Imaging prices at DMC Detroit Receiving Hospital
Detroit, MI · every code in this section with a posted price and a Medicare benchmark.
267 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 3-D radiotherapy plan dose-volume histograms (77295) | $5,122.50 | $6,830 | 3.7× |
| Abdomen 1 View (74018) | $407.25 | $543 | 4.7× |
| Abdomen 2 views (74019) | $518.25 | $691 | 5.0× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,761.75 | $2,349 | 4.4× |
| Angio pulmonary bilat (75743) range across 3 matching MRF lines |
$480–$4,398.75 | $640–$5,865 | varies |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $14,586 | $19,448 | 4.6× |
| Angiography extremity bilateral rs&i (75716) range across 3 matching MRF lines |
$6,197.25–$10,067.25 | $8,263–$13,423 | varies |
| Angiography extremity unilateral rs&i (75710) | $8,896.50 | $11,862 | 2.8× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $4,472.25 | $5,963 | 1.4× |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$594–$648.75 | $792–$865 | varies |
| Aortography thoracic serialography rs&i (75605) | $8,529.75 | $11,373 | 1.5× |
| Aortography thoracic w/o serialography rs&i (75600) | $8,627.25 | $11,503 | 2.7× |
| Artery X-Rays Abdomen (75726) range across 2 matching MRF lines |
$600.75–$10,908 | $801–$14,544 | varies |
| Artery X-Rays Pelvis (75736) | $9,026.25 | $12,035 | 1.6× |
| Artery X-Rays Spine (75705) | $9,828.75 | $13,105 | 1.8× |
| Arthrogram ankle (73615) | $1,662 | $2,216 | 4.8× |
| Arthrogram hip (73525) | $737.25 | $983 | 2.1× |
| Basic radiation dosimetry calculation (77300) | $861.75 | $1,149 | 6.4× |
| Bone Imaging Whole Body (78306) range across 2 matching MRF lines |
$2,188.50–$3,446.25 | $2,918–$4,595 | varies |
| Brain Flow Imaging Only (78610) | $2,343 | $3,124 | 4.3× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $5,167.50 | $6,890 | 14.9× |
| Cat Scan Follow-Up Study (76380) | $2,734.50 | $3,646 | 31.5× |
| Chest 1 view (71045) | $321 | $428 | 3.7× |
| Chest 2 views (71046) range across 3 matching MRF lines |
$389.25–$518.25 | $519–$691 | varies |
| Chest 3 views (71047) | $489 | $652 | 5.6× |
| Chest 4 or more views (71048) range across 2 matching MRF lines |
$525–$536.25 | $700–$715 | varies |
| Cisternography Positive Contrast Rs&I (70015) | $2,283 | $3,044 | 2.9× |
| Clavicle complete (73000) range across 2 matching MRF lines |
$564.75–$615 | $753–$820 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $261 | $348 | 2.5× |
| Continuing medical physics consltj pr wk (77336) | $1,062 | $1,416 | 7.9× |
| Contrast Exam Abdominl Aorta (75625) range across 2 matching MRF lines |
$6,509.25–$8,877.75 | $8,679–$11,837 | varies |
| Contrast X-Ray Bladder (74430) range across 2 matching MRF lines |
$708–$1,178.25 | $944–$1,571 | varies |
| Contrast X-Ray Of Elbow (73085) | $870 | $1,160 | 2.5× |
| Contrast X-Ray Of Knee Joint (73580) | $870 | $1,160 | 2.5× |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$4,735.50–$5,019.75 | $6,314–$6,693 | varies |
| CT abdomen and pelvis without contrast (74176) | $3,870 | $5,160 | 16.3× |
| CT abdomen w contrast (74160) | $3,915.75 | $5,221 | 22.4× |
| CT abdomen w wo contrast (74170) | $6,228 | $8,304 | 35.6× |
| CT abdomen w/o contrast (74150) | $3,590.25 | $4,787 | 34.5× |
| CT Angio Abdomen and Pelvis (74174) | $6,276.75 | $8,369 | 18.1× |
| CT Angio Chest (71275) | $7,114.50 | $9,486 | 40.7× |
| CT Angio Head (70496) | $10,755 | $14,340 | 61.5× |
| CT angio hrt w/3d image (75574) | $2,367.75 | $3,157 | 6.8× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $7,006.50 | $9,342 | 40.1× |
| CT Angio Neck (70498) | $7,142.25 | $9,523 | 40.9× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $7,229.25 | $9,639 | 41.4× |
| CT cervical spine w/ contrast (72126) | $3,735 | $4,980 | 10.7× |
| CT cervical spine w/o contrast (72125) | $3,426.75 | $4,569 | 32.9× |
| CT cervical spine w/wo cont (72127) | $5,603.25 | $7,471 | 32.1× |
| CT chest w contrast (71260) | $4,947.75 | $6,597 | 28.3× |
| CT chest w/wo contrast (71270) | $6,928.50 | $9,238 | 39.6× |
| CT head/brain with contrast (70460) | $4,183.50 | $5,578 | 23.9× |
| CT head/brain without and with contrast (70470) | $5,603.25 | $7,471 | 32.1× |
| CT heart contrast eval cardiac structure&morph (75572) | $2,691.75 | $3,589 | 7.7× |
| CT heart no contrast quant eval coronry calcium (75571) | $137.25 | $183 | 1.6× |
| CT iac w contrast (70481) | $4,668 | $6,224 | 26.7× |
| CT l-spine w&w/o contrast (72133) | $5,603.25 | $7,471 | 32.1× |
| CT lower ext w/o (73700) | $3,426.75 | $4,569 | 32.9× |
| CT lower extremity w/contrast material (73701) | $3,735 | $4,980 | 21.4× |
| CT lumbar spine w contrast (72132) | $3,735 | $4,980 | 10.7× |
| CT lumbar spine w/o contrast (72131) | $3,630.75 | $4,841 | 34.9× |
| CT maxillofacial w contrast (70487) | $4,668 | $6,224 | 26.7× |
| CT maxillofacial wo contrast (70486) | $4,617 | $6,156 | 44.3× |
| CT neck tissue combo (70492) | $6,069.75 | $8,093 | 34.7× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $6,667.50 | $8,890 | 38.2× |
| CT orbits w/o contrast (70480) | $4,356 | $5,808 | 41.8× |
| CT pelvis w&w/o contrast (72194) | $5,603.25 | $7,471 | 32.1× |
| CT pelvis w/o contrast (72192) | $3,426.75 | $4,569 | 32.9× |
| CT scan of leg combo (73702) | $5,655.75 | $7,541 | 32.4× |
| CT scans face/jaw combo (70488) | $6,667.50 | $8,890 | 38.2× |
| CT soft tissue neck w contrast (70491) | $4,456.50 | $5,942 | 25.5× |
| CT soft tissue neck w/o contrast (70490) | $3,894 | $5,192 | 37.4× |
| CT thoracic spine w contrast (72129) | $3,735 | $4,980 | 21.4× |
| CT thoracic spine w/o contrast (72128) | $3,426.75 | $4,569 | 32.9× |
| CT thoracic spine w/wo cont (72130) | $5,603.25 | $7,471 | 32.1× |
| CT thorax w/o contrast (71250) | $4,617 | $6,156 | 44.3× |
| CT upper ext wo (73200) | $3,536.25 | $4,715 | 33.9× |
| CT upper extremity w/o & w/contrast material (73202) | $3,742.50 | $4,990 | 21.4× |
| CT upper extremity with contrast (73201) | $3,858 | $5,144 | 11.1× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $7,346.25 | $9,795 | 42.0× |
| Cta Abdomen (74175) | $7,324.50 | $9,766 | 41.9× |
| CTA pelvis (72191) | $7,833.75 | $10,445 | 44.8× |
| Dilation ureters/urethra rs&i (74485) | $4,635 | $6,180 | 2.2× |
| Diskography lumbar (72295) | $6,810.75 | $9,081 | 3.5× |
| Dxa Bone Density Axial (77080) | $905.25 | $1,207 | 8.7× |
| Esophagram (74220) | $618 | $824 | 3.5× |
| Fetal Biophys Profile W/Nst (76818) range across 2 matching MRF lines |
$1,047.75–$1,109.25 | $1,397–$1,479 | varies |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$687–$1,029 | $916–$1,372 | varies |
| Follow-Up Angiography (75898) range across 2 matching MRF lines |
$474.75–$3,843 | $633–$5,124 | varies |
| Foot 2 views (73620) range across 2 matching MRF lines |
$442.50–$483.75 | $590–$645 | varies |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$572.25–$623.25 | $763–$831 | varies |
| Gastric emptying imaging study (78264) | $2,903.25 | $3,871 | 7.3× |
| Gated Heart Planar Single (78472) | $1,646.25 | $2,195 | 4.1× |
| Hand 2 views (73120) range across 2 matching MRF lines |
$420–$457.50 | $560–$610 | varies |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $7,604.25 | $10,139 | 2.4× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) range across 2 matching MRF lines |
$6,519–$6,786 | $8,692–$9,048 | varies |
| Hepatobil Syst Image W/Drug (78227) | $1,570.50 | $2,094 | 2.9× |
| Hepatobiliary System Imaging (78226) | $1,570.50 | $2,094 | 3.9× |
| Ht Muscle Image Spect Sing (78451) | $3,097.50 | $4,130 | 2.4× |
| K Flow/Funct Image W/Drug (78708) | $4,811.25 | $6,415 | 8.9× |
| K Flow/Funct Image W/O Drug (78707) | $4,811.25 | $6,415 | 8.9× |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$545.25–$593.25 | $727–$791 | varies |
| Lung Ventilat&Perfus Imaging (78582) | $6,003 | $8,004 | 11.1× |
| Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) | $5,097.75 | $6,797 | 1.6× |
| Mra Head W/O & W/Contrast Material (70546) range across 2 matching MRF lines |
$9,882–$10,775.25 | $13,176–$14,367 | varies |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$4,665–$6,297.75 | $6,220–$8,397 | varies |
| MRA head with contrast (70545) | $7,783.50 | $10,378 | 22.4× |
| MRA neck w contrast (70548) | $8,250 | $11,000 | 23.7× |
| Mra Neck W/O &W/Contrast Material (70549) | $9,882 | $13,176 | 28.4× |
| MRA neck w/o contrast (70547) | $6,297.75 | $8,397 | 26.5× |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$821.25–$3,649.50 | $1,095–$4,866 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $6,906.75 | $9,209 | 19.9× |
| MRI Breast W/O Contrast Bilateral (77047) | $3,006.75 | $4,009 | 12.6× |
| MRI cardiac w/o contrast (75557) | $4,533 | $6,044 | 19.1× |
| MRI cervical spine w contrast (72142) | $5,377.50 | $7,170 | 15.5× |
| MRI cervical spine w/o cont (72141) | $4,053 | $5,404 | 17.0× |
| MRI chest w/o contrast (71550) | $5,157 | $6,876 | 21.7× |
| MRI chest wo w contrast (71552) | $8,406 | $11,208 | 24.2× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $4,201.50 | $5,602 | 12.1× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $4,220.25 | $5,627 | 17.8× |
| MRI lumbar spine w contrast (72149) | $4,032.75 | $5,377 | 11.6× |
| Mri Neck Spine W/O & W/Dye (72156) | $8,826 | $11,768 | 25.4× |
| MRI orbit face &/neck w/o contrast (70540) | $4,866 | $6,488 | 20.5× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $8,141.25 | $10,855 | 23.4× |
| MRI pelvis w/o & w contrast (72197) | $6,303.75 | $8,405 | 18.1× |
| MRI pelvis w/o contrast (72195) | $3,854.25 | $5,139 | 16.2× |
| MRI spectroscopy (76390) | $3,487.50 | $4,650 | 40.2× |
| MRI thoracic spine w/o contrast (72146) | $4,053 | $5,404 | 17.0× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $5,550 | $7,400 | 23.3× |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 2 matching MRF lines |
$2,574–$5,089.50 | $3,432–$6,786 | varies |
| MRI, abdomen, combo (74183) | $6,303.75 | $8,405 | 18.1× |
| MRI, dorsal spine combo (72157) | $8,339.25 | $11,119 | 24.0× |
| MRI, dorsal spine contrast (72147) | $5,699.25 | $7,599 | 16.4× |
| MRI, joint upper extrem (73221) | $5,522.25 | $7,363 | 23.2× |
| MRI, joint upper extrem combo (73223) | $9,080.25 | $12,107 | 26.1× |
| MRI, lumbar spine combo (72158) | $6,687 | $8,916 | 19.2× |
| Myelogram cervical (72240) | $3,360.75 | $4,481 | 4.3× |
| Myelogram Lumbar (72265) | $1,375.50 | $1,834 | 1.8× |
| Myelography thoracic (72255) | $2,817 | $3,756 | 3.6× |
| Myelograpy 2/more regions rs&i (72270) | $1,890 | $2,520 | 2.4× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $3,281.25 | $4,375 | 2.5× |
| Myocardial Spect Multiple Studies (78452) | $4,595.25 | $6,127 | 3.6× |
| Neck soft tissue (70360) | $303.75 | $405 | 3.5× |
| Nonvascular Shunt X-Ray (75809) | $705 | $940 | 6.8× |
| Ntsty modul radthx pln dose-vol histos (77301) | $12,182.25 | $16,243 | 8.8× |
| Panoramic X-ray of jaws (70355) | $233.25 | $311 | 2.7× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $2,336.25 | $3,115 | 4.3× |
| Parathyroid Planar Imaging (78070) | $2,119.50 | $2,826 | 5.3× |
| Pelvis 1 or 2 views (72170) range across 3 matching MRF lines |
$497.25–$596.25 | $663–$795 | varies |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $11,748 | $15,664 | 3.7× |
| Pulmonary Perfusion Imaging Particulate (78580) | $2,043 | $2,724 | 5.1× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $639.75 | $853 | 6.1× |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 2 matching MRF lines |
$1,043.25–$1,106.25 | $1,391–$1,475 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$725.25–$790.50 | $967–$1,054 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$408–$444.75 | $544–$593 | varies |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$545.25–$593.25 | $727–$791 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$809.25–$882.75 | $1,079–$1,177 | varies |
| Radex fingr minimum 2 views (73140) range across 2 matching MRF lines |
$425.25–$461.25 | $567–$615 | varies |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$545.25–$593.25 | $727–$791 | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$546–$594 | $728–$792 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $375 | $500 | 4.3× |
| Radex Ribs Unilateral 2 Views (71100) | $706.50 | $942 | 8.1× |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$553.50–$603 | $738–$804 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $472.50 | $630 | 5.4× |
| Radex Spine 1 View Specify Level (72020) | $417.75 | $557 | 4.8× |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$441–$483.75 | $588–$645 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $687 | $916 | 7.9× |
| Radex Toe Minimum 2 Views (73660) range across 2 matching MRF lines |
$425.25–$461.25 | $567–$615 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$545.25–$593.25 | $727–$791 | varies |
| Radiation treatment delivery level 3 (77412) | $3,041.25 | $4,055 | 5.5× |
| Radiolog exam mandible compl minimum 4 views (70110) | $877.50 | $1,170 | 8.4× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $681.75 | $909 | 6.5× |
| Radiologic exam colon single contrast study (74270) range across 2 matching MRF lines |
$1,009.50–$1,168.50 | $1,346–$1,558 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$669–$721.50 | $892–$962 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$699–$763.50 | $932–$1,018 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) | $777 | $1,036 | 4.4× |
| Radiologic exam swallow function contrast study (74230) range across 2 matching MRF lines |
$999–$1,326.75 | $1,332–$1,769 | varies |
| Radiologic examination femur 1 view (73551) | $144.75 | $193 | 1.7× |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$217.50–$479.25 | $290–$639 | varies |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$453.75–$492.75 | $605–$657 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $1,237.50 | $1,650 | 11.9× |
| Radiologic examination tibia & fibula 2 views (73590) range across 2 matching MRF lines |
$674.25–$735.75 | $899–$981 | varies |
| Ribs bilateral 3 views (71110) | $574.50 | $766 | 5.5× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $2,064 | $2,752 | 3.8× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $496.50 | $662 | 0.9× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $2,210.25 | $2,947 | 4.1× |
| Scapula (73010) | $569.25 | $759 | 5.5× |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$392.25–$427.50 | $523–$570 | varies |
| Skull less than 4 views (70250) | $516 | $688 | 5.0× |
| Special treatment procedure (77470) | $3,963 | $5,284 | 7.2× |
| Sternoclavicular joints (71130) range across 2 matching MRF lines |
$433.50–$474 | $578–$632 | varies |
| Superior sagittal sinus venogram (75870) | $3,261 | $4,348 | 1.0× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $2,361 | $3,148 | 6.3× |
| Ther rad simulaj-aided field setting simple (77280) | $609 | $812 | 4.5× |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$696–$756 | $928–$1,008 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$828.75–$902.25 | $1,105–$1,203 | varies |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$669.75–$729 | $893–$972 | varies |
| Thyroid Imaging With Vascular Flow (78013) | $1,338 | $1,784 | 3.4× |
| Tx Devices Design & Construction Complex (77334) | $1,773.75 | $2,365 | 4.8× |
| Ultrasound Breast Limited (76642) | $261 | $348 | 3.0× |
| Ultrasound Exam Aaa Screen (76706) | $703.50 | $938 | 6.8× |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$804.75–$853.50 | $1,073–$1,138 | varies |
| Unlisted us procedure (76999) | $701.25 | $935 | 8.1× |
| Upper gi w/o kub (74240) | $1,356.75 | $1,809 | 7.8× |
| Urethrocystogram voiding (74455) range across 2 matching MRF lines |
$1,320–$1,522.50 | $1,760–$2,030 | varies |
| Urethrocystography retrograde (74450) | $1,401.75 | $1,869 | 5.9× |
| Us breast unilateral complete (76641) | $261 | $348 | 2.5× |
| Us chest (76604) range across 2 matching MRF lines |
$637.50–$724.50 | $850–$966 | varies |
| Us complete joint (76881) | $425.25 | $567 | 4.1× |
| Us exam, pelvic, limited (76857) | $882 | $1,176 | 8.5× |
| Us kidney transplant (76776) | $1,449.75 | $1,933 | 13.9× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$292.50–$845.25 | $390–$1,127 | varies |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$669.75–$827.25 | $893–$1,103 | varies |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$859.50–$1,073.25 | $1,146–$1,431 | varies |
| Us pelvic non ob complete (76856) | $1,136.25 | $1,515 | 10.9× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$1,111.50–$1,170.75 | $1,482–$1,561 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 2 matching MRF lines |
$669.75–$851.25 | $893–$1,135 | varies |
| Us retroperitoneal complete (76770) | $1,449.75 | $1,933 | 13.9× |
| Us retroperitoneal limited (76775) | $606.75 | $809 | 5.8× |
| Us scrotum and contents (76870) | $1,199.25 | $1,599 | 11.5× |
| Us thyroid (76536) | $865.50 | $1,154 | 8.3× |
| Us transrectal (76872) | $1,759.50 | $2,346 | 16.9× |
| Vein X-Ray Chest (75827) | $2,631.75 | $3,509 | 1.7× |
| Vein X-Ray Liver W/O Hemodyn (75887) | $6,527.25 | $8,703 | 2.1× |
| Venogram Sinus/Jugular (75860) range across 2 matching MRF lines |
$5,160–$5,305.50 | $6,880–$7,074 | varies |
| Venography caval inferior serialography rs&i (75825) range across 2 matching MRF lines |
$7,866–$9,776.25 | $10,488–$13,035 | varies |
| Venography extremity bilateral rs&i (75822) | $1,881 | $2,508 | 1.2× |
| Venography extremity unilateral rs&i (75820) range across 4 matching MRF lines |
$1,356–$4,108.50 | $1,808–$5,478 | varies |
| Venography Renal Bilateral (75833) | $7,341.75 | $9,789 | 2.3× |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$444.75–$486.75 | $593–$649 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $390 | $520 | 4.5× |
| X-ray antegrade pyelogram tube (74425) range across 3 matching MRF lines |
$453.75–$1,476.75 | $605–$1,969 | varies |
| X-Ray Aorta Leg Arteries (75630) | $9,090.75 | $12,121 | 2.9× |
| X-Ray Bend Only L-S Spine (72120) range across 2 matching MRF lines |
$681–$741.75 | $908–$989 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$399–$435.75 | $532–$581 | varies |
| X-Ray Exam Breast Specimen (76098) | $1,200 | $1,600 | 2.2× |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 2 matching MRF lines |
$144.75–$638.25 | $193–$851 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$217.50–$906.75 | $290–$1,209 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 2 matching MRF lines |
$144.75–$528 | $193–$704 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 2 matching MRF lines |
$231–$252.75 | $308–$337 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) | $291 | $388 | 2.8× |
| X-Ray Exam Hips Bi 2 Views (73521) | $406.50 | $542 | 3.9× |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 2 matching MRF lines |
$435.75–$806.25 | $581–$1,075 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) range across 2 matching MRF lines |
$509.25–$554.25 | $679–$739 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$818.25–$891.75 | $1,091–$1,189 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 3 matching MRF lines |
$712.50–$846.75 | $950–$1,129 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $1,174.50 | $1,566 | 11.3× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $741.75 | $989 | 7.1× |
| X-ray eye for foreign body (70030) | $349.50 | $466 | 4.0× |
| X-ray humerus (73060) range across 2 matching MRF lines |
$533.25–$579 | $711–$772 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $486.75 | $649 | 5.6× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $481.50 | $642 | 5.6× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 3 matching MRF lines |
$583.50–$765.75 | $778–$1,021 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $809.25 | $1,079 | 7.8× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $645 | $860 | 6.2× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $509.25 | $679 | 4.9× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$492–$536.25 | $656–$715 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $874.50 | $1,166 | 10.1× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $854.25 | $1,139 | 8.2× |
| X-ray thoracic spine 4 vw (72074) range across 2 matching MRF lines |
$904.50–$986.25 | $1,206–$1,315 | varies |
| X-Ray Tmj Unilat (70328) | $411.75 | $549 | 4.7× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 2 matching MRF lines |
$1,164–$1,716 | $1,552–$2,288 | varies |
| X-Rays Bone Length Studies (77073) range across 2 matching MRF lines |
$781.50–$850.50 | $1,042–$1,134 | varies |
| X-Rays Bone Survey Complete (77075) | $1,320 | $1,760 | 12.7× |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$960–$1,046.25 | $1,280–$1,395 | varies |
| Xr facial bones less than 3 views (70140) | $354 | $472 | 4.1× |
| Xr orbits complete 4 views (70200) | $591 | $788 | 5.7× |
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.