Imaging prices at Dayton Children's Hospital
Dayton, OH · 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) range across 2 matching MRF lines |
$364.53–$375.20 | $520.75–$536 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$505.95–$520.80 | $722.78–$744 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) range across 2 matching MRF lines |
$637–$1,771 | $910–$2,530 | varies |
| Angiography extremity bilateral rs&i (75716) range across 2 matching MRF lines |
$3,920.70–$6,096.30 | $5,601–$8,709 | varies |
| Angiography extremity unilateral rs&i (75710) range across 2 matching MRF lines |
$3,920.70–$6,188.70 | $5,601–$8,841 | varies |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) range across 2 matching MRF lines |
$3,848.60–$3,920.70 | $5,498–$5,601 | varies |
| Ankle 2 views (73600) range across 5 matching MRF lines |
$139.30–$277.20 | $199–$396 | varies |
| Aortography thoracic serialography rs&i (75605) range across 2 matching MRF lines |
$4,312.70–$5,371.80 | $6,161–$7,674 | varies |
| Arthrogram hip (73525) range across 2 matching MRF lines |
$394.10–$641.20 | $563–$916 | varies |
| Arthrogram Wrist (73115) range across 2 matching MRF lines |
$336.70–$1,036.70 | $481–$1,481 | varies |
| Bone age studies (77072) range across 3 matching MRF lines |
$148.40–$290.50 | $212–$415 | varies |
| Bone Imaging 3 Phase (78315) range across 2 matching MRF lines |
$877.10–$2,284.80 | $1,253–$3,264 | varies |
| Bone Imaging Limited Area (78300) range across 2 matching MRF lines |
$479.50–$1,366.40 | $685–$1,952 | varies |
| Bone Imaging Whole Body (78306) range across 2 matching MRF lines |
$898.10–$2,235.10 | $1,283–$3,193 | varies |
| Bone survey infant (77076) range across 3 matching MRF lines |
$609–$627.20 | $870–$896 | varies |
| Brain Flow Imaging Only (78610) range across 2 matching MRF lines |
$676.90–$3,022.60 | $967–$4,318 | varies |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) range across 2 matching MRF lines |
$636.30–$5,499.90 | $909–$7,857 | varies |
| Cardiac MRI w/w/o contrast & further seq (75561) range across 4 matching MRF lines |
$655.20–$3,257.10 | $936–$4,653 | varies |
| Cat Scan Follow-Up Study (76380) | $555.80 | $794 | 6.5× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) range across 2 matching MRF lines |
$684.60–$2,035.60 | $978–$2,908 | varies |
| Cerebrospinal Fluid Scan (78630) range across 2 matching MRF lines |
$636.30–$2,660.70 | $909–$3,801 | varies |
| Chest 1 view (71045) range across 3 matching MRF lines |
$155.20–$310.39 | $221.71–$443.42 | varies |
| Chest 2 views (71046) range across 2 matching MRF lines |
$248.32–$255.50 | $354.74–$365 | varies |
| Chest 3 views (71047) range across 2 matching MRF lines |
$575.43–$592.90 | $822.04–$847 | varies |
| Chest 4 or more views (71048) | $507.50 | $725 | 5.0× |
| Chg us nrv&acc strux 1 xtr compre w/img pr extremity (76883) | $333.90 | $477 | 3.3× |
| Clavicle complete (73000) range across 4 matching MRF lines |
$152.60–$289.10 | $218–$413 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $429.10 | $613 | 4.2× |
| Contrast Exam Abdominl Aorta (75625) range across 2 matching MRF lines |
$3,920.70–$5,430.60 | $5,601–$7,758 | varies |
| Contrast X-Ray Bladder (74430) | $813.40 | $1,162 | 2.4× |
| Contrast X-Ray Of Elbow (73085) range across 2 matching MRF lines |
$336.70–$1,026.90 | $481–$1,467 | varies |
| Contrast X-Ray Of Knee Joint (73580) range across 2 matching MRF lines |
$372.40–$1,136.10 | $532–$1,623 | varies |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$3,782.80–$5,700.80 | $5,404–$8,144 | varies |
| CT abdomen and pelvis without contrast (74176) range across 4 matching MRF lines |
$2,214.10–$4,139.10 | $3,163–$5,913 | varies |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$1,498–$2,926 | $2,140–$4,180 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$1,853.60–$3,115.70 | $2,648–$4,451 | varies |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$1,107.40–$2,552.90 | $1,582–$3,647 | varies |
| CT Angio Abdomen and Pelvis (74174) | $4,289.60 | $6,128 | 12.5× |
| CT Angio Chest (71275) range across 3 matching MRF lines |
$1,389.50–$2,961 | $1,985–$4,230 | varies |
| CT Angio Head (70496) range across 3 matching MRF lines |
$1,336.30–$3,126.90 | $1,909–$4,467 | varies |
| CT angio hrt w/3d image (75574) | $576.80 | $824 | 1.7× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
$1,295–$4,017.30 | $1,850–$5,739 | varies |
| CT Angio Neck (70498) range across 3 matching MRF lines |
$1,336.30–$2,971.50 | $1,909–$4,245 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 2 matching MRF lines |
$1,346.80–$2,869.30 | $1,924–$4,099 | varies |
| CT bone density (77078) range across 2 matching MRF lines |
$673.40–$1,033.90 | $962–$1,477 | varies |
| CT cervical spine w/ contrast (72126) range across 2 matching MRF lines |
$1,412.60–$2,482.20 | $2,018–$3,546 | varies |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$1,151.50–$2,372.30 | $1,645–$3,389 | varies |
| CT cervical spine w/wo cont (72127) range across 2 matching MRF lines |
$1,782.90–$3,443.30 | $2,547–$4,919 | varies |
| CT chest w contrast (71260) range across 3 matching MRF lines |
$1,498–$2,934.40 | $2,140–$4,192 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$1,890.70–$2,888.20 | $2,701–$4,126 | varies |
| CT head/brain with contrast (70460) range across 3 matching MRF lines |
$1,399.30–$2,104.90 | $1,999–$3,007 | varies |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$1,890.70–$2,747.50 | $2,701–$3,925 | varies |
| CT heart contrast eval cardiac structure&morph (75572) | $576.80 | $824 | 1.7× |
| CT heart no contrast quant eval coronry calcium (75571) | $142.10 | $203 | 1.7× |
| CT hrt w/3d image congen (75573) range across 2 matching MRF lines |
$576.80–$2,128 | $824–$3,040 | varies |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$1,498–$2,482.20 | $2,140–$3,546 | varies |
| CT l-spine w&w/o contrast (72133) range across 2 matching MRF lines |
$1,782.90–$3,662.40 | $2,547–$5,232 | varies |
| CT lower ext w/o (73700) range across 3 matching MRF lines |
$1,281–$2,156 | $1,830–$3,080 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$1,399.30–$2,559.20 | $1,999–$3,656 | varies |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$1,498–$2,688.70 | $2,140–$3,841 | varies |
| CT lumbar spine w/o contrast (72131) range across 3 matching MRF lines |
$1,175.30–$2,675.40 | $1,679–$3,822 | varies |
| CT maxillofacial w contrast (70487) range across 3 matching MRF lines |
$1,498–$2,562.70 | $2,140–$3,661 | varies |
| CT maxillofacial wo contrast (70486) range across 3 matching MRF lines |
$1,107.40–$1,985.20 | $1,582–$2,836 | varies |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$1,782.90–$2,681 | $2,547–$3,830 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 2 matching MRF lines |
$1,890.70–$3,056.20 | $2,701–$4,366 | varies |
| CT orbits w/o contrast (70480) range across 3 matching MRF lines |
$1,107.40–$2,037 | $1,582–$2,910 | varies |
| CT pelvis w&w/o contrast (72194) range across 2 matching MRF lines |
$1,782.90–$3,335.50 | $2,547–$4,765 | varies |
| CT pelvis w/o contrast (72192) range across 3 matching MRF lines |
$1,107.40–$2,209.90 | $1,582–$3,157 | varies |
| CT scan of leg combo (73702) range across 3 matching MRF lines |
$1,853.60–$2,824.50 | $2,648–$4,035 | varies |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
$1,782.90–$2,879.10 | $2,547–$4,113 | varies |
| CT soft tissue neck w contrast (70491) range across 3 matching MRF lines |
$1,399.30–$2,844.10 | $1,999–$4,063 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$1,043.70–$2,342.90 | $1,491–$3,347 | varies |
| CT thoracic spine w contrast (72129) range across 2 matching MRF lines |
$1,498–$2,605.40 | $2,140–$3,722 | varies |
| CT thoracic spine w/o contrast (72128) range across 3 matching MRF lines |
$1,130.50–$2,552.90 | $1,615–$3,647 | varies |
| CT thoracic spine w/wo cont (72130) range across 2 matching MRF lines |
$1,782.90–$3,381.70 | $2,547–$4,831 | varies |
| CT thorax w/o contrast (71250) range across 3 matching MRF lines |
$1,205.40–$2,385.60 | $1,722–$3,408 | varies |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$1,183.70–$2,260.30 | $1,691–$3,229 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 2 matching MRF lines |
$1,853.60–$3,147.90 | $2,648–$4,497 | varies |
| CT upper extremity with contrast (73201) range across 3 matching MRF lines |
$1,465.80–$2,398.20 | $2,094–$3,426 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$1,319.50–$3,402 | $1,885–$4,860 | varies |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$1,455.30–$3,603.60 | $2,079–$5,148 | varies |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $6,098.40 | $8,712 | 17.8× |
| CTA pelvis (72191) range across 2 matching MRF lines |
$1,259.30–$2,704.80 | $1,799–$3,864 | varies |
| Dilation ureters/urethra rs&i (74485) range across 2 matching MRF lines |
$1,064–$2,321.90 | $1,520–$3,317 | varies |
| Discography Cerv/Thor Spine (72285) range across 2 matching MRF lines |
$3,920.70–$6,827.80 | $5,601–$9,754 | varies |
| Diskography lumbar (72295) range across 2 matching MRF lines |
$3,920.70–$4,918.90 | $5,601–$7,027 | varies |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) range across 4 matching MRF lines |
$562.80–$746.20 | $804–$1,066 | varies |
| Doppler Echo Fetal Spectral Display Complete (76827) range across 4 matching MRF lines |
$601.30–$1,078.70 | $859–$1,541 | varies |
| Dxa Bone Density Axial (77080) range across 3 matching MRF lines |
$144.90–$742 | $207–$1,060 | varies |
| Dxa bone density study (77085) range across 2 matching MRF lines |
$1,337–$1,417.50 | $1,910–$2,025 | varies |
| Dxa bone density study 1/>sites appendiclr skel (77081) range across 2 matching MRF lines |
$87.50–$387.80 | $125–$554 | varies |
| Echo exam of fetal heart (76825) range across 4 matching MRF lines |
$562.80–$1,409.10 | $804–$2,013 | varies |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) range across 4 matching MRF lines |
$343.79–$618.80 | $491.13–$884 | varies |
| Esophageal Motility Study (78258) range across 2 matching MRF lines |
$597.10–$1,027.60 | $853–$1,468 | varies |
| Esophagram (74220) range across 3 matching MRF lines |
$350.70–$627.90 | $501–$897 | varies |
| Fetal MRI w/placntl matrnl plvc img sing/1st ges (74712) range across 2 matching MRF lines |
$693.70–$875 | $991–$1,250 | varies |
| Fluoroscopy up to 1 hr (76000) range across 3 matching MRF lines |
$284.20–$508.20 | $406–$726 | varies |
| Foot 2 views (73620) range across 5 matching MRF lines |
$144.90–$264.60 | $207–$378 | varies |
| Forearm 2 views (73090) range across 4 matching MRF lines |
$127.40–$246.40 | $182–$352 | varies |
| Gastric emptying imaging study (78264) range across 3 matching MRF lines |
$787.50–$1,874.60 | $1,125–$2,678 | varies |
| Gastric Emptyng Imag Std W/Sm Bwl Transit (78265) | $689.50 | $985 | 1.8× |
| Gastroesophageal Reflux Exam (78262) range across 2 matching MRF lines |
$609–$1,054.20 | $870–$1,506 | varies |
| Gated Heart Planar Single (78472) range across 2 matching MRF lines |
$803.60–$2,515.10 | $1,148–$3,593 | varies |
| Gstrc Emptng Imag Std W/Sm Bwl Col Trnst Mlt Day (78266) | $689.50 | $985 | 1.3× |
| Hand 2 views (73120) range across 4 matching MRF lines |
$155.40–$433.30 | $222–$619 | varies |
| Hdr Rdncl Ntrstl/Icav Brchtx (77772) | $4,578.70 | $6,541 | 6.7× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) | $4,578.70 | $6,541 | 6.7× |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) | $1,757 | $2,510 | 2.6× |
| Hepatobil Syst Image W/Drug (78227) range across 3 matching MRF lines |
$676.90–$2,154.60 | $967–$3,078 | varies |
| Hepatobiliary System Imaging (78226) range across 2 matching MRF lines |
$676.90–$2,154.60 | $967–$3,078 | varies |
| Ht Muscle Image Spect Sing (78451) range across 2 matching MRF lines |
$1,073.80–$4,180.40 | $1,534–$5,972 | varies |
| Infant hip ultrasound with hip movement (dynamic) (76885) range across 3 matching MRF lines |
$482.30–$853.30 | $689–$1,219 | varies |
| Infusion Ivp (74410) | $1,231.30 | $1,759 | 7.2× |
| Joint Survey Single View (77077) range across 3 matching MRF lines |
$155.40–$477.40 | $222–$682 | varies |
| K Flow/Funct Image Multiple (78709) range across 3 matching MRF lines |
$809.90–$2,462.60 | $1,157–$3,518 | varies |
| K Flow/Funct Image W/Drug (78708) | $2,373 | $3,390 | 4.5× |
| K Flow/Funct Image W/O Drug (78707) range across 2 matching MRF lines |
$688.80–$1,964.20 | $984–$2,806 | varies |
| Kidney Funcj Study Non-Img Radioisotopic Study (78725) range across 2 matching MRF lines |
$558.60–$1,617.70 | $798–$2,311 | varies |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$157.50–$323.40 | $225–$462 | varies |
| Labeled RBC Sequestration Differntl Organ/Tissue (78140) | $835.10 | $1,193 | 2.1× |
| Liver & Spleen Imaging Static Only (78215) range across 2 matching MRF lines |
$663.60–$1,855 | $948–$2,650 | varies |
| Lung Ventilat&Perfus Imaging (78582) range across 2 matching MRF lines |
$751.10–$2,421.30 | $1,073–$3,459 | varies |
| Lung Ventilation Imaging (78579) range across 2 matching MRF lines |
$479.50–$1,303.40 | $685–$1,862 | varies |
| Lymph System Imaging (78195) range across 2 matching MRF lines |
$479.50–$2,007.60 | $685–$2,868 | varies |
| Magnetic Image Jaw Joint (70336) range across 2 matching MRF lines |
$1,835.40–$2,653.70 | $2,622–$3,791 | varies |
| Meckels Divert Exam (78290) range across 2 matching MRF lines |
$721.70–$1,605.10 | $1,031–$2,293 | varies |
| Medical physics dose eval radiation expos w/rprt (76145) | $458.50 | $655 | 1.3× |
| Mra Head W/O & W/Contrast Material (70546) range across 3 matching MRF lines |
$2,807–$3,916.50 | $4,010–$5,595 | varies |
| MRA head w/o contrast (70544) range across 3 matching MRF lines |
$2,181.90–$2,611 | $3,117–$3,730 | varies |
| MRA head with contrast (70545) range across 2 matching MRF lines |
$2,429.70–$2,930.90 | $3,471–$4,187 | varies |
| MRA neck w contrast (70548) range across 2 matching MRF lines |
$2,429.70–$2,648.80 | $3,471–$3,784 | varies |
| Mra Neck W/O &W/Contrast Material (70549) range across 2 matching MRF lines |
$2,783.20–$4,125.10 | $3,976–$5,893 | varies |
| MRA neck w/o contrast (70547) range across 2 matching MRF lines |
$1,982.40–$2,611 | $2,832–$3,730 | varies |
| MRI abdomen w contrast (74182) range across 2 matching MRF lines |
$2,290.40–$3,605.70 | $3,272–$5,151 | varies |
| MRI abdomen w/o contrast (74181) range across 3 matching MRF lines |
$2,061.50–$3,295.60 | $2,945–$4,708 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 5 matching MRF lines |
$2,290.40–$4,580.80 | $3,272–$6,544 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 4 matching MRF lines |
$2,807–$5,292.70 | $4,010–$7,561 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 3 matching MRF lines |
$1,997.25–$2,429.70 | $2,853.22–$3,471 | varies |
| MRI bone marrow blood supply (77084) | $2,763.60 | $3,948 | 11.8× |
| MRI brain functional w/o physician admnistration (70554) range across 2 matching MRF lines |
$1,982.40–$3,528 | $2,832–$5,040 | varies |
| MRI brain functional w/physician admnistration (70555) | $1,346.80 | $1,924 | 5.8× |
| MRI cardiac w/o contrast (75557) range across 4 matching MRF lines |
$394.10–$2,878.40 | $563–$4,112 | varies |
| MRI cervical spine w contrast (72142) range across 2 matching MRF lines |
$2,429.70–$3,822.70 | $3,471–$5,461 | varies |
| MRI cervical spine w/o cont (72141) range across 3 matching MRF lines |
$1,939.70–$3,219.30 | $2,771–$4,599 | varies |
| MRI chest w/o contrast (71550) range across 2 matching MRF lines |
$1,927.10–$3,048.50 | $2,753–$4,355 | varies |
| MRI chest with contrast (71551) range across 2 matching MRF lines |
$2,290.40–$3,087.70 | $3,272–$4,411 | varies |
| MRI chest wo w contrast (71552) range across 2 matching MRF lines |
$2,919.70–$4,189.50 | $4,171–$5,985 | varies |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 4 matching MRF lines |
$2,205–$4,580.80 | $3,150–$6,544 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 4 matching MRF lines |
$2,652.03–$5,614.70 | $3,788.62–$8,021 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 4 matching MRF lines |
$2,043.30–$3,853.50 | $2,919–$5,505 | varies |
| MRI lumbar spine w contrast (72149) range across 2 matching MRF lines |
$2,429.70–$3,896.20 | $3,471–$5,566 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 3 matching MRF lines |
$2,919.70–$4,485.60 | $4,171–$6,408 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 2 matching MRF lines |
$2,202.90–$2,860.20 | $3,147–$4,086 | varies |
| MRI orbit face neck w contrast (70542) range across 2 matching MRF lines |
$2,429.70–$3,846.50 | $3,471–$5,495 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 3 matching MRF lines |
$2,919.70–$4,858 | $4,171–$6,940 | varies |
| MRI pelvis w contrast (72196) range across 2 matching MRF lines |
$2,290.40–$3,409 | $3,272–$4,870 | varies |
| MRI pelvis w/o & w contrast (72197) range across 3 matching MRF lines |
$2,919.70–$3,801 | $4,171–$5,430 | varies |
| MRI pelvis w/o contrast (72195) range across 4 matching MRF lines |
$1,929.20–$2,921.10 | $2,756–$4,173 | varies |
| MRI spectroscopy (76390) range across 2 matching MRF lines |
$1,836.80–$2,705.50 | $2,624–$3,865 | varies |
| MRI thoracic spine w/o contrast (72146) range across 3 matching MRF lines |
$1,939.70–$3,357.90 | $2,771–$4,797 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 2 matching MRF lines |
$2,323.30–$2,382.10 | $3,319–$3,403 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 3 matching MRF lines |
$1,800.40–$2,202.90 | $2,572–$3,147 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 3 matching MRF lines |
$2,739.10–$5,292.70 | $3,913–$7,561 | varies |
| MRI, abdomen, combo (74183) range across 3 matching MRF lines |
$3,063.20–$4,125.10 | $4,376–$5,893 | varies |
| MRI, dorsal spine combo (72157) range across 3 matching MRF lines |
$2,919.70–$4,725 | $4,171–$6,750 | varies |
| MRI, dorsal spine contrast (72147) range across 2 matching MRF lines |
$2,429.70–$3,582.60 | $3,471–$5,118 | varies |
| MRI, joint upper extrem (73221) range across 3 matching MRF lines |
$1,983.10–$2,495.50 | $2,833–$3,565 | varies |
| MRI, joint upper extrem combo (73223) range across 3 matching MRF lines |
$2,646–$2,884 | $3,780–$4,120 | varies |
| MRI, lumbar spine combo (72158) range across 3 matching MRF lines |
$2,919.70–$4,249.70 | $4,171–$6,071 | varies |
| Myelogram Lumbar (72265) | $814.80 | $1,164 | 1.1× |
| Myocardial Spect Multiple Studies (78452) range across 2 matching MRF lines |
$1,700.30–$5,873 | $2,429–$8,390 | varies |
| Neck soft tissue (70360) range across 3 matching MRF lines |
$168–$305.90 | $240–$437 | varies |
| Nm csf leak detection (78650) range across 2 matching MRF lines |
$561.40–$2,835 | $802–$4,050 | varies |
| Nonvascular Shunt X-Ray (75809) range across 2 matching MRF lines |
$216.30–$387.10 | $309–$553 | varies |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) | $315 | $450 | 3.1× |
| Parathyroid Planar Imaging (78070) range across 2 matching MRF lines |
$626.50–$1,918.70 | $895–$2,741 | varies |
| Pelvis 1 or 2 views (72170) range across 3 matching MRF lines |
$131.60–$235.20 | $188–$336 | varies |
| Perineogram (74775) range across 2 matching MRF lines |
$354.90–$635.60 | $507–$908 | varies |
| Peritoneogram Rs&I (74190) range across 2 matching MRF lines |
$507.50–$856.80 | $725–$1,224 | varies |
| Pet Image W/Ct Lmtd (78814) | $2,132.20 | $3,046 | 1.5× |
| PET image w/CT, full body (78816) | $2,132.20 | $3,046 | 1.5× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $2,132.20 | $3,046 | 1.5× |
| Pulmonary Perfusion Imaging Particulate (78580) range across 2 matching MRF lines |
$733.60–$1,520.40 | $1,048–$2,172 | varies |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $473.20 | $676 | 4.6× |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 2 matching MRF lines |
$278.60–$1,178.80 | $398–$1,684 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 4 matching MRF lines |
$155.40–$311.50 | $222–$445 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 4 matching MRF lines |
$145.60–$291.90 | $208–$417 | varies |
| Radex elbow complete minimum 3 views (73080) range across 4 matching MRF lines |
$176.40–$504 | $252–$720 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $238.70 | $341 | 2.3× |
| Radex fingr minimum 2 views (73140) range across 5 matching MRF lines |
$114.80–$214.90 | $164–$307 | varies |
| Radex foot complete minimum 3 views (73630) range across 5 matching MRF lines |
$155.40–$588.35 | $222–$840.50 | varies |
| Radex Hand Minimum 3 Views (73130) range across 4 matching MRF lines |
$155.40–$299.60 | $222–$428 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 5 matching MRF lines |
$127.40–$977.63 | $182–$1,396.62 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) range across 2 matching MRF lines |
$158.90–$492.10 | $227–$703 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 3 matching MRF lines |
$168.70–$312.90 | $241–$447 | varies |
| Radex Pharynx/Larx W/Fluor&/Magnification Tq (70370) range across 2 matching MRF lines |
$173.60–$310.80 | $248–$444 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 4 matching MRF lines |
$144.20–$310.10 | $206–$443 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 4 matching MRF lines |
$168.70–$319.90 | $241–$457 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 3 matching MRF lines |
$145.60–$291.90 | $208–$417 | varies |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) range across 2 matching MRF lines |
$340.90–$933.80 | $487–$1,334 | varies |
| Radex Spine 1 View Specify Level (72020) range across 4 matching MRF lines |
$130.90–$274.40 | $187–$392 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$152.60–$380.10 | $218–$543 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$259.70–$588.70 | $371–$841 | varies |
| Radex Toe Minimum 2 Views (73660) range across 4 matching MRF lines |
$116.90–$233.80 | $167–$334 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 5 matching MRF lines |
$122.50–$246.40 | $175–$352 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 4 matching MRF lines |
$155.40–$297.50 | $222–$425 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $604.10 | $863 | 5.9× |
| Radiolog exam mandible compl minimum 4 views (70110) | $294 | $420 | 2.9× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $592.90 | $847 | 5.8× |
| Radiologic exam colon double contrast study (74280) range across 2 matching MRF lines |
$391.30–$1,316 | $559–$1,880 | varies |
| Radiologic exam colon single contrast study (74270) range across 3 matching MRF lines |
$395.50–$767.90 | $565–$1,097 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 4 matching MRF lines |
$176.40–$416.50 | $252–$595 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $135.10 | $193 | 1.3× |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 2 matching MRF lines |
$350.70–$737.80 | $501–$1,054 | varies |
| Radiologic exam swallow function contrast study (74230) range across 3 matching MRF lines |
$406–$726.60 | $580–$1,038 | varies |
| Radiologic exam upr gi trc double contrast study (74246) | $396.90 | $567 | 2.3× |
| Radiologic examination femur 1 view (73551) | $335.30 | $479 | 3.9× |
| Radiologic examination femur minimum 2 views (73552) range across 4 matching MRF lines |
$147–$574.07 | $210–$820.10 | varies |
| Radiologic examination knee 1/2 views (73560) range across 4 matching MRF lines |
$148.40–$285.60 | $212–$408 | varies |
| Radiologic Examination Osseous Survey Limited (77074) range across 2 matching MRF lines |
$149.80–$934.50 | $214–$1,335 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 7 matching MRF lines |
$137.20–$278.60 | $196–$398 | varies |
| Radiologic examination, teeth; single view Non-Facility (70300) | $112.70 | $161 | 1.3× |
| Radiopharm Dacryocystography (78660) range across 2 matching MRF lines |
$382.20–$814.10 | $546–$1,163 | varies |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77768) | $1,757 | $2,510 | 4.6× |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77767) | $1,757 | $2,510 | 4.6× |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$263.20–$680.40 | $376–$972 | varies |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) range across 2 matching MRF lines |
$597.10–$5,737.90 | $853–$8,197 | varies |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) range across 2 matching MRF lines |
$613.90–$2,836.40 | $877–$4,052 | varies |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 2 matching MRF lines |
$832.30–$3,013.50 | $1,189–$4,305 | varies |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $2,525.60 | $3,608 | 2.0× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $2,865.10 | $4,093 | 2.0× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $2,525.60 | $3,608 | 2.0× |
| Salivary Gland Imaging (78230) | $1,040.20 | $1,486 | 2.7× |
| Scapula (73010) range across 4 matching MRF lines |
$149.80–$282.10 | $214–$403 | varies |
| Sella turcica (70240) range across 2 matching MRF lines |
$168.70–$353.50 | $241–$505 | varies |
| Shoulder 1 view (73020) range across 4 matching MRF lines |
$149.80–$335.30 | $214–$479 | varies |
| Shoulder Arthrography (73040) range across 2 matching MRF lines |
$370.30–$602 | $529–$860 | varies |
| Sialogram (70390) | $259 | $370 | 1.1× |
| Skull less than 4 views (70250) range across 4 matching MRF lines |
$105.70–$168.70 | $151–$241 | varies |
| Sternoclavicular joints (71130) range across 3 matching MRF lines |
$140–$494.90 | $200–$707 | varies |
| Testicular Imaging W/Flow (78761) range across 2 matching MRF lines |
$563.50–$660.80 | $805–$944 | varies |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) range across 2 matching MRF lines |
$408.10–$730.10 | $583–$1,043 | varies |
| Thoracic spine 2 views (72070) range across 3 matching MRF lines |
$194.60–$363.30 | $278–$519 | varies |
| Thoracolumbar 2 views (72080) | $348.60 | $498 | 4.1× |
| Thyroid Imaging With Vascular Flow (78013) range across 2 matching MRF lines |
$483–$1,041.60 | $690–$1,488 | varies |
| Thyroid Uptake Measurement (78012) range across 2 matching MRF lines |
$483–$1,118.60 | $690–$1,598 | varies |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) range across 2 matching MRF lines |
$492.80–$1,798.30 | $704–$2,569 | varies |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$158.90–$340.20 | $227–$486 | varies |
| Ultrasound Elastography Parenchyma (76981) range across 2 matching MRF lines |
$216.86–$223.30 | $309.80–$319 | varies |
| Ultrasound, abdomen limited (76705) range across 4 matching MRF lines |
$185.50–$983.85 | $265–$1,405.50 | varies |
| Unlisted Dx Radiographic Procedure (76499) | $1,521.80 | $2,174 | 17.8× |
| Unlisted hematopoietic, reticuloendothelial and lymphatic procedure, diagnostic nuclear medicine (78199) range across 2 matching MRF lines |
$736.40–$1,183 | $1,052–$1,690 | varies |
| Unlisted magnetic resonance procedure (76498) range across 2 matching MRF lines |
$2,868.60–$4,975.60 | $4,098–$7,108 | varies |
| Upper gi w/o kub (74240) range across 2 matching MRF lines |
$385.67–$396.90 | $550.95–$567 | varies |
| Ureteral Reflux Study (78740) range across 2 matching MRF lines |
$751.80–$1,563.10 | $1,074–$2,233 | varies |
| Urethrocystogram voiding (74455) range across 3 matching MRF lines |
$392.70–$780.50 | $561–$1,115 | varies |
| Urethrocystography retrograde (74450) range across 2 matching MRF lines |
$338.10–$2,109.80 | $483–$3,014 | varies |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$191.80–$1,223.60 | $274–$1,748 | varies |
| Us chest (76604) range across 2 matching MRF lines |
$452.90–$585.20 | $647–$836 | varies |
| Us complete joint (76881) range across 3 matching MRF lines |
$408.10–$868.70 | $583–$1,241 | varies |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$66.50–$721 | $95–$1,030 | varies |
| Us head (76506) range across 3 matching MRF lines |
$503.30–$670.60 | $719–$958 | varies |
| Us kidney transplant (76776) range across 2 matching MRF lines |
$451.50–$1,287.30 | $645–$1,839 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 5 matching MRF lines |
$211.40–$735.70 | $302–$1,051 | varies |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$116.20–$673.40 | $166–$962 | varies |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$134.40–$889 | $192–$1,270 | varies |
| Us pelvic non ob complete (76856) range across 3 matching MRF lines |
$424.90–$1,082.20 | $607–$1,546 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$352.10–$965.30 | $503–$1,379 | varies |
| Us retroperitoneal complete (76770) range across 3 matching MRF lines |
$505.40–$1,004.50 | $722–$1,435 | varies |
| Us retroperitoneal limited (76775) | $707.70 | $1,011 | 6.9× |
| Us scrotum and contents (76870) range across 3 matching MRF lines |
$439.60–$928.20 | $628–$1,326 | varies |
| Us spinal canal and contents (76800) range across 3 matching MRF lines |
$497.70–$1,270.50 | $711–$1,815 | varies |
| Us thyroid (76536) range across 3 matching MRF lines |
$371.70–$905.10 | $531–$1,293 | varies |
| Vein X-Ray Chest (75827) range across 2 matching MRF lines |
$963.20–$3,438.40 | $1,376–$4,912 | varies |
| Venography caval inferior serialography rs&i (75825) range across 2 matching MRF lines |
$3,920.70–$4,606 | $5,601–$6,580 | varies |
| Venography extremity bilateral rs&i (75822) range across 2 matching MRF lines |
$963.20–$2,589.30 | $1,376–$3,699 | varies |
| Venography extremity unilateral rs&i (75820) range across 2 matching MRF lines |
$963.20–$2,293.20 | $1,376–$3,276 | varies |
| Venography Renal Bilateral (75833) range across 2 matching MRF lines |
$3,920.70–$5,662.30 | $5,601–$8,089 | varies |
| Venography Renal Unilateral (75831) range across 2 matching MRF lines |
$3,920.70–$6,652.80 | $5,601–$9,504 | varies |
| Venous sampling by catheter (75893) range across 2 matching MRF lines |
$3,573.50–$3,920.70 | $5,105–$5,601 | varies |
| Vertebral fracture assessment via dxa (77086) range across 2 matching MRF lines |
$610.40–$647.50 | $872–$925 | varies |
| Wrist 2 views (73100) range across 6 matching MRF lines |
$137.20–$280 | $196–$400 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$158.20–$555.10 | $226–$793 | varies |
| X-ray antegrade pyelogram tube (74425) | $576.10 | $823 | 1.7× |
| X-Ray Aorta Leg Arteries (75630) range across 2 matching MRF lines |
$1,183–$7,116.90 | $1,690–$10,167 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 7 matching MRF lines |
$130.90–$263.20 | $187–$376 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 3 matching MRF lines |
$176.40–$307.30 | $252–$439 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 3 matching MRF lines |
$273.70–$476.70 | $391–$681 | varies |
| X-Ray Exam Entire Spi 4/5 Vw (72083) range across 2 matching MRF lines |
$468.07–$482.30 | $668.67–$689 | varies |
| X-Ray Exam Hip Uni 1 View (73501) | $275.80 | $394 | 3.2× |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 3 matching MRF lines |
$165.90–$289.10 | $237–$413 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) | $275.80 | $394 | 2.7× |
| X-Ray Exam Hips Bi 2 Views (73521) range across 3 matching MRF lines |
$172.20–$300.30 | $246–$429 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $275.80 | $394 | 2.7× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $275.80 | $394 | 2.7× |
| X-Ray Exam L-S Spine Bending (72114) range across 3 matching MRF lines |
$314.30–$562.80 | $449–$804 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 3 matching MRF lines |
$213.50–$382.20 | $305–$546 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$357.70–$762.30 | $511–$1,089 | varies |
| X-ray eye for foreign body (70030) range across 3 matching MRF lines |
$87.50–$507.50 | $125–$725 | varies |
| X-ray humerus (73060) range across 5 matching MRF lines |
$139.30–$317.80 | $199–$454 | varies |
| X-ray IV pyelogram (ivp) (74400) range across 3 matching MRF lines |
$350.70–$627.90 | $501–$897 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 3 matching MRF lines |
$87.50–$289.80 | $125–$414 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$169.40–$408.80 | $242–$584 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 3 matching MRF lines |
$194.60–$390.60 | $278–$558 | varies |
| X-ray nose-rectum child f.b. (76010) range across 3 matching MRF lines |
$175.70–$330.40 | $251–$472 | varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) range across 2 matching MRF lines |
$126–$225.40 | $180–$322 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 3 matching MRF lines |
$140–$250.60 | $200–$358 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 3 matching MRF lines |
$226.10–$421.40 | $323–$602 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$193.20–$255.50 | $276–$365 | varies |
| X-ray thoracic spine 4 vw (72074) | $431.90 | $617 | 4.2× |
| X-Ray Tmj Unilat (70328) | $226.10 | $323 | 2.7× |
| X-Rays Bone Length Studies (77073) range across 3 matching MRF lines |
$165.20–$295.40 | $236–$422 | varies |
| X-Rays Bone Survey Complete (77075) range across 3 matching MRF lines |
$609–$1,092.70 | $870–$1,561 | varies |
| Xr c-spine 4 or 5 views (72050) range across 3 matching MRF lines |
$233.80–$417.90 | $334–$597 | varies |
| Xr facial bones less than 3 views (70140) range across 3 matching MRF lines |
$168.70–$301.70 | $241–$431 | varies |
| Xr orbits complete 4 views (70200) range across 3 matching MRF lines |
$161.70–$602 | $231–$860 | varies |
| Xr Tomogram Single Plane (76100) | $198.10 | $283 | 1.9× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.