Imaging prices at Clinch Valley Medical Center
Richlands, VA · every code in this section with a posted price and a Medicare benchmark.
352 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) range across 2 matching MRF lines |
$3,598.21–$3,922.05 | $8,995.53–$9,805.13 | varies |
| Abdomen 1 View (74018) range across 3 matching MRF lines |
$75.50–$663.40 | $188.74–$1,658.50 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$1,217.25–$1,326.80 | $3,043.13–$3,317.01 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) range across 2 matching MRF lines |
$1,072.14–$1,168.63 | $2,680.35–$2,921.58 | varies |
| Angio internal mammary (75756) range across 2 matching MRF lines |
$1,027.05–$1,119.49 | $2,567.63–$2,798.72 | varies |
| Angio pulmonary bilat (75743) range across 2 matching MRF lines |
$3,560.17–$3,880.58 | $8,900.42–$9,701.46 | varies |
| Angiography extremity bilateral rs&i (75716) range across 2 matching MRF lines |
$3,257.97–$3,551.19 | $8,144.93–$8,877.97 | varies |
| Angiography extremity unilateral rs&i (75710) range across 3 matching MRF lines |
$2,341.51–$2,650.54 | $5,853.78–$6,626.34 | varies |
| Angiography pulmonary unilateral slctv rs&i (75741) range across 3 matching MRF lines |
$3,288.26–$3,584.20 | $8,220.64–$8,960.50 | varies |
| Ankle 2 views (73600) range across 4 matching MRF lines |
$567.42–$1,262.31 | $1,301.42–$3,155.78 | varies |
| Aortography thoracic serialography rs&i (75605) range across 2 matching MRF lines |
$3,912.38–$4,264.50 | $9,780.96–$10,661.25 | varies |
| Aortography thoracic w/o serialography rs&i (75600) range across 2 matching MRF lines |
$2,722.60–$2,967.64 | $6,806.51–$7,419.10 | varies |
| Artery X-Rays Abdomen (75726) range across 2 matching MRF lines |
$2,500–$2,725 | $6,250.01–$6,812.51 | varies |
| Artery X-Rays Pelvis (75736) range across 2 matching MRF lines |
$2,114.56–$2,304.87 | $5,286.39–$5,762.17 | varies |
| Arthrogram ankle (73615) range across 2 matching MRF lines |
$1,186.25–$1,293.02 | $2,965.63–$3,232.54 | varies |
| Arthrogram hip (73525) range across 2 matching MRF lines |
$731.90–$797.78 | $1,829.76–$1,994.44 | varies |
| Arthrogram Wrist (73115) range across 2 matching MRF lines |
$520.57–$567.42 | $1,301.42–$1,418.55 | varies |
| Basic radiation dosimetry calculation (77300) range across 2 matching MRF lines |
$522.69–$569.73 | $1,306.72–$1,424.32 | varies |
| Bone age studies (77072) range across 2 matching MRF lines |
$245.14–$267.20 | $612.84–$668 | varies |
| Bone Imaging 3 Phase (78315) range across 2 matching MRF lines |
$2,280.22–$2,485.44 | $5,700.56–$6,213.61 | varies |
| Bone Imaging Whole Body (78306) range across 2 matching MRF lines |
$2,040.02–$2,223.62 | $5,100.04–$5,559.04 | varies |
| Bone marrow imaging; whole body (78104) range across 2 matching MRF lines |
$1,089.04–$1,187.06 | $2,722.61–$2,967.64 | varies |
| Bone survey infant (77076) range across 2 matching MRF lines |
$434.63–$473.75 | $1,086.58–$1,184.37 | varies |
| Brain Flow Imaging Only (78610) range across 2 matching MRF lines |
$668.50–$728.66 | $1,671.24–$1,821.65 | varies |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) range across 2 matching MRF lines |
$757.26–$825.41 | $1,893.14–$2,063.52 | varies |
| Brain Imaging Pet Metabolic Evaluation (78608) range across 2 matching MRF lines |
$9,783.07–$10,663.55 | $24,457.68–$26,658.87 | varies |
| Cat Scan Follow-Up Study (76380) range across 2 matching MRF lines |
$1,103.84–$1,203.18 | $2,759.59–$3,007.95 | varies |
| Cerebrospinal Fluid Scan (78630) range across 2 matching MRF lines |
$4,313.92–$4,702.17 | $10,784.79–$11,755.42 | varies |
| Chest 1 view (71045) range across 3 matching MRF lines |
$75.50–$195.03 | $188.74–$487.58 | varies |
| Chest 2 views (71046) range across 3 matching MRF lines |
$75.50–$514.44 | $188.74–$1,286.11 | varies |
| Chest 3 views (71047) range across 2 matching MRF lines |
$710.76–$774.73 | $1,776.90–$1,936.82 | varies |
| Chest 4 or more views (71048) range across 2 matching MRF lines |
$907.30–$988.95 | $2,268.24–$2,472.38 | varies |
| Clavicle complete (73000) range across 3 matching MRF lines |
$617.77–$1,343.70 | $1,544.43–$3,359.24 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 2 matching MRF lines |
$2,870.70–$3,129.06 | $7,176.75–$7,822.66 | varies |
| Continuing medical physics consltj pr wk (77336) | $901.66 | $2,254.16 | 6.9× |
| Contrast Exam Abdominl Aorta (75625) range across 2 matching MRF lines |
$4,060.31–$4,425.74 | $10,150.78–$11,064.35 | varies |
| Contrast X-Ray Bladder (74430) range across 2 matching MRF lines |
$571.99–$623.47 | $1,429.98–$1,558.68 | varies |
| Contrast X-Ray Of Elbow (73085) range across 2 matching MRF lines |
$750.21–$817.73 | $1,875.53–$2,044.33 | varies |
| Contrast X-Ray Of Knee Joint (73580) range across 2 matching MRF lines |
$644.55–$702.56 | $1,611.38–$1,756.40 | varies |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$7,897.32–$8,608.08 | $19,743.31–$21,520.21 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$4,644.98–$5,063.03 | $11,612.46–$12,657.58 | varies |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$2,945.21–$3,210.28 | $7,363.02–$8,025.69 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$4,759.80–$5,188.18 | $11,899.50–$12,970.46 | varies |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$2,274.59–$2,479.30 | $5,686.47–$6,198.25 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$2,910.69–$3,172.65 | $7,276.72–$7,931.62 | varies |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$1,522.97–$1,660.04 | $3,807.43–$4,150.10 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$1,262.32–$1,375.93 | $3,155.81–$3,439.83 | varies |
| CT angio hrt w/3d image (75574) range across 2 matching MRF lines |
$1,920.26–$2,093.09 | $4,800.66–$5,232.72 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 3 matching MRF lines |
$2,317.30–$3,106.62 | $5,793.25–$7,766.56 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$1,262.32–$1,375.93 | $3,155.81–$3,439.83 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 2 matching MRF lines |
$2,125.96–$2,317.30 | $5,314.91–$5,793.25 | varies |
| CT cervical spine w/ contrast (72126) range across 2 matching MRF lines |
$3,107.22–$3,386.88 | $7,768.06–$8,467.19 | varies |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$3,014.24–$3,285.52 | $7,535.61–$8,213.81 | varies |
| CT cervical spine w/wo cont (72127) range across 2 matching MRF lines |
$3,272.76–$3,567.31 | $8,181.91–$8,918.28 | varies |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$1,800.51–$1,962.56 | $4,501.28–$4,906.40 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$2,327.42–$2,536.89 | $5,818.55–$6,342.22 | varies |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$2,290.80–$2,496.97 | $5,726.99–$6,242.42 | varies |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$2,454.22–$2,675.10 | $6,135.56–$6,687.76 | varies |
| CT heart contrast eval cardiac structure&morph (75572) range across 2 matching MRF lines |
$1,082–$1,179.38 | $2,704.99–$2,948.44 | varies |
| CT heart no contrast quant eval coronry calcium (75571) | $35.27 | $88.17 | 0.4× |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$2,781.77–$3,032.13 | $6,954.43–$7,580.33 | varies |
| CT l-spine w&w/o contrast (72133) range across 2 matching MRF lines |
$3,729.23–$4,064.86 | $9,323.07–$10,162.15 | varies |
| CT lower ext w/o (73700) range across 3 matching MRF lines |
$2,127.36–$5,653.49 | $5,318.41–$14,133.72 | varies |
| CT lower extremity w/contrast material (73701) range across 3 matching MRF lines |
$2,208.38–$5,795.53 | $5,520.94–$14,488.83 | varies |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$2,442.24–$2,662.04 | $6,105.61–$6,655.11 | varies |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$3,438.30–$3,747.75 | $8,595.75–$9,369.37 | varies |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$3,107.22–$3,386.88 | $7,768.06–$8,467.19 | varies |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$2,960–$3,226.40 | $7,400.01–$8,066.01 | varies |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$2,327.42–$2,536.89 | $5,818.55–$6,342.22 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 2 matching MRF lines |
$3,423.51–$3,731.63 | $8,558.78–$9,329.07 | varies |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$2,591.59–$2,824.83 | $6,478.97–$7,062.08 | varies |
| CT pelvis w&w/o contrast (72194) range across 2 matching MRF lines |
$3,136.10–$3,418.35 | $7,840.26–$8,545.88 | varies |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$2,369.69–$2,582.96 | $5,924.22–$6,457.40 | varies |
| CT scan of leg combo (73702) range across 3 matching MRF lines |
$2,290.80–$5,971.37 | $5,726.99–$14,928.42 | varies |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
$4,104.69–$4,474.11 | $10,261.72–$11,185.27 | varies |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$2,134.41–$2,326.51 | $5,336.03–$5,816.27 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$1,978.73–$2,156.82 | $4,946.83–$5,392.04 | varies |
| CT thoracic spine w contrast (72129) range across 2 matching MRF lines |
$3,234.02–$3,525.08 | $8,085.04–$8,812.69 | varies |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$2,266.84–$2,470.86 | $5,667.11–$6,177.15 | varies |
| CT thoracic spine w/wo cont (72130) range across 2 matching MRF lines |
$3,486.91–$3,800.74 | $8,717.28–$9,501.84 | varies |
| CT thorax w/o contrast (71250) range across 4 matching MRF lines |
$91.34–$1,889.62 | $228.36–$4,724.04 | varies |
| CT upper ext wo (73200) range across 3 matching MRF lines |
$2,127.36–$5,653.49 | $5,318.41–$14,133.72 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 3 matching MRF lines |
$2,496.97–$5,971.37 | $6,242.42–$14,928.42 | varies |
| CT upper extremity with contrast (73201) range across 3 matching MRF lines |
$2,208.38–$5,795.53 | $5,520.94–$14,488.83 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$2,850.11–$3,106.62 | $7,125.28–$7,766.56 | varies |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$869.97–$948.26 | $2,174.92–$2,370.66 | varies |
| CTA pelvis (72191) range across 2 matching MRF lines |
$2,039.32–$2,222.86 | $5,098.30–$5,557.15 | varies |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) range across 2 matching MRF lines |
$374.05–$407.72 | $935.13–$1,019.29 | varies |
| Doppler Echo Fetal Spectral Display Complete (76827) range across 2 matching MRF lines |
$605.81–$660.33 | $1,514.52–$1,650.83 | varies |
| Dxa Bone Density Axial (77080) range across 3 matching MRF lines |
$91.34–$841.54 | $228.36–$2,103.85 | varies |
| Dxa bone density study 1/>sites appendiclr skel (77081) range across 2 matching MRF lines |
$496.62–$541.32 | $1,241.55–$1,353.29 | varies |
| Echo exam of fetal heart (76825) range across 2 matching MRF lines |
$1,168.64–$1,273.82 | $2,921.61–$3,184.55 | varies |
| Echo exam uterus (76831) range across 2 matching MRF lines |
$1,408.85–$1,535.64 | $3,522.12–$3,839.11 | varies |
| Echo Guide For Artery Repair (76936) range across 2 matching MRF lines |
$888.99–$969 | $2,222.48–$2,422.50 | varies |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) range across 2 matching MRF lines |
$740.36–$806.99 | $1,850.89–$2,017.47 | varies |
| Esophagram (74220) range across 2 matching MRF lines |
$852.36–$929.08 | $2,130.91–$2,322.69 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 2 matching MRF lines |
$874.90–$953.64 | $2,187.25–$2,384.10 | varies |
| Fluoroscopy up to 1 hr (76000) range across 3 matching MRF lines |
$625.78–$704.09 | $1,564.44–$1,760.23 | varies |
| Follow-Up Angiography (75898) range across 2 matching MRF lines |
$1,348.28–$1,469.62 | $3,370.69–$3,674.05 | varies |
| Foot 2 views (73620) range across 3 matching MRF lines |
$543.12–$1,179.38 | $1,357.79–$2,948.44 | varies |
| Forearm 2 views (73090) range across 3 matching MRF lines |
$570.58–$1,243.88 | $1,426.46–$3,109.69 | varies |
| Gastric emptying imaging study (78264) range across 2 matching MRF lines |
$1,408.85–$1,535.64 | $3,522.12–$3,839.11 | varies |
| Gated Heart Planar Single (78472) range across 2 matching MRF lines |
$2,443.66–$2,663.58 | $6,109.14–$6,658.96 | varies |
| Hand 2 views (73120) range across 3 matching MRF lines |
$505.24–$1,013.52 | $1,263.09–$2,533.81 | varies |
| Heart first pass single,planar (78481) range across 2 matching MRF lines |
$2,371.10–$2,584.50 | $5,927.76–$6,461.26 | varies |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) range across 2 matching MRF lines |
$2,888.14–$3,148.08 | $7,220.36–$7,870.19 | varies |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) range across 2 matching MRF lines |
$2,398.57–$2,614.44 | $5,996.43–$6,536.11 | varies |
| Hepatobil Syst Image W/Drug (78227) range across 2 matching MRF lines |
$3,078.34–$3,355.40 | $7,695.86–$8,388.49 | varies |
| Hepatobiliary System Imaging (78226) range across 2 matching MRF lines |
$2,412.66–$2,629.80 | $6,031.64–$6,574.49 | varies |
| Ht Muscle Image Spect Sing (78451) range across 2 matching MRF lines |
$4,811.94–$5,245.01 | $12,029.84–$13,112.53 | varies |
| Hysterosalpingogram (74740) range across 2 matching MRF lines |
$579.04–$631.15 | $1,447.60–$1,577.88 | varies |
| Infant hip ultrasound with hip movement (dynamic) (76885) range across 2 matching MRF lines |
$561.42–$611.95 | $1,403.56–$1,529.88 | varies |
| Infant hip ultrasound, limited static exam (76886) range across 2 matching MRF lines |
$526.21–$573.57 | $1,315.53–$1,433.93 | varies |
| K Flow/Funct Image Multiple (78709) range across 2 matching MRF lines |
$2,620.46–$2,856.30 | $6,551.16–$7,140.76 | varies |
| K Flow/Funct Image W/Drug (78708) range across 2 matching MRF lines |
$1,809.67–$1,972.54 | $4,524.18–$4,931.36 | varies |
| K Flow/Funct Image W/O Drug (78707) range across 2 matching MRF lines |
$1,371.52–$1,494.96 | $3,428.80–$3,737.39 | varies |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$714.30–$778.58 | $1,785.74–$1,946.46 | varies |
| Labeled RBC Sequestration Differntl Organ/Tissue (78140) range across 2 matching MRF lines |
$1,105.24–$1,204.72 | $2,763.11–$3,011.79 | varies |
| Liver & Spleen Imaging Static Only (78215) range across 2 matching MRF lines |
$1,686.40–$1,838.18 | $4,216–$4,595.44 | varies |
| Liver & Spleen Imaging W/Vascular Flow (78216) range across 2 matching MRF lines |
$2,412.66–$2,629.80 | $6,031.64–$6,574.49 | varies |
| Liver imaging static only (78201) range across 2 matching MRF lines |
$1,447.60–$1,577.88 | $3,618.99–$3,944.70 | varies |
| Lung Perf&Ventilat Diferentl (78598) range across 2 matching MRF lines |
$1,545.51–$1,684.60 | $3,863.77–$4,211.51 | varies |
| Lung perfusion differential (78597) range across 2 matching MRF lines |
$1,114.41–$1,214.71 | $2,786.03–$3,036.77 | varies |
| Lung Ventilat&Perfus Imaging (78582) range across 2 matching MRF lines |
$2,664.14–$2,903.92 | $6,660.36–$7,259.79 | varies |
| Lung Ventilation Imaging (78579) range across 2 matching MRF lines |
$2,279.52–$2,484.67 | $5,698.79–$6,211.68 | varies |
| Lymph System Imaging (78195) range across 2 matching MRF lines |
$1,348.97–$1,470.38 | $3,372.42–$3,675.94 | varies |
| Magnetic Image Jaw Joint (70336) range across 2 matching MRF lines |
$2,826.16–$3,080.51 | $7,065.39–$7,701.28 | varies |
| Mammary ductogram or galactogram multiple (77054) range across 2 matching MRF lines |
$1,284.87–$1,400.51 | $3,212.18–$3,501.28 | varies |
| Mammary ductogram or galactogram single (77053) range across 2 matching MRF lines |
$1,127.08–$1,228.52 | $2,817.71–$3,071.30 | varies |
| Meckels Divert Exam (78290) range across 2 matching MRF lines |
$1,348.97–$1,470.38 | $3,372.42–$3,675.94 | varies |
| Mlc imrt design & construction per imrt plan (77338) range across 2 matching MRF lines |
$1,439.85–$1,569.44 | $3,599.63–$3,923.60 | varies |
| Mr safety determination physician/other qhp (76016) range across 2 matching MRF lines |
$84.07–$91.64 | $210.18–$229.10 | varies |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $23.38 | $58.45 | 0.8× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) range across 2 matching MRF lines |
$87.64–$95.53 | $219.10–$238.82 | varies |
| Mr safety implt pos&/immoblj (76019) range across 2 matching MRF lines |
$56.72–$61.82 | $141.80–$154.56 | varies |
| Mr safety med physics xm customization plng&mntr (76017) range across 2 matching MRF lines |
$230.80–$251.57 | $577–$628.93 | varies |
| Mra Head W/O & W/Contrast Material (70546) range across 2 matching MRF lines |
$3,365.04–$3,667.89 | $8,412.59–$9,169.72 | varies |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$2,304.18–$2,511.56 | $5,760.45–$6,278.89 | varies |
| MRA head with contrast (70545) range across 2 matching MRF lines |
$2,483.10–$2,706.58 | $6,207.75–$6,766.45 | varies |
| MRA neck w contrast (70548) range across 2 matching MRF lines |
$2,111.16–$2,301.16 | $5,277.90–$5,752.91 | varies |
| Mra Neck W/O &W/Contrast Material (70549) range across 2 matching MRF lines |
$3,365.04–$3,667.89 | $8,412.59–$9,169.72 | varies |
| MRA neck w/o contrast (70547) range across 2 matching MRF lines |
$2,004.09–$2,184.46 | $5,010.23–$5,461.15 | varies |
| MRI abdomen w contrast (74182) range across 2 matching MRF lines |
$2,103.42–$2,292.73 | $5,258.55–$5,731.82 | varies |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$1,683.58–$1,835.10 | $4,208.95–$4,587.76 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 3 matching MRF lines |
$4,154.70–$8,492.90 | $10,386.76–$21,232.25 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 3 matching MRF lines |
$4,451.97–$8,896.01 | $11,129.92–$22,240.02 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 2 matching MRF lines |
$4,154.70–$4,528.63 | $10,386.76–$11,321.57 | varies |
| MRI Breast W/O Contrast Bilateral (77047) range across 2 matching MRF lines |
$2,452.82–$2,673.57 | $6,132.04–$6,683.92 | varies |
| MRI Breast Without Contrast Material Unilateral (77046) range across 2 matching MRF lines |
$2,452.82–$2,673.57 | $6,132.04–$6,683.92 | varies |
| MRI cervical spine w contrast (72142) range across 2 matching MRF lines |
$4,142.73–$4,515.57 | $10,356.82–$11,288.93 | varies |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$4,041.28–$4,405 | $10,103.21–$11,012.50 | varies |
| MRI chest w/o contrast (71550) range across 2 matching MRF lines |
$1,789.94–$1,951.04 | $4,474.86–$4,877.60 | varies |
| MRI chest with contrast (71551) range across 2 matching MRF lines |
$2,270.37–$2,474.70 | $5,675.92–$6,186.75 | varies |
| MRI chest wo w contrast (71552) range across 2 matching MRF lines |
$3,041–$3,314.69 | $7,602.50–$8,286.73 | varies |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 3 matching MRF lines |
$3,236.38–$5,095.28 | $8,090.95–$12,738.21 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 3 matching MRF lines |
$3,930.70–$5,631.23 | $9,826.75–$14,078.07 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 3 matching MRF lines |
$2,625.39–$4,689.10 | $6,563.48–$11,722.76 | varies |
| MRI lumbar spine w contrast (72149) range across 2 matching MRF lines |
$4,647.81–$5,066.11 | $11,619.52–$12,665.28 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$8,504.53–$9,269.94 | $21,261.32–$23,174.84 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 2 matching MRF lines |
$2,004.09–$2,184.46 | $5,010.23–$5,461.15 | varies |
| MRI orbit face neck w contrast (70542) range across 2 matching MRF lines |
$2,621.17–$2,857.08 | $6,552.93–$7,142.69 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 2 matching MRF lines |
$3,739.09–$4,075.60 | $9,347.72–$10,189.01 | varies |
| MRI pelvis w contrast (72196) range across 2 matching MRF lines |
$3,736.98–$4,073.30 | $9,342.44–$10,183.26 | varies |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$4,578.07–$4,990.10 | $11,445.17–$12,475.24 | varies |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$3,593.27–$3,916.66 | $8,983.17–$9,791.66 | varies |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$3,064.96–$3,340.80 | $7,662.39–$8,352.01 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 2 matching MRF lines |
$2,969.16–$3,236.38 | $7,422.89–$8,090.95 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 2 matching MRF lines |
$2,625.39–$2,861.68 | $6,563.48–$7,154.19 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 3 matching MRF lines |
$3,930.70–$5,631.23 | $9,826.75–$14,078.07 | varies |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$3,519.30–$3,836.04 | $8,798.25–$9,590.09 | varies |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$6,450.43–$7,030.97 | $16,126.07–$17,577.42 | varies |
| MRI, dorsal spine contrast (72147) range across 2 matching MRF lines |
$4,518.19–$4,924.82 | $11,295.47–$12,312.06 | varies |
| MRI, joint upper extrem (73221) range across 3 matching MRF lines |
$3,858.14–$8,087.49 | $9,645.35–$20,218.73 | varies |
| MRI, joint upper extrem combo (73223) range across 2 matching MRF lines |
$4,451.97–$4,852.64 | $11,129.92–$12,131.61 | varies |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$9,037.08–$9,850.42 | $22,592.70–$24,626.04 | varies |
| Myelogram cervical (72240) range across 2 matching MRF lines |
$1,847.01–$2,013.24 | $4,617.53–$5,033.11 | varies |
| Myelogram Lumbar (72265) range across 2 matching MRF lines |
$1,847.01–$2,013.24 | $4,617.53–$5,033.11 | varies |
| Myelography thoracic (72255) range across 2 matching MRF lines |
$1,847.01–$2,013.24 | $4,617.53–$5,033.11 | varies |
| Myelograpy 2/more regions rs&i (72270) range across 2 matching MRF lines |
$2,707.81–$2,951.52 | $6,769.53–$7,378.79 | varies |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) range across 2 matching MRF lines |
$2,664.14–$2,903.92 | $6,660.36–$7,259.79 | varies |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) range across 2 matching MRF lines |
$889.68–$969.76 | $2,224.21–$2,424.39 | varies |
| Myocardial Spect Multiple Studies (78452) range across 2 matching MRF lines |
$4,811.94–$5,245.01 | $12,029.84–$13,112.53 | varies |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$495.22–$539.78 | $1,238.04–$1,349.46 | varies |
| Nfs/Instlj Radioelmnt Sln 3 Mo Follow-Up Care (77750) range across 2 matching MRF lines |
$399.42–$435.36 | $998.54–$1,088.41 | varies |
| Nonvascular Shunt X-Ray (75809) range across 2 matching MRF lines |
$227.54–$248.02 | $568.84–$620.04 | varies |
| Ntsty modul radthx pln dose-vol histos (77301) range across 2 matching MRF lines |
$5,181.75–$5,648.11 | $12,954.38–$14,120.27 | varies |
| Nuclear Rx Oral Admin (79005) range across 2 matching MRF lines |
$2,009.73–$2,190.60 | $5,024.32–$5,476.51 | varies |
| Ob us nuchal meas 1 gest (76813) range across 2 matching MRF lines |
$531.13–$578.93 | $1,327.83–$1,447.33 | varies |
| Optic foramina (70190) range across 3 matching MRF lines |
$492.95–$985.13 | $1,232.38–$2,462.82 | varies |
| Parathyroid Planar Imaging (78070) range across 2 matching MRF lines |
$1,984.36–$2,162.96 | $4,960.91–$5,407.39 | varies |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$487.46–$531.34 | $1,218.66–$1,328.34 | varies |
| Peritoneogram Rs&I (74190) range across 2 matching MRF lines |
$1,683.58–$1,835.10 | $4,208.95–$4,587.76 | varies |
| Pet Image W/Ct Lmtd (78814) range across 3 matching MRF lines |
$10,663.55–$11,757.69 | $26,658.87–$29,394.22 | varies |
| PET image w/CT, full body (78816) range across 3 matching MRF lines |
$9,783.07–$11,757.69 | $24,457.68–$29,394.22 | varies |
| PET imaging CT attenuation skull base mid-thigh (78815) range across 3 matching MRF lines |
$9,783.07–$11,757.69 | $24,457.68–$29,394.22 | varies |
| Pulmonary Perfusion Imaging Particulate (78580) range across 2 matching MRF lines |
$1,114.41–$1,214.71 | $2,786.03–$3,036.77 | varies |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$1,025.64–$1,117.95 | $2,564.11–$2,794.88 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 2 matching MRF lines |
$1,207.39–$1,316.06 | $3,018.48–$3,290.14 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$624.83–$1,359.82 | $1,562.08–$3,399.55 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$480.43–$763.98 | $1,201.07–$1,909.96 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$568.48–$1,236.97 | $1,421.20–$3,092.43 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$480.43–$523.67 | $1,201.07–$1,309.17 | varies |
| Radex fingr minimum 2 views (73140) range across 2 matching MRF lines |
$488.17–$532.10 | $1,220.42–$1,330.26 | varies |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$574.81–$1,257.70 | $1,437.02–$3,144.26 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$582.56–$1,272.28 | $1,456.41–$3,180.70 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) range across 2 matching MRF lines |
$579.75–$631.92 | $1,449.37–$1,579.81 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$277.55–$302.53 | $693.88–$756.33 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 2 matching MRF lines |
$605.81–$660.33 | $1,514.52–$1,650.83 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$617.77–$1,343.70 | $1,544.43–$3,359.24 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$589.60–$642.67 | $1,474.01–$1,606.67 | varies |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) range across 2 matching MRF lines |
$2,001.27–$2,181.38 | $5,003.17–$5,453.46 | varies |
| Radex Spine 1 View Specify Level (72020) range across 3 matching MRF lines |
$132.06–$445.34 | $330.16–$1,113.35 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$448.71–$489.10 | $1,121.78–$1,222.74 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$617.77–$673.37 | $1,544.43–$1,683.43 | varies |
| Radex Toe Minimum 2 Views (73660) range across 3 matching MRF lines |
$159.91–$345.53 | $399.77–$863.83 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$579.04–$1,260.77 | $1,447.60–$3,151.93 | varies |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $8,419.68 | $21,049.19 | 1.2× |
| Radiation treatment delivery level 1 (77402) | $474.78 | $1,186.96 | 4.8× |
| Radiation treatment delivery level 2 (77407) | $555.79 | $1,389.48 | 1.5× |
| Radiation treatment delivery level 3 (77412) | $638.92 | $1,597.29 | 1.2× |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$725.56–$790.86 | $1,813.91–$1,977.16 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 2 matching MRF lines |
$1,418.52–$1,546.18 | $3,546.29–$3,865.46 | varies |
| Radiologic exam colon double contrast study (74280) range across 2 matching MRF lines |
$1,088.34–$1,186.29 | $2,720.85–$2,965.73 | varies |
| Radiologic exam colon single contrast study (74270) range across 2 matching MRF lines |
$558.60–$608.88 | $1,396.51–$1,522.20 | varies |
| Radiologic Exam Esophagus Double Contrast Study (74221) range across 2 matching MRF lines |
$811.77–$884.83 | $2,029.42–$2,212.07 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$676.95–$1,477.30 | $1,692.38–$3,693.24 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$528.32–$575.87 | $1,320.80–$1,439.67 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 2 matching MRF lines |
$502.25–$547.46 | $1,255.63–$1,368.64 | varies |
| Radiologic exam swallow function contrast study (74230) range across 2 matching MRF lines |
$860.81–$938.28 | $2,152.02–$2,345.70 | varies |
| Radiologic exam upr gi trc double contrast study (74246) range across 3 matching MRF lines |
$1,667.71–$1,918.80 | $4,169.28–$4,796.99 | varies |
| Radiologic examination femur 1 view (73551) range across 2 matching MRF lines |
$407.87–$444.58 | $1,019.67–$1,111.44 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$439.56–$479.12 | $1,098.91–$1,197.81 | varies |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$477.61–$1,038.86 | $1,194.02–$2,597.15 | varies |
| Radiologic Examination Salivary Gland Calculus (70380) range across 2 matching MRF lines |
$594.53–$648.04 | $1,486.33–$1,620.10 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$603.68–$1,312.22 | $1,509.21–$3,280.54 | varies |
| Radiologic examination, internal auditory meati, complete Non-Facility (70134) range across 2 matching MRF lines |
$608.62–$663.40 | $1,521.56–$1,658.50 | varies |
| Radiopharm Dacryocystography (78660) range across 2 matching MRF lines |
$2,254.87–$2,457.81 | $5,637.18–$6,144.53 | varies |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$674.84–$735.58 | $1,687.10–$1,838.94 | varies |
| Rp loclzj tum plnr 1 area single day imaging (78800) range across 2 matching MRF lines |
$1,172.86–$1,278.42 | $2,932.16–$3,196.05 | varies |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) range across 2 matching MRF lines |
$1,408.85–$1,535.64 | $3,522.12–$3,839.11 | varies |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) range across 2 matching MRF lines |
$4,139.52–$4,512.08 | $10,348.80–$11,280.19 | varies |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) range across 2 matching MRF lines |
$2,867.72–$3,125.81 | $7,169.29–$7,814.53 | varies |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 3 matching MRF lines |
$1,481.91–$3,187.24 | $3,704.77–$7,968.10 | varies |
| Scapula (73010) range across 3 matching MRF lines |
$452.25–$985.89 | $1,130.62–$2,464.73 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 2 matching MRF lines |
$63.89–$69.64 | $159.73–$174.11 | varies |
| Sella turcica (70240) range across 2 matching MRF lines |
$154.97–$168.92 | $387.43–$422.30 | varies |
| Shoulder 1 view (73020) range across 3 matching MRF lines |
$262.05–$572.03 | $655.12–$1,430.07 | varies |
| Shoulder Arthrography (73040) range across 5 matching MRF lines |
$475.28–$1,104.14 | $1,188.21–$2,760.34 | varies |
| Sialogram (70390) range across 2 matching MRF lines |
$669.21–$729.44 | $1,673.03–$1,823.60 | varies |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$425.48–$463.77 | $1,063.70–$1,159.43 | varies |
| Special dosimetry (77331) range across 2 matching MRF lines |
$625.53–$681.83 | $1,563.83–$1,704.57 | varies |
| Special Physics Consult (77370) | $756.55 | $1,891.38 | 5.8× |
| Special teletherapy port plan (77321) range across 2 matching MRF lines |
$769.94–$839.23 | $1,924.84–$2,098.08 | varies |
| Special treatment procedure (77470) range across 2 matching MRF lines |
$676.95–$737.88 | $1,692.38–$1,844.69 | varies |
| Speech evaluation, complex (70371) range across 2 matching MRF lines |
$860.81–$938.28 | $2,152.02–$2,345.70 | varies |
| Spleen Imaging (78185) range across 2 matching MRF lines |
$983.37–$1,071.88 | $2,458.43–$2,679.69 | varies |
| Stereotactic Body Radiation Delivery (77373) | $1,935.02 | $4,837.55 | 1.1× |
| Sternoclavicular joints (71130) range across 2 matching MRF lines |
$338.83–$369.33 | $847.08–$923.32 | varies |
| Tbs technical calculation only (77091) | $104.40 | $261 | 1.2× |
| Telethx isodose pln cplx w/basic dosimetry (77307) range across 2 matching MRF lines |
$955.90–$1,041.93 | $2,389.75–$2,604.83 | varies |
| Telethx isodose pln smpl w/dosimetry calculation (77306) range across 2 matching MRF lines |
$955.90–$1,041.93 | $2,389.75–$2,604.83 | varies |
| Temporomandble Jt Arthrography Rs&I (70332) range across 2 matching MRF lines |
$894.63–$975.15 | $2,236.58–$2,437.87 | varies |
| Testicular Imaging W/Flow (78761) range across 2 matching MRF lines |
$1,732.89–$1,888.85 | $4,332.23–$4,722.13 | varies |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) range across 2 matching MRF lines |
$1,133.42–$1,235.43 | $2,833.56–$3,088.58 | varies |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) range across 2 matching MRF lines |
$828.40–$902.96 | $2,071.01–$2,257.40 | varies |
| Ther rad simulaj-aided field setting simple (77280) range across 2 matching MRF lines |
$464.92–$506.76 | $1,162.29–$1,266.90 | varies |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$618.49–$674.16 | $1,546.23–$1,685.39 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$772.76–$842.30 | $1,931.89–$2,105.76 | varies |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$772.76–$842.30 | $1,931.89–$2,105.76 | varies |
| Thyroid Imaging With Vascular Flow (78013) range across 2 matching MRF lines |
$1,337.01–$1,457.34 | $3,342.52–$3,643.35 | varies |
| Thyroid Met Imaging Body (78018) range across 2 matching MRF lines |
$995.36–$1,084.94 | $2,488.40–$2,712.36 | varies |
| Thyroid Uptake Measurement (78012) range across 2 matching MRF lines |
$1,000.99–$1,091.08 | $2,502.47–$2,727.69 | varies |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) range across 2 matching MRF lines |
$2,026.63–$2,209.02 | $5,066.57–$5,522.56 | varies |
| Tx Devices Design & Construction Complex (77334) range across 2 matching MRF lines |
$824.88–$899.12 | $2,062.20–$2,247.80 | varies |
| Tx devices design & construction intermediate (77333) range across 2 matching MRF lines |
$514.23–$560.51 | $1,285.58–$1,401.28 | varies |
| Tx devices design & construction simple (77332) range across 2 matching MRF lines |
$358.55–$390.82 | $896.37–$977.04 | varies |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$617.77–$1,010.06 | $1,544.43–$2,525.16 | varies |
| Ultrasound elastography first target lesion (76982) range across 2 matching MRF lines |
$287.52–$313.40 | $718.81–$783.50 | varies |
| Ultrasound Elastography Parenchyma (76981) range across 2 matching MRF lines |
$287.52–$313.40 | $718.81–$783.50 | varies |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
$547.33–$596.59 | $1,368.33–$1,491.48 | varies |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$1,277.13–$1,392.07 | $3,192.82–$3,480.17 | varies |
| Upper gi w/o kub (74240) range across 3 matching MRF lines |
$1,257.70–$1,488.04 | $3,144.26–$3,720.10 | varies |
| Ureteral Reflux Study (78740) range across 2 matching MRF lines |
$1,686.40–$1,838.18 | $4,216–$4,595.44 | varies |
| Urethrocystogram voiding (74455) range across 2 matching MRF lines |
$681.18–$742.49 | $1,702.95–$1,856.22 | varies |
| Urethrocystography retrograde (74450) range across 2 matching MRF lines |
$647.37–$705.63 | $1,618.42–$1,764.08 | varies |
| Us bone density measurement (76977) range across 2 matching MRF lines |
$226.12–$246.47 | $565.30–$616.18 | varies |
| Us breast unilateral complete (76641) range across 2 matching MRF lines |
$751.63–$819.28 | $1,879.08–$2,048.20 | varies |
| Us chest (76604) range across 3 matching MRF lines |
$321.22–$350.12 | $803.04–$875.31 | varies |
| Us complete joint (76881) range across 2 matching MRF lines |
$605.81–$660.33 | $1,514.52–$1,650.83 | varies |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$196.54–$214.23 | $491.35–$535.57 | varies |
| Us head (76506) range across 2 matching MRF lines |
$383.21–$417.70 | $958.02–$1,044.24 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$571.99–$623.47 | $1,429.98–$1,558.68 | varies |
| Us ob detailed single fetus (76811) range across 2 matching MRF lines |
$605.81–$660.33 | $1,514.52–$1,650.83 | varies |
| Us ob limited 1 or more fetuses (76815) range across 3 matching MRF lines |
$389.29–$958.25 | $973.23–$2,395.62 | varies |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$979.86–$1,068.05 | $2,449.65–$2,670.12 | varies |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$1,251.77–$1,364.43 | $3,129.42–$3,411.07 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$517.76–$564.36 | $1,294.39–$1,410.89 | varies |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$478.31–$521.36 | $1,195.77–$1,303.39 | varies |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$653–$711.78 | $1,632.51–$1,779.44 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$1,139.06–$1,241.57 | $2,847.64–$3,103.93 | varies |
| Us spinal canal and contents (76800) range across 2 matching MRF lines |
$1,191.89–$1,299.16 | $2,979.72–$3,247.89 | varies |
| Us thyroid (76536) range across 2 matching MRF lines |
$1,268.67–$1,382.85 | $3,171.67–$3,457.12 | varies |
| Us transrectal (76872) range across 2 matching MRF lines |
$757.26–$825.41 | $1,893.14–$2,063.52 | varies |
| Vascular Flow Imaging (78445) range across 2 matching MRF lines |
$626.24–$682.60 | $1,565.59–$1,706.49 | varies |
| Vein X-Ray Chest (75827) range across 2 matching MRF lines |
$3,261.49–$3,555.03 | $8,153.73–$8,887.57 | varies |
| Venography caval inferior serialography rs&i (75825) range across 2 matching MRF lines |
$3,448.17–$3,758.51 | $8,620.43–$9,396.27 | varies |
| Venography extremity bilateral rs&i (75822) range across 2 matching MRF lines |
$2,398.57–$2,614.44 | $5,996.43–$6,536.11 | varies |
| Venography extremity unilateral rs&i (75820) range across 3 matching MRF lines |
$1,232.75–$1,615.49 | $3,081.87–$4,038.73 | varies |
| Venography Renal Bilateral (75833) range across 2 matching MRF lines |
$1,954.78–$2,130.71 | $4,886.95–$5,326.78 | varies |
| Venography Renal Unilateral (75831) range across 3 matching MRF lines |
$1,343.70–$1,615.49 | $3,359.24–$4,038.73 | varies |
| Venous Thrombosis Imaging Venogram Bilateral (78458) range across 2 matching MRF lines |
$1,826.58–$1,990.97 | $4,566.44–$4,977.42 | varies |
| Wrist 2 views (73100) range across 3 matching MRF lines |
$586.62–$1,174 | $1,466.54–$2,935.01 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$294.45–$320.95 | $736.12–$802.37 | varies |
| X-ray antegrade pyelogram tube (74425) range across 2 matching MRF lines |
$510–$555.90 | $1,275.01–$1,389.76 | varies |
| X-Ray Aorta Leg Arteries (75630) range across 2 matching MRF lines |
$2,348.57–$2,559.94 | $5,871.42–$6,399.85 | varies |
| X-Ray Bend Only L-S Spine (72120) range across 2 matching MRF lines |
$614.96–$670.31 | $1,537.40–$1,675.77 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$578.93–$1,160.96 | $1,447.33–$2,902.39 | varies |
| X-Ray Exam Breast Specimen (76098) range across 2 matching MRF lines |
$131.03–$142.82 | $327.57–$357.05 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 2 matching MRF lines |
$897.44–$978.21 | $2,243.60–$2,445.52 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$928.44–$1,012 | $2,321.10–$2,530 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 2 matching MRF lines |
$296.57–$323.26 | $741.42–$808.15 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 2 matching MRF lines |
$356.44–$388.52 | $891.11–$971.31 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) range across 2 matching MRF lines |
$407.87–$444.58 | $1,019.67–$1,111.44 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$407.87–$444.58 | $1,019.67–$1,111.44 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 2 matching MRF lines |
$407.87–$444.58 | $1,019.67–$1,111.44 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) range across 2 matching MRF lines |
$407.87–$444.58 | $1,019.67–$1,111.44 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$915.06–$997.41 | $2,287.64–$2,493.53 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$573.41–$625.02 | $1,433.52–$1,562.54 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$1,210.91–$1,319.89 | $3,027.27–$3,299.72 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 2 matching MRF lines |
$865.03–$942.88 | $2,162.58–$2,357.21 | varies |
| X-ray eye for foreign body (70030) range across 3 matching MRF lines |
$421.53–$842.30 | $1,053.83–$2,105.76 | varies |
| X-ray humerus (73060) range across 3 matching MRF lines |
$398–$868.41 | $995.01–$2,171.03 | varies |
| X-ray IV pyelogram (ivp) (74400) range across 2 matching MRF lines |
$1,070.03–$1,166.33 | $2,675.07–$2,915.83 | varies |
| X-ray IV pyelogram+tomography (74415) range across 2 matching MRF lines |
$1,955.49–$2,131.48 | $4,888.72–$5,328.70 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 2 matching MRF lines |
$534.66–$582.78 | $1,336.64–$1,456.94 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$352.92–$384.68 | $882.30–$961.71 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$627.65–$684.14 | $1,569.12–$1,710.34 | varies |
| X-ray nose-rectum child f.b. (76010) range across 2 matching MRF lines |
$262.05–$285.63 | $655.12–$714.08 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$999.58–$1,089.54 | $2,498.94–$2,723.84 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$339.54–$370.10 | $848.84–$925.24 | varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) range across 2 matching MRF lines |
$209.92–$228.82 | $524.81–$572.04 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$574.81–$626.54 | $1,437.02–$1,566.35 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$1,097.50–$1,196.28 | $2,743.76–$2,990.70 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$551.57–$601.21 | $1,378.92–$1,503.02 | varies |
| X-Ray Tmj Unilat (70328) range across 2 matching MRF lines |
$356.44–$388.52 | $891.11–$971.31 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 2 matching MRF lines |
$521.98–$568.96 | $1,304.95–$1,422.40 | varies |
| X-Rays Bone Length Studies (77073) range across 3 matching MRF lines |
$773.96–$1,358.28 | $1,934.91–$3,395.70 | varies |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$909.42–$991.27 | $2,273.55–$2,478.17 | varies |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$1,412.37–$1,539.48 | $3,530.92–$3,848.70 | varies |
| Xr facial bones less than 3 views (70140) range across 2 matching MRF lines |
$280.37–$305.60 | $700.92–$764 | varies |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$596.65–$650.35 | $1,491.63–$1,625.88 | varies |
| Xr Tomogram Single Plane (76100) range across 2 matching MRF lines |
$305.72–$333.24 | $764.31–$833.10 | 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.