Imaging prices at Columbus Community Hospital, Inc
Columbus, NE · every code in this section with a posted price and a Medicare benchmark.
271 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 |
$418–$499.32 | $440–$525.60 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$581.40–$608 | $612–$640 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $2,179.30 | $2,294 | 5.2× |
| Adrenal Cortex & Medulla Img (78075) | $6,078.10 | $6,398 | 4.5× |
| Angiography extremity bilateral rs&i (75716) | $6,572.10 | $6,918 | 2.0× |
| Angiography extremity unilateral rs&i (75710) range across 3 matching MRF lines |
$6,629.24–$6,870.40 | $6,978.15–$7,232 | varies |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$347.70–$695.40 | $366–$732 | varies |
| Arthrogram hip (73525) | $1,126.70 | $1,186 | 3.1× |
| Arthrogram Wrist (73115) | $887.30 | $934 | 2.4× |
| Bone age studies (77072) range across 2 matching MRF lines |
$323–$337.54 | $340–$355.30 | varies |
| Bone Imaging 3 Phase (78315) range across 2 matching MRF lines |
$2,908.90–$3,090.35 | $3,062–$3,253 | varies |
| Bone Imaging Limited Area (78300) | $1,628.30 | $1,714 | 3.9× |
| Bone Imaging Multiple Areas (78305) | $2,189.75 | $2,305 | 5.3× |
| Bone Imaging Whole Body (78306) range across 2 matching MRF lines |
$2,648.60–$2,840.50 | $2,788–$2,990 | varies |
| Bone marrow imaging; whole body (78104) | $2,929.80 | $3,084 | 7.1× |
| Bone survey infant (77076) | $821.75 | $865 | 7.6× |
| Brain Flow Imaging Only (78610) | $2,033.95 | $2,141 | 3.6× |
| Chest 1 view (71045) range across 2 matching MRF lines |
$344.85–$360.43 | $363–$379.40 | varies |
| Chest 2 views (71046) range across 2 matching MRF lines |
$414.20–$432.92 | $436–$455.70 | varies |
| Chest 3 views (71047) | $467.59 | $492.20 | 5.2× |
| Chest 4 or more views (71048) | $532 | $560 | 4.9× |
| Clavicle complete (73000) range across 2 matching MRF lines |
$450.30–$470.63 | $474–$495.40 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $285 | $300 | 2.6× |
| Contrast Exam Abdominl Aorta (75625) range across 4 matching MRF lines |
$2,622–$6,711.75 | $2,760–$7,065 | varies |
| Contrast X-Ray Bladder (74430) range across 2 matching MRF lines |
$811.30–$848.35 | $854–$893 | varies |
| Contrast X-Ray Of Knee Joint (73580) | $1,053.55 | $1,109 | 2.9× |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$5,371.30–$5,614.50 | $5,654–$5,910 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$3,230–$3,375.35 | $3,400–$3,553 | varies |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$3,117.90–$3,277.90 | $3,282–$3,450.42 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$3,862.70–$4,170.50 | $4,066–$4,390 | varies |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$2,337–$2,442.45 | $2,460–$2,571 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$4,997–$5,222.15 | $5,260–$5,497 | varies |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$3,604.30–$3,923.50 | $3,794–$4,130 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$3,108.40–$3,211.95 | $3,272–$3,381 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 4 matching MRF lines |
$3,011.50–$3,486.50 | $3,170–$3,670 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$3,375.35–$3,467.50 | $3,553–$3,650 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 4 matching MRF lines |
$3,147.35–$3,638.50 | $3,313–$3,830 | varies |
| CT cervical spine w/ contrast (72126) range across 2 matching MRF lines |
$2,974.30–$2,988.70 | $3,130.84–$3,146 | varies |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$2,289.50–$2,393.05 | $2,410–$2,519 | varies |
| CT cervical spine w/wo cont (72127) | $3,296.50 | $3,470 | 18.1× |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$2,710.35–$2,895.29 | $2,853–$3,047.67 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$3,038.10–$3,382 | $3,198–$3,560 | varies |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$2,491.85–$2,622 | $2,623–$2,760 | varies |
| CT head/brain without and with contrast (70470) range across 3 matching MRF lines |
$2,432–$2,669.50 | $2,560–$2,810 | varies |
| CT heart no contrast quant eval coronry calcium (75571) | $142.50 | $150 | 1.6× |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$3,534.95–$3,857 | $3,721–$4,060 | varies |
| CT l-spine w&w/o contrast (72133) range across 2 matching MRF lines |
$3,048.55–$3,391.50 | $3,209–$3,570 | varies |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$2,119.45–$2,215.40 | $2,231–$2,332 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$2,632.45–$2,993.45 | $2,771–$3,151 | varies |
| CT lumbar spine w contrast (72132) range across 3 matching MRF lines |
$2,974.30–$3,334.50 | $3,130.84–$3,510 | varies |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$2,440.55–$2,550.75 | $2,569–$2,685 | varies |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$2,700.85–$3,059 | $2,843–$3,220 | varies |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$2,099.50–$2,194.50 | $2,210–$2,310 | varies |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$3,276.55–$3,372.50 | $3,449–$3,550 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 3 matching MRF lines |
$3,425.70–$3,752.50 | $3,606–$3,950 | varies |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$2,964–$3,097.95 | $3,120–$3,261 | varies |
| CT pelvis w&w/o contrast (72194) range across 2 matching MRF lines |
$3,593.85–$4,151.50 | $3,783–$4,370 | varies |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$2,318.95–$2,423.45 | $2,441–$2,551 | varies |
| CT scan of leg combo (73702) | $3,078 | $3,240 | 16.9× |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
$2,641–$2,760.70 | $2,780–$2,906 | varies |
| CT soft tissue neck w contrast (70491) range across 3 matching MRF lines |
$2,840.50–$3,315.50 | $2,990–$3,490 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$2,229.65–$2,330.35 | $2,347–$2,453 | varies |
| CT thoracic spine w contrast (72129) range across 2 matching MRF lines |
$2,802.50–$2,928.85 | $2,950–$3,083 | varies |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$2,431.05–$2,541.25 | $2,559–$2,675 | varies |
| CT thoracic spine w/wo cont (72130) | $2,810.10 | $2,958 | 15.4× |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$2,166–$2,263.85 | $2,280–$2,383 | varies |
| CT unlisted procedure (76497) range across 2 matching MRF lines |
$2,185–$2,283.80 | $2,300–$2,404 | varies |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$2,118.50–$2,214.45 | $2,230–$2,331 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 2 matching MRF lines |
$3,127.40–$3,467.50 | $3,292–$3,650 | varies |
| CT upper extremity with contrast (73201) range across 3 matching MRF lines |
$2,660–$2,779.70 | $2,800–$2,926 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$3,919.70–$4,225.60 | $4,126–$4,448 | varies |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$4,246.50–$4,438.40 | $4,470–$4,672 | varies |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $4,930.50 | $5,190 | 13.6× |
| CTA pelvis (72191) | $3,356.35 | $3,533 | 18.4× |
| Diskography lumbar (72295) | $2,826.25 | $2,975 | 1.4× |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$779.95–$815.10 | $821–$858 | varies |
| Echo exam uterus (76831) | $1,181.80 | $1,244 | 4.8× |
| Echograp Trans R Pros Study (76873) | — | $1.01 | — |
| Esophagram (74220) range across 2 matching MRF lines |
$926.25–$968.05 | $975–$1,019 | varies |
| Fetal Biophys Profile W/Nst (76818) | $844.55 | $889 | 7.8× |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$894.90–$935.75 | $942–$985 | varies |
| Foot 2 views (73620) range across 2 matching MRF lines |
$351.50–$367.37 | $370–$386.70 | varies |
| Forearm 2 views (73090) range across 3 matching MRF lines |
$383.80–$767.60 | $404–$808 | varies |
| Gastric emptying imaging study (78264) range across 2 matching MRF lines |
$2,442.45–$2,793 | $2,571–$2,940 | varies |
| Gastric Emptyng Imag Std W/Sm Bwl Transit (78265) | $2,585.90 | $2,722 | 6.2× |
| Gated Heart Planar Single (78472) | $2,856.65 | $3,007 | 6.9× |
| Gstrc Emptng Imag Std W/Sm Bwl Col Trnst Mlt Day (78266) | $2,793.95 | $2,941 | 5.0× |
| Hand 2 views (73120) range across 2 matching MRF lines |
$385.70–$403.09 | $406–$424.30 | varies |
| Hepatobil Syst Image W/Drug (78227) range across 2 matching MRF lines |
$3,419.05–$3,553.95 | $3,599–$3,741 | varies |
| Hepatobiliary System Imaging (78226) range across 2 matching MRF lines |
$2,293.30–$2,476.65 | $2,414–$2,607 | varies |
| Ht Muscle Image Spect Sing (78451) | $5,202.20 | $5,476 | 3.9× |
| Hysterosalpingogram (74740) | $1,199.85 | $1,263 | 4.8× |
| Infant hip ultrasound with hip movement (dynamic) (76885) range across 2 matching MRF lines |
$885.40–$925.30 | $932–$974 | varies |
| K Flow/Funct Image Multiple (78709) range across 2 matching MRF lines |
$2,982.05–$4,289.25 | $3,139–$4,515 | varies |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $3,117.90 | $3,282 | 7.5× |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$437–$456.67 | $460–$480.70 | varies |
| Leveen/Shunt Patency Exam (78291) | $2,189.75 | $2,305 | 5.3× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $2,929.80 | $3,084 | 7.1× |
| Lung Perf&Ventilat Diferentl (78598) range across 2 matching MRF lines |
$2,710.35–$3,099.85 | $2,853–$3,263 | varies |
| Lung perfusion differential (78597) | $1,647.30 | $1,734 | 4.0× |
| Lung Ventilation Imaging (78579) | $1,856.30 | $1,954 | 4.5× |
| Lymph System Imaging (78195) | $2,877.55 | $3,029 | 5.1× |
| Magnetic Image Jaw Joint (70336) | $3,087.50 | $3,250 | 12.5× |
| Meckels Divert Exam (78290) | $2,430.10 | $2,558 | 5.9× |
| Mra Head W/O & W/Contrast Material (70546) range across 2 matching MRF lines |
$2,755–$2,879.45 | $2,900–$3,031 | varies |
| MRA head w/o contrast (70544) range across 3 matching MRF lines |
$3,686–$3,852.25 | $3,880–$4,055 | varies |
| MRA neck w contrast (70548) | $3,584.35 | $3,773 | 9.9× |
| Mra Neck W/O &W/Contrast Material (70549) range across 2 matching MRF lines |
$5,520.45–$5,624.53 | $5,811–$5,920.56 | varies |
| MRA neck w/o contrast (70547) | $3,137.85 | $3,303 | 12.7× |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$3,439–$3,593.85 | $3,620–$3,783 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 3 matching MRF lines |
$3,319.19–$3,645.13 | $3,493.88–$3,836.98 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 3 matching MRF lines |
$3,971–$4,124.24 | $4,180–$4,341.31 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 4 matching MRF lines |
$2,958.87–$6,016.87 | $3,114.60–$6,333.55 | varies |
| MRI Breast W/O Contrast Bilateral (77047) range across 2 matching MRF lines |
$3,258.50–$3,405.75 | $3,430–$3,585 | varies |
| MRI Breast Without Contrast Material Unilateral (77046) | $3,216.70 | $3,386 | 13.0× |
| MRI cervical spine w contrast (72142) | $4,318.70 | $4,546 | 11.9× |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$3,353.50–$3,504.55 | $3,530–$3,689 | varies |
| MRI chest w/o contrast (71550) range across 2 matching MRF lines |
$4,617–$4,825.05 | $4,860–$5,079 | varies |
| MRI chest wo w contrast (71552) | $4,994.15 | $5,257 | 13.8× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $2,879.45 | $3,031 | 7.9× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 3 matching MRF lines |
$4,090.70–$4,157.13 | $4,306–$4,375.93 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines |
$2,755–$2,879.45 | $2,900–$3,031 | varies |
| MRI lumbar spine w contrast (72149) range across 2 matching MRF lines |
$3,981.45–$4,133.74 | $4,191–$4,351.31 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$4,675.90–$4,795.72 | $4,922–$5,048.13 | varies |
| MRI orbit face &/neck w/o contrast (70540) | $3,921.60 | $4,128 | 15.8× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 2 matching MRF lines |
$5,034.05–$5,099.65 | $5,299–$5,368.05 | varies |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$4,458.35–$4,586.72 | $4,693–$4,828.13 | varies |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$3,353.50–$3,504.55 | $3,530–$3,689 | varies |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$3,667–$3,832.30 | $3,860–$4,034 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 2 matching MRF lines |
$2,755–$2,879.45 | $2,900–$3,031 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 3 matching MRF lines |
$3,921.60–$4,061.13 | $4,128–$4,274.87 | varies |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$4,497.30–$4,612.13 | $4,734–$4,854.87 | varies |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$4,476.82–$4,517.25 | $4,712.44–$4,755 | varies |
| MRI, dorsal spine contrast (72147) | $4,427.95 | $4,661 | 12.2× |
| MRI, joint upper extrem (73221) range across 2 matching MRF lines |
$2,869–$2,998.20 | $3,020–$3,156 | varies |
| MRI, joint upper extrem combo (73223) range across 3 matching MRF lines |
$3,832.30–$3,991.24 | $4,034–$4,201.31 | varies |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$4,626.50–$4,751.24 | $4,870–$5,001.31 | varies |
| Myelogram cervical (72240) | $1,272.05 | $1,339 | 1.6× |
| Myelogram Lumbar (72265) | $1,626.40 | $1,712 | 2.0× |
| Myelography thoracic (72255) | $1,407.90 | $1,482 | 1.7× |
| Myocardial Spect Multiple Studies (78452) range across 2 matching MRF lines |
$4,706.30–$5,263 | $4,954–$5,540 | varies |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$425.60–$444.79 | $448–$468.20 | varies |
| Nuclear Rx Oral Admin (79005) | $1,330.95 | $1,401 | 5.5× |
| Optic foramina (70190) | $485.55 | $511.10 | 5.4× |
| Parathyroid Planar Imaging (78070) | $2,127.05 | $2,239 | 5.1× |
| Parathyroid planar imaging w/wo subtraction (78071) range across 2 matching MRF lines |
$2,013.05–$2,685.65 | $2,119–$2,827 | varies |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$408.50–$426.93 | $430–$449.40 | varies |
| PET image w/CT, full body (78816) range across 2 matching MRF lines |
$9,148.50–$9,560.80 | $9,630–$10,064 | varies |
| PET imaging CT attenuation skull base mid-thigh (78815) range across 2 matching MRF lines |
$8,892–$9,292.90 | $9,360–$9,782 | varies |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,837.30 | $1,934 | 4.4× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$758.10–$792.30 | $798–$834 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) | $1,481.05 | $1,559 | 2.6× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 4 matching MRF lines |
$399–$426.93 | $420–$449.40 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$334.40–$349.51 | $352–$367.90 | varies |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$471.20–$492.48 | $496–$518.40 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$684.95–$716.30 | $721–$754 | varies |
| Radex fingr minimum 2 views (73140) range across 3 matching MRF lines |
$336.30–$672.60 | $354–$708 | varies |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$418–$436.81 | $440–$459.80 | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$421.80–$440.80 | $444–$464 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 2 matching MRF lines |
$278.35–$290.89 | $293–$306.20 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $512.05 | $539 | 4.7× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$475.95–$497.80 | $501–$524 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 2 matching MRF lines |
$411.35–$429.88 | $433–$452.50 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$497.80–$995.60 | $524–$1,048 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$366.70–$383.23 | $386–$403.40 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$465.50–$486.50 | $490–$512.10 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $565.25 | $595 | 6.3× |
| Radex Toe Minimum 2 Views (73660) range across 2 matching MRF lines |
$334.40–$349.51 | $352–$367.90 | varies |
| Radex upper extremity infant minimum 2 views (73092) | $304.86 | $320.90 | 2.8× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$421.80–$440.80 | $444–$464 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$655.50–$685.90 | $690–$722 | varies |
| Radiologic exam colon double contrast study (74280) | $1,439.25 | $1,515 | 7.9× |
| Radiologic exam colon single contrast study (74270) range across 2 matching MRF lines |
$1,233.10–$1,289.15 | $1,298–$1,357 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$532–$556.70 | $560–$586 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $513.95 | $541 | 4.7× |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 2 matching MRF lines |
$894.90–$935.75 | $942–$985 | varies |
| Radiologic exam swallow function contrast study (74230) range across 2 matching MRF lines |
$806.55–$843.60 | $849–$888 | varies |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$1,147.60–$1,199.85 | $1,208–$1,263 | varies |
| Radiologic examination femur 1 view (73551) range across 2 matching MRF lines |
$270.75–$283.01 | $285–$297.90 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$447.45–$467.59 | $471–$492.20 | varies |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$457.90–$478.52 | $482–$503.70 | varies |
| Radiologic Examination Osseous Survey Limited (77074) range across 2 matching MRF lines |
$1,177.05–$1,230.25 | $1,239–$1,295 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 2 matching MRF lines |
$433.20–$452.77 | $456–$476.60 | varies |
| Ribs bilateral 3 views (71110) | $751.45 | $791 | 6.9× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $5,619.25 | $5,915 | 10.0× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $3,872.20 | $4,076 | 6.9× |
| Rp Therapy Intravenous Administration (79101) | $1,132.40 | $1,192 | 4.7× |
| Salivary Gland Imaging Serial Images (78231) | $2,502.30 | $2,634 | 6.0× |
| Scapula (73010) range across 2 matching MRF lines |
$516.80–$540.55 | $544–$569 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 2 matching MRF lines |
$66.50–$69.49 | $70–$73.15 | varies |
| Sella turcica (70240) | $404.13 | $425.40 | 4.5× |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$328.70–$343.52 | $346–$361.60 | varies |
| Shoulder Arthrography (73040) | $1,136.20 | $1,196 | 3.1× |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$499.70–$522.50 | $526–$550 | varies |
| Sternoclavicular joints (71130) | $387.22 | $407.60 | 4.3× |
| Testicular Imaging W/Flow (78761) | $2,502.30 | $2,634 | 6.0× |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$530.10–$554.80 | $558–$584 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$635.55–$665 | $669–$700 | varies |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$501.60–$524.40 | $528–$552 | varies |
| Thyroid Imaging With Vascular Flow (78013) | $886.35 | $933 | 2.1× |
| Thyroid Met Imaging Body (78018) | $2,638.15 | $2,777 | 4.7× |
| Thyroid Uptake Measurement (78012) | $975.65 | $1,027 | 2.4× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) range across 2 matching MRF lines |
$1,689.10–$1,907.60 | $1,778–$2,008 | varies |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$664.05–$1,328.10 | $699–$1,398 | varies |
| Ultrasound elastography first target lesion (76982) | $226.39 | $238.30 | 2.1× |
| Ultrasound Elastography Parenchyma (76981) range across 2 matching MRF lines |
$216.60–$226.39 | $228–$238.30 | varies |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
$511.10–$534.85 | $538–$563 | varies |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$899.65–$940.50 | $947–$990 | varies |
| Upper gi w/o kub (74240) range across 2 matching MRF lines |
$933.85–$976.60 | $983–$1,028 | varies |
| Urethrocystogram voiding (74455) | $1,126.70 | $1,186 | 4.5× |
| Urethrocystography retrograde (74450) | $753.35 | $793 | 3.0× |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$684–$1,368 | $720–$1,440 | varies |
| Us chest (76604) range across 2 matching MRF lines |
$709.65–$741.95 | $747–$781 | varies |
| Us complete joint (76881) range across 2 matching MRF lines |
$927.20–$969 | $976–$1,020 | varies |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$613.70–$642.20 | $646–$676 | varies |
| Us head (76506) range across 2 matching MRF lines |
$841.70–$879.70 | $886–$926 | varies |
| Us kidney transplant (76776) range across 2 matching MRF lines |
$1,130.50–$1,181.80 | $1,190–$1,244 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$754.30–$788.50 | $794–$830 | varies |
| Us ob detailed single fetus (76811) range across 2 matching MRF lines |
$1,111.50–$1,161.85 | $1,170–$1,223 | varies |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$686.85–$718.20 | $723–$756 | varies |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$850.25–$889.20 | $895–$936 | varies |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$1,149.50–$1,201.75 | $1,210–$1,265 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$868.30–$908.20 | $914–$956 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $506.35 | $533 | 4.7× |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$1,026–$1,072.55 | $1,080–$1,129 | varies |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$855.95–$894.90 | $901–$942 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$1,035.50–$1,083 | $1,090–$1,140 | varies |
| Us thyroid (76536) range across 2 matching MRF lines |
$836–$874 | $880–$920 | varies |
| Us transrectal (76872) | — | $1.01 | — |
| Venography extremity unilateral rs&i (75820) | $2,127.05 | $2,239 | 1.3× |
| Venous thrombosis imaging (78457) | $1,563.70 | $1,646 | 2.8× |
| Venous Thrombosis Imaging Venogram Bilateral (78458) | $1,741.35 | $1,833 | 4.2× |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$318.25–$332.60 | $335–$350.10 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $456.67 | $480.70 | 5.1× |
| X-ray antegrade pyelogram tube (74425) | $1,092.50 | $1,150 | 3.0× |
| X-Ray Aorta Leg Arteries (75630) | $6,036.30 | $6,354 | 1.8× |
| X-Ray Bend Only L-S Spine (72120) range across 2 matching MRF lines |
$728.65–$761.90 | $767–$802 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$373.35–$390.17 | $393–$410.70 | varies |
| X-Ray Exam Breast Specimen (76098) range across 2 matching MRF lines |
$568.10–$593.75 | $598–$625 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$532–$556.70 | $560–$586 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 2 matching MRF lines |
$278.35–$290.89 | $293–$306.20 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 2 matching MRF lines |
$396.15–$414.01 | $417–$435.80 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) range across 2 matching MRF lines |
$543.40–$568.10 | $572–$598 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$510.15–$533.90 | $537–$562 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 2 matching MRF lines |
$622.25–$650.75 | $655–$685 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) | $740.05 | $779 | 6.8× |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$861.65–$900.60 | $907–$948 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$476.90–$498.75 | $502–$525 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$1,083–$1,132.40 | $1,140–$1,192 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 2 matching MRF lines |
$532–$556.70 | $560–$586 | varies |
| X-ray eye for foreign body (70030) range across 2 matching MRF lines |
$282.15–$294.88 | $297–$310.40 | varies |
| X-ray humerus (73060) range across 2 matching MRF lines |
$465.50–$486.50 | $490–$512.10 | varies |
| X-ray IV pyelogram (ivp) (74400) | $1,272.05 | $1,339 | 7.0× |
| X-ray IV pyelogram+tomography (74415) | $1,950.35 | $2,053 | 10.7× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 2 matching MRF lines |
$347.70–$363.38 | $366–$382.50 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $322.72 | $339.70 | 3.6× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$598.50–$626.05 | $630–$659 | varies |
| X-ray nose-rectum child f.b. (76010) range across 2 matching MRF lines |
$455.05–$475.57 | $479–$500.60 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$703–$735.30 | $740–$774 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$503.50–$526.30 | $530–$554 | varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) range across 2 matching MRF lines |
$465.50–$486.50 | $490–$512.10 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$465.50–$486.50 | $490–$512.10 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$578.55–$605.15 | $609–$637 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$732.45–$765.70 | $771–$806 | varies |
| X-ray thoracic spine 4 vw (72074) range across 2 matching MRF lines |
$754.30–$788.50 | $794–$830 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 2 matching MRF lines |
$1,064–$1,132.25 | $1,120–$1,191.84 | varies |
| X-Rays Bone Length Studies (77073) range across 2 matching MRF lines |
$566.20–$591.85 | $596–$623 | varies |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$1,236.90–$1,292.95 | $1,302–$1,361 | varies |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$637.45–$666.90 | $671–$702 | varies |
| Xr orbits complete 4 views (70200) | $646 | $680 | 6.0× |
| Xr Tomogram Single Plane (76100) | $765.70 | $806 | 7.1× |
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.