Imaging prices at Conway Medical Center
Conway, SC · every code in this section with a posted price and a Medicare benchmark.
296 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 8 matching MRF lines |
$26.85–$296 | $26.85–$296 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$45–$339 | $45–$339 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) range across 2 matching MRF lines |
$446–$692.87 | $446–$692.87 | varies |
| Angio pulmonary bilat (75743) | $2,890 | $2,890 | 1.0× |
| Angiography extremity bilateral rs&i (75716) range across 4 matching MRF lines |
$362.23–$11,417 | $362.23–$11,417 | varies |
| Angiography extremity unilateral rs&i (75710) range across 5 matching MRF lines |
$2,094–$7,551 | $2,094–$7,551 | varies |
| Angiography pulmonary unilateral slctv rs&i (75741) | $4,113 | $4,113 | 1.4× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $2,169 | $2,169 | 0.7× |
| Ankle 2 views (73600) range across 5 matching MRF lines |
$29.31–$368 | $29.31–$368 | varies |
| Aortography thoracic serialography rs&i (75605) range across 2 matching MRF lines |
$2,890–$2,991 | $2,890–$2,991 | varies |
| Aortography thoracic w/o serialography rs&i (75600) range across 2 matching MRF lines |
$782–$10,842 | $782–$10,842 | varies |
| Artery X-Rays Abdomen (75726) | $4,369 | $4,369 | 0.8× |
| Artery X-Rays Pelvis (75736) | $2,890 | $2,890 | 0.6× |
| Arthrogram ankle (73615) range across 3 matching MRF lines |
$190.56–$497 | $190.56–$497 | varies |
| Arthrogram hip (73525) range across 4 matching MRF lines |
$196.13–$1,477 | $196.13–$1,477 | varies |
| Arthrogram Wrist (73115) range across 2 matching MRF lines |
$206.32–$1,300 | $206.32–$1,300 | varies |
| Bone age studies (77072) range across 2 matching MRF lines |
$45.04–$123 | $45.04–$123 | varies |
| Bone Imaging 3 Phase (78315) range across 2 matching MRF lines |
$548–$689.14 | $548–$689.14 | varies |
| Bone Imaging Limited Area (78300) range across 4 matching MRF lines |
$323–$588 | $323–$588 | varies |
| Bone Imaging Whole Body (78306) range across 3 matching MRF lines |
$500.48–$3,206 | $500.48–$3,206 | varies |
| Bone survey infant (77076) range across 2 matching MRF lines |
$84.79–$184.98 | $84.79–$184.98 | varies |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) range across 2 matching MRF lines |
$658.61–$1,057 | $658.61–$1,057 | varies |
| Brain Imaging Pet Metabolic Evaluation (78608) | $2,725 | $2,725 | 2.0× |
| Cat Scan Follow-Up Study (76380) range across 2 matching MRF lines |
$573–$593 | $573–$593 | varies |
| Cerebrospinal Fluid Scan (78630) range across 3 matching MRF lines |
$672.15–$927 | $672.15–$927 | varies |
| Chest 1 view (71045) range across 5 matching MRF lines |
$24.82–$106 | $24.82–$106 | varies |
| Chest 2 views (71046) range across 7 matching MRF lines |
$21.57–$100 | $21.57–$100 | varies |
| Chest 3 views (71047) range across 2 matching MRF lines |
$41.57–$65.91 | $41.57–$65.91 | varies |
| Chest 4 or more views (71048) range across 2 matching MRF lines |
$49.25–$80.42 | $49.25–$80.42 | varies |
| Clavicle complete (73000) range across 6 matching MRF lines |
$24.87–$89 | $24.87–$89 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $337 | $337 | 3.5× |
| Contrast Exam Abdominl Aorta (75625) range across 3 matching MRF lines |
$2,890–$9,678 | $2,890–$9,678 | varies |
| Contrast X-Ray Bladder (74430) | $1,297 | $1,297 | 4.0× |
| Contrast X-Ray Of Elbow (73085) range across 3 matching MRF lines |
$190.17–$514 | $190.17–$514 | varies |
| Contrast X-Ray Of Knee Joint (73580) range across 3 matching MRF lines |
$221.39–$497 | $221.39–$497 | varies |
| CT abdomen and pelvis without and with contrast (74178) range across 3 matching MRF lines |
$2,457–$7,385 | $2,457–$7,385 | varies |
| CT abdomen and pelvis without contrast (74176) range across 3 matching MRF lines |
$1,501–$4,510 | $1,501–$4,510 | varies |
| CT abdomen w contrast (74160) | $1,067 | $1,067 | 6.5× |
| CT abdomen w wo contrast (74170) | $1,229 | $1,229 | 7.5× |
| CT abdomen w/o contrast (74150) | $751 | $751 | 7.7× |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$725–$3,006 | $725–$3,006 | varies |
| CT Angio Chest (71275) | $1,024 | $1,024 | 6.3× |
| CT Angio Head (70496) range across 3 matching MRF lines |
$889–$1,971 | $889–$1,971 | varies |
| CT angio hrt w/3d image (75574) range across 2 matching MRF lines |
$241.67–$1,695 | $241.67–$1,695 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $1,888 | $1,888 | 11.6× |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$889–$2,021 | $889–$2,021 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $1,024 | $1,024 | 6.3× |
| CT cervical spine w/ contrast (72126) | $674 | $674 | 2.1× |
| CT cervical spine w/o contrast (72125) | $874 | $874 | 9.0× |
| CT cervical spine w/wo cont (72127) | $991 | $991 | 6.1× |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$742–$3,077 | $742–$3,077 | varies |
| CT chest w/wo contrast (71270) | $1,229 | $1,229 | 7.5× |
| CT head/brain with contrast (70460) | $1,034 | $1,034 | 6.3× |
| CT head/brain without and with contrast (70470) | $1,229 | $1,229 | 7.5× |
| CT heart contrast eval cardiac structure&morph (75572) range across 2 matching MRF lines |
$169.58–$656 | $169.58–$656 | varies |
| CT heart no contrast quant eval coronry calcium (75571) range across 3 matching MRF lines |
$58.73–$562 | $58.73–$562 | varies |
| CT hrt w/3d image congen (75573) range across 2 matching MRF lines |
$257.90–$562 | $257.90–$562 | varies |
| CT iac w contrast (70481) | $861 | $861 | 5.3× |
| CT l-spine w&w/o contrast (72133) | $1,743 | $1,743 | 10.7× |
| CT lower ext w/o (73700) range across 9 matching MRF lines |
$749–$2,313 | $749–$2,313 | varies |
| CT lower extremity w/contrast material (73701) range across 3 matching MRF lines |
$456–$912 | $456–$912 | varies |
| CT lumbar spine w contrast (72132) | $861 | $861 | 2.7× |
| CT lumbar spine w/o contrast (72131) | $930 | $930 | 9.6× |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$861–$891 | $861–$891 | varies |
| CT maxillofacial wo contrast (70486) | $930 | $930 | 9.6× |
| CT neck tissue combo (70492) | $1,067 | $1,067 | 6.5× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 3 matching MRF lines |
$943–$976 | $943–$976 | varies |
| CT orbits w/o contrast (70480) | $855 | $855 | 8.8× |
| CT pelvis w&w/o contrast (72194) range across 2 matching MRF lines |
$1,226–$3,686 | $1,226–$3,686 | varies |
| CT pelvis w/o contrast (72192) range across 3 matching MRF lines |
$751–$3,206 | $751–$3,206 | varies |
| CT scan of leg combo (73702) range across 3 matching MRF lines |
$495–$991 | $495–$991 | varies |
| CT scans face/jaw combo (70488) | $991 | $991 | 6.1× |
| CT soft tissue neck w contrast (70491) | $991 | $991 | 6.1× |
| CT soft tissue neck w/o contrast (70490) | $922 | $922 | 9.5× |
| CT thoracic spine w contrast (72129) | $1,514 | $1,514 | 9.3× |
| CT thoracic spine w/o contrast (72128) | $751 | $751 | 7.7× |
| CT thoracic spine w/wo cont (72130) | $991 | $991 | 6.1× |
| CT thorax w/o contrast (71250) range across 3 matching MRF lines |
$751–$2,257 | $751–$2,257 | varies |
| CT upper ext wo (73200) | $1,857 | $1,857 | 19.1× |
| CT upper extremity w/o & w/contrast material (73202) | $1,979 | $1,979 | 12.1× |
| CT upper extremity with contrast (73201) range across 4 matching MRF lines |
$429.19–$11,328 | $429.19–$11,328 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $889 | $889 | 5.4× |
| Cta Abdomen (74175) range across 3 matching MRF lines |
$889–$1,565 | $889–$1,565 | varies |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $3,207 | $3,207 | 9.9× |
| CTA pelvis (72191) | $889 | $889 | 5.4× |
| Dilation ureters/urethra rs&i (74485) | $1,971 | $1,971 | 1.0× |
| Dxa Bone Density Axial (77080) | $323 | $323 | 3.3× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $96 | $96 | 1.2× |
| Echo exam uterus (76831) | $75.37 | $75.37 | 0.3× |
| Echo Guide For Artery Repair (76936) range across 2 matching MRF lines |
$488–$949 | $488–$949 | varies |
| Esophagram (74220) range across 3 matching MRF lines |
$170.65–$187 | $170.65–$187 | varies |
| Fetal Biophys Profile W/Nst (76818) | $185 | $185 | 1.9× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 5 matching MRF lines |
$161–$233 | $161–$233 | varies |
| Fluoroscopy up to 1 hr (76000) range across 8 matching MRF lines |
$90.21–$545 | $90.21–$545 | varies |
| Foot 2 views (73620) range across 5 matching MRF lines |
$42–$123 | $42–$123 | varies |
| Forearm 2 views (73090) range across 5 matching MRF lines |
$16.58–$49.60 | $16.58–$49.60 | varies |
| Gastric emptying imaging study (78264) range across 2 matching MRF lines |
$574.03–$765 | $574.03–$765 | varies |
| Gated Heart Planar Single (78472) range across 3 matching MRF lines |
$97.60–$986 | $97.60–$986 | varies |
| Hand 2 views (73120) range across 5 matching MRF lines |
$32.98–$324 | $32.98–$324 | varies |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) range across 2 matching MRF lines |
$5,084–$6,438 | $5,084–$6,438 | varies |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $2,980 | $2,980 | 1.0× |
| Hepatobil Syst Image W/Drug (78227) range across 2 matching MRF lines |
$506–$889.31 | $506–$889.31 | varies |
| Hepatobiliary System Imaging (78226) range across 2 matching MRF lines |
$506–$656.40 | $506–$656.40 | varies |
| Ht Musc Image Planar Mult (78454) range across 2 matching MRF lines |
$864.91–$890 | $864.91–$890 | varies |
| Ht Muscle Image Spect Sing (78451) | $66.28 | $66.28 | 0.1× |
| Hysterosalpingogram (74740) | $248 | $248 | 1.1× |
| Infant hip ultrasound, limited static exam (76886) | $396 | $396 | 4.9× |
| Infusion Ivp (74410) | $990 | $990 | 6.1× |
| K Flow/Funct Image W/Drug (78708) range across 2 matching MRF lines |
$347.82–$490 | $347.82–$490 | varies |
| K Flow/Funct Image W/O Drug (78707) range across 2 matching MRF lines |
$461.80–$1,161 | $461.80–$1,161 | varies |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$28.26–$49 | $28.26–$49 | varies |
| Liver & Spleen Imaging Static Only (78215) range across 2 matching MRF lines |
$384.40–$446 | $384.40–$446 | varies |
| Lung Perf&Ventilat Diferentl (78598) range across 2 matching MRF lines |
$564–$607.61 | $564–$607.61 | varies |
| Lung Ventilat&Perfus Imaging (78582) range across 2 matching MRF lines |
$665.19–$1,608 | $665.19–$1,608 | varies |
| Lymph System Imaging (78195) range across 2 matching MRF lines |
$707.13–$953 | $707.13–$953 | varies |
| Magnetic Image Jaw Joint (70336) range across 2 matching MRF lines |
$617–$1,562 | $617–$1,562 | varies |
| Meckels Divert Exam (78290) range across 2 matching MRF lines |
$536–$658.59 | $536–$658.59 | varies |
| Mra Head W/O & W/Contrast Material (70546) | $1,069 | $1,069 | 3.3× |
| MRA head w/o contrast (70544) range across 3 matching MRF lines |
$731–$1,276 | $731–$1,276 | varies |
| Mra Neck W/O &W/Contrast Material (70549) | $1,276 | $1,276 | 3.9× |
| MRA neck w/o contrast (70547) range across 3 matching MRF lines |
$755.74–$2,955 | $755.74–$2,955 | varies |
| MRI abdomen w contrast (74182) range across 3 matching MRF lines |
$874.49–$3,674 | $874.49–$3,674 | varies |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$640.62–$1,562 | $640.62–$1,562 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 4 matching MRF lines |
$734.85–$1,580 | $734.85–$1,580 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $1,765 | $1,765 | 5.4× |
| MRI any jt upper extremity w/contrast matrl (73222) | $1,582 | $1,582 | 2.2× |
| MRI Breast W/O Contrast Bilateral (77047) | $1,820 | $1,820 | 8.2× |
| MRI Breast Without Contrast Material Unilateral (77046) | $792 | $792 | 3.6× |
| MRI cervical spine w contrast (72142) range across 3 matching MRF lines |
$625.33–$1,582 | $625.33–$1,582 | varies |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$432.49–$1,562 | $432.49–$1,562 | varies |
| MRI chest w/o contrast (71550) range across 2 matching MRF lines |
$795.83–$1,562 | $795.83–$1,562 | varies |
| MRI chest with contrast (71551) range across 2 matching MRF lines |
$879.77–$1,146 | $879.77–$1,146 | varies |
| MRI chest wo w contrast (71552) range across 2 matching MRF lines |
$1,115.48–$1,936 | $1,115.48–$1,936 | varies |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 3 matching MRF lines |
$778.26–$1,582 | $778.26–$1,582 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 3 matching MRF lines |
$1,849–$4,771 | $1,849–$4,771 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 3 matching MRF lines |
$700.96–$1,580 | $700.96–$1,580 | varies |
| MRI lumbar spine w contrast (72149) range across 2 matching MRF lines |
$617.85–$1,582 | $617.85–$1,582 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 3 matching MRF lines |
$734.73–$3,406 | $734.73–$3,406 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 4 matching MRF lines |
$688.07–$1,562 | $688.07–$1,562 | varies |
| MRI orbit face neck w contrast (70542) range across 4 matching MRF lines |
$774.86–$1,582 | $774.86–$1,582 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 4 matching MRF lines |
$947.65–$5,060 | $947.65–$5,060 | varies |
| MRI pelvis w contrast (72196) range across 3 matching MRF lines |
$791.71–$1,363 | $791.71–$1,363 | varies |
| MRI pelvis w/o & w contrast (72197) range across 4 matching MRF lines |
$975.05–$4,658 | $975.05–$4,658 | varies |
| MRI pelvis w/o contrast (72195) range across 3 matching MRF lines |
$722.55–$3,409 | $722.55–$3,409 | varies |
| MRI thoracic spine w/o contrast (72146) range across 3 matching MRF lines |
$432.49–$1,562 | $432.49–$1,562 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 3 matching MRF lines |
$776.60–$2,780 | $776.60–$2,780 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 5 matching MRF lines |
$699.60–$4,222 | $699.60–$4,222 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 5 matching MRF lines |
$961.74–$5,174 | $961.74–$5,174 | varies |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$977.08–$5,174 | $977.08–$5,174 | varies |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$736.46–$1,936 | $736.46–$1,936 | varies |
| MRI, dorsal spine contrast (72147) range across 5 matching MRF lines |
$621.25–$4,313 | $621.25–$4,313 | varies |
| MRI, joint upper extrem (73221) range across 2 matching MRF lines |
$1,276–$1,761 | $1,276–$1,761 | varies |
| MRI, joint upper extrem combo (73223) | $1,936 | $1,936 | 6.0× |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$732.39–$1,936 | $732.39–$1,936 | varies |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) range across 2 matching MRF lines |
$387.07–$642 | $387.07–$642 | varies |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $93 | $93 | 0.1× |
| Myocardial Spect Multiple Studies (78452) range across 3 matching MRF lines |
$117.15–$1,611 | $117.15–$1,611 | varies |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$53.74–$114 | $53.74–$114 | varies |
| Nfs/Instlj Radioelmnt Sln 3 Mo Follow-Up Care (77750) range across 2 matching MRF lines |
$297–$733.44 | $297–$733.44 | varies |
| Nm csf leak detection (78650) | $324 | $324 | 0.3× |
| Nm myocard infarct spect (78469) range across 3 matching MRF lines |
$92.63–$911 | $92.63–$911 | varies |
| Nonvascular Shunt X-Ray (75809) range across 3 matching MRF lines |
$150–$191.23 | $150–$191.23 | varies |
| Nuclear Rx Oral Admin (79005) range across 2 matching MRF lines |
$272.45–$551 | $272.45–$551 | varies |
| Ob us nuchal meas 1 gest (76813) | $124.20 | $124.20 | 1.3× |
| Parathyroid Planar Imaging (78070) range across 2 matching MRF lines |
$551–$595.75 | $551–$595.75 | varies |
| Pelvis 1 or 2 views (72170) range across 5 matching MRF lines |
$17–$52.91 | $17–$52.91 | varies |
| Pet Image W/Ct Lmtd (78814) | $2,155 | $2,155 | 1.6× |
| PET image w/CT, full body (78816) | $3,078 | $3,078 | 2.3× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $2,974 | $2,974 | 2.2× |
| Pulmonary Perfusion Imaging Particulate (78580) range across 2 matching MRF lines |
$473.53–$1,007 | $473.53–$1,007 | varies |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$85.24–$162 | $85.24–$162 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) | $378 | $378 | 0.7× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 5 matching MRF lines |
$17.30–$93 | $17.30–$93 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 6 matching MRF lines |
$25.87–$51.63 | $25.87–$51.63 | varies |
| Radex elbow complete minimum 3 views (73080) range across 5 matching MRF lines |
$25.96–$134 | $25.96–$134 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 4 matching MRF lines |
$52.58–$169 | $52.58–$169 | varies |
| Radex fingr minimum 2 views (73140) range across 5 matching MRF lines |
$20.64–$59.57 | $20.64–$59.57 | varies |
| Radex foot complete minimum 3 views (73630) range across 6 matching MRF lines |
$16.65–$123 | $16.65–$123 | varies |
| Radex Hand Minimum 3 Views (73130) range across 7 matching MRF lines |
$17.30–$388 | $17.30–$388 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 4 matching MRF lines |
$29.30–$52.31 | $29.30–$52.31 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) range across 2 matching MRF lines |
$49.63–$105.57 | $49.63–$105.57 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 3 matching MRF lines |
$31.60–$62.56 | $31.60–$62.56 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 6 matching MRF lines |
$35.62–$134 | $35.62–$134 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 7 matching MRF lines |
$18.68–$135 | $18.68–$135 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 3 matching MRF lines |
$39–$57.13 | $39–$57.13 | varies |
| Radex Spine 1 View Specify Level (72020) range across 5 matching MRF lines |
$24.11–$42.06 | $24.11–$42.06 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$56.64–$127 | $56.64–$127 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$50.21–$90.67 | $50.21–$90.67 | varies |
| Radex Toe Minimum 2 Views (73660) range across 6 matching MRF lines |
$13.11–$368 | $13.11–$368 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 3 matching MRF lines |
$29.30–$107 | $29.30–$107 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 5 matching MRF lines |
$17.30–$215 | $17.30–$215 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$73.26–$488 | $73.26–$488 | varies |
| Radiologic exam colon double contrast study (74280) range across 2 matching MRF lines |
$272–$409.07 | $272–$409.07 | varies |
| Radiologic exam colon single contrast study (74270) range across 3 matching MRF lines |
$258–$587 | $258–$587 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 9 matching MRF lines |
$22.22–$121 | $22.22–$121 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 3 matching MRF lines |
$25.40–$73.53 | $25.40–$73.53 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 2 matching MRF lines |
$200.58–$490 | $200.58–$490 | varies |
| Radiologic exam swallow function contrast study (74230) range across 2 matching MRF lines |
$238–$247.10 | $238–$247.10 | varies |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$238–$247.03 | $238–$247.03 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 5 matching MRF lines |
$18.03–$368 | $18.03–$368 | varies |
| Radiologic examination knee 1/2 views (73560) range across 9 matching MRF lines |
$16.74–$426 | $16.74–$426 | varies |
| Radiologic Examination Osseous Survey Limited (77074) range across 2 matching MRF lines |
$123.93–$642 | $123.93–$642 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 7 matching MRF lines |
$15.93–$123 | $15.93–$123 | varies |
| Radiologic examination, internal auditory meati, complete Non-Facility (70134) range across 3 matching MRF lines |
$64.83–$154 | $64.83–$154 | varies |
| Red Cell Volume Determination Spx 1 Sampling (78120) | $12 | $12 | 0.0× |
| Ribs bilateral 3 views (71110) range across 3 matching MRF lines |
$69–$91 | $69–$91 | varies |
| Rp loclzj tum plnr 1 area single day imaging (78800) range across 2 matching MRF lines |
$377.90–$491 | $377.90–$491 | varies |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 14 matching MRF lines |
$97.46–$1,628 | $97.46–$1,628 | varies |
| Scapula (73010) range across 6 matching MRF lines |
$18.68–$57.65 | $18.68–$57.65 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 4 matching MRF lines |
$38–$98 | $38–$98 | varies |
| Shoulder 1 view (73020) | $28.21 | $28.21 | 0.3× |
| Shoulder Arthrography (73040) range across 4 matching MRF lines |
$194.10–$1,477 | $194.10–$1,477 | varies |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$69.12–$102 | $69.12–$102 | varies |
| Sternoclavicular joints (71130) range across 3 matching MRF lines |
$22.22–$243 | $22.22–$243 | varies |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) range across 2 matching MRF lines |
$261–$405.24 | $261–$405.24 | varies |
| Thoracic spine 2 views (72070) range across 4 matching MRF lines |
$20.12–$60.69 | $20.12–$60.69 | varies |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$64.63–$135 | $64.63–$135 | varies |
| Thyroid Met Imaging Body (78018) range across 2 matching MRF lines |
$517–$618 | $517–$618 | varies |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) range across 2 matching MRF lines |
$476.72–$525 | $476.72–$525 | varies |
| Ultrasound Breast Limited (76642) range across 5 matching MRF lines |
$97.56–$773 | $97.56–$773 | varies |
| Ultrasound Elastography Parenchyma (76981) | $361 | $361 | 3.7× |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
$150–$464 | $150–$464 | varies |
| Ultrasound, abdomen limited (76705) range across 6 matching MRF lines |
$134–$1,306 | $134–$1,306 | varies |
| Umbilical-artery Doppler (OB) (76820) range across 2 matching MRF lines |
$90.28–$144.90 | $90.28–$144.90 | varies |
| Unlisted us procedure (76999) range across 4 matching MRF lines |
$332–$664 | $332–$664 | varies |
| Upper gi w/o kub (74240) range across 3 matching MRF lines |
$217–$253 | $217–$253 | varies |
| Urea Breath Test C-14 Isotopic Acquisj Analysis (78267) | $218 | $218 | 19.7× |
| Urea breath test c-14 isotopic analysis (78268) | $257 | $257 | 2.7× |
| Urethrocystogram voiding (74455) | $165 | $165 | 0.7× |
| Urethrocystography retrograde (74450) range across 2 matching MRF lines |
$426–$968 | $426–$968 | varies |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$211.47–$664 | $211.47–$664 | varies |
| Us chest (76604) range across 2 matching MRF lines |
$171.93–$273 | $171.93–$273 | varies |
| Us complete joint (76881) range across 2 matching MRF lines |
$273–$378 | $273–$378 | varies |
| Us exam, pelvic, limited (76857) range across 4 matching MRF lines |
$93.21–$300.15 | $93.21–$300.15 | varies |
| Us kidney transplant (76776) range across 2 matching MRF lines |
$304.08–$378 | $304.08–$378 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 3 matching MRF lines |
$71.81–$1,240 | $71.81–$1,240 | varies |
| Us ob detailed single fetus (76811) range across 4 matching MRF lines |
$291–$413 | $291–$413 | varies |
| Us ob limited 1 or more fetuses (76815) range across 4 matching MRF lines |
$139–$307 | $139–$307 | varies |
| Us ob transvaginal (76817) range across 3 matching MRF lines |
$153–$307 | $153–$307 | varies |
| Us pelvic non ob complete (76856) range across 5 matching MRF lines |
$176.98–$753 | $176.98–$753 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 4 matching MRF lines |
$180–$340 | $180–$340 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 5 matching MRF lines |
$120–$307 | $120–$307 | varies |
| Us retroperitoneal complete (76770) range across 4 matching MRF lines |
$150–$464 | $150–$464 | varies |
| Us retroperitoneal limited (76775) | $113.25 | $113.25 | 1.2× |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$131.28–$378 | $131.28–$378 | varies |
| Us spinal canal and contents (76800) range across 2 matching MRF lines |
$270.55–$427 | $270.55–$427 | varies |
| Us thyroid (76536) range across 3 matching MRF lines |
$225.73–$329 | $225.73–$329 | varies |
| Vein X-Ray Chest (75827) | $1,233 | $1,233 | 0.8× |
| Vein X-Ray Spleen/Liver (75810) | $4,113 | $4,113 | 1.4× |
| Venogram Sinus/Jugular (75860) | $10,366 | $10,366 | 3.5× |
| Venography Adrenal Unilateral (75840) | $2,094 | $2,094 | 0.7× |
| Venography caval inferior serialography rs&i (75825) range across 3 matching MRF lines |
$835–$4,369 | $835–$4,369 | varies |
| Venography extremity bilateral rs&i (75822) range across 3 matching MRF lines |
$132–$895 | $132–$895 | varies |
| Venography extremity unilateral rs&i (75820) range across 6 matching MRF lines |
$211.86–$11,417 | $211.86–$11,417 | varies |
| Venography Renal Bilateral (75833) | $4,469 | $4,469 | 1.5× |
| Venography Renal Unilateral (75831) | $4,113 | $4,113 | 1.4× |
| Venous sampling by catheter (75893) | $4,113 | $4,113 | 0.8× |
| Wrist 2 views (73100) range across 7 matching MRF lines |
$39.09–$426 | $39.09–$426 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 4 matching MRF lines |
$18.68–$68.70 | $18.68–$68.70 | varies |
| X-ray antegrade pyelogram tube (74425) | $565 | $565 | 1.7× |
| X-Ray Aorta Leg Arteries (75630) range across 2 matching MRF lines |
$178.74–$2,890 | $178.74–$2,890 | varies |
| X-Ray Bend Only L-S Spine (72120) range across 3 matching MRF lines |
$22.22–$145 | $22.22–$145 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 5 matching MRF lines |
$43–$252 | $43–$252 | varies |
| X-Ray Exam Breast Specimen (76098) range across 4 matching MRF lines |
$31.96–$542 | $31.96–$542 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) | $337 | $337 | 4.2× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 4 matching MRF lines |
$93–$233 | $93–$233 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 4 matching MRF lines |
$37.71–$38.41 | $37.71–$38.41 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 6 matching MRF lines |
$22.22–$274 | $22.22–$274 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) | $52.58 | $52.58 | 0.5× |
| X-Ray Exam Hips Bi 5/> Views (73523) range across 3 matching MRF lines |
$77.04–$181 | $77.04–$181 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$120.23–$200 | $120.23–$200 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 5 matching MRF lines |
$22.22–$230 | $22.22–$230 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$108.28–$234 | $108.28–$234 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 2 matching MRF lines |
$39.01–$42.44 | $39.01–$42.44 | varies |
| X-ray eye for foreign body (70030) range across 2 matching MRF lines |
$26.42–$53.05 | $26.42–$53.05 | varies |
| X-ray humerus (73060) range across 4 matching MRF lines |
$16.58–$51.54 | $16.58–$51.54 | varies |
| X-ray IV pyelogram (ivp) (74400) range across 3 matching MRF lines |
$210.35–$426 | $210.35–$426 | varies |
| X-ray IV pyelogram+tomography (74415) range across 2 matching MRF lines |
$261.90–$345 | $261.90–$345 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 2 matching MRF lines |
$63.30–$89 | $63.30–$89 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 3 matching MRF lines |
$63.07–$189 | $63.07–$189 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 4 matching MRF lines |
$22.22–$67.48 | $22.22–$67.48 | varies |
| X-ray nose-rectum child f.b. (76010) range across 2 matching MRF lines |
$29.87–$50.40 | $29.87–$50.40 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$91.35–$200 | $91.35–$200 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 4 matching MRF lines |
$22.94–$230 | $22.94–$230 | varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $37.03 | $37.03 | 0.4× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 4 matching MRF lines |
$36.35–$370 | $36.35–$370 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$71.89–$162 | $71.89–$162 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$87.42–$162 | $87.42–$162 | varies |
| X-Ray Stress View (77071) | $99.32 | $99.32 | 1.2× |
| X-ray thoracic spine 4 vw (72074) range across 3 matching MRF lines |
$53.31–$280 | $53.31–$280 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $190 | $190 | 0.6× |
| X-Rays Bone Length Studies (77073) range across 3 matching MRF lines |
$45–$148 | $45–$148 | varies |
| X-Rays Bone Survey Complete (77075) | $246 | $246 | 2.5× |
| Xr c-spine 4 or 5 views (72050) range across 7 matching MRF lines |
$27.14–$214 | $27.14–$214 | varies |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$45.60–$81.58 | $45.60–$81.58 | varies |
| Xr Tomogram Single Plane (76100) range across 2 matching MRF lines |
$179.28–$352 | $179.28–$352 | varies |
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.