Imaging prices at Erlanger Western Carolina Hospital

Murphy, NC · every code in this section with a posted price and a Medicare benchmark.

388 codes. Prices are the hospital's own posted facility charges.

Compare against other hospitals interactively →

ProcedurePosted cashPosted gross× Medicare
3-D radiotherapy plan dose-volume histograms (77295) $12,622.40 $18,032 9.5×
Abdomen 1 View (74018)
range across 2 matching MRF lines
$224.70–$337.40 $321–$482 varies
Abdomen 2 views (74019)
range across 2 matching MRF lines
$326.20–$382.90 $466–$547 varies
Acute Gastrointestinal Blood Loss Imaging (78278)
range across 2 matching MRF lines
$235.20–$2,581.60 $336–$3,688 varies
Angio internal mammary (75756) $1,999.90 $2,857 0.7×
Angio pulmonary bilat (75743) $1,845.90 $2,637 0.6×
Angiography Adrenal Bilateral Slctv Rs&I (75733) $2,373.70 $3,391 0.8×
Angiography extremity bilateral rs&i (75716) $4,427.50 $6,325 1.5×
Angiography extremity unilateral rs&i (75710) $3,589.60 $5,128 1.2×
Angiography pulmonary unilateral slctv rs&i (75741) $1,627.50 $2,325 0.5×
Angrph pulmonary nonslctv cath/ven njx rs&i (75746) $1,710.10 $2,443 0.6×
Ankle 2 views (73600)
range across 2 matching MRF lines
$200.20–$238 $286–$340 varies
Aortography thoracic serialography rs&i (75605) $3,439.10 $4,913 0.6×
Artery X-Rays Abdomen (75726) $3,751.30 $5,359 0.7×
Artery X-Rays Adrenal Gland (75731) $1,547.70 $2,211 0.5×
Artery X-Rays Pelvis (75736) $3,084.20 $4,406 0.6×
Artery X-Rays Spine (75705) $3,908.10 $5,583 0.7×
Arthrogram ankle (73615) $373.80 $534 1.1×
Arthrogram hip (73525)
range across 2 matching MRF lines
$260.40–$504.70 $372–$721 varies
Arthrogram Wrist (73115)
range across 2 matching MRF lines
$260.40–$293.30 $372–$419 varies
Basic radiation dosimetry calculation (77300)
range across 2 matching MRF lines
$105.70–$701.40 $151–$1,002 varies
Bone age studies (77072)
range across 2 matching MRF lines
$179.90–$213.50 $257–$305 varies
Bone Imaging 3 Phase (78315)
range across 2 matching MRF lines
$2,522.10–$3,080 $3,603–$4,400 varies
Bone Imaging Limited Area (78300) $2,105.60 $3,008 5.5×
Bone Imaging Whole Body (78306)
range across 2 matching MRF lines
$1,869–$2,660 $2,670–$3,800 varies
Bone marrow imaging; multiple areas (78103) $1,522.50 $2,175 4.0×
Bone survey infant (77076) $588.70 $841 5.9×
Brachytx isodose complex (77318) $2,819.60 $4,028 7.9×
Brachytx isodose intermed (77317) $2,347.10 $3,353 6.6×
Brachytx Isodose Plan Simple (77316) $1,878.10 $2,683 5.2×
Brain Image W/Flow < 4 Views (78601) $599.90 $857 1.6×
Brain Imaging Min 4 Static Views W Vascular Flow (78606) $1,287.30 $1,839 2.5×
Brain Imaging Pet Metabolic Evaluation (78608) $6,723.50 $9,605 4.9×
Cardiac MRI w/w/o contrast & further seq (75561) $1,191.40 $1,702 3.6×
Cat Scan Follow-Up Study (76380) $506.10 $723 6.1×
Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) $1,337 $1,910 2.6×
Cerebrospinal Fluid Scan (78630) $2,622.20 $3,746 5.1×
Chest 1 view (71045)
range across 2 matching MRF lines
$189.70–$394.80 $271–$564 varies
Chest 2 views (71046)
range across 2 matching MRF lines
$247.80–$394.80 $354–$564 varies
Chest 3 views (71047)
range across 2 matching MRF lines
$299.60–$394.80 $428–$564 varies
Chest 4 or more views (71048)
range across 2 matching MRF lines
$366.80–$504 $524–$720 varies
Cisternography Positive Contrast Rs&I (70015) $960.40 $1,372 1.3×
Clavicle complete (73000)
range across 2 matching MRF lines
$215.60–$222.60 $308–$318 varies
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271)
range across 2 matching MRF lines
$261.80–$269.50 $374–$385 varies
Continuing medical physics consltj pr wk (77336) $781.20 $1,116 6.1×
Contrast Exam Abdominl Aorta (75625) $3,810.80 $5,444 1.3×
Contrast X-Ray Bladder (74430)
range across 2 matching MRF lines
$505.40–$1,023.40 $722–$1,462 varies
Contrast X-Ray Of Elbow (73085)
range across 2 matching MRF lines
$260.40–$513.80 $372–$734 varies
Contrast X-Ray Of Knee Joint (73580)
range across 2 matching MRF lines
$245–$293.30 $350–$419 varies
Contrast Xray Throat/Cerv Esopha (74210) $573.30 $819 3.4×
Corpora cavernosography (74445) $660.10 $943 6.6×
CT abdomen and pelvis without and with contrast (74178)
range across 2 matching MRF lines
$3,361.40–$3,395.70 $4,802–$4,851 varies
CT abdomen and pelvis without contrast (74176)
range across 2 matching MRF lines
$1,974.70–$2,958.90 $2,821–$4,227 varies
CT abdomen w contrast (74160)
range across 2 matching MRF lines
$1,762.60–$3,455.90 $2,518–$4,937 varies
CT abdomen w wo contrast (74170)
range across 2 matching MRF lines
$1,950.20–$4,001.20 $2,786–$5,716 varies
CT abdomen w/o contrast (74150)
range across 2 matching MRF lines
$1,115.10–$2,950.50 $1,593–$4,215 varies
CT Angio Abdomen and Pelvis (74174)
range across 2 matching MRF lines
$1,633.10–$5,954.20 $2,333–$8,506 varies
CT Angio Chest (71275)
range across 2 matching MRF lines
$1,586.90–$1,920.80 $2,267–$2,744 varies
CT Angio Head (70496)
range across 2 matching MRF lines
$1,668.80–$2,137.80 $2,384–$3,054 varies
CT angio hrt w/3d image (75574) $1,894.90 $2,707 5.7×
Ct Angio Lwr Extr W/O&W/Dye (73706)
range across 2 matching MRF lines
$1,291.50–$2,371.60 $1,845–$3,388 varies
CT Angio Neck (70498)
range across 2 matching MRF lines
$1,216.60–$1,503.60 $1,738–$2,148 varies
Ct Angio Upr Extrm W/O&W/Dye (73206)
range across 2 matching MRF lines
$1,495.90–$2,035.60 $2,137–$2,908 varies
CT cervical spine w/ contrast (72126)
range across 2 matching MRF lines
$2,040.50–$2,149 $2,915–$3,070 varies
CT cervical spine w/o contrast (72125)
range across 2 matching MRF lines
$1,290.80–$1,833.30 $1,844–$2,619 varies
CT cervical spine w/wo cont (72127)
range across 2 matching MRF lines
$2,302.30–$2,987.60 $3,289–$4,268 varies
CT chest w contrast (71260)
range across 2 matching MRF lines
$1,335.60–$1,944.60 $1,908–$2,778 varies
CT chest w/wo contrast (71270)
range across 2 matching MRF lines
$1,483.30–$2,251.20 $2,119–$3,216 varies
CT colonography screening (74263) $1,394.40 $1,992 6.1×
CT head/brain with contrast (70460)
range across 2 matching MRF lines
$1,175.30–$1,199.10 $1,679–$1,713 varies
CT head/brain without and with contrast (70470)
range across 2 matching MRF lines
$1,359.40–$1,449 $1,942–$2,070 varies
CT heart contrast eval cardiac structure&morph (75572) $770.70 $1,101 2.3×
CT heart no contrast quant eval coronry calcium (75571) $186.90 $267 2.2×
CT iac w contrast (70481)
range across 2 matching MRF lines
$1,547.70–$1,689.80 $2,211–$2,414 varies
CT l-spine w&w/o contrast (72133)
range across 2 matching MRF lines
$1,689.10–$2,303.70 $2,413–$3,291 varies
CT lower ext w/o (73700)
range across 2 matching MRF lines
$856.80–$1,082.90 $1,224–$1,547 varies
CT lower extremity w/contrast material (73701)
range across 2 matching MRF lines
$1,005.90–$1,712.20 $1,437–$2,446 varies
CT lumbar spine w contrast (72132)
range across 2 matching MRF lines
$1,442–$2,205.70 $2,060–$3,151 varies
CT lumbar spine w/o contrast (72131)
range across 2 matching MRF lines
$1,231.30–$1,395.10 $1,759–$1,993 varies
CT maxillofacial w contrast (70487)
range across 2 matching MRF lines
$1,314.60–$1,689.80 $1,878–$2,414 varies
CT maxillofacial wo contrast (70486)
range across 2 matching MRF lines
$1,086.40–$1,439.90 $1,552–$2,057 varies
CT neck tissue combo (70492)
range across 2 matching MRF lines
$1,570.10–$1,717.10 $2,243–$2,453 varies
Ct Orbit/Ear/Fossa W/O&W/Dye (70482)
range across 2 matching MRF lines
$1,763.30–$1,955.10 $2,519–$2,793 varies
CT orbits w/o contrast (70480)
range across 2 matching MRF lines
$1,334.20–$1,439.90 $1,906–$2,057 varies
CT pelvis w&w/o contrast (72194)
range across 2 matching MRF lines
$1,625.40–$2,135.70 $2,322–$3,051 varies
CT pelvis w/o contrast (72192)
range across 2 matching MRF lines
$1,197–$1,220.80 $1,710–$1,744 varies
CT scan of leg combo (73702)
range across 2 matching MRF lines
$1,161.30–$1,892.10 $1,659–$2,703 varies
CT scans face/jaw combo (70488)
range across 2 matching MRF lines
$1,596.70–$1,955.10 $2,281–$2,793 varies
CT soft tissue neck w contrast (70491)
range across 2 matching MRF lines
$1,297.10–$1,484.70 $1,853–$2,121 varies
CT soft tissue neck w/o contrast (70490)
range across 2 matching MRF lines
$1,076.60–$1,265.60 $1,538–$1,808 varies
CT thoracic spine w contrast (72129)
range across 2 matching MRF lines
$1,150.80–$2,133.60 $1,644–$3,048 varies
CT thoracic spine w/o contrast (72128)
range across 2 matching MRF lines
$980.70–$1,349.60 $1,401–$1,928 varies
CT thoracic spine w/wo cont (72130) $1,350.30 $1,929 8.1×
CT thorax w/o contrast (71250)
range across 2 matching MRF lines
$842.10–$1,658.30 $1,203–$2,369 varies
CT upper ext wo (73200)
range across 2 matching MRF lines
$1,107.40–$1,164.80 $1,582–$1,664 varies
CT upper extremity with contrast (73201)
range across 2 matching MRF lines
$1,164.10–$1,840.30 $1,663–$2,629 varies
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635)
range across 2 matching MRF lines
$1,162–$3,535 $1,660–$5,050 varies
Cta Abdomen (74175)
range across 2 matching MRF lines
$1,465.80–$3,070.20 $2,094–$4,386 varies
CTA pelvis (72191)
range across 2 matching MRF lines
$1,208.20–$1,268.40 $1,726–$1,812 varies
Dilation ureters/urethra rs&i (74485) $1,445.50 $2,065 0.7×
Diskography lumbar (72295)
range across 2 matching MRF lines
$541.80–$1,430.80 $774–$2,044 varies
Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) $290.50 $415 2.9×
Doppler Echo Fetal Spectral Display Complete (76827) $416.50 $595 4.2×
Doppler Fetal Mid Cerebral Artery (76821) $340.20 $486 3.4×
Dxa Bone Density Axial (77080)
range across 2 matching MRF lines
$375.90–$519.40 $537–$742 varies
Dxa bone density study 1/>sites appendiclr skel (77081) $90.30 $129 1.1×
Echo exam of fetal heart (76825) $542.50 $775 1.0×
Echo exam uterus (76831) $571.20 $816 2.5×
Echo Guide For Artery Repair (76936) $958.30 $1,369 4.6×
Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) $529.20 $756 2.3×
Esophagram (74220)
range across 2 matching MRF lines
$522.20–$573.30 $746–$819 varies
Fetal Biophys Profile W/Nst (76818)
range across 2 matching MRF lines
$120.40–$609.70 $172–$871 varies
Fetal Biophysical Profile W/O Non-Stress Testing (76819)
range across 2 matching MRF lines
$91–$250.60 $130–$358 varies
Fetal MRI w/placntl matrnl plvc img sing/1st ges (74712) $271.60 $388 1.2×
Fluoroscopy up to 1 hr (76000)
range across 2 matching MRF lines
$300.30–$361.20 $429–$516 varies
Follow-Up Angiography (75898) $1,537.90 $2,197 0.5×
Foot 2 views (73620)
range across 2 matching MRF lines
$196.70–$254.10 $281–$363 varies
Forearm 2 views (73090)
range across 2 matching MRF lines
$203.70–$247.10 $291–$353 varies
Gastric emptying imaging study (78264)
range across 2 matching MRF lines
$1,481.20–$2,682.40 $2,116–$3,832 varies
Gated Heart Planar Single (78472)
range across 2 matching MRF lines
$290.50–$1,465.10 $415–$2,093 varies
Gated Heart, Multiple (78473) $1,465.10 $2,093 3.8×
Hand 2 views (73120)
range across 2 matching MRF lines
$174.30–$206.50 $249–$295 varies
Hdr Rdncl Ntrstl/Icav Brchtx (77772) $3,650.50 $5,215 5.5×
Hdr Rdncl Ntrstl/Icav Brchtx (77771) $3,376.80 $4,824 5.1×
Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) $2,951.20 $4,216 4.4×
Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) $1,923.60 $2,748 0.6×
Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) $1,911.70 $2,731 0.6×
Hepatobil Syst Image W/Drug (78227)
range across 2 matching MRF lines
$1,523.90–$2,993.90 $2,177–$4,277 varies
Hepatobiliary System Imaging (78226)
range across 2 matching MRF lines
$1,087.80–$2,993.90 $1,554–$4,277 varies
Ht Musc Image Planar Mult (78454) $5,357.10 $7,653 4.3×
Ht Muscle Image Spect Sing (78451)
range across 2 matching MRF lines
$3,063.20–$8,880.20 $4,376–$12,686 varies
Hysterosalpingogram (74740)
range across 2 matching MRF lines
$194.60–$1,274 $278–$1,820 varies
Infant hip ultrasound with hip movement (dynamic) (76885)
range across 2 matching MRF lines
$58.80–$672.70 $84–$961 varies
Infant hip ultrasound, limited static exam (76886) $597.80 $854 7.2×
Infusion Ivp (74410) $943.60 $1,348 5.6×
Interstitial radiation source applic complex (77778) $4,836.30 $6,909 7.3×
Intracavitary Radiation Source Applic Complex (77763) $1,950.20 $2,786 2.9×
Intracavitary Radiation Source Applic Intermed (77762) $1,950.20 $2,786 3.7×
Joint Survey Single View (77077) $133 $190 1.3×
K Flow/Funct Image Multiple (78709) $4,865.70 $6,951 9.4×
K Flow/Funct Image W/Drug (78708)
range across 2 matching MRF lines
$271.60–$3,102.40 $388–$4,432 varies
K Flow/Funct Image W/O Drug (78707) $3,102.40 $4,432 6.0×
Knee 3 Views (73562) $270.20 $386 3.2×
Liver & Spleen Imaging Static Only (78215) $3,087.70 $4,411 8.1×
Lung Perf&Ventilat Diferentl (78598) $865.90 $1,237 1.7×
Lung perfusion differential (78597)
range across 2 matching MRF lines
$601.30–$2,073.40 $859–$2,962 varies
Lung Ventilat&Perfus Imaging (78582)
range across 2 matching MRF lines
$865.90–$3,084.20 $1,237–$4,406 varies
Lymph System Imaging (78195)
range across 2 matching MRF lines
$1,042.30–$2,431.10 $1,489–$3,473 varies
Magnetic Image Jaw Joint (70336) $514.50 $735 2.3×
Mammary ductogram or galactogram multiple (77054) $976.50 $1,395 4.3×
Meckels Divert Exam (78290)
range across 2 matching MRF lines
$465.50–$2,691.50 $665–$3,845 varies
Mlc imrt design & construction per imrt plan (77338) $1,139.60 $1,628 3.2×
Mra Head W/O & W/Contrast Material (70546)
range across 2 matching MRF lines
$1,680.70–$2,644.60 $2,401–$3,778 varies
MRA head w/o contrast (70544)
range across 2 matching MRF lines
$1,085–$1,391.60 $1,550–$1,988 varies
MRA head with contrast (70545) $2,058 $2,940 6.2×
MRA neck w contrast (70548)
range across 2 matching MRF lines
$407.40–$2,068.50 $582–$2,955 varies
Mra Neck W/O &W/Contrast Material (70549)
range across 2 matching MRF lines
$513.80–$2,299.50 $734–$3,285 varies
MRA neck w/o contrast (70547)
range across 2 matching MRF lines
$331.80–$1,391.60 $474–$1,988 varies
MRI abdomen w contrast (74182)
range across 2 matching MRF lines
$1,534.40–$2,018.10 $2,192–$2,883 varies
MRI abdomen w/o contrast (74181)
range across 2 matching MRF lines
$1,534.40–$1,665.30 $2,192–$2,379 varies
MRI any jt lower extrem w/contrast material (73722)
range across 2 matching MRF lines
$1,534.40–$2,131.50 $2,192–$3,045 varies
MRI any jt lower extrem w/o & w/contrast matrl (73723)
range across 2 matching MRF lines
$1,934.10–$2,375.10 $2,763–$3,393 varies
MRI any jt upper extremity w/contrast matrl (73222)
range across 2 matching MRF lines
$1,534.40–$2,276.40 $2,192–$3,252 varies
MRI Breast W/O Contrast Bilateral (77047) $245.70 $351 1.1×
MRI Breast Without Contrast Material Unilateral (77046) $245.70 $351 1.1×
MRI cardiac w/o contrast (75557) $1,191.40 $1,702 5.2×
MRI cervical spine w contrast (72142)
range across 2 matching MRF lines
$1,423.10–$2,704.80 $2,033–$3,864 varies
MRI cervical spine w/o cont (72141)
range across 2 matching MRF lines
$1,157.80–$1,978.90 $1,654–$2,827 varies
MRI chest w/o contrast (71550)
range across 2 matching MRF lines
$331.80–$831.60 $474–$1,188 varies
MRI chest wo w contrast (71552)
range across 2 matching MRF lines
$513.80–$2,921.10 $734–$4,173 varies
MRI lower extrem oth/thn jt w/contrast matrl (73719)
range across 2 matching MRF lines
$1,702.40–$2,131.50 $2,432–$3,045 varies
MRI lower extrem oth/thn jt w/o & w/contr matr (73720)
range across 2 matching MRF lines
$2,145.50–$2,375.10 $3,065–$3,393 varies
MRI lower extrem oth/thn jt w/o contr matrl (73718)
range across 2 matching MRF lines
$1,384.60–$1,515.50 $1,978–$2,165 varies
MRI lumbar spine w contrast (72149)
range across 2 matching MRF lines
$1,534.40–$2,459.10 $2,192–$3,513 varies
Mri Neck Spine W/O & W/Dye (72156)
range across 2 matching MRF lines
$1,724.80–$3,578.40 $2,464–$5,112 varies
MRI orbit face &/neck w/o contrast (70540)
range across 2 matching MRF lines
$1,054.90–$1,949.50 $1,507–$2,785 varies
MRI orbit face neck w contrast (70542) $2,342.90 $3,347 7.0×
Mri Orbt/Fac/Nck W/O &W/Dye (70543)
range across 2 matching MRF lines
$1,621.20–$3,036.60 $2,316–$4,338 varies
MRI pelvis w contrast (72196) $1,494.50 $2,135 4.5×
MRI pelvis w/o & w contrast (72197)
range across 2 matching MRF lines
$1,599.50–$1,934.10 $2,285–$2,763 varies
MRI pelvis w/o contrast (72195)
range across 2 matching MRF lines
$1,013.60–$1,248.80 $1,448–$1,784 varies
MRI spectroscopy (76390) $788.90 $1,127 9.5×
MRI thoracic spine w/o contrast (72146)
range across 2 matching MRF lines
$1,225–$2,219 $1,750–$3,170 varies
MRI upper extremity oth than jt w/o contr matrl (73218)
range across 2 matching MRF lines
$1,271.20–$1,402.80 $1,816–$2,004 varies
Mri Uppr Extremity W/O&W/Dye (73220)
range across 2 matching MRF lines
$1,969.80–$2,307.90 $2,814–$3,297 varies
MRI, abdomen, combo (74183)
range across 2 matching MRF lines
$1,934.10–$2,923.90 $2,763–$4,177 varies
MRI, dorsal spine combo (72157)
range across 2 matching MRF lines
$1,815.10–$3,010 $2,593–$4,300 varies
MRI, dorsal spine contrast (72147)
range across 2 matching MRF lines
$1,507.80–$2,739.80 $2,154–$3,914 varies
MRI, joint upper extrem (73221)
range across 2 matching MRF lines
$1,248.80–$2,081.10 $1,784–$2,973 varies
MRI, joint upper extrem combo (73223)
range across 2 matching MRF lines
$1,934.10–$2,307.90 $2,763–$3,297 varies
MRI, lumbar spine combo (72158)
range across 2 matching MRF lines
$1,905.40–$3,256.40 $2,722–$4,652 varies
Myelogram cervical (72240) $1,188.60 $1,698 1.6×
Myelogram Lumbar (72265) $1,473.50 $2,105 2.0×
Myelography thoracic (72255) $640.50 $915 0.9×
Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) $499.80 $714 1.3×
Myocardial Perfusion Planar 1 Study Rest/Stress (78453) $4,657.10 $6,653 3.8×
Myocardial Spect Multiple Studies (78452)
range across 2 matching MRF lines
$3,690.40–$9,748.20 $5,272–$13,926 varies
Myocrd img PET prfuj 1std rest/stress cncrnt CT (78430) $3,402 $4,860 2.5×
Myocrd Img Pet Prfuj Mlt Std Rst&Strs Cncrnt CT (78431) $4,725.70 $6,751 2.2×
Neck soft tissue (70360)
range across 2 matching MRF lines
$207.90–$315 $297–$450 varies
Nm myocard infarct spect (78469) $1,068.20 $1,526 2.1×
Nonvascular Shunt X-Ray (75809)
range across 3 matching MRF lines
$73.50–$598.50 $105–$855 varies
Ntsty modul radthx pln dose-vol histos (77301) $7,430.50 $10,615 5.6×
Nuclear Rx Intra-Arterial (79445) $586.60 $838 2.6×
Nuclear Rx Oral Admin (79005)
range across 2 matching MRF lines
$974.40–$1,281.70 $1,392–$1,831 varies
Ob us nuchal meas 1 gest (76813) $459.20 $656 4.6×
Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) $293.30 $419 2.9×
Panoramic X-ray of jaws (70355) $101.50 $145 1.2×
Parathyroid imaging w/tomographic spect & CT (78072) $1,528.10 $2,183 2.9×
Parathyroid Planar Imaging (78070)
range across 3 matching MRF lines
$210.70–$1,330 $301–$1,900 varies
Parathyroid planar imaging w/wo subtraction (78071) $1,400 $2,000 3.7×
Pelvis 1 or 2 views (72170)
range across 2 matching MRF lines
$213.50–$222.60 $305–$318 varies
Peritoneogram Rs&I (74190) $366.10 $523 0.7×
PET image w/CT, full body (78816) $3,566.50 $5,095 2.6×
PET imaging CT attenuation skull base mid-thigh (78815) $3,566.50 $5,095 2.6×
Pet Imaging Limited Area Chest Head/Neck (78811) $3,574.90 $5,107 2.9×
Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) $1,986.60 $2,838 0.7×
Pulmonary Perfusion Imaging Particulate (78580)
range across 2 matching MRF lines
$654.50–$2,326.80 $935–$3,324 varies
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022)
range across 2 matching MRF lines
$424.20–$838.60 $606–$1,198 varies
Radex abscess/fistula/sinus tract rs&i (76080)
range across 2 matching MRF lines
$194.60–$1,253 $278–$1,790 varies
Radex Ankle Complete Minimum 3 Views (73610)
range across 2 matching MRF lines
$214.90–$273.70 $307–$391 varies
Radex Calcaneus Minimum 2 Views (73650)
range across 2 matching MRF lines
$184.80–$246.40 $264–$352 varies
Radex elbow complete minimum 3 views (73080)
range across 2 matching MRF lines
$212.10–$282.80 $303–$404 varies
Radex Facial Bones Complete Minimum 3 Views (70150)
range across 2 matching MRF lines
$254.80–$351.40 $364–$502 varies
Radex fingr minimum 2 views (73140)
range across 2 matching MRF lines
$177.80–$202.30 $254–$289 varies
Radex foot complete minimum 3 views (73630)
range across 2 matching MRF lines
$196.70–$298.20 $281–$426 varies
Radex Hand Minimum 3 Views (73130)
range across 2 matching MRF lines
$191.10–$240.10 $273–$343 varies
Radex lower extremity infant minimum 2 views (73592)
range across 2 matching MRF lines
$79.80–$146.30 $114–$209 varies
Radex Mastoids Compl Minimum 3 Views PR Side (70130)
range across 2 matching MRF lines
$146.30–$147.70 $209–$211 varies
Radex Nasal Bones Complete Minimum 3 Views (70160) $212.80 $304 2.6×
Radex Ribs Unilateral 2 Views (71100)
range across 2 matching MRF lines
$203–$298.20 $290–$426 varies
Radex shoulder complete minimum 2 views (73030)
range across 2 matching MRF lines
$218.40–$289.80 $312–$414 varies
Radex Sinuses Paransl < 3 Views (70210)
range across 2 matching MRF lines
$336–$404.60 $480–$578 varies
Radex sm int w/mlt srl imges via enteroclss tube (74251) $1,134.70 $1,621 6.8×
Radex Spine 1 View Specify Level (72020)
range across 2 matching MRF lines
$227.50–$252.70 $325–$361 varies
Radex Sternum Minimum 2 Views (71120)
range across 2 matching MRF lines
$173.60–$282.80 $248–$404 varies
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330)
range across 2 matching MRF lines
$74.20–$284.90 $106–$407 varies
Radex Toe Minimum 2 Views (73660)
range across 2 matching MRF lines
$177.80–$201.60 $254–$288 varies
Radex upper extremity infant minimum 2 views (73092)
range across 2 matching MRF lines
$85.40–$229.60 $122–$328 varies
Radex Wrist Complete Minimum 3 Views (73110)
range across 2 matching MRF lines
$226.10–$266 $323–$380 varies
Radiation Delivery Stereotactic Cranial Linear (77372) $12,026.70 $17,181 1.7×
Radiation treatment delivery level 1 (77402)
range across 2 matching MRF lines
$87.50–$662.20 $125–$946 varies
Radiation treatment delivery level 2 (77407) $771.40 $1,102 2.1×
Radiation treatment delivery level 3 (77412) $997.50 $1,425 1.9×
Radiolog exam mandible compl minimum 4 views (70110)
range across 2 matching MRF lines
$205.80–$270.90 $294–$387 varies
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021)
range across 2 matching MRF lines
$326.20–$382.90 $466–$547 varies
Radiologic exam colon double contrast study (74280)
range across 2 matching MRF lines
$901.60–$1,232.70 $1,288–$1,761 varies
Radiologic exam colon single contrast study (74270)
range across 2 matching MRF lines
$649.60–$924 $928–$1,320 varies
Radiologic Exam Esophagus Double Contrast Study (74221)
range across 2 matching MRF lines
$522.20–$766.50 $746–$1,095 varies
Radiologic exam knee complete 4/more views (73564)
range across 2 matching MRF lines
$277.20–$371.70 $396–$531 varies
Radiologic exam pelvis compl minimum 3 views (72190)
range across 2 matching MRF lines
$242.20–$318.50 $346–$455 varies
Radiologic Exam Small Int Single Contrast Study (74250)
range across 2 matching MRF lines
$387.80–$853.30 $554–$1,219 varies
Radiologic exam swallow function contrast study (74230)
range across 2 matching MRF lines
$259–$739.20 $370–$1,056 varies
Radiologic exam upr gi trc double contrast study (74246)
range across 2 matching MRF lines
$93.10–$1,226.40 $133–$1,752 varies
Radiologic examination femur 1 view (73551)
range across 2 matching MRF lines
$147–$246.40 $210–$352 varies
Radiologic examination femur minimum 2 views (73552)
range across 2 matching MRF lines
$147–$246.40 $210–$352 varies
Radiologic examination knee 1/2 views (73560)
range across 2 matching MRF lines
$216.30–$266.70 $309–$381 varies
Radiologic Examination Osseous Survey Limited (77074) $770 $1,100 7.7×
Radiologic examination tibia & fibula 2 views (73590)
range across 2 matching MRF lines
$204.40–$295.40 $292–$422 varies
Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77768) $645.40 $922 1.8×
Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77767) $645.40 $922 1.8×
Renal Cyst Study (74470) $526.40 $752 1.0×
Ribs bilateral 3 views (71110) $237.30 $339 2.4×
Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) $2,030 $2,900 3.9×
Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) $1,820 $2,600 3.5×
Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803)
range across 2 matching MRF lines
$318.50–$2,100 $455–$3,000 varies
Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) $2,975 $4,250 2.4×
Rp Therapy Intravenous Administration (79101) $1,195.60 $1,708 5.4×
Scapula (73010)
range across 2 matching MRF lines
$182–$226.80 $260–$324 varies
Screening Digital Breast Tomosynthesis Bi (77063) $17.50 $25 0.7×
Shoulder 1 view (73020)
range across 2 matching MRF lines
$196.70–$228.90 $281–$327 varies
Shoulder Arthrography (73040)
range across 2 matching MRF lines
$318.50–$919.10 $455–$1,313 varies
Sialogram (70390) $499.10 $713 2.2×
Skull less than 4 views (70250)
range across 2 matching MRF lines
$256.20–$296.10 $366–$423 varies
Special dosimetry (77331)
range across 2 matching MRF lines
$105.70–$682.50 $151–$975 varies
Special Physics Consult (77370) $916.30 $1,309 7.1×
Special teletherapy port plan (77321) $1,943.90 $2,777 5.4×
Special treatment procedure (77470) $2,333.80 $3,334 4.4×
Stereotactic Body Radiation Delivery (77373) $6,317.50 $9,025 3.7×
Sternoclavicular joints (71130)
range across 2 matching MRF lines
$69.30–$328.30 $99–$469 varies
Superior sagittal sinus venogram (75870) $1,624.70 $2,321 0.5×
Telethx isodose pln cplx w/basic dosimetry (77307) $1,839.60 $2,628 5.1×
Telethx isodose pln smpl w/dosimetry calculation (77306) $1,007.30 $1,439 2.8×
Ther Rad Simulaj-Aided Field Setting Complex (77290)
range across 2 matching MRF lines
$289.80–$2,914.80 $414–$4,164 varies
Ther Rad Simulaj-Aided Field Setting Intermed (77285) $2,351.30 $3,359 6.6×
Ther rad simulaj-aided field setting simple (77280)
range across 2 matching MRF lines
$105.70–$1,499.40 $151–$2,142 varies
Therapeutic Enema Rdctj Intussusception/Obstrcj (74283)
range across 2 matching MRF lines
$79.80–$967.40 $114–$1,382 varies
Thoracic spine 2 views (72070)
range across 2 matching MRF lines
$149.80–$297.50 $214–$425 varies
Thoracic spine 3 views (72072)
range across 2 matching MRF lines
$153.30–$334.60 $219–$478 varies
Thoracolumbar 2 views (72080)
range across 2 matching MRF lines
$149.80–$325.50 $214–$465 varies
Thyroid Imaging With Vascular Flow (78013) $1,057 $1,510 2.8×
Thyroid Met Imaging Body (78018)
range across 2 matching MRF lines
$274.40–$2,760.80 $392–$3,944 varies
Thyroid Uptake Measurement (78012) $563.50 $805 1.5×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014)
range across 2 matching MRF lines
$747.60–$1,165.50 $1,068–$1,665 varies
Tx Devices Design & Construction Complex (77334)
range across 2 matching MRF lines
$173.60–$1,418.20 $248–$2,026 varies
Tx devices design & construction intermediate (77333) $1,155 $1,650 9.0×
Tx devices design & construction simple (77332) $1,032.50 $1,475 8.0×
Ultrasound Breast Limited (76642)
range across 2 matching MRF lines
$461.30–$521.50 $659–$745 varies
Ultrasound elastography first target lesion (76982) $241.50 $345 2.4×
Ultrasound Elastography Parenchyma (76981) $241.50 $345 2.4×
Ultrasound Exam Aaa Screen (76706)
range across 2 matching MRF lines
$106.40–$192.50 $152–$275 varies
Ultrasound, abdomen limited (76705)
range across 2 matching MRF lines
$525–$669.90 $750–$957 varies
Umbilical-artery Doppler (OB) (76820) $340.20 $486 3.4×
Unlisted Dx Radiographic Procedure (76499) $1,233.40 $1,762 14.8×
Unlisted fluoroscopic procedure (76496) $127.40 $182 1.5×
Unlisted magnetic resonance procedure (76498)
range across 2 matching MRF lines
$238–$331.80 $340–$474 varies
Unlisted Procedure Clinical Brachytherapy (77799) $2,022.30 $2,889 20.7×
Unlisted respiratory px dx nuclear medicine (78599) $455 $650 1.2×
Unlisted us procedure (76999)
range across 2 matching MRF lines
$279.30–$468.30 $399–$669 varies
Upper gi w/o kub (74240)
range across 2 matching MRF lines
$649.60–$1,226.40 $928–$1,752 varies
Urea Breath Test C-14 Isotopic Acquisj Analysis (78267) $667.80 $954 60.4×
Ureteral Reflux Study (78740) $1,579.90 $2,257 4.1×
Urethrocystogram voiding (74455)
range across 2 matching MRF lines
$452.20–$1,200.50 $646–$1,715 varies
Urethrocystography retrograde (74450)
range across 2 matching MRF lines
$88.90–$954.10 $127–$1,363 varies
Us breast unilateral complete (76641)
range across 2 matching MRF lines
$521.50–$532 $745–$760 varies
Us chest (76604)
range across 3 matching MRF lines
$58.80–$243.60 $84–$348 varies
Us complete joint (76881)
range across 2 matching MRF lines
$462.70–$493.50 $661–$705 varies
Us exam, pelvic, limited (76857)
range across 2 matching MRF lines
$105.70–$404.60 $151–$578 varies
Us head (76506)
range across 2 matching MRF lines
$206.50–$396.90 $295–$567 varies
Us kidney transplant (76776) $462.70 $661 4.6×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882)
range across 2 matching MRF lines
$158.90–$462.70 $227–$661 varies
Us ob detailed single fetus (76811) $413.70 $591 1.8×
Us ob limited 1 or more fetuses (76815)
range across 2 matching MRF lines
$367.50–$402.50 $525–$575 varies
Us ob transvaginal (76817)
range across 2 matching MRF lines
$452.90–$522.20 $647–$746 varies
Us pelvic non ob complete (76856)
range across 2 matching MRF lines
$633.50–$1,001.70 $905–$1,431 varies
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801)
range across 2 matching MRF lines
$482.30–$583.10 $689–$833 varies
Us preg uterus real time f/u trnsabdl per fetus (76816)
range across 2 matching MRF lines
$367.50–$478.10 $525–$683 varies
Us retroperitoneal complete (76770)
range across 2 matching MRF lines
$667.10–$1,033.20 $953–$1,476 varies
Us retroperitoneal limited (76775)
range across 2 matching MRF lines
$493.50–$568.40 $705–$812 varies
Us scrotum and contents (76870)
range across 2 matching MRF lines
$567.70–$758.10 $811–$1,083 varies
Us spinal canal and contents (76800)
range across 2 matching MRF lines
$91–$646.10 $130–$923 varies
Us thyroid (76536)
range across 2 matching MRF lines
$535.50–$765.10 $765–$1,093 varies
Us transrectal (76872)
range across 2 matching MRF lines
$252–$413.70 $360–$591 varies
Vein X-Ray Chest (75827) $1,959.30 $2,799 1.3×
Vein X-Ray Liver W/O Hemodyn (75887) $1,894.20 $2,706 0.6×
Vein X-Ray Skull Epidural (75872) $903 $1,290 1.5×
Vein X-Ray Spleen/Liver (75810) $1,611.40 $2,302 0.5×
Venogram Sinus/Jugular (75860) $2,016 $2,880 0.7×
Venography Adrenal Unilateral (75840) $2,373.70 $3,391 0.8×
Venography caval inferior serialography rs&i (75825) $2,137.10 $3,053 0.7×
Venography extremity bilateral rs&i (75822) $1,110.20 $1,586 0.7×
Venography extremity unilateral rs&i (75820)
range across 2 matching MRF lines
$668.50–$1,020.60 $955–$1,458 varies
Venography Orbital Rs&I (75880) $1,040.20 $1,486 1.7×
Venography Renal Bilateral (75833) $1,777.30 $2,539 0.6×
Venography Renal Unilateral (75831) $1,646.40 $2,352 0.5×
Venous sampling by catheter (75893) $3,450.30 $4,929 0.6×
Venous Thrombosis Imaging Venogram Bilateral (78458) $3,675 $5,250 9.6×
Wrist 2 views (73100)
range across 2 matching MRF lines
$179.90–$226.10 $257–$323 varies
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050)
range across 2 matching MRF lines
$128.10–$258.30 $183–$369 varies
X-ray antegrade pyelogram tube (74425)
range across 2 matching MRF lines
$345.10–$1,268.40 $493–$1,812 varies
X-Ray Aorta Leg Arteries (75630) $4,697 $6,710 1.6×
X-Ray Bend Only L-S Spine (72120) $235.20 $336 2.4×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070)
range across 2 matching MRF lines
$212.10–$222.60 $303–$318 varies
X-Ray Exam Breast Specimen (76098)
range across 2 matching MRF lines
$365.40–$406 $522–$580 varies
X-Ray Exam Entire Spi 1 Vw (72081)
range across 2 matching MRF lines
$193.90–$234.50 $277–$335 varies
X-Ray Exam Entire Spi 2/3 Vw (72082)
range across 2 matching MRF lines
$193.90–$252.70 $277–$361 varies
X-Ray Exam Entire Spi 4/5 Vw (72083)
range across 2 matching MRF lines
$261.10–$544.60 $373–$778 varies
X-Ray Exam Hip Uni 1 View (73501)
range across 2 matching MRF lines
$102.20–$165.90 $146–$237 varies
X-Ray Exam Hip Uni 2-3 Views (73502)
range across 2 matching MRF lines
$135.80–$238 $194–$340 varies
X-Ray Exam Hip Uni 4/> Views (73503) $170.10 $243 1.7×
X-Ray Exam Hips Bi 2 Views (73521)
range across 2 matching MRF lines
$226.10–$240.10 $323–$343 varies
X-Ray Exam Hips Bi 3-4 Views (73522)
range across 2 matching MRF lines
$231–$254.10 $330–$363 varies
X-Ray Exam Hips Bi 5/> Views (73523)
range across 2 matching MRF lines
$240.10–$240.80 $343–$344 varies
X-Ray Exam L-S Spine Bending (72114)
range across 2 matching MRF lines
$476.70–$630.70 $681–$901 varies
X-Ray Exam Neck Spine 2-3 Vw (72040)
range across 2 matching MRF lines
$290.50–$415.10 $415–$593 varies
X-Ray Exam Neck Spine 6/>Vws (72052)
range across 2 matching MRF lines
$349.30–$726.60 $499–$1,038 varies
X-Ray Exam Unilat Ribs/Chest (71101)
range across 2 matching MRF lines
$359.10–$378 $513–$540 varies
X-ray head for orthodontia (70350) $105 $150 1.3×
X-ray humerus (73060)
range across 2 matching MRF lines
$214.20–$220.50 $306–$315 varies
X-ray IV pyelogram (ivp) (74400)
range across 2 matching MRF lines
$342.30–$1,046.50 $489–$1,495 varies
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $184.10 $263 2.2×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565)
range across 2 matching MRF lines
$151.90–$293.30 $217–$419 varies
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100)
range across 2 matching MRF lines
$341.60–$343.70 $488–$491 varies
X-ray nose-rectum child f.b. (76010)
range across 2 matching MRF lines
$146.30–$310.80 $209–$444 varies
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111)
range across 2 matching MRF lines
$411.60–$473.90 $588–$677 varies
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202)
range across 2 matching MRF lines
$280.70–$370.30 $401–$529 varies
X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) $280.70 $401 2.8×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220)
range across 2 matching MRF lines
$291.90–$314.30 $417–$449 varies
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220)
range across 2 matching MRF lines
$352.10–$519.40 $503–$742 varies
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260)
range across 2 matching MRF lines
$256.20–$385 $366–$550 varies
X-Ray Stress View (77071) $163.80 $234 2.0×
X-ray thoracic spine 4 vw (72074) $153.30 $219 1.5×
X-Ray Urinary Tract Exam With Contrast Material (74420)
range across 2 matching MRF lines
$345.10–$1,472.80 $493–$2,104 varies
X-Rays Bone Length Studies (77073)
range across 2 matching MRF lines
$43.40–$163.80 $62–$234 varies
X-Rays Bone Survey Complete (77075)
range across 2 matching MRF lines
$594.30–$770 $849–$1,100 varies
Xr c-spine 4 or 5 views (72050)
range across 2 matching MRF lines
$349.30–$576.80 $499–$824 varies
Xr facial bones less than 3 views (70140) $254.80 $364 3.1×
Xr orbits complete 4 views (70200)
range across 2 matching MRF lines
$123.20–$333.90 $176–$477 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.