Imaging prices at Doctors Hosptal at Renaissance
Edinburg, TX · every code in this section with a posted price and a Medicare benchmark.
437 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) range across 2 matching MRF lines |
$6,083.29–$6,265.80 | $6,083.29–$6,265.80 | varies |
| Abdomen 1 View (74018) | $291.31 | $291.31 | 3.3× |
| Abdomen 2 views (74019) range across 27 matching MRF lines |
$409.09–$429.54 | $409.09–$429.54 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $2,208.88 | $2,208.88 | 5.5× |
| Adrenal Cortex & Medulla Img (78075) | $6,058.19 | $6,058.19 | 4.7× |
| Angio internal mammary (75756) | $10,115.17 | $10,115.17 | 3.2× |
| Angio pulmonary bilat (75743) | $10,115.17 | $10,115.17 | 3.2× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $10,115.17 | $10,115.17 | 3.2× |
| Angiography extremity bilateral rs&i (75716) range across 8 matching MRF lines |
$10,115.17–$10,620.93 | $10,115.17–$10,620.93 | varies |
| Angiography extremity unilateral rs&i (75710) range across 12 matching MRF lines |
$10,115.17–$10,620.93 | $10,115.17–$10,620.93 | varies |
| Angiography pulmonary unilateral slctv rs&i (75741) | $10,115.17 | $10,115.17 | 3.2× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) range across 2 matching MRF lines |
$2,810.70–$5,692.95 | $2,810.70–$5,692.95 | varies |
| Ankle 2 views (73600) range across 26 matching MRF lines |
$305.88–$448.38 | $305.88–$448.38 | varies |
| Aortography thoracic serialography rs&i (75605) | $16,776.09 | $16,776.09 | 3.0× |
| Aortography thoracic w/o serialography rs&i (75600) | $10,115.17 | $10,115.17 | 3.2× |
| Artery X-Rays Abdomen (75726) range across 6 matching MRF lines |
$16,776.09–$17,614.89 | $16,776.09–$17,614.89 | varies |
| Artery X-Rays Adrenal Gland (75731) range across 5 matching MRF lines |
$2,810.70–$8,377.36 | $2,810.70–$8,377.36 | varies |
| Artery X-Rays Pelvis (75736) | $16,776.09 | $16,776.09 | 3.0× |
| Artery X-Rays Spine (75705) range across 3 matching MRF lines |
$16,776.09–$17,614.89 | $16,776.09–$17,614.89 | varies |
| Arthrogram ankle (73615) | $1,512.26 | $1,512.26 | 4.3× |
| Arthrogram hip (73525) | $1,512.26 | $1,512.26 | 4.3× |
| Arthrogram Wrist (73115) | $1,512.26 | $1,512.26 | 4.3× |
| Basic radiation dosimetry calculation (77300) range across 3 matching MRF lines |
$689.50–$723.98 | $689.50–$723.98 | varies |
| Bone age studies (77072) range across 15 matching MRF lines |
$539.71–$707.31 | $539.71–$707.31 | varies |
| Bone Imaging 3 Phase (78315) | $2,808.29 | $2,808.29 | 7.0× |
| Bone Imaging Limited Area (78300) | $2,208.88 | $2,208.88 | 5.5× |
| Bone Imaging Whole Body (78306) | $2,473.73 | $2,473.73 | 6.2× |
| Bone marrow imaging limited area (78102) | $2,010.04 | $2,010.04 | 5.0× |
| Bone marrow imaging; multiple areas (78103) | $2,120.95 | $2,120.95 | 5.3× |
| Bone marrow imaging; whole body (78104) | $2,463.16 | $2,463.16 | 6.1× |
| Bone survey infant (77076) range across 9 matching MRF lines |
$489.84–$529.77 | $489.84–$529.77 | varies |
| Brachytx isodose complex (77318) | $1,718.55 | $1,718.55 | 4.6× |
| Brachytx isodose intermed (77317) | $1,712.85 | $1,712.85 | 4.6× |
| Brachytx Isodose Plan Simple (77316) | $721.50 | $721.50 | 1.9× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $2,226.46 | $2,226.46 | 4.1× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $10,173.46 | $10,173.46 | 7.1× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $5,810.43 | $5,810.43 | 16.6× |
| Cardiac Shunt Detection (78428) | $2,226.46 | $2,226.46 | 5.5× |
| Cardiovasc nucl exam unlisted (78499) | $1,654.70 | $1,654.70 | 4.1× |
| Cat Scan Follow-Up Study (76380) range across 11 matching MRF lines |
$1,383.70–$1,425.21 | $1,383.70–$1,425.21 | varies |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $1,780.09 | $1,780.09 | 3.3× |
| Cerebrospinal Fluid Scan (78630) | $1,780.09 | $1,780.09 | 3.3× |
| Chest 1 view (71045) | $291.31 | $291.31 | 3.3× |
| Chest 2 views (71046) range across 31 matching MRF lines |
$291.31–$305.88 | $291.31–$305.88 | varies |
| Chest 3 views (71047) | $291.31 | $291.31 | 3.3× |
| Chest 4 or more views (71048) | $409.09 | $409.09 | 3.9× |
| Cholecystography Oral Contrast (74290) range across 2 matching MRF lines |
$1,101.46–$1,156.51 | $1,101.46–$1,156.51 | varies |
| Cineradiograpy/vidradiograpy xcpt where spec (76120) range across 2 matching MRF lines |
$590.63–$1,181.25 | $590.63–$1,181.25 | varies |
| Cisternography Positive Contrast Rs&I (70015) | $2,484.99 | $2,484.99 | 3.2× |
| Clavicle complete (73000) range across 34 matching MRF lines |
$305.88–$1,346.43 | $305.88–$1,346.43 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 9 matching MRF lines |
$377.52–$396.40 | $377.52–$396.40 | varies |
| Continuing medical physics consltj pr wk (77336) range across 2 matching MRF lines |
$702.88–$723.98 | $702.88–$723.98 | varies |
| Contrast Exam Abdominl Aorta (75625) range across 9 matching MRF lines |
$10,115.17–$10,620.93 | $10,115.17–$10,620.93 | varies |
| Contrast X-Ray Bladder (74430) | $1,621.83 | $1,621.83 | 4.6× |
| Contrast X-Ray Of Elbow (73085) | $1,409.46 | $1,409.46 | 4.0× |
| Contrast X-Ray Of Knee Joint (73580) | $1,512.26 | $1,512.26 | 4.3× |
| CT abdomen and pelvis without and with contrast (74178) range across 11 matching MRF lines |
$6,518.48–$7,049.73 | $6,518.48–$7,049.73 | varies |
| CT abdomen and pelvis without contrast (74176) range across 10 matching MRF lines |
$4,490.45–$4,856.42 | $4,490.45–$4,856.42 | varies |
| CT abdomen w contrast (74160) range across 11 matching MRF lines |
$3,009.03–$3,254.27 | $3,009.03–$3,254.27 | varies |
| CT abdomen w wo contrast (74170) range across 11 matching MRF lines |
$3,344.40–$3,616.98 | $3,344.40–$3,616.98 | varies |
| CT abdomen w/o contrast (74150) range across 10 matching MRF lines |
$2,259.09–$2,443.20 | $2,259.09–$2,443.20 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 10 matching MRF lines |
$7,744.38–$7,976.71 | $7,744.38–$7,976.71 | varies |
| CT Angio Chest (71275) range across 9 matching MRF lines |
$5,851.71–$6,027.26 | $5,851.71–$6,027.26 | varies |
| CT Angio Head (70496) range across 11 matching MRF lines |
$3,348.36–$14,209.11 | $3,348.36–$14,209.11 | varies |
| CT angio hrt w/3d image (75574) range across 12 matching MRF lines |
$5,042.88–$5,298.33 | $5,042.88–$5,298.33 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 27 matching MRF lines |
$3,857.80–$4,370.90 | $3,857.80–$4,370.90 | varies |
| CT Angio Neck (70498) range across 11 matching MRF lines |
$3,348.36–$14,209.11 | $3,348.36–$14,209.11 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 25 matching MRF lines |
$4,208.13–$4,334.38 | $4,208.13–$4,334.38 | varies |
| CT bone density (77078) range across 8 matching MRF lines |
$3,313.33–$3,412.73 | $3,313.33–$3,412.73 | varies |
| CT cervical spine w/ contrast (72126) range across 9 matching MRF lines |
$4,632.20–$4,771.16 | $4,632.20–$4,771.16 | varies |
| CT cervical spine w/o contrast (72125) range across 9 matching MRF lines |
$4,233.68–$4,360.69 | $4,233.68–$4,360.69 | varies |
| CT cervical spine w/wo cont (72127) range across 9 matching MRF lines |
$5,095.99–$5,248.86 | $5,095.99–$5,248.86 | varies |
| CT chest w contrast (71260) range across 28 matching MRF lines |
$3,009.03–$3,254.27 | $3,009.03–$3,254.27 | varies |
| CT chest w/wo contrast (71270) range across 28 matching MRF lines |
$3,254.27–$3,616.98 | $3,254.27–$3,616.98 | varies |
| CT head/brain with contrast (70460) range across 9 matching MRF lines |
$2,592.35–$2,670.13 | $2,592.35–$2,670.13 | varies |
| CT head/brain without and with contrast (70470) range across 9 matching MRF lines |
$2,976.03–$3,065.30 | $2,976.03–$3,065.30 | varies |
| CT heart contrast eval cardiac structure&morph (75572) range across 8 matching MRF lines |
$4,610.83–$4,749.15 | $4,610.83–$4,749.15 | varies |
| CT heart no contrast quant eval coronry calcium (75571) range across 9 matching MRF lines |
$1,560.14–$1,606.94 | $1,560.14–$1,606.94 | varies |
| CT hrt w/3d image congen (75573) range across 8 matching MRF lines |
$5,042.88–$5,194.16 | $5,042.88–$5,194.16 | varies |
| CT iac w contrast (70481) range across 10 matching MRF lines |
$2,583.16–$2,660.66 | $2,583.16–$2,660.66 | varies |
| CT l-spine w&w/o contrast (72133) range across 9 matching MRF lines |
$3,246.35–$3,343.74 | $3,246.35–$3,343.74 | varies |
| CT lower ext w/o (73700) range across 18 matching MRF lines |
$1,959.38–$2,018.16 | $1,959.38–$2,018.16 | varies |
| CT lower extremity w/contrast material (73701) range across 18 matching MRF lines |
$2,268.33–$2,336.38 | $2,268.33–$2,336.38 | varies |
| CT lumbar spine w contrast (72132) range across 9 matching MRF lines |
$2,924.61–$3,012.35 | $2,924.61–$3,012.35 | varies |
| CT lumbar spine w/o contrast (72131) range across 9 matching MRF lines |
$2,612.93–$2,691.31 | $2,612.93–$2,691.31 | varies |
| CT maxillofacial w contrast (70487) range across 10 matching MRF lines |
$3,024.45–$3,115.19 | $3,024.45–$3,115.19 | varies |
| CT maxillofacial wo contrast (70486) range across 10 matching MRF lines |
$2,286.83–$2,355.43 | $2,286.83–$2,355.43 | varies |
| CT neck tissue combo (70492) range across 9 matching MRF lines |
$2,976.03–$3,065.30 | $2,976.03–$3,065.30 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 10 matching MRF lines |
$2,960.06–$3,048.86 | $2,960.06–$3,048.86 | varies |
| CT orbits w/o contrast (70480) range across 9 matching MRF lines |
$2,286.83–$2,355.43 | $2,286.83–$2,355.43 | varies |
| CT pelvis w&w/o contrast (72194) range across 19 matching MRF lines |
$4,382.58–$4,739.75 | $4,382.58–$4,739.75 | varies |
| CT pelvis w/o contrast (72192) range across 19 matching MRF lines |
$3,050.13–$3,298.71 | $3,050.13–$3,298.71 | varies |
| CT scan of leg combo (73702) range across 18 matching MRF lines |
$3,246.35–$3,343.74 | $3,246.35–$3,343.74 | varies |
| CT scans face/jaw combo (70488) range across 10 matching MRF lines |
$2,960.06–$3,048.86 | $2,960.06–$3,048.86 | varies |
| CT soft tissue neck w contrast (70491) range across 9 matching MRF lines |
$2,667.08–$2,747.09 | $2,667.08–$2,747.09 | varies |
| CT soft tissue neck w/o contrast (70490) range across 9 matching MRF lines |
$2,234–$2,301.03 | $2,234–$2,301.03 | varies |
| CT thoracic spine w contrast (72129) range across 9 matching MRF lines |
$3,087.66–$3,180.29 | $3,087.66–$3,180.29 | varies |
| CT thoracic spine w/o contrast (72128) range across 9 matching MRF lines |
$2,612.93–$2,691.31 | $2,612.93–$2,691.31 | varies |
| CT thoracic spine w/wo cont (72130) range across 9 matching MRF lines |
$3,681.93–$3,792.39 | $3,681.93–$3,792.39 | varies |
| CT thorax w/o contrast (71250) range across 28 matching MRF lines |
$2,612.93–$2,825.88 | $2,612.93–$2,825.88 | varies |
| CT upper ext wo (73200) range across 18 matching MRF lines |
$1,959.38–$2,018.16 | $1,959.38–$2,018.16 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 18 matching MRF lines |
$2,598.93–$2,676.89 | $2,598.93–$2,676.89 | varies |
| CT upper extremity with contrast (73201) range across 18 matching MRF lines |
$2,273.24–$2,341.44 | $2,273.24–$2,341.44 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 9 matching MRF lines |
$2,929.81–$3,017.71 | $2,929.81–$3,017.71 | varies |
| Cta Abdomen (74175) range across 9 matching MRF lines |
$3,974.14–$4,093.36 | $3,974.14–$4,093.36 | varies |
| CTA pelvis (72191) range across 9 matching MRF lines |
$4,820.84–$4,965.46 | $4,820.84–$4,965.46 | varies |
| Dilation ureters/urethra rs&i (74485) range across 6 matching MRF lines |
$6,466.16–$6,789.47 | $6,466.16–$6,789.47 | varies |
| Discography Cerv/Thor Spine (72285) range across 6 matching MRF lines |
$6,532.49–$6,589.41 | $6,532.49–$6,589.41 | varies |
| Diskography lumbar (72295) range across 8 matching MRF lines |
$6,275.63–$6,589.41 | $6,275.63–$6,589.41 | varies |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) range across 3 matching MRF lines |
$821.53–$837.96 | $821.53–$837.96 | varies |
| Doppler Echo Fetal Spectral Display Complete (76827) range across 3 matching MRF lines |
$821.53–$837.96 | $821.53–$837.96 | varies |
| Doppler Fetal Mid Cerebral Artery (76821) range across 11 matching MRF lines |
$765.85–$856.43 | $765.85–$856.43 | varies |
| Dxa Bone Density Axial (77080) range across 3 matching MRF lines |
$469.80–$746.61 | $469.80–$746.61 | varies |
| Dxa bone density study (77085) | $720.98 | $720.98 | 6.9× |
| Dxa bone density study 1/>sites appendiclr skel (77081) range across 3 matching MRF lines |
$432.06–$467.28 | $432.06–$467.28 | varies |
| Echo exam of fetal heart (76825) range across 6 matching MRF lines |
$1,624.53–$1,780.09 | $1,624.53–$1,780.09 | varies |
| Echo exam uterus (76831) range across 20 matching MRF lines |
$1,554.89–$1,681.62 | $1,554.89–$1,681.62 | varies |
| Echo Guide For Artery Repair (76936) range across 8 matching MRF lines |
$707.84–$729.08 | $707.84–$729.08 | varies |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) range across 5 matching MRF lines |
$1,780.09–$1,832.44 | $1,780.09–$1,832.44 | varies |
| Echograp Trans R Pros Study (76873) range across 2 matching MRF lines |
$505.05–$810.98 | $505.05–$810.98 | varies |
| Esophageal Motility Study (78258) range across 3 matching MRF lines |
$1,632.64–$1,714.27 | $1,632.64–$1,714.27 | varies |
| Esophagram (74220) | $1,438.83 | $1,438.83 | 8.2× |
| Fetal Biophys Profile W/Nst (76818) range across 15 matching MRF lines |
$1,011.79–$1,166.06 | $1,011.79–$1,166.06 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 14 matching MRF lines |
$525–$949.56 | $525–$949.56 | varies |
| Fluoroscopy up to 1 hr (76000) range across 23 matching MRF lines |
$601.10–$1,260.88 | $601.10–$1,260.88 | varies |
| Follow-Up Angiography (75898) range across 6 matching MRF lines |
$3,992.33–$4,191.95 | $3,992.33–$4,191.95 | varies |
| Foot 2 views (73620) range across 26 matching MRF lines |
$305.88–$731.10 | $305.88–$731.10 | varies |
| Forearm 2 views (73090) range across 36 matching MRF lines |
$305.88–$1,019.56 | $305.88–$1,019.56 | varies |
| Gastric emptying imaging study (78264) | $1,641.45 | $1,641.45 | 4.1× |
| Gated Heart Planar Single (78472) range across 5 matching MRF lines |
$2,522.69–$2,571.67 | $2,522.69–$2,571.67 | varies |
| GI Endoscopic US S&I (76975) | $1,122.02 | $1,122.02 | 4.7× |
| Hand 2 views (73120) range across 29 matching MRF lines |
$409.09–$542.62 | $409.09–$542.62 | varies |
| Hdr Rdncl Ntrstl/Icav Brchtx (77772) | $5,570.33 | $5,570.33 | 8.0× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) | $5,554.72 | $5,554.72 | 7.9× |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) | $5,539.10 | $5,539.10 | 7.9× |
| Heart first pass single,planar (78481) | $2,410.43 | $2,410.43 | 4.4× |
| Heart Image (Pet) Multiple (78492) | $5,618.63 | $5,618.63 | 3.9× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $10,115.17 | $10,115.17 | 3.2× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $10,115.17 | $10,115.17 | 3.2× |
| Hepatobil Syst Image W/Drug (78227) | $2,390.78 | $2,390.78 | 4.4× |
| Hepatobiliary System Imaging (78226) | $2,195.34 | $2,195.34 | 5.5× |
| High energy neutron radj tx dlvr 1/> isocenter (77423) | $967.21 | $967.21 | 1.7× |
| Ht Musc Image Planar Mult (78454) range across 5 matching MRF lines |
$3,118.34–$3,178.89 | $3,118.34–$3,178.89 | varies |
| Ht Muscle Image Spect Sing (78451) range across 9 matching MRF lines |
$2,292.74–$2,337.26 | $2,292.74–$2,337.26 | varies |
| Hyperthermia external generated superficial (77600) | $1,463.09 | $1,463.09 | 3.8× |
| Hyperthermia generated by interstitial probe(s); 5 or fewer interstitial applicators Non-Facility (77610) | $2,405.78 | $2,405.78 | 4.3× |
| Hyperthermia generated by interstitial probe(s); more than 5 interstitial applicators Non-Facility (77615) | $3,727.20 | $3,727.20 | 6.7× |
| Hyperthermia generated by intracavitary probe(s) Non-Facility (77620) | $1,663.35 | $1,663.35 | 3.0× |
| Hyperthermia, externally generated; deep (ie, heating to depths greater than 4 cm) Non-Facility (77605) | $2,606.05 | $2,606.05 | 3.7× |
| Hysterosalpingogram (74740) | $2,671.49 | $2,671.49 | 11.1× |
| Image fusion (77399) | $720.08 | $720.08 | 5.3× |
| Infant hip ultrasound with hip movement (dynamic) (76885) range across 8 matching MRF lines |
$864.11–$890.04 | $864.11–$890.04 | varies |
| Infant hip ultrasound, limited static exam (76886) | $877.88 | $877.88 | 10.0× |
| Infusion Ivp (74410) | $1,374.29 | $1,374.29 | 7.8× |
| Interstitial radiation source applic complex (77778) range across 2 matching MRF lines |
$2,840.56–$7,260.48 | $2,840.56–$7,260.48 | varies |
| Intracavitary Radiation Source Applic Complex (77763) | $2,126.16 | $2,126.16 | 3.0× |
| Intracavitary Radiation Source Applic Intermed (77762) | $2,110.54 | $2,110.54 | 3.8× |
| Intracavitary radiation source applic simple (77761) | $2,096.34 | $2,096.34 | 3.8× |
| Joint Survey Single View (77077) range across 8 matching MRF lines |
$467.51–$505.62 | $467.51–$505.62 | varies |
| K Flow/Funct Image W/Drug (78708) | $2,008.68 | $2,008.68 | 3.7× |
| K Flow/Funct Image W/O Drug (78707) | $2,008.68 | $2,008.68 | 3.7× |
| Kidney Imaging Morphol (78700) | $1,558.25 | $1,558.25 | 3.9× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $1,558.25 | $1,558.25 | 3.9× |
| Knee 3 Views (73562) range across 61 matching MRF lines |
$305.88–$1,819.38 | $305.88–$1,819.38 | varies |
| Liver & Spleen Imaging Static Only (78215) | $2,003.28 | $2,003.28 | 5.0× |
| Liver imaging w/vascular flow (78202) | $1,973.51 | $1,973.51 | 3.6× |
| Lung Perf&Ventilat Diferentl (78598) | $1,487.91 | $1,487.91 | 2.7× |
| Lung perfusion differential (78597) | $1,487.91 | $1,487.91 | 3.7× |
| Lung Ventilat&Perfus Imaging (78582) | $1,495.94 | $1,495.94 | 2.7× |
| Lung Ventilation Imaging (78579) | $1,487.91 | $1,487.91 | 3.7× |
| Lymph System Imaging (78195) range across 5 matching MRF lines |
$1,187.84–$1,863.47 | $1,187.84–$1,863.47 | varies |
| Lymphangiography Extremity Only Bilateral Rs&I (75803) range across 2 matching MRF lines |
$3,992.33–$4,812.14 | $3,992.33–$4,812.14 | varies |
| Magnetic Image Jaw Joint (70336) range across 12 matching MRF lines |
$4,058.15–$4,179.89 | $4,058.15–$4,179.89 | varies |
| Magnetic Resonance Elastography (76391) range across 2 matching MRF lines |
$1,067.32–$1,120.69 | $1,067.32–$1,120.69 | varies |
| Mammary ductogram or galactogram multiple (77054) range across 3 matching MRF lines |
$1,296.18–$1,469.88 | $1,296.18–$1,469.88 | varies |
| Mammary ductogram or galactogram single (77053) range across 3 matching MRF lines |
$935.99–$964.06 | $935.99–$964.06 | varies |
| Meckels Divert Exam (78290) | $1,647.53 | $1,647.53 | 4.1× |
| Mlc imrt design & construction per imrt plan (77338) range across 2 matching MRF lines |
$1,238–$1,275.15 | $1,238–$1,275.15 | varies |
| Mra Head W/O & W/Contrast Material (70546) range across 9 matching MRF lines |
$6,750.66–$7,161.78 | $6,750.66–$7,161.78 | varies |
| MRA head w/o contrast (70544) range across 8 matching MRF lines |
$5,608.72–$5,776.98 | $5,608.72–$5,776.98 | varies |
| MRA head with contrast (70545) range across 8 matching MRF lines |
$6,137.09–$6,321.21 | $6,137.09–$6,321.21 | varies |
| MRA neck w contrast (70548) range across 7 matching MRF lines |
$4,428–$4,560.83 | $4,428–$4,560.83 | varies |
| Mra Neck W/O &W/Contrast Material (70549) range across 6 matching MRF lines |
$4,844.12–$4,989.44 | $4,844.12–$4,989.44 | varies |
| MRA neck w/o contrast (70547) range across 6 matching MRF lines |
$4,346.54–$4,476.94 | $4,346.54–$4,476.94 | varies |
| MRI abdomen w contrast (74182) range across 6 matching MRF lines |
$4,342.20–$4,472.46 | $4,342.20–$4,472.46 | varies |
| MRI abdomen w/o contrast (74181) range across 13 matching MRF lines |
$3,934.30–$4,131.02 | $3,934.30–$4,131.02 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 50 matching MRF lines |
$6,082–$6,264.46 | $6,082–$6,264.46 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 50 matching MRF lines |
$6,084.97–$6,267.53 | $6,084.97–$6,267.53 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 50 matching MRF lines |
$3,274.07–$5,773.90 | $3,274.07–$5,773.90 | varies |
| MRI bone marrow blood supply (77084) range across 6 matching MRF lines |
$2,905.36–$2,992.53 | $2,905.36–$2,992.53 | varies |
| MRI Breast W/O Contrast Bilateral (77047) | $1,120.69 | $1,120.69 | 4.7× |
| MRI Breast Without Contrast Material Unilateral (77046) | $1,120.69 | $1,120.69 | 4.7× |
| MRI cardiac w/o contrast (75557) | $3,681.36 | $3,681.36 | 15.4× |
| MRI cervical spine w contrast (72142) range across 6 matching MRF lines |
$7,234.66–$7,451.69 | $7,234.66–$7,451.69 | varies |
| MRI cervical spine w/o cont (72141) range across 6 matching MRF lines |
$6,611.89–$6,810.25 | $6,611.89–$6,810.25 | varies |
| MRI chest w/o contrast (71550) range across 13 matching MRF lines |
$3,696.87–$4,833.21 | $3,696.87–$4,833.21 | varies |
| MRI chest with contrast (71551) range across 6 matching MRF lines |
$3,993.34–$4,113.14 | $3,993.34–$4,113.14 | varies |
| MRI chest wo w contrast (71552) range across 13 matching MRF lines |
$4,692.44–$4,833.21 | $4,692.44–$4,833.21 | varies |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 48 matching MRF lines |
$6,040.29–$6,700.08 | $6,040.29–$6,700.08 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 48 matching MRF lines |
$6,623.86–$7,309.04 | $6,623.86–$7,309.04 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 52 matching MRF lines |
$5,631.18–$7,322.85 | $5,631.18–$7,322.85 | varies |
| MRI lumbar spine w contrast (72149) range across 6 matching MRF lines |
$4,823.60–$4,968.30 | $4,823.60–$4,968.30 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 12 matching MRF lines |
$8,001.33–$8,241.38 | $8,001.33–$8,241.38 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 37 matching MRF lines |
$3,007.41–$3,097.64 | $3,007.41–$3,097.64 | varies |
| MRI orbit face neck w contrast (70542) range across 13 matching MRF lines |
$3,308.01–$3,407.25 | $3,308.01–$3,407.25 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 37 matching MRF lines |
$3,638.94–$3,748.12 | $3,638.94–$3,748.12 | varies |
| MRI pelvis w contrast (72196) range across 18 matching MRF lines |
$5,298.66–$5,457.62 | $5,298.66–$5,457.62 | varies |
| MRI pelvis w/o & w contrast (72197) range across 18 matching MRF lines |
$5,858.75–$6,034.51 | $5,858.75–$6,034.51 | varies |
| MRI pelvis w/o contrast (72195) range across 18 matching MRF lines |
$4,459.40–$4,593.18 | $4,459.40–$4,593.18 | varies |
| MRI spectroscopy (76390) | $1,790.29 | $1,790.29 | 20.5× |
| MRI thoracic spine w/o contrast (72146) range across 6 matching MRF lines |
$5,002.34–$5,152.40 | $5,002.34–$5,152.40 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 55 matching MRF lines |
$7,666.53–$7,896.54 | $7,666.53–$7,896.54 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 69 matching MRF lines |
$7,109.56–$7,322.85 | $7,109.56–$7,322.85 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 54 matching MRF lines |
$8,361.99–$8,612.85 | $8,361.99–$8,612.85 | varies |
| MRI, abdomen, combo (74183) range across 6 matching MRF lines |
$4,717.74–$4,859.27 | $4,717.74–$4,859.27 | varies |
| MRI, dorsal spine combo (72157) range across 6 matching MRF lines |
$5,547.36–$5,713.79 | $5,547.36–$5,713.79 | varies |
| MRI, dorsal spine contrast (72147) range across 6 matching MRF lines |
$5,474.39–$5,638.62 | $5,474.39–$5,638.62 | varies |
| MRI, joint upper extrem (73221) range across 52 matching MRF lines |
$5,201.47–$5,357.51 | $5,201.47–$5,357.51 | varies |
| MRI, joint upper extrem combo (73223) range across 48 matching MRF lines |
$6,084.97–$6,267.53 | $6,084.97–$6,267.53 | varies |
| MRI, lumbar spine combo (72158) range across 6 matching MRF lines |
$4,917.37–$5,064.90 | $4,917.37–$5,064.90 | varies |
| Myelogram cervical (72240) range across 3 matching MRF lines |
$2,863.55–$3,006.73 | $2,863.55–$3,006.73 | varies |
| Myelogram Lumbar (72265) range across 3 matching MRF lines |
$3,557.20–$3,735.06 | $3,557.20–$3,735.06 | varies |
| Myelography thoracic (72255) range across 3 matching MRF lines |
$2,863.55–$3,006.73 | $2,863.55–$3,006.73 | varies |
| Myelograpy 2/more regions rs&i (72270) range across 3 matching MRF lines |
$2,863.55–$3,006.73 | $2,863.55–$3,006.73 | varies |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $1,780.09 | $1,780.09 | 4.4× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) | $9,488.89 | $9,488.89 | 7.3× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $1,854.48 | $1,854.48 | 1.4× |
| Myocardial Spect Multiple Studies (78452) range across 16 matching MRF lines |
$3,431.14–$3,497.76 | $3,431.14–$3,497.76 | varies |
| N-invas est c ffr sw aly CTA (75580) | $2,865.93 | $2,865.93 | 3.3× |
| Neck soft tissue (70360) range across 9 matching MRF lines |
$470.04–$508.35 | $470.04–$508.35 | varies |
| Nfs/Instlj Radioelmnt Sln 3 Mo Follow-Up Care (77750) | $967.21 | $967.21 | 2.5× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) range across 6 matching MRF lines |
$1,343.67–$1,410.85 | $1,343.67–$1,410.85 | varies |
| Nm csf leak detection (78650) range across 5 matching MRF lines |
$1,970.43–$2,959.86 | $1,970.43–$2,959.86 | varies |
| Nonvascular Shunt X-Ray (75809) | $429.54 | $429.54 | 4.1× |
| Ntsty modul radthx pln dose-vol histos (77301) range across 2 matching MRF lines |
$6,083.29–$6,265.80 | $6,083.29–$6,265.80 | varies |
| Nuclear medicine study of endocrine organs (78099) range across 5 matching MRF lines |
$1,343.67–$1,410.85 | $1,343.67–$1,410.85 | varies |
| Nuclear Rx Intra-Arterial (79445) | $742.60 | $742.60 | 3.2× |
| Nuclear Rx Oral Admin (79005) range across 3 matching MRF lines |
$1,816.61–$2,018.90 | $1,816.61–$2,018.90 | varies |
| Ob us nuchal meas 1 gest (76813) range across 3 matching MRF lines |
$730.43–$751.92 | $730.43–$751.92 | varies |
| Oph bmtry us echograpy a-scan io lens pwr cal (76519) | $429.54 | $429.54 | 4.1× |
| Oph us dx ant sgm us immersion b-scan/hr biom (76513) | $429.54 | $429.54 | 4.1× |
| Oph US Dx B-Scan&Quan a-Scan Sm Pt Enctr (76510) | $417.86 | $417.86 | 3.1× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) | $429.54 | $429.54 | 4.1× |
| Ophthalmic US Dx Corneal Pachymetry Uni/Bi (76514) | $100.37 | $100.37 | 3.5× |
| Optic foramina (70190) range across 18 matching MRF lines |
$467.51–$505.62 | $467.51–$505.62 | varies |
| Parathyroid Planar Imaging (78070) | $1,811.19 | $1,811.19 | 4.5× |
| Parathyroid planar imaging w/wo subtraction (78071) | $1,623.18 | $1,623.18 | 4.0× |
| Pelvis 1 or 2 views (72170) range across 14 matching MRF lines |
$542.62–$606.07 | $542.62–$606.07 | varies |
| Peritoneogram Rs&I (74190) | $2,033.03 | $2,033.03 | 3.7× |
| Pet Image W/Ct Lmtd (78814) | $10,906.34 | $10,906.34 | 7.6× |
| PET image w/CT, full body (78816) | $10,906.34 | $10,906.34 | 7.6× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $12,367.86 | $12,367.86 | 8.6× |
| Proton trmt simple w/comp (77522) | $8,148.15 | $8,148.15 | 6.5× |
| Proton tx delivery complex (77525) | $9,754.49 | $9,754.49 | 7.8× |
| Proton tx delivery intermediate (77523) | $9,745.97 | $9,745.97 | 7.8× |
| Proton tx delivery simple w/o compensation (77520) | $8,148.15 | $8,148.15 | 14.7× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $10,115.17 | $10,115.17 | 3.2× |
| Pulmonary Perfusion Imaging Particulate (78580) | $2,343.19 | $2,343.19 | 5.8× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 10 matching MRF lines |
$838.41–$906.74 | $838.41–$906.74 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) | $1,757.77 | $1,757.77 | 3.2× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 32 matching MRF lines |
$305.88–$898.17 | $305.88–$898.17 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 34 matching MRF lines |
$305.88–$936.09 | $305.88–$936.09 | varies |
| Radex elbow complete minimum 3 views (73080) range across 36 matching MRF lines |
$305.88–$1,963.40 | $305.88–$1,963.40 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 12 matching MRF lines |
$671.08–$725.77 | $671.08–$725.77 | varies |
| Radex fingr minimum 2 views (73140) range across 28 matching MRF lines |
$305.88–$448.38 | $305.88–$448.38 | varies |
| Radex foot complete minimum 3 views (73630) range across 34 matching MRF lines |
$305.88–$1,457.22 | $305.88–$1,457.22 | varies |
| Radex Hand Minimum 3 Views (73130) range across 36 matching MRF lines |
$305.88–$1,447.27 | $305.88–$1,447.27 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 27 matching MRF lines |
$672.39–$727.19 | $672.39–$727.19 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) range across 9 matching MRF lines |
$502.98–$543.96 | $502.98–$543.96 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 12 matching MRF lines |
$305.88–$725.77 | $305.88–$725.77 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 26 matching MRF lines |
$305.88–$920.68 | $305.88–$920.68 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 34 matching MRF lines |
$305.88–$1,822.22 | $305.88–$1,822.22 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 9 matching MRF lines |
$502.98–$543.96 | $502.98–$543.96 | varies |
| Radex Spine 1 View Specify Level (72020) range across 30 matching MRF lines |
$305.88–$626.12 | $305.88–$626.12 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 9 matching MRF lines |
$505.60–$546.80 | $505.60–$546.80 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 9 matching MRF lines |
$896.95–$970.05 | $896.95–$970.05 | varies |
| Radex Toe Minimum 2 Views (73660) range across 26 matching MRF lines |
$305.88–$558.27 | $305.88–$558.27 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 9 matching MRF lines |
$668.45–$722.93 | $668.45–$722.93 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 36 matching MRF lines |
$305.88–$1,886.70 | $305.88–$1,886.70 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) range across 8 matching MRF lines |
$539.71–$1,129.13 | $539.71–$1,129.13 | varies |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $59,651.76 | $59,651.76 | 8.1× |
| Radiation treatment delivery level 1 (77402) range across 6 matching MRF lines |
$1,972.15–$2,070.76 | $1,972.15–$2,070.76 | varies |
| Radiation treatment delivery level 2 (77407) range across 3 matching MRF lines |
$986.09–$2,070.76 | $986.09–$2,070.76 | varies |
| Radiation treatment delivery level 3 (77412) range across 2 matching MRF lines |
$2,021.30–$2,081.94 | $2,021.30–$2,081.94 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) range across 9 matching MRF lines |
$896.95–$970.05 | $896.95–$970.05 | varies |
| Radiologic exam colon double contrast study (74280) | $1,240.38 | $1,240.38 | 7.0× |
| Radiologic exam colon single contrast study (74270) | $917.10 | $917.10 | 5.2× |
| Radiologic exam knee complete 4/more views (73564) range across 44 matching MRF lines |
$409.09–$913.88 | $409.09–$913.88 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 12 matching MRF lines |
$542.62–$986.99 | $542.62–$986.99 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 17 matching MRF lines |
$890.39–$962.96 | $890.39–$962.96 | varies |
| Radiologic exam swallow function contrast study (74230) | $1,438.83 | $1,438.83 | 8.2× |
| Radiologic exam upr gi trc double contrast study (74246) | $1,056.66 | $1,056.66 | 6.0× |
| Radiologic examination femur 1 view (73551) range across 6 matching MRF lines |
$305.88–$312.80 | $305.88–$312.80 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 34 matching MRF lines |
$305.88–$1,457.22 | $305.88–$1,457.22 | varies |
| Radiologic examination knee 1/2 views (73560) range across 55 matching MRF lines |
$305.88–$913.88 | $305.88–$913.88 | varies |
| Radiologic Examination Osseous Survey Limited (77074) range across 9 matching MRF lines |
$1,209.50–$1,308.08 | $1,209.50–$1,308.08 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 34 matching MRF lines |
$305.88–$1,018.12 | $305.88–$1,018.12 | varies |
| Radiologic examination, internal auditory meati, complete Non-Facility (70134) range across 9 matching MRF lines |
$1,757.77–$1,845.66 | $1,757.77–$1,845.66 | varies |
| Renal Cyst Study (74470) range across 4 matching MRF lines |
$1,757.77–$2,850.03 | $1,757.77–$2,850.03 | varies |
| Ribs bilateral 3 views (71110) range across 9 matching MRF lines |
$845.01–$913.88 | $845.01–$913.88 | varies |
| Rp loclzj tum plnr 1 area single day imaging (78800) range across 2 matching MRF lines |
$1,122.67–$1,632.64 | $1,122.67–$1,632.64 | varies |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $3,293.70 | $3,293.70 | 6.0× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) range across 3 matching MRF lines |
$2,077.66–$2,119.60 | $2,077.66–$2,119.60 | varies |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 6 matching MRF lines |
$1,780.09–$3,879.78 | $1,780.09–$3,879.78 | varies |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $4,440.19 | $4,440.19 | 3.4× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $4,440.19 | $4,440.19 | 3.4× |
| Rp Therapy Intravenous Administration (79101) | $1,869.09 | $1,869.09 | 8.0× |
| Scapula (73010) range across 24 matching MRF lines |
$409.09–$573.68 | $409.09–$573.68 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 3 matching MRF lines |
$354.14–$364.76 | $354.14–$364.76 | varies |
| Sella turcica (70240) range across 9 matching MRF lines |
$379.53–$410.46 | $379.53–$410.46 | varies |
| Shoulder 1 view (73020) range across 24 matching MRF lines |
$291.31–$508.35 | $291.31–$508.35 | varies |
| Shoulder Arthrography (73040) | $1,520.43 | $1,520.43 | 4.3× |
| Sialogram (70390) | $1,432.46 | $1,432.46 | 6.0× |
| Skull less than 4 views (70250) range across 12 matching MRF lines |
$840.48–$908.97 | $840.48–$908.97 | varies |
| Special dosimetry (77331) range across 2 matching MRF lines |
$699.10–$720.08 | $699.10–$720.08 | varies |
| Special Physics Consult (77370) range across 3 matching MRF lines |
$689.50–$723.98 | $689.50–$723.98 | varies |
| Special teletherapy port plan (77321) range across 2 matching MRF lines |
$1,814.65–$1,869.09 | $1,814.65–$1,869.09 | varies |
| Special treatment procedure (77470) range across 3 matching MRF lines |
$4,312.56–$4,528.19 | $4,312.56–$4,528.19 | varies |
| Speech evaluation, complex (70371) range across 5 matching MRF lines |
$1,051.01–$1,251.43 | $1,051.01–$1,251.43 | varies |
| Srs Multisource (77371) | $59,651.76 | $59,651.76 | 8.1× |
| Stereotactic Body Radiation Delivery (77373) | $59,651.76 | $59,651.76 | 33.2× |
| Sternoclavicular joints (71130) range across 12 matching MRF lines |
$305.88–$546.80 | $305.88–$546.80 | varies |
| Superior sagittal sinus venogram (75870) | $2,810.70 | $2,810.70 | 0.9× |
| Surface Applic Low Dose Rate Radionuclide Source (77789) | $779.73 | $779.73 | 7.6× |
| Telethx isodose pln cplx w/basic dosimetry (77307) range across 2 matching MRF lines |
$1,824.44–$1,879.17 | $1,824.44–$1,879.17 | varies |
| Telethx isodose pln smpl w/dosimetry calculation (77306) range across 2 matching MRF lines |
$757.03–$779.73 | $757.03–$779.73 | varies |
| Temporomandble Jt Arthrography Rs&I (70332) | $1,690.81 | $1,690.81 | 7.1× |
| Testicular Imaging W/Flow (78761) | $1,483.86 | $1,483.86 | 3.7× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) range across 3 matching MRF lines |
$2,354.05–$2,803.69 | $2,354.05–$2,803.69 | varies |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) range across 2 matching MRF lines |
$2,386.90–$2,458.51 | $2,386.90–$2,458.51 | varies |
| Ther rad simulaj-aided field setting simple (77280) range across 5 matching MRF lines |
$2,341.44–$2,458.51 | $2,341.44–$2,458.51 | varies |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $1,780.09 | $1,780.09 | 10.1× |
| Thoracic spine 2 views (72070) range across 14 matching MRF lines |
$508.33–$549.76 | $508.33–$549.76 | varies |
| Thoracic spine 3 views (72072) range across 8 matching MRF lines |
$676.01–$746.81 | $676.01–$746.81 | varies |
| Thoracolumbar 2 views (72080) range across 3 matching MRF lines |
$291.31–$305.88 | $291.31–$305.88 | varies |
| Thyroid Carcinoma Metastases Img Lmtd Area (78015) | $1,436.51 | $1,436.51 | 3.6× |
| Thyroid Imaging With Vascular Flow (78013) | $1,206.56 | $1,206.56 | 3.0× |
| Thyroid Met Imaging Body (78018) | $1,436.51 | $1,436.51 | 2.6× |
| Thyroid Uptake Measurement (78012) | $1,206.56 | $1,206.56 | 3.0× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,444.25 | $1,444.25 | 3.6× |
| Tx Devices Design & Construction Complex (77334) range across 3 matching MRF lines |
$1,290.59–$1,537.56 | $1,290.59–$1,537.56 | varies |
| Tx devices design & construction intermediate (77333) range across 2 matching MRF lines |
$1,308.59–$1,347.84 | $1,308.59–$1,347.84 | varies |
| Tx devices design & construction simple (77332) range across 3 matching MRF lines |
$1,283.66–$1,347.84 | $1,283.66–$1,347.84 | varies |
| Ultrasound Breast Limited (76642) range across 32 matching MRF lines |
$305.88–$2,212.93 | $305.88–$2,212.93 | varies |
| Ultrasound Elastography Parenchyma (76981) | $398.76 | $398.76 | 3.8× |
| Ultrasound Exam Aaa Screen (76706) range across 9 matching MRF lines |
$493.53–$518.21 | $493.53–$518.21 | varies |
| Ultrasound, abdomen limited (76705) range across 67 matching MRF lines |
$472.50–$1,096.47 | $472.50–$1,096.47 | varies |
| Umbilical-artery Doppler (OB) (76820) range across 11 matching MRF lines |
$831.48–$888.13 | $831.48–$888.13 | varies |
| Unlis px ther radiol clinical tx planning (77299) range across 2 matching MRF lines |
$720.08–$793.75 | $720.08–$793.75 | varies |
| Unlisted Dx Radiographic Procedure (76499) range across 12 matching MRF lines |
$291.31–$3,869.93 | $291.31–$3,869.93 | varies |
| Unlisted fluoroscopic procedure (76496) | $890.04 | $890.04 | 10.2× |
| Unlisted magnetic resonance procedure (76498) | $4,836.05 | $4,836.05 | 55.3× |
| Unlisted Procedure Clinical Brachytherapy (77799) | $2,219.90 | $2,219.90 | 21.7× |
| Unlisted us procedure (76999) range across 8 matching MRF lines |
$852.30–$877.88 | $852.30–$877.88 | varies |
| Upper gi w/o kub (74240) | $665.10 | $665.10 | 3.8× |
| Urea Breath Test C-14 Isotopic Acquisj Analysis (78267) range across 12 matching MRF lines |
$610.72–$1,221.45 | $610.72–$1,221.45 | varies |
| Urea breath test c-14 isotopic analysis (78268) range across 12 matching MRF lines |
$610.72–$1,221.45 | $610.72–$1,221.45 | varies |
| Ureteral Reflux Study (78740) range across 5 matching MRF lines |
$1,075.15–$2,150.31 | $1,075.15–$2,150.31 | varies |
| Urethrocystogram voiding (74455) | $1,431.10 | $1,431.10 | 6.0× |
| Urethrocystography retrograde (74450) range across 4 matching MRF lines |
$1,630.56–$1,712.09 | $1,630.56–$1,712.09 | varies |
| Us breast unilateral complete (76641) range across 32 matching MRF lines |
$429.54–$2,764.81 | $429.54–$2,764.81 | varies |
| Us chest (76604) range across 18 matching MRF lines |
$399.40–$921.77 | $399.40–$921.77 | varies |
| Us complete joint (76881) range across 16 matching MRF lines |
$398.67–$1,038.66 | $398.67–$1,038.66 | varies |
| Us exam, pelvic, limited (76857) range across 38 matching MRF lines |
$429.54–$1,457.22 | $429.54–$1,457.22 | varies |
| Us head (76506) range across 8 matching MRF lines |
$921.90–$949.56 | $921.90–$949.56 | varies |
| Us kidney transplant (76776) range across 12 matching MRF lines |
$429.54–$998.33 | $429.54–$998.33 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 20 matching MRF lines |
$429.54–$951.60 | $429.54–$951.60 | varies |
| Us ob detailed single fetus (76811) range across 8 matching MRF lines |
$1,439.77–$1,612.01 | $1,439.77–$1,612.01 | varies |
| Us ob limited 1 or more fetuses (76815) range across 27 matching MRF lines |
$825.71–$923.19 | $825.71–$923.19 | varies |
| Us ob transvaginal (76817) range across 17 matching MRF lines |
$1,087.49–$1,215.75 | $1,087.49–$1,215.75 | varies |
| Us pelvic non ob complete (76856) range across 16 matching MRF lines |
$508.94–$1,819.77 | $508.94–$1,819.77 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 13 matching MRF lines |
$913.44–$1,028.12 | $913.44–$1,028.12 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 26 matching MRF lines |
$865.69–$997.04 | $865.69–$997.04 | varies |
| Us retroperitoneal complete (76770) range across 21 matching MRF lines |
$508.94–$1,465.05 | $508.94–$1,465.05 | varies |
| Us retroperitoneal limited (76775) range across 39 matching MRF lines |
$429.54–$821.06 | $429.54–$821.06 | varies |
| Us scrotum and contents (76870) range across 20 matching MRF lines |
$429.54–$941 | $429.54–$941 | varies |
| Us spinal canal and contents (76800) range across 8 matching MRF lines |
$1,078.18–$1,110.53 | $1,078.18–$1,110.53 | varies |
| Us thyroid (76536) range across 17 matching MRF lines |
$429.54–$1,668.50 | $429.54–$1,668.50 | varies |
| Us transrectal (76872) range across 11 matching MRF lines |
$468.70–$937.39 | $468.70–$937.39 | varies |
| Vascular Flow Imaging (78445) range across 6 matching MRF lines |
$645.02–$880.57 | $645.02–$880.57 | varies |
| Vein X-Ray Chest (75827) range across 7 matching MRF lines |
$2,301.36–$2,716.71 | $2,301.36–$2,716.71 | varies |
| Vein X-Ray Liver W/O Hemodyn (75887) | $2,810.70 | $2,810.70 | 0.9× |
| Vein X-Ray Skull Epidural (75872) range across 3 matching MRF lines |
$2,301.36–$2,702.14 | $2,301.36–$2,702.14 | varies |
| Vein X-Ray Spleen/Liver (75810) range across 2 matching MRF lines |
$3,992.33–$8,377.36 | $3,992.33–$8,377.36 | varies |
| Venogram Sinus/Jugular (75860) | $10,115.17 | $10,115.17 | 3.2× |
| Venography Adrenal Unilateral (75840) | $10,115.17 | $10,115.17 | 3.2× |
| Venography caval inferior serialography rs&i (75825) range across 5 matching MRF lines |
$10,115.17–$10,620.93 | $10,115.17–$10,620.93 | varies |
| Venography extremity bilateral rs&i (75822) range across 6 matching MRF lines |
$2,406.06–$3,505.26 | $2,406.06–$3,505.26 | varies |
| Venography extremity unilateral rs&i (75820) range across 13 matching MRF lines |
$2,301.36–$2,852.55 | $2,301.36–$2,852.55 | varies |
| Venography Renal Bilateral (75833) | $10,115.17 | $10,115.17 | 3.2× |
| Venography Renal Unilateral (75831) | $10,115.17 | $10,115.17 | 3.2× |
| Venous sampling by catheter (75893) range across 6 matching MRF lines |
$16,776.09–$17,614.89 | $16,776.09–$17,614.89 | varies |
| Vertebral fracture assessment via dxa (77086) range across 3 matching MRF lines |
$432.06–$467.28 | $432.06–$467.28 | varies |
| Wrist 2 views (73100) range across 28 matching MRF lines |
$305.88–$920.68 | $305.88–$920.68 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 11 matching MRF lines |
$305.88–$505.62 | $305.88–$505.62 | varies |
| X-ray antegrade pyelogram tube (74425) range across 13 matching MRF lines |
$1,393.75–$1,729.85 | $1,393.75–$1,729.85 | varies |
| X-Ray Aorta Leg Arteries (75630) range across 5 matching MRF lines |
$10,115.17–$10,620.93 | $10,115.17–$10,620.93 | varies |
| X-Ray Bend Only L-S Spine (72120) range across 9 matching MRF lines |
$890.39–$962.96 | $890.39–$962.96 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 28 matching MRF lines |
$305.88–$564.04 | $305.88–$564.04 | varies |
| X-Ray Exam Breast Specimen (76098) range across 6 matching MRF lines |
$1,757.77–$1,845.66 | $1,757.77–$1,845.66 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 10 matching MRF lines |
$305.88–$788.60 | $305.88–$788.60 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 22 matching MRF lines |
$539.71–$828.03 | $539.71–$828.03 | varies |
| X-Ray Exam Entire Spi 4/5 Vw (72083) range across 9 matching MRF lines |
$539.71–$1,051 | $539.71–$1,051 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 24 matching MRF lines |
$305.88–$504.06 | $305.88–$504.06 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 26 matching MRF lines |
$305.88–$913.88 | $305.88–$913.88 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) range across 18 matching MRF lines |
$409.09–$978.14 | $409.09–$978.14 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 14 matching MRF lines |
$542.62–$913.88 | $542.62–$913.88 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 8 matching MRF lines |
$429.54–$931.56 | $429.54–$931.56 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) range across 9 matching MRF lines |
$971.80–$1,020.39 | $971.80–$1,020.39 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 12 matching MRF lines |
$539.71–$970.05 | $539.71–$970.05 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 23 matching MRF lines |
$305.88–$1,056.38 | $305.88–$1,056.38 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 14 matching MRF lines |
$539.71–$908.97 | $539.71–$908.97 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 36 matching MRF lines |
$1,089.43–$1,178.22 | $1,089.43–$1,178.22 | varies |
| X-ray eye for foreign body (70030) range across 18 matching MRF lines |
$409.74–$443.13 | $409.74–$443.13 | varies |
| X-ray humerus (73060) range across 34 matching MRF lines |
$305.88–$1,019.56 | $305.88–$1,019.56 | varies |
| X-ray IV pyelogram (ivp) (74400) | $1,381.71 | $1,381.71 | 7.8× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 10 matching MRF lines |
$896.95–$970.05 | $896.95–$970.05 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 15 matching MRF lines |
$305.88–$908.97 | $305.88–$908.97 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 20 matching MRF lines |
$542.62–$731.10 | $542.62–$731.10 | varies |
| X-ray nose-rectum child f.b. (76010) range across 9 matching MRF lines |
$950.79–$1,028.28 | $950.79–$1,028.28 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 16 matching MRF lines |
$1,134.65–$1,227.12 | $1,134.65–$1,227.12 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 9 matching MRF lines |
$672.39–$727.19 | $672.39–$727.19 | varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $477.49 | $477.49 | 4.5× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 20 matching MRF lines |
$305.88–$508.35 | $305.88–$508.35 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 9 matching MRF lines |
$674.69–$729.68 | $674.69–$729.68 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 9 matching MRF lines |
$901.79–$975.28 | $901.79–$975.28 | varies |
| X-Ray Stress View (77071) range across 7 matching MRF lines |
$305.88–$411.77 | $305.88–$411.77 | varies |
| X-ray thoracic spine 4 vw (72074) range across 11 matching MRF lines |
$840.48–$908.97 | $840.48–$908.97 | varies |
| X-Ray Tmj Unilat (70328) range across 18 matching MRF lines |
$467.51–$505.62 | $467.51–$505.62 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 16 matching MRF lines |
$858.99–$2,920.38 | $858.99–$2,920.38 | varies |
| X-Rays Bone Length Studies (77073) range across 12 matching MRF lines |
$429.54–$722.93 | $429.54–$722.93 | varies |
| X-Rays Bone Survey Complete (77075) range across 17 matching MRF lines |
$1,246.39–$1,347.97 | $1,246.39–$1,347.97 | varies |
| Xr c-spine 4 or 5 views (72050) range across 13 matching MRF lines |
$542.62–$978.14 | $542.62–$978.14 | varies |
| Xr facial bones less than 3 views (70140) range across 9 matching MRF lines |
$502.98–$543.96 | $502.98–$543.96 | varies |
| XR Mastoids < 3 Views Bilateral (70120) | $516.71 | $516.71 | 4.9× |
| Xr orbits complete 4 views (70200) range across 9 matching MRF lines |
$896.95–$970.05 | $896.95–$970.05 | varies |
| Xr Tomogram Single Plane (76100) | $1,187.63 | $1,187.63 | 11.3× |
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.