Imaging prices at Garnet Health Medical Center - Catskills - Grover M. Hermann Hospital
Callicoon, NY · every code in this section with a posted price and a Medicare benchmark.
316 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) | $109.34 | $591 | 1.0× |
| Abdomen 2 views (74019) | $109.34 | $591 | 0.8× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $633.07 | $3,422 | 1.3× |
| Acute venous thrombosis imaging, peptide Non-Facility (78456) | $676.92 | $3,659 | 0.4× |
| Angio internal mammary (75756) | $1,991.16 | $10,763 | 0.5× |
| Angio pulmonary bilat (75743) | $1,051.91 | $5,686 | 0.3× |
| Angiography extremity bilateral rs&i (75716) | $1,543.82 | $8,345 | 0.4× |
| Angiography extremity unilateral rs&i (75710) | $943.87 | $5,102 | 0.2× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $1,051.91 | $5,686 | 0.3× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $1,991.16 | $10,763 | 0.5× |
| Ankle 2 views (73600) | $77.33 | $418 | 0.7× |
| Aortography thoracic w/o serialography rs&i (75600) | $1,184.37 | $6,402 | 0.3× |
| Artery X-Rays Abdomen (75726) likely a partial charge, not the full procedure |
$1,080.58 | $5,841 | 0.2× |
| Artery X-Rays Pelvis (75736) | $3,590.85 | $19,410 | 0.5× |
| Arthrogram hip (73525) | $259.37 | $1,402 | 0.6× |
| Arthrogram Wrist (73115) | $118.58 | $641 | 0.3× |
| Bone age studies (77072) | $101.56 | $549 | 0.8× |
| Bone Imaging 3 Phase (78315) | $629.74 | $3,404 | 1.3× |
| Bone Imaging Limited Area (78300) | $629.74 | $3,404 | 1.3× |
| Bone Imaging Multiple Areas (78305) | $629.74 | $3,404 | 1.3× |
| Bone Imaging Whole Body (78306) | $629.74 | $3,404 | 1.3× |
| Bone marrow imaging limited area (78102) | $153.55 | $830 | 0.3× |
| Bone marrow imaging; whole body (78104) | $415.51 | $2,246 | 0.8× |
| Bone survey infant (77076) range across 2 matching MRF lines |
$173.53–$183.15 | $938–$990 | varies |
| Brain Flow Imaging Only (78610) | $421.98 | $2,281 | 0.6× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $421.98 | $2,281 | 0.6× |
| Brain Imaging Minimum 4 Static Views (78605) | $421.98 | $2,281 | 0.6× |
| Cat Scan Follow-Up Study (76380) | $313.02 | $1,692 | 2.9× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $695.23 | $3,758 | 1.0× |
| Cerebrospinal Fluid Scan (78630) | $560 | $3,027 | 0.8× |
| Chest 1 view (71045) | $113.04 | $611 | 1.0× |
| Chest 2 views (71046) | $164.10 | $887 | 1.5× |
| Chest 3 views (71047) | $179.82 | $972 | 1.7× |
| Chest 4 or more views (71048) | $193.88 | $1,048 | 1.5× |
| Cholecystography Oral Contrast (74290) | $103.78 | $561 | 0.5× |
| Clavicle complete (73000) | $77.33 | $418 | 0.7× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $404.04 | $2,184 | 3.1× |
| Contrast Exam Abdominl Aorta (75625) | $744.62 | $4,025 | 0.2× |
| Contrast X-Ray Bladder (74430) | $453.06 | $2,449 | 1.0× |
| Contrast X-Ray Of Knee Joint (73580) | $130.98 | $708 | 0.3× |
| CT abdomen and pelvis without and with contrast (74178) | $1,384.91 | $7,486 | 3.2× |
| CT abdomen and pelvis without contrast (74176) | $584.60 | $3,160 | 2.0× |
| CT abdomen w contrast (74160) | $1,131.46 | $6,116 | 5.2× |
| CT abdomen w wo contrast (74170) | $1,465.20 | $7,920 | 6.7× |
| CT abdomen w/o contrast (74150) | $785.32 | $4,245 | 6.0× |
| CT Angio Abdomen and Pelvis (74174) | $1,008.44 | $5,451 | 2.3× |
| CT Angio Chest (71275) | $1,411.92 | $7,632 | 6.4× |
| CT Angio Head (70496) | $580.34 | $3,137 | 2.7× |
| CT angio hrt w/3d image (75574) | $3,506.30 | $18,953 | 8.1× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $1,494.06 | $8,076 | 6.8× |
| CT Angio Neck (70498) | $580.34 | $3,137 | 2.7× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $2,841.60 | $15,360 | 13.0× |
| CT cervical spine w/ contrast (72126) | $762.38 | $4,121 | 1.8× |
| CT cervical spine w/o contrast (72125) | $401.82 | $2,172 | 3.1× |
| CT cervical spine w/wo cont (72127) | $919.45 | $4,970 | 4.2× |
| CT chest w contrast (71260) | $1,040.44 | $5,624 | 4.8× |
| CT chest w/wo contrast (71270) | $1,309.80 | $7,080 | 6.0× |
| CT head/brain with contrast (70460) | $352.98 | $1,908 | 1.6× |
| CT head/brain without and with contrast (70470) | $423.28 | $2,288 | 1.9× |
| CT heart no contrast quant eval coronry calcium (75571) | $170.02 | $919 | 1.6× |
| CT iac w contrast (70481) | $646.39 | $3,494 | 3.0× |
| CT l-spine w&w/o contrast (72133) | $2,125.10 | $11,487 | 9.7× |
| CT lower ext w/o (73700) | $908.35 | $4,910 | 7.0× |
| CT lower extremity w/contrast material (73701) | $1,531.43 | $8,278 | 7.0× |
| CT lumbar spine w contrast (72132) | $1,804.49 | $9,754 | 4.1× |
| CT lumbar spine w/o contrast (72131) | $807.71 | $4,366 | 6.2× |
| CT maxillofacial w contrast (70487) | $615.31 | $3,326 | 2.8× |
| CT maxillofacial wo contrast (70486) | $335.22 | $1,812 | 2.6× |
| CT neck tissue combo (70492) | $546.12 | $2,952 | 2.5× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $710.58 | $3,841 | 3.2× |
| CT orbits w/o contrast (70480) | $606.80 | $3,280 | 4.6× |
| CT pelvis w&w/o contrast (72194) | $1,149.40 | $6,213 | 5.2× |
| CT pelvis w/o contrast (72192) | $790.14 | $4,271 | 6.1× |
| CT scan of leg combo (73702) | $1,562.51 | $8,446 | 7.1× |
| CT scans face/jaw combo (70488) | $646.02 | $3,492 | 3.0× |
| CT soft tissue neck w contrast (70491) | $414.22 | $2,239 | 1.9× |
| CT soft tissue neck w/o contrast (70490) | $332.08 | $1,795 | 2.5× |
| CT thoracic spine w contrast (72129) | $1,044.70 | $5,647 | 4.8× |
| CT thoracic spine w/o contrast (72128) | $807.71 | $4,366 | 6.2× |
| CT thoracic spine w/wo cont (72130) | $1,847.96 | $9,989 | 8.4× |
| CT thorax w/o contrast (71250) | $807.71 | $4,366 | 6.2× |
| CT unlisted procedure (76497) | $3,506.30 | $18,953 | 32.3× |
| CT upper ext wo (73200) | $908.35 | $4,910 | 7.0× |
| CT upper extremity w/o & w/contrast material (73202) | $1,319.05 | $7,130 | 6.0× |
| CT upper extremity with contrast (73201) | $1,009.92 | $5,459 | 2.3× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $3,268.02 | $17,665 | 14.9× |
| Cta Abdomen (74175) | $1,411.92 | $7,632 | 6.4× |
| CTA pelvis (72191) | $2,091.61 | $11,306 | 9.6× |
| Dilation ureters/urethra rs&i (74485) | $831.76 | $4,496 | 0.3× |
| Discography Cerv/Thor Spine (72285) | $627.89 | $3,394 | 0.3× |
| Diskography lumbar (72295) | $549.64 | $2,971 | 0.2× |
| Dxa Bone Density Axial (77080) | $214.23 | $1,158 | 1.6× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $144.30 | $780 | 1.3× |
| Echo exam uterus (76831) | $416.80 | $2,253 | 1.4× |
| Esophagram (74220) | $226.81 | $1,226 | 1.0× |
| Fetal Biophys Profile W/Nst (76818) | $298.96 | $1,616 | 2.3× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $245.31 | $1,326 | 1.9× |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$174.46–$234.40 | $943–$1,267 | varies |
| Foot 2 views (73620) | $53.46 | $289 | 0.5× |
| Forearm 2 views (73090) | $77.33 | $418 | 0.7× |
| Gastric emptying imaging study (78264) | $527.80 | $2,853 | 1.1× |
| Gastroesophageal Reflux Exam (78262) | $426.98 | $2,308 | 0.9× |
| Gated Heart Planar Single (78472) | $416.62 | $2,252 | 0.8× |
| Gated Heart, Multiple (78473) | $530.21 | $2,866 | 1.1× |
| Hand 2 views (73120) | $92.68 | $501 | 0.7× |
| Hepatobil Syst Image W/Drug (78227) | $645.46 | $3,489 | 1.0× |
| Hepatobiliary System Imaging (78226) | $645.46 | $3,489 | 1.3× |
| Ht Muscle Image Spect Sing (78451) | $528.36 | $2,856 | 0.3× |
| Hysterosalpingogram (74740) | $194.80 | $1,053 | 0.7× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $263.62 | $1,425 | 2.4× |
| Infant hip ultrasound, limited static exam (76886) range across 2 matching MRF lines |
$147.63–$288.23 | $798–$1,558 | varies |
| Infusion Ivp (74410) | $148.74 | $804 | 0.7× |
| K Flow/Funct Image W/Drug (78708) | $263.44 | $1,424 | 0.4× |
| K Flow/Funct Image W/O Drug (78707) | $494.50 | $2,673 | 0.7× |
| Kidney Imaging Morphol (78700) | $131.35 | $710 | 0.3× |
| Knee 3 Views (73562) | $77.33 | $418 | 0.7× |
| Leveen/Shunt Patency Exam (78291) | $695.23 | $3,758 | 1.4× |
| Liver & Spleen Imaging Static Only (78215) | $328.19 | $1,774 | 0.7× |
| Liver imaging static only (78201) | $115.81 | $626 | 0.2× |
| Liver imaging w/vascular flow (78202) | $115.81 | $626 | 0.2× |
| Lung Perf&Ventilat Diferentl (78598) | $699.86 | $3,783 | 1.0× |
| Lung Ventilat&Perfus Imaging (78582) | $456.02 | $2,465 | 0.7× |
| Lung Ventilation Imaging (78579) | $804.75 | $4,350 | 1.6× |
| Lymph System Imaging (78195) | $527.80 | $2,853 | 0.8× |
| Magnetic Image Jaw Joint (70336) | $1,475.93 | $7,978 | 5.0× |
| Mammary ductogram or galactogram multiple (77054) | $347.06 | $1,876 | 1.2× |
| Mammary ductogram or galactogram single (77053) | $320.24 | $1,731 | 1.1× |
| Meckels Divert Exam (78290) | $625.12 | $3,379 | 1.3× |
| Medical physics dose eval radiation expos w/rprt (76145) | $26.27 | $142 | 0.1× |
| Mra Head W/O & W/Contrast Material (70546) | $1,705.14 | $9,217 | 3.9× |
| MRA head w/o contrast (70544) | $849.34 | $4,591 | 2.9× |
| MRA head with contrast (70545) | $1,462.06 | $7,903 | 3.4× |
| MRA neck w contrast (70548) | $1,388.80 | $7,507 | 3.2× |
| Mra Neck W/O &W/Contrast Material (70549) | $1,619.86 | $8,756 | 3.7× |
| MRA neck w/o contrast (70547) | $1,388.80 | $7,507 | 4.7× |
| MRI abdomen w contrast (74182) | $1,173.82 | $6,345 | 2.7× |
| MRI abdomen w/o contrast (74181) | $745.36 | $4,029 | 2.5× |
| MRI any jt lower extrem w/contrast material (73722) | $1,213.97 | $6,562 | 1.2× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $1,221.92 | $6,605 | 2.8× |
| MRI any jt upper extremity w/contrast matrl (73222) | $950.34 | $5,137 | 1.0× |
| MRI Breast W/O Contrast Bilateral (77047) | $1,602.47 | $8,662 | 5.4× |
| MRI Breast Without Contrast Material Unilateral (77046) | $1,602.47 | $8,662 | 5.4× |
| MRI cervical spine w contrast (72142) | $1,434.86 | $7,756 | 3.3× |
| MRI cervical spine w/o cont (72141) | $848.96 | $4,589 | 2.9× |
| MRI chest w/o contrast (71550) | $1,268.92 | $6,859 | 4.3× |
| MRI chest with contrast (71551) | $674.14 | $3,644 | 0.7× |
| MRI chest wo w contrast (71552) | $1,648.90 | $8,913 | 3.8× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $950.34 | $5,137 | 2.2× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $1,160.69 | $6,274 | 2.7× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $746.29 | $4,034 | 2.5× |
| MRI lumbar spine w contrast (72149) | $1,016.76 | $5,496 | 2.3× |
| Mri Neck Spine W/O & W/Dye (72156) | $1,476.30 | $7,980 | 3.4× |
| MRI orbit face &/neck w/o contrast (70540) | $849.34 | $4,591 | 2.9× |
| MRI orbit face neck w contrast (70542) | $1,107.22 | $5,985 | 2.5× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $1,879.78 | $10,161 | 4.3× |
| MRI pelvis w contrast (72196) | $1,016.76 | $5,496 | 2.3× |
| MRI pelvis w/o & w contrast (72197) | $1,160.69 | $6,274 | 2.7× |
| MRI pelvis w/o contrast (72195) | $1,049.69 | $5,674 | 3.5× |
| MRI thoracic spine w/o contrast (72146) | $817.70 | $4,420 | 2.7× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $1,213.97 | $6,562 | 2.8× |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 2 matching MRF lines |
$1,037.85–$1,092.24 | $5,610–$5,904 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) | $1,402.30 | $7,580 | 3.2× |
| MRI, abdomen, combo (74183) | $1,236.54 | $6,684 | 2.8× |
| MRI, dorsal spine combo (72157) | $1,402.30 | $7,580 | 3.2× |
| MRI, dorsal spine contrast (72147) | $1,016.76 | $5,496 | 2.3× |
| MRI, joint upper extrem (73221) | $746.29 | $4,034 | 2.5× |
| MRI, joint upper extrem combo (73223) | $1,160.69 | $6,274 | 2.7× |
| MRI, lumbar spine combo (72158) | $1,227.29 | $6,634 | 2.8× |
| Myelogram cervical (72240) | $288.04 | $1,557 | 0.3× |
| Myelogram Lumbar (72265) | $288.97 | $1,562 | 0.3× |
| Myelograpy 2/more regions rs&i (72270) | $431.98 | $2,335 | 0.4× |
| Myocardial Spect Multiple Studies (78452) range across 2 matching MRF lines |
$763.50–$819.36 | $4,127–$4,429 | varies |
| Myocrd Img Pet Prfuj Mlt Std Rst&Strs Cncrnt CT (78431) | $1,142.19 | $6,174 | 0.4× |
| Neck soft tissue (70360) | $100.46 | $543 | 0.9× |
| Nfs/Instlj Radioelmnt Sln 3 Mo Follow-Up Care (77750) | $1,070.41 | $5,786 | 2.2× |
| Nm csf leak detection (78650) | $1,172.53 | $6,338 | 0.7× |
| Nonvascular Shunt X-Ray (75809) range across 2 matching MRF lines |
$338.92–$356.31 | $1,832–$1,926 | varies |
| Nuclear Rx Intra-Arterial (79445) | $182.22 | $985 | 0.6× |
| Nuclear Rx Oral Admin (79005) | $461.39 | $2,494 | 1.6× |
| Ob us nuchal meas 1 gest (76813) | $285.46 | $1,543 | 2.2× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $448.44 | $2,424 | 0.7× |
| Parathyroid Planar Imaging (78070) | $448.44 | $2,424 | 0.9× |
| Parathyroid planar imaging w/wo subtraction (78071) | $448.44 | $2,424 | 0.9× |
| Pelvis 1 or 2 views (72170) | $53.46 | $289 | 0.4× |
| Peritoneogram Rs&I (74190) | $204.61 | $1,106 | 0.3× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $1,576.02 | $8,519 | 0.9× |
| Pulmonary Perfusion Imaging Particulate (78580) | $362.78 | $1,961 | 0.7× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $109.34 | $591 | 0.8× |
| Radex Ankle Complete Minimum 3 Views (73610) | $77.33 | $418 | 0.7× |
| Radex Calcaneus Minimum 2 Views (73650) | $121.54 | $657 | 1.1× |
| Radex elbow complete minimum 3 views (73080) | $77.33 | $418 | 0.7× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $81.03 | $438 | 0.6× |
| Radex fingr minimum 2 views (73140) | $77.33 | $418 | 0.7× |
| Radex foot complete minimum 3 views (73630) | $59.02 | $319 | 0.5× |
| Radex Hand Minimum 3 Views (73130) | $92.68 | $501 | 0.9× |
| Radex lower extremity infant minimum 2 views (73592) | $101.56 | $549 | 0.9× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $137.08 | $741 | 1.3× |
| Radex Ribs Unilateral 2 Views (71100) | $77.33 | $418 | 0.7× |
| Radex shoulder complete minimum 2 views (73030) | $93.98 | $508 | 0.9× |
| Radex Sinuses Paransl < 3 Views (70210) | $95.83 | $518 | 0.9× |
| Radex Spine 1 View Specify Level (72020) | $98.05 | $530 | 0.9× |
| Radex Sternum Minimum 2 Views (71120) | $77.33 | $418 | 0.7× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $438.08 | $2,368 | 4.0× |
| Radex Toe Minimum 2 Views (73660) | $77.33 | $418 | 0.7× |
| Radex upper extremity infant minimum 2 views (73092) | $164.46 | $889 | 1.3× |
| Radex Wrist Complete Minimum 3 Views (73110) | $77.33 | $418 | 0.7× |
| Radiation treatment delivery level 3 (77412) | $328.56 | $1,776 | 0.5× |
| Radiolog exam mandible compl minimum 4 views (70110) | $170.20 | $920 | 1.3× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $143 | $773 | 1.1× |
| Radiologic exam colon double contrast study (74280) | $354.46 | $1,916 | 1.6× |
| Radiologic exam colon single contrast study (74270) | $315.80 | $1,707 | 1.4× |
| Radiologic exam knee complete 4/more views (73564) | $77.33 | $418 | 0.6× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $81.22 | $439 | 0.6× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $205.72 | $1,112 | 0.9× |
| Radiologic exam swallow function contrast study (74230) | $220.52 | $1,192 | 1.0× |
| Radiologic exam upr gi trc double contrast study (74246) | $518.74 | $2,804 | 2.4× |
| Radiologic examination femur minimum 2 views (73552) | $77.33 | $418 | 0.7× |
| Radiologic examination knee 1/2 views (73560) | $77.33 | $418 | 0.7× |
| Radiologic examination tibia & fibula 2 views (73590) | $77.33 | $418 | 0.7× |
| Radiopharm Dacryocystography (78660) | $146.89 | $794 | 0.3× |
| Ribs bilateral 3 views (71110) | $77.33 | $418 | 0.6× |
| Rp loclzj tum plnr 1 area single day imaging (78800) range across 3 matching MRF lines |
$250.12–$460.46 | $1,352–$2,489 | varies |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $506.72 | $2,739 | 0.7× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $1,242.64 | $6,717 | 1.8× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $890.22 | $4,812 | 0.6× |
| Rp Ther Radiolbld Monoclonal Antibody IV Infus (79403) | $245.12 | $1,325 | 0.8× |
| Rp Therapy Intravenous Administration (79101) | $449 | $2,427 | 1.5× |
| Salivary Gland Imaging (78230) | $223.48 | $1,208 | 0.4× |
| Salivary Gland Imaging Serial Images (78231) | $223.48 | $1,208 | 0.4× |
| Scapula (73010) | $133.38 | $721 | 1.0× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $40.33 | $218 | 1.7× |
| Shoulder 1 view (73020) | $93.98 | $508 | 0.9× |
| Shoulder Arthrography (73040) | $259.37 | $1,402 | 0.6× |
| Skull less than 4 views (70250) | $77.33 | $418 | 0.6× |
| Speech evaluation, complex (70371) | $201.46 | $1,089 | 0.7× |
| Sternoclavicular joints (71130) | $164.46 | $889 | 1.5× |
| Testicular Imaging W/Flow (78761) | $511.52 | $2,765 | 1.0× |
| Ther rad simulaj-aided field setting simple (77280) | $221.44 | $1,197 | 1.3× |
| Thoracic spine 2 views (72070) | $77.33 | $418 | 0.6× |
| Thoracic spine 3 views (72072) | $166.13 | $898 | 1.3× |
| Thyroid Met Imaging Body (78018) | $618.27 | $3,342 | 0.9× |
| Thyroid Uptake Measurement (78012) | $196.84 | $1,064 | 0.4× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) range across 2 matching MRF lines |
$117.29–$457.88 | $634–$2,475 | varies |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$296.92–$668.04 | $1,605–$3,611 | varies |
| Ultrasound Exam Aaa Screen (76706) | $175.38 | $948 | 1.3× |
| Ultrasound, abdomen limited (76705) range across 5 matching MRF lines |
$288.23–$331.34 | $1,558–$1,791 | varies |
| Umbilical-artery Doppler (OB) (76820) | $197.21 | $1,066 | 1.5× |
| Unlisted Dx Radiographic Procedure (76499) range across 2 matching MRF lines |
$97.86–$271.21 | $529–$1,466 | varies |
| Unlisted Miscellaneous Px Dx Nuclear Medicine (78999) | $164.28 | $888 | 0.3× |
| Unlisted respiratory px dx nuclear medicine (78599) | $287.49 | $1,554 | 0.6× |
| Upper gi w/o kub (74240) | $350.76 | $1,896 | 1.6× |
| Ureteral Reflux Study (78740) | $602.18 | $3,255 | 1.2× |
| Urethrocystogram voiding (74455) | $228.48 | $1,235 | 0.8× |
| Urethrocystography retrograde (74450) | $566.47 | $3,062 | 1.9× |
| Us breast unilateral complete (76641) | $411.44 | $2,224 | 3.2× |
| Us chest (76604) | $271.02 | $1,465 | 2.1× |
| Us complete joint (76881) | $447.70 | $2,420 | 3.4× |
| Us exam, pelvic, limited (76857) | $290.26 | $1,569 | 2.2× |
| Us head (76506) | $358.34 | $1,937 | 2.7× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$331.34–$447.70 | $1,791–$2,420 | varies |
| Us ob limited 1 or more fetuses (76815) | $252.34 | $1,364 | 1.9× |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$242.54–$278.61 | $1,311–$1,506 | varies |
| Us pelvic non ob complete (76856) | $383.88 | $2,075 | 2.9× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $339.84 | $1,837 | 2.6× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $262.70 | $1,420 | 2.0× |
| Us retroperitoneal complete (76770) | $407.37 | $2,202 | 3.1× |
| Us retroperitoneal limited (76775) | $342.80 | $1,853 | 2.6× |
| Us scrotum and contents (76870) | $385.54 | $2,084 | 3.0× |
| Us spinal canal and contents (76800) range across 2 matching MRF lines |
$288.23–$324.49 | $1,558–$1,754 | varies |
| Us thyroid (76536) | $390.54 | $2,111 | 3.0× |
| Us transrectal (76872) | $1,070.96 | $5,789 | 8.2× |
| Vascular Flow Imaging (78445) | $385.54 | $2,084 | 0.8× |
| Vein X-Ray Chest (75827) | $2,119.36 | $11,456 | 1.1× |
| Venogram Sinus/Jugular (75860) | $1,080.58 | $5,841 | 0.3× |
| Venography caval inferior serialography rs&i (75825) | $2,119.36 | $11,456 | 0.5× |
| Venography extremity bilateral rs&i (75822) | $959.96 | $5,189 | 0.5× |
| Venography extremity unilateral rs&i (75820) | $282.50 | $1,527 | 0.1× |
| Venography Renal Bilateral (75833) | $1,080.58 | $5,841 | 0.3× |
| Venography Renal Unilateral (75831) | $1,080.58 | $5,841 | 0.3× |
| Wrist 2 views (73100) | $77.33 | $418 | 0.7× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $77.33 | $418 | 0.7× |
| X-ray antegrade pyelogram tube (74425) range across 2 matching MRF lines |
$227.18–$566.47 | $1,228–$3,062 | varies |
| X-Ray Aorta Leg Arteries (75630) | $1,621.16 | $8,763 | 0.4× |
| X-Ray Bend Only L-S Spine (72120) | $213.12 | $1,152 | 1.6× |
| X-Ray Exam Breast Specimen (76098) | $70.48 | $381 | 0.1× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $204.98 | $1,108 | 1.6× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $115.26 | $623 | 0.9× |
| X-Ray Exam Hip Uni 1 View (73501) | $85.10 | $460 | 0.8× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $85.10 | $460 | 0.8× |
| X-Ray Exam Hips Bi 2 Views (73521) | $224.22 | $1,212 | 1.7× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $165.20 | $893 | 1.3× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $94.54 | $511 | 0.7× |
| X-Ray Exam L-S Spine Bending (72114) | $180.19 | $974 | 1.4× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $77.33 | $418 | 0.7× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $136.34 | $737 | 1.0× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $77.33 | $418 | 0.6× |
| X-ray eye for foreign body (70030) | $196.10 | $1,060 | 1.8× |
| X-ray humerus (73060) | $77.33 | $418 | 0.7× |
| X-ray IV pyelogram (ivp) (74400) | $332.26 | $1,796 | 1.5× |
| X-ray IV pyelogram+tomography (74415) | $415.51 | $2,246 | 1.9× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $150.22 | $812 | 1.4× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $77.33 | $418 | 0.7× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $77.33 | $418 | 0.6× |
| X-ray nose-rectum child f.b. (76010) | $73.44 | $397 | 0.7× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $95.83 | $518 | 0.7× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $144.12 | $779 | 1.1× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $77.33 | $418 | 0.7× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $95.83 | $518 | 0.9× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $129.50 | $700 | 1.0× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $274.72 | $1,485 | 0.6× |
| X-Rays Bone Length Studies (77073) | $95.83 | $518 | 0.7× |
| X-Rays Bone Survey Complete (77075) | $319.50 | $1,727 | 2.4× |
| Xr c-spine 4 or 5 views (72050) | $129.50 | $700 | 1.0× |
| Xr facial bones less than 3 views (70140) | $81.03 | $438 | 0.7× |
| Xr orbits complete 4 views (70200) | $167.06 | $903 | 1.3× |
| Xr Tomogram Single Plane (76100) | $399.04 | $2,157 | 3.1× |
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.