Imaging prices at Crossing Rivers Health Medical Center
Prairie Du Chien, WI · every code in this section with a posted price and a Medicare benchmark.
251 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abdomen 1 View (74018) range across 2 matching MRF lines |
$69–$414 | $69–$414 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$85–$586 | $85–$586 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) range across 2 matching MRF lines |
$363–$1,598 | $363–$1,598 | varies |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$61–$309 | $61–$309 | varies |
| Arthrogram ankle (73615) range across 2 matching MRF lines |
$214–$1,117.55 | $214–$1,117.55 | varies |
| Arthrogram hip (73525) range across 2 matching MRF lines |
$219–$544 | $219–$544 | varies |
| Arthrogram Wrist (73115) range across 2 matching MRF lines |
$211–$783.83 | $211–$783.83 | varies |
| Bone age studies (77072) range across 2 matching MRF lines |
$71–$174 | $71–$174 | varies |
| Bone Imaging 3 Phase (78315) range across 2 matching MRF lines |
$374–$2,727 | $374–$2,727 | varies |
| Bone Imaging Limited Area (78300) range across 2 matching MRF lines |
$228–$1,599 | $228–$1,599 | varies |
| Bone Imaging Whole Body (78306) range across 2 matching MRF lines |
$313–$2,184 | $313–$2,184 | varies |
| Bone survey infant (77076) range across 2 matching MRF lines |
$262–$518 | $262–$518 | varies |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) range across 2 matching MRF lines |
$247–$1,845 | $247–$1,845 | varies |
| Cat Scan Follow-Up Study (76380) range across 2 matching MRF lines |
$353–$1,346 | $353–$1,346 | varies |
| Chest 1 view (71045) range across 2 matching MRF lines |
$66–$336 | $66–$336 | varies |
| Chest 2 views (71046) range across 2 matching MRF lines |
$82–$388 | $82–$388 | varies |
| Chest 3 views (71047) range across 2 matching MRF lines |
$104–$455 | $104–$455 | varies |
| Chest 4 or more views (71048) range across 2 matching MRF lines |
$115–$500 | $115–$500 | varies |
| Clavicle complete (73000) range across 2 matching MRF lines |
$63–$363 | $63–$363 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 2 matching MRF lines |
$402–$1,888 | $402–$1,888 | varies |
| Contrast X-Ray Bladder (74430) range across 2 matching MRF lines |
$119–$989 | $119–$989 | varies |
| Contrast X-Ray Of Elbow (73085) range across 2 matching MRF lines |
$201–$1,010.43 | $201–$1,010.43 | varies |
| Contrast X-Ray Of Knee Joint (73580) range across 2 matching MRF lines |
$236–$726 | $236–$726 | varies |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$858–$5,532 | $858–$5,532 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$744–$4,125 | $744–$4,125 | varies |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$473–$3,125 | $473–$3,125 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$520–$3,834 | $520–$3,834 | varies |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$443–$2,516 | $443–$2,516 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$812–$5,020 | $812–$5,020 | varies |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$674–$3,559 | $674–$3,559 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$649–$3,842 | $649–$3,842 | varies |
| CT angio hrt w/3d image (75574) range across 2 matching MRF lines |
$887–$4,745 | $887–$4,745 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
$699–$4,535 | $699–$4,535 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$649–$3,520 | $649–$3,520 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 2 matching MRF lines |
$664–$4,126 | $664–$4,126 | varies |
| CT cervical spine w/ contrast (72126) range across 2 matching MRF lines |
$454–$2,972 | $454–$2,972 | varies |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$371–$2,517 | $371–$2,517 | varies |
| CT cervical spine w/wo cont (72127) range across 2 matching MRF lines |
$471–$3,437.11 | $471–$3,437.11 | varies |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$434–$2,775 | $434–$2,775 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$464–$3,195 | $464–$3,195 | varies |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$421–$2,489 | $421–$2,489 | varies |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$473–$2,967 | $473–$2,967 | varies |
| CT heart contrast eval cardiac structure&morph (75572) range across 2 matching MRF lines |
$612–$3,114 | $612–$3,114 | varies |
| CT heart no contrast quant eval coronry calcium (75571) | $175 | $175 | 2.1× |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$421–$3,159 | $421–$3,159 | varies |
| CT l-spine w&w/o contrast (72133) range across 2 matching MRF lines |
$471–$3,521 | $471–$3,521 | varies |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$371–$2,337 | $371–$2,337 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$432–$3,003 | $432–$3,003 | varies |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$454–$2,850 | $454–$2,850 | varies |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$371–$2,431 | $371–$2,431 | varies |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$418–$2,625 | $418–$2,625 | varies |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$319–$2,212 | $319–$2,212 | varies |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$599–$2,949 | $599–$2,949 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 2 matching MRF lines |
$471–$3,436 | $471–$3,436 | varies |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$479–$2,225 | $479–$2,225 | varies |
| CT pelvis w&w/o contrast (72194) range across 2 matching MRF lines |
$451–$3,035 | $451–$3,035 | varies |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$405–$2,289 | $405–$2,289 | varies |
| CT scan of leg combo (73702) range across 2 matching MRF lines |
$451–$3,453 | $451–$3,453 | varies |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
$471–$2,905 | $471–$2,905 | varies |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$514–$2,467 | $514–$2,467 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$476–$2,202 | $476–$2,202 | varies |
| CT thoracic spine w contrast (72129) range across 2 matching MRF lines |
$454–$2,980 | $454–$2,980 | varies |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$371–$2,480 | $371–$2,480 | varies |
| CT thoracic spine w/wo cont (72130) range across 2 matching MRF lines |
$473–$3,116.78 | $473–$3,116.78 | varies |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$402–$2,410 | $402–$2,410 | varies |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$371–$2,253 | $371–$2,253 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 2 matching MRF lines |
$451–$2,852 | $451–$2,852 | varies |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$432–$2,790 | $432–$2,790 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$879–$4,520 | $879–$4,520 | varies |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$672–$4,391 | $672–$4,391 | varies |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) range across 2 matching MRF lines |
$908–$4,000 | $908–$4,000 | varies |
| CTA pelvis (72191) range across 2 matching MRF lines |
$664–$3,611 | $664–$3,611 | varies |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$74–$840 | $74–$840 | varies |
| Dxa bone density study 1/>sites appendiclr skel (77081) range across 2 matching MRF lines |
$74–$388 | $74–$388 | varies |
| Echo exam uterus (76831) range across 2 matching MRF lines |
$273–$1,297 | $273–$1,297 | varies |
| Esophagram (74220) range across 2 matching MRF lines |
$223–$715 | $223–$715 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 2 matching MRF lines |
$289–$813 | $289–$813 | varies |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$114–$724 | $114–$724 | varies |
| Foot 2 views (73620) range across 2 matching MRF lines |
$58–$363 | $58–$363 | varies |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$61–$419 | $61–$419 | varies |
| Gastric emptying imaging study (78264) range across 2 matching MRF lines |
$289–$2,338 | $289–$2,338 | varies |
| Gated Heart Planar Single (78472) range across 2 matching MRF lines |
$360–$2,804 | $360–$2,804 | varies |
| Hand 2 views (73120) range across 2 matching MRF lines |
$63–$389 | $63–$389 | varies |
| Hepatobil Syst Image W/Drug (78227) range across 2 matching MRF lines |
$330–$2,990 | $330–$2,990 | varies |
| Hysterosalpingogram (74740) range across 2 matching MRF lines |
$177–$669 | $177–$669 | varies |
| Infant hip ultrasound with hip movement (dynamic) (76885) range across 2 matching MRF lines |
$275–$692 | $275–$692 | varies |
| Joint Survey Single View (77077) range across 2 matching MRF lines |
$129–$473 | $129–$473 | varies |
| K Flow/Funct Image Multiple (78709) range across 2 matching MRF lines |
$483–$1,888 | $483–$1,888 | varies |
| K Flow/Funct Image W/O Drug (78707) range across 2 matching MRF lines |
$346–$1,888 | $346–$1,888 | varies |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$71–$443 | $71–$443 | varies |
| Liver & Spleen Imaging Static Only (78215) range across 2 matching MRF lines |
$178–$1,275 | $178–$1,275 | varies |
| Lung Ventilat&Perfus Imaging (78582) range across 2 matching MRF lines |
$390–$3,222 | $390–$3,222 | varies |
| Lymph System Imaging (78195) range across 2 matching MRF lines |
$435–$2,305 | $435–$2,305 | varies |
| Magnetic Image Jaw Joint (70336) range across 2 matching MRF lines |
$548–$3,203 | $548–$3,203 | varies |
| Meckels Divert Exam (78290) range across 2 matching MRF lines |
$247–$1,547 | $247–$1,547 | varies |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $86 | $86 | 3.1× |
| Mra Head W/O & W/Contrast Material (70546) range across 2 matching MRF lines |
$550–$6,350 | $550–$6,350 | varies |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$445–$4,629 | $445–$4,629 | varies |
| MRA head with contrast (70545) range across 2 matching MRF lines |
$445–$5,074 | $445–$5,074 | varies |
| MRA neck w contrast (70548) range across 2 matching MRF lines |
$559–$4,743 | $559–$4,743 | varies |
| Mra Neck W/O &W/Contrast Material (70549) range across 2 matching MRF lines |
$668–$5,531 | $668–$5,531 | varies |
| MRA neck w/o contrast (70547) range across 2 matching MRF lines |
$445–$4,049 | $445–$4,049 | varies |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$542–$4,018 | $542–$4,018 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 2 matching MRF lines |
$605–$4,617 | $605–$4,617 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$800–$6,071 | $800–$6,071 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 2 matching MRF lines |
$607–$4,656 | $607–$4,656 | varies |
| MRI Breast W/O Contrast Bilateral (77047) range across 2 matching MRF lines |
$594–$4,500 | $594–$4,500 | varies |
| MRI cervical spine w contrast (72142) range across 2 matching MRF lines |
$666–$4,416 | $666–$4,416 | varies |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$550–$3,999 | $550–$3,999 | varies |
| MRI chest w/o contrast (71550) range across 2 matching MRF lines |
$542–$4,234 | $542–$4,234 | varies |
| MRI chest wo w contrast (71552) range across 2 matching MRF lines |
$839–$7,435 | $839–$7,435 | varies |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 2 matching MRF lines |
$602–$4,500 | $602–$4,500 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 2 matching MRF lines |
$798–$5,607 | $798–$5,607 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines |
$501–$3,784 | $501–$3,784 | varies |
| MRI lumbar spine w contrast (72149) range across 2 matching MRF lines |
$663–$4,479 | $663–$4,479 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$853–$5,846 | $853–$5,846 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 2 matching MRF lines |
$501–$4,246 | $501–$4,246 | varies |
| MRI orbit face neck w contrast (70542) range across 2 matching MRF lines |
$602–$4,602 | $602–$4,602 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 2 matching MRF lines |
$798–$6,660 | $798–$6,660 | varies |
| MRI pelvis w contrast (72196) range across 2 matching MRF lines |
$641–$4,260 | $641–$4,260 | varies |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$817–$5,977 | $817–$5,977 | varies |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$545–$4,057 | $545–$4,057 | varies |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$550–$4,051 | $550–$4,051 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 2 matching MRF lines |
$605–$4,400 | $605–$4,400 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 2 matching MRF lines |
$506–$3,626 | $506–$3,626 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 2 matching MRF lines |
$800–$5,617 | $800–$5,617 | varies |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$817–$5,181 | $817–$5,181 | varies |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$853–$6,040 | $853–$6,040 | varies |
| MRI, dorsal spine contrast (72147) range across 2 matching MRF lines |
$663–$4,635 | $663–$4,635 | varies |
| MRI, joint upper extrem (73221) range across 2 matching MRF lines |
$506–$3,784 | $506–$3,784 | varies |
| MRI, joint upper extrem combo (73223) range across 2 matching MRF lines |
$803–$5,845 | $803–$5,845 | varies |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$853–$5,500 | $853–$5,500 | varies |
| Myocardial Spect Multiple Studies (78452) range across 2 matching MRF lines |
$595–$4,920 | $595–$4,920 | varies |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$69–$332 | $69–$332 | varies |
| Parathyroid Planar Imaging (78070) range across 2 matching MRF lines |
$294–$2,158 | $294–$2,158 | varies |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$66–$403 | $66–$403 | varies |
| Pet Image W/Ct Lmtd (78814) range across 2 matching MRF lines |
$795–$5,015 | $795–$5,015 | varies |
| PET image w/CT, full body (78816) range across 2 matching MRF lines |
$895–$7,890 | $895–$7,890 | varies |
| PET imaging CT attenuation skull base mid-thigh (78815) range across 2 matching MRF lines |
$885–$7,928 | $885–$7,928 | varies |
| Pulmonary Perfusion Imaging Particulate (78580) range across 2 matching MRF lines |
$270–$1,871 | $270–$1,871 | varies |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$119–$694 | $119–$694 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$66–$439 | $66–$439 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$61–$353 | $61–$353 | varies |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$66–$419 | $66–$419 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$99–$498.40 | $99–$498.40 | varies |
| Radex fingr minimum 2 views (73140) range across 2 matching MRF lines |
$52–$327 | $52–$327 | varies |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$63–$377 | $63–$377 | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$66–$558 | $66–$558 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 2 matching MRF lines |
$61–$347 | $61–$347 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$63–$449 | $63–$449 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 2 matching MRF lines |
$82–$439 | $82–$439 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$71–$475 | $71–$475 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$66–$295 | $66–$295 | varies |
| Radex Spine 1 View Specify Level (72020) range across 2 matching MRF lines |
$61–$286 | $61–$286 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$74–$370 | $74–$370 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$91–$476 | $91–$476 | varies |
| Radex Toe Minimum 2 Views (73660) range across 2 matching MRF lines |
$50–$309 | $50–$309 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 2 matching MRF lines |
$61–$347 | $61–$347 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$66–$403 | $66–$403 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) range across 2 matching MRF lines |
$157–$558 | $157–$558 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$93–$561 | $93–$561 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 2 matching MRF lines |
$101–$605 | $101–$605 | varies |
| Radiologic exam colon double contrast study (74280) range across 2 matching MRF lines |
$468–$1,147 | $468–$1,147 | varies |
| Radiologic exam colon single contrast study (74270) range across 2 matching MRF lines |
$385–$1,012 | $385–$1,012 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$88–$541 | $88–$541 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$96–$765 | $96–$765 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 2 matching MRF lines |
$300–$961 | $300–$961 | varies |
| Radiologic exam swallow function contrast study (74230) range across 2 matching MRF lines |
$198–$932 | $198–$932 | varies |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$333–$1,868 | $333–$1,868 | varies |
| Radiologic examination femur 1 view (73551) range across 2 matching MRF lines |
$63–$418 | $63–$418 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$69–$492 | $69–$492 | varies |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$63–$387 | $63–$387 | varies |
| Radiologic Examination Osseous Survey Limited (77074) range across 2 matching MRF lines |
$165–$256 | $165–$256 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 2 matching MRF lines |
$61–$413 | $61–$413 | varies |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$109–$585 | $109–$585 | varies |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) range across 2 matching MRF lines |
$528–$3,504 | $528–$3,504 | varies |
| Scapula (73010) range across 2 matching MRF lines |
$69–$373 | $69–$373 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 2 matching MRF lines |
$40–$75 | $40–$75 | varies |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$58–$377 | $58–$377 | varies |
| Shoulder Arthrography (73040) range across 2 matching MRF lines |
$209–$1,319 | $209–$1,319 | varies |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$69–$418 | $69–$418 | varies |
| Sternoclavicular joints (71130) range across 2 matching MRF lines |
$82–$459 | $82–$459 | varies |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$77–$488 | $77–$488 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$85–$563 | $85–$563 | varies |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$75–$371 | $75–$371 | varies |
| Thyroid Imaging With Vascular Flow (78013) range across 2 matching MRF lines |
$230–$785 | $230–$785 | varies |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) range across 2 matching MRF lines |
$181–$1,711 | $181–$1,711 | varies |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$253–$558 | $253–$558 | varies |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
$204–$994 | $204–$994 | varies |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$217–$793 | $217–$793 | varies |
| Umbilical-artery Doppler (OB) (76820) range across 2 matching MRF lines |
$188–$524 | $188–$524 | varies |
| Upper gi w/o kub (74240) range across 2 matching MRF lines |
$300–$1,141 | $300–$1,141 | varies |
| Urethrocystogram voiding (74455) range across 2 matching MRF lines |
$123–$700.35 | $123–$700.35 | varies |
| Urethrocystography retrograde (74450) range across 2 matching MRF lines |
$123–$931 | $123–$931 | varies |
| Us breast unilateral complete (76641) range across 2 matching MRF lines |
$272–$796 | $272–$796 | varies |
| Us chest (76604) range across 2 matching MRF lines |
$212–$766 | $212–$766 | varies |
| Us complete joint (76881) range across 2 matching MRF lines |
$340–$926 | $340–$926 | varies |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$184–$736 | $184–$736 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$256–$635 | $256–$635 | varies |
| Us ob detailed single fetus (76811) range across 2 matching MRF lines |
$717–$1,074 | $717–$1,074 | varies |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$242–$684 | $242–$684 | varies |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$282–$724 | $282–$724 | varies |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$255–$885 | $255–$885 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$370–$861 | $370–$861 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 2 matching MRF lines |
$322–$732 | $322–$732 | varies |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$275–$934 | $275–$934 | varies |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$215–$758 | $215–$758 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$236–$968 | $236–$968 | varies |
| Us spinal canal and contents (76800) range across 2 matching MRF lines |
$464–$500 | $464–$500 | varies |
| Us thyroid (76536) range across 2 matching MRF lines |
$209–$830 | $209–$830 | varies |
| Us transrectal (76872) range across 2 matching MRF lines |
$257–$808 | $257–$808 | varies |
| Venography extremity bilateral rs&i (75822) range across 2 matching MRF lines |
$534–$1,572 | $534–$1,572 | varies |
| Venography extremity unilateral rs&i (75820) range across 2 matching MRF lines |
$388–$1,723 | $388–$1,723 | varies |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$63–$381 | $63–$381 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$71–$389 | $71–$389 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$63–$331 | $63–$331 | varies |
| X-Ray Exam Breast Specimen (76098) range across 2 matching MRF lines |
$223–$324 | $223–$324 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 2 matching MRF lines |
$99–$371 | $99–$371 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$118–$512 | $118–$512 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 2 matching MRF lines |
$71–$424 | $71–$424 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 2 matching MRF lines |
$85–$469 | $85–$469 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) range across 2 matching MRF lines |
$104–$713 | $104–$713 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$85–$504 | $85–$504 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 2 matching MRF lines |
$112–$529 | $112–$529 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) range across 2 matching MRF lines |
$118–$839 | $118–$839 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$113–$601 | $113–$601 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$85–$483 | $85–$483 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$113–$608 | $113–$608 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 2 matching MRF lines |
$101–$633 | $101–$633 | varies |
| X-ray eye for foreign body (70030) range across 2 matching MRF lines |
$66–$422 | $66–$422 | varies |
| X-ray humerus (73060) range across 2 matching MRF lines |
$61–$358 | $61–$358 | varies |
| X-ray IV pyelogram (ivp) (74400) range across 2 matching MRF lines |
$182–$1,075 | $182–$1,075 | varies |
| X-ray IV pyelogram+tomography (74415) range across 2 matching MRF lines |
$200–$1,220.55 | $200–$1,220.55 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 2 matching MRF lines |
$69–$443 | $69–$443 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$63–$486 | $63–$486 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$85–$591 | $85–$591 | varies |
| X-ray nose-rectum child f.b. (76010) range across 2 matching MRF lines |
$66–$426.22 | $66–$426.22 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$121–$623 | $121–$623 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$85–$406 | $85–$406 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$66–$436 | $66–$436 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$82–$523 | $82–$523 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$107–$531 | $107–$531 | varies |
| X-Ray Stress View (77071) | $426 | $426 | 5.0× |
| X-ray thoracic spine 4 vw (72074) range across 2 matching MRF lines |
$93–$562 | $93–$562 | varies |
| X-Ray Tmj Unilat (70328) range across 2 matching MRF lines |
$69–$301 | $69–$301 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 2 matching MRF lines |
$192–$1,291 | $192–$1,291 | varies |
| X-Rays Bone Length Studies (77073) range across 2 matching MRF lines |
$102–$456 | $102–$456 | varies |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$206–$856 | $206–$856 | varies |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$101–$576 | $101–$576 | varies |
| Xr facial bones less than 3 views (70140) range across 2 matching MRF lines |
$74–$309 | $74–$309 | varies |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$107–$516 | $107–$516 | varies |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.