | $1,917.12 | $3,994 | 3.7× |
| Echo Guide For Artery Repair (76936) | $1,744.32 | $3,634 | 8.5× |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) | $1,232.16 | $2,567 | 5.5× |
| Esophagram (74220) | $708.48 | $1,476 | 4.3× |
| Fetal Biophys Profile W/Nst (76818) | $692.16 | $1,442 | 7.0× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $498.24 | $1,038 | 5.0× |
| Fetal MRI w/placntl matrnl plvc img sing/1st ges (74712) | $2,853.12 | $5,944 | 12.6× |
| Fluoroscopy up to 1 hr (76000) | $280.80 | $585 | 1.2× |
| Follow-Up Angiography (75898) | $1,390.08 | $2,896 | 0.5× |
| Foot 2 views (73620) range across 3 matching MRF lines |
$210.24–$317.28 | $438–$661 | varies |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$216.96–$327.36 | $452–$682 | varies |
| Gastric emptying imaging study (78264) | $3,090.72 | $6,439 | 8.2× |
| Gastroesophageal Reflux Exam (78262) | $2,253.60 | $4,695 | 6.0× |
| Hand 2 views (73120) range across 2 matching MRF lines |
$233.76–$350.88 | $487–$731 | varies |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $1,492.80 | $3,110 | 0.5× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $1,499.52 | $3,124 | 0.5× |
| Hepatobil Syst Image W/Drug (78227) | $4,160.16 | $8,667 | 8.1× |
| Ht Muscle Image Spect Sing (78451) | $2,892.96 | $6,027 | 2.4× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $1,058.88 | $2,206 | 12.9× |
| Infant hip ultrasound, limited static exam (76886) | $478.56 | $997 | 5.8× |
| Joint Survey Single View (77077) | $307.20 | $640 | 3.1× |
| K Flow/Funct Image W/Drug (78708) | $1,355.04 | $2,823 | 2.6× |
| K Flow/Funct Image W/O Drug (78707) | $1,986.72 | $4,139 | 3.9× |
| Kidney Funcj Study Non-Img Radioisotopic Study (78725) | $1,023.84 | $2,133 | 2.7× |
| Kidney Imaging Morphol (78700) | $1,595.04 | $3,323 | 4.2× |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$317.28–$477.60 | $661–$995 | varies |
| Leveen/Shunt Patency Exam (78291) | $2,325.60 | $4,845 | 6.1× |
| Liver & Spleen Imaging Static Only (78215) | $1,842.24 | $3,838 | 4.9× |
| Lung perfusion differential (78597) | $1,758.72 | $3,664 | 4.6× |
| Lymph System Imaging (78195) | $3,128.64 | $6,518 | 6.1× |
| Lymphangiography Extremity Only Bilateral Rs&I (75803) | $2,778.72 | $5,789 | 1.9× |
| Lymphangiography extremity only unilateral rs&i (75801) | $2,639.52 | $5,499 | 4.4× |
| Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) | $756.48 | $1,576 | 0.3× |
| Lymphangiography, pelvic/abdominal, unilateral (75805) | $2,906.40 | $6,055 | 1.0× |
| Magnetic Image Jaw Joint (70336) | $2,322.72 | $4,839 | 10.3× |
| Magnetic Resonance Elastography (76391) | $1,774.08 | $3,696 | 7.9× |
| Meckels Divert Exam (78290) | $3,136.32 | $6,534 | 8.3× |
| Medical physics dose eval radiation expos w/rprt (76145) | $7,476.48 | $15,576 | 21.2× |
| Mra Head W/O & W/Contrast Material (70546) | $2,371.68 | $4,941 | 7.2× |
| MRA head w/o contrast (70544) | $1,452.48 | $3,026 | 6.4× |
| MRA head with contrast (70545) | $1,562.88 | $3,256 | 4.7× |
| MRA neck w contrast (70548) | $2,068.80 | $4,310 | 6.3× |
| Mra Neck W/O &W/Contrast Material (70549) | $3,069.60 | $6,395 | 9.3× |
| MRA neck w/o contrast (70547) | $1,878.24 | $3,913 | 8.3× |
| MRI abdomen w contrast (74182) | $2,625.12 | $5,469 | 7.9× |
| MRI abdomen w/o contrast (74181) | $1,512.48 | $3,151 | 6.7× |
| MRI any jt lower extrem w/contrast material (73722) range across 2 matching MRF lines |
$2,185.92–$3,278.88 | $4,554–$6,831 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$2,632.32–$3,948.48 | $5,484–$8,226 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 2 matching MRF lines |
$2,180.16–$3,270.24 | $4,542–$6,813 | varies |
| MRI brain functional w/o physician admnistration (70554) | $3,312.48 | $6,901 | 14.7× |
| MRI brain functional w/physician admnistration (70555) | $3,043.68 | $6,341 | 13.5× |
| MRI cardiac w/o contrast (75557) | $2,028 | $4,225 | 9.0× |
| MRI cervical spine w contrast (72142) | $2,266.56 | $4,722 | 6.9× |
| MRI cervical spine w/o cont (72141) | $1,434.24 | $2,988 | 6.3× |
| MRI chest w/o contrast (71550) | $3,192.96 | $6,652 | 14.1× |
| MRI chest with contrast (71551) | $3,469.44 | $7,228 | 4.7× |
| MRI chest wo w contrast (71552) | $4,343.04 | $9,048 | 13.1× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 2 matching MRF lines |
$2,214.72–$3,323.52 | $4,614–$6,924 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 2 matching MRF lines |
$2,811.84–$4,219.68 | $5,858–$8,791 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines |
$1,896.96–$2,845.44 | $3,952–$5,928 | varies |
| MRI lumbar spine w contrast (72149) | $2,214.72 | $4,614 | 6.7× |
| Mri Neck Spine W/O & W/Dye (72156) | $2,524.32 | $5,259 | 7.6× |
| MRI orbit face &/neck w/o contrast (70540) | $1,930.56 | $4,022 | 8.5× |
| MRI orbit face neck w contrast (70542) | $2,281.92 | $4,754 | 6.9× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $2,826.72 | $5,889 | 8.6× |
| MRI pelvis w contrast (72196) | $2,225.76 | $4,637 | 6.7× |
| MRI pelvis w/o & w contrast (72197) | $2,785.92 | $5,804 | 8.4× |
| MRI pelvis w/o contrast (72195) | $1,904.64 | $3,968 | 8.4× |
| MRI spectroscopy (76390) | $1,708.80 | $3,560 | 20.7× |
| MRI thoracic spine w/o contrast (72146) | $1,434.24 | $2,988 | 6.3× |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 2 matching MRF lines |
$3,024.96–$4,537.44 | $6,302–$9,453 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 2 matching MRF lines |
$2,842.08–$4,264.80 | $5,921–$8,885 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 2 matching MRF lines |
$3,674.88–$5,511.84 | $7,656–$11,483 | varies |
| MRI, abdomen, combo (74183) | $2,796.96 | $5,827 | 8.5× |
| MRI, dorsal spine combo (72157) | $2,528.16 | $5,267 | 7.7× |
| MRI, dorsal spine contrast (72147) | $2,240.64 | $4,668 | 6.8× |
| MRI, joint upper extrem (73221) range across 2 matching MRF lines |
$1,635.84–$1,904.64 | $3,408–$3,968 | varies |
| MRI, joint upper extrem combo (73223) range across 2 matching MRF lines |
$2,643.84–$3,966.24 | $5,508–$8,263 | varies |
| MRI, lumbar spine combo (72158) | $2,513.28 | $5,236 | 7.6× |
| Myelogram cervical (72240) | $708.48 | $1,476 | 1.0× |
| Myelogram Lumbar (72265) | $701.76 | $1,462 | 0.9× |
| Myelography thoracic (72255) | $708.48 | $1,476 | 1.0× |
| Myelograpy 2/more regions rs&i (72270) | $965.28 | $2,011 | 1.3× |
| Myocardial Spect Multiple Studies (78452) | $4,160.16 | $8,667 | 3.4× |
| Myocrd Img Pet Metab Eval Single Study Cncrnt CT (78429) | $2,522.40 | $5,255 | 1.9× |
| Myocrd img PET prfuj 1std rest/stress cncrnt CT (78430) | $2,522.40 | $5,255 | 1.9× |
| Myocrd Img Pet Prfuj Mlt Std Rst&Strs Cncrnt CT (78431) | $3,933.60 | $8,195 | 1.9× |
| Neck soft tissue (70360) | $227.04 | $473 | 2.8× |
| Nonvascular Shunt X-Ray (75809) | $594.72 | $1,239 | 6.0× |
| Nuclear Rx Oral Admin (79005) | $582.24 | $1,213 | 2.6× |
| Ob us nuchal meas 1 gest (76813) | $636.96 | $1,327 | 6.4× |
| Oph bmtry us echograpy a-scan io lens pwr cal (76519) | $387.84 | $808 | 3.9× |
| Oph US Dx B-Scan&Quan a-Scan Sm Pt Enctr (76510) | $314.88 | $656 | 2.5× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) range across 2 matching MRF lines |
$183.36–$276.96 | $382–$577 | varies |
| Ophthalmic US Dx Corneal Pachymetry Uni/Bi (76514) | $37.92 | $79 | 1.4× |
| Ophthalmic us dx quantitative a-scan only (76511) | $225.12 | $469 | 2.3× |
| Panoramic X-ray of jaws (70355) | $83.52 | $174 | 1.0× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $3,814.08 | $7,946 | 7.4× |
| Parathyroid Planar Imaging (78070) | $2,694.72 | $5,614 | 7.1× |
| Parathyroid planar imaging w/wo subtraction (78071) | $3,086.88 | $6,431 | 8.2× |
| Pelvis 1 or 2 views (72170) | $197.28 | $411 | 2.0× |
| Perineogram (74775) | $784.32 | $1,634 | 3.5× |
| Pet Image Skull-Thigh (78812) | $5,537.28 | $11,536 | 4.1× |
| PET image w/CT, full body (78816) | $5,527.68 | $11,516 | 4.1× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $5,529.60 | $11,520 | 4.1× |
| PET whole body (78813) | $5,537.28 | $11,536 | 4.1× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $1,485.60 | $3,095 | 0.5× |
| Pulmonary Perfusion Imaging Particulate (78580) | $2,124 | $4,425 | 5.6× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $347.52 | $724 | 3.5× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $354.24 | $738 | 0.7× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$284.16–$427.68 | $592–$891 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$210.24–$317.28 | $438–$661 | varies |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$243.84–$367.68 | $508–$766 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $350.88 | $731 | 3.5× |
| Radex fingr minimum 2 views (73140) | $313.92 | $654 | 3.8× |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$264–$397.44 | $550–$828 | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$287.52–$431.04 | $599–$898 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 3 matching MRF lines |
$240.48–$360.96 | $501–$752 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $297.12 | $619 | 3.6× |
| Radex Ribs Unilateral 2 Views (71100) | $264 | $550 | 3.2× |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$257.28–$387.36 | $536–$807 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $240.48 | $501 | 2.9× |
| Radex Spine 1 View Specify Level (72020) | $167.04 | $348 | 2.0× |
| Radex Sternum Minimum 2 Views (71120) | $243.84 | $508 | 3.0× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $417.60 | $870 | 5.1× |
| Radex Toe Minimum 2 Views (73660) | $230.40 | $480 | 2.8× |
| Radex upper extremity infant minimum 2 views (73092) range across 3 matching MRF lines |
$240.48–$360.96 | $501–$752 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$327.36–$491.04 | $682–$1,023 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $792 | $1,650 | 8.0× |
| Radiolog exam mandible compl minimum 4 views (70110) | $320.64 | $668 | 3.2× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $303.84 | $633 | 3.1× |
| Radiologic exam colon double contrast study (74280) | $1,387.20 | $2,890 | 8.4× |
| Radiologic exam colon single contrast study (74270) | $901.44 | $1,878 | 5.4× |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$357.60–$538.08 | $745–$1,121 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $303.84 | $633 | 3.1× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $721.44 | $1,503 | 4.3× |
| Radiologic exam swallow function contrast study (74230) | $1,022.40 | $2,130 | 6.2× |
| Radiologic examination femur 1 view (73551) range across 2 matching MRF lines |
$213.60–$320.64 | $445–$668 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$267.36–$400.80 | $557–$835 | varies |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$264–$397.44 | $550–$828 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $444.48 | $926 | 4.5× |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$240.48–$360.96 | $501–$752 | varies |
| Ribs bilateral 3 views (71110) | $303.84 | $633 | 3.1× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $2,344.80 | $4,885 | 6.2× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $6,337.44 | $13,203 | 12.3× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $2,866.08 | $5,971 | 5.6× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $3,486.72 | $7,264 | 6.8× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $6,577.44 | $13,703 | 5.4× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $8,556.96 | $17,827 | 6.3× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $4,335.36 | $9,032 | 3.5× |
| Scapula (73010) range across 2 matching MRF lines |
$150.24–$227.04 | $313–$473 | varies |
| Sella turcica (70240) | $240.48 | $501 | 2.9× |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$143.52–$216.96 | $299–$452 | varies |
| Shoulder Arthrography (73040) range across 2 matching MRF lines |
$1,058.88–$1,590.24 | $2,206–$3,313 | varies |
| Sialogram (70390) | $1,005.60 | $2,095 | 4.5× |
| Skull less than 4 views (70250) | $274.08 | $571 | 2.8× |
| Speech evaluation, complex (70371) | $671.52 | $1,399 | 3.0× |
| Sternoclavicular joints (71130) | $310.56 | $647 | 3.8× |
| Superior sagittal sinus venogram (75870) | $2,056.80 | $4,285 | 0.7× |
| Temporomandble Jt Arthrography Rs&I (70332) range across 2 matching MRF lines |
$588–$881.76 | $1,225–$1,837 | varies |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $1,336.80 | $2,785 | 8.1× |
| Thoracic spine 2 views (72070) | $233.76 | $487 | 2.4× |
| Thoracic spine 3 views (72072) | $287.52 | $599 | 2.9× |
| Thoracolumbar 2 views (72080) | $247.20 | $515 | 3.0× |
| Thyroid Imaging With Vascular Flow (78013) | $1,830.72 | $3,814 | 4.8× |
| Thyroid Met Imaging Body (78018) | $2,869.92 | $5,979 | 5.6× |
| Thyroid Uptake Measurement (78012) | $818.40 | $1,705 | 2.2× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $2,268.48 | $4,726 | 6.0× |
| Ultrasound Breast Limited (76642) | $550.08 | $1,146 | 6.7× |
| Ultrasound, abdomen limited (76705) | $623.04 | $1,298 | 6.3× |
| Umbilical-artery Doppler (OB) (76820) | $221.28 | $461 | 2.2× |
| Unlisted Dx Radiographic Procedure (76499) | $731.52 | $1,524 | 8.9× |
| Unlisted magnetic resonance procedure (76498) | $1,865.76 | $3,887 | 22.6× |
| Upper gi w/o kub (74240) | $730.08 | $1,521 | 4.4× |
| Ureteral Reflux Study (78740) | $2,063.04 | $4,298 | 5.5× |
| Urethrocystogram voiding (74455) | $898.56 | $1,872 | 4.0× |
| Urethrocystography retrograde (74450) | $479.52 | $999 | 2.1× |
| Us breast unilateral complete (76641) range across 2 matching MRF lines |
$712.80–$1,069.44 | $1,485–$2,228 | varies |
| Us chest (76604) | $311.52 | $649 | 3.1× |
| Us complete joint (76881) | $173.28 | $361 | 1.8× |
| Us exam, pelvic, limited (76857) | $263.04 | $548 | 2.7× |
| Us head (76506) | $868.80 | $1,810 | 8.8× |
| Us kidney transplant (76776) | $1,173.12 | $2,444 | 11.9× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $252.48 | $526 | 2.6× |
| Us ob detailed single fetus (76811) | $892.80 | $1,860 | 4.0× |
| Us ob limited 1 or more fetuses (76815) | $526.08 | $1,096 | 5.3× |
| Us ob transvaginal (76817) | $384.96 | $802 | 3.9× |
| Us pelvic non ob complete (76856) | $761.28 | $1,586 | 7.7× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $737.28 | $1,536 | 7.4× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $723.36 | $1,507 | 7.3× |
| Us retroperitoneal complete (76770) | $768.48 | $1,601 | 7.8× |
| Us retroperitoneal limited (76775) | $328.80 | $685 | 3.3× |
| Us scrotum and contents (76870) | $474.24 | $988 | 4.8× |
| Us spinal canal and contents (76800) | $1,024.32 | $2,134 | 10.3× |
| Us thyroid (76536) | $878.88 | $1,831 | 8.9× |
| Vein X-Ray Chest (75827) range across 2 matching MRF lines |
$664.80–$1,368.96 | $1,385–$2,852 | varies |
| Vein X-Ray Liver W/O Hemodyn (75887) | $1,506.24 | $3,138 | 0.5× |
| Vein X-Ray Skull Epidural (75872) | $1,547.52 | $3,224 | 2.6× |
| Venogram Sinus/Jugular (75860) | $1,506.24 | $3,138 | 0.5× |
| Venography caval inferior serialography rs&i (75825) range across 2 matching MRF lines |
$618.24–$1,272.48 | $1,288–$2,651 | varies |
| Venography extremity bilateral rs&i (75822) | $658.08 | $1,371 | 0.4× |
| Venography extremity unilateral rs&i (75820) | $604.80 | $1,260 | 0.4× |
| Venography Renal Bilateral (75833) | $1,616.64 | $3,368 | 0.5× |
| Venography Renal Unilateral (75831) | $1,416.96 | $2,952 | 0.5× |
| Venous sampling by catheter (75893) unusually low: confirm this is the full procedure |
$1,630.08 | $3,396 | 0.3× |
| Wrist 2 views (73100) range across 3 matching MRF lines |
$260.64–$390.72 | $543–$814 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $197.28 | $411 | 2.4× |
| X-ray antegrade pyelogram tube (74425) | $1,139.04 | $2,373 | 3.4× |
| X-Ray Aorta Leg Arteries (75630) | $1,334.40 | $2,780 | 0.4× |
| X-Ray Bend Only L-S Spine (72120) | $300.48 | $626 | 3.0× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$213.60–$320.64 | $445–$668 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) | $303.84 | $633 | 3.7× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $554.40 | $1,155 | 5.6× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $621.60 | $1,295 | 6.3× |
| X-Ray Exam Hip Uni 1 View (73501) | $237.12 | $494 | 2.9× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $364.32 | $759 | 4.4× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $464.16 | $967 | 4.7× |
| X-Ray Exam Hips Bi 2 Views (73521) | $307.20 | $640 | 3.1× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $397.44 | $828 | 4.0× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $467.52 | $974 | 4.7× |
| X-Ray Exam L-S Spine Bending (72114) | $474.24 | $988 | 4.8× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $290.88 | $606 | 3.5× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $480.96 | $1,002 | 4.9× |
| X-ray head for orthodontia (70350) | $80.16 | $167 | 1.0× |
| X-ray humerus (73060) range across 2 matching MRF lines |
$243.84–$367.68 | $508–$766 | varies |
| X-ray IV pyelogram (ivp) (74400) | $1,135.68 | $2,366 | 6.8× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $300.48 | $626 | 3.6× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $320.64 | $668 | 3.9× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $293.76 | $612 | 3.0× |
| X-ray nose-rectum child f.b. (76010) | $210.24 | $438 | 2.6× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $287.52 | $599 | 2.9× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $250.56 | $522 | 2.5× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $243.84 | $508 | 3.0× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $274.08 | $571 | 3.3× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $313.92 | $654 | 3.2× |
| X-ray thoracic spine 4 vw (72074) | $327.36 | $682 | 3.3× |
| X-Rays Bone Length Studies (77073) | $320.64 | $668 | 3.2× |
| X-Rays Bone Survey Complete (77075) | $734.88 | $1,531 | 7.4× |
| Xr c-spine 4 or 5 views (72050) | $404.16 | $842 | 4.1× |
| Xr facial bones less than 3 views (70140) | $227.04 | $473 | 2.8× |
| Xr myelogram posterior fossa (70010) | $634.56 | $1,322 | 1.9× |
| Xr orbits complete 4 views (70200) | $347.52 | $724 | 3.5× |
| Xr Tomogram Single Plane (76100) | $621.60 | $1,295 | 6.3× |
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.