Imaging prices at Frances Mahon Deaconess Hospital
Glasgow, MT · every code in this section with a posted price and a Medicare benchmark.
237 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abdomen 1 View (74018) range across 2 matching MRF lines |
$45.90–$360 | $51–$400 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$58.50–$488.70 | $65–$543 | varies |
| Angiography extremity unilateral rs&i (75710) range across 2 matching MRF lines |
$402.30–$7,993.80 | $447–$8,882 | varies |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$41.40–$321.30 | $46–$357 | varies |
| Arthrogram ankle (73615) range across 2 matching MRF lines |
$135.90–$1,112.40 | $151–$1,236 | varies |
| Arthrogram hip (73525) range across 2 matching MRF lines |
$146.70–$1,228.50 | $163–$1,365 | varies |
| Arthrogram Wrist (73115) range across 2 matching MRF lines |
$129.60–$1,112.40 | $144–$1,236 | varies |
| Bone age studies (77072) range across 2 matching MRF lines |
$44.10–$214.20 | $49–$238 | varies |
| Bone Imaging 3 Phase (78315) range across 2 matching MRF lines |
$243–$1,721.70 | $270–$1,913 | varies |
| Bone Imaging Limited Area (78300) range across 2 matching MRF lines |
$153–$1,177.20 | $170–$1,308 | varies |
| Bone Imaging Multiple Areas (78305) range across 2 matching MRF lines |
$189.90–$1,206.90 | $211–$1,341 | varies |
| Bone Imaging Whole Body (78306) range across 2 matching MRF lines |
$205.20–$1,630.80 | $228–$1,812 | varies |
| Bone survey infant (77076) range across 2 matching MRF lines |
$159.30–$305.10 | $177–$339 | varies |
| Chest 1 view (71045) range across 2 matching MRF lines |
$45.90–$246.60 | $51–$274 | varies |
| Chest 2 views (71046) range across 2 matching MRF lines |
$54.90–$273.60 | $61–$304 | varies |
| Chest 3 views (71047) range across 2 matching MRF lines |
$64.80–$350.10 | $72–$389 | varies |
| Chest 4 or more views (71048) range across 3 matching MRF lines |
$74.70–$352.80 | $83–$392 | varies |
| Clavicle complete (73000) range across 2 matching MRF lines |
$43.20–$241.20 | $48–$268 | varies |
| Contrast X-Ray Bladder (74430) range across 2 matching MRF lines |
$72.90–$696.60 | $81–$774 | varies |
| Contrast X-Ray Of Elbow (73085) range across 2 matching MRF lines |
$135.90–$1,112.40 | $151–$1,236 | varies |
| Contrast X-Ray Of Knee Joint (73580) range across 2 matching MRF lines |
$135–$1,074.60 | $150–$1,194 | varies |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$488.70–$3,612.60 | $543–$4,014 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$423.90–$2,557.80 | $471–$2,842 | varies |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$311.40–$1,901.70 | $346–$2,113 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$342–$2,485.80 | $380–$2,762 | varies |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$292.50–$1,305.90 | $325–$1,451 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$873.90–$4,287.60 | $971–$4,764 | varies |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$443.70–$2,394 | $493–$2,660 | varies |
| CT Angio Head (70496) range across 3 matching MRF lines |
$424.80–$3,373.20 | $472–$3,748 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
$427.50–$2,167.20 | $475–$2,408 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$424.80–$2,148.30 | $472–$2,387 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 2 matching MRF lines |
$409.50–$2,103.30 | $455–$2,337 | varies |
| CT cervical spine w/ contrast (72126) range across 2 matching MRF lines |
$297.90–$2,005.20 | $331–$2,228 | varies |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$244.80–$1,633.50 | $272–$1,815 | varies |
| CT cervical spine w/wo cont (72127) range across 2 matching MRF lines |
$290.70–$1,997.10 | $323–$2,219 | varies |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$282.60–$2,001.60 | $314–$2,224 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$306.90–$2,168.10 | $341–$2,409 | varies |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$275.40–$1,628.10 | $306–$1,809 | varies |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$290.70–$1,911.60 | $323–$2,124 | varies |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$273.60–$1,755 | $304–$1,950 | varies |
| CT l-spine w&w/o contrast (72133) range across 2 matching MRF lines |
$288.90–$2,102.40 | $321–$2,336 | varies |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$244.80–$1,500.30 | $272–$1,667 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$282.60–$1,737 | $314–$1,930 | varies |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$297.90–$1,861.20 | $331–$2,068 | varies |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$244.80–$1,562.40 | $272–$1,736 | varies |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$257.40–$1,684.80 | $286–$1,872 | varies |
| CT maxillofacial wo contrast (70486) range across 3 matching MRF lines |
$208.80–$1,454.40 | $232–$1,616 | varies |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$394.20–$2,039.40 | $438–$2,266 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 2 matching MRF lines |
$288.90–$2,013.30 | $321–$2,237 | varies |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$313.20–$1,454.40 | $348–$1,616 | varies |
| CT pelvis w&w/o contrast (72194) range across 2 matching MRF lines |
$279.90–$2,002.50 | $311–$2,225 | varies |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$265.50–$2,044.80 | $295–$2,272 | varies |
| CT scan of leg combo (73702) range across 2 matching MRF lines |
$297.90–$2,154.60 | $331–$2,394 | varies |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
$290.70–$2,242.80 | $323–$2,492 | varies |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$337.50–$1,784.70 | $375–$1,983 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$313.20–$1,096.20 | $348–$1,218 | varies |
| CT thoracic spine w contrast (72129) range across 2 matching MRF lines |
$299.70–$2,066.40 | $333–$2,296 | varies |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$244.80–$1,264.50 | $272–$1,405 | varies |
| CT thoracic spine w/wo cont (72130) range across 2 matching MRF lines |
$290.70–$1,470.60 | $323–$1,634 | varies |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$263.70–$1,798.20 | $293–$1,998 | varies |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$244.80–$1,588.50 | $272–$1,765 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 2 matching MRF lines |
$279.90–$1,915.20 | $311–$2,128 | varies |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$263.70–$1,756.80 | $293–$1,952 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$574.20–$2,556 | $638–$2,840 | varies |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$439.20–$1,994.40 | $488–$2,216 | varies |
| CTA pelvis (72191) range across 2 matching MRF lines |
$436.50–$2,245.50 | $485–$2,495 | varies |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$48.60–$389.70 | $54–$433 | varies |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $47.70 | $53 | 0.5× |
| Echo exam uterus (76831) range across 2 matching MRF lines |
$164.70–$443.70 | $183–$493 | varies |
| Esophagram (74220) range across 2 matching MRF lines |
$148.50–$459 | $165–$510 | varies |
| Fetal Biophys Profile W/Nst (76818) range across 2 matching MRF lines |
$259.20–$675.90 | $288–$751 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $176.40 | $196 | 1.7× |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$78.30–$351.90 | $87–$391 | varies |
| Foot 2 views (73620) range across 2 matching MRF lines |
$39.60–$444.60 | $44–$494 | varies |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$41.40–$290.70 | $46–$323 | varies |
| Gastric emptying imaging study (78264) range across 2 matching MRF lines |
$190.80–$1,593.90 | $212–$1,771 | varies |
| Hand 2 views (73120) range across 2 matching MRF lines |
$43.20–$315.90 | $48–$351 | varies |
| Hepatobil Syst Image W/Drug (78227) range across 2 matching MRF lines |
$216.90–$1,735.20 | $241–$1,928 | varies |
| Hepatobiliary System Imaging (78226) range across 2 matching MRF lines |
$165.60–$1,485 | $184–$1,650 | varies |
| Ht Muscle Image Spect Sing (78451) range across 2 matching MRF lines |
$305.10–$2,331.90 | $339–$2,591 | varies |
| Hysterosalpingogram (74740) range across 2 matching MRF lines |
$94.50–$1,008 | $105–$1,120 | varies |
| Infant hip ultrasound with hip movement (dynamic) (76885) range across 2 matching MRF lines |
$170.10–$176.40 | $189–$196 | varies |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$47.70–$366.30 | $53–$407 | varies |
| Lung Ventilat&Perfus Imaging (78582) range across 2 matching MRF lines |
$239.40–$2,051.10 | $266–$2,279 | varies |
| Lung Ventilation Imaging (78579) range across 2 matching MRF lines |
$109.80–$1,140.30 | $122–$1,267 | varies |
| Lymph System Imaging (78195) range across 2 matching MRF lines |
$242.10–$1,446.30 | $269–$1,607 | varies |
| Magnetic Image Jaw Joint (70336) range across 2 matching MRF lines |
$360.90–$1,438.20 | $401–$1,598 | varies |
| Mammary ductogram or galactogram single (77053) range across 2 matching MRF lines |
$84.60–$912.60 | $94–$1,014 | varies |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$295.20–$3,929.40 | $328–$4,366 | varies |
| MRA neck w contrast (70548) range across 2 matching MRF lines |
$343.80–$4,628.70 | $382–$5,143 | varies |
| Mra Neck W/O &W/Contrast Material (70549) range across 2 matching MRF lines |
$412.20–$2,865.60 | $458–$3,184 | varies |
| MRA neck w/o contrast (70547) range across 2 matching MRF lines |
$295.20–$4,442.40 | $328–$4,936 | varies |
| MRI abdomen w contrast (74182) range across 2 matching MRF lines |
$395.10–$2,107.80 | $439–$2,342 | varies |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$356.40–$2,043.90 | $396–$2,271 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 2 matching MRF lines |
$398.70–$2,469.60 | $443–$2,744 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$522–$2,779.20 | $580–$3,088 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 2 matching MRF lines |
$398.70–$2,177.10 | $443–$2,419 | varies |
| MRI cervical spine w contrast (72142) range across 2 matching MRF lines |
$409.50–$2,329.20 | $455–$2,588 | varies |
| MRI cervical spine w/o cont (72141) range across 3 matching MRF lines |
$363.60–$2,075.40 | $404–$2,306 | varies |
| MRI chest w/o contrast (71550) range across 2 matching MRF lines |
$335.70–$1,430.10 | $373–$1,589 | varies |
| MRI chest wo w contrast (71552) range across 2 matching MRF lines |
$510.30–$1,932.30 | $567–$2,147 | varies |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $1,708.20 | $1,898 | 4.8× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 2 matching MRF lines |
$487.80–$2,673.90 | $542–$2,971 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines |
$329.40–$2,117.70 | $366–$2,353 | varies |
| MRI lumbar spine w contrast (72149) range across 2 matching MRF lines |
$406.80–$2,476.80 | $452–$2,752 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$557.10–$2,880.90 | $619–$3,201 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 2 matching MRF lines |
$306–$1,642.50 | $340–$1,825 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 2 matching MRF lines |
$520.20–$2,885.40 | $578–$3,206 | varies |
| MRI pelvis w contrast (72196) range across 2 matching MRF lines |
$395.10–$2,346.30 | $439–$2,607 | varies |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$534.60–$2,999.70 | $594–$3,333 | varies |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$358.20–$2,107.80 | $398–$2,342 | varies |
| MRI thoracic spine w/o contrast (72146) range across 3 matching MRF lines |
$361.80–$1,957.50 | $402–$2,175 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 2 matching MRF lines |
$374.40–$2,339.10 | $416–$2,599 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 2 matching MRF lines |
$333–$2,131.20 | $370–$2,368 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 2 matching MRF lines |
$524.70–$2,201.40 | $583–$2,446 | varies |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$533.70–$2,842.20 | $593–$3,158 | varies |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$557.10–$2,670.30 | $619–$2,967 | varies |
| MRI, dorsal spine contrast (72147) range across 2 matching MRF lines |
$434.70–$2,129.40 | $483–$2,366 | varies |
| MRI, joint upper extrem (73221) range across 2 matching MRF lines |
$334.80–$2,059.20 | $372–$2,288 | varies |
| MRI, joint upper extrem combo (73223) range across 2 matching MRF lines |
$524.70–$2,840.40 | $583–$3,156 | varies |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$557.10–$2,843.10 | $619–$3,159 | varies |
| Myelogram cervical (72240) | $209.70 | $233 | 0.3× |
| Myocardial Spect Multiple Studies (78452) range across 2 matching MRF lines |
$389.70–$4,086 | $433–$4,540 | varies |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$45.90–$225 | $51–$250 | varies |
| Optic foramina (70190) range across 2 matching MRF lines |
$52.20–$182.70 | $58–$203 | varies |
| Parathyroid Planar Imaging (78070) range across 2 matching MRF lines |
$177.30–$1,125.90 | $197–$1,251 | varies |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$44.10–$288 | $49–$320 | varies |
| Pulmonary Perfusion Imaging Particulate (78580) range across 2 matching MRF lines |
$165.60–$1,423.80 | $184–$1,582 | varies |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$78.30–$488.70 | $87–$543 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 2 matching MRF lines |
$128.70–$912.60 | $143–$1,014 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$44.10–$384.30 | $49–$427 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$41.40–$238.50 | $46–$265 | varies |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$44.10–$298.80 | $49–$332 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$65.70–$255.60 | $73–$284 | varies |
| Radex fingr minimum 2 views (73140) range across 2 matching MRF lines |
$36.90–$270.90 | $41–$301 | varies |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$43.20–$619.20 | $48–$688 | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$44.10–$429.30 | $49–$477 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 2 matching MRF lines |
$39.60–$182.70 | $44–$203 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) range across 2 matching MRF lines |
$81–$253.80 | $90–$282 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$44.10–$268.20 | $49–$298 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 2 matching MRF lines |
$55.80–$299.70 | $62–$333 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$47.70–$348.30 | $53–$387 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$42.30–$182.70 | $47–$203 | varies |
| Radex Spine 1 View Specify Level (72020) range across 2 matching MRF lines |
$41.40–$240.30 | $46–$267 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$48.60–$252 | $54–$280 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$61.20–$182.70 | $68–$203 | varies |
| Radex Toe Minimum 2 Views (73660) range across 2 matching MRF lines |
$35.10–$269.10 | $39–$299 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 2 matching MRF lines |
$39.60–$176.40 | $44–$196 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$44.10–$774 | $49–$860 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$60.30–$253.80 | $67–$282 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 2 matching MRF lines |
$63–$474.30 | $70–$527 | varies |
| Radiologic exam colon double contrast study (74280) range across 2 matching MRF lines |
$287.10–$515.70 | $319–$573 | varies |
| Radiologic exam colon single contrast study (74270) range across 2 matching MRF lines |
$237.60–$630 | $264–$700 | varies |
| Radiologic Exam Esophagus Double Contrast Study (74221) range across 2 matching MRF lines |
$171.90–$525.60 | $191–$584 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$55.80–$503.10 | $62–$559 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$60.30–$347.40 | $67–$386 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 2 matching MRF lines |
$198–$519.30 | $220–$577 | varies |
| Radiologic exam swallow function contrast study (74230) range across 2 matching MRF lines |
$131.40–$793.80 | $146–$882 | varies |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$218.70–$654.30 | $243–$727 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$43.20–$309.60 | $48–$344 | varies |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$43.20–$362.70 | $48–$403 | varies |
| Radiologic Examination Osseous Survey Limited (77074) range across 2 matching MRF lines |
$102.60–$391.50 | $114–$435 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 2 matching MRF lines |
$41.40–$261.90 | $46–$291 | varies |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$69.30–$547.20 | $77–$608 | varies |
| Scapula (73010) range across 2 matching MRF lines |
$45.90–$196.20 | $51–$218 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 2 matching MRF lines |
$108–$140.40 | $120–$156 | varies |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$39.60–$241.20 | $44–$268 | varies |
| Shoulder Arthrography (73040) range across 2 matching MRF lines |
$139.50–$1,107 | $155–$1,230 | varies |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$45.90–$285.30 | $51–$317 | varies |
| Sternoclavicular joints (71130) range across 2 matching MRF lines |
$54.90–$253.80 | $61–$282 | varies |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) range across 2 matching MRF lines |
$468–$472.50 | $520–$525 | varies |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$50.40–$281.70 | $56–$313 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$55.80–$364.50 | $62–$405 | varies |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$50.40–$282.60 | $56–$314 | varies |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $110.70 | $123 | 0.3× |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$167.40–$490.50 | $186–$545 | varies |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
$126.90–$356.40 | $141–$396 | varies |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$146.70–$534.60 | $163–$594 | varies |
| Unlisted magnetic resonance procedure (76498) | $1,438.20 | $1,598 | 16.2× |
| Upper gi w/o kub (74240) range across 2 matching MRF lines |
$196.20–$758.70 | $218–$843 | varies |
| Urethrocystogram voiding (74455) range across 2 matching MRF lines |
$78.30–$696.60 | $87–$774 | varies |
| Urethrocystography retrograde (74450) range across 2 matching MRF lines |
$74.70–$700.20 | $83–$778 | varies |
| Us breast unilateral complete (76641) range across 2 matching MRF lines |
$179.10–$582.30 | $199–$647 | varies |
| Us chest (76604) range across 2 matching MRF lines |
$143.10–$399.60 | $159–$444 | varies |
| Us complete joint (76881) range across 2 matching MRF lines |
$154.80–$626.40 | $172–$696 | varies |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$120.60–$388.80 | $134–$432 | varies |
| Us head (76506) range across 2 matching MRF lines |
$149.40–$180.90 | $166–$201 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$119.70–$360 | $133–$400 | varies |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$159.30–$468.90 | $177–$521 | varies |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$185.40–$486.90 | $206–$541 | varies |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$170.10–$609.30 | $189–$677 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$241.20–$513 | $268–$570 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 2 matching MRF lines |
$180.90–$193.50 | $201–$215 | varies |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$180.90–$693.90 | $201–$771 | varies |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$143.10–$461.70 | $159–$513 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$157.50–$573.30 | $175–$637 | varies |
| Us spinal canal and contents (76800) range across 2 matching MRF lines |
$259.20–$302.40 | $288–$336 | varies |
| Us thyroid (76536) range across 2 matching MRF lines |
$141.30–$567 | $157–$630 | varies |
| Us transrectal (76872) range across 2 matching MRF lines |
$153–$704.70 | $170–$783 | varies |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$43.20–$376.20 | $48–$418 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$47.70–$315.90 | $53–$351 | varies |
| X-ray antegrade pyelogram tube (74425) range across 2 matching MRF lines |
$115.20–$1,413.90 | $128–$1,571 | varies |
| X-Ray Bend Only L-S Spine (72120) range across 2 matching MRF lines |
$52.20–$369 | $58–$410 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$43.20–$248.40 | $48–$276 | varies |
| X-Ray Exam Breast Specimen (76098) range across 2 matching MRF lines |
$73.80–$1,602.90 | $82–$1,781 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 2 matching MRF lines |
$63–$192.60 | $70–$214 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$78.30–$455.40 | $87–$506 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 2 matching MRF lines |
$44.10–$225.90 | $49–$251 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 2 matching MRF lines |
$55.80–$296.10 | $62–$329 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) range across 2 matching MRF lines |
$68.40–$310.50 | $76–$345 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$52.20–$811.80 | $58–$902 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $69.30 | $77 | 0.6× |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$74.70–$671.40 | $83–$746 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$55.80–$299.70 | $62–$333 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$73.80–$526.50 | $82–$585 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 2 matching MRF lines |
$67.50–$368.10 | $75–$409 | varies |
| X-ray eye for foreign body (70030) range across 2 matching MRF lines |
$40.50–$182.70 | $45–$203 | varies |
| X-ray humerus (73060) range across 2 matching MRF lines |
$41.40–$261 | $46–$290 | varies |
| X-ray IV pyelogram (ivp) (74400) range across 2 matching MRF lines |
$113.40–$700.20 | $126–$778 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 2 matching MRF lines |
$43.20–$176.40 | $48–$196 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$44.10–$503.10 | $49–$559 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$55.80–$311.40 | $62–$346 | varies |
| X-ray nose-rectum child f.b. (76010) range across 2 matching MRF lines |
$43.20–$207 | $48–$230 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$78.30–$668.70 | $87–$743 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$55.80–$312.30 | $62–$347 | varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) range across 2 matching MRF lines |
$42.30–$182.70 | $47–$203 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$44.10–$282.60 | $49–$314 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$52.20–$253.80 | $58–$282 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$67.50–$392.40 | $75–$436 | varies |
| X-Ray Stress View (77071) range across 2 matching MRF lines |
$182.70–$246.60 | $203–$274 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 2 matching MRF lines |
$117.90–$1,413.90 | $131–$1,571 | varies |
| X-Rays Bone Length Studies (77073) range across 2 matching MRF lines |
$64.80–$182.70 | $72–$203 | varies |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$127.80–$666 | $142–$740 | varies |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$68.40–$442.80 | $76–$492 | varies |
| Xr facial bones less than 3 views (70140) range across 2 matching MRF lines |
$50.40–$244.80 | $56–$272 | varies |
| XR Mastoids < 3 Views Bilateral (70120) range across 2 matching MRF lines |
$43.20–$182.70 | $48–$203 | varies |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$65.70–$182.70 | $73–$203 | 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.