Imaging prices at Grand Strand Medical Center
Myrtle Beach, SC · every code in this section with a posted price and a Medicare benchmark.
347 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) | $3,929 | $3,929 | 2.9× |
| Abdomen 1 View (74018) | $665 | $665 | 7.9× |
| Abdomen 2 views (74019) | $1,002 | $1,002 | 10.0× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $2,290 | $2,290 | 5.9× |
| Angio pulmonary bilat (75743) | $14,255 | $14,255 | 4.7× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $5,103 | $5,103 | 1.7× |
| Angiography extremity bilateral rs&i (75716) | $12,522 | $12,522 | 4.1× |
| Angiography extremity unilateral rs&i (75710) | $14,255 | $14,255 | 4.7× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $10,561 | $10,561 | 3.5× |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$836–$1,677 | $836–$1,677 | varies |
| Aortography thoracic serialography rs&i (75605) | $12,522 | $12,522 | 2.3× |
| Artery X-Rays Abdomen (75726) | $14,255 | $14,255 | 2.7× |
| Artery X-Rays Adrenal Gland (75731) | $5,103 | $5,103 | 1.7× |
| Artery X-Rays Pelvis (75736) | $14,255 | $14,255 | 2.7× |
| Artery X-Rays Spine (75705) | $18,714 | $18,714 | 3.5× |
| Arthrogram ankle (73615) | $1,703 | $1,703 | 5.1× |
| Arthrogram hip (73525) range across 3 matching MRF lines |
$1,703–$1,977 | $1,703–$1,977 | varies |
| Arthrogram Wrist (73115) | $1,703 | $1,703 | 5.1× |
| Basic radiation dosimetry calculation (77300) | $416 | $416 | 3.2× |
| Bone age studies (77072) | $927 | $927 | 9.2× |
| Bone Imaging 3 Phase (78315) | $5,278 | $5,278 | 13.7× |
| Bone Imaging Limited Area (78300) | $4,671 | $4,671 | 12.1× |
| Bone Imaging Whole Body (78306) | $6,028 | $6,028 | 15.7× |
| Bone marrow imaging limited area (78102) | $2,784 | $2,784 | 7.2× |
| Bone marrow imaging; multiple areas (78103) | $4,717 | $4,717 | 12.3× |
| Bone marrow imaging; whole body (78104) | $966 | $966 | 2.5× |
| Bone survey infant (77076) | $1,072 | $1,072 | 10.6× |
| Brachytx isodose complex (77318) | $1,074 | $1,074 | 3.0× |
| Brachytx isodose intermed (77317) | $1,074 | $1,074 | 3.0× |
| Brachytx Isodose Plan Simple (77316) | $1,074 | $1,074 | 3.0× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $775 | $775 | 1.5× |
| Brain Imaging Minimum 4 Static Views (78605) | $1,745 | $1,745 | 3.3× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $22,909 | $22,909 | 16.6× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $16,192 | $16,192 | 48.2× |
| Cat Scan Follow-Up Study (76380) range across 2 matching MRF lines |
$294–$1,326 | $294–$1,326 | varies |
| Cerebrospinal fluid flow, imaging (not including introduction of material); ventriculography Non-Facility (78635) | $2,222 | $2,222 | 4.2× |
| Cerebrospinal Fluid Scan (78630) | $3,945 | $3,945 | 7.5× |
| Chest 1 view (71045) | $248 | $248 | 3.0× |
| Chest 2 views (71046) | $802 | $802 | 9.6× |
| Chest 3 views (71047) | $1,189 | $1,189 | 14.2× |
| Chest 4 or more views (71048) | $1,551 | $1,551 | 15.4× |
| Cisternography Positive Contrast Rs&I (70015) | $1,341 | $1,341 | 1.8× |
| Clavicle complete (73000) range across 3 matching MRF lines |
$752–$1,282 | $752–$1,282 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $381 | $381 | 3.8× |
| Continuing medical physics consltj pr wk (77336) | $416 | $416 | 3.2× |
| Contrast Exam Abdominl Aorta (75625) | $12,522 | $12,522 | 4.1× |
| Contrast X-Ray Bladder (74430) | $1,120 | $1,120 | 3.3× |
| Contrast X-Ray Of Elbow (73085) | $2,172 | $2,172 | 6.5× |
| Contrast X-Ray Of Knee Joint (73580) | $2,001 | $2,001 | 6.0× |
| CT abdomen and pelvis without and with contrast (74178) | $8,501 | $8,501 | 25.3× |
| CT abdomen and pelvis without contrast (74176) | $4,594 | $4,594 | 20.0× |
| CT abdomen w contrast (74160) | $5,488 | $5,488 | 32.5× |
| CT abdomen w wo contrast (74170) | $8,501 | $8,501 | 50.3× |
| CT abdomen w/o contrast (74150) | $4,594 | $4,594 | 45.6× |
| CT Angio Abdomen and Pelvis (74174) | $4,655 | $4,655 | 13.9× |
| CT Angio Chest (71275) | $3,102 | $3,102 | 18.4× |
| CT Angio Head (70496) | $3,102 | $3,102 | 18.4× |
| CT angio hrt w/3d image (75574) | $5,488 | $5,488 | 16.3× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $3,102 | $3,102 | 18.4× |
| CT Angio Neck (70498) | $3,102 | $3,102 | 18.4× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 3 matching MRF lines |
$3,102–$4,228 | $3,102–$4,228 | varies |
| CT cervical spine w/ contrast (72126) | $7,407 | $7,407 | 22.0× |
| CT cervical spine w/o contrast (72125) | $6,422 | $6,422 | 63.8× |
| CT cervical spine w/wo cont (72127) | $8,867 | $8,867 | 52.5× |
| CT chest w contrast (71260) | $6,679 | $6,679 | 39.5× |
| CT chest w/wo contrast (71270) | $7,660 | $7,660 | 45.3× |
| CT head/brain with contrast (70460) | $7,407 | $7,407 | 43.8× |
| CT head/brain without and with contrast (70470) | $8,501 | $8,501 | 50.3× |
| CT heart contrast eval cardiac structure&morph (75572) | $2,564 | $2,564 | 7.6× |
| CT heart no contrast quant eval coronry calcium (75571) | $405 | $405 | 4.8× |
| CT hrt w/3d image congen (75573) | $2,144 | $2,144 | 6.4× |
| CT iac w contrast (70481) | $6,734 | $6,734 | 39.9× |
| CT l-spine w&w/o contrast (72133) | $8,867 | $8,867 | 52.5× |
| CT lower ext w/o (73700) range across 3 matching MRF lines |
$6,422–$7,728 | $6,422–$7,728 | varies |
| CT lower extremity w/contrast material (73701) range across 3 matching MRF lines |
$6,828–$8,136 | $6,828–$8,136 | varies |
| CT lumbar spine w contrast (72132) | $7,407 | $7,407 | 22.0× |
| CT lumbar spine w/o contrast (72131) | $6,422 | $6,422 | 63.8× |
| CT maxillofacial w contrast (70487) | $6,734 | $6,734 | 39.9× |
| CT maxillofacial wo contrast (70486) | $6,422 | $6,422 | 63.8× |
| CT neck tissue combo (70492) | $8,501 | $8,501 | 50.3× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $8,501 | $8,501 | 50.3× |
| CT orbits w/o contrast (70480) | $2,070 | $2,070 | 20.6× |
| CT pelvis w&w/o contrast (72194) | $7,728 | $7,728 | 45.7× |
| CT pelvis w/o contrast (72192) | $4,594 | $4,594 | 45.6× |
| CT scan of leg combo (73702) | $7,726 | $7,726 | 45.7× |
| CT scans face/jaw combo (70488) | $7,728 | $7,728 | 45.7× |
| CT soft tissue neck w contrast (70491) | $7,407 | $7,407 | 43.8× |
| CT soft tissue neck w/o contrast (70490) | $6,422 | $6,422 | 63.8× |
| CT thoracic spine w contrast (72129) | $7,407 | $7,407 | 43.8× |
| CT thoracic spine w/o contrast (72128) | $5,835 | $5,835 | 58.0× |
| CT thoracic spine w/wo cont (72130) | $8,867 | $8,867 | 52.5× |
| CT thorax w/o contrast (71250) | $7,061 | $7,061 | 70.1× |
| CT upper ext wo (73200) range across 3 matching MRF lines |
$6,422–$10,913 | $6,422–$10,913 | varies |
| CT upper extremity w/o & w/contrast material (73202) | $7,691 | $7,691 | 45.5× |
| CT upper extremity with contrast (73201) | $6,631 | $6,631 | 19.7× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $3,102 | $3,102 | 18.4× |
| Cta Abdomen (74175) | $3,102 | $3,102 | 18.4× |
| CTA pelvis (72191) | $3,102 | $3,102 | 18.4× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) | $2,981 | $2,981 | 29.6× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $2,981 | $2,981 | 29.6× |
| Doppler Fetal Mid Cerebral Artery (76821) | $1,767 | $1,767 | 17.6× |
| Dxa Bone Density Axial (77080) | $1,722 | $1,722 | 17.1× |
| Echo exam of fetal heart (76825) | $5,026 | $5,026 | 9.6× |
| Echo exam uterus (76831) | $1,356 | $1,356 | 5.9× |
| Echo Guide For Artery Repair (76936) | $4,654 | $4,654 | 22.4× |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) | $2,516 | $2,516 | 10.9× |
| Esophagram (74220) | $1,484 | $1,484 | 8.8× |
| Fetal Biophys Profile W/Nst (76818) | $2,138 | $2,138 | 21.2× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $1,848 | $1,848 | 18.4× |
| Fluoroscopy up to 1 hr (76000) range across 3 matching MRF lines |
$1,380–$2,016 | $1,380–$2,016 | varies |
| Follow-Up Angiography (75898) | $3,414 | $3,414 | 1.1× |
| Foot 2 views (73620) range across 3 matching MRF lines |
$729–$1,228 | $729–$1,228 | varies |
| Forearm 2 views (73090) range across 3 matching MRF lines |
$771–$1,628 | $771–$1,628 | varies |
| Gastric emptying imaging study (78264) | $5,501 | $5,501 | 14.3× |
| Gated Heart Planar Single (78472) | $3,881 | $3,881 | 10.1× |
| Hand 2 views (73120) range across 3 matching MRF lines |
$752–$1,504 | $752–$1,504 | varies |
| Hdr Rdncl Ntrstl/Icav Brchtx (77772) | $2,373 | $2,373 | 3.5× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) | $2,373 | $2,373 | 3.5× |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) | $2,373 | $2,373 | 3.5× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $12,522 | $12,522 | 4.1× |
| Hepatobil Syst Image W/Drug (78227) | $1,100 | $1,100 | 2.1× |
| Hepatobiliary System Imaging (78226) | $1,100 | $1,100 | 2.9× |
| Ht Musc Image Planar Mult (78454) | $4,333 | $4,333 | 3.5× |
| Ht Muscle Image Spect Sing (78451) | $4,354 | $4,354 | 3.5× |
| Hysterosalpingogram (74740) | $1,580 | $1,580 | 6.9× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $1,922 | $1,922 | 22.9× |
| Infant hip ultrasound, limited static exam (76886) | $1,858 | $1,858 | 22.2× |
| Interstitial radiation source applic complex (77778) range across 2 matching MRF lines |
$2,373–$4,161 | $2,373–$4,161 | varies |
| Intracavitary Radiation Source Applic Complex (77763) | $2,373 | $2,373 | 3.5× |
| Intracavitary Radiation Source Applic Intermed (77762) | $1,738 | $1,738 | 3.3× |
| Intracavitary radiation source applic simple (77761) | $1,738 | $1,738 | 3.3× |
| K Flow/Funct Image W/Drug (78708) | $2,083 | $2,083 | 4.0× |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$541–$1,072 | $541–$1,072 | varies |
| Leveen/Shunt Patency Exam (78291) | $1,306 | $1,306 | 3.4× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $1,849 | $1,849 | 4.8× |
| Lung Perf&Ventilat Diferentl (78598) | $1,187 | $1,187 | 2.3× |
| Lung perfusion differential (78597) | $759 | $759 | 2.0× |
| Lung Ventilat&Perfus Imaging (78582) | $1,187 | $1,187 | 2.3× |
| Lung Ventilation Imaging (78579) | $759 | $759 | 2.0× |
| Lymph System Imaging (78195) | $3,255 | $3,255 | 6.2× |
| Magnetic Image Jaw Joint (70336) | $11,821 | $11,821 | 51.4× |
| Meckels Divert Exam (78290) | $1,664 | $1,664 | 4.3× |
| Mlc imrt design & construction per imrt plan (77338) | $1,074 | $1,074 | 3.0× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $44 | $44 | 1.6× |
| Mra Head W/O & W/Contrast Material (70546) | $10,464 | $10,464 | 31.1× |
| MRA head w/o contrast (70544) | $8,644 | $8,644 | 37.6× |
| Mra Neck W/O &W/Contrast Material (70549) | $17,285 | $17,285 | 51.4× |
| MRA neck w/o contrast (70547) | $11,810 | $11,810 | 51.4× |
| MRI abdomen w/o contrast (74181) | $10,460 | $10,460 | 45.5× |
| MRI any jt lower extrem w/contrast material (73722) | $11,244 | $11,244 | 14.9× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $8,649 | $8,649 | 25.7× |
| MRI any jt upper extremity w/contrast matrl (73222) | $11,244 | $11,244 | 14.9× |
| MRI Breast W/O Contrast Bilateral (77047) | $1,826 | $1,826 | 7.9× |
| MRI Breast Without Contrast Material Unilateral (77046) | $1,826 | $1,826 | 7.9× |
| MRI cardiac w/o contrast (75557) | $10,943 | $10,943 | 47.6× |
| MRI cervical spine w/o cont (72141) | $10,460 | $10,460 | 45.5× |
| MRI chest w/o contrast (71550) | $11,821 | $11,821 | 51.4× |
| MRI chest wo w contrast (71552) | $11,821 | $11,821 | 35.2× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $10,548 | $10,548 | 31.4× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 3 matching MRF lines |
$11,821–$12,725 | $11,821–$12,725 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $10,548 | $10,548 | 45.9× |
| Mri Neck Spine W/O & W/Dye (72156) | $16,676 | $16,676 | 49.6× |
| MRI orbit face &/neck w/o contrast (70540) | $11,821 | $11,821 | 51.4× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $17,285 | $17,285 | 51.4× |
| MRI pelvis w contrast (72196) | $12,725 | $12,725 | 37.9× |
| MRI pelvis w/o & w contrast (72197) | $12,725 | $12,725 | 37.9× |
| MRI pelvis w/o contrast (72195) | $11,821 | $11,821 | 51.4× |
| MRI spectroscopy (76390) | $3,385 | $3,385 | 40.4× |
| MRI thoracic spine w/o contrast (72146) | $10,742 | $10,742 | 46.7× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $12,725 | $12,725 | 37.9× |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 3 matching MRF lines |
$1,826–$11,821 | $1,826–$11,821 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 3 matching MRF lines |
$11,821–$12,725 | $11,821–$12,725 | varies |
| MRI, abdomen, combo (74183) | $17,362 | $17,362 | 51.7× |
| MRI, dorsal spine combo (72157) | $11,821 | $11,821 | 35.2× |
| MRI, joint upper extrem (73221) range across 3 matching MRF lines |
$11,821–$12,625 | $11,821–$12,625 | varies |
| MRI, joint upper extrem combo (73223) | $10,203 | $10,203 | 30.4× |
| MRI, lumbar spine combo (72158) | $10,460 | $10,460 | 31.1× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $3,138 | $3,138 | 2.5× |
| Myocardial Spect Multiple Studies (78452) | $5,920 | $5,920 | 4.7× |
| Myocrd Img Pet Prfuj Mlt Std Rst&Strs Cncrnt CT (78431) | $3,431 | $3,431 | 1.6× |
| Myocrd Img Pet Prfuj W/Metab Dual Radiotracer (78432) | $4,194 | $4,194 | 2.9× |
| N-invas est c ffr sw aly CTA (75580) | $1,786 | $1,786 | 2.2× |
| Neck soft tissue (70360) | $1,082 | $1,082 | 12.9× |
| Nfs/Instlj Radioelmnt Sln 3 Mo Follow-Up Care (77750) | $730 | $730 | 2.0× |
| Nonvascular Shunt X-Ray (75809) | $822 | $822 | 8.2× |
| Ntsty modul radthx pln dose-vol histos (77301) | $3,944 | $3,944 | 3.0× |
| Nuclear Rx Intra-Arterial (79445) | $480 | $480 | 2.1× |
| Nuclear Rx Oral Admin (79005) | $1,463 | $1,463 | 6.5× |
| Ob us nuchal meas 1 gest (76813) | $1,767 | $1,767 | 17.6× |
| Panoramic X-ray of jaws (70355) | $771 | $771 | 9.2× |
| Parathyroid Planar Imaging (78070) | $2,963 | $2,963 | 7.7× |
| Pelvis 1 or 2 views (72170) | $689 | $689 | 6.8× |
| Peritoneogram Rs&I (74190) | $4,204 | $4,204 | 8.0× |
| Pet Image W/Ct Lmtd (78814) range across 2 matching MRF lines |
$16,466–$22,909 | $16,466–$22,909 | varies |
| PET image w/CT, full body (78816) | $22,909 | $22,909 | 16.6× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $22,909 | $22,909 | 16.6× |
| Pulmonary Perfusion Imaging Particulate (78580) | $2,112 | $2,112 | 5.5× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $1,104 | $1,104 | 11.0× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $2,430 | $2,430 | 4.6× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$1,012–$2,014 | $1,012–$2,014 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$729–$1,237 | $729–$1,237 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$1,104–$1,872 | $1,104–$1,872 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $1,153 | $1,153 | 11.5× |
| Radex fingr minimum 2 views (73140) range across 3 matching MRF lines |
$578–$978 | $578–$978 | varies |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$710–$1,062 | $710–$1,062 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$1,072–$2,147 | $1,072–$2,147 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 3 matching MRF lines |
$575–$976 | $575–$976 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $1,585 | $1,585 | 15.7× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $1,068 | $1,068 | 12.7× |
| Radex Ribs Unilateral 2 Views (71100) | $847 | $847 | 10.1× |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$836–$1,425 | $836–$1,425 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $771 | $771 | 9.2× |
| Radex Spine 1 View Specify Level (72020) | $593 | $593 | 7.1× |
| Radex Sternum Minimum 2 Views (71120) | $643 | $643 | 7.7× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $2,890 | $2,890 | 34.5× |
| Radex Toe Minimum 2 Views (73660) range across 3 matching MRF lines |
$578–$978 | $578–$978 | varies |
| Radex upper extremity infant minimum 2 views (73092) | $575 | $575 | 5.7× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$1,012–$2,022 | $1,012–$2,022 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $1,434 | $1,434 | 14.2× |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $25,144 | $25,144 | 3.5× |
| Radiation treatment delivery level 1 (77402) | $414 | $414 | 4.2× |
| Radiation treatment delivery level 2 (77407) | $414 | $414 | 1.1× |
| Radiation treatment delivery level 3 (77412) | $730 | $730 | 1.4× |
| Radiolog exam mandible compl minimum 4 views (70110) | $1,433 | $1,433 | 14.2× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $1,497 | $1,497 | 14.9× |
| Radiologic exam colon double contrast study (74280) | $3,263 | $3,263 | 19.3× |
| Radiologic exam colon single contrast study (74270) | $2,168 | $2,168 | 12.8× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $465 | $465 | 2.8× |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$1,209–$2,419 | $1,209–$2,419 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $1,068 | $1,068 | 10.6× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $2,042 | $2,042 | 12.1× |
| Radiologic exam swallow function contrast study (74230) | $1,766 | $1,766 | 10.5× |
| Radiologic exam upr gi trc double contrast study (74246) | $2,701 | $2,701 | 16.0× |
| Radiologic examination femur 1 view (73551) | $194 | $194 | 2.3× |
| Radiologic examination femur minimum 2 views (73552) | $771 | $771 | 9.2× |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$771–$1,525 | $771–$1,525 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $1,669 | $1,669 | 16.6× |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$836–$1,604 | $836–$1,604 | varies |
| Radiologic examination, internal auditory meati, complete Non-Facility (70134) | $1,027 | $1,027 | 2.0× |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77767) | $730 | $730 | 2.0× |
| Ribs bilateral 3 views (71110) | $1,108 | $1,108 | 11.0× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $3,528 | $3,528 | 9.2× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $3,133 | $3,133 | 8.1× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $4,413 | $4,413 | 8.4× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $3,007 | $3,007 | 5.8× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $3,528 | $3,528 | 6.7× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) range across 2 matching MRF lines |
$2,309–$4,085 | $2,309–$4,085 | varies |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) range across 2 matching MRF lines |
$2,619–$4,993 | $2,619–$4,993 | varies |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $2,309 | $2,309 | 1.9× |
| Rp Therapy Intravenous Administration (79101) | $2,148 | $2,148 | 9.6× |
| Scapula (73010) range across 3 matching MRF lines |
$771–$1,309 | $771–$1,309 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $172 | $172 | 7.4× |
| Shoulder 1 view (73020) range across 3 matching MRF lines |
$697–$1,177 | $697–$1,177 | varies |
| Shoulder Arthrography (73040) range across 3 matching MRF lines |
$1,825–$3,108 | $1,825–$3,108 | varies |
| Skull less than 4 views (70250) | $771 | $771 | 7.7× |
| Special dosimetry (77331) | $416 | $416 | 3.2× |
| Special Physics Consult (77370) | $416 | $416 | 3.2× |
| Special teletherapy port plan (77321) | $1,074 | $1,074 | 3.0× |
| Special treatment procedure (77470) | $1,738 | $1,738 | 3.3× |
| Stereotactic Body Radiation Delivery (77373) | $5,575 | $5,575 | 3.2× |
| Sternoclavicular joints (71130) | $1,012 | $1,012 | 12.1× |
| Superior sagittal sinus venogram (75870) | $2,503 | $2,503 | 0.8× |
| Surface Applic Low Dose Rate Radionuclide Source (77789) | $414 | $414 | 4.2× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $1,074 | $1,074 | 3.0× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $1,074 | $1,074 | 3.0× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $1,074 | $1,074 | 3.0× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $1,074 | $1,074 | 3.0× |
| Ther rad simulaj-aided field setting simple (77280) | $416 | $416 | 3.2× |
| Thoracic spine 2 views (72070) | $1,104 | $1,104 | 11.0× |
| Thoracolumbar 2 views (72080) | $711 | $711 | 8.5× |
| Thyroid Imaging With Vascular Flow (78013) | $2,944 | $2,944 | 7.6× |
| Thyroid Met Imaging Body (78018) | $2,187 | $2,187 | 4.2× |
| Thyroid Uptake Measurement (78012) | $795 | $795 | 2.1× |
| Tx Devices Design & Construction Complex (77334) | $1,074 | $1,074 | 3.0× |
| Tx devices design & construction intermediate (77333) | $416 | $416 | 3.2× |
| Tx devices design & construction simple (77332) | $416 | $416 | 3.2× |
| Ultrasound Breast Limited (76642) | $1,561 | $1,561 | 18.6× |
| Ultrasound elastography first target lesion (76982) | $173 | $173 | 1.7× |
| Ultrasound Elastography Parenchyma (76981) | $173 | $173 | 1.7× |
| Ultrasound Exam Aaa Screen (76706) | $316 | $316 | 3.1× |
| Ultrasound, abdomen limited (76705) | $1,510 | $1,510 | 15.0× |
| Umbilical-artery Doppler (OB) (76820) | $1,767 | $1,767 | 17.6× |
| Upper gi w/o kub (74240) | $2,014 | $2,014 | 11.9× |
| Urethrocystogram voiding (74455) | $1,433 | $1,433 | 6.2× |
| Urethrocystography retrograde (74450) | $1,433 | $1,433 | 6.2× |
| Us breast unilateral complete (76641) | $1,561 | $1,561 | 15.5× |
| Us chest (76604) | $836 | $836 | 8.3× |
| Us complete joint (76881) range across 2 matching MRF lines |
$1,609–$1,710 | $1,609–$1,710 | varies |
| Us exam, pelvic, limited (76857) | $1,710 | $1,710 | 17.0× |
| Us head (76506) | $1,038 | $1,038 | 10.3× |
| Us kidney transplant (76776) | $1,484 | $1,484 | 14.7× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $1,609 | $1,609 | 16.0× |
| Us ob detailed single fetus (76811) range across 2 matching MRF lines |
$3,318–$3,334 | $3,318–$3,334 | varies |
| Us ob limited 1 or more fetuses (76815) | $458 | $458 | 4.5× |
| Us ob transvaginal (76817) | $1,297 | $1,297 | 12.9× |
| Us pelvic non ob complete (76856) | $2,509 | $2,509 | 24.9× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $1,676 | $1,676 | 16.6× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $1,676 | $1,676 | 16.6× |
| Us retroperitoneal complete (76770) | $1,890 | $1,890 | 18.8× |
| Us retroperitoneal limited (76775) | $1,847 | $1,847 | 18.3× |
| Us scrotum and contents (76870) | $1,710 | $1,710 | 17.0× |
| Us spinal canal and contents (76800) | $928 | $928 | 9.2× |
| Us thyroid (76536) | $1,561 | $1,561 | 15.5× |
| Vein X-Ray Chest (75827) | $5,222 | $5,222 | 3.4× |
| Venogram Sinus/Jugular (75860) | $4,614 | $4,614 | 1.5× |
| Venography caval inferior serialography rs&i (75825) | $14,255 | $14,255 | 4.7× |
| Venography extremity bilateral rs&i (75822) range across 2 matching MRF lines |
$4,374–$6,924 | $4,374–$6,924 | varies |
| Venography extremity unilateral rs&i (75820) | $4,614 | $4,614 | 3.0× |
| Venography Renal Unilateral (75831) | $14,255 | $14,255 | 4.7× |
| Venous sampling by catheter (75893) | $12,333 | $12,333 | 2.3× |
| Wrist 2 views (73100) | $1,012 | $1,012 | 12.1× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $1,012 | $1,012 | 12.1× |
| X-ray antegrade pyelogram tube (74425) | $1,457 | $1,457 | 4.3× |
| X-Ray Aorta Leg Arteries (75630) | $14,255 | $14,255 | 4.7× |
| X-Ray Bend Only L-S Spine (72120) | $1,598 | $1,598 | 15.9× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$771–$1,309 | $771–$1,309 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) | $593 | $593 | 7.1× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $1,082 | $1,082 | 10.7× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $1,434 | $1,434 | 14.2× |
| X-Ray Exam Hip Uni 1 View (73501) | $748 | $748 | 8.9× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $1,068 | $1,068 | 12.7× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $1,068 | $1,068 | 10.6× |
| X-Ray Exam Hips Bi 2 Views (73521) | $1,068 | $1,068 | 10.6× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $1,068 | $1,068 | 10.6× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $1,433 | $1,433 | 14.2× |
| X-Ray Exam L-S Spine Bending (72114) | $1,598 | $1,598 | 15.9× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $1,082 | $1,082 | 12.9× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $1,434 | $1,434 | 14.2× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $1,104 | $1,104 | 11.0× |
| X-ray eye for foreign body (70030) | $1,104 | $1,104 | 13.2× |
| X-ray humerus (73060) range across 3 matching MRF lines |
$771–$1,309 | $771–$1,309 | varies |
| X-ray IV pyelogram (ivp) (74400) | $1,865 | $1,865 | 11.0× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $1,091 | $1,091 | 13.0× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $1,525 | $1,525 | 18.2× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $1,082 | $1,082 | 10.7× |
| X-ray nose-rectum child f.b. (76010) | $541 | $541 | 6.5× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $1,207 | $1,207 | 12.0× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $1,252 | $1,252 | 12.4× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$906–$997 | $906–$997 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $1,129 | $1,129 | 13.5× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $1,496 | $1,496 | 14.9× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $1,433 | $1,433 | 4.3× |
| X-Rays Bone Length Studies (77073) | $259 | $259 | 2.6× |
| X-Rays Bone Survey Complete (77075) | $2,199 | $2,199 | 21.8× |
| Xr c-spine 4 or 5 views (72050) | $1,434 | $1,434 | 14.2× |
| Xr facial bones less than 3 views (70140) | $877 | $877 | 10.5× |
| Xr orbits complete 4 views (70200) | $1,104 | $1,104 | 11.0× |
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.