Imaging prices at Grandview Medical Center
Birmingham, AL · every code in this section with a posted price and a Medicare benchmark.
343 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) | $3,068.25 | $20,455 | 2.4× |
| Abdomen 1 View (74018) range across 3 matching MRF lines |
$210.15–$233.25 | $1,401–$1,555 | varies |
| Abdomen 2 views (74019) range across 3 matching MRF lines |
$193.20–$233.25 | $1,288–$1,555 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,300.20 | $8,668 | 3.6× |
| Angio pulmonary bilat (75743) | $2,636.25 | $17,575 | 0.9× |
| Angiography extremity bilateral rs&i (75716) range across 2 matching MRF lines |
$2,599.05–$2,636.25 | $17,327–$17,575 | varies |
| Angiography extremity unilateral rs&i (75710) range across 2 matching MRF lines |
$2,599.05–$2,636.25 | $17,327–$17,575 | varies |
| Angiography pulmonary unilateral slctv rs&i (75741) | $1,318.20 | $8,788 | 0.5× |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$209.55–$419.55 | $1,397–$2,797 | varies |
| Artery X-Rays Abdomen (75726) range across 2 matching MRF lines |
$2,599.05–$3,863.55 | $17,327–$25,757 | varies |
| Artery X-Rays Pelvis (75736) | $3,340.50 | $22,270 | 0.7× |
| Artery X-Rays Spine (75705) | $2,590.65 | $17,271 | 0.5× |
| Arthrogram ankle (73615) | $409.50 | $2,730 | 1.3× |
| Arthrogram hip (73525) | $502.65 | $3,351 | 1.6× |
| Arthrogram Wrist (73115) | $409.50 | $2,730 | 1.3× |
| Basic radiation dosimetry calculation (77300) | $380.25 | $2,535 | 3.1× |
| Bone age studies (77072) range across 2 matching MRF lines |
$124.05–$196.65 | $827–$1,311 | varies |
| Bone Imaging 3 Phase (78315) | $1,304.25 | $8,695 | 3.6× |
| Bone Imaging Limited Area (78300) | $1,304.25 | $8,695 | 3.6× |
| Bone Imaging Multiple Areas (78305) | $1,304.25 | $8,695 | 3.6× |
| Bone Imaging Whole Body (78306) | $1,304.25 | $8,695 | 3.6× |
| Bone marrow imaging limited area (78102) | $1,304.25 | $8,695 | 3.6× |
| Bone survey infant (77076) range across 2 matching MRF lines |
$214.05–$239.10 | $1,427–$1,594 | varies |
| Brachytx isodose complex (77318) | $1,263.15 | $8,421 | 3.7× |
| Brachytx isodose intermed (77317) | $1,108.65 | $7,391 | 3.2× |
| Brachytx Isodose Plan Simple (77316) | $372.15 | $2,481 | 1.1× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $3,011.40 | $20,076 | 2.3× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $2,068.95 | $13,793 | 6.5× |
| Cardiac MRI w/w/o contrast w/stress (75563) | $2,586.30 | $17,242 | 3.6× |
| Cat Scan Follow-Up Study (76380) | $559.50 | $3,730 | 7.0× |
| Cerebrospinal Fluid Scan (78630) | $2,161.95 | $14,413 | 4.4× |
| Chest 1 view (71045) range across 2 matching MRF lines |
$237.75–$264 | $1,585–$1,760 | varies |
| Chest 2 views (71046) range across 3 matching MRF lines |
$237.75–$264 | $1,585–$1,760 | varies |
| Chest 3 views (71047) | $35.55 | $237 | 0.4× |
| Chest 4 or more views (71048) | $240 | $1,600 | 2.5× |
| Chg us nrv&acc strux 1 xtr compre w/img pr extremity (76883) | $242.10 | $1,614 | 2.5× |
| Clavicle complete (73000) range across 4 matching MRF lines |
$209.55–$419.55 | $1,397–$2,797 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $258.75 | $1,725 | 2.7× |
| Continuing medical physics consltj pr wk (77336) | $276.75 | $1,845 | 2.3× |
| Contrast Exam Abdominl Aorta (75625) range across 2 matching MRF lines |
$2,602.95–$2,640.15 | $17,353–$17,601 | varies |
| Contrast X-Ray Bladder (74430) | $787.65 | $5,251 | 2.5× |
| Contrast X-Ray Of Elbow (73085) | $409.50 | $2,730 | 1.3× |
| Contrast X-Ray Of Knee Joint (73580) range across 2 matching MRF lines |
$379.50–$409.50 | $2,530–$2,730 | varies |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$5,644.35–$6,150 | $37,629–$41,000 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$3,324.15–$3,622.05 | $22,161–$24,147 | varies |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$2,404.95–$2,621.25 | $16,033–$17,475 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$2,821.95–$3,075.90 | $18,813–$20,506 | varies |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$1,662.30–$1,811.25 | $11,082–$12,075 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$6,123.45–$6,672.90 | $40,823–$44,486 | varies |
| CT Angio Chest (71275) range across 3 matching MRF lines |
$2,656.05–$3,140.25 | $17,707–$20,935 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$2,881.80–$3,140.25 | $19,212–$20,935 | varies |
| CT angio hrt w/3d image (75574) | $2,403 | $16,020 | 7.5× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
$2,517.90–$5,036.10 | $16,786–$33,574 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$2,881.80–$3,140.25 | $19,212–$20,935 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 2 matching MRF lines |
$2,515.35–$5,031 | $16,769–$33,540 | varies |
| CT Cere Prfuj Alys C+ W/O CT/Cta Same Anatomy (70473) | $2,881.80 | $19,212 | 18.0× |
| CT cervical spine w/ contrast (72126) range across 2 matching MRF lines |
$2,546.25–$2,775.60 | $16,975–$18,504 | varies |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$1,760.25–$1,918.05 | $11,735–$12,787 | varies |
| CT cervical spine w/wo cont (72127) range across 2 matching MRF lines |
$2,988–$3,320.25 | $19,920–$22,135 | varies |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$2,263.20–$2,467.05 | $15,088–$16,447 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$2,656.05–$2,895 | $17,707–$19,300 | varies |
| CT colonogrphy dx image postprocess w/o contrast (74261) | $727.05 | $4,847 | 7.6× |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$2,581.95–$2,814.15 | $17,213–$18,761 | varies |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$2,821.95–$3,075.90 | $18,813–$20,506 | varies |
| CT heart contrast eval cardiac structure&morph (75572) | $276.75 | $1,845 | 0.9× |
| CT heart no contrast quant eval coronry calcium (75571) | $423.60 | $2,824 | 5.3× |
| CT hrt w/3d image congen (75573) | $2,594.85 | $17,299 | 8.1× |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$2,314.65–$2,775.60 | $15,431–$18,504 | varies |
| CT l-spine w&w/o contrast (72133) range across 2 matching MRF lines |
$2,988–$3,256.95 | $19,920–$21,713 | varies |
| CT lower ext w/o (73700) range across 4 matching MRF lines |
$1,468.05–$3,199.05 | $9,787–$21,327 | varies |
| CT lower extremity w/contrast material (73701) range across 3 matching MRF lines |
$2,123.85–$4,248 | $14,159–$28,320 | varies |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$2,546.25–$2,775.60 | $16,975–$18,504 | varies |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$1,760.25–$1,918.05 | $11,735–$12,787 | varies |
| CT maxillofacial w contrast (70487) range across 3 matching MRF lines |
$2,618.10–$2,979.30 | $17,454–$19,862 | varies |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$1,760.25–$1,918.05 | $11,735–$12,787 | varies |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$2,656.05–$2,895 | $17,707–$19,300 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 2 matching MRF lines |
$2,988–$3,256.95 | $19,920–$21,713 | varies |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$1,760.25–$1,918.05 | $11,735–$12,787 | varies |
| CT pelvis w&w/o contrast (72194) range across 2 matching MRF lines |
$2,490.15–$2,714.10 | $16,601–$18,094 | varies |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$1,466.70–$1,598.25 | $9,778–$10,655 | varies |
| CT scan of leg combo (73702) range across 4 matching MRF lines |
$333.90–$2,361.75 | $2,226–$15,745 | varies |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
$3,209.40–$3,497.40 | $21,396–$23,316 | varies |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$2,263.20–$2,467.05 | $15,088–$16,447 | varies |
| CT soft tissue neck w/o contrast (70490) range across 3 matching MRF lines |
$1,564.50–$2,467.05 | $10,430–$16,447 | varies |
| CT thoracic spine w contrast (72129) range across 2 matching MRF lines |
$2,121.75–$2,312.85 | $14,145–$15,419 | varies |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$1,466.70–$1,598.25 | $9,778–$10,655 | varies |
| CT thoracic spine w/wo cont (72130) | $3,618.60 | $24,124 | 22.6× |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$1,564.50–$1,704.60 | $10,430–$11,364 | varies |
| CT upper ext wo (73200) range across 3 matching MRF lines |
$1,466.70–$3,195.75 | $9,778–$21,305 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 2 matching MRF lines |
$2,490.15–$2,714.10 | $16,601–$18,094 | varies |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$2,121.75–$2,312.85 | $14,145–$15,419 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $2,850.60 | $19,004 | 17.8× |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$3,062.10–$3,336.60 | $20,414–$22,244 | varies |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $5,016.45 | $33,443 | 15.7× |
| CTA pelvis (72191) range across 2 matching MRF lines |
$3,242.40–$3,532.80 | $21,616–$23,552 | varies |
| Dilation ureters/urethra rs&i (74485) | $1,029.90 | $6,866 | 0.5× |
| Dxa Bone Density Axial (77080) | $343.35 | $2,289 | 3.6× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $153.15 | $1,021 | 1.9× |
| Echo Guide For Artery Repair (76936) | $725.10 | $4,834 | 3.7× |
| Esophagram (74220) | $416.40 | $2,776 | 2.6× |
| Fetal Biophys Profile W/Nst (76818) | $445.35 | $2,969 | 4.7× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $445.35 | $2,969 | 4.7× |
| Fluoroscopy up to 1 hr (76000) range across 3 matching MRF lines |
$399.75–$679.35 | $2,665–$4,529 | varies |
| Follow-Up Angiography (75898) range across 2 matching MRF lines |
$263.25–$771.60 | $1,755–$5,144 | varies |
| Foot 2 views (73620) range across 4 matching MRF lines |
$209.55–$419.55 | $1,397–$2,797 | varies |
| Forearm 2 views (73090) range across 3 matching MRF lines |
$209.55–$419.55 | $1,397–$2,797 | varies |
| Gastric emptying imaging study (78264) | $1,300.20 | $8,668 | 3.6× |
| Gated Heart Planar Single (78472) | $1,191.75 | $7,945 | 3.3× |
| Hand 2 views (73120) range across 4 matching MRF lines |
$209.55–$419.55 | $1,397–$2,797 | varies |
| Hdr Rdncl Ntrstl/Icav Brchtx (77772) | $1,969.65 | $13,131 | 3.1× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) | $1,629.60 | $10,864 | 2.6× |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) | $1,373.70 | $9,158 | 2.2× |
| Heart Image (Pet) Multiple (78492) | $3,991.20 | $26,608 | 3.1× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $1,373.40 | $9,156 | 0.5× |
| Hepatobil Syst Image W/Drug (78227) | $1,531.05 | $10,207 | 3.1× |
| Hepatobiliary System Imaging (78226) | $1,531.05 | $10,207 | 4.2× |
| Ht Musc Image Planar Mult (78454) | $4,065.60 | $27,104 | 3.4× |
| Ht Muscle Image Spect Sing (78451) | $4,065.60 | $27,104 | 3.4× |
| Hysterosalpingogram (74740) | $309 | $2,060 | 1.4× |
| Image fusion (77399) | $226.80 | $1,512 | 1.8× |
| Infusion Ivp (74410) | $874.80 | $5,832 | 5.5× |
| Interstitial radiation source applic complex (77778) | $3,877.05 | $25,847 | 6.1× |
| Intraop radiaj tx deliver xray single tx session (77424) likely a partial charge, not the full procedure |
$1,233.30 | $8,222 | 0.2× |
| K Flow/Funct Image W/Drug (78708) | $1,596.75 | $10,645 | 3.2× |
| K Flow/Funct Image W/O Drug (78707) | $1,744.35 | $11,629 | 3.5× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $1,744.35 | $11,629 | 4.8× |
| Knee 3 Views (73562) range across 4 matching MRF lines |
$209.55–$419.55 | $1,397–$2,797 | varies |
| Liver & Spleen Imaging Static Only (78215) | $1,531.05 | $10,207 | 4.2× |
| Liver imaging w/vascular flow (78202) | $1,531.05 | $10,207 | 3.1× |
| Lung Ventilat&Perfus Imaging (78582) | $1,699.35 | $11,329 | 3.4× |
| Lung Ventilation Imaging (78579) | $1,165.05 | $7,767 | 3.2× |
| Lymph System Imaging (78195) | $1,347.75 | $8,985 | 2.7× |
| Magnetic Image Jaw Joint (70336) range across 2 matching MRF lines |
$1,134.75–$1,224.90 | $7,565–$8,166 | varies |
| Meckels Divert Exam (78290) | $1,300.20 | $8,668 | 3.6× |
| Mlc imrt design & construction per imrt plan (77338) | $1,280.70 | $8,538 | 3.7× |
| Mr safety determination physician/other qhp (76016) | $36 | $240 | 0.5× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $4.95 | $33 | 0.2× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) | $36.90 | $246 | 0.4× |
| Mr safety implt pos&/immoblj (76019) | $23.85 | $159 | 0.4× |
| Mr safety med physics xm customization plng&mntr (76017) | $97.65 | $651 | 0.4× |
| Mra Head W/O & W/Contrast Material (70546) | $2,297.40 | $15,316 | 7.2× |
| MRA head w/o contrast (70544) | $1,489.65 | $9,931 | 6.8× |
| MRA neck w contrast (70548) range across 2 matching MRF lines |
$1,477.35–$1,595.25 | $9,849–$10,635 | varies |
| Mra Neck W/O &W/Contrast Material (70549) range across 2 matching MRF lines |
$2,108.70–$2,277.75 | $14,058–$15,185 | varies |
| MRA neck w/o contrast (70547) range across 2 matching MRF lines |
$1,379.40–$1,489.65 | $9,196–$9,931 | varies |
| MRI abdomen w contrast (74182) range across 2 matching MRF lines |
$1,539.45–$1,593.45 | $10,263–$10,623 | varies |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$1,276.80–$1,378.65 | $8,512–$9,191 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 2 matching MRF lines |
$1,451.70–$1,567.65 | $9,678–$10,451 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $2,073.60 | $13,824 | 6.5× |
| MRI any jt upper extremity w/contrast matrl (73222) | $1,564.35 | $10,429 | 2.2× |
| MRI Breast W/O Contrast Bilateral (77047) | $1,355.10 | $9,034 | 6.2× |
| MRI Breast Without Contrast Material Unilateral (77046) | $678.30 | $4,522 | 3.1× |
| MRI cardiac w/o contrast (75557) | $1,439.25 | $9,595 | 6.6× |
| MRI cervical spine w contrast (72142) range across 2 matching MRF lines |
$1,706.25–$1,876.95 | $11,375–$12,513 | varies |
| MRI cervical spine w/o cont (72141) | $1,623.75 | $10,825 | 7.4× |
| MRI chest w/o contrast (71550) range across 2 matching MRF lines |
$603.15–$1,439.25 | $4,021–$9,595 | varies |
| MRI chest with contrast (71551) | $1,206.15 | $8,041 | 1.7× |
| MRI chest wo w contrast (71552) range across 2 matching MRF lines |
$2,068.95–$2,078.25 | $13,793–$13,855 | varies |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $1,627.80 | $10,852 | 5.1× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $2,073.60 | $13,824 | 6.5× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines |
$1,356.45–$2,511.45 | $9,043–$16,743 | varies |
| MRI lumbar spine w contrast (72149) range across 2 matching MRF lines |
$1,738.20–$1,876.95 | $11,588–$12,513 | varies |
| Mri Neck Spine W/O & W/Dye (72156) | $2,482.80 | $16,552 | 7.8× |
| MRI orbit face &/neck w/o contrast (70540) range across 2 matching MRF lines |
$1,594.65–$1,722 | $10,631–$11,480 | varies |
| MRI orbit face neck w contrast (70542) | $1,722 | $11,480 | 5.4× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $2,277.75 | $15,185 | 7.1× |
| MRI pelvis w contrast (72196) | $1,842.90 | $12,286 | 5.8× |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$2,045.85–$2,209.50 | $13,639–$14,730 | varies |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$1,546.80–$1,670.55 | $10,312–$11,137 | varies |
| MRI thoracic spine w/o contrast (72146) | $1,358.85 | $9,059 | 6.2× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $1,206.15 | $8,041 | 3.8× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $1,353.15 | $9,021 | 6.2× |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 2 matching MRF lines |
$1,915.50–$2,068.95 | $12,770–$13,793 | varies |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$1,951.65–$2,107.80 | $13,011–$14,052 | varies |
| MRI, dorsal spine combo (72157) | $2,077.80 | $13,852 | 6.5× |
| MRI, dorsal spine contrast (72147) range across 2 matching MRF lines |
$712.05–$757.20 | $4,747–$5,048 | varies |
| MRI, joint upper extrem (73221) | $1,353.15 | $9,021 | 6.2× |
| MRI, joint upper extrem combo (73223) | $2,068.95 | $13,793 | 6.5× |
| MRI, lumbar spine combo (72158) | $2,482.80 | $16,552 | 7.8× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) | $3,991.20 | $26,608 | 3.4× |
| Myocardial Spect Multiple Studies (78452) | $4,065.60 | $27,104 | 3.4× |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$209.55–$232.95 | $1,397–$1,553 | varies |
| Ntsty modul radthx pln dose-vol histos (77301) | $3,301.65 | $22,011 | 2.6× |
| Nuclear Rx Intra-Arterial (79445) | $174.60 | $1,164 | 0.8× |
| Nuclear Rx Oral Admin (79005) | $808.80 | $5,392 | 3.8× |
| Parathyroid Planar Imaging (78070) | $1,184.40 | $7,896 | 3.2× |
| Parathyroid planar imaging w/wo subtraction (78071) | $1,633.65 | $10,891 | 4.5× |
| Pelvis 1 or 2 views (72170) range across 3 matching MRF lines |
$209.55–$232.95 | $1,397–$1,553 | varies |
| Pet Image Skull-Thigh (78812) | $3,011.40 | $20,076 | 2.3× |
| Pet Image W/Ct Lmtd (78814) | $3,011.40 | $20,076 | 2.3× |
| PET image w/CT, full body (78816) | $3,011.40 | $20,076 | 2.3× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $3,011.40 | $20,076 | 2.3× |
| Pet Imaging Limited Area Chest Head/Neck (78811) | $3,011.40 | $20,076 | 2.5× |
| Pet Myocardial Sngl Study (78491) | $3,991.20 | $26,608 | 3.1× |
| PET whole body (78813) | $3,011.40 | $20,076 | 2.3× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $9,433.65 | $62,891 | 3.3× |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,165.05 | $7,767 | 3.2× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$348.60–$387.45 | $2,324–$2,583 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) | $325.95 | $2,173 | 0.7× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 4 matching MRF lines |
$209.55–$419.55 | $1,397–$2,797 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 4 matching MRF lines |
$209.55–$419.55 | $1,397–$2,797 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$209.55–$419.55 | $1,397–$2,797 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 3 matching MRF lines |
$200.40–$265.20 | $1,336–$1,768 | varies |
| Radex fingr minimum 2 views (73140) range across 3 matching MRF lines |
$200.10–$419.55 | $1,334–$2,797 | varies |
| Radex foot complete minimum 3 views (73630) range across 4 matching MRF lines |
$209.55–$466.20 | $1,397–$3,108 | varies |
| Radex Hand Minimum 3 Views (73130) range across 4 matching MRF lines |
$209.55–$419.55 | $1,397–$2,797 | varies |
| Radex lower extremity infant minimum 2 views (73592) | $196.65 | $1,311 | 2.5× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $196.65 | $1,311 | 2.1× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$209.55–$232.95 | $1,397–$1,553 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 3 matching MRF lines |
$236.10–$262.20 | $1,574–$1,748 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 5 matching MRF lines |
$209.55–$349.35 | $1,397–$2,329 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$209.55–$232.80 | $1,397–$1,552 | varies |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $647.55 | $4,317 | 4.0× |
| Radex Spine 1 View Specify Level (72020) range across 2 matching MRF lines |
$212.25–$223.95 | $1,415–$1,493 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$209.55–$232.95 | $1,397–$1,553 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$232.80–$310.35 | $1,552–$2,069 | varies |
| Radex Toe Minimum 2 Views (73660) range across 2 matching MRF lines |
$209.55–$419.55 | $1,397–$2,797 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 2 matching MRF lines |
$279.60–$559.05 | $1,864–$3,727 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 5 matching MRF lines |
$209.55–$466.20 | $1,397–$3,108 | varies |
| Radiation Delivery Stereotactic Cranial Linear (77372) unusually low: confirm this is the full procedure |
$2,551.05 | $17,007 | 0.4× |
| Radiation treatment delivery level 1 (77402) | $1,500 | $10,000 | 16.1× |
| Radiation treatment delivery level 2 (77407) | $1,912.50 | $12,750 | 5.4× |
| Radiation treatment delivery level 3 (77412) | $2,212.50 | $14,750 | 4.4× |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$209.55–$232.95 | $1,397–$1,553 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 3 matching MRF lines |
$210.15–$233.25 | $1,401–$1,555 | varies |
| Radiologic exam colon double contrast study (74280) | $683.40 | $4,556 | 4.3× |
| Radiologic exam colon single contrast study (74270) | $425.10 | $2,834 | 2.6× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $676.95 | $4,513 | 4.2× |
| Radiologic exam knee complete 4/more views (73564) range across 4 matching MRF lines |
$209.55–$419.85 | $1,397–$2,799 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 3 matching MRF lines |
$209.55–$232.95 | $1,397–$1,553 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 2 matching MRF lines |
$416.40–$462.90 | $2,776–$3,086 | varies |
| Radiologic exam swallow function contrast study (74230) | $416.40 | $2,776 | 2.6× |
| Radiologic exam upr gi trc double contrast study (74246) | $483 | $3,220 | 3.0× |
| Radiologic examination femur 1 view (73551) | $102.45 | $683 | 1.3× |
| Radiologic examination femur minimum 2 views (73552) range across 4 matching MRF lines |
$220.80–$441.30 | $1,472–$2,942 | varies |
| Radiologic examination knee 1/2 views (73560) range across 6 matching MRF lines |
$209.55–$466.50 | $1,397–$3,110 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $274.80 | $1,832 | 2.9× |
| Radiologic examination tibia & fibula 2 views (73590) range across 4 matching MRF lines |
$209.55–$419.55 | $1,397–$2,797 | varies |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$236.10–$262.20 | $1,574–$1,748 | varies |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $2,607.30 | $17,382 | 7.1× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $5,284.35 | $35,229 | 10.6× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $2,887.35 | $19,249 | 5.8× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $1,304.25 | $8,695 | 2.6× |
| Scapula (73010) range across 3 matching MRF lines |
$209.55–$419.40 | $1,397–$2,796 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 2 matching MRF lines |
$163.35–$193.35 | $1,089–$1,289 | varies |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$209.55–$419.10 | $1,397–$2,794 | varies |
| Shoulder Arthrography (73040) | $490.65 | $3,271 | 1.5× |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$209.55–$232.95 | $1,397–$1,553 | varies |
| Special dosimetry (77331) | $381.60 | $2,544 | 3.1× |
| Special Physics Consult (77370) | $270.90 | $1,806 | 2.2× |
| Special teletherapy port plan (77321) | $955.50 | $6,370 | 2.8× |
| Special treatment procedure (77470) | $1,470.90 | $9,806 | 2.9× |
| Speech evaluation, complex (70371) | $471 | $3,140 | 2.2× |
| Srs Multisource (77371) unusually low: confirm this is the full procedure |
$2,212.50 | $14,750 | 0.3× |
| Stereotactic Body Radiation Delivery (77373) | $569.40 | $3,796 | 0.3× |
| Sternoclavicular joints (71130) range across 2 matching MRF lines |
$190.65–$232.80 | $1,271–$1,552 | varies |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $1,189.35 | $7,929 | 3.5× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $733.50 | $4,890 | 2.1× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $888.30 | $5,922 | 2.6× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $736.95 | $4,913 | 2.2× |
| Ther rad simulaj-aided field setting simple (77280) | $353.10 | $2,354 | 2.9× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $452.25 | $3,015 | 2.8× |
| Thoracic spine 2 views (72070) range across 3 matching MRF lines |
$220.80–$244.95 | $1,472–$1,633 | varies |
| Thoracic spine 3 views (72072) range across 3 matching MRF lines |
$220.80–$244.95 | $1,472–$1,633 | varies |
| Thoracolumbar 2 views (72080) | $220.80 | $1,472 | 2.8× |
| Thyroid Imaging With Vascular Flow (78013) | $703.50 | $4,690 | 1.9× |
| Thyroid Met Imaging Body (78018) | $1,737.90 | $11,586 | 3.5× |
| Thyroid Uptake Measurement (78012) | $624.45 | $4,163 | 1.7× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,184.40 | $7,896 | 3.2× |
| Tx Devices Design & Construction Complex (77334) | $617.85 | $4,119 | 1.8× |
| Tx devices design & construction intermediate (77333) | $426.30 | $2,842 | 3.5× |
| Tx devices design & construction simple (77332) | $604.50 | $4,030 | 4.9× |
| Ultrasound Breast Limited (76642) range across 4 matching MRF lines |
$260.25–$390.45 | $1,735–$2,603 | varies |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
$499.50–$554.85 | $3,330–$3,699 | varies |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$440.70–$489.15 | $2,938–$3,261 | varies |
| Umbilical-artery Doppler (OB) (76820) | $308.85 | $2,059 | 3.2× |
| Unlisted Dx Radiographic Procedure (76499) | $343.35 | $2,289 | 4.3× |
| Upper gi w/o kub (74240) | $459 | $3,060 | 2.9× |
| Urethrocystogram voiding (74455) | $787.65 | $5,251 | 3.6× |
| Urethrocystography retrograde (74450) | $787.65 | $5,251 | 3.6× |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$260.25–$425.70 | $1,735–$2,838 | varies |
| Us chest (76604) range across 2 matching MRF lines |
$276.75–$307.50 | $1,845–$2,050 | varies |
| Us complete joint (76881) range across 5 matching MRF lines |
$483.60–$805.50 | $3,224–$5,370 | varies |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$370.65–$411.60 | $2,471–$2,744 | varies |
| Us head (76506) | $254.85 | $1,699 | 2.7× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 4 matching MRF lines |
$242.10–$403.80 | $1,614–$2,692 | varies |
| Us ob limited 1 or more fetuses (76815) range across 3 matching MRF lines |
$292.95–$325.35 | $1,953–$2,169 | varies |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$292.95–$325.35 | $1,953–$2,169 | varies |
| Us pelvic non ob complete (76856) range across 3 matching MRF lines |
$370.65–$648.90 | $2,471–$4,326 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $358.65 | $2,391 | 3.8× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $292.95 | $1,953 | 3.1× |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$403.20–$447.45 | $2,688–$2,983 | varies |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$403.20–$447.45 | $2,688–$2,983 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$401.70–$445.80 | $2,678–$2,972 | varies |
| Us spinal canal and contents (76800) | $401.70 | $2,678 | 4.2× |
| Us thyroid (76536) range across 2 matching MRF lines |
$401.70–$445.80 | $2,678–$2,972 | varies |
| Us transrectal (76872) | $445.80 | $2,972 | 4.7× |
| Vein X-Ray Chest (75827) range across 2 matching MRF lines |
$842.25–$962.70 | $5,615–$6,418 | varies |
| Vein X-Ray Liver W/O Hemodyn (75887) | $974.55 | $6,497 | 0.3× |
| Venogram Sinus/Jugular (75860) | $962.70 | $6,418 | 0.3× |
| Venography caval inferior serialography rs&i (75825) | $2,972.25 | $19,815 | 1.0× |
| Venography extremity bilateral rs&i (75822) range across 2 matching MRF lines |
$276.75–$1,684.05 | $1,845–$11,227 | varies |
| Venography extremity unilateral rs&i (75820) | $842.25 | $5,615 | 0.6× |
| Venography Renal Bilateral (75833) | $3,008.40 | $20,056 | 1.0× |
| Venography Renal Unilateral (75831) | $6,007.50 | $40,050 | 2.1× |
| Venous sampling by catheter (75893) unusually low: confirm this is the full procedure |
$2,339.55 | $15,597 | 0.5× |
| Wrist 2 views (73100) range across 4 matching MRF lines |
$209.55–$419.55 | $1,397–$2,797 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $196.65 | $1,311 | 2.5× |
| X-ray antegrade pyelogram tube (74425) | $874.80 | $5,832 | 2.7× |
| X-Ray Aorta Leg Arteries (75630) range across 2 matching MRF lines |
$2,640.15–$2,862.45 | $17,601–$19,083 | varies |
| X-Ray Bend Only L-S Spine (72120) range across 2 matching MRF lines |
$396.75–$440.85 | $2,645–$2,939 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$209.55–$419.55 | $1,397–$2,797 | varies |
| X-Ray Exam Breast Specimen (76098) range across 2 matching MRF lines |
$324.15–$432.15 | $2,161–$2,881 | varies |
| X-Ray Exam Hip Uni 1 View (73501) | $209.55 | $1,397 | 2.6× |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 3 matching MRF lines |
$204.45–$226.95 | $1,363–$1,513 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) range across 2 matching MRF lines |
$306.45–$359.40 | $2,043–$2,396 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 3 matching MRF lines |
$338.70–$376.80 | $2,258–$2,512 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 2 matching MRF lines |
$338.70–$376.80 | $2,258–$2,512 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) range across 2 matching MRF lines |
$677.85–$730.35 | $4,519–$4,869 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 3 matching MRF lines |
$396.75–$440.85 | $2,645–$2,939 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 3 matching MRF lines |
$212.25–$235.80 | $1,415–$1,572 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 3 matching MRF lines |
$358.50–$390 | $2,390–$2,600 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 2 matching MRF lines |
$236.10–$262.20 | $1,574–$1,748 | varies |
| X-ray eye for foreign body (70030) | $54 | $360 | 0.7× |
| X-ray humerus (73060) range across 4 matching MRF lines |
$209.55–$419.40 | $1,397–$2,796 | varies |
| X-ray IV pyelogram (ivp) (74400) | $787.65 | $5,251 | 4.9× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$209.55–$232.95 | $1,397–$1,553 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 3 matching MRF lines |
$239.10–$265.65 | $1,594–$1,771 | varies |
| X-ray nose-rectum child f.b. (76010) | $72 | $480 | 0.9× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$391.65–$435.30 | $2,611–$2,902 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 3 matching MRF lines |
$209.55–$232.95 | $1,397–$1,553 | varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $223.05 | $1,487 | 2.3× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$210.15–$233.25 | $1,401–$1,555 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$209.55–$232.80 | $1,397–$1,552 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 3 matching MRF lines |
$347.70–$386.55 | $2,318–$2,577 | varies |
| X-ray thoracic spine 4 vw (72074) | $234.30 | $1,562 | 2.5× |
| X-Ray Tmj Unilat (70328) | $35.55 | $237 | 0.4× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $1,087.05 | $7,247 | 3.4× |
| X-Rays Bone Length Studies (77073) range across 2 matching MRF lines |
$196.65–$523.50 | $1,311–$3,490 | varies |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$438.60–$487.35 | $2,924–$3,249 | varies |
| Xr c-spine 4 or 5 views (72050) range across 4 matching MRF lines |
$355.80–$386.85 | $2,372–$2,579 | varies |
| Xr facial bones less than 3 views (70140) | $239.10 | $1,594 | 3.0× |
| Xr orbits complete 4 views (70200) | $240.30 | $1,602 | 2.5× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.