Imaging prices at Cox Medical Centers
Springfield, MO · every code in this section with a posted price and a Medicare benchmark.
411 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) | $2,357.69 | $9,355.92 | 1.7× |
| Abdomen 1 View (74018) | $102.20 | $405.56 | 1.2× |
| Abdomen 2 views (74019) | $140.10 | $555.94 | 1.3× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $602.56 | $2,391.12 | 1.5× |
| Adrenal Cortex & Medulla Img (78075) | $1,068.74 | $4,241.02 | 0.8× |
| Angio pulmonary bilat (75743) | $2,143.23 | $8,504.88 | 0.7× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $4,653.88 | $18,467.78 | 1.5× |
| Angiography extremity bilateral rs&i (75716) | $1,923.44 | $7,632.69 | 0.6× |
| Angiography extremity unilateral rs&i (75710) | $1,282.29 | $5,088.46 | 0.4× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $1,428.82 | $5,669.92 | 0.5× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $871.68 | $3,459.04 | 0.3× |
| Ankle 2 views (73600) | $116.08 | $460.63 | 1.3× |
| Aortography thoracic serialography rs&i (75605) unusually low: confirm this is the full procedure |
$2,647.01 | $10,504 | 0.5× |
| Artery X-Rays Abdomen (75726) unusually low: confirm this is the full procedure |
$1,691.39 | $6,711.87 | 0.3× |
| Artery X-Rays Adrenal Gland (75731) | $3,226.69 | $12,804.32 | 1.0× |
| Artery X-Rays Pelvis (75736) unusually low: confirm this is the full procedure |
$2,057.09 | $8,163.05 | 0.4× |
| Artery X-Rays Spine (75705) unusually low: confirm this is the full procedure |
$2,245.86 | $8,912.16 | 0.4× |
| Arthrogram ankle (73615) | $639 | $2,535.71 | 1.8× |
| Arthrogram hip (73525) | $409.16 | $1,623.66 | 1.2× |
| Arthrogram Wrist (73115) | $355.35 | $1,410.13 | 1.0× |
| Basic radiation dosimetry calculation (77300) | $260.27 | $1,032.83 | 1.9× |
| Bone age studies (77072) | $133.57 | $530.05 | 1.3× |
| Bone Imaging 3 Phase (78315) | $593.44 | $2,354.91 | 1.5× |
| Bone Imaging Limited Area (78300) | $358.71 | $1,423.44 | 0.9× |
| Bone Imaging Multiple Areas (78305) | $450.99 | $1,789.65 | 1.1× |
| Bone Imaging Whole Body (78306) | $560.38 | $2,223.73 | 1.4× |
| Bone marrow imaging limited area (78102) | $274.61 | $1,089.72 | 0.7× |
| Bone marrow imaging; whole body (78104) | $448.14 | $1,778.33 | 1.1× |
| Bone survey infant (77076) | $213.02 | $845.31 | 2.0× |
| Brachytx isodose complex (77318) | $1,448.67 | $5,748.70 | 3.9× |
| Brachytx isodose intermed (77317) | $904.83 | $3,590.58 | 2.4× |
| Brachytx Isodose Plan Simple (77316) | $844.95 | $3,352.96 | 2.3× |
| Brain Image W/Flow < 4 Views (78601) | $599.87 | $2,380.42 | 1.5× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $603.75 | $2,395.83 | 1.1× |
| Brain Imaging Pet Metabolic Evaluation (78608) range across 2 matching MRF lines |
$1,661.69–$1,808.66 | $6,594–$7,177.21 | varies |
| Cardiac MRI w/w/o contrast & further seq (75561) | $780.89 | $3,098.78 | 2.2× |
| Cardiac Shunt Detection (78428) | $511.35 | $2,029.16 | 1.3× |
| Cat Scan Follow-Up Study (76380) | $281.41 | $1,116.72 | 3.2× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $365.60 | $1,450.80 | 0.7× |
| Cerebrospinal fluid flow, imaging (not including introduction of material); ventriculography Non-Facility (78635) | $280.99 | $1,115.02 | 0.5× |
| Cerebrospinal Fluid Scan (78630) | $620.34 | $2,461.66 | 1.1× |
| Chest 1 view (71045) | $96.69 | $383.69 | 1.1× |
| Chest 2 views (71046) | $117.75 | $467.28 | 1.4× |
| Chest 3 views (71047) | $131.04 | $520 | 1.5× |
| Chest 4 or more views (71048) | $162.45 | $644.63 | 1.6× |
| Clavicle complete (73000) | $136 | $539.67 | 1.6× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $237.76 | $943.51 | 2.3× |
| Continuing medical physics consltj pr wk (77336) | $293.46 | $1,164.51 | 2.2× |
| Contrast Exam Abdominl Aorta (75625) | $1,324.53 | $5,256.09 | 0.4× |
| Contrast X-Ray Bladder (74430) | $266.54 | $1,057.68 | 0.8× |
| Contrast X-Ray Of Elbow (73085) | $530.45 | $2,104.96 | 1.5× |
| Contrast X-Ray Of Knee Joint (73580) | $489.66 | $1,943.09 | 1.4× |
| Contrast Xray Throat/Cerv Esopha (74210) | $224.71 | $891.72 | 1.3× |
| Corpora cavernosography (74445) | $251.56 | $998.26 | 2.4× |
| CT abdomen and pelvis without and with contrast (74178) | $1,587.60 | $6,300 | 4.5× |
| CT abdomen and pelvis without contrast (74176) | $1,231.06 | $4,885.14 | 5.2× |
| CT abdomen w contrast (74160) | $781.91 | $3,102.82 | 4.5× |
| CT abdomen w wo contrast (74170) | $925.89 | $3,674.15 | 5.3× |
| CT abdomen w/o contrast (74150) | $623.02 | $2,472.31 | 5.9× |
| CT Angio Abdomen and Pelvis (74174) | $1,671.20 | $6,631.76 | 4.8× |
| CT Angio Chest (71275) | $871.58 | $3,458.64 | 5.0× |
| CT Angio Head (70496) | $955.36 | $3,791.10 | 5.4× |
| CT angio hrt w/3d image (75574) range across 2 matching MRF lines |
$560.39–$632.29 | $2,223.77–$2,509.08 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $887.45 | $3,521.63 | 5.1× |
| CT Angio Neck (70498) | $854.82 | $3,392.13 | 4.9× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $873.18 | $3,465 | 5.0× |
| CT Cere Prfuj Alys C+ W/O CT/Cta Same Anatomy (70473) | $433.51 | $1,720.28 | 2.5× |
| CT cervical spine w/ contrast (72126) | $795.94 | $3,158.48 | 2.3× |
| CT cervical spine w/o contrast (72125) | $722.77 | $2,868.14 | 6.9× |
| CT cervical spine w/wo cont (72127) | $1,390.11 | $5,516.30 | 7.9× |
| CT chest w contrast (71260) | $734.70 | $2,915.46 | 4.2× |
| CT chest w/wo contrast (71270) | $845.27 | $3,354.23 | 4.8× |
| CT head/brain with contrast (70460) | $762.46 | $3,025.62 | 4.3× |
| CT head/brain without and with contrast (70470) | $814.96 | $3,233.98 | 4.6× |
| CT heart contrast eval cardiac structure&morph (75572) | $487.57 | $1,934.80 | 1.4× |
| CT heart no contrast quant eval coronry calcium (75571) | $140.08 | $555.89 | 1.6× |
| CT hrt w/3d image congen (75573) | $587.35 | $2,330.77 | 1.7× |
| CT iac w contrast (70481) | $738.50 | $2,930.55 | 4.2× |
| CT l-spine w&w/o contrast (72133) | $1,005.06 | $3,988.33 | 5.7× |
| CT lower ext w/o (73700) range across 3 matching MRF lines |
$570.69–$856.04 | $2,264.66–$3,396.99 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$660.33–$990.50 | $2,620.36–$3,930.54 | varies |
| CT lumbar spine w contrast (72132) | $800.99 | $3,178.53 | 2.3× |
| CT lumbar spine w/o contrast (72131) | $709.58 | $2,815.80 | 6.8× |
| CT maxillofacial w contrast (70487) | $707.92 | $2,809.22 | 4.0× |
| CT maxillofacial wo contrast (70486) | $599.91 | $2,380.61 | 5.7× |
| CT neck tissue combo (70492) | $809.50 | $3,212.32 | 4.6× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $949.47 | $3,767.75 | 5.4× |
| CT orbits w/o contrast (70480) | $618 | $2,452.38 | 5.9× |
| CT pelvis w&w/o contrast (72194) | $965.22 | $3,830.22 | 5.5× |
| CT pelvis w/o contrast (72192) | $637.04 | $2,527.93 | 6.1× |
| CT scan of leg combo (73702) range across 3 matching MRF lines |
$990.73–$1,180.85 | $3,931.45–$4,685.93 | varies |
| CT scans face/jaw combo (70488) | $1,126.91 | $4,471.88 | 6.4× |
| CT soft tissue neck w contrast (70491) | $699.06 | $2,774.05 | 4.0× |
| CT soft tissue neck w/o contrast (70490) | $533.13 | $2,115.59 | 5.1× |
| CT thoracic spine w contrast (72129) | $784.91 | $3,114.72 | 4.5× |
| CT thoracic spine w/o contrast (72128) | $731.77 | $2,903.83 | 7.0× |
| CT thoracic spine w/wo cont (72130) | $1,117.13 | $4,433.07 | 6.4× |
| CT thorax w/o contrast (71250) | $659.85 | $2,618.44 | 6.3× |
| CT upper ext wo (73200) range across 3 matching MRF lines |
$565.82–$848.73 | $2,245.32–$3,367.98 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 2 matching MRF lines |
$853.76–$1,207.24 | $3,387.93–$4,790.63 | varies |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$644.88–$967.32 | $2,559.06–$3,838.59 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,125.58 | $4,466.60 | 6.4× |
| Cta Abdomen (74175) | $928.98 | $3,686.42 | 5.3× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $1,810.17 | $7,183.23 | 5.2× |
| CTA pelvis (72191) | $1,110.53 | $4,406.85 | 6.3× |
| Dilation ureters/urethra rs&i (74485) | $857.02 | $3,400.88 | 0.4× |
| Discography Cerv/Thor Spine (72285) | $2,322.16 | $9,214.91 | 1.2× |
| Diskography lumbar (72295) | $1,967.71 | $7,808.38 | 1.0× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) | $160.66 | $637.52 | 1.5× |
| Doppler Echo Fetal Spectral Display Complete (76827) range across 2 matching MRF lines |
$91.11–$202.46 | $361.54–$803.42 | varies |
| Doppler Fetal Mid Cerebral Artery (76821) range across 3 matching MRF lines |
$84.34–$124.93 | $334.67–$495.74 | varies |
| Dxa Bone Density Axial (77080) | $147.44 | $585.09 | 1.4× |
| Echo exam of fetal heart (76825) range across 3 matching MRF lines |
$201.12–$424.12 | $798.08–$1,683.01 | varies |
| Echo exam uterus (76831) | $276.79 | $1,098.36 | 1.2× |
| Echo Guide For Artery Repair (76936) | $295.02 | $1,170.70 | 1.4× |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) range across 2 matching MRF lines |
$199.43–$303.69 | $791.39–$1,205.13 | varies |
| Echograp Trans R Pros Study (76873) | $232.31 | $921.85 | 2.2× |
| Esophagram (74220) | $163.27 | $647.88 | 0.9× |
| Fetal Biophys Profile W/Nst (76818) range across 3 matching MRF lines |
$138.98–$308.85 | $551.52–$1,225.60 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 2 matching MRF lines |
$71.23–$151.88 | $282.65–$602.68 | varies |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$227.53–$227.86 | $902.88–$904.22 | varies |
| Follow-Up Angiography (75898) | $810.50 | $3,216.26 | 0.3× |
| Foot 2 views (73620) | $114.17 | $453.06 | 1.3× |
| Forearm 2 views (73090) | $105.99 | $420.60 | 1.2× |
| Gastric emptying imaging study (78264) | $522.92 | $2,075.08 | 1.3× |
| Gastroesophageal Reflux Exam (78262) | $395.34 | $1,568.81 | 1.0× |
| Gated Heart Planar Single (78472) | $540.99 | $2,146.78 | 1.4× |
| Gated Heart, Multiple (78473) | $805.88 | $3,197.94 | 2.0× |
| Hand 2 views (73120) | $134.42 | $533.40 | 1.3× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77772) | $2,970.51 | $11,787.72 | 4.3× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) | $2,070.30 | $8,215.46 | 3.0× |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) | $1,660.66 | $6,589.91 | 2.4× |
| Heart first pass single,planar (78481) | $426.26 | $1,691.50 | 0.8× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $1,589.38 | $6,307.08 | 0.5× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $1,519.73 | $6,030.68 | 0.5× |
| Hepatobil Syst Image W/Drug (78227) | $730.56 | $2,899.04 | 1.3× |
| Hepatobiliary System Imaging (78226) | $608.03 | $2,412.83 | 1.5× |
| Ht Muscle Image Spect Sing (78451) | $1,310.06 | $5,198.64 | 1.0× |
| Hysterosalpingogram (74740) | $291.10 | $1,155.17 | 1.2× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $126.86 | $503.43 | 1.5× |
| Infant hip ultrasound, limited static exam (76886) | $204.12 | $810 | 2.3× |
| Interstitial radiation source applic complex (77778) | $1,930.88 | $7,662.21 | 2.8× |
| Intracavitary Radiation Source Applic Complex (77763) | $2,560.85 | $10,162.09 | 3.7× |
| Intracavitary Radiation Source Applic Intermed (77762) | $2,305.85 | $9,150.21 | 4.2× |
| Intracavitary radiation source applic simple (77761) | $1,611.98 | $6,396.73 | 2.9× |
| K Flow/Funct Image Multiple (78709) | $1,060.28 | $4,207.48 | 1.9× |
| K Flow/Funct Image W/Drug (78708) | $584.06 | $2,317.68 | 1.1× |
| K Flow/Funct Image W/O Drug (78707) | $545.40 | $2,164.28 | 1.0× |
| Kidney Imaging Morphol (78700) | $421.72 | $1,673.49 | 1.1× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $620.51 | $2,462.35 | 1.5× |
| Knee 3 Views (73562) | $130.18 | $516.58 | 1.5× |
| Leveen/Shunt Patency Exam (78291) | $345.69 | $1,371.77 | 0.9× |
| Liver & Spleen Imaging Static Only (78215) | $483.60 | $1,919.03 | 1.2× |
| Liver imaging w/vascular flow (78202) | $492.09 | $1,952.73 | 0.9× |
| Lung Perf&Ventilat Diferentl (78598) | $666.65 | $2,645.44 | 1.2× |
| Lung perfusion differential (78597) | $489.77 | $1,943.55 | 1.2× |
| Lung Ventilat&Perfus Imaging (78582) | $567.97 | $2,253.85 | 1.0× |
| Lung Ventilation Imaging (78579) | $454.09 | $1,801.95 | 1.1× |
| Lymph System Imaging (78195) | $540.91 | $2,146.46 | 1.0× |
| Magnetic Image Jaw Joint (70336) range across 2 matching MRF lines |
$785.56–$1,178.34 | $3,117.30–$4,675.95 | varies |
| Mammary ductogram or galactogram single (77053) | $347.52 | $1,379.04 | 1.5× |
| Meckels Divert Exam (78290) | $437.66 | $1,736.75 | 1.1× |
| Mlc imrt design & construction per imrt plan (77338) | $1,428.92 | $5,670.30 | 3.8× |
| Mra Head W/O & W/Contrast Material (70546) | $1,167.02 | $4,631.04 | 3.3× |
| MRA head w/o contrast (70544) | $770.74 | $3,058.48 | 3.2× |
| MRA head with contrast (70545) | $1,093.33 | $4,338.60 | 3.1× |
| MRA neck w contrast (70548) | $878.44 | $3,485.88 | 2.5× |
| Mra Neck W/O &W/Contrast Material (70549) | $1,125.58 | $4,466.60 | 3.2× |
| MRA neck w/o contrast (70547) | $789.81 | $3,134.16 | 3.3× |
| MRI abdomen w contrast (74182) | $1,137.91 | $4,515.51 | 3.3× |
| MRI abdomen w/o contrast (74181) | $867.87 | $3,443.92 | 3.6× |
| MRI any jt lower extrem w/contrast material (73722) | $904.89 | $3,590.84 | 1.2× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $1,097.78 | $4,356.28 | 3.1× |
| MRI any jt upper extremity w/contrast matrl (73222) | $969.37 | $3,846.71 | 1.2× |
| MRI bone marrow blood supply (77084) | $384.07 | $1,524.10 | 1.6× |
| MRI brain functional w/o physician admnistration (70554) | $979.05 | $3,885.11 | 4.1× |
| MRI brain functional w/physician admnistration (70555) | $528.62 | $2,097.68 | 2.2× |
| MRI Breast W/O Contrast Bilateral (77047) | $1,121.90 | $4,452 | 4.7× |
| MRI Breast Without Contrast Material Unilateral (77046) | $747.94 | $2,968 | 3.1× |
| MRI cardiac w/o contrast (75557) | $644.82 | $2,558.79 | 2.7× |
| MRI cervical spine w contrast (72142) | $1,230.69 | $4,883.71 | 3.5× |
| MRI cervical spine w/o cont (72141) | $879.07 | $3,488.36 | 3.7× |
| MRI chest w/o contrast (71550) | $769.94 | $3,055.32 | 3.2× |
| MRI chest with contrast (71551) | $1,280.04 | $5,079.54 | 1.6× |
| MRI chest wo w contrast (71552) | $1,259.51 | $4,998.07 | 3.6× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $998.42 | $3,961.99 | 2.9× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $1,150.93 | $4,567.17 | 3.3× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $782.76 | $3,106.20 | 3.3× |
| MRI lumbar spine w contrast (72149) | $1,056.73 | $4,193.36 | 3.0× |
| Mri Neck Spine W/O & W/Dye (72156) | $1,292.23 | $5,127.89 | 3.7× |
| MRI orbit face &/neck w/o contrast (70540) | $844.40 | $3,350.80 | 3.5× |
| MRI orbit face neck w contrast (70542) | $1,152.33 | $4,572.72 | 3.3× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $1,168.46 | $4,636.76 | 3.3× |
| MRI pelvis w contrast (72196) | $1,160.47 | $4,605.05 | 3.3× |
| MRI pelvis w/o & w contrast (72197) | $1,170.39 | $4,644.39 | 3.3× |
| MRI pelvis w/o contrast (72195) | $901.56 | $3,577.60 | 3.8× |
| MRI spectroscopy (76390) | $1,342.79 | $5,328.55 | 15.4× |
| MRI thoracic spine w/o contrast (72146) | $912.73 | $3,621.94 | 3.8× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $1,582.01 | $6,277.81 | 4.5× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $814.89 | $3,233.69 | 3.4× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $1,079.39 | $4,283.28 | 3.1× |
| MRI, abdomen, combo (74183) | $1,271.63 | $5,046.17 | 3.6× |
| MRI, dorsal spine combo (72157) | $1,405.60 | $5,577.79 | 4.0× |
| MRI, dorsal spine contrast (72147) | $1,277.82 | $5,070.72 | 3.7× |
| MRI, joint upper extrem (73221) | $835.19 | $3,314.26 | 3.5× |
| MRI, joint upper extrem combo (73223) | $1,144.77 | $4,542.72 | 3.3× |
| MRI, lumbar spine combo (72158) | $1,161.04 | $4,607.29 | 3.3× |
| Myelogram cervical (72240) | $827.72 | $3,284.61 | 1.1× |
| Myelogram Lumbar (72265) | $495.93 | $1,967.97 | 0.6× |
| Myelography thoracic (72255) | $513.05 | $2,035.93 | 0.7× |
| Myelograpy 2/more regions rs&i (72270) | $868.06 | $3,444.69 | 1.1× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $329.75 | $1,308.52 | 0.8× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) | $1,683.04 | $6,678.72 | 1.3× |
| Myocardial Spect Multiple Studies (78452) | $1,419.60 | $5,633.34 | 1.1× |
| N-invas est c ffr sw aly CTA (75580) | $1,513.91 | $6,007.59 | 1.8× |
| Neck soft tissue (70360) | $102.21 | $405.60 | 1.2× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $313.31 | $1,243.30 | 0.8× |
| Nm csf leak detection (78650) | $770.20 | $3,056.35 | 0.6× |
| Nm myocard infarct spect (78469) | $528.48 | $2,097.13 | 1.0× |
| Nm unlisted gi procedure (78299) | $286.57 | $1,137.20 | 0.7× |
| Nm whole blood volume (78122) | $249.23 | $989 | 0.5× |
| Nonvascular Shunt X-Ray (75809) | $178.62 | $708.80 | 1.7× |
| Ntsty modul radthx pln dose-vol histos (77301) | $3,556.05 | $14,111.31 | 2.6× |
| Nuclear Rx Intra-Arterial (79445) | $329.17 | $1,306.24 | 1.4× |
| Nuclear Rx Oral Admin (79005) | $451.87 | $1,793.13 | 1.9× |
| Ob us nuchal meas 1 gest (76813) range across 2 matching MRF lines |
$67.84–$133.62 | $269.19–$530.25 | varies |
| Panoramic X-ray of jaws (70355) | $103.57 | $411.01 | 1.2× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $541.31 | $2,148.06 | 1.0× |
| Parathyroid Planar Imaging (78070) | $443.99 | $1,761.85 | 1.1× |
| Pelvis 1 or 2 views (72170) | $103.52 | $410.79 | 1.0× |
| Pet Image W/Ct Lmtd (78814) range across 4 matching MRF lines |
$1,588.11–$2,282.59 | $6,302.04–$9,057.91 | varies |
| PET image w/CT, full body (78816) range across 2 matching MRF lines |
$2,042.13–$2,219.58 | $8,103.68–$8,807.85 | varies |
| PET imaging CT attenuation skull base mid-thigh (78815) range across 2 matching MRF lines |
$1,973.93–$2,039.61 | $7,833.04–$8,093.70 | varies |
| Pulmonary Perfusion Imaging Particulate (78580) | $429.01 | $1,702.44 | 1.1× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $165.45 | $656.53 | 1.6× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $281.08 | $1,115.39 | 0.5× |
| Radex Ankle Complete Minimum 3 Views (73610) | $129.03 | $512.04 | 1.5× |
| Radex Calcaneus Minimum 2 Views (73650) | $97.90 | $388.49 | 1.1× |
| Radex elbow complete minimum 3 views (73080) | $126.06 | $500.24 | 1.4× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $142.82 | $566.76 | 1.4× |
| Radex fingr minimum 2 views (73140) | $87.88 | $348.72 | 1.0× |
| Radex foot complete minimum 3 views (73630) | $126.03 | $500.10 | 1.4× |
| Radex Hand Minimum 3 Views (73130) | $139.16 | $552.21 | 1.6× |
| Radex lower extremity infant minimum 2 views (73592) | $142.20 | $564.30 | 1.6× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $47.38 | $188 | 0.5× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $101.34 | $402.15 | 1.2× |
| Radex Ribs Unilateral 2 Views (71100) | $110.12 | $436.99 | 1.3× |
| Radex shoulder complete minimum 2 views (73030) | $122.77 | $487.17 | 1.4× |
| Radex Sinuses Paransl < 3 Views (70210) | $76.04 | $301.73 | 0.9× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $200.07 | $793.93 | 1.1× |
| Radex Spine 1 View Specify Level (72020) | $95.92 | $380.63 | 1.1× |
| Radex Sternum Minimum 2 Views (71120) | $115.30 | $457.52 | 1.3× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $133.56 | $530 | 1.5× |
| Radex Toe Minimum 2 Views (73660) | $91.80 | $364.29 | 1.1× |
| Radex upper extremity infant minimum 2 views (73092) | $139.01 | $551.62 | 1.3× |
| Radex Wrist Complete Minimum 3 Views (73110) | $123.34 | $489.46 | 1.4× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $278.83 | $1,106.48 | 2.7× |
| Radiation Delivery Stereotactic Cranial Linear (77372) range across 2 matching MRF lines |
$6,005.16–$7,426.26 | $23,830–$29,469.27 | varies |
| Radiation treatment delivery level 1 (77402) | $535.50 | $2,125 | 5.2× |
| Radiation treatment delivery level 2 (77407) | $919.72 | $3,649.68 | 2.4× |
| Radiation treatment delivery level 3 (77412) | $1,076.42 | $4,271.52 | 1.9× |
| Radiolog exam mandible compl minimum 4 views (70110) | $140.51 | $557.56 | 1.3× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $154.16 | $611.75 | 1.5× |
| Radiologic exam colon double contrast study (74280) | $317.53 | $1,260.03 | 1.8× |
| Radiologic exam colon single contrast study (74270) | $309.60 | $1,228.58 | 1.8× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $225.74 | $895.79 | 1.3× |
| Radiologic exam knee complete 4/more views (73564) | $171.47 | $680.44 | 1.6× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $145.65 | $577.96 | 1.4× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $207.95 | $825.18 | 1.2× |
| Radiologic exam swallow function contrast study (74230) | $204.68 | $812.21 | 1.2× |
| Radiologic exam teeth complete full mouth (70320) | $43.03 | $170.76 | 0.2× |
| Radiologic Exam Teeth Prtl Exam < Full Mouth (70310) | $42.99 | $170.60 | 0.2× |
| Radiologic exam upr gi trc double contrast study (74246) | $242.16 | $960.96 | 1.4× |
| Radiologic examination femur 1 view (73551) | $77.79 | $308.70 | 0.9× |
| Radiologic examination femur minimum 2 views (73552) | $118.49 | $470.19 | 1.4× |
| Radiologic examination knee 1/2 views (73560) | $111.37 | $441.95 | 1.3× |
| Radiologic Examination Osseous Survey Limited (77074) | $220.85 | $876.40 | 2.1× |
| Radiologic examination tibia & fibula 2 views (73590) | $115.15 | $456.95 | 1.3× |
| Radiopharmaceutical therapy, by intracavitary administration Non-Facility (79200) | $223.78 | $888 | 1.0× |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77768) | $246.94 | $979.91 | 0.6× |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77767) | $314.37 | $1,247.51 | 0.8× |
| Renal Cyst Study (74470) | $271.85 | $1,078.77 | 0.5× |
| Ribs bilateral 3 views (71110) | $165.18 | $655.49 | 1.6× |
| Rp loclzj tum plnr 1 area single day imaging (78800) range across 2 matching MRF lines |
$442.87–$555.46 | $1,757.43–$2,204.20 | varies |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $1,240.23 | $4,921.56 | 3.1× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $1,170.29 | $4,644 | 2.2× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) range across 2 matching MRF lines |
$912–$1,381.85 | $3,619.03–$5,483.55 | varies |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $826.82 | $3,281.04 | 1.5× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $989.91 | $3,928.20 | 0.8× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $1,743.59 | $6,919 | 1.2× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $1,075.05 | $4,266.08 | 0.8× |
| Rp Ther Radiolbld Monoclonal Antibody IV Infus (79403) | $457.72 | $1,816.33 | 2.0× |
| Rp Therapy Intravenous Administration (79101) | $341.80 | $1,356.33 | 1.5× |
| Salivary Gland Function Study (78232) | $444.27 | $1,762.99 | 1.1× |
| Scapula (73010) | $130.14 | $516.44 | 1.2× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $31.82 | $126.26 | 1.4× |
| Sella turcica (70240) | $19.15 | $76 | 0.2× |
| Shoulder 1 view (73020) | $91.72 | $363.98 | 1.1× |
| Shoulder Arthrography (73040) | $380.81 | $1,511.16 | 1.1× |
| Sialogram (70390) | $238.03 | $944.57 | 1.0× |
| Skull less than 4 views (70250) | $134.38 | $533.26 | 1.3× |
| Special dosimetry (77331) | $281.83 | $1,118.37 | 2.1× |
| Special Physics Consult (77370) | $504.24 | $2,000.96 | 3.7× |
| Special teletherapy port plan (77321) | $449.34 | $1,783.11 | 1.2× |
| Special treatment procedure (77470) | $979.08 | $3,885.24 | 1.8× |
| Stereotactic Body Radiation Delivery (77373) | $5,270.16 | $20,913.32 | 2.9× |
| Sternoclavicular joints (71130) | $97.03 | $385.02 | 1.1× |
| Tbs technical calculation only (77091) | $53.53 | $212.43 | 0.6× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $1,307.90 | $5,190.09 | 3.5× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $684.55 | $2,716.46 | 1.8× |
| Testicular Imaging W/Flow (78761) | $596.54 | $2,367.21 | 1.5× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $960.89 | $3,813.05 | 2.6× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $568.25 | $2,254.95 | 1.5× |
| Ther rad simulaj-aided field setting simple (77280) | $360.34 | $1,429.92 | 2.7× |
| Thoracic spine 2 views (72070) | $118.20 | $469.04 | 1.1× |
| Thoracic spine 3 views (72072) | $147.81 | $586.53 | 1.4× |
| Thoracolumbar 2 views (72080) | $110.65 | $439.09 | 1.3× |
| Thyroid Carcinoma Metastases Img Lmtd Area (78015) | $425.89 | $1,690.03 | 1.1× |
| Thyroid Imaging With Vascular Flow (78013) | $292.36 | $1,160.17 | 0.7× |
| Thyroid Met Imaging Body (78018) | $630.17 | $2,500.66 | 1.2× |
| Thyroid Uptake Measurement (78012) | $256.16 | $1,016.50 | 0.6× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $414.64 | $1,645.38 | 1.0× |
| Tx Devices Design & Construction Complex (77334) | $573.10 | $2,274.22 | 1.5× |
| Tx devices design & construction intermediate (77333) | $320.74 | $1,272.78 | 2.4× |
| Tx devices design & construction simple (77332) | $266.54 | $1,057.71 | 2.0× |
| Ultrasound Breast Limited (76642) range across 4 matching MRF lines |
$177.19–$265.78 | $703.12–$1,054.68 | varies |
| Ultrasound Elastography Parenchyma (76981) | $129.88 | $515.38 | 1.2× |
| Ultrasound Exam Aaa Screen (76706) | $142.17 | $564.18 | 1.4× |
| Ultrasound, abdomen limited (76705) | $249.70 | $990.89 | 2.4× |
| Umbilical-artery Doppler (OB) (76820) range across 2 matching MRF lines |
$54.01–$98.08 | $214.33–$389.21 | varies |
| Unlisted Dx Radiographic Procedure (76499) range across 2 matching MRF lines |
$184.01–$276.01 | $730.18–$1,095.27 | varies |
| Unlisted fluoroscopic procedure (76496) | $87.29 | $346.37 | 1.0× |
| Unlisted Miscellaneous Px Dx Nuclear Medicine (78999) | $257.61 | $1,022.27 | 0.6× |
| Unlisted Procedure Clinical Brachytherapy (77799) | $670.09 | $2,659.10 | 6.6× |
| Unlisted us procedure (76999) | $128.38 | $509.45 | 1.5× |
| Upper gi w/o kub (74240) | $220.15 | $873.60 | 1.3× |
| Ureteral Reflux Study (78740) | $593.96 | $2,357 | 1.5× |
| Urethrocystogram voiding (74455) | $323.23 | $1,282.66 | 1.4× |
| Urethrocystography retrograde (74450) | $330.95 | $1,313.28 | 1.4× |
| Us breast unilateral complete (76641) range across 4 matching MRF lines |
$270.85–$406.27 | $1,074.80–$1,612.20 | varies |
| Us chest (76604) | $195.86 | $777.24 | 1.9× |
| Us complete joint (76881) range across 2 matching MRF lines |
$101.37–$225.26 | $402.25–$893.88 | varies |
| Us exam, pelvic, limited (76857) | $180.72 | $717.13 | 1.7× |
| Us head (76506) | $185.91 | $737.74 | 1.8× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 3 matching MRF lines |
$81.56–$160.62 | $323.64–$637.38 | varies |
| Us ob detailed single fetus (76811) range across 2 matching MRF lines |
$132.21–$293.79 | $524.63–$1,165.84 | varies |
| Us ob limited 1 or more fetuses (76815) range across 3 matching MRF lines |
$63.30–$140.67 | $251.20–$558.23 | varies |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$81.73–$181.62 | $324.32–$720.72 | varies |
| Us pelvic non ob complete (76856) | $301.74 | $1,197.39 | 2.9× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$107.71–$239.35 | $427.42–$949.82 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 2 matching MRF lines |
$82.56–$183.47 | $327.63–$728.07 | varies |
| Us retroperitoneal complete (76770) | $295.44 | $1,172.40 | 2.8× |
| Us retroperitoneal limited (76775) | $236.71 | $939.32 | 2.3× |
| Us scrotum and contents (76870) | $290.05 | $1,150.98 | 2.8× |
| Us spinal canal and contents (76800) | $233.97 | $928.45 | 2.2× |
| Us thyroid (76536) range across 2 matching MRF lines |
$122.90–$273.10 | $487.68–$1,083.73 | varies |
| Us transrectal (76872) | $161.82 | $642.14 | 1.5× |
| Vascular Flow Imaging (78445) | $243.45 | $966.07 | 0.6× |
| Vein X-Ray Chest (75827) | $857.76 | $3,403.80 | 0.5× |
| Vein X-Ray Skull Epidural (75872) | $561.97 | $2,230.02 | 0.9× |
| Venogram Sinus/Jugular (75860) | $1,207.66 | $4,792.32 | 0.4× |
| Venography Adrenal Unilateral (75840) | $2,927.16 | $11,615.70 | 0.9× |
| Venography caval inferior serialography rs&i (75825) | $1,586.83 | $6,296.94 | 0.5× |
| Venography extremity bilateral rs&i (75822) | $961.92 | $3,817.16 | 0.6× |
| Venography extremity unilateral rs&i (75820) | $641.28 | $2,544.77 | 0.4× |
| Venography Renal Bilateral (75833) | $2,822.41 | $11,200.02 | 0.9× |
| Venography Renal Unilateral (75831) | $1,881.60 | $7,466.68 | 0.6× |
| Venous sampling by catheter (75893) unusually low: confirm this is the full procedure |
$1,790.01 | $7,103.20 | 0.3× |
| Venous Thrombosis Imaging Venogram Bilateral (78458) | $220.67 | $875.67 | 0.6× |
| Wrist 2 views (73100) | $100.81 | $400.04 | 1.2× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $120.75 | $479.15 | 1.4× |
| X-ray antegrade pyelogram tube (74425) | $449.06 | $1,782 | 1.3× |
| X-Ray Aorta Leg Arteries (75630) | $1,721.22 | $6,830.22 | 0.5× |
| X-Ray Bend Only L-S Spine (72120) | $129.52 | $513.96 | 1.2× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $96.69 | $383.71 | 1.1× |
| X-Ray Exam Breast Specimen (76098) | $249.94 | $991.83 | 0.5× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $85.19 | $338.04 | 1.0× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $150.01 | $595.27 | 1.4× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $253.13 | $1,004.47 | 2.4× |
| X-Ray Exam Hip Uni 1 View (73501) | $84.70 | $336.13 | 1.0× |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 3 matching MRF lines |
$94.84–$107.25 | $376.36–$425.61 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) range across 2 matching MRF lines |
$42.46–$269.50 | $168.48–$1,069.43 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) | $189.69 | $752.72 | 1.8× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $223.83 | $888.21 | 2.1× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $228.14 | $905.30 | 2.2× |
| X-Ray Exam L-S Spine Bending (72114) | $210.42 | $835 | 2.0× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $136.28 | $540.80 | 1.6× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $220.37 | $874.47 | 2.1× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $142.53 | $565.58 | 1.4× |
| X-ray eye for foreign body (70030) | $83.01 | $329.40 | 1.0× |
| X-ray humerus (73060) | $108.73 | $431.45 | 1.2× |
| X-ray IV pyelogram (ivp) (74400) | $415.23 | $1,647.72 | 2.4× |
| X-ray IV pyelogram+tomography (74415) | $278.88 | $1,106.68 | 1.6× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $89.95 | $356.93 | 1.0× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $121.01 | $480.19 | 1.4× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $140.19 | $556.30 | 1.3× |
| X-ray nose-rectum child f.b. (76010) | $117.48 | $466.20 | 1.3× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $188.13 | $746.55 | 1.8× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $115.37 | $457.80 | 1.1× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $112.51 | $446.48 | 1.1× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $115.24 | $457.32 | 1.3× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $135.03 | $535.82 | 1.5× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $166.79 | $661.88 | 1.6× |
| X-ray thoracic spine 4 vw (72074) | $161.67 | $641.55 | 1.5× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $280.67 | $1,113.76 | 0.8× |
| X-Rays Bone Length Studies (77073) | $163.29 | $647.99 | 1.6× |
| X-Rays Bone Survey Complete (77075) | $287.53 | $1,140.98 | 2.7× |
| Xr c-spine 4 or 5 views (72050) | $180.26 | $715.33 | 1.7× |
| Xr facial bones less than 3 views (70140) | $94.84 | $376.36 | 1.1× |
| Xr orbits complete 4 views (70200) | $153.10 | $607.55 | 1.5× |
| Xr Tomogram Single Plane (76100) | $454.62 | $1,804.06 | 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.