Imaging prices at Franklin Medical Center
Winnsboro, LA · every code in this section with a posted price and a Medicare benchmark.
254 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 |
$16.80–$138 | $28–$230 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$21–$138 | $35–$230 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) range across 2 matching MRF lines |
$88.80–$777.60 | $148–$1,296 | varies |
| Angiography extremity unilateral rs&i (75710) range across 3 matching MRF lines |
$171–$6,183.60 | $285–$10,306 | varies |
| Ankle 2 views (73600) range across 6 matching MRF lines |
$15.60–$138 | $26–$230 | varies |
| Bone age studies (77072) range across 2 matching MRF lines |
$17.40–$105 | $29–$175 | varies |
| Bone Imaging 3 Phase (78315) range across 2 matching MRF lines |
$90.60–$570 | $151–$950 | varies |
| Bone Imaging Limited Area (78300) range across 2 matching MRF lines |
$56.40–$777.60 | $94–$1,296 | varies |
| Bone Imaging Multiple Areas (78305) range across 2 matching MRF lines |
$73.20–$777.60 | $122–$1,296 | varies |
| Bone Imaging Whole Body (78306) range across 2 matching MRF lines |
$75.60–$540 | $126–$900 | varies |
| Chest 1 view (71045) range across 2 matching MRF lines |
$16.80–$138 | $28–$230 | varies |
| Chest 2 views (71046) range across 2 matching MRF lines |
$19.80–$138 | $33–$230 | varies |
| Chest 3 views (71047) range across 3 matching MRF lines |
$24.60–$120 | $41–$200 | varies |
| Chest 4 or more views (71048) range across 3 matching MRF lines |
$29.40–$135 | $49–$225 | varies |
| Cholecystography Oral Contrast (74290) range across 2 matching MRF lines |
$29.40–$244.20 | $49–$407 | varies |
| Clavicle complete (73000) range across 6 matching MRF lines |
$16.20–$138 | $27–$230 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 2 matching MRF lines |
$93–$300 | $155–$500 | varies |
| Contrast X-Ray Bladder (74430) range across 2 matching MRF lines |
$28.80–$618.60 | $48–$1,031 | varies |
| Contrast X-Ray Of Knee Joint (73580) range across 3 matching MRF lines |
$50.40–$814.20 | $84–$1,357 | varies |
| CT abdomen and pelvis without and with contrast (74178) range across 3 matching MRF lines |
$181.20–$1,470 | $302–$2,450 | varies |
| CT abdomen and pelvis without contrast (74176) range across 4 matching MRF lines |
$157.20–$960 | $262–$1,600 | varies |
| CT abdomen w contrast (74160) range across 3 matching MRF lines |
$114–$720 | $190–$1,200 | varies |
| CT abdomen w wo contrast (74170) range across 4 matching MRF lines |
$125.40–$802.20 | $209–$1,337 | varies |
| CT abdomen w/o contrast (74150) range across 5 matching MRF lines |
$106.80–$480 | $178–$800 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 4 matching MRF lines |
$198.60–$666 | $331–$1,110 | varies |
| CT Angio Chest (71275) range across 4 matching MRF lines |
$163.80–$813 | $273–$1,355 | varies |
| CT Angio Head (70496) range across 4 matching MRF lines |
$157.20–$660 | $262–$1,100 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 6 matching MRF lines |
$169.20–$813 | $282–$1,355 | varies |
| CT Angio Neck (70498) range across 3 matching MRF lines |
$157.20–$660 | $262–$1,100 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 4 matching MRF lines |
$161.40–$660 | $269–$1,100 | varies |
| CT bone density (77078) range across 2 matching MRF lines |
$21.60–$144 | $36–$240 | varies |
| CT cervical spine w/ contrast (72126) range across 2 matching MRF lines |
$109.80–$720 | $183–$1,200 | varies |
| CT cervical spine w/o contrast (72125) range across 3 matching MRF lines |
$96–$555 | $160–$925 | varies |
| CT cervical spine w/wo cont (72127) range across 2 matching MRF lines |
$113.40–$990 | $189–$1,650 | varies |
| CT chest w contrast (71260) range across 6 matching MRF lines |
$111.60–$720 | $186–$1,200 | varies |
| CT chest w/wo contrast (71270) range across 5 matching MRF lines |
$123.60–$802.20 | $206–$1,337 | varies |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$101.40–$720 | $169–$1,200 | varies |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$114–$802.20 | $190–$1,337 | varies |
| CT heart no contrast quant eval coronry calcium (75571) range across 4 matching MRF lines |
$52.20–$138 | $87–$230 | varies |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$123.60–$534 | $206–$890 | varies |
| CT l-spine w&w/o contrast (72133) range across 2 matching MRF lines |
$114–$885 | $190–$1,475 | varies |
| CT lower ext w/o (73700) range across 6 matching MRF lines |
$89.40–$720 | $149–$1,200 | varies |
| CT lower extremity w/contrast material (73701) range across 6 matching MRF lines |
$104.40–$750 | $174–$1,250 | varies |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$109.80–$720 | $183–$1,200 | varies |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$89.40–$540 | $149–$900 | varies |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$101.40–$720 | $169–$1,200 | varies |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$76.20–$480 | $127–$800 | varies |
| CT neck tissue combo (70492) range across 3 matching MRF lines |
$129.60–$855 | $216–$1,425 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 2 matching MRF lines |
$129.60–$594 | $216–$990 | varies |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$114.60–$312 | $191–$520 | varies |
| CT pelvis w&w/o contrast (72194) range across 2 matching MRF lines |
$109.20–$802.20 | $182–$1,337 | varies |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$97.80–$480 | $163–$800 | varies |
| CT scan of leg combo (73702) range across 3 matching MRF lines |
$109.80–$813 | $183–$1,355 | varies |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
$113.40–$720 | $189–$1,200 | varies |
| CT soft tissue neck w contrast (70491) range across 3 matching MRF lines |
$124.20–$720 | $207–$1,200 | varies |
| CT soft tissue neck w/o contrast (70490) range across 3 matching MRF lines |
$114.60–$480 | $191–$800 | varies |
| CT thoracic spine w contrast (72129) range across 2 matching MRF lines |
$109.20–$578.40 | $182–$964 | varies |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$89.40–$480 | $149–$800 | varies |
| CT thoracic spine w/wo cont (72130) range across 2 matching MRF lines |
$113.40–$601.20 | $189–$1,002 | varies |
| CT thorax w/o contrast (71250) range across 6 matching MRF lines |
$91.80–$480 | $153–$800 | varies |
| CT upper ext wo (73200) range across 6 matching MRF lines |
$89.40–$570 | $149–$950 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 6 matching MRF lines |
$109.80–$648 | $183–$1,080 | varies |
| CT upper extremity with contrast (73201) range across 6 matching MRF lines |
$104.40–$675 | $174–$1,125 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$214.80–$660 | $358–$1,100 | varies |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$162.60–$813 | $271–$1,355 | varies |
| CTA pelvis (72191) range across 2 matching MRF lines |
$162–$813 | $270–$1,355 | varies |
| Doppler Echo Fetal Spectral Display Complete (76827) range across 2 matching MRF lines |
$75–$165 | $125–$275 | varies |
| Esophagram (74220) range across 2 matching MRF lines |
$42–$244.80 | $70–$408 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 2 matching MRF lines |
$71.40–$322.80 | $119–$538 | varies |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$33–$376.20 | $55–$627 | varies |
| Foot 2 views (73620) range across 6 matching MRF lines |
$14.40–$137.40 | $24–$229 | varies |
| Forearm 2 views (73090) range across 6 matching MRF lines |
$15.60–$138 | $26–$230 | varies |
| Gastric emptying imaging study (78264) range across 2 matching MRF lines |
$70.80–$777.60 | $118–$1,296 | varies |
| Gated Heart Planar Single (78472) range across 2 matching MRF lines |
$85.80–$630 | $143–$1,050 | varies |
| Hand 2 views (73120) range across 6 matching MRF lines |
$15.60–$138 | $26–$230 | varies |
| Hepatobil Syst Image W/Drug (78227) range across 2 matching MRF lines |
$79.80–$894.60 | $133–$1,491 | varies |
| Hepatobiliary System Imaging (78226) range across 4 matching MRF lines |
$63–$672 | $105–$1,120 | varies |
| Ht Muscle Image Spect Sing (78451) range across 2 matching MRF lines |
$120–$2,769 | $200–$4,615 | varies |
| K Flow/Funct Image Multiple (78709) range across 2 matching MRF lines |
$121.20–$1,001.40 | $202–$1,669 | varies |
| K Flow/Funct Image W/Drug (78708) range across 2 matching MRF lines |
$106.80–$1,001.40 | $178–$1,669 | varies |
| K Flow/Funct Image W/O Drug (78707) range across 2 matching MRF lines |
$83.40–$1,001.40 | $139–$1,669 | varies |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) range across 2 matching MRF lines |
$42.60–$1,000.80 | $71–$1,668 | varies |
| Knee 3 Views (73562) range across 6 matching MRF lines |
$18–$138 | $30–$230 | varies |
| Liver & Spleen Imaging Static Only (78215) range across 2 matching MRF lines |
$43.20–$894.60 | $72–$1,491 | varies |
| Liver & Spleen Imaging W/Vascular Flow (78216) range across 2 matching MRF lines |
$50.40–$894.60 | $84–$1,491 | varies |
| Lung Perf&Ventilat Diferentl (78598) range across 2 matching MRF lines |
$74.40–$1,034.40 | $124–$1,724 | varies |
| Lung perfusion differential (78597) range across 2 matching MRF lines |
$64.80–$705 | $108–$1,175 | varies |
| Lung Ventilat&Perfus Imaging (78582) range across 2 matching MRF lines |
$94.80–$1,034.40 | $158–$1,724 | varies |
| Lung Ventilation Imaging (78579) range across 2 matching MRF lines |
$42.60–$798.60 | $71–$1,331 | varies |
| Magnetic Image Jaw Joint (70336) range across 2 matching MRF lines |
$132–$1,005 | $220–$1,675 | varies |
| Meckels Divert Exam (78290) range across 2 matching MRF lines |
$60.60–$777.60 | $101–$1,296 | varies |
| Mra Head W/O & W/Contrast Material (70546) range across 2 matching MRF lines |
$162–$1,080 | $270–$1,800 | varies |
| MRA head w/o contrast (70544) range across 3 matching MRF lines |
$108–$840 | $180–$1,400 | varies |
| MRA head with contrast (70545) range across 2 matching MRF lines |
$107.40–$960 | $179–$1,600 | varies |
| MRA neck w contrast (70548) range across 2 matching MRF lines |
$108–$1,020 | $180–$1,700 | varies |
| Mra Neck W/O &W/Contrast Material (70549) range across 2 matching MRF lines |
$162–$1,200 | $270–$2,000 | varies |
| MRA neck w/o contrast (70547) range across 2 matching MRF lines |
$106.80–$840 | $178–$1,400 | varies |
| MRI abdomen w contrast (74182) range across 2 matching MRF lines |
$156–$1,048.80 | $260–$1,748 | varies |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$130.80–$1,020 | $218–$1,700 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 9 matching MRF lines |
$147–$1,050 | $245–$1,750 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 9 matching MRF lines |
$193.80–$1,110 | $323–$1,850 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 9 matching MRF lines |
$146.40–$1,140 | $244–$1,900 | varies |
| MRI bone marrow blood supply (77084) range across 2 matching MRF lines |
$145.80–$600 | $243–$1,000 | varies |
| MRI Breast W/O Contrast Bilateral (77047) | $348 | $580 | 1.6× |
| MRI Breast Without Contrast Material Unilateral (77046) | $348 | $580 | 1.6× |
| MRI cardiac w/o contrast (75557) range across 2 matching MRF lines |
$208.80–$780 | $348–$1,300 | varies |
| MRI cervical spine w contrast (72142) range across 2 matching MRF lines |
$160.80–$990 | $268–$1,650 | varies |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$132.60–$930 | $221–$1,550 | varies |
| MRI chest w/o contrast (71550) range across 2 matching MRF lines |
$130.80–$823.20 | $218–$1,372 | varies |
| MRI chest with contrast (71551) range across 2 matching MRF lines |
$156–$1,140 | $260–$1,900 | varies |
| MRI chest wo w contrast (71552) range across 2 matching MRF lines |
$204.60–$1,260 | $341–$2,100 | varies |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 7 matching MRF lines |
$145.80–$1,050 | $243–$1,750 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 7 matching MRF lines |
$193.80–$1,281 | $323–$2,135 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 7 matching MRF lines |
$120.60–$823.20 | $201–$1,372 | varies |
| MRI lumbar spine w contrast (72149) range across 2 matching MRF lines |
$160.80–$1,140 | $268–$1,900 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$205.80–$1,281 | $343–$2,135 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 2 matching MRF lines |
$120–$780 | $200–$1,300 | varies |
| MRI orbit face neck w contrast (70542) range across 2 matching MRF lines |
$145.80–$1,020 | $243–$1,700 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 4 matching MRF lines |
$192.60–$1,281 | $321–$2,135 | varies |
| MRI pelvis w contrast (72196) range across 2 matching MRF lines |
$156.60–$840 | $261–$1,400 | varies |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$204.60–$1,080 | $341–$1,800 | varies |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$130.80–$823.20 | $218–$1,372 | varies |
| MRI spectroscopy (76390) range across 2 matching MRF lines |
$180–$690 | $300–$1,150 | varies |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$132.60–$900 | $221–$1,500 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 7 matching MRF lines |
$147.60–$1,020 | $246–$1,700 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 7 matching MRF lines |
$120.60–$823.20 | $201–$1,372 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 7 matching MRF lines |
$193.80–$1,200 | $323–$2,000 | varies |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$204.60–$1,110 | $341–$1,850 | varies |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$207–$1,281 | $345–$2,135 | varies |
| MRI, dorsal spine contrast (72147) range across 2 matching MRF lines |
$160.80–$1,065 | $268–$1,775 | varies |
| MRI, joint upper extrem (73221) range across 9 matching MRF lines |
$122.40–$1,020 | $204–$1,700 | varies |
| MRI, joint upper extrem combo (73223) range across 9 matching MRF lines |
$193.80–$1,200 | $323–$2,000 | varies |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$207–$1,281 | $345–$2,135 | varies |
| Myocardial Spect Multiple Studies (78452) range across 2 matching MRF lines |
$141–$2,769 | $235–$4,615 | varies |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$15.60–$138 | $26–$230 | varies |
| Nuclear Rx Oral Admin (79005) | $614.40 | $1,024 | 2.9× |
| Parathyroid Planar Imaging (78070) range across 2 matching MRF lines |
$70.80–$688.80 | $118–$1,148 | varies |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$16.80–$138 | $28–$230 | varies |
| Pulmonary Perfusion Imaging Particulate (78580) range across 2 matching MRF lines |
$64.80–$735 | $108–$1,225 | varies |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$29.40–$218.40 | $49–$364 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 2 matching MRF lines |
$47.40–$763.20 | $79–$1,272 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 6 matching MRF lines |
$16.80–$138 | $28–$230 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 8 matching MRF lines |
$15–$138 | $25–$230 | varies |
| Radex elbow complete minimum 3 views (73080) range across 6 matching MRF lines |
$16.80–$138 | $28–$230 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$24–$218.40 | $40–$364 | varies |
| Radex fingr minimum 2 views (73140) range across 6 matching MRF lines |
$12.60–$138 | $21–$230 | varies |
| Radex foot complete minimum 3 views (73630) range across 6 matching MRF lines |
$15.60–$138 | $26–$230 | varies |
| Radex Hand Minimum 3 Views (73130) range across 6 matching MRF lines |
$16.20–$138 | $27–$230 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 6 matching MRF lines |
$15–$105 | $25–$175 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) range across 4 matching MRF lines |
$31.20–$228 | $52–$380 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$16.20–$138 | $27–$230 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 3 matching MRF lines |
$20.40–$138 | $34–$230 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$18–$138 | $30–$230 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$16.20–$138 | $27–$230 | varies |
| Radex Spine 1 View Specify Level (72020) range across 2 matching MRF lines |
$14.40–$138 | $24–$230 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$18.60–$138 | $31–$230 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$23.40–$120 | $39–$200 | varies |
| Radex Toe Minimum 2 Views (73660) range across 6 matching MRF lines |
$12–$138 | $20–$230 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 4 matching MRF lines |
$15–$218.40 | $25–$364 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 6 matching MRF lines |
$16.80–$138 | $28–$230 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) range across 2 matching MRF lines |
$36.60–$460.80 | $61–$768 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) range across 4 matching MRF lines |
$22.80–$228 | $38–$380 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 2 matching MRF lines |
$24–$162 | $40–$270 | varies |
| Radiologic exam colon double contrast study (74280) range across 2 matching MRF lines |
$90–$255 | $150–$425 | varies |
| Radiologic exam colon single contrast study (74270) range across 2 matching MRF lines |
$62.40–$363 | $104–$605 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 6 matching MRF lines |
$22.20–$138 | $37–$230 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$20.40–$120 | $34–$200 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 2 matching MRF lines |
$43.20–$177 | $72–$295 | varies |
| Radiologic exam upr gi trc double contrast study (74246) range across 4 matching MRF lines |
$64.20–$363 | $107–$605 | varies |
| Radiologic examination femur 1 view (73551) range across 3 matching MRF lines |
$16.80–$138 | $28–$230 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 7 matching MRF lines |
$16.80–$138 | $28–$230 | varies |
| Radiologic examination knee 1/2 views (73560) range across 6 matching MRF lines |
$17.40–$138 | $29–$230 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 6 matching MRF lines |
$16.20–$138 | $27–$230 | varies |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$24.60–$218.40 | $41–$364 | varies |
| Rp loclzj tum plnr 1 area single day imaging (78800) range across 2 matching MRF lines |
$59.40–$919.20 | $99–$1,532 | varies |
| Salivary Gland Function Study (78232) range across 2 matching MRF lines |
$37.20–$777.60 | $62–$1,296 | varies |
| Salivary Gland Imaging (78230) range across 2 matching MRF lines |
$39.60–$777.60 | $66–$1,296 | varies |
| Scapula (73010) range across 6 matching MRF lines |
$17.40–$138 | $29–$230 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 4 matching MRF lines |
$39–$75 | $65–$125 | varies |
| Shoulder 1 view (73020) range across 3 matching MRF lines |
$15–$138 | $25–$230 | varies |
| Shoulder Arthrography (73040) range across 7 matching MRF lines |
$49.20–$814.20 | $82–$1,357 | varies |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$22.80–$138 | $38–$230 | varies |
| Testicular Imaging W/Flow (78761) range across 2 matching MRF lines |
$64.80–$1,001.40 | $108–$1,669 | varies |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$21–$105 | $35–$175 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$19.80–$218.40 | $33–$364 | varies |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$22.20–$120 | $37–$200 | varies |
| Thyroid Imaging With Vascular Flow (78013) range across 2 matching MRF lines |
$32.40–$336 | $54–$560 | varies |
| Thyroid Uptake Measurement (78012) range across 2 matching MRF lines |
$465 | $29–$775 | 1.3× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) range across 2 matching MRF lines |
$43.80–$522 | $73–$870 | varies |
| Ultrasound Breast Limited (76642) range across 6 matching MRF lines |
$62.40–$171 | $104–$285 | varies |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
$180–$196.20 | $300–$327 | varies |
| Ultrasound, abdomen limited (76705) range across 6 matching MRF lines |
$53.40–$242.40 | $89–$404 | varies |
| Unlisted us procedure (76999) | $180 | $300 | 2.3× |
| Upper gi w/o kub (74240) range across 4 matching MRF lines |
$63.60–$363 | $106–$605 | varies |
| Urethrocystogram voiding (74455) range across 3 matching MRF lines |
$29.40–$618 | $49–$1,030 | varies |
| Urethrocystography retrograde (74450) | $618.60 | $1,031 | 2.9× |
| Us breast unilateral complete (76641) range across 6 matching MRF lines |
$66.60–$171 | $111–$285 | varies |
| Us chest (76604) range across 4 matching MRF lines |
$49.20–$323.40 | $82–$539 | varies |
| Us complete joint (76881) range across 6 matching MRF lines |
$57–$323.40 | $95–$539 | varies |
| Us exam, pelvic, limited (76857) range across 6 matching MRF lines |
$54–$220.20 | $90–$367 | varies |
| Us kidney transplant (76776) range across 7 matching MRF lines |
$68.40–$270 | $114–$450 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 7 matching MRF lines |
$44.40–$180 | $74–$300 | varies |
| Us ob limited 1 or more fetuses (76815) range across 4 matching MRF lines |
$60–$323.40 | $100–$539 | varies |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$69.60–$323.40 | $116–$539 | varies |
| Us pelvic non ob complete (76856) range across 6 matching MRF lines |
$61.20–$242.40 | $102–$404 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 4 matching MRF lines |
$92.40–$285 | $154–$475 | varies |
| Us retroperitoneal complete (76770) range across 4 matching MRF lines |
$65.40–$242.40 | $109–$404 | varies |
| Us retroperitoneal limited (76775) range across 4 matching MRF lines |
$51–$242.40 | $85–$404 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$56.40–$322.80 | $94–$538 | varies |
| Us thyroid (76536) range across 4 matching MRF lines |
$49.80–$322.80 | $83–$538 | varies |
| Us transrectal (76872) range across 4 matching MRF lines |
$60–$323.40 | $100–$539 | varies |
| Venous thrombosis imaging (78457) range across 3 matching MRF lines |
$79.80–$763.20 | $133–$1,272 | varies |
| Venous Thrombosis Imaging Venogram Bilateral (78458) range across 2 matching MRF lines |
$79.80–$763.20 | $133–$1,272 | varies |
| Wrist 2 views (73100) range across 6 matching MRF lines |
$16.20–$138 | $27–$230 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$19.80–$138 | $33–$230 | varies |
| X-ray antegrade pyelogram tube (74425) range across 2 matching MRF lines |
$43.80–$618 | $73–$1,030 | varies |
| X-Ray Bend Only L-S Spine (72120) range across 2 matching MRF lines |
$22.20–$218.40 | $37–$364 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 6 matching MRF lines |
$15.60–$138 | $26–$230 | varies |
| X-Ray Exam Breast Specimen (76098) | $809.40 | $1,349 | 1.6× |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 2 matching MRF lines |
$24.60–$146.40 | $41–$244 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$29.40–$241.80 | $49–$403 | varies |
| X-Ray Exam Entire Spi 4/5 Vw (72083) range across 2 matching MRF lines |
$31.80–$460.80 | $53–$768 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 3 matching MRF lines |
$16.80–$138 | $28–$230 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 3 matching MRF lines |
$20.40–$146.40 | $34–$244 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) range across 3 matching MRF lines |
$26.40–$241.80 | $44–$403 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$21–$241.80 | $35–$403 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 2 matching MRF lines |
$27.60–$241.80 | $46–$403 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) range across 2 matching MRF lines |
$29.40–$460.80 | $49–$768 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$30.60–$165 | $51–$275 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$21–$138 | $35–$230 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$33–$241.80 | $55–$403 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 3 matching MRF lines |
$24–$218.40 | $40–$364 | varies |
| X-ray humerus (73060) range across 5 matching MRF lines |
$16.80–$138 | $28–$230 | varies |
| X-ray IV pyelogram (ivp) (74400) range across 2 matching MRF lines |
$43.80–$618.60 | $73–$1,031 | varies |
| X-ray IV pyelogram+tomography (74415) range across 2 matching MRF lines |
$43.80–$618 | $73–$1,030 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 4 matching MRF lines |
$16.80–$138 | $28–$230 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$17.40–$138 | $29–$230 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$21–$138 | $35–$230 | varies |
| X-ray nose-rectum child f.b. (76010) range across 2 matching MRF lines |
$16.80–$225 | $28–$375 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$29.40–$218.40 | $49–$364 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$17.40–$138 | $29–$230 | varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) range across 2 matching MRF lines |
$16.20–$137.40 | $27–$229 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$16.20–$138 | $27–$230 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$22.80–$138 | $38–$230 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$31.20–$218.40 | $52–$364 | varies |
| X-ray thoracic spine 4 vw (72074) range across 2 matching MRF lines |
$19.80–$195 | $33–$325 | varies |
| X-Ray Tmj Unilat (70328) range across 3 matching MRF lines |
$16.80–$142.80 | $28–$238 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 3 matching MRF lines |
$32.40–$618.60 | $54–$1,031 | varies |
| X-Rays Bone Length Studies (77073) range across 2 matching MRF lines |
$24–$201 | $40–$335 | varies |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$48.60–$218.40 | $81–$364 | varies |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$24.60–$201.60 | $41–$336 | varies |
| Xr facial bones less than 3 views (70140) range across 2 matching MRF lines |
$19.20–$105 | $32–$175 | varies |
| XR Mastoids < 3 Views Bilateral (70120) range across 6 matching MRF lines |
$16.80–$108 | $28–$180 | varies |
| Xr orbits complete 4 views (70200) range across 3 matching MRF lines |
$25.20–$138 | $42–$230 | 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.