Imaging prices at Fitzgibbon Hospital
Marshall, MO · every code in this section with a posted price and a Medicare benchmark.
257 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 3-D radiotherapy plan dose-volume histograms (77295) range across 2 matching MRF lines |
$1,226.40–$3,970.68 | $1,533–$4,963.35 | varies |
| Abdomen 1 View (74018) range across 3 matching MRF lines |
$18.86–$255.72 | $23.58–$319.65 | varies |
| Abdomen 2 views (74019) range across 4 matching MRF lines |
$22.96–$439.97 | $28.70–$549.96 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) range across 2 matching MRF lines |
$94.30–$1,160.63 | $117.88–$1,450.79 | varies |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$16.40–$235.06 | $20.50–$293.82 | varies |
| Arthrogram ankle (73615) range across 3 matching MRF lines |
$55.76–$720.66 | $69.70–$900.82 | varies |
| Arthrogram hip (73525) range across 3 matching MRF lines |
$56.58–$657.81 | $70.72–$822.26 | varies |
| Arthrogram Wrist (73115) range across 3 matching MRF lines |
$55.76–$706.88 | $69.70–$883.60 | varies |
| Basic radiation dosimetry calculation (77300) | $482.16 | $602.70 | 3.6× |
| Bone age studies (77072) range across 2 matching MRF lines |
$18.86–$241.08 | $23.58–$301.35 | varies |
| Bone Imaging 3 Phase (78315) range across 2 matching MRF lines |
$96.76–$1,630.74 | $120.95–$2,038.42 | varies |
| Bone Imaging Limited Area (78300) range across 2 matching MRF lines |
$61.50–$1,009.10 | $76.88–$1,261.37 | varies |
| Bone Imaging Whole Body (78306) range across 2 matching MRF lines |
$82.82–$1,448.20 | $103.53–$1,810.25 | varies |
| Bone survey infant (77076) range across 2 matching MRF lines |
$69.70–$721.52 | $87.13–$901.90 | varies |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) range across 2 matching MRF lines |
$61.50–$1,058.17 | $76.88–$1,322.71 | varies |
| Brain Imaging Pet Metabolic Evaluation (78608) range across 2 matching MRF lines |
$141.86–$4,292.09 | $177.33–$5,365.11 | varies |
| Chest 1 view (71045) range across 4 matching MRF lines |
$18.86–$281.54 | $23.58–$351.93 | varies |
| Chest 2 views (71046) range across 2 matching MRF lines |
$22.14–$71.44 | $27.68–$89.30 | varies |
| Chest 3 views (71047) | $27.06 | $33.83 | 0.3× |
| Clavicle complete (73000) range across 4 matching MRF lines |
$16.40–$560.51 | $20.50–$700.64 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $140.34 | $175.43 | 1.3× |
| Continuing medical physics consltj pr wk (77336) | $457.80 | $572.25 | 3.4× |
| Contrast X-Ray Bladder (74430) range across 2 matching MRF lines |
$31.16–$377.12 | $38.95–$471.40 | varies |
| Contrast X-Ray Of Elbow (73085) range across 3 matching MRF lines |
$55.76–$934.18 | $69.70–$1,167.73 | varies |
| Contrast X-Ray Of Knee Joint (73580) range across 3 matching MRF lines |
$61.50–$748.21 | $76.88–$935.26 | varies |
| CT abdomen and pelvis without and with contrast (74178) range across 6 matching MRF lines |
$195.16–$3,234.78 | $243.95–$4,043.47 | varies |
| CT abdomen and pelvis without contrast (74176) range across 4 matching MRF lines |
$173.02–$3,252 | $216.28–$4,065 | varies |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$125.46–$1,734.06 | $156.83–$2,167.57 | varies |
| CT abdomen w wo contrast (74170) range across 3 matching MRF lines |
$137.76–$2,312.65 | $172.20–$2,890.81 | varies |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$118.90–$1,454.23 | $148.63–$1,817.79 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 3 matching MRF lines |
$215.25–$1,952.75 | $269.06–$2,440.94 | varies |
| CT Angio Chest (71275) range across 4 matching MRF lines |
$174.40–$2,017.32 | $218–$2,521.65 | varies |
| CT Angio Head (70496) range across 4 matching MRF lines |
$170.40–$1,847.70 | $213–$2,309.63 | varies |
| CT angio hrt w/3d image (75574) range across 2 matching MRF lines |
$178.76–$701.71 | $223.45–$877.14 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
$184.50–$1,602.32 | $230.63–$2,002.90 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$174.66–$1,740.94 | $218.33–$2,176.18 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 2 matching MRF lines |
$176.30–$1,174.41 | $220.38–$1,468.01 | varies |
| CT cervical spine w/ contrast (72126) range across 2 matching MRF lines |
$240–$763.70 | $300–$954.63 | varies |
| CT cervical spine w/o contrast (72125) range across 4 matching MRF lines |
$94.40–$1,570.46 | $118–$1,963.08 | varies |
| CT cervical spine w/wo cont (72127) range across 2 matching MRF lines |
$124.64–$836.90 | $155.80–$1,046.12 | varies |
| CT chest w contrast (71260) range across 6 matching MRF lines |
$110.40–$1,567.02 | $138–$1,958.78 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$121.36–$1,965.66 | $151.70–$2,457.08 | varies |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$110.70–$1,351.77 | $138.38–$1,689.71 | varies |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$125.46–$1,742.66 | $156.83–$2,178.33 | varies |
| CT heart no contrast quant eval coronry calcium (75571) range across 2 matching MRF lines |
$56.58–$111.07 | $70.72–$138.84 | varies |
| CT iac w contrast (70481) range across 3 matching MRF lines |
$110.70–$1,196.79 | $138.38–$1,495.99 | varies |
| CT l-spine w&w/o contrast (72133) range across 2 matching MRF lines |
$125.46–$1,252.75 | $156.83–$1,565.94 | varies |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$96.76–$1,195.07 | $120.95–$1,493.84 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$113.16–$1,102.94 | $141.45–$1,378.68 | varies |
| CT lumbar spine w contrast (72132) | $763.70 | $954.63 | 2.2× |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$96.76–$1,642.79 | $120.95–$2,053.49 | varies |
| CT maxillofacial w contrast (70487) range across 3 matching MRF lines |
$110.70–$1,485.22 | $138.38–$1,856.53 | varies |
| CT maxillofacial wo contrast (70486) range across 4 matching MRF lines |
$84.46–$1,221.76 | $105.58–$1,527.20 | varies |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$158.26–$1,940.70 | $197.83–$2,425.87 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 3 matching MRF lines |
$125.46–$1,720.28 | $156.83–$2,150.35 | varies |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$127.10–$1,247.59 | $158.88–$1,559.49 | varies |
| CT pelvis w&w/o contrast (72194) range across 2 matching MRF lines |
$117.26–$1,868.37 | $146.58–$2,335.46 | varies |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$106.60–$1,467.14 | $133.25–$1,833.93 | varies |
| CT scan of leg combo (73702) range across 3 matching MRF lines |
$117.26–$1,883.01 | $146.58–$2,353.76 | varies |
| CT scans face/jaw combo (70488) range across 3 matching MRF lines |
$125.46–$1,353.50 | $156.83–$1,691.87 | varies |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$122.40–$1,485.22 | $153–$1,856.53 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$135.30–$1,225.20 | $169.13–$1,531.50 | varies |
| CT thoracic spine w contrast (72129) | $421.89 | $527.36 | 2.4× |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$96.76–$1,398.26 | $120.95–$1,747.83 | varies |
| CT thoracic spine w/wo cont (72130) range across 2 matching MRF lines |
$127.10–$1,745.25 | $158.88–$2,181.56 | varies |
| CT thorax w/o contrast (71250) range across 5 matching MRF lines |
$104–$1,485.22 | $130–$1,856.53 | varies |
| CT upper ext wo (73200) range across 3 matching MRF lines |
$96.76–$1,275.14 | $120.95–$1,593.93 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 2 matching MRF lines |
$118.90–$1,654.84 | $148.63–$2,068.55 | varies |
| CT upper extremity with contrast (73201) range across 3 matching MRF lines |
$113.16–$1,558.41 | $141.45–$1,948.01 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$232.06–$1,205.40 | $290.08–$1,506.75 | varies |
| Cta Abdomen (74175) range across 4 matching MRF lines |
$174.40–$1,819.30 | $218–$2,274.12 | varies |
| CTA pelvis (72191) range across 2 matching MRF lines |
$176.30–$1,935.53 | $220.38–$2,419.41 | varies |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$74.62–$143.78 | $93.28–$179.73 | varies |
| Dxa bone density study (77085) range across 3 matching MRF lines |
$61.50–$98.40 | $76.88–$123 | varies |
| Dxa bone density study 1/>sites appendiclr skel (77081) range across 2 matching MRF lines |
$59.86–$94.71 | $74.83–$118.39 | varies |
| Echo exam uterus (76831) range across 2 matching MRF lines |
$72.16–$687.94 | $90.20–$859.92 | varies |
| Esophagram (74220) range across 2 matching MRF lines |
$59.86–$493.35 | $74.83–$616.69 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 4 matching MRF lines |
$76.26–$610.45 | $95.33–$763.06 | varies |
| Fluoroscopy up to 1 hr (76000) range across 5 matching MRF lines |
$29.52–$1,121.02 | $36.90–$1,401.28 | varies |
| Follow-Up Angiography (75898) range across 2 matching MRF lines |
$184.50–$709.30 | $230.63–$886.63 | varies |
| Foot 2 views (73620) range across 3 matching MRF lines |
$15.58–$242.80 | $19.48–$303.50 | varies |
| Forearm 2 views (73090) range across 4 matching MRF lines |
$16.40–$252.27 | $20.50–$315.34 | varies |
| Gastric emptying imaging study (78264) range across 2 matching MRF lines |
$77.90–$1,333.69 | $97.38–$1,667.11 | varies |
| Gated Heart Planar Single (78472) range across 2 matching MRF lines |
$94.30–$1,371.58 | $117.88–$1,714.47 | varies |
| Hand 2 views (73120) range across 3 matching MRF lines |
$16.40–$235.06 | $20.50–$293.82 | varies |
| Hepatobil Syst Image W/Drug (78227) range across 2 matching MRF lines |
$86.10–$1,533.44 | $107.63–$1,916.80 | varies |
| Hepatobiliary System Imaging (78226) range across 2 matching MRF lines |
$72.16–$720.66 | $90.20–$900.82 | varies |
| Ht Muscle Image Spect Sing (78451) range across 2 matching MRF lines |
$131.20–$1,749.55 | $164–$2,186.94 | varies |
| Hysterosalpingogram (74740) range across 2 matching MRF lines |
$37.72–$791.26 | $47.15–$989.07 | varies |
| Image fusion (77399) | $248.80 | $311 | 1.8× |
| K Flow/Funct Image Multiple (78709) range across 2 matching MRF lines |
$135.30–$2,111.18 | $169.13–$2,638.97 | varies |
| K Flow/Funct Image W/Drug (78708) range across 2 matching MRF lines |
$114.80–$1,368.99 | $143.50–$1,711.24 | varies |
| K Flow/Funct Image W/O Drug (78707) range across 2 matching MRF lines |
$92.66–$1,443.90 | $115.83–$1,804.87 | varies |
| Knee 3 Views (73562) range across 5 matching MRF lines |
$17.34–$291.88 | $21.68–$364.85 | varies |
| Leveen/Shunt Patency Exam (78291) range across 2 matching MRF lines |
$86.10–$1,015.12 | $107.63–$1,268.90 | varies |
| Liver & Spleen Imaging Static Only (78215) range across 2 matching MRF lines |
$47.56–$1,286.34 | $59.45–$1,607.92 | varies |
| Lung Ventilat&Perfus Imaging (78582) range across 2 matching MRF lines |
$102.50–$1,645.37 | $128.13–$2,056.71 | varies |
| Lung Ventilation Imaging (78579) range across 2 matching MRF lines |
$47.56–$1,061.62 | $59.45–$1,327.02 | varies |
| Lymph System Imaging (78195) range across 2 matching MRF lines |
$114.80–$1,449.06 | $143.50–$1,811.33 | varies |
| Magnetic Image Jaw Joint (70336) range across 2 matching MRF lines |
$143.50–$2,140.45 | $179.38–$2,675.56 | varies |
| Meckels Divert Exam (78290) range across 2 matching MRF lines |
$65.60–$774.04 | $82–$967.55 | varies |
| Mlc imrt design & construction per imrt plan (77338) | $2,142 | $2,677.50 | 5.7× |
| Mra Head W/O & W/Contrast Material (70546) range across 3 matching MRF lines |
$145.96–$2,050.90 | $182.45–$2,563.63 | varies |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$117.26–$1,686.70 | $146.58–$2,108.37 | varies |
| MRA neck w contrast (70548) range across 2 matching MRF lines |
$145.96–$2,161.97 | $182.45–$2,702.46 | varies |
| Mra Neck W/O &W/Contrast Material (70549) range across 4 matching MRF lines |
$172–$2,063.82 | $215–$2,579.77 | varies |
| MRA neck w/o contrast (70547) range across 4 matching MRF lines |
$117.26–$2,043.15 | $146.58–$2,553.94 | varies |
| MRI abdomen w contrast (74182) range across 2 matching MRF lines |
$170.56–$2,242.05 | $213.20–$2,802.56 | varies |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$143.50–$2,150.78 | $179.38–$2,688.47 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 2 matching MRF lines |
$159.90–$2,074.15 | $199.88–$2,592.69 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$211.56–$2,641.55 | $264.45–$3,301.94 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 3 matching MRF lines |
$159.08–$1,823.60 | $198.85–$2,279.50 | varies |
| MRI cervical spine w contrast (72142) range across 2 matching MRF lines |
$178.76–$2,480.54 | $223.45–$3,100.68 | varies |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$145.96–$2,220.52 | $182.45–$2,775.65 | varies |
| MRI chest w/o contrast (71550) range across 2 matching MRF lines |
$143.50–$2,323.84 | $179.38–$2,904.80 | varies |
| MRI chest with contrast (71551) range across 2 matching MRF lines |
$170.56–$2,300.59 | $213.20–$2,875.74 | varies |
| MRI chest wo w contrast (71552) range across 2 matching MRF lines |
$209.60–$644.03 | $262–$805.04 | varies |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 2 matching MRF lines |
$158.26–$2,093.95 | $197.83–$2,617.44 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 2 matching MRF lines |
$211.56–$2,277.34 | $264.45–$2,846.68 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 3 matching MRF lines |
$131.20–$1,720.28 | $164–$2,150.35 | varies |
| MRI lumbar spine w contrast (72149) range across 2 matching MRF lines |
$176.30–$2,436.63 | $220.38–$3,045.79 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$225.50–$2,719.04 | $281.88–$3,398.80 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 3 matching MRF lines |
$131.20–$2,043.15 | $164–$2,553.94 | varies |
| MRI orbit face neck w contrast (70542) range across 3 matching MRF lines |
$158.26–$2,452.99 | $197.83–$3,066.24 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 3 matching MRF lines |
$209.92–$2,932.57 | $262.40–$3,665.71 | varies |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$215.66–$2,065.54 | $269.58–$2,581.92 | varies |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$143.50–$1,704.78 | $179.38–$2,130.98 | varies |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$145.96–$2,230.85 | $182.45–$2,788.56 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 2 matching MRF lines |
$158.26–$1,993.22 | $197.83–$2,491.52 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 2 matching MRF lines |
$133.66–$1,974.27 | $167.08–$2,467.84 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 2 matching MRF lines |
$213.20–$2,169.72 | $266.50–$2,712.15 | varies |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$215.66–$2,329.86 | $269.58–$2,912.33 | varies |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$225.50–$2,797.39 | $281.88–$3,496.74 | varies |
| MRI, dorsal spine contrast (72147) range across 2 matching MRF lines |
$176.30–$2,169.72 | $220.38–$2,712.15 | varies |
| MRI, joint upper extrem (73221) range across 3 matching MRF lines |
$133.66–$2,527.03 | $167.08–$3,158.79 | varies |
| MRI, joint upper extrem combo (73223) range across 3 matching MRF lines |
$208–$2,527.03 | $260–$3,158.79 | varies |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$225.50–$2,717.32 | $281.88–$3,396.65 | varies |
| Myelogram cervical (72240) range across 2 matching MRF lines |
$90.20–$1,242.42 | $112.75–$1,553.03 | varies |
| Myelogram Lumbar (72265) range across 2 matching MRF lines |
$82–$1,379.32 | $102.50–$1,724.15 | varies |
| Myelography thoracic (72255) range across 2 matching MRF lines |
$96.76–$1,059.89 | $120.95–$1,324.86 | varies |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) range across 2 matching MRF lines |
$68.06–$1,249.31 | $85.08–$1,561.64 | varies |
| Myocardial Imaging Pet Metabolic Evaluation (78459) range across 2 matching MRF lines |
$150.06–$2,118.92 | $187.58–$2,648.65 | varies |
| Myocardial Spect Multiple Studies (78452) range across 2 matching MRF lines |
$155.80–$3,363.06 | $194.75–$4,203.83 | varies |
| Neck soft tissue (70360) range across 3 matching MRF lines |
$18.04–$263.46 | $22.55–$329.33 | varies |
| Ntsty modul radthx pln dose-vol histos (77301) range across 2 matching MRF lines |
$3,748.92–$6,941.76 | $4,686.15–$8,677.20 | varies |
| Parathyroid Planar Imaging (78070) range across 2 matching MRF lines |
$77.08–$1,151.16 | $96.35–$1,438.95 | varies |
| Pelvis 1 or 2 views (72170) range across 3 matching MRF lines |
$17.22–$256.58 | $21.53–$320.72 | varies |
| PET image w/CT, full body (78816) range across 2 matching MRF lines |
$232.06–$4,501.31 | $290.08–$5,626.64 | varies |
| PET imaging CT attenuation skull base mid-thigh (78815) range across 2 matching MRF lines |
$232.06–$4,501.31 | $290.08–$5,626.64 | varies |
| Pulmonary Perfusion Imaging Particulate (78580) range across 2 matching MRF lines |
$72.16–$980.68 | $90.20–$1,225.85 | varies |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 3 matching MRF lines |
$22.38–$542.43 | $27.98–$678.04 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 2 matching MRF lines |
$51.66–$432.22 | $64.58–$540.28 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$17.22–$328.90 | $21.53–$411.13 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$16.40–$280.69 | $20.50–$350.86 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$17.22–$394.34 | $21.53–$492.92 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$27.06–$440.83 | $33.83–$551.04 | varies |
| Radex fingr minimum 2 views (73140) range across 3 matching MRF lines |
$13.94–$229.89 | $17.43–$287.36 | varies |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$16.40–$319.43 | $20.50–$399.29 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$16.40–$316.85 | $20.50–$396.06 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 3 matching MRF lines |
$13.78–$394.34 | $17.22–$492.92 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$17.22–$274.66 | $21.53–$343.32 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 2 matching MRF lines |
$20.50–$52.52 | $25.63–$65.65 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 6 matching MRF lines |
$18.86–$322.02 | $23.58–$402.52 | varies |
| Radex Spine 1 View Specify Level (72020) range across 2 matching MRF lines |
$16.40–$240.22 | $20.50–$300.27 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$19.68–$242.80 | $24.60–$303.50 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 3 matching MRF lines |
$23.78–$320.30 | $29.73–$400.37 | varies |
| Radex Toe Minimum 2 Views (73660) range across 3 matching MRF lines |
$13.12–$217.83 | $16.40–$272.29 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 2 matching MRF lines |
$16.40–$190.28 | $20.50–$237.85 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$17.22–$303.94 | $21.53–$379.92 | varies |
| Radiation treatment delivery level 1 (77402) | $350.28 | $437.85 | 3.4× |
| Radiation treatment delivery level 2 (77407) | $330.96 | $413.70 | 0.9× |
| Radiation treatment delivery level 3 (77412) | $614.04 | $767.55 | 1.1× |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$24.60–$377.98 | $30.75–$472.47 | varies |
| Radiologic exam colon double contrast study (74280) range across 2 matching MRF lines |
$123–$1,071.94 | $153.75–$1,339.93 | varies |
| Radiologic exam colon single contrast study (74270) range across 3 matching MRF lines |
$100.86–$634.56 | $126.08–$793.20 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$22.96–$358.18 | $28.70–$447.72 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$25.42–$311.68 | $31.78–$389.60 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 2 matching MRF lines |
$80.36–$743.90 | $100.45–$929.88 | varies |
| Radiologic exam swallow function contrast study (74230) range across 2 matching MRF lines |
$51.66–$479.58 | $64.58–$599.47 | varies |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$78.72–$422.75 | $98.40–$528.44 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines |
$18.86–$295.32 | $23.58–$369.15 | varies |
| Radiologic examination knee 1/2 views (73560) range across 4 matching MRF lines |
$16.40–$271.22 | $20.50–$339.02 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$16.40–$280.69 | $20.50–$350.86 | varies |
| Ribs bilateral 3 views (71110) range across 3 matching MRF lines |
$28.70–$432.22 | $35.88–$540.28 | varies |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) range across 2 matching MRF lines |
$96.76–$2,311.78 | $120.95–$2,889.73 | varies |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) range across 3 matching MRF lines |
$77.08–$1,344.88 | $96.35–$1,681.10 | varies |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 3 matching MRF lines |
$102.50–$1,778.82 | $128.13–$2,223.53 | varies |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $199.26 | $249.08 | 0.1× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $1,845.12 | $2,306.40 | 1.4× |
| Salivary Gland Imaging Serial Images (78231) range across 2 matching MRF lines |
$44.28–$456.33 | $55.35–$570.41 | varies |
| Scapula (73010) range across 4 matching MRF lines |
$14.64–$710.33 | $18.30–$887.91 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 2 matching MRF lines |
$57.69–$59.86 | $72.11–$74.83 | varies |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$14.76–$222.14 | $18.45–$277.67 | varies |
| Shoulder Arthrography (73040) range across 3 matching MRF lines |
$55.76–$946.24 | $69.70–$1,182.80 | varies |
| Special Physics Consult (77370) | $434.28 | $542.85 | 3.2× |
| Special teletherapy port plan (77321) | $1,999.20 | $2,499 | 5.3× |
| Special treatment procedure (77470) | $2,016 | $2,520 | 3.6× |
| Spleen Imaging (78185) range across 2 matching MRF lines |
$33.62–$910.94 | $42.03–$1,138.67 | varies |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $926.52 | $1,158.15 | 2.5× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $645.12 | $806.40 | 1.7× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $1,217.16 | $1,521.45 | 3.2× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $511.56 | $639.45 | 1.4× |
| Ther rad simulaj-aided field setting simple (77280) | $503.16 | $628.95 | 3.7× |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$20.50–$288.43 | $25.63–$360.54 | varies |
| Thoracic spine 3 views (72072) range across 3 matching MRF lines |
$22.96–$372.82 | $28.70–$466.02 | varies |
| Thyroid Imaging With Vascular Flow (78013) range across 2 matching MRF lines |
$36.08–$991.87 | $45.10–$1,239.84 | varies |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) range across 2 matching MRF lines |
$47.56–$1,110.69 | $59.45–$1,388.36 | varies |
| Tx Devices Design & Construction Complex (77334) | $1,046.64 | $1,308.30 | 2.8× |
| Tx devices design & construction intermediate (77333) | $680.40 | $850.50 | 5.1× |
| Tx devices design & construction simple (77332) | $716.52 | $895.65 | 5.3× |
| Ultrasound Breast Limited (76642) range across 5 matching MRF lines |
$68.06–$168.76 | $85.08–$210.95 | varies |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$57.40–$699.99 | $71.75–$874.99 | varies |
| Umbilical-artery Doppler (OB) (76820) range across 2 matching MRF lines |
$88.56–$192 | $110.70–$240 | varies |
| Unlisted Dx Radiographic Procedure (76499) | $22.38 | $27.98 | 0.3× |
| Upper gi w/o kub (74240) range across 2 matching MRF lines |
$78.72–$962.60 | $98.40–$1,203.25 | varies |
| Ureteral Reflux Study (78740) | $703.44 | $879.30 | 1.8× |
| Urethrocystogram voiding (74455) range across 2 matching MRF lines |
$31.98–$420.17 | $39.98–$525.21 | varies |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$72.16–$168.76 | $90.20–$210.95 | varies |
| Us chest (76604) range across 2 matching MRF lines |
$57.40–$515.74 | $71.75–$644.67 | varies |
| Us exam, pelvic, limited (76857) range across 5 matching MRF lines |
$47.56–$867.02 | $59.45–$1,083.78 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 3 matching MRF lines |
$68.06–$223 | $85.08–$278.75 | varies |
| Us ob limited 1 or more fetuses (76815) range across 4 matching MRF lines |
$63.96–$461.50 | $79.95–$576.87 | varies |
| Us ob transvaginal (76817) range across 7 matching MRF lines |
$24–$579.46 | $30–$724.32 | varies |
| Us pelvic non ob complete (76856) range across 5 matching MRF lines |
$16–$766.29 | $20–$957.86 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 5 matching MRF lines |
$24–$513.16 | $30–$641.45 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 4 matching MRF lines |
$82–$408.98 | $102.50–$511.22 | varies |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$72.16–$827.42 | $90.20–$1,034.28 | varies |
| Us retroperitoneal limited (76775) range across 3 matching MRF lines |
$56.58–$683.63 | $70.72–$854.54 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$63.96–$639.72 | $79.95–$799.65 | varies |
| Us thyroid (76536) range across 3 matching MRF lines |
$55.76–$639.72 | $69.70–$799.65 | varies |
| Vertebral fracture assessment via dxa (77086) | $169.62 | $212.02 | 1.9× |
| Wrist 2 views (73100) range across 3 matching MRF lines |
$16.40–$237.64 | $20.50–$297.05 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$56.82–$286.71 | $71.03–$358.39 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$16.40–$262.61 | $20.50–$328.26 | varies |
| X-Ray Exam Breast Specimen (76098) range across 2 matching MRF lines |
$31.16–$346.12 | $38.95–$432.65 | varies |
| X-Ray Exam Entire Spi 4/5 Vw (72083) range across 2 matching MRF lines |
$35.26–$236.78 | $44.08–$295.97 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 3 matching MRF lines |
$11.19–$235.91 | $13.99–$294.89 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 3 matching MRF lines |
$20.50–$293.60 | $25.63–$367 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) range across 3 matching MRF lines |
$31.16–$192 | $38.95–$240 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$31.16–$529.51 | $38.95–$661.89 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 3 matching MRF lines |
$22.96–$331.49 | $28.70–$414.36 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$29.52–$556.21 | $36.90–$695.26 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 3 matching MRF lines |
$27.06–$317.71 | $33.83–$397.14 | varies |
| X-ray humerus (73060) range across 3 matching MRF lines |
$16.40–$260.88 | $20.50–$326.10 | varies |
| X-ray IV pyelogram (ivp) (74400) range across 2 matching MRF lines |
$48.38–$829.14 | $60.48–$1,036.43 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 3 matching MRF lines |
$17.22–$159.29 | $21.53–$199.11 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 3 matching MRF lines |
$22.96–$407.26 | $28.70–$509.07 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 3 matching MRF lines |
$22.96–$422.75 | $28.70–$528.44 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 3 matching MRF lines |
$17.22–$315.13 | $21.53–$393.91 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$21.32–$394.34 | $26.65–$492.92 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$27.88–$436.53 | $34.85–$545.66 | varies |
| X-Ray Tmj Unilat (70328) range across 3 matching MRF lines |
$18.04–$204.92 | $22.55–$256.15 | varies |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$55.76–$761.13 | $69.70–$951.41 | varies |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$27.06–$423.62 | $33.83–$529.52 | varies |
| Xr facial bones less than 3 views (70140) range across 2 matching MRF lines |
$20.50–$282.41 | $25.63–$353.01 | varies |
| XR Mastoids < 3 Views Bilateral (70120) range across 2 matching MRF lines |
$18.86–$262.61 | $23.58–$328.26 | varies |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$27.88–$353.01 | $34.85–$441.26 | 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.