Imaging prices at Cox Medical Center Branson
Branson, MO · every code in this section with a posted price and a Medicare benchmark.
337 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) | $2,123.79 | $9,355.92 | 1.5× |
| Abdomen 1 View (74018) | $92.06 | $405.56 | 1.1× |
| Abdomen 2 views (74019) | $126.20 | $555.94 | 1.2× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $542.78 | $2,391.12 | 1.4× |
| Adrenal Cortex & Medulla Img (78075) | $962.71 | $4,241.02 | 0.7× |
| Angiography extremity bilateral rs&i (75716) | $1,732.62 | $7,632.69 | 0.5× |
| Angiography extremity unilateral rs&i (75710) | $1,155.08 | $5,088.46 | 0.4× |
| Ankle 2 views (73600) | $104.56 | $460.63 | 1.2× |
| Aortography thoracic serialography rs&i (75605) unusually low: confirm this is the full procedure |
$2,384.41 | $10,504 | 0.4× |
| Artery X-Rays Abdomen (75726) likely a partial charge, not the full procedure |
$1,523.59 | $6,711.87 | 0.3× |
| Artery X-Rays Pelvis (75736) unusually low: confirm this is the full procedure |
$1,853.01 | $8,163.05 | 0.3× |
| Arthrogram ankle (73615) | $575.61 | $2,535.71 | 1.6× |
| Arthrogram hip (73525) | $368.57 | $1,623.66 | 1.1× |
| Arthrogram Wrist (73115) | $320.10 | $1,410.13 | 0.9× |
| Basic radiation dosimetry calculation (77300) | $234.45 | $1,032.83 | 1.7× |
| Bone age studies (77072) | $120.32 | $530.05 | 1.1× |
| Bone Imaging 3 Phase (78315) | $534.56 | $2,354.91 | 1.3× |
| Bone Imaging Limited Area (78300) | $323.12 | $1,423.44 | 0.8× |
| Bone Imaging Multiple Areas (78305) | $406.25 | $1,789.65 | 1.0× |
| Bone Imaging Whole Body (78306) | $504.79 | $2,223.73 | 1.3× |
| Bone survey infant (77076) | $191.89 | $845.31 | 1.8× |
| Brachytx isodose complex (77318) | $1,304.95 | $5,748.70 | 3.5× |
| Brachytx isodose intermed (77317) | $815.06 | $3,590.58 | 2.2× |
| Brachytx Isodose Plan Simple (77316) | $761.12 | $3,352.96 | 2.0× |
| Brain Image W/Flow < 4 Views (78601) | $540.36 | $2,380.42 | 1.3× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $543.85 | $2,395.83 | 1.0× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $1,629.23 | $7,177.21 | 1.1× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $703.42 | $3,098.78 | 2.0× |
| Cat Scan Follow-Up Study (76380) | $253.50 | $1,116.72 | 2.9× |
| Cerebrospinal Fluid Scan (78630) | $558.80 | $2,461.66 | 1.0× |
| Chest 1 view (71045) | $87.10 | $383.69 | 1.0× |
| Chest 2 views (71046) | $106.07 | $467.28 | 1.2× |
| Chest 3 views (71047) | $118.04 | $520 | 1.4× |
| Chest 4 or more views (71048) | $146.33 | $644.63 | 1.4× |
| Clavicle complete (73000) | $122.51 | $539.67 | 1.4× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $214.18 | $943.51 | 2.0× |
| Continuing medical physics consltj pr wk (77336) | $264.34 | $1,164.51 | 2.0× |
| Contrast Exam Abdominl Aorta (75625) | $1,193.13 | $5,256.09 | 0.4× |
| Contrast X-Ray Bladder (74430) | $240.09 | $1,057.68 | 0.7× |
| Contrast X-Ray Of Elbow (73085) | $477.83 | $2,104.96 | 1.4× |
| Contrast X-Ray Of Knee Joint (73580) | $441.08 | $1,943.09 | 1.3× |
| Contrast Xray Throat/Cerv Esopha (74210) | $202.42 | $891.72 | 1.2× |
| CT abdomen and pelvis without and with contrast (74178) | $1,430.10 | $6,300 | 4.1× |
| CT abdomen and pelvis without contrast (74176) | $1,108.93 | $4,885.14 | 4.6× |
| CT abdomen w contrast (74160) | $704.34 | $3,102.82 | 4.0× |
| CT abdomen w wo contrast (74170) | $834.03 | $3,674.15 | 4.7× |
| CT abdomen w/o contrast (74150) | $561.21 | $2,472.31 | 5.4× |
| CT Angio Abdomen and Pelvis (74174) | $1,505.41 | $6,631.76 | 4.3× |
| CT Angio Chest (71275) | $785.11 | $3,458.64 | 4.5× |
| CT Angio Head (70496) | $860.58 | $3,791.10 | 4.9× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $799.41 | $3,521.63 | 4.6× |
| CT Angio Neck (70498) | $770.01 | $3,392.13 | 4.4× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $786.56 | $3,465 | 4.5× |
| CT Cere Prfuj Alys C+ W/O CT/Cta Same Anatomy (70473) | $390.50 | $1,720.28 | 2.2× |
| CT cervical spine w/ contrast (72126) | $716.97 | $3,158.48 | 2.1× |
| CT cervical spine w/o contrast (72125) | $651.07 | $2,868.14 | 6.2× |
| CT chest w contrast (71260) | $661.81 | $2,915.46 | 3.8× |
| CT chest w/wo contrast (71270) | $761.41 | $3,354.23 | 4.3× |
| CT head/brain with contrast (70460) | $686.82 | $3,025.62 | 3.9× |
| CT head/brain without and with contrast (70470) | $734.11 | $3,233.98 | 4.2× |
| CT iac w contrast (70481) | $665.23 | $2,930.55 | 3.8× |
| CT l-spine w&w/o contrast (72133) | $905.35 | $3,988.33 | 5.2× |
| CT lower ext w/o (73700) range across 3 matching MRF lines |
$514.08–$771.12 | $2,264.66–$3,396.99 | varies |
| CT lower extremity w/contrast material (73701) | $594.82 | $2,620.36 | 3.4× |
| CT lumbar spine w contrast (72132) | $721.53 | $3,178.53 | 2.1× |
| CT lumbar spine w/o contrast (72131) | $639.19 | $2,815.80 | 6.1× |
| CT maxillofacial w contrast (70487) | $637.69 | $2,809.22 | 3.6× |
| CT maxillofacial wo contrast (70486) | $540.40 | $2,380.61 | 5.2× |
| CT neck tissue combo (70492) | $729.20 | $3,212.32 | 4.2× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $855.28 | $3,767.75 | 4.9× |
| CT orbits w/o contrast (70480) | $556.69 | $2,452.38 | 5.3× |
| CT pelvis w&w/o contrast (72194) | $869.46 | $3,830.22 | 4.9× |
| CT pelvis w/o contrast (72192) | $573.84 | $2,527.93 | 5.5× |
| CT scan of leg combo (73702) | $892.44 | $3,931.45 | 5.1× |
| CT scans face/jaw combo (70488) | $1,015.12 | $4,471.88 | 5.8× |
| CT soft tissue neck w contrast (70491) | $629.71 | $2,774.05 | 3.6× |
| CT soft tissue neck w/o contrast (70490) | $480.24 | $2,115.59 | 4.6× |
| CT thoracic spine w contrast (72129) | $707.04 | $3,114.72 | 4.0× |
| CT thoracic spine w/o contrast (72128) | $659.17 | $2,903.83 | 6.3× |
| CT thoracic spine w/wo cont (72130) | $1,006.31 | $4,433.07 | 5.7× |
| CT thorax w/o contrast (71250) | $594.39 | $2,618.44 | 5.7× |
| CT upper ext wo (73200) | $509.69 | $2,245.32 | 4.9× |
| CT upper extremity w/o & w/contrast material (73202) | $769.06 | $3,387.93 | 4.4× |
| CT upper extremity with contrast (73201) | $580.91 | $2,559.06 | 1.7× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,013.92 | $4,466.60 | 5.8× |
| Cta Abdomen (74175) | $836.82 | $3,686.42 | 4.8× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $1,630.59 | $7,183.23 | 4.7× |
| CTA pelvis (72191) | $1,000.35 | $4,406.85 | 5.7× |
| Doppler Fetal Mid Cerebral Artery (76821) | $112.53 | $495.74 | 1.1× |
| Dxa Bone Density Axial (77080) | $132.82 | $585.09 | 1.3× |
| Echo exam uterus (76831) | $249.33 | $1,098.36 | 1.0× |
| Echo Guide For Artery Repair (76936) | $265.75 | $1,170.70 | 1.2× |
| Echograp Trans R Pros Study (76873) | $209.26 | $921.85 | 2.0× |
| Esophagram (74220) | $147.07 | $647.88 | 0.8× |
| Fetal Biophys Profile W/Nst (76818) | $278.21 | $1,225.60 | 2.7× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $136.81 | $602.68 | 1.3× |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$204.95–$205.26 | $902.88–$904.22 | varies |
| Follow-Up Angiography (75898) | $730.09 | $3,216.26 | 0.2× |
| Foot 2 views (73620) | $102.84 | $453.06 | 1.2× |
| Forearm 2 views (73090) | $95.48 | $420.60 | 1.1× |
| Gastric emptying imaging study (78264) | $471.04 | $2,075.08 | 1.2× |
| Gated Heart Planar Single (78472) range across 2 matching MRF lines |
$219.29–$487.32 | $966.05–$2,146.78 | varies |
| Gated Heart, Multiple (78473) | $725.93 | $3,197.94 | 1.8× |
| Hand 2 views (73120) | $121.08 | $533.40 | 1.2× |
| Heart first pass single,planar (78481) | $383.97 | $1,691.50 | 0.7× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $1,431.71 | $6,307.08 | 0.5× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $1,368.96 | $6,030.68 | 0.4× |
| Hepatobil Syst Image W/Drug (78227) | $658.08 | $2,899.04 | 1.2× |
| Hepatobiliary System Imaging (78226) | $547.71 | $2,412.83 | 1.4× |
| Ht Muscle Image Spect Sing (78451) range across 2 matching MRF lines |
$531.04–$1,180.09 | $2,339.39–$5,198.64 | varies |
| Hysterosalpingogram (74740) | $262.22 | $1,155.17 | 1.1× |
| Interstitial radiation source applic complex (77778) | $1,739.32 | $7,662.21 | 2.5× |
| Intracavitary Radiation Source Applic Complex (77763) | $2,306.79 | $10,162.09 | 3.3× |
| Intracavitary Radiation Source Applic Intermed (77762) | $2,077.10 | $9,150.21 | 3.8× |
| Intracavitary radiation source applic simple (77761) | $1,452.06 | $6,396.73 | 2.6× |
| K Flow/Funct Image Multiple (78709) | $955.10 | $4,207.48 | 1.8× |
| K Flow/Funct Image W/Drug (78708) | $526.11 | $2,317.68 | 1.0× |
| K Flow/Funct Image W/O Drug (78707) | $491.29 | $2,164.28 | 0.9× |
| Knee 3 Views (73562) | $117.26 | $516.58 | 1.3× |
| Liver & Spleen Imaging Static Only (78215) | $435.62 | $1,919.03 | 1.1× |
| Lung Perf&Ventilat Diferentl (78598) | $600.51 | $2,645.44 | 1.1× |
| Lung perfusion differential (78597) | $441.19 | $1,943.55 | 1.1× |
| Lung Ventilat&Perfus Imaging (78582) | $511.62 | $2,253.85 | 0.9× |
| Lung Ventilation Imaging (78579) | $409.04 | $1,801.95 | 1.0× |
| Lymph System Imaging (78195) | $487.25 | $2,146.46 | 0.9× |
| Magnetic Image Jaw Joint (70336) range across 2 matching MRF lines |
$707.63–$1,061.44 | $3,117.30–$4,675.95 | varies |
| Meckels Divert Exam (78290) | $394.24 | $1,736.75 | 1.0× |
| Mlc imrt design & construction per imrt plan (77338) | $1,287.16 | $5,670.30 | 3.4× |
| Mra Head W/O & W/Contrast Material (70546) | $1,051.25 | $4,631.04 | 3.0× |
| MRA head w/o contrast (70544) | $694.27 | $3,058.48 | 2.9× |
| MRA head with contrast (70545) | $984.86 | $4,338.60 | 2.8× |
| MRA neck w contrast (70548) | $791.29 | $3,485.88 | 2.3× |
| Mra Neck W/O &W/Contrast Material (70549) | $1,013.92 | $4,466.60 | 2.9× |
| MRA neck w/o contrast (70547) | $711.45 | $3,134.16 | 3.0× |
| MRI abdomen w contrast (74182) | $1,025.02 | $4,515.51 | 2.9× |
| MRI abdomen w/o contrast (74181) | $781.77 | $3,443.92 | 3.3× |
| MRI any jt lower extrem w/contrast material (73722) | $815.12 | $3,590.84 | 1.0× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $988.88 | $4,356.28 | 2.8× |
| MRI any jt upper extremity w/contrast matrl (73222) | $873.20 | $3,846.71 | 1.1× |
| MRI bone marrow blood supply (77084) | $345.97 | $1,524.10 | 1.4× |
| MRI Breast W/O Contrast Bilateral (77047) | $1,010.60 | $4,452 | 4.2× |
| MRI cardiac w/o contrast (75557) | $580.85 | $2,558.79 | 2.4× |
| MRI cervical spine w contrast (72142) | $1,108.60 | $4,883.71 | 3.2× |
| MRI cervical spine w/o cont (72141) | $791.86 | $3,488.36 | 3.3× |
| MRI chest w/o contrast (71550) | $693.56 | $3,055.32 | 2.9× |
| MRI chest with contrast (71551) | $1,153.06 | $5,079.54 | 1.5× |
| MRI chest wo w contrast (71552) | $1,134.56 | $4,998.07 | 3.2× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $899.37 | $3,961.99 | 2.6× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $1,036.75 | $4,567.17 | 3.0× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $705.11 | $3,106.20 | 3.0× |
| MRI lumbar spine w contrast (72149) | $951.89 | $4,193.36 | 2.7× |
| Mri Neck Spine W/O & W/Dye (72156) | $1,164.03 | $5,127.89 | 3.3× |
| MRI orbit face &/neck w/o contrast (70540) | $760.63 | $3,350.80 | 3.2× |
| MRI orbit face neck w contrast (70542) | $1,038.01 | $4,572.72 | 3.0× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $1,052.54 | $4,636.76 | 3.0× |
| MRI pelvis w contrast (72196) | $1,045.35 | $4,605.05 | 3.0× |
| MRI pelvis w/o & w contrast (72197) | $1,054.28 | $4,644.39 | 3.0× |
| MRI pelvis w/o contrast (72195) | $812.12 | $3,577.60 | 3.4× |
| MRI thoracic spine w/o contrast (72146) | $822.18 | $3,621.94 | 3.4× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $1,425.06 | $6,277.81 | 4.1× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $734.05 | $3,233.69 | 3.1× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $972.30 | $4,283.28 | 2.8× |
| MRI, abdomen, combo (74183) | $1,145.48 | $5,046.17 | 3.3× |
| MRI, dorsal spine combo (72157) | $1,266.16 | $5,577.79 | 3.6× |
| MRI, dorsal spine contrast (72147) | $1,151.05 | $5,070.72 | 3.3× |
| MRI, joint upper extrem (73221) | $752.34 | $3,314.26 | 3.1× |
| MRI, joint upper extrem combo (73223) | $1,031.20 | $4,542.72 | 3.0× |
| MRI, lumbar spine combo (72158) | $1,045.85 | $4,607.29 | 3.0× |
| Myelogram cervical (72240) | $745.61 | $3,284.61 | 0.9× |
| Myelogram Lumbar (72265) | $446.73 | $1,967.97 | 0.6× |
| Myelography thoracic (72255) | $462.16 | $2,035.93 | 0.6× |
| Myelograpy 2/more regions rs&i (72270) | $781.94 | $3,444.69 | 1.0× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) | $1,516.07 | $6,678.72 | 1.2× |
| Myocardial Spect Multiple Studies (78452) range across 3 matching MRF lines |
$575.45–$1,278.77 | $2,535–$5,633.34 | varies |
| Neck soft tissue (70360) | $92.07 | $405.60 | 1.1× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $282.23 | $1,243.30 | 0.7× |
| Nm csf leak detection (78650) | $693.79 | $3,056.35 | 0.5× |
| Nm myocard infarct spect (78469) | $476.05 | $2,097.13 | 0.9× |
| Nm unlisted gi procedure (78299) | $258.14 | $1,137.20 | 0.6× |
| Nonvascular Shunt X-Ray (75809) | $160.90 | $708.80 | 1.5× |
| Ntsty modul radthx pln dose-vol histos (77301) | $3,203.27 | $14,111.31 | 2.3× |
| Ob us nuchal meas 1 gest (76813) | $120.37 | $530.25 | 1.1× |
| Panoramic X-ray of jaws (70355) | $93.30 | $411.01 | 1.1× |
| Parathyroid Planar Imaging (78070) | $399.94 | $1,761.85 | 1.0× |
| Pelvis 1 or 2 views (72170) | $93.25 | $410.79 | 0.9× |
| Pet Image W/Ct Lmtd (78814) range across 3 matching MRF lines |
$1,502.09–$1,565.45 | $6,617.14–$6,896.24 | varies |
| PET image w/CT, full body (78816) range across 2 matching MRF lines |
$1,839.54–$1,999.38 | $8,103.68–$8,807.85 | varies |
| PET imaging CT attenuation skull base mid-thigh (78815) range across 2 matching MRF lines |
$1,778.10–$1,837.27 | $7,833.04–$8,093.70 | varies |
| Pulmonary Perfusion Imaging Particulate (78580) | $386.45 | $1,702.44 | 1.0× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $149.03 | $656.53 | 1.4× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $253.19 | $1,115.39 | 0.5× |
| Radex Ankle Complete Minimum 3 Views (73610) | $116.23 | $512.04 | 1.3× |
| Radex Calcaneus Minimum 2 Views (73650) | $88.19 | $388.49 | 1.0× |
| Radex elbow complete minimum 3 views (73080) | $113.55 | $500.24 | 1.3× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $128.65 | $566.76 | 1.2× |
| Radex fingr minimum 2 views (73140) | $79.16 | $348.72 | 0.9× |
| Radex foot complete minimum 3 views (73630) | $113.52 | $500.10 | 1.3× |
| Radex Hand Minimum 3 Views (73130) | $125.35 | $552.21 | 1.4× |
| Radex lower extremity infant minimum 2 views (73592) | $128.10 | $564.30 | 1.5× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $42.68 | $188 | 0.4× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $91.29 | $402.15 | 1.0× |
| Radex Ribs Unilateral 2 Views (71100) | $99.20 | $436.99 | 1.1× |
| Radex shoulder complete minimum 2 views (73030) | $110.59 | $487.17 | 1.3× |
| Radex Sinuses Paransl < 3 Views (70210) | $68.49 | $301.73 | 0.8× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $180.22 | $793.93 | 1.0× |
| Radex Spine 1 View Specify Level (72020) | $86.40 | $380.63 | 1.0× |
| Radex Sternum Minimum 2 Views (71120) | $103.86 | $457.52 | 1.2× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $120.31 | $530 | 1.4× |
| Radex Toe Minimum 2 Views (73660) | $82.69 | $364.29 | 0.9× |
| Radex upper extremity infant minimum 2 views (73092) | $125.22 | $551.62 | 1.2× |
| Radex Wrist Complete Minimum 3 Views (73110) | $111.11 | $489.46 | 1.3× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $251.17 | $1,106.48 | 2.4× |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $6,689.52 | $29,469.27 | 0.9× |
| Radiation treatment delivery level 1 (77402) | $482.38 | $2,125 | 4.7× |
| Radiation treatment delivery level 2 (77407) | $828.48 | $3,649.68 | 2.1× |
| Radiation treatment delivery level 3 (77412) | $969.64 | $4,271.52 | 1.8× |
| Radiolog exam mandible compl minimum 4 views (70110) | $126.57 | $557.56 | 1.2× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $138.87 | $611.75 | 1.3× |
| Radiologic exam colon double contrast study (74280) | $286.03 | $1,260.03 | 1.6× |
| Radiologic exam colon single contrast study (74270) | $278.89 | $1,228.58 | 1.6× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $203.34 | $895.79 | 1.2× |
| Radiologic exam knee complete 4/more views (73564) | $154.46 | $680.44 | 1.5× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $131.20 | $577.96 | 1.3× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $187.32 | $825.18 | 1.1× |
| Radiologic exam swallow function contrast study (74230) | $184.37 | $812.21 | 1.0× |
| Radiologic exam upr gi trc double contrast study (74246) | $218.14 | $960.96 | 1.2× |
| Radiologic examination femur 1 view (73551) | $70.07 | $308.70 | 0.8× |
| Radiologic examination femur minimum 2 views (73552) | $106.73 | $470.19 | 1.2× |
| Radiologic examination knee 1/2 views (73560) | $100.32 | $441.95 | 1.2× |
| Radiologic Examination Osseous Survey Limited (77074) | $198.94 | $876.40 | 1.9× |
| Radiologic examination tibia & fibula 2 views (73590) | $103.73 | $456.95 | 1.2× |
| Ribs bilateral 3 views (71110) | $148.80 | $655.49 | 1.4× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $500.35 | $2,204.20 | 1.2× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) range across 2 matching MRF lines |
$821.52–$1,244.77 | $3,619.03–$5,483.55 | varies |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $744.80 | $3,281.04 | 1.4× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $891.70 | $3,928.20 | 0.7× |
| Scapula (73010) | $117.23 | $516.44 | 1.1× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $28.66 | $126.26 | 1.2× |
| Sella turcica (70240) | $17.25 | $76 | 0.2× |
| Shoulder 1 view (73020) | $82.62 | $363.98 | 0.9× |
| Shoulder Arthrography (73040) | $343.03 | $1,511.16 | 1.0× |
| Skull less than 4 views (70250) | $121.05 | $533.26 | 1.2× |
| Special dosimetry (77331) | $253.87 | $1,118.37 | 1.9× |
| Special Physics Consult (77370) | $454.22 | $2,000.96 | 3.4× |
| Special teletherapy port plan (77321) | $404.77 | $1,783.11 | 1.1× |
| Special treatment procedure (77470) | $881.95 | $3,885.24 | 1.6× |
| Stereotactic Body Radiation Delivery (77373) | $4,747.32 | $20,913.32 | 2.7× |
| Sternoclavicular joints (71130) | $87.40 | $385.02 | 1.0× |
| Tbs technical calculation only (77091) | $48.22 | $212.43 | 0.6× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $1,178.15 | $5,190.09 | 3.1× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $616.64 | $2,716.46 | 1.6× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $865.56 | $3,813.05 | 2.3× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $511.87 | $2,254.95 | 1.4× |
| Ther rad simulaj-aided field setting simple (77280) | $324.59 | $1,429.92 | 2.4× |
| Thoracic spine 2 views (72070) | $106.47 | $469.04 | 1.0× |
| Thoracic spine 3 views (72072) | $133.14 | $586.53 | 1.3× |
| Thoracolumbar 2 views (72080) | $99.67 | $439.09 | 1.1× |
| Thyroid Imaging With Vascular Flow (78013) | $263.36 | $1,160.17 | 0.7× |
| Thyroid Uptake Measurement (78012) | $230.75 | $1,016.50 | 0.6× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $373.50 | $1,645.38 | 0.9× |
| Tx Devices Design & Construction Complex (77334) | $516.25 | $2,274.22 | 1.4× |
| Tx devices design & construction intermediate (77333) | $288.92 | $1,272.78 | 2.1× |
| Tx devices design & construction simple (77332) | $240.10 | $1,057.71 | 1.8× |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$159.61–$239.41 | $703.12–$1,054.68 | varies |
| Ultrasound Elastography Parenchyma (76981) | $116.99 | $515.38 | 1.1× |
| Ultrasound Exam Aaa Screen (76706) | $128.07 | $564.18 | 1.2× |
| Ultrasound, abdomen limited (76705) | $224.93 | $990.89 | 2.1× |
| Umbilical-artery Doppler (OB) (76820) | $88.35 | $389.21 | 0.8× |
| Unlisted Dx Radiographic Procedure (76499) | $165.75 | $730.18 | 1.9× |
| Upper gi w/o kub (74240) | $198.31 | $873.60 | 1.1× |
| Ureteral Reflux Study (78740) | $535.04 | $2,357 | 1.3× |
| Urethrocystogram voiding (74455) | $291.16 | $1,282.66 | 1.2× |
| Urethrocystography retrograde (74450) | $298.11 | $1,313.28 | 1.2× |
| Us breast unilateral complete (76641) | $243.98 | $1,074.80 | 2.3× |
| Us chest (76604) | $176.43 | $777.24 | 1.7× |
| Us complete joint (76881) | $202.91 | $893.88 | 1.9× |
| Us exam, pelvic, limited (76857) | $162.79 | $717.13 | 1.6× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $144.69 | $637.38 | 1.4× |
| Us ob detailed single fetus (76811) | $264.65 | $1,165.84 | 1.1× |
| Us ob limited 1 or more fetuses (76815) | $126.72 | $558.23 | 1.2× |
| Us ob transvaginal (76817) | $163.60 | $720.72 | 1.6× |
| Us pelvic non ob complete (76856) | $271.81 | $1,197.39 | 2.6× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $215.61 | $949.82 | 2.1× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $165.27 | $728.07 | 1.6× |
| Us retroperitoneal complete (76770) | $266.13 | $1,172.40 | 2.5× |
| Us retroperitoneal limited (76775) | $213.23 | $939.32 | 2.0× |
| Us scrotum and contents (76870) | $261.27 | $1,150.98 | 2.5× |
| Us thyroid (76536) range across 2 matching MRF lines |
$110.70–$246.01 | $487.68–$1,083.73 | varies |
| Us transrectal (76872) | $145.77 | $642.14 | 1.4× |
| Vein X-Ray Chest (75827) | $772.66 | $3,403.80 | 0.5× |
| Vein X-Ray Skull Epidural (75872) | $506.21 | $2,230.02 | 0.8× |
| Venography caval inferior serialography rs&i (75825) | $1,429.41 | $6,296.94 | 0.5× |
| Venography extremity bilateral rs&i (75822) | $866.50 | $3,817.16 | 0.5× |
| Venography extremity unilateral rs&i (75820) | $577.66 | $2,544.77 | 0.4× |
| Venography Renal Bilateral (75833) | $2,542.40 | $11,200.02 | 0.8× |
| Venography Renal Unilateral (75831) | $1,694.94 | $7,466.68 | 0.5× |
| Wrist 2 views (73100) | $90.81 | $400.04 | 1.0× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $108.77 | $479.15 | 1.2× |
| X-ray antegrade pyelogram tube (74425) | $404.51 | $1,782 | 1.2× |
| X-Ray Aorta Leg Arteries (75630) | $1,550.46 | $6,830.22 | 0.5× |
| X-Ray Bend Only L-S Spine (72120) | $116.67 | $513.96 | 1.1× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $87.10 | $383.71 | 1.0× |
| X-Ray Exam Breast Specimen (76098) | $225.15 | $991.83 | 0.4× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $76.74 | $338.04 | 0.9× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $135.13 | $595.27 | 1.3× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $228.01 | $1,004.47 | 2.2× |
| X-Ray Exam Hip Uni 1 View (73501) | $76.30 | $336.13 | 0.9× |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 3 matching MRF lines |
$85.43–$96.61 | $376.36–$425.61 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) range across 2 matching MRF lines |
$38.24–$242.76 | $168.48–$1,069.43 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) | $170.87 | $752.72 | 1.6× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $201.62 | $888.21 | 1.9× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $205.50 | $905.30 | 2.0× |
| X-Ray Exam L-S Spine Bending (72114) | $189.55 | $835 | 1.8× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $122.76 | $540.80 | 1.4× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $198.50 | $874.47 | 1.9× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $128.39 | $565.58 | 1.2× |
| X-ray eye for foreign body (70030) | $74.77 | $329.40 | 0.9× |
| X-ray humerus (73060) | $97.94 | $431.45 | 1.1× |
| X-ray IV pyelogram (ivp) (74400) | $374.03 | $1,647.72 | 2.1× |
| X-ray IV pyelogram+tomography (74415) | $251.22 | $1,106.68 | 1.4× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $81.02 | $356.93 | 0.9× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $109 | $480.19 | 1.3× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $126.28 | $556.30 | 1.2× |
| X-ray nose-rectum child f.b. (76010) | $105.83 | $466.20 | 1.2× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $169.47 | $746.55 | 1.6× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $103.92 | $457.80 | 1.0× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $103.81 | $457.32 | 1.2× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $121.63 | $535.82 | 1.4× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $150.25 | $661.88 | 1.4× |
| X-ray thoracic spine 4 vw (72074) | $145.63 | $641.55 | 1.4× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $252.82 | $1,113.76 | 0.7× |
| X-Rays Bone Length Studies (77073) | $147.09 | $647.99 | 1.4× |
| X-Rays Bone Survey Complete (77075) | $259 | $1,140.98 | 2.5× |
| Xr c-spine 4 or 5 views (72050) | $162.38 | $715.33 | 1.6× |
| Xr facial bones less than 3 views (70140) | $85.43 | $376.36 | 1.0× |
| Xr orbits complete 4 views (70200) | $137.91 | $607.55 | 1.3× |
| Xr Tomogram Single Plane (76100) | $409.52 | $1,804.06 | 3.9× |
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.