Imaging prices at Edgerton Hospital and Health Services
Edgerton, WI · every code in this section with a posted price and a Medicare benchmark.
255 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) range across 2 matching MRF lines |
$18.98–$427.78 | $26–$586 | varies |
| Abdomen 2 views (74019) | $475.23 | $651 | 4.7× |
| Acute Gastrointestinal Blood Loss Imaging (78278) range across 2 matching MRF lines |
$99.28–$2,091.45 | $136–$2,865 | varies |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$17.52–$447.49 | $24–$613 | varies |
| Arthrogram ankle (73615) range across 2 matching MRF lines |
$59.13–$2,214.09 | $81–$3,033 | varies |
| Arthrogram hip (73525) range across 2 matching MRF lines |
$59.13–$2,214.09 | $81–$3,033 | varies |
| Arthrogram Wrist (73115) range across 2 matching MRF lines |
$57.67–$2,214.09 | $79–$3,033 | varies |
| Bone age studies (77072) range across 2 matching MRF lines |
$19.71–$427.78 | $27–$586 | varies |
| Bone Imaging 3 Phase (78315) range across 2 matching MRF lines |
$100.74–$2,097.29 | $138–$2,873 | varies |
| Bone Imaging Limited Area (78300) range across 2 matching MRF lines |
$62.05–$2,097.29 | $85–$2,873 | varies |
| Bone Imaging Multiple Areas (78305) range across 2 matching MRF lines |
$83.22–$2,097.29 | $114–$2,873 | varies |
| Bone Imaging Whole Body (78306) range across 2 matching MRF lines |
$85.41–$2,112.62 | $117–$2,894 | varies |
| Bone survey infant (77076) range across 2 matching MRF lines |
$71.54–$659.92 | $98–$904 | varies |
| Cat Scan Follow-Up Study (76380) | $98.55 | $135 | 1.2× |
| Chest 1 view (71045) range across 2 matching MRF lines |
$18.98–$440.92 | $26–$604 | varies |
| Chest 2 views (71046) range across 2 matching MRF lines |
$22.63–$489.83 | $31–$671 | varies |
| Chest 3 views (71047) range across 2 matching MRF lines |
$28.47–$589.84 | $39–$808 | varies |
| Cholecystography Oral Contrast (74290) range across 2 matching MRF lines |
$32.85–$754.09 | $45–$1,033 | varies |
| Clavicle complete (73000) range across 2 matching MRF lines |
$17.52–$395.66 | $24–$542 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $229.95 | $315 | 2.3× |
| Contrast X-Ray Bladder (74430) range across 2 matching MRF lines |
$32.85–$1,530.08 | $45–$2,096 | varies |
| Contrast X-Ray Of Elbow (73085) range across 2 matching MRF lines |
$58.40–$2,214.09 | $80–$3,033 | varies |
| Contrast X-Ray Of Knee Joint (73580) range across 2 matching MRF lines |
$58.40–$2,214.09 | $80–$3,033 | varies |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$202.21–$5,091.02 | $277–$6,974 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$175.93–$3,808.41 | $241–$5,217 | varies |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$128.48–$2,649.90 | $176–$3,630 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$141.62–$3,057.24 | $194–$4,188 | varies |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$121.18–$2,347.68 | $166–$3,216 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$220.46–$4,627.47 | $302–$6,339 | varies |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$183.96–$3,553.64 | $252–$4,868 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$176.66–$3,553.64 | $242–$4,868 | varies |
| CT angio hrt w/3d image (75574) | $954.84 | $1,308 | 2.8× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
$190.53–$2,582.74 | $261–$3,538 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$483.26–$3,097.39 | $662–$4,243 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 2 matching MRF lines |
$181.04–$2,740.42 | $248–$3,754 | varies |
| CT cervical spine w/ contrast (72126) range across 2 matching MRF lines |
$124.10–$2,649.90 | $170–$3,630 | varies |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$108.04–$2,418.49 | $148–$3,313 | varies |
| CT cervical spine w/wo cont (72127) range across 2 matching MRF lines |
$127.75–$2,740.42 | $175–$3,754 | varies |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$125.56–$2,649.90 | $172–$3,630 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$140.16–$2,740.42 | $192–$3,754 | varies |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$115.34–$2,729.47 | $158–$3,739 | varies |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$128.48–$2,740.42 | $176–$3,754 | varies |
| CT heart no contrast quant eval coronry calcium (75571) | $73 | $100 | 0.9× |
| CT l-spine w&w/o contrast (72133) range across 2 matching MRF lines |
$128.48–$2,740.42 | $176–$3,754 | varies |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$101.47–$2,348.41 | $139–$3,217 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$118.26–$2,649.90 | $162–$3,630 | varies |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$124.10–$2,649.90 | $170–$3,630 | varies |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$101.47–$2,409 | $139–$3,300 | varies |
| CT maxillofacial w contrast (70487) | $2,649.90 | $3,630 | 15.6× |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$86.87–$2,348.41 | $119–$3,217 | varies |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$163.52–$2,740.42 | $224–$3,754 | varies |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$129.21–$543.12 | $177–$744 | varies |
| CT pelvis w&w/o contrast (72194) range across 2 matching MRF lines |
$123.37–$2,740.42 | $169–$3,754 | varies |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$110.23–$2,348.41 | $151–$3,217 | varies |
| CT scan of leg combo (73702) range across 2 matching MRF lines |
$123.37–$2,740.42 | $169–$3,754 | varies |
| CT scans face/jaw combo (70488) | $128.48 | $176 | 0.8× |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$140.16–$2,649.90 | $192–$3,630 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$129.21–$2,348.41 | $177–$3,217 | varies |
| CT thoracic spine w contrast (72129) range across 2 matching MRF lines |
$124.10–$2,649.90 | $170–$3,630 | varies |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$101.47–$2,348.41 | $139–$3,217 | varies |
| CT thoracic spine w/wo cont (72130) range across 2 matching MRF lines |
$127.75–$2,740.42 | $175–$3,754 | varies |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$118.26–$2,348.41 | $162–$3,217 | varies |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$101.47–$2,348.41 | $139–$3,217 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 2 matching MRF lines |
$124.10–$2,740.42 | $170–$3,754 | varies |
| CT upper extremity with contrast (73201) | $118.26 | $162 | 0.3× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$239.44–$4,897.57 | $328–$6,709 | varies |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$182.50–$2,660.85 | $250–$3,645 | varies |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $1,095 | $1,500 | 3.2× |
| CTA pelvis (72191) range across 2 matching MRF lines |
$181.77–$4,006.97 | $249–$5,489 | varies |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$20.44–$824.17 | $28–$1,129 | varies |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $210.97 | $289 | 2.5× |
| Echo exam uterus (76831) range across 2 matching MRF lines |
$74.46–$1,330.79 | $102–$1,823 | varies |
| Esophagram (74220) range across 2 matching MRF lines |
$68.62–$671.60 | $94–$920 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 2 matching MRF lines |
$79.57–$837.31 | $109–$1,147 | varies |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$31.39–$454.79 | $43–$623 | varies |
| Foot 2 views (73620) range across 2 matching MRF lines |
$16.06–$447.49 | $22–$613 | varies |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$17.52–$447.49 | $24–$613 | varies |
| Gastric emptying imaging study (78264) range across 2 matching MRF lines |
$78.11–$2,091.45 | $107–$2,865 | varies |
| Gated Heart Planar Single (78472) range across 2 matching MRF lines |
$97.82–$2,613.40 | $134–$3,580 | varies |
| Hand 2 views (73120) range across 2 matching MRF lines |
$17.52–$448.22 | $24–$614 | varies |
| Hepatobil Syst Image W/Drug (78227) range across 2 matching MRF lines |
$90.52–$2,256.43 | $124–$3,091 | varies |
| Hepatobiliary System Imaging (78226) range across 2 matching MRF lines |
$74.46–$1,614.03 | $102–$2,211 | varies |
| Ht Muscle Image Spect Sing (78451) range across 2 matching MRF lines |
$135.78–$7,216.05 | $186–$9,885 | varies |
| Hysterosalpingogram (74740) range across 2 matching MRF lines |
$38.69–$492.02 | $53–$674 | varies |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $270.83 | $371 | 3.2× |
| Joint Survey Single View (77077) range across 2 matching MRF lines |
$32.85–$597.87 | $45–$819 | varies |
| K Flow/Funct Image W/O Drug (78707) range across 2 matching MRF lines |
$94.17–$2,753.56 | $129–$3,772 | varies |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$19.71–$451.14 | $27–$618 | varies |
| Liver & Spleen Imaging Static Only (78215) range across 2 matching MRF lines |
$49.64–$2,465.21 | $68–$3,377 | varies |
| Lung Ventilat&Perfus Imaging (78582) range across 2 matching MRF lines |
$106.58–$2,336.73 | $146–$3,201 | varies |
| Lymph System Imaging (78195) range across 2 matching MRF lines |
$118.99–$2,235.99 | $163–$3,063 | varies |
| Magnetic Image Jaw Joint (70336) range across 2 matching MRF lines |
$148.92–$4,006.97 | $204–$5,489 | varies |
| Mammary ductogram or galactogram multiple (77054) | $1,776.82 | $2,434 | 7.7× |
| Mammary ductogram or galactogram single (77053) range across 2 matching MRF lines |
$36.50–$1,952.75 | $50–$2,675 | varies |
| Meckels Divert Exam (78290) range across 2 matching MRF lines |
$67.89–$2,091.45 | $93–$2,865 | varies |
| Mra Head W/O & W/Contrast Material (70546) range across 2 matching MRF lines |
$149.65–$5,715.17 | $205–$7,829 | varies |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$121.91–$4,006.97 | $167–$5,489 | varies |
| MRA head with contrast (70545) range across 2 matching MRF lines |
$121.91–$4,090.92 | $167–$5,604 | varies |
| MRA neck w contrast (70548) range across 2 matching MRF lines |
$151.84–$4,090.92 | $208–$5,604 | varies |
| Mra Neck W/O &W/Contrast Material (70549) range across 2 matching MRF lines |
$181.77–$5,715.17 | $249–$7,829 | varies |
| MRA neck w/o contrast (70547) range across 2 matching MRF lines |
$121.91–$1,267.28 | $167–$1,736 | varies |
| MRI abdomen w contrast (74182) range across 2 matching MRF lines |
$175.20–$4,090.92 | $240–$5,604 | varies |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$148.19–$4,006.97 | $203–$5,489 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 2 matching MRF lines |
$164.98–$4,090.92 | $226–$5,604 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$216.81–$3,832.50 | $297–$5,250 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 2 matching MRF lines |
$164.98–$1,834.49 | $226–$2,513 | varies |
| MRI cardiac w/o contrast (75557) | $4,006.97 | $5,489 | 17.3× |
| MRI cervical spine w contrast (72142) range across 2 matching MRF lines |
$181.04–$4,090.92 | $248–$5,604 | varies |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$150.38–$4,006.97 | $206–$5,489 | varies |
| MRI chest w/o contrast (71550) range across 2 matching MRF lines |
$147.46–$4,006.97 | $202–$5,489 | varies |
| MRI chest with contrast (71551) range across 2 matching MRF lines |
$175.20–$4,090.92 | $240–$5,604 | varies |
| MRI chest wo w contrast (71552) range across 2 matching MRF lines |
$227.76–$5,715.17 | $312–$7,829 | varies |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 2 matching MRF lines |
$164.25–$4,090.92 | $225–$5,604 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 2 matching MRF lines |
$216.81–$5,715.17 | $297–$7,829 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines |
$136.51–$4,006.97 | $187–$5,489 | varies |
| MRI lumbar spine w contrast (72149) range across 2 matching MRF lines |
$181.04–$4,090.92 | $248–$5,604 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$230.68–$5,715.17 | $316–$7,829 | varies |
| MRI orbit face &/neck w/o contrast (70540) | $1,267.28 | $1,736 | 5.5× |
| MRI orbit face neck w contrast (70542) | $164.25 | $225 | 0.5× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 2 matching MRF lines |
$216.08–$5,715.17 | $296–$7,829 | varies |
| MRI pelvis w contrast (72196) | $175.20 | $240 | 0.5× |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$222.65–$4,380 | $305–$6,000 | varies |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$148.19–$4,006.97 | $203–$5,489 | varies |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$150.38–$4,006.97 | $206–$5,489 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) | $164.25 | $225 | 0.5× |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 2 matching MRF lines |
$137.24–$4,006.97 | $188–$5,489 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 2 matching MRF lines |
$216.81–$5,715.17 | $297–$7,829 | varies |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$222.65–$5,715.17 | $305–$7,829 | varies |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$230.68–$5,715.17 | $316–$7,829 | varies |
| MRI, dorsal spine contrast (72147) range across 2 matching MRF lines |
$180.31–$4,090.92 | $247–$5,604 | varies |
| MRI, joint upper extrem (73221) range across 2 matching MRF lines |
$137.24–$4,006.97 | $188–$5,489 | varies |
| MRI, joint upper extrem combo (73223) range across 2 matching MRF lines |
$217.54–$5,715.17 | $298–$7,829 | varies |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$230.68–$5,715.17 | $316–$7,829 | varies |
| Myelogram Lumbar (72265) range across 2 matching MRF lines |
$82.49–$3,992.37 | $113–$5,469 | varies |
| Myocardial Spect Multiple Studies (78452) range across 2 matching MRF lines |
$159.14–$6,369.25 | $218–$8,725 | varies |
| N-invas est c ffr sw aly CTA (75580) | $1,825 | $2,500 | 2.2× |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$17.52–$395.66 | $24–$542 | varies |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) range across 2 matching MRF lines |
$79.57–$1,512.56 | $109–$2,072 | varies |
| Ob us nuchal meas 1 gest (76813) range across 2 matching MRF lines |
$123.37–$542.39 | $169–$743 | varies |
| Parathyroid Planar Imaging (78070) range across 2 matching MRF lines |
$78.84–$1,864.42 | $108–$2,554 | varies |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$18.25–$447.49 | $25–$613 | varies |
| Pet Image W/Ct Lmtd (78814) | $2,664.50 | $3,650 | 1.9× |
| PET image w/CT, full body (78816) | $2,664.50 | $3,650 | 1.9× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $2,664.50 | $3,650 | 1.9× |
| Pulmonary Perfusion Imaging Particulate (78580) range across 2 matching MRF lines |
$74.46–$1,776.09 | $102–$2,433 | varies |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$89.79–$538.01 | $123–$737 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) | $52.56 | $72 | 0.1× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$18.25–$489.10 | $25–$670 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$16.79–$447.49 | $23–$613 | varies |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$18.25–$551.88 | $25–$756 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$27.01–$551.88 | $37–$756 | varies |
| Radex fingr minimum 2 views (73140) range across 2 matching MRF lines |
$14.60–$427.78 | $20–$586 | varies |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$17.52–$507.35 | $24–$695 | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$18.25–$451.14 | $25–$618 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 2 matching MRF lines |
$16.79–$447.49 | $23–$613 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$18.25–$395.66 | $25–$542 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 2 matching MRF lines |
$23.36–$516.84 | $32–$708 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$19.71–$447.49 | $27–$613 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$18.25–$447.49 | $25–$613 | varies |
| Radex Spine 1 View Specify Level (72020) | $281.05 | $385 | 3.3× |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$21.17–$447.49 | $29–$613 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$25.55–$775.26 | $35–$1,062 | varies |
| Radex Toe Minimum 2 Views (73660) range across 2 matching MRF lines |
$13.87–$447.49 | $19–$613 | varies |
| Radex upper extremity infant minimum 2 views (73092) | $447.49 | $613 | 4.4× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$18.25–$451.14 | $25–$618 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$25.55–$569.40 | $35–$780 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $551.88 | $756 | 5.4× |
| Radiologic exam colon double contrast study (74280) range across 2 matching MRF lines |
$100.01–$1,409.63 | $137–$1,931 | varies |
| Radiologic exam colon single contrast study (74270) range across 2 matching MRF lines |
$70.08–$870.16 | $96–$1,192 | varies |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $200.75 | $275 | 1.2× |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$23.36–$569.40 | $32–$780 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$22.63–$551.88 | $31–$756 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 2 matching MRF lines |
$48.18–$870.16 | $66–$1,192 | varies |
| Radiologic exam swallow function contrast study (74230) range across 2 matching MRF lines |
$54.02–$790.59 | $74–$1,083 | varies |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$70.08–$671.60 | $96–$920 | varies |
| Radiologic examination femur 1 view (73551) range across 2 matching MRF lines |
$17.52–$395.66 | $24–$542 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$18.98–$447.49 | $26–$613 | varies |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$17.52–$447.49 | $24–$613 | varies |
| Radiologic Examination Osseous Survey Limited (77074) range across 2 matching MRF lines |
$46.72–$711.02 | $64–$974 | varies |
| Radiologic Examination Salivary Gland Calculus (70380) range across 2 matching MRF lines |
$17.52–$395.66 | $24–$542 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 2 matching MRF lines |
$16.79–$447.49 | $23–$613 | varies |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$29.93–$775.26 | $41–$1,062 | varies |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $2,820.72 | $3,864 | 5.3× |
| Scapula (73010) range across 2 matching MRF lines |
$18.98–$395.66 | $26–$542 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 2 matching MRF lines |
$50.37–$60.59 | $69–$83 | varies |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$16.79–$395.66 | $23–$542 | varies |
| Shoulder Arthrography (73040) range across 2 matching MRF lines |
$55.48–$2,214.09 | $76–$3,033 | varies |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$25.55–$551.88 | $35–$756 | varies |
| Sternoclavicular joints (71130) range across 2 matching MRF lines |
$22.63–$551.88 | $31–$756 | varies |
| Testicular Imaging W/Flow (78761) range across 2 matching MRF lines |
$72.27–$2,753.56 | $99–$3,772 | varies |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$23.36–$483.26 | $32–$662 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$22.63–$551.88 | $31–$756 | varies |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$23.36–$447.49 | $32–$613 | varies |
| Thyroid Imaging With Vascular Flow (78013) range across 2 matching MRF lines |
$37.96–$1,340.28 | $52–$1,836 | varies |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) range across 2 matching MRF lines |
$50.37–$1,492.85 | $69–$2,045 | varies |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$69.35–$863.59 | $95–$1,183 | varies |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
$55.48–$510.27 | $76–$699 | varies |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$59.13–$936.59 | $81–$1,283 | varies |
| Upper gi w/o kub (74240) range across 2 matching MRF lines |
$70.81–$653.35 | $97–$895 | varies |
| Urethrocystogram voiding (74455) range across 2 matching MRF lines |
$33.58–$1,530.08 | $46–$2,096 | varies |
| Urethrocystography retrograde (74450) | $33.58 | $46 | 0.1× |
| Us breast unilateral complete (76641) range across 2 matching MRF lines |
$74.46–$702.26 | $102–$962 | varies |
| Us chest (76604) range across 2 matching MRF lines |
$54.75–$671.60 | $75–$920 | varies |
| Us complete joint (76881) range across 2 matching MRF lines |
$64.24–$982.58 | $88–$1,346 | varies |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$50.37–$936.59 | $69–$1,283 | varies |
| Us head (76506) range across 2 matching MRF lines |
$64.97–$600.79 | $89–$823 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$50.37–$542.39 | $69–$743 | varies |
| Us ob detailed single fetus (76811) | $197.10 | $270 | 0.9× |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$66.43–$629.26 | $91–$862 | varies |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$76.65–$542.39 | $105–$743 | varies |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$70.08–$1,012.51 | $96–$1,387 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$100.74–$689.85 | $138–$945 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 2 matching MRF lines |
$88.33–$600.79 | $121–$823 | varies |
| Us retroperitoneal complete (76770) | $1,012.51 | $1,387 | 10.0× |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$58.40–$936.59 | $80–$1,283 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$64.97–$936.59 | $89–$1,283 | varies |
| Us thyroid (76536) range across 2 matching MRF lines |
$52.56–$1,012.51 | $72–$1,387 | varies |
| Venography extremity bilateral rs&i (75822) range across 2 matching MRF lines |
$104.39–$6,145.87 | $143–$8,419 | varies |
| Venography extremity unilateral rs&i (75820) | $70.81 | $97 | 0.0× |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$17.52–$447.49 | $24–$613 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$21.90–$427.78 | $30–$586 | varies |
| X-ray antegrade pyelogram tube (74425) range across 2 matching MRF lines |
$35.77–$1,530.08 | $49–$2,096 | varies |
| X-Ray Aorta Leg Arteries (75630) | $176.66 | $242 | 0.1× |
| X-Ray Bend Only L-S Spine (72120) | $375.95 | $515 | 3.7× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$16.79–$447.49 | $23–$613 | varies |
| X-Ray Exam Breast Specimen (76098) range across 2 matching MRF lines |
$16.79–$143.08 | $23–$196 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $108.77 | $149 | 1.1× |
| X-Ray Exam Hip Uni 1 View (73501) range across 2 matching MRF lines |
$19.71–$395.66 | $27–$542 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 2 matching MRF lines |
$23.36–$516.84 | $32–$708 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$23.36–$705.91 | $32–$967 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 2 matching MRF lines |
$30.66–$775.26 | $42–$1,062 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) range across 2 matching MRF lines |
$32.85–$784.02 | $45–$1,074 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$23.36–$551.88 | $32–$756 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$37.96–$569.40 | $52–$780 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 2 matching MRF lines |
$27.74–$532.17 | $38–$729 | varies |
| X-ray eye for foreign body (70030) range across 2 matching MRF lines |
$17.52–$401.50 | $24–$550 | varies |
| X-ray humerus (73060) range across 2 matching MRF lines |
$17.52–$447.49 | $24–$613 | varies |
| X-ray IV pyelogram (ivp) (74400) | $50.37 | $69 | 0.3× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 2 matching MRF lines |
$18.98–$551.88 | $26–$756 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$18.25–$447.49 | $25–$613 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$23.36–$551.88 | $32–$756 | varies |
| X-ray nose-rectum child f.b. (76010) range across 2 matching MRF lines |
$18.98–$440.92 | $26–$604 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$33.58–$775.26 | $46–$1,062 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$19.71–$568.67 | $27–$779 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$18.25–$447.49 | $25–$613 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$25.55–$551.88 | $35–$756 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$35.77–$569.40 | $49–$780 | varies |
| X-Ray Stress View (77071) range across 2 matching MRF lines |
$101.47–$440.92 | $139–$604 | varies |
| X-Ray Tmj Unilat (70328) | $395.66 | $542 | 4.7× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $51.83 | $71 | 0.2× |
| X-Rays Bone Length Studies (77073) range across 2 matching MRF lines |
$29.20–$239.44 | $40–$328 | varies |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$54.75–$790.59 | $75–$1,083 | varies |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$32.12–$579.62 | $44–$794 | varies |
| Xr facial bones less than 3 views (70140) range across 2 matching MRF lines |
$21.17–$447.49 | $29–$613 | varies |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$28.47–$569.40 | $39–$780 | varies |
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.