Imaging prices at Columbus Regional Hospital
Columbus, IN · every code in this section with a posted price and a Medicare benchmark.
308 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) | $6,034.40 | $7,543 | 4.0× |
| Abdomen 1 View (74018) range across 3 matching MRF lines |
$87.20–$199.20 | $109–$249 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,151.20 | $1,439 | 2.6× |
| Angio pulmonary bilat (75743) | $4,092.80 | $5,116 | 1.2× |
| Angiography extremity bilateral rs&i (75716) | $25,983.60 | $32,479.50 | 7.6× |
| Angiography extremity unilateral rs&i (75710) | $24,104.82 | $30,131.03 | 7.0× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $4,092.80 | $5,116 | 1.2× |
| Ankle 2 views (73600) | $108 | $135 | 1.1× |
| Aortography thoracic serialography rs&i (75605) | $23,785.01 | $29,731.26 | 3.9× |
| Artery X-Rays Abdomen (75726) | $23,586.05 | $29,482.56 | 3.9× |
| Artery X-Rays Pelvis (75736) range across 2 matching MRF lines |
$3,780–$3,966.40 | $4,725–$4,958 | varies |
| Arthrogram hip (73525) | $373.60 | $467 | 1.0× |
| Arthrogram Wrist (73115) | $400.80 | $501 | 1.1× |
| Basic radiation dosimetry calculation (77300) | $618.40 | $773 | 4.2× |
| Bone age studies (77072) | $94.40 | $118 | 0.8× |
| Bone Imaging 3 Phase (78315) | $1,157.60 | $1,447 | 2.7× |
| Bone Imaging Whole Body (78306) range across 2 matching MRF lines |
$892.80–$1,068 | $1,116–$1,335 | varies |
| Bone survey infant (77076) | $318.40 | $398 | 2.8× |
| Brachytx isodose complex (77318) | $2,374.40 | $2,968 | 5.8× |
| Brachytx isodose intermed (77317) | $1,453.60 | $1,817 | 3.6× |
| Brachytx Isodose Plan Simple (77316) | $1,155.20 | $1,444 | 2.8× |
| Brain Image W/Flow < 4 Views (78601) | $392 | $490 | 0.9× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $3,734.40 | $4,668 | 2.4× |
| Cat Scan Follow-Up Study (76380) | $623.20 | $779 | 6.6× |
| Chest 1 view (71045) | $92 | $115 | 1.0× |
| Chest 2 views (71046) | $120 | $150 | 1.3× |
| Chest 3 views (71047) | $145.60 | $182 | 1.5× |
| Chest 4 or more views (71048) | $152.80 | $191 | 1.3× |
| Clavicle complete (73000) | $110.40 | $138 | 1.2× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $20 | $25 | 0.2× |
| Continuing medical physics consltj pr wk (77336) | $730.40 | $913 | 5.0× |
| Contrast Exam Abdominl Aorta (75625) | $19,587.45 | $24,484.31 | 5.7× |
| Contrast X-Ray Bladder (74430) | $296 | $370 | 0.8× |
| Contrast X-Ray Of Elbow (73085) | $370.40 | $463 | 1.0× |
| CT abdomen and pelvis without and with contrast (74178) range across 3 matching MRF lines |
$2,896.80–$3,050.40 | $3,621–$3,813 | varies |
| CT abdomen and pelvis without contrast (74176) range across 3 matching MRF lines |
$1,815.20–$1,816 | $2,269–$2,270 | varies |
| CT abdomen w contrast (74160) | $1,255.20 | $1,569 | 6.6× |
| CT abdomen w wo contrast (74170) range across 4 matching MRF lines |
$1,467.20–$1,545.60 | $1,834–$1,932 | varies |
| CT abdomen w/o contrast (74150) | $946.40 | $1,183 | 8.3× |
| CT Angio Abdomen and Pelvis (74174) | $3,276.80 | $4,096 | 8.6× |
| CT Angio Chest (71275) range across 3 matching MRF lines |
$1,649.60–$1,699.20 | $2,062–$2,124 | varies |
| CT Angio Head (70496) | $1,619.20 | $2,024 | 8.5× |
| CT angio hrt w/3d image (75574) | $2,100.80 | $2,626 | 5.5× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
$1,480.80–$1,481.60 | $1,851–$1,852 | varies |
| CT Angio Neck (70498) | $1,620 | $2,025 | 8.5× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $1,464 | $1,830 | 7.7× |
| CT cervical spine w/ contrast (72126) | $1,142.40 | $1,428 | 3.0× |
| CT cervical spine w/o contrast (72125) | $956.80 | $1,196 | 8.4× |
| CT chest w contrast (71260) | $1,144 | $1,430 | 6.0× |
| CT chest w/wo contrast (71270) | $1,263.20 | $1,579 | 6.6× |
| CT head/brain with contrast (70460) | $948.80 | $1,186 | 5.0× |
| CT head/brain without and with contrast (70470) | $1,038.40 | $1,298 | 5.4× |
| CT heart contrast eval cardiac structure&morph (75572) | $2,100.80 | $2,626 | 5.5× |
| CT heart no contrast quant eval coronry calcium (75571) range across 2 matching MRF lines |
$39.20–$295.20 | $49–$369 | varies |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$1,360.80–$1,388 | $1,701–$1,735 | varies |
| CT l-spine w&w/o contrast (72133) | $1,024.80 | $1,281 | 5.4× |
| CT lower ext w/o (73700) range across 15 matching MRF lines |
$916.80–$965.60 | $1,146–$1,207 | varies |
| CT lower extremity w/contrast material (73701) range across 16 matching MRF lines |
$1,100–$1,159.20 | $1,375–$1,449 | varies |
| CT lumbar spine w contrast (72132) | $1,175.20 | $1,469 | 3.1× |
| CT lumbar spine w/o contrast (72131) | $955.20 | $1,194 | 8.4× |
| CT maxillofacial w contrast (70487) | $1,152 | $1,440 | 6.0× |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$955.20–$1,006.40 | $1,194–$1,258 | varies |
| CT neck tissue combo (70492) | $1,347.20 | $1,684 | 7.0× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,347.20 | $1,684 | 7.0× |
| CT orbits w/o contrast (70480) range across 3 matching MRF lines |
$881.60–$1,010.40 | $1,102–$1,263 | varies |
| CT pelvis w&w/o contrast (72194) | $1,237.60 | $1,547 | 6.5× |
| CT pelvis w/o contrast (72192) | $902.40 | $1,128 | 7.9× |
| CT scan of leg combo (73702) range across 8 matching MRF lines |
$1,253.60–$1,472 | $1,567–$1,840 | varies |
| CT scans face/jaw combo (70488) | $1,578.40 | $1,973 | 8.3× |
| CT soft tissue neck w contrast (70491) | $1,166.40 | $1,458 | 6.1× |
| CT soft tissue neck w/o contrast (70490) | $947.20 | $1,184 | 8.3× |
| CT thoracic spine w contrast (72129) | $1,180 | $1,475 | 6.2× |
| CT thoracic spine w/o contrast (72128) | $868 | $1,085 | 7.6× |
| CT thorax w/o contrast (71250) | $951.20 | $1,189 | 8.3× |
| CT upper ext wo (73200) range across 13 matching MRF lines |
$916.80–$963.20 | $1,146–$1,204 | varies |
| CT upper extremity w/o & w/contrast material (73202) | $1,469.60 | $1,837 | 7.7× |
| CT upper extremity with contrast (73201) range across 12 matching MRF lines |
$982.40–$1,151.20 | $1,228–$1,439 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,751.20 | $2,189 | 9.2× |
| Cta Abdomen (74175) | $1,648 | $2,060 | 8.6× |
| CTA pelvis (72191) | $1,464.80 | $1,831 | 7.7× |
| Dilation ureters/urethra rs&i (74485) | $2,156 | $2,695 | 0.9× |
| Dxa Bone Density Axial (77080) | $310.40 | $388 | 2.7× |
| Esophagram (74220) | $322.40 | $403 | 1.7× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $355.20 | $444 | 3.1× |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$365.60–$374.40 | $457–$468 | varies |
| Follow-Up Angiography (75898) | $384 | $480 | 0.1× |
| Foot 2 views (73620) range across 4 matching MRF lines |
$98.40–$99.20 | $123–$124 | varies |
| Forearm 2 views (73090) range across 4 matching MRF lines |
$107.20–$108 | $134–$135 | varies |
| Gastric emptying imaging study (78264) | $1,021.60 | $1,277 | 2.3× |
| Gated Heart Planar Single (78472) | $824 | $1,030 | 1.9× |
| Hand 2 views (73120) | $104.80 | $131 | 0.9× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77772) | $2,121.60 | $2,652 | 2.8× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) | $2,074.40 | $2,593 | 2.7× |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) | $2,016 | $2,520 | 2.7× |
| Hepatobil Syst Image W/Drug (78227) | $1,225.60 | $1,532 | 2.1× |
| Hepatobiliary System Imaging (78226) | $1,164.80 | $1,456 | 2.7× |
| Ht Muscle Image Spect Sing (78451) | $3,150.40 | $3,938 | 2.2× |
| Hysterosalpingogram (74740) | $293.60 | $367 | 1.1× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $381.60 | $477 | 4.0× |
| Interstitial radiation source applic complex (77778) | $3,864 | $4,830 | 5.1× |
| Intracavitary Radiation Source Applic Complex (77763) | $3,157.60 | $3,947 | 4.2× |
| Intracavitary Radiation Source Applic Intermed (77762) | $2,460 | $3,075 | 4.1× |
| Intracavitary radiation source applic simple (77761) | $1,689.60 | $2,112 | 2.8× |
| K Flow/Funct Image Multiple (78709) | $1,350.40 | $1,688 | 2.3× |
| K Flow/Funct Image W/Drug (78708) | $694.40 | $868 | 1.2× |
| K Flow/Funct Image W/O Drug (78707) | $764 | $955 | 1.3× |
| Knee 3 Views (73562) | $128.80 | $161 | 1.4× |
| Liver & Spleen Imaging Static Only (78215) | $702.40 | $878 | 1.6× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $1,177.60 | $1,472 | 2.7× |
| Liver imaging static only (78201) | $671.20 | $839 | 1.1× |
| Lung Perf&Ventilat Diferentl (78598) | $1,382.40 | $1,728 | 2.3× |
| Lung perfusion differential (78597) | $896.80 | $1,121 | 2.1× |
| Lung Ventilat&Perfus Imaging (78582) | $1,299.20 | $1,624 | 2.2× |
| Lymph System Imaging (78195) | $1,236.80 | $1,546 | 2.1× |
| Magnetic Image Jaw Joint (70336) | $1,636 | $2,045 | 6.3× |
| Mammary ductogram or galactogram multiple (77054) | $547.20 | $684 | 2.1× |
| Mammary ductogram or galactogram single (77053) range across 2 matching MRF lines |
$478.40–$486.40 | $598–$608 | varies |
| Meckels Divert Exam (78290) | $1,095.20 | $1,369 | 2.5× |
| Mlc imrt design & construction per imrt plan (77338) | $7,818.40 | $9,773 | 19.2× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $56 | $70 | 1.8× |
| MRA head w/o contrast (70544) | $1,580 | $1,975 | 6.1× |
| MRA neck w contrast (70548) | $1,819.20 | $2,274 | 4.8× |
| MRA neck w/o contrast (70547) | $1,588 | $1,985 | 6.1× |
| MRI abdomen w contrast (74182) | $1,968.80 | $2,461 | 5.2× |
| MRI abdomen w/o contrast (74181) | $1,592.80 | $1,991 | 6.1× |
| MRI any jt lower extrem w/contrast material (73722) range across 6 matching MRF lines |
$1,949.60–$2,005.60 | $2,437–$2,507 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 6 matching MRF lines |
$2,482.40–$2,552.80 | $3,103–$3,191 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 6 matching MRF lines |
$1,960–$2,004 | $2,450–$2,505 | varies |
| MRI Breast W/O Contrast Bilateral (77047) | $1,456 | $1,820 | 5.6× |
| MRI Breast Without Contrast Material Unilateral (77046) range across 2 matching MRF lines |
$1,231.20–$1,443.20 | $1,539–$1,804 | varies |
| MRI cervical spine w contrast (72142) | $2,007.20 | $2,509 | 5.3× |
| MRI cervical spine w/o cont (72141) | $1,659.20 | $2,074 | 6.4× |
| MRI chest w/o contrast (71550) | $1,676 | $2,095 | 6.4× |
| MRI chest with contrast (71551) | $2,024 | $2,530 | 2.4× |
| MRI chest wo w contrast (71552) | $2,548 | $3,185 | 6.7× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $2,000.80 | $2,501 | 5.3× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 4 matching MRF lines |
$2,200–$2,212.80 | $2,750–$2,766 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 4 matching MRF lines |
$1,609.60–$1,610.40 | $2,012–$2,013 | varies |
| MRI lumbar spine w contrast (72149) | $1,754.40 | $2,193 | 4.6× |
| Mri Neck Spine W/O & W/Dye (72156) | $2,564 | $3,205 | 6.7× |
| MRI orbit face &/neck w/o contrast (70540) | $1,609.60 | $2,012 | 6.2× |
| MRI orbit face neck w contrast (70542) | $2,000.80 | $2,501 | 5.3× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $2,176.80 | $2,721 | 5.7× |
| MRI pelvis w contrast (72196) | $2,024.80 | $2,531 | 5.3× |
| MRI pelvis w/o & w contrast (72197) | $2,500.80 | $3,126 | 6.6× |
| MRI pelvis w/o contrast (72195) | $1,630.40 | $2,038 | 6.3× |
| MRI thoracic spine w/o contrast (72146) | $1,624 | $2,030 | 6.2× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $2,004 | $2,505 | 5.3× |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 6 matching MRF lines |
$1,591.20–$1,652.80 | $1,989–$2,066 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 6 matching MRF lines |
$2,177.60–$2,552.80 | $2,722–$3,191 | varies |
| MRI, abdomen, combo (74183) | $2,442.40 | $3,053 | 6.4× |
| MRI, dorsal spine combo (72157) | $2,505.60 | $3,132 | 6.6× |
| MRI, dorsal spine contrast (72147) | $1,743.20 | $2,179 | 4.6× |
| MRI, joint upper extrem (73221) range across 6 matching MRF lines |
$1,610.40–$1,619.20 | $2,013–$2,024 | varies |
| MRI, joint upper extrem combo (73223) range across 6 matching MRF lines |
$2,176.80–$2,552 | $2,721–$3,190 | varies |
| MRI, lumbar spine combo (72158) | $2,465.60 | $3,082 | 6.5× |
| Myelogram cervical (72240) | $2,086.40 | $2,608 | 2.4× |
| Myocardial Spect Multiple Studies (78452) | $3,150.40 | $3,938 | 2.2× |
| Myocrd Img Pet Prfuj Mlt Std Rst&Strs Cncrnt CT (78431) | $5,821.60 | $7,277 | 2.4× |
| Myocrd Img Pet Prfuj W/Metab 2rtracer Cncrnt CT (78433) range across 2 matching MRF lines |
$5,228.80–$6,015.20 | $6,536–$7,519 | varies |
| Neck soft tissue (70360) | $108 | $135 | 1.1× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $776.80 | $971 | 1.8× |
| Nm csf leak detection (78650) | $1,185.60 | $1,482 | 0.8× |
| Ntsty modul radthx pln dose-vol histos (77301) | $9,804.80 | $12,256 | 6.5× |
| Nuclear Rx Oral Admin (79005) range across 5 matching MRF lines |
$504–$583.20 | $630–$729 | varies |
| Parathyroid Planar Imaging (78070) | $609.60 | $762 | 1.4× |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$94.40–$99.20 | $118–$124 | varies |
| Pet Image W/Ct Lmtd (78814) | $4,000 | $5,000 | 2.6× |
| PET image w/CT, full body (78816) range across 2 matching MRF lines |
$4,340.80–$4,439.20 | $5,426–$5,549 | varies |
| PET imaging CT attenuation skull base mid-thigh (78815) | $4,217.60 | $5,272 | 2.7× |
| Pulmonary Perfusion Imaging Particulate (78580) | $678.40 | $848 | 1.6× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $216 | $270 | 1.9× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $770.40 | $963 | 1.3× |
| Radex Ankle Complete Minimum 3 Views (73610) | $124 | $155 | 1.3× |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$100.80–$101.60 | $126–$127 | varies |
| Radex elbow complete minimum 3 views (73080) | $131.20 | $164 | 1.4× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $156.80 | $196 | 1.4× |
| Radex fingr minimum 2 views (73140) range across 20 matching MRF lines |
$112.80–$116.80 | $141–$146 | varies |
| Radex foot complete minimum 3 views (73630) range across 4 matching MRF lines |
$120–$120.80 | $150–$151 | varies |
| Radex Hand Minimum 3 Views (73130) range across 4 matching MRF lines |
$123.20–$124 | $154–$155 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 3 matching MRF lines |
$108–$125.60 | $135–$157 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $120.80 | $151 | 1.3× |
| Radex shoulder complete minimum 2 views (73030) | $111.20 | $139 | 1.2× |
| Radex Sinuses Paransl < 3 Views (70210) | $114.40 | $143 | 1.2× |
| Radex Spine 1 View Specify Level (72020) range across 3 matching MRF lines |
$81.60–$94.40 | $102–$118 | varies |
| Radex Sternum Minimum 2 Views (71120) | $126.40 | $158 | 1.3× |
| Radex Toe Minimum 2 Views (73660) | $106.40 | $133 | 1.1× |
| Radex upper extremity infant minimum 2 views (73092) range across 3 matching MRF lines |
$110.40–$124.80 | $138–$156 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) | $128.80 | $161 | 1.4× |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $17,272 | $21,590 | 2.2× |
| Radiation treatment delivery level 1 (77402) | $400 | $500 | 3.6× |
| Radiation treatment delivery level 2 (77407) | $616 | $770 | 1.5× |
| Radiation treatment delivery level 3 (77412) | $752.80 | $941 | 1.3× |
| Radiolog exam mandible compl minimum 4 views (70110) | $151.20 | $189 | 1.3× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 2 matching MRF lines |
$134.40–$149.60 | $168–$187 | varies |
| Radiologic exam colon double contrast study (74280) | $747.20 | $934 | 3.9× |
| Radiologic exam colon single contrast study (74270) | $480.80 | $601 | 2.5× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $331.20 | $414 | 1.7× |
| Radiologic exam knee complete 4/more views (73564) | $141.60 | $177 | 1.2× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $124 | $155 | 1.1× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $376 | $470 | 2.0× |
| Radiologic exam swallow function contrast study (74230) | $328.80 | $411 | 1.7× |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$467.20–$478.40 | $584–$598 | varies |
| Radiologic examination femur 1 view (73551) range across 4 matching MRF lines |
$85.60–$100.80 | $107–$126 | varies |
| Radiologic examination femur minimum 2 views (73552) | $107.20 | $134 | 1.1× |
| Radiologic examination knee 1/2 views (73560) | $108.80 | $136 | 1.1× |
| Radiologic Examination Osseous Survey Limited (77074) | $267.20 | $334 | 2.3× |
| Radiologic examination tibia & fibula 2 views (73590) | $104 | $130 | 1.1× |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77768) | $532.80 | $666 | 1.3× |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77767) | $532.80 | $666 | 1.3× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $1,068 | $1,335 | 2.5× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $2,136.80 | $2,671 | 3.6× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $1,204 | $1,505 | 2.0× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 4 matching MRF lines |
$768–$1,316 | $960–$1,645 | varies |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $1,286.40 | $1,608 | 0.9× |
| Rp Therapy Intravenous Administration (79101) | $637.60 | $797 | 2.5× |
| Scapula (73010) range across 2 matching MRF lines |
$96.80–$97.60 | $121–$122 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $68.80 | $86 | 2.9× |
| Shoulder 1 view (73020) | $80.80 | $101 | 0.9× |
| Shoulder Arthrography (73040) | $397.60 | $497 | 1.0× |
| Skull less than 4 views (70250) | $133.60 | $167 | 1.2× |
| Special dosimetry (77331) | $355.20 | $444 | 2.4× |
| Special Physics Consult (77370) range across 2 matching MRF lines |
$440.80–$1,456.80 | $551–$1,821 | varies |
| Special teletherapy port plan (77321) | $756 | $945 | 1.9× |
| Special treatment procedure (77470) | $2,798.40 | $3,498 | 4.6× |
| Stereotactic Body Radiation Delivery (77373) | $5,078.40 | $6,348 | 2.6× |
| Sternoclavicular joints (71130) | $146.40 | $183 | 1.5× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $3,000 | $3,750 | 7.4× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $1,325.60 | $1,657 | 3.2× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $2,371.20 | $2,964 | 5.8× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $2,098.40 | $2,623 | 5.1× |
| Ther rad simulaj-aided field setting simple (77280) | $1,960 | $2,450 | 13.4× |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$112.80–$126.40 | $141–$158 | varies |
| Thoracic spine 3 views (72072) | $144 | $180 | 1.3× |
| Thyroid carcinoma metastases imaging; with additional studies (eg, urinary recovery) Non-Facility (78016) | $1,155.20 | $1,444 | 2.7× |
| Thyroid Carcinoma Metastases Img Lmtd Area (78015) | $784.80 | $981 | 1.8× |
| Thyroid Imaging With Vascular Flow (78013) | $484 | $605 | 1.1× |
| Thyroid Met Imaging Body (78018) range across 2 matching MRF lines |
$1,155.20–$1,176.80 | $1,444–$1,471 | varies |
| Thyroid Uptake Measurement (78012) | $344 | $430 | 0.8× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $484 | $605 | 1.1× |
| Tx Devices Design & Construction Complex (77334) | $1,305.60 | $1,632 | 3.2× |
| Tx devices design & construction intermediate (77333) | $941.60 | $1,177 | 6.4× |
| Tx devices design & construction simple (77332) | $622.40 | $778 | 4.2× |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$496–$984 | $620–$1,230 | varies |
| Ultrasound Elastography Parenchyma (76981) | $394.40 | $493 | 3.5× |
| Ultrasound Exam Aaa Screen (76706) | $209.60 | $262 | 1.8× |
| Ultrasound, abdomen limited (76705) range across 6 matching MRF lines |
$393.60–$404 | $492–$505 | varies |
| Umbilical-artery Doppler (OB) (76820) | $293.60 | $367 | 2.6× |
| Unlisted magnetic resonance procedure (76498) | $204 | $255 | 2.2× |
| Upper gi w/o kub (74240) range across 3 matching MRF lines |
$409.60–$411.20 | $512–$514 | varies |
| Urethrocystogram voiding (74455) | $336 | $420 | 1.3× |
| Urethrocystography retrograde (74450) | $391.20 | $489 | 1.5× |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$539.20–$1,076.80 | $674–$1,346 | varies |
| Us chest (76604) range across 2 matching MRF lines |
$318.40–$336 | $398–$420 | varies |
| Us complete joint (76881) | $499.20 | $624 | 4.4× |
| Us exam, pelvic, limited (76857) range across 3 matching MRF lines |
$312.80–$329.60 | $391–$412 | varies |
| Us head (76506) | $371.20 | $464 | 3.3× |
| Us kidney transplant (76776) | $554.40 | $693 | 4.9× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 3 matching MRF lines |
$433.60–$458.40 | $542–$573 | varies |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$301.60–$351.20 | $377–$439 | varies |
| Us ob transvaginal (76817) | $388.80 | $486 | 3.4× |
| Us pelvic non ob complete (76856) | $460 | $575 | 4.0× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $492.80 | $616 | 4.3× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $412 | $515 | 3.6× |
| Us retroperitoneal complete (76770) | $494.40 | $618 | 4.3× |
| Us retroperitoneal limited (76775) range across 3 matching MRF lines |
$366.40–$428.80 | $458–$536 | varies |
| Us scrotum and contents (76870) | $452 | $565 | 4.0× |
| Us spinal canal and contents (76800) | $520 | $650 | 4.6× |
| Us thyroid (76536) | $426.40 | $533 | 3.7× |
| Us transrectal (76872) | $6,583.03 | $8,228.79 | 57.8× |
| Vein X-Ray Chest (75827) | $12,712.62 | $15,890.78 | 7.4× |
| Venography caval inferior serialography rs&i (75825) | $45,429.39 | $56,786.74 | 13.2× |
| Venography extremity bilateral rs&i (75822) range across 2 matching MRF lines |
$997.60–$2,974.40 | $1,247–$3,718 | varies |
| Venography extremity unilateral rs&i (75820) | $20,652.84 | $25,816.05 | 12.0× |
| Venography Renal Bilateral (75833) | $4,795.20 | $5,994 | 1.4× |
| Wrist 2 views (73100) | $109.60 | $137 | 1.2× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $143.20 | $179 | 1.5× |
| X-Ray Aorta Leg Arteries (75630) range across 2 matching MRF lines |
$4,091.20–$4,728 | $5,114–$5,910 | varies |
| X-Ray Bend Only L-S Spine (72120) | $150.40 | $188 | 1.3× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 4 matching MRF lines |
$107.20–$108 | $134–$135 | varies |
| X-Ray Exam Breast Specimen (76098) | $220.80 | $276 | 0.4× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $182.40 | $228 | 1.9× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $270.40 | $338 | 2.4× |
| X-Ray Exam Hip Uni 1 View (73501) range across 4 matching MRF lines |
$96–$96.80 | $120–$121 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $124 | $155 | 1.3× |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$133.60–$155.20 | $167–$194 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $167.20 | $209 | 1.5× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $152 | $190 | 1.3× |
| X-Ray Exam L-S Spine Bending (72114) | $272.80 | $341 | 2.4× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $143.20 | $179 | 1.5× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $248 | $310 | 2.2× |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 2 matching MRF lines |
$146.40–$147.20 | $183–$184 | varies |
| X-ray eye for foreign body (70030) | $112.80 | $141 | 1.2× |
| X-ray humerus (73060) | $108.80 | $136 | 1.1× |
| X-ray IV pyelogram (ivp) (74400) | $418.40 | $523 | 2.2× |
| X-ray IV pyelogram+tomography (74415) | $506.40 | $633 | 2.6× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $120 | $150 | 1.3× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$146.40–$150.40 | $183–$188 | varies |
| X-ray nose-rectum child f.b. (76010) | $109.60 | $137 | 1.2× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $197.60 | $247 | 1.7× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $131.20 | $164 | 1.2× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $109.60 | $137 | 1.2× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $148 | $185 | 1.6× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $20,109.58 | $25,136.98 | 52.9× |
| X-Rays Bone Length Studies (77073) range across 3 matching MRF lines |
$145.60–$148.80 | $182–$186 | varies |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$334.40–$509.60 | $418–$637 | varies |
| Xr c-spine 4 or 5 views (72050) | $198.40 | $248 | 1.7× |
| Xr facial bones less than 3 views (70140) | $133.60 | $167 | 1.4× |
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.