Imaging prices at Flowers Hospital
Dothan, AL · every code in this section with a posted price and a Medicare benchmark.
337 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) | $932.87 | $6,219.16 | 0.7× |
| Abdomen 1 View (74018) | $107.10 | $714 | 1.3× |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$283.35–$306 | $1,889.03–$2,040 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $703.05 | $4,687 | 1.8× |
| Acute venous thrombosis imaging, peptide Non-Facility (78456) | $848.91 | $5,659.41 | 0.7× |
| Angio pulmonary bilat (75743) range across 2 matching MRF lines |
$2,557.83–$3,087.75 | $17,052.20–$20,585 | varies |
| Angiography extremity bilateral rs&i (75716) range across 2 matching MRF lines |
$2,685.69–$3,087.75 | $17,904.63–$20,585 | varies |
| Angiography extremity unilateral rs&i (75710) range across 2 matching MRF lines |
$2,685.69–$3,087.75 | $17,904.63–$20,585 | varies |
| Angiography pulmonary unilateral slctv rs&i (75741) range across 2 matching MRF lines |
$2,557.83–$2,832.75 | $17,052.20–$18,885 | varies |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $673.94 | $4,492.92 | 0.2× |
| Ankle 2 views (73600) range across 4 matching MRF lines |
$133.65–$267.15 | $891–$1,781 | varies |
| Aortography thoracic serialography rs&i (75605) | $2,685.69 | $17,904.63 | 0.5× |
| Artery X-Rays Abdomen (75726) range across 2 matching MRF lines |
$4,706.06–$5,302.95 | $31,373.71–$35,353 | varies |
| Artery X-Rays Pelvis (75736) unusually low: confirm this is the full procedure |
$2,557.83 | $17,052.20 | 0.5× |
| Arthrogram ankle (73615) | $779.59 | $5,197.29 | 2.3× |
| Arthrogram hip (73525) range across 5 matching MRF lines |
$708.72–$779.59 | $4,724.83–$5,197.29 | varies |
| Arthrogram Wrist (73115) range across 2 matching MRF lines |
$526.32–$578.96 | $3,508.81–$3,859.70 | varies |
| Basic radiation dosimetry calculation (77300) | $104.39 | $695.90 | 0.8× |
| Bone age studies (77072) range across 2 matching MRF lines |
$143.21–$154.65 | $954.72–$1,031 | varies |
| Bone Imaging 3 Phase (78315) | $402 | $2,680 | 1.0× |
| Bone Imaging Limited Area (78300) | $402 | $2,680 | 1.0× |
| Bone Imaging Multiple Areas (78305) | $492.80 | $3,285.36 | 1.3× |
| Bone Imaging Whole Body (78306) | $1,166.55 | $7,777 | 3.0× |
| Bone marrow imaging limited area (78102) | $430.05 | $2,867 | 1.1× |
| Bone survey infant (77076) range across 2 matching MRF lines |
$307.86–$332.55 | $2,052.41–$2,217 | varies |
| Brachytx isodose complex (77318) | $366.53 | $2,443.50 | 1.0× |
| Brachytx isodose intermed (77317) | $366.53 | $2,443.50 | 1.0× |
| Brachytx Isodose Plan Simple (77316) | $104.39 | $695.90 | 0.3× |
| Brain Flow Imaging Only (78610) | $612.65 | $4,084.35 | 1.2× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $612.65 | $4,084.35 | 1.2× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $3,087.40 | $20,582.69 | 2.2× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $199.78 | $1,331.89 | 0.6× |
| Cat Scan Follow-Up Study (76380) | $317.25 | $2,115 | 3.8× |
| Cerebrospinal Fluid Scan (78630) | $612.65 | $4,084.35 | 1.2× |
| Chest 1 view (71045) | $118.20 | $788 | 1.4× |
| Chest 2 views (71046) | $168.75 | $1,125 | 2.0× |
| Chest 3 views (71047) | $211.80 | $1,412 | 2.5× |
| Chest 4 or more views (71048) range across 2 matching MRF lines |
$215.66–$232.95 | $1,437.71–$1,553 | varies |
| Cineradiograpy/vidradiograpy xcpt where spec (76120) | $220.94 | $1,472.91 | 2.2× |
| Cisternography Positive Contrast Rs&I (70015) | $1,171.95 | $7,813 | 1.6× |
| Clavicle complete (73000) range across 4 matching MRF lines |
$149.72–$355.20 | $998.13–$2,368 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $1,071.30 | $7,142 | 10.6× |
| Continuing medical physics consltj pr wk (77336) | $104.39 | $695.90 | 0.8× |
| Contrast Exam Abdominl Aorta (75625) range across 2 matching MRF lines |
$2,685.72–$3,087.75 | $17,904.77–$20,585 | varies |
| Contrast X-Ray Bladder (74430) range across 2 matching MRF lines |
$500.47–$540.45 | $3,336.44–$3,603 | varies |
| Contrast X-Ray Of Elbow (73085) range across 3 matching MRF lines |
$708.38–$779.59 | $4,722.53–$5,197.29 | varies |
| Contrast X-Ray Of Knee Joint (73580) range across 3 matching MRF lines |
$708.72–$779.59 | $4,724.83–$5,197.29 | varies |
| CT abdomen and pelvis without and with contrast (74178) | $2,940.45 | $19,603 | 8.7× |
| CT abdomen and pelvis without contrast (74176) | $2,421.15 | $16,141 | 10.5× |
| CT abdomen w contrast (74160) | $1,334.40 | $8,896 | 7.9× |
| CT abdomen w wo contrast (74170) | $1,512.90 | $10,086 | 9.0× |
| CT abdomen w/o contrast (74150) | $1,214.10 | $8,094 | 12.1× |
| CT Angio Abdomen and Pelvis (74174) | $2,552.25 | $17,015 | 7.6× |
| CT Angio Chest (71275) | $2,336.85 | $15,579 | 13.8× |
| CT Angio Head (70496) | $2,161.20 | $14,408 | 12.8× |
| CT angio hrt w/3d image (75574) | $807.95 | $5,386.31 | 2.4× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
$2,052.40–$2,237.10 | $13,682.64–$14,914 | varies |
| CT Angio Neck (70498) | $2,452.05 | $16,347 | 14.5× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 2 matching MRF lines |
$1,769.70–$2,052.40 | $11,798–$13,682.64 | varies |
| CT cervical spine w/ contrast (72126) | $2,621.10 | $17,474 | 7.8× |
| CT cervical spine w/o contrast (72125) | $2,514.60 | $16,764 | 25.0× |
| CT cervical spine w/wo cont (72127) | $2,308.04 | $15,386.94 | 13.7× |
| CT chest w contrast (71260) | $1,334.40 | $8,896 | 7.9× |
| CT chest w/wo contrast (71270) | $1,422.45 | $9,483 | 8.4× |
| CT head/brain with contrast (70460) | $1,290.90 | $8,606 | 7.6× |
| CT head/brain without and with contrast (70470) | $1,824.75 | $12,165 | 10.8× |
| CT heart contrast eval cardiac structure&morph (75572) | $696.60 | $4,644 | 2.1× |
| CT heart no contrast quant eval coronry calcium (75571) | $209.10 | $1,394 | 2.5× |
| CT iac w contrast (70481) | $551.40 | $3,676 | 3.3× |
| CT l-spine w&w/o contrast (72133) | $2,621.10 | $17,474 | 15.5× |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$1,327.20–$2,655.75 | $8,848–$17,705 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$1,247.10–$2,436.46 | $8,314–$16,243.04 | varies |
| CT lumbar spine w contrast (72132) | $2,621.10 | $17,474 | 7.8× |
| CT lumbar spine w/o contrast (72131) | $2,514.60 | $16,764 | 25.0× |
| CT maxillofacial w contrast (70487) | $511.35 | $3,409 | 3.0× |
| CT maxillofacial wo contrast (70486) | $1,600.65 | $10,671 | 15.9× |
| CT neck tissue combo (70492) | $1,773 | $11,820 | 10.5× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,824.75 | $12,165 | 10.8× |
| CT orbits w/o contrast (70480) | $445.35 | $2,969 | 4.4× |
| CT pelvis w&w/o contrast (72194) | $1,427.40 | $9,516 | 8.4× |
| CT pelvis w/o contrast (72192) | $1,207.50 | $8,050 | 12.0× |
| CT scan of leg combo (73702) range across 2 matching MRF lines |
$1,296.75–$1,618.18 | $8,645–$10,787.86 | varies |
| CT scans face/jaw combo (70488) | $1,671.60 | $11,144 | 9.9× |
| CT soft tissue neck w contrast (70491) | $1,543.50 | $10,290 | 9.1× |
| CT soft tissue neck w/o contrast (70490) | $1,327.20 | $8,848 | 13.2× |
| CT thoracic spine w contrast (72129) | $2,621.10 | $17,474 | 15.5× |
| CT thoracic spine w/o contrast (72128) | $2,514.60 | $16,764 | 25.0× |
| CT thoracic spine w/wo cont (72130) | $2,404.67 | $16,031.13 | 14.2× |
| CT thorax w/o contrast (71250) | $1,207.95 | $8,053 | 12.0× |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$1,291.17–$1,407.30 | $8,607.77–$9,382 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 2 matching MRF lines |
$1,189.70–$1,618.18 | $7,931.36–$10,787.86 | varies |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$1,236.80–$1,348.05 | $8,245.34–$8,987 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $2,700.45 | $18,003 | 16.0× |
| Cta Abdomen (74175) | $2,424.15 | $16,161 | 14.3× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $4,613.25 | $30,755 | 13.7× |
| CTA pelvis (72191) | $2,058.14 | $13,720.94 | 12.2× |
| Dilation ureters/urethra rs&i (74485) | $1,195.86 | $7,972.41 | 0.6× |
| Diskography lumbar (72295) | $3,172.02 | $21,146.83 | 1.7× |
| Dxa Bone Density Axial (77080) | $93.45 | $623 | 0.9× |
| Dxa bone density study (77085) | $81.45 | $543 | 0.8× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $56.25 | $375 | 0.7× |
| Echo exam uterus (76831) | $219.03 | $1,460.19 | 1.0× |
| Echo Guide For Artery Repair (76936) | $405.50 | $2,703.34 | 1.9× |
| Esophagram (74220) | $240.75 | $1,605 | 1.4× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $167.10 | $1,114 | 1.7× |
| Fluoroscopy up to 1 hr (76000) range across 3 matching MRF lines |
$190.92–$238.65 | $1,272.83–$1,591 | varies |
| Follow-Up Angiography (75898) range across 2 matching MRF lines |
$863.39–$883.37 | $5,755.92–$5,889.13 | varies |
| Foot 2 views (73620) range across 4 matching MRF lines |
$123.68–$267.15 | $824.55–$1,781 | varies |
| Forearm 2 views (73090) range across 4 matching MRF lines |
$169.20–$313.95 | $1,128–$2,093 | varies |
| Gastric emptying imaging study (78264) | $1,076.85 | $7,179 | 2.8× |
| Gated Heart Planar Single (78472) | $633.60 | $4,224 | 1.6× |
| Hand 2 views (73120) range across 4 matching MRF lines |
$123.68–$267.15 | $824.55–$1,781 | varies |
| Hdr Rdncl Ntrstl/Icav Brchtx (77772) | $660.51 | $4,403.40 | 1.0× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) | $660.21 | $4,401.40 | 1.0× |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) | $660.51 | $4,403.40 | 1.0× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $2,200.71 | $14,671.42 | 0.7× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $2,200.71 | $14,671.42 | 0.7× |
| Hepatobil Syst Image W/Drug (78227) | $1,354.80 | $9,032 | 2.6× |
| Hepatobiliary System Imaging (78226) | $1,162.05 | $7,747 | 3.0× |
| Ht Muscle Image Spect Sing (78451) | $1,431.30 | $9,542 | 1.1× |
| Hysterosalpingogram (74740) | $397.05 | $2,647 | 1.7× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $299.85 | $1,999 | 3.6× |
| Infusion Ivp (74410) range across 2 matching MRF lines |
$337.73–$364.80 | $2,251.53–$2,432 | varies |
| Interstitial radiation source applic complex (77778) | $898.07 | $5,987.16 | 1.3× |
| K Flow/Funct Image Multiple (78709) | $1,360.50 | $9,070 | 2.6× |
| K Flow/Funct Image W/Drug (78708) | $1,160.40 | $7,736 | 2.2× |
| K Flow/Funct Image W/O Drug (78707) | $981.02 | $6,540.11 | 1.9× |
| Kidney Imaging Morphol (78700) | $487.06 | $3,247.08 | 1.3× |
| Knee 3 Views (73562) range across 4 matching MRF lines |
$157–$215.85 | $1,046.66–$1,439 | varies |
| Liver & Spleen Imaging Static Only (78215) | $692.69 | $4,617.90 | 1.8× |
| Lung Perf&Ventilat Diferentl (78598) | $322.13 | $2,147.52 | 0.6× |
| Lung perfusion differential (78597) | $231.18 | $1,541.20 | 0.6× |
| Lung Ventilat&Perfus Imaging (78582) | $918.90 | $6,126 | 1.8× |
| Lymph System Imaging (78195) | $1,036.54 | $6,910.24 | 2.0× |
| Magnetic Image Jaw Joint (70336) | $1,126.95 | $7,513 | 4.9× |
| Mammary ductogram or galactogram multiple (77054) | $365.30 | $2,435.31 | 1.6× |
| Mammary ductogram or galactogram single (77053) | $365.30 | $2,435.31 | 1.6× |
| Meckels Divert Exam (78290) | $581.85 | $3,879 | 1.5× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $18.37 | $122.45 | 0.7× |
| Mra Head W/O & W/Contrast Material (70546) | $884.40 | $5,896 | 2.6× |
| MRA head w/o contrast (70544) | $615.60 | $4,104 | 2.7× |
| MRA head with contrast (70545) | $601.50 | $4,010 | 1.8× |
| MRA neck w contrast (70548) | $601.50 | $4,010 | 1.8× |
| Mra Neck W/O &W/Contrast Material (70549) | $1,086.31 | $7,242.07 | 3.2× |
| MRA neck w/o contrast (70547) | $547.56 | $3,650.43 | 2.4× |
| MRI abdomen w contrast (74182) | $1,342.49 | $8,949.91 | 4.0× |
| MRI abdomen w/o contrast (74181) | $1,516.80 | $10,112 | 6.6× |
| MRI any jt lower extrem w/contrast material (73722) range across 2 matching MRF lines |
$1,103.16–$1,116.45 | $7,354.40–$7,443 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$1,281.75–$2,256.48 | $8,545–$15,043.23 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) | $1,229.55 | $8,197 | 1.6× |
| MRI Breast W/O Contrast Bilateral (77047) | $2,256.48 | $15,043.23 | 9.8× |
| MRI Breast Without Contrast Material Unilateral (77046) | $1,175.92 | $7,839.44 | 5.1× |
| MRI cardiac w/o contrast (75557) | $121.52 | $810.12 | 0.5× |
| MRI cervical spine w contrast (72142) | $1,379.85 | $9,199 | 4.1× |
| MRI cervical spine w/o cont (72141) | $1,607.70 | $10,718 | 7.0× |
| MRI chest w/o contrast (71550) | $1,315.20 | $8,768 | 5.7× |
| MRI chest with contrast (71551) | $1,162.90 | $7,752.64 | 1.5× |
| MRI chest wo w contrast (71552) | $1,313 | $8,753.31 | 3.9× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 2 matching MRF lines |
$1,024.28–$1,882 | $6,828.54–$12,546.68 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 2 matching MRF lines |
$1,281.75–$2,631.74 | $8,545–$17,544.93 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $1,229.55 | $8,197 | 5.3× |
| MRI lumbar spine w contrast (72149) | $1,480.80 | $9,872 | 4.4× |
| Mri Neck Spine W/O & W/Dye (72156) | $2,553.90 | $17,026 | 7.6× |
| MRI orbit face &/neck w/o contrast (70540) | $1,636.05 | $10,907 | 7.1× |
| MRI orbit face neck w contrast (70542) | $1,492.59 | $9,950.57 | 4.4× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $1,791.75 | $11,945 | 5.3× |
| MRI pelvis w contrast (72196) | $1,462.50 | $9,750 | 4.4× |
| MRI pelvis w/o & w contrast (72197) | $1,631.10 | $10,874 | 4.9× |
| MRI pelvis w/o contrast (72195) | $1,607.70 | $10,718 | 7.0× |
| MRI thoracic spine w/o contrast (72146) | $1,516.80 | $10,112 | 6.6× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $887.97 | $5,919.80 | 2.6× |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 2 matching MRF lines |
$979.10–$1,067.25 | $6,527.33–$7,115 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) | $1,131.90 | $7,546 | 3.4× |
| MRI, abdomen, combo (74183) | $1,626.90 | $10,846 | 4.8× |
| MRI, dorsal spine combo (72157) | $2,392.35 | $15,949 | 7.1× |
| MRI, dorsal spine contrast (72147) | $1,379.85 | $9,199 | 4.1× |
| MRI, joint upper extrem (73221) range across 2 matching MRF lines |
$1,116.45–$1,229.55 | $7,443–$8,197 | varies |
| MRI, joint upper extrem combo (73223) range across 2 matching MRF lines |
$2,247.69–$2,449.95 | $14,984.58–$16,333 | varies |
| MRI, lumbar spine combo (72158) | $2,552.70 | $17,018 | 7.6× |
| Myocardial Spect Multiple Studies (78452) | $2,730.15 | $18,201 | 2.2× |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$106.46–$114.90 | $709.70–$766 | varies |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $191.55 | $1,276.97 | 0.5× |
| Nonvascular Shunt X-Ray (75809) range across 2 matching MRF lines |
$491.17–$540.28 | $3,274.48–$3,601.86 | varies |
| Ntsty modul radthx pln dose-vol histos (77301) | $932.87 | $6,219.16 | 0.7× |
| Nuclear Rx Oral Admin (79005) | $1,215.75 | $8,105 | 5.4× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $848.91 | $5,659.41 | 1.6× |
| Parathyroid Planar Imaging (78070) | $549.15 | $3,661 | 1.4× |
| Parathyroid planar imaging w/wo subtraction (78071) | $848.91 | $5,659.41 | 2.2× |
| Pelvis 1 or 2 views (72170) | $205.50 | $1,370 | 2.0× |
| Pet Image W/Ct Lmtd (78814) | $3,087.40 | $20,582.69 | 2.2× |
| PET image w/CT, full body (78816) | $3,334.35 | $22,229 | 2.4× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $3,334.35 | $22,229 | 2.4× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $4,706.06 | $31,373.71 | 1.5× |
| Pulmonary Perfusion Imaging Particulate (78580) | $475.95 | $3,173 | 1.2× |
| Quan&Charac C Atherosclerotc Plaq Asses Sev C Ds (75577) | $1,818 | $12,120 | 2.0× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $374.25 | $2,495 | 3.7× |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 2 matching MRF lines |
$315.67–$365.30 | $2,104.49–$2,435.31 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 4 matching MRF lines |
$169.50–$373.80 | $1,130–$2,492 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 4 matching MRF lines |
$131.55–$164.65 | $877–$1,097.69 | varies |
| Radex elbow complete minimum 3 views (73080) range across 4 matching MRF lines |
$200.55–$307.65 | $1,337–$2,051 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$229.75–$248.10 | $1,531.66–$1,654 | varies |
| Radex fingr minimum 2 views (73140) range across 4 matching MRF lines |
$100.05–$170.01 | $667–$1,133.42 | varies |
| Radex foot complete minimum 3 views (73630) range across 4 matching MRF lines |
$162.90–$358.95 | $1,086–$2,393 | varies |
| Radex Hand Minimum 3 Views (73130) range across 4 matching MRF lines |
$154.31–$332.55 | $1,028.76–$2,217 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $175.37 | $1,169.15 | 1.7× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$135.17–$145.95 | $901.10–$973 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 2 matching MRF lines |
$197.20–$213 | $1,314.65–$1,420 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 4 matching MRF lines |
$88.83–$334.95 | $592.23–$2,233 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$134.40–$145.20 | $896–$968 | varies |
| Radex Spine 1 View Specify Level (72020) | $124.50 | $830 | 1.5× |
| Radex Sternum Minimum 2 Views (71120) | $189.45 | $1,263 | 2.3× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $190.31 | $1,268.70 | 2.3× |
| Radex Toe Minimum 2 Views (73660) range across 4 matching MRF lines |
$124.95–$220.56 | $833–$1,470.38 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 4 matching MRF lines |
$182.27–$364.80 | $1,215.10–$2,432 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $241.16 | $1,607.71 | 2.4× |
| Radiation treatment delivery level 1 (77402) | $93.89 | $625.92 | 1.0× |
| Radiation treatment delivery level 2 (77407) | $93.89 | $625.92 | 0.3× |
| Radiation treatment delivery level 3 (77412) | $173.08 | $1,153.84 | 0.3× |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$186.48–$201.45 | $1,243.19–$1,343 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $283.35 | $1,889.03 | 2.8× |
| Radiologic exam colon double contrast study (74280) | $788.03 | $5,253.56 | 4.7× |
| Radiologic exam colon single contrast study (74270) | $383.40 | $2,556 | 2.3× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $240.75 | $1,605 | 1.4× |
| Radiologic exam knee complete 4/more views (73564) range across 4 matching MRF lines |
$212.55–$258.45 | $1,417–$1,723 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $225.53 | $1,503.55 | 2.2× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $287.40 | $1,916 | 1.7× |
| Radiologic exam swallow function contrast study (74230) | $168.75 | $1,125 | 1.0× |
| Radiologic exam upr gi trc double contrast study (74246) | $379.65 | $2,531 | 2.2× |
| Radiologic examination femur 1 view (73551) | $134.10 | $894 | 1.6× |
| Radiologic examination femur minimum 2 views (73552) range across 4 matching MRF lines |
$156.23–$334.95 | $1,041.53–$2,233 | varies |
| Radiologic examination knee 1/2 views (73560) range across 4 matching MRF lines |
$124.95–$274.95 | $833–$1,833 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $317.82 | $2,118.79 | 3.2× |
| Radiologic examination tibia & fibula 2 views (73590) range across 4 matching MRF lines |
$140.25–$308.55 | $935–$2,057 | varies |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$332.37–$358.95 | $2,215.77–$2,393 | varies |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $1,102.01 | $7,346.75 | 2.9× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $3,272.72 | $21,818.16 | 8.5× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $3,093.15 | $20,620.98 | 5.9× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $1,141.45 | $7,609.68 | 2.2× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 2 matching MRF lines |
$864.59–$864.60 | $5,763.91–$5,764 | varies |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $730.65 | $4,871.03 | 0.6× |
| Rp Therapy Intravenous Administration (79101) | $919.75 | $6,131.68 | 4.1× |
| Scapula (73010) range across 4 matching MRF lines |
$168.48–$181.95 | $1,123.19–$1,213 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 2 matching MRF lines |
$201–$208.65 | $1,340–$1,391 | varies |
| Shoulder 1 view (73020) range across 4 matching MRF lines |
$96–$152.25 | $640–$1,015 | varies |
| Shoulder Arthrography (73040) range across 5 matching MRF lines |
$779.59–$1,148.10 | $5,197.29–$7,654 | varies |
| Skull less than 4 views (70250) | $181.20 | $1,208 | 1.8× |
| Special dosimetry (77331) | $104.39 | $695.90 | 0.8× |
| Special Physics Consult (77370) | $104.39 | $695.90 | 0.8× |
| Special teletherapy port plan (77321) | $280.46 | $1,869.75 | 0.8× |
| Special treatment procedure (77470) | $373.15 | $2,487.64 | 0.7× |
| Sternoclavicular joints (71130) | $94.96 | $633.04 | 1.1× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $280.46 | $1,869.75 | 0.8× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $198.83 | $1,325.52 | 0.6× |
| Testicular Imaging W/Flow (78761) | $714.51 | $4,763.39 | 1.9× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $280.46 | $1,869.75 | 0.8× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $280.46 | $1,869.75 | 0.8× |
| Ther rad simulaj-aided field setting simple (77280) | $104.39 | $695.90 | 0.8× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $665.88 | $4,439.20 | 3.9× |
| Thoracic spine 2 views (72070) | $194.40 | $1,296 | 1.9× |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$219.41–$237 | $1,462.70–$1,580 | varies |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$135.17–$145.95 | $901.10–$973 | varies |
| Thyroid Imaging With Vascular Flow (78013) | $573.60 | $3,824 | 1.5× |
| Thyroid Met Imaging Body (78018) | $789.45 | $5,263 | 1.5× |
| Thyroid Uptake Measurement (78012) | $246.21 | $1,641.43 | 0.6× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,275.30 | $8,502 | 3.3× |
| Tx Devices Design & Construction Complex (77334) | $192.27 | $1,281.83 | 0.5× |
| Tx devices design & construction intermediate (77333) | $192.27 | $1,281.83 | 1.5× |
| Tx devices design & construction simple (77332) | $191.97 | $1,279.82 | 1.5× |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$278.85–$557.70 | $1,859–$3,718 | varies |
| Ultrasound Exam Aaa Screen (76706) | $463.65 | $3,091 | 4.6× |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$451.95–$497.10 | $3,013–$3,314 | varies |
| Unlisted Dx Radiographic Procedure (76499) | $66.24 | $441.62 | 0.8× |
| Upper gi w/o kub (74240) | $304.65 | $2,031 | 1.8× |
| Urethrocystogram voiding (74455) | $583.50 | $3,890 | 2.5× |
| Urethrocystography retrograde (74450) | $454.89 | $3,032.63 | 2.0× |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$278.85–$557.70 | $1,859–$3,718 | varies |
| Us chest (76604) range across 2 matching MRF lines |
$151.95–$167.10 | $1,013–$1,114 | varies |
| Us exam, pelvic, limited (76857) | $194.85 | $1,299 | 1.9× |
| Us head (76506) | $285.75 | $1,905 | 2.8× |
| Us kidney transplant (76776) | $207.15 | $1,381 | 2.1× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$198.45–$297.90 | $1,323–$1,986 | varies |
| Us ob limited 1 or more fetuses (76815) | $310.20 | $2,068 | 3.1× |
| Us ob transvaginal (76817) | $544.65 | $3,631 | 5.4× |
| Us pelvic non ob complete (76856) | $428.40 | $2,856 | 4.3× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $331.65 | $2,211 | 3.3× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $103.77 | $691.79 | 1.0× |
| Us retroperitoneal complete (76770) | $438 | $2,920 | 4.3× |
| Us retroperitoneal limited (76775) | $463.65 | $3,091 | 4.6× |
| Us scrotum and contents (76870) | $209.70 | $1,398 | 2.1× |
| Us spinal canal and contents (76800) | $209.70 | $1,398 | 2.1× |
| Us thyroid (76536) | $357.75 | $2,385 | 3.6× |
| Vein X-Ray Chest (75827) range across 2 matching MRF lines |
$861.99–$961.35 | $5,746.63–$6,409 | varies |
| Vein X-Ray Liver W/O Hemodyn (75887) | $1,601.77 | $10,678.49 | 0.5× |
| Venography Adrenal Unilateral (75840) | $2,421.01 | $16,140.07 | 0.8× |
| Venography caval inferior serialography rs&i (75825) range across 2 matching MRF lines |
$2,685.69–$3,087.75 | $17,904.63–$20,585 | varies |
| Venography extremity bilateral rs&i (75822) range across 2 matching MRF lines |
$708.60–$788.34 | $4,724–$5,255.59 | varies |
| Venography extremity unilateral rs&i (75820) range across 2 matching MRF lines |
$892.95–$993.32 | $5,953–$6,622.15 | varies |
| Venography Renal Unilateral (75831) | $2,200.71 | $14,671.42 | 0.7× |
| Venous sampling by catheter (75893) unusually low: confirm this is the full procedure |
$2,557.83 | $17,052.20 | 0.5× |
| Vertebral fracture assessment via dxa (77086) | $52.13 | $347.52 | 0.6× |
| Wrist 2 views (73100) range across 4 matching MRF lines |
$154.31–$166.65 | $1,028.76–$1,111 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $163.89 | $1,092.58 | 2.0× |
| X-ray antegrade pyelogram tube (74425) range across 3 matching MRF lines |
$270.47–$321.30 | $1,803.11–$2,142 | varies |
| X-Ray Aorta Leg Arteries (75630) range across 2 matching MRF lines |
$2,421.01–$3,087.75 | $16,140.07–$20,585 | varies |
| X-Ray Bend Only L-S Spine (72120) | $306 | $2,040 | 3.0× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 4 matching MRF lines |
$156.23–$261.30 | $1,041.53–$1,742 | varies |
| X-Ray Exam Breast Specimen (76098) | $422.25 | $2,815 | 0.8× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $120.58 | $803.84 | 1.4× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$120.58–$130.20 | $803.84–$868 | varies |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $241.16 | $1,607.71 | 2.4× |
| X-Ray Exam Hip Uni 1 View (73501) range across 2 matching MRF lines |
$66.24–$71.55 | $441.62–$477 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $130.80 | $872 | 1.6× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $181.89 | $1,212.62 | 1.8× |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$73.34–$160.80 | $488.96–$1,072 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) | $206.35 | $1,375.66 | 2.0× |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$446.86–$482.55 | $2,979.05–$3,217 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $158.85 | $1,059 | 1.9× |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$266.12–$287.40 | $1,774.16–$1,916 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 2 matching MRF lines |
$231.66–$250.20 | $1,544.40–$1,668 | varies |
| X-ray eye for foreign body (70030) | $167.72 | $1,118.12 | 2.0× |
| X-ray humerus (73060) range across 4 matching MRF lines |
$145.12–$313.50 | $967.49–$2,090 | varies |
| X-ray IV pyelogram+tomography (74415) | $540.29 | $3,601.94 | 3.2× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 2 matching MRF lines |
$229.75–$248.10 | $1,531.66–$1,654 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $164.27 | $1,095.10 | 2.0× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $156.75 | $1,045 | 1.6× |
| X-ray nose-rectum child f.b. (76010) range across 2 matching MRF lines |
$115.26–$124.50 | $768.38–$830 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$394.01–$425.55 | $2,626.74–$2,837 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$156.61–$169.20 | $1,044.04–$1,128 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$154.31–$166.65 | $1,028.76–$1,111 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $207.60 | $1,384 | 2.5× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $230.70 | $1,538 | 2.3× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $535.31 | $3,568.74 | 1.6× |
| X-Rays Bone Length Studies (77073) | $355.95 | $2,373 | 3.5× |
| X-Rays Bone Survey Complete (77075) | $563.70 | $3,758 | 5.6× |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$268.81–$290.25 | $1,792.04–$1,935 | varies |
| Xr facial bones less than 3 views (70140) range across 2 matching MRF lines |
$140.91–$152.25 | $939.41–$1,015 | varies |
| Xr orbits complete 4 views (70200) | $229.75 | $1,531.66 | 2.3× |
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.