Imaging prices at ECU Health North Hospital
Roanoke Rapids, NC · every code in this section with a posted price and a Medicare benchmark.
278 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) | $343.84 | $614 | 4.1× |
| Abdomen 2 views (74019) | $492.24 | $879 | 4.9× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $445.76 | $796 | 1.2× |
| Angiography extremity bilateral rs&i (75716) | $4,093.04 | $7,309 | 1.4× |
| Angiography extremity unilateral rs&i (75710) | $1,767.36 | $3,156 | 0.6× |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$385.28–$577.92 | $688–$1,032 | varies |
| Aortography thoracic serialography rs&i (75605) | $3,434.48 | $6,133 | 0.6× |
| Arthrogram hip (73525) range across 3 matching MRF lines |
$751.52–$3,400.32 | $1,342–$6,072 | varies |
| Arthrogram Wrist (73115) range across 3 matching MRF lines |
$603.68–$1,206.80 | $1,078–$2,155 | varies |
| Bone age studies (77072) | $75.60 | $135 | 0.8× |
| Bone Imaging 3 Phase (78315) | $680.40 | $1,215 | 1.8× |
| Bone Imaging Limited Area (78300) | $147.28 | $263 | 0.4× |
| Bone Imaging Whole Body (78306) | $519.12 | $927 | 1.4× |
| Bone marrow imaging limited area (78102) | $659.68 | $1,178 | 1.7× |
| Bone survey infant (77076) | $358.40 | $640 | 3.6× |
| Brain Imaging Minimum 4 Static Views (78605) | $1,063.44 | $1,899 | 2.0× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $5,569.20 | $9,945 | 4.1× |
| Cat Scan Follow-Up Study (76380) | $177.52 | $317 | 2.1× |
| Cerebrospinal Fluid Scan (78630) | $1,415.12 | $2,527 | 2.7× |
| Chest 1 view (71045) | $250.88 | $448 | 3.0× |
| Chest 2 views (71046) | $276.64 | $494 | 3.3× |
| Chest 3 views (71047) | $432.32 | $772 | 5.2× |
| Chest 4 or more views (71048) | $519.12 | $927 | 5.2× |
| Clavicle complete (73000) range across 3 matching MRF lines |
$395.36–$790.16 | $706–$1,411 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $91.84 | $164 | 0.9× |
| Contrast Exam Abdominl Aorta (75625) | $1,752.80 | $3,130 | 0.6× |
| Contrast X-Ray Bladder (74430) | $310.24 | $554 | 0.9× |
| Contrast X-Ray Of Knee Joint (73580) range across 3 matching MRF lines |
$751.52–$1,502.48 | $1,342–$2,683 | varies |
| CT abdomen and pelvis without and with contrast (74178) | $5,902.40 | $10,540 | 17.7× |
| CT abdomen and pelvis without contrast (74176) | $3,578.96 | $6,391 | 15.7× |
| CT abdomen w contrast (74160) | $3,296.16 | $5,886 | 19.7× |
| CT abdomen w wo contrast (74170) | $4,081.28 | $7,288 | 24.3× |
| CT abdomen w/o contrast (74150) | $2,912.56 | $5,201 | 29.1× |
| CT Angio Abdomen and Pelvis (74174) | $5,550.72 | $9,912 | 16.6× |
| CT Angio Chest (71275) | $2,925.44 | $5,224 | 17.4× |
| CT Angio Head (70496) | $2,170 | $3,875 | 12.9× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 3 matching MRF lines |
$805.28–$907.20 | $1,438–$1,620 | varies |
| CT Angio Neck (70498) | $413.84 | $739 | 2.5× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 3 matching MRF lines |
$805.28–$831.60 | $1,438–$1,485 | varies |
| CT bone density (77078) | $73.92 | $132 | 0.9× |
| CT Cere Prfuj Alys C+ W/O CT/Cta Same Anatomy (70473) | $271.04 | $484 | 1.6× |
| CT cervical spine w/ contrast (72126) | $2,556.96 | $4,566 | 7.7× |
| CT cervical spine w/o contrast (72125) | $2,410.80 | $4,305 | 24.1× |
| CT cervical spine w/wo cont (72127) | $2,671.76 | $4,771 | 15.9× |
| CT chest w contrast (71260) | $2,222.64 | $3,969 | 13.3× |
| CT chest w/wo contrast (71270) | $3,240.16 | $5,786 | 19.3× |
| CT head/brain with contrast (70460) | $1,868.16 | $3,336 | 11.1× |
| CT head/brain without and with contrast (70470) | $2,474.64 | $4,419 | 14.8× |
| CT iac w contrast (70481) | $2,671.20 | $4,770 | 15.9× |
| CT l-spine w&w/o contrast (72133) | $2,952.88 | $5,273 | 17.6× |
| CT lower ext w/o (73700) range across 21 matching MRF lines |
$1,844.08–$2,986.48 | $3,293–$5,333 | varies |
| CT lower extremity w/contrast material (73701) range across 21 matching MRF lines |
$2,120.16–$3,909.36 | $3,786–$6,981 | varies |
| CT lumbar spine w contrast (72132) | $2,178.40 | $3,890 | 6.5× |
| CT lumbar spine w/o contrast (72131) | $1,964.48 | $3,508 | 19.7× |
| CT maxillofacial w contrast (70487) | $2,910.32 | $5,197 | 17.4× |
| CT maxillofacial wo contrast (70486) | $2,131.92 | $3,807 | 21.3× |
| CT neck tissue combo (70492) | $2,651.60 | $4,735 | 15.8× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 4 matching MRF lines |
$3,967.04–$4,082.40 | $7,084–$7,290 | varies |
| CT orbits w/o contrast (70480) range across 4 matching MRF lines |
$2,242.80–$2,268 | $4,005–$4,050 | varies |
| CT pelvis w&w/o contrast (72194) | $3,542 | $6,325 | 21.1× |
| CT pelvis w/o contrast (72192) | $2,254 | $4,025 | 22.6× |
| CT scan of leg combo (73702) range across 21 matching MRF lines |
$2,983.12–$5,966.24 | $5,327–$10,654 | varies |
| CT scans face/jaw combo (70488) | $3,772.16 | $6,736 | 22.5× |
| CT soft tissue neck w contrast (70491) | $2,577.12 | $4,602 | 15.4× |
| CT soft tissue neck w/o contrast (70490) | $1,713.60 | $3,060 | 17.1× |
| CT thoracic spine w contrast (72129) | $2,693.04 | $4,809 | 16.1× |
| CT thoracic spine w/o contrast (72128) | $2,430.40 | $4,340 | 24.3× |
| CT thoracic spine w/wo cont (72130) | $2,817.36 | $5,031 | 16.8× |
| CT thorax w/o contrast (71250) | $1,771.28 | $3,163 | 17.7× |
| CT upper ext wo (73200) range across 21 matching MRF lines |
$2,744–$8,312.64 | $4,900–$14,844 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 21 matching MRF lines |
$6,120.80–$12,241.60 | $10,930–$21,860 | varies |
| CT upper extremity with contrast (73201) range across 21 matching MRF lines |
$4,715.20–$9,430.40 | $8,420–$16,840 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $2,718.24 | $4,854 | 16.2× |
| Cta Abdomen (74175) | $3,259.20 | $5,820 | 19.4× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $621.04 | $1,109 | 1.9× |
| CTA pelvis (72191) | $1,461.04 | $2,609 | 8.7× |
| Dilation ureters/urethra rs&i (74485) | $1,949.92 | $3,482 | 1.0× |
| Discography Cerv/Thor Spine (72285) | $1,860.88 | $3,323 | 1.0× |
| Diskography lumbar (72295) | $1,860.88 | $3,323 | 1.0× |
| Dxa bone density study (77085) | $287.84 | $514 | 2.9× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $207.20 | $370 | 2.5× |
| Esophagram (74220) | $454.72 | $812 | 2.7× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $208.32 | $372 | 2.1× |
| Fluoroscopy up to 1 hr (76000) | $274.40 | $490 | 1.2× |
| Foot 2 views (73620) range across 6 matching MRF lines |
$453.04–$483.84 | $809–$864 | varies |
| Forearm 2 views (73090) range across 6 matching MRF lines |
$147.28–$444.08 | $263–$793 | varies |
| Gastric emptying imaging study (78264) | $1,620.64 | $2,894 | 4.2× |
| Gated Heart Planar Single (78472) | $621.60 | $1,110 | 1.6× |
| Hand 2 views (73120) range across 6 matching MRF lines |
$271.04–$552.16 | $484–$986 | varies |
| Hepatobil Syst Image W/Drug (78227) | $3,780 | $6,750 | 7.3× |
| Hepatobiliary System Imaging (78226) | $3,492.16 | $6,236 | 9.1× |
| Ht Muscle Image Spect Sing (78451) | $1,200.64 | $2,144 | 1.0× |
| Hysterosalpingogram (74740) | $251.44 | $449 | 1.1× |
| K Flow/Funct Image Multiple (78709) | $1,792 | $3,200 | 3.5× |
| K Flow/Funct Image W/Drug (78708) | $1,147.44 | $2,049 | 2.2× |
| K Flow/Funct Image W/O Drug (78707) | $435.68 | $778 | 0.8× |
| Kidney Imaging Morphol (78700) | $1,436.96 | $2,566 | 3.8× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $1,467.76 | $2,621 | 3.8× |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$499.52–$698.88 | $892–$1,248 | varies |
| Leveen/Shunt Patency Exam (78291) | $754.32 | $1,347 | 2.0× |
| Liver & Spleen Imaging Static Only (78215) | $1,100.40 | $1,965 | 2.9× |
| Liver imaging w/vascular flow (78202) | $1,393.84 | $2,489 | 2.7× |
| Lung Perf&Ventilat Diferentl (78598) | $716.80 | $1,280 | 1.4× |
| Lung perfusion differential (78597) | $402.08 | $718 | 1.1× |
| Lung Ventilat&Perfus Imaging (78582) | $546 | $975 | 1.1× |
| Lung Ventilation Imaging (78579) | $510.72 | $912 | 1.3× |
| Lymph System Imaging (78195) | $1,411.76 | $2,521 | 2.7× |
| Magnetic Image Jaw Joint (70336) | $1,928.08 | $3,443 | 8.5× |
| Mammary ductogram or galactogram multiple (77054) range across 3 matching MRF lines |
$272.16–$544.32 | $486–$972 | varies |
| Mammary ductogram or galactogram single (77053) range across 3 matching MRF lines |
$241.36–$482.72 | $431–$862 | varies |
| Meckels Divert Exam (78290) | $1,008 | $1,800 | 2.6× |
| 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 contrast (70544) | $3,080 | $5,500 | 13.5× |
| MRA neck w contrast (70548) | $3,069.92 | $5,482 | 9.2× |
| Mra Neck W/O &W/Contrast Material (70549) | $4,021.36 | $7,181 | 12.1× |
| MRA neck w/o contrast (70547) | $1,806 | $3,225 | 7.9× |
| MRI abdomen w contrast (74182) | $3,055.36 | $5,456 | 9.2× |
| MRI abdomen w/o contrast (74181) | $2,597.28 | $4,638 | 11.4× |
| MRI any jt lower extrem w/contrast material (73722) range across 12 matching MRF lines |
$5,140.80–$5,443.20 | $9,180–$9,720 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 12 matching MRF lines |
$5,670–$6,804 | $10,125–$12,150 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 12 matching MRF lines |
$3,400.32–$4,158 | $6,072–$7,425 | varies |
| MRI cervical spine w contrast (72142) | $3,573.92 | $6,382 | 10.7× |
| MRI cervical spine w/o cont (72141) | $3,123.12 | $5,577 | 13.7× |
| MRI chest w/o contrast (71550) | $1,842.40 | $3,290 | 8.1× |
| MRI chest with contrast (71551) | $1,920.24 | $3,429 | 2.6× |
| MRI chest wo w contrast (71552) | $2,327.92 | $4,157 | 7.0× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 9 matching MRF lines |
$2,556.40–$5,112.80 | $4,565–$9,130 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 9 matching MRF lines |
$2,993.20–$6,006.56 | $5,345–$10,726 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 9 matching MRF lines |
$1,711.36–$3,439.52 | $3,056–$6,142 | varies |
| MRI lumbar spine w contrast (72149) | $4,215.68 | $7,528 | 12.6× |
| Mri Neck Spine W/O & W/Dye (72156) | $5,079.20 | $9,070 | 15.2× |
| MRI orbit face &/neck w/o contrast (70540) | $4,491.76 | $8,021 | 19.7× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $4,609.92 | $8,232 | 13.8× |
| MRI pelvis w contrast (72196) | $3,564.40 | $6,365 | 10.7× |
| MRI pelvis w/o & w contrast (72197) | $3,869.60 | $6,910 | 11.6× |
| MRI pelvis w/o contrast (72195) | $1,528.80 | $2,730 | 6.7× |
| MRI thoracic spine w/o contrast (72146) | $2,571.52 | $4,592 | 11.3× |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 15 matching MRF lines |
$2,588.88–$5,177.76 | $4,623–$9,246 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 15 matching MRF lines |
$1,802.64–$2,268 | $3,219–$4,050 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 15 matching MRF lines |
$5,292–$5,696.88 | $9,450–$10,173 | varies |
| MRI, abdomen, combo (74183) | $3,943.52 | $7,042 | 11.8× |
| MRI, dorsal spine combo (72157) | $4,001.76 | $7,146 | 12.0× |
| MRI, dorsal spine contrast (72147) | $2,685.76 | $4,796 | 8.1× |
| MRI, joint upper extrem (73221) range across 12 matching MRF lines |
$968.80–$2,646 | $1,730–$4,725 | varies |
| MRI, joint upper extrem combo (73223) range across 12 matching MRF lines |
$4,488.96–$4,914 | $8,016–$8,775 | varies |
| MRI, lumbar spine combo (72158) | $5,290.32 | $9,447 | 15.9× |
| Myelogram Lumbar (72265) | $815.92 | $1,457 | 1.1× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $1,060.64 | $1,894 | 0.9× |
| Myocardial Spect Multiple Studies (78452) range across 6 matching MRF lines |
$5,274.08–$7,383.04 | $9,418–$13,184 | varies |
| 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× |
| Nuclear Rx Oral Admin (79005) | $968.80 | $1,730 | 4.3× |
| Oph us dx ant sgm us immersion b-scan/hr biom (76513) | $210 | $375 | 2.1× |
| Parathyroid Planar Imaging (78070) | $464.24 | $829 | 1.2× |
| Pelvis 1 or 2 views (72170) | $354.48 | $633 | 3.5× |
| PET image w/CT, full body (78816) | $3,684.24 | $6,579 | 2.7× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $1,410.64 | $2,519 | 1.0× |
| Pulmonary Perfusion Imaging Particulate (78580) | $413.84 | $739 | 1.1× |
| Quan&Charac C Atherosclerotc Plaq Asses Sev C Ds (75577) | $1,437.52 | $2,567 | 1.6× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $624.96 | $1,116 | 6.3× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $711.20 | $1,270 | 1.4× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$506.24–$759.36 | $904–$1,356 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$230.16–$344.96 | $411–$616 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$477.12–$715.68 | $852–$1,278 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $253.68 | $453 | 2.5× |
| 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–$711.76 | $878–$1,271 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$407.68–$590.24 | $728–$1,054 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 3 matching MRF lines |
$93.52–$186.48 | $167–$333 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $228.48 | $408 | 2.3× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$264.88–$283.92 | $473–$507 | varies |
| Radex Ribs Unilateral 2 Views (71100) | $287.28 | $513 | 3.5× |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$394.24–$787.92 | $704–$1,407 | varies |
| Radex Spine 1 View Specify Level (72020) | $541.52 | $967 | 6.5× |
| Radex Sternum Minimum 2 Views (71120) | $131.60 | $235 | 1.6× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $135.52 | $242 | 1.6× |
| Radex Toe Minimum 2 Views (73660) range across 13 matching MRF lines |
$263.20–$393.12 | $470–$702 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 3 matching MRF lines |
$75.60–$150.64 | $135–$269 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$340.48–$521.92 | $608–$932 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) | $449.68 | $803 | 4.5× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $572.88 | $1,023 | 5.7× |
| Radiologic exam colon double contrast study (74280) | $749.84 | $1,339 | 4.5× |
| Radiologic exam colon single contrast study (74270) | $674.24 | $1,204 | 4.0× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $635.60 | $1,135 | 3.8× |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$519.12–$778.40 | $927–$1,390 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $430.08 | $768 | 4.3× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $264.88 | $473 | 1.6× |
| Radiologic exam swallow function contrast study (74230) | $325.92 | $582 | 1.9× |
| Radiologic exam upr gi trc double contrast study (74246) | $345.52 | $617 | 2.1× |
| Radiologic examination femur 1 view (73551) range across 3 matching MRF lines |
$57.12–$366.80 | $102–$655 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines |
$362.88–$565.04 | $648–$1,009 | varies |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$359.52–$538.72 | $642–$962 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 6 matching MRF lines |
$248.08–$530.88 | $443–$948 | varies |
| Ribs bilateral 3 views (71110) range across 3 matching MRF lines |
$358.96–$607.60 | $641–$1,085 | varies |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $995.68 | $1,778 | 2.6× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $1,919.68 | $3,428 | 3.7× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $914.48 | $1,633 | 1.8× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $4,226.32 | $7,547 | 8.1× |
| Scapula (73010) range across 3 matching MRF lines |
$353.36–$708.96 | $631–$1,266 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 3 matching MRF lines |
$33.04–$91.84 | $59–$164 | varies |
| Shoulder 1 view (73020) range across 3 matching MRF lines |
$357.28–$715.12 | $638–$1,277 | varies |
| Shoulder Arthrography (73040) range across 3 matching MRF lines |
$359.52–$719.04 | $642–$1,284 | varies |
| Skull less than 4 views (70250) | $394.24 | $704 | 3.9× |
| Sternoclavicular joints (71130) | $133.84 | $239 | 1.6× |
| Testicular Imaging W/Flow (78761) | $870.24 | $1,554 | 2.3× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $184.80 | $330 | 1.1× |
| Thoracic spine 2 views (72070) | $434 | $775 | 4.3× |
| Thoracic spine 3 views (72072) | $456.40 | $815 | 4.6× |
| Thoracolumbar 2 views (72080) | $206.64 | $369 | 2.5× |
| Thyroid Imaging With Vascular Flow (78013) | $397.04 | $709 | 1.0× |
| Thyroid Uptake Measurement (78012) | $767.76 | $1,371 | 2.0× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $420 | $750 | 1.1× |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$471.52–$1,546.72 | $842–$2,762 | varies |
| Ultrasound Elastography Parenchyma (76981) | $305.76 | $546 | 3.1× |
| Ultrasound Exam Aaa Screen (76706) | $91.84 | $164 | 0.9× |
| Ultrasound, abdomen limited (76705) | $1,603.84 | $2,864 | 16.0× |
| Umbilical-artery Doppler (OB) (76820) | $69.44 | $124 | 0.7× |
| Upper gi w/o kub (74240) | $310.80 | $555 | 1.9× |
| Urethrocystogram voiding (74455) | $178.64 | $319 | 0.8× |
| Urethrocystography retrograde (74450) | $533.68 | $953 | 2.3× |
| Us chest (76604) | $225.68 | $403 | 2.3× |
| Us complete joint (76881) range across 3 matching MRF lines |
$771.12–$1,542.24 | $1,377–$2,754 | varies |
| Us exam, pelvic, limited (76857) | $447.44 | $799 | 4.5× |
| Us head (76506) | $161.28 | $288 | 1.6× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 3 matching MRF lines |
$200.48–$273.28 | $358–$488 | varies |
| Us ob limited 1 or more fetuses (76815) | $361.76 | $646 | 3.6× |
| Us ob transvaginal (76817) | $2,047.36 | $3,656 | 20.5× |
| Us pelvic non ob complete (76856) | $1,864.24 | $3,329 | 18.7× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $1,667.12 | $2,977 | 16.7× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $238.56 | $426 | 2.4× |
| Us retroperitoneal complete (76770) | $97.44 | $174 | 1.0× |
| Us retroperitoneal limited (76775) | $244.72 | $437 | 2.4× |
| Us scrotum and contents (76870) | $1,821.12 | $3,252 | 18.2× |
| Us thyroid (76536) | $1,460.48 | $2,608 | 14.6× |
| Vascular Flow Imaging (78445) | $1,063.44 | $1,899 | 2.8× |
| Venography caval inferior serialography rs&i (75825) | $3,470.88 | $6,198 | 1.2× |
| Venography extremity bilateral rs&i (75822) | $1,423.52 | $2,542 | 0.9× |
| Venography extremity unilateral rs&i (75820) | $1,340.64 | $2,394 | 0.9× |
| Venous thrombosis imaging (78457) | $3,727.36 | $6,656 | 7.2× |
| Venous Thrombosis Imaging Venogram Bilateral (78458) | $4,026.40 | $7,190 | 10.5× |
| Wrist 2 views (73100) range across 6 matching MRF lines |
$168–$507.36 | $300–$906 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $282.24 | $504 | 3.4× |
| X-ray antegrade pyelogram tube (74425) | $410.48 | $733 | 1.2× |
| X-Ray Aorta Leg Arteries (75630) | $4,091.36 | $7,306 | 1.4× |
| X-Ray Bend Only L-S Spine (72120) | $571.76 | $1,021 | 5.7× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 6 matching MRF lines |
$237.44–$582.40 | $424–$1,040 | varies |
| X-Ray Exam Breast Specimen (76098) | $1,508.08 | $2,693 | 2.9× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $836.08 | $1,493 | 10.1× |
| X-Ray Exam Hip Uni 1 View (73501) range across 3 matching MRF lines |
$134.96–$378 | $241–$675 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $308 | $550 | 3.7× |
| X-Ray Exam Hips Bi 2 Views (73521) | $397.04 | $709 | 4.0× |
| X-Ray Exam L-S Spine Bending (72114) | $709.52 | $1,267 | 7.1× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $530.32 | $947 | 6.4× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $740.88 | $1,323 | 7.4× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $554.40 | $990 | 5.5× |
| X-ray eye for foreign body (70030) range across 3 matching MRF lines |
$141.12–$281.68 | $252–$503 | varies |
| X-ray humerus (73060) range across 6 matching MRF lines |
$230.16–$487.76 | $411–$871 | varies |
| X-ray IV pyelogram (ivp) (74400) | $1,065.12 | $1,902 | 6.4× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $185.92 | $332 | 2.2× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $73.92 | $132 | 0.9× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $502.32 | $897 | 5.0× |
| X-ray nose-rectum child f.b. (76010) | $89.04 | $159 | 1.1× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $651.84 | $1,164 | 6.5× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $236.88 | $423 | 2.4× |
| 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) | $819.28 | $1,463 | 9.8× |
| X-ray thoracic spine 4 vw (72074) | $488.32 | $872 | 4.9× |
| X-Ray Tmj Unilat (70328) | $67.76 | $121 | 0.8× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $1,098.72 | $1,962 | 3.3× |
| X-Rays Bone Survey Complete (77075) | $946.40 | $1,690 | 9.5× |
| Xr c-spine 4 or 5 views (72050) | $656.32 | $1,172 | 6.6× |
| XR Mastoids < 3 Views Bilateral (70120) | $94.64 | $169 | 0.9× |
| Xr orbits complete 4 views (70200) | $440.72 | $787 | 4.4× |
| Xr Tomogram Single Plane (76100) | $207.20 | $370 | 2.1× |
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.