Imaging prices at Grady Memorial Hospital
Atlanta, GA · every code in this section with a posted price and a Medicare benchmark.
332 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) | $13,783 | $13,783 | 9.8× |
| Abdomen 1 View (74018) | $638 | $638 | 7.2× |
| Abdomen 2 views (74019) | $920 | $920 | 8.7× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $2,343.98 | $2,343.98 | 5.8× |
| Adrenal Cortex & Medulla Img (78075) | $3,673 | $3,673 | 2.8× |
| Angio internal mammary (75756) | $8,740 | $8,740 | 2.7× |
| Angio pulmonary bilat (75743) | $9,428.85 | $9,428.85 | 2.9× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $6,639 | $6,639 | 2.1× |
| Angiography extremity bilateral rs&i (75716) range across 2 matching MRF lines |
$8,615–$8,986.10 | $8,615–$8,986.10 | varies |
| Angiography extremity unilateral rs&i (75710) | $9,062 | $9,062 | 2.8× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $7,883.25 | $7,883.25 | 2.5× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $3,496 | $3,496 | 1.1× |
| Ankle 2 views (73600) | $784 | $784 | 8.9× |
| Aortography thoracic serialography rs&i (75605) | $18,212 | $18,212 | 3.2× |
| Artery X-Rays Abdomen (75726) | $12,463 | $12,463 | 2.2× |
| Artery X-Rays Adrenal Gland (75731) | $7,866 | $7,866 | 2.5× |
| Artery X-Rays Pelvis (75736) | $15,255.90 | $15,255.90 | 2.7× |
| Artery X-Rays Spine (75705) | $15,255.90 | $15,255.90 | 2.7× |
| Arthrogram hip (73525) | $1,275 | $1,275 | 3.6× |
| Arthrogram Wrist (73115) | $988 | $988 | 2.8× |
| Basic radiation dosimetry calculation (77300) | $1,255.80 | $1,255.80 | 9.2× |
| Bone age studies (77072) | $510 | $510 | 4.8× |
| Bone Imaging 3 Phase (78315) | $3,234.95 | $3,234.95 | 8.0× |
| Bone Imaging Limited Area (78300) | $1,915 | $1,915 | 4.7× |
| Bone Imaging Whole Body (78306) | $3,347.65 | $3,347.65 | 8.2× |
| Bone survey infant (77076) | $490 | $490 | 4.6× |
| Brachytx isodose complex (77318) | $3,152 | $3,152 | 8.3× |
| Brachytx isodose intermed (77317) | $2,990 | $2,990 | 7.9× |
| Brachytx Isodose Plan Simple (77316) | $2,813 | $2,813 | 7.4× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $2,805 | $2,805 | 5.1× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $8,658 | $8,658 | 6.0× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $5,065 | $5,065 | 14.3× |
| Cardiac MRI w/w/o contrast w/stress (75563) | $5,251 | $5,251 | 6.6× |
| Cat Scan Follow-Up Study (76380) | $2,036 | $2,036 | 23.0× |
| Chest 1 view (71045) | $695 | $695 | 7.9× |
| Chest 2 views (71046) | $787 | $787 | 8.9× |
| Chest 3 views (71047) | $752 | $752 | 8.5× |
| Chest 4 or more views (71048) | $857 | $857 | 8.1× |
| Clavicle complete (73000) | $848.70 | $848.70 | 9.6× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $2,394 | $2,394 | 22.5× |
| Continuing medical physics consltj pr wk (77336) | $1,599 | $1,599 | 11.7× |
| Contrast Exam Abdominl Aorta (75625) | $6,578.17 | $6,578.17 | 2.1× |
| Contrast X-Ray Bladder (74430) | $1,146 | $1,146 | 3.2× |
| CT abdomen and pelvis without and with contrast (74178) | $11,888 | $11,888 | 33.5× |
| CT abdomen and pelvis without contrast (74176) | $7,437 | $7,437 | 30.7× |
| CT abdomen w contrast (74160) | $5,085 | $5,085 | 28.5× |
| CT abdomen w wo contrast (74170) | $5,831 | $5,831 | 32.7× |
| CT abdomen w/o contrast (74150) | $3,828 | $3,828 | 36.0× |
| CT Angio Abdomen and Pelvis (74174) | $8,074 | $8,074 | 22.8× |
| CT Angio Chest (71275) | $6,610 | $6,610 | 37.1× |
| CT Angio Head (70496) | $6,849 | $6,849 | 38.4× |
| CT angio hrt w/3d image (75574) | $3,955 | $3,955 | 11.2× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $5,233 | $5,233 | 29.4× |
| CT Angio Neck (70498) | $7,876.35 | $7,876.35 | 44.2× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $4,683.95 | $4,683.95 | 26.3× |
| CT cervical spine w/ contrast (72126) | $9,771 | $9,771 | 27.6× |
| CT cervical spine w/o contrast (72125) | $7,208 | $7,208 | 67.9× |
| CT cervical spine w/wo cont (72127) | $10,974 | $10,974 | 61.6× |
| CT chest w contrast (71260) | $5,044 | $5,044 | 28.3× |
| CT chest w/wo contrast (71270) | $5,903.25 | $5,903.25 | 33.1× |
| CT head/brain with contrast (70460) | $4,594 | $4,594 | 25.8× |
| CT head/brain without and with contrast (70470) | $6,096.15 | $6,096.15 | 34.2× |
| CT heart contrast eval cardiac structure&morph (75572) | $2,374.75 | $2,374.75 | 6.7× |
| CT heart no contrast quant eval coronry calcium (75571) | $4,693 | $4,693 | 53.1× |
| CT iac w contrast (70481) | $5,027.80 | $5,027.80 | 28.2× |
| CT l-spine w&w/o contrast (72133) | $5,459 | $5,459 | 30.6× |
| CT lower ext w/o (73700) | $3,290 | $3,290 | 31.0× |
| CT lower extremity w/contrast material (73701) | $4,148 | $4,148 | 23.3× |
| CT lumbar spine w contrast (72132) | $5,525.75 | $5,525.75 | 15.6× |
| CT lumbar spine w/o contrast (72131) | $4,538 | $4,538 | 42.7× |
| CT maxillofacial w contrast (70487) | $6,480 | $6,480 | 36.4× |
| CT maxillofacial wo contrast (70486) | $4,725 | $4,725 | 44.5× |
| CT neck tissue combo (70492) | $6,319 | $6,319 | 35.5× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $4,991 | $4,991 | 28.0× |
| CT orbits w/o contrast (70480) | $4,489.60 | $4,489.60 | 42.3× |
| CT pelvis w&w/o contrast (72194) | $6,641 | $6,641 | 37.3× |
| CT pelvis w/o contrast (72192) | $4,157 | $4,157 | 39.1× |
| CT scan of leg combo (73702) | $4,800 | $4,800 | 26.9× |
| CT scans face/jaw combo (70488) | $7,547 | $7,547 | 42.4× |
| CT soft tissue neck w contrast (70491) | $5,424 | $5,424 | 30.4× |
| CT soft tissue neck w/o contrast (70490) | $4,095 | $4,095 | 38.6× |
| CT thoracic spine w contrast (72129) | $5,666.05 | $5,666.05 | 31.8× |
| CT thoracic spine w/o contrast (72128) | $4,444 | $4,444 | 41.8× |
| CT thoracic spine w/wo cont (72130) | $5,730 | $5,730 | 32.2× |
| CT thorax w/o contrast (71250) | $4,341 | $4,341 | 40.9× |
| CT unlisted procedure (76497) | $1,400 | $1,400 | 15.8× |
| CT upper ext wo (73200) | $3,520 | $3,520 | 33.1× |
| CT upper extremity w/o & w/contrast material (73202) | $3,894 | $3,894 | 21.9× |
| CT upper extremity with contrast (73201) | $3,722 | $3,722 | 10.5× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $9,707 | $9,707 | 54.5× |
| Cta Abdomen (74175) | $9,285 | $9,285 | 52.1× |
| CTA pelvis (72191) | $5,003 | $5,003 | 28.1× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $835 | $835 | 7.9× |
| Doppler Fetal Mid Cerebral Artery (76821) | $785 | $785 | 7.4× |
| Dxa Bone Density Axial (77080) | $1,116.02 | $1,116.02 | 10.5× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $558.90 | $558.90 | 6.3× |
| Echo exam of fetal heart (76825) | $1,867 | $1,867 | 3.4× |
| Echo exam uterus (76831) | $1,336 | $1,336 | 5.5× |
| Esophagram (74220) | $941 | $941 | 5.3× |
| Fetal Biophys Profile W/Nst (76818) | $1,407 | $1,407 | 13.2× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $1,555.95 | $1,555.95 | 14.7× |
| Fluoroscopy up to 1 hr (76000) range across 3 matching MRF lines |
$1,312.15–$1,656 | $1,312.15–$1,656 | varies |
| Follow-Up Angiography (75898) | $4,025 | $4,025 | 1.3× |
| Foot 2 views (73620) | $641 | $641 | 7.3× |
| Forearm 2 views (73090) | $792.35 | $792.35 | 9.0× |
| Gastric emptying imaging study (78264) | $3,115 | $3,115 | 7.7× |
| Gated Heart Planar Single (78472) | $3,654.25 | $3,654.25 | 9.0× |
| Hand 2 views (73120) range across 3 matching MRF lines |
$637–$1,274 | $637–$1,274 | varies |
| Hdr Rdncl Ntrstl/Icav Brchtx (77772) | $8,886 | $8,886 | 12.6× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) | $9,960.15 | $9,960.15 | 14.1× |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) | $8,030 | $8,030 | 11.4× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $7,625 | $7,625 | 2.4× |
| Hepatobiliary System Imaging (78226) | $3,296.50 | $3,296.50 | 8.1× |
| Ht Muscle Image Spect Sing (78451) | $7,649 | $7,649 | 5.8× |
| Hysterosalpingogram (74740) | $1,436 | $1,436 | 5.9× |
| K Flow/Funct Image Multiple (78709) | $3,408 | $3,408 | 6.2× |
| K Flow/Funct Image W/Drug (78708) | $3,968 | $3,968 | 7.2× |
| K Flow/Funct Image W/O Drug (78707) | $3,248 | $3,248 | 5.9× |
| Knee 3 Views (73562) | $775.53 | $775.53 | 8.8× |
| Liver & Spleen Imaging Static Only (78215) | $2,042 | $2,042 | 5.0× |
| Lung perfusion differential (78597) | $1,629 | $1,629 | 4.0× |
| Lung Ventilat&Perfus Imaging (78582) | $3,854 | $3,854 | 7.0× |
| Lung Ventilation Imaging (78579) | $1,629 | $1,629 | 4.0× |
| Lymph System Imaging (78195) | $2,444 | $2,444 | 4.4× |
| Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) | $6,336.50 | $6,336.50 | 2.0× |
| Magnetic Image Jaw Joint (70336) | $5,209.50 | $5,209.50 | 21.5× |
| Meckels Divert Exam (78290) | $1,820 | $1,820 | 4.5× |
| Mlc imrt design & construction per imrt plan (77338) | $9,895 | $9,895 | 26.0× |
| Mra Head W/O & W/Contrast Material (70546) | $8,010 | $8,010 | 22.6× |
| MRA head w/o contrast (70544) | $4,456 | $4,456 | 18.4× |
| MRA head with contrast (70545) | $5,605 | $5,605 | 15.8× |
| MRA neck w contrast (70548) | $5,180 | $5,180 | 14.6× |
| Mra Neck W/O &W/Contrast Material (70549) | $7,165.50 | $7,165.50 | 20.2× |
| MRA neck w/o contrast (70547) | $4,449 | $4,449 | 18.4× |
| MRI abdomen w contrast (74182) | $5,491 | $5,491 | 15.5× |
| MRI abdomen w/o contrast (74181) | $5,642 | $5,642 | 23.3× |
| MRI any jt lower extrem w/contrast material (73722) | $5,950 | $5,950 | 7.5× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$8,313–$13,741 | $8,313–$13,741 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) | $6,698.75 | $6,698.75 | 8.4× |
| MRI Breast W/O Contrast Bilateral (77047) | $4,311 | $4,311 | 17.8× |
| MRI cardiac w/o contrast (75557) | $4,510.30 | $4,510.30 | 18.6× |
| MRI cervical spine w contrast (72142) | $5,419 | $5,419 | 15.3× |
| MRI cervical spine w/o cont (72141) | $4,773 | $4,773 | 19.7× |
| MRI chest w/o contrast (71550) | $5,462.50 | $5,462.50 | 22.5× |
| MRI chest with contrast (71551) | $4,916 | $4,916 | 6.2× |
| MRI chest wo w contrast (71552) | $6,798 | $6,798 | 19.2× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $5,972 | $5,972 | 16.9× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $9,499 | $9,499 | 26.8× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $5,635 | $5,635 | 23.3× |
| MRI lumbar spine w contrast (72149) | $5,581 | $5,581 | 15.7× |
| Mri Neck Spine W/O & W/Dye (72156) | $8,124 | $8,124 | 22.9× |
| MRI orbit face &/neck w/o contrast (70540) | $5,569.45 | $5,569.45 | 23.0× |
| MRI orbit face neck w contrast (70542) | $5,708 | $5,708 | 16.1× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $8,010 | $8,010 | 22.6× |
| MRI pelvis w contrast (72196) | $4,852 | $4,852 | 13.7× |
| MRI pelvis w/o & w contrast (72197) | $6,779.25 | $6,779.25 | 19.1× |
| MRI pelvis w/o contrast (72195) | $4,901 | $4,901 | 20.2× |
| MRI spectroscopy (76390) | $4,122 | $4,122 | 46.6× |
| MRI thoracic spine w/o contrast (72146) | $4,778 | $4,778 | 19.7× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $5,925 | $5,925 | 24.4× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $8,249 | $8,249 | 23.3× |
| MRI, abdomen, combo (74183) | $6,574 | $6,574 | 18.6× |
| MRI, dorsal spine combo (72157) | $6,830 | $6,830 | 19.3× |
| MRI, dorsal spine contrast (72147) | $6,243.75 | $6,243.75 | 17.6× |
| MRI, joint upper extrem (73221) | $5,356.70 | $5,356.70 | 22.1× |
| MRI, joint upper extrem combo (73223) | $7,234.65 | $7,234.65 | 20.4× |
| MRI, lumbar spine combo (72158) | $7,167 | $7,167 | 20.2× |
| Myelogram cervical (72240) | $2,333 | $2,333 | 2.9× |
| Myelogram Lumbar (72265) | $2,058 | $2,058 | 2.6× |
| Myelography thoracic (72255) | $1,976 | $1,976 | 2.5× |
| Myelograpy 2/more regions rs&i (72270) | $1,898 | $1,898 | 2.4× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) | $7,964 | $7,964 | 6.1× |
| Myocardial Spect Multiple Studies (78452) | $9,411 | $9,411 | 7.2× |
| Myocrd Img Pet Metab Eval Single Study Cncrnt CT (78429) | $7,226 | $7,226 | 5.0× |
| Myocrd img PET prfuj 1std rest/stress cncrnt CT (78430) | $7,271 | $7,271 | 5.0× |
| Myocrd Img Pet Prfuj Mlt Std Rst&Strs Cncrnt CT (78431) | $8,129 | $8,129 | 3.6× |
| N-invas est c ffr sw aly CTA (75580) | $2,838.20 | $2,838.20 | 3.3× |
| Neck soft tissue (70360) | $617 | $617 | 7.0× |
| Nonvascular Shunt X-Ray (75809) | $783 | $783 | 7.4× |
| Ntsty modul radthx pln dose-vol histos (77301) | $14,432 | $14,432 | 10.3× |
| Nuclear Rx Intra-Arterial (79445) | $1,900.95 | $1,900.95 | 8.0× |
| Nuclear Rx Oral Admin (79005) | $3,401.70 | $3,401.70 | 14.4× |
| Ob us nuchal meas 1 gest (76813) | $742 | $742 | 7.0× |
| Oph bmtry us echograpy a-scan io lens pwr cal (76519) | $409 | $409 | 3.9× |
| Oph us dx ant sgm us immersion b-scan/hr biom (76513) range across 2 matching MRF lines |
$538–$547 | $538–$547 | varies |
| Ophthalmic Biometry US Echograpy a-Scan (76516) | $338 | $338 | 3.2× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) | $615 | $615 | 5.8× |
| Ophthalmic US Dx Corneal Pachymetry Uni/Bi (76514) | $287 | $287 | 9.8× |
| Panoramic X-ray of jaws (70355) | $664 | $664 | 7.5× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $4,422 | $4,422 | 8.0× |
| Parathyroid Planar Imaging (78070) | $2,308.05 | $2,308.05 | 5.7× |
| Pelvis 1 or 2 views (72170) | $649 | $649 | 6.1× |
| Pet Image Skull-Thigh (78812) | $6,311 | $6,311 | 4.3× |
| PET image w/CT, full body (78816) | $10,477 | $10,477 | 7.2× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $10,477 | $10,477 | 7.2× |
| Pet Imaging Limited Area Chest Head/Neck (78811) | $4,694 | $4,694 | 3.6× |
| PET whole body (78813) | $5,321 | $5,321 | 3.7× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $9,062 | $9,062 | 2.8× |
| Pulmonary Perfusion Imaging Particulate (78580) | $2,905 | $2,905 | 7.2× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $1,265 | $1,265 | 11.9× |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 2 matching MRF lines |
$1,110.33–$1,496 | $1,110.33–$1,496 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$848–$1,058 | $848–$1,058 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$616–$1,232 | $616–$1,232 | varies |
| Radex elbow complete minimum 3 views (73080) | $803.85 | $803.85 | 9.1× |
| Radex fingr minimum 2 views (73140) | $575 | $575 | 6.5× |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$699–$1,398 | $699–$1,398 | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$797.76–$1,416 | $797.76–$1,416 | varies |
| Radex lower extremity infant minimum 2 views (73592) | $592 | $592 | 6.7× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $632 | $632 | 7.2× |
| Radex shoulder complete minimum 2 views (73030) | $1,134 | $1,134 | 12.8× |
| Radex Spine 1 View Specify Level (72020) | $642.85 | $642.85 | 7.3× |
| Radex Sternum Minimum 2 Views (71120) | $828 | $828 | 9.4× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $857 | $857 | 9.7× |
| Radex Toe Minimum 2 Views (73660) | $481.85 | $481.85 | 5.5× |
| Radex upper extremity infant minimum 2 views (73092) | $667 | $667 | 6.3× |
| Radex Wrist Complete Minimum 3 Views (73110) | $723.35 | $723.35 | 8.2× |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $36,887.40 | $36,887.40 | 4.9× |
| Radiation treatment delivery level 1 (77402) | $1,330 | $1,330 | 12.8× |
| Radiation treatment delivery level 3 (77412) | $2,222.95 | $2,222.95 | 4.0× |
| Radiolog exam mandible compl minimum 4 views (70110) | $664 | $664 | 6.3× |
| Radiologic exam colon double contrast study (74280) | $1,860 | $1,860 | 10.4× |
| Radiologic exam colon single contrast study (74270) | $1,823.90 | $1,823.90 | 10.2× |
| Radiologic exam knee complete 4/more views (73564) | $889.81 | $889.81 | 8.4× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $708 | $708 | 6.7× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $1,290 | $1,290 | 7.2× |
| Radiologic exam swallow function contrast study (74230) | $1,378 | $1,378 | 7.7× |
| Radiologic exam upr gi trc double contrast study (74246) | $1,720.40 | $1,720.40 | 9.7× |
| Radiologic examination femur 1 view (73551) | $477 | $477 | 5.4× |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$722.20–$930 | $722.20–$930 | varies |
| Radiologic examination knee 1/2 views (73560) | $668 | $668 | 7.6× |
| Radiologic Examination Osseous Survey Limited (77074) | $645 | $645 | 6.1× |
| Radiologic examination tibia & fibula 2 views (73590) range across 2 matching MRF lines |
$704–$1,408 | $704–$1,408 | varies |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77768) | $1,026.95 | $1,026.95 | 2.6× |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77767) | $893 | $893 | 2.3× |
| Ribs bilateral 3 views (71110) | $888 | $888 | 8.4× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $1,853.95 | $1,853.95 | 4.6× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $3,750 | $3,750 | 6.8× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $2,365.55 | $2,365.55 | 4.3× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $3,726 | $3,726 | 6.8× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $4,893 | $4,893 | 3.7× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $5,321 | $5,321 | 3.7× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $3,756 | $3,756 | 2.9× |
| Rp Therapy Intravenous Administration (79101) | $933 | $933 | 3.9× |
| Scapula (73010) | $734.85 | $734.85 | 6.9× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $240.35 | $240.35 | 10.3× |
| Shoulder 1 view (73020) | $1,134 | $1,134 | 12.8× |
| Shoulder Arthrography (73040) | $1,595 | $1,595 | 4.5× |
| Skull less than 4 views (70250) | $741 | $741 | 7.0× |
| Special dosimetry (77331) | $942 | $942 | 6.9× |
| Special Physics Consult (77370) | $1,856 | $1,856 | 13.6× |
| Special teletherapy port plan (77321) | $1,950 | $1,950 | 5.1× |
| Special treatment procedure (77470) | $6,620 | $6,620 | 11.8× |
| Stereotactic Body Radiation Delivery (77373) | $14,867.20 | $14,867.20 | 8.2× |
| Sternoclavicular joints (71130) | $1,378 | $1,378 | 15.6× |
| Superior sagittal sinus venogram (75870) | $8,643.40 | $8,643.40 | 2.7× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $3,242 | $3,242 | 8.5× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $2,906 | $2,906 | 7.6× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $3,913.45 | $3,913.45 | 10.3× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $2,790 | $2,790 | 7.3× |
| Ther rad simulaj-aided field setting simple (77280) | $1,882 | $1,882 | 13.8× |
| Thoracic spine 2 views (72070) | $927 | $927 | 8.7× |
| Thoracolumbar 2 views (72080) | $939 | $939 | 10.6× |
| Thyroid Imaging With Vascular Flow (78013) | $1,315 | $1,315 | 3.2× |
| Thyroid Met Imaging Body (78018) | $3,049.80 | $3,049.80 | 5.5× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $2,141 | $2,141 | 5.3× |
| Tx Devices Design & Construction Complex (77334) | $2,494.35 | $2,494.35 | 6.6× |
| Tx devices design & construction simple (77332) | $1,128 | $1,128 | 8.3× |
| Ultrasound Breast Limited (76642) | $1,055 | $1,055 | 11.9× |
| Ultrasound Exam Aaa Screen (76706) | $790.05 | $790.05 | 7.4× |
| Ultrasound, abdomen limited (76705) | $1,382 | $1,382 | 13.0× |
| Umbilical-artery Doppler (OB) (76820) | $1,455.90 | $1,455.90 | 13.7× |
| Unlisted Dx Radiographic Procedure (76499) | $1,331 | $1,331 | 15.1× |
| Unlisted fluoroscopic procedure (76496) | $710 | $710 | 8.0× |
| Unlisted magnetic resonance procedure (76498) | $3,374 | $3,374 | 38.2× |
| Upper gi w/o kub (74240) | $1,480 | $1,480 | 8.3× |
| Ureteral Reflux Study (78740) | $1,695 | $1,695 | 4.2× |
| Urethrocystogram voiding (74455) | $1,762.95 | $1,762.95 | 7.3× |
| Urethrocystography retrograde (74450) | $1,052 | $1,052 | 4.3× |
| Us breast unilateral complete (76641) | $1,112 | $1,112 | 10.5× |
| Us chest (76604) | $1,011 | $1,011 | 9.5× |
| Us complete joint (76881) | $1,676.94 | $1,676.94 | 15.8× |
| Us exam, pelvic, limited (76857) | $1,156.90 | $1,156.90 | 10.9× |
| Us head (76506) | $1,410 | $1,410 | 13.3× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $1,224 | $1,224 | 11.5× |
| Us ob detailed single fetus (76811) | $1,397 | $1,397 | 5.8× |
| Us ob limited 1 or more fetuses (76815) | $1,412 | $1,412 | 13.3× |
| Us ob transvaginal (76817) | $991.30 | $991.30 | 9.3× |
| Us pelvic non ob complete (76856) | $1,760.07 | $1,760.07 | 16.6× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $1,444 | $1,444 | 13.6× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $1,360 | $1,360 | 12.8× |
| Us retroperitoneal complete (76770) | $1,655 | $1,655 | 15.6× |
| Us retroperitoneal limited (76775) | $1,417.95 | $1,417.95 | 13.4× |
| Us scrotum and contents (76870) | $1,540 | $1,540 | 14.5× |
| Us thyroid (76536) | $1,712.35 | $1,712.35 | 16.1× |
| Us transrectal (76872) | $1,594 | $1,594 | 15.0× |
| Vein X-Ray Chest (75827) | $4,404.50 | $4,404.50 | 2.8× |
| Vein X-Ray Liver W/O Hemodyn (75887) | $4,603.45 | $4,603.45 | 1.4× |
| Vein X-Ray Skull Epidural (75872) | $2,783 | $2,783 | 4.4× |
| Venogram Sinus/Jugular (75860) | $9,641.60 | $9,641.60 | 3.0× |
| Venography Adrenal Unilateral (75840) | $6,342.25 | $6,342.25 | 2.0× |
| Venography caval inferior serialography rs&i (75825) | $9,062 | $9,062 | 2.8× |
| Venography extremity bilateral rs&i (75822) | $4,551 | $4,551 | 2.8× |
| Venography extremity unilateral rs&i (75820) | $3,231.36 | $3,231.36 | 2.0× |
| Venography Renal Unilateral (75831) | $9,062 | $9,062 | 2.8× |
| Venous sampling by catheter (75893) | $8,625 | $8,625 | 1.5× |
| Wrist 2 views (73100) | $580 | $580 | 6.6× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $864 | $864 | 9.8× |
| X-ray antegrade pyelogram tube (74425) | $1,551 | $1,551 | 4.4× |
| X-Ray Aorta Leg Arteries (75630) | $7,787 | $7,787 | 2.4× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $734.85 | $734.85 | 8.3× |
| X-Ray Exam Breast Specimen (76098) | $1,579 | $1,579 | 2.8× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $606.05 | $606.05 | 6.9× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $833 | $833 | 7.8× |
| X-Ray Exam Hip Uni 1 View (73501) | $458 | $458 | 5.2× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $518 | $518 | 5.9× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $726 | $726 | 6.8× |
| X-Ray Exam Hips Bi 2 Views (73521) | $1,036 | $1,036 | 9.8× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $1,194 | $1,194 | 11.2× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $1,350 | $1,350 | 12.7× |
| X-Ray Exam L-S Spine Bending (72114) | $1,592 | $1,592 | 15.0× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $873 | $873 | 9.9× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $1,317 | $1,317 | 12.4× |
| X-ray humerus (73060) | $986 | $986 | 11.2× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $467 | $467 | 5.3× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $1,031 | $1,031 | 9.7× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $1,097.10 | $1,097.10 | 10.3× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $710 | $710 | 6.7× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $768 | $768 | 8.7× |
| X-Ray Stress View (77071) | $433 | $433 | 4.9× |
| X-Rays Bone Length Studies (77073) | $629 | $629 | 5.9× |
| X-Rays Bone Survey Complete (77075) | $2,145 | $2,145 | 20.2× |
| Xr c-spine 4 or 5 views (72050) | $1,461 | $1,461 | 13.8× |
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.