Imaging prices at East Alabama Medical Center
Opelika, AL · every code in this section with a posted price and a Medicare benchmark.
352 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 3-D radiotherapy plan dose-volume histograms (77295) | $1,377.20 | $2,504 | 1.1× |
| Abdomen 1 View (74018) range across 2 matching MRF lines |
$86.35–$89.10 | $157–$162 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$122.65–$126.50 | $223–$230 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,054.35 | $1,917 | 3.0× |
| Adrenal Cortex & Medulla Img (78075) | $1,378.85 | $2,507 | 1.2× |
| Angio pulmonary bilat (75743) | $3,167.45 | $5,759 | 1.2× |
| Angiography extremity bilateral rs&i (75716) | $3,167.45 | $5,759 | 1.2× |
| Angiography extremity unilateral rs&i (75710) | $3,167.45 | $5,759 | 1.2× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $3,075.05 | $5,591 | 1.1× |
| Ankle 2 views (73600) range across 4 matching MRF lines |
$86.35–$89.10 | $157–$162 | varies |
| Aortography thoracic serialography rs&i (75605) range across 3 matching MRF lines |
$5,281.65–$5,440.05 | $9,603–$9,891 | varies |
| Aortography thoracic w/o serialography rs&i (75600) | $3,075.05 | $5,591 | 1.1× |
| Artery X-Rays Abdomen (75726) | $5,440.05 | $9,891 | 1.1× |
| Artery X-Rays Pelvis (75736) | $5,440.05 | $9,891 | 1.1× |
| Arthrogram ankle (73615) | $421.30 | $766 | 1.4× |
| Arthrogram hip (73525) | $421.30 | $766 | 1.4× |
| Arthrogram Wrist (73115) | $421.30 | $766 | 1.4× |
| Basic radiation dosimetry calculation (77300) | $209.55 | $381 | 1.8× |
| Bone age studies (77072) | $126.50 | $230 | 1.4× |
| Bone Imaging 3 Phase (78315) range across 2 matching MRF lines |
$407.55–$419.65 | $741–$763 | varies |
| Bone Imaging Limited Area (78300) | $407.55 | $741 | 1.2× |
| Bone Imaging Whole Body (78306) | $419.65 | $763 | 1.2× |
| Bone survey infant (77076) | $126.50 | $230 | 1.4× |
| Brachytx isodose complex (77318) | $564.30 | $1,026 | 1.7× |
| Brachytx Isodose Plan Simple (77316) | $398.75 | $725 | 1.2× |
| Brain Flow Imaging Only (78610) | $526.35 | $957 | 1.1× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $526.35 | $957 | 1.1× |
| Brain Imaging Pet Metabolic Evaluation (78608) range across 3 matching MRF lines |
$1,561.45–$1,608.20 | $2,839–$2,924 | varies |
| Card Bl Pool Gated Spect Rest Wal Motn Ejct Frct (78494) | $407.55 | $741 | 1.2× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $473.55 | $861 | 1.6× |
| Cardiovasc nucl exam unlisted (78499) | $407.55 | $741 | 1.2× |
| Cerebrospinal Fluid Scan (78630) | $1,023.55 | $1,861 | 2.2× |
| Chest 1 view (71045) range across 6 matching MRF lines |
$86.35–$89.10 | $157–$162 | varies |
| Chest 2 views (71046) range across 3 matching MRF lines |
$86.35–$89.10 | $157–$162 | varies |
| Chest 3 views (71047) | $89.10 | $162 | 1.2× |
| Chest 4 or more views (71048) | $126.50 | $230 | 1.4× |
| Clavicle complete (73000) range across 4 matching MRF lines |
$86.35–$89.10 | $157–$162 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $128.15 | $233 | 1.4× |
| Continuing medical physics consltj pr wk (77336) | $287.65 | $523 | 2.5× |
| Contrast Exam Abdominl Aorta (75625) | $3,167.45 | $5,759 | 1.2× |
| Contrast X-Ray Bladder (74430) | $433.95 | $789 | 1.4× |
| Contrast X-Ray Of Elbow (73085) | $421.30 | $766 | 1.4× |
| Contrast X-Ray Of Knee Joint (73580) | $421.30 | $766 | 1.4× |
| Contrast Xray Throat/Cerv Esopha (74210) | $227.15 | $413 | 1.5× |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$421.30–$433.95 | $766–$789 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$335.50–$345.40 | $610–$628 | varies |
| CT abdomen w contrast (74160) | $345.40 | $628 | 2.3× |
| CT abdomen w wo contrast (74170) range across 3 matching MRF lines |
$335.50–$345.40 | $610–$628 | varies |
| CT abdomen w/o contrast (74150) | $269.50 | $490 | 3.0× |
| CT Angio Abdomen and Pelvis (74174) range across 3 matching MRF lines |
$421.30–$433.95 | $766–$789 | varies |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$410.85–$422.95 | $747–$769 | varies |
| CT Angio Head (70496) range across 3 matching MRF lines |
$410.85–$422.95 | $747–$769 | varies |
| CT angio hrt w/3d image (75574) range across 4 matching MRF lines |
$410.85–$422.95 | $747–$769 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $422.95 | $769 | 2.8× |
| CT Angio Neck (70498) | $422.95 | $769 | 2.8× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $422.95 | $769 | 2.8× |
| CT cervical spine w/ contrast (72126) | $433.95 | $789 | 1.4× |
| CT cervical spine w/o contrast (72125) | $135.30 | $246 | 1.5× |
| CT cervical spine w/wo cont (72127) | $345.40 | $628 | 2.3× |
| CT chest w contrast (71260) | $345.40 | $628 | 2.3× |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$335.50–$345.40 | $610–$628 | varies |
| CT colonography screening (74263) | $243.65 | $443 | 1.2× |
| CT Colonogrphy Dx Image Postprocess W/Contrast (74262) | $345.40 | $628 | 2.3× |
| CT colonogrphy dx image postprocess w/o contrast (74261) | $128.15 | $233 | 1.4× |
| CT head/brain with contrast (70460) | $345.40 | $628 | 2.3× |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$335.50–$345.40 | $610–$628 | varies |
| CT heart contrast eval cardiac structure&morph (75572) | $359.70 | $654 | 1.2× |
| CT heart no contrast quant eval coronry calcium (75571) range across 5 matching MRF lines |
$55–$128.15 | $100–$233 | varies |
| CT hrt w/3d image congen (75573) | $349.25 | $635 | 1.2× |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$335.50–$345.40 | $610–$628 | varies |
| CT l-spine w&w/o contrast (72133) | $345.40 | $628 | 2.3× |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$124.30–$128.15 | $226–$233 | varies |
| CT lower extremity w/contrast material (73701) | $345.40 | $628 | 2.3× |
| CT lumbar spine w contrast (72132) | $433.95 | $789 | 1.4× |
| CT lumbar spine w/o contrast (72131) | $135.30 | $246 | 1.5× |
| CT maxillofacial w contrast (70487) | $345.40 | $628 | 2.3× |
| CT maxillofacial wo contrast (70486) | $128.15 | $233 | 1.4× |
| CT neck tissue combo (70492) | $345.40 | $628 | 2.3× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 2 matching MRF lines |
$335.50–$345.40 | $610–$628 | varies |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$124.30–$128.15 | $226–$233 | varies |
| CT pelvis w&w/o contrast (72194) | $345.40 | $628 | 2.3× |
| CT pelvis w/o contrast (72192) | $269.50 | $490 | 3.0× |
| CT scan of leg combo (73702) | $345.40 | $628 | 2.3× |
| CT scans face/jaw combo (70488) | $345.40 | $628 | 2.3× |
| CT soft tissue neck w contrast (70491) | $345.40 | $628 | 2.3× |
| CT soft tissue neck w/o contrast (70490) | $133.65 | $243 | 1.5× |
| CT thoracic spine w contrast (72129) | $345.40 | $628 | 2.3× |
| CT thoracic spine w/o contrast (72128) | $135.30 | $246 | 1.5× |
| CT thoracic spine w/wo cont (72130) | $345.40 | $628 | 2.3× |
| CT thorax w/o contrast (71250) range across 5 matching MRF lines |
$124.30–$128.15 | $226–$233 | varies |
| CT upper ext wo (73200) range across 3 matching MRF lines |
$124.30–$128.15 | $226–$233 | varies |
| CT upper extremity w/o & w/contrast material (73202) | $345.40 | $628 | 2.3× |
| CT upper extremity with contrast (73201) | $433.95 | $789 | 1.4× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $422.95 | $769 | 2.8× |
| Cta Abdomen (74175) | $422.95 | $769 | 2.8× |
| CTA pelvis (72191) | $422.95 | $769 | 2.8× |
| Discography Cerv/Thor Spine (72285) | $1,907.95 | $3,469 | 1.1× |
| Diskography lumbar (72295) | $1,907.95 | $3,469 | 1.1× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $126.50 | $230 | 1.4× |
| Doppler Fetal Mid Cerebral Artery (76821) | $114.95 | $209 | 1.3× |
| Dxa Bone Density Axial (77080) | $126.50 | $230 | 1.4× |
| Dxa bone density study (77085) | $122.65 | $223 | 1.3× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $86.35 | $157 | 1.1× |
| Echo exam of fetal heart (76825) | $535.70 | $974 | 1.1× |
| Echo exam uterus (76831) | $298.10 | $542 | 1.4× |
| Echo Guide For Artery Repair (76936) | $314.05 | $571 | 1.7× |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) | $242.55 | $441 | 1.2× |
| Echograp Trans R Pros Study (76873) | $270.05 | $491 | 3.0× |
| Esophagram (74220) | $227.15 | $413 | 1.5× |
| Fetal Biophys Profile W/Nst (76818) | $114.95 | $209 | 1.3× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 3 matching MRF lines |
$122.65–$126.50 | $223–$230 | varies |
| Fluoroscopy up to 1 hr (76000) range across 4 matching MRF lines |
$251.90–$259.60 | $458–$472 | varies |
| Follow-Up Angiography (75898) | $3,075.05 | $5,591 | 1.1× |
| Foot 2 views (73620) range across 4 matching MRF lines |
$86.35–$89.10 | $157–$162 | varies |
| Forearm 2 views (73090) range across 4 matching MRF lines |
$86.35–$89.10 | $157–$162 | varies |
| Gastric emptying imaging study (78264) | $419.65 | $763 | 1.2× |
| Gated Heart Planar Single (78472) range across 2 matching MRF lines |
$407.55–$419.65 | $741–$763 | varies |
| Hand 2 views (73120) range across 4 matching MRF lines |
$122.65–$126.50 | $223–$230 | varies |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) | $1,576.30 | $2,866 | 2.6× |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) | $771.10 | $1,402 | 1.3× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) range across 2 matching MRF lines |
$3,130.05–$3,224.10 | $5,691–$5,862 | varies |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) range across 2 matching MRF lines |
$3,075.05–$3,167.45 | $5,591–$5,759 | varies |
| Hepatobil Syst Image W/Drug (78227) | $542.30 | $986 | 1.1× |
| Hepatobiliary System Imaging (78226) range across 2 matching MRF lines |
$407.55–$419.65 | $741–$763 | varies |
| Ht Muscle Image Spect Sing (78451) range across 6 matching MRF lines |
$1,378.85–$1,420.10 | $2,507–$2,582 | varies |
| Hysterosalpingogram (74740) | $272.25 | $495 | 1.3× |
| Infant hip ultrasound with hip movement (dynamic) (76885) range across 2 matching MRF lines |
$139.70–$144.10 | $254–$262 | varies |
| Interstitial radiation source applic complex (77778) | $2,444.75 | $4,445 | 4.0× |
| K Flow/Funct Image Multiple (78709) | $526.35 | $957 | 1.1× |
| K Flow/Funct Image W/Drug (78708) | $542.30 | $986 | 1.1× |
| K Flow/Funct Image W/O Drug (78707) | $542.30 | $986 | 1.1× |
| Knee 3 Views (73562) | $86.35 | $157 | 1.1× |
| Leveen/Shunt Patency Exam (78291) | $407.55 | $741 | 1.2× |
| Liver & Spleen Imaging Static Only (78215) | $1,023.55 | $1,861 | 2.9× |
| Liver imaging static only (78201) | $1,341.45 | $2,439 | 2.8× |
| Lung Ventilat&Perfus Imaging (78582) | $1,054.35 | $1,917 | 2.2× |
| Lung Ventilation Imaging (78579) | $1,023.55 | $1,861 | 2.9× |
| Lymph System Imaging (78195) range across 2 matching MRF lines |
$1,023.55–$1,054.35 | $1,861–$1,917 | varies |
| Magnetic Image Jaw Joint (70336) | $278.85 | $507 | 1.3× |
| Mammary ductogram or galactogram multiple (77054) | $251.90 | $458 | 1.2× |
| Mammary ductogram or galactogram single (77053) range across 2 matching MRF lines |
$251.90–$259.60 | $458–$472 | varies |
| Meckels Divert Exam (78290) | $419.65 | $763 | 1.2× |
| Mlc imrt design & construction per imrt plan (77338) | $719.95 | $1,309 | 2.2× |
| MRA head w/o contrast (70544) | $546.15 | $993 | 2.6× |
| MRA head with contrast (70545) | $530.20 | $964 | 1.7× |
| MRA neck w contrast (70548) | $546.15 | $993 | 1.8× |
| Mra Neck W/O &W/Contrast Material (70549) | $546.15 | $993 | 1.8× |
| MRA neck w/o contrast (70547) | $546.15 | $993 | 2.6× |
| MRI abdomen w contrast (74182) | $487.85 | $887 | 1.6× |
| MRI abdomen w/o contrast (74181) | $356.40 | $648 | 1.7× |
| MRI any jt lower extrem w/contrast material (73722) | $795.30 | $1,446 | 1.2× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $497.75 | $905 | 1.6× |
| MRI any jt upper extremity w/contrast matrl (73222) range across 3 matching MRF lines |
$772.20–$795.30 | $1,404–$1,446 | varies |
| MRI Breast W/O Contrast Bilateral (77047) | $297.55 | $541 | 1.4× |
| MRI Breast Without Contrast Material Unilateral (77046) | $288.75 | $525 | 1.4× |
| MRI cervical spine w contrast (72142) | $487.85 | $887 | 1.6× |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$270.60–$278.85 | $492–$507 | varies |
| MRI chest w/o contrast (71550) | $409.20 | $744 | 2.0× |
| MRI chest with contrast (71551) | $772.20 | $1,404 | 1.1× |
| MRI chest wo w contrast (71552) | $495 | $900 | 1.6× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 2 matching MRF lines |
$473.55–$487.85 | $861–$887 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $487.85 | $887 | 1.6× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $278.85 | $507 | 1.3× |
| MRI lumbar spine w contrast (72149) | $487.85 | $887 | 1.6× |
| Mri Neck Spine W/O & W/Dye (72156) | $487.85 | $887 | 1.6× |
| MRI orbit face &/neck w/o contrast (70540) | $354.20 | $644 | 1.7× |
| MRI orbit face neck w contrast (70542) | $473.55 | $861 | 1.6× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $497.75 | $905 | 1.6× |
| MRI pelvis w contrast (72196) | $473.55 | $861 | 1.6× |
| MRI pelvis w/o & w contrast (72197) | $498.85 | $907 | 1.6× |
| MRI pelvis w/o contrast (72195) | $297.55 | $541 | 1.4× |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$270.60–$278.85 | $492–$507 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) | $473.55 | $861 | 1.6× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $278.85 | $507 | 1.3× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $487.85 | $887 | 1.6× |
| MRI, abdomen, combo (74183) | $504.35 | $917 | 1.7× |
| MRI, dorsal spine combo (72157) | $487.85 | $887 | 1.6× |
| MRI, dorsal spine contrast (72147) | $487.85 | $887 | 1.6× |
| MRI, joint upper extrem (73221) range across 2 matching MRF lines |
$270.60–$278.85 | $492–$507 | varies |
| MRI, joint upper extrem combo (73223) | $497.75 | $905 | 1.6× |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$473.55–$487.85 | $861–$887 | varies |
| Myocardial Spect Multiple Studies (78452) range across 5 matching MRF lines |
$1,378.85–$1,420.10 | $2,507–$2,582 | varies |
| N-invas est c ffr sw aly CTA (75580) | $1,156.10 | $2,102 | 1.5× |
| Neck soft tissue (70360) | $89.10 | $162 | 1.2× |
| Nfs/Instlj Radioelmnt Sln 3 Mo Follow-Up Care (77750) | $453.20 | $824 | 1.4× |
| Nonvascular Shunt X-Ray (75809) | $272.25 | $495 | 3.0× |
| Ntsty modul radthx pln dose-vol histos (77301) | $1,377.20 | $2,504 | 1.1× |
| Nuclear Rx Oral Admin (79005) range across 4 matching MRF lines |
$331.65–$341.55 | $603–$621 | varies |
| Ob us nuchal meas 1 gest (76813) | $122.65 | $223 | 1.3× |
| Optic foramina (70190) | $86.35 | $157 | 1.1× |
| Panoramic X-ray of jaws (70355) | $137.50 | $250 | 1.8× |
| Parathyroid Planar Imaging (78070) | $1,054.35 | $1,917 | 3.0× |
| Parathyroid planar imaging w/wo subtraction (78071) | $454.30 | $826 | 1.3× |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$122.65–$126.50 | $223–$230 | varies |
| Peritoneogram Rs&I (74190) | $543.40 | $988 | 1.1× |
| Pet Image W/Ct Lmtd (78814) range across 2 matching MRF lines |
$1,425.05–$1,467.95 | $2,591–$2,669 | varies |
| PET image w/CT, full body (78816) | $1,608.20 | $2,924 | 1.3× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $1,608.20 | $2,924 | 1.3× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $3,075.05 | $5,591 | 1.1× |
| Pulmonary Perfusion Imaging Particulate (78580) range across 2 matching MRF lines |
$1,023.55–$1,054.35 | $1,861–$1,917 | varies |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$122.65–$126.50 | $223–$230 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 2 matching MRF lines |
$543.40–$559.90 | $988–$1,018 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 4 matching MRF lines |
$86.35–$89.10 | $157–$162 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 4 matching MRF lines |
$86.35–$89.10 | $157–$162 | varies |
| Radex elbow complete minimum 3 views (73080) range across 4 matching MRF lines |
$86.35–$89.10 | $157–$162 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$122.65–$126.50 | $223–$230 | varies |
| Radex fingr minimum 2 views (73140) range across 4 matching MRF lines |
$86.35–$89.10 | $157–$162 | varies |
| Radex foot complete minimum 3 views (73630) range across 4 matching MRF lines |
$86.35–$89.10 | $157–$162 | varies |
| Radex Hand Minimum 3 Views (73130) range across 4 matching MRF lines |
$86.35–$89.10 | $157–$162 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 3 matching MRF lines |
$86.35–$89.10 | $157–$162 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $122.65 | $223 | 1.3× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$86.35–$89.10 | $157–$162 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 2 matching MRF lines |
$86.35–$89.10 | $157–$162 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 4 matching MRF lines |
$86.35–$89.10 | $157–$162 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$86.35–$89.10 | $157–$162 | varies |
| Radex Spine 1 View Specify Level (72020) range across 2 matching MRF lines |
$86.35–$89.10 | $157–$162 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$86.35–$89.10 | $157–$162 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$86.35–$89.10 | $157–$162 | varies |
| Radex Toe Minimum 2 Views (73660) range across 4 matching MRF lines |
$86.35–$89.10 | $157–$162 | varies |
| Radex upper extremity infant minimum 2 views (73092) | $126.50 | $230 | 1.4× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 4 matching MRF lines |
$86.35–$89.10 | $157–$162 | varies |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $8,451.85 | $15,367 | 1.3× |
| Radiation treatment delivery level 2 (77407) | $257.40 | $468 | 0.8× |
| Radiation treatment delivery level 3 (77412) | $719.95 | $1,309 | 1.5× |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$122.65–$126.50 | $223–$230 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $116.05 | $211 | 1.3× |
| Radiologic exam colon double contrast study (74280) | $227.15 | $413 | 1.5× |
| Radiologic exam colon single contrast study (74270) | $227.15 | $413 | 1.5× |
| Radiologic exam knee complete 4/more views (73564) range across 5 matching MRF lines |
$122.65–$126.50 | $223–$230 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$122.65–$126.50 | $223–$230 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) | $194.15 | $353 | 1.3× |
| Radiologic exam swallow function contrast study (74230) | $194.15 | $353 | 1.3× |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$220.55–$227.15 | $401–$413 | varies |
| Radiologic examination femur 1 view (73551) range across 5 matching MRF lines |
$86.35–$89.10 | $157–$162 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 4 matching MRF lines |
$86.35–$89.10 | $157–$162 | varies |
| Radiologic examination knee 1/2 views (73560) range across 4 matching MRF lines |
$86.35–$89.10 | $157–$162 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $122.65 | $223 | 1.3× |
| Radiologic examination tibia & fibula 2 views (73590) range across 4 matching MRF lines |
$86.35–$89.10 | $157–$162 | varies |
| Renal Cyst Study (74470) | $535.70 | $974 | 1.1× |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$122.65–$126.50 | $223–$230 | varies |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $1,023.55 | $1,861 | 2.9× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) range across 3 matching MRF lines |
$1,378.85–$1,420.10 | $2,507–$2,582 | varies |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $1,420.10 | $2,582 | 3.0× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 6 matching MRF lines |
$1,378.85–$1,420.10 | $2,507–$2,582 | varies |
| Rp Therapy Intravenous Administration (79101) | $341.55 | $621 | 1.7× |
| Scapula (73010) range across 4 matching MRF lines |
$122.65–$126.50 | $223–$230 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $60.50 | $110 | 2.6× |
| Sella turcica (70240) | $86.35 | $157 | 1.1× |
| Shoulder 1 view (73020) range across 4 matching MRF lines |
$86.35–$89.10 | $157–$162 | varies |
| Shoulder Arthrography (73040) | $433.95 | $789 | 1.4× |
| Sialogram (70390) | $264.55 | $481 | 1.3× |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$122.65–$126.50 | $223–$230 | varies |
| Special dosimetry (77331) | $299.20 | $544 | 2.6× |
| Special Physics Consult (77370) | $272.25 | $495 | 2.3× |
| Special teletherapy port plan (77321) | $435.05 | $791 | 1.3× |
| Special treatment procedure (77470) | $628.65 | $1,143 | 1.3× |
| Stereotactic Body Radiation Delivery (77373) range across 2 matching MRF lines |
$1,991–$2,050.95 | $3,620–$3,729 | varies |
| Sternoclavicular joints (71130) range across 2 matching MRF lines |
$86.35–$89.10 | $157–$162 | varies |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $551.65 | $1,003 | 1.7× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $535.70 | $974 | 1.6× |
| Testicular Imaging W/Flow (78761) | $407.55 | $741 | 1.2× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $444.95 | $809 | 1.4× |
| Ther rad simulaj-aided field setting simple (77280) | $212.30 | $386 | 1.8× |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$122.65–$126.50 | $223–$230 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$122.65–$126.50 | $223–$230 | varies |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$86.35–$89.10 | $157–$162 | varies |
| Thyroid Imaging With Vascular Flow (78013) | $419.65 | $763 | 1.2× |
| Thyroid Met Imaging Body (78018) range across 2 matching MRF lines |
$526.35–$542.30 | $957–$986 | varies |
| Thyroid Uptake Measurement (78012) | $454.30 | $826 | 1.3× |
| Tx Devices Design & Construction Complex (77334) | $432.30 | $786 | 1.3× |
| Tx devices design & construction simple (77332) | $222.75 | $405 | 1.9× |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$139.70–$144.10 | $254–$262 | varies |
| Ultrasound elastography first target lesion (76982) | $139.70 | $254 | 1.5× |
| Ultrasound Elastography Parenchyma (76981) range across 2 matching MRF lines |
$139.70–$144.10 | $254–$262 | varies |
| Ultrasound Exam Aaa Screen (76706) | $144.10 | $262 | 1.6× |
| Ultrasound, abdomen limited (76705) range across 3 matching MRF lines |
$117.70–$144.10 | $214–$262 | varies |
| Umbilical-artery Doppler (OB) (76820) range across 4 matching MRF lines |
$122.65–$126.50 | $223–$230 | varies |
| Unlisted Dx Radiographic Procedure (76499) | $89.10 | $162 | 1.2× |
| Upper gi w/o kub (74240) | $227.15 | $413 | 1.5× |
| Ureteral Reflux Study (78740) | $407.55 | $741 | 1.2× |
| Urethrocystogram voiding (74455) | $272.25 | $495 | 1.3× |
| Urethrocystography retrograde (74450) | $272.25 | $495 | 1.3× |
| Us breast unilateral complete (76641) range across 2 matching MRF lines |
$139.70–$144.10 | $254–$262 | varies |
| Us chest (76604) range across 3 matching MRF lines |
$117.70–$144.10 | $214–$262 | varies |
| Us complete joint (76881) range across 8 matching MRF lines |
$139.70–$144.10 | $254–$262 | varies |
| Us exam, pelvic, limited (76857) range across 3 matching MRF lines |
$117.70–$144.10 | $214–$262 | varies |
| Us head (76506) | $144.10 | $262 | 1.6× |
| Us kidney transplant (76776) range across 3 matching MRF lines |
$139.70–$144.10 | $254–$262 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 10 matching MRF lines |
$117.70–$144.10 | $214–$262 | varies |
| Us ob detailed single fetus (76811) | $251.90 | $458 | 1.2× |
| Us ob limited 1 or more fetuses (76815) range across 3 matching MRF lines |
$122.65–$126.50 | $223–$230 | varies |
| Us ob transvaginal (76817) range across 3 matching MRF lines |
$122.65–$126.50 | $223–$230 | varies |
| Us pelvic non ob complete (76856) range across 4 matching MRF lines |
$180.95–$186.45 | $329–$339 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 3 matching MRF lines |
$122.65–$126.50 | $223–$230 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 2 matching MRF lines |
$122.65–$126.50 | $223–$230 | varies |
| Us retroperitoneal complete (76770) range across 3 matching MRF lines |
$180.95–$186.45 | $329–$339 | varies |
| Us retroperitoneal limited (76775) range across 3 matching MRF lines |
$139.70–$144.10 | $254–$262 | varies |
| Us scrotum and contents (76870) range across 3 matching MRF lines |
$139.70–$144.10 | $254–$262 | varies |
| Us spinal canal and contents (76800) | $144.10 | $262 | 1.6× |
| Us thyroid (76536) range across 4 matching MRF lines |
$139.70–$144.10 | $254–$262 | varies |
| Us transrectal (76872) range across 3 matching MRF lines |
$139.70–$144.10 | $254–$262 | varies |
| Vascular Flow Imaging (78445) | $407.55 | $741 | 1.2× |
| Vein X-Ray Chest (75827) | $1,518 | $2,760 | 1.1× |
| Vein X-Ray Liver W/O Hemodyn (75887) | $3,075.05 | $5,591 | 1.1× |
| Venogram Sinus/Jugular (75860) | $3,167.45 | $5,759 | 1.2× |
| Venography Adrenal Unilateral (75840) | $3,075.05 | $5,591 | 1.1× |
| Venography caval inferior serialography rs&i (75825) range across 3 matching MRF lines |
$3,075.05–$3,167.45 | $5,591–$5,759 | varies |
| Venography extremity bilateral rs&i (75822) | $1,735.25 | $3,155 | 1.3× |
| Venography extremity unilateral rs&i (75820) range across 4 matching MRF lines |
$1,518–$1,563.65 | $2,760–$2,843 | varies |
| Venography Renal Unilateral (75831) | $3,167.45 | $5,759 | 1.2× |
| Venous sampling by catheter (75893) | $5,281.65 | $9,603 | 1.1× |
| Wrist 2 views (73100) range across 4 matching MRF lines |
$86.35–$89.10 | $157–$162 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$86.35–$89.10 | $157–$162 | varies |
| X-ray antegrade pyelogram tube (74425) range across 3 matching MRF lines |
$421.30–$433.95 | $766–$789 | varies |
| X-Ray Aorta Leg Arteries (75630) | $3,167.45 | $5,759 | 1.2× |
| X-Ray Bend Only L-S Spine (72120) | $122.65 | $223 | 1.3× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 4 matching MRF lines |
$86.35–$89.10 | $157–$162 | varies |
| X-Ray Exam Breast Specimen (76098) range across 2 matching MRF lines |
$543.40–$559.90 | $988–$1,018 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) | $89.10 | $162 | 1.2× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$122.65–$126.50 | $223–$230 | varies |
| X-Ray Exam Hip Uni 1 View (73501) | $89.10 | $162 | 1.2× |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 2 matching MRF lines |
$86.35–$89.10 | $157–$162 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) range across 2 matching MRF lines |
$122.65–$126.50 | $223–$230 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$122.65–$126.50 | $223–$230 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 2 matching MRF lines |
$122.65–$126.50 | $223–$230 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) range across 2 matching MRF lines |
$122.65–$126.50 | $223–$230 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$122.65–$126.50 | $223–$230 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$86.35–$89.10 | $157–$162 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$122.65–$126.50 | $223–$230 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 2 matching MRF lines |
$122.65–$126.50 | $223–$230 | varies |
| X-ray humerus (73060) range across 4 matching MRF lines |
$86.35–$89.10 | $157–$162 | varies |
| X-ray IV pyelogram (ivp) (74400) range across 2 matching MRF lines |
$289.30–$298.10 | $526–$542 | varies |
| X-ray IV pyelogram+tomography (74415) | $298.10 | $542 | 2.0× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 2 matching MRF lines |
$86.35–$89.10 | $157–$162 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$86.35–$89.10 | $157–$162 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$122.65–$126.50 | $223–$230 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$122.65–$126.50 | $223–$230 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 3 matching MRF lines |
$122.65–$126.50 | $223–$230 | varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) range across 3 matching MRF lines |
$122.65–$126.50 | $223–$230 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$86.35–$89.10 | $157–$162 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$86.35–$89.10 | $157–$162 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$122.65–$126.50 | $223–$230 | varies |
| X-ray thoracic spine 4 vw (72074) range across 2 matching MRF lines |
$122.65–$126.50 | $223–$230 | varies |
| X-Ray Tmj Unilat (70328) | $86.35 | $157 | 1.1× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 2 matching MRF lines |
$421.30–$433.95 | $766–$789 | varies |
| X-Rays Bone Length Studies (77073) | $126.50 | $230 | 1.4× |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$128.15–$132 | $233–$240 | varies |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$122.65–$126.50 | $223–$230 | varies |
| Xr facial bones less than 3 views (70140) range across 2 matching MRF lines |
$86.35–$89.10 | $157–$162 | varies |
| XR Mastoids < 3 Views Bilateral (70120) | $122.65 | $223 | 1.3× |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$122.65–$126.50 | $223–$230 | varies |
| Xr Tomogram Single Plane (76100) | $122.65 | $223 | 1.3× |
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.