Imaging prices at Ellis Hospital
Schenectady, NY · every code in this section with a posted price and a Medicare benchmark.
377 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) | $3,642.50 | $7,285 | 2.1× |
| Abdomen 1 View (74018) range across 6 matching MRF lines |
$16–$164 | $32–$328 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$20.50–$164 | $41–$328 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) range across 2 matching MRF lines |
$81.50–$644 | $163–$1,288 | varies |
| Acute venous thrombosis imaging, peptide Non-Facility (78456) | $416 | $832 | 0.3× |
| Angio internal mammary (75756) range across 2 matching MRF lines |
$93–$1,327.50 | $186–$2,655 | varies |
| Angio pulmonary bilat (75743) range across 2 matching MRF lines |
$2,989.50 | $267–$5,979 | 0.8× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $1,288 | $2,576 | 0.3× |
| Angiography extremity bilateral rs&i (75716) range across 4 matching MRF lines |
$5,457.50 | $317–$10,915 | 1.4× |
| Angiography extremity unilateral rs&i (75710) range across 10 matching MRF lines |
$5,148.50 | $229–$10,297 | 1.3× |
| Angiography pulmonary unilateral slctv rs&i (75741) range across 4 matching MRF lines |
$2,989.50 | $209–$5,979 | 0.8× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $2,989.50 | $5,979 | 0.8× |
| Ankle 2 views (73600) range across 10 matching MRF lines |
$15–$148 | $30–$296 | varies |
| Aortography thoracic serialography rs&i (75605) unusually low: confirm this is the full procedure |
$2,989.50 | $5,979 | 0.4× |
| Artery X-Rays Abdomen (75726) | $5,148.50 | $10,297 | 0.7× |
| Artery X-Rays Adrenal Gland (75731) | $893.50 | $1,787 | 0.2× |
| Artery X-Rays Pelvis (75736) | $5,148.50 | $10,297 | 0.7× |
| Artery X-Rays Spine (75705) range across 2 matching MRF lines |
$186.50–$944.50 | $373–$1,889 | varies |
| Arthrogram hip (73525) range across 8 matching MRF lines |
$49–$742.50 | $98–$1,485 | varies |
| Arthrogram Wrist (73115) range across 9 matching MRF lines |
$48.50–$326.50 | $97–$653 | varies |
| Basic radiation dosimetry calculation (77300) | $278.50 | $557 | 1.7× |
| Bone age studies (77072) range across 2 matching MRF lines |
$16.50–$118.50 | $33–$237 | varies |
| Bone Imaging 3 Phase (78315) range across 2 matching MRF lines |
$84–$1,244.50 | $168–$2,489 | varies |
| Bone Imaging Limited Area (78300) range across 2 matching MRF lines |
$52.50–$647 | $105–$1,294 | varies |
| Bone Imaging Whole Body (78306) range across 2 matching MRF lines |
$71.50–$1,168.50 | $143–$2,337 | varies |
| Bone survey infant (77076) range across 2 matching MRF lines |
$59.50–$207 | $119–$414 | varies |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) range across 2 matching MRF lines |
$52.50–$571.50 | $105–$1,143 | varies |
| Cat Scan Follow-Up Study (76380) range across 6 matching MRF lines |
$82.50–$277.50 | $165–$555 | varies |
| Cerebrospinal Fluid Scan (78630) range across 2 matching MRF lines |
$57–$511 | $114–$1,022 | varies |
| Chest 1 view (71045) range across 12 matching MRF lines |
$16–$213 | $32–$426 | varies |
| Chest 2 views (71046) range across 5 matching MRF lines |
$19–$229.50 | $38–$459 | varies |
| Chest 3 views (71047) range across 2 matching MRF lines |
$25–$170.50 | $50–$341 | varies |
| Chest 4 or more views (71048) range across 3 matching MRF lines |
$28–$215 | $56–$430 | varies |
| Cholecystography Oral Contrast (74290) | $253 | $506 | 1.2× |
| Cineradiograpy/vidradiograpy xcpt where spec (76120) | $61.50 | $123 | 0.5× |
| Cisternography Positive Contrast Rs&I (70015) range across 3 matching MRF lines |
$100.50–$596.50 | $201–$1,193 | varies |
| Clavicle complete (73000) range across 8 matching MRF lines |
$15.50–$148 | $31–$296 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 3 matching MRF lines |
$80–$535 | $160–$1,070 | varies |
| Continuing medical physics consltj pr wk (77336) | $336 | $672 | 2.0× |
| Contrast Exam Abdominl Aorta (75625) range across 4 matching MRF lines |
$5,148.50 | $184–$10,297 | 1.3× |
| Contrast X-Ray Bladder (74430) range across 5 matching MRF lines |
$27.50–$506.50 | $55–$1,013 | varies |
| Contrast X-Ray Of Knee Joint (73580) range across 6 matching MRF lines |
$48.50–$225.50 | $97–$451 | varies |
| Contrast Xray Throat/Cerv Esopha (74210) range across 2 matching MRF lines |
$30.50–$106 | $61–$212 | varies |
| CT abdomen and pelvis without and with contrast (74178) range across 5 matching MRF lines |
$167–$1,259.50 | $334–$2,519 | varies |
| CT abdomen and pelvis without contrast (74176) range across 6 matching MRF lines |
$145–$1,065 | $290–$2,130 | varies |
| CT abdomen w contrast (74160) range across 4 matching MRF lines |
$106.50–$847 | $213–$1,694 | varies |
| CT abdomen w wo contrast (74170) range across 6 matching MRF lines |
$117.50–$937.50 | $235–$1,875 | varies |
| CT abdomen w/o contrast (74150) range across 5 matching MRF lines |
$99.50–$1,057.50 | $199–$2,115 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$181–$785 | $362–$1,570 | varies |
| CT Angio Chest (71275) range across 5 matching MRF lines |
$151–$1,261.50 | $302–$2,523 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$145.50–$1,201 | $291–$2,402 | varies |
| CT angio hrt w/3d image (75574) range across 3 matching MRF lines |
$196.50–$446 | $393–$892 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 8 matching MRF lines |
$157–$976.50 | $314–$1,953 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$145.50–$1,201 | $291–$2,402 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 8 matching MRF lines |
$149–$774 | $298–$1,548 | varies |
| CT cervical spine w/ contrast (72126) range across 3 matching MRF lines |
$102–$806.50 | $204–$1,613 | varies |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$89.50–$637 | $179–$1,274 | varies |
| CT cervical spine w/wo cont (72127) range across 2 matching MRF lines |
$106–$959 | $212–$1,918 | varies |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$103–$1,130 | $206–$2,260 | varies |
| CT chest w/wo contrast (71270) range across 3 matching MRF lines |
$114.50–$1,199 | $229–$2,398 | varies |
| CT colonogrphy dx image postprocess w/o contrast (74261) range across 2 matching MRF lines |
$200.50–$393.75 | $401–$787.50 | varies |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$95.50–$855 | $191–$1,710 | varies |
| CT head/brain without and with contrast (70470) range across 3 matching MRF lines |
$106.50–$1,116 | $213–$2,232 | varies |
| CT heart contrast eval cardiac structure&morph (75572) range across 2 matching MRF lines |
$144.50–$446 | $289–$892 | varies |
| CT heart no contrast quant eval coronry calcium (75571) range across 2 matching MRF lines |
$10–$37.50 | $20–$75 | varies |
| CT hrt w/3d image congen (75573) range across 2 matching MRF lines |
$209.50–$446 | $419–$892 | varies |
| CT iac w contrast (70481) range across 3 matching MRF lines |
$114.50–$1,007 | $229–$2,014 | varies |
| CT l-spine w&w/o contrast (72133) range across 2 matching MRF lines |
$106.50–$953 | $213–$1,906 | varies |
| CT lower ext w/o (73700) range across 19 matching MRF lines |
$84–$637 | $168–$1,274 | varies |
| CT lower extremity w/contrast material (73701) range across 17 matching MRF lines |
$97.50–$898 | $195–$1,796 | varies |
| CT lumbar spine w contrast (72132) range across 4 matching MRF lines |
$102–$893.50 | $204–$1,787 | varies |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$84–$637 | $168–$1,274 | varies |
| CT maxillofacial w contrast (70487) range across 4 matching MRF lines |
$94–$855 | $188–$1,710 | varies |
| CT maxillofacial wo contrast (70486) range across 4 matching MRF lines |
$72–$637 | $144–$1,274 | varies |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$135.50–$1,159.50 | $271–$2,319 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 3 matching MRF lines |
$120.50–$1,115 | $241–$2,230 | varies |
| CT orbits w/o contrast (70480) range across 3 matching MRF lines |
$107–$637 | $214–$1,274 | varies |
| CT pelvis w&w/o contrast (72194) range across 2 matching MRF lines |
$102.50–$892.50 | $205–$1,785 | varies |
| CT pelvis w/o contrast (72192) range across 5 matching MRF lines |
$90.50–$806.50 | $181–$1,613 | varies |
| CT scan of leg combo (73702) range across 16 matching MRF lines |
$102–$926.50 | $204–$1,853 | varies |
| CT scans face/jaw combo (70488) range across 3 matching MRF lines |
$106.50–$893.50 | $213–$1,787 | varies |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$114.50–$1,007 | $229–$2,014 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$107.50–$510 | $215–$1,020 | varies |
| CT thoracic spine w contrast (72129) range across 3 matching MRF lines |
$102–$700.50 | $204–$1,401 | varies |
| CT thoracic spine w/o contrast (72128) range across 3 matching MRF lines |
$84–$510 | $168–$1,020 | varies |
| CT thoracic spine w/wo cont (72130) range across 2 matching MRF lines |
$106.50–$717 | $213–$1,434 | varies |
| CT thorax w/o contrast (71250) range across 9 matching MRF lines |
$97.50–$637 | $195–$1,274 | varies |
| CT unlisted procedure (76497) range across 2 matching MRF lines |
$125–$577.50 | $250–$1,155 | varies |
| CT upper ext wo (73200) range across 17 matching MRF lines |
$84–$510 | $168–$1,020 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 16 matching MRF lines |
$102.50–$965.50 | $205–$1,931 | varies |
| CT upper extremity with contrast (73201) range across 17 matching MRF lines |
$97.50–$898 | $195–$1,796 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$196–$967.50 | $392–$1,935 | varies |
| Cta Abdomen (74175) range across 5 matching MRF lines |
$150–$967.50 | $300–$1,935 | varies |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) range across 2 matching MRF lines |
$151–$1,201 | $302–$2,402 | varies |
| CTA pelvis (72191) range across 2 matching MRF lines |
$149.50–$921 | $299–$1,842 | varies |
| Dilation ureters/urethra rs&i (74485) | $485.50 | $971 | 0.2× |
| Discography Cerv/Thor Spine (72285) | $596.50 | $1,193 | 0.2× |
| Diskography lumbar (72295) | $3,963 | $7,926 | 1.6× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) range across 5 matching MRF lines |
$48.50–$187.50 | $97–$375 | varies |
| Doppler Echo Fetal Spectral Display Complete (76827) range across 5 matching MRF lines |
$49–$248.50 | $98–$497 | varies |
| Doppler Fetal Mid Cerebral Artery (76821) range across 6 matching MRF lines |
$60.50–$192 | $121–$384 | varies |
| Dxa Bone Density Axial (77080) range across 5 matching MRF lines |
$18–$258 | $36–$516 | varies |
| Dxa bone density study (77085) range across 4 matching MRF lines |
$26–$246.50 | $52–$493 | varies |
| Dxa bone density study 1/>sites appendiclr skel (77081) range across 3 matching MRF lines |
$19–$100.50 | $38–$201 | varies |
| Echo exam of fetal heart (76825) range across 2 matching MRF lines |
$137.50–$800.50 | $275–$1,601 | varies |
| Echo exam uterus (76831) range across 4 matching MRF lines |
$62.50–$439 | $125–$878 | varies |
| Echo Guide For Artery Repair (76936) range across 2 matching MRF lines |
$170.50–$246.50 | $341–$493 | varies |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) range across 2 matching MRF lines |
$69–$387.50 | $138–$775 | varies |
| Echograp Trans R Pros Study (76873) range across 4 matching MRF lines |
$339–$527.50 | $678–$1,055 | varies |
| Esophagram (74220) range across 2 matching MRF lines |
$39–$319.50 | $78–$639 | varies |
| Fetal Biophys Profile W/Nst (76818) range across 6 matching MRF lines |
$90–$396 | $180–$792 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 8 matching MRF lines |
$65.50–$349 | $131–$698 | varies |
| Fluoroscopy up to 1 hr (76000) range across 11 matching MRF lines |
$22–$275.50 | $44–$551 | varies |
| Follow-Up Angiography (75898) range across 2 matching MRF lines |
$95.50–$145 | $191–$290 | varies |
| Foot 2 views (73620) range across 10 matching MRF lines |
$14–$148 | $28–$296 | varies |
| Forearm 2 views (73090) range across 8 matching MRF lines |
$15–$148 | $30–$296 | varies |
| Gastric emptying imaging study (78264) range across 2 matching MRF lines |
$65–$610.50 | $130–$1,221 | varies |
| Gastroesophageal Reflux Exam (78262) | $217.50 | $435 | 0.4× |
| Gated Heart Planar Single (78472) range across 2 matching MRF lines |
$80.50–$2,517 | $161–$5,034 | varies |
| Hand 2 views (73120) range across 8 matching MRF lines |
$15–$118.50 | $30–$237 | varies |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) range across 2 matching MRF lines |
$91–$1,001.50 | $182–$2,003 | varies |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) range across 2 matching MRF lines |
$92–$944.50 | $184–$1,889 | varies |
| Hepatobil Syst Image W/Drug (78227) range across 3 matching MRF lines |
$75–$1,214.50 | $150–$2,429 | varies |
| Hepatobiliary System Imaging (78226) range across 5 matching MRF lines |
$61.50–$1,214.50 | $123–$2,429 | varies |
| Ht Muscle Image Spect Sing (78451) range across 3 matching MRF lines |
$113–$769.50 | $226–$1,539 | varies |
| Hysterosalpingogram (74740) range across 2 matching MRF lines |
$33–$616 | $66–$1,232 | varies |
| Infant hip ultrasound with hip movement (dynamic) (76885) range across 2 matching MRF lines |
$62.50–$239 | $125–$478 | varies |
| Infant hip ultrasound, limited static exam (76886) range across 2 matching MRF lines |
$52–$239 | $104–$478 | varies |
| Infusion Ivp (74410) range across 2 matching MRF lines |
$41.50–$166 | $83–$332 | varies |
| Interstitial radiation source applic complex (77778) | $2,873 | $5,746 | 3.3× |
| K Flow/Funct Image W/Drug (78708) range across 2 matching MRF lines |
$99–$1,231 | $198–$2,462 | varies |
| K Flow/Funct Image W/O Drug (78707) range across 3 matching MRF lines |
$77.50–$590.50 | $155–$1,181 | varies |
| Kidney Imaging Morphol (78700) | $171.50 | $343 | 0.3× |
| Liver & Spleen Imaging Static Only (78215) range across 2 matching MRF lines |
$41–$425.50 | $82–$851 | varies |
| Lung Perf&Ventilat Diferentl (78598) range across 2 matching MRF lines |
$69–$698.50 | $138–$1,397 | varies |
| Lung perfusion differential (78597) range across 3 matching MRF lines |
$60.50–$612.50 | $121–$1,225 | varies |
| Lung Ventilat&Perfus Imaging (78582) range across 2 matching MRF lines |
$88–$1,299.50 | $176–$2,599 | varies |
| Lung Ventilation Imaging (78579) range across 2 matching MRF lines |
$41–$604 | $82–$1,208 | varies |
| Lymph System Imaging (78195) range across 2 matching MRF lines |
$98–$451 | $196–$902 | varies |
| Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) range across 2 matching MRF lines |
$94.50–$434 | $189–$868 | varies |
| Lymphangiography, pelvic/abdominal, unilateral (75805) range across 2 matching MRF lines |
$66–$434 | $132–$868 | varies |
| Magnetic Image Jaw Joint (70336) range across 2 matching MRF lines |
$123–$922 | $246–$1,844 | varies |
| Mammary ductogram or galactogram single (77053) range across 6 matching MRF lines |
$30.50–$446.50 | $61–$893 | varies |
| Meckels Divert Exam (78290) range across 2 matching MRF lines |
$56.50–$601 | $113–$1,202 | varies |
| Mlc imrt design & construction per imrt plan (77338) | $3,016.50 | $6,033 | 6.5× |
| Mr safety determination physician/other qhp (76016) | $120.50 | $241 | 1.1× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $34 | $68 | 0.9× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) | $125.50 | $251 | 1.1× |
| Mr safety implt pos&/immoblj (76019) | $81.50 | $163 | 1.1× |
| Mr safety med physics xm customization plng&mntr (76017) | $330.50 | $661 | 1.1× |
| Mra Head W/O & W/Contrast Material (70546) range across 6 matching MRF lines |
$123–$2,060 | $246–$4,120 | varies |
| MRA head w/o contrast (70544) range across 8 matching MRF lines |
$100.50–$1,663.50 | $201–$3,327 | varies |
| MRA head with contrast (70545) range across 4 matching MRF lines |
$100.50–$1,772.50 | $201–$3,545 | varies |
| MRA neck w contrast (70548) range across 2 matching MRF lines |
$125–$1,793 | $250–$3,586 | varies |
| Mra Neck W/O &W/Contrast Material (70549) range across 2 matching MRF lines |
$149.50–$2,060 | $299–$4,120 | varies |
| MRA neck w/o contrast (70547) range across 2 matching MRF lines |
$101–$1,410.50 | $202–$2,821 | varies |
| MRI abdomen w contrast (74182) range across 2 matching MRF lines |
$144.50–$1,803.50 | $289–$3,607 | varies |
| MRI abdomen w/o contrast (74181) range across 4 matching MRF lines |
$122.50–$1,152.50 | $245–$2,305 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 9 matching MRF lines |
$136–$1,106 | $272–$2,212 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 14 matching MRF lines |
$178.50–$1,427 | $357–$2,854 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 9 matching MRF lines |
$136–$1,106 | $272–$2,212 | varies |
| MRI Breast W/O Contrast Bilateral (77047) range across 2 matching MRF lines |
$250–$1,044 | $500–$2,088 | varies |
| MRI Breast Without Contrast Material Unilateral (77046) range across 4 matching MRF lines |
$250–$994 | $500–$1,988 | varies |
| MRI cervical spine w contrast (72142) range across 2 matching MRF lines |
$149.50–$1,295 | $299–$2,590 | varies |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$124–$1,152.50 | $248–$2,305 | varies |
| MRI chest w/o contrast (71550) range across 4 matching MRF lines |
$122.50–$922 | $245–$1,844 | varies |
| MRI chest with contrast (71551) range across 2 matching MRF lines |
$143.50–$1,212.50 | $287–$2,425 | varies |
| MRI chest wo w contrast (71552) range across 2 matching MRF lines |
$187–$1,427 | $374–$2,854 | varies |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 2 matching MRF lines |
$136–$1,146.50 | $272–$2,293 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 18 matching MRF lines |
$178.50–$1,782.50 | $357–$3,565 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 19 matching MRF lines |
$113–$922 | $226–$1,844 | varies |
| MRI lumbar spine w contrast (72149) range across 2 matching MRF lines |
$149–$1,326 | $298–$2,652 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$190.50–$1,782.50 | $381–$3,565 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 3 matching MRF lines |
$112.50–$921.50 | $225–$1,843 | varies |
| MRI orbit face neck w contrast (70542) range across 2 matching MRF lines |
$136–$1,873.50 | $272–$3,747 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 3 matching MRF lines |
$178–$2,205 | $356–$4,410 | varies |
| MRI pelvis w contrast (72196) range across 2 matching MRF lines |
$144.50–$922 | $289–$1,844 | varies |
| MRI pelvis w/o & w contrast (72197) range across 5 matching MRF lines |
$182.50–$1,782.50 | $365–$3,565 | varies |
| MRI pelvis w/o contrast (72195) range across 4 matching MRF lines |
$122.50–$922 | $245–$1,844 | varies |
| MRI spectroscopy (76390) range across 2 matching MRF lines |
$117.50–$1,139.50 | $235–$2,279 | varies |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$124–$922 | $248–$1,844 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 2 matching MRF lines |
$136–$1,105.50 | $272–$2,211 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 20 matching MRF lines |
$113–$922 | $226–$1,844 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 21 matching MRF lines |
$179.50–$1,427 | $359–$2,854 | varies |
| MRI, abdomen, combo (74183) range across 5 matching MRF lines |
$182.50–$1,782.50 | $365–$3,565 | varies |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$190.50–$1,782.50 | $381–$3,565 | varies |
| MRI, dorsal spine contrast (72147) range across 2 matching MRF lines |
$148.50–$984.50 | $297–$1,969 | varies |
| MRI, joint upper extrem (73221) range across 13 matching MRF lines |
$113.50–$1,152.50 | $227–$2,305 | varies |
| MRI, joint upper extrem combo (73223) range across 13 matching MRF lines |
$179.50–$1,427 | $359–$2,854 | varies |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$191–$1,782.50 | $382–$3,565 | varies |
| Myelogram cervical (72240) | $1,253 | $2,506 | 1.3× |
| Myelogram Lumbar (72265) range across 2 matching MRF lines |
$69–$1,253 | $138–$2,506 | varies |
| Myelography thoracic (72255) | $1,253 | $2,506 | 1.3× |
| Myelograpy 2/more regions rs&i (72270) | $513 | $1,026 | 0.5× |
| Myocardial Spect Multiple Studies (78452) range across 6 matching MRF lines |
$131.50–$2,430 | $263–$4,860 | varies |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$15–$164 | $30–$328 | varies |
| Nonvascular Shunt X-Ray (75809) range across 3 matching MRF lines |
$40–$170.50 | $80–$341 | varies |
| Ntsty modul radthx pln dose-vol histos (77301) | $5,864 | $11,728 | 3.4× |
| Nuclear Rx Intra-Arterial (79445) range across 2 matching MRF lines |
$191.50–$369.50 | $383–$739 | varies |
| Nuclear Rx Oral Admin (79005) range across 2 matching MRF lines |
$146.50–$710.50 | $293–$1,421 | varies |
| Ob us nuchal meas 1 gest (76813) range across 4 matching MRF lines |
$101–$253.50 | $202–$507 | varies |
| Ophthalmic Ultrasonic Foreign Body Localization (76529) | $100 | $200 | 0.9× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) range across 7 matching MRF lines |
$80–$188.50 | $160–$377 | varies |
| Optic foramina (70190) range across 2 matching MRF lines |
$20–$92.50 | $40–$185 | varies |
| Panoramic X-ray of jaws (70355) | $120.50 | $241 | 1.1× |
| Parathyroid planar imaging w/wo subtraction (78071) range across 3 matching MRF lines |
$98.50–$549.50 | $197–$1,099 | varies |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$15.50–$118.50 | $31–$237 | varies |
| Pet Image W/Ct Lmtd (78814) range across 2 matching MRF lines |
$140.50–$2,417 | $281–$4,834 | varies |
| PET image w/CT, full body (78816) range across 5 matching MRF lines |
$158.50–$2,417 | $317–$4,834 | varies |
| PET imaging CT attenuation skull base mid-thigh (78815) range across 6 matching MRF lines |
$156.50–$2,417 | $313–$4,834 | varies |
| Pet Imaging Limited Area Chest Head/Neck (78811) range across 2 matching MRF lines |
$91–$1,782.50 | $182–$3,565 | varies |
| PET whole body (78813) range across 2 matching MRF lines |
$117–$1,991.50 | $234–$3,983 | varies |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) range across 3 matching MRF lines |
$2,989.50 | $228–$5,979 | 0.8× |
| Pulmonary Perfusion Imaging Particulate (78580) range across 2 matching MRF lines |
$61.50–$667 | $123–$1,334 | varies |
| Quan&Charac C Atherosclerotc Plaq Asses Sev C Ds (75577) range across 2 matching MRF lines |
$53–$1,236 | $106–$2,472 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 3 matching MRF lines |
$44–$585.50 | $88–$1,171 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 10 matching MRF lines |
$15.50–$148 | $31–$296 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 8 matching MRF lines |
$14.50–$148 | $29–$296 | varies |
| Radex elbow complete minimum 3 views (73080) range across 10 matching MRF lines |
$16–$148 | $32–$296 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$23.50–$131 | $47–$262 | varies |
| Radex fingr minimum 2 views (73140) range across 6 matching MRF lines |
$13.50–$148 | $27–$296 | varies |
| Radex foot complete minimum 3 views (73630) range across 10 matching MRF lines |
$15–$148 | $30–$296 | varies |
| Radex Hand Minimum 3 Views (73130) range across 8 matching MRF lines |
$15.50–$148 | $31–$296 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 5 matching MRF lines |
$14.50–$103 | $29–$206 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) range across 2 matching MRF lines |
$29–$152 | $58–$304 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$15.50–$148 | $31–$296 | varies |
| Radex Pharynx/Larx W/Fluor&/Magnification Tq (70370) range across 2 matching MRF lines |
$28–$166.50 | $56–$333 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 6 matching MRF lines |
$20–$148 | $40–$296 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 10 matching MRF lines |
$17–$148 | $34–$296 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$16–$118.50 | $32–$237 | varies |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) range across 2 matching MRF lines |
$58.50–$213 | $117–$426 | varies |
| Radex Spine 1 View Specify Level (72020) range across 3 matching MRF lines |
$14–$118.50 | $28–$237 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$17.50–$118.50 | $35–$237 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$21–$118.50 | $42–$237 | varies |
| Radex Toe Minimum 2 Views (73660) range across 6 matching MRF lines |
$12.50–$148 | $25–$296 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 5 matching MRF lines |
$14.50–$170.50 | $29–$341 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 10 matching MRF lines |
$15.50–$148 | $31–$296 | varies |
| Radiation treatment delivery level 1 (77402) | $184 | $368 | 1.4× |
| Radiation treatment delivery level 2 (77407) | $626 | $1,252 | 1.3× |
| Radiation treatment delivery level 3 (77412) range across 4 matching MRF lines |
$478–$997.50 | $956–$1,995 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$22–$125 | $44–$250 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 3 matching MRF lines |
$24–$164 | $48–$328 | varies |
| Radiologic exam colon double contrast study (74280) range across 2 matching MRF lines |
$98.50–$416 | $197–$832 | varies |
| Radiologic exam colon single contrast study (74270) range across 2 matching MRF lines |
$83–$256.50 | $166–$513 | varies |
| Radiologic Exam Esophagus Double Contrast Study (74221) range across 2 matching MRF lines |
$59.50–$319.50 | $119–$639 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 8 matching MRF lines |
$20–$148 | $40–$296 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$19–$125 | $38–$250 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 2 matching MRF lines |
$57–$319.50 | $114–$639 | varies |
| Radiologic exam swallow function contrast study (74230) range across 2 matching MRF lines |
$46–$319.50 | $92–$639 | varies |
| Radiologic exam upr gi trc double contrast study (74246) range across 3 matching MRF lines |
$58.50–$256.50 | $117–$513 | varies |
| Radiologic examination femur 1 view (73551) range across 8 matching MRF lines |
$15–$102.50 | $30–$205 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 11 matching MRF lines |
$16.50–$102.50 | $33–$205 | varies |
| Radiologic examination knee 1/2 views (73560) range across 12 matching MRF lines |
$15–$118.50 | $30–$237 | varies |
| Radiologic Examination Salivary Gland Calculus (70380) range across 2 matching MRF lines |
$15.50–$113 | $31–$226 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 10 matching MRF lines |
$15–$148 | $30–$296 | varies |
| Radiologic examination, internal auditory meati, complete Non-Facility (70134) range across 2 matching MRF lines |
$29.50–$193.50 | $59–$387 | varies |
| Renal Cyst Study (74470) range across 3 matching MRF lines |
$44.50–$329 | $89–$658 | varies |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$26–$170 | $52–$340 | varies |
| Rp loclzj tum plnr 1 area single day imaging (78800) range across 3 matching MRF lines |
$56.50–$581 | $113–$1,162 | varies |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) range across 6 matching MRF lines |
$87–$1,980 | $174–$3,960 | varies |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) range across 2 matching MRF lines |
$47.50–$1,782.50 | $95–$3,565 | varies |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 5 matching MRF lines |
$87–$860 | $174–$1,720 | varies |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) range across 3 matching MRF lines |
$146–$1,979 | $292–$3,958 | varies |
| Rp Therapy Intravenous Administration (79101) range across 2 matching MRF lines |
$161.50–$460 | $323–$920 | varies |
| Scapula (73010) range across 8 matching MRF lines |
$16–$118.50 | $32–$237 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 2 matching MRF lines |
$50.50–$104.50 | $101–$209 | varies |
| Sella turcica (70240) range across 2 matching MRF lines |
$17.50–$77.50 | $35–$155 | varies |
| Shoulder 1 view (73020) range across 10 matching MRF lines |
$15–$148 | $30–$296 | varies |
| Shoulder Arthrography (73040) range across 8 matching MRF lines |
$46.50–$363 | $93–$726 | varies |
| Sialogram (70390) range across 2 matching MRF lines |
$33–$204.50 | $66–$409 | varies |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$22–$118.50 | $44–$237 | varies |
| Special dosimetry (77331) | $348 | $696 | 2.1× |
| Special Physics Consult (77370) | $637 | $1,274 | 3.8× |
| Special teletherapy port plan (77321) | $773 | $1,546 | 1.7× |
| Special treatment procedure (77470) | $902 | $1,804 | 1.3× |
| Stereotactic Body Radiation Delivery (77373) | $2,967.50 | $5,935 | 1.3× |
| Sternoclavicular joints (71130) range across 2 matching MRF lines |
$20–$118.50 | $40–$237 | varies |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $462 | $924 | 1.0× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $192.50 | $385 | 0.4× |
| Temporomandble Jt Arthrography Rs&I (70332) range across 6 matching MRF lines |
$46–$529.50 | $92–$1,059 | varies |
| Testicular Imaging W/Flow (78761) range across 2 matching MRF lines |
$60–$238.50 | $120–$477 | varies |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $804.50 | $1,609 | 1.7× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $559.50 | $1,119 | 1.2× |
| Ther rad simulaj-aided field setting simple (77280) | $554.50 | $1,109 | 3.3× |
| Thoracic spine 2 views (72070) range across 3 matching MRF lines |
$20–$148 | $40–$296 | varies |
| Thoracic spine 3 views (72072) range across 3 matching MRF lines |
$19–$170.50 | $38–$341 | varies |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$20–$116.50 | $40–$233 | varies |
| Thyroid Imaging With Vascular Flow (78013) range across 2 matching MRF lines |
$31–$250 | $62–$500 | varies |
| Thyroid Uptake Measurement (78012) range across 2 matching MRF lines |
$17–$190.50 | $34–$381 | varies |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) range across 3 matching MRF lines |
$41–$426 | $82–$852 | varies |
| Tx Devices Design & Construction Complex (77334) | $755.50 | $1,511 | 1.6× |
| Tx devices design & construction intermediate (77333) | $434 | $868 | 2.6× |
| Tx devices design & construction simple (77332) | $226.50 | $453 | 1.3× |
| Ultrasound Breast Limited (76642) range across 18 matching MRF lines |
$52–$370 | $104–$740 | varies |
| Ultrasound Elastography Parenchyma (76981) range across 2 matching MRF lines |
$51–$188.50 | $102–$377 | varies |
| Ultrasound Exam Aaa Screen (76706) range across 3 matching MRF lines |
$47–$202.50 | $94–$405 | varies |
| Ultrasound, abdomen limited (76705) range across 18 matching MRF lines |
$45.50–$466.50 | $91–$933 | varies |
| Umbilical-artery Doppler (OB) (76820) range across 5 matching MRF lines |
$42–$192 | $84–$384 | varies |
| Unlisted Dx Radiographic Procedure (76499) range across 3 matching MRF lines |
$46–$218.50 | $92–$437 | varies |
| Unlisted fluoroscopic procedure (76496) | $356.50 | $713 | 3.3× |
| Unlisted us procedure (76999) range across 10 matching MRF lines |
$15–$134.50 | $30–$269 | varies |
| Upper gi w/o kub (74240) range across 4 matching MRF lines |
$58.50–$256.50 | $117–$513 | varies |
| Urethrocystogram voiding (74455) range across 2 matching MRF lines |
$28.50–$501 | $57–$1,002 | varies |
| Urethrocystography retrograde (74450) | $25 | $50 | 0.1× |
| Us breast unilateral complete (76641) range across 16 matching MRF lines |
$61.50–$370 | $123–$740 | varies |
| Us chest (76604) range across 10 matching MRF lines |
$41.50–$228.50 | $83–$457 | varies |
| Us complete joint (76881) range across 2 matching MRF lines |
$53.50–$236 | $107–$472 | varies |
| Us exam, pelvic, limited (76857) range across 10 matching MRF lines |
$40–$373 | $80–$746 | varies |
| Us head (76506) range across 3 matching MRF lines |
$53.50–$253.50 | $107–$507 | varies |
| Us kidney transplant (76776) range across 6 matching MRF lines |
$58–$373 | $116–$746 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 20 matching MRF lines |
$38–$548.50 | $76–$1,097 | varies |
| Us ob detailed single fetus (76811) range across 2 matching MRF lines |
$157.50–$387.50 | $315–$775 | varies |
| Us ob limited 1 or more fetuses (76815) range across 11 matching MRF lines |
$50–$253.50 | $100–$507 | varies |
| Us ob transvaginal (76817) range across 3 matching MRF lines |
$63–$298 | $126–$596 | varies |
| Us pelvic non ob complete (76856) range across 6 matching MRF lines |
$58.50–$466.50 | $117–$933 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 6 matching MRF lines |
$83–$466.50 | $166–$933 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 5 matching MRF lines |
$72.50–$198 | $145–$396 | varies |
| Us retroperitoneal complete (76770) range across 3 matching MRF lines |
$62–$466.50 | $124–$933 | varies |
| Us retroperitoneal limited (76775) range across 12 matching MRF lines |
$44–$373 | $88–$746 | varies |
| Us scrotum and contents (76870) range across 6 matching MRF lines |
$49.50–$466.50 | $99–$933 | varies |
| Us spinal canal and contents (76800) range across 2 matching MRF lines |
$98–$373 | $196–$746 | varies |
| Us thyroid (76536) range across 9 matching MRF lines |
$43–$290 | $86–$580 | varies |
| Us transrectal (76872) range across 4 matching MRF lines |
$52–$177.50 | $104–$355 | varies |
| Vasogram (74440) | $113 | $226 | 0.4× |
| Vein X-Ray Chest (75827) range across 3 matching MRF lines |
$92–$1,241 | $184–$2,482 | varies |
| Vein X-Ray Liver W/O Hemodyn (75887) range across 2 matching MRF lines |
$114–$944.50 | $228–$1,889 | varies |
| Vein X-Ray Skull Epidural (75872) range across 2 matching MRF lines |
$95.50–$2,989.50 | $191–$5,979 | varies |
| Vein X-Ray Spleen/Liver (75810) range across 2 matching MRF lines |
$91–$944.50 | $182–$1,889 | varies |
| Venogram Sinus/Jugular (75860) range across 4 matching MRF lines |
$92.50–$944.50 | $185–$1,889 | varies |
| Venography Adrenal Unilateral (75840) range across 2 matching MRF lines |
$95.50–$1,073 | $191–$2,146 | varies |
| Venography caval inferior serialography rs&i (75825) range across 3 matching MRF lines |
$5,148.50 | $184–$10,297 | 1.3× |
| Venography extremity bilateral rs&i (75822) range across 2 matching MRF lines |
$87–$1,800 | $174–$3,600 | varies |
| Venography extremity unilateral rs&i (75820) range across 6 matching MRF lines |
$1,799.50 | $117–$3,599 | 0.9× |
| Venography Renal Bilateral (75833) range across 2 matching MRF lines |
$119–$944.50 | $238–$1,889 | varies |
| Venography Renal Unilateral (75831) range across 4 matching MRF lines |
$91.50–$944.50 | $183–$1,889 | varies |
| Venous sampling by catheter (75893) likely a partial charge, not the full procedure |
$944.50 | $1,889 | 0.1× |
| Venous Thrombosis Imaging Venogram Bilateral (78458) range across 2 matching MRF lines |
$76–$560 | $152–$1,120 | varies |
| Vertebral fracture assessment via dxa (77086) range across 3 matching MRF lines |
$15.50–$99 | $31–$198 | varies |
| Wrist 2 views (73100) range across 10 matching MRF lines |
$15.50–$148 | $31–$296 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$18–$118.50 | $36–$237 | varies |
| X-ray antegrade pyelogram tube (74425) range across 6 matching MRF lines |
$30–$545.50 | $60–$1,091 | varies |
| X-Ray Aorta Leg Arteries (75630) range across 4 matching MRF lines |
$144.50–$985.50 | $289–$1,971 | varies |
| X-Ray Bend Only L-S Spine (72120) range across 2 matching MRF lines |
$20–$196 | $40–$392 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 10 matching MRF lines |
$15–$125 | $30–$250 | varies |
| X-Ray Exam Breast Specimen (76098) range across 5 matching MRF lines |
$528.50 | $29–$1,057 | 0.8× |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 2 matching MRF lines |
$23.50–$102.50 | $47–$205 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 3 matching MRF lines |
$27.50–$102.50 | $55–$205 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 11 matching MRF lines |
$16.50–$103.50 | $33–$207 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 8 matching MRF lines |
$20–$102.50 | $40–$205 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$20–$170.50 | $40–$341 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 2 matching MRF lines |
$26.50–$170.50 | $53–$341 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$28–$387.50 | $56–$775 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 3 matching MRF lines |
$20–$148 | $40–$296 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$31–$196 | $62–$392 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 4 matching MRF lines |
$24–$190.50 | $48–$381 | varies |
| X-ray eye for foreign body (70030) range across 4 matching MRF lines |
$15–$164 | $30–$328 | varies |
| X-ray head for orthodontia (70350) range across 2 matching MRF lines |
$17.50–$57 | $35–$114 | varies |
| X-ray humerus (73060) range across 10 matching MRF lines |
$15–$148 | $30–$296 | varies |
| X-ray IV pyelogram (ivp) (74400) range across 3 matching MRF lines |
$41.50–$183 | $83–$366 | varies |
| X-ray IV pyelogram+tomography (74415) range across 2 matching MRF lines |
$41.50–$180 | $83–$360 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 2 matching MRF lines |
$16–$107 | $32–$214 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 3 matching MRF lines |
$20–$148 | $40–$296 | varies |
| X-ray nose-rectum child f.b. (76010) range across 2 matching MRF lines |
$22.50–$100.50 | $45–$201 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$28–$190.50 | $56–$381 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$16.50–$125 | $33–$250 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 3 matching MRF lines |
$15.50–$148 | $31–$296 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 3 matching MRF lines |
$22–$148 | $44–$296 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$29.50–$207 | $59–$414 | varies |
| X-ray thoracic spine 4 vw (72074) range across 2 matching MRF lines |
$19–$193.50 | $38–$387 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 3 matching MRF lines |
$29.50–$537.50 | $59–$1,075 | varies |
| X-Rays Bone Length Studies (77073) range across 3 matching MRF lines |
$25.50–$290 | $51–$580 | varies |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$46–$196 | $92–$392 | varies |
| Xr c-spine 4 or 5 views (72050) range across 3 matching MRF lines |
$27–$245 | $54–$490 | varies |
| Xr facial bones less than 3 views (70140) range across 2 matching MRF lines |
$18–$125 | $36–$250 | varies |
| XR Mastoids < 3 Views Bilateral (70120) range across 2 matching MRF lines |
$16.50–$92.50 | $33–$185 | varies |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$25.50–$118.50 | $51–$237 | varies |
| Xr Tomogram Single Plane (76100) range across 2 matching MRF lines |
$53.50–$344 | $107–$688 | 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.