Imaging prices at ECU Health Roanoke-Chowan Hospital
Ahoskie, NC · every code in this section with a posted price and a Medicare benchmark.
304 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) | $4,416.72 | $7,887 | 3.3× |
| Abdomen 1 View (74018) | $400.40 | $715 | 4.8× |
| Abdomen 2 views (74019) | $435.12 | $777 | 4.3× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $772.80 | $1,380 | 2.0× |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$435.12–$652.40 | $777–$1,165 | varies |
| Arthrogram ankle (73615) range across 3 matching MRF lines |
$763.28–$1,526 | $1,363–$2,725 | varies |
| Arthrogram hip (73525) range across 3 matching MRF lines |
$511.28–$752.64 | $913–$1,344 | varies |
| Arthrogram Wrist (73115) range across 3 matching MRF lines |
$612.64–$1,225.28 | $1,094–$2,188 | varies |
| Basic radiation dosimetry calculation (77300) | $478.80 | $855 | 3.7× |
| Bone age studies (77072) | $272.72 | $487 | 2.7× |
| Bone Imaging 3 Phase (78315) | $6,048 | $10,800 | 15.8× |
| Bone Imaging Limited Area (78300) | $531.44 | $949 | 1.4× |
| Bone Imaging Whole Body (78306) | $2,869.44 | $5,124 | 7.5× |
| Bone survey infant (77076) | $137.20 | $245 | 1.4× |
| Brachytx isodose complex (77318) | $729.68 | $1,303 | 2.0× |
| Brachytx isodose intermed (77317) | $660.24 | $1,179 | 1.8× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $3,549.28 | $6,338 | 2.6× |
| Cat Scan Follow-Up Study (76380) | $480.48 | $858 | 5.8× |
| Chest 1 view (71045) | $193.76 | $346 | 2.3× |
| Chest 2 views (71046) | $232.40 | $415 | 2.8× |
| Chest 3 views (71047) | $358.96 | $641 | 4.3× |
| Chest 4 or more views (71048) | $552.72 | $987 | 5.5× |
| Cholecystography Oral Contrast (74290) | $255.36 | $456 | 1.5× |
| Clavicle complete (73000) range across 3 matching MRF lines |
$430.08–$645.12 | $768–$1,152 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $675.92 | $1,207 | 6.7× |
| Continuing medical physics consltj pr wk (77336) | $341.60 | $610 | 2.7× |
| Contrast X-Ray Bladder (74430) | $313.60 | $560 | 0.9× |
| Contrast X-Ray Of Elbow (73085) range across 3 matching MRF lines |
$763.28–$1,526 | $1,363–$2,725 | 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) | $203.84 | $364 | 1.2× |
| CT abdomen and pelvis without and with contrast (74178) | $4,536 | $8,100 | 13.6× |
| CT abdomen and pelvis without contrast (74176) | $2,598.40 | $4,640 | 11.4× |
| CT abdomen w contrast (74160) | $3,674.16 | $6,561 | 21.9× |
| CT abdomen w wo contrast (74170) | $4,258.24 | $7,604 | 25.3× |
| CT abdomen w/o contrast (74150) | $3,267.60 | $5,835 | 32.6× |
| CT Angio Abdomen and Pelvis (74174) | $5,594.40 | $9,990 | 16.7× |
| CT Angio Chest (71275) | $2,925.44 | $5,224 | 17.4× |
| CT Angio Head (70496) | $3,185.28 | $5,688 | 19.0× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 3 matching MRF lines |
$1,184.40–$2,094.96 | $2,115–$3,741 | varies |
| CT Angio Neck (70498) | $3,156.16 | $5,636 | 18.8× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 3 matching MRF lines |
$1,184.40–$2,094.96 | $2,115–$3,741 | varies |
| 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) | $2,326.80 | $4,155 | 13.8× |
| CT chest w/wo contrast (71270) | $2,448.88 | $4,373 | 14.6× |
| CT colonography screening (74263) | $1,552.32 | $2,772 | 6.8× |
| CT Colonogrphy Dx Image Postprocess W/Contrast (74262) | $1,064 | $1,900 | 6.3× |
| CT colonogrphy dx image postprocess w/o contrast (74261) | $617.68 | $1,103 | 6.2× |
| CT head/brain with contrast (70460) | $2,063.60 | $3,685 | 12.3× |
| CT head/brain without and with contrast (70470) | $1,950.48 | $3,483 | 11.6× |
| CT heart no contrast quant eval coronry calcium (75571) | $617.68 | $1,103 | 7.4× |
| CT iac w contrast (70481) range across 3 matching MRF lines |
$1,489.04–$3,024 | $2,659–$5,400 | varies |
| CT l-spine w&w/o contrast (72133) | $3,166.80 | $5,655 | 18.8× |
| CT lower ext w/o (73700) range across 21 matching MRF lines |
$1,009.68–$2,457.28 | $1,803–$4,388 | varies |
| CT lower extremity w/contrast material (73701) range across 21 matching MRF lines |
$1,497.44–$2,994.32 | $2,674–$5,347 | varies |
| CT lumbar spine w contrast (72132) | $2,482.48 | $4,433 | 7.4× |
| CT lumbar spine w/o contrast (72131) | $2,432.08 | $4,343 | 24.3× |
| CT maxillofacial w contrast (70487) | $2,263.52 | $4,042 | 13.5× |
| CT maxillofacial wo contrast (70486) | $2,189.04 | $3,909 | 21.9× |
| CT neck tissue combo (70492) | $2,880.64 | $5,144 | 17.1× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 3 matching MRF lines |
$2,693.04–$3,175.20 | $4,809–$5,670 | varies |
| CT orbits w/o contrast (70480) range across 3 matching MRF lines |
$604.80–$2,872.80 | $1,080–$5,130 | varies |
| CT pelvis w&w/o contrast (72194) | $2,977.52 | $5,317 | 17.7× |
| CT pelvis w/o contrast (72192) | $2,098.32 | $3,747 | 21.0× |
| CT scan of leg combo (73702) range across 21 matching MRF lines |
$2,240–$4,479.44 | $4,000–$7,999 | varies |
| CT scans face/jaw combo (70488) | $2,334.64 | $4,169 | 13.9× |
| CT soft tissue neck w contrast (70491) | $2,640.40 | $4,715 | 15.7× |
| CT soft tissue neck w/o contrast (70490) | $999.60 | $1,785 | 10.0× |
| CT thoracic spine w contrast (72129) | $1,830.64 | $3,269 | 10.9× |
| CT thoracic spine w/o contrast (72128) | $861.84 | $1,539 | 8.6× |
| CT thoracic spine w/wo cont (72130) | $1,843.52 | $3,292 | 11.0× |
| CT thorax w/o contrast (71250) | $1,703.52 | $3,042 | 17.0× |
| CT upper ext wo (73200) range across 21 matching MRF lines |
$245.28–$3,668 | $438–$6,550 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 21 matching MRF lines |
$3,092.88–$4,532.64 | $5,523–$8,094 | varies |
| CT upper extremity with contrast (73201) range across 21 matching MRF lines |
$1,546.72–$3,781.12 | $2,762–$6,752 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,371.44 | $2,449 | 8.2× |
| Cta Abdomen (74175) | $3,175.20 | $5,670 | 18.9× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $621.04 | $1,109 | 1.9× |
| CTA pelvis (72191) | $2,775.92 | $4,957 | 16.5× |
| Discography Cerv/Thor Spine (72285) | $1,794.24 | $3,204 | 1.0× |
| Diskography lumbar (72295) | $1,794.24 | $3,204 | 1.0× |
| Dxa Bone Density Axial (77080) | $545.44 | $974 | 5.4× |
| Dxa bone density study (77085) | $292.32 | $522 | 2.9× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $210.56 | $376 | 2.5× |
| Esophagram (74220) | $632.24 | $1,129 | 3.8× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $434 | $775 | 4.3× |
| Fluoroscopy up to 1 hr (76000) | $215.04 | $384 | 0.9× |
| Foot 2 views (73620) range across 6 matching MRF lines |
$352.24–$385.84 | $629–$689 | varies |
| Forearm 2 views (73090) range across 6 matching MRF lines |
$212.24–$590.80 | $379–$1,055 | varies |
| Gastric emptying imaging study (78264) | $1,941.52 | $3,467 | 5.1× |
| Gated Heart Planar Single (78472) | $979.44 | $1,749 | 2.6× |
| Hand 2 views (73120) range across 6 matching MRF lines |
$162.40–$504 | $290–$900 | varies |
| Hepatobil Syst Image W/Drug (78227) | $1,587.60 | $2,835 | 3.1× |
| Hepatobiliary System Imaging (78226) | $476.56 | $851 | 1.2× |
| Hysterosalpingogram (74740) | $618.80 | $1,105 | 2.7× |
| Infusion Ivp (74410) | $472.64 | $844 | 2.8× |
| K Flow/Funct Image Multiple (78709) | $786.80 | $1,405 | 1.5× |
| K Flow/Funct Image W/Drug (78708) | $837.20 | $1,495 | 1.6× |
| K Flow/Funct Image W/O Drug (78707) | $649.60 | $1,160 | 1.2× |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$461.44–$692.16 | $824–$1,236 | varies |
| Liver & Spleen Imaging Static Only (78215) | $1,146.32 | $2,047 | 3.0× |
| Lung Perf&Ventilat Diferentl (78598) | $355.04 | $634 | 0.7× |
| Lung perfusion differential (78597) | $567.84 | $1,014 | 1.5× |
| Lung Ventilat&Perfus Imaging (78582) | $888.16 | $1,586 | 1.7× |
| Lung Ventilation Imaging (78579) | $534.24 | $954 | 1.4× |
| Lymph System Imaging (78195) | $1,128.40 | $2,015 | 2.2× |
| Magnetic Image Jaw Joint (70336) | $1,983.52 | $3,542 | 8.7× |
| Mammary ductogram or galactogram multiple (77054) range across 3 matching MRF lines |
$371.28–$742 | $663–$1,325 | varies |
| Mammary ductogram or galactogram single (77053) range across 3 matching MRF lines |
$329.84–$659.68 | $589–$1,178 | varies |
| Meckels Divert Exam (78290) | $992.32 | $1,772 | 2.6× |
| Mlc imrt design & construction per imrt plan (77338) | $510.72 | $912 | 1.4× |
| Mr safety determination physician/other qhp (76016) | $133.84 | $239 | 1.6× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $38.08 | $68 | 1.4× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) | $139.44 | $249 | 1.5× |
| Mr safety implt pos&/immoblj (76019) | $90.72 | $162 | 1.6× |
| Mr safety med physics xm customization plng&mntr (76017) | $374.64 | $669 | 1.6× |
| Mra Head W/O & W/Contrast Material (70546) | $3,273.20 | $5,845 | 9.8× |
| MRA head w/o contrast (70544) | $2,513.28 | $4,488 | 11.0× |
| MRA head with contrast (70545) | $2,967.44 | $5,299 | 8.9× |
| MRA neck w contrast (70548) | $2,092.72 | $3,737 | 6.3× |
| Mra Neck W/O &W/Contrast Material (70549) | $2,746.80 | $4,905 | 8.2× |
| MRA neck w/o contrast (70547) | $1,229.76 | $2,196 | 5.4× |
| MRI abdomen w contrast (74182) | $3,149.44 | $5,624 | 9.4× |
| MRI abdomen w/o contrast (74181) | $2,501.52 | $4,467 | 10.9× |
| MRI any jt lower extrem w/contrast material (73722) range across 12 matching MRF lines |
$5,670–$7,309.68 | $10,125–$13,053 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 12 matching MRF lines |
$8,919.12–$9,107.84 | $15,927–$16,264 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 12 matching MRF lines |
$5,443.20–$6,550.32 | $9,720–$11,697 | varies |
| MRI bone marrow blood supply (77084) | $1,700.72 | $3,037 | 7.4× |
| MRI Breast W/O Contrast Bilateral (77047) | $4,885.44 | $8,724 | 21.4× |
| MRI Breast Without Contrast Material Unilateral (77046) | $2,560.88 | $4,573 | 11.2× |
| MRI cervical spine w contrast (72142) | $4,065.04 | $7,259 | 12.2× |
| MRI cervical spine w/o cont (72141) | $3,286.08 | $5,868 | 14.4× |
| MRI chest w/o contrast (71550) | $1,272.88 | $2,273 | 5.6× |
| MRI chest with contrast (71551) | $1,301.44 | $2,324 | 1.7× |
| MRI chest wo w contrast (71552) | $1,467.20 | $2,620 | 4.4× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 9 matching MRF lines |
$3,588.48–$5,382.16 | $6,408–$9,611 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 9 matching MRF lines |
$4,512.48–$9,024.96 | $8,058–$16,116 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 9 matching MRF lines |
$3,255.84–$4,883.20 | $5,814–$8,720 | varies |
| MRI lumbar spine w contrast (72149) | $3,577.84 | $6,389 | 10.7× |
| Mri Neck Spine W/O & W/Dye (72156) | $4,219.04 | $7,534 | 12.6× |
| MRI orbit face &/neck w/o contrast (70540) | $1,662.64 | $2,969 | 7.3× |
| MRI orbit face neck w contrast (70542) | $1,774.08 | $3,168 | 5.3× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $2,203.04 | $3,934 | 6.6× |
| MRI pelvis w contrast (72196) | $3,231.76 | $5,771 | 9.7× |
| MRI pelvis w/o & w contrast (72197) | $4,095.84 | $7,314 | 12.3× |
| MRI pelvis w/o contrast (72195) | $2,710.40 | $4,840 | 11.9× |
| MRI thoracic spine w/o contrast (72146) | $2,894.08 | $5,168 | 12.7× |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 15 matching MRF lines |
$2,587.20–$3,445.12 | $4,620–$6,152 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 15 matching MRF lines |
$2,222.64–$2,503.76 | $3,969–$4,471 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 15 matching MRF lines |
$3,825.92–$5,746.16 | $6,832–$10,261 | varies |
| MRI, abdomen, combo (74183) | $4,866.40 | $8,690 | 14.6× |
| MRI, dorsal spine combo (72157) | $5,643.68 | $10,078 | 16.9× |
| MRI, dorsal spine contrast (72147) | $4,558.40 | $8,140 | 13.6× |
| MRI, joint upper extrem (73221) range across 12 matching MRF lines |
$3,049.76–$5,292 | $5,446–$9,450 | varies |
| MRI, joint upper extrem combo (73223) range across 12 matching MRF lines |
$6,652.80–$7,647.92 | $11,880–$13,657 | varies |
| MRI, lumbar spine combo (72158) | $3,936.24 | $7,029 | 11.8× |
| Myocardial Spect Multiple Studies (78452) | $5,409.04 | $9,659 | 4.4× |
| Myocrd Img Pet Prfuj Mlt Std Rst&Strs Cncrnt CT (78431) | $5,103.84 | $9,114 | 2.4× |
| Neck soft tissue (70360) | $378 | $675 | 4.5× |
| Ntsty modul radthx pln dose-vol histos (77301) | $2,867.20 | $5,120 | 2.2× |
| Oph us dx ant sgm us immersion b-scan/hr biom (76513) | $245.84 | $439 | 2.5× |
| Optic foramina (70190) | $230.16 | $411 | 2.8× |
| Parathyroid Planar Imaging (78070) | $1,607.76 | $2,871 | 4.2× |
| Pelvis 1 or 2 views (72170) | $353.36 | $631 | 3.5× |
| PET image w/CT, full body (78816) | $2,584.40 | $4,615 | 1.9× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $3,496.08 | $6,243 | 2.6× |
| Pulmonary Perfusion Imaging Particulate (78580) | $456.96 | $816 | 1.2× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $529.20 | $945 | 5.3× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $775.60 | $1,385 | 1.5× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$486.64–$729.68 | $869–$1,303 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$366.24–$735.28 | $654–$1,313 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$455.84–$911.12 | $814–$1,627 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $497.84 | $889 | 5.0× |
| Radex fingr minimum 2 views (73140) range across 20 matching MRF lines |
$187.04–$313.60 | $334–$560 | varies |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$463.12–$694.40 | $827–$1,240 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$394.80–$592.48 | $705–$1,058 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 3 matching MRF lines |
$94.08–$187.60 | $168–$335 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $358.40 | $640 | 3.6× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $545.44 | $974 | 6.5× |
| Radex Ribs Unilateral 2 Views (71100) | $222.32 | $397 | 2.7× |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$397.60–$595.84 | $710–$1,064 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $123.20 | $220 | 1.5× |
| Radex Spine 1 View Specify Level (72020) | $318.64 | $569 | 3.8× |
| Radex Sternum Minimum 2 Views (71120) | $89.60 | $160 | 1.1× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $220.64 | $394 | 2.6× |
| Radex Toe Minimum 2 Views (73660) range across 13 matching MRF lines |
$271.04–$527.52 | $484–$942 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 3 matching MRF lines |
$166.32–$332.64 | $297–$594 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$434.56–$866.32 | $776–$1,547 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $863.52 | $1,542 | 8.6× |
| Radiation treatment delivery level 1 (77402) range across 2 matching MRF lines |
$340.48–$431.20 | $608–$770 | varies |
| Radiation treatment delivery level 2 (77407) range across 2 matching MRF lines |
$375.20–$453.60 | $670–$810 | varies |
| Radiation treatment delivery level 3 (77412) range across 3 matching MRF lines |
$378–$847.28 | $675–$1,513 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) | $154 | $275 | 1.5× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $453.60 | $810 | 4.5× |
| Radiologic exam colon double contrast study (74280) | $795.20 | $1,420 | 4.7× |
| Radiologic exam colon single contrast study (74270) | $698.32 | $1,247 | 4.2× |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$494.48–$741.44 | $883–$1,324 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $464.80 | $830 | 4.6× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $617.68 | $1,103 | 3.7× |
| Radiologic exam swallow function contrast study (74230) | $579.60 | $1,035 | 3.4× |
| Radiologic exam upr gi trc double contrast study (74246) | $1,332.80 | $2,380 | 7.9× |
| Radiologic examination femur 1 view (73551) range across 3 matching MRF lines |
$187.04–$373.52 | $334–$667 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines |
$448.56–$673.12 | $801–$1,202 | varies |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$407.68–$611.52 | $728–$1,092 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $159.04 | $284 | 1.6× |
| Radiologic Examination Salivary Gland Calculus (70380) | $112.56 | $201 | 1.4× |
| Radiologic examination tibia & fibula 2 views (73590) range across 6 matching MRF lines |
$248.64–$532 | $444–$950 | varies |
| Radiologic examination, internal auditory meati, complete Non-Facility (70134) | $533.68 | $953 | 1.0× |
| Ribs bilateral 3 views (71110) range across 3 matching MRF lines |
$361.20–$566.72 | $645–$1,012 | varies |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $2,050.16 | $3,661 | 3.9× |
| Scapula (73010) range across 3 matching MRF lines |
$262.08–$523.60 | $468–$935 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 3 matching MRF lines |
$67.20–$118.72 | $120–$212 | varies |
| Shoulder 1 view (73020) range across 3 matching MRF lines |
$230.16–$459.76 | $411–$821 | varies |
| Shoulder Arthrography (73040) range across 3 matching MRF lines |
$743.68–$1,486.80 | $1,328–$2,655 | varies |
| Skull less than 4 views (70250) | $261.52 | $467 | 2.6× |
| Special dosimetry (77331) | $287.28 | $513 | 2.2× |
| Special Physics Consult (77370) | $423.36 | $756 | 3.3× |
| Special teletherapy port plan (77321) | $777.84 | $1,389 | 2.2× |
| Special treatment procedure (77470) | $437.92 | $782 | 0.8× |
| Sternoclavicular joints (71130) | $582.40 | $1,040 | 7.0× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $882.56 | $1,576 | 2.5× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $454.16 | $811 | 1.3× |
| Temporomandble Jt Arthrography Rs&I (70332) range across 3 matching MRF lines |
$272.16–$544.32 | $486–$972 | varies |
| Testicular Imaging W/Flow (78761) | $723.52 | $1,292 | 1.9× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $2,399.04 | $4,284 | 6.7× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $1,454.88 | $2,598 | 4.1× |
| Ther rad simulaj-aided field setting simple (77280) | $1,044.40 | $1,865 | 8.1× |
| Thoracic spine 2 views (72070) | $469.84 | $839 | 4.7× |
| Thoracic spine 3 views (72072) | $677.04 | $1,209 | 6.8× |
| Thoracolumbar 2 views (72080) | $432.32 | $772 | 5.2× |
| Thyroid Imaging With Vascular Flow (78013) | $340.48 | $608 | 0.9× |
| Thyroid Uptake Measurement (78012) | $321.44 | $574 | 0.8× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $397.04 | $709 | 1.0× |
| Tx Devices Design & Construction Complex (77334) | $1,151.36 | $2,056 | 3.2× |
| Tx devices design & construction intermediate (77333) | $575.68 | $1,028 | 4.5× |
| Tx devices design & construction simple (77332) | $534.24 | $954 | 4.1× |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$1,436.40–$2,061.92 | $2,565–$3,682 | varies |
| Ultrasound Exam Aaa Screen (76706) | $136.64 | $244 | 1.4× |
| Ultrasound, abdomen limited (76705) | $1,685.04 | $3,009 | 16.8× |
| Umbilical-artery Doppler (OB) (76820) | $1,515.92 | $2,707 | 15.1× |
| Unlisted us procedure (76999) | $978.88 | $1,748 | 11.7× |
| Upper gi w/o kub (74240) | $460.88 | $823 | 2.7× |
| Urethrocystogram voiding (74455) | $556.08 | $993 | 2.4× |
| Urethrocystography retrograde (74450) | $501.76 | $896 | 2.2× |
| Us bone density measurement (76977) | $201.60 | $360 | 2.0× |
| Us breast unilateral complete (76641) | $2,290.96 | $4,091 | 22.9× |
| Us chest (76604) | $589.68 | $1,053 | 5.9× |
| Us complete joint (76881) range across 3 matching MRF lines |
$408.24–$816.48 | $729–$1,458 | varies |
| Us exam, pelvic, limited (76857) | $605.36 | $1,081 | 6.0× |
| Us kidney transplant (76776) | $79.52 | $142 | 0.8× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 3 matching MRF lines |
$493.36–$986.16 | $881–$1,761 | varies |
| Us ob limited 1 or more fetuses (76815) | $666.40 | $1,190 | 6.7× |
| Us ob transvaginal (76817) | $1,895.60 | $3,385 | 18.9× |
| Us pelvic non ob complete (76856) | $2,367.12 | $4,227 | 23.6× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $1,823.36 | $3,256 | 18.2× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $383.04 | $684 | 3.8× |
| Us retroperitoneal complete (76770) | $1,636.32 | $2,922 | 16.3× |
| Us retroperitoneal limited (76775) | $454.72 | $812 | 4.5× |
| Us scrotum and contents (76870) | $2,018.24 | $3,604 | 20.2× |
| Us thyroid (76536) | $1,734.32 | $3,097 | 17.3× |
| Us transrectal (76872) | $877.52 | $1,567 | 8.8× |
| Venography extremity bilateral rs&i (75822) | $2,969.12 | $5,302 | 2.0× |
| Venography extremity unilateral rs&i (75820) | $1,484.56 | $2,651 | 1.0× |
| Vertebral fracture assessment via dxa (77086) | $97.44 | $174 | 1.2× |
| Wrist 2 views (73100) range across 6 matching MRF lines |
$220.08–$651.84 | $393–$1,164 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $423.36 | $756 | 5.1× |
| X-ray antegrade pyelogram tube (74425) | $557.20 | $995 | 1.7× |
| X-Ray Bend Only L-S Spine (72120) | $689.36 | $1,231 | 6.9× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 6 matching MRF lines |
$226.24–$654.08 | $404–$1,168 | varies |
| X-Ray Exam Breast Specimen (76098) | $502.88 | $898 | 1.0× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $439.60 | $785 | 5.3× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $687.12 | $1,227 | 6.9× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $705.60 | $1,260 | 7.0× |
| X-Ray Exam Hip Uni 1 View (73501) range across 3 matching MRF lines |
$159.60–$435.12 | $285–$777 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $339.92 | $607 | 4.1× |
| X-Ray Exam Hips Bi 2 Views (73521) | $781.76 | $1,396 | 7.8× |
| X-Ray Exam L-S Spine Bending (72114) | $825.44 | $1,474 | 8.2× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $432.88 | $773 | 5.2× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $784 | $1,400 | 7.8× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $641.76 | $1,146 | 6.4× |
| X-ray eye for foreign body (70030) range across 3 matching MRF lines |
$151.76–$302.96 | $271–$541 | varies |
| X-ray humerus (73060) range across 6 matching MRF lines |
$212.24–$829.92 | $379–$1,482 | varies |
| X-ray IV pyelogram (ivp) (74400) | $870.24 | $1,554 | 5.2× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $131.04 | $234 | 1.6× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $114.24 | $204 | 1.4× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $525.84 | $939 | 5.3× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $721.84 | $1,289 | 7.2× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $366.24 | $654 | 3.7× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $178.64 | $319 | 1.8× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $380.80 | $680 | 4.6× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $154.56 | $276 | 1.9× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $451.92 | $807 | 4.5× |
| X-ray thoracic spine 4 vw (72074) | $804.16 | $1,436 | 8.0× |
| X-Ray Tmj Unilat (70328) | $110.32 | $197 | 1.3× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $922.32 | $1,647 | 2.8× |
| X-Rays Bone Length Studies (77073) | $122.08 | $218 | 1.2× |
| X-Rays Bone Survey Complete (77075) | $255.36 | $456 | 2.5× |
| Xr c-spine 4 or 5 views (72050) | $712.88 | $1,273 | 7.1× |
| Xr facial bones less than 3 views (70140) | $180.88 | $323 | 2.2× |
| XR Mastoids < 3 Views Bilateral (70120) | $130.48 | $233 | 1.3× |
| Xr orbits complete 4 views (70200) | $260.96 | $466 | 2.6× |
| Xr Tomogram Single Plane (76100) | $224.56 | $401 | 2.2× |
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.