Imaging prices at Erlanger Bledsoe Hospital
Pikeville, TN · every code in this section with a posted price and a Medicare benchmark.
384 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) range across 2 matching MRF lines |
$4,301.48–$5,211.25 | $14,884–$18,032 | varies |
| Abdomen 1 View (74018) range across 2 matching MRF lines |
$101.15–$139.30 | $350–$482 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$129.76–$158.08 | $449–$547 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) range across 2 matching MRF lines |
$899.37–$1,065.83 | $3,112–$3,688 | varies |
| Angio internal mammary (75756) range across 2 matching MRF lines |
$584.36–$825.67 | $2,022–$2,857 | varies |
| Angio pulmonary bilat (75743) range across 2 matching MRF lines |
$584.36–$762.09 | $2,022–$2,637 | varies |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) range across 2 matching MRF lines |
$532.05–$980 | $1,841–$3,391 | varies |
| Angiography extremity bilateral rs&i (75716) range across 2 matching MRF lines |
$1,589.50–$1,827.93 | $5,500–$6,325 | varies |
| Angiography extremity unilateral rs&i (75710) range across 2 matching MRF lines |
$1,288.65–$1,481.99 | $4,459–$5,128 | varies |
| Angiography pulmonary unilateral slctv rs&i (75741) range across 2 matching MRF lines |
$584.36–$671.93 | $2,022–$2,325 | varies |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) range across 2 matching MRF lines |
$584.36–$706.03 | $2,022–$2,443 | varies |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$82.65–$91.61 | $286–$317 | varies |
| Aortography thoracic serialography rs&i (75605) range across 2 matching MRF lines |
$532.92–$1,419.86 | $1,844–$4,913 | varies |
| Artery X-Rays Abdomen (75726) range across 2 matching MRF lines |
$1,282.58–$1,548.75 | $4,438–$5,359 | varies |
| Artery X-Rays Adrenal Gland (75731) range across 2 matching MRF lines |
$496.79–$638.98 | $1,719–$2,211 | varies |
| Artery X-Rays Pelvis (75736) range across 2 matching MRF lines |
$584.36–$1,273.33 | $2,022–$4,406 | varies |
| Artery X-Rays Spine (75705) range across 2 matching MRF lines |
$1,113.23–$1,613.49 | $3,852–$5,583 | varies |
| Arthrogram ankle (73615) range across 2 matching MRF lines |
$154.33–$159.24 | $534–$551 | varies |
| Arthrogram hip (73525) range across 2 matching MRF lines |
$181.20–$208.37 | $627–$721 | varies |
| Arthrogram Wrist (73115) range across 2 matching MRF lines |
$94.50–$121.09 | $327–$419 | varies |
| Basic radiation dosimetry calculation (77300) range across 2 matching MRF lines |
$239–$289.58 | $827–$1,002 | varies |
| Bone age studies (77072) range across 2 matching MRF lines |
$88.15–$90.75 | $305–$314 | varies |
| Bone Imaging 3 Phase (78315) range across 2 matching MRF lines |
$943.01–$1,271.60 | $3,263–$4,400 | varies |
| Bone Imaging Limited Area (78300) range across 2 matching MRF lines |
$733.48–$869.31 | $2,538–$3,008 | varies |
| Bone Imaging Whole Body (78306) range across 2 matching MRF lines |
$1,086.64–$1,098.20 | $3,760–$3,800 | varies |
| Bone marrow imaging; multiple areas (78103) range across 2 matching MRF lines |
$530.60–$628.58 | $1,836–$2,175 | varies |
| Brachytx isodose complex (77318) range across 2 matching MRF lines |
$960.93–$1,164.09 | $3,325–$4,028 | varies |
| Brachytx isodose intermed (77317) range across 2 matching MRF lines |
$799.95–$969.02 | $2,768–$3,353 | varies |
| Brachytx Isodose Plan Simple (77316) range across 2 matching MRF lines |
$640.14–$775.39 | $2,215–$2,683 | varies |
| Brain Image W/Flow < 4 Views (78601) range across 2 matching MRF lines |
$208.95–$247.67 | $723–$857 | varies |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) range across 2 matching MRF lines |
$448.53–$531.47 | $1,552–$1,839 | varies |
| Brain Imaging Pet Metabolic Evaluation (78608) range across 2 matching MRF lines |
$2,342.63–$2,775.85 | $8,106–$9,605 | varies |
| Cardiac MRI w/w/o contrast & further seq (75561) range across 2 matching MRF lines |
$491.88–$507.20 | $1,702–$1,755 | varies |
| Cat Scan Follow-Up Study (76380) range across 2 matching MRF lines |
$195.65–$208.95 | $677–$723 | varies |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) range across 2 matching MRF lines |
$465.58–$551.99 | $1,611–$1,910 | varies |
| Cerebrospinal Fluid Scan (78630) range across 2 matching MRF lines |
$913.53–$1,082.59 | $3,161–$3,746 | varies |
| Chest 1 view (71045) range across 2 matching MRF lines |
$107.51–$163 | $372–$564 | varies |
| Chest 2 views (71046) range across 2 matching MRF lines |
$107.51–$163 | $372–$564 | varies |
| Chest 3 views (71047) range across 2 matching MRF lines |
$107.51–$163 | $372–$564 | varies |
| Chest 4 or more views (71048) range across 2 matching MRF lines |
$137.56–$208.08 | $476–$720 | varies |
| Cisternography Positive Contrast Rs&I (70015) range across 2 matching MRF lines |
$325.99–$396.51 | $1,128–$1,372 | varies |
| Clavicle complete (73000) range across 2 matching MRF lines |
$89.01–$91.90 | $308–$318 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 2 matching MRF lines |
$101.15–$108.09 | $350–$374 | varies |
| Continuing medical physics consltj pr wk (77336) range across 2 matching MRF lines |
$266.17–$322.52 | $921–$1,116 | varies |
| Contrast Exam Abdominl Aorta (75625) range across 2 matching MRF lines |
$1,573.32–$1,686.32 | $5,444–$5,835 | varies |
| Contrast X-Ray Bladder (74430) range across 2 matching MRF lines |
$347.09–$422.52 | $1,201–$1,462 | varies |
| Contrast X-Ray Of Elbow (73085) range across 2 matching MRF lines |
$184.38–$212.13 | $638–$734 | varies |
| Contrast X-Ray Of Knee Joint (73580) range across 2 matching MRF lines |
$116.76–$121.09 | $404–$419 | varies |
| Contrast Xray Throat/Cerv Esopha (74210) range across 2 matching MRF lines |
$194.50–$236.69 | $673–$819 | varies |
| Corpora cavernosography (74445) range across 2 matching MRF lines |
$223.98–$272.53 | $775–$943 | varies |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$1,300.50–$1,387.78 | $4,500–$4,802 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$1,145.02–$1,221.60 | $3,962–$4,227 | varies |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$1,337.20–$1,426.79 | $4,627–$4,937 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$1,548.17–$1,651.92 | $5,357–$5,716 | varies |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$1,141.84–$1,218.14 | $3,951–$4,215 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$2,303.91–$2,458.23 | $7,972–$8,506 | varies |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$743.31–$793.02 | $2,572–$2,744 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$791.28–$882.61 | $2,738–$3,054 | varies |
| CT angio hrt w/3d image (75574) range across 2 matching MRF lines |
$733.19–$782.32 | $2,537–$2,707 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
$499.68–$533.21 | $1,729–$1,845 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$556.61–$620.77 | $1,926–$2,148 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 2 matching MRF lines |
$578.87–$617.59 | $2,003–$2,137 | varies |
| CT cervical spine w/ contrast (72126) range across 2 matching MRF lines |
$795.62–$887.23 | $2,753–$3,070 | varies |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$678.28–$756.89 | $2,347–$2,619 | varies |
| CT cervical spine w/wo cont (72127) range across 2 matching MRF lines |
$851.97–$950.52 | $2,948–$3,289 | varies |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$752.27–$802.84 | $2,603–$2,778 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$871.05–$929.42 | $3,014–$3,216 | varies |
| CT colonography screening (74263) range across 2 matching MRF lines |
$539.56–$575.69 | $1,867–$1,992 | varies |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$434.95–$485.23 | $1,505–$1,679 | varies |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$503.15–$561.24 | $1,741–$1,942 | varies |
| CT heart contrast eval cardiac structure&morph (75572) range across 2 matching MRF lines |
$298.25–$318.19 | $1,032–$1,101 | varies |
| CT heart no contrast quant eval coronry calcium (75571) range across 2 matching MRF lines |
$72.25–$77.16 | $250–$267 | varies |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$625.40–$697.65 | $2,164–$2,414 | varies |
| CT l-spine w&w/o contrast (72133) range across 2 matching MRF lines |
$653.72–$697.36 | $2,262–$2,413 | varies |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$331.48–$353.74 | $1,147–$1,224 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$388.99–$415.29 | $1,346–$1,437 | varies |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$558.06–$595.34 | $1,931–$2,060 | varies |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$476.27–$508.35 | $1,648–$1,759 | varies |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$625.40–$697.65 | $2,164–$2,414 | varies |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$532.92–$594.47 | $1,844–$2,057 | varies |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$635.51–$708.92 | $2,199–$2,453 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 2 matching MRF lines |
$723.66–$807.18 | $2,504–$2,793 | varies |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$532.92–$594.47 | $1,844–$2,057 | varies |
| CT pelvis w&w/o contrast (72194) range across 2 matching MRF lines |
$628.86–$671.06 | $2,176–$2,322 | varies |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$463.27–$494.19 | $1,603–$1,710 | varies |
| CT scan of leg combo (73702) range across 2 matching MRF lines |
$449.40–$479.45 | $1,555–$1,659 | varies |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
$723.66–$807.18 | $2,504–$2,793 | varies |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$549.39–$612.97 | $1,901–$2,121 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$468.47–$522.51 | $1,621–$1,808 | varies |
| CT thoracic spine w contrast (72129) range across 2 matching MRF lines |
$445.35–$475.12 | $1,541–$1,644 | varies |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$379.46–$404.89 | $1,313–$1,401 | varies |
| CT thoracic spine w/wo cont (72130) range across 2 matching MRF lines |
$522.51–$557.48 | $1,808–$1,929 | varies |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$641.87–$684.64 | $2,221–$2,369 | varies |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$428.30–$457.20 | $1,482–$1,582 | varies |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$450.55–$480.61 | $1,559–$1,663 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$1,367.84–$1,459.45 | $4,733–$5,050 | varies |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$1,187.79–$1,267.55 | $4,110–$4,386 | varies |
| CTA pelvis (72191) range across 2 matching MRF lines |
$490.72–$523.67 | $1,698–$1,812 | varies |
| Dilation ureters/urethra rs&i (74485) range across 2 matching MRF lines |
$167.91–$596.79 | $581–$2,065 | varies |
| Diskography lumbar (72295) range across 2 matching MRF lines |
$166.46–$590.72 | $576–$2,044 | varies |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) range across 2 matching MRF lines |
$119.94–$121.96 | $415–$422 | varies |
| Doppler Echo Fetal Spectral Display Complete (76827) range across 2 matching MRF lines |
$171.96–$174.85 | $595–$605 | varies |
| Doppler Fetal Mid Cerebral Artery (76821) range across 2 matching MRF lines |
$122.25–$140.45 | $423–$486 | varies |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$155.19–$160.11 | $537–$554 | varies |
| Dxa bone density study 1/>sites appendiclr skel (77081) range across 2 matching MRF lines |
$37.28–$38.44 | $129–$133 | varies |
| Echo exam of fetal heart (76825) range across 2 matching MRF lines |
$223.98–$227.73 | $775–$788 | varies |
| Echo exam uterus (76831) range across 2 matching MRF lines |
$235.82–$239.87 | $816–$830 | varies |
| Echo Guide For Artery Repair (76936) range across 2 matching MRF lines |
$343.91–$395.64 | $1,190–$1,369 | varies |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) range across 2 matching MRF lines |
$218.48–$221.95 | $756–$768 | varies |
| Esophagram (74220) range across 2 matching MRF lines |
$194.50–$236.69 | $673–$819 | varies |
| Fetal Biophys Profile W/Nst (76818) range across 2 matching MRF lines |
$251.72–$255.77 | $871–$885 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 2 matching MRF lines |
$103.46–$105.20 | $358–$364 | varies |
| Fetal MRI w/placntl matrnl plvc img sing/1st ges (74712) range across 2 matching MRF lines |
$112.13–$115.60 | $388–$400 | varies |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$107.80–$123.98 | $373–$429 | varies |
| Follow-Up Angiography (75898) range across 2 matching MRF lines |
$551.99–$634.93 | $1,910–$2,197 | varies |
| Foot 2 views (73620) range across 2 matching MRF lines |
$81.21–$83.81 | $281–$290 | varies |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$84.10–$86.70 | $291–$300 | varies |
| Gastric emptying imaging study (78264) range across 2 matching MRF lines |
$934.63–$1,107.45 | $3,234–$3,832 | varies |
| Gated Heart Planar Single (78472) range across 2 matching MRF lines |
$510.37–$604.88 | $1,766–$2,093 | varies |
| Gated Heart, Multiple (78473) range across 2 matching MRF lines |
$510.37–$604.88 | $1,766–$2,093 | varies |
| Hand 2 views (73120) range across 2 matching MRF lines |
$71.96–$74.27 | $249–$257 | varies |
| Hdr Rdncl Ntrstl/Icav Brchtx (77772) | $1,507.14 | $5,215 | 2.4× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) range across 2 matching MRF lines |
$1,150.80–$1,394.14 | $3,982–$4,824 | varies |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) range across 2 matching MRF lines |
$957.75–$1,218.42 | $3,314–$4,216 | varies |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) range across 2 matching MRF lines |
$455.18–$794.17 | $1,575–$2,748 | varies |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) range across 2 matching MRF lines |
$345.07–$789.26 | $1,194–$2,731 | varies |
| Hepatobil Syst Image W/Drug (78227) range across 2 matching MRF lines |
$1,043–$1,236.05 | $3,609–$4,277 | varies |
| Hepatobiliary System Imaging (78226) range across 2 matching MRF lines |
$1,043–$1,236.05 | $3,609–$4,277 | varies |
| Ht Musc Image Planar Mult (78454) range across 2 matching MRF lines |
$693.60–$2,211.72 | $2,400–$7,653 | varies |
| Ht Muscle Image Spect Sing (78451) range across 2 matching MRF lines |
$3,093.75–$3,666.25 | $10,705–$12,686 | varies |
| Hysterosalpingogram (74740) range across 2 matching MRF lines |
$432.34–$525.98 | $1,496–$1,820 | varies |
| Infant hip ultrasound with hip movement (dynamic) (76885) range across 2 matching MRF lines |
$277.73–$282.06 | $961–$976 | varies |
| Infant hip ultrasound, limited static exam (76886) range across 2 matching MRF lines |
$246.81–$250.85 | $854–$868 | varies |
| Infusion Ivp (74410) range across 2 matching MRF lines |
$320.21–$389.57 | $1,108–$1,348 | varies |
| Interstitial radiation source applic complex (77778) range across 2 matching MRF lines |
$1,648.17–$1,996.70 | $5,703–$6,909 | varies |
| Intracavitary Radiation Source Applic Complex (77763) range across 2 matching MRF lines |
$664.70–$805.15 | $2,300–$2,786 | varies |
| Intracavitary Radiation Source Applic Intermed (77762) range across 2 matching MRF lines |
$664.70–$805.15 | $2,300–$2,786 | varies |
| Joint Survey Single View (77077) range across 2 matching MRF lines |
$54.91–$56.64 | $190–$196 | varies |
| K Flow/Funct Image Multiple (78709) range across 2 matching MRF lines |
$1,695.27–$2,008.84 | $5,866–$6,951 | varies |
| K Flow/Funct Image W/Drug (78708) range across 2 matching MRF lines |
$1,080.86–$1,280.85 | $3,740–$4,432 | varies |
| K Flow/Funct Image W/O Drug (78707) range across 2 matching MRF lines |
$1,080.86–$1,280.85 | $3,740–$4,432 | varies |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$92.19–$111.55 | $319–$386 | varies |
| Liver & Spleen Imaging Static Only (78215) range across 2 matching MRF lines |
$1,075.95–$1,274.78 | $3,723–$4,411 | varies |
| Lung perfusion differential (78597) range across 2 matching MRF lines |
$722.50–$856.02 | $2,500–$2,962 | varies |
| Lung Ventilat&Perfus Imaging (78582) range across 2 matching MRF lines |
$1,074.50–$1,273.33 | $3,718–$4,406 | varies |
| Lymph System Imaging (78195) range across 2 matching MRF lines |
$846.77–$1,003.70 | $2,930–$3,473 | varies |
| Magnetic Image Jaw Joint (70336) range across 2 matching MRF lines |
$212.42–$219.06 | $735–$758 | varies |
| Mammary ductogram or galactogram multiple (77054) range across 2 matching MRF lines |
$266.17–$403.16 | $921–$1,395 | varies |
| Meckels Divert Exam (78290) range across 2 matching MRF lines |
$937.52–$1,111.21 | $3,244–$3,845 | varies |
| Mlc imrt design & construction per imrt plan (77338) range across 2 matching MRF lines |
$310.96–$470.49 | $1,076–$1,628 | varies |
| Mra Head W/O & W/Contrast Material (70546) range across 2 matching MRF lines |
$978.84–$1,091.84 | $3,387–$3,778 | varies |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$574.53–$592.16 | $1,988–$2,049 | varies |
| MRA head with contrast (70545) range across 2 matching MRF lines |
$849.66–$875.96 | $2,940–$3,031 | varies |
| MRA neck w contrast (70548) range across 2 matching MRF lines |
$854–$880.29 | $2,955–$3,046 | varies |
| Mra Neck W/O &W/Contrast Material (70549) range across 2 matching MRF lines |
$949.37–$978.84 | $3,285–$3,387 | varies |
| MRA neck w/o contrast (70547) range across 2 matching MRF lines |
$574.53–$592.16 | $1,988–$2,049 | varies |
| MRI abdomen w contrast (74182) range across 2 matching MRF lines |
$833.19–$858.91 | $2,883–$2,972 | varies |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$687.53–$708.92 | $2,379–$2,453 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 2 matching MRF lines |
$880.01–$907.17 | $3,045–$3,139 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$980.58–$1,010.92 | $3,393–$3,498 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 2 matching MRF lines |
$939.83–$969.02 | $3,252–$3,353 | varies |
| MRI Breast W/O Contrast Bilateral (77047) range across 2 matching MRF lines |
$101.44–$104.62 | $351–$362 | varies |
| MRI Breast Without Contrast Material Unilateral (77046) range across 2 matching MRF lines |
$101.44–$104.62 | $351–$362 | varies |
| MRI cardiac w/o contrast (75557) range across 2 matching MRF lines |
$491.88–$507.20 | $1,702–$1,755 | varies |
| MRI cervical spine w contrast (72142) range across 2 matching MRF lines |
$1,116.70–$1,151.38 | $3,864–$3,984 | varies |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$817–$842.15 | $2,827–$2,914 | varies |
| MRI chest w/o contrast (71550) range across 2 matching MRF lines |
$343.33–$354.03 | $1,188–$1,225 | varies |
| MRI chest wo w contrast (71552) range across 2 matching MRF lines |
$1,206–$1,243.28 | $4,173–$4,302 | varies |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 2 matching MRF lines |
$880.01–$907.17 | $3,045–$3,139 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 2 matching MRF lines |
$980.58–$1,010.92 | $3,393–$3,498 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines |
$625.69–$645.05 | $2,165–$2,232 | varies |
| MRI lumbar spine w contrast (72149) range across 2 matching MRF lines |
$1,015.26–$1,046.76 | $3,513–$3,622 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$1,477.37–$1,523.03 | $5,112–$5,270 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 2 matching MRF lines |
$804.87–$829.72 | $2,785–$2,871 | varies |
| MRI orbit face neck w contrast (70542) range across 2 matching MRF lines |
$967.28–$997.05 | $3,347–$3,450 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 2 matching MRF lines |
$1,253.68–$1,292.41 | $4,338–$4,472 | varies |
| MRI pelvis w contrast (72196) range across 2 matching MRF lines |
$617.02–$636.09 | $2,135–$2,201 | varies |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$660.37–$680.88 | $2,285–$2,356 | varies |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$418.47–$431.48 | $1,448–$1,493 | varies |
| MRI spectroscopy (76390) range across 2 matching MRF lines |
$325.70–$335.82 | $1,127–$1,162 | varies |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$916.13–$944.45 | $3,170–$3,268 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 2 matching MRF lines |
$579.16–$597.07 | $2,004–$2,066 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 2 matching MRF lines |
$952.83–$982.31 | $3,297–$3,399 | varies |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$1,207.15–$1,244.43 | $4,177–$4,306 | varies |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$1,242.70–$1,281.14 | $4,300–$4,433 | varies |
| MRI, dorsal spine contrast (72147) range across 2 matching MRF lines |
$1,131.15–$1,166.12 | $3,914–$4,035 | varies |
| MRI, joint upper extrem (73221) range across 2 matching MRF lines |
$859.20–$885.79 | $2,973–$3,065 | varies |
| MRI, joint upper extrem combo (73223) range across 2 matching MRF lines |
$952.83–$982.31 | $3,297–$3,399 | varies |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$1,344.43–$1,386.04 | $4,652–$4,796 | varies |
| Myelography thoracic (72255) range across 2 matching MRF lines |
$230.04–$264.44 | $796–$915 | varies |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) range across 2 matching MRF lines |
$173.98–$206.35 | $602–$714 | varies |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) range across 2 matching MRF lines |
$1,922.72–$3,093.75 | $6,653–$10,705 | varies |
| Myocardial Spect Multiple Studies (78452) range across 2 matching MRF lines |
$3,396.33–$4,024.61 | $11,752–$13,926 | varies |
| Myocrd img PET prfuj 1std rest/stress cncrnt CT (78430) | $1,404.54 | $4,860 | 1.1× |
| Myocrd Img Pet Prfuj Mlt Std Rst&Strs Cncrnt CT (78431) | $1,951.04 | $6,751 | 1.0× |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$106.93–$130.05 | $370–$450 | varies |
| Nm myocard infarct spect (78469) range across 2 matching MRF lines |
$372.52–$441.01 | $1,289–$1,526 | varies |
| Nonvascular Shunt X-Ray (75809) range across 2 matching MRF lines |
$202.88–$247.10 | $702–$855 | varies |
| Ntsty modul radthx pln dose-vol histos (77301) range across 2 matching MRF lines |
$2,532.22–$3,067.74 | $8,762–$10,615 | varies |
| Nuclear Rx Intra-Arterial (79445) range across 2 matching MRF lines |
$204.61–$242.18 | $708–$838 | varies |
| Nuclear Rx Oral Admin (79005) range across 2 matching MRF lines |
$446.51–$529.16 | $1,545–$1,831 | varies |
| Ob us nuchal meas 1 gest (76813) range across 2 matching MRF lines |
$189.58–$192.47 | $656–$666 | varies |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) range across 2 matching MRF lines |
$121.09–$123.11 | $419–$426 | varies |
| Panoramic X-ray of jaws (70355) range across 2 matching MRF lines |
$41.91–$43.06 | $145–$149 | varies |
| Parathyroid imaging w/tomographic spect & CT (78072) range across 2 matching MRF lines |
$532.63–$630.89 | $1,843–$2,183 | varies |
| Parathyroid Planar Imaging (78070) range across 2 matching MRF lines |
$549.10–$693.02 | $1,900–$2,398 | varies |
| Parathyroid planar imaging w/wo subtraction (78071) range across 2 matching MRF lines |
$202.88–$578 | $702–$2,000 | varies |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$88.15–$90.75 | $305–$314 | varies |
| Peritoneogram Rs&I (74190) range across 2 matching MRF lines |
$83.23–$151.15 | $288–$523 | varies |
| PET image w/CT, full body (78816) range across 2 matching MRF lines |
$1,242.70–$1,472.46 | $4,300–$5,095 | varies |
| PET imaging CT attenuation skull base mid-thigh (78815) range across 2 matching MRF lines |
$1,242.70–$1,472.46 | $4,300–$5,095 | varies |
| Pet Imaging Limited Area Chest Head/Neck (78811) | $1,475.92 | $5,107 | 1.3× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) range across 2 matching MRF lines |
$570.20–$820.18 | $1,973–$2,838 | varies |
| Pulmonary Perfusion Imaging Particulate (78580) range across 2 matching MRF lines |
$810.65–$960.64 | $2,805–$3,324 | varies |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$284.67–$346.22 | $985–$1,198 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 2 matching MRF lines |
$425.12–$517.31 | $1,471–$1,790 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$85.26–$88.72 | $295–$307 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$76.30–$78.61 | $264–$272 | varies |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$87.57–$90.17 | $303–$312 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$105.20–$108.38 | $364–$375 | varies |
| Radex fingr minimum 2 views (73140) range across 2 matching MRF lines |
$73.41–$75.72 | $254–$262 | varies |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$81.21–$83.81 | $281–$290 | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$74.27–$78.90 | $257–$273 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 2 matching MRF lines |
$32.95–$34.10 | $114–$118 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) range across 2 matching MRF lines |
$60.98–$63 | $211–$218 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$87.86–$90.46 | $304–$313 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 2 matching MRF lines |
$83.81–$86.41 | $290–$299 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$90.17–$93.06 | $312–$322 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$138.72–$143.06 | $480–$495 | varies |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) range across 2 matching MRF lines |
$384.95–$468.47 | $1,332–$1,621 | varies |
| Radex Spine 1 View Specify Level (72020) range across 2 matching MRF lines |
$104.33–$107.51 | $361–$372 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$71.67–$73.98 | $248–$256 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$30.63–$31.50 | $106–$109 | varies |
| Radex Toe Minimum 2 Views (73660) range across 2 matching MRF lines |
$73.41–$75.72 | $254–$262 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 2 matching MRF lines |
$34.10–$35.26 | $118–$122 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$76.87–$93.35 | $266–$323 | varies |
| Radiation Delivery Stereotactic Cranial Linear (77372) range across 2 matching MRF lines |
$4,098.60–$4,965.31 | $14,182–$17,181 | varies |
| Radiation treatment delivery level 1 (77402) range across 2 matching MRF lines |
$225.71–$273.39 | $781–$946 | varies |
| Radiation treatment delivery level 2 (77407) range across 2 matching MRF lines |
$262.99–$318.48 | $910–$1,102 | varies |
| Radiation treatment delivery level 3 (77412) range across 2 matching MRF lines |
$339.86–$411.83 | $1,176–$1,425 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$84.97–$87.57 | $294–$303 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 2 matching MRF lines |
$129.76–$158.08 | $449–$547 | varies |
| Radiologic exam colon double contrast study (74280) range across 2 matching MRF lines |
$418.18–$508.93 | $1,447–$1,761 | varies |
| Radiologic exam colon single contrast study (74270) range across 2 matching MRF lines |
$313.85–$381.48 | $1,086–$1,320 | varies |
| Radiologic Exam Esophagus Double Contrast Study (74221) range across 2 matching MRF lines |
$260.10–$316.46 | $900–$1,095 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$92.19–$114.44 | $319–$396 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$99.99–$103.17 | $346–$357 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 2 matching MRF lines |
$289.29–$352.29 | $1,001–$1,219 | varies |
| Radiologic exam swallow function contrast study (74230) range across 2 matching MRF lines |
$250.85–$305.18 | $868–$1,056 | varies |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$415.87–$506.33 | $1,439–$1,752 | varies |
| Radiologic examination femur 1 view (73551) range across 2 matching MRF lines |
$60.69–$62.42 | $210–$216 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$60.69–$62.42 | $210–$216 | varies |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$89.30–$92.19 | $309–$319 | varies |
| Radiologic Examination Osseous Survey Limited (77074) range across 2 matching MRF lines |
$317.90–$327.73 | $1,100–$1,134 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 2 matching MRF lines |
$84.39–$86.99 | $292–$301 | varies |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77768) | $266.46 | $922 | 0.8× |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77767) | $266.46 | $922 | 0.8× |
| Renal Cyst Study (74470) range across 2 matching MRF lines |
$178.60–$217.33 | $618–$752 | varies |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$97.97–$100.86 | $339–$349 | varies |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) range across 2 matching MRF lines |
$838.10–$922.49 | $2,900–$3,192 | varies |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) range across 2 matching MRF lines |
$682.33–$751.40 | $2,361–$2,600 | varies |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 2 matching MRF lines |
$681.17–$867 | $2,357–$3,000 | varies |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $1,228.25 | $4,250 | 1.0× |
| Rp Therapy Intravenous Administration (79101) range across 2 matching MRF lines |
$416.45–$493.61 | $1,441–$1,708 | varies |
| Scapula (73010) range across 2 matching MRF lines |
$93.64–$96.53 | $324–$334 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $7.23 | $25 | 0.3× |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$81.21–$83.81 | $281–$290 | varies |
| Shoulder Arthrography (73040) range across 2 matching MRF lines |
$330.04–$379.46 | $1,142–$1,313 | varies |
| Sialogram (70390) range across 2 matching MRF lines |
$169.64–$206.06 | $587–$713 | varies |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$105.77–$108.95 | $366–$377 | varies |
| Special dosimetry (77331) range across 2 matching MRF lines |
$232.36–$281.78 | $804–$975 | varies |
| Special Physics Consult (77370) range across 2 matching MRF lines |
$312.12–$378.30 | $1,080–$1,309 | varies |
| Special teletherapy port plan (77321) range across 2 matching MRF lines |
$662.68–$802.55 | $2,293–$2,777 | varies |
| Special treatment procedure (77470) range across 2 matching MRF lines |
$795.33–$963.53 | $2,752–$3,334 | varies |
| Stereotactic Body Radiation Delivery (77373) range across 2 matching MRF lines |
$1,957.11–$2,608.23 | $6,772–$9,025 | varies |
| Sternoclavicular joints (71130) range across 2 matching MRF lines |
$16.76–$28.61 | $58–$99 | varies |
| Superior sagittal sinus venogram (75870) range across 2 matching MRF lines |
$386.10–$670.77 | $1,336–$2,321 | varies |
| Telethx isodose pln cplx w/basic dosimetry (77307) range across 2 matching MRF lines |
$626.84–$759.49 | $2,169–$2,628 | varies |
| Telethx isodose pln smpl w/dosimetry calculation (77306) range across 2 matching MRF lines |
$343.33–$415.87 | $1,188–$1,439 | varies |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) range across 2 matching MRF lines |
$993.29–$1,203.40 | $3,437–$4,164 | varies |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) range across 2 matching MRF lines |
$801.40–$970.75 | $2,773–$3,359 | varies |
| Ther rad simulaj-aided field setting simple (77280) range across 2 matching MRF lines |
$510.95–$619.04 | $1,768–$2,142 | varies |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) range across 2 matching MRF lines |
$347.38–$399.40 | $1,202–$1,382 | varies |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$61.85–$63.87 | $214–$221 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$63.29–$65.31 | $219–$226 | varies |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$61.85–$63.87 | $214–$221 | varies |
| Thyroid Imaging With Vascular Flow (78013) range across 2 matching MRF lines |
$368.48–$436.39 | $1,275–$1,510 | varies |
| Thyroid Met Imaging Body (78018) range across 2 matching MRF lines |
$962.08–$1,139.82 | $3,329–$3,944 | varies |
| Thyroid Uptake Measurement (78012) range across 2 matching MRF lines |
$196.23–$232.65 | $679–$805 | varies |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) range across 2 matching MRF lines |
$406.05–$481.19 | $1,405–$1,665 | varies |
| Tx Devices Design & Construction Complex (77334) range across 2 matching MRF lines |
$483.21–$585.51 | $1,672–$2,026 | varies |
| Tx devices design & construction intermediate (77333) range across 2 matching MRF lines |
$322.81–$476.85 | $1,117–$1,650 | varies |
| Tx devices design & construction simple (77332) range across 2 matching MRF lines |
$371.37–$426.28 | $1,285–$1,475 | varies |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$215.31–$218.77 | $745–$757 | varies |
| Ultrasound elastography first target lesion (76982) range across 2 matching MRF lines |
$99.71–$101.15 | $345–$350 | varies |
| Ultrasound Elastography Parenchyma (76981) range across 2 matching MRF lines |
$99.71–$101.15 | $345–$350 | varies |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
$79.48–$80.63 | $275–$279 | varies |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$276.57–$281.20 | $957–$973 | varies |
| Umbilical-artery Doppler (OB) (76820) range across 2 matching MRF lines |
$122.25–$140.45 | $423–$486 | varies |
| Unlisted Dx Radiographic Procedure (76499) range across 2 matching MRF lines |
$442.75–$509.22 | $1,532–$1,762 | varies |
| Unlisted fluoroscopic procedure (76496) range across 4 matching MRF lines |
$45.66–$52.60 | $158–$182 | varies |
| Unlisted magnetic resonance procedure (76498) | $98.26 | $340 | 1.2× |
| Unlisted Procedure Clinical Brachytherapy (77799) range across 2 matching MRF lines |
$689.27–$834.92 | $2,385–$2,889 | varies |
| Unlisted respiratory px dx nuclear medicine (78599) range across 2 matching MRF lines |
$158.37–$187.85 | $548–$650 | varies |
| Unlisted us procedure (76999) range across 2 matching MRF lines |
$193.34–$196.23 | $669–$679 | varies |
| Upper gi w/o kub (74240) range across 2 matching MRF lines |
$415.87–$506.33 | $1,439–$1,752 | varies |
| Urea Breath Test C-14 Isotopic Acquisj Analysis (78267) range across 2 matching MRF lines |
$232.36–$275.71 | $804–$954 | varies |
| Ureteral Reflux Study (78740) range across 2 matching MRF lines |
$550.26–$652.27 | $1,904–$2,257 | varies |
| Urethrocystogram voiding (74455) range across 2 matching MRF lines |
$407.20–$495.64 | $1,409–$1,715 | varies |
| Urethrocystography retrograde (74450) range across 2 matching MRF lines |
$323.97–$393.91 | $1,121–$1,363 | varies |
| Us breast unilateral complete (76641) range across 2 matching MRF lines |
$215.31–$218.77 | $745–$757 | varies |
| Us chest (76604) range across 4 matching MRF lines |
$100.57–$102.31 | $348–$354 | varies |
| Us complete joint (76881) range across 2 matching MRF lines |
$203.75–$207.21 | $705–$717 | varies |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$43.64–$44.51 | $151–$154 | varies |
| Us head (76506) range across 2 matching MRF lines |
$163.86–$166.46 | $567–$576 | varies |
| Us kidney transplant (76776) range across 2 matching MRF lines |
$191.03–$194.21 | $661–$672 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$65.60–$66.47 | $227–$230 | varies |
| Us ob detailed single fetus (76811) range across 2 matching MRF lines |
$170.80–$173.40 | $591–$600 | varies |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$151.73–$154.04 | $525–$533 | varies |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$215.59–$219.06 | $746–$758 | varies |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$413.56–$420.50 | $1,431–$1,455 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$240.74–$244.49 | $833–$846 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 2 matching MRF lines |
$151.73–$154.04 | $525–$533 | varies |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$426.56–$433.50 | $1,476–$1,500 | varies |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$203.75–$206.92 | $705–$716 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$297.09–$312.99 | $1,028–$1,083 | varies |
| Us spinal canal and contents (76800) range across 2 matching MRF lines |
$266.75–$270.79 | $923–$937 | varies |
| Us thyroid (76536) range across 2 matching MRF lines |
$315.88–$320.79 | $1,093–$1,110 | varies |
| Us transrectal (76872) range across 2 matching MRF lines |
$170.80–$173.40 | $591–$600 | varies |
| Vein X-Ray Chest (75827) range across 2 matching MRF lines |
$703.43–$808.91 | $2,434–$2,799 | varies |
| Vein X-Ray Liver W/O Hemodyn (75887) range across 2 matching MRF lines |
$713.25–$782.03 | $2,468–$2,706 | varies |
| Vein X-Ray Skull Epidural (75872) range across 2 matching MRF lines |
$324.26–$372.81 | $1,122–$1,290 | varies |
| Vein X-Ray Spleen/Liver (75810) range across 2 matching MRF lines |
$493.90–$665.28 | $1,709–$2,302 | varies |
| Venogram Sinus/Jugular (75860) range across 2 matching MRF lines |
$190.16–$832.32 | $658–$2,880 | varies |
| Venography Adrenal Unilateral (75840) range across 2 matching MRF lines |
$415–$980 | $1,436–$3,391 | varies |
| Venography caval inferior serialography rs&i (75825) range across 2 matching MRF lines |
$767.30–$882.32 | $2,655–$3,053 | varies |
| Venography extremity bilateral rs&i (75822) range across 2 matching MRF lines |
$284.67–$458.35 | $985–$1,586 | varies |
| Venography extremity unilateral rs&i (75820) range across 2 matching MRF lines |
$229.76–$421.36 | $795–$1,458 | varies |
| Venography Orbital Rs&I (75880) range across 2 matching MRF lines |
$373.39–$429.45 | $1,292–$1,486 | varies |
| Venography Renal Bilateral (75833) range across 2 matching MRF lines |
$382.93–$733.77 | $1,325–$2,539 | varies |
| Venography Renal Unilateral (75831) range across 2 matching MRF lines |
$375.99–$679.73 | $1,301–$2,352 | varies |
| Venous sampling by catheter (75893) range across 2 matching MRF lines |
$375.70–$1,424.48 | $1,300–$4,929 | varies |
| Venous Thrombosis Imaging Venogram Bilateral (78458) range across 2 matching MRF lines |
$1,280.56–$1,517.25 | $4,431–$5,250 | varies |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$74.27–$76.59 | $257–$265 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$52.89–$54.62 | $183–$189 | varies |
| X-ray antegrade pyelogram tube (74425) range across 2 matching MRF lines |
$430.61–$523.67 | $1,490–$1,812 | varies |
| X-Ray Aorta Leg Arteries (75630) range across 2 matching MRF lines |
$1,368.13–$1,939.19 | $4,734–$6,710 | varies |
| X-Ray Bend Only L-S Spine (72120) range across 2 matching MRF lines |
$97.10–$99.99 | $336–$346 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$87.57–$90.17 | $303–$312 | varies |
| X-Ray Exam Breast Specimen (76098) range across 2 matching MRF lines |
$43.06–$150.86 | $149–$522 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 2 matching MRF lines |
$96.82–$99.71 | $335–$345 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$104.33–$107.51 | $361–$372 | varies |
| X-Ray Exam Entire Spi 4/5 Vw (72083) range across 2 matching MRF lines |
$107.80–$111.27 | $373–$385 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 2 matching MRF lines |
$42.19–$43.35 | $146–$150 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 2 matching MRF lines |
$56.07–$57.80 | $194–$200 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) range across 2 matching MRF lines |
$70.23–$72.25 | $243–$250 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$93.35–$96.24 | $323–$333 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 2 matching MRF lines |
$95.37–$98.26 | $330–$340 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) range across 2 matching MRF lines |
$99.42–$102.60 | $344–$355 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$196.81–$202.88 | $681–$702 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$119.94–$123.69 | $415–$428 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$144.21–$148.55 | $499–$514 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 2 matching MRF lines |
$156.06–$160.97 | $540–$557 | varies |
| X-ray head for orthodontia (70350) | $43.35 | $150 | 0.5× |
| X-ray humerus (73060) range across 2 matching MRF lines |
$91.04–$93.93 | $315–$325 | varies |
| X-ray IV pyelogram (ivp) (74400) range across 2 matching MRF lines |
$355.18–$432.06 | $1,229–$1,495 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 2 matching MRF lines |
$76.01–$78.32 | $263–$271 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$62.71–$64.74 | $217–$224 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$141.03–$145.37 | $488–$503 | varies |
| X-ray nose-rectum child f.b. (76010) range across 2 matching MRF lines |
$105.49–$128.32 | $365–$444 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$169.93–$175.13 | $588–$606 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$115.89–$119.36 | $401–$413 | varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) range across 2 matching MRF lines |
$115.89–$119.36 | $401–$413 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$120.51–$124.27 | $417–$430 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$145.37–$149.99 | $503–$519 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$105.77–$108.95 | $366–$377 | varies |
| X-Ray Stress View (77071) range across 2 matching MRF lines |
$67.63–$69.65 | $234–$241 | varies |
| X-ray thoracic spine 4 vw (72074) range across 2 matching MRF lines |
$63.29–$65.31 | $219–$226 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 2 matching MRF lines |
$499.97–$608.06 | $1,730–$2,104 | varies |
| X-Rays Bone Length Studies (77073) range across 2 matching MRF lines |
$67.63–$69.65 | $234–$241 | varies |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$317.90–$327.73 | $1,100–$1,134 | varies |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$144.21–$148.55 | $499–$514 | varies |
| Xr facial bones less than 3 views (70140) range across 2 matching MRF lines |
$105.20–$108.38 | $364–$375 | varies |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$50.86–$52.31 | $176–$181 | 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.