Imaging prices at Community First Medical Center
Chicago, IL · every code in this section with a posted price and a Medicare benchmark.
336 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) | $134.13 | $268.25 | 1.4× |
| Abdomen 2 views (74019) | $247.13 | $494.25 | 2.2× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $484.88 | $969.75 | 1.1× |
| Angio internal mammary (75756) | $1,205 | $2,410 | 0.4× |
| Angio pulmonary bilat (75743) | $2,719 | $5,438 | 0.8× |
| Angiography extremity bilateral rs&i (75716) | $4,944.63 | $9,889.25 | 1.5× |
| Angiography extremity unilateral rs&i (75710) | $5,386.63 | $10,773.25 | 1.6× |
| Ankle 2 views (73600) | $80.13 | $160.25 | 0.9× |
| Aortography thoracic serialography rs&i (75605) unusually low: confirm this is the full procedure |
$2,259.75 | $4,519.50 | 0.4× |
| Artery X-Rays Abdomen (75726) unusually low: confirm this is the full procedure |
$2,719 | $5,438 | 0.5× |
| Arthrogram hip (73525) | $552.50 | $1,105 | 1.5× |
| Arthrogram Wrist (73115) | $592.88 | $1,185.75 | 1.6× |
| Basic radiation dosimetry calculation (77300) | $413.75 | $827.50 | 2.9× |
| Bone age studies (77072) | $45.50 | $91 | 0.4× |
| Bone Imaging 3 Phase (78315) | $1,059.38 | $2,118.75 | 2.5× |
| Bone Imaging Limited Area (78300) | $733.13 | $1,466.25 | 1.7× |
| Bone Imaging Whole Body (78306) | $1,080.88 | $2,161.75 | 2.5× |
| Bone survey infant (77076) | $146.63 | $293.25 | 1.3× |
| Brachytx isodose complex (77318) | $1,166.75 | $2,333.50 | 2.9× |
| Brachytx isodose intermed (77317) | $1,100.75 | $2,201.50 | 2.7× |
| Brachytx Isodose Plan Simple (77316) | $299 | $598 | 0.7× |
| Brain Flow Imaging Only (78610) | $249.75 | $499.50 | 0.4× |
| Brain Image W/Flow < 4 Views (78601) | $1,281.50 | $2,563 | 3.0× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $817.50 | $1,635 | 1.4× |
| Chest 1 view (71045) | $134.13 | $268.25 | 1.4× |
| Chest 2 views (71046) | $134.13 | $268.25 | 1.4× |
| Chest 3 views (71047) | $134.13 | $268.25 | 1.4× |
| Chest 4 or more views (71048) | $247.13 | $494.25 | 2.2× |
| Cholecystography Oral Contrast (74290) | $111 | $222 | 0.6× |
| Clavicle complete (73000) | $145.13 | $290.25 | 1.6× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $147.63 | $295.25 | 1.3× |
| Continuing medical physics consltj pr wk (77336) | $411.13 | $822.25 | 2.9× |
| Contrast Exam Abdominl Aorta (75625) | $2,259.75 | $4,519.50 | 0.7× |
| Contrast X-Ray Bladder (74430) | $285.88 | $571.75 | 0.8× |
| Contrast X-Ray Of Elbow (73085) | $519 | $1,038 | 1.4× |
| Contrast X-Ray Of Knee Joint (73580) | $528.88 | $1,057.75 | 1.4× |
| CT abdomen and pelvis without and with contrast (74178) | $1,716.63 | $3,433.25 | 4.6× |
| CT abdomen and pelvis without contrast (74176) | $1,421.25 | $2,842.50 | 5.6× |
| CT abdomen w contrast (74160) | $1,440.13 | $2,880.25 | 7.7× |
| CT abdomen w wo contrast (74170) | $1,657 | $3,314 | 8.8× |
| CT abdomen w/o contrast (74150) | $1,253.13 | $2,506.25 | 11.2× |
| CT Angio Abdomen and Pelvis (74174) | $2,162.88 | $4,325.75 | 5.8× |
| CT Angio Chest (71275) | $1,927.13 | $3,854.25 | 10.3× |
| CT Angio Head (70496) | $1,182.50 | $2,365 | 6.3× |
| CT angio hrt w/3d image (75574) | $576 | $1,152 | 1.5× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $1,561.63 | $3,123.25 | 8.3× |
| CT Angio Neck (70498) | $1,182.50 | $2,365 | 6.3× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $1,179.88 | $2,359.75 | 6.3× |
| CT cervical spine w/ contrast (72126) | $1,552.25 | $3,104.50 | 4.2× |
| CT cervical spine w/o contrast (72125) | $1,492.50 | $2,985 | 13.3× |
| CT cervical spine w/wo cont (72127) | $1,783.63 | $3,567.25 | 9.5× |
| CT chest w contrast (71260) | $1,365.75 | $2,731.50 | 7.3× |
| CT chest w/wo contrast (71270) | $1,552.25 | $3,104.50 | 8.3× |
| CT colonography screening (74263) | $991.88 | $1,983.75 | 3.9× |
| CT Colonogrphy Dx Image Postprocess W/Contrast (74262) | $1,422.38 | $2,844.75 | 7.6× |
| CT colonogrphy dx image postprocess w/o contrast (74261) | $945.25 | $1,890.50 | 8.4× |
| CT head/brain with contrast (70460) | $1,329.13 | $2,658.25 | 7.1× |
| CT head/brain without and with contrast (70470) | $1,529.75 | $3,059.50 | 8.1× |
| CT heart contrast eval cardiac structure&morph (75572) | $1,253.13 | $2,506.25 | 3.4× |
| CT heart no contrast quant eval coronry calcium (75571) | $219.38 | $438.75 | 2.4× |
| CT hrt w/3d image congen (75573) | $1,253.13 | $2,506.25 | 3.4× |
| CT iac w contrast (70481) | $1,108.13 | $2,216.25 | 5.9× |
| CT l-spine w&w/o contrast (72133) | $1,783.63 | $3,567.25 | 9.5× |
| CT lower ext w/o (73700) | $773 | $1,546 | 6.9× |
| CT lower extremity w/contrast material (73701) | $892.88 | $1,785.75 | 4.8× |
| CT lumbar spine w contrast (72132) | $1,552.25 | $3,104.50 | 4.2× |
| CT lumbar spine w/o contrast (72131) | $1,349 | $2,698 | 12.0× |
| CT maxillofacial w contrast (70487) | $1,075.13 | $2,150.25 | 5.7× |
| CT maxillofacial wo contrast (70486) | $1,128 | $2,256 | 10.1× |
| CT neck tissue combo (70492) | $1,349 | $2,698 | 7.2× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,274.13 | $2,548.25 | 6.8× |
| CT orbits w/o contrast (70480) | $963.63 | $1,927.25 | 8.6× |
| CT pelvis w&w/o contrast (72194) | $1,895.75 | $3,791.50 | 10.1× |
| CT pelvis w/o contrast (72192) | $1,316 | $2,632 | 11.7× |
| CT scan of leg combo (73702) | $1,231.25 | $2,462.50 | 6.6× |
| CT scans face/jaw combo (70488) | $1,235.88 | $2,471.75 | 6.6× |
| CT soft tissue neck w contrast (70491) | $1,156.25 | $2,312.50 | 6.2× |
| CT soft tissue neck w/o contrast (70490) | $908.13 | $1,816.25 | 8.1× |
| CT thoracic spine w contrast (72129) | $1,552.25 | $3,104.50 | 8.3× |
| CT thoracic spine w/o contrast (72128) | $1,349 | $2,698 | 12.0× |
| CT thoracic spine w/wo cont (72130) | $1,783.63 | $3,567.25 | 9.5× |
| CT thorax w/o contrast (71250) | $1,028 | $2,056 | 9.2× |
| CT upper ext wo (73200) | $773 | $1,546 | 6.9× |
| CT upper extremity w/o & w/contrast material (73202) | $1,231.25 | $2,462.50 | 6.6× |
| CT upper extremity with contrast (73201) | $892.88 | $1,785.75 | 2.4× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $686 | $1,372 | 3.6× |
| Cta Abdomen (74175) | $1,333.25 | $2,666.50 | 7.1× |
| CTA pelvis (72191) | $1,542.25 | $3,084.50 | 8.2× |
| Diskography lumbar (72295) | $3,559.50 | $7,119 | 1.7× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) | $170.25 | $340.50 | 1.5× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $340.88 | $681.75 | 3.0× |
| Dxa Bone Density Axial (77080) | $276 | $552 | 2.5× |
| Dxa bone density study (77085) | $301.13 | $602.25 | 2.7× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $72.25 | $144.50 | 0.8× |
| Echo Guide For Artery Repair (76936) | $745.25 | $1,490.50 | 3.2× |
| Echograp Trans R Pros Study (76873) | $428.88 | $857.75 | 3.8× |
| Esophagram (74220) | $246.63 | $493.25 | 1.3× |
| Fetal Biophys Profile W/Nst (76818) | $311.63 | $623.25 | 2.8× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $152.38 | $304.75 | 1.4× |
| Fluoroscopy up to 1 hr (76000) | $464 | $928 | 1.8× |
| Follow-Up Angiography (75898) | $666.63 | $1,333.25 | 0.2× |
| Foot 2 views (73620) | $215.25 | $430.50 | 2.3× |
| Forearm 2 views (73090) | $141.38 | $282.75 | 1.5× |
| Gastric emptying imaging study (78264) | $492.75 | $985.50 | 1.2× |
| Gated Heart Planar Single (78472) | $562.50 | $1,125 | 1.3× |
| Hand 2 views (73120) | $51.88 | $103.75 | 0.5× |
| Heart first pass single,planar (78481) | $773 | $1,546 | 1.3× |
| Hepatobil Syst Image W/Drug (78227) | $1,033.25 | $2,066.50 | 1.8× |
| Hepatobiliary System Imaging (78226) | $988.75 | $1,977.50 | 2.3× |
| Ht Muscle Image Spect Sing (78451) | $1,151.63 | $2,303.25 | 0.8× |
| Hysterosalpingogram (74740) | $338.25 | $676.50 | 1.3× |
| Infusion Ivp (74410) | $303.25 | $606.50 | 1.6× |
| Interstitial radiation source applic complex (77778) | $2,908 | $5,816 | 3.9× |
| Joint Survey Single View (77077) | $50.75 | $101.50 | 0.5× |
| K Flow/Funct Image Multiple (78709) | $1,133.75 | $2,267.50 | 1.9× |
| K Flow/Funct Image W/Drug (78708) | $636.75 | $1,273.50 | 1.1× |
| K Flow/Funct Image W/O Drug (78707) | $708 | $1,416 | 1.2× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $771.38 | $1,542.75 | 1.8× |
| Knee 3 Views (73562) | $114.63 | $229.25 | 1.2× |
| Leveen/Shunt Patency Exam (78291) | $634.75 | $1,269.50 | 1.5× |
| Liver & Spleen Imaging Static Only (78215) | $536.75 | $1,073.50 | 1.3× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $702.75 | $1,405.50 | 1.6× |
| Liver imaging w/vascular flow (78202) | $545.13 | $1,090.25 | 0.9× |
| Lung Perf&Ventilat Diferentl (78598) | $1,051.63 | $2,103.25 | 1.8× |
| Lung perfusion differential (78597) | $637.38 | $1,274.75 | 1.5× |
| Lung Ventilat&Perfus Imaging (78582) | $988.75 | $1,977.50 | 1.7× |
| Lung Ventilation Imaging (78579) | $494.38 | $988.75 | 1.2× |
| Lymph System Imaging (78195) | $995.50 | $1,991 | 1.7× |
| Magnetic Image Jaw Joint (70336) | $1,461.13 | $2,922.25 | 5.7× |
| Mammary ductogram or galactogram multiple (77054) | $386 | $772 | 1.5× |
| Mammary ductogram or galactogram single (77053) | $375.50 | $751 | 1.5× |
| Meckels Divert Exam (78290) | $260.25 | $520.50 | 0.6× |
| Mlc imrt design & construction per imrt plan (77338) | $1,296.13 | $2,592.25 | 3.2× |
| Mra Head W/O & W/Contrast Material (70546) | $1,836.63 | $3,673.25 | 4.9× |
| MRA head w/o contrast (70544) | $1,471 | $2,942 | 5.8× |
| MRA head with contrast (70545) | $1,525.50 | $3,051 | 4.1× |
| MRA neck w contrast (70548) | $1,687.38 | $3,374.75 | 4.5× |
| Mra Neck W/O &W/Contrast Material (70549) | $1,939.75 | $3,879.50 | 5.2× |
| MRA neck w/o contrast (70547) | $1,466.88 | $2,933.75 | 5.7× |
| MRI abdomen w contrast (74182) | $1,517.13 | $3,034.25 | 4.1× |
| MRI abdomen w/o contrast (74181) | $1,393 | $2,786 | 5.4× |
| MRI any jt lower extrem w/contrast material (73722) | $1,598.88 | $3,197.75 | 1.9× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $1,838.63 | $3,677.25 | 4.9× |
| MRI any jt upper extremity w/contrast matrl (73222) | $1,780.50 | $3,561 | 2.1× |
| MRI bone marrow blood supply (77084) | $1,356.38 | $2,712.75 | 5.3× |
| MRI Breast W/O Contrast Bilateral (77047) | $1,284.63 | $2,569.25 | 5.0× |
| MRI Breast Without Contrast Material Unilateral (77046) | $1,392.50 | $2,785 | 5.4× |
| MRI cervical spine w contrast (72142) | $1,847 | $3,694 | 4.9× |
| MRI cervical spine w/o cont (72141) | $1,653.25 | $3,306.50 | 6.5× |
| MRI chest w/o contrast (71550) | $1,257.88 | $2,515.75 | 4.9× |
| MRI chest with contrast (71551) | $1,774.75 | $3,549.50 | 2.1× |
| MRI chest wo w contrast (71552) | $1,663.75 | $3,327.50 | 4.5× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $1,598.88 | $3,197.75 | 4.3× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $1,838.63 | $3,677.25 | 4.9× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $1,390.38 | $2,780.75 | 5.4× |
| MRI lumbar spine w contrast (72149) | $1,847 | $3,694 | 4.9× |
| Mri Neck Spine W/O & W/Dye (72156) | $2,088.50 | $4,177 | 5.6× |
| MRI orbit face &/neck w/o contrast (70540) | $1,017 | $2,034 | 4.0× |
| MRI orbit face neck w contrast (70542) | $1,169.38 | $2,338.75 | 3.1× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $1,344.25 | $2,688.50 | 3.6× |
| MRI pelvis w contrast (72196) | $1,740.75 | $3,481.50 | 4.7× |
| MRI pelvis w/o & w contrast (72197) | $2,001.50 | $4,003 | 5.4× |
| MRI pelvis w/o contrast (72195) | $1,514 | $3,028 | 5.9× |
| MRI thoracic spine w/o contrast (72146) | $1,653.25 | $3,306.50 | 6.5× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $1,598.88 | $3,197.75 | 4.3× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $1,390.38 | $2,780.75 | 5.4× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $1,838.63 | $3,677.25 | 4.9× |
| MRI, abdomen, combo (74183) | $1,582 | $3,164 | 4.2× |
| MRI, dorsal spine combo (72157) | $2,088.50 | $4,177 | 5.6× |
| MRI, dorsal spine contrast (72147) | $1,847 | $3,694 | 4.9× |
| MRI, joint upper extrem (73221) | $1,548 | $3,096 | 6.1× |
| MRI, joint upper extrem combo (73223) | $2,048.63 | $4,097.25 | 5.5× |
| MRI, lumbar spine combo (72158) | $2,088.50 | $4,177 | 5.6× |
| Myelogram cervical (72240) | $962 | $1,924 | 1.1× |
| Myelogram Lumbar (72265) | $931.63 | $1,863.25 | 1.1× |
| Myelograpy 2/more regions rs&i (72270) | $1,106 | $2,212 | 1.3× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $599.63 | $1,199.25 | 1.4× |
| Myocardial Spect Multiple Studies (78452) | $1,695.13 | $3,390.25 | 1.2× |
| Neck soft tissue (70360) | $181.25 | $362.50 | 1.9× |
| Ntsty modul radthx pln dose-vol histos (77301) | $1,906.25 | $3,812.50 | 1.3× |
| Nuclear Rx Oral Admin (79005) | $460.88 | $921.75 | 1.8× |
| Ob us nuchal meas 1 gest (76813) | $119.88 | $239.75 | 1.1× |
| Optic foramina (70190) | $58.13 | $116.25 | 0.6× |
| Parathyroid Planar Imaging (78070) | $468.13 | $936.25 | 1.1× |
| Pelvis 1 or 2 views (72170) | $126.25 | $252.50 | 1.1× |
| Pulmonary Perfusion Imaging Particulate (78580) | $637.38 | $1,274.75 | 1.5× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $288 | $576 | 2.6× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $300.63 | $601.25 | 0.5× |
| Radex Ankle Complete Minimum 3 Views (73610) | $215.25 | $430.50 | 2.3× |
| Radex Calcaneus Minimum 2 Views (73650) | $80.13 | $160.25 | 0.9× |
| Radex elbow complete minimum 3 views (73080) | $214.25 | $428.50 | 2.3× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $129.88 | $259.75 | 1.2× |
| Radex fingr minimum 2 views (73140) | $101.13 | $202.25 | 1.1× |
| Radex foot complete minimum 3 views (73630) | $215.25 | $430.50 | 2.3× |
| Radex Hand Minimum 3 Views (73130) | $208.38 | $416.75 | 2.2× |
| Radex lower extremity infant minimum 2 views (73592) | $86.88 | $173.75 | 0.9× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $280.75 | $561.50 | 2.5× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $129.88 | $259.75 | 1.4× |
| Radex Ribs Unilateral 2 Views (71100) | $204.75 | $409.50 | 2.2× |
| Radex shoulder complete minimum 2 views (73030) | $204.25 | $408.50 | 2.2× |
| Radex Sinuses Paransl < 3 Views (70210) | $288 | $576 | 3.1× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) range across 2 matching MRF lines |
$111–$164.50 | $222–$329 | varies |
| Radex Spine 1 View Specify Level (72020) | $86.88 | $173.75 | 0.9× |
| Radex Sternum Minimum 2 Views (71120) | $93.75 | $187.50 | 1.0× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $123.63 | $247.25 | 1.3× |
| Radex Toe Minimum 2 Views (73660) | $86.88 | $173.75 | 0.9× |
| Radex upper extremity infant minimum 2 views (73092) | $86.88 | $173.75 | 0.8× |
| Radex Wrist Complete Minimum 3 Views (73110) | $201.63 | $403.25 | 2.2× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $251.38 | $502.75 | 2.2× |
| Radiation treatment delivery level 1 (77402) | $233.63 | $467.25 | 2.1× |
| Radiation treatment delivery level 3 (77412) | $355.63 | $711.25 | 0.6× |
| Radiolog exam mandible compl minimum 4 views (70110) | $280.75 | $561.50 | 2.5× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $247.13 | $494.25 | 2.2× |
| Radiologic exam colon double contrast study (74280) | $570.25 | $1,140.50 | 3.0× |
| Radiologic exam colon single contrast study (74270) | $464 | $928 | 2.5× |
| Radiologic exam knee complete 4/more views (73564) | $268.13 | $536.25 | 2.4× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $140.38 | $280.75 | 1.3× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $323.63 | $647.25 | 1.7× |
| Radiologic exam swallow function contrast study (74230) | $277.50 | $555 | 1.5× |
| Radiologic exam teeth complete full mouth (70320) | $39.25 | $78.50 | 0.2× |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$100.50–$384.88 | $201–$769.75 | varies |
| Radiologic examination femur 1 view (73551) | $79.63 | $159.25 | 0.9× |
| Radiologic examination femur minimum 2 views (73552) | $79.63 | $159.25 | 0.9× |
| Radiologic examination knee 1/2 views (73560) | $86.88 | $173.75 | 0.9× |
| Radiologic Examination Osseous Survey Limited (77074) | $143 | $286 | 1.3× |
| Radiologic Examination Salivary Gland Calculus (70380) | $75.38 | $150.75 | 0.8× |
| Radiologic examination tibia & fibula 2 views (73590) | $62.88 | $125.75 | 0.7× |
| Radiologic examination, internal auditory meati, complete Non-Facility (70134) | $96.88 | $193.75 | 0.2× |
| Renal Cyst Study (74470) | $294.38 | $588.75 | 0.5× |
| Ribs bilateral 3 views (71110) | $315.25 | $630.50 | 2.8× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $769.25 | $1,538.50 | 1.8× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $1,659 | $3,318 | 2.9× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $906.50 | $1,813 | 1.6× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 2 matching MRF lines |
$594.88–$1,281.50 | $1,189.75–$2,563 | varies |
| Salivary Gland Imaging Serial Images (78231) | $634.75 | $1,269.50 | 1.5× |
| Scapula (73010) | $96.88 | $193.75 | 0.9× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $61.25 | $122.50 | 2.6× |
| Sella turcica (70240) | $52.38 | $104.75 | 0.6× |
| Shoulder 1 view (73020) | $45 | $90 | 0.5× |
| Shoulder Arthrography (73040) | $530.50 | $1,061 | 1.4× |
| Skull less than 4 views (70250) | $80.13 | $160.25 | 0.7× |
| Special Physics Consult (77370) | $542.50 | $1,085 | 3.8× |
| Special treatment procedure (77470) | $1,723.50 | $3,447 | 2.9× |
| Sternoclavicular joints (71130) | $113.63 | $227.25 | 1.2× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $1,071 | $2,142 | 2.7× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $872 | $1,744 | 2.2× |
| Testicular Imaging W/Flow (78761) | $852.63 | $1,705.25 | 2.0× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $773 | $1,546 | 1.9× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $710.13 | $1,420.25 | 1.8× |
| Ther rad simulaj-aided field setting simple (77280) | $673 | $1,346 | 4.7× |
| Thoracic spine 2 views (72070) | $48.75 | $97.50 | 0.4× |
| Thoracic spine 3 views (72072) | $339.88 | $679.75 | 3.0× |
| Thoracolumbar 2 views (72080) | $51.88 | $103.75 | 0.6× |
| Thyroid Imaging With Vascular Flow (78013) | $411.13 | $822.25 | 1.0× |
| Thyroid Met Imaging Body (78018) | $963.63 | $1,927.25 | 1.7× |
| Thyroid Uptake Measurement (78012) | $216.75 | $433.50 | 0.5× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $426.25 | $852.50 | 1.0× |
| Tx Devices Design & Construction Complex (77334) | $961.50 | $1,923 | 2.4× |
| Tx devices design & construction intermediate (77333) | $559.25 | $1,118.50 | 3.9× |
| Tx devices design & construction simple (77332) | $492.25 | $984.50 | 3.4× |
| Ultrasound Breast Limited (76642) | $289.13 | $578.25 | 3.1× |
| Ultrasound Exam Aaa Screen (76706) | $377 | $754 | 3.4× |
| Ultrasound, abdomen limited (76705) | $387 | $774 | 3.5× |
| Unlisted Dx Radiographic Procedure (76499) | $181.25 | $362.50 | 1.9× |
| Unlisted magnetic resonance procedure (76498) | $1,355.88 | $2,711.75 | 14.5× |
| Unlisted us procedure (76999) | $226.75 | $453.50 | 2.4× |
| Upper gi w/o kub (74240) range across 2 matching MRF lines |
$100.50–$336.75 | $201–$673.50 | varies |
| Urethrocystogram voiding (74455) | $339.88 | $679.75 | 1.3× |
| Urethrocystography retrograde (74450) | $312.63 | $625.25 | 1.2× |
| Us breast unilateral complete (76641) | $289.13 | $578.25 | 2.6× |
| Us chest (76604) | $200.63 | $401.25 | 1.8× |
| Us complete joint (76881) | $378.63 | $757.25 | 3.4× |
| Us exam, pelvic, limited (76857) | $292.25 | $584.50 | 2.6× |
| Us head (76506) | $133.50 | $267 | 1.2× |
| Us kidney transplant (76776) | $687.63 | $1,375.25 | 6.1× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $247.13 | $494.25 | 2.2× |
| Us ob detailed single fetus (76811) | $601.25 | $1,202.50 | 2.4× |
| Us ob limited 1 or more fetuses (76815) | $244.50 | $489 | 2.2× |
| Us ob transvaginal (76817) | $255.50 | $511 | 2.3× |
| Us pelvic non ob complete (76856) | $537.88 | $1,075.75 | 4.8× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $430 | $860 | 3.8× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $244.50 | $489 | 2.2× |
| Us retroperitoneal complete (76770) | $445.13 | $890.25 | 4.0× |
| Us retroperitoneal limited (76775) | $433.13 | $866.25 | 3.9× |
| Us scrotum and contents (76870) | $428.88 | $857.75 | 3.8× |
| Us thyroid (76536) | $444.63 | $889.25 | 4.0× |
| Us transrectal (76872) | $428.88 | $857.75 | 3.8× |
| Vein X-Ray Liver W/O Hemodyn (75887) | $199 | $398 | 0.1× |
| Venography caval inferior serialography rs&i (75825) | $1,953.88 | $3,907.75 | 0.6× |
| Venography extremity bilateral rs&i (75822) | $1,385.63 | $2,771.25 | 0.8× |
| Venography extremity unilateral rs&i (75820) | $574.50 | $1,149 | 0.3× |
| Venography Renal Bilateral (75833) | $1,437.50 | $2,875 | 0.4× |
| Venography Renal Unilateral (75831) | $2,216.25 | $4,432.50 | 0.7× |
| Vertebral fracture assessment via dxa (77086) | $69.63 | $139.25 | 0.7× |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$201.63–$302.75 | $403.25–$605.50 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $311.13 | $622.25 | 3.3× |
| X-ray antegrade pyelogram tube (74425) | $395.88 | $791.75 | 1.1× |
| X-Ray Aorta Leg Arteries (75630) | $2,317.38 | $4,634.75 | 0.7× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $165 | $330 | 1.8× |
| X-Ray Exam Breast Specimen (76098) | $262.38 | $524.75 | 0.4× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $79.63 | $159.25 | 0.9× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $132 | $264 | 1.2× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $251.38 | $502.75 | 2.2× |
| X-Ray Exam Hip Uni 1 View (73501) | $79.63 | $159.25 | 0.9× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $79.63 | $159.25 | 0.9× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $132 | $264 | 1.2× |
| X-Ray Exam Hips Bi 2 Views (73521) | $132 | $264 | 1.2× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $132 | $264 | 1.2× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $251.38 | $502.75 | 2.2× |
| X-Ray Exam L-S Spine Bending (72114) | $295.88 | $591.75 | 2.6× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $230.38 | $460.75 | 2.5× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $405.88 | $811.75 | 3.6× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $278.63 | $557.25 | 2.5× |
| X-ray eye for foreign body (70030) | $51.88 | $103.75 | 0.6× |
| X-ray humerus (73060) | $165 | $330 | 1.8× |
| X-ray IV pyelogram (ivp) (74400) | $177 | $354 | 0.9× |
| X-ray IV pyelogram+tomography (74415) | $331.50 | $663 | 1.8× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $74.88 | $149.75 | 0.8× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $103.13 | $206.25 | 1.1× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $279.13 | $558.25 | 2.5× |
| X-ray nose-rectum child f.b. (76010) | $51.88 | $103.75 | 0.6× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $357.63 | $715.25 | 3.2× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $104.75 | $209.50 | 0.9× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $73.88 | $147.75 | 0.7× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $145.13 | $290.25 | 1.6× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $306.38 | $612.75 | 3.3× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $193.75 | $387.50 | 1.7× |
| X-ray thoracic spine 4 vw (72074) | $339.88 | $679.75 | 3.0× |
| X-Ray Tmj Unilat (70328) | $51.88 | $103.75 | 0.6× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $339.88 | $679.75 | 0.9× |
| X-Rays Bone Length Studies (77073) | $234.63 | $469.25 | 2.1× |
| X-Rays Bone Survey Complete (77075) | $309.50 | $619 | 2.8× |
| Xr c-spine 4 or 5 views (72050) | $328.88 | $657.75 | 2.9× |
| Xr facial bones less than 3 views (70140) | $45.50 | $91 | 0.5× |
| XR Mastoids < 3 Views Bilateral (70120) | $58.13 | $116.25 | 0.5× |
| Xr orbits complete 4 views (70200) | $288 | $576 | 2.6× |
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.