Imaging prices at Community Hospital
McCook, NE · every code in this section with a posted price and a Medicare benchmark.
273 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) | $9,958.73 | $11,065.25 | 6.9× |
| Abdomen 1 View (74018) range across 3 matching MRF lines |
$78.53–$324.68 | $87.25–$360.75 | varies |
| Abdomen 2 views (74019) range across 4 matching MRF lines |
$96.75–$414.23 | $107.50–$460.25 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,812.38 | $2,013.75 | 4.4× |
| Ankle 2 views (73600) range across 4 matching MRF lines |
$83.25–$277.65 | $92.50–$308.50 | varies |
| Arthrogram ankle (73615) | $871.43 | $968.25 | 2.4× |
| Arthrogram hip (73525) | $848.25 | $942.50 | 2.3× |
| Arthrogram Wrist (73115) | $949.73 | $1,055.25 | 2.6× |
| Basic radiation dosimetry calculation (77300) | $905.18 | $1,005.75 | 6.5× |
| Bone age studies (77072) range across 2 matching MRF lines |
$54.23–$264.38 | $60.25–$293.75 | varies |
| Bone Imaging 3 Phase (78315) | $2,336.63 | $2,596.25 | 5.6× |
| Bone Imaging Limited Area (78300) | $1,254.60 | $1,394 | 3.0× |
| Bone Imaging Multiple Areas (78305) | $1,679.85 | $1,866.50 | 4.0× |
| Bone Imaging Whole Body (78306) | $1,962.90 | $2,181 | 4.7× |
| Bone survey infant (77076) | $535.50 | $595 | 4.9× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $6,084 | $6,760 | 4.1× |
| Cat Scan Follow-Up Study (76380) | $1,393.65 | $1,548.50 | 15.4× |
| Chest 1 view (71045) range across 3 matching MRF lines |
$67.28–$293.85 | $74.75–$326.50 | varies |
| Chest 2 views (71046) range across 4 matching MRF lines |
$87.08–$354.60 | $96.75–$394 | varies |
| Chest 3 views (71047) | $398.93 | $443.25 | 4.4× |
| Chest 4 or more views (71048) range across 2 matching MRF lines |
$128.48–$406.13 | $142.75–$451.25 | varies |
| Cholecystography Oral Contrast (74290) | $531.68 | $590.75 | 2.9× |
| Clavicle complete (73000) range across 4 matching MRF lines |
$83.25–$314.10 | $92.50–$349 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $1,862.33 | $2,069.25 | 17.2× |
| Continuing medical physics consltj pr wk (77336) | $957.15 | $1,063.50 | 6.9× |
| Contrast X-Ray Of Knee Joint (73580) | $910.35 | $1,011.50 | 2.5× |
| CT abdomen and pelvis without and with contrast (74178) | $5,308.65 | $5,898.50 | 14.7× |
| CT abdomen and pelvis without contrast (74176) | $4,162.95 | $4,625.50 | 16.8× |
| CT abdomen w contrast (74160) | $2,683.13 | $2,981.25 | 14.7× |
| CT abdomen w wo contrast (74170) | $3,343.73 | $3,715.25 | 18.4× |
| CT abdomen w/o contrast (74150) | $2,446.65 | $2,718.50 | 22.5× |
| CT Angio Abdomen and Pelvis (74174) | $5,745.15 | $6,383.50 | 15.9× |
| CT Angio Chest (71275) | $3,420.45 | $3,800.50 | 18.8× |
| CT Angio Head (70496) | $3,120.75 | $3,467.50 | 17.1× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $3,371.85 | $3,746.50 | 18.5× |
| CT Angio Neck (70498) | $3,118.28 | $3,464.75 | 17.1× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $3,310.20 | $3,678 | 18.2× |
| CT bone density (77078) | $480.15 | $533.50 | 5.3× |
| CT cervical spine w/ contrast (72126) | $3,036.83 | $3,374.25 | 8.4× |
| CT cervical spine w/o contrast (72125) | $2,450.93 | $2,723.25 | 22.6× |
| CT cervical spine w/wo cont (72127) | $2,852.55 | $3,169.50 | 15.7× |
| CT chest w contrast (71260) | $2,578.73 | $2,865.25 | 14.2× |
| CT chest w/wo contrast (71270) | $3,125.48 | $3,472.75 | 17.2× |
| CT colonography screening (74263) | $2,324.48 | $2,582.75 | 9.4× |
| CT Colonogrphy Dx Image Postprocess W/Contrast (74262) | $2,652.75 | $2,947.50 | 14.6× |
| CT colonogrphy dx image postprocess w/o contrast (74261) | $2,394 | $2,660 | 22.1× |
| CT head/brain with contrast (70460) | $2,351.25 | $2,612.50 | 12.9× |
| CT head/brain without and with contrast (70470) | $2,679.75 | $2,977.50 | 14.7× |
| CT heart no contrast quant eval coronry calcium (75571) range across 2 matching MRF lines |
$93.60–$601.43 | $104–$668.25 | varies |
| CT iac w contrast (70481) | $2,863.80 | $3,182 | 15.7× |
| CT l-spine w&w/o contrast (72133) | $3,017.03 | $3,352.25 | 16.6× |
| CT lower ext w/o (73700) | $2,296.58 | $2,551.75 | 21.2× |
| CT lower extremity w/contrast material (73701) | $2,580.98 | $2,867.75 | 14.2× |
| CT lumbar spine w contrast (72132) | $2,895.75 | $3,217.50 | 8.0× |
| CT lumbar spine w/o contrast (72131) | $2,379.83 | $2,644.25 | 21.9× |
| CT maxillofacial w contrast (70487) | $2,316.83 | $2,574.25 | 12.7× |
| CT maxillofacial wo contrast (70486) | $1,942.65 | $2,158.50 | 17.9× |
| CT neck tissue combo (70492) | $2,818.80 | $3,132 | 15.5× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $2,861.10 | $3,179 | 15.7× |
| CT orbits w/o contrast (70480) | $2,439.23 | $2,710.25 | 22.5× |
| CT pelvis w&w/o contrast (72194) | $3,146.85 | $3,496.50 | 17.3× |
| CT pelvis w/o contrast (72192) | $2,406.38 | $2,673.75 | 22.2× |
| CT scan of leg combo (73702) | $2,619.23 | $2,910.25 | 14.4× |
| CT scans face/jaw combo (70488) | $2,627.10 | $2,919 | 14.4× |
| CT soft tissue neck w contrast (70491) | $2,464.20 | $2,738 | 13.5× |
| CT soft tissue neck w/o contrast (70490) | $2,215.58 | $2,461.75 | 20.4× |
| CT thoracic spine w contrast (72129) | $2,527.43 | $2,808.25 | 13.9× |
| CT thoracic spine w/o contrast (72128) | $2,450.93 | $2,723.25 | 22.6× |
| CT thoracic spine w/wo cont (72130) | $2,879.55 | $3,199.50 | 15.8× |
| CT thorax w/o contrast (71250) | $2,374.43 | $2,638.25 | 21.9× |
| CT upper ext wo (73200) | $2,147.63 | $2,386.25 | 19.8× |
| CT upper extremity w/o & w/contrast material (73202) | $2,949.98 | $3,277.75 | 16.2× |
| CT upper extremity with contrast (73201) | $2,435.63 | $2,706.25 | 6.7× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $3,604.73 | $4,005.25 | 19.8× |
| Cta Abdomen (74175) | $3,352.95 | $3,725.50 | 18.4× |
| CTA pelvis (72191) | $3,009.38 | $3,343.75 | 16.5× |
| Dxa Bone Density Axial (77080) | $499.28 | $554.75 | 4.6× |
| Esophagram (74220) | $711.90 | $791 | 3.9× |
| Fetal Biophys Profile W/Nst (76818) range across 2 matching MRF lines |
$323.55–$716.18 | $359.50–$795.75 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $234 | $260 | 2.2× |
| Fluoroscopy up to 1 hr (76000) | $705.60 | $784 | 2.8× |
| Foot 2 views (73620) range across 4 matching MRF lines |
$72.68–$273.38 | $80.75–$303.75 | varies |
| Forearm 2 views (73090) range across 4 matching MRF lines |
$75.60–$303.30 | $84–$337 | varies |
| Gastric emptying imaging study (78264) | $2,037.15 | $2,263.50 | 4.9× |
| Gated Heart Planar Single (78472) | $2,106 | $2,340 | 5.1× |
| Hand 2 views (73120) range across 5 matching MRF lines |
$81.45–$274.73 | $90.50–$305.25 | varies |
| Hepatobil Syst Image W/Drug (78227) | $1,998 | $2,220 | 3.5× |
| Hepatobiliary System Imaging (78226) | $1,998 | $2,220 | 4.8× |
| Hysterosalpingogram (74740) | $718.88 | $798.75 | 2.9× |
| Infusion Ivp (74410) | $553.28 | $614.75 | 3.0× |
| Joint Survey Single View (77077) | $251.10 | $279 | 2.3× |
| K Flow/Funct Image Multiple (78709) | $2,370.60 | $2,634 | 4.2× |
| K Flow/Funct Image W/Drug (78708) | $1,737 | $1,930 | 3.1× |
| K Flow/Funct Image W/O Drug (78707) | $1,292.40 | $1,436 | 2.3× |
| Knee 3 Views (73562) range across 4 matching MRF lines |
$106.43–$373.95 | $118.25–$415.50 | varies |
| Liver & Spleen Imaging Static Only (78215) | $1,898.10 | $2,109 | 4.6× |
| Lymph System Imaging (78195) | $1,832.63 | $2,036.25 | 3.3× |
| Magnetic Image Jaw Joint (70336) | $2,526.08 | $2,806.75 | 10.2× |
| Meckels Divert Exam (78290) | $1,710 | $1,900 | 4.1× |
| Mlc imrt design & construction per imrt plan (77338) | $3,312.23 | $3,680.25 | 8.5× |
| Mra Head W/O & W/Contrast Material (70546) | $4,126.28 | $4,584.75 | 11.4× |
| MRA head w/o contrast (70544) | $3,484.58 | $3,871.75 | 14.1× |
| MRA head with contrast (70545) | $3,915.23 | $4,350.25 | 10.8× |
| MRA neck w contrast (70548) | $3,481.20 | $3,868 | 9.6× |
| Mra Neck W/O &W/Contrast Material (70549) | $4,136.40 | $4,596 | 11.4× |
| MRA neck w/o contrast (70547) | $3,318.30 | $3,687 | 13.4× |
| MRI abdomen w contrast (74182) | $3,690.68 | $4,100.75 | 10.2× |
| MRI abdomen w/o contrast (74181) | $3,257.33 | $3,619.25 | 13.1× |
| MRI any jt lower extrem w/contrast material (73722) | $3,386.03 | $3,762.25 | 4.2× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $3,761.55 | $4,179.50 | 10.4× |
| MRI any jt upper extremity w/contrast matrl (73222) | $3,249 | $3,610 | 4.0× |
| MRI Breast W/O Contrast Bilateral (77047) | $2,313.90 | $2,571 | 9.3× |
| MRI Breast Without Contrast Material Unilateral (77046) | $1,690.65 | $1,878.50 | 6.8× |
| MRI cervical spine w contrast (72142) | $3,850.88 | $4,278.75 | 10.6× |
| MRI cervical spine w/o cont (72141) | $3,581.78 | $3,979.75 | 14.5× |
| MRI chest w/o contrast (71550) | $3,682.35 | $4,091.50 | 14.9× |
| MRI chest with contrast (71551) | $3,398.85 | $3,776.50 | 4.2× |
| MRI chest wo w contrast (71552) | $4,003.65 | $4,448.50 | 11.1× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $2,912.63 | $3,236.25 | 8.0× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $3,643.65 | $4,048.50 | 10.1× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $3,036.38 | $3,373.75 | 12.3× |
| MRI lumbar spine w contrast (72149) | $4,583.70 | $5,093 | 12.7× |
| Mri Neck Spine W/O & W/Dye (72156) | $4,401.23 | $4,890.25 | 12.1× |
| MRI orbit face &/neck w/o contrast (70540) | $3,037.05 | $3,374.50 | 12.3× |
| MRI orbit face neck w contrast (70542) | $3,300.08 | $3,666.75 | 9.1× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $3,891.83 | $4,324.25 | 10.7× |
| MRI pelvis w contrast (72196) | $3,455.10 | $3,839 | 9.5× |
| MRI pelvis w/o & w contrast (72197) | $4,289.63 | $4,766.25 | 11.8× |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$3,231.45–$4,312.13 | $3,590.50–$4,791.25 | varies |
| MRI thoracic spine w/o contrast (72146) | $3,697.65 | $4,108.50 | 14.9× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $3,782.25 | $4,202.50 | 10.4× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $3,436.65 | $3,818.50 | 13.9× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $3,961.13 | $4,401.25 | 10.9× |
| MRI, abdomen, combo (74183) | $4,336.20 | $4,818 | 12.0× |
| MRI, dorsal spine combo (72157) | $4,468.28 | $4,964.75 | 12.3× |
| MRI, dorsal spine contrast (72147) | $3,850.88 | $4,278.75 | 10.6× |
| MRI, joint upper extrem (73221) | $2,667.60 | $2,964 | 10.8× |
| MRI, joint upper extrem combo (73223) | $3,962.70 | $4,403 | 10.9× |
| MRI, lumbar spine combo (72158) | $4,236.53 | $4,707.25 | 11.7× |
| Myelogram Lumbar (72265) | $1,337.85 | $1,486.50 | 1.6× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $2,033.10 | $2,259 | 4.9× |
| Myocardial Spect Multiple Studies (78452) | $4,393.80 | $4,882 | 3.3× |
| Neck soft tissue (70360) range across 3 matching MRF lines |
$117.68–$340.43 | $130.75–$378.25 | varies |
| Ntsty modul radthx pln dose-vol histos (77301) | $9,958.50 | $11,065 | 6.9× |
| Parathyroid Planar Imaging (78070) | $1,359 | $1,510 | 3.3× |
| Parathyroid planar imaging w/wo subtraction (78071) | $1,706.18 | $1,895.75 | 4.1× |
| Pelvis 1 or 2 views (72170) range across 3 matching MRF lines |
$72.68–$373.95 | $80.75–$415.50 | varies |
| PET image w/CT, full body (78816) | $7,996.05 | $8,884.50 | 5.4× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $6,931.35 | $7,701.50 | 4.7× |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,292.40 | $1,436 | 3.1× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 3 matching MRF lines |
$131.18–$556.88 | $145.75–$618.75 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 2 matching MRF lines |
$1,502.10–$1,529.10 | $1,669–$1,699 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 4 matching MRF lines |
$95.63–$342.45 | $106.25–$380.50 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 4 matching MRF lines |
$74.70–$265.73 | $83–$295.25 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$90.90–$353.70 | $101–$393 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$130.28–$458.78 | $144.75–$509.75 | varies |
| Radex fingr minimum 2 views (73140) range across 4 matching MRF lines |
$97.65–$251.78 | $108.50–$279.75 | varies |
| Radex foot complete minimum 3 views (73630) range across 5 matching MRF lines |
$90.23–$356.85 | $100.25–$396.50 | varies |
| Radex Hand Minimum 3 Views (73130) range across 5 matching MRF lines |
$94.73–$348.53 | $105.25–$387.25 | varies |
| Radex lower extremity infant minimum 2 views (73592) | $91.80 | $102 | 1.0× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $625.05 | $694.50 | 5.8× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$106.20–$350.55 | $118–$389.50 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 4 matching MRF lines |
$96.75–$357.75 | $107.50–$397.50 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 4 matching MRF lines |
$90.23–$357.75 | $100.25–$397.50 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 4 matching MRF lines |
$84.15–$303.53 | $93.50–$337.25 | varies |
| Radex Spine 1 View Specify Level (72020) range across 3 matching MRF lines |
$63–$337.50 | $70–$375 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$93.38–$344.93 | $103.75–$383.25 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $435.60 | $484 | 4.8× |
| Radex Toe Minimum 2 Views (73660) range across 5 matching MRF lines |
$75.60–$248.85 | $84–$276.50 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 5 matching MRF lines |
$106.43–$332.78 | $118.25–$369.75 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) range across 4 matching MRF lines |
$258.30–$465.98 | $287–$517.75 | varies |
| Radiation treatment delivery level 1 (77402) | $875.03 | $972.25 | 8.3× |
| Radiation treatment delivery level 2 (77407) | $1,881.45 | $2,090.50 | 4.7× |
| Radiation treatment delivery level 3 (77412) | $1,823.18 | $2,025.75 | 3.2× |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$112.28–$551.25 | $124.75–$612.50 | varies |
| Radiologic exam colon double contrast study (74280) | $1,060.43 | $1,178.25 | 5.8× |
| Radiologic exam colon single contrast study (74270) | $844.65 | $938.50 | 4.6× |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$129.38–$411.98 | $143.75–$457.75 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$117.45–$424.58 | $130.50–$471.75 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) | $760.05 | $844.50 | 4.2× |
| Radiologic exam swallow function contrast study (74230) | $608.85 | $676.50 | 3.3× |
| Radiologic examination femur 1 view (73551) range across 4 matching MRF lines |
$75.60–$329.85 | $84–$366.50 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 5 matching MRF lines |
$92.03–$359.10 | $102.25–$399 | varies |
| Radiologic examination knee 1/2 views (73560) range across 4 matching MRF lines |
$89.33–$340.43 | $99.25–$378.25 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $758.25 | $842.50 | 7.0× |
| Radiologic examination tibia & fibula 2 views (73590) range across 4 matching MRF lines |
$81.45–$320.63 | $90.50–$356.25 | varies |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$114.98–$124.20 | $127.75–$138 | varies |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $2,423.48 | $2,692.75 | 4.3× |
| Scapula (73010) range across 4 matching MRF lines |
$63.68–$343.58 | $70.75–$381.75 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $76.95 | $85.50 | 3.3× |
| Shoulder 1 view (73020) range across 4 matching MRF lines |
$55.58–$279 | $61.75–$310 | varies |
| Shoulder Arthrography (73040) | $847.80 | $942 | 2.3× |
| Skull less than 4 views (70250) range across 3 matching MRF lines |
$92.93–$334.13 | $103.25–$371.25 | varies |
| Special dosimetry (77331) | $990 | $1,100 | 7.1× |
| Special Physics Consult (77370) | $1,035.68 | $1,150.75 | 7.4× |
| Special treatment procedure (77470) | $3,858.98 | $4,287.75 | 6.7× |
| Stereotactic Body Radiation Delivery (77373) | $11,021.40 | $12,246 | 5.9× |
| Sternoclavicular joints (71130) range across 2 matching MRF lines |
$114.75–$270 | $127.50–$300 | varies |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $2,871.45 | $3,190.50 | 7.4× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $2,689.20 | $2,988 | 6.9× |
| Testicular Imaging W/Flow (78761) | $1,993.50 | $2,215 | 4.8× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $2,689.20 | $2,988 | 6.9× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $2,736 | $3,040 | 7.0× |
| Ther rad simulaj-aided field setting simple (77280) | $1,530.23 | $1,700.25 | 11.0× |
| Thoracic spine 2 views (72070) range across 4 matching MRF lines |
$110.93–$385.88 | $123.25–$428.75 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$109.13–$515.93 | $121.25–$573.25 | varies |
| Tx Devices Design & Construction Complex (77334) | $2,509.20 | $2,788 | 6.5× |
| Tx devices design & construction intermediate (77333) | $1,075.73 | $1,195.25 | 7.7× |
| Tx devices design & construction simple (77332) | $1,029.38 | $1,143.75 | 7.4× |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$236.70–$439.20 | $263–$488 | varies |
| Ultrasound Elastography Parenchyma (76981) | $223.43 | $248.25 | 2.1× |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
$297–$641.25 | $330–$712.50 | varies |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$245.03–$724.05 | $272.25–$804.50 | varies |
| Unlisted magnetic resonance procedure (76498) | $1,223.55 | $1,359.50 | 13.5× |
| Upper gi w/o kub (74240) | $647.10 | $719 | 3.6× |
| Urethrocystogram voiding (74455) | $753.98 | $837.75 | 3.0× |
| Urethrocystography retrograde (74450) | $648 | $720 | 2.6× |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$287.55–$624.15 | $319.50–$693.50 | varies |
| Us chest (76604) | $604.58 | $671.75 | 5.6× |
| Us complete joint (76881) range across 3 matching MRF lines |
$169.88–$673.88 | $188.75–$748.75 | varies |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$135–$554.40 | $150–$616 | varies |
| Us kidney transplant (76776) | $805.05 | $894.50 | 7.4× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 3 matching MRF lines |
$110.93–$587.03 | $123.25–$652.25 | varies |
| Us ob detailed single fetus (76811) range across 2 matching MRF lines |
$487.13–$837.68 | $541.25–$930.75 | varies |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$226.58–$483.53 | $251.75–$537.25 | varies |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$257.85–$620.78 | $286.50–$689.75 | varies |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$293.85–$826.20 | $326.50–$918 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$327.38–$738.23 | $363.75–$820.25 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 2 matching MRF lines |
$304.20–$405.90 | $338–$451 | varies |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$301.73–$833.40 | $335.25–$926 | varies |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$193.05–$638.33 | $214.50–$709.25 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$281.03–$729.68 | $312.25–$810.75 | varies |
| Us spinal canal and contents (76800) | $712.58 | $791.75 | 6.6× |
| Us thyroid (76536) range across 3 matching MRF lines |
$309.83–$658.35 | $344.25–$731.50 | varies |
| Venography extremity unilateral rs&i (75820) | $952.65 | $1,058.50 | 0.6× |
| Venous Thrombosis Imaging Venogram Bilateral (78458) | $2,081.03 | $2,312.25 | 5.0× |
| Wrist 2 views (73100) range across 4 matching MRF lines |
$87.98–$271.13 | $97.75–$301.25 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 4 matching MRF lines |
$74.70–$323.10 | $83–$359 | varies |
| X-ray antegrade pyelogram tube (74425) | $571.28 | $634.75 | 1.6× |
| X-Ray Bend Only L-S Spine (72120) | $491.40 | $546 | 4.5× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 4 matching MRF lines |
$75.60–$291.83 | $84–$324.25 | varies |
| X-Ray Exam Breast Specimen (76098) | $287.33 | $319.25 | 0.5× |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 4 matching MRF lines |
$110.93–$325.58 | $123.25–$361.75 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 4 matching MRF lines |
$184.05–$586.80 | $204.50–$652 | varies |
| X-Ray Exam Entire Spi 4/5 Vw (72083) range across 4 matching MRF lines |
$205.88–$443.25 | $228.75–$492.50 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 4 matching MRF lines |
$84.15–$278.33 | $93.50–$309.25 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 5 matching MRF lines |
$122.40–$353.70 | $136–$393 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) range across 5 matching MRF lines |
$154.13–$438.30 | $171.25–$487 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$114.75–$496.35 | $127.50–$551.50 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 2 matching MRF lines |
$148.73–$603.23 | $165.25–$670.25 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) range across 2 matching MRF lines |
$171.90–$759.83 | $191–$844.25 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 4 matching MRF lines |
$103.28–$366.53 | $114.75–$407.25 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 2 matching MRF lines |
$124.20–$434.03 | $138–$482.25 | varies |
| X-ray humerus (73060) range across 5 matching MRF lines |
$82.35–$330.08 | $91.50–$366.75 | varies |
| X-ray IV pyelogram (ivp) (74400) | $863.33 | $959.25 | 4.7× |
| X-ray IV pyelogram+tomography (74415) | $950.18 | $1,055.75 | 5.2× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 2 matching MRF lines |
$107.33–$319.50 | $119.25–$355 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$110.93–$236.03 | $123.25–$262.25 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 3 matching MRF lines |
$104.40–$470.93 | $116–$523.25 | varies |
| X-ray nose-rectum child f.b. (76010) range across 3 matching MRF lines |
$77.63–$340.88 | $86.25–$378.75 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$146.03–$527.63 | $162.25–$586.25 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$109.13–$375.30 | $121.25–$417 | varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) range across 2 matching MRF lines |
$91.58–$389.93 | $101.75–$433.25 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$90.45–$335.48 | $100.50–$372.75 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 4 matching MRF lines |
$98.55–$420.30 | $109.50–$467 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 3 matching MRF lines |
$117.68–$468 | $130.75–$520 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $841.05 | $934.50 | 2.3× |
| X-Rays Bone Length Studies (77073) | $481.28 | $534.75 | 4.4× |
| X-Rays Bone Survey Complete (77075) | $922.50 | $1,025 | 8.5× |
| Xr c-spine 4 or 5 views (72050) range across 4 matching MRF lines |
$180.68–$526.95 | $200.75–$585.50 | varies |
| Xr facial bones less than 3 views (70140) range across 3 matching MRF lines |
$84.15–$307.80 | $93.50–$342 | varies |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$133.20–$463.28 | $148–$514.75 | varies |
| Xr Tomogram Single Plane (76100) | $575.78 | $639.75 | 5.3× |
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.