Imaging prices at Gateway Regional Medical Center
Granite City, IL · every code in this section with a posted price and a Medicare benchmark.
296 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 |
$83.53–$89.93 | $139.21–$149.88 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$83.53–$89.93 | $139.21–$149.88 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $2,049.44 | $3,415.74 | 4.8× |
| Adrenal Cortex & Medulla Img (78075) | $3,197.84 | $5,329.74 | 2.3× |
| Angio pulmonary bilat (75743) | $7,414.70 | $12,357.84 | 2.2× |
| Angiography extremity bilateral rs&i (75716) | $5,054 | $8,423.33 | 1.5× |
| Angiography extremity unilateral rs&i (75710) | $5,066.12 | $8,443.54 | 1.5× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $2,542.41 | $4,237.35 | 0.8× |
| Ankle 2 views (73600) range across 4 matching MRF lines |
$89.93–$664.69 | $149.88–$1,107.82 | varies |
| Artery X-Rays Abdomen (75726) | $8,018.77 | $13,364.62 | 1.3× |
| Arthrogram ankle (73615) | $2,256.12 | $3,760.20 | 6.0× |
| Arthrogram hip (73525) | $2,256.12 | $3,760.20 | 6.0× |
| Arthrogram Wrist (73115) | $2,249.22 | $3,748.70 | 6.0× |
| Bone age studies (77072) | $83.53 | $139.21 | 0.7× |
| Bone Imaging 3 Phase (78315) | $1,747.09 | $2,911.81 | 4.1× |
| Bone Imaging Limited Area (78300) | $1,515.95 | $2,526.59 | 3.5× |
| Bone Imaging Multiple Areas (78305) | $1,515.95 | $2,526.59 | 3.5× |
| Bone Imaging Whole Body (78306) | $2,107.22 | $3,512.04 | 4.9× |
| Bone marrow imaging limited area (78102) | $845.58 | $1,409.30 | 2.0× |
| Bone marrow imaging; multiple areas (78103) | $845.58 | $1,409.30 | 2.0× |
| Bone marrow imaging; whole body (78104) | $845.58 | $1,409.30 | 2.0× |
| Bone survey infant (77076) range across 2 matching MRF lines |
$132.37–$142.47 | $220.61–$237.45 | varies |
| Cat Scan Follow-Up Study (76380) | $115.86 | $193.10 | 1.2× |
| Cerebrospinal Fluid Scan (78630) | $969.64 | $1,616.07 | 1.7× |
| Chest 1 view (71045) range across 2 matching MRF lines |
$83.53–$89.93 | $139.21–$149.88 | varies |
| Chest 2 views (71046) range across 2 matching MRF lines |
$83.53–$89.93 | $139.21–$149.88 | varies |
| Chest 3 views (71047) range across 2 matching MRF lines |
$80.33–$86.39 | $133.88–$143.98 | varies |
| Chest 4 or more views (71048) range across 2 matching MRF lines |
$80.33–$86.39 | $133.88–$143.98 | varies |
| Clavicle complete (73000) range across 4 matching MRF lines |
$89.93–$432.97 | $149.88–$721.61 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $163.85 | $273.09 | 1.5× |
| Contrast Exam Abdominl Aorta (75625) | $5,714.32 | $9,523.86 | 1.7× |
| Contrast X-Ray Bladder (74430) | $844.72 | $1,407.87 | 2.3× |
| Contrast X-Ray Of Elbow (73085) | $2,249.22 | $3,748.70 | 6.0× |
| Contrast X-Ray Of Knee Joint (73580) range across 2 matching MRF lines |
$2,256.12–$4,512.41 | $3,760.20–$7,520.68 | varies |
| Corpora cavernosography (74445) | $418.99 | $698.32 | 3.7× |
| CT abdomen and pelvis without and with contrast (74178) | $568.54 | $947.56 | 1.5× |
| CT abdomen and pelvis without contrast (74176) | $352.30 | $587.17 | 1.4× |
| CT abdomen w contrast (74160) | $362.91 | $604.85 | 1.9× |
| CT abdomen w wo contrast (74170) | $408.55 | $680.91 | 2.2× |
| CT abdomen w/o contrast (74150) | $184.23 | $307.05 | 1.6× |
| CT Angio Abdomen and Pelvis (74174) | $535.86 | $893.10 | 1.4× |
| CT Angio Chest (71275) | $425.39 | $708.98 | 2.3× |
| CT Angio Head (70496) | $535.86 | $893.10 | 2.9× |
| CT angio hrt w/3d image (75574) | $348.09 | $580.15 | 0.9× |
| CT Angio Neck (70498) | $535.86 | $893.10 | 2.9× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 2 matching MRF lines |
$1,168.56–$2,337.12 | $1,947.60–$3,895.20 | varies |
| CT bone density (77078) | $131.36 | $218.93 | 1.4× |
| CT cervical spine w/ contrast (72126) | $362.91 | $604.85 | 1.0× |
| CT cervical spine w/o contrast (72125) | $184.23 | $307.05 | 1.6× |
| CT cervical spine w/wo cont (72127) | $408.55 | $680.91 | 2.2× |
| CT chest w contrast (71260) | $362.91 | $604.85 | 1.9× |
| CT chest w/wo contrast (71270) | $408.55 | $680.91 | 2.2× |
| CT head/brain with contrast (70460) | $1,059.43 | $1,765.72 | 5.6× |
| CT head/brain without and with contrast (70470) | $408.55 | $680.91 | 2.2× |
| CT hrt w/3d image congen (75573) | $348.09 | $580.15 | 0.9× |
| CT iac w contrast (70481) | $333.61 | $556.01 | 1.8× |
| CT l-spine w&w/o contrast (72133) | $267.76 | $446.27 | 1.4× |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$184.23–$368.64 | $307.05–$614.40 | varies |
| CT lower extremity w/contrast material (73701) | $362.91 | $604.85 | 1.9× |
| CT lumbar spine w contrast (72132) | $362.91 | $604.85 | 1.0× |
| CT lumbar spine w/o contrast (72131) | $184.23 | $307.05 | 1.6× |
| CT maxillofacial w contrast (70487) | $362.91 | $604.85 | 1.9× |
| CT maxillofacial wo contrast (70486) | $184.23 | $307.05 | 1.6× |
| CT neck tissue combo (70492) | $408.55 | $680.91 | 2.2× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $408.55 | $680.91 | 2.2× |
| CT orbits w/o contrast (70480) | $184.23 | $307.05 | 1.6× |
| CT pelvis w&w/o contrast (72194) | $408.55 | $680.91 | 2.2× |
| CT pelvis w/o contrast (72192) | $184.23 | $307.05 | 1.6× |
| CT scan of leg combo (73702) range across 2 matching MRF lines |
$408.55–$817.10 | $680.91–$1,361.84 | varies |
| CT scans face/jaw combo (70488) | $408.55 | $680.91 | 2.2× |
| CT soft tissue neck w contrast (70491) | $362.91 | $604.85 | 1.9× |
| CT soft tissue neck w/o contrast (70490) | $184.23 | $307.05 | 1.6× |
| CT thoracic spine w contrast (72129) | $320.98 | $534.96 | 1.7× |
| CT thoracic spine w/o contrast (72128) | $184.23 | $307.05 | 1.6× |
| CT thoracic spine w/wo cont (72130) | $1,444.58 | $2,407.63 | 7.7× |
| CT thorax w/o contrast (71250) | $184.23 | $307.05 | 1.6× |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$184.23–$368.64 | $307.05–$614.40 | varies |
| CT upper extremity with contrast (73201) | $333.61 | $556.01 | 0.9× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $390.53 | $650.88 | 2.1× |
| Cta Abdomen (74175) | $535.86 | $893.10 | 2.9× |
| Dilation ureters/urethra rs&i (74485) | $586.05 | $976.75 | 0.3× |
| Dxa Bone Density Axial (77080) | $131.36 | $218.93 | 1.2× |
| Esophagram (74220) | $736.27 | $1,227.11 | 3.9× |
| Fetal Biophys Profile W/Nst (76818) | $211.01 | $351.68 | 1.9× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $196.03 | $326.71 | 1.7× |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$284.59–$332.26 | $474.31–$553.77 | varies |
| Follow-Up Angiography (75898) | $308.01 | $513.35 | 0.1× |
| Foot 2 views (73620) range across 4 matching MRF lines |
$89.93–$664.69 | $149.88–$1,107.82 | varies |
| Forearm 2 views (73090) range across 4 matching MRF lines |
$89.93–$795.04 | $149.88–$1,325.06 | varies |
| Gastric emptying imaging study (78264) | $2,049.44 | $3,415.74 | 4.8× |
| Gastric Emptyng Imag Std W/Sm Bwl Transit (78265) | $926.23 | $1,543.71 | 2.2× |
| Gastroesophageal Reflux Exam (78262) | $2,049.44 | $3,415.74 | 4.8× |
| Gated Heart Planar Single (78472) | $2,049.44 | $3,415.74 | 4.8× |
| Gstrc Emptng Imag Std W/Sm Bwl Col Trnst Mlt Day (78266) | $1,228.12 | $2,046.87 | 2.1× |
| Hand 2 views (73120) range across 4 matching MRF lines |
$89.93–$795.04 | $149.88–$1,325.06 | varies |
| Hepatobil Syst Image W/Drug (78227) | $2,453.15 | $4,088.59 | 4.2× |
| Hepatobiliary System Imaging (78226) | $2,453.15 | $4,088.59 | 5.7× |
| Ht Muscle Image Spect Sing (78451) | $2,245.04 | $3,741.73 | 1.6× |
| Hysterosalpingogram (74740) range across 2 matching MRF lines |
$1,022.53–$1,193.99 | $1,704.21–$1,989.98 | varies |
| Joint Survey Single View (77077) range across 2 matching MRF lines |
$83.53–$89.93 | $139.21–$149.88 | varies |
| K Flow/Funct Image W/Drug (78708) | $2,881.58 | $4,802.63 | 5.0× |
| K Flow/Funct Image W/O Drug (78707) | $2,881.58 | $4,802.63 | 5.0× |
| Kidney Funcj Study Non-Img Radioisotopic Study (78725) | $370.64 | $617.74 | 0.9× |
| Kidney Imaging Morphol (78700) | $2,154.19 | $3,590.32 | 5.0× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $2,881.58 | $4,802.63 | 6.7× |
| Knee 3 Views (73562) range across 4 matching MRF lines |
$89.93–$1,177.49 | $149.88–$1,962.48 | varies |
| Liver & Spleen Imaging Static Only (78215) | $2,298.04 | $3,830.06 | 5.4× |
| Liver imaging static only (78201) | $2,298.04 | $3,830.06 | 3.9× |
| Lung Perf&Ventilat Diferentl (78598) | $5,338.60 | $8,897.66 | 9.2× |
| Lung Ventilat&Perfus Imaging (78582) | $3,746.16 | $6,243.60 | 6.4× |
| Lung Ventilation Imaging (78579) | $2,453.15 | $4,088.59 | 5.7× |
| Lymph System Imaging (78195) | $2,950.64 | $4,917.74 | 5.1× |
| Mammary ductogram or galactogram multiple (77054) | $463.28 | $772.13 | 1.8× |
| Mammary ductogram or galactogram single (77053) | $463.28 | $772.13 | 1.8× |
| Meckels Divert Exam (78290) | $2,146.01 | $3,576.68 | 5.0× |
| Mra Head W/O & W/Contrast Material (70546) | $718.25 | $1,197.08 | 1.9× |
| MRA head w/o contrast (70544) | $429.59 | $715.99 | 1.7× |
| MRA head with contrast (70545) | $621.41 | $1,035.69 | 1.7× |
| MRA neck w contrast (70548) | $621.41 | $1,035.69 | 1.7× |
| Mra Neck W/O &W/Contrast Material (70549) | $718.25 | $1,197.08 | 1.9× |
| MRA neck w/o contrast (70547) | $429.59 | $715.99 | 1.7× |
| MRI abdomen w contrast (74182) | $621.41 | $1,035.69 | 1.7× |
| MRI abdomen w/o contrast (74181) | $429.59 | $715.99 | 1.7× |
| MRI any jt lower extrem w/contrast material (73722) range across 2 matching MRF lines |
$621.41–$4,584.66 | $1,035.69–$7,641.10 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$718.25–$6,237.38 | $1,197.08–$10,395.64 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) | $621.41 | $1,035.69 | 0.7× |
| MRI Breast W/O Contrast Bilateral (77047) | $404.84 | $674.73 | 1.6× |
| MRI Breast Without Contrast Material Unilateral (77046) | $404.84 | $674.73 | 1.6× |
| MRI cervical spine w contrast (72142) | $621.41 | $1,035.69 | 1.7× |
| MRI cervical spine w/o cont (72141) | $429.59 | $715.99 | 1.7× |
| MRI chest w/o contrast (71550) | $429.59 | $715.99 | 1.7× |
| MRI chest with contrast (71551) | $2,576.09 | $4,293.48 | 3.1× |
| MRI chest wo w contrast (71552) | $718.25 | $1,197.08 | 1.9× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $621.41 | $1,035.69 | 1.7× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 2 matching MRF lines |
$718.25–$1,436.49 | $1,197.08–$2,394.15 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $429.59 | $715.99 | 1.7× |
| MRI lumbar spine w contrast (72149) | $621.41 | $1,035.69 | 1.7× |
| Mri Neck Spine W/O & W/Dye (72156) | $718.25 | $1,197.08 | 1.9× |
| MRI orbit face &/neck w/o contrast (70540) | $429.59 | $715.99 | 1.7× |
| MRI orbit face neck w contrast (70542) | $621.41 | $1,035.69 | 1.7× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $718.25 | $1,197.08 | 1.9× |
| MRI pelvis w contrast (72196) | $621.41 | $1,035.69 | 1.7× |
| MRI pelvis w/o & w contrast (72197) | $718.25 | $1,197.08 | 1.9× |
| MRI pelvis w/o contrast (72195) | $429.59 | $715.99 | 1.7× |
| MRI thoracic spine w/o contrast (72146) | $429.59 | $715.99 | 1.7× |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 2 matching MRF lines |
$429.59–$859.03 | $715.99–$1,431.72 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 2 matching MRF lines |
$718.25–$1,436.49 | $1,197.08–$2,394.15 | varies |
| MRI, abdomen, combo (74183) | $718.25 | $1,197.08 | 1.9× |
| MRI, dorsal spine combo (72157) | $718.25 | $1,197.08 | 1.9× |
| MRI, dorsal spine contrast (72147) | $984.74 | $1,641.24 | 2.6× |
| MRI, joint upper extrem (73221) | $429.59 | $715.99 | 1.7× |
| MRI, joint upper extrem combo (73223) | $718.25 | $1,197.08 | 1.9× |
| MRI, lumbar spine combo (72158) | $718.25 | $1,197.08 | 1.9× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $2,049.44 | $3,415.74 | 4.8× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $2,881.89 | $4,803.15 | 2.1× |
| Myocardial Spect Multiple Studies (78452) | $4,242.88 | $7,071.47 | 3.1× |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$83.53–$89.93 | $139.21–$149.88 | varies |
| Nm myocard infarct spect (78469) | $1,910.70 | $3,184.50 | 3.3× |
| Nonvascular Shunt X-Ray (75809) | $231.73 | $386.21 | 2.1× |
| Panoramic X-ray of jaws (70355) | $415.28 | $692.14 | 4.5× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $1,130.78 | $1,884.64 | 1.9× |
| Parathyroid Planar Imaging (78070) | $819.16 | $1,365.27 | 1.9× |
| Parathyroid planar imaging w/wo subtraction (78071) | $1,130.78 | $1,884.64 | 2.6× |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$83.53–$89.93 | $139.21–$149.88 | varies |
| Perineogram (74775) | $1,195 | $1,991.67 | 4.7× |
| Pulmonary Perfusion Imaging Particulate (78580) | $2,154.19 | $3,590.32 | 5.0× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $582.51 | $970.85 | 5.2× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $455.20 | $758.66 | 0.8× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 4 matching MRF lines |
$89.93–$965.47 | $149.88–$1,609.11 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 4 matching MRF lines |
$89.93–$397.43 | $149.88–$662.39 | varies |
| Radex elbow complete minimum 3 views (73080) range across 4 matching MRF lines |
$83.53–$965.47 | $139.21–$1,609.11 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$132.37–$142.47 | $220.61–$237.45 | varies |
| Radex fingr minimum 2 views (73140) range across 4 matching MRF lines |
$89.93–$682.38 | $149.88–$1,137.30 | varies |
| Radex foot complete minimum 3 views (73630) range across 4 matching MRF lines |
$89.93–$750.58 | $149.88–$1,250.97 | varies |
| Radex Hand Minimum 3 Views (73130) range across 4 matching MRF lines |
$89.93–$965.47 | $149.88–$1,609.11 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 4 matching MRF lines |
$83.53–$865.77 | $139.21–$1,442.95 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) range across 2 matching MRF lines |
$89.93–$273.82 | $149.88–$456.37 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$83.53–$89.93 | $139.21–$149.88 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 2 matching MRF lines |
$83.53–$89.93 | $139.21–$149.88 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 4 matching MRF lines |
$89.93–$1,036.03 | $149.88–$1,726.71 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $89.93 | $149.88 | 1.0× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $1,274.15 | $2,123.58 | 6.8× |
| Radex Spine 1 View Specify Level (72020) range across 2 matching MRF lines |
$83.53–$89.93 | $139.21–$149.88 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$83.53–$89.93 | $139.21–$149.88 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$83.53–$89.93 | $139.21–$149.88 | varies |
| Radex Toe Minimum 2 Views (73660) range across 4 matching MRF lines |
$89.93–$682.38 | $149.88–$1,137.30 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 4 matching MRF lines |
$142.47–$866.95 | $237.45–$1,444.91 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 4 matching MRF lines |
$89.93–$795.04 | $149.88–$1,325.06 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) range across 2 matching MRF lines |
$167.56–$179.18 | $279.26–$298.64 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$132.37–$142.47 | $220.61–$237.45 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 2 matching MRF lines |
$83.53–$89.93 | $139.21–$149.88 | varies |
| Radiologic exam colon double contrast study (74280) | $1,399.95 | $2,333.25 | 7.4× |
| Radiologic exam colon single contrast study (74270) | $1,134.54 | $1,890.90 | 6.0× |
| Radiologic exam knee complete 4/more views (73564) range across 4 matching MRF lines |
$89.93–$1,284.76 | $149.88–$2,141.27 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$83.53–$89.93 | $139.21–$149.88 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) | $1,274.15 | $2,123.58 | 6.8× |
| Radiologic exam swallow function contrast study (74230) | $234.76 | $391.26 | 1.2× |
| Radiologic exam upr gi trc double contrast study (74246) | $1,051.52 | $1,752.53 | 5.6× |
| Radiologic examination femur 1 view (73551) | $88.92 | $148.20 | 1.0× |
| Radiologic examination femur minimum 2 views (73552) range across 4 matching MRF lines |
$89.93–$938.86 | $149.88–$1,564.76 | varies |
| Radiologic examination knee 1/2 views (73560) range across 4 matching MRF lines |
$89.93–$865.77 | $149.88–$1,442.95 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $314.08 | $523.46 | 2.8× |
| Radiologic examination tibia & fibula 2 views (73590) range across 4 matching MRF lines |
$89.93–$865.77 | $149.88–$1,442.95 | varies |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$132.37–$142.47 | $220.61–$237.45 | varies |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $2,950.64 | $4,917.74 | 6.9× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $2,950.64 | $4,917.74 | 6.9× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $3,150.88 | $5,251.46 | 5.4× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $2,754.50 | $4,590.83 | 4.7× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $3,025.73 | $5,042.88 | 5.2× |
| Rp Therapy Intravenous Administration (79101) | $1,029.90 | $1,716.50 | 4.1× |
| Scapula (73010) range across 4 matching MRF lines |
$82.01–$482.81 | $136.68–$804.69 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 2 matching MRF lines |
$48.20–$60 | $80.34–$100 | varies |
| Shoulder 1 view (73020) range across 4 matching MRF lines |
$83.53–$587.06 | $139.21–$978.43 | varies |
| Shoulder Arthrography (73040) range across 2 matching MRF lines |
$2,249.22–$4,498.43 | $3,748.70–$7,497.39 | varies |
| Sialogram (70390) | $1,080.31 | $1,800.52 | 4.2× |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$83.53–$89.93 | $139.21–$149.88 | varies |
| Speech evaluation, complex (70371) | $484.84 | $808.06 | 1.9× |
| Sternoclavicular joints (71130) range across 2 matching MRF lines |
$83.53–$89.93 | $139.21–$149.88 | varies |
| Temporomandble Jt Arthrography Rs&I (70332) range across 2 matching MRF lines |
$705.95–$1,411.91 | $1,176.59–$2,353.18 | varies |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$83.53–$89.93 | $139.21–$149.88 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$132.37–$142.47 | $220.61–$237.45 | varies |
| Thyroid Imaging With Vascular Flow (78013) | $819.16 | $1,365.27 | 1.9× |
| Thyroid Uptake Measurement (78012) | $615.22 | $1,025.37 | 1.4× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,031.75 | $1,719.59 | 2.4× |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$131.18–$262.37 | $218.64–$437.29 | varies |
| Ultrasound, abdomen limited (76705) | $196.03 | $326.71 | 1.7× |
| Umbilical-artery Doppler (OB) (76820) | $131.18 | $218.64 | 1.2× |
| Unlisted Miscellaneous Px Dx Nuclear Medicine (78999) | $356.12 | $593.54 | 0.8× |
| Upper gi w/o kub (74240) | $1,091.26 | $1,818.77 | 5.8× |
| Ureteral Reflux Study (78740) | $2,154.19 | $3,590.32 | 5.0× |
| Urethrocystogram voiding (74455) range across 2 matching MRF lines |
$697.66–$814.57 | $1,162.77–$1,357.62 | varies |
| Urethrocystography retrograde (74450) | $814.57 | $1,357.62 | 3.2× |
| Us breast unilateral complete (76641) | $131.18 | $218.64 | 1.2× |
| Us chest (76604) | $196.03 | $326.71 | 1.7× |
| Us complete joint (76881) | $196.03 | $326.71 | 1.7× |
| Us exam, pelvic, limited (76857) | $125.96 | $209.94 | 1.1× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $131.18 | $218.64 | 1.2× |
| Us ob limited 1 or more fetuses (76815) | $346.20 | $577 | 3.1× |
| Us ob transvaginal (76817) | $196.03 | $326.71 | 1.7× |
| Us pelvic non ob complete (76856) | $196.03 | $326.71 | 1.7× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $196.03 | $326.71 | 1.7× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $131.18 | $218.64 | 1.2× |
| Us retroperitoneal complete (76770) | $196.03 | $326.71 | 1.7× |
| Us retroperitoneal limited (76775) | $196.03 | $326.71 | 1.7× |
| Us scrotum and contents (76870) | $196.03 | $326.71 | 1.7× |
| Us thyroid (76536) | $196.03 | $326.71 | 1.7× |
| Us transrectal (76872) | $196.03 | $326.71 | 1.7× |
| Vascular Flow Imaging (78445) | $1,031.90 | $1,719.84 | 2.4× |
| Venography caval inferior serialography rs&i (75825) | $5,353.93 | $8,923.22 | 1.6× |
| Venography extremity bilateral rs&i (75822) | $2,364.41 | $3,940.68 | 1.4× |
| Venography extremity unilateral rs&i (75820) | $5,147.63 | $8,579.39 | 3.1× |
| Venous sampling by catheter (75893) unusually low: confirm this is the full procedure |
$2,349.25 | $3,915.41 | 0.4× |
| Vertebral fracture assessment via dxa (77086) | $83.53 | $139.21 | 0.9× |
| Wrist 2 views (73100) range across 4 matching MRF lines |
$89.93–$729.70 | $149.88–$1,216.16 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$83.53–$89.93 | $139.21–$149.88 | varies |
| X-ray antegrade pyelogram tube (74425) | $1,299.07 | $2,165.12 | 3.5× |
| X-Ray Aorta Leg Arteries (75630) | $7,544.37 | $12,573.95 | 2.2× |
| X-Ray Bend Only L-S Spine (72120) range across 2 matching MRF lines |
$132.37–$142.47 | $220.61–$237.45 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 4 matching MRF lines |
$89.93–$795.04 | $149.88–$1,325.06 | varies |
| X-Ray Exam Breast Specimen (76098) | $714.20 | $1,190.34 | 1.2× |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 2 matching MRF lines |
$83.86–$89.59 | $139.77–$149.32 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$83.86–$138.43 | $139.77–$230.71 | varies |
| X-Ray Exam Entire Spi 4/5 Vw (72083) range across 3 matching MRF lines |
$138.43–$179.18 | $230.71–$298.64 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 2 matching MRF lines |
$83.53–$89.93 | $139.21–$149.88 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 2 matching MRF lines |
$83.86–$89.59 | $139.77–$149.32 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) range across 2 matching MRF lines |
$125.96–$134.72 | $209.94–$224.54 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$132.53–$142.81 | $220.88–$238.01 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 2 matching MRF lines |
$132.53–$142.81 | $220.88–$238.01 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) range across 2 matching MRF lines |
$265.24–$285.61 | $442.06–$476.02 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$132.37–$142.47 | $220.61–$237.45 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$83.53–$89.93 | $139.21–$149.88 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$132.37–$142.47 | $220.61–$237.45 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 2 matching MRF lines |
$132.37–$156.44 | $220.61–$260.74 | varies |
| X-ray eye for foreign body (70030) range across 4 matching MRF lines |
$83.53–$1,487.69 | $139.21–$2,479.48 | varies |
| X-ray humerus (73060) range across 4 matching MRF lines |
$89.93–$432.97 | $149.88–$721.61 | varies |
| X-ray IV pyelogram (ivp) (74400) | $1,101.70 | $1,836.17 | 5.9× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 2 matching MRF lines |
$83.53–$89.93 | $139.21–$149.88 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$83.53–$89.93 | $139.21–$149.88 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $83.53 | $139.21 | 0.7× |
| X-ray nose-rectum child f.b. (76010) range across 2 matching MRF lines |
$83.53–$89.93 | $139.21–$149.88 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$132.37–$156.44 | $220.61–$260.74 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$83.53–$89.93 | $139.21–$149.88 | varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $89.93 | $149.88 | 0.8× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$83.53–$89.93 | $139.21–$149.88 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$83.53–$89.93 | $139.21–$149.88 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$132.37–$142.47 | $220.61–$237.45 | varies |
| X-ray thoracic spine 4 vw (72074) range across 2 matching MRF lines |
$83.53–$89.93 | $139.21–$149.88 | varies |
| X-Ray Tmj Unilat (70328) range across 2 matching MRF lines |
$83.53–$89.93 | $139.21–$149.88 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $1,263.20 | $2,105.34 | 3.4× |
| X-Rays Bone Length Studies (77073) range across 2 matching MRF lines |
$83.53–$89.93 | $139.21–$149.88 | varies |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$132.37–$142.47 | $220.61–$237.45 | varies |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$132.37–$142.47 | $220.61–$237.45 | varies |
| Xr facial bones less than 3 views (70140) range across 2 matching MRF lines |
$83.53–$89.93 | $139.21–$149.88 | varies |
| Xr myelogram posterior fossa (70010) | $1,273.31 | $2,122.18 | 3.4× |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$83.53–$89.93 | $139.21–$149.88 | varies |
| Xr Tomogram Single Plane (76100) | $1,218.07 | $2,030.12 | 10.9× |
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.