Imaging prices at Glenwood Regional Medical Center
West Monroe, LA · every code in this section with a posted price and a Medicare benchmark.
308 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) | $5,211.51 | $5,211.51 | 4.1× |
| Abdomen 1 View (74018) | $644.77 | $644.77 | 8.0× |
| Abdomen 2 views (74019) | $635.28 | $635.28 | 6.6× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $2,958.96 | $2,958.96 | 8.0× |
| Angio pulmonary bilat (75743) | $22,280.94 | $22,280.94 | 7.6× |
| Angiography extremity bilateral rs&i (75716) | $23,172.17 | $23,172.17 | 7.9× |
| Angiography extremity unilateral rs&i (75710) | $23,172.17 | $23,172.17 | 7.9× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $22,280.94 | $22,280.94 | 7.6× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $3,203.74 | $3,203.74 | 1.1× |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$1,360.21–$2,040.32 | $1,360.21–$2,040.32 | varies |
| Aortography thoracic serialography rs&i (75605) | $7,971.68 | $7,971.68 | 1.5× |
| Artery X-Rays Abdomen (75726) | $19,064.13 | $19,064.13 | 3.7× |
| Artery X-Rays Adrenal Gland (75731) | $9,012.67 | $9,012.67 | 3.1× |
| Artery X-Rays Pelvis (75736) | $22,280.94 | $22,280.94 | 4.3× |
| Arthrogram ankle (73615) range across 3 matching MRF lines |
$2,946.96–$4,420.43 | $2,946.96–$4,420.43 | varies |
| Arthrogram hip (73525) range across 3 matching MRF lines |
$2,946.96–$4,420.43 | $2,946.96–$4,420.43 | varies |
| Arthrogram Wrist (73115) range across 3 matching MRF lines |
$2,946.96–$4,420.43 | $2,946.96–$4,420.43 | varies |
| Basic radiation dosimetry calculation (77300) | $623.77 | $623.77 | 5.0× |
| Bone age studies (77072) | $712.87 | $712.87 | 7.4× |
| Bone Imaging 3 Phase (78315) | $3,518.42 | $3,518.42 | 9.5× |
| Bone Imaging Limited Area (78300) | $2,891.79 | $2,891.79 | 7.8× |
| Bone Imaging Whole Body (78306) | $3,383.10 | $3,383.10 | 9.2× |
| Bone survey infant (77076) | $859.96 | $859.96 | 8.9× |
| Brain Image W/Flow < 4 Views (78601) | $1,125.15 | $1,125.15 | 3.0× |
| Cat Scan Follow-Up Study (76380) | $644.77 | $644.77 | 8.0× |
| Chest 1 view (71045) | $452.50 | $452.50 | 5.6× |
| Chest 2 views (71046) | $644.77 | $644.77 | 8.0× |
| Chest 3 views (71047) | $455.30 | $455.30 | 5.7× |
| Chest 4 or more views (71048) | $374.53 | $374.53 | 3.9× |
| Clavicle complete (73000) range across 3 matching MRF lines |
$1,229–$1,843.50 | $1,229–$1,843.50 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $1,253.31 | $1,253.31 | 13.0× |
| Continuing medical physics consltj pr wk (77336) | $623.77 | $623.77 | 5.0× |
| Contrast Exam Abdominl Aorta (75625) | $23,172.17 | $23,172.17 | 7.9× |
| Contrast X-Ray Bladder (74430) | $2,400.57 | $2,400.57 | 7.4× |
| Contrast X-Ray Of Elbow (73085) range across 3 matching MRF lines |
$2,946.96–$4,420.43 | $2,946.96–$4,420.43 | varies |
| Contrast X-Ray Of Knee Joint (73580) range across 3 matching MRF lines |
$2,946.96–$4,420.43 | $2,946.96–$4,420.43 | varies |
| CT abdomen and pelvis without and with contrast (74178) | $11,431.02 | $11,431.02 | 35.4× |
| CT abdomen and pelvis without contrast (74176) | $2,572.35 | $2,572.35 | 11.7× |
| CT abdomen w contrast (74160) | $2,616.44 | $2,616.44 | 16.1× |
| CT abdomen w wo contrast (74170) | $2,929.12 | $2,929.12 | 18.1× |
| CT abdomen w/o contrast (74150) | $1,303.44 | $1,303.44 | 13.5× |
| CT Angio Abdomen and Pelvis (74174) | $4,078.77 | $4,078.77 | 12.6× |
| CT Angio Chest (71275) | $3,542.10 | $3,542.10 | 21.8× |
| CT Angio Head (70496) | $3,061.92 | $3,061.92 | 18.9× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 3 matching MRF lines |
$2,944.14–$4,416.22 | $2,944.14–$4,416.22 | varies |
| CT Angio Neck (70498) | $3,061.92 | $3,061.92 | 18.9× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $3,061.92 | $3,061.92 | 18.9× |
| CT cervical spine w/ contrast (72126) | $2,616.44 | $2,616.44 | 8.1× |
| CT cervical spine w/o contrast (72125) | $1,303.44 | $1,303.44 | 13.5× |
| CT cervical spine w/wo cont (72127) | $2,440.92 | $2,440.92 | 15.1× |
| CT chest w contrast (71260) | $2,616.44 | $2,616.44 | 16.1× |
| CT chest w/wo contrast (71270) | $2,929.12 | $2,929.12 | 18.1× |
| CT head/brain with contrast (70460) | $3,145.28 | $3,145.28 | 19.4× |
| CT head/brain without and with contrast (70470) | $2,929.12 | $2,929.12 | 18.1× |
| CT heart contrast eval cardiac structure&morph (75572) | $521.96 | $521.96 | 1.6× |
| CT heart no contrast quant eval coronry calcium (75571) | $157.86 | $157.86 | 2.0× |
| CT iac w contrast (70481) | $2,314.06 | $2,314.06 | 14.3× |
| CT l-spine w&w/o contrast (72133) | $2,440.92 | $2,440.92 | 15.1× |
| CT lower ext w/o (73700) range across 3 matching MRF lines |
$2,506.63–$3,759.94 | $2,506.63–$3,759.94 | varies |
| CT lower extremity w/contrast material (73701) range across 3 matching MRF lines |
$2,180.35–$3,270.52 | $2,180.35–$3,270.52 | varies |
| CT lumbar spine w contrast (72132) | $2,616.44 | $2,616.44 | 8.1× |
| CT lumbar spine w/o contrast (72131) | $3,418.19 | $3,418.19 | 35.4× |
| CT maxillofacial w contrast (70487) | $2,314.06 | $2,314.06 | 14.3× |
| CT maxillofacial wo contrast (70486) | $3,965.37 | $3,965.37 | 41.0× |
| CT neck tissue combo (70492) | $3,451.58 | $3,451.58 | 21.3× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $3,315.13 | $3,315.13 | 20.4× |
| CT orbits w/o contrast (70480) | $2,347.48 | $2,347.48 | 24.3× |
| CT pelvis w&w/o contrast (72194) | $4,068.37 | $4,068.37 | 25.1× |
| CT pelvis w/o contrast (72192) | $1,303.44 | $1,303.44 | 13.5× |
| CT scan of leg combo (73702) range across 3 matching MRF lines |
$3,187.63–$4,781.45 | $3,187.63–$4,781.45 | varies |
| CT scans face/jaw combo (70488) | $2,929.12 | $2,929.12 | 18.1× |
| CT soft tissue neck w contrast (70491) | $2,616.44 | $2,616.44 | 16.1× |
| CT soft tissue neck w/o contrast (70490) | $1,303.44 | $1,303.44 | 13.5× |
| CT thoracic spine w/o contrast (72128) | $3,759.29 | $3,759.29 | 38.9× |
| CT thoracic spine w/wo cont (72130) | $3,482.21 | $3,482.21 | 21.5× |
| CT thorax w/o contrast (71250) | $1,303.44 | $1,303.44 | 13.5× |
| CT upper ext wo (73200) range across 3 matching MRF lines |
$2,771.28–$4,156.92 | $2,771.28–$4,156.92 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 3 matching MRF lines |
$2,882.13–$4,323.21 | $2,882.13–$4,323.21 | varies |
| CT upper extremity with contrast (73201) range across 3 matching MRF lines |
$2,180.35–$3,270.52 | $2,180.35–$3,270.52 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $3,061.92 | $3,061.92 | 18.9× |
| Cta Abdomen (74175) | $3,061.92 | $3,061.92 | 18.9× |
| CTA pelvis (72191) | $4,218.77 | $4,218.77 | 26.0× |
| Dilation ureters/urethra rs&i (74485) | $11,104.09 | $11,104.09 | 5.7× |
| Dxa Bone Density Axial (77080) | $740.95 | $740.95 | 7.7× |
| Echo Guide For Artery Repair (76936) | $2,869.69 | $2,869.69 | 14.4× |
| Echograp Trans R Pros Study (76873) | $352.58 | $352.58 | 3.6× |
| Esophagram (74220) | $1,104.37 | $1,104.37 | 6.8× |
| Fetal Biophys Profile W/Nst (76818) | $1,173.49 | $1,173.49 | 12.1× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $1,220.43 | $1,220.43 | 12.6× |
| Fluoroscopy up to 1 hr (76000) | $1,443.78 | $1,443.78 | 6.5× |
| Follow-Up Angiography (75898) | $8,641.37 | $8,641.37 | 3.0× |
| Foot 2 views (73620) range across 3 matching MRF lines |
$1,132.61–$1,698.93 | $1,132.61–$1,698.93 | varies |
| Forearm 2 views (73090) range across 3 matching MRF lines |
$1,253.10–$1,879.66 | $1,253.10–$1,879.66 | varies |
| Gastric emptying imaging study (78264) | $3,550.73 | $3,550.73 | 9.6× |
| Gated Heart Planar Single (78472) | $3,402.86 | $3,402.86 | 9.2× |
| Gated Heart, Multiple (78473) | $1,137.61 | $1,137.61 | 3.1× |
| Hand 2 views (73120) range across 3 matching MRF lines |
$1,653.75–$2,480.63 | $1,653.75–$2,480.63 | varies |
| Heart first pass single,planar (78481) | $3,380.78 | $3,380.78 | 6.7× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $22,280.94 | $22,280.94 | 7.6× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $22,280.94 | $22,280.94 | 7.6× |
| Hepatobil Syst Image W/Drug (78227) | $4,051.38 | $4,051.38 | 8.1× |
| Hepatobiliary System Imaging (78226) | $3,767.64 | $3,767.64 | 10.2× |
| Ht Muscle Image Spect Sing (78451) | $3,896.30 | $3,896.30 | 3.3× |
| Hysterosalpingogram (74740) | $1,708.40 | $1,708.40 | 7.7× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $1,168.17 | $1,168.17 | 14.5× |
| Infant hip ultrasound, limited static exam (76886) | $255.21 | $255.21 | 3.2× |
| K Flow/Funct Image W/Drug (78708) | $3,807.03 | $3,807.03 | 7.6× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $3,807.03 | $3,807.03 | 10.3× |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$1,653.75–$2,480.63 | $1,653.75–$2,480.63 | varies |
| Liver & Spleen Imaging Static Only (78215) | $3,246.30 | $3,246.30 | 8.8× |
| Lung Perf&Ventilat Diferentl (78598) | $2,992.19 | $2,992.19 | 6.0× |
| Lung Ventilat&Perfus Imaging (78582) | $3,985.14 | $3,985.14 | 7.9× |
| Lymph System Imaging (78195) | $3,216.28 | $3,216.28 | 6.4× |
| Meckels Divert Exam (78290) | $2,170.64 | $2,170.64 | 5.9× |
| Mlc imrt design & construction per imrt plan (77338) | $1,455.26 | $1,455.26 | 4.2× |
| MRA head w/o contrast (70544) | $3,110.47 | $3,110.47 | 14.1× |
| MRA head with contrast (70545) | $3,305.39 | $3,305.39 | 10.2× |
| MRA neck w contrast (70548) | $3,688.28 | $3,688.28 | 11.4× |
| Mra Neck W/O &W/Contrast Material (70549) | $5,246.33 | $5,246.33 | 16.3× |
| MRA neck w/o contrast (70547) | $3,110.47 | $3,110.47 | 14.1× |
| MRI abdomen w contrast (74182) | $3,305.39 | $3,305.39 | 10.2× |
| MRI abdomen w/o contrast (74181) | $3,110.47 | $3,110.47 | 14.1× |
| MRI any jt lower extrem w/contrast material (73722) | $2,133.76 | $2,133.76 | 2.9× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 3 matching MRF lines |
$4,296.15–$6,444.22 | $4,296.15–$6,444.22 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) | $2,408.80 | $2,408.80 | 3.3× |
| MRI Breast W/O Contrast Bilateral (77047) | $4,389.65 | $4,389.65 | 19.9× |
| MRI Breast Without Contrast Material Unilateral (77046) | $2,875.80 | $2,875.80 | 13.0× |
| MRI cervical spine w contrast (72142) | $3,305.39 | $3,305.39 | 10.2× |
| MRI cervical spine w/o cont (72141) | $3,110.47 | $3,110.47 | 14.1× |
| MRI chest w/o contrast (71550) | $2,990.83 | $2,990.83 | 13.6× |
| MRI chest with contrast (71551) | $3,178.27 | $3,178.27 | 4.4× |
| MRI chest wo w contrast (71552) | $5,686.27 | $5,686.27 | 17.6× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 3 matching MRF lines |
$3,559.81–$5,339.71 | $3,559.81–$5,339.71 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 3 matching MRF lines |
$5,246.33–$7,869.49 | $5,246.33–$7,869.49 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 3 matching MRF lines |
$2,990.83–$4,486.24 | $2,990.83–$4,486.24 | varies |
| MRI lumbar spine w contrast (72149) | $3,305.39 | $3,305.39 | 10.2× |
| Mri Neck Spine W/O & W/Dye (72156) | $5,246.33 | $5,246.33 | 16.3× |
| MRI orbit face &/neck w/o contrast (70540) | $4,525.07 | $4,525.07 | 20.5× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $8,092.21 | $8,092.21 | 25.1× |
| MRI pelvis w/o & w contrast (72197) | $6,807.09 | $6,807.09 | 21.1× |
| MRI pelvis w/o contrast (72195) | $4,902.41 | $4,902.41 | 22.2× |
| MRI thoracic spine w/o contrast (72146) | $3,110.47 | $3,110.47 | 14.1× |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 3 matching MRF lines |
$2,990.83–$4,486.24 | $2,990.83–$4,486.24 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 3 matching MRF lines |
$6,301.69–$9,452.53 | $6,301.69–$9,452.53 | varies |
| MRI, abdomen, combo (74183) | $5,246.33 | $5,246.33 | 16.3× |
| MRI, dorsal spine combo (72157) | $5,246.33 | $5,246.33 | 16.3× |
| MRI, dorsal spine contrast (72147) | $3,305.39 | $3,305.39 | 10.2× |
| MRI, joint upper extrem (73221) range across 3 matching MRF lines |
$2,990.83–$4,486.24 | $2,990.83–$4,486.24 | varies |
| MRI, joint upper extrem combo (73223) range across 3 matching MRF lines |
$5,004.04–$7,506.07 | $5,004.04–$7,506.07 | varies |
| MRI, lumbar spine combo (72158) | $5,246.33 | $5,246.33 | 16.3× |
| Myelogram cervical (72240) | $5,139.90 | $5,139.90 | 7.1× |
| Myelogram Lumbar (72265) | $5,139.90 | $5,139.90 | 7.1× |
| Myelography thoracic (72255) | $2,408.80 | $2,408.80 | 3.3× |
| Myelograpy 2/more regions rs&i (72270) | $5,397.40 | $5,397.40 | 7.4× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $3,380.78 | $3,380.78 | 9.1× |
| Myocardial Spect Multiple Studies (78452) | $11,138.64 | $11,138.64 | 9.3× |
| Neck soft tissue (70360) | $644.77 | $644.77 | 8.0× |
| Nervous system nuclear exam (78699) | $1,081.66 | $1,081.66 | 2.9× |
| Nm myocard infarct spect (78469) | $1,466.87 | $1,466.87 | 2.9× |
| Nm unlisted gi procedure (78299) | $1,081.66 | $1,081.66 | 2.9× |
| Nonvascular Shunt X-Ray (75809) | $1,049.60 | $1,049.60 | 10.9× |
| Ntsty modul radthx pln dose-vol histos (77301) | $5,011.06 | $5,011.06 | 3.9× |
| Nuclear medicine study of endocrine organs (78099) | $1,081.66 | $1,081.66 | 2.9× |
| Nuclear Rx Oral Admin (79005) | $2,553.52 | $2,553.52 | 11.8× |
| Optic foramina (70190) range across 3 matching MRF lines |
$234.34–$351.51 | $234.34–$351.51 | varies |
| Parathyroid Planar Imaging (78070) | $2,646.81 | $2,646.81 | 7.2× |
| Pelvis 1 or 2 views (72170) | $859.96 | $859.96 | 8.9× |
| Peritoneogram Rs&I (74190) | $1,772.98 | $1,772.98 | 3.5× |
| Pet Image W/Ct Lmtd (78814) | $11,640.58 | $11,640.58 | 8.8× |
| PET image w/CT, full body (78816) | $11,640.58 | $11,640.58 | 8.8× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $11,640.58 | $11,640.58 | 8.8× |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,833.70 | $1,833.70 | 5.0× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $1,031.94 | $1,031.94 | 10.7× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $2,932.85 | $2,932.85 | 5.8× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$1,349.49–$2,024.23 | $1,349.49–$2,024.23 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$1,239.93–$1,859.90 | $1,239.93–$1,859.90 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$1,239.93–$1,859.90 | $1,239.93–$1,859.90 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $859.96 | $859.96 | 8.9× |
| Radex fingr minimum 2 views (73140) range across 3 matching MRF lines |
$619.97–$929.94 | $619.97–$929.94 | varies |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$1,239.93–$1,859.90 | $1,239.93–$1,859.90 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$1,239.93–$1,859.90 | $1,239.93–$1,859.90 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 3 matching MRF lines |
$826.88–$1,240.32 | $826.88–$1,240.32 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $644.77 | $644.77 | 8.0× |
| Radex Ribs Unilateral 2 Views (71100) | $644.77 | $644.77 | 8.0× |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$690.82–$1,036.23 | $690.82–$1,036.23 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $644.77 | $644.77 | 8.0× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $266.35 | $266.35 | 1.6× |
| Radex Spine 1 View Specify Level (72020) | $703.13 | $703.13 | 8.7× |
| Radex Sternum Minimum 2 Views (71120) | $572.25 | $572.25 | 7.1× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $537.33 | $537.33 | 6.7× |
| Radex Toe Minimum 2 Views (73660) range across 3 matching MRF lines |
$619.98–$929.96 | $619.98–$929.96 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 3 matching MRF lines |
$1,653.75–$2,480.63 | $1,653.75–$2,480.63 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$1,239.93–$1,859.90 | $1,239.93–$1,859.90 | varies |
| Radiation treatment delivery level 1 (77402) | $871.34 | $871.34 | 9.2× |
| Radiation treatment delivery level 2 (77407) | $871.34 | $871.34 | 2.4× |
| Radiation treatment delivery level 3 (77412) | $1,748.84 | $1,748.84 | 3.4× |
| Radiolog exam mandible compl minimum 4 views (70110) | $859.96 | $859.96 | 8.9× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $859.96 | $859.96 | 8.9× |
| Radiologic exam colon double contrast study (74280) | $1,606.75 | $1,606.75 | 9.9× |
| Radiologic exam colon single contrast study (74270) | $1,145.90 | $1,145.90 | 7.1× |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$1,807.37–$2,711.05 | $1,807.37–$2,711.05 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $1,299.96 | $1,299.96 | 13.5× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $1,104.37 | $1,104.37 | 6.8× |
| Radiologic exam swallow function contrast study (74230) | $834.01 | $834.01 | 5.1× |
| Radiologic exam upr gi trc double contrast study (74246) | $1,366.48 | $1,366.48 | 8.4× |
| Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines |
$615.85–$923.76 | $615.85–$923.76 | varies |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$1,239.72–$1,859.58 | $1,239.72–$1,859.58 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$1,239.93–$1,859.90 | $1,239.93–$1,859.90 | varies |
| Ribs bilateral 3 views (71110) | $264.54 | $264.54 | 2.7× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $3,283.55 | $3,283.55 | 8.9× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $3,283.55 | $3,283.55 | 8.9× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $5,175.72 | $5,175.72 | 10.3× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $6,150.02 | $6,150.02 | 12.3× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $2,891.79 | $2,891.79 | 5.8× |
| Rp Therapy Intravenous Administration (79101) | $1,988.24 | $1,988.24 | 9.2× |
| Scapula (73010) range across 3 matching MRF lines |
$690.82–$1,036.23 | $690.82–$1,036.23 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $156.65 | $156.65 | 6.7× |
| Shoulder 1 view (73020) range across 3 matching MRF lines |
$619.97–$929.96 | $619.97–$929.96 | varies |
| Shoulder Arthrography (73040) range across 3 matching MRF lines |
$2,946.96–$4,420.43 | $2,946.96–$4,420.43 | varies |
| Sialogram (70390) | $2,932.85 | $2,932.85 | 13.3× |
| Skull less than 4 views (70250) | $451.11 | $451.11 | 4.7× |
| Special dosimetry (77331) | $599.78 | $599.78 | 4.8× |
| Special Physics Consult (77370) | $599.78 | $599.78 | 4.8× |
| Special teletherapy port plan (77321) | $2,737.24 | $2,737.24 | 7.9× |
| Special treatment procedure (77470) | $2,048.32 | $2,048.32 | 4.0× |
| Sternoclavicular joints (71130) | $516.66 | $516.66 | 6.4× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $998.72 | $998.72 | 2.9× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $984.83 | $984.83 | 2.8× |
| Temporomandble Jt Arthrography Rs&I (70332) range across 3 matching MRF lines |
$2,946.96–$4,420.43 | $2,946.96–$4,420.43 | varies |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $1,381.62 | $1,381.62 | 4.0× |
| Ther rad simulaj-aided field setting simple (77280) | $623.77 | $623.77 | 5.0× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $1,366.48 | $1,366.48 | 8.4× |
| Thoracic spine 2 views (72070) | $665.37 | $665.37 | 6.9× |
| Thoracic spine 3 views (72072) | $1,031.94 | $1,031.94 | 10.7× |
| Thyroid Met Imaging Body (78018) | $4,097.88 | $4,097.88 | 8.2× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $2,886.31 | $2,886.31 | 7.8× |
| Tx Devices Design & Construction Complex (77334) | $1,048.44 | $1,048.44 | 3.0× |
| Tx devices design & construction intermediate (77333) | $1,876.42 | $1,876.42 | 15.1× |
| Tx devices design & construction simple (77332) | $1,008.11 | $1,008.11 | 8.1× |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$876.91–$1,315.36 | $876.91–$1,315.36 | varies |
| Ultrasound Exam Aaa Screen (76706) | $352.58 | $352.58 | 3.6× |
| Ultrasound, abdomen limited (76705) | $1,361.53 | $1,361.53 | 14.1× |
| Umbilical-artery Doppler (OB) (76820) | $496.11 | $496.11 | 5.1× |
| Upper gi w/o kub (74240) | $1,428.53 | $1,428.53 | 8.8× |
| Urethrocystogram voiding (74455) | $1,681.92 | $1,681.92 | 7.6× |
| Urethrocystography retrograde (74450) range across 2 matching MRF lines |
$672.37–$2,055.97 | $672.37–$2,055.97 | varies |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$876.91–$1,315.36 | $876.91–$1,315.36 | varies |
| Us chest (76604) | $1,173.49 | $1,173.49 | 12.1× |
| Us complete joint (76881) | $2,352.38 | $2,352.38 | 24.3× |
| Us exam, pelvic, limited (76857) | $1,361.53 | $1,361.53 | 14.1× |
| Us head (76506) | $1,220.43 | $1,220.43 | 12.6× |
| Us kidney transplant (76776) | $1,220.43 | $1,220.43 | 12.6× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $1,991.55 | $1,991.55 | 20.6× |
| Us ob detailed single fetus (76811) | $1,716.10 | $1,716.10 | 7.8× |
| Us ob limited 1 or more fetuses (76815) | $1,220.43 | $1,220.43 | 12.6× |
| Us ob transvaginal (76817) | $1,187.50 | $1,187.50 | 12.3× |
| Us pelvic non ob complete (76856) | $1,416 | $1,416 | 14.7× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $1,241.97 | $1,241.97 | 12.9× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $724.99 | $724.99 | 7.5× |
| Us retroperitoneal complete (76770) | $1,278.54 | $1,278.54 | 13.2× |
| Us retroperitoneal limited (76775) | $1,173.49 | $1,173.49 | 12.1× |
| Us scrotum and contents (76870) | $1,356.13 | $1,356.13 | 14.0× |
| Us spinal canal and contents (76800) | $829.81 | $829.81 | 8.6× |
| Us thyroid (76536) | $1,361.53 | $1,361.53 | 14.1× |
| Vascular Flow Imaging (78445) | $2,932.85 | $2,932.85 | 7.9× |
| Vein X-Ray Chest (75827) | $3,799.66 | $3,799.66 | 2.6× |
| Vein X-Ray Liver W/O Hemodyn (75887) | $7,201.13 | $7,201.13 | 2.5× |
| Venogram Sinus/Jugular (75860) | $7,489.17 | $7,489.17 | 2.6× |
| Venography Adrenal Unilateral (75840) | $22,280.94 | $22,280.94 | 7.6× |
| Venography caval inferior serialography rs&i (75825) | $23,172.17 | $23,172.17 | 7.9× |
| Venography extremity bilateral rs&i (75822) | $7,359.57 | $7,359.57 | 5.1× |
| Venography extremity unilateral rs&i (75820) | $1,396.51 | $1,396.51 | 1.0× |
| Venography Renal Unilateral (75831) | $8,731.63 | $8,731.63 | 3.0× |
| Venous sampling by catheter (75893) | $22,280.94 | $22,280.94 | 4.3× |
| Wrist 2 views (73100) range across 3 matching MRF lines |
$1,089.77–$1,634.66 | $1,089.77–$1,634.66 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $787.49 | $787.49 | 9.8× |
| X-ray antegrade pyelogram tube (74425) | $2,308.24 | $2,308.24 | 7.2× |
| X-Ray Aorta Leg Arteries (75630) | $23,172.17 | $23,172.17 | 7.9× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$1,239.93–$1,859.90 | $1,239.93–$1,859.90 | varies |
| X-Ray Exam Breast Specimen (76098) | $3,050.16 | $3,050.16 | 6.0× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $517.95 | $517.95 | 6.4× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $1,388.26 | $1,388.26 | 14.4× |
| X-Ray Exam Hip Uni 1 View (73501) | $1,137.53 | $1,137.53 | 14.1× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $1,093.78 | $1,093.78 | 13.6× |
| X-Ray Exam Hips Bi 2 Views (73521) | $367.02 | $367.02 | 3.8× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $930 | $930 | 9.6× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $961.37 | $961.37 | 9.9× |
| X-Ray Exam L-S Spine Bending (72114) | $1,031.94 | $1,031.94 | 10.7× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $859.96 | $859.96 | 10.7× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $1,031.94 | $1,031.94 | 10.7× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $792.23 | $792.23 | 8.2× |
| X-ray humerus (73060) | $619.98 | $619.98 | 7.7× |
| X-ray IV pyelogram (ivp) (74400) | $2,538.21 | $2,538.21 | 15.7× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $537.33 | $537.33 | 6.7× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $537.33 | $537.33 | 6.7× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $859.96 | $859.96 | 8.9× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $1,027.54 | $1,027.54 | 10.6× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $859.96 | $859.96 | 8.9× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $584.77 | $584.77 | 6.1× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $643.26 | $643.26 | 8.0× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $866.04 | $866.04 | 10.8× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $1,031.94 | $1,031.94 | 10.7× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $2,397.75 | $2,397.75 | 7.4× |
| X-Rays Bone Length Studies (77073) | $536.41 | $536.41 | 5.6× |
| X-Rays Bone Survey Complete (77075) | $1,443.78 | $1,443.78 | 14.9× |
| Xr c-spine 4 or 5 views (72050) | $1,031.94 | $1,031.94 | 10.7× |
| Xr facial bones less than 3 views (70140) | $537.33 | $537.33 | 6.7× |
| Xr orbits complete 4 views (70200) | $859.96 | $859.96 | 8.9× |
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.