Imaging prices at Glacial Ridge Hospital
Glenwood, MN · every code in this section with a posted price and a Medicare benchmark.
250 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abdomen 1 View (74018) range across 3 matching MRF lines |
$24–$157.46 | $32–$209.94 | varies |
| Abdomen 2 views (74019) range across 5 matching MRF lines |
$30–$195.20 | $40–$260.26 | varies |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$19.50–$174.49 | $26–$232.65 | varies |
| Arthrogram hip (73525) range across 2 matching MRF lines |
$84–$338.01 | $112–$450.68 | varies |
| Bone age studies (77072) range across 3 matching MRF lines |
$33.75–$145.70 | $45–$194.27 | varies |
| Bone Imaging 3 Phase (78315) range across 2 matching MRF lines |
$128.25–$1,197.29 | $171–$1,596.38 | varies |
| Bone Imaging Limited Area (78300) range across 2 matching MRF lines |
$72–$1,005.46 | $96–$1,340.61 | varies |
| Bone Imaging Multiple Areas (78305) range across 2 matching MRF lines |
$99.75–$1,005.46 | $133–$1,340.61 | varies |
| Bone Imaging Whole Body (78306) range across 2 matching MRF lines |
$111–$1,189.67 | $148–$1,586.23 | varies |
| Bone survey infant (77076) range across 3 matching MRF lines |
$104.25–$276.67 | $139–$368.89 | varies |
| Brain Imaging Pet Metabolic Evaluation (78608) range across 3 matching MRF lines |
$832.50–$4,583.29 | $1,110–$6,111.05 | varies |
| Cat Scan Follow-Up Study (76380) range across 2 matching MRF lines |
$146.25–$330.86 | $195–$441.15 | varies |
| Chest 1 view (71045) range across 5 matching MRF lines |
$24.75–$172.93 | $33–$230.57 | varies |
| Chest 2 views (71046) range across 4 matching MRF lines |
$28.50–$264.87 | $38–$353.16 | varies |
| Chest 3 views (71047) range across 4 matching MRF lines |
$28.50–$211.67 | $38–$282.23 | varies |
| Clavicle complete (73000) range across 2 matching MRF lines |
$22.50–$151.12 | $30–$201.49 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 2 matching MRF lines |
$192–$519.89 | $256–$693.19 | varies |
| Contrast X-Ray Bladder (74430) range across 2 matching MRF lines |
$66.75–$378.16 | $89–$504.21 | varies |
| Contrast X-Ray Of Knee Joint (73580) range across 2 matching MRF lines |
$84–$352.64 | $112–$470.18 | varies |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$417.75–$2,197.79 | $557–$2,930.39 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$405–$1,978.94 | $540–$2,638.58 | varies |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$245.25–$1,198 | $327–$1,597.33 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$276–$1,319.09 | $368–$1,758.78 | varies |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$286.50–$1,276.65 | $382–$1,702.20 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$514.50–$2,348.15 | $686–$3,130.86 | varies |
| CT Angio Chest (71275) range across 3 matching MRF lines |
$396–$1,978.53 | $528–$2,638.04 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$403.50–$1,676.15 | $538–$2,234.86 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
$337.50–$1,981.22 | $450–$2,641.63 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$387–$1,983.86 | $516–$2,645.15 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 3 matching MRF lines |
$259.90–$354.75 | $346.53–$473 | varies |
| CT cervical spine w/ contrast (72126) range across 2 matching MRF lines |
$276.20–$327 | $368.26–$436 | varies |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$294.75–$1,276.65 | $393–$1,702.20 | varies |
| CT cervical spine w/wo cont (72127) range across 2 matching MRF lines |
$261.77–$334.50 | $349.03–$446 | varies |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$298.50–$1,221.96 | $398–$1,629.28 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$309–$1,319.09 | $412–$1,758.78 | varies |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$267–$1,381.52 | $356–$1,842.03 | varies |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$308.25–$1,319.09 | $411–$1,758.78 | varies |
| CT iac w contrast (70481) range across 3 matching MRF lines |
$297–$1,130.06 | $396–$1,506.74 | varies |
| CT l-spine w&w/o contrast (72133) range across 2 matching MRF lines |
$327.75–$1,727.16 | $437–$2,302.88 | varies |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$263.25–$1,232.41 | $351–$1,643.21 | varies |
| CT lower extremity w/contrast material (73701) range across 3 matching MRF lines |
$295.50–$1,201.71 | $394–$1,602.28 | varies |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$336.75–$1,486.82 | $449–$1,982.42 | varies |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$294–$1,302.20 | $392–$1,736.26 | varies |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$285–$1,293.59 | $380–$1,724.79 | varies |
| CT maxillofacial wo contrast (70486) range across 3 matching MRF lines |
$198–$990.20 | $264–$1,320.26 | varies |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$351–$1,341.29 | $468–$1,788.38 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 3 matching MRF lines |
$316.50–$1,400.82 | $422–$1,867.76 | varies |
| CT orbits w/o contrast (70480) range across 3 matching MRF lines |
$291.75–$1,232.41 | $389–$1,643.21 | varies |
| CT pelvis w&w/o contrast (72194) range across 2 matching MRF lines |
$246.75–$1,416.34 | $329–$1,888.45 | varies |
| CT pelvis w/o contrast (72192) range across 3 matching MRF lines |
$294–$1,301.81 | $392–$1,735.74 | varies |
| CT scan of leg combo (73702) range across 2 matching MRF lines |
$300.75–$1,654.13 | $401–$2,205.50 | varies |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
$304.50–$1,493.73 | $406–$1,991.64 | varies |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$303.75–$1,276.73 | $405–$1,702.31 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$278.25–$1,298.81 | $371–$1,731.74 | varies |
| CT thoracic spine w contrast (72129) range across 2 matching MRF lines |
$321–$1,061.68 | $428–$1,415.57 | varies |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$288–$1,276.65 | $384–$1,702.20 | varies |
| CT thoracic spine w/wo cont (72130) range across 2 matching MRF lines |
$323.25–$1,285.87 | $431–$1,714.49 | varies |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$279–$1,276.65 | $372–$1,702.20 | varies |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$219–$1,232.41 | $292–$1,643.21 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 3 matching MRF lines |
$254.25–$1,654.13 | $339–$2,205.50 | varies |
| CT upper extremity with contrast (73201) range across 4 matching MRF lines |
$237.75–$1,232.41 | $317–$1,643.21 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 3 matching MRF lines |
$186.75–$2,830.98 | $249–$3,774.64 | varies |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$366–$1,955.75 | $488–$2,607.67 | varies |
| CTA pelvis (72191) range across 2 matching MRF lines |
$366–$2,145.77 | $488–$2,861.03 | varies |
| Discography Cerv/Thor Spine (72285) range across 2 matching MRF lines |
$232.50–$395.60 | $310–$527.46 | varies |
| Diskography lumbar (72295) range across 2 matching MRF lines |
$221.25–$253.22 | $295–$337.62 | varies |
| Doppler Fetal Mid Cerebral Artery (76821) range across 2 matching MRF lines |
$153–$467.76 | $204–$623.68 | varies |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$61.50–$357.17 | $82–$476.23 | varies |
| Dxa bone density study 1/>sites appendiclr skel (77081) range across 2 matching MRF lines |
$30.75–$179.26 | $41–$239.01 | varies |
| Echo exam uterus (76831) range across 3 matching MRF lines |
$102.75–$445.32 | $137–$593.76 | varies |
| Esophagram (74220) range across 4 matching MRF lines |
$81–$351.56 | $108–$468.75 | varies |
| Fetal Biophys Profile W/Nst (76818) range across 4 matching MRF lines |
$162.75–$481.31 | $217–$641.75 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 3 matching MRF lines |
$136.50–$393.53 | $182–$524.70 | varies |
| Fluoroscopy up to 1 hr (76000) range across 6 matching MRF lines |
$41–$540.18 | $54.66–$720.24 | varies |
| Foot 2 views (73620) range across 3 matching MRF lines |
$18–$176.22 | $24–$234.96 | varies |
| Forearm 2 views (73090) range across 3 matching MRF lines |
$23.25–$167.85 | $31–$223.80 | varies |
| Gastric emptying imaging study (78264) range across 3 matching MRF lines |
$98.06–$1,005.46 | $130.74–$1,340.61 | varies |
| Gastroesophageal Reflux Exam (78262) range across 2 matching MRF lines |
$99–$699.08 | $132–$932.10 | varies |
| Gated Heart Planar Single (78472) range across 2 matching MRF lines |
$136.50–$909.06 | $182–$1,212.08 | varies |
| Hand 2 views (73120) range across 3 matching MRF lines |
$20.25–$147.17 | $27–$196.22 | varies |
| Hepatobil Syst Image W/Drug (78227) range across 2 matching MRF lines |
$134.25–$851.95 | $179–$1,135.93 | varies |
| Hepatobiliary System Imaging (78226) range across 2 matching MRF lines |
$115.50–$9,315.99 | $154–$12,421.32 | varies |
| Ht Muscle Image Spect Sing (78451) | $2,138.42 | $2,851.23 | 1.6× |
| Hysterosalpingogram (74740) range across 3 matching MRF lines |
$51–$209.70 | $68–$279.60 | varies |
| K Flow/Funct Image Multiple (78709) range across 2 matching MRF lines |
$201.75–$1,029.35 | $269–$1,372.46 | varies |
| K Flow/Funct Image W/Drug (78708) range across 2 matching MRF lines |
$198–$1,235.63 | $264–$1,647.51 | varies |
| K Flow/Funct Image W/O Drug (78707) range across 2 matching MRF lines |
$142.50–$1,041.53 | $190–$1,388.70 | varies |
| Kidney Imaging Morphol (78700) range across 2 matching MRF lines |
$56.25–$446.66 | $75–$595.54 | varies |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) range across 2 matching MRF lines |
$60.75–$590.08 | $81–$786.77 | varies |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$24–$204.43 | $32–$272.57 | varies |
| Liver & Spleen Imaging Static Only (78215) range across 2 matching MRF lines |
$69–$925.64 | $92–$1,234.18 | varies |
| Lung perfusion differential (78597) range across 2 matching MRF lines |
$108–$582.70 | $144–$776.93 | varies |
| Lung Ventilat&Perfus Imaging (78582) range across 3 matching MRF lines |
$165.75–$1,174.24 | $221–$1,565.65 | varies |
| Lung Ventilation Imaging (78579) range across 2 matching MRF lines |
$60–$951.66 | $80–$1,268.88 | varies |
| Lymph System Imaging (78195) range across 2 matching MRF lines |
$170.25–$954.70 | $227–$1,272.93 | varies |
| Magnetic Image Jaw Joint (70336) range across 2 matching MRF lines |
$400.50–$1,615.31 | $534–$2,153.75 | varies |
| Mammary ductogram or galactogram multiple (77054) range across 2 matching MRF lines |
$96.75–$443.30 | $129–$591.07 | varies |
| Mammary ductogram or galactogram single (77053) range across 2 matching MRF lines |
$80.25–$332.73 | $107–$443.64 | varies |
| Meckels Divert Exam (78290) range across 2 matching MRF lines |
$85.50–$1,005.46 | $114–$1,340.61 | varies |
| MRA head w/o contrast (70544) range across 3 matching MRF lines |
$380.25–$2,647.76 | $507–$3,530.35 | varies |
| MRA head with contrast (70545) range across 3 matching MRF lines |
$396–$2,807.03 | $528–$3,742.70 | varies |
| MRA neck w contrast (70548) range across 2 matching MRF lines |
$476.25–$2,384.92 | $635–$3,179.89 | varies |
| Mra Neck W/O &W/Contrast Material (70549) range across 2 matching MRF lines |
$526.50–$3,390.23 | $702–$4,520.31 | varies |
| MRA neck w/o contrast (70547) range across 2 matching MRF lines |
$372–$2,099.29 | $496–$2,799.05 | varies |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$469.50–$1,690.97 | $626–$2,254.62 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 3 matching MRF lines |
$411.75–$2,137.23 | $549–$2,849.64 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 3 matching MRF lines |
$562.50–$2,978.93 | $750–$3,971.90 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 2 matching MRF lines |
$417.75–$2,137.23 | $557–$2,849.64 | varies |
| MRI cervical spine w contrast (72142) range across 2 matching MRF lines |
$544.50–$2,047.24 | $726–$2,729.65 | varies |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$534–$2,047.18 | $712–$2,729.57 | varies |
| MRI chest w/o contrast (71550) range across 2 matching MRF lines |
$305.25–$2,647.76 | $407–$3,530.35 | varies |
| MRI chest wo w contrast (71552) range across 3 matching MRF lines |
$559.50–$3,743.34 | $746–$4,991.12 | varies |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 3 matching MRF lines |
$455.25–$2,599.86 | $607–$3,466.48 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 3 matching MRF lines |
$655.50–$2,325.86 | $874–$3,101.15 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 3 matching MRF lines |
$390.75–$2,118.30 | $521–$2,824.40 | varies |
| MRI lumbar spine w contrast (72149) range across 2 matching MRF lines |
$576–$1,970.57 | $768–$2,627.42 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$816–$2,813.92 | $1,088–$3,751.89 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 2 matching MRF lines |
$393.75–$1,872.71 | $525–$2,496.94 | varies |
| MRI orbit face neck w contrast (70542) range across 2 matching MRF lines |
$412.50–$3,290.50 | $550–$4,387.33 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 2 matching MRF lines |
$679.50–$2,245.85 | $906–$2,994.47 | varies |
| MRI pelvis w contrast (72196) | $1,719.12 | $2,292.16 | 4.8× |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$705–$2,779.56 | $940–$3,706.08 | varies |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$451.50–$1,999.37 | $602–$2,665.82 | varies |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$541.50–$2,051.90 | $722–$2,735.86 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 4 matching MRF lines |
$294.75–$2,064.53 | $393–$2,752.71 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 2 matching MRF lines |
$540.75–$2,277.56 | $721–$3,036.75 | varies |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$693–$3,367.32 | $924–$4,489.76 | varies |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$798.75–$2,891.43 | $1,065–$3,855.24 | varies |
| MRI, dorsal spine contrast (72147) | $2,077.93 | $2,770.57 | 5.8× |
| MRI, joint upper extrem (73221) range across 3 matching MRF lines |
$427.50–$1,917.41 | $570–$2,556.54 | varies |
| MRI, joint upper extrem combo (73223) range across 4 matching MRF lines |
$566.25–$2,978.21 | $755–$3,970.95 | varies |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$792–$2,807.03 | $1,056–$3,742.70 | varies |
| Myelogram cervical (72240) range across 2 matching MRF lines |
$207–$237.11 | $276–$316.14 | varies |
| Myelogram Lumbar (72265) range across 3 matching MRF lines |
$160.50–$827.44 | $214–$1,103.25 | varies |
| Myelography thoracic (72255) range across 2 matching MRF lines |
$171–$241.49 | $228–$321.99 | varies |
| Myelograpy 2/more regions rs&i (72270) range across 2 matching MRF lines |
$243–$317.01 | $324–$422.68 | varies |
| Myocardial Spect Multiple Studies (78452) | $2,723.48 | $3,631.31 | 2.0× |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$24–$146.73 | $32–$195.64 | varies |
| Nm myocard infarct spect (78469) range across 2 matching MRF lines |
$114.75–$597.45 | $153–$796.60 | varies |
| Oph US Dx B-Scan&Quan a-Scan Sm Pt Enctr (76510) range across 2 matching MRF lines |
$467.84–$489.29 | $623.78–$652.38 | varies |
| Parathyroid Planar Imaging (78070) range across 2 matching MRF lines |
$109.50–$1,005.46 | $146–$1,340.61 | varies |
| Parathyroid planar imaging w/wo subtraction (78071) range across 2 matching MRF lines |
$183.75–$1,114.58 | $245–$1,486.10 | varies |
| Pelvis 1 or 2 views (72170) range across 3 matching MRF lines |
$30–$186.81 | $40–$249.08 | varies |
| PET image w/CT, full body (78816) range across 3 matching MRF lines |
$967.50–$5,794.36 | $1,290–$7,725.81 | varies |
| PET imaging CT attenuation skull base mid-thigh (78815) range across 3 matching MRF lines |
$900–$5,572.93 | $1,200–$7,430.57 | varies |
| Pulmonary Perfusion Imaging Particulate (78580) range across 2 matching MRF lines |
$92.25–$438.13 | $123–$584.17 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$22.50–$204.43 | $30–$272.57 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$21.75–$138.26 | $29–$184.34 | varies |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$26.25–$204.43 | $35–$272.57 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$32.25–$210.23 | $43–$280.30 | varies |
| Radex fingr minimum 2 views (73140) range across 4 matching MRF lines |
$17.25–$151.61 | $23–$202.15 | varies |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$19.50–$202.39 | $26–$269.85 | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$23.25–$204.43 | $31–$272.57 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 4 matching MRF lines |
$21–$147.17 | $28–$196.22 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 3 matching MRF lines |
$22.50–$145.49 | $30–$193.98 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 2 matching MRF lines |
$30–$223.06 | $40–$297.41 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$28.50–$204.43 | $38–$272.57 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 5 matching MRF lines |
$15.75–$156.52 | $21–$208.69 | varies |
| Radex Spine 1 View Specify Level (72020) range across 4 matching MRF lines |
$23.25–$145.70 | $31–$194.27 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 3 matching MRF lines |
$30–$174.87 | $40–$233.16 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 4 matching MRF lines |
$25.50–$236.07 | $34–$314.76 | varies |
| Radex Toe Minimum 2 Views (73660) range across 3 matching MRF lines |
$18.75–$137.84 | $25–$183.78 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 2 matching MRF lines |
$21–$132.36 | $28–$176.48 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$22.50–$204.43 | $30–$272.57 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) range across 3 matching MRF lines |
$32.25–$205.94 | $43–$274.59 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 3 matching MRF lines |
$34.50–$195.20 | $46–$260.26 | varies |
| Radiologic exam colon double contrast study (74280) range across 2 matching MRF lines |
$147–$610.28 | $196–$813.71 | varies |
| Radiologic exam colon single contrast study (74270) range across 4 matching MRF lines |
$78.75–$439.75 | $105–$586.33 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 4 matching MRF lines |
$21.75–$223.91 | $29–$298.54 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$36–$124.37 | $48–$165.83 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 2 matching MRF lines |
$99–$389.65 | $132–$519.53 | varies |
| Radiologic exam swallow function contrast study (74230) range across 3 matching MRF lines |
$50.06–$277.39 | $66.74–$369.85 | varies |
| Radiologic exam upr gi trc double contrast study (74246) range across 4 matching MRF lines |
$112.50–$234.65 | $150–$312.86 | varies |
| Radiologic examination femur 1 view (73551) range across 3 matching MRF lines |
$24.75–$90.05 | $33–$120.07 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$24.75–$202.39 | $33–$269.85 | varies |
| Radiologic examination knee 1/2 views (73560) range across 5 matching MRF lines |
$18.75–$153.83 | $25–$205.10 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$22.50–$157.34 | $30–$209.79 | varies |
| Ribs bilateral 3 views (71110) range across 3 matching MRF lines |
$39.75–$231.73 | $53–$308.97 | varies |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 5 matching MRF lines |
$165.75–$1,426.07 | $221–$1,901.43 | varies |
| Scapula (73010) range across 3 matching MRF lines |
$34.50–$178.42 | $46–$237.89 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 5 matching MRF lines |
$37.50–$187.50 | $50–$250 | varies |
| Shoulder 1 view (73020) range across 3 matching MRF lines |
$26.25–$115.85 | $35–$154.47 | varies |
| Shoulder Arthrography (73040) range across 3 matching MRF lines |
$73.50–$522.83 | $98–$697.10 | varies |
| Skull less than 4 views (70250) range across 3 matching MRF lines |
$26.25–$173.15 | $35–$230.86 | varies |
| Speech evaluation, complex (70371) range across 2 matching MRF lines |
$112.50–$393.53 | $150–$524.70 | varies |
| Sternoclavicular joints (71130) range across 2 matching MRF lines |
$31.50–$192.45 | $42–$256.60 | varies |
| Thoracic spine 2 views (72070) range across 3 matching MRF lines |
$32.25–$198.92 | $43–$265.23 | varies |
| Thoracic spine 3 views (72072) range across 3 matching MRF lines |
$33.75–$295.66 | $45–$394.21 | varies |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$33–$145.70 | $44–$194.27 | varies |
| Thyroid Carcinoma Metastases Img Lmtd Area (78015) range across 3 matching MRF lines |
$75–$961.75 | $100–$1,282.33 | varies |
| Thyroid Imaging With Vascular Flow (78013) range across 2 matching MRF lines |
$45.75–$493.37 | $61–$657.82 | varies |
| Thyroid Uptake Measurement (78012) range across 2 matching MRF lines |
$28.50–$951.66 | $38–$1,268.88 | varies |
| Ultrasound Breast Limited (76642) range across 4 matching MRF lines |
$101.25–$391.97 | $135–$522.63 | varies |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
$72–$260.45 | $96–$347.27 | varies |
| Ultrasound, abdomen limited (76705) range across 6 matching MRF lines |
$90.75–$457.59 | $121–$610.12 | varies |
| Umbilical-artery Doppler (OB) (76820) range across 2 matching MRF lines |
$134.25–$318.10 | $179–$424.13 | varies |
| Unlisted Dx Radiographic Procedure (76499) range across 2 matching MRF lines |
$25.50–$126.92 | $34–$169.22 | varies |
| Upper gi w/o kub (74240) range across 5 matching MRF lines |
$81.75–$397.46 | $109–$529.95 | varies |
| Urethrocystogram voiding (74455) range across 2 matching MRF lines |
$46.50–$389.96 | $62–$519.94 | varies |
| Urethrocystography retrograde (74450) range across 2 matching MRF lines |
$46.50–$386.09 | $62–$514.79 | varies |
| Us breast unilateral complete (76641) range across 4 matching MRF lines |
$110.25–$457.98 | $147–$610.64 | varies |
| Us chest (76604) range across 4 matching MRF lines |
$110.03–$578.94 | $146.70–$771.92 | varies |
| Us complete joint (76881) range across 3 matching MRF lines |
$194.25–$541.07 | $259–$721.42 | varies |
| Us exam, pelvic, limited (76857) range across 4 matching MRF lines |
$100.02–$352.83 | $133.36–$470.44 | varies |
| Us kidney transplant (76776) range across 2 matching MRF lines |
$123.75–$422.51 | $165–$563.34 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 5 matching MRF lines |
$71.25–$209.51 | $95–$279.34 | varies |
| Us ob limited 1 or more fetuses (76815) range across 4 matching MRF lines |
$96–$447.11 | $128–$596.15 | varies |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$108.75–$279.56 | $145–$372.74 | varies |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$99.75–$260.03 | $133–$346.71 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$147–$279.56 | $196–$372.74 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 2 matching MRF lines |
$124.50–$327.91 | $166–$437.21 | varies |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$107.25–$503.86 | $143–$671.81 | varies |
| Us retroperitoneal limited (76775) range across 5 matching MRF lines |
$107.25–$458.84 | $143–$611.79 | varies |
| Us scrotum and contents (76870) range across 3 matching MRF lines |
$93.75–$447.95 | $125–$597.26 | varies |
| Us spinal canal and contents (76800) range across 2 matching MRF lines |
$109.50–$519.95 | $146–$693.27 | varies |
| Us thyroid (76536) range across 4 matching MRF lines |
$66.49–$419.37 | $88.65–$559.16 | varies |
| Vertebral fracture assessment via dxa (77086) | $158.46 | $211.28 | 1.8× |
| Wrist 2 views (73100) range across 3 matching MRF lines |
$20.25–$147.17 | $27–$196.22 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 3 matching MRF lines |
$35.25–$178.42 | $47–$237.89 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$22.50–$147.17 | $30–$196.22 | varies |
| X-Ray Exam Breast Specimen (76098) range across 2 matching MRF lines |
$34.50–$145.70 | $46–$194.27 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 2 matching MRF lines |
$36–$192.45 | $48–$256.60 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 4 matching MRF lines |
$33–$202.43 | $44–$269.90 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 2 matching MRF lines |
$28.50–$153.16 | $38–$204.21 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 8 matching MRF lines |
$28.50–$193.02 | $38–$257.36 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 3 matching MRF lines |
$32.25–$238.43 | $43–$317.91 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 3 matching MRF lines |
$40.50–$171 | $54–$228 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) range across 2 matching MRF lines |
$45.75–$188.50 | $61–$251.33 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$30–$204.43 | $40–$272.57 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$45–$330.58 | $60–$440.77 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 2 matching MRF lines |
$39–$252.69 | $52–$336.92 | varies |
| X-ray eye for foreign body (70030) range across 4 matching MRF lines |
$25.50–$223.28 | $34–$297.71 | varies |
| X-ray humerus (73060) range across 3 matching MRF lines |
$22.50–$167.85 | $30–$223.80 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 4 matching MRF lines |
$18.75–$205.94 | $25–$274.58 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 4 matching MRF lines |
$21–$205.14 | $28–$273.52 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$32.25–$229.25 | $43–$305.66 | varies |
| X-ray nose-rectum child f.b. (76010) range across 3 matching MRF lines |
$30–$151.12 | $40–$201.49 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$45.75–$281.58 | $61–$375.44 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 3 matching MRF lines |
$34.50–$180.20 | $46–$240.26 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$26.25–$173.20 | $35–$230.93 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 3 matching MRF lines |
$28.50–$209.83 | $38–$279.77 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 3 matching MRF lines |
$44.25–$236.07 | $59–$314.76 | varies |
| X-Ray Stress View (77071) range across 5 matching MRF lines |
$33.75–$123.36 | $45–$164.48 | varies |
| X-ray thoracic spine 4 vw (72074) range across 2 matching MRF lines |
$37.50–$288.58 | $50–$384.77 | varies |
| X-Ray Tmj Unilat (70328) range across 3 matching MRF lines |
$25.50–$209.83 | $34–$279.77 | varies |
| X-Rays Bone Length Studies (77073) range across 3 matching MRF lines |
$42.75–$278.36 | $57–$371.15 | varies |
| X-Rays Bone Survey Complete (77075) range across 3 matching MRF lines |
$79.50–$738.01 | $106–$984.01 | varies |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$39.75–$165.55 | $53–$220.73 | varies |
| Xr facial bones less than 3 views (70140) range across 3 matching MRF lines |
$27.75–$188.99 | $37–$251.99 | varies |
| Xr orbits complete 4 views (70200) range across 3 matching MRF lines |
$34.50–$223.91 | $46–$298.54 | varies |
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.