Imaging prices at Cox Monett Hospital
Monett, MO · every code in this section with a posted price and a Medicare benchmark.
317 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) | $123.70 | $405.56 | 1.4× |
| Abdomen 2 views (74019) | $169.56 | $555.94 | 1.6× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $729.29 | $2,391.12 | 1.8× |
| Adrenal Cortex & Medulla Img (78075) | $1,293.51 | $4,241.02 | 1.0× |
| Angiography extremity bilateral rs&i (75716) | $2,327.97 | $7,632.69 | 0.7× |
| Angiography extremity unilateral rs&i (75710) | $1,551.98 | $5,088.46 | 0.5× |
| Ankle 2 views (73600) | $140.49 | $460.63 | 1.6× |
| Aortography thoracic serialography rs&i (75605) | $3,203.72 | $10,504 | 0.6× |
| Arthrogram ankle (73615) | $773.39 | $2,535.71 | 2.2× |
| Arthrogram hip (73525) | $495.22 | $1,623.66 | 1.4× |
| Arthrogram Wrist (73115) | $430.09 | $1,410.13 | 1.2× |
| Bone age studies (77072) | $161.67 | $530.05 | 1.5× |
| Bone Imaging 3 Phase (78315) | $718.25 | $2,354.91 | 1.8× |
| Bone Imaging Limited Area (78300) | $434.15 | $1,423.44 | 1.1× |
| Bone Imaging Multiple Areas (78305) | $545.84 | $1,789.65 | 1.4× |
| Bone Imaging Whole Body (78306) | $678.24 | $2,223.73 | 1.7× |
| Bone marrow imaging limited area (78102) | $332.36 | $1,089.72 | 0.8× |
| Bone marrow imaging; whole body (78104) | $542.39 | $1,778.33 | 1.4× |
| Bone survey infant (77076) | $257.82 | $845.31 | 2.5× |
| Brain Image W/Flow < 4 Views (78601) | $726.03 | $2,380.42 | 1.8× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $730.73 | $2,395.83 | 1.3× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $945.13 | $3,098.78 | 2.7× |
| Cardiac Shunt Detection (78428) | $618.89 | $2,029.16 | 1.5× |
| Cat Scan Follow-Up Study (76380) | $340.60 | $1,116.72 | 3.9× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $442.49 | $1,450.80 | 0.8× |
| Cerebrospinal fluid flow, imaging (not including introduction of material); ventriculography Non-Facility (78635) | $340.08 | $1,115.02 | 0.6× |
| Cerebrospinal Fluid Scan (78630) | $750.81 | $2,461.66 | 1.4× |
| Chest 1 view (71045) | $117.03 | $383.69 | 1.3× |
| Chest 2 views (71046) | $142.52 | $467.28 | 1.6× |
| Chest 3 views (71047) | $158.60 | $520 | 1.8× |
| Chest 4 or more views (71048) | $196.61 | $644.63 | 1.9× |
| Clavicle complete (73000) | $164.60 | $539.67 | 1.9× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $287.77 | $943.51 | 2.7× |
| Contrast Exam Abdominl Aorta (75625) | $1,603.11 | $5,256.09 | 0.5× |
| Contrast X-Ray Bladder (74430) | $322.59 | $1,057.68 | 0.9× |
| Contrast X-Ray Of Elbow (73085) | $642.01 | $2,104.96 | 1.8× |
| Contrast X-Ray Of Knee Joint (73580) | $592.64 | $1,943.09 | 1.7× |
| Contrast Xray Throat/Cerv Esopha (74210) | $271.97 | $891.72 | 1.5× |
| CT abdomen and pelvis without and with contrast (74178) | $1,921.50 | $6,300 | 5.5× |
| CT abdomen and pelvis without contrast (74176) | $1,489.97 | $4,885.14 | 6.2× |
| CT abdomen w contrast (74160) | $946.36 | $3,102.82 | 5.4× |
| CT abdomen w wo contrast (74170) | $1,120.62 | $3,674.15 | 6.4× |
| CT abdomen w/o contrast (74150) | $754.05 | $2,472.31 | 7.2× |
| CT Angio Abdomen and Pelvis (74174) | $2,022.69 | $6,631.76 | 5.8× |
| CT Angio Chest (71275) | $1,054.89 | $3,458.64 | 6.0× |
| CT Angio Head (70496) | $1,156.29 | $3,791.10 | 6.6× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $1,074.10 | $3,521.63 | 6.1× |
| CT Angio Neck (70498) | $1,034.60 | $3,392.13 | 5.9× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $1,056.83 | $3,465 | 6.0× |
| CT Cere Prfuj Alys C+ W/O CT/Cta Same Anatomy (70473) | $524.69 | $1,720.28 | 3.0× |
| CT cervical spine w/ contrast (72126) | $963.34 | $3,158.48 | 2.8× |
| CT cervical spine w/o contrast (72125) | $874.78 | $2,868.14 | 8.4× |
| CT chest w contrast (71260) | $889.22 | $2,915.46 | 5.1× |
| CT chest w/wo contrast (71270) | $1,023.04 | $3,354.23 | 5.8× |
| CT head/brain with contrast (70460) | $922.81 | $3,025.62 | 5.3× |
| CT head/brain without and with contrast (70470) | $986.36 | $3,233.98 | 5.6× |
| CT iac w contrast (70481) | $893.82 | $2,930.55 | 5.1× |
| CT l-spine w&w/o contrast (72133) | $1,216.44 | $3,988.33 | 6.9× |
| CT lower ext w/o (73700) | $690.72 | $2,264.66 | 6.6× |
| CT lower extremity w/contrast material (73701) | $799.21 | $2,620.36 | 4.5× |
| CT lumbar spine w contrast (72132) | $969.45 | $3,178.53 | 2.8× |
| CT lumbar spine w/o contrast (72131) | $858.82 | $2,815.80 | 8.2× |
| CT maxillofacial w contrast (70487) | $856.81 | $2,809.22 | 4.9× |
| CT maxillofacial wo contrast (70486) | $726.09 | $2,380.61 | 6.9× |
| CT neck tissue combo (70492) | $979.76 | $3,212.32 | 5.6× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,149.16 | $3,767.75 | 6.5× |
| CT orbits w/o contrast (70480) | $747.98 | $2,452.38 | 7.1× |
| CT pelvis w&w/o contrast (72194) | $1,168.22 | $3,830.22 | 6.6× |
| CT pelvis w/o contrast (72192) | $771.02 | $2,527.93 | 7.4× |
| CT scan of leg combo (73702) | $1,199.09 | $3,931.45 | 6.8× |
| CT scans face/jaw combo (70488) | $1,363.92 | $4,471.88 | 7.8× |
| CT soft tissue neck w contrast (70491) | $846.09 | $2,774.05 | 4.8× |
| CT soft tissue neck w/o contrast (70490) | $645.25 | $2,115.59 | 6.2× |
| CT thoracic spine w contrast (72129) | $949.99 | $3,114.72 | 5.4× |
| CT thoracic spine w/o contrast (72128) | $885.67 | $2,903.83 | 8.5× |
| CT thoracic spine w/wo cont (72130) | $1,352.09 | $4,433.07 | 7.7× |
| CT thorax w/o contrast (71250) | $798.62 | $2,618.44 | 7.6× |
| CT unlisted procedure (76497) | $177.07 | $580.56 | 2.0× |
| CT upper ext wo (73200) | $684.82 | $2,245.32 | 6.5× |
| CT upper extremity w/o & w/contrast material (73202) | $1,033.32 | $3,387.93 | 5.9× |
| CT upper extremity with contrast (73201) | $780.51 | $2,559.06 | 2.2× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,362.31 | $4,466.60 | 7.8× |
| Cta Abdomen (74175) | $1,124.36 | $3,686.42 | 6.4× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $2,190.89 | $7,183.23 | 6.3× |
| CTA pelvis (72191) | $1,344.09 | $4,406.85 | 7.7× |
| Doppler Fetal Mid Cerebral Artery (76821) | $151.20 | $495.74 | 1.4× |
| Dxa Bone Density Axial (77080) | $178.45 | $585.09 | 1.7× |
| Echo Guide For Artery Repair (76936) | $357.06 | $1,170.70 | 1.7× |
| Esophagram (74220) | $197.60 | $647.88 | 1.1× |
| Fetal Biophys Profile W/Nst (76818) | $373.81 | $1,225.60 | 3.6× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $183.82 | $602.68 | 1.8× |
| Fluoroscopy up to 1 hr (76000) | $275.79 | $904.22 | 1.2× |
| Follow-Up Angiography (75898) | $980.96 | $3,216.26 | 0.3× |
| Foot 2 views (73620) | $138.18 | $453.06 | 1.6× |
| Forearm 2 views (73090) | $128.28 | $420.60 | 1.5× |
| Gastric emptying imaging study (78264) | $632.90 | $2,075.08 | 1.6× |
| Gastroesophageal Reflux Exam (78262) | $478.49 | $1,568.81 | 1.2× |
| Gated Heart Planar Single (78472) | $654.77 | $2,146.78 | 1.6× |
| Gated Heart, Multiple (78473) | $975.37 | $3,197.94 | 2.4× |
| Hand 2 views (73120) | $162.69 | $533.40 | 1.6× |
| Heart first pass single,planar (78481) | $515.91 | $1,691.50 | 0.9× |
| Hepatobil Syst Image W/Drug (78227) | $884.21 | $2,899.04 | 1.6× |
| Hepatobiliary System Imaging (78226) | $735.91 | $2,412.83 | 1.8× |
| Ht Muscle Image Spect Sing (78451) | $1,585.59 | $5,198.64 | 1.2× |
| Hysterosalpingogram (74740) | $352.33 | $1,155.17 | 1.5× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $153.55 | $503.43 | 1.8× |
| Infant hip ultrasound, limited static exam (76886) | $247.05 | $810 | 2.8× |
| K Flow/Funct Image Multiple (78709) | $1,283.28 | $4,207.48 | 2.4× |
| K Flow/Funct Image W/Drug (78708) | $706.89 | $2,317.68 | 1.3× |
| K Flow/Funct Image W/O Drug (78707) | $660.11 | $2,164.28 | 1.2× |
| Kidney Imaging Morphol (78700) | $510.41 | $1,673.49 | 1.3× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $751.02 | $2,462.35 | 1.9× |
| Knee 3 Views (73562) | $157.56 | $516.58 | 1.8× |
| Leveen/Shunt Patency Exam (78291) | $418.39 | $1,371.77 | 1.0× |
| Liver & Spleen Imaging Static Only (78215) | $585.30 | $1,919.03 | 1.5× |
| Liver imaging w/vascular flow (78202) | $595.58 | $1,952.73 | 1.1× |
| Lung Perf&Ventilat Diferentl (78598) | $806.86 | $2,645.44 | 1.5× |
| Lung perfusion differential (78597) | $592.78 | $1,943.55 | 1.5× |
| Lung Ventilat&Perfus Imaging (78582) | $687.42 | $2,253.85 | 1.3× |
| Lung Ventilation Imaging (78579) | $549.59 | $1,801.95 | 1.4× |
| Lymph System Imaging (78195) | $654.67 | $2,146.46 | 1.2× |
| Magnetic Image Jaw Joint (70336) range across 2 matching MRF lines |
$950.78–$1,426.16 | $3,117.30–$4,675.95 | varies |
| Meckels Divert Exam (78290) | $529.71 | $1,736.75 | 1.3× |
| Mra Head W/O & W/Contrast Material (70546) | $1,412.47 | $4,631.04 | 4.0× |
| MRA head w/o contrast (70544) | $932.84 | $3,058.48 | 3.9× |
| MRA head with contrast (70545) | $1,323.27 | $4,338.60 | 3.8× |
| MRA neck w contrast (70548) | $1,063.19 | $3,485.88 | 3.0× |
| Mra Neck W/O &W/Contrast Material (70549) | $1,362.31 | $4,466.60 | 3.9× |
| MRA neck w/o contrast (70547) | $955.92 | $3,134.16 | 4.0× |
| MRI abdomen w contrast (74182) | $1,377.23 | $4,515.51 | 3.9× |
| MRI abdomen w/o contrast (74181) | $1,050.40 | $3,443.92 | 4.4× |
| MRI any jt lower extrem w/contrast material (73722) | $1,095.21 | $3,590.84 | 1.4× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $1,328.67 | $4,356.28 | 3.8× |
| MRI any jt upper extremity w/contrast matrl (73222) | $1,173.25 | $3,846.71 | 1.5× |
| MRI bone marrow blood supply (77084) | $464.85 | $1,524.10 | 1.9× |
| MRI cardiac w/o contrast (75557) | $780.43 | $2,558.79 | 3.3× |
| MRI cervical spine w contrast (72142) | $1,489.53 | $4,883.71 | 4.3× |
| MRI cervical spine w/o cont (72141) | $1,063.95 | $3,488.36 | 4.5× |
| MRI chest w/o contrast (71550) | $931.87 | $3,055.32 | 3.9× |
| MRI chest with contrast (71551) | $1,549.26 | $5,079.54 | 2.0× |
| MRI chest wo w contrast (71552) | $1,524.41 | $4,998.07 | 4.4× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $1,208.41 | $3,961.99 | 3.5× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $1,392.99 | $4,567.17 | 4.0× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $947.39 | $3,106.20 | 4.0× |
| MRI lumbar spine w contrast (72149) | $1,278.97 | $4,193.36 | 3.7× |
| Mri Neck Spine W/O & W/Dye (72156) | $1,564.01 | $5,127.89 | 4.5× |
| MRI orbit face &/neck w/o contrast (70540) | $1,021.99 | $3,350.80 | 4.3× |
| MRI orbit face neck w contrast (70542) | $1,394.68 | $4,572.72 | 4.0× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $1,414.21 | $4,636.76 | 4.0× |
| MRI pelvis w contrast (72196) | $1,404.54 | $4,605.05 | 4.0× |
| MRI pelvis w/o & w contrast (72197) | $1,416.54 | $4,644.39 | 4.1× |
| MRI pelvis w/o contrast (72195) | $1,091.17 | $3,577.60 | 4.6× |
| MRI thoracic spine w/o contrast (72146) | $1,104.69 | $3,621.94 | 4.6× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $1,914.73 | $6,277.81 | 5.5× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $986.28 | $3,233.69 | 4.1× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $1,306.40 | $4,283.28 | 3.7× |
| MRI, abdomen, combo (74183) | $1,539.08 | $5,046.17 | 4.4× |
| MRI, dorsal spine combo (72157) | $1,701.23 | $5,577.79 | 4.9× |
| MRI, dorsal spine contrast (72147) | $1,546.57 | $5,070.72 | 4.4× |
| MRI, joint upper extrem (73221) | $1,010.85 | $3,314.26 | 4.2× |
| MRI, joint upper extrem combo (73223) | $1,385.53 | $4,542.72 | 4.0× |
| MRI, lumbar spine combo (72158) | $1,405.22 | $4,607.29 | 4.0× |
| Myelogram cervical (72240) | $1,001.81 | $3,284.61 | 1.3× |
| Myelogram Lumbar (72265) | $600.23 | $1,967.97 | 0.8× |
| Myelography thoracic (72255) | $620.96 | $2,035.93 | 0.8× |
| Myelograpy 2/more regions rs&i (72270) | $1,050.63 | $3,444.69 | 1.3× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $399.10 | $1,308.52 | 1.0× |
| Myocardial Spect Multiple Studies (78452) | $1,718.17 | $5,633.34 | 1.3× |
| Neck soft tissue (70360) | $123.71 | $405.60 | 1.4× |
| Nm csf leak detection (78650) | $932.19 | $3,056.35 | 0.7× |
| Nm myocard infarct spect (78469) | $639.62 | $2,097.13 | 1.2× |
| Nm whole blood volume (78122) | $301.65 | $989 | 0.6× |
| Nonvascular Shunt X-Ray (75809) | $216.18 | $708.80 | 2.1× |
| Nuclear Rx Intra-Arterial (79445) | $398.40 | $1,306.24 | 1.7× |
| Nuclear Rx Oral Admin (79005) | $546.90 | $1,793.13 | 2.3× |
| Panoramic X-ray of jaws (70355) | $125.36 | $411.01 | 1.4× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $655.16 | $2,148.06 | 1.2× |
| Parathyroid Planar Imaging (78070) | $537.36 | $1,761.85 | 1.3× |
| Pelvis 1 or 2 views (72170) | $125.29 | $410.79 | 1.2× |
| Pulmonary Perfusion Imaging Particulate (78580) | $519.24 | $1,702.44 | 1.3× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $200.24 | $656.53 | 1.9× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $340.19 | $1,115.39 | 0.6× |
| Radex Ankle Complete Minimum 3 Views (73610) | $156.17 | $512.04 | 1.8× |
| Radex Calcaneus Minimum 2 Views (73650) | $118.49 | $388.49 | 1.4× |
| Radex elbow complete minimum 3 views (73080) | $152.57 | $500.24 | 1.8× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $172.86 | $566.76 | 1.7× |
| Radex fingr minimum 2 views (73140) | $106.36 | $348.72 | 1.2× |
| Radex foot complete minimum 3 views (73630) | $152.53 | $500.10 | 1.7× |
| Radex Hand Minimum 3 Views (73130) | $168.42 | $552.21 | 1.9× |
| Radex lower extremity infant minimum 2 views (73592) | $172.11 | $564.30 | 2.0× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $57.34 | $188 | 0.5× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $122.66 | $402.15 | 1.4× |
| Radex Ribs Unilateral 2 Views (71100) | $133.28 | $436.99 | 1.5× |
| Radex shoulder complete minimum 2 views (73030) | $148.59 | $487.17 | 1.7× |
| Radex Sinuses Paransl < 3 Views (70210) | $92.03 | $301.73 | 1.1× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $242.15 | $793.93 | 1.4× |
| Radex Spine 1 View Specify Level (72020) | $116.09 | $380.63 | 1.3× |
| Radex Sternum Minimum 2 Views (71120) | $139.54 | $457.52 | 1.6× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $161.65 | $530 | 1.9× |
| Radex Toe Minimum 2 Views (73660) | $111.11 | $364.29 | 1.3× |
| Radex upper extremity infant minimum 2 views (73092) | $168.24 | $551.62 | 1.6× |
| Radex Wrist Complete Minimum 3 Views (73110) | $149.29 | $489.46 | 1.7× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $337.48 | $1,106.48 | 3.2× |
| Radiolog exam mandible compl minimum 4 views (70110) | $170.06 | $557.56 | 1.6× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $186.58 | $611.75 | 1.8× |
| Radiologic exam colon double contrast study (74280) | $384.31 | $1,260.03 | 2.2× |
| Radiologic exam colon single contrast study (74270) | $374.72 | $1,228.58 | 2.1× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $273.22 | $895.79 | 1.6× |
| Radiologic exam knee complete 4/more views (73564) | $207.53 | $680.44 | 2.0× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $176.28 | $577.96 | 1.7× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $251.68 | $825.18 | 1.4× |
| Radiologic exam swallow function contrast study (74230) | $247.72 | $812.21 | 1.4× |
| Radiologic exam upr gi trc double contrast study (74246) | $293.09 | $960.96 | 1.7× |
| Radiologic examination femur 1 view (73551) | $94.15 | $308.70 | 1.1× |
| Radiologic examination femur minimum 2 views (73552) | $143.41 | $470.19 | 1.6× |
| Radiologic examination knee 1/2 views (73560) | $134.79 | $441.95 | 1.5× |
| Radiologic Examination Osseous Survey Limited (77074) | $267.30 | $876.40 | 2.6× |
| Radiologic examination tibia & fibula 2 views (73590) | $139.37 | $456.95 | 1.6× |
| Radiopharmaceutical therapy, by intracavitary administration Non-Facility (79200) | $270.84 | $888 | 1.2× |
| Ribs bilateral 3 views (71110) | $199.92 | $655.49 | 1.9× |
| Rp loclzj tum plnr 1 area single day imaging (78800) range across 2 matching MRF lines |
$536.02–$672.28 | $1,757.43–$2,204.20 | varies |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $1,501.08 | $4,921.56 | 3.7× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $1,416.42 | $4,644 | 2.6× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) range across 2 matching MRF lines |
$1,103.80–$1,672.48 | $3,619.03–$5,483.55 | varies |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $1,000.72 | $3,281.04 | 1.8× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $1,198.10 | $3,928.20 | 0.9× |
| Rp Ther Radiolbld Monoclonal Antibody IV Infus (79403) | $553.98 | $1,816.33 | 2.4× |
| Rp Therapy Intravenous Administration (79101) | $413.68 | $1,356.33 | 1.8× |
| Salivary Gland Function Study (78232) | $537.71 | $1,762.99 | 1.3× |
| Scapula (73010) | $157.51 | $516.44 | 1.5× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $38.51 | $126.26 | 1.6× |
| Sella turcica (70240) | $23.18 | $76 | 0.3× |
| Shoulder 1 view (73020) | $111.01 | $363.98 | 1.3× |
| Shoulder Arthrography (73040) | $460.90 | $1,511.16 | 1.3× |
| Sialogram (70390) | $288.09 | $944.57 | 1.2× |
| Skull less than 4 views (70250) | $162.64 | $533.26 | 1.6× |
| Sternoclavicular joints (71130) | $117.43 | $385.02 | 1.3× |
| Tbs technical calculation only (77091) | $64.79 | $212.43 | 0.7× |
| Testicular Imaging W/Flow (78761) | $722 | $2,367.21 | 1.8× |
| Thoracic spine 2 views (72070) | $143.06 | $469.04 | 1.4× |
| Thoracic spine 3 views (72072) | $178.89 | $586.53 | 1.7× |
| Thoracolumbar 2 views (72080) | $133.92 | $439.09 | 1.5× |
| Thyroid Carcinoma Metastases Img Lmtd Area (78015) | $515.46 | $1,690.03 | 1.3× |
| Thyroid Imaging With Vascular Flow (78013) | $353.85 | $1,160.17 | 0.9× |
| Thyroid Met Imaging Body (78018) | $762.70 | $2,500.66 | 1.4× |
| Thyroid Uptake Measurement (78012) | $310.03 | $1,016.50 | 0.8× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $501.84 | $1,645.38 | 1.3× |
| Ultrasound Breast Limited (76642) | $214.45 | $703.12 | 2.5× |
| Ultrasound Elastography Parenchyma (76981) | $157.19 | $515.38 | 1.5× |
| Ultrasound Exam Aaa Screen (76706) | $172.07 | $564.18 | 1.6× |
| Ultrasound, abdomen limited (76705) | $302.22 | $990.89 | 2.9× |
| Umbilical-artery Doppler (OB) (76820) | $118.71 | $389.21 | 1.1× |
| Unlisted us procedure (76999) | $155.38 | $509.45 | 1.8× |
| Upper gi w/o kub (74240) | $266.45 | $873.60 | 1.5× |
| Ureteral Reflux Study (78740) | $718.89 | $2,357 | 1.8× |
| Urethrocystography retrograde (74450) | $400.55 | $1,313.28 | 1.7× |
| Us breast unilateral complete (76641) | $327.81 | $1,074.80 | 3.1× |
| Us chest (76604) | $237.06 | $777.24 | 2.3× |
| Us complete joint (76881) | $272.63 | $893.88 | 2.6× |
| Us exam, pelvic, limited (76857) | $218.72 | $717.13 | 2.1× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $194.40 | $637.38 | 1.9× |
| Us ob detailed single fetus (76811) | $355.58 | $1,165.84 | 1.5× |
| Us ob limited 1 or more fetuses (76815) | $170.26 | $558.23 | 1.6× |
| Us ob transvaginal (76817) | $219.82 | $720.72 | 2.1× |
| Us pelvic non ob complete (76856) | $365.20 | $1,197.39 | 3.5× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $289.70 | $949.82 | 2.8× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $222.06 | $728.07 | 2.1× |
| Us retroperitoneal complete (76770) | $357.58 | $1,172.40 | 3.4× |
| Us retroperitoneal limited (76775) | $286.49 | $939.32 | 2.7× |
| Us scrotum and contents (76870) | $351.05 | $1,150.98 | 3.4× |
| Us spinal canal and contents (76800) | $283.18 | $928.45 | 2.7× |
| Us thyroid (76536) | $330.54 | $1,083.73 | 3.2× |
| Vascular Flow Imaging (78445) | $294.65 | $966.07 | 0.7× |
| Venography extremity bilateral rs&i (75822) | $1,164.23 | $3,817.16 | 0.7× |
| Venography extremity unilateral rs&i (75820) | $776.15 | $2,544.77 | 0.5× |
| Venous Thrombosis Imaging Venogram Bilateral (78458) | $267.08 | $875.67 | 0.7× |
| Wrist 2 views (73100) | $122.01 | $400.04 | 1.4× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $146.14 | $479.15 | 1.7× |
| X-ray antegrade pyelogram tube (74425) | $543.51 | $1,782 | 1.6× |
| X-Ray Aorta Leg Arteries (75630) | $2,083.22 | $6,830.22 | 0.7× |
| X-Ray Bend Only L-S Spine (72120) | $156.76 | $513.96 | 1.5× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $117.03 | $383.71 | 1.3× |
| X-Ray Exam Breast Specimen (76098) | $302.51 | $991.83 | 0.6× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $103.10 | $338.04 | 1.2× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $181.56 | $595.27 | 1.7× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $306.36 | $1,004.47 | 2.9× |
| X-Ray Exam Hip Uni 1 View (73501) | $102.52 | $336.13 | 1.2× |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 3 matching MRF lines |
$114.79–$129.81 | $376.36–$425.61 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) range across 2 matching MRF lines |
$51.39–$326.18 | $168.48–$1,069.43 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) | $229.58 | $752.72 | 2.2× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $270.90 | $888.21 | 2.6× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $276.12 | $905.30 | 2.6× |
| X-Ray Exam L-S Spine Bending (72114) | $254.68 | $835 | 2.4× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $164.94 | $540.80 | 1.9× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $266.71 | $874.47 | 2.5× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $172.50 | $565.58 | 1.6× |
| X-ray eye for foreign body (70030) | $100.47 | $329.40 | 1.2× |
| X-ray humerus (73060) | $131.59 | $431.45 | 1.5× |
| X-ray IV pyelogram (ivp) (74400) | $502.55 | $1,647.72 | 2.9× |
| X-ray IV pyelogram+tomography (74415) | $337.54 | $1,106.68 | 1.9× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $108.86 | $356.93 | 1.2× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $146.46 | $480.19 | 1.7× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $169.67 | $556.30 | 1.6× |
| X-ray nose-rectum child f.b. (76010) | $142.19 | $466.20 | 1.6× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $227.70 | $746.55 | 2.2× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $139.63 | $457.80 | 1.3× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $139.48 | $457.32 | 1.6× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $163.43 | $535.82 | 1.9× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $201.87 | $661.88 | 1.9× |
| X-ray thoracic spine 4 vw (72074) | $195.67 | $641.55 | 1.9× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $339.70 | $1,113.76 | 1.0× |
| X-Rays Bone Length Studies (77073) | $197.64 | $647.99 | 1.9× |
| X-Rays Bone Survey Complete (77075) | $348 | $1,140.98 | 3.3× |
| Xr c-spine 4 or 5 views (72050) | $218.18 | $715.33 | 2.1× |
| Xr facial bones less than 3 views (70140) | $114.79 | $376.36 | 1.3× |
| Xr orbits complete 4 views (70200) | $185.30 | $607.55 | 1.8× |
| Xr Tomogram Single Plane (76100) | $550.24 | $1,804.06 | 5.3× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.