Imaging prices at Dana-Farber Cancer Institute
Boston, MA · every code in this section with a posted price and a Medicare benchmark.
267 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) range across 2 matching MRF lines |
$6,618–$7,228.50 | $8,824–$9,638 | varies |
| Abdomen 1 View (74018) range across 2 matching MRF lines |
$238.50–$242.25 | $318–$323 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$388.50–$402.75 | $518–$537 | varies |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$283.50–$571.50 | $378–$762 | varies |
| Artery X-Rays Abdomen (75726) | $10,974 | $14,632 | 1.6× |
| Basic radiation dosimetry calculation (77300) range across 2 matching MRF lines |
$578.25–$956.25 | $771–$1,275 | varies |
| Bone Imaging 3 Phase (78315) range across 2 matching MRF lines |
$1,678.50–$1,714.50 | $2,238–$2,286 | varies |
| Bone Imaging Limited Area (78300) | $642 | $856 | 1.3× |
| Bone Imaging Multiple Areas (78305) | $1,420.50 | $1,894 | 3.0× |
| Bone Imaging Whole Body (78306) range across 2 matching MRF lines |
$1,234.50–$1,611.75 | $1,646–$2,149 | varies |
| Bone marrow imaging; multiple areas (78103) | $877.50 | $1,170 | 1.8× |
| Brachytx isodose complex (77318) | $1,485 | $1,980 | 3.3× |
| Brain Imaging Pet Metabolic Evaluation (78608) range across 2 matching MRF lines |
$3,954.75–$4,119 | $5,273–$5,492 | varies |
| Cardiac MRI w/w/o contrast & further seq (75561) | $3,906 | $5,208 | 9.3× |
| Cardiac MRI w/w/o contrast w/stress (75563) | $4,865.25 | $6,487 | 5.2× |
| Cat Scan Follow-Up Study (76380) | $689.25 | $919 | 6.6× |
| Cerebrospinal Fluid Scan (78630) | $958.50 | $1,278 | 1.5× |
| Chest 1 view (71045) range across 2 matching MRF lines |
$227.25–$381.75 | $303–$509 | varies |
| Chest 2 views (71046) range across 4 matching MRF lines |
$302.25–$445.50 | $403–$594 | varies |
| Chest 3 views (71047) | $629.25 | $839 | 6.0× |
| Chest 4 or more views (71048) range across 2 matching MRF lines |
$467.25–$657 | $623–$876 | varies |
| Clavicle complete (73000) range across 3 matching MRF lines |
$274.50–$551.25 | $366–$735 | varies |
| Continuing medical physics consltj pr wk (77336) range across 2 matching MRF lines |
$669–$1,016.25 | $892–$1,355 | varies |
| Contrast X-Ray Bladder (74430) | $883.50 | $1,178 | 2.1× |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$2,336.25–$3,332.25 | $3,115–$4,443 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$1,143–$2,333.25 | $1,524–$3,111 | varies |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$1,231.50–$2,004 | $1,642–$2,672 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$1,665.75–$2,708.25 | $2,221–$3,611 | varies |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$1,174.50–$1,431 | $1,566–$1,908 | varies |
| CT Angio Abdomen and Pelvis (74174) | $2,892.75 | $3,857 | 6.9× |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$1,593.75–$2,697.75 | $2,125–$3,597 | varies |
| CT Angio Head (70496) | $3,759 | $5,012 | 17.9× |
| CT angio hrt w/3d image (75574) | $3,162.75 | $4,217 | 7.6× |
| CT Angio Neck (70498) | $3,781.50 | $5,042 | 18.0× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $2,490 | $3,320 | 11.8× |
| CT cervical spine w/ contrast (72126) range across 2 matching MRF lines |
$1,830.75–$2,017.50 | $2,441–$2,690 | varies |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$1,507.50–$1,548 | $2,010–$2,064 | varies |
| CT cervical spine w/wo cont (72127) | $2,364 | $3,152 | 11.2× |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$1,504.50–$1,833 | $2,006–$2,444 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$1,775.25–$2,283 | $2,367–$3,044 | varies |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$1,242–$1,512.75 | $1,656–$2,017 | varies |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$1,512.75–$1,826.25 | $2,017–$2,435 | varies |
| CT heart contrast eval cardiac structure&morph (75572) | $697.50 | $930 | 1.7× |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$1,800.75–$2,246.25 | $2,401–$2,995 | varies |
| CT l-spine w&w/o contrast (72133) | $2,378.25 | $3,171 | 11.3× |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$1,146.75–$1,479.75 | $1,529–$1,973 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$1,482–$1,805.25 | $1,976–$2,407 | varies |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$1,826.25–$2,027.25 | $2,435–$2,703 | varies |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$1,505.25–$1,544.25 | $2,007–$2,059 | varies |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$1,519.50–$1,908 | $2,026–$2,544 | varies |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$1,281–$1,561.50 | $1,708–$2,082 | varies |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$1,870.50–$2,280 | $2,494–$3,040 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $2,101.50 | $2,802 | 10.0× |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$1,576.50–$1,920 | $2,102–$2,560 | varies |
| CT pelvis w&w/o contrast (72194) range across 2 matching MRF lines |
$1,668.75–$2,260.50 | $2,225–$3,014 | varies |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$868.50–$1,412.25 | $1,158–$1,883 | varies |
| CT scan of leg combo (73702) range across 2 matching MRF lines |
$1,735.50–$2,376 | $2,314–$3,168 | varies |
| CT scans face/jaw combo (70488) | $1,851 | $2,468 | 8.8× |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$1,524.75–$1,856.25 | $2,033–$2,475 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$1,254.75–$1,529.25 | $1,673–$2,039 | varies |
| CT thoracic spine w contrast (72129) range across 2 matching MRF lines |
$1,830.75–$2,029.50 | $2,441–$2,706 | varies |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$1,507.50–$1,545 | $2,010–$2,060 | varies |
| CT thoracic spine w/wo cont (72130) | $2,383.50 | $3,178 | 11.3× |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$1,200.75–$1,507.50 | $1,601–$2,010 | varies |
| CT unlisted procedure (76497) | $2,343.75 | $3,125 | 22.5× |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$909.75–$1,477.50 | $1,213–$1,970 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 2 matching MRF lines |
$1,452.75–$2,361.75 | $1,937–$3,149 | varies |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$1,104.75–$1,795.50 | $1,473–$2,394 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $2,998.50 | $3,998 | 14.3× |
| Cta Abdomen (74175) | $2,796.75 | $3,729 | 13.3× |
| Esophagram (74220) | $935.25 | $1,247 | 4.4× |
| Foot 2 views (73620) range across 2 matching MRF lines |
$270.75–$327 | $361–$436 | varies |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$270.75–$272.25 | $361–$363 | varies |
| Gastric emptying imaging study (78264) | $1,419 | $1,892 | 3.0× |
| Gated Heart Planar Single (78472) range across 2 matching MRF lines |
$1,311.75–$1,743 | $1,749–$2,324 | varies |
| Hand 2 views (73120) range across 2 matching MRF lines |
$279–$375.75 | $372–$501 | varies |
| Hepatobil Syst Image W/Drug (78227) range across 2 matching MRF lines |
$1,394.25–$2,142 | $1,859–$2,856 | varies |
| Hepatobiliary System Imaging (78226) range across 2 matching MRF lines |
$1,219.50–$1,562.25 | $1,626–$2,083 | varies |
| K Flow/Funct Image W/Drug (78708) range across 2 matching MRF lines |
$1,232.25–$1,436.25 | $1,643–$1,915 | varies |
| K Flow/Funct Image W/O Drug (78707) range across 2 matching MRF lines |
$1,149–$1,528.50 | $1,532–$2,038 | varies |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$359.25–$483 | $479–$644 | varies |
| Labeled RBC Sequestration Differntl Organ/Tissue (78140) | $500.25 | $667 | 1.0× |
| Leveen/Shunt Patency Exam (78291) | $574.50 | $766 | 1.2× |
| Liver & Spleen Imaging Static Only (78215) | $719.25 | $959 | 1.5× |
| Lung Perf&Ventilat Diferentl (78598) range across 2 matching MRF lines |
$1,392.75–$1,434.75 | $1,857–$1,913 | varies |
| Lung perfusion differential (78597) | $1,113.75 | $1,485 | 2.3× |
| Lung Ventilat&Perfus Imaging (78582) range across 2 matching MRF lines |
$1,523.25–$1,698.75 | $2,031–$2,265 | varies |
| Lymph System Imaging (78195) | $1,400.25 | $1,867 | 2.2× |
| Magnetic Image Jaw Joint (70336) | $2,343 | $3,124 | 8.2× |
| Magnetic Resonance Elastography (76391) range across 2 matching MRF lines |
$957.75–$1,086 | $1,277–$1,448 | varies |
| Mlc imrt design & construction per imrt plan (77338) range across 2 matching MRF lines |
$3,024–$6,316.50 | $4,032–$8,422 | varies |
| Mra Head W/O & W/Contrast Material (70546) | $4,034.25 | $5,379 | 9.6× |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$2,634.75–$3,150.75 | $3,513–$4,201 | varies |
| MRA head with contrast (70545) | $2,783.25 | $3,711 | 6.7× |
| MRA neck w contrast (70548) range across 2 matching MRF lines |
$3,301.50–$3,497.25 | $4,402–$4,663 | varies |
| Mra Neck W/O &W/Contrast Material (70549) range across 2 matching MRF lines |
$4,752–$5,295.75 | $6,336–$7,061 | varies |
| MRA neck w/o contrast (70547) range across 2 matching MRF lines |
$2,631.75–$3,147 | $3,509–$4,196 | varies |
| MRI abdomen w contrast (74182) range across 2 matching MRF lines |
$3,375–$3,873 | $4,500–$5,164 | varies |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$2,815.50–$3,139.50 | $3,754–$4,186 | varies |
| MRI any jt lower extrem w/contrast material (73722) | $4,557 | $6,076 | 4.9× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$4,031.25–$5,618.25 | $5,375–$7,491 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) | $3,669.75 | $4,893 | 3.9× |
| MRI bone marrow blood supply (77084) range across 2 matching MRF lines |
$3,186.75–$3,597 | $4,249–$4,796 | varies |
| MRI brain functional w/o physician admnistration (70554) | $3,339.75 | $4,453 | 11.7× |
| MRI Breast W/O Contrast Bilateral (77047) range across 3 matching MRF lines |
$3,603.75–$4,847.25 | $4,805–$6,463 | varies |
| MRI Breast Without Contrast Material Unilateral (77046) range across 3 matching MRF lines |
$3,588–$4,039.50 | $4,784–$5,386 | varies |
| MRI cervical spine w contrast (72142) range across 2 matching MRF lines |
$3,569.25–$5,032.50 | $4,759–$6,710 | varies |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$2,874.75–$3,472.50 | $3,833–$4,630 | varies |
| MRI chest w/o contrast (71550) range across 2 matching MRF lines |
$3,030–$3,622.50 | $4,040–$4,830 | varies |
| MRI chest with contrast (71551) | $3,613.50 | $4,818 | 3.8× |
| MRI chest wo w contrast (71552) range across 2 matching MRF lines |
$5,021.25–$5,037.75 | $6,695–$6,717 | varies |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $3,669.75 | $4,893 | 8.8× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 2 matching MRF lines |
$4,320–$4,494.75 | $5,760–$5,993 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines |
$2,688.75–$3,185.25 | $3,585–$4,247 | varies |
| MRI lumbar spine w contrast (72149) range across 2 matching MRF lines |
$3,537.75–$3,945.75 | $4,717–$5,261 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$4,199.25–$5,851.50 | $5,599–$7,802 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 2 matching MRF lines |
$2,634.75–$3,151.50 | $3,513–$4,202 | varies |
| MRI orbit face neck w contrast (70542) | $4,152 | $5,536 | 9.9× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 2 matching MRF lines |
$4,269–$5,133.75 | $5,692–$6,845 | varies |
| MRI pelvis w contrast (72196) range across 2 matching MRF lines |
$3,486–$3,843 | $4,648–$5,124 | varies |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$4,326.75–$4,824.75 | $5,769–$6,433 | varies |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$3,225–$3,272.25 | $4,300–$4,363 | varies |
| MRI spectroscopy (76390) | $3,203.25 | $4,271 | 30.7× |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$2,883–$3,213.75 | $3,844–$4,285 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) | $3,915 | $5,220 | 9.4× |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 2 matching MRF lines |
$3,270–$3,585 | $4,360–$4,780 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 2 matching MRF lines |
$4,326–$4,839 | $5,768–$6,452 | varies |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$4,335–$4,833 | $5,780–$6,444 | varies |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$3,873–$5,397.75 | $5,164–$7,197 | varies |
| MRI, dorsal spine contrast (72147) range across 2 matching MRF lines |
$3,146.25–$3,507 | $4,195–$4,676 | varies |
| MRI, joint upper extrem (73221) range across 2 matching MRF lines |
$3,042.75–$3,053.25 | $4,057–$4,071 | varies |
| MRI, joint upper extrem combo (73223) range across 2 matching MRF lines |
$4,059.75–$4,944 | $5,413–$6,592 | varies |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$4,149.75–$5,783.25 | $5,533–$7,711 | varies |
| Myocrd Img Pet Prfuj Mlt Std Rst&Strs Cncrnt CT (78431) | $5,445 | $7,260 | 2.1× |
| N-invas est c ffr sw aly CTA (75580) | $17,894.25 | $23,859 | 17.4× |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$278.25–$280.50 | $371–$374 | varies |
| Ntsty modul radthx pln dose-vol histos (77301) range across 2 matching MRF lines |
$12,949.50–$14,786.25 | $17,266–$19,715 | varies |
| Parathyroid imaging w/tomographic spect & CT (78072) range across 2 matching MRF lines |
$1,709.25–$2,236.50 | $2,279–$2,982 | varies |
| Parathyroid planar imaging w/wo subtraction (78071) | $988.50 | $1,318 | 2.1× |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$226.50–$338.25 | $302–$451 | varies |
| Pet Image Skull-Thigh (78812) | $3,118.50 | $4,158 | 1.8× |
| Pet Image W/Ct Lmtd (78814) range across 2 matching MRF lines |
$2,339.25–$4,092 | $3,119–$5,456 | varies |
| PET image w/CT, full body (78816) range across 2 matching MRF lines |
$4,092–$4,938 | $5,456–$6,584 | varies |
| PET imaging CT attenuation skull base mid-thigh (78815) range across 2 matching MRF lines |
$4,092–$4,158 | $5,456–$5,544 | varies |
| Pet Imaging Limited Area Chest Head/Neck (78811) range across 2 matching MRF lines |
$2,339.25–$4,274.25 | $3,119–$5,699 | varies |
| PET whole body (78813) | $5,197.50 | $6,930 | 3.0× |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,476.75 | $1,969 | 3.1× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $492 | $656 | 3.9× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$321–$433.50 | $428–$578 | varies |
| Radex Calcaneus Minimum 2 Views (73650) | $375.75 | $501 | 3.6× |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$360.75–$427.50 | $481–$570 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$423.75–$463.50 | $565–$618 | varies |
| Radex fingr minimum 2 views (73140) range across 3 matching MRF lines |
$315–$844.50 | $420–$1,126 | varies |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$317.25–$393.75 | $423–$525 | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$317.25–$427.50 | $423–$570 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $168.75 | $225 | 1.3× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $449.25 | $599 | 4.3× |
| Radex Ribs Unilateral 2 Views (71100) range across 3 matching MRF lines |
$318.75–$644.25 | $425–$859 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$294.75–$371.25 | $393–$495 | varies |
| Radex Spine 1 View Specify Level (72020) range across 2 matching MRF lines |
$231.75–$310.50 | $309–$414 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$316.50–$426 | $422–$568 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$483–$650.25 | $644–$867 | varies |
| Radex Toe Minimum 2 Views (73660) range across 3 matching MRF lines |
$302.25–$609 | $403–$812 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$362.25–$488.25 | $483–$651 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $722.25 | $963 | 5.8× |
| Radiation Delivery Stereotactic Cranial Linear (77372) range across 2 matching MRF lines |
$12,766.50–$18,273.75 | $17,022–$24,365 | varies |
| Radiation treatment delivery level 1 (77402) range across 2 matching MRF lines |
$1,002–$1,009.50 | $1,336–$1,346 | varies |
| Radiation treatment delivery level 2 (77407) | $1,054.50 | $1,406 | 2.3× |
| Radiation treatment delivery level 3 (77412) range across 2 matching MRF lines |
$1,632–$1,633.50 | $2,176–$2,178 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$397.50–$535.50 | $530–$714 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 2 matching MRF lines |
$399.75–$402.75 | $533–$537 | varies |
| Radiologic exam colon single contrast study (74270) | $1,620.75 | $2,161 | 7.7× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $786 | $1,048 | 3.7× |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$566.25–$1,131.75 | $755–$1,509 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$267.75–$551.25 | $357–$735 | varies |
| Radiologic exam swallow function contrast study (74230) | $929.25 | $1,239 | 4.4× |
| Radiologic exam upr gi trc double contrast study (74246) | $1,319.25 | $1,759 | 6.3× |
| Radiologic examination femur 1 view (73551) range across 2 matching MRF lines |
$189.75–$191.25 | $253–$255 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$226.50–$511.50 | $302–$682 | varies |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$290.25–$390 | $387–$520 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $953.25 | $1,271 | 7.6× |
| Radiologic examination tibia & fibula 2 views (73590) range across 2 matching MRF lines |
$269.25–$363 | $359–$484 | varies |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$398.25–$429 | $531–$572 | varies |
| Rp loclzj tum plnr 1 area single day imaging (78800) range across 2 matching MRF lines |
$992.25–$1,346.25 | $1,323–$1,795 | varies |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $1,442.25 | $1,923 | 3.0× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $2,846.25 | $3,795 | 4.4× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) range across 2 matching MRF lines |
$1,613.25–$1,623 | $2,151–$2,164 | varies |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $1,938.75 | $2,585 | 3.0× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) range across 2 matching MRF lines |
$2,981.25–$4,044.75 | $3,975–$5,393 | varies |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) range across 2 matching MRF lines |
$3,317.25–$4,623 | $4,423–$6,164 | varies |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) range across 2 matching MRF lines |
$2,370.75–$3,467.25 | $3,161–$4,623 | varies |
| Rp Ther Radiolbld Monoclonal Antibody IV Infus (79403) | $379.50 | $506 | 1.4× |
| Rp Therapy Intravenous Administration (79101) range across 2 matching MRF lines |
$638.25–$880.50 | $851–$1,174 | varies |
| Salivary Gland Imaging Serial Images (78231) | $477 | $636 | 1.0× |
| Scapula (73010) range across 2 matching MRF lines |
$290.25–$390 | $387–$520 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 2 matching MRF lines |
$77.25–$205.50 | $103–$274 | varies |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$232.50–$620.25 | $310–$827 | varies |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$357.75–$480.75 | $477–$641 | varies |
| Special dosimetry (77331) range across 2 matching MRF lines |
$407.25–$417.75 | $543–$557 | varies |
| Special Physics Consult (77370) range across 2 matching MRF lines |
$745.50–$1,052.25 | $994–$1,403 | varies |
| Special teletherapy port plan (77321) range across 2 matching MRF lines |
$852.75–$1,135.50 | $1,137–$1,514 | varies |
| Special treatment procedure (77470) range across 2 matching MRF lines |
$2,559–$4,465.50 | $3,412–$5,954 | varies |
| Stereotactic Body Radiation Delivery (77373) range across 2 matching MRF lines |
$5,751–$23,173.50 | $7,668–$30,898 | varies |
| Sternoclavicular joints (71130) | $505.50 | $674 | 4.8× |
| Telethx isodose pln cplx w/basic dosimetry (77307) range across 2 matching MRF lines |
$735–$1,151.25 | $980–$1,535 | varies |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $750 | $1,000 | 1.7× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $3,527.25 | $4,703 | 7.9× |
| Ther rad simulaj-aided field setting simple (77280) range across 2 matching MRF lines |
$1,365.75–$2,135.25 | $1,821–$2,847 | varies |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$329.25–$440.25 | $439–$587 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$378–$488.25 | $504–$651 | varies |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$355.50–$479.25 | $474–$639 | varies |
| Thyroid Imaging With Vascular Flow (78013) | $654.75 | $873 | 1.4× |
| Tx Devices Design & Construction Complex (77334) range across 2 matching MRF lines |
$1,278.75–$2,019.75 | $1,705–$2,693 | varies |
| Tx devices design & construction intermediate (77333) range across 2 matching MRF lines |
$777.75–$900 | $1,037–$1,200 | varies |
| Tx devices design & construction simple (77332) range across 2 matching MRF lines |
$683.25–$777.75 | $911–$1,037 | varies |
| Ultrasound Breast Limited (76642) range across 5 matching MRF lines |
$90.75–$627 | $121–$836 | varies |
| Ultrasound Elastography Parenchyma (76981) | $345 | $460 | 2.8× |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
$292.50–$480.75 | $390–$641 | varies |
| Ultrasound, abdomen limited (76705) range across 3 matching MRF lines |
$522.75–$600.75 | $697–$801 | varies |
| Unlisted magnetic resonance procedure (76498) range across 2 matching MRF lines |
$6,545.25–$8,104.50 | $8,727–$10,806 | varies |
| Upper gi w/o kub (74240) | $1,120.50 | $1,494 | 5.3× |
| Us breast unilateral complete (76641) range across 2 matching MRF lines |
$310.50–$535.50 | $414–$714 | varies |
| Us chest (76604) range across 3 matching MRF lines |
$390–$479.25 | $520–$639 | varies |
| Us complete joint (76881) range across 2 matching MRF lines |
$542.25–$752.25 | $723–$1,003 | varies |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$492.75–$498 | $657–$664 | varies |
| Us kidney transplant (76776) | $690 | $920 | 5.5× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 7 matching MRF lines |
$48–$794.25 | $64–$1,059 | varies |
| Us ob limited 1 or more fetuses (76815) | $651 | $868 | 5.2× |
| Us ob transvaginal (76817) | $767.25 | $1,023 | 6.1× |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$585.75–$720.75 | $781–$961 | varies |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$611.25–$752.25 | $815–$1,003 | varies |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$516–$520.50 | $688–$694 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$570–$576.75 | $760–$769 | varies |
| Us thyroid (76536) range across 7 matching MRF lines |
$73.50–$738 | $98–$984 | varies |
| Vascular Flow Imaging (78445) | $638.25 | $851 | 1.3× |
| Venography caval inferior serialography rs&i (75825) | $6,264.75 | $8,353 | 1.7× |
| Venography extremity unilateral rs&i (75820) | $2,011.50 | $2,682 | 1.1× |
| Wrist 2 views (73100) | $402 | $536 | 3.9× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$337.50–$366.75 | $450–$489 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$276–$378.75 | $368–$505 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $538.50 | $718 | 4.3× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $645 | $860 | 5.1× |
| X-Ray Exam Hip Uni 1 View (73501) range across 2 matching MRF lines |
$201–$335.25 | $268–$447 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 2 matching MRF lines |
$297.75–$511.50 | $397–$682 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) range across 2 matching MRF lines |
$369–$549.75 | $492–$733 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$279.75–$537 | $373–$716 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 2 matching MRF lines |
$333.75–$671.25 | $445–$895 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) range across 2 matching MRF lines |
$401.25–$759.75 | $535–$1,013 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$378.75–$381.75 | $505–$509 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$668.25–$898.50 | $891–$1,198 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 2 matching MRF lines |
$388.50–$734.25 | $518–$979 | varies |
| X-ray eye for foreign body (70030) range across 3 matching MRF lines |
$294.75–$399 | $393–$532 | varies |
| X-ray humerus (73060) range across 2 matching MRF lines |
$291–$293.25 | $388–$391 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $357 | $476 | 3.4× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$321–$566.25 | $428–$755 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$399.75–$536.25 | $533–$715 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$526.50–$734.25 | $702–$979 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$354.75–$357 | $473–$476 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$286.50–$386.25 | $382–$515 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$375–$505.50 | $500–$674 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $627 | $836 | 5.0× |
| X-ray thoracic spine 4 vw (72074) | $559.50 | $746 | 4.5× |
| X-Ray Tmj Unilat (70328) range across 2 matching MRF lines |
$306–$410.25 | $408–$547 | varies |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$1,068–$1,078.50 | $1,424–$1,438 | varies |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$529.50–$709.50 | $706–$946 | varies |
| Xr facial bones less than 3 views (70140) range across 2 matching MRF lines |
$280.50–$422.25 | $374–$563 | varies |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$397.50–$437.25 | $530–$583 | 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.