Imaging prices at Corewell Health Dearborn Hospital

Dearborn, MI · every code in this section with a posted price and a Medicare benchmark.

386 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
3-D radiotherapy plan dose-volume histograms (77295) $8,293 $8,293 6.0×
Abdomen 1 View (74018) $320 $320 3.7×
Abdomen 2 views (74019) $398 $398 3.8×
Acute Gastrointestinal Blood Loss Imaging (78278) $1,671 $1,671 4.2×
Adrenal Cortex & Medulla Img (78075) $2,751 $2,751 2.1×
Angio internal mammary (75756) $9,614 $9,614 3.1×
Angio pulmonary bilat (75743) $9,334 $9,334 3.0×
Angiography extremity bilateral rs&i (75716) $9,334 $9,334 3.0×
Angiography extremity unilateral rs&i (75710) $9,334 $9,334 3.0×
Angiography pulmonary unilateral slctv rs&i (75741) $9,334 $9,334 3.0×
Angrph pulmonary nonslctv cath/ven njx rs&i (75746) $6,317 $6,317 2.0×
Ankle 2 views (73600) $359 $359 4.1×
Aortography thoracic serialography rs&i (75605) $6,675 $6,675 1.2×
Aortography thoracic w/o serialography rs&i (75600) $10,859 $10,859 3.5×
Artery X-Rays Abdomen (75726) $7,097 $7,097 1.3×
Artery X-Rays Pelvis (75736) $6,675 $6,675 1.2×
Artery X-Rays Spine (75705) $15,621 $15,621 2.8×
Basic radiation dosimetry calculation (77300) $1,100 $1,100 8.2×
Bone age studies (77072) $461 $461 4.4×
Bone Imaging 3 Phase (78315) $2,393 $2,393 6.0×
Bone Imaging Limited Area (78300) $1,632 $1,632 4.1×
Bone Imaging Multiple Areas (78305) $1,877 $1,877 4.7×
Bone Imaging Whole Body (78306) $2,082 $2,082 5.2×
Bone marrow imaging limited area (78102) $1,252 $1,252 3.1×
Bone survey infant (77076) $562 $562 5.4×
Brachytx isodose complex (77318) $1,631 $1,631 4.4×
Brain Imaging Min 4 Static Views W Vascular Flow (78606) $1,920 $1,920 3.5×
Brain Imaging Pet Metabolic Evaluation (78608) $7,581 $7,581 5.3×
Cardiac MRI w/w/o contrast & further seq (75561) $3,232 $3,232 9.3×
Cardiac MRI w/w/o contrast w/stress (75563) $3,076 $3,076 3.9×
Cat Scan Follow-Up Study (76380) $1,138 $1,138 13.1×
Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) $1,828 $1,828 3.4×
Cerebrospinal Fluid Scan (78630) $1,828 $1,828 3.4×
Chest 1 view (71045) $306 $306 3.5×
Chest 2 views (71046) $384 $384 4.4×
Chest 3 views (71047) $448 $448 5.2×
Chest 4 or more views (71048) $516 $516 5.0×
Chg us nrv&acc strux 1 xtr compre w/img pr extremity (76883) $363 $363 3.5×
Cineradiograpy/vidradiograpy xcpt where spec (76120) $313 $313 3.0×
Clavicle complete (73000) $359 $359 4.1×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $273 $273 2.6×
Continuing medical physics consltj pr wk (77336) $987 $987 7.4×
Contrast Exam Abdominl Aorta (75625) $9,334 $9,334 3.0×
Contrast X-Ray Bladder (74430) $1,319 $1,319 3.8×
Contrast Xray Throat/Cerv Esopha (74210) $354 $354 2.0×
CT abdomen and pelvis without and with contrast (74178) $5,496 $5,496 15.8×
CT abdomen and pelvis without contrast (74176) $3,803 $3,803 16.0×
CT abdomen w contrast (74160) $3,046 $3,046 17.4×
CT abdomen w wo contrast (74170) $3,239 $3,239 18.5×
CT abdomen w/o contrast (74150) $2,205 $2,205 21.2×
CT Angio Abdomen and Pelvis (74174) $2,483 $2,483 7.1×
CT Angio Chest (71275) $3,942 $3,942 22.6×
CT Angio Head (70496) $3,780 $3,780 21.6×
CT angio hrt w/3d image (75574) $2,869 $2,869 8.3×
Ct Angio Lwr Extr W/O&W/Dye (73706) $3,718 $3,718 21.3×
CT Angio Neck (70498) $3,471 $3,471 19.9×
Ct Angio Upr Extrm W/O&W/Dye (73206) $3,718 $3,718 21.3×
CT cervical spine w/ contrast (72126) $2,783 $2,783 8.0×
CT cervical spine w/o contrast (72125) $2,342 $2,342 22.5×
CT cervical spine w/wo cont (72127) $2,817 $2,817 16.1×
CT chest w contrast (71260) $2,934 $2,934 16.8×
CT chest w/wo contrast (71270) $2,976 $2,976 17.0×
CT colonography screening (74263) $4,687 $4,687 19.7×
CT Colonogrphy Dx Image Postprocess W/Contrast (74262) $2,854 $2,854 16.3×
CT colonogrphy dx image postprocess w/o contrast (74261) $2,284 $2,284 21.9×
CT head/brain with contrast (70460) $2,930 $2,930 16.8×
CT head/brain without and with contrast (70470) $3,161 $3,161 18.1×
CT heart contrast eval cardiac structure&morph (75572) $2,316 $2,316 6.7×
CT heart no contrast quant eval coronry calcium (75571)
range across 2 matching MRF lines		 $118–$150 $118–$150 varies
CT iac w contrast (70481) $2,930 $2,930 16.8×
CT l-spine w&w/o contrast (72133) $2,934 $2,934 16.8×
CT lower ext w/o (73700) $2,207 $2,207 21.2×
CT lower extremity w/contrast material (73701) $2,771 $2,771 15.9×
CT lumbar spine w contrast (72132) $2,858 $2,858 8.2×
CT lumbar spine w/o contrast (72131) $2,401 $2,401 23.0×
CT maxillofacial w contrast (70487) $2,930 $2,930 16.8×
CT maxillofacial wo contrast (70486) $2,342 $2,342 22.5×
CT neck tissue combo (70492) $3,032 $3,032 17.3×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $3,026 $3,026 17.3×
CT orbits w/o contrast (70480) $2,342 $2,342 22.5×
CT pelvis w&w/o contrast (72194) $2,934 $2,934 16.8×
CT pelvis w/o contrast (72192) $2,401 $2,401 23.0×
CT scan of leg combo (73702) $3,370 $3,370 19.3×
CT scans face/jaw combo (70488) $3,161 $3,161 18.1×
CT soft tissue neck w contrast (70491) $2,930 $2,930 16.8×
CT soft tissue neck w/o contrast (70490) $2,342 $2,342 22.5×
CT thoracic spine w contrast (72129) $2,544 $2,544 14.6×
CT thoracic spine w/o contrast (72128) $2,304 $2,304 22.1×
CT thoracic spine w/wo cont (72130) $2,794 $2,794 16.0×
CT thorax w/o contrast (71250) $2,304 $2,304 22.1×
CT upper ext wo (73200) $2,207 $2,207 21.2×
CT upper extremity w/o & w/contrast material (73202) $2,771 $2,771 15.9×
CT upper extremity with contrast (73201) $2,619 $2,619 7.5×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $3,758 $3,758 21.5×
Cta Abdomen (74175) $3,868 $3,868 22.1×
CTA head&neck c+ w/noncontrast img&post-pxessing (70471) $3,370 $3,370 9.7×
CTA pelvis (72191) $3,868 $3,868 22.1×
Dacryocystography, nasolacrimal duct, radiological supervision and interpretation Non-Facility (70170) $805 $805 3.4×
Diskography lumbar (72295) $7,533 $7,533 3.9×
Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) $801 $801 7.7×
Doppler Echo Fetal Spectral Display Complete (76827) $796 $796 7.6×
Doppler Fetal Mid Cerebral Artery (76821) $782 $782 7.5×
Dxa Bone Density Axial (77080) $628 $628 6.0×
Dxa bone density study (77085) $326 $326 3.1×
Dxa bone density study 1/>sites appendiclr skel (77081) $456 $456 5.3×
Echo exam of fetal heart (76825) $2,525 $2,525 4.6×
Echo exam uterus (76831) $968 $968 4.1×
Echo Guide For Artery Repair (76936) $1,099 $1,099 5.1×
Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) $1,753 $1,753 7.4×
Echograp Trans R Pros Study (76873) $436 $436 4.2×
Esophagram (74220) $629 $629 3.6×
Fetal Biophys Profile W/Nst (76818) $930 $930 8.9×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $814 $814 7.8×
Fetal MRI w/placntl matrnl plvc img sing/1st ges (74712) $1,577 $1,577 6.6×
Fluoroscopy up to 1 hr (76000) $616 $616 2.6×
Follow-Up Angiography (75898) $5,493 $5,493 1.7×
Foot 2 views (73620) $359 $359 4.1×
Forearm 2 views (73090) $359 $359 4.1×
Gastric emptying imaging study (78264) $1,972 $1,972 5.0×
Gastroesophageal Reflux Exam (78262) $1,276 $1,276 3.2×
Gated Heart Planar Single (78472) $1,934 $1,934 4.9×
Hand 2 views (73120) $393 $393 3.8×
Hdr Rdncl Ntrstl/Icav Brchtx (77772) $3,894 $3,894 5.6×
Hdr Rdncl Ntrstl/Icav Brchtx (77771) $3,385 $3,385 4.9×
Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) $2,725 $2,725 3.9×
Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) $9,334 $9,334 3.0×
Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) $9,334 $9,334 3.0×
Hepatobil Syst Image W/Drug (78227) $1,557 $1,557 2.9×
Hepatobiliary System Imaging (78226) $1,557 $1,557 3.9×
Ht Musc Image Planar Mult (78454) $6,755 $6,755 5.2×
Ht Muscle Image Spect Sing (78451) $4,928 $4,928 3.8×
Hyperthermia external generated superficial (77600) $943 $943 2.5×
Hysterosalpingogram (74740) $805 $805 3.4×
Infant hip ultrasound with hip movement (dynamic) (76885) $662 $662 7.6×
Infant hip ultrasound, limited static exam (76886) $285 $285 3.3×
K Flow/Funct Image W/Drug (78708) $2,278 $2,278 4.2×
K Flow/Funct Image W/O Drug (78707) $2,023 $2,023 3.7×
Kidney Funcj Study Non-Img Radioisotopic Study (78725) $1,252 $1,252 3.1×
Kidney Imaging Morphol (78700) $785 $785 2.0×
Kidney Imaging Morphoogy W/Vascular Flow (78701) $1,379 $1,379 3.5×
Knee 3 Views (73562) $359 $359 4.1×
Leveen/Shunt Patency Exam (78291) $1,386 $1,386 3.5×
Liver & Spleen Imaging Static Only (78215) $1,605 $1,605 4.0×
Lung Perf&Ventilat Diferentl (78598) $1,589 $1,589 2.9×
Lung perfusion differential (78597) $1,426 $1,426 3.6×
Lung Ventilat&Perfus Imaging (78582) $1,828 $1,828 3.4×
Lymph System Imaging (78195) $1,828 $1,828 3.4×
Lymphangiography Extremity Only Bilateral Rs&I (75803) $4,660 $4,660 3.0×
Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) $3,380 $3,380 1.1×
Lymphangiography, pelvic/abdominal, unilateral (75805) $6,305 $6,305 2.0×
Magnetic Image Jaw Joint (70336) $3,636 $3,636 15.3×
Magnetic resonance (eg, proton) imaging, brain (including brain stem andskull base), during open intracranial procedure… (70558) $2,145 $2,145 12.3×
Magnetic resonance (eg, proton) imaging, brain (including brain stem andskull base), during open intracranial procedure… (70557) $1,652 $1,652 3.0×
Magnetic resonance (eg, proton) imaging, brain (including brain stem andskull base), during open intracranial procedure… (70559) $7,891 $7,891 45.2×
Magnetic Resonance Elastography (76391) $749 $749 3.2×
Mammary ductogram or galactogram single (77053) $855 $855 3.6×
Meckels Divert Exam (78290) $1,393 $1,393 3.5×
Mlc imrt design & construction per imrt plan (77338) $4,506 $4,506 12.1×
Mra Head W/O & W/Contrast Material (70546) $5,993 $5,993 17.2×
MRA head w/o contrast (70544) $3,936 $3,936 16.6×
MRA head with contrast (70545) $4,828 $4,828 13.9×
MRA neck w contrast (70548) $1,175 $1,175 3.4×
Mra Neck W/O &W/Contrast Material (70549) $5,503 $5,503 15.8×
MRA neck w/o contrast (70547) $3,611 $3,611 15.2×
MRI abdomen w contrast (74182) $5,190 $5,190 14.9×
MRI abdomen w/o contrast (74181) $3,636 $3,636 15.3×
MRI any jt lower extrem w/contrast material (73722) $3,832 $3,832 4.9×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $5,536 $5,536 15.9×
MRI any jt upper extremity w/contrast matrl (73222) $3,832 $3,832 4.9×
MRI brain functional w/o physician admnistration (70554) $1,648 $1,648 6.9×
MRI brain functional w/physician admnistration (70555) $929 $929 3.9×
MRI Breast W/O Contrast Bilateral (77047) $3,337 $3,337 14.0×
MRI cardiac w/o contrast (75557) $3,078 $3,078 12.9×
MRI cervical spine w contrast (72142) $4,040 $4,040 11.6×
MRI cervical spine w/o cont (72141) $3,936 $3,936 16.6×
MRI chest w/o contrast (71550) $3,318 $3,318 14.0×
MRI chest with contrast (71551) $2,447 $2,447 3.1×
MRI chest wo w contrast (71552) $5,536 $5,536 15.9×
MRI lower extrem oth/thn jt w/contrast matrl (73719) $1,175 $1,175 3.4×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $5,536 $5,536 15.9×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $3,636 $3,636 15.3×
MRI lumbar spine w contrast (72149) $3,986 $3,986 11.5×
Mri Neck Spine W/O & W/Dye (72156) $6,234 $6,234 17.9×
MRI orbit face &/neck w/o contrast (70540) $3,611 $3,611 15.2×
MRI orbit face neck w contrast (70542) $1,283 $1,283 3.7×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $5,993 $5,993 17.2×
MRI pelvis w contrast (72196) $3,103 $3,103 8.9×
MRI pelvis w/o & w contrast (72197) $5,536 $5,536 15.9×
MRI pelvis w/o contrast (72195) $1,702 $1,702 7.2×
MRI spectroscopy (76390) $1,882 $1,882 21.7×
MRI thoracic spine w/o contrast (72146) $3,522 $3,522 14.8×
MRI upper extremity oth than jt w/contr matrl (73219) $1,175 $1,175 3.4×
MRI upper extremity oth than jt w/o contr matrl (73218) $3,522 $3,522 14.8×
Mri Uppr Extremity W/O&W/Dye (73220) $5,085 $5,085 14.6×
MRI, abdomen, combo (74183) $5,536 $5,536 15.9×
MRI, dorsal spine combo (72157) $5,759 $5,759 16.6×
MRI, dorsal spine contrast (72147) $3,601 $3,601 10.4×
MRI, joint upper extrem (73221) $3,636 $3,636 15.3×
MRI, joint upper extrem combo (73223) $5,536 $5,536 15.9×
MRI, lumbar spine combo (72158) $5,869 $5,869 16.9×
Myocardial Perfusion Planar 1 Study Rest/Stress (78453) $4,928 $4,928 3.8×
Myocardial Spect Multiple Studies (78452) $5,253 $5,253 4.1×
Myocrd Img Pet Metab Eval Single Study Cncrnt CT (78429) $5,842 $5,842 4.1×
Myocrd Img Pet Prfuj Mlt Std Rst&Strs Cncrnt CT (78431) $9,109 $9,109 4.2×
Myocrd Img Pet Prfuj W/Metab 2rtracer Cncrnt CT (78433) $11,469 $11,469 5.2×
N-invas est c ffr sw aly CTA (75580) $3,199 $3,199 3.7×
Neck soft tissue (70360) $301 $301 3.5×
Nm csf leak detection (78650) $5,076 $5,076 3.9×
Nonvascular Shunt X-Ray (75809) $583 $583 5.6×
Ntsty modul radthx pln dose-vol histos (77301) $10,266 $10,266 7.4×
Nuclear Rx Intra-Arterial (79445) $919 $919 4.0×
Nuclear Rx Oral Admin (79005) $1,400 $1,400 6.0×
Ob us nuchal meas 1 gest (76813) $734 $734 7.0×
Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) $470 $470 4.5×
Panoramic X-ray of jaws (70355) $359 $359 4.1×
Parathyroid imaging w/tomographic spect & CT (78072) $1,828 $1,828 3.4×
Parathyroid Planar Imaging (78070) $1,574 $1,574 4.0×
Parathyroid planar imaging w/wo subtraction (78071) $1,731 $1,731 4.3×
Pelvis 1 or 2 views (72170) $393 $393 3.8×
Pet Image W/Ct Lmtd (78814) $7,581 $7,581 5.3×
PET image w/CT, full body (78816) $8,803 $8,803 6.2×
PET imaging CT attenuation skull base mid-thigh (78815) $7,656 $7,656 5.4×
Proton tx delivery complex (77525) $5,474 $5,474 4.4×
Proton tx delivery intermediate (77523) $5,474 $5,474 4.4×
Proton tx delivery simple w/o compensation (77520) $2,591 $2,591 4.7×
Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) $5,493 $5,493 1.7×
Pulmonary Perfusion Imaging Particulate (78580) $1,564 $1,564 3.9×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $517 $517 5.0×
Radex abscess/fistula/sinus tract rs&i (76080) $1,663 $1,663 3.1×
Radex Ankle Complete Minimum 3 Views (73610) $371 $371 4.3×
Radex Calcaneus Minimum 2 Views (73650) $308 $308 3.6×
Radex elbow complete minimum 3 views (73080) $389 $389 4.5×
Radex Facial Bones Complete Minimum 3 Views (70150) $461 $461 4.4×
Radex fingr minimum 2 views (73140) $279 $279 3.2×
Radex foot complete minimum 3 views (73630) $372 $372 4.3×
Radex Hand Minimum 3 Views (73130) $453 $453 5.2×
Radex lower extremity infant minimum 2 views (73592) $506 $506 5.8×
Radex Mastoids Compl Minimum 3 Views PR Side (70130) $442 $442 4.2×
Radex Nasal Bones Complete Minimum 3 Views (70160) $371 $371 4.3×
Radex Pharynx/Larx W/Fluor&/Magnification Tq (70370) $379 $379 4.4×
Radex Ribs Unilateral 2 Views (71100) $389 $389 4.5×
Radex shoulder complete minimum 2 views (73030) $390 $390 4.5×
Radex Sinuses Paransl < 3 Views (70210) $342 $342 3.9×
Radex Spine 1 View Specify Level (72020) $359 $359 4.1×
Radex Sternum Minimum 2 Views (71120) $378 $378 4.4×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $461 $461 5.3×
Radex Toe Minimum 2 Views (73660) $279 $279 3.2×
Radex upper extremity infant minimum 2 views (73092) $359 $359 3.4×
Radex Wrist Complete Minimum 3 Views (73110) $378 $378 4.4×
Radiation Delivery Stereotactic Cranial Linear (77372) $26,944 $26,944 3.7×
Radiation treatment delivery level 1 (77402) $1,491 $1,491 14.7×
Radiation treatment delivery level 2 (77407) $1,937 $1,937 5.0×
Radiation treatment delivery level 3 (77412) $2,151 $2,151 3.9×
Radiolog exam mandible compl minimum 4 views (70110) $444 $444 4.3×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $398 $398 3.8×
Radiologic exam colon single contrast study (74270) $629 $629 3.6×
Radiologic Exam Esophagus Double Contrast Study (74221) $659 $659 3.8×
Radiologic exam knee complete 4/more views (73564) $445 $445 4.3×
Radiologic exam pelvis compl minimum 3 views (72190) $393 $393 3.8×
Radiologic Exam Small Int Single Contrast Study (74250) $629 $629 3.6×
Radiologic exam swallow function contrast study (74230) $629 $629 3.6×
Radiologic exam upr gi trc double contrast study (74246) $693 $693 4.0×
Radiologic examination femur 1 view (73551) $279 $279 3.2×
Radiologic examination femur minimum 2 views (73552) $279 $279 3.2×
Radiologic examination knee 1/2 views (73560) $341 $341 3.9×
Radiologic Examination Osseous Survey Limited (77074) $650 $650 6.2×
Radiologic examination tibia & fibula 2 views (73590) $378 $378 4.4×
Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77768) $1,326 $1,326 3.5×
Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77767) $1,143 $1,143 3.0×
Renal Cyst Study (74470) $1,660 $1,660 3.0×
Ribs bilateral 3 views (71110) $444 $444 4.3×
Rp loclzj tum plnr 1 area single day imaging (78800) $1,585 $1,585 4.0×
Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) $4,928 $4,928 9.1×
Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) $4,928 $4,928 9.1×
Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) $4,928 $4,928 9.1×
Rp loclzj tum spect 2 area/sep acquisj img (78831) $5,151 $5,151 4.0×
Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) $5,842 $5,842 4.1×
Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) $5,151 $5,151 4.0×
Rp Therapy Intravenous Administration (79101) $2,145 $2,145 9.2×
Scapula (73010) $393 $393 3.8×
Screening Digital Breast Tomosynthesis Bi (77063) $354 $354 15.1×
Shoulder 1 view (73020) $359 $359 4.1×
Sialogram (70390) $805 $805 3.4×
Skull less than 4 views (70250) $393 $393 3.8×
Special dosimetry (77331) $988 $988 7.4×
Special Physics Consult (77370) $1,169 $1,169 8.7×
Special teletherapy port plan (77321) $2,110 $2,110 5.7×
Special treatment procedure (77470) $4,321 $4,321 7.8×
Srs Multisource (77371) $42,040 $42,040 5.7×
Stereotactic Body Radiation Delivery (77373) $11,276 $11,276 6.3×
Sternoclavicular joints (71130) $371 $371 4.3×
Surface Applic Low Dose Rate Radionuclide Source (77789) $422 $422 4.2×
Telethx isodose pln cplx w/basic dosimetry (77307) $1,631 $1,631 4.4×
Telethx isodose pln smpl w/dosimetry calculation (77306) $1,233 $1,233 3.3×
Ther Rad Simulaj-Aided Field Setting Complex (77290) $2,491 $2,491 6.7×
Ther Rad Simulaj-Aided Field Setting Intermed (77285) $2,255 $2,255 6.0×
Ther rad simulaj-aided field setting simple (77280) $1,033 $1,033 7.7×
Thoracic spine 2 views (72070) $393 $393 3.8×
Thoracic spine 3 views (72072) $461 $461 4.4×
Thoracolumbar 2 views (72080) $428 $428 4.9×
Thyroid Imaging With Vascular Flow (78013) $1,079 $1,079 2.7×
Thyroid Met Imaging Body (78018) $1,983 $1,983 3.7×
Thyroid Uptake Measurement (78012) $1,426 $1,426 3.6×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $1,079 $1,079 2.7×
Tx Devices Design & Construction Complex (77334) $2,155 $2,155 5.8×
Tx devices design & construction intermediate (77333) $1,800 $1,800 13.4×
Tx devices design & construction simple (77332) $1,565 $1,565 11.7×
Ultrasound Breast Limited (76642) $342 $342 3.9×
Ultrasound elastography first target lesion (76982) $494 $494 4.7×
Ultrasound Elastography Parenchyma (76981) $453 $453 4.3×
Ultrasound Exam Aaa Screen (76706) $432 $432 4.1×
Ultrasound, abdomen limited (76705) $930 $930 8.9×
Umbilical-artery Doppler (OB) (76820) $782 $782 7.5×
Unlisted Dx Radiographic Procedure (76499) $4,511 $4,511 52.0×
Unlisted fluoroscopic procedure (76496) $317 $317 3.7×
Unlisted magnetic resonance procedure (76498) $4,440 $4,440 51.2×
Upper gi w/o kub (74240) $629 $629 3.6×
Urethrocystogram voiding (74455) $1,058 $1,058 4.5×
Urethrocystography retrograde (74450) $1,168 $1,168 4.9×
Us breast unilateral complete (76641) $459 $459 4.4×
Us chest (76604) $796 $796 7.6×
Us complete joint (76881) $1,356 $1,356 13.0×
Us exam, pelvic, limited (76857) $729 $729 7.0×
Us head (76506) $608 $608 5.8×
Us kidney transplant (76776) $774 $774 7.4×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $455 $455 4.4×
Us ob detailed single fetus (76811) $1,276 $1,276 5.4×
Us ob limited 1 or more fetuses (76815) $662 $662 6.4×
Us ob transvaginal (76817) $729 $729 7.0×
Us pelvic non ob complete (76856) $1,114 $1,114 10.7×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $930 $930 8.9×
Us preg uterus real time f/u trnsabdl per fetus (76816) $567 $567 5.4×
Us retroperitoneal complete (76770) $1,114 $1,114 10.7×
Us retroperitoneal limited (76775) $852 $852 8.2×
Us scrotum and contents (76870) $1,024 $1,024 9.8×
Us spinal canal and contents (76800) $852 $852 8.2×
Us thyroid (76536) $873 $873 8.4×
Us transrectal (76872) $1,024 $1,024 9.8×
Vein X-Ray Chest (75827) $2,465 $2,465 1.6×
Vein X-Ray Liver W/O Hemodyn (75887) $5,493 $5,493 1.7×
Venogram Sinus/Jugular (75860) $9,334 $9,334 3.0×
Venography Adrenal Unilateral (75840) $9,530 $9,530 3.0×
Venography caval inferior serialography rs&i (75825) $9,334 $9,334 3.0×
Venography extremity bilateral rs&i (75822) $5,493 $5,493 3.5×
Venography extremity unilateral rs&i (75820) $4,511 $4,511 2.9×
Venography Renal Unilateral (75831) $9,334 $9,334 3.0×
Venous sampling by catheter (75893) $15,621 $15,621 2.8×
Wrist 2 views (73100) $359 $359 4.1×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $428 $428 4.9×
X-ray antegrade pyelogram tube (74425) $1,319 $1,319 3.8×
X-Ray Aorta Leg Arteries (75630) $9,334 $9,334 3.0×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $359 $359 4.1×
X-Ray Exam Breast Specimen (76098) $1,623 $1,623 3.0×
X-Ray Exam Entire Spi 1 Vw (72081) $279 $279 3.2×
X-Ray Exam Entire Spi 2/3 Vw (72082) $393 $393 3.8×
X-Ray Exam Entire Spi 4/5 Vw (72083) $726 $726 7.0×
X-Ray Exam Hip Uni 1 View (73501) $285 $285 3.3×
X-Ray Exam Hip Uni 2-3 Views (73502) $279 $279 3.2×
X-Ray Exam Hip Uni 4/> Views (73503) $381 $381 3.7×
X-Ray Exam Hips Bi 2 Views (73521) $393 $393 3.8×
X-Ray Exam Hips Bi 3-4 Views (73522) $381 $381 3.7×
X-Ray Exam Hips Bi 5/> Views (73523) $726 $726 7.0×
X-Ray Exam L-S Spine Bending (72114) $705 $705 6.8×
X-Ray Exam Neck Spine 2-3 Vw (72040) $423 $423 4.9×
X-Ray Exam Neck Spine 6/>Vws (72052) $637 $637 6.1×
X-Ray Exam Unilat Ribs/Chest (71101) $444 $444 4.3×
X-ray eye for foreign body (70030) $202 $202 2.3×
X-ray humerus (73060) $378 $378 4.4×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $347 $347 4.0×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $279 $279 3.2×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $423 $423 4.1×
X-ray nose-rectum child f.b. (76010) $320 $320 3.7×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $672 $672 6.5×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $393 $393 3.8×
X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) $328 $328 3.1×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $391 $391 4.5×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $444 $444 5.1×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $650 $650 6.2×
X-Ray Stress View (77071) $279 $279 3.2×
X-Ray Tmj Unilat (70328) $272 $272 3.1×
X-Ray Urinary Tract Exam With Contrast Material (74420) $1,319 $1,319 3.8×
X-Rays Bone Length Studies (77073) $461 $461 4.4×
X-Rays Bone Survey Complete (77075) $737 $737 7.1×
Xr c-spine 4 or 5 views (72050) $615 $615 5.9×
Xr facial bones less than 3 views (70140) $359 $359 4.1×
Xr orbits complete 4 views (70200) $444 $444 4.3×

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.