Imaging prices at Ellenville Regional Hospital
Ellenville, NY · every code in this section with a posted price and a Medicare benchmark.
273 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 |
$20.25–$200.25 | $27–$267 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$26.25–$240 | $35–$320 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) range across 2 matching MRF lines |
$106.50–$918.75 | $142–$1,225 | varies |
| Acute venous thrombosis imaging, peptide Non-Facility (78456) range across 2 matching MRF lines |
$107.25–$3,047.25 | $143–$4,063 | varies |
| Ankle 2 views (73600) range across 6 matching MRF lines |
$18–$200.25 | $24–$267 | varies |
| Bone age studies (77072) range across 2 matching MRF lines |
$21.75–$240 | $29–$320 | varies |
| Bone Imaging 3 Phase (78315) range across 2 matching MRF lines |
$110.25–$918.75 | $147–$1,225 | varies |
| Bone Imaging Limited Area (78300) range across 2 matching MRF lines |
$68.25–$918.75 | $91–$1,225 | varies |
| Bone Imaging Multiple Areas (78305) range across 2 matching MRF lines |
$90.75–$918.75 | $121–$1,225 | varies |
| Bone Imaging Whole Body (78306) range across 2 matching MRF lines |
$93–$918.75 | $124–$1,225 | varies |
| Bone marrow imaging limited area (78102) range across 2 matching MRF lines |
$57.75–$918.75 | $77–$1,225 | varies |
| Bone survey infant (77076) range across 2 matching MRF lines |
$78–$240 | $104–$320 | varies |
| Brain Flow Imaging Only (78610) range across 2 matching MRF lines |
$32.25–$1,248 | $43–$1,664 | varies |
| Brain Image W/Flow < 4 Views (78601) range across 2 matching MRF lines |
$54.75–$918.75 | $73–$1,225 | varies |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) range across 2 matching MRF lines |
$69.75–$1,248 | $93–$1,664 | varies |
| Card Bl Pool Gated Spect Rest Wal Motn Ejct Frct (78494) range across 2 matching MRF lines |
$127.50–$918.75 | $170–$1,225 | varies |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) range across 2 matching MRF lines |
$60.75–$1,248 | $81–$1,664 | varies |
| Cerebrospinal Fluid Scan (78630) range across 2 matching MRF lines |
$73.50–$1,248 | $98–$1,664 | varies |
| Chest 1 view (71045) range across 2 matching MRF lines |
$20.25–$200.25 | $27–$267 | varies |
| Chest 2 views (71046) range across 2 matching MRF lines |
$24.75–$200.25 | $33–$267 | varies |
| Chest 3 views (71047) range across 2 matching MRF lines |
$30.75–$200.25 | $41–$267 | varies |
| Chest 4 or more views (71048) range across 2 matching MRF lines |
$34.50–$240 | $46–$320 | varies |
| Chg us nrv&acc strux 1 xtr compre w/img pr extremity (76883) range across 2 matching MRF lines |
$134.25–$240 | $179–$320 | varies |
| Clavicle complete (73000) range across 6 matching MRF lines |
$18.75–$200.25 | $25–$267 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 2 matching MRF lines |
$118.50–$465.75 | $158–$621 | varies |
| Contrast X-Ray Bladder (74430) range across 2 matching MRF lines |
$35.25–$825 | $47–$1,100 | varies |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$220.50–$1,196.25 | $294–$1,595 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$191.25–$1,059.75 | $255–$1,413 | varies |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$139.50–$1,128.75 | $186–$1,505 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$153–$1,836 | $204–$2,448 | varies |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$130.50–$1,048.50 | $174–$1,398 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 4 matching MRF lines |
$241.50–$846 | $322–$1,128 | varies |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$200.25–$2,019 | $267–$2,692 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$192–$1,941 | $256–$2,588 | varies |
| CT angio hrt w/3d image (75574) range across 2 matching MRF lines |
$262.50–$803.25 | $350–$1,071 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
$207–$570 | $276–$760 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$192–$1,941 | $256–$2,588 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 2 matching MRF lines |
$197.25–$1,941 | $263–$2,588 | varies |
| CT bone density (77078) range across 2 matching MRF lines |
$27.75–$200.25 | $37–$267 | varies |
| CT Cere Prfuj Alys C+ W/O CT/Cta Same Anatomy (70473) range across 2 matching MRF lines |
$114–$269.25 | $152–$359 | varies |
| CT cervical spine w/ contrast (72126) range across 2 matching MRF lines |
$133.50–$1,128.75 | $178–$1,505 | varies |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$109.50–$1,129.50 | $146–$1,506 | varies |
| CT cervical spine w/wo cont (72127) range across 2 matching MRF lines |
$138.75–$1,961.25 | $185–$2,615 | varies |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$128.25–$1,128.75 | $171–$1,505 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$137.25–$1,196.25 | $183–$1,595 | varies |
| CT Colonogrphy Dx Image Postprocess W/Contrast (74262) range across 2 matching MRF lines |
$276–$1,941 | $368–$2,588 | varies |
| CT colonogrphy dx image postprocess w/o contrast (74261) range across 2 matching MRF lines |
$264.75–$2,019 | $353–$2,692 | varies |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$123.75–$929.25 | $165–$1,239 | varies |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$139.50–$999 | $186–$1,332 | varies |
| CT heart contrast eval cardiac structure&morph (75572) range across 2 matching MRF lines |
$189.75–$803.25 | $253–$1,071 | varies |
| CT heart no contrast quant eval coronry calcium (75571) range across 2 matching MRF lines |
$64.50–$75 | $86–$100 | varies |
| CT hrt w/3d image congen (75573) range across 2 matching MRF lines |
$279.75–$803.25 | $373–$1,071 | varies |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$123.75–$453.75 | $165–$605 | varies |
| CT l-spine w&w/o contrast (72133) range across 2 matching MRF lines |
$138.75–$1,198.50 | $185–$1,598 | varies |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$109.50–$1,086.75 | $146–$1,449 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$126.75–$1,059.75 | $169–$1,413 | varies |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$133.50–$1,128.75 | $178–$1,505 | varies |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$109.50–$1,059.75 | $146–$1,413 | varies |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$123.75–$929.25 | $165–$1,239 | varies |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$94.50–$863.25 | $126–$1,151 | varies |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$177–$1,196.25 | $236–$1,595 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 2 matching MRF lines |
$138.75–$999 | $185–$1,332 | varies |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$141–$255 | $188–$340 | varies |
| CT pelvis w&w/o contrast (72194) range across 2 matching MRF lines |
$133.50–$1,785.75 | $178–$2,381 | varies |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$119.25–$1,059.75 | $159–$1,413 | varies |
| CT scan of leg combo (73702) range across 2 matching MRF lines |
$132.75–$1,128.75 | $177–$1,505 | varies |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
$138.75–$999 | $185–$1,332 | varies |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$151.50–$1,128.75 | $202–$1,505 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$141–$947.25 | $188–$1,263 | varies |
| CT thoracic spine w contrast (72129) range across 2 matching MRF lines |
$134.25–$1,436.25 | $179–$1,915 | varies |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$109.50–$1,009.50 | $146–$1,346 | varies |
| CT thoracic spine w/wo cont (72130) range across 2 matching MRF lines |
$139.50–$1,198.50 | $186–$1,598 | varies |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$118.50–$931.50 | $158–$1,242 | varies |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$109.50–$999 | $146–$1,332 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 2 matching MRF lines |
$132.75–$1,002 | $177–$1,336 | varies |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$126.75–$1,059.75 | $169–$1,413 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$260.25–$2,376 | $347–$3,168 | varies |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$199.50–$2,019 | $266–$2,692 | varies |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) range across 2 matching MRF lines |
$283.50–$534.75 | $378–$713 | varies |
| CTA pelvis (72191) range across 2 matching MRF lines |
$197.25–$2,484.75 | $263–$3,313 | varies |
| Diskography lumbar (72295) range across 2 matching MRF lines |
$4,488.75 | $123–$5,985 | 1.8× |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$22.50–$240 | $30–$320 | varies |
| Dxa bone density study 1/>sites appendiclr skel (77081) range across 2 matching MRF lines |
$22.50–$200.25 | $30–$267 | varies |
| Fetal Biophys Profile W/Nst (76818) range across 2 matching MRF lines |
$115.50–$240 | $154–$320 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 2 matching MRF lines |
$84–$240 | $112–$320 | varies |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$36–$548.25 | $48–$731 | varies |
| Foot 2 views (73620) range across 4 matching MRF lines |
$17.25–$200.25 | $23–$267 | varies |
| Forearm 2 views (73090) range across 8 matching MRF lines |
$18–$200.25 | $24–$267 | varies |
| Gastric emptying imaging study (78264) range across 2 matching MRF lines |
$86.25–$918.75 | $115–$1,225 | varies |
| Gastroesophageal Reflux Exam (78262) range across 2 matching MRF lines |
$75–$918.75 | $100–$1,225 | varies |
| Gated Heart Planar Single (78472) range across 4 matching MRF lines |
$105–$918.75 | $140–$1,225 | varies |
| Gated Heart, Multiple (78473) range across 2 matching MRF lines |
$158.25–$918.75 | $211–$1,225 | varies |
| Hand 2 views (73120) range across 8 matching MRF lines |
$18.75–$240 | $25–$320 | varies |
| Hepatobil Syst Image W/Drug (78227) range across 2 matching MRF lines |
$97.50–$1,248 | $130–$1,664 | varies |
| Hepatobiliary System Imaging (78226) range across 2 matching MRF lines |
$80.25–$918.75 | $107–$1,225 | varies |
| Ht Muscle Image Spect Sing (78451) range across 2 matching MRF lines |
$147–$3,047.25 | $196–$4,063 | varies |
| Hysterosalpingogram (74740) range across 2 matching MRF lines |
$42.75–$548.25 | $57–$731 | varies |
| Infant hip ultrasound with hip movement (dynamic) (76885) range across 2 matching MRF lines |
$82.50–$200.25 | $110–$267 | varies |
| Infant hip ultrasound, limited static exam (76886) range across 2 matching MRF lines |
$69–$200.25 | $92–$267 | varies |
| Joint Survey Single View (77077) range across 4 matching MRF lines |
$38.25–$240 | $51–$320 | varies |
| K Flow/Funct Image Multiple (78709) range across 2 matching MRF lines |
$149.25–$1,248 | $199–$1,664 | varies |
| K Flow/Funct Image W/Drug (78708) range across 2 matching MRF lines |
$129–$1,248 | $172–$1,664 | varies |
| K Flow/Funct Image W/O Drug (78707) range across 2 matching MRF lines |
$102–$1,248 | $136–$1,664 | varies |
| Kidney Imaging Morphol (78700) range across 2 matching MRF lines |
$48.75–$918.75 | $65–$1,225 | varies |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) range across 2 matching MRF lines |
$54–$918.75 | $72–$1,225 | varies |
| Knee 3 Views (73562) range across 4 matching MRF lines |
$21.75–$200.25 | $29–$267 | varies |
| Liver & Spleen Imaging Static Only (78215) range across 2 matching MRF lines |
$53.25–$918.75 | $71–$1,225 | varies |
| Lung perfusion differential (78597) range across 2 matching MRF lines |
$78–$918.75 | $104–$1,225 | varies |
| Lung Ventilat&Perfus Imaging (78582) range across 8 matching MRF lines |
$114.75–$1,248 | $153–$1,664 | varies |
| Lymph System Imaging (78195) range across 2 matching MRF lines |
$127.50–$1,248 | $170–$1,664 | varies |
| Magnetic Image Jaw Joint (70336) range across 2 matching MRF lines |
$161.25–$2,135.25 | $215–$2,847 | varies |
| Meckels Divert Exam (78290) range across 2 matching MRF lines |
$73.50–$918.75 | $98–$1,225 | varies |
| Mra Head W/O & W/Contrast Material (70546) range across 2 matching MRF lines |
$162–$1,242 | $216–$1,656 | varies |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$131.25–$1,965 | $175–$2,620 | varies |
| MRA head with contrast (70545) range across 2 matching MRF lines |
$131.25–$1,669.50 | $175–$2,226 | varies |
| MRA neck w contrast (70548) range across 2 matching MRF lines |
$164.25–$1,941 | $219–$2,588 | varies |
| Mra Neck W/O &W/Contrast Material (70549) range across 2 matching MRF lines |
$197.25–$2,484.75 | $263–$3,313 | varies |
| MRA neck w/o contrast (70547) range across 2 matching MRF lines |
$132–$2,019 | $176–$2,692 | varies |
| MRI abdomen w contrast (74182) range across 2 matching MRF lines |
$189–$1,553.25 | $252–$2,071 | varies |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$159.75–$2,019 | $213–$2,692 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 2 matching MRF lines |
$178.50–$1,802.25 | $238–$2,403 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$237.75–$2,911.50 | $317–$3,882 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 2 matching MRF lines |
$178.50–$2,679 | $238–$3,572 | varies |
| MRI Breast W/O Contrast Bilateral (77047) range across 2 matching MRF lines |
$175.50–$548.25 | $234–$731 | varies |
| MRI Breast Without Contrast Material Unilateral (77046) range across 2 matching MRF lines |
$158.25–$548.25 | $211–$731 | varies |
| MRI cervical spine w contrast (72142) range across 2 matching MRF lines |
$198–$2,834.25 | $264–$3,779 | varies |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$162.75–$1,941 | $217–$2,588 | varies |
| MRI chest w/o contrast (71550) range across 2 matching MRF lines |
$160.50–$2,019 | $214–$2,692 | varies |
| MRI chest with contrast (71551) range across 2 matching MRF lines |
$189–$2,329.50 | $252–$3,106 | varies |
| MRI chest wo w contrast (71552) range across 2 matching MRF lines |
$249.75–$3,300 | $333–$4,400 | varies |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 2 matching MRF lines |
$177.75–$2,135.25 | $237–$2,847 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 2 matching MRF lines |
$237.75–$3,003.75 | $317–$4,005 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines |
$148.50–$1,941 | $198–$2,588 | varies |
| MRI lumbar spine w contrast (72149) range across 2 matching MRF lines |
$197.25–$2,213.25 | $263–$2,951 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$253.50–$2,834.25 | $338–$3,779 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 2 matching MRF lines |
$147–$1,941 | $196–$2,588 | varies |
| MRI orbit face neck w contrast (70542) range across 2 matching MRF lines |
$177.75–$2,834.25 | $237–$3,779 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 2 matching MRF lines |
$237–$2,927.25 | $316–$3,903 | varies |
| MRI pelvis w contrast (72196) range across 2 matching MRF lines |
$189–$2,834.25 | $252–$3,779 | varies |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$242.25–$2,911.50 | $323–$3,882 | varies |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$160.50–$1,708.50 | $214–$2,278 | varies |
| MRI spectroscopy (76390) | $1,794.75 | $2,393 | 16.5× |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$162.75–$1,708.50 | $217–$2,278 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 2 matching MRF lines |
$177.75–$2,406.75 | $237–$3,209 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 2 matching MRF lines |
$149.25–$2,570.25 | $199–$3,427 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 2 matching MRF lines |
$237.75–$3,300 | $317–$4,400 | varies |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$242.25–$3,072 | $323–$4,096 | varies |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$253.50–$2,989.50 | $338–$3,986 | varies |
| MRI, dorsal spine contrast (72147) range across 2 matching MRF lines |
$195.75–$3,261 | $261–$4,348 | varies |
| MRI, joint upper extrem (73221) range across 2 matching MRF lines |
$149.25–$1,680 | $199–$2,240 | varies |
| MRI, joint upper extrem combo (73223) range across 2 matching MRF lines |
$237.75–$3,300 | $317–$4,400 | varies |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$253.50–$2,911.50 | $338–$3,882 | varies |
| Myocardial Spect Multiple Studies (78452) range across 2 matching MRF lines |
$173.25–$3,047.25 | $231–$4,063 | varies |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$20.25–$200.25 | $27–$267 | varies |
| Nuclear Rx Intra-Arterial (79445) range across 2 matching MRF lines |
$254.25–$536.25 | $339–$715 | varies |
| Nuclear Rx Oral Admin (79005) range across 2 matching MRF lines |
$193.50–$536.25 | $258–$715 | varies |
| Optic foramina (70190) range across 2 matching MRF lines |
$25.50–$200.25 | $34–$267 | varies |
| Parathyroid Planar Imaging (78070) range across 2 matching MRF lines |
$87.75–$918.75 | $117–$1,225 | varies |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$20.25–$240 | $27–$320 | varies |
| Pulmonary Perfusion Imaging Particulate (78580) range across 2 matching MRF lines |
$80.25–$918.75 | $107–$1,225 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 6 matching MRF lines |
$20.25–$200.25 | $27–$267 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 4 matching MRF lines |
$18–$200.25 | $24–$267 | varies |
| Radex elbow complete minimum 3 views (73080) range across 4 matching MRF lines |
$20.25–$200.25 | $27–$267 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$29.25–$345.75 | $39–$461 | varies |
| Radex fingr minimum 2 views (73140) range across 20 matching MRF lines |
$15.75–$200.25 | $21–$267 | varies |
| Radex foot complete minimum 3 views (73630) range across 6 matching MRF lines |
$18.75–$200.25 | $25–$267 | varies |
| Radex Hand Minimum 3 Views (73130) range across 4 matching MRF lines |
$20.25–$200.25 | $27–$267 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 6 matching MRF lines |
$18–$200.25 | $24–$267 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) range across 2 matching MRF lines |
$38.25–$240 | $51–$320 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$20.25–$200.25 | $27–$267 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 4 matching MRF lines |
$25.50–$200.25 | $34–$267 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 6 matching MRF lines |
$21.75–$200.25 | $29–$267 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$20.25–$200.25 | $27–$267 | varies |
| Radex Spine 1 View Specify Level (72020) range across 2 matching MRF lines |
$18–$200.25 | $24–$267 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$22.50–$200.25 | $30–$267 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$27–$200.25 | $36–$267 | varies |
| Radex Toe Minimum 2 Views (73660) range across 20 matching MRF lines |
$15–$200.25 | $20–$267 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 6 matching MRF lines |
$18–$240 | $24–$320 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 6 matching MRF lines |
$20.25–$200.25 | $27–$267 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) range across 2 matching MRF lines |
$47.25–$240 | $63–$320 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$28.50–$240 | $38–$320 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 2 matching MRF lines |
$30–$240 | $40–$320 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 4 matching MRF lines |
$26.25–$240 | $35–$320 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$28.50–$240 | $38–$320 | varies |
| Radiologic exam swallow function contrast study (74230) range across 2 matching MRF lines |
$58.50–$403.50 | $78–$538 | varies |
| Radiologic examination femur 1 view (73551) range across 4 matching MRF lines |
$18.75–$200.25 | $25–$267 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 6 matching MRF lines |
$20.25–$200.25 | $27–$267 | varies |
| Radiologic examination knee 1/2 views (73560) range across 4 matching MRF lines |
$18.75–$200.25 | $25–$267 | varies |
| Radiologic Examination Osseous Survey Limited (77074) range across 2 matching MRF lines |
$48.75–$240 | $65–$320 | varies |
| Radiologic Examination Salivary Gland Calculus (70380) range across 2 matching MRF lines |
$18.75–$200.25 | $25–$267 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 4 matching MRF lines |
$18–$200.25 | $24–$267 | varies |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$32.25–$240 | $43–$320 | varies |
| Rp loclzj tum plnr 1 area single day imaging (78800) range across 2 matching MRF lines |
$71.25–$918.75 | $95–$1,225 | varies |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) range across 2 matching MRF lines |
$78–$918.75 | $104–$1,225 | varies |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) range across 2 matching MRF lines |
$86.25–$3,047.25 | $115–$4,063 | varies |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 2 matching MRF lines |
$115.50–$3,047.25 | $154–$4,063 | varies |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) range across 2 matching MRF lines |
$193.50–$3,047.25 | $258–$4,063 | varies |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) range across 2 matching MRF lines |
$222–$3,357 | $296–$4,476 | varies |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) range across 2 matching MRF lines |
$154.50–$3,047.25 | $206–$4,063 | varies |
| Scapula (73010) range across 4 matching MRF lines |
$21–$240 | $28–$320 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 2 matching MRF lines |
$66.75–$145.50 | $89–$194 | varies |
| Shoulder 1 view (73020) range across 10 matching MRF lines |
$17.25–$236.25 | $23–$315 | varies |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$20.25–$240 | $27–$320 | varies |
| Sternoclavicular joints (71130) range across 2 matching MRF lines |
$24.75–$200.25 | $33–$267 | varies |
| Testicular Imaging W/Flow (78761) range across 2 matching MRF lines |
$78.75–$918.75 | $105–$1,225 | varies |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$23.25–$240 | $31–$320 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$25.50–$376.50 | $34–$502 | varies |
| Thyroid Met Imaging Body (78018) range across 2 matching MRF lines |
$89.25–$1,248 | $119–$1,664 | varies |
| Thyroid Uptake Measurement (78012) range across 4 matching MRF lines |
$918.75 | $27–$1,225 | 1.8× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) range across 2 matching MRF lines |
$54–$918.75 | $72–$1,225 | varies |
| Ultrasound Breast Limited (76642) range across 8 matching MRF lines |
$75.75–$200.25 | $101–$267 | varies |
| Ultrasound elastography first target lesion (76982) range across 2 matching MRF lines |
$66–$240 | $88–$320 | varies |
| Ultrasound Elastography Parenchyma (76981) range across 2 matching MRF lines |
$66.75–$240 | $89–$320 | varies |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
$60–$240 | $80–$320 | varies |
| Ultrasound trgt dynamic microbubble 1st lesion (76978) range across 2 matching MRF lines |
$177.75–$801.75 | $237–$1,069 | varies |
| Ultrasound, abdomen limited (76705) range across 6 matching MRF lines |
$65.25–$450 | $87–$600 | varies |
| Us breast unilateral complete (76641) range across 8 matching MRF lines |
$81–$240 | $108–$320 | varies |
| Us chest (76604) range across 2 matching MRF lines |
$63–$240 | $84–$320 | varies |
| Us complete joint (76881) range across 2 matching MRF lines |
$99.75–$240 | $133–$320 | varies |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$54.75–$345.75 | $73–$461 | varies |
| Us kidney transplant (76776) range across 2 matching MRF lines |
$84–$240 | $112–$320 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 8 matching MRF lines |
$76.50–$240 | $102–$320 | varies |
| Us ob detailed single fetus (76811) range across 2 matching MRF lines |
$207.75–$753 | $277–$1,004 | varies |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$72–$240 | $96–$320 | varies |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$82.50–$240 | $110–$320 | varies |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$75.75–$370.50 | $101–$494 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$109.50–$465.75 | $146–$621 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 2 matching MRF lines |
$93.75–$240 | $125–$320 | varies |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$81–$473.25 | $108–$631 | varies |
| Us retroperitoneal limited (76775) range across 4 matching MRF lines |
$64.50–$375 | $86–$500 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$70.50–$489.75 | $94–$653 | varies |
| Us spinal canal and contents (76800) range across 2 matching MRF lines |
$149.25–$240 | $199–$320 | varies |
| Us thyroid (76536) range across 2 matching MRF lines |
$63–$240 | $84–$320 | varies |
| Us transrectal (76872) range across 2 matching MRF lines |
$75–$240 | $100–$320 | varies |
| Vascular Flow Imaging (78445) range across 2 matching MRF lines |
$54.75–$918.75 | $73–$1,225 | varies |
| Vertebral fracture assessment via dxa (77086) range across 2 matching MRF lines |
$18.75–$200.25 | $25–$267 | varies |
| Wrist 2 views (73100) range across 6 matching MRF lines |
$18.75–$200.25 | $25–$267 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$21.75–$200.25 | $29–$267 | varies |
| X-Ray Bend Only L-S Spine (72120) range across 2 matching MRF lines |
$25.50–$240 | $34–$320 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 4 matching MRF lines |
$18.75–$200.25 | $25–$267 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 2 matching MRF lines |
$29.25–$200.25 | $39–$267 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 3 matching MRF lines |
$35.25–$240 | $47–$320 | varies |
| X-Ray Exam Entire Spi 4/5 Vw (72083) range across 2 matching MRF lines |
$39.75–$240 | $53–$320 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 4 matching MRF lines |
$21.75–$200.25 | $29–$267 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 4 matching MRF lines |
$25.50–$200.25 | $34–$267 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$25.50–$240 | $34–$320 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 2 matching MRF lines |
$33–$240 | $44–$320 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) range across 2 matching MRF lines |
$35.25–$447 | $47–$596 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 3 matching MRF lines |
$34.50–$240 | $46–$320 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$25.50–$200.25 | $34–$267 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$33.75–$240 | $45–$320 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 6 matching MRF lines |
$30–$240 | $40–$320 | varies |
| X-ray eye for foreign body (70030) range across 2 matching MRF lines |
$20.25–$200.25 | $27–$267 | varies |
| X-ray humerus (73060) range across 6 matching MRF lines |
$18–$200.25 | $24–$267 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 2 matching MRF lines |
$20.25–$200.25 | $27–$267 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$20.25–$200.25 | $27–$267 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$25.50–$240 | $34–$320 | varies |
| X-ray nose-rectum child f.b. (76010) range across 2 matching MRF lines |
$20.25–$200.25 | $27–$267 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$36–$240 | $48–$320 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$25.50–$240 | $34–$320 | varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) range across 2 matching MRF lines |
$20.25–$240 | $27–$320 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$20.25–$200.25 | $27–$267 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$24.75–$200.25 | $33–$267 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$31.50–$330.75 | $42–$441 | varies |
| X-ray thoracic spine 4 vw (72074) range across 2 matching MRF lines |
$27.75–$376.50 | $37–$502 | varies |
| X-Ray Tmj Unilat (70328) range across 2 matching MRF lines |
$20.25–$200.25 | $27–$267 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 2 matching MRF lines |
$57–$825 | $76–$1,100 | varies |
| X-Rays Bone Length Studies (77073) range across 2 matching MRF lines |
$30.75–$240 | $41–$320 | varies |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$60.75–$556.50 | $81–$742 | varies |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$30.75–$240 | $41–$320 | varies |
| Xr facial bones less than 3 views (70140) range across 2 matching MRF lines |
$23.25–$200.25 | $31–$267 | varies |
| XR Mastoids < 3 Views Bilateral (70120) range across 2 matching MRF lines |
$20.25–$240 | $27–$320 | varies |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$31.50–$240 | $42–$320 | 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.