Imaging prices at Hancock Regional Hospital
Greenfield, IN · every code in this section with a posted price and a Medicare benchmark.
322 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) | $12,792 | $15,990 | 8.7× |
| Abdomen 1 View (74018) | $355.20 | $444 | 3.9× |
| Abdomen 2 views (74019) | $479.20 | $599 | 4.3× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $2,009.60 | $2,512 | 4.8× |
| Angio pulmonary bilat (75743) | $5,268 | $6,585 | 1.6× |
| Angiography extremity bilateral rs&i (75716) | $9,048.80 | $11,311 | 2.7× |
| Angiography extremity unilateral rs&i (75710) | $7,992.80 | $9,991 | 2.4× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $6,212 | $7,765 | 1.9× |
| Ankle 2 views (73600) | $332 | $415 | 3.6× |
| Aortography thoracic serialography rs&i (75605) | $6,591.20 | $8,239 | 1.1× |
| Artery X-Rays Abdomen (75726) | $9,207.20 | $11,509 | 1.6× |
| Artery X-Rays Pelvis (75736) | $4,666.40 | $5,833 | 0.8× |
| Artery X-Rays Spine (75705) | $5,842.40 | $7,303 | 1.0× |
| Basic radiation dosimetry calculation (77300) | $920.80 | $1,151 | 6.5× |
| Bone age studies (77072) | $316.80 | $396 | 2.9× |
| Bone Imaging 3 Phase (78315) | $2,692.80 | $3,366 | 6.4× |
| Bone Imaging Limited Area (78300) | $1,423.20 | $1,779 | 3.4× |
| Bone Imaging Whole Body (78306) | $2,556.80 | $3,196 | 6.0× |
| Bone marrow imaging limited area (78102) | $1,211.20 | $1,514 | 2.9× |
| Bone survey infant (77076) | $172 | $215 | 1.6× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $1,492 | $1,865 | 2.6× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $5,903.20 | $7,379 | 3.9× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $2,906.40 | $3,633 | 7.9× |
| Cardiac Shunt Detection (78428) | $1,371.20 | $1,714 | 3.2× |
| Cat Scan Follow-Up Study (76380) | $813.60 | $1,017 | 8.8× |
| Cerebrospinal Fluid Scan (78630) | $2,238.40 | $2,798 | 3.9× |
| Chest 1 view (71045) | $313.60 | $392 | 3.4× |
| Chest 2 views (71046) | $378.40 | $473 | 4.1× |
| Chest 3 views (71047) | $425.60 | $532 | 4.6× |
| Chest 4 or more views (71048) | $504.80 | $631 | 4.6× |
| Cholecystography Oral Contrast (74290) | $203.20 | $254 | 1.1× |
| Clavicle complete (73000) | $384 | $480 | 4.2× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $110 | $137.50 | 1.0× |
| Continuing medical physics consltj pr wk (77336) | $1,352 | $1,690 | 9.5× |
| Contrast Exam Abdominl Aorta (75625) | $7,800 | $9,750 | 2.3× |
| Contrast X-Ray Bladder (74430) | $1,104 | $1,380 | 3.0× |
| CT abdomen and pelvis without and with contrast (74178) | $3,280 | $4,100 | 8.9× |
| CT abdomen and pelvis without contrast (74176) | $2,272.80 | $2,841 | 9.0× |
| CT abdomen w contrast (74160) | $1,695.20 | $2,119 | 9.1× |
| CT abdomen w wo contrast (74170) | $2,040 | $2,550 | 11.0× |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$1,025.60–$1,367.20 | $1,282–$1,709 | varies |
| CT Angio Abdomen and Pelvis (74174) | $3,644.80 | $4,556 | 9.9× |
| CT Angio Chest (71275) | $2,652.80 | $3,316 | 14.3× |
| CT Angio Head (70496) | $2,398.40 | $2,998 | 12.9× |
| CT angio hrt w/3d image (75574) | $1,620 | $2,025 | 4.4× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $2,140.80 | $2,676 | 11.5× |
| CT Angio Neck (70498) | $2,539.20 | $3,174 | 13.7× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $2,156 | $2,695 | 11.6× |
| CT cervical spine w/ contrast (72126) | $2,113.60 | $2,642 | 5.7× |
| CT cervical spine w/o contrast (72125) | $1,548.80 | $1,936 | 14.0× |
| CT cervical spine w/wo cont (72127) | $2,286.40 | $2,858 | 12.3× |
| CT chest w contrast (71260) | $1,876.80 | $2,346 | 10.1× |
| CT chest w/wo contrast (71270) | $2,122.40 | $2,653 | 11.4× |
| CT colonography screening (74263) | $1,470.40 | $1,838 | 5.8× |
| CT Colonogrphy Dx Image Postprocess W/Contrast (74262) | $1,544 | $1,930 | 8.3× |
| CT colonogrphy dx image postprocess w/o contrast (74261) | $1,470.40 | $1,838 | 13.3× |
| CT head/brain with contrast (70460) | $1,572.80 | $1,966 | 8.5× |
| CT head/brain without and with contrast (70470) | $1,712.80 | $2,141 | 9.2× |
| CT heart contrast eval cardiac structure&morph (75572) | $1,148.80 | $1,436 | 3.1× |
| CT heart no contrast quant eval coronry calcium (75571) | $39.20 | $49 | 0.4× |
| CT hrt w/3d image congen (75573) | $1,090.40 | $1,363 | 3.0× |
| CT iac w contrast (70481) | $1,777.60 | $2,222 | 9.6× |
| CT l-spine w&w/o contrast (72133) | $2,332.80 | $2,916 | 12.6× |
| CT lower ext w/o (73700) | $1,345.60 | $1,682 | 12.2× |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$1,800.80–$2,701.60 | $2,251–$3,377 | varies |
| CT lumbar spine w contrast (72132) | $1,922.40 | $2,403 | 5.2× |
| CT lumbar spine w/o contrast (72131) | $1,731.20 | $2,164 | 15.7× |
| CT maxillofacial w contrast (70487) | $1,788 | $2,235 | 9.6× |
| CT maxillofacial wo contrast (70486) | $1,377.60 | $1,722 | 12.5× |
| CT neck tissue combo (70492) | $1,997.60 | $2,497 | 10.8× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $2,121.60 | $2,652 | 11.4× |
| CT orbits w/o contrast (70480) | $1,532.12 | $1,915.15 | 13.9× |
| CT pelvis w&w/o contrast (72194) | $2,149.60 | $2,687 | 11.6× |
| CT pelvis w/o contrast (72192) | $1,423.20 | $1,779 | 12.9× |
| CT scan of leg combo (73702) | $2,270.40 | $2,838 | 12.2× |
| CT scans face/jaw combo (70488) | $2,646.40 | $3,308 | 14.3× |
| CT soft tissue neck w contrast (70491) | $1,761.60 | $2,202 | 9.5× |
| CT soft tissue neck w/o contrast (70490) | $1,455.20 | $1,819 | 13.2× |
| CT thoracic spine w contrast (72129) | $1,932.80 | $2,416 | 10.4× |
| CT thoracic spine w/o contrast (72128) | $1,739.20 | $2,174 | 15.7× |
| CT thoracic spine w/wo cont (72130) | $2,485.60 | $3,107 | 13.4× |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$1,037.60–$1,383.20 | $1,297–$1,729 | varies |
| CT upper ext wo (73200) | $1,380 | $1,725 | 12.5× |
| CT upper extremity w/o & w/contrast material (73202) | $2,695.20 | $3,369 | 14.5× |
| CT upper extremity with contrast (73201) | $1,731.20 | $2,164 | 4.7× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $3,032 | $3,790 | 16.3× |
| Cta Abdomen (74175) | $2,151.20 | $2,689 | 11.6× |
| CTA pelvis (72191) | $2,112.80 | $2,641 | 11.4× |
| Discography Cerv/Thor Spine (72285) | $1,685.60 | $2,107 | 0.8× |
| Diskography lumbar (72295) | $3,710.40 | $4,638 | 1.8× |
| Dxa Bone Density Axial (77080) | $528 | $660 | 4.8× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $321.60 | $402 | 3.5× |
| Echograp Trans R Pros Study (76873) | $639.20 | $799 | 5.8× |
| Esophagram (74220) | $904 | $1,130 | 4.9× |
| Fetal Biophys Profile W/Nst (76818) | $768 | $960 | 6.9× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $768 | $960 | 6.9× |
| Fluoroscopy up to 1 hr (76000) | $1,136.80 | $1,421 | 4.5× |
| Follow-Up Angiography (75898) | $2,716.80 | $3,396 | 0.8× |
| Foot 2 views (73620) | $273.60 | $342 | 3.0× |
| Forearm 2 views (73090) | $388.80 | $486 | 4.2× |
| Gastric emptying imaging study (78264) | $2,307.20 | $2,884 | 5.5× |
| Gastric Emptyng Imag Std W/Sm Bwl Transit (78265) | $1,168.80 | $1,461 | 2.8× |
| Gastroesophageal Reflux Exam (78262) | $1,088.80 | $1,361 | 2.6× |
| Gated Heart Planar Single (78472) | $3,008.80 | $3,761 | 7.1× |
| Hand 2 views (73120) | $408 | $510 | 3.7× |
| Hepatobil Syst Image W/Drug (78227) | $2,832.80 | $3,541 | 4.9× |
| Hepatobiliary System Imaging (78226) | $2,726.40 | $3,408 | 6.4× |
| Ht Muscle Image Spect Sing (78451) | $5,456.80 | $6,821 | 4.0× |
| Hysterosalpingogram (74740) | $1,107.20 | $1,384 | 4.4× |
| Joint Survey Single View (77077) | $504 | $630 | 4.6× |
| K Flow/Funct Image Multiple (78709) | $2,847.20 | $3,559 | 5.0× |
| K Flow/Funct Image W/Drug (78708) | $2,148 | $2,685 | 3.7× |
| K Flow/Funct Image W/O Drug (78707) | $2,108 | $2,635 | 3.7× |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$472–$708 | $590–$885 | varies |
| Liver & Spleen Imaging Static Only (78215) | $1,720 | $2,150 | 4.1× |
| Lung Perf&Ventilat Diferentl (78598) | $3,283.20 | $4,104 | 5.7× |
| Lung perfusion differential (78597) | $2,172.80 | $2,716 | 5.1× |
| Lung Ventilat&Perfus Imaging (78582) | $3,014.40 | $3,768 | 5.2× |
| Lymph System Imaging (78195) | $2,806.40 | $3,508 | 4.9× |
| Magnetic Image Jaw Joint (70336) | $2,236 | $2,795 | 8.9× |
| Meckels Divert Exam (78290) | $1,066.40 | $1,333 | 2.5× |
| Mlc imrt design & construction per imrt plan (77338) | $7,580.80 | $9,476 | 19.1× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $82.40 | $103 | 2.7× |
| Mra Head W/O & W/Contrast Material (70546) | $3,172 | $3,965 | 8.6× |
| MRA head w/o contrast (70544) | $2,411.20 | $3,014 | 9.6× |
| MRA head with contrast (70545) | $2,640 | $3,300 | 7.2× |
| MRA neck w contrast (70548) | $2,586.40 | $3,233 | 7.0× |
| Mra Neck W/O &W/Contrast Material (70549) | $2,794.40 | $3,493 | 7.6× |
| MRA neck w/o contrast (70547) | $2,374.40 | $2,968 | 9.4× |
| MRI abdomen w contrast (74182) range across 2 matching MRF lines |
$2,584.80–$2,922.64 | $3,231–$3,653.30 | varies |
| MRI abdomen w/o contrast (74181) | $2,344 | $2,930 | 9.3× |
| MRI any jt lower extrem w/contrast material (73722) range across 2 matching MRF lines |
$3,104–$4,656 | $3,880–$5,820 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $3,328.80 | $4,161 | 9.0× |
| MRI any jt upper extremity w/contrast matrl (73222) | $2,947.20 | $3,684 | 3.6× |
| MRI bone marrow blood supply (77084) | $1,476.80 | $1,846 | 5.9× |
| MRI Breast W/O Contrast Bilateral (77047) | $2,565.60 | $3,207 | 10.2× |
| MRI Breast Without Contrast Material Unilateral (77046) | $1,766.40 | $2,208 | 7.0× |
| MRI cardiac w/o contrast (75557) range across 2 matching MRF lines |
$2,149.60–$2,866.40 | $2,687–$3,583 | varies |
| MRI cervical spine w contrast (72142) | $2,790.40 | $3,488 | 7.6× |
| MRI cervical spine w/o cont (72141) | $2,497.60 | $3,122 | 9.9× |
| MRI chest w/o contrast (71550) | $2,719.20 | $3,399 | 10.8× |
| MRI chest with contrast (71551) | $2,845.60 | $3,557 | 3.4× |
| MRI chest wo w contrast (71552) | $3,700 | $4,625 | 10.0× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $2,800 | $3,500 | 7.6× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $3,253.60 | $4,067 | 8.8× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $2,450.40 | $3,063 | 9.7× |
| MRI lumbar spine w contrast (72149) | $2,744 | $3,430 | 7.4× |
| Mri Neck Spine W/O & W/Dye (72156) | $3,232.80 | $4,041 | 8.8× |
| MRI orbit face &/neck w/o contrast (70540) | $2,375.40 | $2,969.25 | 9.4× |
| MRI orbit face neck w contrast (70542) | $2,720 | $3,400 | 7.4× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $3,024.80 | $3,781 | 8.2× |
| MRI pelvis w contrast (72196) | $2,800 | $3,500 | 7.6× |
| MRI pelvis w/o & w contrast (72197) | $3,534.40 | $4,418 | 9.6× |
| MRI pelvis w/o contrast (72195) | $2,492.80 | $3,116 | 9.9× |
| MRI spectroscopy (76390) | $1,675.20 | $2,094 | 18.2× |
| MRI thoracic spine w/o contrast (72146) | $2,495.20 | $3,119 | 9.9× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $2,701.60 | $3,377 | 7.3× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $2,508.80 | $3,136 | 9.9× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $2,980 | $3,725 | 8.1× |
| MRI, abdomen, combo (74183) | $3,080 | $3,850 | 8.3× |
| MRI, dorsal spine combo (72157) | $3,322.40 | $4,153 | 9.0× |
| MRI, dorsal spine contrast (72147) | $2,760.80 | $3,451 | 7.5× |
| MRI, joint upper extrem (73221) | $2,319.20 | $2,899 | 9.2× |
| MRI, joint upper extrem combo (73223) | $3,274.40 | $4,093 | 8.9× |
| MRI, lumbar spine combo (72158) | $3,027.20 | $3,784 | 8.2× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $428 | $535 | 1.0× |
| Myocardial Spect Multiple Studies (78452) | $5,620.80 | $7,026 | 4.1× |
| Neck soft tissue (70360) | $341.60 | $427 | 3.7× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $357.60 | $447 | 0.8× |
| Ntsty modul radthx pln dose-vol histos (77301) | $21,295.20 | $26,619 | 14.5× |
| Nuclear Rx Oral Admin (79005) | $898.40 | $1,123 | 3.6× |
| Optic foramina (70190) | $215.20 | $269 | 2.3× |
| Parathyroid Planar Imaging (78070) | $1,280 | $1,600 | 3.0× |
| Parathyroid planar imaging w/wo subtraction (78071) | $2,552 | $3,190 | 6.0× |
| Pelvis 1 or 2 views (72170) | $440.80 | $551 | 4.0× |
| Pet Image W/Ct Lmtd (78814) | $3,446.40 | $4,308 | 2.3× |
| PET image w/CT, full body (78816) | $6,568.80 | $8,211 | 4.3× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $7,029.60 | $8,787 | 4.6× |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,588.80 | $1,986 | 3.8× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $624 | $780 | 5.6× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $1,036.80 | $1,296 | 1.8× |
| Radex Ankle Complete Minimum 3 Views (73610) | $426.40 | $533 | 4.6× |
| Radex Calcaneus Minimum 2 Views (73650) | $390.40 | $488 | 4.2× |
| Radex elbow complete minimum 3 views (73080) | $440 | $550 | 4.8× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $569.60 | $712 | 5.1× |
| Radex fingr minimum 2 views (73140) | $326.40 | $408 | 3.5× |
| Radex foot complete minimum 3 views (73630) | $390.40 | $488 | 4.2× |
| Radex Hand Minimum 3 Views (73130) | $423.20 | $529 | 4.6× |
| Radex lower extremity infant minimum 2 views (73592) | $160.80 | $201 | 1.7× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $266.40 | $333 | 2.4× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $399.20 | $499 | 4.3× |
| Radex Ribs Unilateral 2 Views (71100) | $388 | $485 | 4.2× |
| Radex shoulder complete minimum 2 views (73030) | $440.80 | $551 | 4.8× |
| Radex Sinuses Paransl < 3 Views (70210) | $387.20 | $484 | 4.2× |
| Radex Spine 1 View Specify Level (72020) | $492 | $615 | 5.3× |
| Radex Sternum Minimum 2 Views (71120) | $376.80 | $471 | 4.1× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $495.20 | $619 | 5.4× |
| Radex Toe Minimum 2 Views (73660) | $336 | $420 | 3.6× |
| Radex upper extremity infant minimum 2 views (73092) | $162.40 | $203 | 1.5× |
| Radex Wrist Complete Minimum 3 Views (73110) | $431.20 | $539 | 4.7× |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $23,450.40 | $29,313 | 3.0× |
| Radiation treatment delivery level 1 (77402) | $914.40 | $1,143 | 8.5× |
| Radiation treatment delivery level 2 (77407) | $1,162.40 | $1,453 | 2.8× |
| Radiation treatment delivery level 3 (77412) | $1,656.80 | $2,071 | 2.8× |
| Radiolog exam mandible compl minimum 4 views (70110) | $534.40 | $668 | 4.8× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $572 | $715 | 5.2× |
| Radiologic exam colon double contrast study (74280) range across 2 matching MRF lines |
$324.80–$1,215.20 | $406–$1,519 | varies |
| Radiologic exam colon single contrast study (74270) | $992.80 | $1,241 | 5.3× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $870.40 | $1,088 | 4.7× |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$556.80–$835.20 | $696–$1,044 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $525.60 | $657 | 4.8× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $693.60 | $867 | 3.7× |
| Radiologic exam swallow function contrast study (74230) | $702.40 | $878 | 3.8× |
| Radiologic exam upr gi trc double contrast study (74246) | $1,048.80 | $1,311 | 5.7× |
| Radiologic examination femur 1 view (73551) | $300.80 | $376 | 3.3× |
| Radiologic examination femur minimum 2 views (73552) | $420.80 | $526 | 4.6× |
| Radiologic examination knee 1/2 views (73560) | $396.80 | $496 | 4.3× |
| Radiologic examination tibia & fibula 2 views (73590) | $398.40 | $498 | 4.3× |
| Ribs bilateral 3 views (71110) | $568 | $710 | 5.1× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $1,881.60 | $2,352 | 4.4× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $3,865.60 | $4,832 | 6.7× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $4,158.40 | $5,198 | 7.2× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $2,838.40 | $3,548 | 4.9× |
| Rp Therapy Intravenous Administration (79101) | $2,524 | $3,155 | 10.2× |
| Scapula (73010) | $417.60 | $522 | 3.8× |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 2 matching MRF lines |
$52–$69.60 | $65–$87 | varies |
| Sella turcica (70240) | $76 | $95 | 0.8× |
| Shoulder 1 view (73020) | $314.40 | $393 | 3.4× |
| Skull less than 4 views (70250) | $507.20 | $634 | 4.6× |
| Special dosimetry (77331) | $696.80 | $871 | 4.9× |
| Special Physics Consult (77370) | $1,342.40 | $1,678 | 9.4× |
| Special teletherapy port plan (77321) | $2,136 | $2,670 | 5.4× |
| Special treatment procedure (77470) | $5,911.20 | $7,389 | 10.1× |
| Stereotactic Body Radiation Delivery (77373) | $8,293.60 | $10,367 | 4.4× |
| Sternoclavicular joints (71130) | $431.20 | $539 | 4.7× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $1,640 | $2,050 | 4.1× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $957.60 | $1,197 | 2.4× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $4,524.80 | $5,656 | 11.4× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $1,882.40 | $2,353 | 4.8× |
| Ther rad simulaj-aided field setting simple (77280) | $2,293.60 | $2,867 | 16.1× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $368.80 | $461 | 2.0× |
| Thoracic spine 2 views (72070) | $485.60 | $607 | 4.4× |
| Thoracic spine 3 views (72072) | $508.80 | $636 | 4.6× |
| Thoracolumbar 2 views (72080) | $436 | $545 | 4.7× |
| Thyroid Met Imaging Body (78018) | $3,507.20 | $4,384 | 6.1× |
| Thyroid Uptake Measurement (78012) | $934.40 | $1,168 | 2.2× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,553.60 | $1,942 | 3.7× |
| Tx Devices Design & Construction Complex (77334) | $1,884 | $2,355 | 4.8× |
| Tx devices design & construction intermediate (77333) | $1,031.20 | $1,289 | 7.3× |
| Tx devices design & construction simple (77332) range across 2 matching MRF lines |
$819–$926.40 | $1,023.75–$1,158 | varies |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$499.20–$748.80 | $624–$936 | varies |
| Ultrasound Elastography Parenchyma (76981) | $1,028 | $1,285 | 9.3× |
| Ultrasound Exam Aaa Screen (76706) | $519.20 | $649 | 4.7× |
| Ultrasound, abdomen limited (76705) | $772 | $965 | 7.0× |
| Unlisted Dx Radiographic Procedure (76499) range across 2 matching MRF lines |
$181.60–$544.80 | $227–$681 | varies |
| Unlisted us procedure (76999) | $276.80 | $346 | 3.0× |
| Upper gi w/o kub (74240) | $1,037.60 | $1,297 | 5.6× |
| Urethrocystogram voiding (74455) | $792 | $990 | 3.1× |
| Us breast unilateral complete (76641) range across 2 matching MRF lines |
$451.20–$676.80 | $564–$846 | varies |
| Us chest (76604) range across 2 matching MRF lines |
$402.40–$536.80 | $503–$671 | varies |
| Us complete joint (76881) | $829.60 | $1,037 | 7.5× |
| Us exam, pelvic, limited (76857) | $550.40 | $688 | 5.0× |
| Us head (76506) | $433.60 | $542 | 3.9× |
| Us kidney transplant (76776) | $766.40 | $958 | 6.9× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $504 | $630 | 4.6× |
| Us ob limited 1 or more fetuses (76815) | $649.60 | $812 | 5.9× |
| Us ob transvaginal (76817) | $528.80 | $661 | 4.8× |
| Us pelvic non ob complete (76856) | $760.80 | $951 | 6.9× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $800.80 | $1,001 | 7.2× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $678.40 | $848 | 6.1× |
| Us retroperitoneal limited (76775) | $772.80 | $966 | 7.0× |
| Us scrotum and contents (76870) | $766.40 | $958 | 6.9× |
| Us spinal canal and contents (76800) | $347.20 | $434 | 3.1× |
| Us thyroid (76536) range across 2 matching MRF lines |
$522.40–$696.80 | $653–$871 | varies |
| Us transrectal (76872) | $1,190.40 | $1,488 | 10.8× |
| Vasogram (74440) | $228 | $285 | 0.9× |
| Vein X-Ray Chest (75827) | $3,216 | $4,020 | 1.9× |
| Venography caval inferior serialography rs&i (75825) | $6,438.40 | $8,048 | 1.9× |
| Venography extremity bilateral rs&i (75822) | $2,798.40 | $3,498 | 1.7× |
| Venography extremity unilateral rs&i (75820) | $2,259.20 | $2,824 | 1.4× |
| Venography Renal Bilateral (75833) | $3,478.40 | $4,348 | 1.0× |
| Venography Renal Unilateral (75831) | $2,716.80 | $3,396 | 0.8× |
| Venous sampling by catheter (75893) | $4,666.40 | $5,833 | 0.8× |
| Wrist 2 views (73100) | $348 | $435 | 3.8× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $402.40 | $503 | 4.4× |
| X-ray antegrade pyelogram tube (74425) | $783.20 | $979 | 2.1× |
| X-Ray Aorta Leg Arteries (75630) | $8,826.40 | $11,033 | 2.6× |
| X-Ray Bend Only L-S Spine (72120) | $504.80 | $631 | 4.6× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $363.20 | $454 | 3.9× |
| X-Ray Exam Breast Specimen (76098) | $1,086.40 | $1,358 | 1.9× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $443.20 | $554 | 4.8× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $700.80 | $876 | 6.3× |
| X-Ray Exam Hip Uni 1 View (73501) | $311.20 | $389 | 3.4× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $421.60 | $527 | 4.6× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $519.20 | $649 | 4.7× |
| X-Ray Exam Hips Bi 2 Views (73521) | $538.40 | $673 | 4.9× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $602.40 | $753 | 5.4× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $620 | $775 | 5.6× |
| X-Ray Exam L-S Spine Bending (72114) | $715.20 | $894 | 6.5× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $500 | $625 | 5.4× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $690.40 | $863 | 6.2× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $536.80 | $671 | 4.9× |
| X-ray eye for foreign body (70030) | $315.20 | $394 | 3.4× |
| X-ray humerus (73060) | $388.80 | $486 | 4.2× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $314.40 | $393 | 3.4× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $469.60 | $587 | 5.1× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $514.40 | $643 | 4.7× |
| X-ray nose-rectum child f.b. (76010) | $182.40 | $228 | 2.0× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $578.40 | $723 | 5.2× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $504.80 | $631 | 4.6× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $376 | $470 | 3.4× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $407.20 | $509 | 4.4× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $512 | $640 | 5.6× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $624 | $780 | 5.6× |
| X-ray thoracic spine 4 vw (72074) | $600.80 | $751 | 5.4× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $1,235.20 | $1,544 | 3.3× |
| X-Rays Bone Length Studies (77073) | $603.20 | $754 | 5.5× |
| X-Rays Bone Survey Complete (77075) | $1,094.40 | $1,368 | 9.9× |
| Xr c-spine 4 or 5 views (72050) | $608 | $760 | 5.5× |
| Xr facial bones less than 3 views (70140) | $386.40 | $483 | 4.2× |
| XR Mastoids < 3 Views Bilateral (70120) | $116 | $145 | 1.0× |
| Xr orbits complete 4 views (70200) | $600.80 | $751 | 5.4× |
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.