Imaging prices at Gadsden Regional Medical Center
Gadsden, AL · every code in this section with a posted price and a Medicare benchmark.
307 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) | $2,138.19 | $17,818.25 | 1.7× |
| Abdomen 1 View (74018) | $237.53 | $1,979.45 | 3.0× |
| Abdomen 2 views (74019) | $474.88 | $3,957.35 | 5.1× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $666.08 | $5,550.64 | 1.9× |
| Angio internal mammary (75756) | $1,390.36 | $11,586.34 | 0.5× |
| Angio pulmonary bilat (75743) | $1,680.17 | $14,001.40 | 0.6× |
| Angiography extremity bilateral rs&i (75716) range across 2 matching MRF lines |
$2,643.40–$3,090.87 | $22,028.31–$25,757.26 | varies |
| Angiography extremity unilateral rs&i (75710) range across 2 matching MRF lines |
$2,039.39–$2,384.67 | $16,994.91–$19,872.26 | varies |
| Angiography pulmonary unilateral slctv rs&i (75741) | $3,053.57 | $25,446.45 | 1.1× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $720.99 | $6,008.23 | 0.3× |
| Ankle 2 views (73600) range across 4 matching MRF lines |
$156.54–$313.17 | $1,304.47–$2,609.72 | varies |
| Aortography thoracic serialography rs&i (75605) range across 2 matching MRF lines |
$1,222.15–$1,429.16 | $10,184.55–$11,909.70 | varies |
| Aortography thoracic w/o serialography rs&i (75600) | $1,614.33 | $13,452.77 | 0.6× |
| Artery X-Rays Abdomen (75726) | $2,239.53 | $18,662.77 | 0.4× |
| Arthrogram ankle (73615) | $336.43 | $2,803.59 | 1.1× |
| Arthrogram hip (73525) | $847.85 | $7,065.45 | 2.7× |
| Arthrogram Wrist (73115) range across 2 matching MRF lines |
$340.01–$762.43 | $2,833.40–$6,353.58 | varies |
| Basic radiation dosimetry calculation (77300) | $892.50 | $7,437.48 | 7.4× |
| Bone age studies (77072) range across 3 matching MRF lines |
$277.28–$324.18 | $2,310.68–$2,701.54 | varies |
| Bone Imaging 3 Phase (78315) | $3,069.30 | $25,577.52 | 8.6× |
| Bone Imaging Limited Area (78300) | $1,021.72 | $8,514.33 | 2.8× |
| Bone Imaging Whole Body (78306) | $2,305.37 | $19,211.40 | 6.4× |
| Bone survey infant (77076) | $238.57 | $1,988.09 | 2.5× |
| Brachytx isodose complex (77318) | $2,064.16 | $17,201.34 | 6.1× |
| Brachytx Isodose Plan Simple (77316) | $363.08 | $3,025.70 | 1.1× |
| Cat Scan Follow-Up Study (76380) | $1,176.75 | $9,806.23 | 15.1× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $246.57 | $2,054.79 | 0.5× |
| Cerebrospinal Fluid Scan (78630) | $882.61 | $7,355.05 | 1.8× |
| Chest 1 view (71045) range across 3 matching MRF lines |
$214.84–$223.60 | $1,790.30–$1,863.30 | varies |
| Chest 2 views (71046) | $379.38 | $3,161.47 | 4.9× |
| Chest 3 views (71047) | $327.01 | $2,725.10 | 4.2× |
| Clavicle complete (73000) range across 4 matching MRF lines |
$253.17–$506.15 | $2,109.74–$4,217.92 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $918.30 | $7,652.53 | 9.8× |
| Continuing medical physics consltj pr wk (77336) | $558.80 | $4,656.67 | 4.6× |
| Contrast Exam Abdominl Aorta (75625) range across 2 matching MRF lines |
$2,330.70–$2,725.15 | $19,422.53–$22,709.58 | varies |
| Contrast X-Ray Bladder (74430) | $508.03 | $4,233.62 | 1.6× |
| Contrast X-Ray Of Elbow (73085) | $313.17 | $2,609.72 | 1.0× |
| Contrast X-Ray Of Knee Joint (73580) | $751.22 | $6,260.18 | 2.4× |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$2,086.95–$4,975.99 | $17,391.26–$41,466.55 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$1,956.41–$4,041.20 | $16,303.45–$33,676.66 | varies |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$1,597.66–$2,002.85 | $13,313.84–$16,690.38 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$1,781.13–$2,535.27 | $14,842.77–$21,127.27 | varies |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$1,033.12–$1,814.38 | $8,609.30–$15,119.84 | varies |
| CT Angio Abdomen and Pelvis (74174) | $3,570.37 | $29,753.05 | 11.4× |
| CT Angio Chest (71275) | $1,835.85 | $15,298.79 | 11.7× |
| CT Angio Head (70496) | $1,733.95 | $14,449.57 | 11.0× |
| CT angio hrt w/3d image (75574) | $577.07 | $4,808.94 | 1.8× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
$2,040.14–$4,080 | $17,001.20–$34,000.04 | varies |
| CT Angio Neck (70498) | $1,683.09 | $14,025.73 | 10.7× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 2 matching MRF lines |
$1,586.64–$3,173.66 | $13,222.02–$26,447.18 | varies |
| CT cervical spine w/ contrast (72126) range across 2 matching MRF lines |
$1,597.66–$2,015.75 | $13,313.84–$16,797.90 | varies |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$1,688.74–$1,781.13 | $14,072.82–$14,842.77 | varies |
| CT cervical spine w/wo cont (72127) range across 2 matching MRF lines |
$1,033.12–$2,019.99 | $8,609.30–$16,833.22 | varies |
| CT chest w contrast (71260) | $1,545.67 | $12,880.59 | 9.8× |
| CT chest w/wo contrast (71270) | $1,652.76 | $13,772.99 | 10.5× |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$1,597.66–$2,207.98 | $13,313.84–$18,399.83 | varies |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$1,781.13–$2,464.63 | $14,842.77–$20,538.62 | varies |
| CT heart no contrast quant eval coronry calcium (75571) | $47.66 | $397.15 | 0.6× |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$1,420.12–$1,643.81 | $11,834.36–$13,698.44 | varies |
| CT l-spine w&w/o contrast (72133) range across 2 matching MRF lines |
$1,781.13–$2,302.73 | $14,842.77–$19,189.42 | varies |
| CT lower ext w/o (73700) range across 4 matching MRF lines |
$1,033.12–$3,626.97 | $8,609.30–$30,224.78 | varies |
| CT lower extremity w/contrast material (73701) range across 4 matching MRF lines |
$1,597.66–$3,768.34 | $13,313.84–$31,402.86 | varies |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$1,597.66–$2,250.55 | $13,313.84–$18,754.60 | varies |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$1,033.12–$2,219 | $8,609.30–$18,491.66 | varies |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$1,420.12–$1,720.95 | $11,834.36–$14,341.24 | varies |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$918.30–$1,611.51 | $7,652.53–$13,429.22 | varies |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$1,781.13–$2,266.85 | $14,842.77–$18,890.38 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 2 matching MRF lines |
$1,583.25–$1,773.41 | $13,193.76–$14,778.43 | varies |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$918.30–$1,612.17 | $7,652.53–$13,434.71 | varies |
| CT pelvis w&w/o contrast (72194) range across 2 matching MRF lines |
$1,583.25–$2,170.21 | $13,193.76–$18,085.11 | varies |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$1,420.12–$1,979.68 | $11,834.36–$16,497.32 | varies |
| CT scan of leg combo (73702) range across 3 matching MRF lines |
$699.51–$1,995.03 | $5,829.27–$16,625.25 | varies |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
$1,583.25–$2,132.07 | $13,193.76–$17,767.22 | varies |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$1,597.66–$2,180.01 | $13,313.84–$18,166.72 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$1,033.12–$2,145.82 | $8,609.30–$17,881.83 | varies |
| CT thoracic spine w contrast (72129) range across 2 matching MRF lines |
$1,583.25–$1,684.22 | $13,193.76–$14,035.14 | varies |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$1,420.22–$1,525.52 | $11,835.15–$12,712.63 | varies |
| CT thoracic spine w/wo cont (72130) | $1,972.52 | $16,437.65 | 12.5× |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$1,033.12–$1,205 | $8,609.30–$10,041.70 | varies |
| CT upper ext wo (73200) range across 4 matching MRF lines |
$918.30–$3,223.67 | $7,652.53–$26,863.94 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 3 matching MRF lines |
$1,583.25–$3,546.92 | $13,193.76–$29,557.64 | varies |
| CT upper extremity with contrast (73201) range across 4 matching MRF lines |
$918.30–$3,349.69 | $7,652.53–$27,914.10 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $2,295.29 | $19,127.42 | 14.6× |
| Cta Abdomen (74175) | $2,040.14 | $17,001.20 | 13.0× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $1,733.88 | $14,449 | 5.5× |
| CTA pelvis (72191) | $1,530.04 | $12,750.31 | 9.7× |
| Dxa Bone Density Axial (77080) | $222.93 | $1,857.79 | 2.4× |
| Echo exam uterus (76831) | $211.16 | $1,759.70 | 1.0× |
| Echo Guide For Artery Repair (76936) | $369.68 | $3,080.65 | 1.9× |
| Echograp Trans R Pros Study (76873) | $237.63 | $1,980.24 | 2.5× |
| Esophagram (74220) | $479.78 | $3,998.16 | 3.0× |
| Fetal Biophys Profile W/Nst (76818) | $166.61 | $1,388.45 | 1.8× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $166.61 | $1,388.45 | 1.8× |
| Fluoroscopy up to 1 hr (76000) | $489.48 | $4,078.99 | 2.3× |
| Follow-Up Angiography (75898) | $1,785 | $14,874.97 | 0.6× |
| Foot 2 views (73620) range across 4 matching MRF lines |
$262.68–$525.84 | $2,189.02–$4,381.96 | varies |
| Forearm 2 views (73090) range across 4 matching MRF lines |
$296.87–$593.74 | $2,473.94–$4,947.84 | varies |
| Gastric emptying imaging study (78264) | $1,101.21 | $9,176.77 | 3.1× |
| Gated Heart Planar Single (78472) | $967 | $8,058.33 | 2.7× |
| Hand 2 views (73120) range across 4 matching MRF lines |
$268.34–$536.20 | $2,236.13–$4,468.30 | varies |
| Hepatobil Syst Image W/Drug (78227) | $1,368.98 | $11,408.18 | 2.8× |
| Hepatobiliary System Imaging (78226) | $1,285.91 | $10,715.92 | 3.6× |
| Ht Muscle Image Spect Sing (78451) | $3,898.51 | $32,487.58 | 3.4× |
| Hysterosalpingogram (74740) | $404.15 | $3,367.89 | 1.9× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $244.88 | $2,040.68 | 3.1× |
| Interstitial radiation source applic complex (77778) | $1,495.28 | $12,460.69 | 2.4× |
| K Flow/Funct Image W/O Drug (78707) | $1,300.70 | $10,839.13 | 2.7× |
| Knee 3 Views (73562) range across 4 matching MRF lines |
$331.53–$663.16 | $2,762.77–$5,526.31 | varies |
| Liver & Spleen Imaging Static Only (78215) | $2,660.73 | $22,172.72 | 7.4× |
| Lung Perf&Ventilat Diferentl (78598) | $1,589.56 | $13,246.34 | 3.3× |
| Lung perfusion differential (78597) | $1,581.84 | $13,181.99 | 4.4× |
| Lung Ventilat&Perfus Imaging (78582) | $1,577.32 | $13,144.31 | 3.2× |
| Lung Ventilation Imaging (78579) | $885.53 | $7,379.41 | 2.5× |
| Lymph System Imaging (78195) | $1,172.32 | $9,769.35 | 2.4× |
| Meckels Divert Exam (78290) | $592.61 | $4,938.44 | 1.7× |
| Mlc imrt design & construction per imrt plan (77338) | $7,337.02 | $61,141.81 | 21.8× |
| Mra Head W/O & W/Contrast Material (70546) range across 2 matching MRF lines |
$2,945.73–$2,946.11 | $24,547.77–$24,550.90 | varies |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$1,518.74–$2,489.59 | $12,656.13–$20,746.62 | varies |
| MRA head with contrast (70545) | $2,755.66 | $22,963.87 | 8.8× |
| MRA neck w contrast (70548) range across 2 matching MRF lines |
$2,531.70–$2,755.66 | $21,097.47–$22,963.87 | varies |
| Mra Neck W/O &W/Contrast Material (70549) range across 2 matching MRF lines |
$2,945.73–$2,946.11 | $24,547.77–$24,550.90 | varies |
| MRA neck w/o contrast (70547) range across 2 matching MRF lines |
$2,489.41–$2,489.59 | $20,745.05–$20,746.62 | varies |
| MRI abdomen w contrast (74182) | $1,362.01 | $11,350.09 | 4.4× |
| MRI abdomen w/o contrast (74181) | $1,302.96 | $10,857.97 | 6.1× |
| MRI any jt lower extrem w/contrast material (73722) range across 2 matching MRF lines |
$2,328.73–$5,277.57 | $19,406.06–$43,979.73 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$2,843.73–$3,115.74 | $23,697.75–$25,964.46 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 2 matching MRF lines |
$2,328.73–$5,395.86 | $19,406.06–$44,965.51 | varies |
| MRI Breast W/O Contrast Bilateral (77047) | $1,868.91 | $15,574.29 | 8.7× |
| MRI Breast Without Contrast Material Unilateral (77046) | $1,833.50 | $15,279.18 | 8.6× |
| MRI cervical spine w contrast (72142) range across 2 matching MRF lines |
$2,328.73–$2,950.63 | $19,406.06–$24,588.57 | varies |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$1,827.76–$2,749.36 | $15,231.30–$22,911.30 | varies |
| MRI chest w/o contrast (71550) range across 2 matching MRF lines |
$2,225.31–$2,299.62 | $18,544.24–$19,163.52 | varies |
| MRI chest with contrast (71551) | $1,432.08 | $11,934.03 | 2.0× |
| MRI chest wo w contrast (71552) | $2,436.47 | $20,303.94 | 7.8× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $2,328.73 | $19,406.06 | 7.4× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 3 matching MRF lines |
$2,843.73–$2,847.97 | $23,697.75–$23,733.06 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines |
$1,827.76–$2,408.22 | $15,231.30–$20,068.47 | varies |
| MRI lumbar spine w contrast (72149) range across 2 matching MRF lines |
$2,328.73–$2,806.15 | $19,406.06–$23,384.58 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$2,843.82–$3,098.59 | $23,698.52–$25,821.62 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 2 matching MRF lines |
$1,906.97–$2,083.09 | $15,891.38–$17,359.09 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $2,312.53 | $19,271.05 | 7.4× |
| MRI pelvis w contrast (72196) | $1,775.01 | $14,791.77 | 5.7× |
| MRI pelvis w/o & w contrast (72197) | $2,263.74 | $18,864.48 | 7.2× |
| MRI pelvis w/o contrast (72195) | $1,436.32 | $11,969.35 | 6.7× |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$1,624.69–$2,138.56 | $13,539.11–$17,821.37 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) | $2,328.73 | $19,406.06 | 7.4× |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 2 matching MRF lines |
$1,827.76–$2,408.22 | $15,231.30–$20,068.47 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 2 matching MRF lines |
$2,843.73–$2,847.97 | $23,697.75–$23,733.06 | varies |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$1,693.35–$1,693.54 | $14,111.29–$14,112.86 | varies |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$2,527.83–$2,680.32 | $21,065.29–$22,335.97 | varies |
| MRI, dorsal spine contrast (72147) range across 2 matching MRF lines |
$2,070–$2,463.79 | $17,249.98–$20,531.56 | varies |
| MRI, joint upper extrem (73221) range across 2 matching MRF lines |
$1,827.76–$2,759.34 | $15,231.30–$22,994.49 | varies |
| MRI, joint upper extrem combo (73223) range across 2 matching MRF lines |
$2,843.73–$3,115.64 | $23,697.75–$25,963.69 | varies |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$1,750.15–$2,869.16 | $14,584.56–$23,909.66 | varies |
| Myocardial Spect Multiple Studies (78452) | $5,955.79 | $49,631.61 | 5.1× |
| Neck soft tissue (70360) | $357.53 | $2,979.40 | 4.6× |
| Nonvascular Shunt X-Ray (75809) | $137.79 | $1,148.28 | 1.5× |
| Ntsty modul radthx pln dose-vol histos (77301) | $2,812.27 | $23,435.61 | 2.3× |
| Nuclear Rx Oral Admin (79005) | $701.21 | $5,843.40 | 3.4× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $613.71 | $5,114.26 | 1.3× |
| Parathyroid Planar Imaging (78070) | $444.93 | $3,707.74 | 1.2× |
| Parathyroid planar imaging w/wo subtraction (78071) | $613.71 | $5,114.26 | 1.7× |
| Pelvis 1 or 2 views (72170) | $489.01 | $4,075.08 | 5.2× |
| Pulmonary Perfusion Imaging Particulate (78580) | $877.62 | $7,313.46 | 2.4× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $765.82 | $6,381.81 | 8.2× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $142.69 | $1,189.09 | 0.3× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 4 matching MRF lines |
$310.72–$621.43 | $2,589.31–$5,178.61 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 4 matching MRF lines |
$253.64–$507.09 | $2,113.67–$4,225.77 | varies |
| Radex elbow complete minimum 3 views (73080) range across 5 matching MRF lines |
$141.75–$283.31 | $1,181.25–$2,360.89 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $441.73 | $3,681.07 | 4.7× |
| Radex fingr minimum 2 views (73140) range across 4 matching MRF lines |
$268.34–$536.20 | $2,236.13–$4,468.30 | varies |
| Radex foot complete minimum 3 views (73630) range across 4 matching MRF lines |
$324.18–$648.37 | $2,701.54–$5,403.08 | varies |
| Radex Hand Minimum 3 Views (73130) range across 4 matching MRF lines |
$331.44–$663.06 | $2,761.98–$5,525.54 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 4 matching MRF lines |
$132.80–$265.04 | $1,106.68–$2,208.65 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $349.61 | $2,913.45 | 4.5× |
| Radex Ribs Unilateral 2 Views (71100) | $208.90 | $1,740.85 | 2.7× |
| Radex shoulder complete minimum 2 views (73030) range across 4 matching MRF lines |
$375.99–$751.50 | $3,133.22–$6,262.53 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $209.75 | $1,747.90 | 2.7× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $357.06 | $2,975.46 | 2.3× |
| Radex Spine 1 View Specify Level (72020) | $272.57 | $2,271.43 | 3.5× |
| Radex Sternum Minimum 2 Views (71120) | $290.94 | $2,424.49 | 3.7× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $473.47 | $3,945.58 | 6.1× |
| Radex Toe Minimum 2 Views (73660) range across 5 matching MRF lines |
$232.83–$465.93 | $1,940.21–$3,882.77 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 4 matching MRF lines |
$301.20–$601.94 | $2,510.03–$5,016.13 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 4 matching MRF lines |
$296.87–$593.74 | $2,473.94–$4,947.84 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $290.84 | $2,423.69 | 3.1× |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $3,448.11 | $28,734.29 | 0.5× |
| Radiation treatment delivery level 1 (77402) | $561.72 | $4,680.99 | 6.1× |
| Radiation treatment delivery level 2 (77407) | $715.37 | $5,961.44 | 2.1× |
| Radiation treatment delivery level 3 (77412) | $945.24 | $7,877.01 | 1.9× |
| Radiolog exam mandible compl minimum 4 views (70110) | $499.28 | $4,160.63 | 5.3× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $298.57 | $2,488.05 | 3.2× |
| Radiologic exam colon double contrast study (74280) | $826.29 | $6,885.71 | 5.3× |
| Radiologic exam colon single contrast study (74270) | $533.94 | $4,449.47 | 3.4× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $80.43 | $670.28 | 0.5× |
| Radiologic exam knee complete 4/more views (73564) range across 4 matching MRF lines |
$93.81–$336.05 | $781.73–$2,800.44 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $408.39 | $3,403.21 | 4.4× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $309.21 | $2,576.74 | 2.0× |
| Radiologic exam swallow function contrast study (74230) | $477.71 | $3,980.90 | 3.0× |
| Radiologic exam upr gi trc double contrast study (74246) | $655.53 | $5,462.74 | 4.2× |
| Radiologic examination femur 1 view (73551) | $34.57 | $288.06 | 0.4× |
| Radiologic examination femur minimum 2 views (73552) range across 4 matching MRF lines |
$251.57–$503.42 | $2,096.40–$4,195.17 | varies |
| Radiologic examination knee 1/2 views (73560) range across 4 matching MRF lines |
$297.62–$594.97 | $2,480.20–$4,958.05 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $358.66 | $2,988.80 | 3.8× |
| Radiologic examination tibia & fibula 2 views (73590) range across 4 matching MRF lines |
$390.40–$781.17 | $3,253.32–$6,509.75 | varies |
| Ribs bilateral 3 views (71110) | $226.99 | $1,891.55 | 2.4× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $1,391.96 | $11,599.68 | 3.9× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $1,281.58 | $10,679.81 | 3.6× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $2,381.19 | $19,843.23 | 4.9× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $697.44 | $5,812.01 | 1.4× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $561.15 | $4,676.28 | 0.5× |
| Rp Therapy Intravenous Administration (79101) | $322.11 | $2,684.27 | 1.5× |
| Scapula (73010) range across 4 matching MRF lines |
$265.41–$530.73 | $2,211.77–$4,422.77 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $86.73 | $722.72 | 3.7× |
| Shoulder 1 view (73020) range across 4 matching MRF lines |
$279.73–$559.27 | $2,331.09–$4,660.57 | varies |
| Shoulder Arthrography (73040) range across 4 matching MRF lines |
$1,101.97–$2,203.74 | $9,183.05–$18,364.50 | varies |
| Skull less than 4 views (70250) | $408.39 | $3,403.21 | 4.4× |
| Special dosimetry (77331) | $518.49 | $4,320.75 | 4.3× |
| Special Physics Consult (77370) | $587.05 | $4,892.12 | 4.9× |
| Special teletherapy port plan (77321) | $779.19 | $6,493.28 | 2.3× |
| Special treatment procedure (77470) | $577.07 | $4,808.94 | 1.2× |
| Stereotactic Body Radiation Delivery (77373) | $1,099.52 | $9,162.64 | 0.7× |
| Sternoclavicular joints (71130) | $66.12 | $551 | 0.8× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $2,317.14 | $19,309.52 | 6.9× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $1,612.82 | $13,440.20 | 4.8× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $819.69 | $6,830.77 | 2.4× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $631.98 | $5,266.51 | 1.9× |
| Ther rad simulaj-aided field setting simple (77280) | $515.47 | $4,295.62 | 4.3× |
| Thoracic spine 2 views (72070) | $323.71 | $2,697.61 | 3.5× |
| Thoracic spine 3 views (72072) | $471.68 | $3,930.65 | 5.0× |
| Thoracolumbar 2 views (72080) | $323.71 | $2,697.61 | 4.1× |
| Thyroid Imaging With Vascular Flow (78013) | $225.95 | $1,882.92 | 0.6× |
| Thyroid Met Imaging Body (78018) | $1,047.06 | $8,725.47 | 2.2× |
| Thyroid Uptake Measurement (78012) | $245.63 | $2,046.95 | 0.7× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,513.93 | $12,616.08 | 4.2× |
| Tx Devices Design & Construction Complex (77334) | $1,253.04 | $10,441.99 | 3.7× |
| Tx devices design & construction intermediate (77333) | $1,056.85 | $8,807.09 | 8.8× |
| Tx devices design & construction simple (77332) | $891.56 | $7,429.64 | 7.4× |
| Ultrasound Breast Limited (76642) | $261.74 | $2,181.18 | 3.4× |
| Ultrasound Exam Aaa Screen (76706) | $58.87 | $490.55 | 0.6× |
| Ultrasound, abdomen limited (76705) | $652.23 | $5,435.27 | 7.0× |
| Unlisted fluoroscopic procedure (76496) | $452.18 | $3,768.18 | 5.8× |
| Upper gi w/o kub (74240) | $345.85 | $2,882.07 | 2.2× |
| Urethrocystogram voiding (74455) | $367.70 | $3,064.16 | 1.7× |
| Us breast unilateral complete (76641) | $261.74 | $2,181.18 | 2.8× |
| Us chest (76604) | $302.71 | $2,522.58 | 3.2× |
| Us complete joint (76881) | $249.12 | $2,076.01 | 2.7× |
| Us head (76506) | $378.34 | $3,152.86 | 4.0× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 3 matching MRF lines |
$232.54–$249.12 | $1,937.86–$2,076.01 | varies |
| Us ob detailed single fetus (76811) range across 2 matching MRF lines |
$191.48–$204.10 | $1,595.66–$1,700.82 | varies |
| Us ob limited 1 or more fetuses (76815) | $361.48 | $3,012.35 | 3.9× |
| Us ob transvaginal (76817) | $202.12 | $1,684.35 | 2.2× |
| Us pelvic non ob complete (76856) | $511.90 | $4,265.81 | 5.5× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $202.12 | $1,684.35 | 2.2× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $202.12 | $1,684.35 | 2.2× |
| Us retroperitoneal complete (76770) | $368.92 | $3,074.36 | 3.9× |
| Us retroperitoneal limited (76775) | $568.22 | $4,735.16 | 6.1× |
| Us scrotum and contents (76870) | $425.25 | $3,543.72 | 4.5× |
| Us spinal canal and contents (76800) | $243.66 | $2,030.47 | 2.6× |
| Us thyroid (76536) | $508.32 | $4,235.98 | 5.4× |
| Us transrectal (76872) | $269.93 | $2,249.45 | 2.9× |
| Vein X-Ray Chest (75827) | $1,252.10 | $10,434.13 | 0.9× |
| Venogram Sinus/Jugular (75860) | $657.69 | $5,480.78 | 0.2× |
| Venography caval inferior serialography rs&i (75825) | $1,666.23 | $13,885.22 | 0.6× |
| Venography extremity bilateral rs&i (75822) range across 2 matching MRF lines |
$452.84–$529.60 | $3,773.68–$4,413.37 | varies |
| Venography extremity unilateral rs&i (75820) range across 2 matching MRF lines |
$561.91–$656.94 | $4,682.57–$5,474.52 | varies |
| Venography Renal Bilateral (75833) | $1,794.23 | $14,951.88 | 0.6× |
| Venography Renal Unilateral (75831) | $1,429.16 | $11,909.70 | 0.5× |
| Wrist 2 views (73100) range across 4 matching MRF lines |
$238.67–$477.90 | $1,988.88–$3,982.46 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $197.60 | $1,646.67 | 2.5× |
| X-ray antegrade pyelogram tube (74425) | $551.08 | $4,592.31 | 1.8× |
| X-Ray Aorta Leg Arteries (75630) range across 2 matching MRF lines |
$1,677.53–$1,961.69 | $13,979.41–$16,347.38 | varies |
| X-Ray Bend Only L-S Spine (72120) | $419.12 | $3,492.69 | 4.5× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 4 matching MRF lines |
$261.08–$521.69 | $2,175.67–$4,347.42 | varies |
| X-Ray Exam Breast Specimen (76098) | $444.84 | $3,706.97 | 0.9× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $145.52 | $1,212.64 | 1.9× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $145.52 | $1,212.64 | 1.6× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $290.84 | $2,423.69 | 3.1× |
| X-Ray Exam Hip Uni 1 View (73501) | $170.57 | $1,421.40 | 2.2× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $183.09 | $1,525.79 | 2.3× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $274.83 | $2,290.27 | 2.9× |
| X-Ray Exam Hips Bi 2 Views (73521) | $200.05 | $1,667.08 | 2.1× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $200.05 | $1,667.08 | 2.1× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $400 | $3,333.37 | 4.3× |
| X-Ray Exam L-S Spine Bending (72114) | $567.94 | $4,732.81 | 6.1× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $409.23 | $3,410.29 | 5.2× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $667.96 | $5,566.34 | 7.1× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $375.99 | $3,133.22 | 4.0× |
| X-ray eye for foreign body (70030) range across 4 matching MRF lines |
$100.40–$225.57 | $836.69–$1,879.78 | varies |
| X-ray humerus (73060) range across 4 matching MRF lines |
$375.99–$751.50 | $3,133.22–$6,262.53 | varies |
| X-ray IV pyelogram (ivp) (74400) | $1,018.42 | $8,486.87 | 6.5× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $330.12 | $2,751 | 4.2× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $349.61 | $2,913.45 | 3.7× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $408.10 | $3,400.87 | 4.4× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $247.14 | $2,059.51 | 2.6× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $238.57 | $1,988.09 | 2.5× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $607.30 | $5,060.87 | 7.8× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $438.05 | $3,650.45 | 5.6× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $444.08 | $3,700.70 | 4.7× |
| X-ray thoracic spine 4 vw (72074) | $223.31 | $1,860.94 | 2.4× |
| X-Ray Tmj Unilat (70328) | $160.21 | $1,335.06 | 2.1× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $440.60 | $3,671.64 | 1.4× |
| X-Rays Bone Length Studies (77073) | $159.27 | $1,327.23 | 1.7× |
| X-Rays Bone Survey Complete (77075) range across 3 matching MRF lines |
$1,335.73–$1,336.11 | $11,131.11–$11,134.25 | varies |
| Xr c-spine 4 or 5 views (72050) | $638.48 | $5,320.67 | 6.8× |
| Xr facial bones less than 3 views (70140) | $327.29 | $2,727.45 | 4.2× |
| Xr orbits complete 4 views (70200) | $420.63 | $3,505.26 | 4.5× |
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.