Imaging prices at Deaconess Illinois Medical Center
Marion, IL · every code in this section with a posted price and a Medicare benchmark.
418 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) | $108.64 | $571.74 | 1.2× |
| Abdomen 2 views (74019) | $171.39 | $902.04 | 1.5× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,258.08 | $6,621.46 | 2.9× |
| Angio internal mammary (75756) | $1,149.63 | $6,050.67 | 0.3× |
| Angio pulmonary bilat (75743) | $1,819.44 | $9,575.98 | 0.5× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $1,730.49 | $9,107.81 | 0.5× |
| Angiography extremity bilateral rs&i (75716) | $2,365.04 | $12,447.53 | 0.7× |
| Angiography extremity unilateral rs&i (75710) | $2,112.38 | $11,117.77 | 0.6× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $1,670.57 | $8,792.47 | 0.5× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $1,562.22 | $8,222.18 | 0.5× |
| Ankle 2 views (73600) | $128.77 | $677.70 | 1.4× |
| Aortography thoracic serialography rs&i (75605) likely a partial charge, not the full procedure |
$1,426.88 | $7,509.86 | 0.2× |
| Aortography thoracic w/o serialography rs&i (75600) | $874.61 | $4,603.18 | 0.3× |
| Artery X-Rays Abdomen (75726) likely a partial charge, not the full procedure |
$1,492.96 | $7,857.65 | 0.3× |
| Artery X-Rays Adrenal Gland (75731) | $1,730.49 | $9,107.81 | 0.5× |
| Artery X-Rays Pelvis (75736) unusually low: confirm this is the full procedure |
$2,574.07 | $13,547.71 | 0.4× |
| Artery X-Rays Spine (75705) unusually low: confirm this is the full procedure |
$2,884.71 | $15,182.65 | 0.5× |
| Arthrogram ankle (73615) | $222.61 | $1,171.61 | 0.6× |
| Arthrogram hip (73525) | $1,095.16 | $5,763.95 | 2.9× |
| Arthrogram Wrist (73115) | $1,095.16 | $5,763.95 | 2.9× |
| Bone age studies (77072) | $91.11 | $479.48 | 0.8× |
| Bone Imaging 3 Phase (78315) | $1,258.08 | $6,621.46 | 2.9× |
| Bone Imaging Limited Area (78300) | $667.21 | $3,511.63 | 1.6× |
| Bone Imaging Multiple Areas (78305) | $775.93 | $4,083.79 | 1.8× |
| Bone Imaging Whole Body (78306) | $979.15 | $5,153.40 | 2.3× |
| Bone marrow imaging limited area (78102) | $652.73 | $3,435.39 | 1.5× |
| Bone marrow imaging; multiple areas (78103) | $855.52 | $4,502.70 | 2.0× |
| Bone marrow imaging; whole body (78104) | $982.20 | $5,169.46 | 2.3× |
| Bone survey infant (77076) | $404.80 | $2,130.49 | 3.6× |
| Brain Flow Imaging Only (78610) | $295.95 | $1,557.62 | 0.5× |
| Brain Image W/Flow < 4 Views (78601) | $228.05 | $1,200.26 | 0.5× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $1,337.03 | $7,036.95 | 2.3× |
| Brain Imaging Minimum 4 Static Views (78605) | $791.99 | $4,168.36 | 1.4× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $895.19 | $4,711.48 | 0.6× |
| Card Bl Pool Gated Spect Rest Wal Motn Ejct Frct (78494) | $228.05 | $1,200.26 | 0.5× |
| Cardiac blood pool imaging, first pass technique; multiple studies, resting and with stress (exercise and/or… (78483) | $295.95 | $1,557.62 | 0.5× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $1,460.92 | $7,689.05 | 3.9× |
| Cardiac MRI w/w/o contrast w/stress (75563) | $432.48 | $2,276.21 | 0.5× |
| Cardiac Shunt Detection (78428) | $228.05 | $1,200.26 | 0.5× |
| Cat Scan Follow-Up Study (76380) | $353.07 | $1,858.26 | 3.8× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $295.95 | $1,557.62 | 0.5× |
| Cerebrospinal Fluid Scan (78630) | $1,388.38 | $7,307.22 | 2.4× |
| Chest 1 view (71045) | $95.71 | $503.72 | 1.0× |
| Chest 2 views (71046) | $121.89 | $641.50 | 1.3× |
| Chest 3 views (71047) | $161.40 | $849.46 | 1.7× |
| Chest 4 or more views (71048) | $201.52 | $1,060.59 | 1.8× |
| Cisternography Positive Contrast Rs&I (70015) | $432.48 | $2,276.21 | 0.5× |
| Clavicle complete (73000) | $128.77 | $677.70 | 1.4× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $458.11 | $2,411.10 | 4.1× |
| Contrast Exam Abdominl Aorta (75625) | $1,760.91 | $9,267.94 | 0.5× |
| Contrast X-Ray Bladder (74430) | $708.39 | $3,728.35 | 1.9× |
| Contrast X-Ray Of Elbow (73085) | $211.18 | $1,111.46 | 0.6× |
| Contrast X-Ray Of Knee Joint (73580) | $1,095.16 | $5,763.95 | 2.9× |
| Contrast Xray Throat/Cerv Esopha (74210) | $361.30 | $1,901.57 | 1.9× |
| CT abdomen and pelvis without and with contrast (74178) | $2,144.74 | $11,288.06 | 5.7× |
| CT abdomen and pelvis without contrast (74176) | $1,142.78 | $6,014.60 | 4.5× |
| CT abdomen w contrast (74160) | $955.04 | $5,026.52 | 5.1× |
| CT abdomen w wo contrast (74170) | $1,072.38 | $5,644.06 | 5.7× |
| CT abdomen w/o contrast (74150) | $627.21 | $3,301.09 | 5.6× |
| CT Angio Abdomen and Pelvis (74174) | $2,189.60 | $11,524.16 | 5.9× |
| CT Angio Chest (71275) | $1,094.73 | $5,761.70 | 5.8× |
| CT Angio Head (70496) | $1,094.73 | $5,761.70 | 5.8× |
| CT angio hrt w/3d image (75574) | $865.40 | $4,554.73 | 2.3× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $1,094.73 | $5,761.70 | 5.8× |
| CT Angio Neck (70498) | $1,094.73 | $5,761.70 | 5.8× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $1,094.73 | $5,761.70 | 5.8× |
| CT Cere Prfuj Alys C+ W/O CT/Cta Same Anatomy (70473) | $1,230.52 | $6,476.39 | 6.5× |
| CT cervical spine w/ contrast (72126) | $955.04 | $5,026.52 | 2.6× |
| CT cervical spine w/o contrast (72125) | $608.53 | $3,202.76 | 5.4× |
| CT cervical spine w/wo cont (72127) | $1,072.38 | $5,644.06 | 5.7× |
| CT chest w contrast (71260) | $955.04 | $5,026.52 | 5.1× |
| CT chest w/wo contrast (71270) | $1,072.38 | $5,644.06 | 5.7× |
| CT colonography screening (74263) | $897.16 | $4,721.87 | 3.5× |
| CT colonogrphy dx image postprocess w/o contrast (74261) | $627.21 | $3,301.09 | 5.6× |
| CT head/brain with contrast (70460) | $955.04 | $5,026.52 | 5.1× |
| CT head/brain without and with contrast (70470) | $1,072.38 | $5,644.06 | 5.7× |
| CT heart contrast eval cardiac structure&morph (75572) | $865.40 | $4,554.73 | 2.3× |
| CT heart no contrast quant eval coronry calcium (75571) | $34.20 | $180 | 0.4× |
| CT hrt w/3d image congen (75573) | $107.98 | $568.27 | 0.3× |
| CT iac w contrast (70481) | $679.83 | $3,578.04 | 3.6× |
| CT l-spine w&w/o contrast (72133) | $1,072.38 | $5,644.06 | 5.7× |
| CT lower ext w/o (73700) | $627.21 | $3,301.09 | 5.6× |
| CT lower extremity w/contrast material (73701) | $955.04 | $5,026.52 | 5.1× |
| CT lumbar spine w contrast (72132) | $955.04 | $5,026.52 | 2.6× |
| CT lumbar spine w/o contrast (72131) | $627.21 | $3,301.09 | 5.6× |
| CT maxillofacial w contrast (70487) | $955.04 | $5,026.52 | 5.1× |
| CT maxillofacial wo contrast (70486) | $627.21 | $3,301.09 | 5.6× |
| CT neck tissue combo (70492) | $1,072.38 | $5,644.06 | 5.7× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,072.38 | $5,644.06 | 5.7× |
| CT orbits w/o contrast (70480) | $627.21 | $3,301.09 | 5.6× |
| CT pelvis w&w/o contrast (72194) | $1,072.38 | $5,644.06 | 5.7× |
| CT pelvis w/o contrast (72192) | $627.21 | $3,301.09 | 5.6× |
| CT scan of leg combo (73702) | $1,072.38 | $5,644.06 | 5.7× |
| CT scans face/jaw combo (70488) | $1,072.38 | $5,644.06 | 5.7× |
| CT soft tissue neck w contrast (70491) | $955.04 | $5,026.52 | 5.1× |
| CT soft tissue neck w/o contrast (70490) | $627.21 | $3,301.09 | 5.6× |
| CT thoracic spine w contrast (72129) | $955.04 | $5,026.52 | 5.1× |
| CT thoracic spine w/o contrast (72128) | $627.21 | $3,301.09 | 5.6× |
| CT thoracic spine w/wo cont (72130) | $1,072.38 | $5,644.06 | 5.7× |
| CT thorax w/o contrast (71250) | $608.53 | $3,202.76 | 5.4× |
| CT upper ext wo (73200) | $627.21 | $3,301.09 | 5.6× |
| CT upper extremity w/o & w/contrast material (73202) | $1,072.38 | $5,644.06 | 5.7× |
| CT upper extremity with contrast (73201) | $955.04 | $5,026.52 | 2.6× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,094.73 | $5,761.70 | 5.8× |
| Cta Abdomen (74175) | $1,094.73 | $5,761.70 | 5.8× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $2,189.45 | $11,523.40 | 5.9× |
| CTA pelvis (72191) | $1,094.73 | $5,761.70 | 5.8× |
| Dilation ureters/urethra rs&i (74485) | $1,084.25 | $5,706.55 | 0.5× |
| Discography Cerv/Thor Spine (72285) | $1,060.91 | $5,583.70 | 0.5× |
| Diskography lumbar (72295) | $690.61 | $3,634.76 | 0.3× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) | $65.90 | $346.82 | 0.6× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $65.90 | $346.82 | 0.6× |
| Doppler Fetal Mid Cerebral Artery (76821) | $225.09 | $1,184.65 | 2.0× |
| Dxa Bone Density Axial (77080) | $502.70 | $2,645.77 | 4.5× |
| Dxa bone density study (77085) | $65.90 | $346.82 | 0.6× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $48.93 | $257.48 | 0.5× |
| Echo exam of fetal heart (76825) | $391.12 | $2,058.50 | 0.7× |
| Echo exam uterus (76831) | $139.17 | $732.43 | 0.5× |
| Echo Guide For Artery Repair (76936) | $159.92 | $841.66 | 0.7× |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) | $139.17 | $732.43 | 0.5× |
| Echograp Trans R Pros Study (76873) | $65.90 | $346.82 | 0.6× |
| Esophagram (74220) | $361.30 | $1,901.57 | 1.9× |
| Fetal Biophys Profile W/Nst (76818) | $251.63 | $1,324.33 | 2.2× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $195.79 | $1,030.44 | 1.7× |
| Fetal MRI w/placntl matrnl plvc img sing/1st ges (74712) | $139.17 | $732.43 | 0.5× |
| Fluoroscopy up to 1 hr (76000) | $178.09 | $937.30 | 0.7× |
| Follow-Up Angiography (75898) | $549.39 | $2,891.50 | 0.2× |
| Foot 2 views (73620) | $123.73 | $651.20 | 1.3× |
| Forearm 2 views (73090) | $128.77 | $677.70 | 1.4× |
| Gastric emptying imaging study (78264) | $1,136.98 | $5,984.10 | 2.7× |
| Gastric Emptyng Imag Std W/Sm Bwl Transit (78265) | $228.05 | $1,200.26 | 0.5× |
| Gastroesophageal Reflux Exam (78262) | $980.99 | $5,163.08 | 2.3× |
| Gated Heart Planar Single (78472) | $973.68 | $5,124.63 | 2.3× |
| Gstrc Emptng Imag Std W/Sm Bwl Col Trnst Mlt Day (78266) | $295.95 | $1,557.62 | 0.5× |
| Hand 2 views (73120) | $126.26 | $664.48 | 1.1× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $1,730.49 | $9,107.81 | 0.5× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $1,730.49 | $9,107.81 | 0.5× |
| Hepatobil Syst Image W/Drug (78227) | $1,311.42 | $6,902.21 | 2.3× |
| Hepatobiliary System Imaging (78226) | $1,311.42 | $6,902.21 | 3.1× |
| Ht Muscle Image Spect Sing (78451) | $1,256.30 | $6,612.06 | 0.9× |
| Hysterosalpingogram (74740) | $838.08 | $4,410.92 | 3.3× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $241.84 | $1,272.79 | 2.6× |
| Infant hip ultrasound, limited static exam (76886) | $48.93 | $257.48 | 0.5× |
| Infusion Ivp (74410) | $107.98 | $568.27 | 0.6× |
| Joint Survey Single View (77077) | $65.90 | $346.82 | 0.6× |
| K Flow/Funct Image Multiple (78709) | $1,387.74 | $7,303.86 | 2.4× |
| K Flow/Funct Image W/Drug (78708) | $567.21 | $2,985.28 | 1.0× |
| K Flow/Funct Image W/O Drug (78707) | $896.58 | $4,718.82 | 1.5× |
| Kidney Imaging Morphol (78700) | $228.05 | $1,200.26 | 0.5× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $228.05 | $1,200.26 | 0.5× |
| Knee 3 Views (73562) | $161.41 | $849.49 | 1.7× |
| Leveen/Shunt Patency Exam (78291) | $228.05 | $1,200.26 | 0.5× |
| Liver & Spleen Imaging Static Only (78215) | $773.65 | $4,071.84 | 1.8× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $228.05 | $1,200.26 | 0.5× |
| Liver imaging static only (78201) | $295.95 | $1,557.62 | 0.5× |
| Liver imaging w/vascular flow (78202) | $295.95 | $1,557.62 | 0.5× |
| Lung Perf&Ventilat Diferentl (78598) | $693.93 | $3,652.22 | 1.2× |
| Lung perfusion differential (78597) | $2,266.45 | $11,928.64 | 5.3× |
| Lung Ventilat&Perfus Imaging (78582) | $295.95 | $1,557.62 | 0.5× |
| Lung Ventilation Imaging (78579) | $220.50 | $1,160.52 | 0.5× |
| Lymph System Imaging (78195) | $1,315 | $6,921.03 | 2.3× |
| Lymphangiography Extremity Only Bilateral Rs&I (75803) | $850.32 | $4,475.32 | 0.5× |
| Lymphangiography extremity only unilateral rs&i (75801) | $327.53 | $1,723.82 | 0.5× |
| Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) | $1,730.49 | $9,107.81 | 0.5× |
| Lymphangiography, pelvic/abdominal, unilateral (75805) | $1,730.49 | $9,107.81 | 0.5× |
| Magnetic Image Jaw Joint (70336) | $953.72 | $5,019.53 | 3.7× |
| Mammary ductogram or galactogram multiple (77054) | $477.61 | $2,513.72 | 1.9× |
| Mammary ductogram or galactogram single (77053) | $347.07 | $1,826.65 | 1.4× |
| Meckels Divert Exam (78290) | $1,258.08 | $6,621.46 | 2.9× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $22.51 | $118.45 | 0.7× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) | $74.18 | $390.37 | 0.7× |
| Mra Head W/O & W/Contrast Material (70546) | $1,460.92 | $7,689.05 | 3.9× |
| MRA head w/o contrast (70544) | $953.72 | $5,019.53 | 3.7× |
| MRA head with contrast (70545) | $1,156.87 | $6,088.78 | 3.1× |
| MRA neck w contrast (70548) | $1,156.87 | $6,088.78 | 3.1× |
| Mra Neck W/O &W/Contrast Material (70549) | $1,460.92 | $7,689.05 | 3.9× |
| MRA neck w/o contrast (70547) | $953.72 | $5,019.53 | 3.7× |
| MRI abdomen w contrast (74182) | $1,156.87 | $6,088.78 | 3.1× |
| MRI abdomen w/o contrast (74181) | $953.72 | $5,019.53 | 3.7× |
| MRI any jt lower extrem w/contrast material (73722) | $1,156.87 | $6,088.78 | 1.4× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $1,460.92 | $7,689.05 | 3.9× |
| MRI any jt upper extremity w/contrast matrl (73222) | $1,156.87 | $6,088.78 | 1.4× |
| MRI bone marrow blood supply (77084) | $139.17 | $732.43 | 0.5× |
| MRI Breast W/O Contrast Bilateral (77047) | $953.72 | $5,019.53 | 3.7× |
| MRI Breast Without Contrast Material Unilateral (77046) | $139.17 | $732.43 | 0.5× |
| MRI cardiac w/o cont stress (75559) | $292.01 | $1,536.89 | 0.5× |
| MRI cardiac w/o contrast (75557) | $126.30 | $664.71 | 0.5× |
| MRI cervical spine w contrast (72142) | $1,156.87 | $6,088.78 | 3.1× |
| MRI cervical spine w/o cont (72141) | $953.72 | $5,019.53 | 3.7× |
| MRI chest w/o contrast (71550) | $953.72 | $5,019.53 | 3.7× |
| MRI chest with contrast (71551) | $1,156.87 | $6,088.78 | 1.4× |
| MRI chest wo w contrast (71552) | $1,460.92 | $7,689.05 | 3.9× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $1,156.87 | $6,088.78 | 3.1× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $1,460.92 | $7,689.05 | 3.9× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $953.72 | $5,019.53 | 3.7× |
| MRI lumbar spine w contrast (72149) | $1,156.87 | $6,088.78 | 3.1× |
| Mri Neck Spine W/O & W/Dye (72156) | $1,460.92 | $7,689.05 | 3.9× |
| MRI orbit face &/neck w/o contrast (70540) | $857.39 | $4,512.56 | 3.4× |
| MRI orbit face neck w contrast (70542) | $1,156.87 | $6,088.78 | 3.1× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $1,313.35 | $6,912.32 | 3.5× |
| MRI pelvis w contrast (72196) | $1,156.87 | $6,088.78 | 3.1× |
| MRI pelvis w/o & w contrast (72197) | $1,460.92 | $7,689.05 | 3.9× |
| MRI pelvis w/o contrast (72195) | $953.72 | $5,019.53 | 3.7× |
| MRI spectroscopy (76390) | $48.93 | $257.48 | 0.5× |
| MRI thoracic spine w/o contrast (72146) | $953.72 | $5,019.53 | 3.7× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $199.75 | $1,051.31 | 0.5× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $953.72 | $5,019.53 | 3.7× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $1,460.92 | $7,689.05 | 3.9× |
| MRI, abdomen, combo (74183) | $1,460.92 | $7,689.05 | 3.9× |
| MRI, dorsal spine combo (72157) | $1,460.92 | $7,689.05 | 3.9× |
| MRI, dorsal spine contrast (72147) | $1,156.87 | $6,088.78 | 3.1× |
| MRI, joint upper extrem (73221) | $953.72 | $5,019.53 | 3.7× |
| MRI, joint upper extrem combo (73223) | $1,460.92 | $7,689.05 | 3.9× |
| MRI, lumbar spine combo (72158) | $1,460.92 | $7,689.05 | 3.9× |
| Myelogram cervical (72240) | $432.48 | $2,276.21 | 0.5× |
| Myelogram Lumbar (72265) | $432.48 | $2,276.21 | 0.5× |
| Myelography thoracic (72255) | $432.48 | $2,276.21 | 0.5× |
| Myelograpy 2/more regions rs&i (72270) | $432.48 | $2,276.21 | 0.5× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $683.72 | $3,598.49 | 1.6× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) | $789.72 | $4,156.41 | 0.6× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $789.72 | $4,156.41 | 0.6× |
| Myocardial Spect Multiple Studies (78452) | $1,726.30 | $9,085.75 | 1.2× |
| Myocrd Img Pet Metab Eval Single Study Cncrnt CT (78429) | $895.19 | $4,711.48 | 0.6× |
| Myocrd img PET prfuj 1std rest/stress cncrnt CT (78430) | $895.19 | $4,711.48 | 0.6× |
| Myocrd Img Pet Prfuj Mlt Std Rst&Strs Cncrnt CT (78431) | $1,360.91 | $7,162.67 | 0.6× |
| Myocrd Img Pet Prfuj W/Metab 2rtracer Cncrnt CT (78433) | $1,663.27 | $8,754.02 | 0.7× |
| Myocrd Img Pet Prfuj W/Metab Dual Radiotracer (78432) | $1,663.27 | $8,754.02 | 1.0× |
| Neck soft tissue (70360) | $123.73 | $651.20 | 1.3× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $244.79 | $1,288.35 | 0.6× |
| Nm csf leak detection (78650) | $789.72 | $4,156.41 | 0.6× |
| Nm myocard infarct spect (78469) | $980.99 | $5,163.08 | 1.7× |
| Nm whole blood volume (78122) | $295.95 | $1,557.62 | 0.5× |
| Nuclear Rx Intra-Arterial (79445) | $150.95 | $794.47 | 0.6× |
| Nuclear Rx Oral Admin (79005) | $150.95 | $794.47 | 0.6× |
| Ob us nuchal meas 1 gest (76813) | $65.90 | $346.82 | 0.6× |
| Optic foramina (70190) | $163.85 | $862.32 | 1.8× |
| Panoramic X-ray of jaws (70355) | $48.93 | $257.48 | 0.5× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $839.64 | $4,419.15 | 1.4× |
| Parathyroid Planar Imaging (78070) | $608.52 | $3,202.70 | 1.4× |
| Parathyroid planar imaging w/wo subtraction (78071) | $839.64 | $4,419.15 | 2.0× |
| Pelvis 1 or 2 views (72170) | $116.19 | $611.48 | 1.0× |
| Perineogram (74775) | $139.17 | $732.43 | 0.5× |
| Peritoneogram Rs&I (74190) | $292.01 | $1,536.89 | 0.5× |
| Pet Image Skull-Thigh (78812) | $895.19 | $4,711.48 | 0.6× |
| Pet Image W/Ct Lmtd (78814) | $895.19 | $4,711.48 | 0.6× |
| PET image w/CT, full body (78816) | $1,530.75 | $8,056.54 | 1.0× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $1,530.75 | $8,056.54 | 1.0× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $1,730.49 | $9,107.81 | 0.5× |
| Pulmonary Perfusion Imaging Particulate (78580) | $815.86 | $4,293.95 | 1.9× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $209.06 | $1,100.28 | 1.9× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $987.08 | $5,195.11 | 1.7× |
| Radex Ankle Complete Minimum 3 Views (73610) | $151.34 | $796.51 | 1.6× |
| Radex Calcaneus Minimum 2 Views (73650) | $126.26 | $664.48 | 1.4× |
| Radex elbow complete minimum 3 views (73080) | $171.39 | $902.04 | 1.8× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $191.52 | $1,007.99 | 1.7× |
| Radex fingr minimum 2 views (73140) | $151.34 | $796.51 | 1.6× |
| Radex foot complete minimum 3 views (73630) | $148.82 | $783.26 | 1.6× |
| Radex Hand Minimum 3 Views (73130) | $148.82 | $783.26 | 1.6× |
| Radex lower extremity infant minimum 2 views (73592) | $138.76 | $730.30 | 1.5× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $65.90 | $346.82 | 0.6× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $156.37 | $822.99 | 1.7× |
| Radex Pharynx/Larx W/Fluor&/Magnification Tq (70370) | $48.93 | $257.48 | 0.5× |
| Radex Ribs Unilateral 2 Views (71100) | $141.28 | $743.54 | 1.5× |
| Radex shoulder complete minimum 2 views (73030) | $129.82 | $683.23 | 1.4× |
| Radex Sinuses Paransl < 3 Views (70210) | $48.93 | $257.48 | 0.5× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $584.32 | $3,075.33 | 3.1× |
| Radex Spine 1 View Specify Level (72020) | $106.12 | $558.51 | 1.1× |
| Radex Sternum Minimum 2 Views (71120) | $146.31 | $770.02 | 1.6× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $229.11 | $1,205.82 | 2.5× |
| Radex Toe Minimum 2 Views (73660) | $141.28 | $743.54 | 1.5× |
| Radex upper extremity infant minimum 2 views (73092) | $136.25 | $717.07 | 1.2× |
| Radex Wrist Complete Minimum 3 Views (73110) | $173.91 | $915.27 | 1.9× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $401.21 | $2,111.60 | 3.6× |
| Radiolog exam mandible compl minimum 4 views (70110) | $176.43 | $928.55 | 1.6× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $173.91 | $915.27 | 1.6× |
| Radiologic exam colon double contrast study (74280) | $584.32 | $3,075.33 | 3.1× |
| Radiologic exam colon single contrast study (74270) | $361.30 | $1,901.57 | 1.9× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $107.98 | $568.27 | 0.6× |
| Radiologic exam knee complete 4/more views (73564) | $191.52 | $1,007.99 | 1.7× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $191.52 | $1,007.99 | 1.7× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $361.30 | $1,901.57 | 1.9× |
| Radiologic exam swallow function contrast study (74230) | $353.17 | $1,858.76 | 1.9× |
| Radiologic exam upr gi trc double contrast study (74246) | $584.32 | $3,075.33 | 3.1× |
| Radiologic examination femur 1 view (73551) | $48.93 | $257.48 | 0.5× |
| Radiologic examination femur minimum 2 views (73552) | $126.26 | $664.48 | 1.4× |
| Radiologic examination knee 1/2 views (73560) | $129.82 | $683.23 | 1.4× |
| Radiologic Examination Osseous Survey Limited (77074) | $65.90 | $346.82 | 0.6× |
| Radiologic Examination Salivary Gland Calculus (70380) | $48.93 | $257.48 | 0.5× |
| Radiologic examination tibia & fibula 2 views (73590) | $123.73 | $651.20 | 1.3× |
| Radiologic examination, internal auditory meati, complete Non-Facility (70134) | $292.01 | $1,536.89 | 0.5× |
| Radiopharm Dacryocystography (78660) | $228.05 | $1,200.26 | 0.5× |
| Renal Cyst Study (74470) | $292.01 | $1,536.89 | 0.5× |
| Ribs bilateral 3 views (71110) | $176.43 | $928.55 | 1.6× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $692.92 | $3,646.94 | 1.6× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $980.99 | $5,163.08 | 2.3× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $1,404.93 | $7,394.36 | 2.4× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $1,384.76 | $7,288.16 | 2.4× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $1,404.93 | $7,394.36 | 2.4× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $925.96 | $4,873.47 | 0.7× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $895.19 | $4,711.48 | 0.6× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $789.72 | $4,156.41 | 0.6× |
| Rp Therapy Intravenous Administration (79101) | $150.95 | $794.47 | 0.6× |
| Salivary Gland Imaging (78230) | $228.05 | $1,200.26 | 0.5× |
| Scapula (73010) | $133.80 | $704.20 | 1.2× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $35.84 | $188.59 | 1.5× |
| Sella turcica (70240) | $46.42 | $244.27 | 0.5× |
| Shoulder 1 view (73020) | $106.12 | $558.51 | 1.1× |
| Shoulder Arthrography (73040) | $1,095.16 | $5,763.95 | 2.9× |
| Sialogram (70390) | $139.17 | $732.43 | 0.5× |
| Skull less than 4 views (70250) | $158.89 | $836.23 | 1.4× |
| Spleen Imaging (78185) | $139.17 | $732.43 | 0.3× |
| Sternoclavicular joints (71130) | $171.39 | $902.04 | 1.8× |
| Superior sagittal sinus venogram (75870) | $1,730.49 | $9,107.81 | 0.5× |
| Temporomandble Jt Arthrography Rs&I (70332) | $139.17 | $732.43 | 0.5× |
| Testicular Imaging W/Flow (78761) | $199.50 | $1,050 | 0.5× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $107.98 | $568.27 | 0.6× |
| Thoracic spine 2 views (72070) | $62.52 | $329.01 | 0.6× |
| Thoracic spine 3 views (72072) | $176.43 | $928.55 | 1.6× |
| Thoracolumbar 2 views (72080) | $158.89 | $836.23 | 1.7× |
| Thyroid Carcinoma Metastases Img Lmtd Area (78015) | $228.05 | $1,200.26 | 0.5× |
| Thyroid Imaging With Vascular Flow (78013) | $650.79 | $3,425.16 | 1.5× |
| Thyroid Met Imaging Body (78018) | $1,287.46 | $6,776.09 | 2.2× |
| Thyroid Uptake Measurement (78012) | $316.36 | $1,665.03 | 0.7× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $647.10 | $3,405.75 | 1.5× |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$209.11–$222.63 | $1,100.57–$1,171.69 | varies |
| Ultrasound elastography first target lesion (76982) | $65.90 | $346.82 | 0.6× |
| Ultrasound Elastography Parenchyma (76981) | $62.52 | $329.01 | 0.6× |
| Ultrasound Exam Aaa Screen (76706) | $81.35 | $428.11 | 0.7× |
| Ultrasound, abdomen limited (76705) | $265.77 | $1,398.78 | 2.4× |
| Umbilical-artery Doppler (OB) (76820) | $89.75 | $472.35 | 0.8× |
| Unlisted genitourinary px dx nuclear medicine (78799) | $228.05 | $1,200.26 | 0.5× |
| Unlisted magnetic resonance procedure (76498) | $48.93 | $257.48 | 0.5× |
| Unlisted us procedure (76999) | $191.76 | $1,009.22 | 2.1× |
| Upper gi w/o kub (74240) | $361.30 | $1,901.57 | 1.9× |
| Ureteral Reflux Study (78740) | $228.05 | $1,200.26 | 0.5× |
| Urethrocystogram voiding (74455) | $671.95 | $3,536.54 | 2.6× |
| Urethrocystography retrograde (74450) | $708.39 | $3,728.35 | 2.8× |
| Us breast unilateral complete (76641) range across 2 matching MRF lines |
$209.11–$222.63 | $1,100.57–$1,171.69 | varies |
| Us chest (76604) | $215.34 | $1,133.32 | 1.9× |
| Us complete joint (76881) | $373.02 | $1,963.22 | 3.3× |
| Us exam, pelvic, limited (76857) | $241.84 | $1,272.79 | 2.2× |
| Us head (76506) | $241.84 | $1,272.79 | 2.2× |
| Us kidney transplant (76776) | $65.90 | $346.82 | 0.6× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $186.51 | $981.62 | 1.7× |
| Us ob detailed single fetus (76811) | $139.17 | $732.43 | 0.5× |
| Us ob limited 1 or more fetuses (76815) | $213.93 | $1,125.94 | 1.9× |
| Us ob transvaginal (76817) | $237.68 | $1,250.92 | 2.1× |
| Us pelvic non ob complete (76856) | $318.62 | $1,676.91 | 2.8× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $213.93 | $1,125.94 | 1.9× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $241.84 | $1,272.79 | 2.2× |
| Us retroperitoneal complete (76770) | $343.72 | $1,809.03 | 3.1× |
| Us retroperitoneal limited (76775) | $62.52 | $329.01 | 0.6× |
| Us scrotum and contents (76870) | $322.77 | $1,698.78 | 2.9× |
| Us spinal canal and contents (76800) | $262.78 | $1,383.02 | 2.3× |
| Us thyroid (76536) | $303.70 | $1,598.37 | 2.7× |
| Us transrectal (76872) | $377.21 | $1,985.30 | 3.4× |
| Vascular Flow Imaging (78445) | $681.88 | $3,588.79 | 1.6× |
| Vasogram (74440) | $139.17 | $732.43 | 0.5× |
| Vein X-Ray Chest (75827) | $1,902.61 | $10,013.71 | 1.1× |
| Vein X-Ray Liver W/O Hemodyn (75887) | $1,730.49 | $9,107.81 | 0.5× |
| Vein X-Ray Skull Epidural (75872) | $327.53 | $1,723.82 | 0.5× |
| Vein X-Ray Spleen/Liver (75810) | $1,730.49 | $9,107.81 | 0.5× |
| Venogram Sinus/Jugular (75860) | $1,730.49 | $9,107.81 | 0.5× |
| Venography Adrenal Unilateral (75840) | $1,730.49 | $9,107.81 | 0.5× |
| Venography caval inferior serialography rs&i (75825) | $2,015.97 | $10,610.32 | 0.6× |
| Venography extremity bilateral rs&i (75822) | $928.74 | $4,888.10 | 0.6× |
| Venography extremity unilateral rs&i (75820) | $875.85 | $4,609.73 | 0.5× |
| Venography Orbital Rs&I (75880) | $327.53 | $1,723.82 | 0.5× |
| Venography Renal Bilateral (75833) | $488.58 | $2,571.44 | 0.1× |
| Venography Renal Unilateral (75831) | $1,730.49 | $9,107.81 | 0.5× |
| Venous sampling by catheter (75893) unusually low: confirm this is the full procedure |
$2,884.71 | $15,182.65 | 0.5× |
| Venous Thrombosis Imaging Venogram Bilateral (78458) | $228.05 | $1,200.26 | 0.5× |
| Vertebral fracture assessment via dxa (77086) | $143.39 | $754.68 | 1.5× |
| Wrist 2 views (73100) | $138.76 | $730.30 | 1.5× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $171.39 | $902.04 | 1.8× |
| X-ray antegrade pyelogram tube (74425) | $805.71 | $4,240.54 | 2.2× |
| X-Ray Aorta Leg Arteries (75630) | $2,050.39 | $10,791.51 | 0.6× |
| X-Ray Bend Only L-S Spine (72120) | $249.24 | $1,311.77 | 2.2× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $131.28 | $690.93 | 1.4× |
| X-Ray Exam Breast Specimen (76098) | $291.85 | $1,536.05 | 0.5× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $200.61 | $1,055.80 | 2.2× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $200.61 | $1,055.80 | 1.8× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $401.21 | $2,111.60 | 3.6× |
| X-Ray Exam Hip Uni 1 View (73501) | $108.64 | $571.74 | 1.2× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $153.87 | $809.79 | 1.6× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $237.87 | $1,251.94 | 2.1× |
| X-Ray Exam Hips Bi 2 Views (73521) | $158.59 | $834.64 | 1.4× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $65.90 | $346.82 | 0.6× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $96.04 | $505.45 | 0.9× |
| X-Ray Exam L-S Spine Bending (72114) | $349.59 | $1,839.94 | 3.1× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $171.39 | $902.04 | 1.8× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $309.33 | $1,628.01 | 2.8× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $168.88 | $888.79 | 1.5× |
| X-ray eye for foreign body (70030) | $48.93 | $257.48 | 0.5× |
| X-ray humerus (73060) | $133.80 | $704.20 | 1.4× |
| X-ray IV pyelogram (ivp) (74400) | $708.39 | $3,728.35 | 3.8× |
| X-ray IV pyelogram+tomography (74415) | $708.39 | $3,728.35 | 3.8× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $48.93 | $257.48 | 0.5× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $148.82 | $783.26 | 1.6× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $183.97 | $968.25 | 1.6× |
| X-ray nose-rectum child f.b. (76010) | $123.73 | $651.20 | 1.3× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $236.66 | $1,245.56 | 2.1× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $50.38 | $265.12 | 0.4× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $136.25 | $717.07 | 1.2× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $133.80 | $704.20 | 1.4× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $173.91 | $915.27 | 1.9× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $199 | $1,047.33 | 1.8× |
| X-Ray Stress View (77071) | $46.42 | $244.27 | 0.5× |
| X-ray thoracic spine 4 vw (72074) | $62.52 | $329.01 | 0.6× |
| X-Ray Tmj Unilat (70328) | $48.93 | $257.48 | 0.5× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $708.39 | $3,728.35 | 1.9× |
| X-Rays Bone Length Studies (77073) | $156.37 | $822.99 | 1.4× |
| X-Rays Bone Survey Complete (77075) | $468.61 | $2,466.33 | 4.2× |
| Xr c-spine 4 or 5 views (72050) | $239.20 | $1,258.92 | 2.1× |
| Xr facial bones less than 3 views (70140) | $48.93 | $257.48 | 0.5× |
| XR Mastoids < 3 Views Bilateral (70120) | $65.90 | $346.82 | 0.6× |
| Xr orbits complete 4 views (70200) | $193.96 | $1,020.84 | 1.7× |
| Xr Tomogram Single Plane (76100) | $525.27 | $2,764.54 | 4.7× |
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.