Imaging prices at Guthrie Cortland Regional Medical Center
Cortland, NY · every code in this section with a posted price and a Medicare benchmark.
400 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) | $6,083.28 | $7,604.10 | 3.5× |
| Abdomen 1 View (74018) | $282.24 | $352.80 | 2.6× |
| Abdomen 2 views (74019) | $341.51 | $426.89 | 2.6× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,120.80 | $1,401 | 2.2× |
| Angio internal mammary (75756) | $3,900.80 | $4,876 | 1.0× |
| Angio pulmonary bilat (75743) range across 2 matching MRF lines |
$5,297.60–$6,415.20 | $6,622–$8,019 | varies |
| Angiography extremity bilateral rs&i (75716) | $5,302.07 | $6,627.59 | 1.3× |
| Angiography extremity unilateral rs&i (75710) range across 3 matching MRF lines |
$4,864.29–$6,415.20 | $6,080.36–$8,019 | varies |
| Angiography pulmonary unilateral slctv rs&i (75741) range across 3 matching MRF lines |
$4,766.40–$6,415.20 | $5,958–$8,019 | varies |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) range across 2 matching MRF lines |
$2,702.40–$3,060.80 | $3,378–$3,826 | varies |
| Ankle 2 views (73600) | $278.78 | $348.48 | 2.6× |
| Aortography thoracic serialography rs&i (75605) | $4,338.40 | $5,423 | 0.6× |
| Aortography thoracic w/o serialography rs&i (75600) | $7,046.40 | $8,808 | 1.8× |
| Artery X-Rays Abdomen (75726) | $13,339.20 | $16,674 | 1.9× |
| Artery X-Rays Pelvis (75736) | $4,707.20 | $5,884 | 0.7× |
| Artery X-Rays Spine (75705) | $11,117.60 | $13,897 | 1.6× |
| Arthrogram ankle (73615) | $749.60 | $937 | 1.7× |
| Arthrogram hip (73525) | $749.60 | $937 | 1.7× |
| Arthrogram Wrist (73115) | $409.60 | $512 | 0.9× |
| Basic radiation dosimetry calculation (77300) | $729.96 | $912.45 | 4.4× |
| Bone age studies (77072) | $242.40 | $303 | 1.9× |
| Bone Imaging 3 Phase (78315) | $1,966.54 | $2,458.18 | 3.9× |
| Bone Imaging Limited Area (78300) | $1,283.25 | $1,604.06 | 2.6× |
| Bone Imaging Multiple Areas (78305) | $1,291.20 | $1,614 | 2.6× |
| Bone Imaging Whole Body (78306) | $1,666.56 | $2,083.20 | 3.3× |
| Bone marrow imaging limited area (78102) | $677.60 | $847 | 1.4× |
| Bone marrow imaging; multiple areas (78103) | $1,728.80 | $2,161 | 3.5× |
| Bone marrow imaging; whole body (78104) | $1,480 | $1,850 | 3.0× |
| Bone survey infant (77076) | $212.80 | $266 | 1.6× |
| Brachytx isodose complex (77318) | $1,962.40 | $2,453 | 4.2× |
| Brachytx isodose intermed (77317) | $1,962.40 | $2,453 | 4.2× |
| Brachytx Isodose Plan Simple (77316) | $876.80 | $1,096 | 1.9× |
| Brain Image W/Flow < 4 Views (78601) | $896.80 | $1,121 | 1.8× |
| Brain imaging < 4 static views (78600) | $1,480 | $1,850 | 3.0× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $6,128.80 | $7,661 | 3.4× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $5,388.86 | $6,736.08 | 12.4× |
| Cardiac MRI w/w/o contrast w/stress (75563) | $2,707.20 | $3,384 | 2.8× |
| Cat Scan Follow-Up Study (76380) | $132 | $165 | 1.2× |
| Cerebrospinal Fluid Scan (78630) | $2,542.40 | $3,178 | 3.8× |
| Chest 1 view (71045) | $250.26 | $312.82 | 2.3× |
| Chest 2 views (71046) | $329.28 | $411.60 | 3.0× |
| Chest 3 views (71047) | $414.90 | $518.62 | 3.8× |
| Chest 4 or more views (71048) | $447.82 | $559.78 | 3.4× |
| Cholecystography Oral Contrast (74290) | $323.20 | $404 | 1.5× |
| Clavicle complete (73000) | $242.88 | $303.60 | 2.2× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $1,807.94 | $2,259.92 | 13.9× |
| Continuing medical physics consltj pr wk (77336) | $804.72 | $1,005.90 | 4.8× |
| Contrast Exam Abdominl Aorta (75625) | $4,864.29 | $6,080.36 | 1.2× |
| Contrast X-Ray Bladder (74430) | $665.60 | $832 | 1.5× |
| Contrast X-Ray Of Elbow (73085) | $749.60 | $937 | 1.7× |
| Contrast X-Ray Of Knee Joint (73580) | $691.20 | $864 | 1.6× |
| Contrast Xray Throat/Cerv Esopha (74210) | $528.80 | $661 | 2.4× |
| Corpora cavernosography (74445) | $488 | $610 | 3.7× |
| CT abdomen and pelvis without and with contrast (74178) | $4,936.19 | $6,170.24 | 11.3× |
| CT abdomen and pelvis without contrast (74176) | $2,644.38 | $3,305.48 | 8.9× |
| CT abdomen w contrast (74160) | $2,431.92 | $3,039.90 | 11.1× |
| CT abdomen w wo contrast (74170) | $2,732.50 | $3,415.62 | 12.5× |
| CT abdomen w/o contrast (74150) | $1,420.90 | $1,776.12 | 10.9× |
| CT Angio Abdomen and Pelvis (74174) | $2,212.80 | $2,766 | 5.1× |
| CT Angio Chest (71275) | $2,479.12 | $3,098.90 | 11.3× |
| CT Angio Head (70496) | $2,219.78 | $2,774.72 | 10.1× |
| CT angio hrt w/3d image (75574) | $2,694.48 | $3,368.10 | 6.2× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $2,064 | $2,580 | 9.4× |
| CT Angio Neck (70498) | $3,318.24 | $4,147.80 | 15.2× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $2,040 | $2,550 | 9.3× |
| CT cervical spine w/ contrast (72126) | $2,409.60 | $3,012 | 5.5× |
| CT cervical spine w/o contrast (72125) | $1,853.80 | $2,317.25 | 14.2× |
| CT cervical spine w/wo cont (72127) | $2,817.60 | $3,522 | 12.9× |
| CT chest w contrast (71260) | $2,204.80 | $2,756 | 10.1× |
| CT chest w/wo contrast (71270) | $2,579.62 | $3,224.52 | 11.8× |
| CT colonography screening (74263) | $2,182.40 | $2,728 | 7.3× |
| CT head/brain with contrast (70460) | $2,435.02 | $3,043.77 | 11.1× |
| CT head/brain without and with contrast (70470) | $2,852.45 | $3,565.56 | 13.0× |
| CT heart contrast eval cardiac structure&morph (75572) | $2,694.48 | $3,368.10 | 6.2× |
| CT heart no contrast quant eval coronry calcium (75571) | $1,864 | $2,330 | 17.2× |
| CT iac w contrast (70481) | $1,777.86 | $2,222.32 | 8.1× |
| CT l-spine w&w/o contrast (72133) | $2,969.05 | $3,711.31 | 13.6× |
| CT lower ext w/o (73700) | $1,889.20 | $2,361.50 | 14.5× |
| CT lower extremity w/contrast material (73701) | $2,436.80 | $3,046 | 11.1× |
| CT lumbar spine w contrast (72132) | $2,525.62 | $3,157.02 | 5.8× |
| CT lumbar spine w/o contrast (72131) | $1,927.95 | $2,409.94 | 14.8× |
| CT maxillofacial w contrast (70487) | $2,294.26 | $2,867.83 | 10.5× |
| CT maxillofacial wo contrast (70486) | $1,927.95 | $2,409.94 | 14.8× |
| CT neck tissue combo (70492) | $2,655.74 | $3,319.68 | 12.1× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $2,074.16 | $2,592.70 | 9.5× |
| CT orbits w/o contrast (70480) | $1,559.52 | $1,949.40 | 12.0× |
| CT pelvis w&w/o contrast (72194) | $2,826.59 | $3,533.24 | 12.9× |
| CT pelvis w/o contrast (72192) | $1,490.38 | $1,862.98 | 11.4× |
| CT scan of leg combo (73702) | $2,852.80 | $3,566 | 13.0× |
| CT scans face/jaw combo (70488) | $2,776.25 | $3,470.31 | 12.7× |
| CT soft tissue neck w contrast (70491) | $2,213.12 | $2,766.40 | 10.1× |
| CT soft tissue neck w/o contrast (70490) | $1,792.62 | $2,240.78 | 13.7× |
| CT thoracic spine w contrast (72129) | $2,942.24 | $3,677.80 | 13.4× |
| CT thoracic spine w/o contrast (72128) | $2,245.98 | $2,807.48 | 17.2× |
| CT thoracic spine w/wo cont (72130) | $3,458.82 | $4,323.52 | 15.8× |
| CT thorax w/o contrast (71250) | $1,741.79 | $2,177.24 | 13.3× |
| CT unlisted procedure (76497) | $324 | $405 | 3.0× |
| CT upper ext wo (73200) | $1,346.40 | $1,683 | 10.3× |
| CT upper extremity w/o & w/contrast material (73202) | $2,087.20 | $2,609 | 9.5× |
| CT upper extremity with contrast (73201) | $1,683.20 | $2,104 | 3.9× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $4,109.76 | $5,137.20 | 18.8× |
| Cta Abdomen (74175) | $1,770.40 | $2,213 | 8.1× |
| CTA pelvis (72191) | $2,656 | $3,320 | 12.1× |
| Dilation ureters/urethra rs&i (74485) | $2,219.20 | $2,774 | 0.9× |
| Dxa Bone Density Axial (77080) | $673.30 | $841.62 | 5.2× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $558.83 | $698.54 | 5.1× |
| Echo exam uterus (76831) | $971.20 | $1,214 | 3.3× |
| Echograp Trans R Pros Study (76873) | $207.20 | $259 | 1.6× |
| Esophagram (74220) | $378.24 | $472.80 | 1.7× |
| Fetal Biophys Profile W/Nst (76818) | $570.12 | $712.65 | 4.4× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $410.16 | $512.70 | 3.1× |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$596.80–$704.80 | $746–$881 | varies |
| Follow-Up Angiography (75898) | $2,075.20 | $2,594 | 0.5× |
| Foot 2 views (73620) | $283.23 | $354.04 | 2.6× |
| Forearm 2 views (73090) | $277.44 | $346.80 | 2.6× |
| Gastric emptying imaging study (78264) | $1,438.08 | $1,797.60 | 2.9× |
| Gated Heart Planar Single (78472) | $1,088 | $1,360 | 2.2× |
| Hand 2 views (73120) | $274.99 | $343.74 | 2.1× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) | $4,296 | $5,370 | 4.9× |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) | $2,737.60 | $3,422 | 3.1× |
| Heart first pass single,planar (78481) | $1,068.80 | $1,336 | 1.6× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $4,729.60 | $5,912 | 1.2× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $3,903.20 | $4,879 | 1.0× |
| Hepatobil Syst Image W/Drug (78227) | $1,455.36 | $1,819.20 | 2.1× |
| Hepatobiliary System Imaging (78226) | $1,062.42 | $1,328.02 | 2.1× |
| Ht Musc Image Planar Mult (78454) | $3,278.64 | $4,098.30 | 2.0× |
| Ht Muscle Image Spect Sing (78451) | $2,721.27 | $3,401.59 | 1.7× |
| Hysterosalpingogram (74740) | $852 | $1,065 | 2.9× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $488 | $610 | 4.5× |
| Infant hip ultrasound, limited static exam (76886) | $567.58 | $709.47 | 5.2× |
| Interstitial radiation source applic complex (77778) | $4,296 | $5,370 | 4.9× |
| Joint Survey Single View (77077) | $514.18 | $642.72 | 3.9× |
| K Flow/Funct Image Multiple (78709) | $1,386.84 | $1,733.55 | 2.0× |
| K Flow/Funct Image W/Drug (78708) | $1,438.08 | $1,797.60 | 2.1× |
| K Flow/Funct Image W/O Drug (78707) | $1,783.22 | $2,229.02 | 2.6× |
| Kidney Imaging Morphol (78700) | $2,062.79 | $2,578.49 | 4.1× |
| Knee 3 Views (73562) | $355.79 | $444.74 | 3.3× |
| Leveen/Shunt Patency Exam (78291) | $1,480 | $1,850 | 3.0× |
| Liver & Spleen Imaging Static Only (78215) | $752.80 | $941 | 1.5× |
| Lung perfusion differential (78597) | $572.80 | $716 | 1.1× |
| Lung Ventilat&Perfus Imaging (78582) | $1,295.04 | $1,618.80 | 1.9× |
| Lung Ventilation Imaging (78579) | $1,165.60 | $1,457 | 2.3× |
| Lymph System Imaging (78195) | $1,353.60 | $1,692 | 2.0× |
| Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) | $3,370.40 | $4,213 | 0.9× |
| Lymphangiography, pelvic/abdominal, unilateral (75805) | $3,012 | $3,765 | 0.8× |
| Magnetic Image Jaw Joint (70336) | $3,018.40 | $3,773 | 10.1× |
| Mammary ductogram or galactogram multiple (77054) | $709.60 | $887 | 2.4× |
| Mammary ductogram or galactogram single (77053) | $458.40 | $573 | 1.5× |
| Meckels Divert Exam (78290) | $492.80 | $616 | 1.0× |
| Mlc imrt design & construction per imrt plan (77338) | $6,045.60 | $7,557 | 12.9× |
| Mr safety determination physician/other qhp (76016) | $211.40 | $264.25 | 1.9× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $70.80 | $88.50 | 2.0× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) | $220.20 | $275.25 | 1.9× |
| Mr safety implt pos&/immoblj (76019) | $142.60 | $178.25 | 1.9× |
| Mr safety med physics xm customization plng&mntr (76017) | $580.20 | $725.25 | 1.9× |
| Mra Head W/O & W/Contrast Material (70546) | $3,331.20 | $4,164 | 7.6× |
| MRA head w/o contrast (70544) | $2,176.80 | $2,721 | 7.3× |
| MRA head with contrast (70545) | $2,285.60 | $2,857 | 5.2× |
| MRA neck w contrast (70548) | $2,646.40 | $3,308 | 6.1× |
| Mra Neck W/O &W/Contrast Material (70549) | $3,714.40 | $4,643 | 8.5× |
| MRA neck w/o contrast (70547) | $2,321.60 | $2,902 | 7.8× |
| MRI abdomen w contrast (74182) | $2,188.80 | $2,736 | 5.0× |
| MRI abdomen w/o contrast (74181) | $1,410.40 | $1,763 | 4.7× |
| MRI any jt lower extrem w/contrast material (73722) | $4,414.40 | $5,518 | 4.5× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $5,439.20 | $6,799 | 12.5× |
| MRI any jt upper extremity w/contrast matrl (73222) | $4,590.66 | $5,738.32 | 4.7× |
| MRI bone marrow blood supply (77084) | $3,049.60 | $3,812 | 10.2× |
| MRI Breast W/O Contrast Bilateral (77047) | $1,880 | $2,350 | 6.3× |
| MRI Breast Without Contrast Material Unilateral (77046) | $1,880 | $2,350 | 6.3× |
| MRI cardiac w/o cont stress (75559) | $4,688.31 | $5,860.39 | 6.9× |
| MRI cardiac w/o contrast (75557) | $4,688.31 | $5,860.39 | 15.7× |
| MRI cervical spine w contrast (72142) | $4,157.60 | $5,197 | 9.5× |
| MRI cervical spine w/o cont (72141) | $2,867.20 | $3,584 | 9.6× |
| MRI chest w/o contrast (71550) | $2,208 | $2,760 | 7.4× |
| MRI chest with contrast (71551) | $2,450.40 | $3,063 | 2.5× |
| MRI chest wo w contrast (71552) | $3,068.80 | $3,836 | 7.0× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $2,727.20 | $3,409 | 6.3× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $3,490.40 | $4,363 | 8.0× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $2,311.40 | $2,889.25 | 7.8× |
| MRI lumbar spine w contrast (72149) | $3,680 | $4,600 | 8.5× |
| Mri Neck Spine W/O & W/Dye (72156) | $4,816.80 | $6,021 | 11.1× |
| MRI orbit face &/neck w/o contrast (70540) | $1,717.60 | $2,147 | 5.8× |
| MRI orbit face neck w contrast (70542) | $2,024.80 | $2,531 | 4.6× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $2,563.20 | $3,204 | 5.9× |
| MRI pelvis w contrast (72196) | $2,210.40 | $2,763 | 5.1× |
| MRI pelvis w/o & w contrast (72197) | $2,762.60 | $3,453.25 | 6.3× |
| MRI pelvis w/o contrast (72195) | $1,878.40 | $2,348 | 6.3× |
| MRI thoracic spine w/o contrast (72146) | $2,867.20 | $3,584 | 9.6× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $2,232 | $2,790 | 5.1× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $2,048 | $2,560 | 6.9× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $2,764.80 | $3,456 | 6.3× |
| MRI, abdomen, combo (74183) | $2,432 | $3,040 | 5.6× |
| MRI, dorsal spine combo (72157) | $4,845.60 | $6,057 | 11.1× |
| MRI, dorsal spine contrast (72147) | $4,128.80 | $5,161 | 9.5× |
| MRI, joint upper extrem (73221) | $2,961.71 | $3,702.14 | 9.9× |
| MRI, joint upper extrem combo (73223) | $5,656.87 | $7,071.09 | 13.0× |
| MRI, lumbar spine combo (72158) | $4,328 | $5,410 | 9.9× |
| Myelogram cervical (72240) | $971.20 | $1,214 | 1.0× |
| Myelogram Lumbar (72265) | $1,068 | $1,335 | 1.1× |
| Myelography thoracic (72255) | $1,188.80 | $1,486 | 1.2× |
| Myelograpy 2/more regions rs&i (72270) | $1,100 | $1,375 | 1.1× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) | $7,936.80 | $9,921 | 4.9× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $2,721.27 | $3,401.59 | 1.7× |
| Myocardial Spect Multiple Studies (78452) | $3,278.64 | $4,098.30 | 2.0× |
| Myocrd Img Pet Metab Eval Single Study Cncrnt CT (78429) | $4,630.40 | $5,788 | 2.6× |
| Neck soft tissue (70360) | $215.04 | $268.80 | 2.0× |
| Nfs/Instlj Radioelmnt Sln 3 Mo Follow-Up Care (77750) | $1,835.20 | $2,294 | 3.8× |
| Nm unlisted gi procedure (78299) | $964.40 | $1,205.50 | 1.9× |
| Nonvascular Shunt X-Ray (75809) | $215.20 | $269 | 1.6× |
| Ntsty modul radthx pln dose-vol histos (77301) | $6,163.20 | $7,704 | 3.6× |
| Nuclear Rx Intra-Arterial (79445) | $375.20 | $469 | 1.3× |
| Nuclear Rx Oral Admin (79005) | $1,885.52 | $2,356.90 | 6.5× |
| Oph bmtry us echograpy a-scan io lens pwr cal (76519) | $185.64 | $232.05 | 1.4× |
| Oph us dx ant sgm us immersion b-scan/hr biom (76513) | $201.69 | $252.11 | 1.5× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) range across 3 matching MRF lines |
$106.80–$214.40 | $133.50–$268 | varies |
| Ophthalmic US Dx Corneal Pachymetry Uni/Bi (76514) | $31.75 | $39.69 | 0.9× |
| Optic foramina (70190) | $200 | $250 | 1.8× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $5,293.18 | $6,616.48 | 7.8× |
| Parathyroid Planar Imaging (78070) | $1,016 | $1,270 | 2.0× |
| Parathyroid planar imaging w/wo subtraction (78071) | $1,430.21 | $1,787.76 | 2.9× |
| Pelvis 1 or 2 views (72170) | $249.60 | $312 | 1.9× |
| Peritoneogram Rs&I (74190) | $5,200.80 | $6,501 | 7.6× |
| Pet Image W/Ct Lmtd (78814) | $9,413.73 | $11,767.16 | 5.3× |
| PET image w/CT, full body (78816) | $10,668.89 | $13,336.11 | 6.0× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $10,459.70 | $13,074.62 | 5.9× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $4,338.40 | $5,423 | 1.1× |
| Pulmonary Perfusion Imaging Particulate (78580) | $932.43 | $1,165.54 | 1.9× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $341.51 | $426.89 | 2.6× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $847.20 | $1,059 | 1.2× |
| Radex Ankle Complete Minimum 3 Views (73610) | $316.80 | $396 | 2.9× |
| Radex Calcaneus Minimum 2 Views (73650) | $273.60 | $342 | 2.5× |
| Radex elbow complete minimum 3 views (73080) | $304.32 | $380.40 | 2.8× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $411.20 | $514 | 3.2× |
| Radex fingr minimum 2 views (73140) | $225.72 | $282.15 | 2.1× |
| Radex foot complete minimum 3 views (73630) | $341.24 | $426.55 | 3.1× |
| Radex Hand Minimum 3 Views (73130) | $323.52 | $404.40 | 3.0× |
| Radex lower extremity infant minimum 2 views (73592) | $224 | $280 | 2.1× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $369.60 | $462 | 2.8× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $377.28 | $471.60 | 3.5× |
| Radex Ribs Unilateral 2 Views (71100) | $351.62 | $439.52 | 3.2× |
| Radex shoulder complete minimum 2 views (73030) | $341.24 | $426.55 | 3.1× |
| Radex Sinuses Paransl < 3 Views (70210) | $191.20 | $239 | 1.8× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $2,938.47 | $3,673.09 | 13.4× |
| Radex Spine 1 View Specify Level (72020) | $124 | $155 | 1.1× |
| Radex Sternum Minimum 2 Views (71120) | $235.20 | $294 | 2.2× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $268.80 | $336 | 2.5× |
| Radex Toe Minimum 2 Views (73660) | $203.52 | $254.40 | 1.9× |
| Radex upper extremity infant minimum 2 views (73092) | $191.20 | $239 | 1.5× |
| Radex Wrist Complete Minimum 3 Views (73110) | $319.68 | $399.60 | 2.9× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $1,669.94 | $2,087.42 | 12.8× |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $28,823.20 | $36,029 | 3.1× |
| Radiation treatment delivery level 1 (77402) | $460.80 | $576 | 3.6× |
| Radiation treatment delivery level 2 (77407) | $550.40 | $688 | 1.1× |
| Radiation treatment delivery level 3 (77412) | $1,272.60 | $1,590.75 | 1.8× |
| Radiolog exam mandible compl minimum 4 views (70110) | $441.60 | $552 | 3.4× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $341.51 | $426.89 | 2.6× |
| Radiologic exam colon double contrast study (74280) | $1,163.97 | $1,454.96 | 5.3× |
| Radiologic exam colon single contrast study (74270) | $826.42 | $1,033.02 | 3.8× |
| Radiologic exam knee complete 4/more views (73564) | $408.96 | $511.20 | 3.1× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $376.90 | $471.12 | 2.9× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $683.07 | $853.84 | 3.1× |
| Radiologic exam swallow function contrast study (74230) | $372.80 | $466 | 1.7× |
| Radiologic exam upr gi trc double contrast study (74246) | $464.64 | $580.80 | 2.1× |
| Radiologic examination femur 1 view (73551) | $281.82 | $352.27 | 2.6× |
| Radiologic examination femur minimum 2 views (73552) | $343.68 | $429.60 | 3.2× |
| Radiologic examination knee 1/2 views (73560) | $294.45 | $368.06 | 2.7× |
| Radiologic Examination Salivary Gland Calculus (70380) | $224.80 | $281 | 2.1× |
| Radiologic examination tibia & fibula 2 views (73590) | $326.40 | $408 | 3.0× |
| Radiopharm Dacryocystography (78660) | $1,480 | $1,850 | 3.0× |
| Red Cell Volume Determination Spx 1 Sampling (78120) | $1,480 | $1,850 | 3.0× |
| Renal Cyst Study (74470) | $2,040 | $2,550 | 3.0× |
| Ribs bilateral 3 views (71110) | $420.33 | $525.41 | 3.2× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $2,713.94 | $3,392.42 | 5.4× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $2,980 | $3,725 | 4.4× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $2,564 | $3,205 | 3.8× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $2,564 | $3,205 | 3.8× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $2,832.80 | $3,541 | 1.6× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $5,120.64 | $6,400.80 | 3.2× |
| Rp Therapy Intravenous Administration (79101) | $906.40 | $1,133 | 3.1× |
| Scapula (73010) | $200 | $250 | 1.5× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $71.04 | $88.80 | 3.0× |
| Sella turcica (70240) | $242.40 | $303 | 2.2× |
| Shoulder 1 view (73020) | $211.57 | $264.46 | 1.9× |
| Shoulder Arthrography (73040) | $804 | $1,005 | 1.8× |
| Sialogram (70390) | $847.20 | $1,059 | 2.8× |
| Skull less than 4 views (70250) | $245.60 | $307 | 1.9× |
| Special dosimetry (77331) | $735.20 | $919 | 4.4× |
| Special Physics Consult (77370) | $1,303.65 | $1,629.56 | 7.8× |
| Special teletherapy port plan (77321) | $1,563.20 | $1,954 | 3.3× |
| Special treatment procedure (77470) | $2,926.40 | $3,658 | 4.2× |
| Stereotactic Body Radiation Delivery (77373) | $8,016.12 | $10,020.15 | 3.6× |
| Sternoclavicular joints (71130) | $224.80 | $281 | 2.1× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $592.80 | $741 | 1.3× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $912.80 | $1,141 | 2.0× |
| Testicular Imaging W/Flow (78761) | $580 | $725 | 1.2× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $3,260.04 | $4,075.05 | 7.0× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $3,227.44 | $4,034.30 | 6.9× |
| Ther rad simulaj-aided field setting simple (77280) | $1,956.02 | $2,445.03 | 11.7× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $968.80 | $1,211 | 4.4× |
| Thoracic spine 2 views (72070) | $347.61 | $434.51 | 2.7× |
| Thoracic spine 3 views (72072) | $418.80 | $523.50 | 3.2× |
| Thoracolumbar 2 views (72080) | $132 | $165 | 1.2× |
| Thyroid Imaging With Vascular Flow (78013) | $746.40 | $933 | 1.5× |
| Thyroid Met Imaging Body (78018) | $3,965.47 | $4,956.84 | 5.9× |
| Thyroid Uptake Measurement (78012) | $361.60 | $452 | 0.7× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $778.40 | $973 | 1.6× |
| Tx Devices Design & Construction Complex (77334) | $1,448.16 | $1,810.20 | 3.1× |
| Tx devices design & construction intermediate (77333) | $1,578.50 | $1,973.12 | 9.4× |
| Tx devices design & construction simple (77332) | $448.93 | $561.16 | 2.7× |
| Ultrasound Breast Limited (76642) | $450.24 | $562.80 | 4.1× |
| Ultrasound elastography first target lesion (76982) | $928.01 | $1,160.01 | 7.1× |
| Ultrasound Elastography Parenchyma (76981) | $1,042.70 | $1,303.38 | 8.0× |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
$243.43–$523.20 | $304.29–$654 | varies |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$291.20–$822.72 | $364–$1,028.40 | varies |
| Umbilical-artery Doppler (OB) (76820) | $693.12 | $866.40 | 5.3× |
| Unlisted fluoroscopic procedure (76496) | $1,112.80 | $1,391 | 10.2× |
| Unlisted magnetic resonance procedure (76498) | $138.67 | $173.34 | 1.3× |
| Unlisted Miscellaneous Px Dx Nuclear Medicine (78999) | $1,098.24 | $1,372.80 | 2.2× |
| Unlisted respiratory px dx nuclear medicine (78599) | $101.22 | $126.53 | 0.2× |
| Unlisted us procedure (76999) range across 2 matching MRF lines |
$211.20–$442.40 | $264–$553 | varies |
| Upper gi w/o kub (74240) | $464.64 | $580.80 | 2.1× |
| Ureteral Reflux Study (78740) | $684 | $855 | 1.4× |
| Urethrocystogram voiding (74455) | $482.40 | $603 | 1.6× |
| Urethrocystography retrograde (74450) | $482.40 | $603 | 1.6× |
| Us breast unilateral complete (76641) | $540.29 | $675.36 | 4.1× |
| Us chest (76604) range across 2 matching MRF lines |
$160.20–$397.48 | $200.25–$496.85 | varies |
| Us complete joint (76881) | $429.64 | $537.05 | 3.3× |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$146.80–$833.28 | $183.50–$1,041.60 | varies |
| Us head (76506) | $284.80 | $356 | 2.2× |
| Us kidney transplant (76776) | $994.40 | $1,243 | 7.6× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 3 matching MRF lines |
$34.64–$511.47 | $43.30–$639.34 | varies |
| Us ob detailed single fetus (76811) | $1,439.20 | $1,799 | 4.8× |
| Us ob limited 1 or more fetuses (76815) range across 3 matching MRF lines |
$209.92–$615.83 | $262.40–$769.79 | varies |
| Us ob transvaginal (76817) range across 3 matching MRF lines |
$281.66–$699.06 | $352.07–$873.82 | varies |
| Us pelvic non ob complete (76856) | $833.28 | $1,041.60 | 6.4× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$258.72–$798.86 | $323.40–$998.57 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $832.21 | $1,040.26 | 6.4× |
| Us retroperitoneal complete (76770) | $685.44 | $856.80 | 5.3× |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$196.60–$376.99 | $245.75–$471.24 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$247.80–$987.12 | $309.75–$1,233.90 | varies |
| Us spinal canal and contents (76800) | $252 | $315 | 1.9× |
| Us thyroid (76536) range across 3 matching MRF lines |
$223.20–$547.20 | $279–$684 | varies |
| Us transrectal (76872) range across 2 matching MRF lines |
$238.40–$328.70 | $298–$410.87 | varies |
| Vascular Flow Imaging (78445) | $1,480 | $1,850 | 3.0× |
| Vein X-Ray Chest (75827) | $3,110.60 | $3,888.25 | 1.6× |
| Vein X-Ray Liver W/O Hemodyn (75887) | $2,514.40 | $3,143 | 0.6× |
| Vein X-Ray Spleen/Liver (75810) | $12,909.60 | $16,137 | 3.3× |
| Venogram Sinus/Jugular (75860) | $3,403.20 | $4,254 | 0.9× |
| Venography caval inferior serialography rs&i (75825) | $6,415.20 | $8,019 | 1.6× |
| Venography extremity bilateral rs&i (75822) | $2,040 | $2,550 | 1.0× |
| Venography extremity unilateral rs&i (75820) | $2,075.20 | $2,594 | 1.1× |
| Venography Renal Bilateral (75833) | $12,909.60 | $16,137 | 3.3× |
| Venography Renal Unilateral (75831) | $13,018.40 | $16,273 | 3.3× |
| Venous sampling by catheter (75893) | $12,399.20 | $15,499 | 1.8× |
| Venous Thrombosis Imaging Venogram Bilateral (78458) | $1,812.80 | $2,266 | 3.6× |
| Wrist 2 views (73100) | $262.14 | $327.67 | 2.4× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $205.60 | $257 | 1.9× |
| X-ray antegrade pyelogram tube (74425) | $961.60 | $1,202 | 2.2× |
| X-Ray Aorta Leg Arteries (75630) | $6,032 | $7,540 | 1.5× |
| X-Ray Bend Only L-S Spine (72120) | $501.70 | $627.12 | 3.8× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $267.80 | $334.75 | 2.5× |
| X-Ray Exam Breast Specimen (76098) | $876.10 | $1,095.12 | 1.3× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $350.19 | $437.74 | 3.2× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $574.08 | $717.60 | 4.4× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $648.71 | $810.89 | 5.0× |
| X-Ray Exam Hip Uni 1 View (73501) | $176.86 | $221.08 | 1.6× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $256.32 | $320.40 | 2.4× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $322.96 | $403.70 | 2.5× |
| X-Ray Exam Hips Bi 2 Views (73521) | $220.43 | $275.54 | 1.7× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $289.64 | $362.05 | 2.2× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $333.22 | $416.52 | 2.6× |
| X-Ray Exam L-S Spine Bending (72114) | $758.98 | $948.72 | 5.8× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $328.91 | $411.14 | 3.0× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $520.04 | $650.05 | 4.0× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $404.16 | $505.20 | 3.1× |
| X-ray eye for foreign body (70030) | $263.20 | $329 | 2.4× |
| X-ray humerus (73060) | $286.08 | $357.60 | 2.6× |
| X-ray IV pyelogram (ivp) (74400) | $417.60 | $522 | 1.9× |
| X-ray IV pyelogram+tomography (74415) | $627.20 | $784 | 2.9× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $159.20 | $199 | 1.5× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $347.62 | $434.52 | 3.2× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $495.26 | $619.08 | 3.8× |
| X-ray nose-rectum child f.b. (76010) | $388 | $485 | 3.6× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $505.20 | $631.50 | 3.9× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $435.46 | $544.32 | 3.3× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $296.21 | $370.26 | 2.3× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $362.88 | $453.60 | 3.3× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $419.20 | $524 | 3.9× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $814.40 | $1,018 | 6.2× |
| X-Ray Stress View (77071) | $203.20 | $254 | 1.9× |
| X-ray thoracic spine 4 vw (72074) | $473.25 | $591.56 | 3.6× |
| X-Ray Tmj Unilat (70328) | $268.80 | $336 | 2.5× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $458.40 | $573 | 1.1× |
| X-Rays Bone Length Studies (77073) | $241.60 | $302 | 1.9× |
| X-Rays Bone Survey Complete (77075) | $425.60 | $532 | 3.3× |
| Xr c-spine 4 or 5 views (72050) | $444.48 | $555.60 | 3.4× |
| Xr facial bones less than 3 views (70140) | $279.20 | $349 | 2.6× |
| Xr myelogram posterior fossa (70010) | $1,188.80 | $1,486 | 2.7× |
| Xr orbits complete 4 views (70200) | $220 | $275 | 1.7× |
| Xr Tomogram Single Plane (76100) | $560 | $700 | 4.3× |
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.