Imaging prices at Forrest General Hospital
Hattiesburg, MS · every code in this section with a posted price and a Medicare benchmark.
414 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) | $1,097.72 | $3,920.40 | 0.9× |
| Abdomen 1 View (74018) | $119.60 | $427.13 | 1.6× |
| Abdomen 2 views (74019) | $151.11 | $539.66 | 1.7× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $467.89 | $1,671.01 | 1.4× |
| Acute venous thrombosis imaging, peptide Non-Facility (78456) | $356.76 | $1,274.13 | 0.3× |
| Adrenal Cortex & Medulla Img (78075) | $356.76 | $1,274.13 | 0.3× |
| Angio pulmonary bilat (75743) | $986.25 | $3,522.31 | 0.4× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $938.82 | $3,352.91 | 0.3× |
| Angiography extremity bilateral rs&i (75716) range across 2 matching MRF lines |
$1,440.92–$1,441.26 | $5,146.13–$5,147.34 | varies |
| Angiography extremity unilateral rs&i (75710) | $1,261.02 | $4,503.62 | 0.5× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $1,149.21 | $4,104.32 | 0.4× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $875.13 | $3,125.43 | 0.3× |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$96.56–$128.75 | $344.85–$459.80 | varies |
| Aortography thoracic serialography rs&i (75605) | $1,222.73 | $4,366.89 | 0.3× |
| Artery X-Rays Abdomen (75726) range across 2 matching MRF lines |
$1,440.92–$1,441.26 | $5,146.13–$5,147.34 | varies |
| Artery X-Rays Adrenal Gland (75731) | $938.82 | $3,352.91 | 0.3× |
| Artery X-Rays Pelvis (75736) | $1,965.04 | $7,018 | 0.4× |
| Artery X-Rays Spine (75705) | $2,076.85 | $7,417.30 | 0.4× |
| Arthrogram ankle (73615) | $113.16 | $404.14 | 0.4× |
| Arthrogram hip (73525) | $406.56 | $1,452 | 1.3× |
| Arthrogram Wrist (73115) | $164.32 | $586.85 | 0.5× |
| Basic radiation dosimetry calculation (77300) range across 3 matching MRF lines |
$133.83–$156.87 | $477.95–$560.23 | varies |
| Bone age studies (77072) | $61.33 | $219.01 | 0.7× |
| Bone Imaging 3 Phase (78315) | $594.60 | $2,123.55 | 1.7× |
| Bone Imaging Limited Area (78300) | $376.07 | $1,343.10 | 1.1× |
| Bone Imaging Multiple Areas (78305) | $411.65 | $1,470.15 | 1.2× |
| Bone Imaging Whole Body (78306) | $564.11 | $2,014.65 | 1.6× |
| Bone marrow imaging limited area (78102) | $187.70 | $670.34 | 0.5× |
| Bone marrow imaging; multiple areas (78103) | $347.95 | $1,242.67 | 1.0× |
| Bone marrow imaging; whole body (78104) | $374.72 | $1,338.26 | 1.1× |
| Bone survey infant (77076) | $142.30 | $508.20 | 1.6× |
| Brachytx isodose complex (77318) | $510.58 | $1,823.47 | 1.6× |
| Brachytx isodose intermed (77317) | $399.79 | $1,427.80 | 1.2× |
| Brachytx Isodose Plan Simple (77316) | $287.98 | $1,028.50 | 0.9× |
| Brain Flow Imaging Only (78610) | $292.73 | $1,045.44 | 0.6× |
| Brain Image W/Flow < 4 Views (78601) | $308.65 | $1,102.31 | 0.9× |
| Brain imaging < 4 static views (78600) | $256.14 | $914.76 | 0.7× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $652.53 | $2,330.46 | 1.4× |
| Brain Imaging Minimum 4 Static Views (78605) | $283.92 | $1,013.98 | 0.6× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $1,524.60 | $5,445 | 5.0× |
| Cat Scan Follow-Up Study (76380) | $285.27 | $1,018.82 | 3.8× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $268 | $957.11 | 0.6× |
| Cerebrospinal Fluid Scan (78630) | $505.16 | $1,804.11 | 1.1× |
| Chest 1 view (71045) | $99.61 | $355.74 | 1.3× |
| Chest 2 views (71046) | $110.11 | $393.25 | 1.5× |
| Chest 3 views (71047) | $127.05 | $453.75 | 1.7× |
| Chest 4 or more views (71048) | $135.52 | $484 | 1.5× |
| Cholecystography Oral Contrast (74290) | $101.64 | $363 | 0.7× |
| Clavicle complete (73000) | $127.05 | $453.75 | 1.7× |
| Continuing medical physics consltj pr wk (77336) | $264.61 | $945.01 | 2.3× |
| Contrast Exam Abdominl Aorta (75625) | $1,496.48 | $5,344.57 | 0.5× |
| Contrast X-Ray Bladder (74430) | $134.51 | $480.37 | 0.4× |
| Contrast X-Ray Of Elbow (73085) | $144.33 | $515.46 | 0.5× |
| Contrast X-Ray Of Knee Joint (73580) | $329.32 | $1,176.12 | 1.1× |
| Contrast Xray Throat/Cerv Esopha (74210) | $112.15 | $400.51 | 0.7× |
| CT abdomen and pelvis without and with contrast (74178) | $1,588.30 | $5,672.48 | 5.3× |
| CT abdomen and pelvis without contrast (74176) | $1,128.89 | $4,031.72 | 5.5× |
| CT abdomen w contrast (74160) | $795.85 | $2,842.29 | 5.2× |
| CT abdomen w wo contrast (74170) | $941.19 | $3,361.38 | 6.2× |
| CT abdomen w/o contrast (74150) | $650.16 | $2,321.99 | 7.2× |
| CT Angio Abdomen and Pelvis (74174) | $933.74 | $3,334.76 | 3.1× |
| CT Angio Chest (71275) | $618.99 | $2,210.67 | 4.1× |
| CT Angio Head (70496) | $618.99 | $2,210.67 | 4.1× |
| CT angio hrt w/3d image (75574) | $704.03 | $2,514.38 | 2.3× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 3 matching MRF lines |
$664.39–$1,328.78 | $2,372.81–$4,745.62 | varies |
| CT Angio Neck (70498) | $848.02 | $3,028.63 | 5.6× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 3 matching MRF lines |
$618.99–$1,237.98 | $2,210.67–$4,421.34 | varies |
| CT bone density (77078) | $184.99 | $660.66 | 2.5× |
| CT cervical spine w/ contrast (72126) | $780.26 | $2,786.63 | 2.6× |
| CT cervical spine w/o contrast (72125) | $719.28 | $2,568.83 | 7.9× |
| CT cervical spine w/wo cont (72127) | $951.36 | $3,397.68 | 6.3× |
| CT chest w contrast (71260) | $734.18 | $2,622.07 | 4.8× |
| CT chest w/wo contrast (71270) | $888.34 | $3,172.62 | 5.8× |
| CT colonography screening (74263) | $485.51 | $1,733.93 | 2.3× |
| CT Colonogrphy Dx Image Postprocess W/Contrast (74262) | $562.41 | $2,008.60 | 3.7× |
| CT colonogrphy dx image postprocess w/o contrast (74261) | $373.70 | $1,334.63 | 4.1× |
| CT head/brain with contrast (70460) | $651.18 | $2,325.62 | 4.3× |
| CT head/brain without and with contrast (70470) | $792.46 | $2,830.19 | 5.2× |
| CT heart contrast eval cardiac structure&morph (75572) | $651.52 | $2,326.83 | 2.2× |
| CT heart no contrast quant eval coronry calcium (75571) | $30.16 | $107.69 | 0.4× |
| CT hrt w/3d image congen (75573) | $664.39 | $2,372.81 | 2.2× |
| CT iac w contrast (70481) | $651.86 | $2,328.04 | 4.3× |
| CT l-spine w&w/o contrast (72133) | $937.13 | $3,346.86 | 6.2× |
| CT lower ext w/o (73700) range across 3 matching MRF lines |
$589.52–$1,179.03 | $2,105.40–$4,210.80 | varies |
| CT lower extremity w/contrast material (73701) range across 3 matching MRF lines |
$631.53–$1,263.05 | $2,255.44–$4,510.88 | varies |
| CT lumbar spine w contrast (72132) | $797.88 | $2,849.55 | 2.6× |
| CT lumbar spine w/o contrast (72131) | $711.15 | $2,539.79 | 7.9× |
| CT maxillofacial w contrast (70487) | $660.33 | $2,358.29 | 4.3× |
| CT maxillofacial wo contrast (70486) | $593.24 | $2,118.71 | 6.6× |
| CT neck tissue combo (70492) | $837.18 | $2,989.91 | 5.5× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $760.95 | $2,717.66 | 5.0× |
| CT orbits w/o contrast (70480) | $615.60 | $2,198.57 | 6.8× |
| CT pelvis w&w/o contrast (72194) | $901.89 | $3,221.02 | 5.9× |
| CT pelvis w/o contrast (72192) | $642.03 | $2,292.95 | 7.1× |
| CT scan of leg combo (73702) range across 3 matching MRF lines |
$795.85–$1,591.69 | $2,842.29–$5,684.58 | varies |
| CT scans face/jaw combo (70488) | $794.15 | $2,836.24 | 5.2× |
| CT soft tissue neck w contrast (70491) | $703.01 | $2,510.75 | 4.6× |
| CT soft tissue neck w/o contrast (70490) | $609.51 | $2,176.79 | 6.7× |
| CT thoracic spine w contrast (72129) | $609.51 | $2,176.79 | 4.0× |
| CT thoracic spine w/o contrast (72128) | $675.57 | $2,412.74 | 7.5× |
| CT thoracic spine w/wo cont (72130) | $604.42 | $2,158.64 | 4.0× |
| CT thorax w/o contrast (71250) | $615.60 | $2,198.57 | 6.8× |
| CT upper ext wo (73200) range across 3 matching MRF lines |
$578–$1,155.99 | $2,064.26–$4,128.52 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 3 matching MRF lines |
$765.02–$1,530.03 | $2,732.18–$5,464.36 | varies |
| CT upper extremity with contrast (73201) range across 3 matching MRF lines |
$652.19–$1,304.38 | $2,329.25–$4,658.50 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $918.83 | $3,281.52 | 6.0× |
| Cta Abdomen (74175) | $1,130.24 | $4,036.56 | 7.4× |
| CTA pelvis (72191) | $606.80 | $2,167.11 | 4.0× |
| Dilation ureters/urethra rs&i (74485) | $1,079.08 | $3,853.85 | 0.6× |
| Discography Cerv/Thor Spine (72285) | $875.13 | $3,125.43 | 0.5× |
| Diskography lumbar (72295) | $893.42 | $3,190.77 | 0.5× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $173.47 | $619.52 | 1.9× |
| Dxa Bone Density Axial (77080) | $142.30 | $508.20 | 1.6× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $116.89 | $417.45 | 1.6× |
| Echo exam of fetal heart (76825) | $492.28 | $1,758.13 | 1.0× |
| Echo Guide For Artery Repair (76936) | $326.95 | $1,167.65 | 1.7× |
| Echograp Trans R Pros Study (76873) | $179.57 | $641.30 | 2.0× |
| Esophagram (74220) | $186.01 | $664.29 | 1.2× |
| Fetal Biophys Profile W/Nst (76818) | $174.49 | $623.15 | 1.9× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $132.81 | $474.32 | 1.5× |
| Fluoroscopy up to 1 hr (76000) | $162.63 | $580.80 | 0.8× |
| Follow-Up Angiography (75898) | $559.02 | $1,996.50 | 0.2× |
| Foot 2 views (73620) range across 3 matching MRF lines |
$62.68–$83.69 | $223.85–$298.87 | varies |
| Forearm 2 views (73090) | $125.36 | $447.70 | 1.7× |
| Gastric emptying imaging study (78264) | $534.97 | $1,910.59 | 1.5× |
| Gastroesophageal Reflux Exam (78262) | $238.18 | $850.63 | 0.7× |
| Gated Heart Planar Single (78472) | $556.99 | $1,989.24 | 1.6× |
| Gated Heart, Multiple (78473) | $686.75 | $2,452.67 | 2.0× |
| Hand 2 views (73120) range across 3 matching MRF lines |
$96.56–$128.75 | $344.85–$459.80 | varies |
| Hdr Rdncl Ntrstl/Icav Brchtx (77772) | $2,285.89 | $8,163.87 | 3.8× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) | $1,904.40 | $6,801.41 | 3.2× |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) | $1,563.91 | $5,585.36 | 2.6× |
| Heart first pass single,planar (78481) | $332.37 | $1,187.01 | 0.7× |
| Heart Image (Pet) Multiple (78492) | $1,398.91 | $4,996.09 | 1.1× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $1,256.95 | $4,489.10 | 0.5× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $957.45 | $3,419.46 | 0.4× |
| Hepatobil Syst Image W/Drug (78227) | $560.04 | $2,000.13 | 1.2× |
| Hepatobiliary System Imaging (78226) | $370.65 | $1,323.74 | 1.1× |
| Ht Musc Image Planar Mult (78454) | $481.78 | $1,720.62 | 0.4× |
| Ht Muscle Image Spect Sing (78451) | $1,040.12 | $3,714.70 | 0.9× |
| Hysterosalpingogram (74740) | $180.92 | $646.14 | 0.9× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $150.43 | $537.24 | 2.0× |
| Interstitial radiation source applic complex (77778) | $988.28 | $3,529.57 | 1.6× |
| Joint Survey Single View (77077) | $87.08 | $310.97 | 1.0× |
| K Flow/Funct Image Multiple (78709) | $360.49 | $1,287.44 | 0.8× |
| K Flow/Funct Image W/Drug (78708) | $548.18 | $1,957.78 | 1.2× |
| K Flow/Funct Image W/O Drug (78707) | $535.31 | $1,911.80 | 1.1× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $177.87 | $635.25 | 0.5× |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$126.72–$168.73 | $452.54–$602.58 | varies |
| Labeled RBC Sequestration Differntl Organ/Tissue (78140) | $240.89 | $860.31 | 0.7× |
| Leveen/Shunt Patency Exam (78291) | $202.27 | $722.37 | 0.6× |
| Liver & Spleen Imaging Static Only (78215) | $451.29 | $1,611.72 | 1.3× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $281.21 | $1,004.30 | 0.8× |
| Liver imaging static only (78201) | $254.44 | $908.71 | 0.5× |
| Lung Perf&Ventilat Diferentl (78598) | $450.61 | $1,609.30 | 1.0× |
| Lung perfusion differential (78597) | $427.91 | $1,528.23 | 1.2× |
| Lung Ventilat&Perfus Imaging (78582) | $602.73 | $2,152.59 | 1.3× |
| Lung Ventilation Imaging (78579) | $343.55 | $1,226.94 | 1.0× |
| Lymph System Imaging (78195) | $274.77 | $981.31 | 0.6× |
| Lymphangiography Extremity Only Bilateral Rs&I (75803) | $215.14 | $768.35 | 0.2× |
| Lymphangiography extremity only unilateral rs&i (75801) | $141.62 | $505.78 | 0.3× |
| Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) | $875.13 | $3,125.43 | 0.3× |
| Lymphangiography, pelvic/abdominal, unilateral (75805) | $215.14 | $768.35 | 0.1× |
| Magnetic Image Jaw Joint (70336) | $837.18 | $2,989.91 | 4.1× |
| Meckels Divert Exam (78290) | $431.30 | $1,540.33 | 1.2× |
| Mlc imrt design & construction per imrt plan (77338) | $211.08 | $753.83 | 0.7× |
| Mr safety determination physician/other qhp (76016) | $72.69 | $259.60 | 1.0× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $20.33 | $72.60 | 0.8× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) | $75.55 | $269.81 | 0.9× |
| Mr safety implt pos&/immoblj (76019) | $48.89 | $174.60 | 1.0× |
| Mr safety med physics xm customization plng&mntr (76017) | $198.66 | $709.50 | 1.0× |
| Mra Head W/O & W/Contrast Material (70546) range across 2 matching MRF lines |
$862.93–$1,160.06 | $3,081.87–$4,143.04 | varies |
| MRA head w/o contrast (70544) | $835.49 | $2,983.86 | 4.0× |
| MRA head with contrast (70545) | $790.09 | $2,821.72 | 2.6× |
| MRA neck w contrast (70548) | $525.82 | $1,877.92 | 1.7× |
| Mra Neck W/O &W/Contrast Material (70549) | $803.98 | $2,871.33 | 2.7× |
| MRA neck w/o contrast (70547) | $535.99 | $1,914.22 | 2.6× |
| MRI abdomen w contrast (74182) | $1,202.74 | $4,295.50 | 4.0× |
| MRI abdomen w/o contrast (74181) | $1,067.22 | $3,811.50 | 5.2× |
| MRI any jt lower extrem w/contrast material (73722) range across 3 matching MRF lines |
$1,151.92–$1,490.72 | $4,114–$5,324 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 3 matching MRF lines |
$1,526.30–$2,061.26 | $5,451.05–$7,361.64 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 3 matching MRF lines |
$1,123.13–$1,461.93 | $4,011.15–$5,221.15 | varies |
| MRI Breast W/O Contrast Bilateral (77047) | $343.89 | $1,228.15 | 1.7× |
| MRI Breast Without Contrast Material Unilateral (77046) | $343.89 | $1,228.15 | 1.7× |
| MRI cardiac w/o contrast (75557) | $1,029.28 | $3,675.98 | 5.0× |
| MRI cervical spine w contrast (72142) | $1,132.95 | $4,046.24 | 3.7× |
| MRI cervical spine w/o cont (72141) | $1,067.22 | $3,811.50 | 5.2× |
| MRI chest w/o contrast (71550) | $1,046.56 | $3,737.69 | 5.1× |
| MRI chest with contrast (71551) | $692.17 | $2,472.03 | 1.0× |
| MRI chest wo w contrast (71552) | $1,344.70 | $4,802.49 | 4.4× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 3 matching MRF lines |
$1,296.59–$1,635.39 | $4,630.67–$5,840.67 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 3 matching MRF lines |
$1,396.54–$1,595.75 | $4,987.62–$5,699.10 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 3 matching MRF lines |
$1,156.33–$1,495.13 | $4,129.73–$5,339.73 | varies |
| MRI lumbar spine w contrast (72149) | $1,102.80 | $3,938.55 | 3.6× |
| Mri Neck Spine W/O & W/Dye (72156) | $1,347.07 | $4,810.96 | 4.5× |
| MRI orbit face &/neck w/o contrast (70540) | $982.19 | $3,507.79 | 4.8× |
| MRI orbit face neck w contrast (70542) | $1,041.14 | $3,718.33 | 3.4× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $1,396.88 | $4,988.83 | 4.6× |
| MRI pelvis w contrast (72196) | $1,145.15 | $4,089.80 | 3.8× |
| MRI pelvis w/o & w contrast (72197) | $1,344.70 | $4,802.49 | 4.4× |
| MRI pelvis w/o contrast (72195) | $1,067.22 | $3,811.50 | 5.2× |
| MRI spectroscopy (76390) | $693.87 | $2,478.08 | 9.2× |
| MRI thoracic spine w/o contrast (72146) | $1,067.22 | $3,811.50 | 5.2× |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 3 matching MRF lines |
$1,078.07–$1,416.87 | $3,850.22–$5,060.22 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 3 matching MRF lines |
$930.69–$1,269.49 | $3,323.87–$4,533.87 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 3 matching MRF lines |
$1,369.10–$1,707.90 | $4,889.61–$6,099.61 | varies |
| MRI, abdomen, combo (74183) | $1,344.70 | $4,802.49 | 4.4× |
| MRI, dorsal spine combo (72157) | $1,348.09 | $4,814.59 | 4.5× |
| MRI, dorsal spine contrast (72147) | $1,106.53 | $3,951.86 | 3.7× |
| MRI, joint upper extrem (73221) range across 3 matching MRF lines |
$1,067.22–$1,423.98 | $3,811.50–$5,085.63 | varies |
| MRI, joint upper extrem combo (73223) range across 3 matching MRF lines |
$1,344.70–$1,683.50 | $4,802.49–$6,012.49 | varies |
| MRI, lumbar spine combo (72158) | $1,343.01 | $4,796.44 | 4.4× |
| Myelogram cervical (72240) | $532.60 | $1,902.12 | 0.8× |
| Myelogram Lumbar (72265) | $532.60 | $1,902.12 | 0.8× |
| Myelography thoracic (72255) | $532.60 | $1,902.12 | 0.8× |
| Myelograpy 2/more regions rs&i (72270) | $532.60 | $1,902.12 | 0.8× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $387.59 | $1,384.24 | 1.1× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $175.50 | $626.78 | 0.2× |
| Myocardial Spect Multiple Studies (78452) | $1,235.61 | $4,412.87 | 1.1× |
| Neck soft tissue (70360) | $100.63 | $359.37 | 1.3× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $203.28 | $726 | 0.6× |
| Nm csf leak detection (78650) | $467.21 | $1,668.59 | 0.4× |
| Nm myocard infarct spect (78469) | $268 | $957.11 | 0.6× |
| Nonvascular Shunt X-Ray (75809) | $281.89 | $1,006.72 | 3.1× |
| Ntsty modul radthx pln dose-vol histos (77301) | $1,075.69 | $3,841.75 | 0.9× |
| Nuclear Rx Oral Admin (79005) | $340.16 | $1,214.84 | 1.7× |
| Optic foramina (70190) | $49.81 | $177.87 | 0.7× |
| Panoramic X-ray of jaws (70355) | $54.89 | $196.02 | 0.7× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $340.16 | $1,214.84 | 0.7× |
| Parathyroid Planar Imaging (78070) | $425.20 | $1,518.55 | 1.2× |
| Parathyroid planar imaging w/wo subtraction (78071) | $340.16 | $1,214.84 | 1.0× |
| Pelvis 1 or 2 views (72170) | $102.32 | $365.42 | 1.1× |
| Peritoneogram Rs&I (74190) | $183.30 | $654.61 | 0.4× |
| PET image w/CT, full body (78816) | $2,202.20 | $7,865 | 1.8× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $2,101.24 | $7,504.42 | 1.7× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $1,149.21 | $4,104.32 | 0.4× |
| Pulmonary Perfusion Imaging Particulate (78580) | $430.96 | $1,539.12 | 1.2× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $204.64 | $730.84 | 2.3× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $131.80 | $470.69 | 0.3× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$112.83–$150.43 | $402.93–$537.24 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$91.82–$122.31 | $327.91–$436.81 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$99.61–$155.51 | $355.74–$555.39 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $152.13 | $543.29 | 1.7× |
| Radex fingr minimum 2 views (73140) range across 3 matching MRF lines |
$105.03–$110.11 | $375.10–$393.25 | varies |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$111.81–$149.08 | $399.30–$532.40 | varies |
| Radex Hand Minimum 3 Views (73130) | $133.83 | $477.95 | 1.8× |
| Radex lower extremity infant minimum 2 views (73592) range across 3 matching MRF lines |
$96.56–$128.75 | $344.85–$459.80 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $93.17 | $332.75 | 1.0× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $120.96 | $431.97 | 1.6× |
| Radex Pharynx/Larx W/Fluor&/Magnification Tq (70370) | $152.46 | $544.50 | 2.0× |
| Radex Ribs Unilateral 2 Views (71100) | $75.90 | $271.04 | 1.0× |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$142.30–$189.73 | $508.20–$677.60 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $50.15 | $179.08 | 0.7× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $113.50 | $405.35 | 0.7× |
| Radex Spine 1 View Specify Level (72020) | $48.11 | $171.82 | 0.6× |
| Radex Sternum Minimum 2 Views (71120) | $116.89 | $417.45 | 1.6× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $133.83 | $477.95 | 1.8× |
| Radex Toe Minimum 2 Views (73660) range across 3 matching MRF lines |
$96.56–$101.64 | $344.85–$363 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 3 matching MRF lines |
$93.17–$160.93 | $332.75–$574.75 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$94.53–$126.04 | $337.59–$450.12 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $198.20 | $707.85 | 2.2× |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $6,390.79 | $22,824.23 | 1.0× |
| Radiation treatment delivery level 1 (77402) | $220.22 | $786.50 | 2.5× |
| Radiation treatment delivery level 2 (77407) | $321.86 | $1,149.50 | 1.0× |
| Radiation treatment delivery level 3 (77412) | $357.44 | $1,276.55 | 0.7× |
| Radiolog exam mandible compl minimum 4 views (70110) | $148.40 | $529.98 | 1.6× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $160.26 | $572.33 | 1.8× |
| Radiologic exam colon double contrast study (74280) | $330.67 | $1,180.96 | 2.2× |
| Radiologic exam colon single contrast study (74270) | $263.25 | $940.17 | 1.7× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $186.01 | $664.29 | 1.2× |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$131.80–$179.91 | $470.69–$642.51 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $125.02 | $446.49 | 1.4× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $225.65 | $805.86 | 1.5× |
| Radiologic exam swallow function contrast study (74230) | $196.85 | $703.01 | 1.3× |
| Radiologic exam upr gi trc double contrast study (74246) | $251.39 | $897.82 | 1.7× |
| Radiologic examination femur 1 view (73551) range across 3 matching MRF lines |
$100.63–$134.17 | $359.37–$479.16 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines |
$133.83–$178.55 | $477.95–$637.67 | varies |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$62.68–$104.36 | $223.85–$372.68 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $200.57 | $716.32 | 2.2× |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$109.78–$146.37 | $392.04–$522.72 | varies |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77768) | $341.52 | $1,219.68 | 1.0× |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77767) | $284.60 | $1,016.40 | 0.9× |
| Renal Cyst Study (74470) | $141.62 | $505.78 | 0.3× |
| Ribs bilateral 3 views (71110) | $148.40 | $529.98 | 1.6× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $275.45 | $983.73 | 0.8× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $328.98 | $1,174.91 | 0.9× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $982.52 | $3,509 | 2.1× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $692.17 | $2,472.03 | 1.5× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $767.05 | $2,739.44 | 1.6× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $767.05 | $2,739.44 | 0.7× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $975.75 | $3,484.80 | 0.8× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $767.05 | $2,739.44 | 0.7× |
| Rp Ther Radiolbld Monoclonal Antibody IV Infus (79403) | $435.02 | $1,553.64 | 2.2× |
| Rp Therapy Intravenous Administration (79101) | $326.61 | $1,166.44 | 1.6× |
| Salivary Gland Imaging (78230) | $200.57 | $716.32 | 0.6× |
| Scapula (73010) range across 3 matching MRF lines |
$107.07–$135.52 | $382.36–$484 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 2 matching MRF lines |
$20.33–$30.50 | $72.60–$108.90 | varies |
| Sella turcica (70240) | $49.81 | $177.87 | 0.7× |
| Shoulder 1 view (73020) | $51.16 | $182.71 | 0.7× |
| Shoulder Arthrography (73040) | $147.38 | $526.35 | 0.5× |
| Sialogram (70390) | $142.30 | $508.20 | 0.7× |
| Skull less than 4 views (70250) | $71.15 | $254.10 | 0.8× |
| Special dosimetry (77331) range across 2 matching MRF lines |
$117.91–$125.36 | $421.08–$447.70 | varies |
| Special Physics Consult (77370) | $217.51 | $776.82 | 1.9× |
| Special teletherapy port plan (77321) | $345.58 | $1,234.20 | 1.1× |
| Special treatment procedure (77470) | $422.83 | $1,510.08 | 0.9× |
| Stereotactic Body Radiation Delivery (77373) | $4,413.21 | $15,761.46 | 2.8× |
| Sternoclavicular joints (71130) | $71.15 | $254.10 | 0.9× |
| Superior sagittal sinus venogram (75870) | $295.78 | $1,056.33 | 0.1× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $315.77 | $1,127.72 | 1.0× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $201.93 | $721.16 | 0.6× |
| Testicular Imaging W/Flow (78761) | $192.78 | $688.49 | 0.6× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $557.67 | $1,991.66 | 1.7× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $359.81 | $1,285.02 | 1.1× |
| Ther rad simulaj-aided field setting simple (77280) | $285.95 | $1,021.24 | 2.5× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $330.33 | $1,179.75 | 2.2× |
| Thoracic spine 2 views (72070) | $125.02 | $446.49 | 1.4× |
| Thoracic spine 3 views (72072) | $125.02 | $446.49 | 1.4× |
| Thoracolumbar 2 views (72080) | $123.67 | $441.65 | 1.6× |
| Thyroid Carcinoma Metastases Img Lmtd Area (78015) | $436.04 | $1,557.27 | 1.3× |
| Thyroid Imaging With Vascular Flow (78013) | $254.10 | $907.50 | 0.7× |
| Thyroid Met Imaging Body (78018) | $545.13 | $1,946.89 | 1.2× |
| Thyroid Uptake Measurement (78012) | $254.10 | $907.50 | 0.7× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $423.50 | $1,512.50 | 1.2× |
| Tx Devices Design & Construction Complex (77334) range across 10 matching MRF lines |
$141.96–$331.35 | $506.99–$1,183.38 | varies |
| Tx devices design & construction intermediate (77333) | $197.53 | $705.43 | 1.7× |
| Tx devices design & construction simple (77332) range across 4 matching MRF lines |
$141.96–$287.98 | $506.99–$1,028.50 | varies |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$96.90–$169.40 | $346.06–$605 | varies |
| Ultrasound Exam Aaa Screen (76706) | $168.73 | $602.58 | 1.9× |
| Ultrasound, abdomen limited (76705) | $279.51 | $998.25 | 3.1× |
| Umbilical-artery Doppler (OB) (76820) | $170.42 | $608.63 | 1.9× |
| Unlisted magnetic resonance procedure (76498) | $489.57 | $1,748.45 | 6.5× |
| Upper gi w/o kub (74240) | $231.41 | $826.43 | 1.5× |
| Ureteral Reflux Study (78740) | $320.85 | $1,145.87 | 0.9× |
| Urethrocystogram voiding (74455) | $254.10 | $907.50 | 1.2× |
| Urethrocystography retrograde (74450) | $169.74 | $606.21 | 0.8× |
| Us bone density measurement (76977) | $3.73 | $13.31 | 0.0× |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$145.69–$220.22 | $520.30–$786.50 | varies |
| Us chest (76604) | $165 | $589.27 | 1.8× |
| Us complete joint (76881) range across 4 matching MRF lines |
$125.70–$179.57 | $448.91–$641.30 | varies |
| Us exam, pelvic, limited (76857) | $162.63 | $580.80 | 1.8× |
| Us head (76506) | $110.79 | $395.67 | 1.2× |
| Us kidney transplant (76776) | $187.02 | $667.92 | 2.1× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 4 matching MRF lines |
$71.49–$179.57 | $255.31–$641.30 | varies |
| Us ob detailed single fetus (76811) | $362.52 | $1,294.70 | 1.8× |
| Us ob limited 1 or more fetuses (76815) | $150.43 | $537.24 | 1.7× |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$150.43–$175.50 | $537.24–$626.78 | varies |
| Us pelvic non ob complete (76856) | $263.93 | $942.59 | 2.9× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $237.84 | $849.42 | 2.6× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $142.30 | $508.20 | 1.6× |
| Us retroperitoneal complete (76770) | $304.25 | $1,086.58 | 3.4× |
| Us retroperitoneal limited (76775) | $226.32 | $808.28 | 2.5× |
| Us scrotum and contents (76870) | $237.84 | $849.42 | 2.6× |
| Us spinal canal and contents (76800) | $160.93 | $574.75 | 1.8× |
| Us thyroid (76536) | $223.61 | $798.60 | 2.5× |
| Us transrectal (76872) | $136.88 | $488.84 | 1.5× |
| Vein X-Ray Chest (75827) | $672.86 | $2,403.06 | 0.5× |
| Vein X-Ray Liver W/O Hemodyn (75887) | $1,126.51 | $4,023.25 | 0.4× |
| Vein X-Ray Skull Epidural (75872) | $875.13 | $3,125.43 | 1.6× |
| Venogram Sinus/Jugular (75860) | $875.13 | $3,125.43 | 0.3× |
| Venography Adrenal Unilateral (75840) | $938.82 | $3,352.91 | 0.3× |
| Venography caval inferior serialography rs&i (75825) | $1,419.58 | $5,069.90 | 0.5× |
| Venography extremity bilateral rs&i (75822) | $761.63 | $2,720.08 | 0.6× |
| Venography extremity unilateral rs&i (75820) | $591.55 | $2,112.66 | 0.4× |
| Venography Orbital Rs&I (75880) | $875.13 | $3,125.43 | 1.6× |
| Venography Renal Bilateral (75833) | $1,095.35 | $3,911.93 | 0.4× |
| Venography Renal Unilateral (75831) | $1,005.56 | $3,591.28 | 0.4× |
| Venous sampling by catheter (75893) | $938.82 | $3,352.91 | 0.2× |
| Venous thrombosis imaging (78457) | $213.79 | $763.51 | 0.5× |
| Venous Thrombosis Imaging Venogram Bilateral (78458) | $311.70 | $1,113.20 | 0.9× |
| Vertebral fracture assessment via dxa (77086) | $93.17 | $332.75 | 1.2× |
| Wrist 2 views (73100) range across 3 matching MRF lines |
$94.53–$115.20 | $337.59–$411.40 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $69.46 | $248.05 | 0.9× |
| X-ray antegrade pyelogram tube (74425) | $164.32 | $586.85 | 0.5× |
| X-Ray Aorta Leg Arteries (75630) | $1,385.70 | $4,948.90 | 0.5× |
| X-Ray Bend Only L-S Spine (72120) | $200.24 | $715.11 | 2.2× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$99.61–$116.89 | $355.74–$417.45 | varies |
| X-Ray Exam Breast Specimen (76098) | $182.96 | $653.40 | 0.4× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $96.56 | $344.85 | 1.3× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $130.44 | $465.85 | 1.4× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $164.32 | $586.85 | 1.8× |
| X-Ray Exam Hip Uni 1 View (73501) | $103.68 | $370.26 | 1.4× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $133.83 | $477.95 | 1.8× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $162.63 | $580.80 | 1.8× |
| X-Ray Exam Hips Bi 2 Views (73521) | $187.70 | $670.34 | 2.1× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $217.85 | $778.03 | 2.4× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $248.01 | $885.72 | 2.7× |
| X-Ray Exam L-S Spine Bending (72114) | $200.24 | $715.11 | 2.2× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $128.75 | $459.80 | 1.7× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $122.31 | $436.81 | 1.4× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $148.40 | $529.98 | 1.6× |
| X-ray humerus (73060) | $123.67 | $441.65 | 1.6× |
| X-ray IV pyelogram (ivp) (74400) | $317.80 | $1,134.98 | 2.1× |
| X-ray IV pyelogram+tomography (74415) | $333.72 | $1,191.85 | 2.2× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $75.22 | $268.62 | 1.0× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $96.56 | $344.85 | 1.3× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $135.86 | $485.21 | 1.5× |
| X-ray nose-rectum child f.b. (76010) | $61.67 | $220.22 | 0.8× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $195.83 | $699.38 | 2.2× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $99.95 | $356.95 | 1.1× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $92.84 | $331.54 | 1.0× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $119.26 | $425.92 | 1.6× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $148.40 | $529.98 | 2.0× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $178.21 | $636.46 | 2.0× |
| X-ray thoracic spine 4 vw (72074) | $125.02 | $446.49 | 1.4× |
| X-Ray Tmj Unilat (70328) | $78.27 | $279.51 | 1.0× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $181.60 | $648.56 | 0.6× |
| X-Rays Bone Length Studies (77073) | $87.42 | $312.18 | 1.0× |
| X-Rays Bone Survey Complete (77075) | $258.17 | $922.02 | 2.9× |
| Xr c-spine 4 or 5 views (72050) | $180.59 | $644.93 | 2.0× |
| Xr facial bones less than 3 views (70140) | $134.17 | $479.16 | 1.8× |
| XR Mastoids < 3 Views Bilateral (70120) | $75.22 | $268.62 | 0.8× |
| Xr orbits complete 4 views (70200) | $75.56 | $269.83 | 0.8× |
| Xr Tomogram Single Plane (76100) | $139.59 | $498.52 | 1.5× |
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.