Imaging prices at ECU Health Chowan Hospital
Edenton, NC · every code in this section with a posted price and a Medicare benchmark.
281 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abdomen 1 View (74018) | $349.44 | $624 | 4.2× |
| Abdomen 2 views (74019) | $451.36 | $806 | 4.5× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $327.04 | $584 | 0.9× |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$444.64–$675.36 | $794–$1,206 | varies |
| Arthrogram ankle (73615) range across 3 matching MRF lines |
$636.16–$1,271.76 | $1,136–$2,271 | varies |
| Arthrogram hip (73525) range across 3 matching MRF lines |
$636.16–$1,239.28 | $1,136–$2,213 | varies |
| Arthrogram Wrist (73115) range across 3 matching MRF lines |
$511.28–$1,022.56 | $913–$1,826 | varies |
| Bone age studies (77072) | $314.72 | $562 | 3.1× |
| Bone Imaging 3 Phase (78315) | $593.60 | $1,060 | 1.6× |
| Bone Imaging Limited Area (78300) | $248.08 | $443 | 0.6× |
| Bone Imaging Whole Body (78306) | $580.72 | $1,037 | 1.5× |
| Bone survey infant (77076) | $81.76 | $146 | 0.8× |
| Cat Scan Follow-Up Study (76380) | $169.12 | $302 | 2.0× |
| Chest 1 view (71045) | $231.84 | $414 | 2.8× |
| Chest 2 views (71046) | $334.88 | $598 | 4.0× |
| Chest 3 views (71047) | $353.92 | $632 | 4.3× |
| Chest 4 or more views (71048) | $361.20 | $645 | 3.6× |
| Cholecystography Oral Contrast (74290) | $204.96 | $366 | 1.2× |
| Clavicle complete (73000) range across 3 matching MRF lines |
$399.84–$599.20 | $714–$1,070 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $129.92 | $232 | 1.3× |
| Contrast X-Ray Bladder (74430) | $291.76 | $521 | 0.9× |
| Contrast X-Ray Of Elbow (73085) range across 3 matching MRF lines |
$636.16–$1,271.76 | $1,136–$2,271 | varies |
| Contrast X-Ray Of Knee Joint (73580) range across 3 matching MRF lines |
$636.16–$1,271.76 | $1,136–$2,271 | varies |
| Contrast Xray Throat/Cerv Esopha (74210) | $170.80 | $305 | 1.0× |
| CT abdomen and pelvis without and with contrast (74178) | $5,935.44 | $10,599 | 17.8× |
| CT abdomen and pelvis without contrast (74176) | $4,488.40 | $8,015 | 19.7× |
| CT abdomen w contrast (74160) | $2,814 | $5,025 | 16.8× |
| CT abdomen w wo contrast (74170) | $2,906.96 | $5,191 | 17.3× |
| CT abdomen w/o contrast (74150) | $2,094.40 | $3,740 | 21.0× |
| CT Angio Abdomen and Pelvis (74174) | $5,609.52 | $10,017 | 16.8× |
| CT Angio Chest (71275) | $2,925.44 | $5,224 | 17.4× |
| CT Angio Head (70496) | $3,185.28 | $5,688 | 19.0× |
| CT angio hrt w/3d image (75574) | $539.28 | $963 | 1.6× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 3 matching MRF lines |
$514.08–$2,201.36 | $918–$3,931 | varies |
| CT Angio Neck (70498) | $2,943.92 | $5,257 | 17.6× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 3 matching MRF lines |
$514.08–$2,201.36 | $918–$3,931 | varies |
| CT bone density (77078) | $151.20 | $270 | 1.8× |
| CT Cere Prfuj Alys C+ W/O CT/Cta Same Anatomy (70473) | $271.04 | $484 | 1.6× |
| CT cervical spine w/ contrast (72126) | $2,158.24 | $3,854 | 6.5× |
| CT cervical spine w/o contrast (72125) | $2,135.84 | $3,814 | 21.4× |
| CT cervical spine w/wo cont (72127) | $2,163.28 | $3,863 | 12.9× |
| CT chest w contrast (71260) | $2,335.76 | $4,171 | 13.9× |
| CT chest w/wo contrast (71270) | $2,422 | $4,325 | 14.4× |
| CT colonography screening (74263) | $2,206.96 | $3,941 | 9.7× |
| CT colonogrphy dx image postprocess w/o contrast (74261) | $1,449.28 | $2,588 | 14.5× |
| CT head/brain with contrast (70460) | $1,612.80 | $2,880 | 9.6× |
| CT head/brain without and with contrast (70470) | $1,760.08 | $3,143 | 10.5× |
| CT iac w contrast (70481) | $2,046.24 | $3,654 | 12.2× |
| CT l-spine w&w/o contrast (72133) | $2,451.12 | $4,377 | 14.6× |
| CT lower ext w/o (73700) range across 21 matching MRF lines |
$893.20–$3,402 | $1,595–$6,075 | varies |
| CT lower extremity w/contrast material (73701) range across 21 matching MRF lines |
$2,256.80–$3,585.68 | $4,030–$6,403 | varies |
| CT lumbar spine w contrast (72132) | $2,141.44 | $3,824 | 6.4× |
| CT lumbar spine w/o contrast (72131) | $1,980.16 | $3,536 | 19.8× |
| CT maxillofacial w contrast (70487) | $2,332.40 | $4,165 | 13.9× |
| CT maxillofacial wo contrast (70486) | $2,189.60 | $3,910 | 21.9× |
| CT neck tissue combo (70492) | $3,228.96 | $5,766 | 19.3× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $2,182.32 | $3,897 | 13.0× |
| CT orbits w/o contrast (70480) range across 3 matching MRF lines |
$1,932.56–$1,965.60 | $3,451–$3,510 | varies |
| CT pelvis w&w/o contrast (72194) | $2,280.32 | $4,072 | 13.6× |
| CT pelvis w/o contrast (72192) | $1,815.52 | $3,242 | 18.2× |
| CT scan of leg combo (73702) range across 21 matching MRF lines |
$3,024–$4,684.96 | $5,400–$8,366 | varies |
| CT scans face/jaw combo (70488) | $2,612.40 | $4,665 | 15.6× |
| CT soft tissue neck w contrast (70491) | $2,516.64 | $4,494 | 15.0× |
| CT soft tissue neck w/o contrast (70490) | $1,887.20 | $3,370 | 18.9× |
| CT thoracic spine w contrast (72129) | $1,491.84 | $2,664 | 8.9× |
| CT thoracic spine w/o contrast (72128) | $733.04 | $1,309 | 7.3× |
| CT thoracic spine w/wo cont (72130) | $1,616.72 | $2,887 | 9.6× |
| CT thorax w/o contrast (71250) | $1,709.68 | $3,053 | 17.1× |
| CT upper ext wo (73200) range across 21 matching MRF lines |
$1,020.32–$3,194.24 | $1,822–$5,704 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 21 matching MRF lines |
$2,205.84–$4,411.68 | $3,939–$7,878 | varies |
| CT upper extremity with contrast (73201) range across 21 matching MRF lines |
$1,911.28–$3,822.56 | $3,413–$6,826 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $990.64 | $1,769 | 5.9× |
| Cta Abdomen (74175) | $1,890 | $3,375 | 11.3× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $621.04 | $1,109 | 1.9× |
| CTA pelvis (72191) | $1,512 | $2,700 | 9.0× |
| Dxa Bone Density Axial (77080) | $545.44 | $974 | 5.5× |
| Dxa bone density study (77085) | $142.80 | $255 | 1.4× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $175.84 | $314 | 2.1× |
| Esophagram (74220) | $558.32 | $997 | 3.3× |
| Fetal Biophys Profile W/Nst (76818) | $324.80 | $580 | 3.3× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $185.36 | $331 | 1.9× |
| Fluoroscopy up to 1 hr (76000) | $268.80 | $480 | 1.2× |
| Foot 2 views (73620) range across 6 matching MRF lines |
$283.36–$416.08 | $506–$743 | varies |
| Forearm 2 views (73090) range across 6 matching MRF lines |
$295.68–$595.28 | $528–$1,063 | varies |
| Gastric emptying imaging study (78264) | $366.24 | $654 | 1.0× |
| Gastroesophageal Reflux Exam (78262) | $486.08 | $868 | 1.3× |
| Gated Heart Planar Single (78472) | $1,770.16 | $3,161 | 4.6× |
| Hand 2 views (73120) range across 6 matching MRF lines |
$146.16–$469.28 | $261–$838 | varies |
| Hepatobil Syst Image W/Drug (78227) | $2,532.88 | $4,523 | 4.9× |
| Hepatobiliary System Imaging (78226) | $362.32 | $647 | 0.9× |
| Ht Muscle Image Spect Sing (78451) | $664.72 | $1,187 | 0.5× |
| Hysterosalpingogram (74740) | $744.80 | $1,330 | 3.3× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $669.20 | $1,195 | 8.0× |
| K Flow/Funct Image W/Drug (78708) | $1,116.64 | $1,994 | 2.2× |
| K Flow/Funct Image W/O Drug (78707) | $425.04 | $759 | 0.8× |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$478.80–$717.92 | $855–$1,282 | varies |
| Liver & Spleen Imaging Static Only (78215) | $599.76 | $1,071 | 1.6× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $646.24 | $1,154 | 1.7× |
| Lung Perf&Ventilat Diferentl (78598) | $476.56 | $851 | 0.9× |
| Lung Ventilat&Perfus Imaging (78582) | $516.88 | $923 | 1.0× |
| Magnetic Image Jaw Joint (70336) | $1,947.68 | $3,478 | 8.5× |
| Mammary ductogram or galactogram multiple (77054) range across 3 matching MRF lines |
$274.96–$549.92 | $491–$982 | varies |
| Mammary ductogram or galactogram single (77053) range across 3 matching MRF lines |
$243.60–$487.20 | $435–$870 | varies |
| Meckels Divert Exam (78290) | $520.24 | $929 | 1.4× |
| Mr safety determination physician/other qhp (76016) | $133.28 | $238 | 1.6× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $37.52 | $67 | 1.4× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) | $138.88 | $248 | 1.5× |
| Mr safety implt pos&/immoblj (76019) | $90.16 | $161 | 1.6× |
| Mr safety med physics xm customization plng&mntr (76017) | $365.68 | $653 | 1.6× |
| Mra Head W/O & W/Contrast Material (70546) | $3,627.12 | $6,477 | 10.9× |
| MRA head w/o contrast (70544) | $3,155.60 | $5,635 | 13.8× |
| MRA head with contrast (70545) | $3,466.40 | $6,190 | 10.4× |
| MRA neck w contrast (70548) | $2,036.16 | $3,636 | 6.1× |
| Mra Neck W/O &W/Contrast Material (70549) | $2,231.60 | $3,985 | 6.7× |
| MRA neck w/o contrast (70547) | $1,137.92 | $2,032 | 5.0× |
| MRI abdomen w contrast (74182) | $3,693.20 | $6,595 | 11.1× |
| MRI abdomen w/o contrast (74181) | $3,583.44 | $6,399 | 15.7× |
| MRI any jt lower extrem w/contrast material (73722) range across 12 matching MRF lines |
$4,536–$6,544.16 | $8,100–$11,686 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 12 matching MRF lines |
$6,652.80–$7,136.64 | $11,880–$12,744 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 12 matching MRF lines |
$4,006.80–$4,536 | $7,155–$8,100 | varies |
| MRI Breast W/O Contrast Bilateral (77047) | $1,803.20 | $3,220 | 7.9× |
| MRI Breast Without Contrast Material Unilateral (77046) | $865.20 | $1,545 | 3.8× |
| MRI cervical spine w contrast (72142) | $3,436.16 | $6,136 | 10.3× |
| MRI cervical spine w/o cont (72141) | $3,273.20 | $5,845 | 14.4× |
| MRI chest w/o contrast (71550) | $1,806.56 | $3,226 | 7.9× |
| MRI chest with contrast (71551) | $1,904.56 | $3,401 | 2.5× |
| MRI chest wo w contrast (71552) | $2,102.24 | $3,754 | 6.3× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 9 matching MRF lines |
$3,898.16–$7,449.68 | $6,961–$13,303 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 9 matching MRF lines |
$4,300.24–$8,599.92 | $7,679–$15,357 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 9 matching MRF lines |
$3,515.68–$7,030.80 | $6,278–$12,555 | varies |
| MRI lumbar spine w contrast (72149) | $3,191.44 | $5,699 | 9.6× |
| Mri Neck Spine W/O & W/Dye (72156) | $4,077.92 | $7,282 | 12.2× |
| MRI orbit face &/neck w/o contrast (70540) | $3,119.20 | $5,570 | 13.7× |
| MRI orbit face neck w contrast (70542) | $3,716.72 | $6,637 | 11.1× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $4,618.32 | $8,247 | 13.8× |
| MRI pelvis w contrast (72196) | $3,294.48 | $5,883 | 9.9× |
| MRI pelvis w/o & w contrast (72197) | $4,284.56 | $7,651 | 12.8× |
| MRI pelvis w/o contrast (72195) | $2,623.60 | $4,685 | 11.5× |
| MRI thoracic spine w/o contrast (72146) | $3,181.36 | $5,681 | 13.9× |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 15 matching MRF lines |
$2,361.52–$2,458.96 | $4,217–$4,391 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 15 matching MRF lines |
$1,800.96–$2,159.36 | $3,216–$3,856 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 15 matching MRF lines |
$2,646–$3,848.88 | $4,725–$6,873 | varies |
| MRI, abdomen, combo (74183) | $3,951.36 | $7,056 | 11.8× |
| MRI, dorsal spine combo (72157) | $4,761.12 | $8,502 | 14.3× |
| MRI, dorsal spine contrast (72147) | $4,093.04 | $7,309 | 12.3× |
| MRI, joint upper extrem (73221) range across 12 matching MRF lines |
$3,068.24–$3,780 | $5,479–$6,750 | varies |
| MRI, joint upper extrem combo (73223) range across 12 matching MRF lines |
$4,631.76–$9,262.96 | $8,271–$16,541 | varies |
| MRI, lumbar spine combo (72158) | $3,350.48 | $5,983 | 10.0× |
| Myocardial Spect Multiple Studies (78452) | $4,371.92 | $7,807 | 3.5× |
| Myocrd Img Pet Prfuj Mlt Std Rst&Strs Cncrnt CT (78431) | $5,103.84 | $9,114 | 2.4× |
| Neck soft tissue (70360) | $383.60 | $685 | 4.6× |
| Oph us dx ant sgm us immersion b-scan/hr biom (76513) | $227.92 | $407 | 2.3× |
| Optic foramina (70190) | $103.04 | $184 | 1.2× |
| Parathyroid Planar Imaging (78070) | $731.36 | $1,306 | 1.9× |
| Parathyroid planar imaging w/wo subtraction (78071) | $787.92 | $1,407 | 2.1× |
| Pelvis 1 or 2 views (72170) | $330.40 | $590 | 3.3× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $5,360.32 | $9,572 | 3.9× |
| Pulmonary Perfusion Imaging Particulate (78580) | $287.84 | $514 | 0.8× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $635.60 | $1,135 | 6.4× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $494.48 | $883 | 0.9× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$484.96–$722.40 | $866–$1,290 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$278.88–$557.20 | $498–$995 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$402.64–$805.28 | $719–$1,438 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $302.40 | $540 | 3.0× |
| Radex fingr minimum 2 views (73140) range across 20 matching MRF lines |
$205.52–$344.96 | $367–$616 | varies |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$491.68–$731.92 | $878–$1,307 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$364.56–$546.56 | $651–$976 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 3 matching MRF lines |
$158.48–$315.84 | $283–$564 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $230.72 | $412 | 2.3× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$310.24–$315.28 | $554–$563 | varies |
| Radex Ribs Unilateral 2 Views (71100) | $222.32 | $397 | 2.7× |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$380.24–$759.92 | $679–$1,357 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $88.48 | $158 | 1.1× |
| Radex Spine 1 View Specify Level (72020) | $244.72 | $437 | 2.9× |
| Radex Sternum Minimum 2 Views (71120) | $77.84 | $139 | 0.9× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $141.68 | $253 | 1.7× |
| Radex Toe Minimum 2 Views (73660) range across 13 matching MRF lines |
$277.76–$416.64 | $496–$744 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 3 matching MRF lines |
$82.88–$165.76 | $148–$296 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$431.76–$863.52 | $771–$1,542 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $870.24 | $1,554 | 8.7× |
| Radiolog exam mandible compl minimum 4 views (70110) | $488.88 | $873 | 4.9× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $472.64 | $844 | 4.7× |
| Radiologic exam colon double contrast study (74280) | $483.28 | $863 | 2.9× |
| Radiologic exam colon single contrast study (74270) | $368.48 | $658 | 2.2× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $607.04 | $1,084 | 3.6× |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$504.56–$756.56 | $901–$1,351 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $376.32 | $672 | 3.8× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $846.72 | $1,512 | 5.1× |
| Radiologic exam swallow function contrast study (74230) | $579.60 | $1,035 | 3.5× |
| Radiologic exam upr gi trc double contrast study (74246) | $580.16 | $1,036 | 3.5× |
| Radiologic examination femur 1 view (73551) range across 3 matching MRF lines |
$72.24–$226.80 | $129–$405 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines |
$210.56–$315.84 | $376–$564 | varies |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$322–$567.28 | $575–$1,013 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 6 matching MRF lines |
$160.16–$443.52 | $286–$792 | varies |
| Radiologic examination, internal auditory meati, complete Non-Facility (70134) | $103.04 | $184 | 0.2× |
| Ribs bilateral 3 views (71110) range across 3 matching MRF lines |
$169.12–$496.72 | $302–$887 | varies |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $2,243.92 | $4,007 | 4.3× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $1,890 | $3,375 | 1.5× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $2,545.20 | $4,545 | 1.9× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $1,134 | $2,025 | 0.9× |
| Scapula (73010) range across 3 matching MRF lines |
$185.92–$371.84 | $332–$664 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 3 matching MRF lines |
$64.96–$97.44 | $116–$174 | varies |
| Sella turcica (70240) | $103.04 | $184 | 1.2× |
| Shoulder 1 view (73020) range across 3 matching MRF lines |
$346.64–$692.72 | $619–$1,237 | varies |
| Shoulder Arthrography (73040) range across 3 matching MRF lines |
$515.20–$1,029.84 | $920–$1,839 | varies |
| Sialogram (70390) | $193.76 | $346 | 0.8× |
| Skull less than 4 views (70250) | $169.68 | $303 | 1.7× |
| Sternoclavicular joints (71130) | $180.88 | $323 | 2.2× |
| Temporomandble Jt Arthrography Rs&I (70332) range across 3 matching MRF lines |
$226.24–$452.48 | $404–$808 | varies |
| Testicular Imaging W/Flow (78761) | $626.08 | $1,118 | 1.6× |
| Thoracic spine 2 views (72070) | $424.48 | $758 | 4.2× |
| Thoracic spine 3 views (72072) | $622.16 | $1,111 | 6.2× |
| Thoracolumbar 2 views (72080) | $398.16 | $711 | 4.8× |
| Thyroid Imaging With Vascular Flow (78013) | $321.44 | $574 | 0.8× |
| Thyroid Uptake Measurement (78012) | $229.04 | $409 | 0.6× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,064 | $1,900 | 2.8× |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$1,256.08–$1,546.72 | $2,243–$2,762 | varies |
| Ultrasound Exam Aaa Screen (76706) | $118.72 | $212 | 1.2× |
| Ultrasound, abdomen limited (76705) | $1,312.08 | $2,343 | 13.1× |
| Unlisted us procedure (76999) | $397.60 | $710 | 4.8× |
| Upper gi w/o kub (74240) | $542.64 | $969 | 3.2× |
| Urethrocystogram voiding (74455) | $361.76 | $646 | 1.6× |
| Urethrocystography retrograde (74450) | $625.52 | $1,117 | 2.7× |
| Us bone density measurement (76977) | $82.32 | $147 | 0.8× |
| Us breast unilateral complete (76641) | $1,603.84 | $2,864 | 16.0× |
| Us chest (76604) | $613.76 | $1,096 | 6.1× |
| Us complete joint (76881) range across 3 matching MRF lines |
$95.76–$190.96 | $171–$341 | varies |
| Us exam, pelvic, limited (76857) | $630 | $1,125 | 6.3× |
| Us head (76506) | $132.72 | $237 | 1.3× |
| Us kidney transplant (76776) | $187.04 | $334 | 1.9× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 3 matching MRF lines |
$102.48–$205.52 | $183–$367 | varies |
| Us ob limited 1 or more fetuses (76815) | $1,616.72 | $2,887 | 16.2× |
| Us ob transvaginal (76817) | $1,970.08 | $3,518 | 19.7× |
| Us pelvic non ob complete (76856) | $2,463.44 | $4,399 | 24.7× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $1,897.84 | $3,389 | 19.0× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $335.44 | $599 | 3.4× |
| Us retroperitoneal complete (76770) | $922.88 | $1,648 | 9.2× |
| Us retroperitoneal limited (76775) | $81.20 | $145 | 0.8× |
| Us scrotum and contents (76870) | $1,351.84 | $2,414 | 13.5× |
| Us spinal canal and contents (76800) | $673.12 | $1,202 | 6.7× |
| Us thyroid (76536) | $1,135.68 | $2,028 | 11.4× |
| Venography extremity bilateral rs&i (75822) | $1,045.52 | $1,867 | 0.7× |
| Venography extremity unilateral rs&i (75820) | $523.04 | $934 | 0.3× |
| Vertebral fracture assessment via dxa (77086) | $53.76 | $96 | 0.6× |
| Wrist 2 views (73100) range across 6 matching MRF lines |
$221.76–$844.48 | $396–$1,508 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $137.20 | $245 | 1.6× |
| X-ray antegrade pyelogram tube (74425) | $464.24 | $829 | 1.4× |
| X-Ray Bend Only L-S Spine (72120) | $705.60 | $1,260 | 7.1× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 6 matching MRF lines |
$65.52–$465.36 | $117–$831 | varies |
| X-Ray Exam Breast Specimen (76098) | $450.24 | $804 | 0.9× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $442.40 | $790 | 5.3× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $542.08 | $968 | 5.4× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $698.32 | $1,247 | 7.0× |
| X-Ray Exam Hip Uni 1 View (73501) range across 3 matching MRF lines |
$168.56–$345.52 | $301–$617 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $305.76 | $546 | 3.7× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $328.72 | $587 | 3.3× |
| X-Ray Exam Hips Bi 2 Views (73521) | $394.80 | $705 | 4.0× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $534.24 | $954 | 5.3× |
| X-Ray Exam L-S Spine Bending (72114) | $823.20 | $1,470 | 8.2× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $518 | $925 | 6.2× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $747.04 | $1,334 | 7.5× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $437.36 | $781 | 4.4× |
| X-ray eye for foreign body (70030) range across 3 matching MRF lines |
$119.28–$238.56 | $213–$426 | varies |
| X-ray humerus (73060) range across 6 matching MRF lines |
$161.28–$454.16 | $288–$811 | varies |
| X-ray IV pyelogram (ivp) (74400) | $726.32 | $1,297 | 4.3× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $376.88 | $673 | 4.5× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $181.44 | $324 | 2.2× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $457.52 | $817 | 4.6× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $563.36 | $1,006 | 5.6× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $377.44 | $674 | 3.8× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $161.28 | $288 | 1.6× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $286.72 | $512 | 3.4× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $110.32 | $197 | 1.3× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $282.24 | $504 | 2.8× |
| X-ray thoracic spine 4 vw (72074) | $161.28 | $288 | 1.6× |
| X-Ray Tmj Unilat (70328) | $71.12 | $127 | 0.9× |
| X-Rays Bone Survey Complete (77075) | $826.56 | $1,476 | 8.3× |
| Xr c-spine 4 or 5 views (72050) | $714.56 | $1,276 | 7.2× |
| XR Mastoids < 3 Views Bilateral (70120) | $94.64 | $169 | 0.9× |
| Xr orbits complete 4 views (70200) | $183.68 | $328 | 1.8× |
| Xr Tomogram Single Plane (76100) | $197.68 | $353 | 2.0× |
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.