Imaging prices at Edward Hospital
Naperville, IL · every code in this section with a posted price and a Medicare benchmark.
399 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) | $11,800 | $11,800 | 8.0× |
| Abdomen 1 View (74018) | $610 | $610 | 6.5× |
| Abdomen 2 views (74019) | $1,075 | $1,075 | 9.6× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,494 | $1,494 | 3.5× |
| Adrenal Cortex & Medulla Img (78075) | $7,651 | $7,651 | 5.5× |
| Angio internal mammary (75756) | $3,755 | $3,755 | 1.1× |
| Angio pulmonary bilat (75743) | $16,699 | $16,699 | 4.9× |
| Angiography extremity bilateral rs&i (75716) | $19,423 | $19,423 | 5.7× |
| Angiography extremity unilateral rs&i (75710) | $9,954 | $9,954 | 2.9× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $8,349 | $8,349 | 2.5× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $3,755 | $3,755 | 1.1× |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$665–$731 | $665–$731 | varies |
| Aortography thoracic serialography rs&i (75605) | $30,527 | $30,527 | 5.1× |
| Artery X-Rays Abdomen (75726) | $11,176 | $11,176 | 1.9× |
| Artery X-Rays Pelvis (75736) | $7,953 | $7,953 | 1.3× |
| Artery X-Rays Spine (75705) | $12,511 | $12,511 | 2.1× |
| Arthrogram ankle (73615) | $3,582 | $3,582 | 9.6× |
| Arthrogram hip (73525) | $842 | $842 | 2.3× |
| Arthrogram Wrist (73115) | $3,495 | $3,495 | 9.3× |
| Basic radiation dosimetry calculation (77300) range across 2 matching MRF lines |
$1,416–$1,417 | $1,416–$1,417 | varies |
| Bone age studies (77072) | $1,172 | $1,172 | 10.5× |
| Bone Imaging 3 Phase (78315) | $3,457 | $3,457 | 8.1× |
| Bone Imaging Limited Area (78300) | $2,890 | $2,890 | 6.7× |
| Bone Imaging Multiple Areas (78305) | $3,211 | $3,211 | 7.5× |
| Bone Imaging Whole Body (78306) | $3,027 | $3,027 | 7.1× |
| Bone marrow imaging limited area (78102) | $1,374 | $1,374 | 3.2× |
| Bone marrow imaging; multiple areas (78103) | $2,420 | $2,420 | 5.6× |
| Bone survey infant (77076) | $519 | $519 | 4.6× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $1,933 | $1,933 | 3.3× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $9,417 | $9,417 | 6.1× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $5,311 | $5,311 | 14.2× |
| Cardiac MRI w/w/o contrast w/stress (75563) | $5,235 | $5,235 | 6.2× |
| Cat Scan Follow-Up Study (76380) | $1,391 | $1,391 | 14.9× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $1,418 | $1,418 | 2.4× |
| Cerebrospinal Fluid Scan (78630) | $2,399 | $2,399 | 4.1× |
| Chest 1 view (71045) range across 3 matching MRF lines |
$28–$613 | $28–$613 | varies |
| Chest 2 views (71046) range across 3 matching MRF lines |
$39–$854 | $39–$854 | varies |
| Chest 3 views (71047) | $916 | $916 | 9.8× |
| Chest 4 or more views (71048) | $1,081 | $1,081 | 9.6× |
| Clavicle complete (73000) | $665 | $665 | 7.1× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $1,391 | $1,391 | 12.4× |
| Continuing medical physics consltj pr wk (77336) | $1,312 | $1,312 | 9.1× |
| Contrast Exam Abdominl Aorta (75625) | $21,937 | $21,937 | 6.5× |
| Contrast X-Ray Bladder (74430) | $3,206 | $3,206 | 8.6× |
| Contrast X-Ray Of Elbow (73085) | $1,451 | $1,451 | 3.9× |
| Contrast X-Ray Of Knee Joint (73580) | $3,582 | $3,582 | 9.6× |
| CT abdomen and pelvis without and with contrast (74178) | $8,610 | $8,610 | 23.0× |
| CT abdomen and pelvis without contrast (74176) | $5,915 | $5,915 | 23.1× |
| CT abdomen w contrast (74160) | $4,501 | $4,501 | 23.9× |
| CT abdomen w wo contrast (74170) | $4,583 | $4,583 | 24.4× |
| CT abdomen w/o contrast (74150) | $2,594 | $2,594 | 23.2× |
| CT Angio Abdomen and Pelvis (74174) | $7,578 | $7,578 | 20.3× |
| CT Angio Chest (71275) | $4,501 | $4,501 | 23.9× |
| CT Angio Head (70496) | $4,501 | $4,501 | 23.9× |
| CT angio hrt w/3d image (75574) | $5,050 | $5,050 | 13.5× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $4,210 | $4,210 | 22.4× |
| CT Angio Neck (70498) | $4,501 | $4,501 | 23.9× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $4,391 | $4,391 | 23.4× |
| CT cervical spine w/ contrast (72126) | $4,501 | $4,501 | 12.0× |
| CT cervical spine w/o contrast (72125) | $2,888 | $2,888 | 25.8× |
| CT cervical spine w/wo cont (72127) | $4,817 | $4,817 | 25.6× |
| CT chest w contrast (71260) | $4,501 | $4,501 | 23.9× |
| CT chest w/wo contrast (71270) | $4,501 | $4,501 | 23.9× |
| CT head/brain with contrast (70460) | $4,501 | $4,501 | 23.9× |
| CT head/brain without and with contrast (70470) | $4,583 | $4,583 | 24.4× |
| CT heart contrast eval cardiac structure&morph (75572) | $5,715 | $5,715 | 15.3× |
| CT heart no contrast quant eval coronry calcium (75571) | $1,391 | $1,391 | 14.9× |
| CT iac w contrast (70481) | $4,501 | $4,501 | 23.9× |
| CT l-spine w&w/o contrast (72133) | $4,771 | $4,771 | 25.4× |
| CT lower ext w/o (73700) | $2,605 | $2,605 | 23.3× |
| CT lower extremity w/contrast material (73701) | $3,925 | $3,925 | 20.9× |
| CT lumbar spine w contrast (72132) | $4,501 | $4,501 | 12.0× |
| CT lumbar spine w/o contrast (72131) | $3,098 | $3,098 | 27.7× |
| CT maxillofacial w contrast (70487) | $4,143 | $4,143 | 22.0× |
| CT maxillofacial wo contrast (70486) | $2,888 | $2,888 | 25.8× |
| CT neck tissue combo (70492) | $5,176 | $5,176 | 27.5× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $5,176 | $5,176 | 27.5× |
| CT orbits w/o contrast (70480) | $3,426 | $3,426 | 30.6× |
| CT pelvis w&w/o contrast (72194) | $4,579 | $4,579 | 24.4× |
| CT pelvis w/o contrast (72192) | $2,511 | $2,511 | 22.4× |
| CT scan of leg combo (73702) | $4,143 | $4,143 | 22.0× |
| CT scans face/jaw combo (70488) | $4,906 | $4,906 | 26.1× |
| CT soft tissue neck w contrast (70491) | $4,501 | $4,501 | 23.9× |
| CT soft tissue neck w/o contrast (70490) | $2,512 | $2,512 | 22.4× |
| CT thoracic spine w contrast (72129) | $4,501 | $4,501 | 23.9× |
| CT thoracic spine w/o contrast (72128) | $3,098 | $3,098 | 27.7× |
| CT thoracic spine w/wo cont (72130) | $4,771 | $4,771 | 25.4× |
| CT thorax w/o contrast (71250) | $2,497 | $2,497 | 22.3× |
| CT unlisted procedure (76497) range across 2 matching MRF lines |
$2,064–$2,330 | $2,064–$2,330 | varies |
| CT upper ext wo (73200) | $2,582 | $2,582 | 23.0× |
| CT upper extremity w/o & w/contrast material (73202) | $4,252 | $4,252 | 22.6× |
| CT upper extremity with contrast (73201) | $3,585 | $3,585 | 9.6× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $4,501 | $4,501 | 23.9× |
| Cta Abdomen (74175) | $4,501 | $4,501 | 23.9× |
| CTA pelvis (72191) | $1,787 | $1,787 | 9.5× |
| Dilation ureters/urethra rs&i (74485) | $2,238 | $2,238 | 1.0× |
| Discography Cerv/Thor Spine (72285) | $4,476 | $4,476 | 2.1× |
| Diskography lumbar (72295) | $4,476 | $4,476 | 2.1× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) | $437 | $437 | 3.9× |
| Doppler Echo Fetal Spectral Display Complete (76827) range across 2 matching MRF lines |
$251–$1,404 | $251–$1,404 | varies |
| Doppler Fetal Mid Cerebral Artery (76821) | $927 | $927 | 8.3× |
| Dxa Bone Density Axial (77080) | $1,202 | $1,202 | 10.7× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $235 | $235 | 2.5× |
| Echo exam of fetal heart (76825) range across 2 matching MRF lines |
$1,105–$2,056 | $1,105–$2,056 | varies |
| Echo exam uterus (76831) | $810 | $810 | 3.2× |
| Echo Guide For Artery Repair (76936) | $1,093 | $1,093 | 4.7× |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) | $1,229 | $1,229 | 4.8× |
| Esophagram (74220) | $1,929 | $1,929 | 10.3× |
| Fetal Biophys Profile W/Nst (76818) | $3,569 | $3,569 | 31.9× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $1,720 | $1,720 | 15.4× |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$590–$1,687 | $590–$1,687 | varies |
| Follow-Up Angiography (75898) | $5,225 | $5,225 | 1.5× |
| Foot 2 views (73620) range across 2 matching MRF lines |
$580–$665 | $580–$665 | varies |
| Forearm 2 views (73090) | $654 | $654 | 7.0× |
| Gastric emptying imaging study (78264) | $2,802 | $2,802 | 6.5× |
| Gastroesophageal Reflux Exam (78262) | $1,863 | $1,863 | 4.3× |
| Gated Heart Planar Single (78472) range across 2 matching MRF lines |
$785–$2,911 | $785–$2,911 | varies |
| Gated Heart, Multiple (78473) range across 2 matching MRF lines |
$860–$1,686 | $860–$1,686 | varies |
| Hand 2 views (73120) range across 2 matching MRF lines |
$665–$731 | $665–$731 | varies |
| Hdr Rdncl Ntrstl/Icav Brchtx (77772) | $6,093 | $6,093 | 8.2× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) | $5,945 | $5,945 | 8.0× |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) | $7,772 | $7,772 | 10.4× |
| Heart first pass single,planar (78481) | $2,836 | $2,836 | 4.9× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $21,937 | $21,937 | 6.5× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $22,486 | $22,486 | 6.6× |
| Hepatobil Syst Image W/Drug (78227) | $3,260 | $3,260 | 5.6× |
| Hepatobiliary System Imaging (78226) | $2,929 | $2,929 | 6.8× |
| Ht Musc Image Planar Mult (78454) | $5,175 | $5,175 | 3.7× |
| Ht Muscle Image Spect Sing (78451) range across 2 matching MRF lines |
$1,327–$7,463 | $1,327–$7,463 | varies |
| Hysterosalpingogram (74740) | $2,259 | $2,259 | 8.8× |
| Image fusion (77399) | $1,201 | $1,201 | 8.3× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $1,259 | $1,259 | 13.5× |
| Infant hip ultrasound, limited static exam (76886) | $1,391 | $1,391 | 14.9× |
| Infusion Ivp (74410) | $949 | $949 | 5.0× |
| Joint Survey Single View (77077) | $390 | $390 | 3.5× |
| K Flow/Funct Image W/Drug (78708) | $3,097 | $3,097 | 5.3× |
| K Flow/Funct Image W/O Drug (78707) | $3,384 | $3,384 | 5.8× |
| Knee 3 Views (73562) | $731 | $731 | 7.8× |
| Liver & Spleen Imaging Static Only (78215) | $1,704 | $1,704 | 4.0× |
| Liver imaging static only (78201) | $2,415 | $2,415 | 4.2× |
| Lung perfusion differential (78597) | $2,098 | $2,098 | 4.9× |
| Lung Ventilat&Perfus Imaging (78582) | $3,449 | $3,449 | 5.9× |
| Lung Ventilation Imaging (78579) | $1,868 | $1,868 | 4.4× |
| Lymph System Imaging (78195) | $3,540 | $3,540 | 6.1× |
| Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) | $6,044 | $6,044 | 1.8× |
| Lymphangiography, pelvic/abdominal, unilateral (75805) | $3,402 | $3,402 | 1.0× |
| Magnetic Image Jaw Joint (70336) | $2,138 | $2,138 | 8.4× |
| Magnetic Resonance Elastography (76391) | $2,877 | $2,877 | 11.3× |
| Mammary ductogram or galactogram multiple (77054) | $1,157 | $1,157 | 4.5× |
| Mammary ductogram or galactogram single (77053) | $882 | $882 | 3.4× |
| Meckels Divert Exam (78290) | $2,666 | $2,666 | 6.2× |
| Mlc imrt design & construction per imrt plan (77338) | $5,453 | $5,453 | 13.6× |
| Mr safety determination physician/other qhp (76016) | $373 | $373 | 4.0× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $104 | $104 | 3.4× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) | $389 | $389 | 3.8× |
| Mr safety implt pos&/immoblj (76019) | $252 | $252 | 4.0× |
| Mr safety med physics xm customization plng&mntr (76017) | $1,025 | $1,025 | 4.0× |
| Mra Head W/O & W/Contrast Material (70546) | $5,788 | $5,788 | 15.5× |
| MRA head w/o contrast (70544) | $3,854 | $3,854 | 15.1× |
| MRA head with contrast (70545) | $5,279 | $5,279 | 14.1× |
| MRA neck w contrast (70548) | $5,279 | $5,279 | 14.1× |
| Mra Neck W/O &W/Contrast Material (70549) | $6,361 | $6,361 | 17.0× |
| MRA neck w/o contrast (70547) | $3,803 | $3,803 | 14.9× |
| MRI abdomen w contrast (74182) | $6,934 | $6,934 | 18.5× |
| MRI abdomen w/o contrast (74181) | $4,307 | $4,307 | 16.8× |
| MRI any jt lower extrem w/contrast material (73722) | $5,898 | $5,898 | 7.0× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $6,934 | $6,934 | 18.5× |
| MRI any jt upper extremity w/contrast matrl (73222) | $5,662 | $5,662 | 6.7× |
| MRI brain functional w/o physician admnistration (70554) | $3,654 | $3,654 | 14.3× |
| MRI brain functional w/physician admnistration (70555) | $3,654 | $3,654 | 14.3× |
| MRI Breast W/O Contrast Bilateral (77047) | $2,144 | $2,144 | 8.4× |
| MRI Breast Without Contrast Material Unilateral (77046) | $1,944 | $1,944 | 7.6× |
| MRI cardiac w/o cont stress (75559) | $2,663 | $2,663 | 4.5× |
| MRI cardiac w/o contrast (75557) | $2,805 | $2,805 | 11.0× |
| MRI cervical spine w contrast (72142) | $5,807 | $5,807 | 15.5× |
| MRI cervical spine w/o cont (72141) | $4,287 | $4,287 | 16.8× |
| MRI chest w/o contrast (71550) | $4,120 | $4,120 | 16.1× |
| MRI chest with contrast (71551) | $7,078 | $7,078 | 8.4× |
| MRI chest wo w contrast (71552) | $7,480 | $7,480 | 20.0× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $6,934 | $6,934 | 18.5× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $7,019 | $7,019 | 18.8× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $4,145 | $4,145 | 16.2× |
| MRI lumbar spine w contrast (72149) | $6,329 | $6,329 | 16.9× |
| Mri Neck Spine W/O & W/Dye (72156) | $7,316 | $7,316 | 19.6× |
| MRI orbit face &/neck w/o contrast (70540) | $3,803 | $3,803 | 14.9× |
| MRI orbit face neck w contrast (70542) | $6,361 | $6,361 | 17.0× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $6,142 | $6,142 | 16.4× |
| MRI pelvis w contrast (72196) | $6,329 | $6,329 | 16.9× |
| MRI pelvis w/o & w contrast (72197) | $7,973 | $7,973 | 21.3× |
| MRI pelvis w/o contrast (72195) | $4,591 | $4,591 | 18.0× |
| MRI spectroscopy (76390) | $1,002 | $1,002 | 10.7× |
| MRI thoracic spine w/o contrast (72146) | $5,582 | $5,582 | 21.8× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $4,436 | $4,436 | 11.9× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $4,474 | $4,474 | 17.5× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $5,984 | $5,984 | 16.0× |
| MRI, abdomen, combo (74183) | $7,973 | $7,973 | 21.3× |
| MRI, dorsal spine combo (72157) | $6,934 | $6,934 | 18.5× |
| MRI, dorsal spine contrast (72147) | $6,329 | $6,329 | 16.9× |
| MRI, joint upper extrem (73221) | $4,766 | $4,766 | 18.6× |
| MRI, joint upper extrem combo (73223) | $6,934 | $6,934 | 18.5× |
| MRI, lumbar spine combo (72158) | $6,934 | $6,934 | 18.5× |
| Musculoskeletal Nuclear Exam (78399) | $2,201 | $2,201 | 5.1× |
| Myelogram cervical (72240) | $1,826 | $1,826 | 2.2× |
| Myelogram Lumbar (72265) | $1,826 | $1,826 | 2.2× |
| Myelography thoracic (72255) | $2,554 | $2,554 | 3.0× |
| Myelograpy 2/more regions rs&i (72270) | $1,548 | $1,548 | 1.8× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) | $9,705 | $9,705 | 7.0× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $5,316 | $5,316 | 3.8× |
| Myocardial Spect Multiple Studies (78452) range across 2 matching MRF lines |
$1,585–$8,056 | $1,585–$8,056 | varies |
| N-invas est c ffr sw aly CTA (75580) | $4,610 | $4,610 | 5.0× |
| Neck soft tissue (70360) | $610 | $610 | 6.5× |
| Nm csf leak detection (78650) | $6,153 | $6,153 | 4.4× |
| Nm unlisted gi procedure (78299) | $2,201 | $2,201 | 5.1× |
| Nm whole blood volume (78122) | $5,286 | $5,286 | 9.1× |
| Nonvascular Shunt X-Ray (75809) | $1,242 | $1,242 | 11.1× |
| Ntsty modul radthx pln dose-vol histos (77301) range across 2 matching MRF lines |
$17,254–$18,822 | $17,254–$18,822 | varies |
| Nuclear medicine study of endocrine organs (78099) | $2,530 | $2,530 | 5.9× |
| Nuclear Rx Intra-Arterial (79445) | $1,566 | $1,566 | 6.3× |
| Nuclear Rx Oral Admin (79005) | $2,349 | $2,349 | 9.4× |
| Ob us nuchal meas 1 gest (76813) | $1,679 | $1,679 | 15.0× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) range across 2 matching MRF lines |
$96–$471 | $96–$471 | varies |
| Panoramic X-ray of jaws (70355) | $439 | $439 | 4.7× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $3,652 | $3,652 | 6.3× |
| Parathyroid Planar Imaging (78070) | $2,530 | $2,530 | 5.9× |
| Parathyroid planar imaging w/wo subtraction (78071) | $3,327 | $3,327 | 7.8× |
| Pelvis 1 or 2 views (72170) | $1,172 | $1,172 | 10.5× |
| Peritoneogram Rs&I (74190) | $1,214 | $1,214 | 2.1× |
| Pet Image W/Ct Lmtd (78814) | $9,417 | $9,417 | 6.1× |
| PET image w/CT, full body (78816) | $9,772 | $9,772 | 6.4× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $9,770 | $9,770 | 6.4× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $5,019 | $5,019 | 1.5× |
| Pulmonary Perfusion Imaging Particulate (78580) | $2,530 | $2,530 | 5.9× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $959 | $959 | 8.6× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $3,053 | $3,053 | 5.2× |
| Radex Ankle Complete Minimum 3 Views (73610) | $759 | $759 | 8.1× |
| Radex Calcaneus Minimum 2 Views (73650) | $665 | $665 | 7.1× |
| Radex elbow complete minimum 3 views (73080) | $806 | $806 | 8.6× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $1,202 | $1,202 | 10.7× |
| Radex fingr minimum 2 views (73140) | $665 | $665 | 7.1× |
| Radex foot complete minimum 3 views (73630) | $731 | $731 | 7.8× |
| Radex Hand Minimum 3 Views (73130) | $806 | $806 | 8.6× |
| Radex lower extremity infant minimum 2 views (73592) | $231 | $231 | 2.5× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $319 | $319 | 2.8× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $665 | $665 | 7.1× |
| Radex Ribs Unilateral 2 Views (71100) | $641 | $641 | 6.9× |
| Radex shoulder complete minimum 2 views (73030) | $757 | $757 | 8.1× |
| Radex Sinuses Paransl < 3 Views (70210) | $665 | $665 | 7.1× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $1,965 | $1,965 | 10.5× |
| Radex Spine 1 View Specify Level (72020) | $458 | $458 | 4.9× |
| Radex Sternum Minimum 2 Views (71120) | $376 | $376 | 4.0× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $425 | $425 | 4.6× |
| Radex Toe Minimum 2 Views (73660) | $665 | $665 | 7.1× |
| Radex upper extremity infant minimum 2 views (73092) | $231 | $231 | 2.1× |
| Radex Wrist Complete Minimum 3 Views (73110) | $806 | $806 | 8.6× |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $14,490 | $14,490 | 1.8× |
| Radiation treatment delivery level 1 (77402) | $1,164 | $1,164 | 10.6× |
| Radiation treatment delivery level 2 (77407) | $1,941 | $1,941 | 4.7× |
| Radiation treatment delivery level 3 (77412) range across 2 matching MRF lines |
$1,718–$1,993 | $1,718–$1,993 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) | $445 | $445 | 4.0× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $1,182 | $1,182 | 10.6× |
| Radiologic exam colon double contrast study (74280) | $2,120 | $2,120 | 11.3× |
| Radiologic exam colon single contrast study (74270) | $1,929 | $1,929 | 10.3× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $1,635 | $1,635 | 8.7× |
| Radiologic exam knee complete 4/more views (73564) | $1,202 | $1,202 | 10.7× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $1,211 | $1,211 | 10.8× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $1,188 | $1,188 | 6.3× |
| Radiologic exam swallow function contrast study (74230) | $965 | $965 | 5.1× |
| Radiologic exam upr gi trc double contrast study (74246) | $2,120 | $2,120 | 11.3× |
| Radiologic examination femur 1 view (73551) | $608 | $608 | 6.5× |
| Radiologic examination femur minimum 2 views (73552) | $665 | $665 | 7.1× |
| Radiologic examination knee 1/2 views (73560) | $680 | $680 | 7.3× |
| Radiologic Examination Osseous Survey Limited (77074) | $857 | $857 | 7.6× |
| Radiologic examination tibia & fibula 2 views (73590) | $665 | $665 | 7.1× |
| Ribs bilateral 3 views (71110) | $1,783 | $1,783 | 15.9× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $2,469 | $2,469 | 5.8× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $3,797 | $3,797 | 8.9× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $9,538 | $9,538 | 16.4× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $9,251 | $9,251 | 15.9× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $4,520 | $4,520 | 7.8× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $10,979 | $10,979 | 7.9× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $14,019 | $14,019 | 9.1× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $9,610 | $9,610 | 6.9× |
| Rp Ther Radiolbld Monoclonal Antibody IV Infus (79403) | $2,102 | $2,102 | 8.4× |
| Rp Therapy Intravenous Administration (79101) | $2,329 | $2,329 | 9.3× |
| Salivary Gland Imaging (78230) | $2,201 | $2,201 | 5.1× |
| Scapula (73010) | $474 | $474 | 4.2× |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 4 matching MRF lines |
$177–$388 | $177–$388 | varies |
| Shoulder 1 view (73020) | $580 | $580 | 6.2× |
| Shoulder Arthrography (73040) | $926 | $926 | 2.5× |
| Skull less than 4 views (70250) | $1,202 | $1,202 | 10.7× |
| Special dosimetry (77331) | $1,231 | $1,231 | 8.5× |
| Special Physics Consult (77370) | $1,895 | $1,895 | 13.2× |
| Special teletherapy port plan (77321) | $2,028 | $2,028 | 5.1× |
| Special treatment procedure (77470) | $5,170 | $5,170 | 8.7× |
| Speech evaluation, complex (70371) | $1,965 | $1,965 | 7.7× |
| Stereotactic Body Radiation Delivery (77373) range across 2 matching MRF lines |
$12,223–$16,809 | $12,223–$16,809 | varies |
| Sternoclavicular joints (71130) | $319 | $319 | 3.4× |
| Superior sagittal sinus venogram (75870) | $3,579 | $3,579 | 1.1× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $3,730 | $3,730 | 9.3× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $3,201 | $3,201 | 8.0× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $5,224 | $5,224 | 13.0× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) range across 2 matching MRF lines |
$2,783–$3,123 | $2,783–$3,123 | varies |
| Ther rad simulaj-aided field setting simple (77280) range across 2 matching MRF lines |
$2,824–$3,343 | $2,824–$3,343 | varies |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $915 | $915 | 4.9× |
| Thoracic spine 2 views (72070) | $1,172 | $1,172 | 10.5× |
| Thoracic spine 3 views (72072) | $1,202 | $1,202 | 10.7× |
| Thoracolumbar 2 views (72080) | $540 | $540 | 5.8× |
| Thyroid Imaging With Vascular Flow (78013) | $1,093 | $1,093 | 2.6× |
| Thyroid Met Imaging Body (78018) | $3,262 | $3,262 | 5.6× |
| Thyroid Uptake Measurement (78012) | $829 | $829 | 1.9× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $2,530 | $2,530 | 5.9× |
| Tx Devices Design & Construction Complex (77334) | $3,156 | $3,156 | 7.9× |
| Tx devices design & construction intermediate (77333) range across 2 matching MRF lines |
$1,072–$1,746 | $1,072–$1,746 | varies |
| Tx devices design & construction simple (77332) | $1,351 | $1,351 | 9.4× |
| Ultrasound Breast Limited (76642) range across 4 matching MRF lines |
$864–$1,004 | $864–$1,004 | varies |
| Ultrasound elastography first target lesion (76982) | $580 | $580 | 5.2× |
| Ultrasound Elastography Parenchyma (76981) | $1,347 | $1,347 | 12.0× |
| Ultrasound Exam Aaa Screen (76706) | $1,462 | $1,462 | 13.1× |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$251–$1,720 | $251–$1,720 | varies |
| Umbilical-artery Doppler (OB) (76820) | $1,266 | $1,266 | 11.3× |
| Unlisted Dx Radiographic Procedure (76499) | $5,696 | $5,696 | 61.1× |
| Unlisted fluoroscopic procedure (76496) | $1,125 | $1,125 | 12.1× |
| Unlisted magnetic resonance procedure (76498) range across 2 matching MRF lines |
$913–$2,950 | $913–$2,950 | varies |
| Unlisted Miscellaneous Px Dx Nuclear Medicine (78999) | $2,201 | $2,201 | 5.1× |
| Unlisted respiratory px dx nuclear medicine (78599) | $2,201 | $2,201 | 5.1× |
| Unlisted us procedure (76999) | $755 | $755 | 8.1× |
| Upper gi w/o kub (74240) | $1,929 | $1,929 | 10.3× |
| Urea Breath Test C-14 Isotopic Acquisj Analysis (78267) | $82 | $82 | 7.4× |
| Urea breath test c-14 isotopic analysis (78268) | $676 | $676 | 7.2× |
| Ureteral Reflux Study (78740) | $2,198 | $2,198 | 5.1× |
| Urethrocystogram voiding (74455) | $808 | $808 | 3.2× |
| Urethrocystography retrograde (74450) | $772 | $772 | 3.0× |
| Us breast unilateral complete (76641) range across 4 matching MRF lines |
$922–$1,004 | $922–$1,004 | varies |
| Us chest (76604) | $1,679 | $1,679 | 15.0× |
| Us complete joint (76881) | $1,648 | $1,648 | 14.7× |
| Us exam, pelvic, limited (76857) | $1,283 | $1,283 | 11.5× |
| Us head (76506) | $1,499 | $1,499 | 13.4× |
| Us kidney transplant (76776) | $1,298 | $1,298 | 11.6× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $1,404 | $1,404 | 12.5× |
| Us ob detailed single fetus (76811) | $2,807 | $2,807 | 11.0× |
| Us ob limited 1 or more fetuses (76815) | $1,679 | $1,679 | 15.0× |
| Us ob transvaginal (76817) | $1,679 | $1,679 | 15.0× |
| Us pelvic non ob complete (76856) | $1,720 | $1,720 | 15.4× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $1,720 | $1,720 | 15.4× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $1,679 | $1,679 | 15.0× |
| Us retroperitoneal complete (76770) | $1,728 | $1,728 | 15.4× |
| Us retroperitoneal limited (76775) | $1,720 | $1,720 | 15.4× |
| Us scrotum and contents (76870) | $1,720 | $1,720 | 15.4× |
| Us spinal canal and contents (76800) | $1,720 | $1,720 | 15.4× |
| Us thyroid (76536) | $1,720 | $1,720 | 15.4× |
| Us transrectal (76872) | $797 | $797 | 7.1× |
| Vein X-Ray Chest (75827) | $3,816 | $3,816 | 2.3× |
| Vein X-Ray Liver W/O Hemodyn (75887) | $3,755 | $3,755 | 1.1× |
| Vein X-Ray Spleen/Liver (75810) | $6,139 | $6,139 | 1.8× |
| Venogram Sinus/Jugular (75860) | $3,491 | $3,491 | 1.0× |
| Venography caval inferior serialography rs&i (75825) | $21,937 | $21,937 | 6.5× |
| Venography extremity bilateral rs&i (75822) | $10,299 | $10,299 | 6.1× |
| Venography extremity unilateral rs&i (75820) | $5,150 | $5,150 | 3.1× |
| Venography Renal Bilateral (75833) | $32,708 | $32,708 | 9.7× |
| Venography Renal Unilateral (75831) | $21,937 | $21,937 | 6.5× |
| Venous sampling by catheter (75893) | $5,882 | $5,882 | 1.0× |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$665–$731 | $665–$731 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $231 | $231 | 2.5× |
| X-ray antegrade pyelogram tube (74425) | $1,122 | $1,122 | 3.0× |
| X-Ray Aorta Leg Arteries (75630) | $21,937 | $21,937 | 6.5× |
| X-Ray Bend Only L-S Spine (72120) | $1,202 | $1,202 | 10.7× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$665–$731 | $665–$731 | varies |
| X-Ray Exam Breast Specimen (76098) | $1,689 | $1,689 | 2.9× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $734 | $734 | 7.9× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $1,172 | $1,172 | 10.5× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $1,062 | $1,062 | 9.5× |
| X-Ray Exam Hip Uni 1 View (73501) | $580 | $580 | 6.2× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $665 | $665 | 7.1× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $1,202 | $1,202 | 10.7× |
| X-Ray Exam Hips Bi 2 Views (73521) | $1,783 | $1,783 | 15.9× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $2,258 | $2,258 | 20.2× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $2,376 | $2,376 | 21.2× |
| X-Ray Exam L-S Spine Bending (72114) | $1,380 | $1,380 | 12.3× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $731 | $731 | 7.8× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $1,344 | $1,344 | 12.0× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $1,172 | $1,172 | 10.5× |
| X-ray eye for foreign body (70030) | $549 | $549 | 5.9× |
| X-ray head for orthodontia (70350) | $580 | $580 | 6.2× |
| X-ray humerus (73060) | $665 | $665 | 7.1× |
| X-ray IV pyelogram (ivp) (74400) | $1,125 | $1,125 | 6.0× |
| X-ray IV pyelogram+tomography (74415) | $1,635 | $1,635 | 8.7× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $418 | $418 | 4.5× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $1,202 | $1,202 | 10.7× |
| X-ray nose-rectum child f.b. (76010) | $245 | $245 | 2.6× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $2,258 | $2,258 | 20.2× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $1,172 | $1,172 | 10.5× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $721 | $721 | 7.7× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $1,142 | $1,142 | 12.2× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $1,321 | $1,321 | 11.8× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $2,726 | $2,726 | 7.3× |
| X-Rays Bone Length Studies (77073) | $970 | $970 | 8.7× |
| X-Rays Bone Survey Complete (77075) | $1,009 | $1,009 | 9.0× |
| Xr c-spine 4 or 5 views (72050) | $1,202 | $1,202 | 10.7× |
| Xr orbits complete 4 views (70200) | $562 | $562 | 5.0× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.