Imaging prices at Fauquier Hospital
Warrenton, VA · every code in this section with a posted price and a Medicare benchmark.
311 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) range across 2 matching MRF lines |
$182–$198.40 | $455–$496 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$207.60–$226.40 | $519–$566 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) range across 2 matching MRF lines |
$1,021.60–$1,113.60 | $2,554–$2,784 | varies |
| Angio internal mammary (75756) range across 2 matching MRF lines |
$4,462.80–$4,864.80 | $11,157–$12,162 | varies |
| Angio pulmonary bilat (75743) range across 2 matching MRF lines |
$4,930–$5,374 | $12,325–$13,435 | varies |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) range across 2 matching MRF lines |
$4,930–$5,374 | $12,325–$13,435 | varies |
| Angiography extremity bilateral rs&i (75716) range across 2 matching MRF lines |
$4,930–$5,374 | $12,325–$13,435 | varies |
| Angiography extremity unilateral rs&i (75710) range across 2 matching MRF lines |
$4,930–$5,374 | $12,325–$13,435 | varies |
| Angiography pulmonary unilateral slctv rs&i (75741) range across 2 matching MRF lines |
$4,930–$5,374 | $12,325–$13,435 | varies |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) range across 2 matching MRF lines |
$4,462.80–$4,864.80 | $11,157–$12,162 | varies |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$188–$205.20 | $470–$513 | varies |
| Aortography thoracic serialography rs&i (75605) range across 2 matching MRF lines |
$4,930–$5,374 | $12,325–$13,435 | varies |
| Artery X-Rays Abdomen (75726) range across 2 matching MRF lines |
$8,631.60–$9,408.80 | $21,579–$23,522 | varies |
| Artery X-Rays Adrenal Gland (75731) range across 2 matching MRF lines |
$4,930–$5,374 | $12,325–$13,435 | varies |
| Artery X-Rays Pelvis (75736) range across 2 matching MRF lines |
$4,930–$5,374 | $12,325–$13,435 | varies |
| Artery X-Rays Spine (75705) range across 2 matching MRF lines |
$8,631.60–$9,408.80 | $21,579–$23,522 | varies |
| Arthrogram ankle (73615) range across 2 matching MRF lines |
$748.80–$816.40 | $1,872–$2,041 | varies |
| Arthrogram hip (73525) range across 2 matching MRF lines |
$784.40–$855.20 | $1,961–$2,138 | varies |
| Arthrogram Wrist (73115) range across 2 matching MRF lines |
$746.80–$814.40 | $1,867–$2,036 | varies |
| Bone age studies (77072) range across 2 matching MRF lines |
$280.40–$306 | $701–$765 | varies |
| Bone Imaging 3 Phase (78315) range across 2 matching MRF lines |
$1,081.20–$1,178.80 | $2,703–$2,947 | varies |
| Bone Imaging Limited Area (78300) range across 2 matching MRF lines |
$547.60–$597.20 | $1,369–$1,493 | varies |
| Bone Imaging Whole Body (78306) range across 2 matching MRF lines |
$1,140.40–$1,243.20 | $2,851–$3,108 | varies |
| Bone marrow imaging limited area (78102) range across 2 matching MRF lines |
$547.60–$597.20 | $1,369–$1,493 | varies |
| Bone marrow imaging; whole body (78104) range across 2 matching MRF lines |
$547.60–$597.20 | $1,369–$1,493 | varies |
| Bone survey infant (77076) range across 2 matching MRF lines |
$300.80–$328 | $752–$820 | varies |
| Brain Image W/Flow < 4 Views (78601) range across 2 matching MRF lines |
$988–$1,077.20 | $2,470–$2,693 | varies |
| Cat Scan Follow-Up Study (76380) range across 2 matching MRF lines |
$608.80–$663.60 | $1,522–$1,659 | varies |
| Cerebrospinal Fluid Scan (78630) range across 2 matching MRF lines |
$1,212.40–$1,321.60 | $3,031–$3,304 | varies |
| Chest 1 view (71045) range across 2 matching MRF lines |
$271.20–$296 | $678–$740 | varies |
| Chest 2 views (71046) range across 2 matching MRF lines |
$292.80–$319.20 | $732–$798 | varies |
| Chest 3 views (71047) range across 2 matching MRF lines |
$312–$340.40 | $780–$851 | varies |
| Chest 4 or more views (71048) range across 2 matching MRF lines |
$333.60–$364 | $834–$910 | varies |
| Clavicle complete (73000) range across 2 matching MRF lines |
$200–$218 | $500–$545 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 2 matching MRF lines |
$149.60–$163.20 | $374–$408 | varies |
| Contrast Exam Abdominl Aorta (75625) range across 2 matching MRF lines |
$4,930–$5,374 | $12,325–$13,435 | varies |
| Contrast X-Ray Bladder (74430) range across 2 matching MRF lines |
$413.20–$450.40 | $1,033–$1,126 | varies |
| Contrast X-Ray Of Elbow (73085) range across 2 matching MRF lines |
$709.60–$773.60 | $1,774–$1,934 | varies |
| Contrast X-Ray Of Knee Joint (73580) range across 2 matching MRF lines |
$748.80–$816.40 | $1,872–$2,041 | varies |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$2,896.40–$3,157.20 | $7,241–$7,893 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$1,978.80–$2,157.20 | $4,947–$5,393 | varies |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$1,909.60–$2,081.60 | $4,774–$5,204 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$2,177.20–$2,373.20 | $5,443–$5,933 | varies |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$1,744.80–$1,902 | $4,362–$4,755 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$2,715.60–$2,960.40 | $6,789–$7,401 | varies |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$2,256–$2,459.20 | $5,640–$6,148 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$1,196.80–$1,304.80 | $2,992–$3,262 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
$1,331.60–$1,451.60 | $3,329–$3,629 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$1,196.80–$1,304.80 | $2,992–$3,262 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 2 matching MRF lines |
$1,331.60–$1,451.60 | $3,329–$3,629 | varies |
| CT cervical spine w/ contrast (72126) range across 2 matching MRF lines |
$1,904–$2,075.60 | $4,760–$5,189 | varies |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$1,797.20–$1,959.20 | $4,493–$4,898 | varies |
| CT cervical spine w/wo cont (72127) range across 2 matching MRF lines |
$2,023.20–$2,205.60 | $5,058–$5,514 | varies |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$1,904–$2,075.60 | $4,760–$5,189 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$2,023.20–$2,205.60 | $5,058–$5,514 | varies |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$1,691.60–$1,844 | $4,229–$4,610 | varies |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$1,786.40–$1,947.20 | $4,466–$4,868 | varies |
| CT heart no contrast quant eval coronry calcium (75571) | $40 | $100 | 0.4× |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$1,447.60–$1,578 | $3,619–$3,945 | varies |
| CT l-spine w&w/o contrast (72133) range across 2 matching MRF lines |
$2,023.20–$2,205.60 | $5,058–$5,514 | varies |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$951.20–$1,037.20 | $2,378–$2,593 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$1,136–$1,238.40 | $2,840–$3,096 | varies |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$1,904–$2,075.60 | $4,760–$5,189 | varies |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$1,797.20–$1,959.20 | $4,493–$4,898 | varies |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$1,447.60–$1,578 | $3,619–$3,945 | varies |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$1,238.40–$1,350 | $3,096–$3,375 | varies |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$1,572.40–$1,714 | $3,931–$4,285 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 2 matching MRF lines |
$1,552.40–$1,692.40 | $3,881–$4,231 | varies |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$1,238.40–$1,350 | $3,096–$3,375 | varies |
| CT pelvis w&w/o contrast (72194) range across 2 matching MRF lines |
$1,874.40–$2,043.20 | $4,686–$5,108 | varies |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$1,542–$1,680.80 | $3,855–$4,202 | varies |
| CT scan of leg combo (73702) range across 2 matching MRF lines |
$1,440.80–$1,570.80 | $3,602–$3,927 | varies |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
$1,552.40–$1,692.40 | $3,881–$4,231 | varies |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$1,376.40–$1,500.40 | $3,441–$3,751 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$1,119.60–$1,220.40 | $2,799–$3,051 | varies |
| CT thoracic spine w contrast (72129) range across 2 matching MRF lines |
$1,904–$2,075.60 | $4,760–$5,189 | varies |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$1,797.20–$1,959.20 | $4,493–$4,898 | varies |
| CT thoracic spine w/wo cont (72130) range across 2 matching MRF lines |
$2,023.20–$2,205.60 | $5,058–$5,514 | varies |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$1,797.20–$1,959.20 | $4,493–$4,898 | varies |
| CT unlisted procedure (76497) range across 2 matching MRF lines |
$1,226.80–$1,337.60 | $3,067–$3,344 | varies |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$1,149.20–$1,252.80 | $2,873–$3,132 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 2 matching MRF lines |
$1,440.80–$1,570.80 | $3,602–$3,927 | varies |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$1,284.40–$1,400 | $3,211–$3,500 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$1,398–$1,524 | $3,495–$3,810 | varies |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$1,398–$1,524 | $3,495–$3,810 | varies |
| CTA pelvis (72191) range across 2 matching MRF lines |
$1,398–$1,524 | $3,495–$3,810 | varies |
| Dilation ureters/urethra rs&i (74485) range across 2 matching MRF lines |
$2,266.80–$2,471.20 | $5,667–$6,178 | varies |
| Discography Cerv/Thor Spine (72285) range across 2 matching MRF lines |
$5,282.40–$5,758 | $13,206–$14,395 | varies |
| Diskography lumbar (72295) range across 2 matching MRF lines |
$5,282.40–$5,758 | $13,206–$14,395 | varies |
| Doppler Fetal Mid Cerebral Artery (76821) range across 2 matching MRF lines |
$188–$205.20 | $470–$513 | varies |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$529.20–$577.20 | $1,323–$1,443 | varies |
| Dxa bone density study (77085) range across 2 matching MRF lines |
$184–$200.80 | $460–$502 | varies |
| Dxa bone density study 1/>sites appendiclr skel (77081) range across 2 matching MRF lines |
$139.60–$152.40 | $349–$381 | varies |
| Echo exam uterus (76831) range across 2 matching MRF lines |
$1,011.60–$1,102.80 | $2,529–$2,757 | varies |
| Echo Guide For Artery Repair (76936) range across 2 matching MRF lines |
$828–$902.80 | $2,070–$2,257 | varies |
| Echograp Trans R Pros Study (76873) range across 2 matching MRF lines |
$308–$336 | $770–$840 | varies |
| Esophagram (74220) range across 2 matching MRF lines |
$359.20–$391.60 | $898–$979 | varies |
| Fetal Biophys Profile W/Nst (76818) range across 2 matching MRF lines |
$922–$1,005.20 | $2,305–$2,513 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 2 matching MRF lines |
$254–$277.20 | $635–$693 | varies |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$316.80–$345.60 | $792–$864 | varies |
| Follow-Up Angiography (75898) range across 2 matching MRF lines |
$1,584.80–$1,727.60 | $3,962–$4,319 | varies |
| Foot 2 views (73620) range across 2 matching MRF lines |
$188–$205.20 | $470–$513 | varies |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$200–$218 | $500–$545 | varies |
| Gastric emptying imaging study (78264) range across 2 matching MRF lines |
$968.80–$1,056 | $2,422–$2,640 | varies |
| Gated Heart Planar Single (78472) range across 2 matching MRF lines |
$745.20–$812.40 | $1,863–$2,031 | varies |
| Hand 2 views (73120) range across 2 matching MRF lines |
$188–$205.20 | $470–$513 | varies |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) range across 2 matching MRF lines |
$4,930–$5,374 | $12,325–$13,435 | varies |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) range across 2 matching MRF lines |
$4,930–$5,374 | $12,325–$13,435 | varies |
| Hepatobil Syst Image W/Drug (78227) range across 2 matching MRF lines |
$1,372.80–$1,496.40 | $3,432–$3,741 | varies |
| Hepatobiliary System Imaging (78226) range across 2 matching MRF lines |
$990.80–$1,080 | $2,477–$2,700 | varies |
| Ht Muscle Image Spect Sing (78451) range across 2 matching MRF lines |
$2,257.20–$2,460.40 | $5,643–$6,151 | varies |
| Hysterosalpingogram (74740) range across 2 matching MRF lines |
$578.80–$631.20 | $1,447–$1,578 | varies |
| Infant hip ultrasound with hip movement (dynamic) (76885) range across 2 matching MRF lines |
$463.60–$505.60 | $1,159–$1,264 | varies |
| K Flow/Funct Image W/Drug (78708) range across 2 matching MRF lines |
$988.40–$1,077.60 | $2,471–$2,694 | varies |
| K Flow/Funct Image W/O Drug (78707) range across 2 matching MRF lines |
$882.40–$962 | $2,206–$2,405 | varies |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$260.40–$284 | $651–$710 | varies |
| Liver & Spleen Imaging Static Only (78215) range across 2 matching MRF lines |
$992.40–$1,082 | $2,481–$2,705 | varies |
| Liver & Spleen Imaging W/Vascular Flow (78216) range across 2 matching MRF lines |
$595.60–$649.60 | $1,489–$1,624 | varies |
| Liver imaging static only (78201) range across 2 matching MRF lines |
$564.40–$615.20 | $1,411–$1,538 | varies |
| Lung Perf&Ventilat Diferentl (78598) range across 2 matching MRF lines |
$1,048.80–$1,143.20 | $2,622–$2,858 | varies |
| Lung Ventilat&Perfus Imaging (78582) range across 2 matching MRF lines |
$1,048.80–$1,143.20 | $2,622–$2,858 | varies |
| Lymph System Imaging (78195) range across 2 matching MRF lines |
$732.80–$798.80 | $1,832–$1,997 | varies |
| Magnetic Image Jaw Joint (70336) range across 2 matching MRF lines |
$1,996–$2,176 | $4,990–$5,440 | varies |
| Mammary ductogram or galactogram multiple (77054) range across 2 matching MRF lines |
$688.40–$750.40 | $1,721–$1,876 | varies |
| Mammary ductogram or galactogram single (77053) range across 2 matching MRF lines |
$688.40–$750.40 | $1,721–$1,876 | varies |
| Meckels Divert Exam (78290) range across 2 matching MRF lines |
$738.80–$805.60 | $1,847–$2,014 | varies |
| Mr safety determination physician/other qhp (76016) range across 2 matching MRF lines |
$137.20–$149.60 | $343–$374 | varies |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $38.40 | $96 | 1.3× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) range across 2 matching MRF lines |
$142.80–$156 | $357–$390 | varies |
| Mr safety implt pos&/immoblj (76019) range across 2 matching MRF lines |
$92.40–$100.80 | $231–$252 | varies |
| Mr safety med physics xm customization plng&mntr (76017) range across 2 matching MRF lines |
$375.20–$409.20 | $938–$1,023 | varies |
| Mra Head W/O & W/Contrast Material (70546) range across 2 matching MRF lines |
$2,767.20–$3,016.40 | $6,918–$7,541 | varies |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$1,418.40–$1,546.40 | $3,546–$3,866 | varies |
| MRA head with contrast (70545) range across 2 matching MRF lines |
$1,418.40–$1,546.40 | $3,546–$3,866 | varies |
| MRA neck w contrast (70548) range across 2 matching MRF lines |
$1,418.40–$1,546.40 | $3,546–$3,866 | varies |
| Mra Neck W/O &W/Contrast Material (70549) range across 2 matching MRF lines |
$2,767.20–$3,016.40 | $6,918–$7,541 | varies |
| MRA neck w/o contrast (70547) range across 2 matching MRF lines |
$1,418.40–$1,546.40 | $3,546–$3,866 | varies |
| MRI abdomen w contrast (74182) range across 2 matching MRF lines |
$1,740.80–$1,897.60 | $4,352–$4,744 | varies |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$1,626–$1,772.40 | $4,065–$4,431 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 2 matching MRF lines |
$1,735.20–$1,891.60 | $4,338–$4,729 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$3,202.40–$3,490.80 | $8,006–$8,727 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 2 matching MRF lines |
$1,735.20–$1,891.60 | $4,338–$4,729 | varies |
| MRI Breast W/O Contrast Bilateral (77047) range across 2 matching MRF lines |
$3,220.80–$3,510.80 | $8,052–$8,777 | varies |
| MRI Breast Without Contrast Material Unilateral (77046) range across 2 matching MRF lines |
$2,554–$2,784 | $6,385–$6,960 | varies |
| MRI cervical spine w contrast (72142) range across 2 matching MRF lines |
$1,818.40–$1,982.40 | $4,546–$4,956 | varies |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$1,626–$1,772.40 | $4,065–$4,431 | varies |
| MRI chest w/o contrast (71550) range across 2 matching MRF lines |
$1,626–$1,772.40 | $4,065–$4,431 | varies |
| MRI chest with contrast (71551) range across 2 matching MRF lines |
$1,740.80–$1,897.60 | $4,352–$4,744 | varies |
| MRI chest wo w contrast (71552) range across 2 matching MRF lines |
$3,185.20–$3,472 | $7,963–$8,680 | varies |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 2 matching MRF lines |
$1,674.40–$1,825.20 | $4,186–$4,563 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 2 matching MRF lines |
$1,735.20–$1,891.60 | $4,338–$4,729 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines |
$1,446.80–$1,577.20 | $3,617–$3,943 | varies |
| MRI lumbar spine w contrast (72149) range across 2 matching MRF lines |
$2,102–$2,291.20 | $5,255–$5,728 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$3,250.80–$3,543.60 | $8,127–$8,859 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 2 matching MRF lines |
$1,928.40–$2,102 | $4,821–$5,255 | varies |
| MRI orbit face neck w contrast (70542) range across 2 matching MRF lines |
$1,961.60–$2,138.40 | $4,904–$5,346 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 2 matching MRF lines |
$3,094.40–$3,373.20 | $7,736–$8,433 | varies |
| MRI pelvis w contrast (72196) range across 2 matching MRF lines |
$1,996–$2,176 | $4,990–$5,440 | varies |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$3,208.80–$3,497.60 | $8,022–$8,744 | varies |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$1,455.60–$1,586.80 | $3,639–$3,967 | varies |
| MRI spectroscopy (76390) range across 2 matching MRF lines |
$2,126.80–$2,318.40 | $5,317–$5,796 | varies |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$1,685.20–$1,837.20 | $4,213–$4,593 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 2 matching MRF lines |
$1,674.40–$1,825.20 | $4,186–$4,563 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 2 matching MRF lines |
$1,446.80–$1,577.20 | $3,617–$3,943 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 2 matching MRF lines |
$1,735.20–$1,891.60 | $4,338–$4,729 | varies |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$3,208.80–$3,497.60 | $8,022–$8,744 | varies |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$3,250.80–$3,543.60 | $8,127–$8,859 | varies |
| MRI, dorsal spine contrast (72147) range across 2 matching MRF lines |
$1,818.40–$1,982.40 | $4,546–$4,956 | varies |
| MRI, joint upper extrem (73221) range across 2 matching MRF lines |
$1,626–$1,772.40 | $4,065–$4,431 | varies |
| MRI, joint upper extrem combo (73223) range across 2 matching MRF lines |
$3,202.40–$3,490.80 | $8,006–$8,727 | varies |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$3,250.80–$3,543.60 | $8,127–$8,859 | varies |
| Myocardial Spect Multiple Studies (78452) range across 2 matching MRF lines |
$2,257.20–$2,460.40 | $5,643–$6,151 | varies |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$112.80–$123.20 | $282–$308 | varies |
| Nonvascular Shunt X-Ray (75809) range across 2 matching MRF lines |
$166.80–$182 | $417–$455 | varies |
| Nuclear Rx Intra-Arterial (79445) range across 2 matching MRF lines |
$412–$449.20 | $1,030–$1,123 | varies |
| Nuclear Rx Oral Admin (79005) range across 2 matching MRF lines |
$561.20–$612 | $1,403–$1,530 | varies |
| Ob us nuchal meas 1 gest (76813) range across 2 matching MRF lines |
$217.20–$236.80 | $543–$592 | varies |
| Parathyroid Planar Imaging (78070) range across 2 matching MRF lines |
$547.60–$597.20 | $1,369–$1,493 | varies |
| Parathyroid planar imaging w/wo subtraction (78071) range across 2 matching MRF lines |
$1,176.40–$1,282.40 | $2,941–$3,206 | varies |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$280.40–$306 | $701–$765 | varies |
| Peritoneogram Rs&I (74190) range across 2 matching MRF lines |
$1,415.60–$1,543.20 | $3,539–$3,858 | varies |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) range across 2 matching MRF lines |
$4,930–$5,374 | $12,325–$13,435 | varies |
| Pulmonary Perfusion Imaging Particulate (78580) range across 2 matching MRF lines |
$1,048.80–$1,143.20 | $2,622–$2,858 | varies |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$280–$305.20 | $700–$763 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 2 matching MRF lines |
$578.80–$631.20 | $1,447–$1,578 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$280.40–$306 | $701–$765 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$200–$218 | $500–$545 | varies |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$280.40–$306 | $701–$765 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$463.20–$505.20 | $1,158–$1,263 | varies |
| Radex fingr minimum 2 views (73140) range across 2 matching MRF lines |
$200–$218 | $500–$545 | varies |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$280.40–$306 | $701–$765 | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$280.40–$306 | $701–$765 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 2 matching MRF lines |
$260.40–$284 | $651–$710 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) range across 2 matching MRF lines |
$162–$176.80 | $405–$442 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$280.40–$306 | $701–$765 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 2 matching MRF lines |
$280.40–$306 | $701–$765 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$379.20–$413.60 | $948–$1,034 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$280.40–$306 | $701–$765 | varies |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) range across 2 matching MRF lines |
$307.20–$335.20 | $768–$838 | varies |
| Radex Spine 1 View Specify Level (72020) range across 2 matching MRF lines |
$142–$154.80 | $355–$387 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$280.40–$306 | $701–$765 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$463.20–$505.20 | $1,158–$1,263 | varies |
| Radex Toe Minimum 2 Views (73660) range across 2 matching MRF lines |
$200–$218 | $500–$545 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 2 matching MRF lines |
$200.80–$219.20 | $502–$548 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$280.40–$306 | $701–$765 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$463.20–$505.20 | $1,158–$1,263 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 2 matching MRF lines |
$242–$264 | $605–$660 | varies |
| Radiologic exam colon double contrast study (74280) range across 2 matching MRF lines |
$473.20–$516 | $1,183–$1,290 | varies |
| Radiologic exam colon single contrast study (74270) range across 2 matching MRF lines |
$421.20–$459.20 | $1,053–$1,148 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$260.40–$284 | $651–$710 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 2 matching MRF lines |
$356.40–$388.80 | $891–$972 | varies |
| Radiologic exam swallow function contrast study (74230) range across 2 matching MRF lines |
$363.20–$396 | $908–$990 | varies |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$553.20–$603.20 | $1,383–$1,508 | varies |
| Radiologic examination femur 1 view (73551) range across 2 matching MRF lines |
$190.80–$208 | $477–$520 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$280.40–$306 | $701–$765 | varies |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$175.60–$191.60 | $439–$479 | varies |
| Radiologic Examination Osseous Survey Limited (77074) range across 2 matching MRF lines |
$174–$190 | $435–$475 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 2 matching MRF lines |
$200–$218 | $500–$545 | varies |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$463.20–$505.20 | $1,158–$1,263 | varies |
| Rp loclzj tum plnr 1 area single day imaging (78800) range across 2 matching MRF lines |
$531.20–$579.20 | $1,328–$1,448 | varies |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) range across 2 matching MRF lines |
$531.20–$579.20 | $1,328–$1,448 | varies |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) range across 2 matching MRF lines |
$1,841.20–$2,007.20 | $4,603–$5,018 | varies |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) range across 2 matching MRF lines |
$1,586.40–$1,729.20 | $3,966–$4,323 | varies |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 2 matching MRF lines |
$1,586.40–$1,729.20 | $3,966–$4,323 | varies |
| Scapula (73010) range across 2 matching MRF lines |
$280.40–$306 | $701–$765 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 2 matching MRF lines |
$47.20–$51.60 | $118–$129 | varies |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$191.60–$209.20 | $479–$523 | varies |
| Shoulder Arthrography (73040) range across 2 matching MRF lines |
$654.80–$714 | $1,637–$1,785 | varies |
| Sialogram (70390) range across 2 matching MRF lines |
$508.40–$554.40 | $1,271–$1,386 | varies |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$233.20–$254.40 | $583–$636 | varies |
| Sternoclavicular joints (71130) range across 2 matching MRF lines |
$372.80–$406.40 | $932–$1,016 | varies |
| Temporomandble Jt Arthrography Rs&I (70332) range across 2 matching MRF lines |
$797.60–$869.60 | $1,994–$2,174 | varies |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$315.60–$344.40 | $789–$861 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$315.60–$344.40 | $789–$861 | varies |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$315.60–$344.40 | $789–$861 | varies |
| Thyroid Imaging With Vascular Flow (78013) range across 2 matching MRF lines |
$672.40–$733.20 | $1,681–$1,833 | varies |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) range across 2 matching MRF lines |
$765.20–$834.40 | $1,913–$2,086 | varies |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$153.60–$167.60 | $384–$419 | varies |
| Ultrasound Elastography Parenchyma (76981) range across 2 matching MRF lines |
$532–$580 | $1,330–$1,450 | varies |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
$250.40–$273.20 | $626–$683 | varies |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$642–$700 | $1,605–$1,750 | varies |
| Umbilical-artery Doppler (OB) (76820) range across 2 matching MRF lines |
$254.40–$277.60 | $636–$694 | varies |
| Unlisted Dx Radiographic Procedure (76499) range across 2 matching MRF lines |
$1,128.40–$1,230 | $2,821–$3,075 | varies |
| Unlisted fluoroscopic procedure (76496) range across 2 matching MRF lines |
$306.40–$334 | $766–$835 | varies |
| Unlisted magnetic resonance procedure (76498) range across 2 matching MRF lines |
$361.60–$394.40 | $904–$986 | varies |
| Upper gi w/o kub (74240) range across 2 matching MRF lines |
$553.20–$603.20 | $1,383–$1,508 | varies |
| Urethrocystogram voiding (74455) range across 2 matching MRF lines |
$578.80–$631.20 | $1,447–$1,578 | varies |
| Urethrocystography retrograde (74450) range across 2 matching MRF lines |
$413.20–$450.40 | $1,033–$1,126 | varies |
| Us breast unilateral complete (76641) range across 2 matching MRF lines |
$188.40–$205.60 | $471–$514 | varies |
| Us chest (76604) range across 2 matching MRF lines |
$218.40–$238.40 | $546–$596 | varies |
| Us complete joint (76881) range across 2 matching MRF lines |
$385.60–$420.40 | $964–$1,051 | varies |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$256.80–$280 | $642–$700 | varies |
| Us head (76506) range across 2 matching MRF lines |
$218.40–$238.40 | $546–$596 | varies |
| Us kidney transplant (76776) range across 2 matching MRF lines |
$306–$333.60 | $765–$834 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$209.20–$228.40 | $523–$571 | varies |
| Us ob detailed single fetus (76811) range across 2 matching MRF lines |
$653.20–$712 | $1,633–$1,780 | varies |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$254–$277.20 | $635–$693 | varies |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$426.80–$465.60 | $1,067–$1,164 | varies |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$638–$695.60 | $1,595–$1,739 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$254–$277.20 | $635–$693 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 2 matching MRF lines |
$187.20–$204.40 | $468–$511 | varies |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$896.40–$977.20 | $2,241–$2,443 | varies |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$709.60–$773.60 | $1,774–$1,934 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$839.60–$915.20 | $2,099–$2,288 | varies |
| Us spinal canal and contents (76800) range across 2 matching MRF lines |
$193.60–$211.20 | $484–$528 | varies |
| Us thyroid (76536) range across 2 matching MRF lines |
$593.20–$646.80 | $1,483–$1,617 | varies |
| Us transrectal (76872) range across 2 matching MRF lines |
$254–$277.20 | $635–$693 | varies |
| Vein X-Ray Chest (75827) range across 2 matching MRF lines |
$3,574–$3,896 | $8,935–$9,740 | varies |
| Vein X-Ray Liver W/O Hemodyn (75887) range across 2 matching MRF lines |
$2,034.40–$2,217.60 | $5,086–$5,544 | varies |
| Venogram Sinus/Jugular (75860) range across 2 matching MRF lines |
$4,462.80–$4,864.80 | $11,157–$12,162 | varies |
| Venography Adrenal Unilateral (75840) range across 2 matching MRF lines |
$4,930–$5,374 | $12,325–$13,435 | varies |
| Venography caval inferior serialography rs&i (75825) range across 2 matching MRF lines |
$4,930–$5,374 | $12,325–$13,435 | varies |
| Venography extremity bilateral rs&i (75822) range across 2 matching MRF lines |
$1,415.60–$1,543.20 | $3,539–$3,858 | varies |
| Venography extremity unilateral rs&i (75820) range across 2 matching MRF lines |
$1,584.80–$1,727.60 | $3,962–$4,319 | varies |
| Venography Renal Bilateral (75833) range across 2 matching MRF lines |
$4,930–$5,374 | $12,325–$13,435 | varies |
| Venography Renal Unilateral (75831) range across 2 matching MRF lines |
$4,930–$5,374 | $12,325–$13,435 | varies |
| Venous sampling by catheter (75893) range across 2 matching MRF lines |
$4,930–$5,374 | $12,325–$13,435 | varies |
| Vertebral fracture assessment via dxa (77086) range across 2 matching MRF lines |
$150.80–$164.40 | $377–$411 | varies |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$188–$205.20 | $470–$513 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$372.80–$406.40 | $932–$1,016 | varies |
| X-ray antegrade pyelogram tube (74425) range across 2 matching MRF lines |
$578.80–$631.20 | $1,447–$1,578 | varies |
| X-Ray Aorta Leg Arteries (75630) range across 2 matching MRF lines |
$4,930–$5,374 | $12,325–$13,435 | varies |
| X-Ray Bend Only L-S Spine (72120) range across 2 matching MRF lines |
$281.60–$307.20 | $704–$768 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$200–$218 | $500–$545 | varies |
| X-Ray Exam Breast Specimen (76098) range across 2 matching MRF lines |
$1,080–$1,177.20 | $2,700–$2,943 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 2 matching MRF lines |
$331.60–$361.60 | $829–$904 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$331.60–$361.60 | $829–$904 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 2 matching MRF lines |
$190.80–$208 | $477–$520 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 2 matching MRF lines |
$291.60–$318 | $729–$795 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$389.20–$424.40 | $973–$1,061 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 2 matching MRF lines |
$389.20–$424.40 | $973–$1,061 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$825.60–$900 | $2,064–$2,250 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$280.40–$306 | $701–$765 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$507.20–$553.20 | $1,268–$1,383 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 2 matching MRF lines |
$280.40–$306 | $701–$765 | varies |
| X-ray eye for foreign body (70030) range across 2 matching MRF lines |
$101.20–$110.40 | $253–$276 | varies |
| X-ray humerus (73060) range across 2 matching MRF lines |
$280.40–$306 | $701–$765 | varies |
| X-ray IV pyelogram (ivp) (74400) range across 2 matching MRF lines |
$478.40–$521.60 | $1,196–$1,304 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$175.60–$191.60 | $439–$479 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$377.20–$411.20 | $943–$1,028 | varies |
| X-ray nose-rectum child f.b. (76010) range across 2 matching MRF lines |
$316.80–$345.60 | $792–$864 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$463.20–$505.20 | $1,158–$1,263 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$372.80–$406.40 | $932–$1,016 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$280.40–$306 | $701–$765 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$463.20–$505.20 | $1,158–$1,263 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$463.20–$505.20 | $1,158–$1,263 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 2 matching MRF lines |
$578.80–$631.20 | $1,447–$1,578 | varies |
| X-Rays Bone Length Studies (77073) range across 2 matching MRF lines |
$463.20–$505.20 | $1,158–$1,263 | varies |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$830.80–$905.60 | $2,077–$2,264 | varies |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$463.20–$505.20 | $1,158–$1,263 | varies |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$463.20–$505.20 | $1,158–$1,263 | 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.