Imaging prices at DCH Regional Medical Center
Tuscaloosa, AL · every code in this section with a posted price and a Medicare benchmark.
329 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) | $1,336.63 | $2,673.25 | 1.0× |
| Abdomen 1 View (74018) range across 4 matching MRF lines |
$145–$219.25 | $290–$438.50 | varies |
| Abdomen 2 views (74019) range across 3 matching MRF lines |
$178.25–$219.25 | $356.50–$438.50 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) range across 2 matching MRF lines |
$336.13–$349.63 | $672.25–$699.25 | varies |
| Angio internal mammary (75756) | $2,337.75 | $4,675.50 | 0.7× |
| Angio pulmonary bilat (75743) | $2,072.13 | $4,144.25 | 0.7× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $2,034.50 | $4,069 | 0.6× |
| Angiography extremity bilateral rs&i (75716) | $2,072.13 | $4,144.25 | 0.7× |
| Angiography extremity unilateral rs&i (75710) | $2,631 | $5,262 | 0.8× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $2,631 | $5,262 | 0.8× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $2,072.13 | $4,144.25 | 0.7× |
| Ankle 2 views (73600) | $138.38 | $276.75 | 1.6× |
| Aortography thoracic serialography rs&i (75605) | $3,286 | $6,572 | 0.6× |
| Aortography thoracic w/o serialography rs&i (75600) | $2,072.13 | $4,144.25 | 0.7× |
| Artery X-Rays Abdomen (75726) | $5,471 | $10,942 | 1.0× |
| Artery X-Rays Adrenal Gland (75731) | $2,034.50 | $4,069 | 0.6× |
| Artery X-Rays Pelvis (75736) | $3,571.50 | $7,143 | 0.6× |
| Artery X-Rays Spine (75705) | $5,471 | $10,942 | 1.0× |
| Arthrogram ankle (73615) | $245 | $490 | 0.7× |
| Arthrogram hip (73525) | $309 | $618 | 0.9× |
| Arthrogram Wrist (73115) | $309 | $618 | 0.9× |
| Basic radiation dosimetry calculation (77300) | $113.88 | $227.75 | 0.8× |
| Bone age studies (77072) | $122.13 | $244.25 | 1.2× |
| Bone Imaging 3 Phase (78315) | $582.63 | $1,165.25 | 1.5× |
| Bone Imaging Limited Area (78300) | $505.13 | $1,010.25 | 1.3× |
| Bone Imaging Whole Body (78306) | $1,004 | $2,008 | 2.5× |
| Bone marrow imaging limited area (78102) | $533.25 | $1,066.50 | 1.3× |
| Bone survey infant (77076) | $224.75 | $449.50 | 2.2× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $572.63 | $1,145.25 | 1.1× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $1,230.75 | $2,461.50 | 0.9× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $1,797.88 | $3,595.75 | 5.2× |
| Cat Scan Follow-Up Study (76380) | $266.88 | $533.75 | 3.1× |
| Cerebrospinal Fluid Scan (78630) | $487.25 | $974.50 | 0.9× |
| Chest 1 view (71045) range across 7 matching MRF lines |
$47.50–$139.50 | $95–$279 | varies |
| Chest 2 views (71046) range across 5 matching MRF lines |
$47.50–$176.88 | $95–$353.75 | varies |
| Chest 3 views (71047) | $176.88 | $353.75 | 2.0× |
| Chest 4 or more views (71048) | $176.88 | $353.75 | 1.7× |
| Clavicle complete (73000) | $129.88 | $259.75 | 1.5× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $1,170 | $2,340 | 11.2× |
| Continuing medical physics consltj pr wk (77336) | $305 | $610 | 2.3× |
| Contrast Exam Abdominl Aorta (75625) | $2,072.13 | $4,144.25 | 0.7× |
| Contrast X-Ray Bladder (74430) | $265.88 | $531.75 | 0.8× |
| Contrast X-Ray Of Elbow (73085) | $245 | $490 | 0.7× |
| Contrast X-Ray Of Knee Joint (73580) | $412.50 | $825 | 1.2× |
| CT abdomen and pelvis without and with contrast (74178) range across 4 matching MRF lines |
$1,510.25–$3,451.50 | $3,020.50–$6,903 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$2,148.38–$2,219.88 | $4,296.75–$4,439.75 | varies |
| CT abdomen w contrast (74160) range across 4 matching MRF lines |
$1,228.25–$1,241.75 | $2,456.50–$2,483.50 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$1,559–$1,568.13 | $3,118–$3,136.25 | varies |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$1,160.25–$1,184.38 | $2,320.50–$2,368.75 | varies |
| CT Angio Abdomen and Pelvis (74174) | $3,603.50 | $7,207 | 10.4× |
| CT Angio Chest (71275) | $1,585.50 | $3,171 | 9.1× |
| CT Angio Head (70496) | $1,858.50 | $3,717 | 10.6× |
| CT angio hrt w/3d image (75574) range across 2 matching MRF lines |
$1,404.50–$1,856 | $2,809–$3,712 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $1,668.13 | $3,336.25 | 9.5× |
| CT Angio Neck (70498) | $1,632.25 | $3,264.50 | 9.3× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $1,647.88 | $3,295.75 | 9.4× |
| CT cervical spine w/ contrast (72126) | $1,365.63 | $2,731.25 | 3.9× |
| CT cervical spine w/o contrast (72125) | $1,252.38 | $2,504.75 | 12.0× |
| CT cervical spine w/wo cont (72127) | $1,388.88 | $2,777.75 | 7.9× |
| CT chest w contrast (71260) | $1,299.63 | $2,599.25 | 7.4× |
| CT chest w/wo contrast (71270) | $1,591.63 | $3,183.25 | 9.1× |
| CT head/brain with contrast (70460) | $1,036.63 | $2,073.25 | 5.9× |
| CT head/brain without and with contrast (70470) | $1,273.13 | $2,546.25 | 7.3× |
| CT heart contrast eval cardiac structure&morph (75572) | $674.25 | $1,348.50 | 1.9× |
| CT heart no contrast quant eval coronry calcium (75571) | $188.38 | $376.75 | 2.2× |
| CT iac w contrast (70481) | $1,133.88 | $2,267.75 | 6.5× |
| CT l-spine w&w/o contrast (72133) | $1,322.50 | $2,645 | 7.6× |
| CT lower ext w/o (73700) | $1,047.88 | $2,095.75 | 10.1× |
| CT lower extremity w/contrast material (73701) | $1,115.38 | $2,230.75 | 6.4× |
| CT lumbar spine w contrast (72132) | $1,397.50 | $2,795 | 4.0× |
| CT lumbar spine w/o contrast (72131) | $1,251.75 | $2,503.50 | 12.0× |
| CT maxillofacial w contrast (70487) | $863.63 | $1,727.25 | 4.9× |
| CT maxillofacial wo contrast (70486) | $974.88 | $1,949.75 | 9.4× |
| CT neck tissue combo (70492) | $1,242.25 | $2,484.50 | 7.1× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,133.88 | $2,267.75 | 6.5× |
| CT orbits w/o contrast (70480) | $1,011.25 | $2,022.50 | 9.7× |
| CT pelvis w&w/o contrast (72194) | $1,359.13 | $2,718.25 | 7.8× |
| CT pelvis w/o contrast (72192) | $1,108 | $2,216 | 10.6× |
| CT scan of leg combo (73702) | $1,228.75 | $2,457.50 | 7.0× |
| CT scans face/jaw combo (70488) | $1,003 | $2,006 | 5.7× |
| CT soft tissue neck w contrast (70491) | $1,265.25 | $2,530.50 | 7.2× |
| CT soft tissue neck w/o contrast (70490) | $972.63 | $1,945.25 | 9.3× |
| CT thoracic spine w contrast (72129) | $1,355.13 | $2,710.25 | 7.7× |
| CT thoracic spine w/o contrast (72128) | $1,207.88 | $2,415.75 | 11.6× |
| CT thorax w/o contrast (71250) | $1,169.75 | $2,339.50 | 11.2× |
| CT upper ext wo (73200) | $990 | $1,980 | 9.5× |
| CT upper extremity w/o & w/contrast material (73202) | $1,228.75 | $2,457.50 | 7.0× |
| CT upper extremity with contrast (73201) | $1,107.75 | $2,215.50 | 3.2× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $2,089.50 | $4,179 | 11.9× |
| Cta Abdomen (74175) | $2,004.38 | $4,008.75 | 11.5× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $356.50 | $713 | 1.0× |
| CTA pelvis (72191) | $1,608.63 | $3,217.25 | 9.2× |
| Dilation ureters/urethra rs&i (74485) | $2,340.50 | $4,681 | 1.1× |
| Discography Cerv/Thor Spine (72285) | $3,424.25 | $6,848.50 | 1.8× |
| Diskography lumbar (72295) range across 6 matching MRF lines |
$2,145.63–$3,424.25 | $4,291.25–$6,848.50 | varies |
| Dxa Bone Density Axial (77080) | $281 | $562 | 2.7× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $171.25 | $342.50 | 2.0× |
| Echo Guide For Artery Repair (76936) | $338.88 | $677.75 | 1.6× |
| Esophageal Motility Study (78258) | $452.38 | $904.75 | 1.1× |
| Esophagram (74220) | $265.88 | $531.75 | 1.5× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $359.63 | $719.25 | 3.5× |
| Fluoroscopy up to 1 hr (76000) range across 26 matching MRF lines |
$238.88–$446.75 | $477.75–$893.50 | varies |
| Follow-Up Angiography (75898) | $2,072.13 | $4,144.25 | 0.7× |
| Foot 2 views (73620) | $137.25 | $274.50 | 1.6× |
| Forearm 2 views (73090) | $107.38 | $214.75 | 1.2× |
| Gastric emptying imaging study (78264) | $1,029.88 | $2,059.75 | 2.6× |
| Gastroesophageal Reflux Exam (78262) | $451.25 | $902.50 | 1.1× |
| Gated Heart Planar Single (78472) | $796.75 | $1,593.50 | 2.0× |
| Hand 2 views (73120) | $146.75 | $293.50 | 1.4× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $3,595.63 | $7,191.25 | 1.1× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $2,072.13 | $4,144.25 | 0.7× |
| Hepatobil Syst Image W/Drug (78227) | $917 | $1,834 | 1.7× |
| Hepatobiliary System Imaging (78226) | $867.50 | $1,735 | 2.2× |
| Ht Muscle Image Spect Sing (78451) | $1,292.25 | $2,584.50 | 1.0× |
| Hysterosalpingogram (74740) | $346.13 | $692.25 | 1.5× |
| Image fusion (77399) | $93.13 | $186.25 | 0.7× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $411.88 | $823.75 | 4.7× |
| Joint Survey Single View (77077) | $121.38 | $242.75 | 1.2× |
| K Flow/Funct Image W/Drug (78708) | $1,083.75 | $2,167.50 | 2.0× |
| K Flow/Funct Image W/O Drug (78707) | $693.38 | $1,386.75 | 1.3× |
| Knee 3 Views (73562) | $153.50 | $307 | 1.8× |
| Leveen/Shunt Patency Exam (78291) | $276.25 | $552.50 | 0.7× |
| Liver & Spleen Imaging Static Only (78215) | $682.75 | $1,365.50 | 1.7× |
| Liver imaging static only (78201) | $797.88 | $1,595.75 | 1.5× |
| Lung Ventilat&Perfus Imaging (78582) | $930.50 | $1,861 | 1.7× |
| Lung Ventilation Imaging (78579) | $397.88 | $795.75 | 1.0× |
| Lymph System Imaging (78195) | $931.50 | $1,863 | 1.7× |
| Magnetic Image Jaw Joint (70336) | $1,349 | $2,698 | 5.7× |
| Mammary ductogram or galactogram multiple (77054) | $346.13 | $692.25 | 1.5× |
| Mammary ductogram or galactogram single (77053) | $346.13 | $692.25 | 1.5× |
| Meckels Divert Exam (78290) | $349.13 | $698.25 | 0.9× |
| Mlc imrt design & construction per imrt plan (77338) | $567.88 | $1,135.75 | 1.5× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $26.50 | $53 | 0.9× |
| MRA head w/o contrast (70544) | $1,459.63 | $2,919.25 | 6.1× |
| Mra Neck W/O &W/Contrast Material (70549) | $1,012.50 | $2,025 | 2.9× |
| MRA neck w/o contrast (70547) | $1,009.75 | $2,019.50 | 4.2× |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$1,127.63–$1,665.38 | $2,255.25–$3,330.75 | varies |
| MRI any jt lower extrem w/contrast material (73722) | $946.25 | $1,892.50 | 1.2× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $1,505.13 | $3,010.25 | 4.3× |
| MRI any jt upper extremity w/contrast matrl (73222) | $990.63 | $1,981.25 | 1.3× |
| MRI Breast W/O Contrast Bilateral (77047) | $751.88 | $1,503.75 | 3.2× |
| MRI Breast Without Contrast Material Unilateral (77046) | $729.88 | $1,459.75 | 3.1× |
| MRI cardiac w/o contrast (75557) | $1,350.13 | $2,700.25 | 5.7× |
| MRI cervical spine w contrast (72142) | $910.25 | $1,820.50 | 2.6× |
| MRI cervical spine w/o cont (72141) | $1,494 | $2,988 | 6.3× |
| MRI chest w/o contrast (71550) | $973.63 | $1,947.25 | 4.1× |
| MRI chest wo w contrast (71552) | $1,474.25 | $2,948.50 | 4.2× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $1,877.75 | $3,755.50 | 5.4× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $973.63 | $1,947.25 | 4.1× |
| MRI lumbar spine w contrast (72149) | $1,265.25 | $2,530.50 | 3.6× |
| Mri Neck Spine W/O & W/Dye (72156) | $2,218.13 | $4,436.25 | 6.4× |
| MRI orbit face &/neck w/o contrast (70540) | $1,150.13 | $2,300.25 | 4.8× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $2,091.13 | $4,182.25 | 6.0× |
| MRI pelvis w contrast (72196) | $1,618.13 | $3,236.25 | 4.7× |
| MRI pelvis w/o & w contrast (72197) | $1,679.88 | $3,359.75 | 4.8× |
| MRI pelvis w/o contrast (72195) | $1,370.38 | $2,740.75 | 5.8× |
| MRI thoracic spine w/o contrast (72146) | $1,516.38 | $3,032.75 | 6.4× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $1,319 | $2,638 | 5.5× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $1,797.88 | $3,595.75 | 5.2× |
| MRI, abdomen, combo (74183) | $1,730.50 | $3,461 | 5.0× |
| MRI, dorsal spine combo (72157) | $2,242.25 | $4,484.50 | 6.4× |
| MRI, joint upper extrem (73221) | $1,463 | $2,926 | 6.1× |
| MRI, joint upper extrem combo (73223) | $1,336 | $2,672 | 3.8× |
| MRI, lumbar spine combo (72158) | $2,397.38 | $4,794.75 | 6.9× |
| Myelogram Lumbar (72265) | $1,101.50 | $2,203 | 1.4× |
| Myocardial Spect Multiple Studies (78452) | $1,408 | $2,816 | 1.1× |
| Neck soft tissue (70360) | $163 | $326 | 1.9× |
| Nfs/Instlj Radioelmnt Sln 3 Mo Follow-Up Care (77750) | $298.50 | $597 | 0.8× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $288.38 | $576.75 | 0.7× |
| Nonvascular Shunt X-Ray (75809) | $173.75 | $347.50 | 1.7× |
| Ntsty modul radthx pln dose-vol histos (77301) | $996.75 | $1,993.50 | 0.7× |
| Nuclear Rx Oral Admin (79005) range across 3 matching MRF lines |
$308–$503.50 | $616–$1,007 | varies |
| Parathyroid planar imaging w/wo subtraction (78071) | $858 | $1,716 | 2.2× |
| Pelvis 1 or 2 views (72170) | $151.75 | $303.50 | 1.5× |
| Pet Image W/Ct Lmtd (78814) | $2,868.63 | $5,737.25 | 2.0× |
| PET image w/CT, full body (78816) | $3,155.38 | $6,310.75 | 2.2× |
| PET imaging CT attenuation skull base mid-thigh (78815) range across 2 matching MRF lines |
$3,012.13–$3,012.50 | $6,024.25–$6,025 | varies |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $2,072.13 | $4,144.25 | 0.7× |
| Pulmonary Perfusion Imaging Particulate (78580) | $387.25 | $774.50 | 1.0× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $286.63 | $573.25 | 2.7× |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 2 matching MRF lines |
$356.38–$362.50 | $712.75–$725 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) | $150.75 | $301.50 | 1.7× |
| Radex Calcaneus Minimum 2 Views (73650) | $140.50 | $281 | 1.6× |
| Radex elbow complete minimum 3 views (73080) | $146.25 | $292.50 | 1.7× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $211.88 | $423.75 | 2.0× |
| Radex fingr minimum 2 views (73140) | $93.38 | $186.75 | 1.1× |
| Radex foot complete minimum 3 views (73630) | $147.88 | $295.75 | 1.7× |
| Radex Hand Minimum 3 Views (73130) | $154.50 | $309 | 1.8× |
| Radex lower extremity infant minimum 2 views (73592) | $183 | $366 | 2.1× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $140 | $280 | 1.6× |
| Radex Pharynx/Larx W/Fluor&/Magnification Tq (70370) | $169.75 | $339.50 | 2.0× |
| Radex Ribs Unilateral 2 Views (71100) | $212.50 | $425 | 2.4× |
| Radex shoulder complete minimum 2 views (73030) | $196.13 | $392.25 | 2.3× |
| Radex Sinuses Paransl < 3 Views (70210) | $188.38 | $376.75 | 2.2× |
| Radex Spine 1 View Specify Level (72020) | $126.50 | $253 | 1.5× |
| Radex Sternum Minimum 2 Views (71120) | $160.75 | $321.50 | 1.9× |
| Radex Toe Minimum 2 Views (73660) | $110.88 | $221.75 | 1.3× |
| Radex upper extremity infant minimum 2 views (73092) | $126.50 | $253 | 1.2× |
| Radex Wrist Complete Minimum 3 Views (73110) | $135.50 | $271 | 1.6× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $222.63 | $445.25 | 2.1× |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $5,544 | $11,088 | 0.8× |
| Radiation treatment delivery level 1 (77402) | $352.88 | $705.75 | 3.5× |
| Radiation treatment delivery level 2 (77407) | $409.13 | $818.25 | 1.1× |
| Radiation treatment delivery level 3 (77412) | $465.25 | $930.50 | 0.8× |
| Radiolog exam mandible compl minimum 4 views (70110) | $200.13 | $400.25 | 1.9× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $282.13 | $564.25 | 2.7× |
| Radiologic exam colon double contrast study (74280) | $478.75 | $957.50 | 2.7× |
| Radiologic exam colon single contrast study (74270) | $421.13 | $842.25 | 2.4× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $277.13 | $554.25 | 1.6× |
| Radiologic exam knee complete 4/more views (73564) | $231 | $462 | 2.2× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $160.75 | $321.50 | 1.5× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $300.75 | $601.50 | 1.7× |
| Radiologic exam swallow function contrast study (74230) | $289.50 | $579 | 1.7× |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$370.88–$467 | $741.75–$934 | varies |
| Radiologic examination femur 1 view (73551) | $140.50 | $281 | 1.6× |
| Radiologic examination femur minimum 2 views (73552) | $157.50 | $315 | 1.8× |
| Radiologic examination knee 1/2 views (73560) | $153.50 | $307 | 1.8× |
| Radiologic examination tibia & fibula 2 views (73590) range across 2 matching MRF lines |
$129.38–$132.13 | $258.75–$264.25 | varies |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $1,104.63 | $2,209.25 | 2.8× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $1,221.50 | $2,443 | 2.3× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $1,373.13 | $2,746.25 | 2.5× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $1,716.50 | $3,433 | 1.3× |
| Rp Therapy Intravenous Administration (79101) | $503.50 | $1,007 | 2.2× |
| Scapula (73010) | $161.38 | $322.75 | 1.5× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $50.63 | $101.25 | 2.2× |
| Shoulder 1 view (73020) | $136.63 | $273.25 | 1.6× |
| Shoulder Arthrography (73040) | $457.50 | $915 | 1.3× |
| Sialogram (70390) | $346.13 | $692.25 | 1.5× |
| Skull less than 4 views (70250) | $182.63 | $365.25 | 1.8× |
| Special dosimetry (77331) | $131.63 | $263.25 | 1.0× |
| Special Physics Consult (77370) | $134.63 | $269.25 | 1.0× |
| Special teletherapy port plan (77321) | $323.13 | $646.25 | 0.9× |
| Special treatment procedure (77470) | $558.50 | $1,117 | 1.0× |
| Spleen Imaging (78185) | $380 | $760 | 1.0× |
| Stereotactic Body Radiation Delivery (77373) | $1,991.13 | $3,982.25 | 1.1× |
| Sternoclavicular joints (71130) | $149.50 | $299 | 1.7× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $674.25 | $1,348.50 | 1.8× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $449.50 | $899 | 1.2× |
| Temporomandble Jt Arthrography Rs&I (70332) | $300.13 | $600.25 | 1.3× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $391.75 | $783.50 | 1.0× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $322.63 | $645.25 | 0.9× |
| Ther rad simulaj-aided field setting simple (77280) | $188.88 | $377.75 | 1.4× |
| Thoracic spine 2 views (72070) | $188.38 | $376.75 | 1.8× |
| Thoracic spine 3 views (72072) | $188.38 | $376.75 | 1.8× |
| Thoracolumbar 2 views (72080) | $111.38 | $222.75 | 1.3× |
| Thyroid Imaging With Vascular Flow (78013) | $442.88 | $885.75 | 1.1× |
| Thyroid Met Imaging Body (78018) | $817.63 | $1,635.25 | 1.5× |
| Thyroid Uptake Measurement (78012) | $459 | $918 | 1.2× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $709.13 | $1,418.25 | 1.8× |
| Tx Devices Design & Construction Complex (77334) | $447.63 | $895.25 | 1.2× |
| Tx devices design & construction intermediate (77333) | $323.50 | $647 | 2.4× |
| Tx devices design & construction simple (77332) | $222 | $444 | 1.7× |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$168.63–$259.63 | $337.25–$519.25 | varies |
| Ultrasound Exam Aaa Screen (76706) | $299 | $598 | 2.9× |
| Ultrasound, abdomen limited (76705) range across 9 matching MRF lines |
$138.88–$371.50 | $277.75–$743 | varies |
| Umbilical-artery Doppler (OB) (76820) | $126.50 | $253 | 1.2× |
| Unlisted Dx Radiographic Procedure (76499) | $61.38 | $122.75 | 0.7× |
| Unlisted magnetic resonance procedure (76498) | $2,398.50 | $4,797 | 27.6× |
| Unlisted Miscellaneous Px Dx Nuclear Medicine (78999) | $250.75 | $501.50 | 0.6× |
| Unlisted us procedure (76999) | $335 | $670 | 3.9× |
| Upper gi w/o kub (74240) | $515.88 | $1,031.75 | 2.9× |
| Ureteral Reflux Study (78740) | $304.63 | $609.25 | 0.8× |
| Urethrocystogram voiding (74455) | $300.75 | $601.50 | 1.3× |
| Urethrocystography retrograde (74450) | $261.88 | $523.75 | 1.1× |
| Us breast unilateral complete (76641) | $259.38 | $518.75 | 2.5× |
| Us chest (76604) | $442.25 | $884.50 | 4.2× |
| Us complete joint (76881) | $238.88 | $477.75 | 2.3× |
| Us exam, pelvic, limited (76857) | $114.63 | $229.25 | 1.1× |
| Us head (76506) | $371.50 | $743 | 3.6× |
| Us kidney transplant (76776) | $467.50 | $935 | 4.5× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $312 | $624 | 3.0× |
| Us ob limited 1 or more fetuses (76815) | $132.75 | $265.50 | 1.3× |
| Us ob transvaginal (76817) | $280.38 | $560.75 | 2.7× |
| Us pelvic non ob complete (76856) | $347.88 | $695.75 | 3.3× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $331 | $662 | 3.2× |
| Us retroperitoneal complete (76770) | $397.25 | $794.50 | 3.8× |
| Us retroperitoneal limited (76775) | $411.38 | $822.75 | 3.9× |
| Us scrotum and contents (76870) | $326.50 | $653 | 3.1× |
| Us spinal canal and contents (76800) | $432.63 | $865.25 | 4.2× |
| Us thyroid (76536) | $302.38 | $604.75 | 2.9× |
| Us transrectal (76872) | $156 | $312 | 1.5× |
| Vein X-Ray Chest (75827) | $1,531.63 | $3,063.25 | 1.0× |
| Venogram Sinus/Jugular (75860) | $2,072.13 | $4,144.25 | 0.7× |
| Venography Adrenal Unilateral (75840) | $2,034.50 | $4,069 | 0.6× |
| Venography caval inferior serialography rs&i (75825) | $2,072.13 | $4,144.25 | 0.7× |
| Venography extremity bilateral rs&i (75822) | $1,775 | $3,550 | 1.1× |
| Venography extremity unilateral rs&i (75820) | $1,249.50 | $2,499 | 0.8× |
| Venography Renal Bilateral (75833) | $2,072.13 | $4,144.25 | 0.7× |
| Venography Renal Unilateral (75831) | $2,034.50 | $4,069 | 0.6× |
| Venous sampling by catheter (75893) | $3,571.50 | $7,143 | 0.6× |
| Wrist 2 views (73100) | $127.13 | $254.25 | 1.5× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $86 | $172 | 1.0× |
| X-ray antegrade pyelogram tube (74425) range across 2 matching MRF lines |
$208–$302 | $416–$604 | varies |
| X-Ray Aorta Leg Arteries (75630) | $2,072.13 | $4,144.25 | 0.7× |
| X-Ray Bend Only L-S Spine (72120) | $176.50 | $353 | 1.7× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $131.63 | $263.25 | 1.5× |
| X-Ray Exam Breast Specimen (76098) | $335 | $670 | 0.6× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $172 | $344 | 2.0× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $186.13 | $372.25 | 1.8× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $194.63 | $389.25 | 1.9× |
| X-Ray Exam Hip Uni 1 View (73501) | $156 | $312 | 1.8× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $179.88 | $359.75 | 2.1× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $188.38 | $376.75 | 1.8× |
| X-Ray Exam Hips Bi 2 Views (73521) | $179.88 | $359.75 | 1.7× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $185.50 | $371 | 1.8× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $194.63 | $389.25 | 1.9× |
| X-Ray Exam L-S Spine Bending (72114) | $270.38 | $540.75 | 2.6× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $199.88 | $399.75 | 2.3× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $233.75 | $467.50 | 2.2× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $188.88 | $377.75 | 1.8× |
| X-ray humerus (73060) | $127.13 | $254.25 | 1.5× |
| X-ray IV pyelogram (ivp) (74400) | $387.25 | $774.50 | 2.2× |
| X-ray IV pyelogram+tomography (74415) | $451.25 | $902.50 | 2.6× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $152.38 | $304.75 | 1.8× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $70.25 | $140.50 | 0.8× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 4 matching MRF lines |
$57.50–$176 | $115–$352 | varies |
| X-ray nose-rectum child f.b. (76010) | $179.38 | $358.75 | 2.1× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $240 | $480 | 2.3× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $157.50 | $315 | 1.5× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $154.50 | $309 | 1.8× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $214.13 | $428.25 | 2.5× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $228.75 | $457.50 | 2.2× |
| X-ray thoracic spine 4 vw (72074) | $238.88 | $477.75 | 2.3× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $385 | $770 | 1.1× |
| X-Rays Bone Length Studies (77073) range across 2 matching MRF lines |
$165.88–$245 | $331.75–$490 | varies |
| X-Rays Bone Survey Complete (77075) | $232.25 | $464.50 | 2.2× |
| Xr c-spine 4 or 5 views (72050) | $282.63 | $565.25 | 2.7× |
| Xr facial bones less than 3 views (70140) | $154 | $308 | 1.8× |
| Xr orbits complete 4 views (70200) | $198.38 | $396.75 | 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.