Imaging prices at CJW Medical Center (Chippenham and Johnston-Willis Hospitals)
Richmond, VA · every code in this section with a posted price and a Medicare benchmark.
344 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) | $10,649 | $10,649 | 7.7× |
| Abdomen 1 View (74018) range across 2 matching MRF lines |
$1,335–$1,337 | $1,335–$1,337 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$1,459–$1,460 | $1,459–$1,460 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,890 | $1,890 | 4.7× |
| Angio pulmonary bilat (75743) | $10,360 | $10,360 | 3.3× |
| Angiography extremity bilateral rs&i (75716) | $13,198 | $13,198 | 4.2× |
| Angiography extremity unilateral rs&i (75710) range across 4 matching MRF lines |
$13,197–$13,198 | $13,197–$13,198 | varies |
| Angiography pulmonary unilateral slctv rs&i (75741) range across 4 matching MRF lines |
$2,601–$2,602 | $2,601–$2,602 | varies |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $8,169 | $8,169 | 2.6× |
| Ankle 2 views (73600) range across 4 matching MRF lines |
$993–$995 | $993–$995 | varies |
| Aortography thoracic serialography rs&i (75605) | $5,365 | $5,365 | 1.0× |
| Artery X-Rays Abdomen (75726) | $8,560 | $8,560 | 1.5× |
| Artery X-Rays Adrenal Gland (75731) | $9,649 | $9,649 | 3.0× |
| Artery X-Rays Pelvis (75736) | $7,459 | $7,459 | 1.3× |
| Artery X-Rays Spine (75705) | $6,120 | $6,120 | 1.1× |
| Arthrogram hip (73525) | $2,237 | $2,237 | 6.4× |
| Basic radiation dosimetry calculation (77300) range across 2 matching MRF lines |
$654–$655 | $654–$655 | varies |
| Bone age studies (77072) | $1,058 | $1,058 | 10.1× |
| Bone Imaging 3 Phase (78315) | $4,620 | $4,620 | 11.5× |
| Bone Imaging Limited Area (78300) | $2,879 | $2,879 | 7.2× |
| Bone Imaging Multiple Areas (78305) | $4,069 | $4,069 | 10.1× |
| Bone Imaging Whole Body (78306) | $4,488 | $4,488 | 11.2× |
| Bone marrow imaging limited area (78102) | $2,703 | $2,703 | 6.7× |
| Bone marrow imaging; multiple areas (78103) | $3,212 | $3,212 | 8.0× |
| Bone marrow imaging; whole body (78104) | $3,339 | $3,339 | 8.3× |
| Bone survey infant (77076) | $1,213 | $1,213 | 11.6× |
| Brachytx isodose complex (77318) | $1,829 | $1,829 | 4.9× |
| Brachytx isodose intermed (77317) | $2,798 | $2,798 | 7.4× |
| Brachytx Isodose Plan Simple (77316) | $1,525 | $1,525 | 4.1× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $3,594 | $3,594 | 6.6× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $10,851 | $10,851 | 7.6× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $7,824 | $7,824 | 22.4× |
| Cardiac MRI w/w/o contrast w/stress (75563) | $7,824 | $7,824 | 9.9× |
| Cardiac Shunt Detection (78428) | $3,087 | $3,087 | 7.7× |
| Cat Scan Follow-Up Study (76380) | $3,123 | $3,123 | 35.8× |
| Cerebrospinal Fluid Scan (78630) | $3,731 | $3,731 | 6.8× |
| Chest 1 view (71045) range across 2 matching MRF lines |
$840–$842 | $840–$842 | varies |
| Chest 2 views (71046) | $1,119 | $1,119 | 12.8× |
| Chest 3 views (71047) range across 2 matching MRF lines |
$1,436–$1,438 | $1,436–$1,438 | varies |
| Chest 4 or more views (71048) | $1,500 | $1,500 | 14.3× |
| Cineradiograpy/vidradiograpy xcpt where spec (76120) | $499 | $499 | 4.8× |
| Clavicle complete (73000) range across 4 matching MRF lines |
$1,335–$1,337 | $1,335–$1,337 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $281 | $281 | 2.7× |
| Continuing medical physics consltj pr wk (77336) | $1,992 | $1,992 | 14.8× |
| Contrast Exam Abdominl Aorta (75625) | $5,711 | $5,711 | 1.8× |
| Contrast X-Ray Bladder (74430) | $1,839 | $1,839 | 5.3× |
| Contrast X-Ray Of Knee Joint (73580) | $2,346 | $2,346 | 6.7× |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$20,097–$20,098 | $20,097–$20,098 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$11,435–$11,436 | $11,435–$11,436 | varies |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$8,435–$8,436 | $8,435–$8,436 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$9,051–$9,052 | $9,051–$9,052 | varies |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$4,961–$4,962 | $4,961–$4,962 | varies |
| CT Angio Abdomen and Pelvis (74174) | $16,786 | $16,786 | 48.0× |
| CT Angio Chest (71275) | $9,406 | $9,406 | 53.5× |
| CT Angio Head (70496) | $8,705 | $8,705 | 49.5× |
| CT angio hrt w/3d image (75574) range across 2 matching MRF lines |
$8,970–$8,972 | $8,970–$8,972 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 3 matching MRF lines |
$7,904–$8,287 | $7,904–$8,287 | varies |
| CT Angio Neck (70498) | $9,235 | $9,235 | 52.5× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 4 matching MRF lines |
$6,799–$6,800 | $6,799–$6,800 | varies |
| CT cervical spine w/ contrast (72126) range across 2 matching MRF lines |
$6,763–$6,764 | $6,763–$6,764 | varies |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$6,630–$6,632 | $6,630–$6,632 | varies |
| CT cervical spine w/wo cont (72127) range across 2 matching MRF lines |
$6,181–$6,182 | $6,181–$6,182 | varies |
| CT chest w contrast (71260) | $8,531 | $8,531 | 48.5× |
| CT chest w/wo contrast (71270) | $8,531 | $8,531 | 48.5× |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$7,343–$7,344 | $7,343–$7,344 | varies |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$8,261–$8,262 | $8,261–$8,262 | varies |
| CT heart contrast eval cardiac structure&morph (75572) | $8,972 | $8,972 | 25.6× |
| CT heart no contrast quant eval coronry calcium (75571) | $1,534 | $1,534 | 17.6× |
| CT hrt w/3d image congen (75573) | $8,972 | $8,972 | 25.6× |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$8,261–$8,262 | $8,261–$8,262 | varies |
| CT l-spine w&w/o contrast (72133) | $6,900 | $6,900 | 39.2× |
| CT lower ext w/o (73700) range across 6 matching MRF lines |
$6,103–$6,104 | $6,103–$6,104 | varies |
| CT lower extremity w/contrast material (73701) range across 6 matching MRF lines |
$7,641–$7,644 | $7,641–$7,644 | varies |
| CT lumbar spine w contrast (72132) | $7,028 | $7,028 | 20.1× |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$6,630–$6,632 | $6,630–$6,632 | varies |
| CT maxillofacial w contrast (70487) | $8,789 | $8,789 | 49.9× |
| CT maxillofacial wo contrast (70486) | $7,156 | $7,156 | 68.2× |
| CT neck tissue combo (70492) | $8,789 | $8,789 | 49.9× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 2 matching MRF lines |
$9,843–$9,844 | $9,843–$9,844 | varies |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$4,970–$4,972 | $4,970–$4,972 | varies |
| CT pelvis w&w/o contrast (72194) range across 2 matching MRF lines |
$11,046–$11,047 | $11,046–$11,047 | varies |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$6,478–$6,479 | $6,478–$6,479 | varies |
| CT scan of leg combo (73702) range across 6 matching MRF lines |
$7,468–$7,470 | $7,468–$7,470 | varies |
| CT scans face/jaw combo (70488) | $8,789 | $8,789 | 49.9× |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$8,136–$8,137 | $8,136–$8,137 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$5,842–$5,843 | $5,842–$5,843 | varies |
| CT thoracic spine w contrast (72129) range across 2 matching MRF lines |
$6,103–$6,104 | $6,103–$6,104 | varies |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$6,630–$6,632 | $6,630–$6,632 | varies |
| CT thoracic spine w/wo cont (72130) | $6,498 | $6,498 | 36.9× |
| CT thorax w/o contrast (71250) | $8,531 | $8,531 | 81.3× |
| CT upper ext wo (73200) | $5,446 | $5,446 | 51.9× |
| CT upper extremity w/o & w/contrast material (73202) | $6,360 | $6,360 | 36.1× |
| CT upper extremity with contrast (73201) | $6,360 | $6,360 | 18.2× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$11,510–$11,512 | $11,510–$11,512 | varies |
| Cta Abdomen (74175) | $9,498 | $9,498 | 54.0× |
| CTA pelvis (72191) | $11,488 | $11,488 | 65.3× |
| Dilation ureters/urethra rs&i (74485) | $2,785 | $2,785 | 1.3× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) | $2,557 | $2,557 | 24.4× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $2,557 | $2,557 | 24.4× |
| Doppler Fetal Mid Cerebral Artery (76821) | $2,386 | $2,386 | 22.7× |
| Dxa Bone Density Axial (77080) | $2,456 | $2,456 | 23.4× |
| Echo exam of fetal heart (76825) | $2,625 | $2,625 | 4.8× |
| Echo exam uterus (76831) | $2,136 | $2,136 | 8.9× |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) | $1,928 | $1,928 | 8.1× |
| Esophagram (74220) | $1,648 | $1,648 | 9.4× |
| Fetal Biophys Profile W/Nst (76818) range across 2 matching MRF lines |
$1,922–$1,923 | $1,922–$1,923 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $1,608 | $1,608 | 15.3× |
| Fetal MRI w/placntl matrnl plvc img sing/1st ges (74712) | $7,584 | $7,584 | 31.7× |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$2,992–$2,993 | $2,992–$2,993 | varies |
| Follow-Up Angiography (75898) | $7,868 | $7,868 | 2.5× |
| Foot 2 views (73620) | $1,033 | $1,033 | 11.8× |
| Forearm 2 views (73090) | $1,058 | $1,058 | 12.1× |
| Gastric emptying imaging study (78264) | $3,087 | $3,087 | 7.7× |
| Gated Heart Planar Single (78472) | $3,341 | $3,341 | 8.3× |
| Hand 2 views (73120) | $1,033 | $1,033 | 9.8× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) | $11,008 | $11,008 | 15.8× |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) | $10,341 | $10,341 | 14.8× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $5,500 | $5,500 | 1.7× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $6,501 | $6,501 | 2.1× |
| Hepatobil Syst Image W/Drug (78227) | $3,087 | $3,087 | 5.7× |
| Hepatobiliary System Imaging (78226) | $3,087 | $3,087 | 7.7× |
| Ht Muscle Image Spect Sing (78451) | $7,174 | $7,174 | 5.5× |
| Hysterosalpingogram (74740) | $2,845 | $2,845 | 11.9× |
| Image fusion (77399) | $1,291 | $1,291 | 9.6× |
| Infant hip ultrasound with hip movement (dynamic) (76885) range across 2 matching MRF lines |
$1,182–$1,183 | $1,182–$1,183 | varies |
| Infant hip ultrasound, limited static exam (76886) range across 2 matching MRF lines |
$1,182–$1,183 | $1,182–$1,183 | varies |
| Interstitial radiation source applic complex (77778) | $21,180 | $21,180 | 30.3× |
| K Flow/Funct Image W/Drug (78708) | $3,977 | $3,977 | 7.3× |
| K Flow/Funct Image W/O Drug (78707) | $3,977 | $3,977 | 7.3× |
| Knee 3 Views (73562) | $1,119 | $1,119 | 12.8× |
| Liver & Spleen Imaging Static Only (78215) | $3,593 | $3,593 | 9.0× |
| Lung Ventilat&Perfus Imaging (78582) | $6,261 | $6,261 | 11.5× |
| Lymph System Imaging (78195) | $3,731 | $3,731 | 6.8× |
| Magnetic Image Jaw Joint (70336) | $7,584 | $7,584 | 31.7× |
| Mammary ductogram or galactogram single (77053) | $1,679 | $1,679 | 7.0× |
| Meckels Divert Exam (78290) | $2,957 | $2,957 | 7.4× |
| Medical physics dose eval radiation expos w/rprt (76145) | $1,490 | $1,490 | 4.0× |
| Mlc imrt design & construction per imrt plan (77338) | $1,996 | $1,996 | 5.3× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $63 | $63 | 2.2× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) | $241 | $241 | 2.5× |
| Mr safety implt pos&/immoblj (76019) | $157 | $157 | 2.7× |
| Mra Head W/O & W/Contrast Material (70546) | $4,044 | $4,044 | 11.6× |
| MRA head w/o contrast (70544) | $3,914 | $3,914 | 16.4× |
| MRA head with contrast (70545) | $3,914 | $3,914 | 11.2× |
| MRA neck w contrast (70548) | $3,914 | $3,914 | 11.2× |
| Mra Neck W/O &W/Contrast Material (70549) | $4,044 | $4,044 | 11.6× |
| MRA neck w/o contrast (70547) | $3,914 | $3,914 | 16.4× |
| MRI abdomen w contrast (74182) | $7,584 | $7,584 | 21.7× |
| MRI abdomen w/o contrast (74181) | $7,584 | $7,584 | 31.7× |
| MRI any jt lower extrem w/contrast material (73722) | $7,584 | $7,584 | 9.6× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $7,824 | $7,824 | 22.4× |
| MRI any jt upper extremity w/contrast matrl (73222) | $7,584 | $7,584 | 9.6× |
| MRI Breast W/O Contrast Bilateral (77047) | $7,824 | $7,824 | 32.7× |
| MRI Breast Without Contrast Material Unilateral (77046) | $7,824 | $7,824 | 32.7× |
| MRI cardiac w/o cont stress (75559) | $7,584 | $7,584 | 13.8× |
| MRI cardiac w/o contrast (75557) | $7,584 | $7,584 | 31.7× |
| MRI cervical spine w contrast (72142) | $7,811 | $7,811 | 22.3× |
| MRI cervical spine w/o cont (72141) | $7,811 | $7,811 | 32.6× |
| MRI chest w/o contrast (71550) | $7,584 | $7,584 | 31.7× |
| MRI chest wo w contrast (71552) | $7,824 | $7,824 | 22.4× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $7,584 | $7,584 | 21.7× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $7,824 | $7,824 | 22.4× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 3 matching MRF lines |
$7,584–$11,734 | $7,584–$11,734 | varies |
| MRI lumbar spine w contrast (72149) | $7,811 | $7,811 | 22.3× |
| Mri Neck Spine W/O & W/Dye (72156) | $8,058 | $8,058 | 23.0× |
| MRI orbit face &/neck w/o contrast (70540) | $7,584 | $7,584 | 31.7× |
| MRI orbit face neck w contrast (70542) | $7,584 | $7,584 | 21.7× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $7,824 | $7,824 | 22.4× |
| MRI pelvis w contrast (72196) | $7,584 | $7,584 | 21.7× |
| MRI pelvis w/o & w contrast (72197) | $7,824 | $7,824 | 22.4× |
| MRI pelvis w/o contrast (72195) | $7,584 | $7,584 | 31.7× |
| MRI spectroscopy (76390) | $3,183 | $3,183 | 36.5× |
| MRI thoracic spine w/o contrast (72146) | $7,811 | $7,811 | 32.6× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $7,584 | $7,584 | 21.7× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $7,584 | $7,584 | 31.7× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $7,824 | $7,824 | 22.4× |
| MRI, abdomen, combo (74183) | $7,824 | $7,824 | 22.4× |
| MRI, dorsal spine combo (72157) | $8,058 | $8,058 | 23.0× |
| MRI, dorsal spine contrast (72147) | $7,811 | $7,811 | 22.3× |
| MRI, joint upper extrem (73221) | $7,584 | $7,584 | 31.7× |
| MRI, joint upper extrem combo (73223) | $7,824 | $7,824 | 22.4× |
| MRI, lumbar spine combo (72158) | $8,058 | $8,058 | 23.0× |
| Myocardial Spect Multiple Studies (78452) | $11,632 | $11,632 | 9.0× |
| Neck soft tissue (70360) | $1,058 | $1,058 | 12.1× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $952 | $952 | 2.4× |
| Nonvascular Shunt X-Ray (75809) | $1,600 | $1,600 | 15.3× |
| Ntsty modul radthx pln dose-vol histos (77301) | $22,223 | $22,223 | 16.0× |
| Nuclear Rx Intra-Arterial (79445) | $845 | $845 | 3.6× |
| Nuclear Rx Oral Admin (79005) | $3,625 | $3,625 | 15.5× |
| Ob us nuchal meas 1 gest (76813) | $1,488 | $1,488 | 14.2× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $9,708 | $9,708 | 17.8× |
| Parathyroid planar imaging w/wo subtraction (78071) | $7,765 | $7,765 | 19.4× |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$1,335–$1,337 | $1,335–$1,337 | varies |
| Peritoneogram Rs&I (74190) | $1,600 | $1,600 | 2.9× |
| Pet Image W/Ct Lmtd (78814) | $11,794 | $11,794 | 8.2× |
| PET image w/CT, full body (78816) | $11,794 | $11,794 | 8.2× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $11,794 | $11,794 | 8.2× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $4,494 | $4,494 | 1.4× |
| Pulmonary Perfusion Imaging Particulate (78580) | $4,162 | $4,162 | 10.4× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$1,646–$1,648 | $1,646–$1,648 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) | $996 | $996 | 1.8× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 4 matching MRF lines |
$1,277–$1,278 | $1,277–$1,278 | varies |
| Radex Calcaneus Minimum 2 Views (73650) | $1,058 | $1,058 | 12.1× |
| Radex elbow complete minimum 3 views (73080) | $1,083 | $1,083 | 12.4× |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$1,277–$1,278 | $1,277–$1,278 | varies |
| Radex fingr minimum 2 views (73140) | $1,119 | $1,119 | 12.8× |
| Radex foot complete minimum 3 views (73630) | $1,119 | $1,119 | 12.8× |
| Radex Hand Minimum 3 Views (73130) | $1,187 | $1,187 | 13.6× |
| Radex lower extremity infant minimum 2 views (73592) | $1,083 | $1,083 | 12.4× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$1,277–$1,278 | $1,277–$1,278 | varies |
| Radex Ribs Unilateral 2 Views (71100) | $1,377 | $1,377 | 15.8× |
| Radex shoulder complete minimum 2 views (73030) range across 4 matching MRF lines |
$1,899–$1,900 | $1,899–$1,900 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $1,058 | $1,058 | 12.1× |
| Radex Spine 1 View Specify Level (72020) | $930 | $930 | 10.7× |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$1,436–$1,438 | $1,436–$1,438 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$1,720–$1,721 | $1,720–$1,721 | varies |
| Radex Toe Minimum 2 Views (73660) | $1,058 | $1,058 | 12.1× |
| Radex upper extremity infant minimum 2 views (73092) | $1,083 | $1,083 | 10.3× |
| Radex Wrist Complete Minimum 3 Views (73110) | $1,083 | $1,083 | 12.4× |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $23,017 | $23,017 | 3.1× |
| Radiation treatment delivery level 1 (77402) | $2,291 | $2,291 | 22.4× |
| Radiation treatment delivery level 3 (77412) | $3,120 | $3,120 | 5.6× |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$1,594–$1,596 | $1,594–$1,596 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $1,648 | $1,648 | 15.7× |
| Radiologic exam colon double contrast study (74280) | $3,768 | $3,768 | 21.4× |
| Radiologic exam colon single contrast study (74270) | $3,299 | $3,299 | 18.7× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $1,648 | $1,648 | 9.4× |
| Radiologic exam knee complete 4/more views (73564) range across 5 matching MRF lines |
$1,277–$2,552 | $1,277–$2,552 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$1,436–$1,438 | $1,436–$1,438 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) | $2,364 | $2,364 | 13.4× |
| Radiologic exam swallow function contrast study (74230) | $1,648 | $1,648 | 9.4× |
| Radiologic exam upr gi trc double contrast study (74246) | $3,840 | $3,840 | 21.8× |
| Radiologic examination femur 1 view (73551) range across 4 matching MRF lines |
$705–$706 | $705–$706 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 5 matching MRF lines |
$1,406–$2,811 | $1,406–$2,811 | varies |
| Radiologic examination knee 1/2 views (73560) range across 4 matching MRF lines |
$993–$995 | $993–$995 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $3,074 | $3,074 | 29.3× |
| Radiologic examination tibia & fibula 2 views (73590) | $1,083 | $1,083 | 12.4× |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77768) | $3,524 | $3,524 | 9.1× |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77767) | $3,311 | $3,311 | 8.6× |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$1,459–$1,460 | $1,459–$1,460 | varies |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $1,562 | $1,562 | 3.9× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $4,869 | $4,869 | 8.9× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $4,869 | $4,869 | 8.9× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $4,751 | $4,751 | 8.7× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $4,869 | $4,869 | 3.7× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $4,869 | $4,869 | 3.7× |
| Scapula (73010) range across 4 matching MRF lines |
$1,335–$1,337 | $1,335–$1,337 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $43 | $43 | 1.8× |
| Shoulder 1 view (73020) | $1,033 | $1,033 | 11.8× |
| Shoulder Arthrography (73040) | $2,328 | $2,328 | 6.7× |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$1,335–$1,337 | $1,335–$1,337 | varies |
| Special Physics Consult (77370) range across 2 matching MRF lines |
$1,291–$1,292 | $1,291–$1,292 | varies |
| Special treatment procedure (77470) | $3,423 | $3,423 | 6.2× |
| Srs Multisource (77371) | $123,938 | $123,938 | 16.8× |
| Stereotactic Body Radiation Delivery (77373) range across 2 matching MRF lines |
$4,479–$4,480 | $4,479–$4,480 | varies |
| Sternoclavicular joints (71130) | $1,033 | $1,033 | 11.8× |
| Surface Applic Low Dose Rate Radionuclide Source (77789) | $899 | $899 | 8.8× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $3,548 | $3,548 | 9.4× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $2,695 | $2,695 | 7.2× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $3,742 | $3,742 | 10.0× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $2,997 | $2,997 | 8.0× |
| Ther rad simulaj-aided field setting simple (77280) | $1,934 | $1,934 | 14.3× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $1,803 | $1,803 | 10.2× |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$1,594–$1,596 | $1,594–$1,596 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$1,899–$1,900 | $1,899–$1,900 | varies |
| Thoracolumbar 2 views (72080) | $1,738 | $1,738 | 19.9× |
| Thyroid Met Imaging Body (78018) | $3,594 | $3,594 | 6.6× |
| Thyroid Uptake Measurement (78012) | $3,884 | $3,884 | 9.7× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $5,348 | $5,348 | 13.3× |
| Tx Devices Design & Construction Complex (77334) | $4,883 | $4,883 | 13.0× |
| Tx devices design & construction intermediate (77333) | $1,504 | $1,504 | 11.2× |
| Tx devices design & construction simple (77332) | $1,190 | $1,190 | 8.8× |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$1,880–$3,756 | $1,880–$3,756 | varies |
| Ultrasound elastography first target lesion (76982) | $1,011 | $1,011 | 9.6× |
| Ultrasound Elastography Parenchyma (76981) | $1,011 | $1,011 | 9.6× |
| Ultrasound Exam Aaa Screen (76706) | $968 | $968 | 9.2× |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$1,605–$1,606 | $1,605–$1,606 | varies |
| Umbilical-artery Doppler (OB) (76820) | $2,386 | $2,386 | 22.7× |
| Upper gi w/o kub (74240) | $3,840 | $3,840 | 21.8× |
| Urethrocystogram voiding (74455) | $3,473 | $3,473 | 14.5× |
| Urethrocystography retrograde (74450) | $3,289 | $3,289 | 13.7× |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$1,880–$3,756 | $1,880–$3,756 | varies |
| Us chest (76604) range across 2 matching MRF lines |
$1,611–$1,612 | $1,611–$1,612 | varies |
| Us complete joint (76881) | $1,377 | $1,377 | 13.1× |
| Us exam, pelvic, limited (76857) | $1,578 | $1,578 | 15.0× |
| Us head (76506) range across 2 matching MRF lines |
$1,188–$1,189 | $1,188–$1,189 | varies |
| Us kidney transplant (76776) range across 2 matching MRF lines |
$763–$764 | $763–$764 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$1,182–$1,183 | $1,182–$1,183 | varies |
| Us ob detailed single fetus (76811) | $2,414 | $2,414 | 10.1× |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$2,556–$2,557 | $2,556–$2,557 | varies |
| Us ob transvaginal (76817) | $1,838 | $1,838 | 17.5× |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$2,197–$2,198 | $2,197–$2,198 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $1,633 | $1,633 | 15.6× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 2 matching MRF lines |
$1,714–$1,715 | $1,714–$1,715 | varies |
| Us retroperitoneal complete (76770) | $2,437 | $2,437 | 23.2× |
| Us retroperitoneal limited (76775) | $1,474 | $1,474 | 14.1× |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$1,774–$1,775 | $1,774–$1,775 | varies |
| Us spinal canal and contents (76800) range across 2 matching MRF lines |
$1,441–$1,442 | $1,441–$1,442 | varies |
| Us thyroid (76536) range across 2 matching MRF lines |
$1,338–$1,339 | $1,338–$1,339 | varies |
| Vein X-Ray Chest (75827) | $6,255 | $6,255 | 4.0× |
| Venogram Sinus/Jugular (75860) | $5,217 | $5,217 | 1.6× |
| Venography caval inferior serialography rs&i (75825) | $6,799 | $6,799 | 2.1× |
| Venography extremity bilateral rs&i (75822) range across 2 matching MRF lines |
$3,404–$3,405 | $3,404–$3,405 | varies |
| Venography extremity unilateral rs&i (75820) range across 3 matching MRF lines |
$3,873–$3,874 | $3,873–$3,874 | varies |
| Venography Renal Unilateral (75831) range across 2 matching MRF lines |
$5,798–$5,799 | $5,798–$5,799 | varies |
| Venous sampling by catheter (75893) | $8,155 | $8,155 | 1.5× |
| Wrist 2 views (73100) range across 4 matching MRF lines |
$993–$995 | $993–$995 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $1,213 | $1,213 | 13.9× |
| X-ray antegrade pyelogram tube (74425) | $3,077 | $3,077 | 8.8× |
| X-Ray Aorta Leg Arteries (75630) | $9,956 | $9,956 | 3.1× |
| X-Ray Bend Only L-S Spine (72120) | $1,521 | $1,521 | 14.5× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $1,033 | $1,033 | 11.8× |
| X-Ray Exam Breast Specimen (76098) | $1,002 | $1,002 | 1.8× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $380 | $380 | 4.4× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $624 | $624 | 5.9× |
| X-Ray Exam Hip Uni 1 View (73501) | $877 | $877 | 10.0× |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 4 matching MRF lines |
$1,277–$1,278 | $1,277–$1,278 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$1,748–$1,749 | $1,748–$1,749 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 2 matching MRF lines |
$2,549–$2,550 | $2,549–$2,550 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) | $5,157 | $5,157 | 49.2× |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$2,262–$2,264 | $2,262–$2,264 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$1,335–$1,337 | $1,335–$1,337 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $1,862 | $1,862 | 17.8× |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 4 matching MRF lines |
$1,459–$1,460 | $1,459–$1,460 | varies |
| X-ray eye for foreign body (70030) range across 3 matching MRF lines |
$1,119–$2,235 | $1,119–$2,235 | varies |
| X-ray humerus (73060) range across 4 matching MRF lines |
$1,328–$1,329 | $1,328–$1,329 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 2 matching MRF lines |
$1,335–$1,337 | $1,335–$1,337 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $1,083 | $1,083 | 12.4× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$1,646–$1,648 | $1,646–$1,648 | varies |
| X-ray nose-rectum child f.b. (76010) range across 2 matching MRF lines |
$993–$995 | $993–$995 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$1,594–$1,596 | $1,594–$1,596 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $1,377 | $1,377 | 13.1× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) range across 2 matching MRF lines |
$966–$967 | $966–$967 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $1,377 | $1,377 | 15.8× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$1,562–$1,563 | $1,562–$1,563 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$2,063–$2,065 | $2,063–$2,065 | varies |
| X-ray thoracic spine 4 vw (72074) | $1,964 | $1,964 | 18.7× |
| X-Ray Tmj Unilat (70328) | $1,058 | $1,058 | 12.1× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $2,364 | $2,364 | 6.8× |
| X-Rays Bone Length Studies (77073) | $1,594 | $1,594 | 15.2× |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$3,074–$3,075 | $3,074–$3,075 | varies |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$1,720–$1,721 | $1,720–$1,721 | varies |
| Xr facial bones less than 3 views (70140) range across 2 matching MRF lines |
$840–$842 | $840–$842 | varies |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$1,436–$1,438 | $1,436–$1,438 | varies |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.