Imaging prices at CHRISTUS St. Frances Cabrini Hospital
Alexandria, LA · every code in this section with a posted price and a Medicare benchmark.
341 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) | $1,925.82 | $7,407 | 1.5× |
| Abdomen 1 View (74018) range across 3 matching MRF lines |
$148.46–$208.26 | $571–$801 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$211.38–$234.52 | $813–$902 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $328.64 | $1,264 | 0.9× |
| Adrenal Cortex & Medulla Img (78075) | $459.94 | $1,769 | 0.4× |
| Angio internal mammary (75756) | $743.86 | $2,861 | 0.2× |
| Angio pulmonary bilat (75743) | $1,983.02 | $7,627 | 0.7× |
| Angiography extremity bilateral rs&i (75716) | $2,216.50 | $8,525 | 0.7× |
| Angiography extremity unilateral rs&i (75710) | $1,108.38 | $4,263 | 0.4× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $1,159.34 | $4,459 | 0.4× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $1,285.18 | $4,943 | 0.4× |
| Ankle 2 views (73600) | $96.98 | $373 | 1.2× |
| Aortography thoracic serialography rs&i (75605) likely a partial charge, not the full procedure |
$1,378 | $5,300 | 0.3× |
| Aortography thoracic w/o serialography rs&i (75600) | $1,595.62 | $6,137 | 0.5× |
| Artery X-Rays Abdomen (75726) likely a partial charge, not the full procedure |
$1,083.16 | $4,166 | 0.2× |
| Artery X-Rays Pelvis (75736) likely a partial charge, not the full procedure |
$1,350.44 | $5,194 | 0.3× |
| Basic radiation dosimetry calculation (77300) | $252.46 | $971 | 2.0× |
| Bone age studies (77072) | $124.80 | $480 | 1.3× |
| Bone Imaging 3 Phase (78315) | $489.32 | $1,882 | 1.3× |
| Bone Imaging Limited Area (78300) | $345.28 | $1,328 | 0.9× |
| Bone Imaging Whole Body (78306) | $428.48 | $1,648 | 1.1× |
| Bone survey infant (77076) | $294.32 | $1,132 | 3.0× |
| Brachytx isodose intermed (77317) | $746.72 | $2,872 | 2.1× |
| Brachytx Isodose Plan Simple (77316) | $501.80 | $1,930 | 1.4× |
| Brain Flow Imaging Only (78610) | $404.04 | $1,554 | 0.8× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $383.24 | $1,474 | 0.7× |
| Cat Scan Follow-Up Study (76380) | $210.34 | $809 | 2.6× |
| Cerebrospinal Fluid Scan (78630) | $546.52 | $2,102 | 1.1× |
| Chest 1 view (71045) | $134.68 | $518 | 1.6× |
| Chest 2 views (71046) | $165.88 | $638 | 2.0× |
| Chest 3 views (71047) | $166.92 | $642 | 2.0× |
| Chest 4 or more views (71048) range across 2 matching MRF lines |
$263.12–$308.88 | $1,012–$1,188 | varies |
| Clavicle complete (73000) | $134.94 | $519 | 1.6× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $67.60 | $260 | 0.7× |
| Continuing medical physics consltj pr wk (77336) | $429.52 | $1,652 | 3.4× |
| Contrast Exam Abdominl Aorta (75625) | $1,101.10 | $4,235 | 0.4× |
| Contrast X-Ray Bladder (74430) | $253.50 | $975 | 0.8× |
| CT abdomen and pelvis without and with contrast (74178) | $968.76 | $3,726 | 2.9× |
| CT abdomen and pelvis without contrast (74176) | $619.84 | $2,384 | 2.8× |
| CT abdomen w contrast (74160) | $472.94 | $1,819 | 2.9× |
| CT abdomen w wo contrast (74170) | $489.58 | $1,883 | 3.0× |
| CT abdomen w/o contrast (74150) | $380.90 | $1,465 | 3.9× |
| CT Angio Abdomen and Pelvis (74174) | $800.02 | $3,077 | 2.4× |
| CT Angio Chest (71275) | $509.34 | $1,959 | 3.1× |
| CT Angio Head (70496) | $317.46 | $1,221 | 1.9× |
| CT angio hrt w/3d image (75574) | $324.48 | $1,248 | 1.0× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $521.30 | $2,005 | 3.1× |
| CT Angio Neck (70498) | $317.46 | $1,221 | 1.9× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $462.28 | $1,778 | 2.8× |
| CT cervical spine w/ contrast (72126) | $503.88 | $1,938 | 1.5× |
| CT cervical spine w/o contrast (72125) | $391.56 | $1,506 | 4.0× |
| CT cervical spine w/wo cont (72127) | $650 | $2,500 | 3.9× |
| CT chest w contrast (71260) | $424.06 | $1,631 | 2.6× |
| CT chest w/wo contrast (71270) | $509.34 | $1,959 | 3.1× |
| CT head/brain with contrast (70460) | $281.32 | $1,082 | 1.7× |
| CT head/brain without and with contrast (70470) | $317.46 | $1,221 | 1.9× |
| CT heart no contrast quant eval coronry calcium (75571) | $48.10 | $185 | 0.6× |
| CT iac w contrast (70481) | $249.08 | $958 | 1.5× |
| CT l-spine w&w/o contrast (72133) | $585 | $2,250 | 3.5× |
| CT lower ext w/o (73700) | $302.64 | $1,164 | 3.1× |
| CT lower extremity w/contrast material (73701) | $382.72 | $1,472 | 2.3× |
| CT lumbar spine w contrast (72132) | $483.08 | $1,858 | 1.5× |
| CT lumbar spine w/o contrast (72131) | $399.36 | $1,536 | 4.0× |
| CT maxillofacial w contrast (70487) | $302.38 | $1,163 | 1.8× |
| CT maxillofacial wo contrast (70486) | $249.86 | $961 | 2.5× |
| CT neck tissue combo (70492) | $317.46 | $1,221 | 1.9× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $351.26 | $1,351 | 2.1× |
| CT orbits w/o contrast (70480) | $214.24 | $824 | 2.2× |
| CT pelvis w&w/o contrast (72194) | $487.76 | $1,876 | 2.9× |
| CT pelvis w/o contrast (72192) | $333.32 | $1,282 | 3.4× |
| CT scan of leg combo (73702) | $488.54 | $1,879 | 3.0× |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
$320.32–$352.30 | $1,232–$1,355 | varies |
| CT soft tissue neck w contrast (70491) | $309.14 | $1,189 | 1.9× |
| CT soft tissue neck w/o contrast (70490) | $258.18 | $993 | 2.6× |
| CT thoracic spine w contrast (72129) | $379.86 | $1,461 | 2.3× |
| CT thoracic spine w/o contrast (72128) | $366.60 | $1,410 | 3.7× |
| CT thoracic spine w/wo cont (72130) | $420.16 | $1,616 | 2.5× |
| CT thorax w/o contrast (71250) | $353.60 | $1,360 | 3.6× |
| CT upper ext wo (73200) | $278.46 | $1,071 | 2.8× |
| CT upper extremity w/o & w/contrast material (73202) | $414.18 | $1,593 | 2.5× |
| CT upper extremity with contrast (73201) | $340.08 | $1,308 | 1.0× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $515.32 | $1,982 | 3.1× |
| Cta Abdomen (74175) | $506.48 | $1,948 | 3.1× |
| CTA pelvis (72191) | $518.44 | $1,994 | 3.1× |
| Dxa Bone Density Axial (77080) | $210.60 | $810 | 2.1× |
| Echo exam of fetal heart (76825) | $425.62 | $1,637 | 0.8× |
| Echograp Trans R Pros Study (76873) | $387.66 | $1,491 | 3.9× |
| Esophagram (74220) | $185.90 | $715 | 1.1× |
| Fetal Biophys Profile W/Nst (76818) | $385.06 | $1,481 | 3.9× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $303.16 | $1,166 | 3.1× |
| Fluoroscopy up to 1 hr (76000) | $337.22 | $1,297 | 1.5× |
| Follow-Up Angiography (75898) | $677.04 | $2,604 | 0.2× |
| Foot 2 views (73620) | $106.34 | $409 | 1.3× |
| Forearm 2 views (73090) | $108.42 | $417 | 1.3× |
| Gastric emptying imaging study (78264) | $418.08 | $1,608 | 1.1× |
| Gastroesophageal Reflux Exam (78262) | $315.12 | $1,212 | 0.8× |
| Gated Heart Planar Single (78472) | $460.72 | $1,772 | 1.2× |
| Hand 2 views (73120) | $108.42 | $417 | 1.1× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77772) | $1,429.22 | $5,497 | 2.2× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) | $1,119.56 | $4,306 | 1.7× |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) | $891.80 | $3,430 | 1.4× |
| Heart Image (Pet) Multiple (78492) | $1,612 | $6,200 | 1.2× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $1,809.86 | $6,961 | 0.6× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $1,380.08 | $5,308 | 0.5× |
| Hepatobil Syst Image W/Drug (78227) | $409.24 | $1,574 | 0.8× |
| Hepatobiliary System Imaging (78226) | $379.34 | $1,459 | 1.0× |
| Ht Musc Image Planar Mult (78454) | $914.68 | $3,518 | 0.7× |
| Ht Muscle Image Spect Sing (78451) | $886.86 | $3,411 | 0.7× |
| Hysterosalpingogram (74740) | $396.76 | $1,526 | 1.8× |
| Image fusion (77399) | $107.90 | $415 | 0.9× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $312.52 | $1,202 | 3.8× |
| Intracavitary Radiation Source Applic Complex (77763) | $1,473.16 | $5,666 | 2.2× |
| Intracavitary Radiation Source Applic Intermed (77762) | $1,127.36 | $4,336 | 2.2× |
| Intracavitary radiation source applic simple (77761) | $964.08 | $3,708 | 1.8× |
| K Flow/Funct Image Multiple (78709) | $460.46 | $1,771 | 0.9× |
| K Flow/Funct Image W/Drug (78708) | $447.20 | $1,720 | 0.9× |
| K Flow/Funct Image W/O Drug (78707) | $419.38 | $1,613 | 0.8× |
| Knee 3 Views (73562) | $113.88 | $438 | 1.4× |
| Liver & Spleen Imaging Static Only (78215) | $368.68 | $1,418 | 1.0× |
| Liver imaging static only (78201) | $457.34 | $1,759 | 0.9× |
| Lung Perf&Ventilat Diferentl (78598) | $648.18 | $2,493 | 1.3× |
| Lung perfusion differential (78597) | $715.26 | $2,751 | 1.9× |
| Lung Ventilat&Perfus Imaging (78582) | $937.30 | $3,605 | 1.8× |
| Lung Ventilation Imaging (78579) | $611.52 | $2,352 | 1.6× |
| Lymph System Imaging (78195) | $405.86 | $1,561 | 0.8× |
| Magnetic Image Jaw Joint (70336) | $601.90 | $2,315 | 2.7× |
| Magnetic Resonance Elastography (76391) | $272.48 | $1,048 | 1.2× |
| Meckels Divert Exam (78290) | $269.62 | $1,037 | 0.7× |
| Mlc imrt design & construction per imrt plan (77338) | $679.12 | $2,612 | 1.9× |
| Mra Head W/O & W/Contrast Material (70546) | $870.74 | $3,349 | 2.6× |
| MRA head w/o contrast (70544) | $585 | $2,250 | 2.6× |
| MRA head with contrast (70545) | $713.96 | $2,746 | 2.2× |
| MRA neck w contrast (70548) | $713.96 | $2,746 | 2.2× |
| Mra Neck W/O &W/Contrast Material (70549) | $856.70 | $3,295 | 2.6× |
| MRA neck w/o contrast (70547) | $592.80 | $2,280 | 2.6× |
| MRI abdomen w contrast (74182) range across 2 matching MRF lines |
$709.28–$836.42 | $2,728–$3,217 | varies |
| MRI abdomen w/o contrast (74181) | $676.52 | $2,602 | 3.0× |
| MRI any jt lower extrem w/contrast material (73722) | $743.34 | $2,859 | 1.0× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $833.30 | $3,205 | 2.5× |
| MRI any jt upper extremity w/contrast matrl (73222) | $751.14 | $2,889 | 1.0× |
| MRI Breast W/O Contrast Bilateral (77047) | $1,017.64 | $3,914 | 4.5× |
| MRI Breast Without Contrast Material Unilateral (77046) | $736.06 | $2,831 | 3.3× |
| MRI cervical spine w contrast (72142) | $939.38 | $3,613 | 2.9× |
| MRI cervical spine w/o cont (72141) | $798.72 | $3,072 | 3.5× |
| MRI chest w/o contrast (71550) | $598 | $2,300 | 2.7× |
| MRI chest with contrast (71551) | $838.50 | $3,225 | 1.1× |
| MRI chest wo w contrast (71552) | $743.34 | $2,859 | 2.3× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $712.66 | $2,741 | 2.2× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $797.94 | $3,069 | 2.4× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $633.62 | $2,437 | 2.8× |
| MRI lumbar spine w contrast (72149) | $757.90 | $2,915 | 2.3× |
| Mri Neck Spine W/O & W/Dye (72156) | $1,108.90 | $4,265 | 3.4× |
| MRI orbit face &/neck w/o contrast (70540) | $592.80 | $2,280 | 2.6× |
| MRI orbit face neck w contrast (70542) | $799.24 | $3,074 | 2.4× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $785.72 | $3,022 | 2.4× |
| MRI pelvis w contrast (72196) | $869.44 | $3,344 | 2.6× |
| MRI pelvis w/o & w contrast (72197) | $877.76 | $3,376 | 2.7× |
| MRI pelvis w/o contrast (72195) | $629.46 | $2,421 | 2.8× |
| MRI spectroscopy (76390) | $379.34 | $1,459 | 4.6× |
| MRI thoracic spine w/o contrast (72146) | $598 | $2,300 | 2.7× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $826.02 | $3,177 | 2.5× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $629.98 | $2,423 | 2.8× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $877.76 | $3,376 | 2.7× |
| MRI, abdomen, combo (74183) | $998.14 | $3,839 | 3.0× |
| MRI, dorsal spine combo (72157) | $991.12 | $3,812 | 3.0× |
| MRI, dorsal spine contrast (72147) | $768.56 | $2,956 | 2.3× |
| MRI, joint upper extrem (73221) | $483.34 | $1,859 | 2.1× |
| MRI, joint upper extrem combo (73223) | $953.94 | $3,669 | 2.9× |
| MRI, lumbar spine combo (72158) | $893.88 | $3,438 | 2.7× |
| Myelogram cervical (72240) | $913.12 | $3,512 | 1.2× |
| Myelogram Lumbar (72265) | $847.34 | $3,259 | 1.1× |
| Myelography thoracic (72255) | $911.04 | $3,504 | 1.2× |
| Myelograpy 2/more regions rs&i (72270) | $970.84 | $3,734 | 1.3× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $914.68 | $3,518 | 0.7× |
| Myocardial Spect Multiple Studies (78452) | $1,411.02 | $5,427 | 1.2× |
| Neck soft tissue (70360) | $128.44 | $494 | 1.6× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $567.32 | $2,182 | 1.5× |
| Ntsty modul radthx pln dose-vol histos (77301) | $2,742.22 | $10,547 | 2.1× |
| Nuclear Rx Intra-Arterial (79445) | $181.48 | $698 | 0.8× |
| Nuclear Rx Oral Admin (79005) | $219.70 | $845 | 1.0× |
| Optic foramina (70190) | $212.94 | $819 | 2.6× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $409.50 | $1,575 | 0.8× |
| Parathyroid Planar Imaging (78070) | $524.16 | $2,016 | 1.4× |
| Parathyroid planar imaging w/wo subtraction (78071) | $627.12 | $2,412 | 1.7× |
| Pelvis 1 or 2 views (72170) | $128.18 | $493 | 1.3× |
| Pet Image W/Ct Lmtd (78814) | $2,139.02 | $8,227 | 1.6× |
| PET image w/CT, full body (78816) | $1,847.56 | $7,106 | 1.4× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $1,828.84 | $7,034 | 1.4× |
| PET whole body (78813) | $1,419.60 | $5,460 | 1.1× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $1,900.08 | $7,308 | 0.6× |
| Pulmonary Perfusion Imaging Particulate (78580) | $372.84 | $1,434 | 1.0× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $254.54 | $979 | 2.6× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $231.40 | $890 | 0.4× |
| Radex Ankle Complete Minimum 3 Views (73610) | $129.74 | $499 | 1.6× |
| Radex Calcaneus Minimum 2 Views (73650) | $111.54 | $429 | 1.4× |
| Radex elbow complete minimum 3 views (73080) | $153.92 | $592 | 1.9× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $199.42 | $767 | 2.0× |
| Radex fingr minimum 2 views (73140) | $81.38 | $313 | 1.0× |
| Radex foot complete minimum 3 views (73630) | $128.18 | $493 | 1.6× |
| Radex Hand Minimum 3 Views (73130) | $131.82 | $507 | 1.6× |
| Radex lower extremity infant minimum 2 views (73592) | $127.14 | $489 | 1.5× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $255.58 | $983 | 2.6× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $99.58 | $383 | 1.2× |
| Radex Ribs Unilateral 2 Views (71100) | $153.14 | $589 | 1.9× |
| Radex shoulder complete minimum 2 views (73030) | $132.60 | $510 | 1.6× |
| Radex Sinuses Paransl < 3 Views (70210) | $120.12 | $462 | 1.5× |
| Radex Spine 1 View Specify Level (72020) | $133.38 | $513 | 1.6× |
| Radex Sternum Minimum 2 Views (71120) | $156.78 | $603 | 1.9× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $104.26 | $401 | 1.3× |
| Radex Toe Minimum 2 Views (73660) | $80.86 | $311 | 1.0× |
| Radex upper extremity infant minimum 2 views (73092) | $80.34 | $309 | 0.8× |
| Radex Wrist Complete Minimum 3 Views (73110) | $113.36 | $436 | 1.4× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $264.68 | $1,018 | 2.7× |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $6,088.16 | $23,416 | 0.9× |
| Radiation treatment delivery level 1 (77402) | $196.56 | $756 | 2.0× |
| Radiation treatment delivery level 2 (77407) | $189.80 | $730 | 0.5× |
| Radiation treatment delivery level 3 (77412) | $239.72 | $922 | 0.5× |
| Radiolog exam mandible compl minimum 4 views (70110) | $158.86 | $611 | 1.6× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 2 matching MRF lines |
$268.84–$357.50 | $1,034–$1,375 | varies |
| Radiologic exam colon double contrast study (74280) | $529.10 | $2,035 | 3.2× |
| Radiologic exam colon single contrast study (74270) | $354.64 | $1,364 | 2.1× |
| Radiologic exam knee complete 4/more views (73564) | $127.92 | $492 | 1.3× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $179.14 | $689 | 1.8× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $295.10 | $1,135 | 1.8× |
| Radiologic exam swallow function contrast study (74230) | $273.52 | $1,052 | 1.7× |
| Radiologic exam upr gi trc double contrast study (74246) | $351.52 | $1,352 | 2.1× |
| Radiologic examination femur 1 view (73551) | $135.72 | $522 | 1.7× |
| Radiologic examination femur minimum 2 views (73552) | $135.72 | $522 | 1.7× |
| Radiologic examination knee 1/2 views (73560) | $110.24 | $424 | 1.3× |
| Radiologic Examination Osseous Survey Limited (77074) | $274.30 | $1,055 | 2.8× |
| Radiologic examination tibia & fibula 2 views (73590) | $122.46 | $471 | 1.5× |
| Ribs bilateral 3 views (71110) | $305.76 | $1,176 | 3.1× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $392.34 | $1,509 | 1.0× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $831.48 | $3,198 | 1.6× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $859.56 | $3,306 | 1.7× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $637.78 | $2,453 | 1.2× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $939.12 | $3,612 | 0.8× |
| Rp Therapy Intravenous Administration (79101) | $178.62 | $687 | 0.8× |
| Scapula (73010) | $115.70 | $445 | 1.2× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $47.58 | $183 | 2.0× |
| Sella turcica (70240) | $49.92 | $192 | 0.6× |
| Shoulder 1 view (73020) | $78 | $300 | 0.9× |
| Skull less than 4 views (70250) | $136.24 | $524 | 1.4× |
| Special dosimetry (77331) | $278.20 | $1,070 | 2.2× |
| Special Physics Consult (77370) | $205.92 | $792 | 1.6× |
| Special teletherapy port plan (77321) | $575.64 | $2,214 | 1.6× |
| Special treatment procedure (77470) | $1,112.80 | $4,280 | 2.1× |
| Stereotactic Body Radiation Delivery (77373) | $3,875.04 | $14,904 | 2.3× |
| Sternoclavicular joints (71130) | $153.92 | $592 | 1.9× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $743.60 | $2,860 | 2.1× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $207.48 | $798 | 0.6× |
| Temporomandble Jt Arthrography Rs&I (70332) range across 2 matching MRF lines |
$714.22–$766.48 | $2,747–$2,948 | varies |
| Testicular Imaging W/Flow (78761) | $358.54 | $1,379 | 1.0× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $997.36 | $3,836 | 2.8× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $711.10 | $2,735 | 2.0× |
| Ther rad simulaj-aided field setting simple (77280) | $535.60 | $2,060 | 4.2× |
| Thoracic spine 2 views (72070) | $149.24 | $574 | 1.5× |
| Thoracic spine 3 views (72072) | $177.84 | $684 | 1.8× |
| Thoracolumbar 2 views (72080) | $192.14 | $739 | 2.3× |
| Thyroid Imaging With Vascular Flow (78013) | $389.48 | $1,498 | 1.0× |
| Thyroid Met Imaging Body (78018) | $397.54 | $1,529 | 0.8× |
| Thyroid Uptake Measurement (78012) | $389.48 | $1,498 | 1.0× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $333.06 | $1,281 | 0.9× |
| Tx Devices Design & Construction Complex (77334) | $743.34 | $2,859 | 2.1× |
| Tx devices design & construction intermediate (77333) | $450.06 | $1,731 | 3.5× |
| Tx devices design & construction simple (77332) | $314.86 | $1,211 | 2.5× |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$159.12–$177.58 | $612–$683 | varies |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
$212.94–$237.90 | $819–$915 | varies |
| Ultrasound, abdomen limited (76705) | $369.98 | $1,423 | 3.8× |
| Unlisted fluoroscopic procedure (76496) | $142.22 | $547 | 1.7× |
| Unlisted magnetic resonance procedure (76498) | $768.30 | $2,955 | 9.4× |
| Unlisted Procedure Clinical Brachytherapy (77799) | $727.22 | $2,797 | 7.6× |
| Upper gi w/o kub (74240) | $365.04 | $1,404 | 2.2× |
| Urethrocystogram voiding (74455) | $372.06 | $1,431 | 1.7× |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$159.12–$177.58 | $612–$683 | varies |
| Us chest (76604) | $611.52 | $2,352 | 6.2× |
| Us complete joint (76881) | $449.02 | $1,727 | 4.6× |
| Us exam, pelvic, limited (76857) | $373.62 | $1,437 | 3.8× |
| Us head (76506) | $416.52 | $1,602 | 4.2× |
| Us kidney transplant (76776) | $317.98 | $1,223 | 3.2× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $352.04 | $1,354 | 3.6× |
| Us ob detailed single fetus (76811) | $124.28 | $478 | 0.6× |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$298.22–$333.06 | $1,147–$1,281 | varies |
| Us ob transvaginal (76817) | $361.14 | $1,389 | 3.7× |
| Us pelvic non ob complete (76856) | $425.62 | $1,637 | 4.3× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $312.26 | $1,201 | 3.2× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $247.78 | $953 | 2.5× |
| Us retroperitoneal complete (76770) | $579.80 | $2,230 | 5.9× |
| Us retroperitoneal limited (76775) | $404.30 | $1,555 | 4.1× |
| Us scrotum and contents (76870) | $425.62 | $1,637 | 4.3× |
| Us spinal canal and contents (76800) | $492.18 | $1,893 | 5.0× |
| Us thyroid (76536) | $432.90 | $1,665 | 4.4× |
| Us transrectal (76872) | $263.90 | $1,015 | 2.7× |
| Vascular Flow Imaging (78445) | $291.20 | $1,120 | 0.8× |
| Vein X-Ray Chest (75827) | $1,165.58 | $4,483 | 0.8× |
| Venogram Sinus/Jugular (75860) | $1,809.86 | $6,961 | 0.6× |
| Venography caval inferior serialography rs&i (75825) | $1,197.56 | $4,606 | 0.4× |
| Venography extremity bilateral rs&i (75822) | $704.86 | $2,711 | 0.5× |
| Venography extremity unilateral rs&i (75820) | $352.82 | $1,357 | 0.2× |
| Wrist 2 views (73100) | $90.48 | $348 | 1.1× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $177.06 | $681 | 2.2× |
| X-ray antegrade pyelogram tube (74425) | $1,259.96 | $4,846 | 3.8× |
| X-Ray Aorta Leg Arteries (75630) | $1,233.44 | $4,744 | 0.4× |
| X-Ray Bend Only L-S Spine (72120) | $227.24 | $874 | 2.3× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $106.86 | $411 | 1.3× |
| X-Ray Exam Breast Specimen (76098) | $525.72 | $2,022 | 1.0× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $212.16 | $816 | 2.6× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $230.10 | $885 | 2.3× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $247 | $950 | 2.5× |
| X-Ray Exam Hip Uni 1 View (73501) | $108.16 | $416 | 1.3× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $146.38 | $563 | 1.8× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $187.46 | $721 | 1.9× |
| X-Ray Exam Hips Bi 2 Views (73521) | $219.18 | $843 | 2.2× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $199.94 | $769 | 2.0× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $214.24 | $824 | 2.2× |
| X-Ray Exam L-S Spine Bending (72114) | $229.06 | $881 | 2.3× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $134.68 | $518 | 1.6× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $225.16 | $866 | 2.3× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $174.46 | $671 | 1.8× |
| X-ray eye for foreign body (70030) | $122.46 | $471 | 1.5× |
| X-ray humerus (73060) | $128.18 | $493 | 1.6× |
| X-ray IV pyelogram (ivp) (74400) | $314.86 | $1,211 | 1.9× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $130.52 | $502 | 1.6× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $144.30 | $555 | 1.8× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $150.80 | $580 | 1.5× |
| X-ray nose-rectum child f.b. (76010) | $109.98 | $423 | 1.3× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $349.18 | $1,343 | 3.5× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $161.20 | $620 | 1.6× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $134.68 | $518 | 1.4× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $106.86 | $411 | 1.3× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $144.04 | $554 | 1.8× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $183.82 | $707 | 1.9× |
| X-Ray Stress View (77071) | $84.50 | $325 | 1.0× |
| X-ray thoracic spine 4 vw (72074) | $198.38 | $763 | 2.0× |
| X-Ray Tmj Unilat (70328) | $80.08 | $308 | 1.0× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $451.36 | $1,736 | 1.4× |
| X-Rays Bone Length Studies (77073) | $229.32 | $882 | 2.3× |
| X-Rays Bone Survey Complete (77075) | $283.40 | $1,090 | 2.9× |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$190.58–$200.98 | $733–$773 | varies |
| Xr facial bones less than 3 views (70140) | $138.84 | $534 | 1.7× |
| Xr orbits complete 4 views (70200) | $200.72 | $772 | 2.0× |
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.