Imaging prices at Emory Johns Creek Hospital
Johns Creek, GA · every code in this section with a posted price and a Medicare benchmark.
417 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) | $9,945 | $9,945 | 7.1× |
| Abdomen 1 View (74018) | $359 | $359 | 4.1× |
| Abdomen 2 views (74019) | $574 | $574 | 5.4× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $2,418 | $2,418 | 6.0× |
| Adrenal Cortex & Medulla Img (78075) | $3,694 | $3,694 | 2.8× |
| Angio internal mammary (75756) | $10,421 | $10,421 | 3.2× |
| Angio pulmonary bilat (75743) | $10,421 | $10,421 | 3.2× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $8,687 | $8,687 | 2.7× |
| Angiography extremity bilateral rs&i (75716) | $10,421 | $10,421 | 3.2× |
| Angiography extremity unilateral rs&i (75710) | $10,421 | $10,421 | 3.2× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $10,421 | $10,421 | 3.2× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $10,421 | $10,421 | 3.2× |
| Ankle 2 views (73600) | $351 | $351 | 4.0× |
| Aortography thoracic serialography rs&i (75605) | $10,421 | $10,421 | 1.8× |
| Aortography thoracic w/o serialography rs&i (75600) | $10,421 | $10,421 | 3.2× |
| Artery X-Rays Abdomen (75726) | $10,421 | $10,421 | 1.8× |
| Artery X-Rays Adrenal Gland (75731) | $10,421 | $10,421 | 3.2× |
| Artery X-Rays Pelvis (75736) | $10,421 | $10,421 | 1.8× |
| Artery X-Rays Spine (75705) | $10,421 | $10,421 | 1.8× |
| Arthrogram ankle (73615) | $1,020 | $1,020 | 2.9× |
| Arthrogram hip (73525) | $1,349 | $1,349 | 3.8× |
| Arthrogram Wrist (73115) | $842 | $842 | 2.4× |
| Basic radiation dosimetry calculation (77300) | $722 | $722 | 5.3× |
| Bone age studies (77072) | $388 | $388 | 3.7× |
| Bone Imaging 3 Phase (78315) | $2,391 | $2,391 | 5.9× |
| Bone Imaging Limited Area (78300) | $1,309 | $1,309 | 3.2× |
| Bone Imaging Whole Body (78306) | $2,117 | $2,117 | 5.2× |
| Bone marrow imaging limited area (78102) | $1,109 | $1,109 | 2.7× |
| Bone survey infant (77076) | $402 | $402 | 3.8× |
| Brachytx isodose complex (77318) range across 2 matching MRF lines |
$1,956–$4,377 | $1,956–$4,377 | varies |
| Brachytx isodose intermed (77317) | $1,956 | $1,956 | 5.1× |
| Brachytx Isodose Plan Simple (77316) | $722 | $722 | 1.9× |
| Brain Image W/Flow < 4 Views (78601) | $2,364 | $2,364 | 5.8× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $2,967 | $2,967 | 5.4× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $10,886 | $10,886 | 7.5× |
| Cardiac MRI w/w/o contrast & further seq (75561) range across 2 matching MRF lines |
$1,692–$2,115 | $1,692–$2,115 | varies |
| Cardiac MRI w/w/o contrast w/stress (75563) range across 2 matching MRF lines |
$2,108–$2,635 | $2,108–$2,635 | varies |
| Cardiovasc nucl exam unlisted (78499) | $8,594 | $8,594 | 21.2× |
| Cat Scan Follow-Up Study (76380) range across 2 matching MRF lines |
$980–$1,225 | $980–$1,225 | varies |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $1,638 | $1,638 | 3.0× |
| Cerebrospinal Fluid Scan (78630) | $2,321 | $2,321 | 4.2× |
| Chest 1 view (71045) range across 2 matching MRF lines |
$140–$175 | $140–$175 | varies |
| Chest 2 views (71046) range across 2 matching MRF lines |
$231–$289 | $231–$289 | varies |
| Chest 3 views (71047) range across 2 matching MRF lines |
$277–$346 | $277–$346 | varies |
| Chest 4 or more views (71048) range across 2 matching MRF lines |
$302–$377 | $302–$377 | varies |
| Chg us nrv&acc strux 1 xtr compre w/img pr extremity (76883) | $312 | $312 | 2.9× |
| Clavicle complete (73000) | $363 | $363 | 4.1× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 2 matching MRF lines |
$130–$162 | $130–$162 | varies |
| Continuing medical physics consltj pr wk (77336) | $1,270 | $1,270 | 9.3× |
| Contrast Exam Abdominl Aorta (75625) | $10,421 | $10,421 | 3.2× |
| Contrast X-Ray Bladder (74430) | $976 | $976 | 2.8× |
| Contrast X-Ray Of Elbow (73085) | $1,349 | $1,349 | 3.8× |
| Contrast X-Ray Of Knee Joint (73580) | $1,202 | $1,202 | 3.4× |
| Contrast Xray Throat/Cerv Esopha (74210) | $1,061 | $1,061 | 6.0× |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$3,498–$4,373 | $3,498–$4,373 | varies |
| CT abdomen and pelvis without contrast (74176) range across 4 matching MRF lines |
$1,762–$2,202 | $1,762–$2,202 | varies |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$1,795–$2,244 | $1,795–$2,244 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$2,173–$2,716 | $2,173–$2,716 | varies |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$1,031–$1,289 | $1,031–$1,289 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 4 matching MRF lines |
$1,713–$2,141 | $1,713–$2,141 | varies |
| CT Angio Chest (71275) range across 4 matching MRF lines |
$1,782–$2,228 | $1,782–$2,228 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$1,463–$1,829 | $1,463–$1,829 | varies |
| CT angio hrt w/3d image (75574) range across 4 matching MRF lines |
$2,175–$2,719 | $2,175–$2,719 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
$1,506–$1,882 | $1,506–$1,882 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$1,463–$1,829 | $1,463–$1,829 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 2 matching MRF lines |
$1,506–$1,882 | $1,506–$1,882 | varies |
| CT cervical spine w/ contrast (72126) range across 2 matching MRF lines |
$1,826–$2,282 | $1,826–$2,282 | varies |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$1,031–$1,289 | $1,031–$1,289 | varies |
| CT cervical spine w/wo cont (72127) range across 2 matching MRF lines |
$2,210–$2,763 | $2,210–$2,763 | varies |
| CT chest w contrast (71260) range across 4 matching MRF lines |
$1,834–$2,293 | $1,834–$2,293 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$2,242–$2,802 | $2,242–$2,802 | varies |
| CT colonography screening (74263) range across 2 matching MRF lines |
$1,076–$1,345 | $1,076–$1,345 | varies |
| CT Colonogrphy Dx Image Postprocess W/Contrast (74262) range across 2 matching MRF lines |
$1,729–$2,161 | $1,729–$2,161 | varies |
| CT colonogrphy dx image postprocess w/o contrast (74261) range across 2 matching MRF lines |
$721–$901 | $721–$901 | varies |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$1,511–$1,889 | $1,511–$1,889 | varies |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$1,842–$2,303 | $1,842–$2,303 | varies |
| CT heart contrast eval cardiac structure&morph (75572) range across 2 matching MRF lines |
$2,175–$2,719 | $2,175–$2,719 | varies |
| CT heart no contrast quant eval coronry calcium (75571) range across 4 matching MRF lines |
$80–$100 | $80–$100 | varies |
| CT hrt w/3d image congen (75573) range across 2 matching MRF lines |
$2,175–$2,719 | $2,175–$2,719 | varies |
| CT iac w contrast (70481) range across 4 matching MRF lines |
$1,581–$1,976 | $1,581–$1,976 | varies |
| CT l-spine w&w/o contrast (72133) range across 2 matching MRF lines |
$2,175–$2,719 | $2,175–$2,719 | varies |
| CT lower ext w/o (73700) range across 6 matching MRF lines |
$1,031–$1,289 | $1,031–$1,289 | varies |
| CT lower extremity w/contrast material (73701) range across 4 matching MRF lines |
$1,572–$1,965 | $1,572–$1,965 | varies |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$1,826–$2,282 | $1,826–$2,282 | varies |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$1,031–$1,289 | $1,031–$1,289 | varies |
| CT maxillofacial w contrast (70487) range across 4 matching MRF lines |
$1,558–$1,947 | $1,558–$1,947 | varies |
| CT maxillofacial wo contrast (70486) range across 4 matching MRF lines |
$1,031–$1,289 | $1,031–$1,289 | varies |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$1,896–$2,370 | $1,896–$2,370 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 2 matching MRF lines |
$1,896–$2,370 | $1,896–$2,370 | varies |
| CT orbits w/o contrast (70480) range across 4 matching MRF lines |
$1,031–$1,289 | $1,031–$1,289 | varies |
| CT pelvis w&w/o contrast (72194) range across 2 matching MRF lines |
$2,120–$2,650 | $2,120–$2,650 | varies |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$1,031–$1,289 | $1,031–$1,289 | varies |
| CT scan of leg combo (73702) range across 2 matching MRF lines |
$1,901–$2,376 | $1,901–$2,376 | varies |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
$1,886–$2,357 | $1,886–$2,357 | varies |
| CT soft tissue neck w contrast (70491) range across 4 matching MRF lines |
$1,581–$1,976 | $1,581–$1,976 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$1,031–$1,289 | $1,031–$1,289 | varies |
| CT thoracic spine w contrast (72129) range across 2 matching MRF lines |
$1,826–$2,282 | $1,826–$2,282 | varies |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$1,031–$1,289 | $1,031–$1,289 | varies |
| CT thoracic spine w/wo cont (72130) range across 2 matching MRF lines |
$2,175–$2,719 | $2,175–$2,719 | varies |
| CT thorax w/o contrast (71250) range across 4 matching MRF lines |
$1,031–$1,289 | $1,031–$1,289 | varies |
| CT upper ext wo (73200) range across 4 matching MRF lines |
$1,031–$1,289 | $1,031–$1,289 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 2 matching MRF lines |
$1,901–$2,376 | $1,901–$2,376 | varies |
| CT upper extremity with contrast (73201) range across 4 matching MRF lines |
$1,570–$1,963 | $1,570–$1,963 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$1,097–$1,371 | $1,097–$1,371 | varies |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$1,018–$1,273 | $1,018–$1,273 | varies |
| CTA pelvis (72191) range across 2 matching MRF lines |
$1,713–$2,141 | $1,713–$2,141 | varies |
| Discography Cerv/Thor Spine (72285) | $10,421 | $10,421 | 5.3× |
| Diskography lumbar (72295) | $10,421 | $10,421 | 5.3× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $258 | $258 | 2.4× |
| Doppler Fetal Mid Cerebral Artery (76821) | $552 | $552 | 5.2× |
| Dxa Bone Density Axial (77080) | $804 | $804 | 7.6× |
| Dxa bone density study (77085) | $388 | $388 | 3.7× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $237 | $237 | 2.7× |
| Echo exam uterus (76831) | $947 | $947 | 3.9× |
| Echo Guide For Artery Repair (76936) | $2,214 | $2,214 | 10.1× |
| Echograp Trans R Pros Study (76873) | $1,517 | $1,517 | 14.3× |
| Esophageal Motility Study (78258) | $1,109 | $1,109 | 2.7× |
| Esophagram (74220) | $513 | $513 | 2.9× |
| Fetal Biophys Profile W/Nst (76818) | $947 | $947 | 8.9× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $947 | $947 | 8.9× |
| Fluoroscopy up to 1 hr (76000) | $738 | $738 | 3.0× |
| Follow-Up Angiography (75898) | $2,562 | $2,562 | 0.8× |
| Foot 2 views (73620) | $351 | $351 | 4.0× |
| Forearm 2 views (73090) | $363 | $363 | 4.1× |
| Gastric emptying imaging study (78264) | $2,019 | $2,019 | 5.0× |
| Gated Heart Planar Single (78472) | $2,822 | $2,822 | 6.9× |
| Gated Heart, Multiple (78473) | $4,233 | $4,233 | 10.4× |
| Gstrc Emptng Imag Std W/Sm Bwl Col Trnst Mlt Day (78266) | $2,505 | $2,505 | 4.5× |
| Hand 2 views (73120) | $388 | $388 | 3.7× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77772) | $4,667 | $4,667 | 6.6× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) range across 2 matching MRF lines |
$4,377–$4,667 | $4,377–$4,667 | varies |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) | $4,667 | $4,667 | 6.6× |
| Heart Image (Pet) Multiple (78492) | $8,441 | $8,441 | 5.8× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $10,421 | $10,421 | 3.2× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $10,421 | $10,421 | 3.2× |
| Hepatobil Syst Image W/Drug (78227) | $1,869 | $1,869 | 3.4× |
| Hepatobiliary System Imaging (78226) | $1,869 | $1,869 | 4.6× |
| Ht Muscle Image Spect Sing (78451) | $3,820 | $3,820 | 2.9× |
| Hysterosalpingogram (74740) | $1,784 | $1,784 | 7.4× |
| Interstitial radiation source applic complex (77778) | $4,667 | $4,667 | 6.6× |
| Intracavitary Radiation Source Applic Complex (77763) range across 2 matching MRF lines |
$4,377–$7,626 | $4,377–$7,626 | varies |
| Intracavitary Radiation Source Applic Intermed (77762) | $4,169 | $4,169 | 7.4× |
| Intracavitary radiation source applic simple (77761) | $3,389 | $3,389 | 6.0× |
| Intraop radiaj tx deliver xray single tx session (77424) | $66,499 | $66,499 | 8.9× |
| K Flow/Funct Image Multiple (78709) | $2,392 | $2,392 | 4.3× |
| K Flow/Funct Image W/Drug (78708) | $2,325 | $2,325 | 4.2× |
| K Flow/Funct Image W/O Drug (78707) | $2,240 | $2,240 | 4.1× |
| Knee 3 Views (73562) | $402 | $402 | 4.5× |
| Liver & Spleen Imaging Static Only (78215) | $1,401 | $1,401 | 3.5× |
| Liver imaging static only (78201) | $1,109 | $1,109 | 2.0× |
| Lung Perf&Ventilat Diferentl (78598) | $3,409 | $3,409 | 6.2× |
| Lung perfusion differential (78597) | $3,409 | $3,409 | 8.4× |
| Lung Ventilat&Perfus Imaging (78582) | $2,002 | $2,002 | 3.6× |
| Lung Ventilation Imaging (78579) | $1,727 | $1,727 | 4.3× |
| Lymph System Imaging (78195) | $2,130 | $2,130 | 3.9× |
| Lymphangiography Extremity Only Bilateral Rs&I (75803) | $3,287 | $3,287 | 2.1× |
| Lymphangiography extremity only unilateral rs&i (75801) | $3,053 | $3,053 | 4.8× |
| Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) | $10,421 | $10,421 | 3.2× |
| Lymphangiography, pelvic/abdominal, unilateral (75805) | $3,207 | $3,207 | 1.0× |
| Magnetic Image Jaw Joint (70336) range across 2 matching MRF lines |
$1,837–$2,296 | $1,837–$2,296 | varies |
| Magnetic Resonance Elastography (76391) range across 2 matching MRF lines |
$451–$564 | $451–$564 | varies |
| Meckels Divert Exam (78290) | $1,580 | $1,580 | 3.9× |
| Mlc imrt design & construction per imrt plan (77338) | $2,102 | $2,102 | 5.5× |
| Mr safety determination physician/other qhp (76016) range across 2 matching MRF lines |
$169–$211 | $169–$211 | varies |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) range across 2 matching MRF lines |
$47–$59 | $47–$59 | varies |
| Mr safety implt electronics prepj supvj phys/qhp (76018) range across 2 matching MRF lines |
$176–$220 | $176–$220 | varies |
| Mr safety implt pos&/immoblj (76019) range across 2 matching MRF lines |
$114–$143 | $114–$143 | varies |
| Mr safety med physics xm customization plng&mntr (76017) range across 2 matching MRF lines |
$464–$580 | $464–$580 | varies |
| Mra Head W/O & W/Contrast Material (70546) range across 2 matching MRF lines |
$3,050–$3,812 | $3,050–$3,812 | varies |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$1,837–$2,296 | $1,837–$2,296 | varies |
| MRA head with contrast (70545) range across 2 matching MRF lines |
$2,275–$2,844 | $2,275–$2,844 | varies |
| MRA neck w contrast (70548) range across 2 matching MRF lines |
$2,442–$3,053 | $2,442–$3,053 | varies |
| Mra Neck W/O &W/Contrast Material (70549) range across 2 matching MRF lines |
$3,050–$3,812 | $3,050–$3,812 | varies |
| MRA neck w/o contrast (70547) range across 2 matching MRF lines |
$1,837–$2,296 | $1,837–$2,296 | varies |
| MRI abdomen w contrast (74182) range across 2 matching MRF lines |
$2,696–$3,370 | $2,696–$3,370 | varies |
| MRI abdomen w/o contrast (74181) range across 4 matching MRF lines |
$1,837–$2,296 | $1,837–$2,296 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 2 matching MRF lines |
$2,686–$3,358 | $2,686–$3,358 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$3,050–$3,812 | $3,050–$3,812 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 4 matching MRF lines |
$2,686–$3,358 | $2,686–$3,358 | varies |
| MRI bone marrow blood supply (77084) range across 2 matching MRF lines |
$1,651–$2,064 | $1,651–$2,064 | varies |
| MRI brain functional w/physician admnistration (70555) range across 2 matching MRF lines |
$1,837–$2,296 | $1,837–$2,296 | varies |
| MRI Breast W/O Contrast Bilateral (77047) range across 2 matching MRF lines |
$3,050–$3,812 | $3,050–$3,812 | varies |
| MRI Breast Without Contrast Material Unilateral (77046) range across 2 matching MRF lines |
$2,766–$3,457 | $2,766–$3,457 | varies |
| MRI cardiac w/o cont stress (75559) range across 2 matching MRF lines |
$1,795–$2,244 | $1,795–$2,244 | varies |
| MRI cardiac w/o contrast (75557) range across 2 matching MRF lines |
$1,837–$2,296 | $1,837–$2,296 | varies |
| MRI cervical spine w contrast (72142) range across 2 matching MRF lines |
$2,632–$3,290 | $2,632–$3,290 | varies |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$1,837–$2,296 | $1,837–$2,296 | varies |
| MRI chest w/o contrast (71550) range across 2 matching MRF lines |
$1,837–$2,296 | $1,837–$2,296 | varies |
| MRI chest with contrast (71551) range across 2 matching MRF lines |
$2,696–$3,370 | $2,696–$3,370 | varies |
| MRI chest wo w contrast (71552) range across 2 matching MRF lines |
$3,050–$3,812 | $3,050–$3,812 | varies |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 2 matching MRF lines |
$2,194–$2,742 | $2,194–$2,742 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 2 matching MRF lines |
$2,686–$3,358 | $2,686–$3,358 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines |
$1,837–$2,296 | $1,837–$2,296 | varies |
| MRI lumbar spine w contrast (72149) range across 2 matching MRF lines |
$2,632–$3,290 | $2,632–$3,290 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$3,050–$3,812 | $3,050–$3,812 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 2 matching MRF lines |
$1,837–$2,296 | $1,837–$2,296 | varies |
| MRI orbit face neck w contrast (70542) range across 2 matching MRF lines |
$2,686–$3,358 | $2,686–$3,358 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 2 matching MRF lines |
$3,050–$3,812 | $3,050–$3,812 | varies |
| MRI pelvis w contrast (72196) range across 2 matching MRF lines |
$2,194–$2,742 | $2,194–$2,742 | varies |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$3,050–$3,812 | $3,050–$3,812 | varies |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$1,837–$2,296 | $1,837–$2,296 | varies |
| MRI spectroscopy (76390) range across 2 matching MRF lines |
$2,278–$2,847 | $2,278–$2,847 | varies |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$1,837–$2,296 | $1,837–$2,296 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 2 matching MRF lines |
$2,194–$2,742 | $2,194–$2,742 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 2 matching MRF lines |
$1,837–$2,296 | $1,837–$2,296 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 2 matching MRF lines |
$2,686–$3,358 | $2,686–$3,358 | varies |
| MRI, abdomen, combo (74183) range across 4 matching MRF lines |
$3,050–$3,812 | $3,050–$3,812 | varies |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$3,050–$3,812 | $3,050–$3,812 | varies |
| MRI, dorsal spine contrast (72147) range across 2 matching MRF lines |
$2,632–$3,290 | $2,632–$3,290 | varies |
| MRI, joint upper extrem (73221) range across 2 matching MRF lines |
$1,901–$2,376 | $1,901–$2,376 | varies |
| MRI, joint upper extrem combo (73223) range across 2 matching MRF lines |
$3,050–$3,812 | $3,050–$3,812 | varies |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$3,050–$3,812 | $3,050–$3,812 | varies |
| Myocardial Imaging Pet Metabolic Evaluation (78459) | $6,256 | $6,256 | 4.8× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $2,624 | $2,624 | 2.0× |
| Myocardial Spect Multiple Studies (78452) | $5,897 | $5,897 | 4.5× |
| Myocrd Img Pet Metab Eval Single Study Cncrnt CT (78429) | $6,427 | $6,427 | 4.4× |
| Myocrd img PET prfuj 1std rest/stress cncrnt CT (78430) | $6,427 | $6,427 | 4.4× |
| Myocrd Img Pet Prfuj Mlt Std Rst&Strs Cncrnt CT (78431) | $9,367 | $9,367 | 4.2× |
| Myocrd Img Pet Prfuj W/Metab 2rtracer Cncrnt CT (78433) | $8,425 | $8,425 | 3.8× |
| Myocrd Img Pet Prfuj W/Metab Dual Radiotracer (78432) | $9,210 | $9,210 | 6.0× |
| N-invas est c ffr sw aly CTA (75580) range across 2 matching MRF lines |
$1,914–$2,393 | $1,914–$2,393 | varies |
| Neck soft tissue (70360) | $438 | $438 | 5.0× |
| Nfs/Instlj Radioelmnt Sln 3 Mo Follow-Up Care (77750) | $1,305 | $1,305 | 3.3× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $1,265 | $1,265 | 3.1× |
| Nonvascular Shunt X-Ray (75809) | $900 | $900 | 8.5× |
| Ntsty modul radthx pln dose-vol histos (77301) | $11,781 | $11,781 | 8.4× |
| Nuclear Rx Intra-Arterial (79445) | $959 | $959 | 4.0× |
| Nuclear Rx Oral Admin (79005) | $959 | $959 | 4.0× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) | $3,970 | $3,970 | 37.4× |
| Panoramic X-ray of jaws (70355) | $271 | $271 | 3.1× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $4,194 | $4,194 | 7.6× |
| Parathyroid Planar Imaging (78070) | $1,109 | $1,109 | 2.7× |
| Parathyroid planar imaging w/wo subtraction (78071) | $4,194 | $4,194 | 10.3× |
| Pelvis 1 or 2 views (72170) | $388 | $388 | 3.7× |
| Perineogram (74775) | $769 | $769 | 3.2× |
| Peritoneogram Rs&I (74190) | $1,784 | $1,784 | 3.2× |
| Pet Image Skull-Thigh (78812) | $9,266 | $9,266 | 6.4× |
| Pet Image W/Ct Lmtd (78814) | $9,918 | $9,918 | 6.8× |
| PET image w/CT, full body (78816) | $9,918 | $9,918 | 6.8× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $9,918 | $9,918 | 6.8× |
| Pet Imaging Limited Area Chest Head/Neck (78811) | $9,266 | $9,266 | 7.0× |
| Pet Myocardial Sngl Study (78491) | $5,791 | $5,791 | 4.0× |
| PET whole body (78813) | $9,266 | $9,266 | 6.4× |
| Proton tx delivery complex (77525) | $5,992 | $5,992 | 4.7× |
| Proton tx delivery intermediate (77523) | $5,210 | $5,210 | 4.1× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $10,421 | $10,421 | 3.2× |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,727 | $1,727 | 4.3× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $759 | $759 | 7.1× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $1,784 | $1,784 | 3.2× |
| Radex Ankle Complete Minimum 3 Views (73610) | $378 | $378 | 4.3× |
| Radex Calcaneus Minimum 2 Views (73650) | $344 | $344 | 3.9× |
| Radex elbow complete minimum 3 views (73080) | $394 | $394 | 4.5× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $555 | $555 | 5.2× |
| Radex fingr minimum 2 views (73140) | $304 | $304 | 3.4× |
| Radex foot complete minimum 3 views (73630) | $378 | $378 | 4.3× |
| Radex Hand Minimum 3 Views (73130) | $402 | $402 | 4.5× |
| Radex lower extremity infant minimum 2 views (73592) | $235 | $235 | 2.7× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $377 | $377 | 4.3× |
| Radex Ribs Unilateral 2 Views (71100) | $434 | $434 | 4.9× |
| Radex shoulder complete minimum 2 views (73030) | $397 | $397 | 4.5× |
| Radex Sinuses Paransl < 3 Views (70210) | $417 | $417 | 4.7× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $1,761 | $1,761 | 9.9× |
| Radex Spine 1 View Specify Level (72020) | $312 | $312 | 3.5× |
| Radex Sternum Minimum 2 Views (71120) | $447 | $447 | 5.1× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $570 | $570 | 6.4× |
| Radex Toe Minimum 2 Views (73660) | $304 | $304 | 3.4× |
| Radex upper extremity infant minimum 2 views (73092) | $388 | $388 | 3.7× |
| Radex Wrist Complete Minimum 3 Views (73110) | $378 | $378 | 4.3× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $738 | $738 | 6.9× |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $66,499 | $66,499 | 8.9× |
| Radiation treatment delivery level 1 (77402) | $742 | $742 | 7.2× |
| Radiation treatment delivery level 2 (77407) | $971 | $971 | 2.5× |
| Radiation treatment delivery level 3 (77412) | $1,305 | $1,305 | 2.3× |
| Radiolog exam mandible compl minimum 4 views (70110) | $478 | $478 | 4.5× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $645 | $645 | 6.1× |
| Radiologic exam colon double contrast study (74280) | $2,242 | $2,242 | 12.6× |
| Radiologic exam colon single contrast study (74270) | $1,674 | $1,674 | 9.4× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $765 | $765 | 4.3× |
| Radiologic exam knee complete 4/more views (73564) | $452 | $452 | 4.3× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $468 | $468 | 4.4× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $1,233 | $1,233 | 6.9× |
| Radiologic exam swallow function contrast study (74230) | $1,298 | $1,298 | 7.3× |
| Radiologic exam teeth complete full mouth (70320) | $738 | $738 | 3.0× |
| Radiologic Exam Teeth Prtl Exam < Full Mouth (70310) | $738 | $738 | 3.0× |
| Radiologic exam upr gi trc double contrast study (74246) | $1,632 | $1,632 | 9.2× |
| Radiologic examination femur 1 view (73551) | $235 | $235 | 2.7× |
| Radiologic examination femur minimum 2 views (73552) | $235 | $235 | 2.7× |
| Radiologic examination knee 1/2 views (73560) | $373 | $373 | 4.2× |
| Radiologic Examination Osseous Survey Limited (77074) | $388 | $388 | 3.7× |
| Radiologic examination tibia & fibula 2 views (73590) | $373 | $373 | 4.2× |
| Radiologic examination, teeth; single view Non-Facility (70300) | $204 | $204 | 2.3× |
| Radiopharm Dacryocystography (78660) | $1,126 | $1,126 | 2.8× |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77768) | $1,702 | $1,702 | 4.3× |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77767) | $1,305 | $1,305 | 3.3× |
| Ribs bilateral 3 views (71110) | $567 | $567 | 5.3× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $1,678 | $1,678 | 4.1× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $1,914 | $1,914 | 4.7× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $2,648 | $2,648 | 4.8× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $2,098 | $2,098 | 3.8× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $2,858 | $2,858 | 5.2× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $4,772 | $4,772 | 3.6× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $5,560 | $5,560 | 3.8× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) range across 2 matching MRF lines |
$3,498.91–$3,907 | $3,498.91–$3,907 | varies |
| Rp Therapy Intravenous Administration (79101) | $959 | $959 | 4.0× |
| Scapula (73010) | $377 | $377 | 3.6× |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 4 matching MRF lines |
$176–$220 | $176–$220 | varies |
| Shoulder 1 view (73020) | $343 | $343 | 3.9× |
| Shoulder Arthrography (73040) | $1,349 | $1,349 | 3.8× |
| Skull less than 4 views (70250) | $468 | $468 | 4.4× |
| Special dosimetry (77331) | $722 | $722 | 5.3× |
| Special Physics Consult (77370) | $1,256 | $1,256 | 9.2× |
| Special teletherapy port plan (77321) | $1,956 | $1,956 | 5.1× |
| Special treatment procedure (77470) | $4,722 | $4,722 | 8.4× |
| Srs Multisource (77371) | $98,785 | $98,785 | 13.2× |
| Stereotactic Body Radiation Delivery (77373) | $11,518 | $11,518 | 6.3× |
| Sternoclavicular joints (71130) | $485 | $485 | 5.5× |
| Superior sagittal sinus venogram (75870) | $6,583 | $6,583 | 2.1× |
| Surface Applic Low Dose Rate Radionuclide Source (77789) range across 2 matching MRF lines |
$470–$4,377 | $470–$4,377 | varies |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $1,956 | $1,956 | 5.1× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $1,117 | $1,117 | 2.9× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $2,889 | $2,889 | 7.6× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $2,363 | $2,363 | 6.2× |
| Ther rad simulaj-aided field setting simple (77280) | $1,881 | $1,881 | 13.8× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $738 | $738 | 4.1× |
| Thoracic spine 2 views (72070) | $455 | $455 | 4.3× |
| Thoracic spine 3 views (72072) | $523 | $523 | 4.9× |
| Thoracolumbar 2 views (72080) | $342 | $342 | 3.9× |
| Thyroid Imaging With Vascular Flow (78013) | $1,109 | $1,109 | 2.7× |
| Thyroid Met Imaging Body (78018) | $2,607 | $2,607 | 4.7× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $2,462 | $2,462 | 6.1× |
| Tx Devices Design & Construction Complex (77334) | $1,956 | $1,956 | 5.1× |
| Tx devices design & construction intermediate (77333) | $1,117 | $1,117 | 8.2× |
| Tx devices design & construction simple (77332) range across 2 matching MRF lines |
$722–$4,377 | $722–$4,377 | varies |
| Ultrasound Breast Limited (76642) | $568 | $568 | 6.4× |
| Ultrasound Elastography Parenchyma (76981) | $570 | $570 | 5.4× |
| Ultrasound Exam Aaa Screen (76706) | $834 | $834 | 7.9× |
| Ultrasound, abdomen limited (76705) | $1,709 | $1,709 | 16.1× |
| Umbilical-artery Doppler (OB) (76820) | $478 | $478 | 4.5× |
| Unlisted Dx Radiographic Procedure (76499) | $1,481 | $1,481 | 16.8× |
| Unlisted magnetic resonance procedure (76498) range across 6 matching MRF lines |
$400–$2,296 | $400–$2,296 | varies |
| Unlisted Miscellaneous Px Dx Nuclear Medicine (78999) | $7,519 | $7,519 | 18.5× |
| Unlisted Procedure Clinical Brachytherapy (77799) | $315 | $315 | 3.0× |
| Unlisted us procedure (76999) | $568 | $568 | 6.4× |
| Upper gi w/o kub (74240) | $1,518 | $1,518 | 8.5× |
| Urethrocystogram voiding (74455) | $1,784 | $1,784 | 7.4× |
| Urethrocystography retrograde (74450) | $1,210 | $1,210 | 5.0× |
| Us breast unilateral complete (76641) | $568 | $568 | 5.3× |
| Us chest (76604) | $650 | $650 | 6.1× |
| Us complete joint (76881) | $1,709 | $1,709 | 16.1× |
| Us exam, pelvic, limited (76857) | $1,222 | $1,222 | 11.5× |
| Us head (76506) | $1,754 | $1,754 | 16.5× |
| Us kidney transplant (76776) | $1,128 | $1,128 | 10.6× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $1,709 | $1,709 | 16.1× |
| Us ob limited 1 or more fetuses (76815) | $947 | $947 | 8.9× |
| Us ob transvaginal (76817) | $947 | $947 | 8.9× |
| Us pelvic non ob complete (76856) | $1,898 | $1,898 | 17.9× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $983 | $983 | 9.3× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $568 | $568 | 5.3× |
| Us retroperitoneal complete (76770) | $2,277 | $2,277 | 21.4× |
| Us retroperitoneal limited (76775) | $1,694 | $1,694 | 16.0× |
| Us scrotum and contents (76870) | $1,842 | $1,842 | 17.3× |
| Us thyroid (76536) | $1,679 | $1,679 | 15.8× |
| Us transrectal (76872) range across 3 matching MRF lines |
$1,228–$3,970 | $1,228–$3,970 | varies |
| Vein X-Ray Chest (75827) | $6,583 | $6,583 | 4.1× |
| Vein X-Ray Liver W/O Hemodyn (75887) | $6,786 | $6,786 | 2.1× |
| Vein X-Ray Skull Epidural (75872) | $1,596 | $1,596 | 2.5× |
| Vein X-Ray Spleen/Liver (75810) | $10,421 | $10,421 | 3.2× |
| Venogram Sinus/Jugular (75860) | $10,421 | $10,421 | 3.2× |
| Venography caval inferior serialography rs&i (75825) | $10,421 | $10,421 | 3.2× |
| Venography extremity bilateral rs&i (75822) | $2,663 | $2,663 | 1.7× |
| Venography extremity unilateral rs&i (75820) | $2,663 | $2,663 | 1.7× |
| Venography Orbital Rs&I (75880) | $10,421 | $10,421 | 16.4× |
| Venography Renal Bilateral (75833) | $10,421 | $10,421 | 3.2× |
| Venography Renal Unilateral (75831) | $10,421 | $10,421 | 3.2× |
| Venous sampling by catheter (75893) | $10,421 | $10,421 | 1.8× |
| Vertebral fracture assessment via dxa (77086) | $235 | $235 | 2.7× |
| Wrist 2 views (73100) | $351 | $351 | 4.0× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $453 | $453 | 5.1× |
| X-ray antegrade pyelogram tube (74425) | $1,784 | $1,784 | 5.0× |
| X-Ray Aorta Leg Arteries (75630) range across 2 matching MRF lines |
$1,278–$10,421 | $1,278–$10,421 | varies |
| X-Ray Bend Only L-S Spine (72120) | $331 | $331 | 3.1× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $359 | $359 | 4.1× |
| X-Ray Exam Breast Specimen (76098) range across 2 matching MRF lines |
$814–$1,018 | $814–$1,018 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) | $235 | $235 | 2.7× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $388 | $388 | 3.7× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $738 | $738 | 6.9× |
| X-Ray Exam Hip Uni 1 View (73501) | $235 | $235 | 2.7× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $235 | $235 | 2.7× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $388 | $388 | 3.7× |
| X-Ray Exam Hips Bi 2 Views (73521) | $388 | $388 | 3.7× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $438 | $438 | 4.1× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $527 | $527 | 5.0× |
| X-Ray Exam L-S Spine Bending (72114) | $647 | $647 | 6.1× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $443 | $443 | 5.0× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $779 | $779 | 7.3× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $509 | $509 | 4.8× |
| X-ray eye for foreign body (70030) | $438 | $438 | 5.0× |
| X-ray humerus (73060) | $394 | $394 | 4.5× |
| X-ray IV pyelogram (ivp) (74400) | $1,478 | $1,478 | 8.3× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $382 | $382 | 4.3× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $235 | $235 | 2.7× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $475 | $475 | 4.5× |
| X-ray nose-rectum child f.b. (76010) | $976 | $976 | 11.0× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $649 | $649 | 6.1× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $434 | $434 | 4.1× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $388 | $388 | 3.7× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $394 | $394 | 4.5× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $552 | $552 | 6.2× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $659 | $659 | 6.2× |
| X-ray thoracic spine 4 vw (72074) | $569 | $569 | 5.4× |
| X-Ray Tmj Unilat (70328) | $373 | $373 | 4.2× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 2 matching MRF lines |
$1,944–$4,377 | $1,944–$4,377 | varies |
| X-Rays Bone Length Studies (77073) | $267 | $267 | 2.5× |
| X-Rays Bone Survey Complete (77075) | $506 | $506 | 4.8× |
| Xr c-spine 4 or 5 views (72050) | $642 | $642 | 6.0× |
| Xr facial bones less than 3 views (70140) | $434 | $434 | 4.9× |
| Xr orbits complete 4 views (70200) | $70 | $70 | 0.7× |
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.