Imaging prices at Freeman Hospital West
Joplin, MO · every code in this section with a posted price and a Medicare benchmark.
324 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 3 matching MRF lines |
$220.35–$357 | $367.25–$595 | varies |
| Abdomen 2 views (74019) range across 3 matching MRF lines |
$357–$461.40 | $595–$769 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,616.40 | $2,694 | 4.0× |
| Adrenal Cortex & Medulla Img (78075) | $2,886.60 | $4,811 | 2.2× |
| Angio internal mammary (75756) | $1,588.35 | $2,647.25 | 0.5× |
| Angio pulmonary bilat (75743) | $3,504.60 | $5,841 | 1.1× |
| Angiography extremity bilateral rs&i (75716) | $4,594.05 | $7,656.75 | 1.5× |
| Angiography extremity unilateral rs&i (75710) range across 3 matching MRF lines |
$4,594.05–$4,594.80 | $7,656.75–$7,658 | varies |
| Angiography pulmonary unilateral slctv rs&i (75741) | $1,846.20 | $3,077 | 0.6× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $1,588.35 | $2,647.25 | 0.5× |
| Ankle 2 views (73600) range across 4 matching MRF lines |
$67.05–$330.60 | $111.75–$551 | varies |
| Aortography thoracic serialography rs&i (75605) | $6,647.55 | $11,079.25 | 1.2× |
| Aortography thoracic w/o serialography rs&i (75600) | $2,149.65 | $3,582.75 | 0.7× |
| Artery X-Rays Abdomen (75726) | $3,946.65 | $6,577.75 | 0.7× |
| Artery X-Rays Adrenal Gland (75731) | $1,588.35 | $2,647.25 | 0.5× |
| Artery X-Rays Pelvis (75736) | $5,502.30 | $9,170.50 | 1.0× |
| Artery X-Rays Spine (75705) | $5,484.90 | $9,141.50 | 1.0× |
| Arthrogram hip (73525) range across 3 matching MRF lines |
$964.20–$1,322.40 | $1,607–$2,204 | varies |
| Arthrogram Wrist (73115) | $1,360.20 | $2,267 | 3.9× |
| Basic radiation dosimetry calculation (77300) range across 2 matching MRF lines |
$440.40–$442.80 | $734–$738 | varies |
| Bone age studies (77072) | $357 | $595 | 3.4× |
| Bone Imaging 3 Phase (78315) | $1,686.60 | $2,811 | 4.2× |
| Bone Imaging Limited Area (78300) | $1,100.40 | $1,834 | 2.7× |
| Bone Imaging Multiple Areas (78305) | $996.60 | $1,661 | 2.5× |
| Bone Imaging Whole Body (78306) | $1,743 | $2,905 | 4.4× |
| Bone marrow imaging limited area (78102) | $877.80 | $1,463 | 2.2× |
| Bone survey infant (77076) | $558 | $930 | 5.3× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $1,139.40 | $1,899 | 2.1× |
| Brain Imaging Minimum 4 Static Views (78605) | $997.80 | $1,663 | 1.8× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $4,764.75 | $7,941.25 | 3.3× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $3,045.30 | $5,075.50 | 8.7× |
| Cerebrospinal Fluid Scan (78630) | $1,437.60 | $2,396 | 2.6× |
| Chest 1 view (71045) range across 3 matching MRF lines |
$168.45–$382.20 | $280.75–$637 | varies |
| Chest 2 views (71046) range across 6 matching MRF lines |
$103.50–$374.40 | $172.50–$624 | varies |
| Chest 3 views (71047) | $401.40 | $669 | 4.6× |
| Cholecystography Oral Contrast (74290) | $289.20 | $482 | 1.6× |
| Clavicle complete (73000) range across 6 matching MRF lines |
$179.25–$358.80 | $298.75–$598 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $1,953 | $3,255 | 18.7× |
| Contrast Exam Abdominl Aorta (75625) | $3,318.45 | $5,530.75 | 1.0× |
| Contrast X-Ray Bladder (74430) | $724.20 | $1,207 | 2.1× |
| Contrast X-Ray Of Elbow (73085) | $1,066.20 | $1,777 | 3.1× |
| Contrast X-Ray Of Knee Joint (73580) range across 2 matching MRF lines |
$955.20–$955.80 | $1,592–$1,593 | varies |
| Corpora cavernosography (74445) | $173.40 | $289 | 1.7× |
| CT abdomen and pelvis without and with contrast (74178) | $5,537.40 | $9,229 | 15.8× |
| CT abdomen and pelvis without contrast (74176) | $3,783.60 | $6,306 | 15.8× |
| CT abdomen w contrast (74160) | $2,727 | $4,545 | 15.5× |
| CT abdomen w wo contrast (74170) | $2,889.15 | $4,815.25 | 16.4× |
| CT abdomen w/o contrast (74150) | $2,146.35 | $3,577.25 | 20.5× |
| CT Angio Abdomen and Pelvis (74174) | $5,523.90 | $9,206.50 | 15.8× |
| CT Angio Chest (71275) | $2,801.10 | $4,668.50 | 15.9× |
| CT Angio Head (70496) | $2,861.10 | $4,768.50 | 16.3× |
| CT angio hrt w/3d image (75574) | $1,700.85 | $2,834.75 | 4.9× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 3 matching MRF lines |
$2,374.65–$4,129.20 | $3,957.75–$6,882 | varies |
| CT Angio Neck (70498) | $3,201.15 | $5,335.25 | 18.2× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $2,065.20 | $3,442 | 11.8× |
| CT cervical spine w/ contrast (72126) | $2,657.40 | $4,429 | 7.6× |
| CT cervical spine w/o contrast (72125) | $2,353.35 | $3,922.25 | 22.5× |
| CT cervical spine w/wo cont (72127) | $3,026.40 | $5,044 | 17.2× |
| CT chest w contrast (71260) | $2,650.50 | $4,417.50 | 15.1× |
| CT chest w/wo contrast (71270) | $2,661.60 | $4,436 | 15.2× |
| CT head/brain with contrast (70460) | $2,048.25 | $3,413.75 | 11.7× |
| CT head/brain without and with contrast (70470) | $2,522.85 | $4,204.75 | 14.4× |
| CT heart no contrast quant eval coronry calcium (75571) | $59.40 | $99 | 0.7× |
| CT iac w contrast (70481) | $2,292.60 | $3,821 | 13.0× |
| CT l-spine w&w/o contrast (72133) | $3,074.40 | $5,124 | 17.5× |
| CT lower ext w/o (73700) range across 3 matching MRF lines |
$2,033.70–$2,290.35 | $3,389.50–$3,817.25 | varies |
| CT lower extremity w/contrast material (73701) | $2,145.60 | $3,576 | 12.2× |
| CT lumbar spine w contrast (72132) | $2,589 | $4,315 | 7.4× |
| CT lumbar spine w/o contrast (72131) | $2,218.20 | $3,697 | 21.2× |
| CT maxillofacial w contrast (70487) | $3,511.20 | $5,852 | 20.0× |
| CT maxillofacial wo contrast (70486) | $1,953 | $3,255 | 18.7× |
| CT neck tissue combo (70492) | $2,575.35 | $4,292.25 | 14.7× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $2,748.15 | $4,580.25 | 15.6× |
| CT orbits w/o contrast (70480) | $2,254.05 | $3,756.75 | 21.5× |
| CT pelvis w&w/o contrast (72194) | $3,141.60 | $5,236 | 17.9× |
| CT pelvis w/o contrast (72192) | $2,000.85 | $3,334.75 | 19.1× |
| CT scan of leg combo (73702) | $2,448.60 | $4,081 | 13.9× |
| CT scans face/jaw combo (70488) | $3,511.20 | $5,852 | 20.0× |
| CT soft tissue neck w contrast (70491) | $2,399.85 | $3,999.75 | 13.7× |
| CT soft tissue neck w/o contrast (70490) | $2,358.15 | $3,930.25 | 22.5× |
| CT thoracic spine w contrast (72129) | $2,430.75 | $4,051.25 | 13.8× |
| CT thoracic spine w/o contrast (72128) | $2,360.85 | $3,934.75 | 22.5× |
| CT thoracic spine w/wo cont (72130) | $3,352.05 | $5,586.75 | 19.1× |
| CT thorax w/o contrast (71250) | $1,953 | $3,255 | 18.7× |
| CT upper ext wo (73200) | $2,050.50 | $3,417.50 | 19.6× |
| CT upper extremity w/o & w/contrast material (73202) | $2,578.80 | $4,298 | 14.7× |
| CT upper extremity with contrast (73201) | $2,218.80 | $3,698 | 6.3× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $4,565.25 | $7,608.75 | 26.0× |
| Cta Abdomen (74175) | $3,199.35 | $5,332.25 | 18.2× |
| Dilation ureters/urethra rs&i (74485) | $903.60 | $1,506 | 0.4× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) | $703.80 | $1,173 | 6.7× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $1,107 | $1,845 | 10.6× |
| Doppler Fetal Mid Cerebral Artery (76821) | $573.60 | $956 | 5.5× |
| Dxa Bone Density Axial (77080) | $439.80 | $733 | 4.2× |
| Echo exam of fetal heart (76825) | $986.40 | $1,644 | 1.8× |
| Echo Guide For Artery Repair (76936) | $532.05 | $886.75 | 2.5× |
| Esophagram (74220) | $484.80 | $808 | 2.8× |
| Fetal Biophys Profile W/Nst (76818) | $845.40 | $1,409 | 8.1× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $610.20 | $1,017 | 5.8× |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$412.95–$414 | $688.25–$690 | varies |
| Follow-Up Angiography (75898) | $633.75 | $1,056.25 | 0.2× |
| Foot 2 views (73620) range across 4 matching MRF lines |
$196.80–$301.80 | $328–$503 | varies |
| Forearm 2 views (73090) range across 4 matching MRF lines |
$148.80–$317.40 | $248–$529 | varies |
| Gastric emptying imaging study (78264) | $1,477.20 | $2,462 | 3.7× |
| Gastroesophageal Reflux Exam (78262) | $1,630.80 | $2,718 | 4.1× |
| Gated Heart Planar Single (78472) | $1,749 | $2,915 | 4.4× |
| Hand 2 views (73120) range across 6 matching MRF lines |
$146.10–$347.40 | $243.50–$579 | varies |
| Heart first pass single,planar (78481) | $2,147.40 | $3,579 | 3.9× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $1,885.05 | $3,141.75 | 0.6× |
| Hepatobil Syst Image W/Drug (78227) | $1,947 | $3,245 | 3.6× |
| Hepatobiliary System Imaging (78226) | $1,743 | $2,905 | 4.4× |
| Ht Muscle Image Spect Sing (78451) | $3,318.60 | $5,531 | 2.6× |
| Hysterosalpingogram (74740) | $892.80 | $1,488 | 3.7× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $863.40 | $1,439 | 9.9× |
| Intracavitary Radiation Source Applic Intermed (77762) | $505.80 | $843 | 0.9× |
| Joint Survey Single View (77077) | $181.80 | $303 | 1.7× |
| K Flow/Funct Image Multiple (78709) | $2,982.60 | $4,971 | 5.5× |
| K Flow/Funct Image W/Drug (78708) | $1,645.80 | $2,743 | 3.0× |
| K Flow/Funct Image W/O Drug (78707) | $1,525.80 | $2,543 | 2.8× |
| Kidney Funcj Study Non-Img Radioisotopic Study (78725) | $807.60 | $1,346 | 2.0× |
| Knee 3 Views (73562) range across 6 matching MRF lines |
$212.55–$383.40 | $354.25–$639 | varies |
| Leveen/Shunt Patency Exam (78291) | $1,349.40 | $2,249 | 3.4× |
| Liver & Spleen Imaging Static Only (78215) | $1,176.60 | $1,961 | 2.9× |
| Liver imaging static only (78201) | $1,374.60 | $2,291 | 2.5× |
| Lung Perf&Ventilat Diferentl (78598) | $1,818.60 | $3,031 | 3.3× |
| Lung perfusion differential (78597) | $1,517.40 | $2,529 | 3.8× |
| Lung Ventilat&Perfus Imaging (78582) | $1,731.60 | $2,886 | 3.2× |
| Lung Ventilation Imaging (78579) | $763.20 | $1,272 | 1.9× |
| Lymph System Imaging (78195) | $1,530 | $2,550 | 2.8× |
| Magnetic Image Jaw Joint (70336) | $2,677.20 | $4,462 | 11.2× |
| Mammary ductogram or galactogram multiple (77054) range across 2 matching MRF lines |
$833.55–$834 | $1,389.25–$1,390 | varies |
| Mammary ductogram or galactogram single (77053) range across 2 matching MRF lines |
$637.80–$638.40 | $1,063–$1,064 | varies |
| Meckels Divert Exam (78290) | $1,380 | $2,300 | 3.4× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $28.35 | $47.25 | 1.0× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) | $103.95 | $173.25 | 1.1× |
| MRA head w/o contrast (70544) | $1,955.10 | $3,258.50 | 8.2× |
| MRA head with contrast (70545) | $1,908.45 | $3,180.75 | 5.5× |
| MRA neck w contrast (70548) | $2,113.95 | $3,523.25 | 6.0× |
| Mra Neck W/O &W/Contrast Material (70549) | $3,392.25 | $5,653.75 | 9.7× |
| MRA neck w/o contrast (70547) | $1,955.10 | $3,258.50 | 8.2× |
| MRI abdomen w contrast (74182) | $2,800.20 | $4,667 | 8.0× |
| MRI abdomen w/o contrast (74181) | $2,692.65 | $4,487.75 | 11.3× |
| MRI any jt lower extrem w/contrast material (73722) | $2,693.55 | $4,489.25 | 3.4× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $3,252.75 | $5,421.25 | 9.3× |
| MRI any jt upper extremity w/contrast matrl (73222) | $2,713.50 | $4,522.50 | 3.5× |
| MRI bone marrow blood supply (77084) range across 3 matching MRF lines |
$3,100.95–$3,688.35 | $5,168.25–$6,147.25 | varies |
| MRI brain functional w/o physician admnistration (70554) | $3,411 | $5,685 | 14.3× |
| MRI Breast W/O Contrast Bilateral (77047) | $2,387.40 | $3,979 | 10.0× |
| MRI Breast Without Contrast Material Unilateral (77046) | $2,493.15 | $4,155.25 | 10.4× |
| MRI cardiac w/o contrast (75557) | $2,700.90 | $4,501.50 | 11.3× |
| MRI cervical spine w contrast (72142) | $3,560.25 | $5,933.75 | 10.2× |
| MRI cervical spine w/o cont (72141) | $2,963.10 | $4,938.50 | 12.4× |
| MRI chest w/o contrast (71550) | $2,189.25 | $3,648.75 | 9.2× |
| MRI chest with contrast (71551) | $3,138.30 | $5,230.50 | 4.0× |
| MRI chest wo w contrast (71552) | $4,544.40 | $7,574 | 13.0× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $2,693.55 | $4,489.25 | 7.7× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $3,463.95 | $5,773.25 | 9.9× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $2,713.05 | $4,521.75 | 11.4× |
| MRI lumbar spine w contrast (72149) | $3,051.15 | $5,085.25 | 8.7× |
| Mri Neck Spine W/O & W/Dye (72156) | $3,482.55 | $5,804.25 | 10.0× |
| MRI orbit face &/neck w/o contrast (70540) | $2,285.10 | $3,808.50 | 9.6× |
| MRI orbit face neck w contrast (70542) | $4,064.55 | $6,774.25 | 11.6× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $4,240.20 | $7,067 | 12.1× |
| MRI pelvis w contrast (72196) | $2,999.40 | $4,999 | 8.6× |
| MRI pelvis w/o & w contrast (72197) | $3,537 | $5,895 | 10.1× |
| MRI pelvis w/o contrast (72195) | $2,630.85 | $4,384.75 | 11.0× |
| MRI spectroscopy (76390) | $129 | $215 | 1.5× |
| MRI thoracic spine w/o contrast (72146) | $2,872.65 | $4,787.75 | 12.0× |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 6 matching MRF lines |
$2,460.75–$3,262.20 | $4,101.25–$5,437 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $2,693.55 | $4,489.25 | 11.3× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $3,204.15 | $5,340.25 | 9.2× |
| MRI, abdomen, combo (74183) | $3,587.85 | $5,979.75 | 10.3× |
| MRI, dorsal spine combo (72157) | $4,240.20 | $7,067 | 12.1× |
| MRI, dorsal spine contrast (72147) | $4,674.15 | $7,790.25 | 13.4× |
| MRI, joint upper extrem (73221) | $2,693.55 | $4,489.25 | 11.3× |
| MRI, joint upper extrem combo (73223) range across 6 matching MRF lines |
$3,204.15–$3,309 | $5,340.25–$5,515 | varies |
| MRI, lumbar spine combo (72158) | $3,533.10 | $5,888.50 | 10.1× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $709.20 | $1,182 | 1.8× |
| Myocardial Spect Multiple Studies (78452) | $3,938.40 | $6,564 | 3.0× |
| Neck soft tissue (70360) range across 3 matching MRF lines |
$186.15–$264 | $310.25–$440 | varies |
| Nuclear Rx Oral Admin (79005) | $1,372.20 | $2,287 | 5.9× |
| Ob us nuchal meas 1 gest (76813) | $372 | $620 | 3.6× |
| Ophthalmic Ultrasonic Foreign Body Localization (76529) | $87.30 | $145.50 | 1.0× |
| Panoramic X-ray of jaws (70355) | $284.40 | $474 | 3.3× |
| Parathyroid Planar Imaging (78070) | $976.80 | $1,628 | 2.4× |
| Pelvis 1 or 2 views (72170) range across 3 matching MRF lines |
$220.35–$321.60 | $367.25–$536 | varies |
| Pet Image W/Ct Lmtd (78814) | $6,100.65 | $10,167.75 | 4.3× |
| PET image w/CT, full body (78816) | $5,893.95 | $9,823.25 | 4.1× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $6,100.65 | $10,167.75 | 4.3× |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,065.60 | $1,776 | 2.7× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 3 matching MRF lines |
$210–$527.40 | $350–$879 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 2 matching MRF lines |
$506.85–$563.40 | $844.75–$939 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 6 matching MRF lines |
$210.15–$372.60 | $350.25–$621 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 6 matching MRF lines |
$90–$319.80 | $150–$533 | varies |
| Radex elbow complete minimum 3 views (73080) range across 6 matching MRF lines |
$168.45–$359.40 | $280.75–$599 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 3 matching MRF lines |
$111–$549 | $185–$915 | varies |
| Radex fingr minimum 2 views (73140) range across 6 matching MRF lines |
$175.95–$292.20 | $293.25–$487 | varies |
| Radex foot complete minimum 3 views (73630) range across 4 matching MRF lines |
$210.15–$364.80 | $350.25–$608 | varies |
| Radex Hand Minimum 3 Views (73130) range across 6 matching MRF lines |
$175.95–$366.60 | $293.25–$611 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 4 matching MRF lines |
$63.45–$313.20 | $105.75–$522 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $549.60 | $916 | 5.2× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 3 matching MRF lines |
$76.95–$345 | $128.25–$575 | varies |
| Radex Pharynx/Larx W/Fluor&/Magnification Tq (70370) | $430.20 | $717 | 4.9× |
| Radex Ribs Unilateral 2 Views (71100) range across 4 matching MRF lines |
$159.45–$313.20 | $265.75–$522 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 6 matching MRF lines |
$220.35–$388.20 | $367.25–$647 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$168.45–$185.40 | $280.75–$309 | varies |
| Radex Spine 1 View Specify Level (72020) range across 6 matching MRF lines |
$127.20–$296.40 | $212–$494 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 3 matching MRF lines |
$225.30–$336.60 | $375.50–$561 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $341.40 | $569 | 3.9× |
| Radex Toe Minimum 2 Views (73660) range across 6 matching MRF lines |
$156.15–$299.40 | $260.25–$499 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 4 matching MRF lines |
$63.45–$276.60 | $105.75–$461 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 6 matching MRF lines |
$179.25–$363 | $298.75–$605 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) range across 2 matching MRF lines |
$858–$862.20 | $1,430–$1,437 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$586.65–$586.80 | $977.75–$978 | varies |
| Radiologic exam colon double contrast study (74280) | $1,051.20 | $1,752 | 6.0× |
| Radiologic exam colon single contrast study (74270) | $1,035.60 | $1,726 | 5.9× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $568.20 | $947 | 3.2× |
| Radiologic exam knee complete 4/more views (73564) range across 6 matching MRF lines |
$192.60–$470.40 | $321–$784 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$476.70–$477 | $794.50–$795 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) | $732 | $1,220 | 4.2× |
| Radiologic exam swallow function contrast study (74230) | $799.80 | $1,333 | 4.6× |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$650.40–$1,268.40 | $1,084–$2,114 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 6 matching MRF lines |
$238.20–$456 | $397–$760 | varies |
| Radiologic examination knee 1/2 views (73560) range across 11 matching MRF lines |
$127.20–$349.80 | $212–$583 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $664.80 | $1,108 | 6.3× |
| Radiologic examination tibia & fibula 2 views (73590) range across 6 matching MRF lines |
$175.95–$324 | $293.25–$540 | varies |
| Ribs bilateral 3 views (71110) range across 3 matching MRF lines |
$61.50–$518.40 | $102.50–$864 | varies |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $1,355.40 | $2,259 | 3.4× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $1,956.60 | $3,261 | 3.6× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) range across 2 matching MRF lines |
$1,733.40–$2,326.20 | $2,889–$3,877 | varies |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 4 matching MRF lines |
$1,039.20–$1,926.60 | $1,732–$3,211 | varies |
| Rp Ther Radiolbld Monoclonal Antibody IV Infus (79403) | $1,439.40 | $2,399 | 6.2× |
| Rp Therapy Intravenous Administration (79101) | $1,102.20 | $1,837 | 4.7× |
| Salivary Gland Imaging Serial Images (78231) | $1,220.40 | $2,034 | 3.0× |
| Scapula (73010) range across 6 matching MRF lines |
$220.35–$342 | $367.25–$570 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 2 matching MRF lines |
$24.90–$49.50 | $41.50–$82.50 | varies |
| Sella turcica (70240) | $268.20 | $447 | 3.1× |
| Shoulder 1 view (73020) range across 4 matching MRF lines |
$51.60–$306.60 | $86–$511 | varies |
| Shoulder Arthrography (73040) | $1,322.40 | $2,204 | 3.8× |
| Sialogram (70390) | $485.40 | $809 | 2.0× |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$220.35–$340.20 | $367.25–$567 | varies |
| Special Physics Consult (77370) | $947.25 | $1,578.75 | 7.0× |
| Special treatment procedure (77470) | $1,312.80 | $2,188 | 2.4× |
| Sternoclavicular joints (71130) | $413.40 | $689 | 4.7× |
| Testicular Imaging W/Flow (78761) | $1,315.20 | $2,192 | 3.3× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $877.80 | $1,463 | 2.3× |
| Ther rad simulaj-aided field setting simple (77280) range across 2 matching MRF lines |
$266.40–$308.40 | $444–$514 | varies |
| Thoracic spine 2 views (72070) | $210 | $350 | 2.0× |
| Thoracic spine 3 views (72072) range across 3 matching MRF lines |
$271.65–$417 | $452.75–$695 | varies |
| Thyroid Imaging With Vascular Flow (78013) | $678.60 | $1,131 | 1.7× |
| Thyroid Met Imaging Body (78018) | $1,184.40 | $1,974 | 2.2× |
| Thyroid Uptake Measurement (78012) | $477.60 | $796 | 1.2× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,225.20 | $2,042 | 3.1× |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$615.60–$1,230.60 | $1,026–$2,051 | varies |
| Ultrasound elastography first target lesion (76982) | $817.20 | $1,362 | 7.8× |
| Ultrasound Elastography Parenchyma (76981) | $817.20 | $1,362 | 7.8× |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
$645–$831.60 | $1,075–$1,386 | varies |
| Ultrasound, abdomen limited (76705) | $591.60 | $986 | 5.6× |
| Umbilical-artery Doppler (OB) (76820) | $435.60 | $726 | 4.2× |
| Unlisted us procedure (76999) range across 2 matching MRF lines |
$244.80–$245.40 | $408–$409 | varies |
| Upper gi w/o kub (74240) | $750 | $1,250 | 4.3× |
| Ureteral Reflux Study (78740) | $624.60 | $1,041 | 1.6× |
| Urethrocystogram voiding (74455) | $826.80 | $1,378 | 3.5× |
| Urethrocystography retrograde (74450) | $757.80 | $1,263 | 3.2× |
| Us chest (76604) | $472.20 | $787 | 4.5× |
| Us complete joint (76881) | $569.40 | $949 | 5.4× |
| Us exam, pelvic, limited (76857) | $110.40 | $184 | 1.1× |
| Us head (76506) range across 2 matching MRF lines |
$1,107–$1,218.60 | $1,845–$2,031 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $435 | $725 | 4.2× |
| Us ob detailed single fetus (76811) | $947.40 | $1,579 | 4.0× |
| Us ob limited 1 or more fetuses (76815) range across 3 matching MRF lines |
$441–$442.80 | $735–$738 | varies |
| Us ob transvaginal (76817) | $507.60 | $846 | 4.8× |
| Us pelvic non ob complete (76856) | $720 | $1,200 | 6.9× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $591.60 | $986 | 5.6× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 3 matching MRF lines |
$512.55–$514.20 | $854.25–$857 | varies |
| Us retroperitoneal complete (76770) | $831.60 | $1,386 | 7.9× |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$551.25–$551.40 | $918.75–$919 | varies |
| Us scrotum and contents (76870) | $786.60 | $1,311 | 7.5× |
| Us spinal canal and contents (76800) | $1,158 | $1,930 | 11.1× |
| Us thyroid (76536) | $766.80 | $1,278 | 7.3× |
| Us transrectal (76872) | $651.15 | $1,085.25 | 6.2× |
| Vein X-Ray Chest (75827) range across 2 matching MRF lines |
$1,887.60–$2,475.90 | $3,146–$4,126.50 | varies |
| Venogram Sinus/Jugular (75860) | $2,848.80 | $4,748 | 0.9× |
| Venography caval inferior serialography rs&i (75825) | $2,833.20 | $4,722 | 0.9× |
| Venography extremity bilateral rs&i (75822) range across 2 matching MRF lines |
$1,646.25–$1,646.40 | $2,743.75–$2,744 | varies |
| Venography extremity unilateral rs&i (75820) range across 2 matching MRF lines |
$919.50–$1,164.30 | $1,532.50–$1,940.50 | varies |
| Venography Renal Bilateral (75833) | $1,772.10 | $2,953.50 | 0.6× |
| Venography Renal Unilateral (75831) | $1,885.05 | $3,141.75 | 0.6× |
| Wrist 2 views (73100) | $323.40 | $539 | 3.7× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 3 matching MRF lines |
$91.35–$363.15 | $152.25–$605.25 | varies |
| X-Ray Aorta Leg Arteries (75630) range across 2 matching MRF lines |
$2,753.40–$4,583.85 | $4,589–$7,639.75 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $298.80 | $498 | 3.4× |
| X-Ray Exam Breast Specimen (76098) range across 2 matching MRF lines |
$799.50–$799.80 | $1,332.50–$1,333 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $376.80 | $628 | 3.6× |
| X-Ray Exam Hip Uni 1 View (73501) | $262.20 | $437 | 3.0× |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 12 matching MRF lines |
$249.30–$633.60 | $415.50–$1,056 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) | $400.20 | $667 | 3.8× |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 3 matching MRF lines |
$581.70–$943.20 | $969.50–$1,572 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) | $532.20 | $887 | 5.1× |
| X-Ray Exam L-S Spine Bending (72114) range across 3 matching MRF lines |
$220.35–$637.20 | $367.25–$1,062 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 4 matching MRF lines |
$210.15–$383.40 | $350.25–$639 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$199.80–$663.15 | $333–$1,105.25 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 6 matching MRF lines |
$263.10–$457.20 | $438.50–$762 | varies |
| X-ray eye for foreign body (70030) | $271.20 | $452 | 3.1× |
| X-ray humerus (73060) range across 6 matching MRF lines |
$179.25–$331.80 | $298.75–$553 | varies |
| X-ray IV pyelogram (ivp) (74400) | $1,106.40 | $1,844 | 6.3× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 2 matching MRF lines |
$67.05–$331.35 | $111.75–$552.25 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$227.85–$351.60 | $379.75–$586 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 4 matching MRF lines |
$220.35–$402.60 | $367.25–$671 | varies |
| X-ray nose-rectum child f.b. (76010) | $639.60 | $1,066 | 7.3× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 3 matching MRF lines |
$117–$550.20 | $195–$917 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$380.10–$380.40 | $633.50–$634 | varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $197.85 | $329.75 | 1.9× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 4 matching MRF lines |
$220.35–$352.80 | $367.25–$588 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 3 matching MRF lines |
$348.60–$404.40 | $581–$674 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 3 matching MRF lines |
$121.20–$529.20 | $202–$882 | varies |
| X-Ray Tmj Unilat (70328) | $270.60 | $451 | 3.1× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $888 | $1,480 | 2.5× |
| X-Rays Bone Length Studies (77073) | $393.60 | $656 | 3.8× |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$45.60–$832.20 | $76–$1,387 | varies |
| Xr c-spine 4 or 5 views (72050) range across 4 matching MRF lines |
$285.60–$549 | $476–$915 | varies |
| Xr facial bones less than 3 views (70140) | $228.60 | $381 | 2.6× |
| Xr orbits complete 4 views (70200) range across 3 matching MRF lines |
$250.65–$418.20 | $417.75–$697 | varies |
| Xr Tomogram Single Plane (76100) | $861.60 | $1,436 | 8.2× |
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.