Imaging prices at Emerson Hospital
West Concord, MA · every code in this section with a posted price and a Medicare benchmark.
330 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) | $358.50 | $478 | 3.4× |
| Abdomen 2 views (74019) | $383.25 | $511 | 3.1× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,393.50 | $1,858 | 2.9× |
| Angio internal mammary (75756) | $2,162.25 | $2,883 | 0.6× |
| Angio pulmonary bilat (75743) | $4,078.50 | $5,438 | 1.1× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $4,078.50 | $5,438 | 1.1× |
| Angiography extremity bilateral rs&i (75716) | $4,078.50 | $5,438 | 1.1× |
| Angiography extremity unilateral rs&i (75710) range across 3 matching MRF lines |
$1,768.50–$7,766.25 | $2,358–$10,355 | varies |
| Angiography pulmonary unilateral slctv rs&i (75741) range across 2 matching MRF lines |
$1,796.25–$4,078.50 | $2,395–$5,438 | varies |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $2,161.50 | $2,882 | 0.6× |
| Ankle 2 views (73600) range across 5 matching MRF lines |
$178.50–$246 | $238–$328 | varies |
| Aortography thoracic serialography rs&i (75605) | $4,078.50 | $5,438 | 0.6× |
| Aortography thoracic w/o serialography rs&i (75600) | $1,609.50 | $2,146 | 0.4× |
| Artery X-Rays Abdomen (75726) | $17,991 | $23,988 | 2.7× |
| Artery X-Rays Adrenal Gland (75731) | $4,078.50 | $5,438 | 1.1× |
| Artery X-Rays Pelvis (75736) | $7,766.25 | $10,355 | 1.2× |
| Artery X-Rays Spine (75705) range across 2 matching MRF lines |
$2,652.75–$4,078.50 | $3,537–$5,438 | varies |
| Arthrogram ankle (73615) | $565.50 | $754 | 1.4× |
| Arthrogram hip (73525) range across 5 matching MRF lines |
$1,320.75–$2,641.50 | $1,761–$3,522 | varies |
| Arthrogram Wrist (73115) | $1,023 | $1,364 | 2.4× |
| Bone age studies (77072) | $384 | $512 | 3.1× |
| Bone Imaging 3 Phase (78315) | $1,757.25 | $2,343 | 3.7× |
| Bone Imaging Whole Body (78306) | $1,393.50 | $1,858 | 2.9× |
| Bone survey infant (77076) | $326.25 | $435 | 2.6× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $4,557.75 | $6,077 | 2.7× |
| Cat Scan Follow-Up Study (76380) | $825.75 | $1,101 | 7.9× |
| Chest 1 view (71045) | $300 | $400 | 2.9× |
| Chest 2 views (71046) | $308.25 | $411 | 3.0× |
| Chest 3 views (71047) | $261 | $348 | 2.5× |
| Chest 4 or more views (71048) | $164.25 | $219 | 1.3× |
| Clavicle complete (73000) | $351 | $468 | 3.4× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $701.25 | $935 | 5.6× |
| Contrast Exam Abdominl Aorta (75625) | $8,014.50 | $10,686 | 2.1× |
| Contrast X-Ray Bladder (74430) | $1,320.75 | $1,761 | 3.2× |
| Contrast X-Ray Of Elbow (73085) range across 3 matching MRF lines |
$303.75–$565.50 | $405–$754 | varies |
| Contrast X-Ray Of Knee Joint (73580) | $1,117.50 | $1,490 | 2.7× |
| Contrast Xray Throat/Cerv Esopha (74210) | $646.50 | $862 | 3.1× |
| CT abdomen and pelvis without and with contrast (74178) | $2,127 | $2,836 | 5.1× |
| CT abdomen and pelvis without contrast (74176) | $1,341.75 | $1,789 | 4.7× |
| CT abdomen w contrast (74160) | $2,581.50 | $3,442 | 12.3× |
| CT abdomen w wo contrast (74170) | $1,616.25 | $2,155 | 7.7× |
| CT abdomen w/o contrast (74150) | $818.25 | $1,091 | 6.5× |
| CT Angio Abdomen and Pelvis (74174) | $2,127 | $2,836 | 5.1× |
| CT Angio Chest (71275) | $1,431.75 | $1,909 | 6.8× |
| CT Angio Head (70496) | $1,410.75 | $1,881 | 6.7× |
| CT angio hrt w/3d image (75574) | $1,158.75 | $1,545 | 2.8× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $1,236 | $1,648 | 5.9× |
| CT Angio Neck (70498) | $1,311 | $1,748 | 6.2× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 3 matching MRF lines |
$1,043.25–$1,719 | $1,391–$2,292 | varies |
| CT cervical spine w/ contrast (72126) | $3,051 | $4,068 | 7.3× |
| CT cervical spine w/o contrast (72125) | $2,790.75 | $3,721 | 22.3× |
| CT cervical spine w/wo cont (72127) | $1,273.50 | $1,698 | 6.1× |
| CT chest w contrast (71260) | $1,111.50 | $1,482 | 5.3× |
| CT chest w/wo contrast (71270) | $1,365 | $1,820 | 6.5× |
| CT head/brain with contrast (70460) | $1,691.25 | $2,255 | 8.0× |
| CT head/brain without and with contrast (70470) | $1,111.50 | $1,482 | 5.3× |
| CT heart no contrast quant eval coronry calcium (75571) | $112.50 | $150 | 1.1× |
| CT iac w contrast (70481) | $1,338.75 | $1,785 | 6.4× |
| CT l-spine w&w/o contrast (72133) | $1,399.50 | $1,866 | 6.7× |
| CT lower ext w/o (73700) range across 3 matching MRF lines |
$833.25–$1,249.50 | $1,111–$1,666 | varies |
| CT lower extremity w/contrast material (73701) range across 3 matching MRF lines |
$1,111.50–$2,223.75 | $1,482–$2,965 | varies |
| CT lumbar spine w contrast (72132) | $3,051 | $4,068 | 7.3× |
| CT lumbar spine w/o contrast (72131) | $2,790.75 | $3,721 | 22.3× |
| CT maxillofacial w contrast (70487) | $1,871.25 | $2,495 | 8.9× |
| CT maxillofacial wo contrast (70486) | $1,222.50 | $1,630 | 9.8× |
| CT neck tissue combo (70492) | $1,227.75 | $1,637 | 5.8× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $897 | $1,196 | 4.3× |
| CT orbits w/o contrast (70480) | $1,000.50 | $1,334 | 8.0× |
| CT pelvis w&w/o contrast (72194) | $1,152 | $1,536 | 5.5× |
| CT pelvis w/o contrast (72192) | $1,105.50 | $1,474 | 8.8× |
| CT scan of leg combo (73702) range across 3 matching MRF lines |
$1,305–$1,956.75 | $1,740–$2,609 | varies |
| CT scans face/jaw combo (70488) | $2,193 | $2,924 | 10.4× |
| CT soft tissue neck w contrast (70491) | $2,091 | $2,788 | 9.9× |
| CT soft tissue neck w/o contrast (70490) | $724.50 | $966 | 5.8× |
| CT thoracic spine w contrast (72129) | $1,266 | $1,688 | 6.0× |
| CT thoracic spine w/o contrast (72128) | $2,165.25 | $2,887 | 17.3× |
| CT thoracic spine w/wo cont (72130) | $1,305 | $1,740 | 6.2× |
| CT thorax w/o contrast (71250) | $701.25 | $935 | 5.6× |
| CT upper ext wo (73200) range across 3 matching MRF lines |
$1,095.75–$1,642.50 | $1,461–$2,190 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 3 matching MRF lines |
$1,135.50–$1,703.25 | $1,514–$2,271 | varies |
| CT upper extremity with contrast (73201) range across 3 matching MRF lines |
$935.25–$1,402.50 | $1,247–$1,870 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $747 | $996 | 3.6× |
| Cta Abdomen (74175) | $1,365 | $1,820 | 6.5× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $1,899 | $2,532 | 4.5× |
| CTA pelvis (72191) | $1,111.50 | $1,482 | 5.3× |
| Dilation ureters/urethra rs&i (74485) range across 3 matching MRF lines |
$488.25–$1,004.25 | $651–$1,339 | varies |
| Doppler Fetal Mid Cerebral Artery (76821) | $378.75 | $505 | 3.0× |
| Dxa Bone Density Axial (77080) | $514.50 | $686 | 4.1× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $299.25 | $399 | 2.9× |
| Echo exam uterus (76831) | $594 | $792 | 2.1× |
| Esophagram (74220) | $646.50 | $862 | 3.1× |
| Fetal Biophys Profile W/Nst (76818) | $735.75 | $981 | 5.9× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $419.25 | $559 | 3.3× |
| Fluoroscopy up to 1 hr (76000) | $838.50 | $1,118 | 2.9× |
| Follow-Up Angiography (75898) range across 2 matching MRF lines |
$3,041.25–$6,081.75 | $4,055–$8,109 | varies |
| Foot 2 views (73620) range across 3 matching MRF lines |
$300–$600 | $400–$800 | varies |
| Forearm 2 views (73090) range across 5 matching MRF lines |
$307.50–$615 | $410–$820 | varies |
| Gastric emptying imaging study (78264) | $1,393.50 | $1,858 | 2.9× |
| Gastric Mucosa Imaging (78261) | $634.50 | $846 | 1.3× |
| Gastroesophageal Reflux Exam (78262) | $885 | $1,180 | 1.8× |
| Gated Heart, Multiple (78473) | $744 | $992 | 1.6× |
| Hand 2 views (73120) range across 5 matching MRF lines |
$384–$768 | $512–$1,024 | varies |
| Heart Image (Pet) Multiple (78492) | $2,814.75 | $3,753 | 1.6× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $4,078.50 | $5,438 | 1.1× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $4,078.50 | $5,438 | 1.1× |
| Hepatobil Syst Image W/Drug (78227) | $1,806.75 | $2,409 | 2.8× |
| Hepatobiliary System Imaging (78226) | $1,393.50 | $1,858 | 2.9× |
| Ht Muscle Image Spect Sing (78451) | $4,047 | $5,396 | 2.6× |
| Hysterosalpingogram (74740) | $958.50 | $1,278 | 3.4× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $429 | $572 | 4.1× |
| Infant hip ultrasound, limited static exam (76886) | $341.25 | $455 | 3.3× |
| Infusion Ivp (74410) | $296.25 | $395 | 1.4× |
| Joint Survey Single View (77077) | $173.25 | $231 | 1.4× |
| K Flow/Funct Image W/Drug (78708) | $1,014.75 | $1,353 | 1.6× |
| K Flow/Funct Image W/O Drug (78707) | $1,217.25 | $1,623 | 1.9× |
| Knee 3 Views (73562) range across 5 matching MRF lines |
$296.25–$403.50 | $395–$538 | varies |
| Liver & Spleen Imaging Static Only (78215) | $617.25 | $823 | 1.3× |
| Lung Perf&Ventilat Diferentl (78598) | $753.75 | $1,005 | 1.2× |
| Lung perfusion differential (78597) | $483 | $644 | 1.0× |
| Lung Ventilat&Perfus Imaging (78582) | $1,257.75 | $1,677 | 1.9× |
| Lymph System Imaging (78195) | $1,806.75 | $2,409 | 2.8× |
| Lymphangiography Extremity Only Bilateral Rs&I (75803) | $931.50 | $1,242 | 0.5× |
| Lymphangiography extremity only unilateral rs&i (75801) | $931.50 | $1,242 | 1.2× |
| Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) | $1,045.50 | $1,394 | 0.3× |
| Lymphangiography, pelvic/abdominal, unilateral (75805) | $1,045.50 | $1,394 | 0.3× |
| Magnetic Image Jaw Joint (70336) | $1,479.75 | $1,973 | 5.2× |
| Mammary ductogram or galactogram multiple (77054) range across 2 matching MRF lines |
$247.50–$501.75 | $330–$669 | varies |
| Mammary ductogram or galactogram single (77053) range across 2 matching MRF lines |
$182.25–$684.75 | $243–$913 | varies |
| Medical physics dose eval radiation expos w/rprt (76145) | $682.50 | $910 | 1.5× |
| MRA head w/o contrast (70544) | $1,434 | $1,912 | 5.0× |
| MRA neck w contrast (70548) | $1,944.75 | $2,593 | 4.7× |
| Mra Neck W/O &W/Contrast Material (70549) | $1,344 | $1,792 | 3.2× |
| MRA neck w/o contrast (70547) | $1,434 | $1,912 | 5.0× |
| MRI abdomen w contrast (74182) | $1,937.25 | $2,583 | 4.6× |
| MRI abdomen w/o contrast (74181) | $1,674.75 | $2,233 | 5.9× |
| MRI any jt lower extrem w/contrast material (73722) range across 9 matching MRF lines |
$2,127–$7,625.25 | $2,836–$10,167 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 10 matching MRF lines |
$2,127–$4,253.25 | $2,836–$5,671 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 7 matching MRF lines |
$3,812.25–$7,625.25 | $5,083–$10,167 | varies |
| MRI Breast W/O Contrast Bilateral (77047) | $2,965.50 | $3,954 | 10.4× |
| MRI Breast Without Contrast Material Unilateral (77046) | $2,361 | $3,148 | 8.3× |
| MRI cervical spine w contrast (72142) | $2,009.25 | $2,679 | 4.8× |
| MRI cervical spine w/o cont (72141) | $1,674.75 | $2,233 | 5.9× |
| MRI chest w/o contrast (71550) | $1,674.75 | $2,233 | 5.9× |
| MRI chest wo w contrast (71552) | $2,127 | $2,836 | 5.1× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 6 matching MRF lines |
$1,937.25–$2,478 | $2,583–$3,304 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 6 matching MRF lines |
$2,127–$4,253.25 | $2,836–$5,671 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 6 matching MRF lines |
$1,652.25–$2,478 | $2,203–$3,304 | varies |
| MRI lumbar spine w contrast (72149) | $1,983 | $2,644 | 4.7× |
| Mri Neck Spine W/O & W/Dye (72156) | $2,831.25 | $3,775 | 6.8× |
| MRI orbit face &/neck w/o contrast (70540) | $1,652.25 | $2,203 | 5.8× |
| MRI orbit face neck w contrast (70542) | $1,344 | $1,792 | 3.2× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $2,127 | $2,836 | 5.1× |
| MRI pelvis w contrast (72196) | $1,344 | $1,792 | 3.2× |
| MRI pelvis w/o & w contrast (72197) | $2,358 | $3,144 | 5.6× |
| MRI pelvis w/o contrast (72195) | $1,805.25 | $2,407 | 6.3× |
| MRI thoracic spine w/o contrast (72146) | $1,827 | $2,436 | 6.4× |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 5 matching MRF lines |
$1,344–$2,016 | $1,792–$2,688 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 8 matching MRF lines |
$1,652.25–$2,478 | $2,203–$3,304 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 6 matching MRF lines |
$2,127–$4,253.25 | $2,836–$5,671 | varies |
| MRI, abdomen, combo (74183) | $2,127 | $2,836 | 5.1× |
| MRI, dorsal spine combo (72157) | $2,831.25 | $3,775 | 6.8× |
| MRI, dorsal spine contrast (72147) | $2,009.25 | $2,679 | 4.8× |
| MRI, joint upper extrem (73221) range across 7 matching MRF lines |
$1,553.25–$2,330.25 | $2,071–$3,107 | varies |
| MRI, joint upper extrem combo (73223) range across 7 matching MRF lines |
$1,937.25–$2,330.25 | $2,583–$3,107 | varies |
| MRI, lumbar spine combo (72158) | $2,127 | $2,836 | 5.1× |
| Myelogram cervical (72240) | $1,068 | $1,424 | 1.1× |
| Myelogram Lumbar (72265) | $1,068 | $1,424 | 1.1× |
| Myelography thoracic (72255) | $1,068 | $1,424 | 1.1× |
| Myelograpy 2/more regions rs&i (72270) | $1,068 | $1,424 | 1.1× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) | $2,814.75 | $3,753 | 1.8× |
| Myocardial Spect Multiple Studies (78452) | $6,775.50 | $9,034 | 4.4× |
| Neck soft tissue (70360) | $300 | $400 | 2.9× |
| Nonvascular Shunt X-Ray (75809) | $330 | $440 | 2.6× |
| Nuclear Rx Intra-Arterial (79445) | $673.50 | $898 | 2.4× |
| Nuclear Rx Oral Admin (79005) | $615 | $820 | 2.2× |
| Ophthalmic Ultrasonic Foreign Body Localization (76529) | $285 | $380 | 2.7× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) | $360 | $480 | 2.9× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $2,226.75 | $2,969 | 3.4× |
| Parathyroid Planar Imaging (78070) | $552.75 | $737 | 1.2× |
| Parathyroid planar imaging w/wo subtraction (78071) | $900 | $1,200 | 1.9× |
| Pelvis 1 or 2 views (72170) | $384 | $512 | 3.1× |
| Perineogram (74775) | $315.75 | $421 | 1.1× |
| Peritoneogram Rs&I (74190) | $1,693.25 | $2,257.67 | 2.6× |
| Pet Image W/Ct Lmtd (78814) | $4,332.75 | $5,777 | 2.5× |
| PET image w/CT, full body (78816) | $7,220.25 | $9,627 | 4.2× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $5,716.50 | $7,622 | 3.3× |
| Pet Myocardial Sngl Study (78491) | $2,814.75 | $3,753 | 1.6× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $2,478.75 | $3,305 | 0.7× |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,393.50 | $1,858 | 2.9× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $477.75 | $637 | 3.8× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $1,805.25 | $2,407 | 2.8× |
| Radex Ankle Complete Minimum 3 Views (73610) | $351 | $468 | 3.4× |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$257.25–$351 | $343–$468 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$289.50–$351 | $386–$468 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $474 | $632 | 3.8× |
| Radex fingr minimum 2 views (73140) range across 5 matching MRF lines |
$357–$714 | $476–$952 | varies |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$351–$702 | $468–$936 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$307.50–$615 | $410–$820 | varies |
| Radex lower extremity infant minimum 2 views (73592) | $300 | $400 | 2.9× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $384 | $512 | 3.1× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $300 | $400 | 2.9× |
| Radex Ribs Unilateral 2 Views (71100) | $300 | $400 | 2.9× |
| Radex shoulder complete minimum 2 views (73030) range across 5 matching MRF lines |
$351–$702 | $468–$936 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $405.75 | $541 | 3.9× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $361.50 | $482 | 1.7× |
| Radex Spine 1 View Specify Level (72020) | $300 | $400 | 2.9× |
| Radex Sternum Minimum 2 Views (71120) | $351 | $468 | 3.4× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $527.25 | $703 | 5.1× |
| Radex Toe Minimum 2 Views (73660) | $300 | $400 | 2.9× |
| Radex upper extremity infant minimum 2 views (73092) range across 4 matching MRF lines |
$124.50–$282.75 | $166–$377 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 6 matching MRF lines |
$300–$600 | $400–$800 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $591.75 | $789 | 4.7× |
| Radiolog exam mandible compl minimum 4 views (70110) | $474 | $632 | 3.8× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $408 | $544 | 3.3× |
| Radiologic exam colon double contrast study (74280) | $1,014.75 | $1,353 | 4.8× |
| Radiologic exam colon single contrast study (74270) | $512.25 | $683 | 2.4× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $410.25 | $547 | 2.0× |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$609.75–$768 | $813–$1,024 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $384 | $512 | 3.1× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $744 | $992 | 3.5× |
| Radiologic exam swallow function contrast study (74230) | $618 | $824 | 2.9× |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$280.50–$859.50 | $374–$1,146 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines |
$300–$600 | $400–$800 | varies |
| Radiologic examination knee 1/2 views (73560) range across 5 matching MRF lines |
$300–$600 | $400–$800 | varies |
| Radiologic Examination Osseous Survey Limited (77074) range across 2 matching MRF lines |
$169.50–$549 | $226–$732 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$351–$702 | $468–$936 | varies |
| Renal Cyst Study (74470) | $330 | $440 | 0.5× |
| Ribs bilateral 3 views (71110) | $384 | $512 | 3.1× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $3,489 | $4,652 | 5.4× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $2,700 | $3,600 | 4.1× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $3,489 | $4,652 | 5.4× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $6,719.25 | $8,959 | 4.3× |
| Scapula (73010) | $351 | $468 | 2.8× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $110.25 | $147 | 4.7× |
| Sella turcica (70240) | $98.25 | $131 | 0.9× |
| Shoulder 1 view (73020) | $178.50 | $238 | 1.7× |
| Shoulder Arthrography (73040) range across 5 matching MRF lines |
$1,320.75–$2,641.50 | $1,761–$3,522 | varies |
| Sialogram (70390) | $958.50 | $1,278 | 3.4× |
| Skull less than 4 views (70250) | $624.75 | $833 | 5.0× |
| Sternoclavicular joints (71130) | $178.50 | $238 | 1.7× |
| Superior sagittal sinus venogram (75870) | $2,162.25 | $2,883 | 0.6× |
| Temporomandble Jt Arthrography Rs&I (70332) | $786.75 | $1,049 | 2.8× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $198.75 | $265 | 0.9× |
| Thoracic spine 2 views (72070) | $399.75 | $533 | 3.2× |
| Thoracic spine 3 views (72072) | $384 | $512 | 3.1× |
| Thoracolumbar 2 views (72080) | $300 | $400 | 2.9× |
| Thyroid Imaging With Vascular Flow (78013) | $420 | $560 | 0.9× |
| Thyroid Met Imaging Body (78018) | $1,806.75 | $2,409 | 2.8× |
| Thyroid Uptake Measurement (78012) | $560.25 | $747 | 1.2× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,393.50 | $1,858 | 2.9× |
| Ultrasound Breast Limited (76642) | $307.50 | $410 | 2.9× |
| Ultrasound Elastography Parenchyma (76981) | $817.50 | $1,090 | 6.5× |
| Ultrasound Exam Aaa Screen (76706) | $476.25 | $635 | 3.8× |
| Ultrasound, abdomen limited (76705) | $419.25 | $559 | 3.3× |
| Umbilical-artery Doppler (OB) (76820) | $271.50 | $362 | 2.2× |
| Unlisted Dx Radiographic Procedure (76499) | $351 | $468 | 3.4× |
| Unlisted magnetic resonance procedure (76498) | $310.50 | $414 | 3.0× |
| Unlisted us procedure (76999) | $421.50 | $562 | 4.0× |
| Upper gi w/o kub (74240) | $646.50 | $862 | 3.1× |
| Urethrocystogram voiding (74455) | $801.75 | $1,069 | 2.8× |
| Us breast unilateral complete (76641) | $213 | $284 | 1.7× |
| Us chest (76604) | $405.75 | $541 | 3.2× |
| Us complete joint (76881) | $380.25 | $507 | 3.0× |
| Us exam, pelvic, limited (76857) | $360 | $480 | 2.9× |
| Us head (76506) | $924.75 | $1,233 | 7.4× |
| Us kidney transplant (76776) | $297.75 | $397 | 2.4× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $384 | $512 | 3.1× |
| Us ob detailed single fetus (76811) | $795.75 | $1,061 | 2.8× |
| Us ob limited 1 or more fetuses (76815) | $405.75 | $541 | 3.2× |
| Us ob transvaginal (76817) | $994.50 | $1,326 | 7.9× |
| Us pelvic non ob complete (76856) | $772.50 | $1,030 | 6.2× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $506.25 | $675 | 4.0× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $582 | $776 | 4.6× |
| Us retroperitoneal complete (76770) | $419.25 | $559 | 3.3× |
| Us retroperitoneal limited (76775) | $384 | $512 | 3.1× |
| Us scrotum and contents (76870) | $898.50 | $1,198 | 7.2× |
| Us spinal canal and contents (76800) | $500.25 | $667 | 4.0× |
| Us thyroid (76536) range across 3 matching MRF lines |
$282–$566.25 | $376–$755 | varies |
| Us transrectal (76872) | $384 | $512 | 3.1× |
| Vein X-Ray Chest (75827) range across 3 matching MRF lines |
$1,768.50–$2,161.50 | $2,358–$2,882 | varies |
| Vein X-Ray Liver W/O Hemodyn (75887) | $2,478.75 | $3,305 | 0.7× |
| Vein X-Ray Skull Epidural (75872) | $2,162.25 | $2,883 | 2.9× |
| Venogram Sinus/Jugular (75860) | $2,411.25 | $3,215 | 0.6× |
| Venography Adrenal Unilateral (75840) range across 2 matching MRF lines |
$2,411.25–$4,078.50 | $3,215–$5,438 | varies |
| Venography caval inferior serialography rs&i (75825) | $3,978 | $5,304 | 1.1× |
| Venography extremity bilateral rs&i (75822) | $1,474.50 | $1,966 | 0.8× |
| Venography extremity unilateral rs&i (75820) range across 2 matching MRF lines |
$935.25–$2,572.50 | $1,247–$3,430 | varies |
| Venography Orbital Rs&I (75880) | $1,320.75 | $1,761 | 1.8× |
| Venography Renal Bilateral (75833) | $4,078.50 | $5,438 | 1.1× |
| Venography Renal Unilateral (75831) range across 2 matching MRF lines |
$1,768.50–$4,078.50 | $2,358–$5,438 | varies |
| Venous sampling by catheter (75893) | $4,078.50 | $5,438 | 0.6× |
| Vertebral fracture assessment via dxa (77086) | $138 | $184 | 1.3× |
| Wrist 2 views (73100) range across 6 matching MRF lines |
$300–$600 | $400–$800 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $474 | $632 | 4.5× |
| X-ray antegrade pyelogram tube (74425) | $393 | $524 | 0.9× |
| X-Ray Aorta Leg Arteries (75630) | $4,078.50 | $5,438 | 1.1× |
| X-Ray Bend Only L-S Spine (72120) | $384 | $512 | 3.1× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 5 matching MRF lines |
$300–$600 | $400–$800 | varies |
| X-Ray Exam Breast Specimen (76098) | $1,779 | $2,372 | 2.7× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $300 | $400 | 2.9× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $384 | $512 | 3.1× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $438.75 | $585 | 3.5× |
| X-Ray Exam Hip Uni 1 View (73501) | $300 | $400 | 2.9× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $300 | $400 | 2.9× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $384 | $512 | 3.1× |
| X-Ray Exam Hips Bi 2 Views (73521) | $384 | $512 | 3.1× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $621 | $828 | 5.0× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $438.75 | $585 | 3.5× |
| X-Ray Exam L-S Spine Bending (72114) | $774 | $1,032 | 6.2× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $300 | $400 | 2.9× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $774 | $1,032 | 6.2× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $384 | $512 | 3.1× |
| X-ray eye for foreign body (70030) range across 2 matching MRF lines |
$271.50–$300 | $362–$400 | varies |
| X-ray humerus (73060) range across 3 matching MRF lines |
$265.50–$351 | $354–$468 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $137.25 | $183 | 1.3× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $219.75 | $293 | 2.1× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $474 | $632 | 3.8× |
| X-ray nose-rectum child f.b. (76010) | $309.75 | $413 | 3.0× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $384 | $512 | 3.1× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $386.25 | $515 | 3.1× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $474 | $632 | 4.5× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $527.25 | $703 | 5.1× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $898.50 | $1,198 | 7.2× |
| X-Ray Stress View (77071) | $154.50 | $206 | 1.5× |
| X-ray thoracic spine 4 vw (72074) | $145.50 | $194 | 1.2× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $1,320.75 | $1,761 | 3.2× |
| X-Rays Bone Length Studies (77073) | $384 | $512 | 3.1× |
| Xr c-spine 4 or 5 views (72050) | $399.75 | $533 | 3.2× |
| Xr facial bones less than 3 views (70140) | $198 | $264 | 1.9× |
| XR Mastoids < 3 Views Bilateral (70120) | $217.50 | $290 | 1.7× |
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.