Imaging prices at Columbia Memorial Hospital
Hudson, NY · every code in this section with a posted price and a Medicare benchmark.
324 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abdomen 1 View (74018) range across 3 matching MRF lines |
$22–$144.50 | $44–$289 | varies |
| Abdomen 2 views (74019) range across 3 matching MRF lines |
$26.50–$209.50 | $53–$419 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $447 | $894 | 0.9× |
| Angiography extremity bilateral rs&i (75716) range across 3 matching MRF lines |
$2,090–$5,213 | $4,180–$10,426 | varies |
| Ankle 2 views (73600) range across 4 matching MRF lines |
$43–$247.50 | $86–$495 | varies |
| Arthrogram hip (73525) | $706.50 | $1,413 | 1.6× |
| Arthrogram Wrist (73115) | $600 | $1,200 | 1.4× |
| Bone age studies (77072) | $197 | $394 | 1.5× |
| Bone Imaging 3 Phase (78315) | $1,521 | $3,042 | 3.0× |
| Bone Imaging Limited Area (78300) | $1,101.50 | $2,203 | 2.2× |
| Bone Imaging Whole Body (78306) | $1,069.50 | $2,139 | 2.1× |
| Bone marrow imaging limited area (78102) | $636.50 | $1,273 | 1.3× |
| Bone marrow imaging; whole body (78104) | $547.50 | $1,095 | 1.1× |
| Bone survey infant (77076) | $274 | $548 | 2.1× |
| Brain Flow Imaging Only (78610) | $2,544.50 | $5,089 | 3.8× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $794.50 | $1,589 | 1.2× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $2,626 | $5,252 | 1.5× |
| Cerebrospinal Fluid Scan (78630) | $676 | $1,352 | 1.0× |
| Chest 1 view (71045) range across 5 matching MRF lines |
$20.50–$144.50 | $41–$289 | varies |
| Chest 2 views (71046) range across 3 matching MRF lines |
$27–$250 | $54–$500 | varies |
| Chest 3 views (71047) range across 2 matching MRF lines |
$31–$286.50 | $62–$573 | varies |
| Chest 4 or more views (71048) | $322.50 | $645 | 2.5× |
| Cholecystography Oral Contrast (74290) | $439 | $878 | 2.0× |
| Clavicle complete (73000) range across 3 matching MRF lines |
$40.50–$279.50 | $81–$559 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $260.50 | $521 | 2.0× |
| Contrast X-Ray Bladder (74430) | $544.50 | $1,089 | 1.3× |
| Contrast X-Ray Of Elbow (73085) | $721 | $1,442 | 1.7× |
| Contrast X-Ray Of Knee Joint (73580) | $975.50 | $1,951 | 2.2× |
| CT abdomen and pelvis without and with contrast (74178) | $1,356 | $2,712 | 3.1× |
| CT abdomen and pelvis without contrast (74176) | $865.50 | $1,731 | 2.9× |
| CT abdomen w contrast (74160) | $1,111 | $2,222 | 5.1× |
| CT abdomen w wo contrast (74170) | $1,356 | $2,712 | 6.2× |
| CT abdomen w/o contrast (74150) | $865.50 | $1,731 | 6.6× |
| CT Angio Abdomen and Pelvis (74174) | $2,138 | $4,276 | 4.9× |
| CT Angio Chest (71275) | $1,356 | $2,712 | 6.2× |
| CT Angio Head (70496) | $1,249.50 | $2,499 | 5.7× |
| CT angio hrt w/3d image (75574) | $1,111 | $2,222 | 2.6× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $1,126.50 | $2,253 | 5.1× |
| CT Angio Neck (70498) | $1,230 | $2,460 | 5.6× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $1,126.50 | $2,253 | 5.1× |
| CT Cere Prfuj Alys C+ W/O CT/Cta Same Anatomy (70473) | $487.50 | $975 | 2.2× |
| CT cervical spine w/ contrast (72126) | $966 | $1,932 | 2.2× |
| CT cervical spine w/o contrast (72125) | $865.50 | $1,731 | 6.6× |
| CT cervical spine w/wo cont (72127) | $976 | $1,952 | 4.5× |
| CT chest w contrast (71260) | $1,111 | $2,222 | 5.1× |
| CT chest w/wo contrast (71270) | $1,179 | $2,358 | 5.4× |
| CT head/brain with contrast (70460) | $966 | $1,932 | 4.4× |
| CT head/brain without and with contrast (70470) | $1,356 | $2,712 | 6.2× |
| CT heart contrast eval cardiac structure&morph (75572) | $738 | $1,476 | 1.7× |
| CT heart no contrast quant eval coronry calcium (75571) | $40 | $80 | 0.4× |
| CT iac w contrast (70481) | $966 | $1,932 | 4.4× |
| CT l-spine w&w/o contrast (72133) | $1,179 | $2,358 | 5.4× |
| CT lower ext w/o (73700) | $865.50 | $1,731 | 6.6× |
| CT lower extremity w/contrast material (73701) | $966 | $1,932 | 4.4× |
| CT lumbar spine w contrast (72132) | $1,111 | $2,222 | 2.6× |
| CT lumbar spine w/o contrast (72131) | $865.50 | $1,731 | 6.6× |
| CT maxillofacial w contrast (70487) | $966 | $1,932 | 4.4× |
| CT maxillofacial wo contrast (70486) | $865.50 | $1,731 | 6.6× |
| CT neck tissue combo (70492) | $1,179 | $2,358 | 5.4× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,179 | $2,358 | 5.4× |
| CT orbits w/o contrast (70480) | $1,122.50 | $2,245 | 8.6× |
| CT pelvis w&w/o contrast (72194) | $966 | $1,932 | 4.4× |
| CT pelvis w/o contrast (72192) | $865.50 | $1,731 | 6.6× |
| CT scan of leg combo (73702) | $1,179 | $2,358 | 5.4× |
| CT scans face/jaw combo (70488) | $1,179 | $2,358 | 5.4× |
| CT soft tissue neck w contrast (70491) | $1,210.50 | $2,421 | 5.5× |
| CT soft tissue neck w/o contrast (70490) | $752.50 | $1,505 | 5.8× |
| CT thoracic spine w contrast (72129) | $1,111 | $2,222 | 5.1× |
| CT thoracic spine w/o contrast (72128) | $865.50 | $1,731 | 6.6× |
| CT thoracic spine w/wo cont (72130) | $1,179 | $2,358 | 5.4× |
| CT thorax w/o contrast (71250) | $944.50 | $1,889 | 7.2× |
| CT upper ext wo (73200) | $865.50 | $1,731 | 6.6× |
| CT upper extremity w/o & w/contrast material (73202) | $1,179 | $2,358 | 5.4× |
| CT upper extremity with contrast (73201) | $966 | $1,932 | 2.2× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,356 | $2,712 | 6.2× |
| Cta Abdomen (74175) | $1,179 | $2,358 | 5.4× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $2,358 | $4,716 | 5.4× |
| CTA pelvis (72191) | $1,179 | $2,358 | 5.4× |
| Dacryocystography, nasolacrimal duct, radiological supervision and interpretation Non-Facility (70170) | $303.50 | $607 | 1.0× |
| Dilation ureters/urethra rs&i (74485) | $3,040.50 | $6,081 | 1.2× |
| Discography Cerv/Thor Spine (72285) | $2,311 | $4,622 | 0.9× |
| Diskography lumbar (72295) | $1,292.50 | $2,585 | 0.5× |
| Doppler Fetal Mid Cerebral Artery (76821) | $196 | $392 | 1.5× |
| Dxa Bone Density Axial (77080) | $316.50 | $633 | 2.4× |
| Dxa bone density study (77085) | $264.50 | $529 | 2.0× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $234 | $468 | 2.2× |
| Echo exam of fetal heart (76825) | $973.50 | $1,947 | 1.4× |
| Echo exam uterus (76831) range across 3 matching MRF lines |
$114–$429 | $228–$858 | varies |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) | $429 | $858 | 1.4× |
| Echograp Trans R Pros Study (76873) range across 2 matching MRF lines |
$200–$356 | $400–$712 | varies |
| Esophagram (74220) | $448 | $896 | 2.0× |
| Fetal Biophys Profile W/Nst (76818) | $598.50 | $1,197 | 4.6× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $203.50 | $407 | 1.6× |
| Fluoroscopy up to 1 hr (76000) range across 6 matching MRF lines |
$70.50–$255.50 | $141–$511 | varies |
| Foot 2 views (73620) range across 4 matching MRF lines |
$40.50–$231 | $81–$462 | varies |
| Forearm 2 views (73090) range across 3 matching MRF lines |
$43–$227.50 | $86–$455 | varies |
| Gastric emptying imaging study (78264) | $1,119.50 | $2,239 | 2.2× |
| Gated Heart Planar Single (78472) | $1,288.50 | $2,577 | 2.6× |
| Hand 2 views (73120) range across 3 matching MRF lines |
$31.50–$264 | $63–$528 | varies |
| Heart first pass single,planar (78481) | $606 | $1,212 | 0.9× |
| Hepatobil Syst Image W/Drug (78227) | $741 | $1,482 | 1.1× |
| Hepatobiliary System Imaging (78226) | $1,426.50 | $2,853 | 2.9× |
| Ht Muscle Image Spect Sing (78451) | $1,871 | $3,742 | 1.2× |
| Hysterosalpingogram (74740) range across 2 matching MRF lines |
$75–$929.50 | $150–$1,859 | varies |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $356 | $712 | 3.3× |
| Infant hip ultrasound, limited static exam (76886) | $390 | $780 | 3.6× |
| Infusion Ivp (74410) | $643 | $1,286 | 2.9× |
| Joint Survey Single View (77077) | $271 | $542 | 2.1× |
| K Flow/Funct Image Multiple (78709) | $732.50 | $1,465 | 1.1× |
| K Flow/Funct Image W/Drug (78708) | $955.50 | $1,911 | 1.4× |
| Knee 3 Views (73562) range across 4 matching MRF lines |
$41–$299.50 | $82–$599 | varies |
| Liver & Spleen Imaging Static Only (78215) | $805 | $1,610 | 1.6× |
| Liver imaging static only (78201) | $694.50 | $1,389 | 1.0× |
| Lung Perf&Ventilat Diferentl (78598) | $371.50 | $743 | 0.5× |
| Lung Ventilat&Perfus Imaging (78582) | $935 | $1,870 | 1.4× |
| Lung Ventilation Imaging (78579) | $952 | $1,904 | 1.9× |
| Lymph System Imaging (78195) | $814 | $1,628 | 1.2× |
| Lymphangiography, pelvic/abdominal, unilateral (75805) | $501.50 | $1,003 | 0.1× |
| Magnetic Image Jaw Joint (70336) | $977.50 | $1,955 | 3.3× |
| Mammary ductogram or galactogram multiple (77054) | $816 | $1,632 | 2.7× |
| Mammary ductogram or galactogram single (77053) | $816 | $1,632 | 2.7× |
| Meckels Divert Exam (78290) | $697.50 | $1,395 | 1.4× |
| Mr safety determination physician/other qhp (76016) | $163 | $326 | 1.5× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $54.50 | $109 | 1.5× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) | $178.50 | $357 | 1.5× |
| Mr safety implt pos&/immoblj (76019) | $110.50 | $221 | 1.5× |
| Mr safety med physics xm customization plng&mntr (76017) | $447 | $894 | 1.5× |
| Mra Head W/O & W/Contrast Material (70546) | $1,628.50 | $3,257 | 3.7× |
| MRA head w/o contrast (70544) | $1,291.50 | $2,583 | 4.3× |
| MRA head with contrast (70545) | $1,194.50 | $2,389 | 2.7× |
| MRA neck w contrast (70548) | $1,194.50 | $2,389 | 2.7× |
| Mra Neck W/O &W/Contrast Material (70549) | $1,959.50 | $3,919 | 4.5× |
| MRA neck w/o contrast (70547) | $1,089.50 | $2,179 | 3.7× |
| MRI abdomen w contrast (74182) | $1,194.50 | $2,389 | 2.7× |
| MRI abdomen w/o contrast (74181) | $1,291 | $2,582 | 4.3× |
| MRI any jt lower extrem w/contrast material (73722) | $1,373.50 | $2,747 | 1.4× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $1,628.50 | $3,257 | 3.7× |
| MRI any jt upper extremity w/contrast matrl (73222) | $1,373.50 | $2,747 | 1.4× |
| MRI brain functional w/o physician admnistration (70554) | $336.50 | $673 | 1.1× |
| MRI Breast W/O Contrast Bilateral (77047) | $1,137 | $2,274 | 3.8× |
| MRI cervical spine w contrast (72142) | $1,194.50 | $2,389 | 2.7× |
| MRI cervical spine w/o cont (72141) | $1,291.50 | $2,583 | 4.3× |
| MRI chest w/o contrast (71550) | $1,123 | $2,246 | 3.8× |
| MRI chest with contrast (71551) | $1,373.50 | $2,747 | 1.4× |
| MRI chest wo w contrast (71552) | $1,628.50 | $3,257 | 3.7× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $1,194.50 | $2,389 | 2.7× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $1,873 | $3,746 | 4.3× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $1,008.50 | $2,017 | 3.4× |
| MRI lumbar spine w contrast (72149) | $1,194.50 | $2,389 | 2.7× |
| Mri Neck Spine W/O & W/Dye (72156) | $1,873 | $3,746 | 4.3× |
| MRI orbit face &/neck w/o contrast (70540) | $1,123 | $2,246 | 3.8× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $1,291.50 | $2,583 | 3.0× |
| MRI pelvis w contrast (72196) | $1,194.50 | $2,389 | 2.7× |
| MRI pelvis w/o & w contrast (72197) | $1,873 | $3,746 | 4.3× |
| MRI pelvis w/o contrast (72195) | $954.50 | $1,909 | 3.2× |
| MRI thoracic spine w/o contrast (72146) | $1,291.50 | $2,583 | 4.3× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $1,194.50 | $2,389 | 2.7× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $1,123 | $2,246 | 3.8× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $1,627 | $3,254 | 3.7× |
| MRI, abdomen, combo (74183) | $1,871 | $3,742 | 4.3× |
| MRI, dorsal spine combo (72157) | $1,873 | $3,746 | 4.3× |
| MRI, dorsal spine contrast (72147) | $1,194.50 | $2,389 | 2.7× |
| MRI, joint upper extrem (73221) | $1,291.50 | $2,583 | 4.3× |
| MRI, joint upper extrem combo (73223) | $1,628.50 | $3,257 | 3.7× |
| MRI, lumbar spine combo (72158) | $1,873 | $3,746 | 4.3× |
| Myelogram cervical (72240) | $1,292.50 | $2,585 | 1.3× |
| Myelogram Lumbar (72265) | $992.50 | $1,985 | 1.0× |
| Myelography thoracic (72255) | $2,583 | $5,166 | 2.6× |
| Myelograpy 2/more regions rs&i (72270) | $1,482.50 | $2,965 | 1.5× |
| Myocardial Spect Multiple Studies (78452) | $1,871 | $3,742 | 1.2× |
| Neck soft tissue (70360) range across 4 matching MRF lines |
$29–$255.50 | $58–$511 | varies |
| Nm unlisted gi procedure (78299) | $341 | $682 | 0.7× |
| Nonvascular Shunt X-Ray (75809) | $666.50 | $1,333 | 5.1× |
| Ob us nuchal meas 1 gest (76813) range across 3 matching MRF lines |
$131–$163.50 | $262–$327 | varies |
| Optic foramina (70190) | $381 | $762 | 3.5× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $721.50 | $1,443 | 1.1× |
| Parathyroid Planar Imaging (78070) | $745.50 | $1,491 | 1.5× |
| Parathyroid planar imaging w/wo subtraction (78071) | $713.50 | $1,427 | 1.4× |
| Pelvis 1 or 2 views (72170) range across 3 matching MRF lines |
$43–$248.50 | $86–$497 | varies |
| Pet Image W/Ct Lmtd (78814) | $3,424 | $6,848 | 1.9× |
| PET image w/CT, full body (78816) | $3,671 | $7,342 | 2.1× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $3,739.50 | $7,479 | 2.1× |
| Pulmonary Perfusion Imaging Particulate (78580) | $791 | $1,582 | 1.6× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $178.50 | $357 | 1.4× |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 4 matching MRF lines |
$523–$570.50 | $1,046–$1,141 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 4 matching MRF lines |
$43–$286 | $86–$572 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 4 matching MRF lines |
$40.50–$224.50 | $81–$449 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$43–$286 | $86–$572 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $425.50 | $851 | 3.3× |
| Radex fingr minimum 2 views (73140) range across 4 matching MRF lines |
$39.50–$175 | $79–$350 | varies |
| Radex foot complete minimum 3 views (73630) range across 4 matching MRF lines |
$43–$291.50 | $86–$583 | varies |
| Radex Hand Minimum 3 Views (73130) range across 4 matching MRF lines |
$40.50–$262 | $81–$524 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 2 matching MRF lines |
$56.50–$220 | $113–$440 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $264 | $528 | 2.0× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 3 matching MRF lines |
$34–$282 | $68–$564 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 3 matching MRF lines |
$29–$285 | $58–$570 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 5 matching MRF lines |
$41–$328 | $82–$656 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $285.50 | $571 | 2.6× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $485 | $970 | 2.2× |
| Radex Spine 1 View Specify Level (72020) range across 2 matching MRF lines |
$23.50–$130 | $47–$260 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 3 matching MRF lines |
$45–$338 | $90–$676 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $348 | $696 | 3.2× |
| Radex Toe Minimum 2 Views (73660) range across 4 matching MRF lines |
$39–$184 | $78–$368 | varies |
| Radex upper extremity infant minimum 2 views (73092) | $194 | $388 | 1.5× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 4 matching MRF lines |
$43–$221 | $86–$442 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $422 | $844 | 3.2× |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$77.50–$365 | $155–$730 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 3 matching MRF lines |
$31–$212 | $62–$424 | varies |
| Radiologic exam colon double contrast study (74280) | $759.50 | $1,519 | 3.5× |
| Radiologic exam colon single contrast study (74270) | $455 | $910 | 2.1× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $287.50 | $575 | 1.3× |
| Radiologic exam knee complete 4/more views (73564) range across 4 matching MRF lines |
$45.50–$367 | $91–$734 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$42.50–$364 | $85–$728 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) | $479 | $958 | 2.2× |
| Radiologic exam swallow function contrast study (74230) | $555 | $1,110 | 2.5× |
| Radiologic exam upr gi trc double contrast study (74246) | $330.50 | $661 | 1.5× |
| Radiologic examination femur 1 view (73551) | $115.50 | $231 | 1.1× |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$34.50–$133 | $69–$266 | varies |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$40.50–$203.50 | $81–$407 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $761 | $1,522 | 5.8× |
| Radiologic Examination Salivary Gland Calculus (70380) | $211 | $422 | 1.9× |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$43–$239.50 | $86–$479 | varies |
| Radiologic examination, internal auditory meati, complete Non-Facility (70134) | $332.50 | $665 | 0.5× |
| Radiopharm Dacryocystography (78660) | $380.50 | $761 | 0.8× |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$47.50–$387.50 | $95–$775 | varies |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $474.50 | $949 | 1.0× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $1,754.50 | $3,509 | 2.6× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $900 | $1,800 | 1.3× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $972.50 | $1,945 | 0.6× |
| Salivary Gland Imaging (78230) | $319 | $638 | 0.6× |
| Scapula (73010) range across 2 matching MRF lines |
$35–$272.50 | $70–$545 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 2 matching MRF lines |
$27.50–$52.50 | $55–$105 | varies |
| Sella turcica (70240) | $186.50 | $373 | 1.7× |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$40.50–$103 | $81–$206 | varies |
| Shoulder Arthrography (73040) | $732.50 | $1,465 | 1.7× |
| Sialogram (70390) | $275 | $550 | 0.9× |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$37–$222.50 | $74–$445 | varies |
| Speech evaluation, complex (70371) | $858.50 | $1,717 | 2.9× |
| Spleen Imaging (78185) | $714 | $1,428 | 1.4× |
| Sternoclavicular joints (71130) range across 2 matching MRF lines |
$37–$112 | $74–$224 | varies |
| Testicular Imaging W/Flow (78761) | $992.50 | $1,985 | 2.0× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $879.50 | $1,759 | 4.0× |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$30.50–$280 | $61–$560 | varies |
| Thoracic spine 3 views (72072) range across 3 matching MRF lines |
$34–$281.50 | $68–$563 | varies |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$40.50–$259.50 | $81–$519 | varies |
| Thyroid Imaging With Vascular Flow (78013) | $336.50 | $673 | 0.7× |
| Thyroid Uptake Measurement (78012) | $305 | $610 | 0.6× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $519 | $1,038 | 1.0× |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$81–$389.50 | $162–$779 | varies |
| Ultrasound Exam Aaa Screen (76706) | $192 | $384 | 1.5× |
| Ultrasound, abdomen limited (76705) range across 3 matching MRF lines |
$103.50–$366.50 | $207–$733 | varies |
| Umbilical-artery Doppler (OB) (76820) | $196 | $392 | 1.5× |
| Unlisted Dx Radiographic Procedure (76499) | $355.50 | $711 | 3.3× |
| Unlisted us procedure (76999) | $261.50 | $523 | 2.4× |
| Upper gi w/o kub (74240) | $470 | $940 | 2.1× |
| Urethrocystogram voiding (74455) | $620.50 | $1,241 | 2.1× |
| Urethrocystography retrograde (74450) | $502.50 | $1,005 | 1.7× |
| Us breast unilateral complete (76641) range across 2 matching MRF lines |
$77.50–$574.50 | $155–$1,149 | varies |
| Us chest (76604) | $503.50 | $1,007 | 3.9× |
| Us complete joint (76881) range across 4 matching MRF lines |
$113–$383 | $226–$766 | varies |
| Us exam, pelvic, limited (76857) range across 3 matching MRF lines |
$51.50–$420 | $103–$840 | varies |
| Us head (76506) | $152 | $304 | 1.2× |
| Us kidney transplant (76776) | $571.50 | $1,143 | 4.4× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 3 matching MRF lines |
$36–$392 | $72–$784 | varies |
| Us ob detailed single fetus (76811) | $397 | $794 | 1.3× |
| Us ob limited 1 or more fetuses (76815) range across 3 matching MRF lines |
$86.50–$172.50 | $173–$345 | varies |
| Us ob transvaginal (76817) | $261.50 | $523 | 2.0× |
| Us pelvic non ob complete (76856) range across 3 matching MRF lines |
$118.50–$501.50 | $237–$1,003 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $446.50 | $893 | 3.4× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $261.50 | $523 | 2.0× |
| Us retroperitoneal complete (76770) | $334.50 | $669 | 2.6× |
| Us retroperitoneal limited (76775) range across 4 matching MRF lines |
$62.50–$489 | $125–$978 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$70.50–$407.50 | $141–$815 | varies |
| Us thyroid (76536) range across 3 matching MRF lines |
$117.50–$478.50 | $235–$957 | varies |
| Us transrectal (76872) range across 3 matching MRF lines |
$89–$189 | $178–$378 | varies |
| Venography caval inferior serialography rs&i (75825) | $3,712 | $7,424 | 0.9× |
| Venography extremity bilateral rs&i (75822) | $1,506.50 | $3,013 | 0.8× |
| Venography extremity unilateral rs&i (75820) | $1,454.50 | $2,909 | 0.7× |
| Venous thrombosis imaging (78457) | $897 | $1,794 | 1.3× |
| Venous Thrombosis Imaging Venogram Bilateral (78458) | $1,067 | $2,134 | 2.1× |
| Vertebral fracture assessment via dxa (77086) | $169.50 | $339 | 1.6× |
| Wrist 2 views (73100) range across 4 matching MRF lines |
$40.50–$103 | $81–$206 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$41–$295 | $82–$590 | varies |
| X-Ray Bend Only L-S Spine (72120) range across 2 matching MRF lines |
$47.50–$187 | $95–$374 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$32.50–$210 | $65–$420 | varies |
| X-Ray Exam Breast Specimen (76098) | $191.50 | $383 | 0.3× |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 2 matching MRF lines |
$40.50–$115.50 | $81–$231 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 3 matching MRF lines |
$65–$496.50 | $130–$993 | varies |
| X-Ray Exam Entire Spi 4/5 Vw (72083) range across 2 matching MRF lines |
$70.50–$367 | $141–$734 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 2 matching MRF lines |
$31.50–$221 | $63–$442 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 3 matching MRF lines |
$50.50–$133 | $101–$266 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) range across 2 matching MRF lines |
$54–$221.50 | $108–$443 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$42–$221.50 | $84–$443 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 3 matching MRF lines |
$51–$221.50 | $102–$443 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) | $424.50 | $849 | 3.3× |
| X-Ray Exam L-S Spine Bending (72114) range across 3 matching MRF lines |
$63–$481 | $126–$962 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 3 matching MRF lines |
$33.50–$310.50 | $67–$621 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$73–$413.50 | $146–$827 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 3 matching MRF lines |
$39–$306 | $78–$612 | varies |
| X-ray eye for foreign body (70030) | $115 | $230 | 1.1× |
| X-ray humerus (73060) range across 3 matching MRF lines |
$40.50–$232.50 | $81–$465 | varies |
| X-ray IV pyelogram (ivp) (74400) | $717.50 | $1,435 | 3.3× |
| X-ray IV pyelogram+tomography (74415) | $777 | $1,554 | 3.5× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $224.50 | $449 | 2.1× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$44–$323.50 | $88–$647 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 4 matching MRF lines |
$35–$324.50 | $70–$649 | varies |
| X-ray nose-rectum child f.b. (76010) | $225 | $450 | 2.1× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $425 | $850 | 3.3× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$30.50–$69.50 | $61–$139 | varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) range across 2 matching MRF lines |
$52–$215.50 | $104–$431 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 3 matching MRF lines |
$40.50–$255.50 | $81–$511 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $314.50 | $629 | 2.9× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $449.50 | $899 | 3.4× |
| X-Ray Stress View (77071) | $49.50 | $99 | 0.5× |
| X-ray thoracic spine 4 vw (72074) | $148.50 | $297 | 1.1× |
| X-Ray Tmj Unilat (70328) | $381 | $762 | 3.5× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $502.50 | $1,005 | 1.2× |
| X-Rays Bone Length Studies (77073) | $276 | $552 | 2.1× |
| X-Rays Bone Survey Complete (77075) | $543 | $1,086 | 4.2× |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$48–$374.50 | $96–$749 | varies |
| Xr facial bones less than 3 views (70140) range across 2 matching MRF lines |
$31.50–$356 | $63–$712 | varies |
| XR Mastoids < 3 Views Bilateral (70120) | $167 | $334 | 1.3× |
| Xr orbits complete 4 views (70200) | $292 | $584 | 2.2× |
| Xr Tomogram Single Plane (76100) | $558 | $1,116 | 4.3× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.