Imaging prices at Doctors Hospital
Augusta, GA · every code in this section with a posted price and a Medicare benchmark.
337 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) | $13,170.24 | $13,170.24 | 10.8× |
| Abdomen 1 View (74018) | $1,111.63 | $1,111.63 | 14.5× |
| Abdomen 2 views (74019) | $1,111.63 | $1,111.63 | 12.1× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $4,282.45 | $4,282.45 | 12.2× |
| Angio pulmonary bilat (75743) | $24,750.72 | $24,750.72 | 8.9× |
| Angiography extremity bilateral rs&i (75716) range across 2 matching MRF lines |
$11,042.15–$17,461.08 | $11,042.15–$17,461.08 | varies |
| Angiography extremity unilateral rs&i (75710) range across 6 matching MRF lines |
$4,876.23–$11,867.61 | $4,876.23–$11,867.61 | varies |
| Angiography pulmonary unilateral slctv rs&i (75741) | $24,750.72 | $24,750.72 | 8.9× |
| Ankle 2 views (73600) range across 6 matching MRF lines |
$648.89–$1,852.73 | $648.89–$1,852.73 | varies |
| Aortography thoracic serialography rs&i (75605) | $21,952.17 | $21,952.17 | 4.5× |
| Artery X-Rays Abdomen (75726) range across 2 matching MRF lines |
$7,982.92–$8,008.58 | $7,982.92–$8,008.58 | varies |
| Artery X-Rays Spine (75705) | $21,952.17 | $21,952.17 | 4.5× |
| Arthrogram ankle (73615) | $2,839.11 | $2,839.11 | 9.3× |
| Arthrogram hip (73525) | $2,639.05 | $2,639.05 | 8.6× |
| Arthrogram Wrist (73115) | $1,713.34 | $1,713.34 | 5.6× |
| Basic radiation dosimetry calculation (77300) | $1,500.18 | $1,500.18 | 12.7× |
| Bone age studies (77072) | $835.06 | $835.06 | 9.1× |
| Bone Imaging 3 Phase (78315) | $6,662.65 | $6,662.65 | 18.9× |
| Bone Imaging Limited Area (78300) | $3,658.23 | $3,658.23 | 10.4× |
| Bone Imaging Whole Body (78306) | $5,140.21 | $5,140.21 | 14.6× |
| Bone marrow imaging; whole body (78104) | $2,651.05 | $2,651.05 | 7.5× |
| Bone survey infant (77076) | $1,007.25 | $1,007.25 | 11.0× |
| Brachytx isodose intermed (77317) | $3,910.83 | $3,910.83 | 11.9× |
| Brachytx Isodose Plan Simple (77316) | $2,831.92 | $2,831.92 | 8.6× |
| Brain Flow Imaging Only (78610) | $2,053.26 | $2,053.26 | 4.3× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $13,139.23 | $13,139.23 | 10.4× |
| Cat Scan Follow-Up Study (76380) range across 2 matching MRF lines |
$325.32–$3,602.16 | $325.32–$3,602.16 | varies |
| Cerebrospinal Fluid Scan (78630) | $5,166.65 | $5,166.65 | 10.8× |
| Chest 1 view (71045) | $922.03 | $922.03 | 12.0× |
| Chest 2 views (71046) | $935.95 | $935.95 | 12.2× |
| Chest 3 views (71047) | $1,494.36 | $1,494.36 | 19.5× |
| Chest 4 or more views (71048) | $1,506.56 | $1,506.56 | 16.4× |
| Cineradiograpy/vidradiograpy xcpt where spec (76120) | $915.96 | $915.96 | 10.0× |
| Clavicle complete (73000) range across 3 matching MRF lines |
$1,122.08–$2,242.42 | $1,122.08–$2,242.42 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $139.33 | $139.33 | 1.5× |
| Continuing medical physics consltj pr wk (77336) | $2,162.99 | $2,162.99 | 18.3× |
| Contrast Exam Abdominl Aorta (75625) range across 2 matching MRF lines |
$9,867.37–$11,373.42 | $9,867.37–$11,373.42 | varies |
| Contrast X-Ray Bladder (74430) range across 2 matching MRF lines |
$1,713.34–$2,256.34 | $1,713.34–$2,256.34 | varies |
| Contrast X-Ray Of Elbow (73085) | $1,713.34 | $1,713.34 | 5.6× |
| Contrast X-Ray Of Knee Joint (73580) range across 6 matching MRF lines |
$1,313.14–$2,649.48 | $1,313.14–$2,649.48 | varies |
| CT abdomen and pelvis without and with contrast (74178) | $18,074.39 | $18,074.39 | 58.9× |
| CT abdomen and pelvis without contrast (74176) | $13,823.23 | $13,823.23 | 65.9× |
| CT abdomen w contrast (74160) | $8,510.50 | $8,510.50 | 55.2× |
| CT abdomen w wo contrast (74170) | $9,244.29 | $9,244.29 | 59.9× |
| CT abdomen w/o contrast (74150) | $7,946.27 | $7,946.27 | 86.4× |
| CT Angio Abdomen and Pelvis (74174) | $17,705.87 | $17,705.87 | 57.7× |
| CT Angio Chest (71275) | $9,911.24 | $9,911.24 | 64.2× |
| CT Angio Head (70496) | $8,124.02 | $8,124.02 | 52.7× |
| CT angio hrt w/3d image (75574) | $1,135.26 | $1,135.26 | 3.7× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 3 matching MRF lines |
$3,393.44–$6,788.48 | $3,393.44–$6,788.48 | varies |
| CT Angio Neck (70498) | $9,562.27 | $9,562.27 | 62.0× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $1,826.36 | $1,826.36 | 11.8× |
| CT cervical spine w/ contrast (72126) | $8,670.29 | $8,670.29 | 28.3× |
| CT cervical spine w/o contrast (72125) | $8,247.97 | $8,247.97 | 89.7× |
| CT chest w contrast (71260) | $7,775.07 | $7,775.07 | 50.4× |
| CT chest w/wo contrast (71270) | $8,163.16 | $8,163.16 | 52.9× |
| CT head/brain with contrast (70460) | $6,265.07 | $6,265.07 | 40.6× |
| CT head/brain without and with contrast (70470) | $7,320.12 | $7,320.12 | 47.4× |
| CT heart no contrast quant eval coronry calcium (75571) | $275.60 | $275.60 | 3.6× |
| CT hrt w/3d image congen (75573) | $1,135.26 | $1,135.26 | 3.7× |
| CT iac w contrast (70481) | $3,802.75 | $3,802.75 | 24.6× |
| CT l-spine w&w/o contrast (72133) | $9,205.17 | $9,205.17 | 59.7× |
| CT lower ext w/o (73700) | $1,925.82 | $1,925.82 | 20.9× |
| CT lower extremity w/contrast material (73701) range across 3 matching MRF lines |
$3,011.84–$5,945.46 | $3,011.84–$5,945.46 | varies |
| CT lumbar spine w contrast (72132) | $10,297.71 | $10,297.71 | 33.6× |
| CT lumbar spine w/o contrast (72131) | $9,961.81 | $9,961.81 | 108.3× |
| CT maxillofacial w contrast (70487) | $3,072.21 | $3,072.21 | 19.9× |
| CT maxillofacial wo contrast (70486) | $3,217.32 | $3,217.32 | 35.0× |
| CT neck tissue combo (70492) | $9,090.99 | $9,090.99 | 58.9× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $4,197.37 | $4,197.37 | 27.2× |
| CT orbits w/o contrast (70480) | $3,802.75 | $3,802.75 | 41.4× |
| CT pelvis w&w/o contrast (72194) | $8,828.48 | $8,828.48 | 57.2× |
| CT pelvis w/o contrast (72192) | $7,052.66 | $7,052.66 | 76.7× |
| CT scan of leg combo (73702) range across 3 matching MRF lines |
$3,351.03–$7,903.88 | $3,351.03–$7,903.88 | varies |
| CT scans face/jaw combo (70488) | $3,802.75 | $3,802.75 | 24.6× |
| CT soft tissue neck w contrast (70491) | $8,670.29 | $8,670.29 | 56.2× |
| CT soft tissue neck w/o contrast (70490) | $8,247.97 | $8,247.97 | 89.7× |
| CT thoracic spine w contrast (72129) | $4,133.76 | $4,133.76 | 26.8× |
| CT thoracic spine w/o contrast (72128) | $8,241.44 | $8,241.44 | 89.6× |
| CT thoracic spine w/wo cont (72130) | $8,670.29 | $8,670.29 | 56.2× |
| CT thorax w/o contrast (71250) | $7,109.74 | $7,109.74 | 77.3× |
| CT upper ext wo (73200) range across 3 matching MRF lines |
$6,602.60–$13,206.82 | $6,602.60–$13,206.82 | varies |
| CT upper extremity w/o & w/contrast material (73202) | $7,903.88 | $7,903.88 | 51.2× |
| CT upper extremity with contrast (73201) | $6,602.60 | $6,602.60 | 21.5× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $16,864.45 | $16,864.45 | 109.3× |
| Cta Abdomen (74175) | $9,911.24 | $9,911.24 | 64.2× |
| CTA pelvis (72191) | $7,794.61 | $7,794.61 | 50.5× |
| Dilation ureters/urethra rs&i (74485) | $13,585.46 | $13,585.46 | 7.4× |
| Diskography lumbar (72295) | $6,585.47 | $6,585.47 | 3.8× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) | $2,630.51 | $2,630.51 | 28.6× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $2,630.51 | $2,630.51 | 28.6× |
| Doppler Fetal Mid Cerebral Artery (76821) | $1,559.38 | $1,559.38 | 17.0× |
| Dxa Bone Density Axial (77080) | $1,584.82 | $1,584.82 | 17.2× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $1,459.57 | $1,459.57 | 19.1× |
| Echo exam of fetal heart (76825) | $4,433.97 | $4,433.97 | 9.2× |
| Echo exam uterus (76831) | $1,196.89 | $1,196.89 | 5.7× |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) | $4,433.97 | $4,433.97 | 21.1× |
| Esophagram (74220) | $1,805.77 | $1,805.77 | 11.7× |
| Fetal Biophys Profile W/Nst (76818) range across 2 matching MRF lines |
$3,633.57–$3,684.20 | $3,633.57–$3,684.20 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 2 matching MRF lines |
$2,568.35–$2,604.14 | $2,568.35–$2,604.14 | varies |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$911.58–$1,547.72 | $911.58–$1,547.72 | varies |
| Follow-Up Angiography (75898) | $7,633.57 | $7,633.57 | 2.7× |
| Foot 2 views (73620) range across 5 matching MRF lines |
$655.86–$1,873.62 | $655.86–$1,873.62 | varies |
| Forearm 2 views (73090) range across 5 matching MRF lines |
$841.99–$1,941.46 | $841.99–$1,941.46 | varies |
| Gastric emptying imaging study (78264) | $6,998.88 | $6,998.88 | 19.9× |
| Gated Heart, Multiple (78473) | $5,591.64 | $5,591.64 | 15.9× |
| Hand 2 views (73120) range across 6 matching MRF lines |
$535.82–$1,532.65 | $535.82–$1,532.65 | varies |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $11,974.40 | $11,974.40 | 4.3× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $10,975.19 | $10,975.19 | 4.0× |
| Hepatobil Syst Image W/Drug (78227) | $5,941.90 | $5,941.90 | 12.4× |
| Hepatobiliary System Imaging (78226) | $5,174.43 | $5,174.43 | 14.7× |
| Ht Muscle Image Spect Sing (78451) range across 2 matching MRF lines |
$11,804.41–$12,512.67 | $11,804.41–$12,512.67 | varies |
| Hysterosalpingogram (74740) | $2,672.12 | $2,672.12 | 12.7× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $630.03 | $630.03 | 8.2× |
| Infusion Ivp (74410) | $3,326.24 | $3,326.24 | 21.6× |
| Joint Survey Single View (77077) | $1,400.44 | $1,400.44 | 15.2× |
| K Flow/Funct Image W/Drug (78708) | $6,111.59 | $6,111.59 | 12.8× |
| K Flow/Funct Image W/O Drug (78707) | $2,500.06 | $2,500.06 | 5.2× |
| Kidney Imaging Morphol (78700) | $3,613.08 | $3,613.08 | 10.3× |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$1,224.73–$2,447.69 | $1,224.73–$2,447.69 | varies |
| Leveen/Shunt Patency Exam (78291) | $5,166.65 | $5,166.65 | 14.7× |
| Liver & Spleen Imaging Static Only (78215) | $1,836.90 | $1,836.90 | 5.2× |
| Liver imaging static only (78201) | $2,364.61 | $2,364.61 | 5.0× |
| Liver imaging w/vascular flow (78202) | $8,082.35 | $8,082.35 | 16.9× |
| Lung perfusion differential (78597) | $2,095.31 | $2,095.31 | 6.0× |
| Lung Ventilat&Perfus Imaging (78582) | $3,273.74 | $3,273.74 | 6.9× |
| Lung Ventilation Imaging (78579) | $2,095.31 | $2,095.31 | 6.0× |
| Lymph System Imaging (78195) | $3,077.57 | $3,077.57 | 6.4× |
| Magnetic Image Jaw Joint (70336) | $9,402.02 | $9,402.02 | 44.8× |
| Mammary ductogram or galactogram multiple (77054) | $1,236.89 | $1,236.89 | 5.9× |
| Mammary ductogram or galactogram single (77053) range across 2 matching MRF lines |
$1,236.89–$2,597.30 | $1,236.89–$2,597.30 | varies |
| Meckels Divert Exam (78290) | $5,702.15 | $5,702.15 | 16.2× |
| Medical physics dose eval radiation expos w/rprt (76145) | $590.69 | $590.69 | 1.8× |
| Mlc imrt design & construction per imrt plan (77338) | $18,944.59 | $18,944.59 | 57.5× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $80.30 | $80.30 | 3.2× |
| Mra Head W/O & W/Contrast Material (70546) | $12,768.90 | $12,768.90 | 41.6× |
| MRA head w/o contrast (70544) | $9,402.02 | $9,402.02 | 44.8× |
| MRA head with contrast (70545) | $11,061.09 | $11,061.09 | 36.0× |
| MRA neck w contrast (70548) | $8,055.26 | $8,055.26 | 26.2× |
| Mra Neck W/O &W/Contrast Material (70549) | $12,768.90 | $12,768.90 | 41.6× |
| MRA neck w/o contrast (70547) | $9,402.02 | $9,402.02 | 44.8× |
| MRI abdomen w contrast (74182) | $11,983.61 | $11,983.61 | 39.0× |
| MRI abdomen w/o contrast (74181) | $11,061.09 | $11,061.09 | 52.7× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 3 matching MRF lines |
$7,600.32–$14,075.95 | $7,600.32–$14,075.95 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 3 matching MRF lines |
$7,600.32–$18,805.82 | $7,600.32–$18,805.82 | varies |
| MRI cervical spine w contrast (72142) | $11,061.09 | $11,061.09 | 36.0× |
| MRI cervical spine w/o cont (72141) | $9,402.02 | $9,402.02 | 44.8× |
| MRI chest w/o contrast (71550) | $9,656.56 | $9,656.56 | 46.0× |
| MRI chest wo w contrast (71552) | $12,906.09 | $12,906.09 | 42.1× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 3 matching MRF lines |
$3,702.69–$15,200.64 | $3,702.69–$15,200.64 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 3 matching MRF lines |
$9,402.02–$18,805.82 | $9,402.02–$18,805.82 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 3 matching MRF lines |
$7,600.32–$15,202.44 | $7,600.32–$15,202.44 | varies |
| MRI lumbar spine w contrast (72149) | $11,061.09 | $11,061.09 | 36.0× |
| Mri Neck Spine W/O & W/Dye (72156) | $13,274.40 | $13,274.40 | 43.3× |
| MRI orbit face &/neck w/o contrast (70540) | $9,402.02 | $9,402.02 | 44.8× |
| MRI orbit face neck w contrast (70542) | $11,086.37 | $11,086.37 | 36.1× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $12,768.90 | $12,768.90 | 41.6× |
| MRI pelvis w/o & w contrast (72197) | $14,061.50 | $14,061.50 | 45.8× |
| MRI pelvis w/o contrast (72195) | $11,983.61 | $11,983.61 | 57.1× |
| MRI thoracic spine w/o contrast (72146) | $9,402.02 | $9,402.02 | 44.8× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $5,930.42 | $5,930.42 | 19.3× |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 3 matching MRF lines |
$7,484.79–$7,486.59 | $7,484.79–$7,486.59 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) | $10,642.26 | $10,642.26 | 34.7× |
| MRI, abdomen, combo (74183) | $12,906.09 | $12,906.09 | 42.1× |
| MRI, dorsal spine combo (72157) | $13,274.40 | $13,274.40 | 43.3× |
| MRI, dorsal spine contrast (72147) | $11,061.09 | $11,061.09 | 36.0× |
| MRI, joint upper extrem (73221) range across 3 matching MRF lines |
$5,531.46–$11,061.09 | $5,531.46–$11,061.09 | varies |
| MRI, joint upper extrem combo (73223) range across 3 matching MRF lines |
$7,600.32–$8,105.81 | $7,600.32–$8,105.81 | varies |
| MRI, lumbar spine combo (72158) | $13,274.40 | $13,274.40 | 43.3× |
| Myelogram cervical (72240) range across 2 matching MRF lines |
$5,709.56–$6,852.50 | $5,709.56–$6,852.50 | varies |
| Myelogram Lumbar (72265) | $6,852.50 | $6,852.50 | 9.9× |
| Myelograpy 2/more regions rs&i (72270) | $8,552.14 | $8,552.14 | 12.4× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) range across 2 matching MRF lines |
$1,375.63–$1,458.17 | $1,375.63–$1,458.17 | varies |
| Myocardial Spect Multiple Studies (78452) range across 2 matching MRF lines |
$19,380.81–$20,543.66 | $19,380.81–$20,543.66 | varies |
| N-invas est c ffr sw aly CTA (75580) | $3,235.30 | $3,235.30 | 4.3× |
| Neck soft tissue (70360) | $1,209.07 | $1,209.07 | 15.8× |
| Nm myocard infarct spect (78469) range across 2 matching MRF lines |
$1,785.34–$1,892.46 | $1,785.34–$1,892.46 | varies |
| Ntsty modul radthx pln dose-vol histos (77301) | $20,603.07 | $20,603.07 | 16.9× |
| Nuclear Rx Intra-Arterial (79445) | $1,777.75 | $1,777.75 | 8.7× |
| Ob us nuchal meas 1 gest (76813) | $1,559.38 | $1,559.38 | 17.0× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $3,068.23 | $3,068.23 | 6.4× |
| Parathyroid Planar Imaging (78070) | $4,308.92 | $4,308.92 | 12.3× |
| Parathyroid planar imaging w/wo subtraction (78071) | $3,068.23 | $3,068.23 | 8.7× |
| Pelvis 1 or 2 views (72170) | $1,188.19 | $1,188.19 | 12.9× |
| Peritoneogram Rs&I (74190) | $3,390.49 | $3,390.49 | 7.1× |
| Pet Image Skull-Thigh (78812) | $13,139.23 | $13,139.23 | 10.4× |
| Pet Image W/Ct Lmtd (78814) | $13,139.23 | $13,139.23 | 10.4× |
| PET image w/CT, full body (78816) | $13,139.23 | $13,139.23 | 10.4× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $13,139.23 | $13,139.23 | 10.4× |
| Pet Imaging Limited Area Chest Head/Neck (78811) | $13,139.23 | $13,139.23 | 11.5× |
| PET whole body (78813) | $13,139.23 | $13,139.23 | 10.4× |
| Pulmonary Perfusion Imaging Particulate (78580) | $5,588.53 | $5,588.53 | 15.9× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $2,223.29 | $2,223.29 | 24.2× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $2,715.61 | $2,715.61 | 5.6× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$1,158.62–$2,317.22 | $1,158.62–$2,317.22 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 5 matching MRF lines |
$800.24–$2,287.66 | $800.24–$2,287.66 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$1,141.21–$2,282.43 | $1,141.21–$2,282.43 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $1,410.86 | $1,410.86 | 15.3× |
| Radex fingr minimum 2 views (73140) range across 4 matching MRF lines |
$530.60–$756.74 | $530.60–$756.74 | varies |
| Radex foot complete minimum 3 views (73630) range across 4 matching MRF lines |
$1,109.92–$2,218.05 | $1,109.92–$2,218.05 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$1,014.22–$2,028.44 | $1,014.22–$2,028.44 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 3 matching MRF lines |
$680.20–$1,200.38 | $680.20–$1,200.38 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $1,732.70 | $1,732.70 | 18.8× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $1,544.80 | $1,544.80 | 20.2× |
| Radex Ribs Unilateral 2 Views (71100) | $1,476.98 | $1,476.98 | 19.3× |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$1,343.01–$2,686.03 | $1,343.01–$2,686.03 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $883.73 | $883.73 | 11.5× |
| Radex Spine 1 View Specify Level (72020) | $821.12 | $821.12 | 10.7× |
| Radex Sternum Minimum 2 Views (71120) | $1,238.63 | $1,238.63 | 16.2× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $1,770.96 | $1,770.96 | 23.1× |
| Radex Toe Minimum 2 Views (73660) range across 5 matching MRF lines |
$598.45–$1,710.08 | $598.45–$1,710.08 | varies |
| Radex upper extremity infant minimum 2 views (73092) | $600.17 | $600.17 | 6.5× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$1,400.44–$2,799.11 | $1,400.44–$2,799.11 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $774.15 | $774.15 | 8.4× |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $74,309.26 | $74,309.26 | 11.5× |
| Radiation treatment delivery level 1 (77402) | $1,414.37 | $1,414.37 | 15.8× |
| Radiation treatment delivery level 2 (77407) | $1,699.92 | $1,699.92 | 5.0× |
| Radiation treatment delivery level 3 (77412) | $2,445.56 | $2,445.56 | 5.0× |
| Radiolog exam mandible compl minimum 4 views (70110) | $1,649.19 | $1,649.19 | 17.9× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $1,111.63 | $1,111.63 | 12.1× |
| Radiologic exam colon double contrast study (74280) | $4,378.70 | $4,378.70 | 28.4× |
| Radiologic exam colon single contrast study (74270) | $2,959.16 | $2,959.16 | 19.2× |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$1,560.46–$3,120.95 | $1,560.46–$3,120.95 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $1,793.58 | $1,793.58 | 19.5× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $2,906.95 | $2,906.95 | 18.8× |
| Radiologic exam swallow function contrast study (74230) | $1,666.61 | $1,666.61 | 10.8× |
| Radiologic exam upr gi trc double contrast study (74246) | $299.73 | $299.73 | 1.9× |
| Radiologic examination femur 1 view (73551) | $892.46 | $892.46 | 11.7× |
| Radiologic examination femur minimum 2 views (73552) range across 4 matching MRF lines |
$1,273.43–$2,543.37 | $1,273.43–$2,543.37 | varies |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$1,080.32–$2,162.38 | $1,080.32–$2,162.38 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $1,400.44 | $1,400.44 | 15.2× |
| Radiologic examination tibia & fibula 2 views (73590) range across 5 matching MRF lines |
$841.99–$2,407.67 | $841.99–$2,407.67 | varies |
| Radiopharm Dacryocystography (78660) | $1,682.79 | $1,682.79 | 4.8× |
| Ribs bilateral 3 views (71110) | $1,924.08 | $1,924.08 | 20.9× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $7,269.75 | $7,269.75 | 15.2× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $8,074.56 | $8,074.56 | 16.9× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $6,229.89 | $6,229.89 | 13.0× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) range across 2 matching MRF lines |
$4,373.05–$4,946.38 | $4,373.05–$4,946.38 | varies |
| Scapula (73010) range across 3 matching MRF lines |
$1,210.80–$2,244.16 | $1,210.80–$2,244.16 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $115.52 | $115.52 | 4.9× |
| Shoulder 1 view (73020) range across 3 matching MRF lines |
$899.40–$1,649.19 | $899.40–$1,649.19 | varies |
| Shoulder Arthrography (73040) | $4,276.07 | $4,276.07 | 13.9× |
| Skull less than 4 views (70250) | $852.44 | $852.44 | 9.3× |
| Special dosimetry (77331) | $1,500.18 | $1,500.18 | 12.7× |
| Special Physics Consult (77370) | $2,933.79 | $2,933.79 | 24.8× |
| Special teletherapy port plan (77321) | $1,208.99 | $1,208.99 | 3.7× |
| Special treatment procedure (77470) | $5,611.63 | $5,611.63 | 11.5× |
| Stereotactic Body Radiation Delivery (77373) | $43,481.59 | $43,481.59 | 27.6× |
| Sternoclavicular joints (71130) | $1,031.62 | $1,031.62 | 13.5× |
| Tbs techl prep&transmis data alys pfrmd elsewhr (77090) | $349.90 | $349.90 | 4.6× |
| Tbs technical calculation only (77091) | $349.90 | $349.90 | 4.6× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $6,693.12 | $6,693.12 | 20.3× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $5,133.74 | $5,133.74 | 15.6× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) range across 2 matching MRF lines |
$1,998.06–$4,160.27 | $1,998.06–$4,160.27 | varies |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $3,788.93 | $3,788.93 | 11.5× |
| Ther rad simulaj-aided field setting simple (77280) | $2,972.25 | $2,972.25 | 25.1× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $1,146.42 | $1,146.42 | 7.4× |
| Thoracic spine 2 views (72070) | $1,478.71 | $1,478.71 | 16.1× |
| Thoracic spine 3 views (72072) | $1,833.61 | $1,833.61 | 19.9× |
| Thoracolumbar 2 views (72080) | $1,256.04 | $1,256.04 | 16.4× |
| Thyroid Imaging With Vascular Flow (78013) | $1,541.14 | $1,541.14 | 4.4× |
| Thyroid Uptake Measurement (78012) | $2,104.64 | $2,104.64 | 6.0× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $3,521.24 | $3,521.24 | 10.0× |
| Tx Devices Design & Construction Complex (77334) | $2,961.92 | $2,961.92 | 9.0× |
| Tx devices design & construction intermediate (77333) | $2,806.55 | $2,806.55 | 23.7× |
| Tx devices design & construction simple (77332) | $2,806.55 | $2,806.55 | 23.7× |
| Ultrasound Breast Limited (76642) | $748.53 | $748.53 | 9.8× |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
$789.06–$805.83 | $789.06–$805.83 | varies |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$2,526.15–$3,028.17 | $2,526.15–$3,028.17 | varies |
| Umbilical-artery Doppler (OB) (76820) | $1,559.38 | $1,559.38 | 17.0× |
| Unlisted magnetic resonance procedure (76498) | $4,962.77 | $4,962.77 | 64.8× |
| Upper gi w/o kub (74240) | $1,198.92 | $1,198.92 | 7.8× |
| Urethrocystogram voiding (74455) | $2,858.25 | $2,858.25 | 13.6× |
| Us breast unilateral complete (76641) | $1,458.07 | $1,458.07 | 15.9× |
| Us chest (76604) | $3,261.20 | $3,261.20 | 35.5× |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$1,232.41–$1,249.58 | $1,232.41–$1,249.58 | varies |
| Us head (76506) | $547.53 | $547.53 | 6.0× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $2,526.15 | $2,526.15 | 27.5× |
| Us ob detailed single fetus (76811) range across 2 matching MRF lines |
$3,081.73–$3,124.68 | $3,081.73–$3,124.68 | varies |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$1,772.40–$1,797.09 | $1,772.40–$1,797.09 | varies |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$2,491.41–$2,526.15 | $2,491.41–$2,526.15 | varies |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$2,491.41–$2,526.15 | $2,491.41–$2,526.15 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$2,491.41–$2,526.15 | $2,491.41–$2,526.15 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $2,630.51 | $2,630.51 | 28.6× |
| Us retroperitoneal complete (76770) | $2,526.15 | $2,526.15 | 27.5× |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$2,104.61–$2,526.15 | $2,104.61–$2,526.15 | varies |
| Us scrotum and contents (76870) | $2,526.15 | $2,526.15 | 27.5× |
| Us spinal canal and contents (76800) | $2,526.15 | $2,526.15 | 27.5× |
| Us thyroid (76536) | $2,526.15 | $2,526.15 | 27.5× |
| Us transrectal (76872) | $1,119.17 | $1,119.17 | 12.2× |
| Vein X-Ray Chest (75827) | $13,422.57 | $13,422.57 | 9.7× |
| Vein X-Ray Liver W/O Hemodyn (75887) | $13,323.46 | $13,323.46 | 4.8× |
| Venogram Sinus/Jugular (75860) | $13,994.58 | $13,994.58 | 5.0× |
| Venography caval inferior serialography rs&i (75825) range across 2 matching MRF lines |
$13,422.57–$23,619.35 | $13,422.57–$23,619.35 | varies |
| Venography extremity bilateral rs&i (75822) | $5,783.57 | $5,783.57 | 4.2× |
| Venography extremity unilateral rs&i (75820) | $4,020.43 | $4,020.43 | 2.9× |
| Venography Renal Bilateral (75833) | $14,885.19 | $14,885.19 | 5.4× |
| Venography Renal Unilateral (75831) | $9,264.56 | $9,264.56 | 3.3× |
| Venous sampling by catheter (75893) | $23,639.26 | $23,639.26 | 4.8× |
| Vertebral fracture assessment via dxa (77086) | $1,459.57 | $1,459.57 | 19.1× |
| Wrist 2 views (73100) range across 5 matching MRF lines |
$681.95–$1,948.41 | $681.95–$1,948.41 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $1,238.63 | $1,238.63 | 16.2× |
| X-ray antegrade pyelogram tube (74425) | $2,880 | $2,880 | 9.4× |
| X-Ray Aorta Leg Arteries (75630) range across 2 matching MRF lines |
$9,456.44–$10,893.73 | $9,456.44–$10,893.73 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 6 matching MRF lines |
$690.64–$2,282.43 | $690.64–$2,282.43 | varies |
| X-Ray Exam Breast Specimen (76098) range across 2 matching MRF lines |
$1,043.79–$1,106.41 | $1,043.79–$1,106.41 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) | $245.32 | $245.32 | 3.2× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $407.08 | $407.08 | 4.4× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $774.15 | $774.15 | 8.4× |
| X-Ray Exam Hip Uni 1 View (73501) | $838.51 | $838.51 | 11.0× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $1,346.50 | $1,346.50 | 17.6× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $873.31 | $873.31 | 9.5× |
| X-Ray Exam Hips Bi 2 Views (73521) | $1,748.36 | $1,748.36 | 19.0× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $774.15 | $774.15 | 8.4× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $774.15 | $774.15 | 8.4× |
| X-Ray Exam L-S Spine Bending (72114) | $2,948.71 | $2,948.71 | 32.1× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $1,513.50 | $1,513.50 | 19.8× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $2,019.75 | $2,019.75 | 22.0× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $2,226.75 | $2,226.75 | 24.2× |
| X-ray eye for foreign body (70030) | $1,525.69 | $1,525.69 | 19.9× |
| X-ray humerus (73060) range across 5 matching MRF lines |
$770.67–$2,204.13 | $770.67–$2,204.13 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $1,746.62 | $1,746.62 | 22.8× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $496.62 | $496.62 | 6.5× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $1,847.53 | $1,847.53 | 20.1× |
| X-ray nose-rectum child f.b. (76010) | $1,007.25 | $1,007.25 | 13.2× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $2,355.51 | $2,355.51 | 25.6× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $1,264.73 | $1,264.73 | 13.8× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $1,289.10 | $1,289.10 | 16.8× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $1,776.18 | $1,776.18 | 23.2× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $1,781.40 | $1,781.40 | 19.4× |
| X-ray thoracic spine 4 vw (72074) | $2,028.44 | $2,028.44 | 22.1× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $2,572.94 | $2,572.94 | 8.4× |
| X-Rays Bone Length Studies (77073) | $1,461.32 | $1,461.32 | 15.9× |
| X-Rays Bone Survey Complete (77075) | $3,105.29 | $3,105.29 | 33.8× |
| Xr c-spine 4 or 5 views (72050) | $2,019.75 | $2,019.75 | 22.0× |
| Xr facial bones less than 3 views (70140) | $1,485.67 | $1,485.67 | 19.4× |
| Xr orbits complete 4 views (70200) | $1,536.12 | $1,536.12 | 16.7× |
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.