Imaging prices at Fairview Park Hospital
Dublin, GA · every code in this section with a posted price and a Medicare benchmark.
317 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abdomen 1 View (74018) | $1,742 | $1,742 | 22.3× |
| Abdomen 2 views (74019) | $1,890.75 | $1,890.75 | 20.2× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $3,764 | $3,764 | 10.5× |
| Angio internal mammary (75756) | $5,840 | $5,840 | 2.1× |
| Angio pulmonary bilat (75743) | $21,840 | $21,840 | 7.7× |
| Angiography extremity bilateral rs&i (75716) | $21,840 | $21,840 | 7.7× |
| Angiography extremity unilateral rs&i (75710) | $17,473.75 | $17,473.75 | 6.2× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $17,470.25 | $17,470.25 | 6.2× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $9,791.75 | $9,791.75 | 3.5× |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$1,682–$2,855.25 | $1,682–$2,855.25 | varies |
| Aortography thoracic serialography rs&i (75605) | $17,467 | $17,467 | 3.5× |
| Artery X-Rays Abdomen (75726) | $17,467 | $17,467 | 3.5× |
| Artery X-Rays Pelvis (75736) | $19,100.25 | $19,100.25 | 3.8× |
| Arthrogram hip (73525) range across 3 matching MRF lines |
$4,425.25–$8,851 | $4,425.25–$8,851 | varies |
| Arthrogram Wrist (73115) range across 3 matching MRF lines |
$2,757.50–$5,515.75 | $2,757.50–$5,515.75 | varies |
| Bone age studies (77072) | $820.25 | $820.25 | 8.8× |
| Bone Imaging 3 Phase (78315) | $7,851 | $7,851 | 21.9× |
| Bone Imaging Limited Area (78300) | $4,332 | $4,332 | 12.1× |
| Bone Imaging Multiple Areas (78305) | $7,211 | $7,211 | 20.1× |
| Bone Imaging Whole Body (78306) | $7,828 | $7,828 | 21.9× |
| Bone survey infant (77076) | $1,262.50 | $1,262.50 | 13.5× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $4,694 | $4,694 | 9.7× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $15,350.25 | $15,350.25 | 12.0× |
| Cat Scan Follow-Up Study (76380) | $4,845 | $4,845 | 62.1× |
| Chest 1 view (71045) | $1,064 | $1,064 | 13.6× |
| Chest 2 views (71046) | $1,552.75 | $1,552.75 | 19.9× |
| Chest 3 views (71047) | $1,579 | $1,579 | 20.3× |
| Chest 4 or more views (71048) | $1,934.50 | $1,934.50 | 20.7× |
| Cholecystography Oral Contrast (74290) | $2,790.25 | $2,790.25 | 17.8× |
| Cineradiograpy/vidradiograpy xcpt where spec (76120) | $1,622.75 | $1,622.75 | 17.3× |
| Clavicle complete (73000) range across 3 matching MRF lines |
$1,737.50–$2,953 | $1,737.50–$2,953 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $411 | $411 | 4.4× |
| Contrast Exam Abdominl Aorta (75625) | $17,467 | $17,467 | 6.2× |
| Contrast X-Ray Bladder (74430) | $2,761.25 | $2,761.25 | 8.8× |
| Contrast X-Ray Of Elbow (73085) range across 3 matching MRF lines |
$4,880.50–$8,293.25 | $4,880.50–$8,293.25 | varies |
| Contrast X-Ray Of Knee Joint (73580) range across 3 matching MRF lines |
$5,265.75–$8,952 | $5,265.75–$8,952 | varies |
| Contrast Xray Throat/Cerv Esopha (74210) | $2,551 | $2,551 | 16.2× |
| Corpora cavernosography (74445) | $2,389.50 | $2,389.50 | 25.5× |
| CT abdomen and pelvis without and with contrast (74178) | $18,507 | $18,507 | 59.2× |
| CT abdomen and pelvis without contrast (74176) | $14,171 | $14,171 | 66.3× |
| CT abdomen w contrast (74160) | $8,475 | $8,475 | 53.9× |
| CT abdomen w wo contrast (74170) | $9,905 | $9,905 | 63.0× |
| CT abdomen w/o contrast (74150) | $8,355 | $8,355 | 89.2× |
| CT Angio Abdomen and Pelvis (74174) | $17,575 | $17,575 | 56.2× |
| CT Angio Chest (71275) | $8,786 | $8,786 | 55.9× |
| CT Angio Head (70496) | $8,786 | $8,786 | 55.9× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 3 matching MRF lines |
$8,349–$10,366 | $8,349–$10,366 | varies |
| CT Angio Neck (70498) | $8,786 | $8,786 | 55.9× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $9,688 | $9,688 | 61.7× |
| CT bone density (77078) | $2,292 | $2,292 | 29.4× |
| CT cervical spine w/ contrast (72126) | $7,752 | $7,752 | 24.8× |
| CT cervical spine w/o contrast (72125) | $7,128 | $7,128 | 76.1× |
| CT cervical spine w/wo cont (72127) | $7,408 | $7,408 | 47.1× |
| CT chest w contrast (71260) | $8,642 | $8,642 | 55.0× |
| CT chest w/wo contrast (71270) | $9,905 | $9,905 | 63.0× |
| CT head/brain with contrast (70460) | $8,042 | $8,042 | 51.2× |
| CT head/brain without and with contrast (70470) | $9,735 | $9,735 | 62.0× |
| CT heart no contrast quant eval coronry calcium (75571) | $108 | $108 | 1.4× |
| CT iac w contrast (70481) | $7,170 | $7,170 | 45.6× |
| CT l-spine w&w/o contrast (72133) | $8,649 | $8,649 | 55.0× |
| CT lower ext w/o (73700) range across 3 matching MRF lines |
$5,557–$9,446 | $5,557–$9,446 | varies |
| CT lower extremity w/contrast material (73701) range across 3 matching MRF lines |
$6,416–$10,897 | $6,416–$10,897 | varies |
| CT lumbar spine w contrast (72132) | $8,082 | $8,082 | 25.9× |
| CT lumbar spine w/o contrast (72131) | $5,760 | $5,760 | 61.5× |
| CT maxillofacial w contrast (70487) | $7,221 | $7,221 | 46.0× |
| CT maxillofacial wo contrast (70486) | $7,103 | $7,103 | 75.8× |
| CT neck tissue combo (70492) | $10,273 | $10,273 | 65.4× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $8,362 | $8,362 | 53.2× |
| CT orbits w/o contrast (70480) | $5,764 | $5,764 | 61.5× |
| CT pelvis w&w/o contrast (72194) | $8,605 | $8,605 | 54.8× |
| CT pelvis w/o contrast (72192) | $5,808 | $5,808 | 62.0× |
| CT scan of leg combo (73702) range across 3 matching MRF lines |
$8,349–$14,191 | $8,349–$14,191 | varies |
| CT scans face/jaw combo (70488) | $7,438 | $7,438 | 47.3× |
| CT soft tissue neck w contrast (70491) | $7,911 | $7,911 | 50.3× |
| CT soft tissue neck w/o contrast (70490) | $6,192 | $6,192 | 66.1× |
| CT thoracic spine w contrast (72129) | $8,459 | $8,459 | 53.8× |
| CT thoracic spine w/o contrast (72128) | $7,844 | $7,844 | 83.8× |
| CT thoracic spine w/wo cont (72130) | $8,649 | $8,649 | 55.0× |
| CT thorax w/o contrast (71250) | $7,425 | $7,425 | 79.3× |
| CT upper ext wo (73200) range across 3 matching MRF lines |
$5,557–$9,446 | $5,557–$9,446 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 3 matching MRF lines |
$8,349–$14,191 | $8,349–$14,191 | varies |
| CT upper extremity with contrast (73201) range across 3 matching MRF lines |
$6,416–$10,897 | $6,416–$10,897 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $8,786 | $8,786 | 55.9× |
| Cta Abdomen (74175) | $8,786 | $8,786 | 55.9× |
| CTA pelvis (72191) | $8,786 | $8,786 | 55.9× |
| Dilation ureters/urethra rs&i (74485) | $9,965.25 | $9,965.25 | 5.3× |
| Discography Cerv/Thor Spine (72285) | $15,197.25 | $15,197.25 | 8.7× |
| Diskography lumbar (72295) | $15,197.25 | $15,197.25 | 8.7× |
| Dxa Bone Density Axial (77080) | $1,524 | $1,524 | 16.3× |
| Dxa bone density study (77085) | $469.50 | $469.50 | 5.0× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $1,524 | $1,524 | 19.5× |
| Echo Guide For Artery Repair (76936) | $1,000.50 | $1,000.50 | 5.2× |
| Esophagram (74220) | $2,180.25 | $2,180.25 | 13.9× |
| Fetal Biophys Profile W/Nst (76818) | $2,989.50 | $2,989.50 | 31.9× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $1,860.50 | $1,860.50 | 19.9× |
| Fluoroscopy up to 1 hr (76000) range across 3 matching MRF lines |
$2,296–$2,316.25 | $2,296–$2,316.25 | varies |
| Follow-Up Angiography (75898) range across 3 matching MRF lines |
$2,695–$2,719.50 | $2,695–$2,719.50 | varies |
| Foot 2 views (73620) range across 3 matching MRF lines |
$1,074.50–$1,737.50 | $1,074.50–$1,737.50 | varies |
| Forearm 2 views (73090) range across 3 matching MRF lines |
$1,786.75–$3,033.75 | $1,786.75–$3,033.75 | varies |
| Gastric emptying imaging study (78264) | $6,860 | $6,860 | 19.2× |
| Gated Heart Planar Single (78472) | $7,163 | $7,163 | 20.0× |
| Hand 2 views (73120) range across 3 matching MRF lines |
$758.50–$1,454.75 | $758.50–$1,454.75 | varies |
| Hepatobil Syst Image W/Drug (78227) | $7,904 | $7,904 | 16.3× |
| Hepatobiliary System Imaging (78226) | $7,046 | $7,046 | 19.7× |
| Ht Muscle Image Spect Sing (78451) | $7,383 | $7,383 | 6.4× |
| Hysterosalpingogram (74740) | $3,472.25 | $3,472.25 | 16.2× |
| Infant hip ultrasound, limited static exam (76886) | $1,405.75 | $1,405.75 | 18.0× |
| K Flow/Funct Image Multiple (78709) | $11,399 | $11,399 | 23.4× |
| K Flow/Funct Image W/Drug (78708) | $5,690 | $5,690 | 11.7× |
| K Flow/Funct Image W/O Drug (78707) | $6,663 | $6,663 | 13.7× |
| Kidney Imaging Morphol (78700) | $6,577 | $6,577 | 18.4× |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$1,857–$3,158.25 | $1,857–$3,158.25 | varies |
| Liver & Spleen Imaging Static Only (78215) | $4,332 | $4,332 | 12.1× |
| Liver imaging static only (78201) | $4,332 | $4,332 | 8.9× |
| Lung Perf&Ventilat Diferentl (78598) | $7,578 | $7,578 | 15.6× |
| Lung perfusion differential (78597) | $5,949 | $5,949 | 16.6× |
| Lung Ventilat&Perfus Imaging (78582) | $7,578 | $7,578 | 15.6× |
| Lung Ventilation Imaging (78579) | $5,949 | $5,949 | 16.6× |
| Lymph System Imaging (78195) | $6,692 | $6,692 | 13.8× |
| Magnetic Image Jaw Joint (70336) | $12,231 | $12,231 | 57.2× |
| Mammary ductogram or galactogram multiple (77054) | $4,956.50 | $4,956.50 | 23.2× |
| Mammary ductogram or galactogram single (77053) | $2,254.75 | $2,254.75 | 10.5× |
| Meckels Divert Exam (78290) | $3,136 | $3,136 | 8.8× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $79 | $79 | 3.0× |
| Mra Head W/O & W/Contrast Material (70546) | $13,388 | $13,388 | 42.8× |
| MRA head w/o contrast (70544) | $10,468 | $10,468 | 49.0× |
| MRA head with contrast (70545) | $12,324 | $12,324 | 39.4× |
| MRA neck w contrast (70548) | $12,324 | $12,324 | 39.4× |
| Mra Neck W/O &W/Contrast Material (70549) | $13,388 | $13,388 | 42.8× |
| MRA neck w/o contrast (70547) | $10,468 | $10,468 | 49.0× |
| MRI abdomen w contrast (74182) | $12,324 | $12,324 | 39.4× |
| MRI abdomen w/o contrast (74181) | $11,221 | $11,221 | 52.5× |
| MRI any jt lower extrem w/contrast material (73722) range across 3 matching MRF lines |
$10,084–$17,153 | $10,084–$17,153 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 3 matching MRF lines |
$10,468–$17,793 | $10,468–$17,793 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 3 matching MRF lines |
$10,288–$17,517 | $10,288–$17,517 | varies |
| MRI Breast W/O Contrast Bilateral (77047) | $959 | $959 | 4.5× |
| MRI Breast Without Contrast Material Unilateral (77046) | $959 | $959 | 4.5× |
| MRI cervical spine w contrast (72142) | $10,288 | $10,288 | 32.9× |
| MRI cervical spine w/o cont (72141) | $10,816 | $10,816 | 50.6× |
| MRI chest w/o contrast (71550) | $9,610 | $9,610 | 45.0× |
| MRI chest with contrast (71551) | $10,468 | $10,468 | 14.9× |
| MRI chest wo w contrast (71552) | $10,468 | $10,468 | 33.5× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 3 matching MRF lines |
$12,324–$17,153 | $12,324–$17,153 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 3 matching MRF lines |
$13,388–$17,517 | $13,388–$17,517 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 3 matching MRF lines |
$9,709–$16,513 | $9,709–$16,513 | varies |
| MRI lumbar spine w contrast (72149) | $10,411 | $10,411 | 33.3× |
| Mri Neck Spine W/O & W/Dye (72156) | $13,388 | $13,388 | 42.8× |
| MRI orbit face &/neck w/o contrast (70540) | $9,610 | $9,610 | 45.0× |
| MRI orbit face neck w contrast (70542) | $10,136 | $10,136 | 32.4× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $10,816 | $10,816 | 34.6× |
| MRI pelvis w contrast (72196) | $10,102 | $10,102 | 32.3× |
| MRI pelvis w/o & w contrast (72197) | $13,388 | $13,388 | 42.8× |
| MRI pelvis w/o contrast (72195) | $9,347 | $9,347 | 43.7× |
| MRI thoracic spine w/o contrast (72146) | $9,610 | $9,610 | 45.0× |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 3 matching MRF lines |
$10,174–$17,743 | $10,174–$17,743 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 3 matching MRF lines |
$8,948–$15,223 | $8,948–$15,223 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 3 matching MRF lines |
$10,308–$17,517 | $10,308–$17,517 | varies |
| MRI, abdomen, combo (74183) | $13,388 | $13,388 | 42.8× |
| MRI, dorsal spine combo (72157) | $13,388 | $13,388 | 42.8× |
| MRI, dorsal spine contrast (72147) | $9,610 | $9,610 | 30.8× |
| MRI, joint upper extrem (73221) range across 3 matching MRF lines |
$10,288–$17,517 | $10,288–$17,517 | varies |
| MRI, joint upper extrem combo (73223) range across 3 matching MRF lines |
$13,388–$16,513 | $13,388–$16,513 | varies |
| MRI, lumbar spine combo (72158) | $13,388 | $13,388 | 42.8× |
| Myelogram cervical (72240) | $7,983.75 | $7,983.75 | 11.4× |
| Myelogram Lumbar (72265) | $7,983.75 | $7,983.75 | 11.4× |
| Myelography thoracic (72255) | $6,446.50 | $6,446.50 | 9.2× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $6,496 | $6,496 | 18.1× |
| Myocardial Spect Multiple Studies (78452) | $11,999 | $11,999 | 10.3× |
| Neck soft tissue (70360) | $1,326.50 | $1,326.50 | 17.0× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $1,287 | $1,287 | 3.6× |
| Nonvascular Shunt X-Ray (75809) | $1,579 | $1,579 | 16.9× |
| Nuclear Rx Oral Admin (79005) | $4,865 | $4,865 | 23.3× |
| Optic foramina (70190) range across 3 matching MRF lines |
$949.75–$1,898.25 | $949.75–$1,898.25 | varies |
| Parathyroid Planar Imaging (78070) | $4,865 | $4,865 | 13.6× |
| Pelvis 1 or 2 views (72170) | $1,599 | $1,599 | 17.1× |
| Pet Image W/Ct Lmtd (78814) | $15,350.25 | $15,350.25 | 12.0× |
| PET image w/CT, full body (78816) | $15,350.25 | $15,350.25 | 12.0× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $15,350.25 | $15,350.25 | 12.0× |
| Pulmonary Perfusion Imaging Particulate (78580) | $5,000 | $5,000 | 14.0× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $2,873.75 | $2,873.75 | 30.7× |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 2 matching MRF lines |
$2,913.25–$2,966.75 | $2,913.25–$2,966.75 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$1,682–$2,855.25 | $1,682–$2,855.25 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$1,569.25–$2,667.25 | $1,569.25–$2,667.25 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$1,800.50–$3,060 | $1,800.50–$3,060 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $2,839.25 | $2,839.25 | 30.3× |
| Radex fingr minimum 2 views (73140) range across 3 matching MRF lines |
$1,524.50–$2,584.25 | $1,524.50–$2,584.25 | varies |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$1,655–$2,815 | $1,655–$2,815 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$1,222.50–$2,072.50 | $1,222.50–$2,072.50 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 3 matching MRF lines |
$758.50–$1,454.75 | $758.50–$1,454.75 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) range across 3 matching MRF lines |
$1,689.75–$2,381 | $1,689.75–$2,381 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $1,774.50 | $1,774.50 | 22.8× |
| Radex Pharynx/Larx W/Fluor&/Magnification Tq (70370) | $1,268.75 | $1,268.75 | 16.3× |
| Radex Ribs Unilateral 2 Views (71100) | $2,177 | $2,177 | 27.9× |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$1,919–$3,266.25 | $1,919–$3,266.25 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $1,262.50 | $1,262.50 | 16.2× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $3,365.50 | $3,365.50 | 21.4× |
| Radex Spine 1 View Specify Level (72020) | $1,539 | $1,539 | 19.7× |
| Radex Sternum Minimum 2 Views (71120) | $1,900.75 | $1,900.75 | 24.4× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $2,462.50 | $2,462.50 | 31.6× |
| Radex Toe Minimum 2 Views (73660) range across 3 matching MRF lines |
$1,028.50–$2,584.25 | $1,028.50–$2,584.25 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 3 matching MRF lines |
$758.50–$1,454.75 | $758.50–$1,454.75 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$1,727–$2,934.50 | $1,727–$2,934.50 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $2,803.50 | $2,803.50 | 29.9× |
| Radiation treatment delivery level 3 (77412) | $1,949 | $1,949 | 3.9× |
| Radiolog exam mandible compl minimum 4 views (70110) | $2,405 | $2,405 | 25.7× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $2,041.50 | $2,041.50 | 21.8× |
| Radiologic exam colon double contrast study (74280) | $4,886.50 | $4,886.50 | 31.1× |
| Radiologic exam colon single contrast study (74270) | $4,199.25 | $4,199.25 | 26.7× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $2,491.50 | $2,491.50 | 15.9× |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$2,423.25–$4,115.50 | $2,423.25–$4,115.50 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $1,466.25 | $1,466.25 | 15.7× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $2,714.50 | $2,714.50 | 17.3× |
| Radiologic exam swallow function contrast study (74230) | $1,881.75 | $1,881.75 | 12.0× |
| Radiologic exam upr gi trc double contrast study (74246) | $4,637.25 | $4,637.25 | 29.5× |
| Radiologic examination femur 1 view (73551) range across 3 matching MRF lines |
$1,816.75–$2,226.25 | $1,816.75–$2,226.25 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines |
$1,907.25–$3,239.75 | $1,907.25–$3,239.75 | varies |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$1,549.75–$2,630.75 | $1,549.75–$2,630.75 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $2,653.50 | $2,653.50 | 28.3× |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$1,798.50–$3,060 | $1,798.50–$3,060 | varies |
| Radiologic examination, internal auditory meati, complete Non-Facility (70134) | $1,334.50 | $1,334.50 | 2.7× |
| Ribs bilateral 3 views (71110) | $2,660.25 | $2,660.25 | 28.4× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $4,606 | $4,606 | 12.9× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $6,268 | $6,268 | 17.5× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $8,452 | $8,452 | 17.4× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $6,860 | $6,860 | 14.1× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $6,268 | $6,268 | 12.9× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $5,586 | $5,586 | 4.8× |
| Scapula (73010) range across 3 matching MRF lines |
$1,390–$2,364.25 | $1,390–$2,364.25 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $135 | $135 | 5.8× |
| Sella turcica (70240) | $949.75 | $949.75 | 12.2× |
| Shoulder 1 view (73020) range across 3 matching MRF lines |
$957–$1,625.75 | $957–$1,625.75 | varies |
| Shoulder Arthrography (73040) range across 3 matching MRF lines |
$4,880.50–$7,327 | $4,880.50–$7,327 | varies |
| Sialogram (70390) | $3,092.50 | $3,092.50 | 14.5× |
| Skull less than 4 views (70250) | $2,275 | $2,275 | 24.3× |
| Sternoclavicular joints (71130) | $1,533.75 | $1,533.75 | 19.7× |
| Testicular Imaging W/Flow (78761) | $4,520 | $4,520 | 12.6× |
| Thoracic spine 3 views (72072) | $2,562.75 | $2,562.75 | 27.4× |
| Thoracolumbar 2 views (72080) | $1,609.50 | $1,609.50 | 20.6× |
| Thyroid Imaging With Vascular Flow (78013) | $4,137 | $4,137 | 11.6× |
| Thyroid Met Imaging Body (78018) | $7,352 | $7,352 | 15.1× |
| Thyroid Uptake Measurement (78012) | $3,837 | $3,837 | 10.7× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $8,861 | $8,861 | 24.7× |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$4,178.25–$4,683.75 | $4,178.25–$4,683.75 | varies |
| Ultrasound Exam Aaa Screen (76706) | $589 | $589 | 6.3× |
| Ultrasound, abdomen limited (76705) | $3,874 | $3,874 | 41.4× |
| Umbilical-artery Doppler (OB) (76820) | $905.75 | $905.75 | 9.7× |
| Unlisted magnetic resonance procedure (76498) | $11,221 | $11,221 | 143.9× |
| Unlisted us procedure (76999) | $743.75 | $743.75 | 9.5× |
| Upper gi w/o kub (74240) | $4,000.50 | $4,000.50 | 25.5× |
| Urethrocystogram voiding (74455) | $2,796 | $2,796 | 13.1× |
| Urethrocystography retrograde (74450) | $2,641.75 | $2,641.75 | 12.4× |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$4,431.50–$4,937 | $4,431.50–$4,937 | varies |
| Us chest (76604) | $2,174 | $2,174 | 23.2× |
| Us complete joint (76881) | $4,655.75 | $4,655.75 | 49.7× |
| Us exam, pelvic, limited (76857) | $2,173 | $2,173 | 23.2× |
| Us head (76506) | $2,763.50 | $2,763.50 | 29.5× |
| Us kidney transplant (76776) | $5,209 | $5,209 | 55.6× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $3,163 | $3,163 | 33.8× |
| Us ob limited 1 or more fetuses (76815) | $2,173 | $2,173 | 23.2× |
| Us ob transvaginal (76817) | $3,991.75 | $3,991.75 | 42.6× |
| Us pelvic non ob complete (76856) | $3,737 | $3,737 | 39.9× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $1,744.50 | $1,744.50 | 18.6× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $2,712.75 | $2,712.75 | 29.0× |
| Us retroperitoneal complete (76770) | $4,074.50 | $4,074.50 | 43.5× |
| Us retroperitoneal limited (76775) | $5,242.25 | $5,242.25 | 56.0× |
| Us scrotum and contents (76870) | $3,102.75 | $3,102.75 | 33.1× |
| Us spinal canal and contents (76800) | $1,423 | $1,423 | 15.2× |
| Us thyroid (76536) | $3,497.25 | $3,497.25 | 37.3× |
| Us transrectal (76872) | $2,045.50 | $2,045.50 | 21.8× |
| Vasogram (74440) | $3,804.50 | $3,804.50 | 17.8× |
| Vein X-Ray Chest (75827) | $9,789.50 | $9,789.50 | 6.9× |
| Venogram Sinus/Jugular (75860) | $6,015.75 | $6,015.75 | 2.1× |
| Venography caval inferior serialography rs&i (75825) | $17,473.75 | $17,473.75 | 6.2× |
| Venography extremity bilateral rs&i (75822) | $5,913.50 | $5,913.50 | 4.2× |
| Venography extremity unilateral rs&i (75820) | $5,913.50 | $5,913.50 | 4.2× |
| Venography Renal Bilateral (75833) | $21,840 | $21,840 | 7.7× |
| Venography Renal Unilateral (75831) | $17,473.75 | $17,473.75 | 6.2× |
| Vertebral fracture assessment via dxa (77086) | $317.25 | $317.25 | 4.1× |
| Wrist 2 views (73100) range across 3 matching MRF lines |
$1,445.75–$2,463.25 | $1,445.75–$2,463.25 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $1,807.50 | $1,807.50 | 23.2× |
| X-ray antegrade pyelogram tube (74425) range across 2 matching MRF lines |
$2,687.75–$2,763 | $2,687.75–$2,763 | varies |
| X-Ray Aorta Leg Arteries (75630) | $17,467 | $17,467 | 6.2× |
| X-Ray Bend Only L-S Spine (72120) | $2,064.75 | $2,064.75 | 22.0× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$1,316.25–$2,234 | $1,316.25–$2,234 | varies |
| X-Ray Exam Breast Specimen (76098) range across 2 matching MRF lines |
$1,310–$2,255 | $1,310–$2,255 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) | $2,310 | $2,310 | 29.6× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $2,403.75 | $2,403.75 | 25.7× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $2,603.25 | $2,603.25 | 27.8× |
| X-Ray Exam Hip Uni 1 View (73501) | $1,964.25 | $1,964.25 | 25.2× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $2,071.25 | $2,071.25 | 26.6× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $2,188.50 | $2,188.50 | 23.4× |
| X-Ray Exam Hips Bi 2 Views (73521) | $2,548.50 | $2,548.50 | 27.2× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $2,665 | $2,665 | 28.5× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $2,782.75 | $2,782.75 | 29.7× |
| X-Ray Exam L-S Spine Bending (72114) | $4,631.50 | $4,631.50 | 49.5× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $2,170 | $2,170 | 27.8× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $2,867.25 | $2,867.25 | 30.6× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $2,177 | $2,177 | 23.2× |
| X-ray eye for foreign body (70030) range across 3 matching MRF lines |
$758.50–$1,514.75 | $758.50–$1,514.75 | varies |
| X-ray humerus (73060) range across 3 matching MRF lines |
$1,653.50–$2,848.75 | $1,653.50–$2,848.75 | varies |
| X-ray IV pyelogram (ivp) (74400) | $4,050.25 | $4,050.25 | 25.8× |
| X-ray IV pyelogram+tomography (74415) | $6,297 | $6,297 | 40.1× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $1,798.50 | $1,798.50 | 23.1× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $2,381 | $2,381 | 25.4× |
| X-ray nose-rectum child f.b. (76010) | $1,262.50 | $1,262.50 | 16.2× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $2,660.25 | $2,660.25 | 28.4× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $1,914 | $1,914 | 20.4× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $1,951.25 | $1,951.25 | 25.0× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $3,432 | $3,432 | 44.0× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $2,832.50 | $2,832.50 | 30.2× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $4,214.75 | $4,214.75 | 13.5× |
| X-Rays Bone Length Studies (77073) range across 2 matching MRF lines |
$1,374.50–$1,421.25 | $1,374.50–$1,421.25 | varies |
| X-Rays Bone Survey Complete (77075) | $3,476.25 | $3,476.25 | 37.1× |
| Xr c-spine 4 or 5 views (72050) | $2,864 | $2,864 | 30.6× |
| Xr facial bones less than 3 views (70140) | $1,039.50 | $1,039.50 | 13.3× |
| Xr orbits complete 4 views (70200) | $2,284 | $2,284 | 24.4× |
| Xr Tomogram Single Plane (76100) | $4,088.50 | $4,088.50 | 43.7× |
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.