Imaging prices at ECU Health Medical Center

Greenville, NC · every code in this section with a posted price and a Medicare benchmark.

459 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
3-D radiotherapy plan dose-volume histograms (77295) $13,102.66 $24,722 9.9×
Abdomen 1 View (74018) $300.51 $567 3.6×
Abdomen 2 views (74019) $387.96 $732 3.9×
Acute Gastrointestinal Blood Loss Imaging (78278) $411.81 $777 1.1×
Adrenal Cortex & Medulla Img (78075) $3,573.26 $6,742 2.9×
Angio internal mammary (75756) $366.76 $692 0.1×
Angio pulmonary bilat (75743) $3,208.62 $6,054 1.1×
Angiography Adrenal Bilateral Slctv Rs&I (75733) $4,724.95 $8,915 1.6×
Angiography extremity bilateral rs&i (75716) $4,380.98 $8,266 1.5×
Angiography extremity unilateral rs&i (75710) $3,183.71 $6,007 1.1×
Angiography pulmonary unilateral slctv rs&i (75741) $827.33 $1,561 0.3×
Angrph pulmonary nonslctv cath/ven njx rs&i (75746) $510.92 $964 0.2×
Ankle 2 views (73600)
range across 3 matching MRF lines
$448.91–$673.63 $847–$1,271 varies
Aortography thoracic serialography rs&i (75605)
likely a partial charge, not the full procedure
$1,464.39 $2,763 0.3×
Artery X-Rays Abdomen (75726) $6,878.87 $12,979 1.3×
Artery X-Rays Adrenal Gland (75731) $2,362.74 $4,458 0.8×
Artery X-Rays Pelvis (75736)
likely a partial charge, not the full procedure
$1,418.28 $2,676 0.3×
Artery X-Rays Spine (75705) $3,832.96 $7,232 0.7×
Arthrogram ankle (73615)
range across 3 matching MRF lines
$584.59–$1,169.18 $1,103–$2,206 varies
Arthrogram hip (73525)
range across 3 matching MRF lines
$483.36–$687.41 $912–$1,297 varies
Arthrogram Wrist (73115)
range across 3 matching MRF lines
$679.99–$1,359.98 $1,283–$2,566 varies
Basic radiation dosimetry calculation (77300) $1,427.29 $2,693 11.1×
Bone age studies (77072) $341.85 $645 3.4×
Bone Imaging 3 Phase (78315) $7,155 $13,500 18.7×
Bone Imaging Limited Area (78300) $498.73 $941 1.3×
Bone Imaging Multiple Areas (78305) $832.63 $1,571 2.2×
Bone Imaging Whole Body (78306) $6,029.81 $11,377 15.8×
Bone marrow imaging limited area (78102) $683.17 $1,289 1.8×
Bone marrow imaging; multiple areas (78103) $834.75 $1,575 2.2×
Bone marrow imaging; whole body (78104) $946.05 $1,785 2.5×
Bone survey infant (77076) $109.18 $206 1.1×
Brachytx isodose complex (77318) $857.54 $1,618 2.4×
Brachytx isodose intermed (77317) $575.05 $1,085 1.6×
Brain Flow Imaging Only (78610) $321.18 $606 0.6×
Brain Image W/Flow < 4 Views (78601) $304.22 $574 0.8×
Brain imaging < 4 static views (78600) $300.51 $567 0.8×
Brain Imaging Min 4 Static Views W Vascular Flow (78606) $314.82 $594 0.6×
Brain Imaging Minimum 4 Static Views (78605) $311.64 $588 0.6×
Brain Imaging Pet Metabolic Evaluation (78608) $11,332.99 $21,383 8.3×
Cardiac MRI w/w/o contrast & further seq (75561) $3,192.19 $6,023 9.6×
Cardiac MRI w/w/o contrast w/stress (75563) $4,092.66 $7,722 5.5×
Cardiac Shunt Detection (78428) $834.75 $1,575 2.2×
Cat Scan Follow-Up Study (76380) $150.52 $284 1.8×
Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) $1,177.13 $2,221 2.3×
Cerebrospinal fluid flow, imaging (not including introduction of material); ventriculography Non-Facility (78635) $1,516.86 $2,862 2.9×
Cerebrospinal Fluid Scan (78630) $1,698.65 $3,205 3.3×
Chest 1 view (71045) $184.44 $348 2.2×
Chest 2 views (71046) $245.92 $464 3.0×
Chest 3 views (71047) $315.88 $596 3.8×
Chest 4 or more views (71048) $328.07 $619 3.3×
Cholecystography Oral Contrast (74290) $172.78 $326 1.0×
Cisternography Positive Contrast Rs&I (70015) $624.87 $1,179 0.8×
Clavicle complete (73000)
range across 3 matching MRF lines
$400.15–$599.96 $755–$1,132 varies
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $235.85 $445 2.4×
Continuing medical physics consltj pr wk (77336) $181.26 $342 1.4×
Contrast Exam Abdominl Aorta (75625) $4,127.11 $7,787 1.4×
Contrast X-Ray Bladder (74430) $284.61 $537 0.9×
Contrast X-Ray Of Elbow (73085)
range across 3 matching MRF lines
$301.57–$602.61 $569–$1,137 varies
Contrast X-Ray Of Knee Joint (73580)
range across 3 matching MRF lines
$584.59–$1,169.18 $1,103–$2,206 varies
Contrast Xray Throat/Cerv Esopha (74210) $198.75 $375 1.2×
Corpora cavernosography (74445) $257.58 $486 2.6×
CT abdomen and pelvis without and with contrast (74178) $6,018.15 $11,355 18.0×
CT abdomen and pelvis without contrast (74176) $4,012.10 $7,570 17.6×
CT abdomen w contrast (74160) $3,510.72 $6,624 20.9×
CT abdomen w wo contrast (74170) $3,935.78 $7,426 23.5×
CT abdomen w/o contrast (74150) $2,836.03 $5,351 28.4×
CT Angio Abdomen and Pelvis (74174) $4,585.03 $8,651 13.7×
CT Angio Chest (71275) $2,768.72 $5,224 16.5×
CT Angio Head (70496) $2,953.16 $5,572 17.6×
CT angio hrt w/3d image (75574)
range across 4 matching MRF lines
$716.56–$2,003.93 $1,352–$3,781 varies
Ct Angio Lwr Extr W/O&W/Dye (73706)
range across 3 matching MRF lines
$2,523.86–$3,914.58 $4,762–$7,386 varies
CT Angio Neck (70498) $2,786.21 $5,257 16.6×
Ct Angio Upr Extrm W/O&W/Dye (73206)
range across 3 matching MRF lines
$2,523.86–$3,914.58 $4,762–$7,386 varies
CT bone density (77078) $80.56 $152 1.0×
CT Cere Prfuj Alys C+ W/O CT/Cta Same Anatomy (70473) $256.52 $484 1.5×
CT cervical spine w/ contrast (72126) $2,859.88 $5,396 8.6×
CT cervical spine w/o contrast (72125) $2,019.83 $3,811 20.2×
CT cervical spine w/wo cont (72127) $3,237.24 $6,108 19.3×
CT chest w contrast (71260) $2,203.74 $4,158 13.1×
CT chest w/wo contrast (71270) $2,354.26 $4,442 14.0×
CT colonography screening (74263) $1,137.91 $2,147 5.0×
CT Colonogrphy Dx Image Postprocess W/Contrast (74262) $1,012.30 $1,910 6.0×
CT colonogrphy dx image postprocess w/o contrast (74261) $983.15 $1,855 9.8×
CT head/brain with contrast (70460) $2,348.43 $4,431 14.0×
CT head/brain without and with contrast (70470) $2,515.38 $4,746 15.0×
CT heart contrast eval cardiac structure&morph (75572) $1,513.15 $2,855 4.5×
CT heart no contrast quant eval coronry calcium (75571) $1,024.49 $1,933 12.3×
CT hrt w/3d image congen (75573) $1,917.54 $3,618 5.8×
CT iac w contrast (70481)
range across 4 matching MRF lines
$2,691.34–$3,184.24 $5,078–$6,008 varies
CT l-spine w&w/o contrast (72133) $2,447.54 $4,618 14.6×
CT lower ext w/o (73700)
range across 21 matching MRF lines
$1,735.75–$2,718.90 $3,275–$5,130 varies
CT lower extremity w/contrast material (73701)
range across 21 matching MRF lines
$2,113.11–$3,098.91 $3,987–$5,847 varies
CT lumbar spine w contrast (72132) $2,280.59 $4,303 6.8×
CT lumbar spine w/o contrast (72131) $1,891.04 $3,568 18.9×
CT maxillofacial w contrast (70487) $2,444.36 $4,612 14.6×
CT maxillofacial wo contrast (70486) $1,971.07 $3,719 19.7×
CT neck tissue combo (70492) $2,675.44 $5,048 16.0×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482)
range across 4 matching MRF lines
$2,862–$3,327.34 $5,400–$6,278 varies
CT orbits w/o contrast (70480)
range across 4 matching MRF lines
$357.75–$3,041.14 $675–$5,738 varies
CT pelvis w&w/o contrast (72194) $2,897.51 $5,467 17.3×
CT pelvis w/o contrast (72192) $1,647.24 $3,108 16.5×
CT scan of leg combo (73702)
range across 21 matching MRF lines
$2,708.83–$5,046.13 $5,111–$9,521 varies
CT scans face/jaw combo (70488) $3,172.05 $5,985 18.9×
CT soft tissue neck w contrast (70491) $2,391.36 $4,512 14.3×
CT soft tissue neck w/o contrast (70490) $1,590 $3,000 15.9×
CT thoracic spine w contrast (72129) $2,317.69 $4,373 13.8×
CT thoracic spine w/o contrast (72128) $1,683.81 $3,177 16.8×
CT thoracic spine w/wo cont (72130) $2,633.57 $4,969 15.7×
CT thorax w/o contrast (71250) $1,618.62 $3,054 16.2×
CT unlisted procedure (76497) $699.60 $1,320 8.4×
CT upper ext wo (73200)
range across 21 matching MRF lines
$1,128.90–$2,575.80 $2,130–$4,860 varies
CT upper extremity w/o & w/contrast material (73202)
range across 21 matching MRF lines
$2,468.21–$4,935.89 $4,657–$9,313 varies
CT upper extremity with contrast (73201)
range across 21 matching MRF lines
$2,422.63–$3,634.21 $4,571–$6,857 varies
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $2,476.69 $4,673 14.8×
Cta Abdomen (74175) $2,851.40 $5,380 17.0×
CTA head&neck c+ w/noncontrast img&post-pxessing (70471) $587.77 $1,109 1.8×
CTA pelvis (72191) $1,958.88 $3,696 11.7×
Dacryocystography, nasolacrimal duct, radiological supervision and interpretation Non-Facility (70170) $254.93 $481 1.1×
Dilation ureters/urethra rs&i (74485) $1,911.71 $3,607 1.0×
Discography Cerv/Thor Spine (72285) $1,833.80 $3,460 1.0×
Diskography lumbar (72295) $1,833.80 $3,460 1.0×
Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) $222.60 $420 2.2×
Doppler Echo Fetal Spectral Display Complete (76827) $303.69 $573 3.0×
Doppler Fetal Mid Cerebral Artery (76821) $310.05 $585 3.1×
Dxa Bone Density Axial (77080) $825.74 $1,558 8.3×
Dxa bone density study (77085) $223.66 $422 2.2×
Dxa bone density study 1/>sites appendiclr skel (77081) $161.65 $305 1.9×
Echo exam of fetal heart (76825) $404.92 $764 0.8×
Echo exam uterus (76831) $563.39 $1,063 2.5×
Echo Guide For Artery Repair (76936) $155.29 $293 0.8×
Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) $263.41 $497 1.2×
Esophageal Motility Study (78258) $1,177.13 $2,221 3.1×
Esophagram (74220) $501.91 $947 3.0×
Fetal Biophys Profile W/Nst (76818) $1,171.30 $2,210 11.7×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $554.91 $1,047 5.6×
Fetal MRI w/placntl matrnl plvc img sing/1st ges (74712) $332.84 $628 1.5×
Fluoroscopy up to 1 hr (76000) $699.60 $1,320 3.1×
Follow-Up Angiography (75898) $387.43 $731 0.1×
Foot 2 views (73620)
range across 6 matching MRF lines
$425.06–$451.03 $802–$851 varies
Forearm 2 views (73090)
range across 6 matching MRF lines
$152.64–$748.36 $288–$1,412 varies
Gastric emptying imaging study (78264) $6,378.02 $12,034 16.7×
Gastric Mucosa Imaging (78261) $1,177.13 $2,221 3.1×
Gastroesophageal Reflux Exam (78262) $3,161.98 $5,966 8.3×
Gastrointestinal Protein Loss (78282) $1,055.23 $1,991 2.8×
Gated Heart Planar Single (78472) $1,230.13 $2,321 3.2×
Gated Heart, Multiple (78473) $4,949.14 $9,338 13.0×
GI Endoscopic US S&I (76975) $2,992.38 $5,646 13.1×
Hand 2 views (73120)
range across 6 matching MRF lines
$233.73–$483.89 $441–$913 varies
Hdr Rdncl Ntrstl/Icav Brchtx (77772) $4,311.55 $8,135 6.5×
Heart Image (Pet) Multiple (78492) $11,332.99 $21,383 8.3×
Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) $2,745.40 $5,180 0.9×
Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) $2,690.28 $5,076 0.9×
Hepatobil Syst Image W/Drug (78227) $5,412.36 $10,212 10.4×
Hepatobiliary System Imaging (78226) $1,658.90 $3,130 4.3×
Ht Musc Image Planar Mult (78454) $6,562.46 $12,382 5.3×
Ht Muscle Image Spect Sing (78451) $2,739.04 $5,168 2.2×
Hyperthermia, externally generated; deep (ie, heating to depths greater than 4 cm) Non-Facility (77605) $2,556.72 $4,824 3.8×
Hysterosalpingogram (74740) $684.23 $1,291 3.0×
Infant hip ultrasound with hip movement (dynamic) (76885) $1,658.90 $3,130 19.9×
Infusion Ivp (74410) $779.10 $1,470 4.6×
Interstitial radiation source applic complex (77778) $2,248.26 $4,242 3.4×
Joint Survey Single View (77077) $115.01 $217 1.2×
K Flow/Funct Image Multiple (78709) $5,248.06 $9,902 10.1×
K Flow/Funct Image W/Drug (78708) $6,502.57 $12,269 12.5×
K Flow/Funct Image W/O Drug (78707) $467.99 $883 0.9×
Kidney Imaging Morphol (78700) $615.86 $1,162 1.6×
Kidney Imaging Morphoogy W/Vascular Flow (78701) $1,664.73 $3,141 4.4×
Knee 3 Views (73562)
range across 3 matching MRF lines
$436.72–$731.40 $824–$1,380 varies
Leveen/Shunt Patency Exam (78291) $905.24 $1,708 2.4×
Liver & Spleen Imaging Static Only (78215) $1,369.52 $2,584 3.6×
Liver & Spleen Imaging W/Vascular Flow (78216) $3,021 $5,700 7.9×
Liver imaging static only (78201) $784.40 $1,480 1.5×
Liver imaging w/vascular flow (78202) $3,326.81 $6,277 6.4×
Lung Perf&Ventilat Diferentl (78598) $678.40 $1,280 1.3×
Lung perfusion differential (78597) $490.25 $925 1.3×
Lung Ventilat&Perfus Imaging (78582) $426.65 $805 0.8×
Lung Ventilation Imaging (78579) $357.75 $675 0.9×
Lymph System Imaging (78195) $4,331.69 $8,173 8.3×
Lymphangiography Extremity Only Bilateral Rs&I (75803) $1,197.80 $2,260 0.8×
Lymphangiography extremity only unilateral rs&i (75801) $611.09 $1,153 1.0×
Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) $779.63 $1,471 0.3×
Lymphangiography, pelvic/abdominal, unilateral (75805) $390.08 $736 0.1×
Magnetic Image Jaw Joint (70336) $993.22 $1,874 4.4×
Mammary ductogram or galactogram multiple (77054)
range across 3 matching MRF lines
$464.81–$929.62 $877–$1,754 varies
Mammary ductogram or galactogram single (77053)
range across 3 matching MRF lines
$315.88–$631.23 $596–$1,191 varies
Meckels Divert Exam (78290) $417.64 $788 1.1×
Medical physics dose eval radiation expos w/rprt (76145) $273.48 $516 0.8×
Mlc imrt design & construction per imrt plan (77338) $249.63 $471 0.7×
Mr safety determination physician/other qhp (76016) $118.19 $223 1.4×
Mr safety implant&/fb assmt clin staf 1st 15 min (76014) $31.27 $59 1.1×
Mr safety implt electronics prepj supvj phys/qhp (76018) $122.96 $232 1.4×
Mr safety implt pos&/immoblj (76019) $80.03 $151 1.4×
Mr safety med physics xm customization plng&mntr (76017) $307.93 $581 1.4×
Mra Head W/O & W/Contrast Material (70546) $3,779.96 $7,132 11.3×
MRA head w/o contrast (70544) $2,361.68 $4,456 10.4×
MRA head with contrast (70545) $3,258.44 $6,148 9.8×
MRA neck w contrast (70548) $2,173.53 $4,101 6.5×
Mra Neck W/O &W/Contrast Material (70549) $2,620.32 $4,944 7.9×
MRA neck w/o contrast (70547) $723.45 $1,365 3.2×
MRI abdomen w contrast (74182) $3,759.82 $7,094 11.3×
MRI abdomen w/o contrast (74181) $2,837.09 $5,353 12.4×
MRI any jt lower extrem w/contrast material (73722)
range across 12 matching MRF lines
$5,008.50–$5,213.08 $9,450–$9,836 varies
MRI any jt lower extrem w/o & w/contrast matrl (73723)
range across 12 matching MRF lines
$5,366.25–$5,725.06 $10,125–$10,802 varies
MRI any jt upper extremity w/contrast matrl (73222)
range across 12 matching MRF lines
$4,073.05–$4,650.75 $7,685–$8,775 varies
MRI bone marrow blood supply (77084) $931.74 $1,758 4.1×
MRI brain functional w/o physician admnistration (70554) $712.32 $1,344 3.1×
MRI brain functional w/physician admnistration (70555) $712.32 $1,344 3.1×
MRI Breast W/O Contrast Bilateral (77047) $2,427.40 $4,580 10.6×
MRI Breast Without Contrast Material Unilateral (77046) $2,218.05 $4,185 9.7×
MRI cardiac w/o cont stress (75559) $3,813.88 $7,196 7.3×
MRI cardiac w/o contrast (75557) $1,959.94 $3,698 8.6×
MRI cervical spine w contrast (72142) $3,317.27 $6,259 9.9×
MRI cervical spine w/o cont (72141) $2,924.54 $5,518 12.8×
MRI chest w/o contrast (71550) $1,397.61 $2,637 6.1×
MRI chest with contrast (71551) $3,008.81 $5,677 4.0×
MRI chest wo w contrast (71552) $3,797.45 $7,165 11.4×
MRI lower extrem oth/thn jt w/contrast matrl (73719)
range across 9 matching MRF lines
$3,211.80–$6,423.07 $6,060–$12,119 varies
MRI lower extrem oth/thn jt w/o & w/contr matr (73720)
range across 9 matching MRF lines
$3,805.93–$7,629.35 $7,181–$14,395 varies
MRI lower extrem oth/thn jt w/o contr matrl (73718)
range across 9 matching MRF lines
$2,478.28–$4,956.56 $4,676–$9,352 varies
MRI lumbar spine w contrast (72149) $2,616.08 $4,936 7.8×
Mri Neck Spine W/O & W/Dye (72156) $4,651.28 $8,776 13.9×
MRI orbit face &/neck w/o contrast (70540) $2,862 $5,400 12.5×
MRI orbit face neck w contrast (70542) $3,362.85 $6,345 10.1×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $4,159.97 $7,849 12.5×
MRI pelvis w contrast (72196) $3,420.62 $6,454 10.3×
MRI pelvis w/o & w contrast (72197) $3,972.88 $7,496 11.9×
MRI pelvis w/o contrast (72195) $2,619.26 $4,942 11.5×
MRI thoracic spine w/o contrast (72146) $2,115.23 $3,991 9.3×
MRI upper extremity oth than jt w/contr matrl (73219)
range across 15 matching MRF lines
$3,463.02–$4,643.86 $6,534–$8,762 varies
MRI upper extremity oth than jt w/o contr matrl (73218)
range across 15 matching MRF lines
$2,289.60–$3,219.75 $4,320–$6,075 varies
Mri Uppr Extremity W/O&W/Dye (73220)
range across 15 matching MRF lines
$4,865.40–$7,392.97 $9,180–$13,949 varies
MRI, abdomen, combo (74183) $4,307.31 $8,127 12.9×
MRI, dorsal spine combo (72157) $3,848.86 $7,262 11.5×
MRI, dorsal spine contrast (72147) $2,675.44 $5,048 8.0×
MRI, joint upper extrem (73221)
range across 12 matching MRF lines
$2,826.49–$3,720.60 $5,333–$7,020 varies
MRI, joint upper extrem combo (73223)
range across 12 matching MRF lines
$5,366.25–$8,100.52 $10,125–$15,284 varies
MRI, lumbar spine combo (72158) $3,689.86 $6,962 11.1×
Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) $103.35 $195 0.3×
Myocardial imaging, infarct avid, planar; with ejection fraction by first pass technique Non-Facility (78468) $428.77 $809 0.8×
Myocardial Perfusion Planar 1 Study Rest/Stress (78453) $3,384.05 $6,385 2.7×
Myocardial Spect Multiple Studies (78452) $10,840.09 $20,453 8.8×
Myocrd Img Pet Prfuj Mlt Std Rst&Strs Cncrnt CT (78431) $4,830.42 $9,114 2.3×
Neck soft tissue (70360) $363.05 $685 4.4×
Nm csf leak detection (78650) $4,279.22 $8,074 3.5×
Nm myocard infarct spect (78469) $782.28 $1,476 1.5×
Nonvascular Shunt X-Ray (75809) $77.91 $147 0.8×
Ntsty modul radthx pln dose-vol histos (77301) $1,641.94 $3,098 1.2×
Nuclear Rx Intra-Arterial (79445) $727.69 $1,373 3.3×
Nuclear Rx Oral Admin (79005) $3,131.77 $5,909 14.0×
Ob us nuchal meas 1 gest (76813) $665.15 $1,255 6.7×
Oph us dx ant sgm us immersion b-scan/hr biom (76513) $198.75 $375 2.0×
Optic foramina (70190) $90.63 $171 1.1×
Panoramic X-ray of jaws (70355) $90.63 $171 1.1×
Parathyroid imaging w/tomographic spect & CT (78072) $670.45 $1,265 1.3×
Parathyroid Planar Imaging (78070) $475.94 $898 1.2×
Parathyroid planar imaging w/wo subtraction (78071) $508.80 $960 1.3×
Pelvis 1 or 2 views (72170) $309.52 $584 3.1×
Perineogram (74775) $252.81 $477 1.1×
Peritoneogram Rs&I (74190) $416.58 $786 0.8×
PET image w/CT, full body (78816) $14,432.43 $27,231 10.6×
PET imaging CT attenuation skull base mid-thigh (78815) $8,677.69 $16,373 6.3×
Pet Myocardial Sngl Study (78491) $3,990.37 $7,529 2.9×
Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) $3,320.98 $6,266 1.1×
Pulmonary Perfusion Imaging Particulate (78580) $303.16 $572 0.8×
Quan&Charac C Atherosclerotc Plaq Asses Sev C Ds (75577) $1,360.51 $2,567 1.5×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $546.43 $1,031 5.5×
Radex abscess/fistula/sinus tract rs&i (76080) $611.09 $1,153 1.2×
Radex Ankle Complete Minimum 3 Views (73610)
range across 3 matching MRF lines
$452.62–$678.93 $854–$1,281 varies
Radex Calcaneus Minimum 2 Views (73650)
range across 3 matching MRF lines
$369.41–$554.38 $697–$1,046 varies
Radex elbow complete minimum 3 views (73080)
range across 3 matching MRF lines
$441.49–$662.50 $833–$1,250 varies
Radex Facial Bones Complete Minimum 3 Views (70150) $236.91 $447 2.4×
Radex fingr minimum 2 views (73140)
range across 20 matching MRF lines
$174.37–$292.56 $329–$552 varies
Radex foot complete minimum 3 views (73630)
range across 3 matching MRF lines
$456.86–$685.29 $862–$1,293 varies
Radex Hand Minimum 3 Views (73130)
range across 3 matching MRF lines
$376.83–$534.24 $711–$1,008 varies
Radex lower extremity infant minimum 2 views (73592)
range across 3 matching MRF lines
$102.82–$154.23 $194–$291 varies
Radex Mastoids Compl Minimum 3 Views PR Side (70130) $211.47 $399 2.1×
Radex Nasal Bones Complete Minimum 3 Views (70160)
range across 2 matching MRF lines
$492.90–$540.60 $930–$1,020 varies
Radex Pharynx/Larx W/Fluor&/Magnification Tq (70370) $125.61 $237 1.5×
Radex Ribs Unilateral 2 Views (71100) $408.63 $771 4.9×
Radex shoulder complete minimum 2 views (73030)
range across 3 matching MRF lines
$377.36–$645.54 $712–$1,218 varies
Radex Sinuses Paransl < 3 Views (70210) $35.51 $67 0.4×
Radex sm int w/mlt srl imges via enteroclss tube (74251) $930.15 $1,755 5.5×
Radex Spine 1 View Specify Level (72020) $221.54 $418 2.7×
Radex Sternum Minimum 2 Views (71120) $64.13 $121 0.8×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $497.67 $939 6.0×
Radex Toe Minimum 2 Views (73660)
range across 13 matching MRF lines
$248.04–$498.20 $468–$940 varies
Radex upper extremity infant minimum 2 views (73092)
range across 3 matching MRF lines
$68.37–$102.82 $129–$194 varies
Radex Wrist Complete Minimum 3 Views (73110)
range across 3 matching MRF lines
$401.21–$601.55 $757–$1,135 varies
Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) $781.75 $1,475 7.8×
Radiation treatment delivery level 1 (77402)
range across 3 matching MRF lines
$110.77–$891.46 $209–$1,682 varies
Radiation treatment delivery level 2 (77407)
range across 3 matching MRF lines
$418.17–$1,058.41 $789–$1,997 varies
Radiation treatment delivery level 3 (77412)
range across 3 matching MRF lines
$585.65–$1,774.97 $1,105–$3,349 varies
Radiolog exam mandible compl minimum 4 views (70110) $176.49 $333 1.8×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $467.99 $883 4.7×
Radiologic exam colon double contrast study (74280) $1,381.18 $2,606 8.2×
Radiologic exam colon single contrast study (74270) $720.80 $1,360 4.3×
Radiologic Exam Esophagus Double Contrast Study (74221) $715.50 $1,350 4.3×
Radiologic exam knee complete 4/more views (73564)
range across 3 matching MRF lines
$489.72–$951.88 $924–$1,796 varies
Radiologic exam pelvis compl minimum 3 views (72190) $499.79 $943 5.0×
Radiologic Exam Small Int Single Contrast Study (74250) $784.40 $1,480 4.7×
Radiologic exam swallow function contrast study (74230) $548.55 $1,035 3.3×
Radiologic exam teeth complete full mouth (70320) $216.77 $409 1.0×
Radiologic Exam Teeth Prtl Exam < Full Mouth (70310) $184.44 $348 0.8×
Radiologic exam upr gi trc double contrast study (74246) $1,431 $2,700 8.5×
Radiologic examination femur 1 view (73551)
range across 3 matching MRF lines
$152.11–$365.17 $287–$689 varies
Radiologic examination femur minimum 2 views (73552)
range across 3 matching MRF lines
$349.27–$523.64 $659–$988 varies
Radiologic examination knee 1/2 views (73560)
range across 3 matching MRF lines
$369.94–$554.91 $698–$1,047 varies
Radiologic Examination Osseous Survey Limited (77074) $468.52 $884 4.7×
Radiologic Examination Salivary Gland Calculus (70380) $90.63 $171 1.1×
Radiologic examination tibia & fibula 2 views (73590)
range across 6 matching MRF lines
$69.43–$420.82 $131–$794 varies
Radiologic examination, internal auditory meati, complete Non-Facility (70134) $534.24 $1,008 1.0×
Radiologic examination, teeth; single view Non-Facility (70300) $92.22 $174 1.1×
Radiopharm Dacryocystography (78660) $1,177.13 $2,221 3.1×
Renal Cyst Study (74470) $534.24 $1,008 1.0×
Ribs bilateral 3 views (71110)
range across 3 matching MRF lines
$472.76–$536.89 $892–$1,013 varies
Rp loclzj tum plnr 1 area single day imaging (78800) $2,248.79 $4,243 5.9×
Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) $2,504.25 $4,725 6.6×
Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) $2,603.89 $4,913 5.0×
Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) $1,219.53 $2,301 2.3×
Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) $1,677.45 $3,165 3.2×
Rp loclzj tum spect 2 area/sep acquisj img (78831) $1,467.04 $2,768 1.2×
Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) $1,502.55 $2,835 1.1×
Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) $1,406.62 $2,654 1.1×
Rp Ther Radiolbld Monoclonal Antibody IV Infus (79403) $1,827.44 $3,448 8.2×
Rp Therapy Intravenous Administration (79101) $153.70 $290 0.7×
Salivary Gland Function Study (78232) $1,177.13 $2,221 3.1×
Salivary Gland Imaging (78230) $1,177.13 $2,221 3.1×
Salivary Gland Imaging Serial Images (78231) $1,177.13 $2,221 3.1×
Scapula (73010)
range across 3 matching MRF lines
$461.63–$692.18 $871–$1,306 varies
Screening Digital Breast Tomosynthesis Bi (77063)
range across 3 matching MRF lines
$101.76–$152.64 $192–$288 varies
Sella turcica (70240) $90.63 $171 1.1×
Shoulder 1 view (73020)
range across 3 matching MRF lines
$281.43–$557.03 $531–$1,051 varies
Shoulder Arthrography (73040)
range across 3 matching MRF lines
$703.84–$1,407.68 $1,328–$2,656 varies
Sialogram (70390) $252.81 $477 1.1×
Skull less than 4 views (70250) $351.92 $664 3.5×
Special dosimetry (77331) $438.84 $828 3.4×
Special Physics Consult (77370) $123.49 $233 1.0×
Special teletherapy port plan (77321) $348.21 $657 1.0×
Special treatment procedure (77470) $448.91 $847 0.8×
Speech evaluation, complex (70371) $252.81 $477 1.1×
Spleen Imaging (78185) $1,177.13 $2,221 3.1×
Srs Multisource (77371) $97,054.66 $183,122 13.8×
Stereotactic Body Radiation Delivery (77373) $7,154.47 $13,499 4.2×
Sternoclavicular joints (71130) $551.20 $1,040 6.6×
Superior sagittal sinus venogram (75870) $2,127.95 $4,015 0.7×
Telethx isodose pln cplx w/basic dosimetry (77307) $1,396.55 $2,635 3.9×
Telethx isodose pln smpl w/dosimetry calculation (77306) $741.47 $1,399 2.1×
Temporomandble Jt Arthrography Rs&I (70332)
range across 3 matching MRF lines
$469.05–$938.10 $885–$1,770 varies
Testicular Imaging W/Flow (78761) $879.80 $1,660 2.3×
Ther Rad Simulaj-Aided Field Setting Complex (77290) $2,718.90 $5,130 7.6×
Ther Rad Simulaj-Aided Field Setting Intermed (77285) $2,504.25 $4,725 7.0×
Ther rad simulaj-aided field setting simple (77280) $2,039.44 $3,848 15.9×
Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) $252.28 $476 1.5×
Thoracic spine 2 views (72070) $418.17 $789 4.2×
Thoracic spine 3 views (72072) $573.46 $1,082 5.7×
Thoracolumbar 2 views (72080) $197.16 $372 2.4×
Thyroid carcinoma metastases imaging; with additional studies (eg, urinary recovery) Non-Facility (78016) $930.15 $1,755 2.4×
Thyroid Carcinoma Metastases Img Lmtd Area (78015) $858.60 $1,620 2.2×
Thyroid Imaging With Vascular Flow (78013) $183.38 $346 0.5×
Thyroid Met Imaging Body (78018) $4,146.72 $7,824 8.0×
Thyroid Uptake Measurement (78012) $171.72 $324 0.4×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $810.37 $1,529 2.1×
Tx Devices Design & Construction Complex (77334) $3,151.38 $5,946 8.8×
Tx devices design & construction intermediate (77333) $1,802.53 $3,401 14.0×
Tx devices design & construction simple (77332) $1,368.46 $2,582 10.7×
Ultrasound Breast Limited (76642)
range across 3 matching MRF lines
$385.31–$770.09 $727–$1,453 varies
Ultrasound elastography first target lesion (76982) $142.57 $269 1.4×
Ultrasound Elastography Parenchyma (76981) $410.22 $774 4.1×
Ultrasound Exam Aaa Screen (76706) $274.01 $517 2.7×
Ultrasound, abdomen limited (76705) $1,232.78 $2,326 12.3×
Umbilical-artery Doppler (OB) (76820) $908.42 $1,714 9.1×
Unlisted fluoroscopic procedure (76496) $459.51 $867 5.5×
Unlisted magnetic resonance procedure (76498) $1,799.88 $3,396 21.6×
Unlisted us procedure (76999) $252.81 $477 3.0×
Upper gi w/o kub (74240) $1,238.08 $2,336 7.4×
Ureteral Reflux Study (78740) $1,070.07 $2,019 2.8×
Urethrocystogram voiding (74455) $438.84 $828 1.9×
Urethrocystography retrograde (74450) $307.40 $580 1.3×
Us breast unilateral complete (76641) $1,097.63 $2,071 11.0×
Us chest (76604) $186.56 $352 1.9×
Us complete joint (76881)
range across 3 matching MRF lines
$109.18–$217.83 $206–$411 varies
Us exam, pelvic, limited (76857) $492.37 $929 4.9×
Us head (76506) $222.07 $419 2.2×
Us kidney transplant (76776) $134.62 $254 1.3×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882)
range across 3 matching MRF lines
$546.43–$3,278.05 $1,031–$6,185 varies
Us ob detailed single fetus (76811) $243.80 $460 1.1×
Us ob limited 1 or more fetuses (76815) $541.13 $1,021 5.4×
Us ob transvaginal (76817) $1,978.49 $3,733 19.8×
Us pelvic non ob complete (76856) $2,473.51 $4,667 24.8×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $1,905.35 $3,595 19.1×
Us preg uterus real time f/u trnsabdl per fetus (76816) $446.79 $843 4.5×
Us retroperitoneal complete (76770) $114.48 $216 1.1×
Us retroperitoneal limited (76775) $1,058.94 $1,998 10.6×
Us scrotum and contents (76870) $1,853.94 $3,498 18.6×
Us spinal canal and contents (76800) $1,407.68 $2,656 14.1×
Us thyroid (76536) $1,963.65 $3,705 19.7×
Us transrectal (76872) $2,939.38 $5,546 29.4×
Vascular Flow Imaging (78445) $1,177.13 $2,221 3.1×
Vasogram (74440) $252.81 $477 1.1×
Vein X-Ray Chest (75827) $1,981.14 $3,738 1.3×
Vein X-Ray Liver W/O Hemodyn (75887) $3,491.11 $6,587 1.2×
Vein X-Ray Skull Epidural (75872) $819.91 $1,547 1.4×
Vein X-Ray Spleen/Liver (75810) $442.55 $835 0.1×
Venogram Sinus/Jugular (75860) $1,732.04 $3,268 0.6×
Venography Adrenal Unilateral (75840) $3,219.75 $6,075 1.1×
Venography caval inferior serialography rs&i (75825) $4,418.61 $8,337 1.5×
Venography extremity bilateral rs&i (75822) $3,155.62 $5,954 2.1×
Venography extremity unilateral rs&i (75820) $1,567.74 $2,958 1.0×
Venography Orbital Rs&I (75880) $414.99 $783 0.7×
Venography Renal Bilateral (75833) $8,907.18 $16,806 3.0×
Venography Renal Unilateral (75831) $7,139.10 $13,470 2.4×
Venous sampling by catheter (75893) $5,951.90 $11,230 1.1×
Venous thrombosis imaging (78457) $1,301.15 $2,455 2.5×
Venous Thrombosis Imaging Venogram Bilateral (78458) $4,473.73 $8,441 11.7×
Vertebral fracture assessment via dxa (77086) $90.63 $171 1.1×
Wrist 2 views (73100)
range across 6 matching MRF lines
$234.79–$584.06 $443–$1,102 varies
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $403.86 $762 4.9×
X-ray antegrade pyelogram tube (74425) $276.13 $521 0.8×
X-Ray Aorta Leg Arteries (75630) $2,009.76 $3,792 0.7×
X-Ray Bend Only L-S Spine (72120) $500.85 $945 5.0×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070)
range across 6 matching MRF lines
$314.82–$573.46 $594–$1,082 varies
X-Ray Exam Breast Specimen (76098) $1,950.40 $3,680 3.7×
X-Ray Exam Entire Spi 1 Vw (72081) $329.66 $622 4.0×
X-Ray Exam Entire Spi 2/3 Vw (72082) $599.96 $1,132 6.0×
X-Ray Exam Entire Spi 4/5 Vw (72083) $691.12 $1,304 6.9×
X-Ray Exam Hip Uni 1 View (73501)
range across 3 matching MRF lines
$217.30–$384.25 $410–$725 varies
X-Ray Exam Hip Uni 2-3 Views (73502) $278.25 $525 3.3×
X-Ray Exam Hip Uni 4/> Views (73503) $366.23 $691 3.7×
X-Ray Exam Hips Bi 2 Views (73521) $455.27 $859 4.6×
X-Ray Exam Hips Bi 3-4 Views (73522) $753.66 $1,422 7.5×
X-Ray Exam L-S Spine Bending (72114) $643.95 $1,215 6.4×
X-Ray Exam Neck Spine 2-3 Vw (72040) $515.16 $972 6.2×
X-Ray Exam Neck Spine 6/>Vws (72052) $590.42 $1,114 5.9×
X-Ray Exam Unilat Ribs/Chest (71101) $643.95 $1,215 6.4×
X-ray eye for foreign body (70030)
range across 3 matching MRF lines
$128.26–$191.86 $242–$362 varies
X-ray head for orthodontia (70350) $90.63 $171 1.1×
X-ray humerus (73060)
range across 6 matching MRF lines
$206.70–$463.75 $390–$875 varies
X-ray IV pyelogram (ivp) (74400) $1,404.50 $2,650 8.4×
X-ray IV pyelogram+tomography (74415) $317.47 $599 1.9×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $150.52 $284 1.8×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $108.12 $204 1.3×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $460.57 $869 4.6×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $1,336.66 $2,522 13.4×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $134.62 $254 1.3×
X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) $73.67 $139 0.7×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $360.40 $680 4.3×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $67.31 $127 0.8×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $411.28 $776 4.1×
X-ray thoracic spine 4 vw (72074) $708.08 $1,336 7.1×
X-Ray Tmj Unilat (70328) $331.78 $626 4.0×
X-Ray Urinary Tract Exam With Contrast Material (74420) $707.02 $1,334 2.1×
X-Rays Bone Length Studies (77073) $59.36 $112 0.6×
X-Rays Bone Survey Complete (77075) $661.44 $1,248 6.6×
Xr c-spine 4 or 5 views (72050) $532.65 $1,005 5.3×
Xr facial bones less than 3 views (70140) $130.91 $247 1.6×
XR Mastoids < 3 Views Bilateral (70120) $73.14 $138 0.7×
Xr myelogram posterior fossa (70010) $358.28 $676 1.1×
Xr orbits complete 4 views (70200) $96.46 $182 1.0×
Xr Tomogram Single Plane (76100) $144.69 $273 1.4×

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.