Imaging prices at Genesis Hospital
Zanesville, OH · every code in this section with a posted price and a Medicare benchmark.
385 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) | $11,393.68 | $18,989.46 | 8.6× |
| Abdomen 1 View (74018) | $181.80 | $303 | 2.2× |
| Abdomen 2 views (74019) | $242.40 | $404 | 2.4× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,388.25 | $2,313.75 | 3.6× |
| Adrenal Cortex & Medulla Img (78075) | $11,353.15 | $18,921.91 | 9.2× |
| Angio internal mammary (75756) | $4,888.43 | $8,147.38 | 1.6× |
| Angio pulmonary bilat (75743) | $4,216.42 | $7,027.37 | 1.4× |
| Angiography extremity bilateral rs&i (75716) | $45,360.87 | $75,601.45 | 15.0× |
| Angiography extremity unilateral rs&i (75710) range across 3 matching MRF lines |
$26,668.58–$56,167.06 | $44,447.63–$93,611.77 | varies |
| Angiography pulmonary unilateral slctv rs&i (75741) | $4,521.71 | $7,536.19 | 1.5× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $1,920 | $3,200 | 0.6× |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$363.60–$454.50 | $606–$757.50 | varies |
| Aortography thoracic serialography rs&i (75605) | $53,417.46 | $89,029.10 | 10.1× |
| Aortography thoracic w/o serialography rs&i (75600) | $12,358.13 | $20,596.89 | 4.1× |
| Artery X-Rays Abdomen (75726) | $30,116.24 | $50,193.73 | 5.7× |
| Artery X-Rays Adrenal Gland (75731) | $5,087.56 | $8,479.27 | 1.7× |
| Artery X-Rays Pelvis (75736) | $35,842.88 | $59,738.13 | 6.7× |
| Artery X-Rays Spine (75705) | $4,921.90 | $8,203.17 | 0.9× |
| Arthrogram ankle (73615) | $818.09 | $1,363.48 | 2.5× |
| Arthrogram hip (73525) | $3,234.11 | $5,390.18 | 9.7× |
| Arthrogram Wrist (73115) | $1,352.29 | $2,253.81 | 4.1× |
| Basic radiation dosimetry calculation (77300) | $7,932.32 | $13,220.54 | 61.8× |
| Bone age studies (77072) | $242.40 | $404 | 2.4× |
| Bone Imaging 3 Phase (78315) | $1,028.31 | $1,713.85 | 2.7× |
| Bone Imaging Limited Area (78300) | $901.85 | $1,503.09 | 2.4× |
| Bone Imaging Multiple Areas (78305) | $922.13 | $1,536.89 | 2.4× |
| Bone Imaging Whole Body (78306) | $1,028.31 | $1,713.85 | 2.7× |
| Bone marrow imaging limited area (78102) | $847.67 | $1,412.78 | 2.2× |
| Bone marrow imaging; multiple areas (78103) | $1,881.47 | $3,135.78 | 4.9× |
| Bone survey infant (77076) | $415.44 | $692.40 | 4.2× |
| Brachytx Isodose Plan Simple (77316) | $12,516.29 | $20,860.48 | 35.0× |
| Brain Image W/Flow < 4 Views (78601) | $672.59 | $1,120.99 | 1.8× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $1,063.88 | $1,773.14 | 2.1× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $5,851.01 | $9,751.69 | 4.3× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $1,851.02 | $3,085.04 | 5.6× |
| Cardiac Shunt Detection (78428) | $808.15 | $1,346.92 | 2.1× |
| Cat Scan Follow-Up Study (76380) | $5,256.38 | $8,760.64 | 63.3× |
| Cerebrospinal Fluid Scan (78630) | $1,741.18 | $2,901.96 | 3.4× |
| Chest 1 view (71045) range across 4 matching MRF lines |
$4,875.48–$43,940.68 | $8,125.80–$73,234.47 | varies |
| Chest 2 views (71046) | $325.28 | $542.14 | 3.9× |
| Chest 3 views (71047) | $205.45 | $342.42 | 2.5× |
| Chest 4 or more views (71048) | $460.22 | $767.03 | 4.6× |
| Cholecystography Oral Contrast (74290) | $600.19 | $1,000.32 | 3.6× |
| Clavicle complete (73000) range across 4 matching MRF lines |
$181.80–$545.40 | $303–$909 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $242.40 | $404 | 2.4× |
| Continuing medical physics consltj pr wk (77336) | $10,610.39 | $17,683.98 | 82.7× |
| Contrast Exam Abdominl Aorta (75625) | $44,156.89 | $73,594.81 | 14.6× |
| Contrast X-Ray Bladder (74430) | $1,051.51 | $1,752.51 | 3.2× |
| Contrast X-Ray Of Elbow (73085) | $3,157.90 | $5,263.16 | 9.5× |
| Contrast X-Ray Of Knee Joint (73580) | $1,423.29 | $2,372.15 | 4.3× |
| Contrast Xray Throat/Cerv Esopha (74210) | $532.43 | $887.39 | 3.2× |
| CT abdomen and pelvis without and with contrast (74178) | $3,631.46 | $6,052.43 | 10.9× |
| CT abdomen and pelvis without contrast (74176) | $1,798.38 | $2,997.30 | 7.9× |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$2,422.84–$2,431.25 | $4,038.06–$4,052.09 | varies |
| CT abdomen w wo contrast (74170) | $1,831.79 | $3,052.99 | 10.9× |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$1,198.92–$1,798.39 | $1,998.20–$2,997.32 | varies |
| CT Angio Abdomen and Pelvis (74174) | $3,632.52 | $6,054.20 | 10.9× |
| CT Angio Chest (71275) | $1,244.10 | $2,073.50 | 7.4× |
| CT Angio Head (70496) | $1,638.86 | $2,731.43 | 9.8× |
| CT angio hrt w/3d image (75574) | $1,442.38 | $2,403.96 | 4.3× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $1,670.85 | $2,784.75 | 10.0× |
| CT Angio Neck (70498) | $882.79 | $1,471.31 | 5.3× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $851.83 | $1,419.71 | 5.1× |
| CT bone density (77078) | $145.37 | $242.29 | 1.7× |
| CT cervical spine w/ contrast (72126) | $3,598.92 | $5,998.20 | 10.8× |
| CT cervical spine w/o contrast (72125) | $1,798.38 | $2,997.30 | 18.0× |
| CT cervical spine w/wo cont (72127) | $3,639.88 | $6,066.46 | 21.7× |
| CT chest w contrast (71260) | $3,022.30 | $5,037.16 | 18.0× |
| CT chest w/wo contrast (71270) | $5,420.14 | $9,033.56 | 32.4× |
| CT colonography screening (74263) | $2,598.46 | $4,330.77 | 11.4× |
| CT Colonogrphy Dx Image Postprocess W/Contrast (74262) | $2,917.40 | $4,862.34 | 17.4× |
| CT colonogrphy dx image postprocess w/o contrast (74261) | $2,598.46 | $4,330.77 | 26.0× |
| CT head/brain with contrast (70460) | $1,242.04 | $2,070.06 | 7.4× |
| CT head/brain without and with contrast (70470) | $1,236.60 | $2,061 | 7.4× |
| CT heart contrast eval cardiac structure&morph (75572) | $1,068.53 | $1,780.88 | 3.2× |
| CT heart no contrast quant eval coronry calcium (75571) | $99 | $165 | 1.2× |
| CT hrt w/3d image congen (75573) | $1,478.04 | $2,463.40 | 4.4× |
| CT iac w contrast (70481) | $1,232.33 | $2,053.88 | 7.4× |
| CT l-spine w&w/o contrast (72133) | $1,823.38 | $3,038.96 | 10.9× |
| CT lower ext w/o (73700) range across 4 matching MRF lines |
$599.46–$899.19 | $999.10–$1,498.65 | varies |
| CT lower extremity w/contrast material (73701) range across 3 matching MRF lines |
$659.31–$1,617.47 | $1,098.85–$2,695.79 | varies |
| CT lumbar spine w contrast (72132) | $3,636.43 | $6,060.71 | 10.9× |
| CT lumbar spine w/o contrast (72131) | $1,198.92 | $1,998.20 | 12.0× |
| CT maxillofacial w contrast (70487) | $1,227.02 | $2,045.03 | 7.3× |
| CT maxillofacial wo contrast (70486) | $2,049.98 | $3,416.64 | 20.5× |
| CT neck tissue combo (70492) | $1,232.33 | $2,053.89 | 7.4× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,232.33 | $2,053.89 | 7.4× |
| CT orbits w/o contrast (70480) | $599.46 | $999.10 | 6.0× |
| CT pelvis w&w/o contrast (72194) | $1,823.38 | $3,038.96 | 10.9× |
| CT pelvis w/o contrast (72192) | $654.34 | $1,090.57 | 6.6× |
| CT scan of leg combo (73702) | $1,236 | $2,060 | 7.4× |
| CT scans face/jaw combo (70488) | $1,232.33 | $2,053.88 | 7.4× |
| CT soft tissue neck w contrast (70491) | $667.73 | $1,112.89 | 4.0× |
| CT soft tissue neck w/o contrast (70490) | $599.46 | $999.10 | 6.0× |
| CT thoracic spine w contrast (72129) | $4,922.77 | $8,204.61 | 29.4× |
| CT thoracic spine w/o contrast (72128) | $2,397.84 | $3,996.40 | 24.0× |
| CT thoracic spine w/wo cont (72130) | $3,646.05 | $6,076.75 | 21.8× |
| CT thorax w/o contrast (71250) | $599.46 | $999.10 | 6.0× |
| CT unlisted procedure (76497) | $5,410.24 | $9,017.06 | 65.1× |
| CT upper ext wo (73200) range across 4 matching MRF lines |
$599.46–$899.19 | $999.10–$1,498.65 | varies |
| CT upper extremity w/o & w/contrast material (73202) | $1,236 | $2,060 | 7.4× |
| CT upper extremity with contrast (73201) range across 3 matching MRF lines |
$2,097.74–$2,097.80 | $3,496.24–$3,496.33 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $582.47 | $970.78 | 3.5× |
| Cta Abdomen (74175) | $2,034.97 | $3,391.62 | 12.2× |
| CTA pelvis (72191) | $1,670.85 | $2,784.75 | 10.0× |
| Dilation ureters/urethra rs&i (74485) | $1,250.49 | $2,084.15 | 0.6× |
| Discography Cerv/Thor Spine (72285) | $2,762.89 | $4,604.82 | 1.5× |
| Diskography lumbar (72295) | $12,689.93 | $21,149.88 | 6.8× |
| Dxa Bone Density Axial (77080) | $1,316.21 | $2,193.69 | 13.2× |
| Dxa bone density study (77085) | $748.70 | $1,247.84 | 7.5× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $401.95 | $669.92 | 4.8× |
| Echo exam uterus (76831) | $641.70 | $1,069.50 | 2.8× |
| Echo Guide For Artery Repair (76936) | $497.60 | $829.33 | 2.4× |
| Esophagram (74220) | $442.50 | $737.50 | 2.6× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 3 matching MRF lines |
$1,132.60–$2,075.81 | $1,887.67–$3,459.68 | varies |
| Fetal MRI w/placntl matrnl plvc img sing/1st ges (74712) | $646.53 | $1,077.55 | 2.8× |
| Fluoroscopy up to 1 hr (76000) | $382.75 | $637.92 | 1.7× |
| Follow-Up Angiography (75898) | $1,920 | $3,200 | 0.6× |
| Foot 2 views (73620) range across 4 matching MRF lines |
$181.80–$462.07 | $303–$770.12 | varies |
| Forearm 2 views (73090) range across 4 matching MRF lines |
$371.17–$636.30 | $618.62–$1,060.50 | varies |
| Gastric emptying imaging study (78264) | $1,945.75 | $3,242.91 | 5.1× |
| Gastroesophageal Reflux Exam (78262) | $1,364.42 | $2,274.03 | 3.6× |
| Gated Heart Planar Single (78472) | $1,822.48 | $3,037.47 | 4.8× |
| Hand 2 views (73120) range across 3 matching MRF lines |
$242.40–$982.88 | $404–$1,638.14 | varies |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) | $1,616.32 | $2,693.87 | 2.4× |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) | $6,861.08 | $11,435.14 | 10.3× |
| Heart Image (Pet) Multiple (78492) | $5,318.94 | $8,864.90 | 3.9× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $4,733.67 | $7,889.45 | 1.6× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $4,521.71 | $7,536.19 | 1.5× |
| Hepatobil Syst Image W/Drug (78227) | $1,890.98 | $3,151.64 | 3.6× |
| Hepatobiliary System Imaging (78226) | $1,666.39 | $2,777.31 | 4.4× |
| Ht Muscle Image Spect Sing (78451) | $2,176.75 | $3,627.91 | 1.8× |
| Hysterosalpingogram (74740) | $1,194.90 | $1,991.50 | 5.2× |
| Infusion Ivp (74410) | $723.89 | $1,206.49 | 4.3× |
| K Flow/Funct Image Multiple (78709) | $2,114.35 | $3,523.92 | 4.1× |
| K Flow/Funct Image W/Drug (78708) | $1,938.07 | $3,230.11 | 3.7× |
| K Flow/Funct Image W/O Drug (78707) | $1,770.23 | $2,950.38 | 3.4× |
| Knee 3 Views (73562) range across 4 matching MRF lines |
$378.74–$999.89 | $631.24–$1,666.48 | varies |
| Liver & Spleen Imaging Static Only (78215) | $2,334.41 | $3,890.69 | 6.1× |
| Liver imaging static only (78201) | $748.19 | $1,246.98 | 1.4× |
| Liver imaging w/vascular flow (78202) | $823.03 | $1,371.72 | 1.6× |
| Lung Perf&Ventilat Diferentl (78598) | $1,768.50 | $2,947.50 | 3.4× |
| Lung perfusion differential (78597) | $1,937.69 | $3,229.48 | 5.1× |
| Lung Ventilat&Perfus Imaging (78582) | $2,260.25 | $3,767.08 | 4.4× |
| Lung Ventilation Imaging (78579) | $865.21 | $1,442.02 | 2.3× |
| Lymph System Imaging (78195) | $2,722.10 | $4,536.84 | 5.3× |
| Magnetic Image Jaw Joint (70336) | $693.17 | $1,155.29 | 3.0× |
| Mammary ductogram or galactogram multiple (77054) | $596.10 | $993.50 | 2.6× |
| Mammary ductogram or galactogram single (77053) | $425.78 | $709.64 | 1.9× |
| Meckels Divert Exam (78290) | $1,630.17 | $2,716.95 | 4.3× |
| Mlc imrt design & construction per imrt plan (77338) | $7,678.28 | $12,797.13 | 21.5× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $41.27 | $68.79 | 1.5× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) | $154.70 | $257.83 | 1.7× |
| Mr safety implt pos&/immoblj (76019) | $100.11 | $166.85 | 1.8× |
| Mr safety med physics xm customization plng&mntr (76017) | $407.39 | $678.99 | 1.8× |
| Mra Head W/O & W/Contrast Material (70546) | $2,795.66 | $4,659.43 | 8.4× |
| MRA head w/o contrast (70544) | $3,028.48 | $5,047.47 | 13.3× |
| MRA head with contrast (70545) | $1,798.38 | $2,997.30 | 5.4× |
| MRA neck w contrast (70548) | $2,428.69 | $4,047.81 | 7.3× |
| Mra Neck W/O &W/Contrast Material (70549) | $2,795.66 | $4,659.43 | 8.4× |
| MRA neck w/o contrast (70547) | $4,196.22 | $6,993.70 | 18.4× |
| MRI abdomen w contrast (74182) | $3,348.82 | $5,581.36 | 10.1× |
| MRI abdomen w/o contrast (74181) | $2,988.81 | $4,981.35 | 13.1× |
| MRI any jt lower extrem w/contrast material (73722) range across 3 matching MRF lines |
$2,888.74–$2,893.28 | $4,814.57–$4,822.13 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 3 matching MRF lines |
$1,405.62–$1,411.54 | $2,342.70–$2,352.56 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 4 matching MRF lines |
$2,862.98–$4,921.54 | $4,771.64–$8,202.56 | varies |
| MRI bone marrow blood supply (77084) | $2,931.81 | $4,886.35 | 12.9× |
| MRI Breast W/O Contrast Bilateral (77047) | $4,391.94 | $7,319.90 | 19.3× |
| MRI Breast Without Contrast Material Unilateral (77046) | $2,255.15 | $3,758.59 | 9.9× |
| MRI cardiac w/o contrast (75557) | $1,276.69 | $2,127.81 | 5.6× |
| MRI cervical spine w contrast (72142) | $2,431.45 | $4,052.41 | 7.3× |
| MRI cervical spine w/o cont (72141) | $2,397.84 | $3,996.40 | 10.5× |
| MRI chest w/o contrast (71550) | $2,625.07 | $4,375.12 | 11.5× |
| MRI chest with contrast (71551) | $3,044.55 | $5,074.25 | 4.1× |
| MRI chest wo w contrast (71552) | $3,306.48 | $5,510.80 | 9.9× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $1,854 | $3,090 | 5.6× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 4 matching MRF lines |
$1,411.54–$2,283.29 | $2,352.56–$3,805.48 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $693.17 | $1,155.29 | 3.0× |
| MRI lumbar spine w contrast (72149) | $2,439.86 | $4,066.44 | 7.3× |
| Mri Neck Spine W/O & W/Dye (72156) | $2,434.42 | $4,057.37 | 7.3× |
| MRI orbit face &/neck w/o contrast (70540) | $1,248.61 | $2,081.02 | 5.5× |
| MRI orbit face neck w contrast (70542) | $1,854 | $3,090 | 5.6× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $1,663.27 | $2,772.12 | 5.0× |
| MRI pelvis w contrast (72196) | $1,236 | $2,060 | 3.7× |
| MRI pelvis w/o & w contrast (72197) | $1,411.54 | $2,352.56 | 4.2× |
| MRI pelvis w/o contrast (72195) | $1,207.34 | $2,012.23 | 5.3× |
| MRI spectroscopy (76390) | $2,931.81 | $4,886.35 | 35.3× |
| MRI thoracic spine w/o contrast (72146) | $2,397.84 | $3,996.40 | 10.5× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $4,229.83 | $7,049.72 | 12.7× |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 3 matching MRF lines |
$693.17–$693.18 | $1,155.29–$1,155.30 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 3 matching MRF lines |
$1,408.31–$1,414.60 | $2,347.19–$2,357.66 | varies |
| MRI, abdomen, combo (74183) | $4,277.77 | $7,129.62 | 12.8× |
| MRI, dorsal spine combo (72157) | $4,809.08 | $8,015.14 | 14.4× |
| MRI, dorsal spine contrast (72147) | $2,421.79 | $4,036.32 | 7.3× |
| MRI, joint upper extrem (73221) range across 3 matching MRF lines |
$1,198.92–$1,798.38 | $1,998.20–$2,997.30 | varies |
| MRI, joint upper extrem combo (73223) range across 4 matching MRF lines |
$1,404.02–$2,093.98 | $2,340.04–$3,489.96 | varies |
| MRI, lumbar spine combo (72158) | $2,429.20 | $4,048.67 | 7.3× |
| Myelogram cervical (72240) | $1,259.26 | $2,098.77 | 1.7× |
| Myelogram Lumbar (72265) | $1,259.26 | $2,098.77 | 1.7× |
| Myelography thoracic (72255) | $1,259.26 | $2,098.77 | 1.7× |
| Myelograpy 2/more regions rs&i (72270) | $1,291.63 | $2,152.71 | 1.7× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $1,218.38 | $2,030.64 | 3.2× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) | $5,318.94 | $8,864.90 | 4.3× |
| Myocardial Spect Multiple Studies (78452) | $5,493.87 | $9,156.45 | 4.4× |
| Neck soft tissue (70360) | $379.04 | $631.73 | 4.6× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $671.30 | $1,118.83 | 1.8× |
| Nonvascular Shunt X-Ray (75809) | $421.99 | $703.32 | 4.2× |
| Ntsty modul radthx pln dose-vol histos (77301) | $7,678.28 | $12,797.13 | 5.8× |
| Nuclear medicine study of endocrine organs (78099) | $694.12 | $1,156.86 | 1.8× |
| Nuclear Rx Intra-Arterial (79445) | $33,185.93 | $55,309.88 | 148.9× |
| Nuclear Rx Oral Admin (79005) | $4,531.90 | $7,553.16 | 20.3× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $1,384.48 | $2,307.46 | 2.7× |
| Parathyroid Planar Imaging (78070) | $1,199.39 | $1,998.99 | 3.1× |
| Parathyroid planar imaging w/wo subtraction (78071) | $1,288.23 | $2,147.05 | 3.4× |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$25,630.79–$27,047.26 | $42,717.98–$45,078.76 | varies |
| Pet Image Skull-Thigh (78812) | $5,168.40 | $8,614 | 3.8× |
| Pet Image W/Ct Lmtd (78814) | $12,077.28 | $20,128.80 | 8.8× |
| PET image w/CT, full body (78816) | $5,976.09 | $9,960.15 | 4.4× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $7,287.39 | $12,145.65 | 5.3× |
| Pet Imaging Limited Area Chest Head/Neck (78811) | $4,457.84 | $7,429.73 | 3.6× |
| Pet Myocardial Sngl Study (78491) | $5,318.94 | $8,864.90 | 3.9× |
| PET whole body (78813) | $5,665.09 | $9,441.81 | 4.1× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $4,521.71 | $7,536.19 | 1.5× |
| Pulmonary Perfusion Imaging Particulate (78580) | $7,248.93 | $12,081.55 | 19.0× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $283.86 | $473.10 | 2.8× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $2,014.31 | $3,357.18 | 3.9× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 4 matching MRF lines |
$234.94–$724.96 | $391.57–$1,208.27 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 4 matching MRF lines |
$181.80–$363.60 | $303–$606 | varies |
| Radex elbow complete minimum 3 views (73080) range across 4 matching MRF lines |
$189.37–$854.80 | $315.62–$1,424.67 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $242.40 | $404 | 2.4× |
| Radex fingr minimum 2 views (73140) range across 4 matching MRF lines |
$272.70–$588.49 | $454.50–$980.81 | varies |
| Radex foot complete minimum 3 views (73630) range across 4 matching MRF lines |
$234.94–$1,016.99 | $391.57–$1,694.99 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$377.39–$378.74 | $628.99–$631.24 | varies |
| Radex lower extremity infant minimum 2 views (73592) | $363.60 | $606 | 4.4× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $431.80 | $719.66 | 4.3× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $189.37 | $315.62 | 2.3× |
| Radex Ribs Unilateral 2 Views (71100) range across 2 matching MRF lines |
$181.80–$379.04 | $303–$631.73 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 4 matching MRF lines |
$606–$2,501.98 | $1,010–$4,169.97 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $407 | $678.33 | 4.9× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $996.28 | $1,660.46 | 5.9× |
| Radex Spine 1 View Specify Level (72020) | $1,980.18 | $3,300.30 | 23.8× |
| Radex Sternum Minimum 2 Views (71120) | $181.80 | $303 | 2.2× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $239.84 | $399.73 | 2.9× |
| Radex Toe Minimum 2 Views (73660) range across 4 matching MRF lines |
$181.80–$454.50 | $303–$757.50 | varies |
| Radex upper extremity infant minimum 2 views (73092) | $242.40 | $404 | 2.4× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 4 matching MRF lines |
$234.55–$473.43 | $390.92–$789.05 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $242.40 | $404 | 2.4× |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $23,712.01 | $39,520.01 | 3.4× |
| Radiation treatment delivery level 2 (77407) | $7,940.17 | $13,233.61 | 21.6× |
| Radiation treatment delivery level 3 (77412) | $7,949.44 | $13,249.06 | 15.1× |
| Radiolog exam mandible compl minimum 4 views (70110) | $242.40 | $404 | 2.4× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $242.40 | $404 | 2.4× |
| Radiologic exam colon double contrast study (74280) | $921.44 | $1,535.73 | 5.5× |
| Radiologic exam colon single contrast study (74270) | $642.05 | $1,070.08 | 3.8× |
| Radiologic exam knee complete 4/more views (73564) range across 4 matching MRF lines |
$242.40–$516.46 | $404–$860.77 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $31,199.96 | $51,999.93 | 312.6× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $594.96 | $991.60 | 3.6× |
| Radiologic exam swallow function contrast study (74230) | $1,012.24 | $1,687.06 | 6.0× |
| Radiologic exam upr gi trc double contrast study (74246) | $725.74 | $1,209.57 | 4.3× |
| Radiologic examination femur 1 view (73551) | $181.80 | $303 | 2.2× |
| Radiologic examination femur minimum 2 views (73552) range across 4 matching MRF lines |
$181.80–$799.16 | $303–$1,331.93 | varies |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$651.44–$29,741.73 | $1,085.74–$49,569.55 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $242.40 | $404 | 2.4× |
| Radiologic examination tibia & fibula 2 views (73590) range across 4 matching MRF lines |
$423.68–$615.91 | $706.13–$1,026.51 | varies |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77768) | $538.79 | $897.98 | 1.5× |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77767) | $447.29 | $745.49 | 1.2× |
| Ribs bilateral 3 views (71110) | $502.81 | $838.02 | 5.0× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $5,989.89 | $9,983.15 | 15.7× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $977.47 | $1,629.11 | 2.6× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $3,377.98 | $5,629.97 | 6.5× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $3,377.98 | $5,629.97 | 6.5× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $3,428.83 | $5,714.71 | 6.6× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $3,186.77 | $5,311.29 | 2.6× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $2,560.28 | $4,267.14 | 2.1× |
| Rp Therapy Intravenous Administration (79101) | $93,589.24 | $155,982.07 | 420.1× |
| Scapula (73010) range across 3 matching MRF lines |
$424.20–$535.19 | $707–$891.98 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 2 matching MRF lines |
$588.95–$1,502.30 | $981.58–$2,503.83 | varies |
| Shoulder 1 view (73020) | $1,340.77 | $2,234.62 | 16.1× |
| Shoulder Arthrography (73040) range across 3 matching MRF lines |
$2,580.71–$3,341.39 | $4,301.18–$5,568.98 | varies |
| Skull less than 4 views (70250) | $621.44 | $1,035.73 | 6.2× |
| Special dosimetry (77331) | $9,415.74 | $15,692.90 | 73.4× |
| Special Physics Consult (77370) | $8,673.65 | $14,456.09 | 67.6× |
| Special treatment procedure (77470) | $5,014.80 | $8,358 | 9.5× |
| Spleen Imaging (78185) | $1,205.75 | $2,009.58 | 3.2× |
| Srs Multisource (77371) | $12,620.66 | $21,034.43 | 1.8× |
| Stereotactic Body Radiation Delivery (77373) | $10,004.42 | $16,674.03 | 5.9× |
| Sternoclavicular joints (71130) | $189.37 | $315.62 | 2.3× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $13,292.56 | $22,154.27 | 37.2× |
| Temporomandble Jt Arthrography Rs&I (70332) | $1,352.29 | $2,253.81 | 5.9× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $5,083.74 | $8,472.90 | 14.2× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $2,029.80 | $3,383 | 5.7× |
| Ther rad simulaj-aided field setting simple (77280) | $8,918.23 | $14,863.72 | 69.5× |
| Thoracic spine 2 views (72070) | $557.37 | $928.95 | 5.6× |
| Thoracic spine 3 views (72072) | $439.64 | $732.73 | 4.4× |
| Thoracolumbar 2 views (72080) | $181.80 | $303 | 2.2× |
| Thyroid Imaging With Vascular Flow (78013) | $439.75 | $732.92 | 1.2× |
| Thyroid Met Imaging Body (78018) | $1,678.64 | $2,797.74 | 3.2× |
| Thyroid Uptake Measurement (78012) | $1,216.27 | $2,027.12 | 3.2× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,677.58 | $2,795.96 | 4.4× |
| Tx Devices Design & Construction Complex (77334) | $5,017.25 | $8,362.08 | 14.0× |
| Tx devices design & construction intermediate (77333) | $12,718.40 | $21,197.33 | 99.1× |
| Tx devices design & construction simple (77332) | $4,192.20 | $6,987 | 32.7× |
| Ultrasound Breast Limited (76642) range across 4 matching MRF lines |
$575.02–$1,163.96 | $958.36–$1,939.94 | varies |
| Ultrasound Elastography Parenchyma (76981) | $587.64 | $979.40 | 5.9× |
| Ultrasound Exam Aaa Screen (76706) | $346.58 | $577.64 | 3.5× |
| Ultrasound, abdomen limited (76705) | $378.91 | $631.51 | 3.8× |
| Unlisted Dx Radiographic Procedure (76499) | $119.08 | $198.47 | 1.4× |
| Unlisted fluoroscopic procedure (76496) | $401.95 | $669.92 | 4.8× |
| Unlisted magnetic resonance procedure (76498) | $212.63 | $354.38 | 2.6× |
| Upper gi w/o kub (74240) | $483.83 | $806.39 | 2.9× |
| Ureteral Reflux Study (78740) | $1,131.22 | $1,885.36 | 3.0× |
| Urethrocystogram voiding (74455) | $837.45 | $1,395.75 | 3.7× |
| Urethrocystography retrograde (74450) | $454.46 | $757.43 | 2.0× |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$422.94–$845.88 | $704.90–$1,409.80 | varies |
| Us chest (76604) | $357.31 | $595.51 | 3.6× |
| Us complete joint (76881) range across 4 matching MRF lines |
$346.58–$693.17 | $577.64–$1,155.28 | varies |
| Us exam, pelvic, limited (76857) | $346.58 | $577.64 | 3.5× |
| Us head (76506) | $422.96 | $704.94 | 4.2× |
| Us kidney transplant (76776) | $638.78 | $1,064.63 | 6.4× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 4 matching MRF lines |
$346.58–$6,095.21 | $577.64–$10,158.69 | varies |
| Us ob detailed single fetus (76811) | $442.22 | $737.04 | 1.9× |
| Us ob limited 1 or more fetuses (76815) | $1,450.58 | $2,417.64 | 14.5× |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$346.58–$693.17 | $577.64–$1,155.28 | varies |
| Us pelvic non ob complete (76856) | $693.17 | $1,155.28 | 6.9× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $693.17 | $1,155.28 | 6.9× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 2 matching MRF lines |
$346.58–$2,022.49 | $577.64–$3,370.81 | varies |
| Us retroperitoneal complete (76770) | $346.58 | $577.64 | 3.5× |
| Us retroperitoneal limited (76775) | $346.58 | $577.64 | 3.5× |
| Us scrotum and contents (76870) | $983.80 | $1,639.66 | 9.9× |
| Us spinal canal and contents (76800) | $898.11 | $1,496.85 | 9.0× |
| Us thyroid (76536) | $346.58 | $577.64 | 3.5× |
| Us transrectal (76872) | $1,545.50 | $2,575.84 | 15.5× |
| Vein X-Ray Chest (75827) | $2,209.87 | $3,683.11 | 1.5× |
| Vein X-Ray Liver W/O Hemodyn (75887) | $1,920 | $3,200 | 0.6× |
| Venogram Sinus/Jugular (75860) | $1,920 | $3,200 | 0.6× |
| Venography caval inferior serialography rs&i (75825) | $44,206.56 | $73,677.60 | 14.7× |
| Venography extremity bilateral rs&i (75822) | $3,808.63 | $6,347.71 | 2.5× |
| Venography extremity unilateral rs&i (75820) range across 2 matching MRF lines |
$2,494.49–$30,764.75 | $4,157.48–$51,274.59 | varies |
| Venography Renal Bilateral (75833) | $55,918.40 | $93,197.34 | 18.5× |
| Venography Renal Unilateral (75831) | $35,429.92 | $59,049.86 | 11.8× |
| Venous sampling by catheter (75893) | $3,300 | $5,500 | 0.6× |
| Vertebral fracture assessment via dxa (77086) | $241.18 | $401.97 | 2.9× |
| Wrist 2 views (73100) range across 4 matching MRF lines |
$272.70–$363.60 | $454.50–$606 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $200.28 | $333.80 | 2.4× |
| X-ray antegrade pyelogram tube (74425) | $799.25 | $1,332.09 | 2.4× |
| X-Ray Aorta Leg Arteries (75630) | $43,520.21 | $72,533.68 | 14.4× |
| X-Ray Bend Only L-S Spine (72120) | $242.40 | $404 | 2.4× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$181.80–$909 | $303–$1,515 | varies |
| X-Ray Exam Breast Specimen (76098) range across 2 matching MRF lines |
$11,310.44–$14,048.56 | $18,850.73–$23,414.27 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) | $181.80 | $303 | 2.2× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $242.40 | $404 | 2.4× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $242.40 | $404 | 2.4× |
| X-Ray Exam Hip Uni 1 View (73501) range across 3 matching MRF lines |
$181.80–$424.20 | $303–$707 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 4 matching MRF lines |
$431.77–$1,314.26 | $719.62–$2,190.43 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) | $242.40 | $404 | 2.4× |
| X-Ray Exam Hips Bi 2 Views (73521) | $484.80 | $808 | 4.9× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $674.17 | $1,123.62 | 6.8× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $313.10 | $521.83 | 3.1× |
| X-Ray Exam L-S Spine Bending (72114) | $242.40 | $404 | 2.4× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $378.74 | $631.24 | 4.6× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $242.40 | $404 | 2.4× |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 3 matching MRF lines |
$242.40–$320.03 | $404–$533.38 | varies |
| X-ray eye for foreign body (70030) range across 3 matching MRF lines |
$190.22–$2,041.24 | $317.03–$3,402.07 | varies |
| X-ray humerus (73060) range across 4 matching MRF lines |
$363.60–$1,591.04 | $606–$2,651.73 | varies |
| X-ray IV pyelogram (ivp) (74400) | $806.09 | $1,343.49 | 4.8× |
| X-ray IV pyelogram+tomography (74415) | $848.08 | $1,413.47 | 5.1× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $189.37 | $315.62 | 2.3× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $201.18 | $335.30 | 2.4× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $242.40 | $404 | 2.4× |
| X-ray nose-rectum child f.b. (76010) | $181.80 | $303 | 2.2× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $425.60 | $709.34 | 4.3× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $1,158.97 | $1,931.62 | 11.6× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) range across 2 matching MRF lines |
$689.03–$878.70 | $1,148.39–$1,464.50 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $424.20 | $707 | 5.1× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $189.37 | $315.62 | 2.3× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $242.40 | $404 | 2.4× |
| X-ray thoracic spine 4 vw (72074) | $242.40 | $404 | 2.4× |
| X-Ray Tmj Unilat (70328) | $181.80 | $303 | 2.2× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $10,856.29 | $18,093.82 | 32.6× |
| X-Rays Bone Length Studies (77073) | $242.40 | $404 | 2.4× |
| X-Rays Bone Survey Complete (77075) | $242.40 | $404 | 2.4× |
| Xr c-spine 4 or 5 views (72050) | $484.80 | $808 | 4.9× |
| Xr facial bones less than 3 views (70140) | $181.80 | $303 | 2.2× |
| Xr orbits complete 4 views (70200) | $242.40 | $404 | 2.4× |
| Xr Tomogram Single Plane (76100) | $1,148.35 | $1,913.91 | 11.5× |
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.