Imaging prices at Hamilton Medical Center
Dalton, GA · every code in this section with a posted price and a Medicare benchmark.
340 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) | $15,129.60 | $25,216 | 10.8× |
| Abdomen 1 View (74018) range across 3 matching MRF lines |
$238.20–$540 | $397–$900 | varies |
| Abdomen 2 views (74019) range across 3 matching MRF lines |
$387–$816.60 | $645–$1,361 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) range across 3 matching MRF lines |
$1,970.40–$3,576 | $3,284–$5,960 | varies |
| Angio pulmonary bilat (75743) range across 2 matching MRF lines |
$4,813.20–$11,010 | $8,022–$18,350 | varies |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $5,937 | $9,895 | 1.9× |
| Angiography extremity bilateral rs&i (75716) range across 3 matching MRF lines |
$4,813.20–$9,658.20 | $8,022–$16,097 | varies |
| Angiography extremity unilateral rs&i (75710) range across 2 matching MRF lines |
$4,813.20–$9,658.20 | $8,022–$16,097 | varies |
| Angiography pulmonary unilateral slctv rs&i (75741) range across 4 matching MRF lines |
$4,836–$5,937 | $8,060–$9,895 | varies |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) range across 2 matching MRF lines |
$3,769.20–$4,926.60 | $6,282–$8,211 | varies |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$228.60–$508.80 | $381–$848 | varies |
| Aortography thoracic serialography rs&i (75605) range across 2 matching MRF lines |
$8,500.20–$11,010 | $14,167–$18,350 | varies |
| Artery X-Rays Abdomen (75726) range across 3 matching MRF lines |
$7,981.20–$11,010 | $13,302–$18,350 | varies |
| Artery X-Rays Adrenal Gland (75731) | $11,010 | $18,350 | 3.4× |
| Artery X-Rays Pelvis (75736) range across 2 matching MRF lines |
$8,500.20–$11,010 | $14,167–$18,350 | varies |
| Arthrogram hip (73525) range across 2 matching MRF lines |
$663.60–$1,887.60 | $1,106–$3,146 | varies |
| Arthrogram Wrist (73115) range across 2 matching MRF lines |
$1,021.20–$1,887.60 | $1,702–$3,146 | varies |
| Basic radiation dosimetry calculation (77300) | $504 | $840 | 3.7× |
| Bone age studies (77072) range across 3 matching MRF lines |
$391.80–$842.40 | $653–$1,404 | varies |
| Bone Imaging 3 Phase (78315) range across 3 matching MRF lines |
$2,263.80–$4,722 | $3,773–$7,870 | varies |
| Bone Imaging Limited Area (78300) range across 3 matching MRF lines |
$1,576.20–$4,256.40 | $2,627–$7,094 | varies |
| Bone Imaging Whole Body (78306) range across 3 matching MRF lines |
$2,494.20–$4,454.40 | $4,157–$7,424 | varies |
| Bone marrow imaging limited area (78102) | $1,315.20 | $2,192 | 3.2× |
| Bone survey infant (77076) range across 2 matching MRF lines |
$670.80–$804 | $1,118–$1,340 | varies |
| Brachytx Isodose Plan Simple (77316) | $1,334.40 | $2,224 | 3.5× |
| Brain Flow Imaging Only (78610) range across 4 matching MRF lines |
$2,703–$5,932.80 | $4,505–$9,888 | varies |
| Brain Imaging Pet Metabolic Evaluation (78608) range across 3 matching MRF lines |
$4,471.80–$4,865.40 | $7,453–$8,109 | varies |
| Cardiac MRI w/w/o contrast & further seq (75561) | $642.60 | $1,071 | 1.8× |
| Cerebrospinal Fluid Scan (78630) range across 2 matching MRF lines |
$1,766.40–$2,014.20 | $2,944–$3,357 | varies |
| Chest 1 view (71045) range across 8 matching MRF lines |
$188.40–$364.20 | $314–$607 | varies |
| Chest 2 views (71046) range across 3 matching MRF lines |
$188.40–$391.80 | $314–$653 | varies |
| Chest 3 views (71047) range across 2 matching MRF lines |
$365.40–$400.80 | $609–$668 | varies |
| Chest 4 or more views (71048) range across 2 matching MRF lines |
$405–$410.40 | $675–$684 | varies |
| Cisternography Positive Contrast Rs&I (70015) | $490.20 | $817 | 0.6× |
| Clavicle complete (73000) range across 4 matching MRF lines |
$373.80–$787.20 | $623–$1,312 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $165.60 | $276 | 1.6× |
| Continuing medical physics consltj pr wk (77336) | $735.60 | $1,226 | 5.4× |
| Contrast Exam Abdominl Aorta (75625) range across 2 matching MRF lines |
$4,813.20–$11,010 | $8,022–$18,350 | varies |
| Contrast X-Ray Bladder (74430) range across 2 matching MRF lines |
$1,027.20–$1,381.20 | $1,712–$2,302 | varies |
| Contrast X-Ray Of Elbow (73085) | $663.60 | $1,106 | 1.9× |
| Contrast X-Ray Of Knee Joint (73580) | $724.80 | $1,208 | 2.0× |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$2,092.80–$9,277.20 | $3,488–$15,462 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$1,475.40–$7,039.80 | $2,459–$11,733 | varies |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$1,819.80–$4,305 | $3,033–$7,175 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$2,086.20–$4,972.80 | $3,477–$8,288 | varies |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$1,475.40–$3,518.40 | $2,459–$5,864 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 4 matching MRF lines |
$2,607–$9,942.60 | $4,345–$16,571 | varies |
| CT Angio Chest (71275) range across 4 matching MRF lines |
$1,682.40–$4,972.80 | $2,804–$8,288 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$1,870.20–$4,972.80 | $3,117–$8,288 | varies |
| CT angio hrt w/3d image (75574) range across 2 matching MRF lines |
$1,896.60–$2,875.80 | $3,161–$4,793 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
$1,213.20–$7,081.80 | $2,022–$11,803 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$1,671–$3,543.60 | $2,785–$5,906 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 2 matching MRF lines |
$1,601.40–$4,972.80 | $2,669–$8,288 | varies |
| CT cervical spine w/ contrast (72126) range across 2 matching MRF lines |
$1,501.80–$3,045.60 | $2,503–$5,076 | varies |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$1,365–$3,518.40 | $2,275–$5,864 | varies |
| CT cervical spine w/wo cont (72127) range across 2 matching MRF lines |
$1,968.60–$4,972.80 | $3,281–$8,288 | varies |
| CT chest w contrast (71260) range across 3 matching MRF lines |
$1,503–$4,305 | $2,505–$7,175 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$1,920–$4,972.80 | $3,200–$8,288 | varies |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$1,299.60–$3,045.60 | $2,166–$5,076 | varies |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$1,438.80–$4,972.80 | $2,398–$8,288 | varies |
| CT heart contrast eval cardiac structure&morph (75572) | $2,094 | $3,490 | 5.9× |
| CT heart no contrast quant eval coronry calcium (75571) range across 2 matching MRF lines |
$208.80–$2,059.20 | $348–$3,432 | varies |
| CT hrt w/3d image congen (75573) | $2,094 | $3,490 | 5.9× |
| CT iac w contrast (70481) range across 4 matching MRF lines |
$1,144.80–$4,305 | $1,908–$7,175 | varies |
| CT l-spine w&w/o contrast (72133) range across 2 matching MRF lines |
$1,871.40–$3,624.60 | $3,119–$6,041 | varies |
| CT lower ext w/o (73700) range across 12 matching MRF lines |
$1,148.40–$7,236.60 | $1,914–$12,061 | varies |
| CT lower extremity w/contrast material (73701) range across 12 matching MRF lines |
$1,261.80–$6,088.80 | $2,103–$10,148 | varies |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$1,718.40–$3,045.60 | $2,864–$5,076 | varies |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$1,561.80–$3,518.40 | $2,603–$5,864 | varies |
| CT maxillofacial w contrast (70487) range across 4 matching MRF lines |
$1,465.20–$3,045.60 | $2,442–$5,076 | varies |
| CT maxillofacial wo contrast (70486) range across 4 matching MRF lines |
$1,332.60–$3,518.40 | $2,221–$5,864 | varies |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$1,872.60–$4,972.80 | $3,121–$8,288 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 3 matching MRF lines |
$1,247.40–$3,624.60 | $2,079–$6,041 | varies |
| CT orbits w/o contrast (70480) range across 4 matching MRF lines |
$1,038.60–$4,305 | $1,731–$7,175 | varies |
| CT pelvis w&w/o contrast (72194) range across 2 matching MRF lines |
$1,561.80–$4,305 | $2,603–$7,175 | varies |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$1,099.20–$3,518.40 | $1,832–$5,864 | varies |
| CT scan of leg combo (73702) range across 12 matching MRF lines |
$1,377–$7,236.60 | $2,295–$12,061 | varies |
| CT scans face/jaw combo (70488) range across 4 matching MRF lines |
$1,639.20–$4,305 | $2,732–$7,175 | varies |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$996.60–$4,305 | $1,661–$7,175 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$710.40–$3,518.40 | $1,184–$5,864 | varies |
| CT thoracic spine w contrast (72129) range across 2 matching MRF lines |
$1,477.20–$3,045.60 | $2,462–$5,076 | varies |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$1,404–$3,518.40 | $2,340–$5,864 | varies |
| CT thoracic spine w/wo cont (72130) range across 2 matching MRF lines |
$1,683.60–$3,624.60 | $2,806–$6,041 | varies |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$1,475.40–$3,518.40 | $2,459–$5,864 | varies |
| CT upper ext wo (73200) range across 11 matching MRF lines |
$1,404–$4,485.60 | $2,340–$7,476 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 11 matching MRF lines |
$1,683–$7,236.60 | $2,805–$12,061 | varies |
| CT upper extremity with contrast (73201) range across 11 matching MRF lines |
$1,624.20–$6,088.80 | $2,707–$10,148 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$1,824–$7,040.40 | $3,040–$11,734 | varies |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$2,163.60–$4,972.80 | $3,606–$8,288 | varies |
| CTA pelvis (72191) | $1,840.80 | $3,068 | 10.3× |
| Dilation ureters/urethra rs&i (74485) | $3,114 | $5,190 | 1.5× |
| Discography Cerv/Thor Spine (72285) | $7,116 | $11,860 | 3.6× |
| Diskography lumbar (72295) | $5,272.20 | $8,787 | 2.7× |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$435.60–$1,195.80 | $726–$1,993 | varies |
| Dxa bone density study (77085) | $177 | $295 | 1.7× |
| Echo Guide For Artery Repair (76936) | $892.20 | $1,487 | 4.1× |
| Esophagram (74220) range across 2 matching MRF lines |
$690–$1,183.20 | $1,150–$1,972 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $868.20 | $1,447 | 8.2× |
| Fluoroscopy up to 1 hr (76000) range across 4 matching MRF lines |
$386.40–$1,208.40 | $644–$2,014 | varies |
| Follow-Up Angiography (75898) | $1,967.40 | $3,279 | 0.6× |
| Foot 2 views (73620) range across 2 matching MRF lines |
$228.60–$508.80 | $381–$848 | varies |
| Forearm 2 views (73090) range across 3 matching MRF lines |
$373.80–$470.40 | $623–$784 | varies |
| Gastric emptying imaging study (78264) range across 3 matching MRF lines |
$1,812.60–$3,162 | $3,021–$5,270 | varies |
| Gated Heart Planar Single (78472) range across 2 matching MRF lines |
$5,397.60–$5,872.20 | $8,996–$9,787 | varies |
| Hand 2 views (73120) range across 2 matching MRF lines |
$228.60–$465.60 | $381–$776 | varies |
| Hdr Rdncl Ntrstl/Icav Brchtx (77772) | $4,033.20 | $6,722 | 5.7× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $9,280.80 | $15,468 | 2.9× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $5,937 | $9,895 | 1.9× |
| Hepatobil Syst Image W/Drug (78227) range across 4 matching MRF lines |
$2,923.80–$4,408.20 | $4,873–$7,347 | varies |
| Hepatobiliary System Imaging (78226) range across 3 matching MRF lines |
$2,923.80–$4,408.20 | $4,873–$7,347 | varies |
| Ht Muscle Image Spect Sing (78451) range across 7 matching MRF lines |
$2,345.40–$5,239.80 | $3,909–$8,733 | varies |
| Hysterosalpingogram (74740) range across 2 matching MRF lines |
$386.40–$1,861.80 | $644–$3,103 | varies |
| Infant hip ultrasound with hip movement (dynamic) (76885) range across 3 matching MRF lines |
$498.60–$500.40 | $831–$834 | varies |
| Infant hip ultrasound, limited static exam (76886) range across 2 matching MRF lines |
$143.40–$500.40 | $239–$834 | varies |
| K Flow/Funct Image W/Drug (78708) range across 5 matching MRF lines |
$2,167.20–$5,480.40 | $3,612–$9,134 | varies |
| K Flow/Funct Image W/O Drug (78707) range across 3 matching MRF lines |
$1,908–$5,480.40 | $3,180–$9,134 | varies |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$229.80–$671.40 | $383–$1,119 | varies |
| Liver & Spleen Imaging Static Only (78215) range across 2 matching MRF lines |
$2,070–$3,548.40 | $3,450–$5,914 | varies |
| Liver imaging static only (78201) | $4,427.40 | $7,379 | 8.0× |
| Lung perfusion differential (78597) range across 2 matching MRF lines |
$2,562.60–$6,063 | $4,271–$10,105 | varies |
| Lung Ventilat&Perfus Imaging (78582) range across 3 matching MRF lines |
$4,174.20–$4,766.40 | $6,957–$7,944 | varies |
| Lymph System Imaging (78195) range across 4 matching MRF lines |
$2,046–$4,408.20 | $3,410–$7,347 | varies |
| Magnetic Image Jaw Joint (70336) range across 2 matching MRF lines |
$2,389.20–$3,621 | $3,982–$6,035 | varies |
| Meckels Divert Exam (78290) range across 2 matching MRF lines |
$2,295.60–$3,452.40 | $3,826–$5,754 | varies |
| Mlc imrt design & construction per imrt plan (77338) | $4,237.20 | $7,062 | 11.1× |
| Mr safety determination physician/other qhp (76016) | $134.40 | $224 | 1.5× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $21 | $35 | 0.7× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) | $211.20 | $352 | 2.2× |
| Mr safety implt pos&/immoblj (76019) | $275.40 | $459 | 4.6× |
| Mr safety med physics xm customization plng&mntr (76017) | $415.20 | $692 | 1.7× |
| Mra Head W/O & W/Contrast Material (70546) | $6,031.80 | $10,053 | 17.0× |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$1,030.20–$5,975.40 | $1,717–$9,959 | varies |
| MRA head with contrast (70545) | $4,420.20 | $7,367 | 12.5× |
| Mra Neck W/O &W/Contrast Material (70549) | $6,878.40 | $11,464 | 19.4× |
| MRA neck w/o contrast (70547) range across 2 matching MRF lines |
$1,030.20–$5,975.40 | $1,717–$9,959 | varies |
| MRI abdomen w contrast (74182) range across 3 matching MRF lines |
$2,802–$4,420.20 | $4,670–$7,367 | varies |
| MRI abdomen w/o contrast (74181) range across 4 matching MRF lines |
$2,118.60–$5,975.40 | $3,531–$9,959 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 4 matching MRF lines |
$2,844.60–$4,420.20 | $4,741–$7,367 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 6 matching MRF lines |
$2,890.80–$6,878.40 | $4,818–$11,464 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 8 matching MRF lines |
$2,701.80–$6,010.80 | $4,503–$10,018 | varies |
| MRI Breast W/O Contrast Bilateral (77047) range across 2 matching MRF lines |
$2,778.60–$3,109.20 | $4,631–$5,182 | varies |
| MRI cervical spine w contrast (72142) | $3,249.60 | $5,416 | 9.2× |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$2,217.60–$5,975.40 | $3,696–$9,959 | varies |
| MRI chest w/o contrast (71550) range across 2 matching MRF lines |
$2,118.60–$5,975.40 | $3,531–$9,959 | varies |
| MRI chest with contrast (71551) | $2,342.40 | $3,904 | 2.9× |
| MRI chest wo w contrast (71552) range across 2 matching MRF lines |
$2,342.40–$6,878.40 | $3,904–$11,464 | varies |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 4 matching MRF lines |
$3,545.40–$5,975.40 | $5,909–$9,959 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 8 matching MRF lines |
$2,706–$6,878.40 | $4,510–$11,464 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 6 matching MRF lines |
$2,002.80–$5,975.40 | $3,338–$9,959 | varies |
| MRI lumbar spine w contrast (72149) range across 2 matching MRF lines |
$2,755.80–$6,010.80 | $4,593–$10,018 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$2,755.80–$6,878.40 | $4,593–$11,464 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 3 matching MRF lines |
$2,118.60–$4,158.60 | $3,531–$6,931 | varies |
| MRI orbit face neck w contrast (70542) | $2,233.20 | $3,722 | 6.3× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 4 matching MRF lines |
$2,435.40–$6,878.40 | $4,059–$11,464 | varies |
| MRI pelvis w contrast (72196) range across 2 matching MRF lines |
$1,317.60–$5,975.40 | $2,196–$9,959 | varies |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$1,551–$6,878.40 | $2,585–$11,464 | varies |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$954–$5,975.40 | $1,590–$9,959 | varies |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$2,217.60–$5,975.40 | $3,696–$9,959 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) | $3,545.40 | $5,909 | 10.0× |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 6 matching MRF lines |
$2,557.20–$5,975.40 | $4,262–$9,959 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 6 matching MRF lines |
$3,513–$6,878.40 | $5,855–$11,464 | varies |
| MRI, abdomen, combo (74183) range across 4 matching MRF lines |
$2,802–$6,878.40 | $4,670–$11,464 | varies |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$2,755.80–$6,878.40 | $4,593–$11,464 | varies |
| MRI, dorsal spine contrast (72147) range across 2 matching MRF lines |
$3,249.60–$5,975.40 | $5,416–$9,959 | varies |
| MRI, joint upper extrem (73221) range across 7 matching MRF lines |
$2,557.20–$5,975.40 | $4,262–$9,959 | varies |
| MRI, joint upper extrem combo (73223) range across 7 matching MRF lines |
$2,812.80–$6,878.40 | $4,688–$11,464 | varies |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$2,755.80–$6,878.40 | $4,593–$11,464 | varies |
| Myelograpy 2/more regions rs&i (72270) | $1,965.60 | $3,276 | 2.5× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $2,200.20 | $3,667 | 5.4× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $2,345.40 | $3,909 | 1.8× |
| Myocardial Spect Multiple Studies (78452) range across 10 matching MRF lines |
$4,828.80–$10,921.80 | $8,048–$18,203 | varies |
| N-invas est c ffr sw aly CTA (75580) | $1,882.80 | $3,138 | 2.2× |
| Neck soft tissue (70360) range across 5 matching MRF lines |
$393.60–$540 | $656–$900 | varies |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) range across 2 matching MRF lines |
$760.80–$821.40 | $1,268–$1,369 | varies |
| Nonvascular Shunt X-Ray (75809) | $918.60 | $1,531 | 8.7× |
| Ntsty modul radthx pln dose-vol histos (77301) | $5,846.40 | $9,744 | 4.2× |
| Nuclear Rx Intra-Arterial (79445) | $742.80 | $1,238 | 3.1× |
| Nuclear Rx Oral Admin (79005) range across 11 matching MRF lines |
$2,026.20–$2,238.60 | $3,377–$3,731 | varies |
| Parathyroid Planar Imaging (78070) range across 3 matching MRF lines |
$1,451.40–$2,793 | $2,419–$4,655 | varies |
| Parathyroid planar imaging w/wo subtraction (78071) | $2,917.20 | $4,862 | 7.2× |
| Pelvis 1 or 2 views (72170) range across 3 matching MRF lines |
$433.20–$544.20 | $722–$907 | varies |
| Pet Image W/Ct Lmtd (78814) | $2,625.60 | $4,376 | 1.8× |
| PET image w/CT, full body (78816) | $5,437.80 | $9,063 | 3.7× |
| PET imaging CT attenuation skull base mid-thigh (78815) range across 2 matching MRF lines |
$4,471.80–$4,865.40 | $7,453–$8,109 | varies |
| Pulmonary Perfusion Imaging Particulate (78580) range across 2 matching MRF lines |
$1,735.20–$2,874 | $2,892–$4,790 | varies |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 3 matching MRF lines |
$526.20–$1,456.20 | $877–$2,427 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) | $918.60 | $1,531 | 1.7× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$360.60–$508.80 | $601–$848 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$377.40–$481.80 | $629–$803 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$433.20–$611.40 | $722–$1,019 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 3 matching MRF lines |
$608.40–$1,273.20 | $1,014–$2,122 | varies |
| Radex fingr minimum 2 views (73140) range across 3 matching MRF lines |
$327.60–$525.60 | $546–$876 | varies |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$380.40–$508.80 | $634–$848 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$390.60–$693.60 | $651–$1,156 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 2 matching MRF lines |
$177–$693.60 | $295–$1,156 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $391.80 | $653 | 3.7× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 3 matching MRF lines |
$539.40–$693.60 | $899–$1,156 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 3 matching MRF lines |
$371.40–$595.20 | $619–$992 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$422.40–$739.80 | $704–$1,233 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 3 matching MRF lines |
$377.40–$481.80 | $629–$803 | varies |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $1,206.60 | $2,011 | 6.8× |
| Radex Spine 1 View Specify Level (72020) range across 2 matching MRF lines |
$478.20–$556.80 | $797–$928 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 3 matching MRF lines |
$370.20–$592.20 | $617–$987 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $471 | $785 | 5.3× |
| Radex Toe Minimum 2 Views (73660) range across 3 matching MRF lines |
$317.40–$693.60 | $529–$1,156 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 2 matching MRF lines |
$213.60–$391.80 | $356–$653 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$367.80–$761.40 | $613–$1,269 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $493.80 | $823 | 4.7× |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $18,256.20 | $30,427 | 2.4× |
| Radiation treatment delivery level 1 (77402) | $226.80 | $378 | 2.2× |
| Radiation treatment delivery level 2 (77407) | $507.60 | $846 | 1.3× |
| Radiation treatment delivery level 3 (77412) | $1,825.80 | $3,043 | 3.3× |
| Radiolog exam mandible compl minimum 4 views (70110) range across 3 matching MRF lines |
$555.60–$713.40 | $926–$1,189 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $1,092 | $1,820 | 10.3× |
| Radiologic exam colon double contrast study (74280) range across 3 matching MRF lines |
$886.20–$1,236.60 | $1,477–$2,061 | varies |
| Radiologic exam colon single contrast study (74270) range across 3 matching MRF lines |
$539.40–$1,183.20 | $899–$1,972 | varies |
| Radiologic Exam Esophagus Double Contrast Study (74221) range across 2 matching MRF lines |
$690–$1,183.20 | $1,150–$1,972 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$488.40–$761.40 | $814–$1,269 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$756–$818.40 | $1,260–$1,364 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 3 matching MRF lines |
$621.60–$1,183.20 | $1,036–$1,972 | varies |
| Radiologic exam swallow function contrast study (74230) range across 2 matching MRF lines |
$724.80–$1,183.20 | $1,208–$1,972 | varies |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$863.40–$1,273.20 | $1,439–$2,122 | varies |
| Radiologic examination femur 1 view (73551) range across 2 matching MRF lines |
$162.60–$187.80 | $271–$313 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines |
$305.40–$759.60 | $509–$1,266 | varies |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$228.60–$671.40 | $381–$1,119 | varies |
| Radiologic Examination Osseous Survey Limited (77074) range across 2 matching MRF lines |
$670.80–$1,108.20 | $1,118–$1,847 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$377.40–$693.60 | $629–$1,156 | varies |
| Ribs bilateral 3 views (71110) range across 3 matching MRF lines |
$371.40–$581.40 | $619–$969 | varies |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $778.20 | $1,297 | 1.9× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $778.20 | $1,297 | 1.9× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) range across 3 matching MRF lines |
$4,095–$5,732.40 | $6,825–$9,554 | varies |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $3,784.80 | $6,308 | 6.9× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 3 matching MRF lines |
$4,545–$4,944 | $7,575–$8,240 | varies |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $2,557.20 | $4,262 | 1.9× |
| Rp Therapy Intravenous Administration (79101) | $817.20 | $1,362 | 3.4× |
| Scapula (73010) range across 4 matching MRF lines |
$334.20–$787.20 | $557–$1,312 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 4 matching MRF lines |
$164.40–$1,101.60 | $274–$1,836 | varies |
| Sella turcica (70240) | $391.80 | $653 | 4.4× |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$228.60–$391.80 | $381–$653 | varies |
| Shoulder Arthrography (73040) range across 2 matching MRF lines |
$663.60–$1,887.60 | $1,106–$3,146 | varies |
| Skull less than 4 views (70250) range across 3 matching MRF lines |
$314.40–$734.40 | $524–$1,224 | varies |
| Special dosimetry (77331) | $524.40 | $874 | 3.8× |
| Special Physics Consult (77370) | $940.80 | $1,568 | 6.9× |
| Special teletherapy port plan (77321) | $1,146 | $1,910 | 3.0× |
| Special treatment procedure (77470) | $4,501.80 | $7,503 | 8.0× |
| Stereotactic Body Radiation Delivery (77373) | $4,392.60 | $7,321 | 2.4× |
| Sternoclavicular joints (71130) range across 2 matching MRF lines |
$341.40–$391.80 | $569–$653 | varies |
| Superior sagittal sinus venogram (75870) | $3,769.20 | $6,282 | 1.2× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $2,006.40 | $3,344 | 5.3× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $665.40 | $1,109 | 1.7× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $3,439.20 | $5,732 | 9.0× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $665.40 | $1,109 | 1.7× |
| Ther rad simulaj-aided field setting simple (77280) | $1,129.20 | $1,882 | 8.3× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $411 | $685 | 2.3× |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$222.60–$391.80 | $371–$653 | varies |
| Thoracic spine 3 views (72072) range across 3 matching MRF lines |
$516–$765.60 | $860–$1,276 | varies |
| Thoracolumbar 2 views (72080) | $391.80 | $653 | 4.4× |
| Thyroid Imaging With Vascular Flow (78013) | $1,537.20 | $2,562 | 3.8× |
| Thyroid Met Imaging Body (78018) range across 2 matching MRF lines |
$2,368.20–$2,704.20 | $3,947–$4,507 | varies |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) range across 3 matching MRF lines |
$1,418.40–$2,711.40 | $2,364–$4,519 | varies |
| Tx Devices Design & Construction Complex (77334) | $1,681.20 | $2,802 | 4.4× |
| Tx devices design & construction simple (77332) | $839.40 | $1,399 | 6.1× |
| Ultrasound Breast Limited (76642) range across 4 matching MRF lines |
$211.80–$663.60 | $353–$1,106 | varies |
| Ultrasound elastography first target lesion (76982) | $961.80 | $1,603 | 9.1× |
| Ultrasound Elastography Parenchyma (76981) | $1,065.60 | $1,776 | 10.0× |
| Ultrasound Exam Aaa Screen (76706) range across 3 matching MRF lines |
$431.40–$1,171.80 | $719–$1,953 | varies |
| Ultrasound, abdomen limited (76705) range across 4 matching MRF lines |
$705–$1,311.60 | $1,175–$2,186 | varies |
| Umbilical-artery Doppler (OB) (76820) | $318.60 | $531 | 3.0× |
| Unlisted Dx Radiographic Procedure (76499) range across 3 matching MRF lines |
$90–$150 | $150–$250 | varies |
| Unlisted magnetic resonance procedure (76498) | $2,300.40 | $3,834 | 26.0× |
| Upper gi w/o kub (74240) range across 2 matching MRF lines |
$876–$941.40 | $1,460–$1,569 | varies |
| Urethrocystogram voiding (74455) range across 3 matching MRF lines |
$1,409.40–$2,041.80 | $2,349–$3,403 | varies |
| Urethrocystography retrograde (74450) range across 2 matching MRF lines |
$780.60–$2,041.80 | $1,301–$3,403 | varies |
| Us breast unilateral complete (76641) range across 4 matching MRF lines |
$218.40–$663.60 | $364–$1,106 | varies |
| Us chest (76604) range across 2 matching MRF lines |
$307.80–$660 | $513–$1,100 | varies |
| Us complete joint (76881) range across 2 matching MRF lines |
$1,309.80–$1,311.60 | $2,183–$2,186 | varies |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$814.20–$1,311.60 | $1,357–$2,186 | varies |
| Us head (76506) range across 2 matching MRF lines |
$919.80–$958.20 | $1,533–$1,597 | varies |
| Us kidney transplant (76776) range across 2 matching MRF lines |
$1,048.80–$1,311.60 | $1,748–$2,186 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 4 matching MRF lines |
$218.40–$1,036.20 | $364–$1,727 | varies |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$534–$795.60 | $890–$1,326 | varies |
| Us ob transvaginal (76817) range across 3 matching MRF lines |
$1,311.60–$1,464.60 | $2,186–$2,441 | varies |
| Us pelvic non ob complete (76856) range across 3 matching MRF lines |
$1,124.40–$1,311.60 | $1,874–$2,186 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 3 matching MRF lines |
$1,118.40–$1,311.60 | $1,864–$2,186 | varies |
| Us retroperitoneal complete (76770) range across 4 matching MRF lines |
$1,131.60–$1,311.60 | $1,886–$2,186 | varies |
| Us retroperitoneal limited (76775) range across 5 matching MRF lines |
$1,131.60–$1,311.60 | $1,886–$2,186 | varies |
| Us scrotum and contents (76870) range across 3 matching MRF lines |
$1,124.40–$1,311.60 | $1,874–$2,186 | varies |
| Us spinal canal and contents (76800) | $450.60 | $751 | 4.2× |
| Us thyroid (76536) range across 4 matching MRF lines |
$405–$742.20 | $675–$1,237 | varies |
| Vein X-Ray Chest (75827) range across 3 matching MRF lines |
$2,106.60–$4,692.60 | $3,511–$7,821 | varies |
| Vein X-Ray Liver W/O Hemodyn (75887) | $3,741 | $6,235 | 1.2× |
| Venogram Sinus/Jugular (75860) range across 2 matching MRF lines |
$3,769.20–$5,067.60 | $6,282–$8,446 | varies |
| Venography Adrenal Unilateral (75840) | $5,937 | $9,895 | 1.9× |
| Venography caval inferior serialography rs&i (75825) range across 3 matching MRF lines |
$4,813.20–$5,937 | $8,022–$9,895 | varies |
| Venography extremity bilateral rs&i (75822) range across 3 matching MRF lines |
$2,832.60–$3,402.60 | $4,721–$5,671 | varies |
| Venography extremity unilateral rs&i (75820) range across 2 matching MRF lines |
$143.40–$1,613.40 | $239–$2,689 | varies |
| Venography Renal Bilateral (75833) | $5,937 | $9,895 | 1.9× |
| Venography Renal Unilateral (75831) range across 2 matching MRF lines |
$4,813.20–$5,937 | $8,022–$9,895 | varies |
| Venous sampling by catheter (75893) | $5,937 | $9,895 | 1.1× |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$228.60–$671.40 | $381–$1,119 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 3 matching MRF lines |
$391.80–$642.60 | $653–$1,071 | varies |
| X-ray antegrade pyelogram tube (74425) | $1,081.20 | $1,802 | 3.1× |
| X-Ray Aorta Leg Arteries (75630) range across 2 matching MRF lines |
$4,813.20–$11,469 | $8,022–$19,115 | varies |
| X-Ray Bend Only L-S Spine (72120) range across 2 matching MRF lines |
$190.20–$733.20 | $317–$1,222 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$222.60–$479.40 | $371–$799 | varies |
| X-Ray Exam Breast Specimen (76098) range across 4 matching MRF lines |
$796.80–$1,145.40 | $1,328–$1,909 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) | $158.40 | $264 | 1.8× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$259.80–$632.40 | $433–$1,054 | varies |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $493.80 | $823 | 4.7× |
| X-Ray Exam Hip Uni 1 View (73501) range across 3 matching MRF lines |
$333–$468 | $555–$780 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 2 matching MRF lines |
$405–$468 | $675–$780 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) range across 2 matching MRF lines |
$550.20–$609 | $917–$1,015 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$403.80–$516 | $673–$860 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $550.20 | $917 | 5.2× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $593.40 | $989 | 5.6× |
| X-Ray Exam L-S Spine Bending (72114) range across 3 matching MRF lines |
$774–$1,164 | $1,290–$1,940 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$508.80–$677.40 | $848–$1,129 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$918–$1,247.40 | $1,530–$2,079 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 4 matching MRF lines |
$804.60–$849 | $1,341–$1,415 | varies |
| X-ray eye for foreign body (70030) | $291.60 | $486 | 3.3× |
| X-ray humerus (73060) range across 3 matching MRF lines |
$373.80–$966 | $623–$1,610 | varies |
| X-ray IV pyelogram (ivp) (74400) range across 3 matching MRF lines |
$1,491–$2,041.80 | $2,485–$3,403 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 2 matching MRF lines |
$318–$391.80 | $530–$653 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $194.40 | $324 | 2.2× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 3 matching MRF lines |
$443.40–$576.60 | $739–$961 | varies |
| X-ray nose-rectum child f.b. (76010) range across 3 matching MRF lines |
$327–$391.80 | $545–$653 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 3 matching MRF lines |
$642–$849 | $1,070–$1,415 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 3 matching MRF lines |
$426.60–$723.60 | $711–$1,206 | varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) range across 2 matching MRF lines |
$70.80–$412.20 | $118–$687 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 3 matching MRF lines |
$426.60–$723.60 | $711–$1,206 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 3 matching MRF lines |
$599.40–$891.60 | $999–$1,486 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$615.60–$670.80 | $1,026–$1,118 | varies |
| X-ray thoracic spine 4 vw (72074) | $391.80 | $653 | 3.7× |
| X-Ray Tmj Unilat (70328) range across 3 matching MRF lines |
$57.60–$391.80 | $96–$653 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $974.40 | $1,624 | 2.7× |
| X-Rays Bone Length Studies (77073) range across 2 matching MRF lines |
$670.80–$676.20 | $1,118–$1,127 | varies |
| X-Rays Bone Survey Complete (77075) range across 3 matching MRF lines |
$648–$1,212.60 | $1,080–$2,021 | varies |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$670.80–$795.60 | $1,118–$1,326 | varies |
| Xr facial bones less than 3 views (70140) range across 2 matching MRF lines |
$285–$391.80 | $475–$653 | varies |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$391.80–$630.60 | $653–$1,051 | varies |
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.