Imaging prices at The Christ Hospital
Cincinnati, OH · every code in this section with a posted price and a Medicare benchmark.
427 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) | $4,825.80 | $8,043 | 3.5× |
| Abdomen 1 View (74018) range across 2 matching MRF lines |
$16.80–$173.40 | $28–$289 | varies |
| Abdomen 2 views (74019) | $120 | $200 | 1.2× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $955.80 | $1,593 | 2.4× |
| Adrenal Cortex & Medulla Img (78075) | $3,799.20 | $6,332 | 3.0× |
| Angio internal mammary (75756) | $1,716 | $2,860 | 0.5× |
| Angio pulmonary bilat (75743) | $2,710.20 | $4,517 | 0.9× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $2,185.80 | $3,643 | 0.7× |
| Angiography extremity bilateral rs&i (75716) | $2,854.80 | $4,758 | 0.9× |
| Angiography extremity unilateral rs&i (75710) | $2,244.60 | $3,741 | 0.7× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $2,185.80 | $3,643 | 0.7× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $1,560 | $2,600 | 0.5× |
| Ankle 2 views (73600) range across 4 matching MRF lines |
$19.20–$143.40 | $32–$239 | varies |
| Aortography thoracic serialography rs&i (75605) unusually low: confirm this is the full procedure |
$2,355 | $3,925 | 0.4× |
| Artery X-Rays Abdomen (75726) unusually low: confirm this is the full procedure |
$2,098.20 | $3,497 | 0.4× |
| Artery X-Rays Adrenal Gland (75731) | $1,560 | $2,600 | 0.5× |
| Artery X-Rays Pelvis (75736) unusually low: confirm this is the full procedure |
$2,163 | $3,605 | 0.4× |
| Artery X-Rays Spine (75705) unusually low: confirm this is the full procedure |
$2,142 | $3,570 | 0.4× |
| Arthrogram ankle (73615) | $579 | $965 | 1.7× |
| Arthrogram hip (73525) | $942 | $1,570 | 2.7× |
| Arthrogram Wrist (73115) | $942 | $1,570 | 2.7× |
| Basic radiation dosimetry calculation (77300) range across 2 matching MRF lines |
$58.80–$366 | $98–$610 | varies |
| Bone age studies (77072) | $162.60 | $271 | 1.6× |
| Bone Imaging 3 Phase (78315) | $878.40 | $1,464 | 2.2× |
| Bone Imaging Limited Area (78300) | $956.40 | $1,594 | 2.4× |
| Bone Imaging Whole Body (78306) | $1,040.40 | $1,734 | 2.6× |
| Bone marrow imaging; whole body (78104) | $1,019.40 | $1,699 | 2.6× |
| Bone survey infant (77076) | $297 | $495 | 2.9× |
| Brachytx isodose complex (77318) | $1,758.60 | $2,931 | 4.7× |
| Brachytx isodose intermed (77317) | $1,462.20 | $2,437 | 3.9× |
| Brachytx Isodose Plan Simple (77316) | $1,119 | $1,865 | 3.0× |
| Brain Flow Imaging Only (78610) | $804.60 | $1,341 | 1.5× |
| Brain Image W/Flow < 4 Views (78601) | $2,283 | $3,805 | 5.8× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $2,283 | $3,805 | 4.2× |
| Brain Imaging Minimum 4 Static Views (78605) | $811.20 | $1,352 | 1.5× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $2,053.80 | $3,423 | 1.4× |
| Card Bl Pool Gated Spect Rest Wal Motn Ejct Frct (78494) | $1,107.60 | $1,846 | 2.8× |
| Cardiac MRI w/w/o contrast & further seq (75561) range across 2 matching MRF lines |
$190.20–$1,900.20 | $317–$3,167 | varies |
| Cardiac MRI w/w/o contrast w/stress (75563) | $1,900.20 | $3,167 | 2.4× |
| Cardiac Shunt Detection (78428) | $1,182.60 | $1,971 | 3.0× |
| Cat Scan Follow-Up Study (76380) | $389.40 | $649 | 4.5× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $712.20 | $1,187 | 1.3× |
| Cerebrospinal Fluid Scan (78630) | $2,237.40 | $3,729 | 4.2× |
| Chest 1 view (71045) | $139.20 | $232 | 1.6× |
| Chest 2 views (71046) range across 2 matching MRF lines |
$18–$159.60 | $30–$266 | varies |
| Chest 3 views (71047) | $159.60 | $266 | 1.8× |
| Chest 4 or more views (71048) | $159.60 | $266 | 1.5× |
| Clavicle complete (73000) range across 4 matching MRF lines |
$20.40–$139.20 | $34–$232 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $150 | $250 | 1.4× |
| Continuing medical physics consltj pr wk (77336) | $492 | $820 | 3.7× |
| Contrast Exam Abdominl Aorta (75625) range across 2 matching MRF lines |
$1,966.20–$2,358.60 | $3,277–$3,931 | varies |
| Contrast X-Ray Bladder (74430) | $609 | $1,015 | 1.8× |
| Contrast X-Ray Of Elbow (73085) | $1,026 | $1,710 | 3.0× |
| Contrast X-Ray Of Knee Joint (73580) | $439.80 | $733 | 1.3× |
| CT abdomen and pelvis without and with contrast (74178) | $3,346.20 | $5,577 | 9.7× |
| CT abdomen and pelvis without contrast (74176) | $2,531.40 | $4,219 | 10.7× |
| CT abdomen w contrast (74160) | $1,054.20 | $1,757 | 6.1× |
| CT abdomen w wo contrast (74170) | $1,183.80 | $1,973 | 6.8× |
| CT abdomen w/o contrast (74150) | $691.80 | $1,153 | 6.7× |
| CT Angio Abdomen and Pelvis (74174) | $1,906.20 | $3,177 | 5.5× |
| CT Angio Chest (71275) | $1,208.40 | $2,014 | 6.9× |
| CT Angio Head (70496) | $1,208.40 | $2,014 | 6.9× |
| CT angio hrt w/3d image (75574) range across 2 matching MRF lines |
$176.40–$680 | $294–$1,133.34 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $1,208.40 | $2,014 | 6.9× |
| CT Angio Neck (70498) | $1,208.40 | $2,014 | 6.9× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $1,183.80 | $1,973 | 6.8× |
| CT cervical spine w/ contrast (72126) | $1,054.20 | $1,757 | 3.0× |
| CT cervical spine w/o contrast (72125) | $691.80 | $1,153 | 6.7× |
| CT cervical spine w/wo cont (72127) | $1,207.80 | $2,013 | 6.9× |
| CT chest w contrast (71260) | $1,054.20 | $1,757 | 6.1× |
| CT chest w/wo contrast (71270) | $1,183.80 | $1,973 | 6.8× |
| CT colonography screening (74263) | $1,813.80 | $3,023 | 7.7× |
| CT Colonogrphy Dx Image Postprocess W/Contrast (74262) | $1,720.20 | $2,867 | 9.9× |
| CT colonogrphy dx image postprocess w/o contrast (74261) | $1,438.20 | $2,397 | 13.9× |
| CT head/brain with contrast (70460) | $1,054.20 | $1,757 | 6.1× |
| CT head/brain without and with contrast (70470) | $1,183.80 | $1,973 | 6.8× |
| CT heart contrast eval cardiac structure&morph (75572) | $1,240.20 | $2,067 | 3.6× |
| CT hrt w/3d image congen (75573) | $1,135.20 | $1,892 | 3.3× |
| CT iac w contrast (70481) | $1,054.20 | $1,757 | 6.1× |
| CT l-spine w&w/o contrast (72133) | $1,183.80 | $1,973 | 6.8× |
| CT lower ext w/o (73700) | $691.80 | $1,153 | 6.7× |
| CT lower extremity w/contrast material (73701) | $1,054.20 | $1,757 | 6.1× |
| CT lumbar spine w contrast (72132) | $1,054.20 | $1,757 | 3.0× |
| CT lumbar spine w/o contrast (72131) | $691.80 | $1,153 | 6.7× |
| CT maxillofacial w contrast (70487) | $1,054.20 | $1,757 | 6.1× |
| CT maxillofacial wo contrast (70486) | $691.80 | $1,153 | 6.7× |
| CT neck tissue combo (70492) | $1,183.80 | $1,973 | 6.8× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,183.80 | $1,973 | 6.8× |
| CT orbits w/o contrast (70480) | $691.80 | $1,153 | 6.7× |
| CT pelvis w&w/o contrast (72194) | $1,183.80 | $1,973 | 6.8× |
| CT pelvis w/o contrast (72192) | $691.80 | $1,153 | 6.7× |
| CT scan of leg combo (73702) | $1,207.80 | $2,013 | 6.9× |
| CT scans face/jaw combo (70488) | $1,183.80 | $1,973 | 6.8× |
| CT soft tissue neck w contrast (70491) | $1,054.20 | $1,757 | 6.1× |
| CT soft tissue neck w/o contrast (70490) | $691.80 | $1,153 | 6.7× |
| CT thoracic spine w contrast (72129) | $1,054.20 | $1,757 | 6.1× |
| CT thoracic spine w/o contrast (72128) | $691.80 | $1,153 | 6.7× |
| CT thoracic spine w/wo cont (72130) | $1,290 | $2,150 | 7.4× |
| CT thorax w/o contrast (71250) | $691.80 | $1,153 | 6.7× |
| CT upper ext wo (73200) | $691.80 | $1,153 | 6.7× |
| CT upper extremity w/o & w/contrast material (73202) | $1,183.80 | $1,973 | 6.8× |
| CT upper extremity with contrast (73201) | $1,054.20 | $1,757 | 3.0× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,208.40 | $2,014 | 6.9× |
| Cta Abdomen (74175) | $1,208.40 | $2,014 | 6.9× |
| CTA pelvis (72191) | $1,099.80 | $1,833 | 6.3× |
| Dilation ureters/urethra rs&i (74485) | $1,473.60 | $2,456 | 0.7× |
| Discography Cerv/Thor Spine (72285) | $1,765.20 | $2,942 | 0.9× |
| Diskography lumbar (72295) | $1,779 | $2,965 | 0.9× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) | $471.60 | $786 | 4.5× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $616.20 | $1,027 | 5.9× |
| Doppler Fetal Mid Cerebral Artery (76821) | $322.80 | $538 | 3.1× |
| Dxa Bone Density Axial (77080) | $257.40 | $429 | 2.5× |
| Dxa bone density study (77085) | $257.40 | $429 | 2.5× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $139.20 | $232 | 1.6× |
| Echo exam of fetal heart (76825) | $606 | $1,010 | 1.1× |
| Echo exam uterus (76831) range across 6 matching MRF lines |
$43.20–$561.60 | $72–$936 | varies |
| Echo Guide For Artery Repair (76936) | $891.60 | $1,486 | 4.2× |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) | $433.80 | $723 | 1.8× |
| Echograp Trans R Pros Study (76873) | $376.20 | $627 | 3.6× |
| Esophageal Motility Study (78258) | $975.60 | $1,626 | 2.5× |
| Esophagram (74220) | $310.20 | $517 | 1.8× |
| Fetal Biophys Profile W/Nst (76818) range across 2 matching MRF lines |
$135.60–$345 | $226–$575 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 6 matching MRF lines |
$98.30–$150.60 | $163.83–$251 | varies |
| Fluoroscopy up to 1 hr (76000) | $303.60 | $506 | 1.3× |
| Follow-Up Angiography (75898) | $676.20 | $1,127 | 0.2× |
| Foot 2 views (73620) range across 3 matching MRF lines |
$16.80–$141 | $28–$235 | varies |
| Forearm 2 views (73090) range across 4 matching MRF lines |
$16.80–$144.60 | $28–$241 | varies |
| Gastric emptying imaging study (78264) | $877.80 | $1,463 | 2.2× |
| Gastroesophageal Reflux Exam (78262) | $975.60 | $1,626 | 2.5× |
| Gated Heart Planar Single (78472) | $916.20 | $1,527 | 2.3× |
| Gated Heart, Multiple (78473) | $1,206.60 | $2,011 | 3.0× |
| Hand 2 views (73120) range across 2 matching MRF lines |
$43.20–$97.20 | $72–$162 | varies |
| Hdr Rdncl Ntrstl/Icav Brchtx (77772) | $4,831.80 | $8,053 | 7.0× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) | $3,975 | $6,625 | 5.8× |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) | $3,509.40 | $5,849 | 5.1× |
| Heart Image (Pet) Multiple (78492) | $4,081.20 | $6,802 | 2.9× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $2,142 | $3,570 | 0.7× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $2,185.80 | $3,643 | 0.7× |
| Hepatobil Syst Image W/Drug (78227) | $962.40 | $1,604 | 1.8× |
| Hepatobiliary System Imaging (78226) | $962.40 | $1,604 | 2.4× |
| Ht Musc Image Planar Mult (78454) | $2,996.40 | $4,994 | 2.3× |
| Ht Muscle Image Spect Sing (78451) range across 3 matching MRF lines |
$100.20–$2,750.40 | $167–$4,584 | varies |
| Hysterosalpingogram (74740) | $746.40 | $1,244 | 3.2× |
| Image fusion (77399) | $971.40 | $1,619 | 7.3× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $220.20 | $367 | 2.6× |
| Interstitial radiation source applic complex (77778) | $3,136.80 | $5,228 | 4.5× |
| Intracavitary Radiation Source Applic Complex (77763) | $2,295.60 | $3,826 | 3.3× |
| Intracavitary Radiation Source Applic Intermed (77762) | $1,585.80 | $2,643 | 2.9× |
| Intracavitary radiation source applic simple (77761) | $1,352.40 | $2,254 | 2.5× |
| Intraop radiaj tx deliver xray single tx session (77424) unusually low: confirm this is the full procedure |
$2,269.80 | $3,783 | 0.3× |
| Joint Survey Single View (77077) | $159.60 | $266 | 1.5× |
| K Flow/Funct Image Multiple (78709) | $1,153.20 | $1,922 | 2.1× |
| K Flow/Funct Image W/Drug (78708) | $1,256.40 | $2,094 | 2.3× |
| K Flow/Funct Image W/O Drug (78707) | $1,153.20 | $1,922 | 2.1× |
| Kidney Funcj Study Non-Img Radioisotopic Study (78725) | $713.40 | $1,189 | 1.8× |
| Kidney Imaging Morphol (78700) | $1,282.20 | $2,137 | 3.2× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $1,256.40 | $2,094 | 3.2× |
| Knee 3 Views (73562) range across 31 matching MRF lines |
$24.60–$139.20 | $41–$232 | varies |
| Leveen/Shunt Patency Exam (78291) | $955.80 | $1,593 | 2.4× |
| Liver & Spleen Imaging Static Only (78215) | $1,032 | $1,720 | 2.6× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $1,032 | $1,720 | 2.6× |
| Liver imaging static only (78201) | $624 | $1,040 | 1.2× |
| Liver imaging w/vascular flow (78202) | $1,146.60 | $1,911 | 2.1× |
| Lung Perf&Ventilat Diferentl (78598) | $1,038.60 | $1,731 | 1.9× |
| Lung perfusion differential (78597) | $664.20 | $1,107 | 1.7× |
| Lung Ventilat&Perfus Imaging (78582) | $1,038.60 | $1,731 | 1.9× |
| Lung Ventilation Imaging (78579) | $738.60 | $1,231 | 1.9× |
| Lymph System Imaging (78195) | $917.40 | $1,529 | 1.7× |
| Lymphangiography Extremity Only Bilateral Rs&I (75803) | $768 | $1,280 | 0.5× |
| Lymphangiography extremity only unilateral rs&i (75801) | $705 | $1,175 | 1.1× |
| Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) | $1,440 | $2,400 | 0.5× |
| Lymphangiography, pelvic/abdominal, unilateral (75805) | $705 | $1,175 | 0.2× |
| Magnetic Image Jaw Joint (70336) | $1,240.80 | $2,068 | 5.2× |
| Mammary ductogram or galactogram multiple (77054) | $585 | $975 | 2.5× |
| Mammary ductogram or galactogram single (77053) | $456.60 | $761 | 1.9× |
| Meckels Divert Exam (78290) | $877.80 | $1,463 | 2.2× |
| Medical physics dose eval radiation expos w/rprt (76145) | $218.40 | $364 | 0.6× |
| Mlc imrt design & construction per imrt plan (77338) range across 2 matching MRF lines |
$405.60–$898.80 | $676–$1,498 | varies |
| Mra Head W/O & W/Contrast Material (70546) | $1,900.20 | $3,167 | 5.5× |
| MRA head w/o contrast (70544) | $1,148.40 | $1,914 | 4.9× |
| MRA head with contrast (70545) | $1,535.40 | $2,559 | 4.4× |
| MRA neck w contrast (70548) | $1,504.80 | $2,508 | 4.4× |
| Mra Neck W/O &W/Contrast Material (70549) | $1,900.20 | $3,167 | 5.5× |
| MRA neck w/o contrast (70547) | $1,240.80 | $2,068 | 5.2× |
| MRI abdomen w contrast (74182) | $1,504.80 | $2,508 | 4.4× |
| MRI abdomen w/o contrast (74181) | $1,240.80 | $2,068 | 5.2× |
| MRI any jt lower extrem w/contrast material (73722) | $1,504.80 | $2,508 | 1.9× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $1,900.20 | $3,167 | 5.5× |
| MRI any jt upper extremity w/contrast matrl (73222) | $1,504.80 | $2,508 | 1.9× |
| MRI brain functional w/o physician admnistration (70554) | $1,955.40 | $3,259 | 8.3× |
| MRI Breast W/O Contrast Bilateral (77047) | $1,240.80 | $2,068 | 5.2× |
| MRI Breast Without Contrast Material Unilateral (77046) | $1,240.80 | $2,068 | 5.2× |
| MRI cardiac w/o cont stress (75559) | $1,819.20 | $3,032 | 3.4× |
| MRI cardiac w/o contrast (75557) | $1,240.80 | $2,068 | 5.2× |
| MRI cervical spine w contrast (72142) | $1,504.80 | $2,508 | 4.4× |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$1,240.80–$1,351.20 | $2,068–$2,252 | varies |
| MRI chest w/o contrast (71550) | $1,240.80 | $2,068 | 5.2× |
| MRI chest with contrast (71551) | $1,924.20 | $3,207 | 2.5× |
| MRI chest wo w contrast (71552) | $1,900.20 | $3,167 | 5.5× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $1,654.20 | $2,757 | 4.8× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $2,292 | $3,820 | 6.6× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $1,240.80 | $2,068 | 5.2× |
| MRI lumbar spine w contrast (72149) | $1,504.80 | $2,508 | 4.4× |
| Mri Neck Spine W/O & W/Dye (72156) | $1,900.20 | $3,167 | 5.5× |
| MRI orbit face &/neck w/o contrast (70540) | $1,240.80 | $2,068 | 5.2× |
| MRI orbit face neck w contrast (70542) | $1,535.40 | $2,559 | 4.4× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $1,900.20 | $3,167 | 5.5× |
| MRI pelvis w contrast (72196) | $2,106 | $3,510 | 6.1× |
| MRI pelvis w/o & w contrast (72197) | $1,900.20 | $3,167 | 5.5× |
| MRI pelvis w/o contrast (72195) | $1,240.80 | $2,068 | 5.2× |
| MRI spectroscopy (76390) | $756.60 | $1,261 | 8.8× |
| MRI thoracic spine w/o contrast (72146) | $1,240.80 | $2,068 | 5.2× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $1,732.20 | $2,887 | 5.0× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $1,148.40 | $1,914 | 4.9× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $2,163.60 | $3,606 | 6.3× |
| MRI, abdomen, combo (74183) | $1,504.80 | $2,508 | 4.4× |
| MRI, dorsal spine combo (72157) | $1,900.20 | $3,167 | 5.5× |
| MRI, dorsal spine contrast (72147) | $1,504.80 | $2,508 | 4.4× |
| MRI, joint upper extrem (73221) | $1,240.80 | $2,068 | 5.2× |
| MRI, joint upper extrem combo (73223) | $2,424.60 | $4,041 | 7.0× |
| MRI, lumbar spine combo (72158) | $1,900.20 | $3,167 | 5.5× |
| Myelogram cervical (72240) | $1,883.40 | $3,139 | 2.4× |
| Myelogram Lumbar (72265) | $1,883.40 | $3,139 | 2.4× |
| Myelography thoracic (72255) | $1,883.40 | $3,139 | 2.4× |
| Myelograpy 2/more regions rs&i (72270) | $1,883.40 | $3,139 | 2.4× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) | $2,470.80 | $4,118 | 1.9× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $3,057.60 | $5,096 | 2.4× |
| Myocardial Spect Multiple Studies (78452) range across 2 matching MRF lines |
$118.20–$2,806.20 | $197–$4,677 | varies |
| Myocrd Img Pet Metab Eval Single Study Cncrnt CT (78429) | $2,568 | $4,280 | 1.8× |
| Myocrd img PET prfuj 1std rest/stress cncrnt CT (78430) | $1,325.40 | $2,209 | 0.9× |
| Myocrd Img Pet Prfuj Mlt Std Rst&Strs Cncrnt CT (78431) | $2,650.80 | $4,418 | 1.2× |
| Myocrd Img Pet Prfuj W/Metab 2rtracer Cncrnt CT (78433) | $3,893.40 | $6,489 | 1.8× |
| N-invas est c ffr sw aly CTA (75580) | $2,409 | $4,015 | 2.8× |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$19.20–$159.60 | $32–$266 | varies |
| Nfs/Instlj Radioelmnt Sln 3 Mo Follow-Up Care (77750) | $1,341.60 | $2,236 | 3.5× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $641.40 | $1,069 | 1.6× |
| Nm csf leak detection (78650) | $2,283 | $3,805 | 1.8× |
| Nm myocard infarct spect (78469) | $1,054.80 | $1,758 | 2.0× |
| Nonvascular Shunt X-Ray (75809) | $705 | $1,175 | 6.8× |
| Ntsty modul radthx pln dose-vol histos (77301) range across 2 matching MRF lines |
$754.80–$3,435 | $1,258–$5,725 | varies |
| Nuclear Rx Intra-Arterial (79445) | $790.20 | $1,317 | 3.4× |
| Nuclear Rx Oral Admin (79005) range across 3 matching MRF lines |
$774.60–$952.20 | $1,291–$1,587 | varies |
| Ob us nuchal meas 1 gest (76813) range across 2 matching MRF lines |
$139.80–$242.40 | $233–$404 | varies |
| Parathyroid imaging w/tomographic spect & CT (78072) | $1,045.20 | $1,742 | 1.9× |
| Parathyroid Planar Imaging (78070) | $786.60 | $1,311 | 2.0× |
| Parathyroid planar imaging w/wo subtraction (78071) | $916.20 | $1,527 | 2.3× |
| Pelvis 1 or 2 views (72170) range across 10 matching MRF lines |
$16.20–$120 | $27–$200 | varies |
| Perineogram (74775) | $449.40 | $749 | 1.9× |
| PET image w/CT, full body (78816) | $3,756.60 | $6,261 | 2.6× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $3,756.60 | $6,261 | 2.6× |
| Pet Myocardial Sngl Study (78491) | $1,409.40 | $2,349 | 1.0× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $2,142 | $3,570 | 0.7× |
| Pulmonary Perfusion Imaging Particulate (78580) range across 2 matching MRF lines |
$732.60–$798.60 | $1,221–$1,331 | varies |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$28.80–$267 | $48–$445 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) | $346.20 | $577 | 0.6× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 15 matching MRF lines |
$15.24–$139.20 | $25.40–$232 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 5 matching MRF lines |
$18–$139.20 | $30–$232 | varies |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$43.80–$139.20 | $73–$232 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$20.40–$159.60 | $34–$266 | varies |
| Radex fingr minimum 2 views (73140) range across 9 matching MRF lines |
$24–$201.60 | $40–$336 | varies |
| Radex foot complete minimum 3 views (73630) range across 17 matching MRF lines |
$20.40–$139.20 | $34–$232 | varies |
| Radex Hand Minimum 3 Views (73130) range across 14 matching MRF lines |
$21.60–$139.20 | $36–$232 | varies |
| Radex lower extremity infant minimum 2 views (73592) | $177 | $295 | 2.1× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $162.60 | $271 | 1.6× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$20.40–$159.60 | $34–$266 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 2 matching MRF lines |
$50.40–$139.20 | $84–$232 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 33 matching MRF lines |
$14.21–$153.60 | $23.69–$256 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $159.60 | $266 | 1.8× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $547.20 | $912 | 3.1× |
| Radex Spine 1 View Specify Level (72020) range across 3 matching MRF lines |
$33.11–$159.60 | $55.18–$266 | varies |
| Radex Sternum Minimum 2 Views (71120) | $139.20 | $232 | 1.6× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $159.60 | $266 | 1.8× |
| Radex Toe Minimum 2 Views (73660) range across 3 matching MRF lines |
$25.20–$120 | $42–$200 | varies |
| Radex upper extremity infant minimum 2 views (73092) | $177 | $295 | 1.7× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 5 matching MRF lines |
$27–$160.20 | $45–$267 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) range across 2 matching MRF lines |
$131.40–$360 | $219–$600 | varies |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $16,086.60 | $26,811 | 2.2× |
| Radiation treatment delivery level 1 (77402) | $485.40 | $809 | 4.8× |
| Radiation treatment delivery level 2 (77407) | $618.60 | $1,031 | 1.6× |
| Radiation treatment delivery level 3 (77412) | $733.20 | $1,222 | 1.3× |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$26.40–$159.60 | $44–$266 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $120 | $200 | 1.2× |
| Radiologic exam colon double contrast study (74280) | $502.80 | $838 | 2.9× |
| Radiologic exam colon single contrast study (74270) | $310.20 | $517 | 1.8× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $310.20 | $517 | 1.8× |
| Radiologic exam knee complete 4/more views (73564) range across 55 matching MRF lines |
$19.85–$159.60 | $33.09–$266 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$57.60–$159.60 | $96–$266 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) | $310.20 | $517 | 1.8× |
| Radiologic exam swallow function contrast study (74230) | $310.20 | $517 | 1.8× |
| Radiologic exam upr gi trc double contrast study (74246) | $316.80 | $528 | 1.8× |
| Radiologic examination femur 1 view (73551) range across 2 matching MRF lines |
$17.40–$144.60 | $29–$241 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 9 matching MRF lines |
$14.70–$139.20 | $24.50–$232 | varies |
| Radiologic examination knee 1/2 views (73560) range across 9 matching MRF lines |
$14.17–$144.60 | $23.61–$241 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $291 | $485 | 2.8× |
| Radiologic examination tibia & fibula 2 views (73590) range across 4 matching MRF lines |
$18.60–$97.20 | $31–$162 | varies |
| Radiopharm Dacryocystography (78660) | $775.80 | $1,293 | 2.0× |
| Radiopharmaceutical therapy, by intracavitary administration Non-Facility (79200) | $3,929.40 | $6,549 | 17.0× |
| Ribs bilateral 3 views (71110) | $159.60 | $266 | 1.5× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $1,050 | $1,750 | 2.6× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $1,810.80 | $3,018 | 4.6× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $3,799.20 | $6,332 | 7.1× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $1,973.40 | $3,289 | 3.7× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $1,810.80 | $3,018 | 3.4× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $2,130 | $3,550 | 1.7× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $2,160 | $3,600 | 1.5× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $1,680 | $2,800 | 1.3× |
| Rp Ther Radiolbld Monoclonal Antibody IV Infus (79403) | $1,383 | $2,305 | 6.0× |
| Rp Therapy Intravenous Administration (79101) | $790.20 | $1,317 | 3.4× |
| Salivary Gland Imaging Serial Images (78231) | $975.60 | $1,626 | 2.5× |
| Scapula (73010) range across 21 matching MRF lines |
$37.30–$97.20 | $62.17–$162 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $96 | $160 | 4.1× |
| Shoulder 1 view (73020) range across 3 matching MRF lines |
$27.60–$139.20 | $46–$232 | varies |
| Shoulder Arthrography (73040) | $942 | $1,570 | 2.7× |
| Sialogram (70390) | $829.20 | $1,382 | 3.5× |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$28.20–$159.60 | $47–$266 | varies |
| Special dosimetry (77331) | $817.20 | $1,362 | 6.1× |
| Special Physics Consult (77370) | $397.20 | $662 | 3.0× |
| Special teletherapy port plan (77321) | $1,250.40 | $2,084 | 3.4× |
| Special treatment procedure (77470) | $1,009.80 | $1,683 | 1.8× |
| Stereotactic Body Radiation Delivery (77373) | $4,971 | $8,285 | 2.8× |
| Sternoclavicular joints (71130) range across 2 matching MRF lines |
$56.40–$159.60 | $94–$266 | varies |
| Superior sagittal sinus venogram (75870) | $1,187.40 | $1,979 | 0.4× |
| Surface Applic Low Dose Rate Radionuclide Source (77789) | $211.20 | $352 | 2.1× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $1,393.80 | $2,323 | 3.8× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $1,060.80 | $1,768 | 2.9× |
| Testicular Imaging W/Flow (78761) | $1,282.20 | $2,137 | 3.2× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $1,391.40 | $2,319 | 3.7× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $869.40 | $1,449 | 2.3× |
| Ther rad simulaj-aided field setting simple (77280) | $692.40 | $1,154 | 5.2× |
| Thoracic spine 2 views (72070) range across 5 matching MRF lines |
$18–$159.60 | $30–$266 | varies |
| Thoracic spine 3 views (72072) | $159.60 | $266 | 1.5× |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$48.60–$159.60 | $81–$266 | varies |
| Thyroid Carcinoma Metastases Img Lmtd Area (78015) | $1,144.20 | $1,907 | 2.9× |
| Thyroid Imaging With Vascular Flow (78013) | $527.40 | $879 | 1.3× |
| Thyroid Met Imaging Body (78018) | $1,029 | $1,715 | 1.9× |
| Thyroid Uptake Measurement (78012) | $434.40 | $724 | 1.1× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $786.60 | $1,311 | 2.0× |
| Tx Devices Design & Construction Complex (77334) range across 2 matching MRF lines |
$109.80–$1,469.40 | $183–$2,449 | varies |
| Tx devices design & construction intermediate (77333) | $875.40 | $1,459 | 6.6× |
| Tx devices design & construction simple (77332) | $471.60 | $786 | 3.5× |
| Ultrasound Breast Limited (76642) | $210 | $350 | 2.4× |
| Ultrasound Elastography Parenchyma (76981) | $165.60 | $276 | 1.6× |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
$41.40–$221.40 | $69–$369 | varies |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$103.80–$345 | $173–$575 | varies |
| Umbilical-artery Doppler (OB) (76820) range across 2 matching MRF lines |
$54–$301.80 | $90–$503 | varies |
| Unlis px ther radiol clinical tx planning (77299) range across 3 matching MRF lines |
$191.40–$438 | $319–$730 | varies |
| Unlisted Dx Radiographic Procedure (76499) range across 2 matching MRF lines |
$159.60–$318 | $266–$530 | varies |
| Unlisted fluoroscopic procedure (76496) | $2,333.40 | $3,889 | 27.0× |
| Unlisted Procedure Clinical Brachytherapy (77799) | $1,729.80 | $2,883 | 17.1× |
| Unlisted us procedure (76999) | $221.40 | $369 | 2.6× |
| Upper gi w/o kub (74240) | $310.20 | $517 | 1.8× |
| Ureteral Reflux Study (78740) | $1,282.20 | $2,137 | 3.2× |
| Urethrocystogram voiding (74455) | $609 | $1,015 | 2.6× |
| Urethrocystography retrograde (74450) | $609 | $1,015 | 2.6× |
| Us breast unilateral complete (76641) | $226.20 | $377 | 2.2× |
| Us chest (76604) | $221.40 | $369 | 2.1× |
| Us complete joint (76881) range across 2 matching MRF lines |
$111.60–$473.40 | $186–$789 | varies |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$56.40–$221.40 | $94–$369 | varies |
| Us head (76506) | $321.60 | $536 | 3.1× |
| Us kidney transplant (76776) | $345 | $575 | 3.3× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 3 matching MRF lines |
$37.20–$357 | $62–$595 | varies |
| Us ob detailed single fetus (76811) | $550.20 | $917 | 2.3× |
| Us ob limited 1 or more fetuses (76815) range across 3 matching MRF lines |
$72–$238.20 | $120–$397 | varies |
| Us ob transvaginal (76817) range across 4 matching MRF lines |
$104.77–$221.40 | $174.62–$369 | varies |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$124.80–$345 | $208–$575 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 3 matching MRF lines |
$140.35–$345 | $233.92–$575 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 5 matching MRF lines |
$128.60–$221.40 | $214.33–$369 | varies |
| Us retroperitoneal complete (76770) | $459 | $765 | 4.4× |
| Us retroperitoneal limited (76775) | $345 | $575 | 3.3× |
| Us scrotum and contents (76870) | $345 | $575 | 3.3× |
| Us spinal canal and contents (76800) | $376.20 | $627 | 3.6× |
| Us thyroid (76536) range across 3 matching MRF lines |
$99–$345 | $165–$575 | varies |
| Us transrectal (76872) | $345 | $575 | 3.3× |
| Vascular Flow Imaging (78445) | $774 | $1,290 | 2.0× |
| Vein X-Ray Chest (75827) | $1,428 | $2,380 | 0.9× |
| Vein X-Ray Liver W/O Hemodyn (75887) | $1,270.20 | $2,117 | 0.4× |
| Vein X-Ray Skull Epidural (75872) | $1,560 | $2,600 | 2.5× |
| Vein X-Ray Spleen/Liver (75810) | $2,185.80 | $3,643 | 0.7× |
| Venogram Sinus/Jugular (75860) | $901.20 | $1,502 | 0.3× |
| Venography Adrenal Unilateral (75840) | $1,560 | $2,600 | 0.5× |
| Venography caval inferior serialography rs&i (75825) | $1,966.20 | $3,277 | 0.6× |
| Venography extremity bilateral rs&i (75822) | $2,463 | $4,105 | 1.6× |
| Venography extremity unilateral rs&i (75820) | $1,017 | $1,695 | 0.7× |
| Venography Renal Bilateral (75833) | $2,142 | $3,570 | 0.7× |
| Venography Renal Unilateral (75831) | $1,442.40 | $2,404 | 0.5× |
| Venous sampling by catheter (75893) unusually low: confirm this is the full procedure |
$2,163 | $3,605 | 0.4× |
| Venous Thrombosis Imaging Venogram Bilateral (78458) | $789.60 | $1,316 | 2.0× |
| Vertebral fracture assessment via dxa (77086) | $151.20 | $252 | 1.8× |
| Wrist 2 views (73100) range across 4 matching MRF lines |
$46.20–$184.80 | $77–$308 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$44.40–$159.60 | $74–$266 | varies |
| X-ray antegrade pyelogram tube (74425) | $609 | $1,015 | 1.8× |
| X-Ray Aorta Leg Arteries (75630) range across 2 matching MRF lines |
$2,950.80 | $245–$4,918 | 0.9× |
| X-Ray Bend Only L-S Spine (72120) | $267 | $445 | 2.6× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 11 matching MRF lines |
$16.80–$144.60 | $28–$241 | varies |
| X-Ray Exam Breast Specimen (76098) | $523.80 | $873 | 1.0× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $259.80 | $433 | 3.0× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$95.40–$272.40 | $159–$454 | varies |
| X-Ray Exam Entire Spi 4/5 Vw (72083) range across 2 matching MRF lines |
$111–$333 | $185–$555 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 10 matching MRF lines |
$18.60–$144.60 | $31–$241 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 37 matching MRF lines |
$20.13–$139.20 | $33.54–$232 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) | $159.60 | $266 | 1.5× |
| X-Ray Exam Hips Bi 2 Views (73521) range across 5 matching MRF lines |
$52.20–$232.80 | $87–$388 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 14 matching MRF lines |
$51.60–$240 | $86–$400 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$84–$267 | $140–$445 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 10 matching MRF lines |
$22.20–$159.60 | $37–$266 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $337.20 | $562 | 3.3× |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 2 matching MRF lines |
$20.40–$159.60 | $34–$266 | varies |
| X-ray eye for foreign body (70030) | $159.60 | $266 | 1.8× |
| X-ray humerus (73060) range across 4 matching MRF lines |
$20.40–$144.60 | $34–$241 | varies |
| X-ray IV pyelogram (ivp) (74400) | $609 | $1,015 | 3.5× |
| X-ray IV pyelogram+tomography (74415) | $677.40 | $1,129 | 3.9× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 4 matching MRF lines |
$52.95–$159.60 | $88.25–$266 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 18 matching MRF lines |
$22.20–$159.60 | $37–$266 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $267 | $445 | 2.6× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$54–$129.60 | $90–$216 | varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $171.60 | $286 | 1.7× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 3 matching MRF lines |
$19.80–$139.20 | $33–$232 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$23.40–$159.60 | $39–$266 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $267 | $445 | 2.6× |
| X-Ray Stress View (77071) | $177 | $295 | 2.1× |
| X-ray thoracic spine 4 vw (72074) | $159.60 | $266 | 1.5× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $663.60 | $1,106 | 1.9× |
| X-Rays Bone Length Studies (77073) range across 2 matching MRF lines |
$63–$162.60 | $105–$271 | varies |
| X-Rays Bone Survey Complete (77075) | $267 | $445 | 2.6× |
| Xr c-spine 4 or 5 views (72050) range across 8 matching MRF lines |
$68–$267 | $113.33–$445 | varies |
| Xr facial bones less than 3 views (70140) | $159.60 | $266 | 1.8× |
| Xr orbits complete 4 views (70200) | $159.60 | $266 | 1.5× |
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.