Imaging prices at Hannibal Regional Hospital
Hannibal, MO · every code in this section with a posted price and a Medicare benchmark.
341 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) | $5,509.80 | $9,183 | 4.0× |
| Abdomen 1 View (74018) | $350.40 | $584 | 4.0× |
| Abdomen 2 views (74019) | $388.80 | $648 | 3.7× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $2,113.80 | $3,523 | 5.3× |
| Angio internal mammary (75756) | $3,453.60 | $5,756 | 1.1× |
| Angio pulmonary bilat (75743) | $5,319 | $8,865 | 1.7× |
| Angiography extremity bilateral rs&i (75716) | $6,365.40 | $10,609 | 2.0× |
| Angiography extremity unilateral rs&i (75710) | $5,935.80 | $9,893 | 1.9× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $3,676.20 | $6,127 | 1.2× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $3,453.60 | $5,756 | 1.1× |
| Ankle 2 views (73600) | $359.40 | $599 | 4.1× |
| Aortography thoracic serialography rs&i (75605) | $7,266 | $12,110 | 1.3× |
| Artery X-Rays Abdomen (75726) | $5,287.80 | $8,813 | 0.9× |
| Artery X-Rays Pelvis (75736) | $6,870.60 | $11,451 | 1.2× |
| Arthrogram ankle (73615) | $1,510.20 | $2,517 | 4.3× |
| Arthrogram hip (73525) | $1,690.20 | $2,817 | 4.8× |
| Arthrogram Wrist (73115) | $1,473.60 | $2,456 | 4.2× |
| Basic radiation dosimetry calculation (77300) | $555.60 | $926 | 4.1× |
| Bone age studies (77072) | $289.20 | $482 | 2.8× |
| Bone Imaging 3 Phase (78315) | $2,823 | $4,705 | 7.1× |
| Bone Imaging Limited Area (78300) | $1,845 | $3,075 | 4.6× |
| Bone Imaging Multiple Areas (78305) | $1,762.20 | $2,937 | 4.4× |
| Bone Imaging Whole Body (78306) | $2,278.20 | $3,797 | 5.7× |
| Bone survey infant (77076) | $637.20 | $1,062 | 6.1× |
| Brachytx isodose complex (77318) | $1,708.80 | $2,848 | 4.6× |
| Brachytx isodose intermed (77317) | $1,475.40 | $2,459 | 3.9× |
| Brachytx Isodose Plan Simple (77316) | $984 | $1,640 | 2.6× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $5,835.60 | $9,726 | 4.1× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $3,489 | $5,815 | 10.0× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $1,839 | $3,065 | 3.4× |
| Cerebrospinal Fluid Scan (78630) | $2,218.80 | $3,698 | 4.1× |
| Chest 1 view (71045) | $250.80 | $418 | 2.9× |
| Chest 2 views (71046) | $373.80 | $623 | 4.3× |
| Chest 3 views (71047) | $456 | $760 | 5.2× |
| Chest 4 or more views (71048) | $511.20 | $852 | 4.9× |
| Clavicle complete (73000) range across 3 matching MRF lines |
$326.40–$652.80 | $544–$1,088 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $465.60 | $776 | 4.4× |
| Continuing medical physics consltj pr wk (77336) | $816 | $1,360 | 6.1× |
| Contrast Exam Abdominl Aorta (75625) | $6,136.80 | $10,228 | 1.9× |
| Contrast X-Ray Bladder (74430) | $1,410 | $2,350 | 4.0× |
| Contrast X-Ray Of Elbow (73085) | $1,456.80 | $2,428 | 4.2× |
| Contrast X-Ray Of Knee Joint (73580) | $1,718.40 | $2,864 | 4.9× |
| CT abdomen and pelvis without and with contrast (74178) | $5,469 | $9,115 | 15.7× |
| CT abdomen and pelvis without contrast (74176) | $3,900.60 | $6,501 | 16.3× |
| CT abdomen w contrast (74160) | $3,408 | $5,680 | 19.4× |
| CT abdomen w wo contrast (74170) | $3,820.80 | $6,368 | 21.7× |
| CT abdomen w/o contrast (74150) | $2,311.20 | $3,852 | 22.1× |
| CT Angio Abdomen and Pelvis (74174) | $4,216.80 | $7,028 | 12.1× |
| CT Angio Chest (71275) | $3,211.80 | $5,353 | 18.3× |
| CT Angio Head (70496) | $3,165.60 | $5,276 | 18.0× |
| CT angio hrt w/3d image (75574) | $2,576.40 | $4,294 | 7.4× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 3 matching MRF lines |
$3,157.80–$6,315.60 | $5,263–$10,526 | varies |
| CT Angio Neck (70498) | $3,163.20 | $5,272 | 18.0× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 3 matching MRF lines |
$2,831.40–$5,662.80 | $4,719–$9,438 | varies |
| CT cervical spine w/ contrast (72126) | $2,882.40 | $4,804 | 8.2× |
| CT cervical spine w/o contrast (72125) | $2,140.80 | $3,568 | 20.4× |
| CT cervical spine w/wo cont (72127) | $3,076.20 | $5,127 | 17.5× |
| CT chest w contrast (71260) | $2,799 | $4,665 | 15.9× |
| CT chest w/wo contrast (71270) | $2,891.40 | $4,819 | 16.5× |
| CT head/brain with contrast (70460) | $2,466 | $4,110 | 14.0× |
| CT head/brain without and with contrast (70470) | $2,637 | $4,395 | 15.0× |
| CT heart no contrast quant eval coronry calcium (75571) | $59.40 | $99 | 0.7× |
| CT iac w contrast (70481) | $2,493.60 | $4,156 | 14.2× |
| CT l-spine w&w/o contrast (72133) | $2,994.60 | $4,991 | 17.0× |
| CT lower ext w/o (73700) range across 3 matching MRF lines |
$1,919.40–$3,838.80 | $3,199–$6,398 | varies |
| CT lower extremity w/contrast material (73701) range across 3 matching MRF lines |
$2,955.60–$5,911.20 | $4,926–$9,852 | varies |
| CT lumbar spine w contrast (72132) | $2,791.20 | $4,652 | 8.0× |
| CT lumbar spine w/o contrast (72131) | $1,933.80 | $3,223 | 18.5× |
| CT maxillofacial w contrast (70487) | $2,517.60 | $4,196 | 14.3× |
| CT maxillofacial wo contrast (70486) | $1,676.40 | $2,794 | 16.0× |
| CT neck tissue combo (70492) | $2,912.40 | $4,854 | 16.6× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $2,649 | $4,415 | 15.1× |
| CT orbits w/o contrast (70480) | $2,170.20 | $3,617 | 20.7× |
| CT pelvis w&w/o contrast (72194) | $2,749.80 | $4,583 | 15.7× |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$1,659–$2,510.40 | $2,765–$4,184 | varies |
| CT scan of leg combo (73702) range across 3 matching MRF lines |
$3,261.60–$6,523.20 | $5,436–$10,872 | varies |
| CT scans face/jaw combo (70488) | $2,882.40 | $4,804 | 16.4× |
| CT soft tissue neck w contrast (70491) | $2,831.40 | $4,719 | 16.1× |
| CT soft tissue neck w/o contrast (70490) | $1,549.20 | $2,582 | 14.8× |
| CT thoracic spine w contrast (72129) | $2,667 | $4,445 | 15.2× |
| CT thoracic spine w/o contrast (72128) | $1,813.80 | $3,023 | 17.3× |
| CT thoracic spine w/wo cont (72130) | $2,877.60 | $4,796 | 16.4× |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$465.60–$1,467 | $776–$2,445 | varies |
| CT upper ext wo (73200) range across 3 matching MRF lines |
$1,861.80–$3,723.60 | $3,103–$6,206 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 3 matching MRF lines |
$2,749.80–$5,499.60 | $4,583–$9,166 | varies |
| CT upper extremity with contrast (73201) range across 3 matching MRF lines |
$2,668.20–$5,336.40 | $4,447–$8,894 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $2,884.20 | $4,807 | 16.4× |
| Cta Abdomen (74175) | $3,302.40 | $5,504 | 18.8× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $6,328.80 | $10,548 | 18.1× |
| CTA pelvis (72191) | $2,912.40 | $4,854 | 16.6× |
| Dilation ureters/urethra rs&i (74485) | $2,785.80 | $4,643 | 1.3× |
| Discography Cerv/Thor Spine (72285) | $4,626 | $7,710 | 2.4× |
| Diskography lumbar (72295) | $4,626 | $7,710 | 2.4× |
| Doppler Fetal Mid Cerebral Artery (76821) | $378.60 | $631 | 3.6× |
| Dxa Bone Density Axial (77080) | $462 | $770 | 4.4× |
| Dxa bone density study (77085) | $402.60 | $671 | 3.8× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $222 | $370 | 2.5× |
| Echo exam uterus (76831) | $577.20 | $962 | 2.4× |
| Echo Guide For Artery Repair (76936) | $997.80 | $1,663 | 4.6× |
| Esophagram (74220) | $1,231.20 | $2,052 | 7.0× |
| Fetal Biophys Profile W/Nst (76818) | $589.20 | $982 | 5.6× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $613.80 | $1,023 | 5.9× |
| Fluoroscopy up to 1 hr (76000) | $649.80 | $1,083 | 2.7× |
| Follow-Up Angiography (75898) | $4,361.40 | $7,269 | 1.4× |
| Foot 2 views (73620) range across 3 matching MRF lines |
$358.80–$717.60 | $598–$1,196 | varies |
| Forearm 2 views (73090) | $370.20 | $617 | 4.2× |
| Gastric emptying imaging study (78264) | $2,223 | $3,705 | 5.6× |
| Gastroesophageal Reflux Exam (78262) | $2,116.80 | $3,528 | 5.3× |
| Gated Heart Planar Single (78472) | $2,232 | $3,720 | 5.6× |
| Hand 2 views (73120) range across 3 matching MRF lines |
$360–$720 | $600–$1,200 | varies |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) | $4,502.40 | $7,504 | 6.5× |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) | $3,882 | $6,470 | 5.6× |
| Hepatobil Syst Image W/Drug (78227) | $2,546.40 | $4,244 | 4.7× |
| Hepatobiliary System Imaging (78226) | $3,037.80 | $5,063 | 7.6× |
| Ht Muscle Image Spect Sing (78451) | $5,196.60 | $8,661 | 4.0× |
| Hysterosalpingogram (74740) | $1,469.40 | $2,449 | 6.1× |
| Infant hip ultrasound, limited static exam (76886) | $315 | $525 | 3.6× |
| K Flow/Funct Image W/Drug (78708) | $2,551.80 | $4,253 | 4.7× |
| K Flow/Funct Image W/O Drug (78707) | $2,280.60 | $3,801 | 4.2× |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$409.80–$819.60 | $683–$1,366 | varies |
| Liver & Spleen Imaging Static Only (78215) | $1,971.60 | $3,286 | 4.9× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $2,103 | $3,505 | 5.3× |
| Liver imaging w/vascular flow (78202) | $2,281.20 | $3,802 | 4.2× |
| Lung Perf&Ventilat Diferentl (78598) | $2,259 | $3,765 | 4.2× |
| Lung perfusion differential (78597) | $2,780.40 | $4,634 | 6.9× |
| Lung Ventilat&Perfus Imaging (78582) | $2,605.80 | $4,343 | 4.8× |
| Lung Ventilation Imaging (78579) | $1,702.80 | $2,838 | 4.3× |
| Lymph System Imaging (78195) | $3,294 | $5,490 | 6.1× |
| Magnetic Image Jaw Joint (70336) | $2,016.60 | $3,361 | 8.4× |
| Mammary ductogram or galactogram multiple (77054) | $951 | $1,585 | 4.0× |
| Mammary ductogram or galactogram single (77053) | $1,195.20 | $1,992 | 5.0× |
| Meckels Divert Exam (78290) | $1,935 | $3,225 | 4.8× |
| Mlc imrt design & construction per imrt plan (77338) | $1,747.80 | $2,913 | 4.7× |
| Mra Head W/O & W/Contrast Material (70546) | $3,871.80 | $6,453 | 11.1× |
| MRA head w/o contrast (70544) | $2,241.60 | $3,736 | 9.4× |
| MRA head with contrast (70545) | $3,232.20 | $5,387 | 9.2× |
| MRA neck w contrast (70548) | $3,157.80 | $5,263 | 9.0× |
| Mra Neck W/O &W/Contrast Material (70549) | $3,769.20 | $6,282 | 10.8× |
| MRA neck w/o contrast (70547) | $2,080.80 | $3,468 | 8.7× |
| MRI abdomen w contrast (74182) | $3,491.40 | $5,819 | 10.0× |
| MRI abdomen w/o contrast (74181) | $2,162.40 | $3,604 | 9.0× |
| MRI any jt lower extrem w/contrast material (73722) range across 3 matching MRF lines |
$3,484.20–$6,968.40 | $5,807–$11,614 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 3 matching MRF lines |
$3,682.80–$7,365.60 | $6,138–$12,276 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 3 matching MRF lines |
$3,347.40–$6,694.80 | $5,579–$11,158 | varies |
| MRI Breast W/O Contrast Bilateral (77047) | $2,128.80 | $3,548 | 8.9× |
| MRI Breast Without Contrast Material Unilateral (77046) | $1,740.60 | $2,901 | 7.3× |
| MRI cardiac w/o contrast (75557) | $2,125.20 | $3,542 | 8.9× |
| MRI cervical spine w contrast (72142) | $3,392.40 | $5,654 | 9.7× |
| MRI cervical spine w/o cont (72141) | $2,725.20 | $4,542 | 11.4× |
| MRI chest w/o contrast (71550) | $2,174.40 | $3,624 | 9.1× |
| MRI chest with contrast (71551) | $3,222 | $5,370 | 4.1× |
| MRI chest wo w contrast (71552) | $3,860.40 | $6,434 | 11.0× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 3 matching MRF lines |
$3,728.40–$7,456.80 | $6,214–$12,428 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 3 matching MRF lines |
$3,973.20–$7,946.40 | $6,622–$13,244 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 6 matching MRF lines |
$2,794.80–$5,589.60 | $4,658–$9,316 | varies |
| MRI lumbar spine w contrast (72149) | $3,564.60 | $5,941 | 10.2× |
| Mri Neck Spine W/O & W/Dye (72156) | $4,461.60 | $7,436 | 12.8× |
| MRI orbit face &/neck w/o contrast (70540) | $2,118.60 | $3,531 | 8.9× |
| MRI orbit face neck w contrast (70542) | $2,847.60 | $4,746 | 8.1× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $3,972.60 | $6,621 | 11.4× |
| MRI pelvis w contrast (72196) | $4,049.40 | $6,749 | 11.6× |
| MRI pelvis w/o & w contrast (72197) | $4,535.40 | $7,559 | 13.0× |
| MRI pelvis w/o contrast (72195) | $2,927.40 | $4,879 | 12.2× |
| MRI thoracic spine w/o contrast (72146) | $2,833.20 | $4,722 | 11.9× |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 3 matching MRF lines |
$2,014.20–$4,028.40 | $3,357–$6,714 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 3 matching MRF lines |
$3,490.80–$6,981.60 | $5,818–$11,636 | varies |
| MRI, abdomen, combo (74183) | $4,626 | $7,710 | 13.2× |
| MRI, dorsal spine combo (72157) | $4,216.80 | $7,028 | 12.1× |
| MRI, dorsal spine contrast (72147) | $3,891.60 | $6,486 | 11.1× |
| MRI, joint upper extrem (73221) range across 6 matching MRF lines |
$2,608.80–$5,217.60 | $4,348–$8,696 | varies |
| MRI, joint upper extrem combo (73223) range across 3 matching MRF lines |
$3,891.60–$7,783.20 | $6,486–$12,972 | varies |
| MRI, lumbar spine combo (72158) | $4,135.80 | $6,893 | 11.8× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $1,861.20 | $3,102 | 4.6× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $3,517.20 | $5,862 | 2.7× |
| Myocardial Spect Multiple Studies (78452) | $6,281.40 | $10,469 | 4.8× |
| Neck soft tissue (70360) | $290.40 | $484 | 3.3× |
| Nfs/Instlj Radioelmnt Sln 3 Mo Follow-Up Care (77750) | $934.80 | $1,558 | 2.4× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $1,418.40 | $2,364 | 3.5× |
| Nm myocard infarct spect (78469) | $2,347.80 | $3,913 | 4.3× |
| Ntsty modul radthx pln dose-vol histos (77301) | $5,145 | $8,575 | 3.7× |
| Nuclear Rx Oral Admin (79005) | $1,197.60 | $1,996 | 5.1× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $3,828 | $6,380 | 7.0× |
| Parathyroid Planar Imaging (78070) | $1,931.40 | $3,219 | 4.8× |
| Parathyroid planar imaging w/wo subtraction (78071) | $1,984.80 | $3,308 | 5.0× |
| Pelvis 1 or 2 views (72170) | $309.60 | $516 | 3.0× |
| Peritoneogram Rs&I (74190) | $1,103.40 | $1,839 | 2.0× |
| Pet Image Skull-Thigh (78812) | $5,617.80 | $9,363 | 3.9× |
| Pet Image W/Ct Lmtd (78814) | $5,634.60 | $9,391 | 3.9× |
| PET image w/CT, full body (78816) | $6,714.60 | $11,191 | 4.7× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $5,816.40 | $9,694 | 4.1× |
| PET whole body (78813) | $6,004.20 | $10,007 | 4.2× |
| Pulmonary Perfusion Imaging Particulate (78580) | $2,304.60 | $3,841 | 5.8× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $481.80 | $803 | 4.6× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $1,416 | $2,360 | 2.6× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$405–$810 | $675–$1,350 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$322.80–$645.60 | $538–$1,076 | varies |
| Radex elbow complete minimum 3 views (73080) | $323.40 | $539 | 3.7× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $343.80 | $573 | 3.3× |
| Radex fingr minimum 2 views (73140) range across 4 matching MRF lines |
$286.80–$573.60 | $478–$956 | varies |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$394.20–$788.40 | $657–$1,314 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$367.80–$735.60 | $613–$1,226 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 3 matching MRF lines |
$326.40–$652.80 | $544–$1,088 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $301.20 | $502 | 2.9× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $299.40 | $499 | 3.4× |
| Radex Ribs Unilateral 2 Views (71100) | $370.20 | $617 | 4.2× |
| Radex shoulder complete minimum 2 views (73030) | $347.40 | $579 | 4.0× |
| Radex Sinuses Paransl < 3 Views (70210) | $215.40 | $359 | 2.5× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $1,592.40 | $2,654 | 9.1× |
| Radex Spine 1 View Specify Level (72020) | $362.40 | $604 | 4.2× |
| Radex Sternum Minimum 2 Views (71120) | $279 | $465 | 3.2× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $332.40 | $554 | 3.8× |
| Radex Toe Minimum 2 Views (73660) range across 4 matching MRF lines |
$290.40–$580.80 | $484–$968 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 3 matching MRF lines |
$192.60–$385.20 | $321–$642 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$306.60–$613.20 | $511–$1,022 | varies |
| Radiation treatment delivery level 1 (77402) range across 2 matching MRF lines |
$537–$957 | $895–$1,595 | varies |
| Radiation treatment delivery level 2 (77407) range across 4 matching MRF lines |
$626.40–$2,600.40 | $1,044–$4,334 | varies |
| Radiation treatment delivery level 3 (77412) range across 4 matching MRF lines |
$957–$2,600.40 | $1,595–$4,334 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) | $365.40 | $609 | 3.5× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $427.80 | $713 | 4.1× |
| Radiologic exam colon double contrast study (74280) | $1,693.80 | $2,823 | 9.6× |
| Radiologic exam colon single contrast study (74270) | $1,644.60 | $2,741 | 9.4× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $1,291.80 | $2,153 | 7.4× |
| Radiologic exam knee complete 4/more views (73564) | $454.80 | $758 | 4.3× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $428.40 | $714 | 4.1× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $1,259.40 | $2,099 | 7.2× |
| Radiologic exam swallow function contrast study (74230) | $1,251.60 | $2,086 | 7.1× |
| Radiologic exam upr gi trc double contrast study (74246) | $1,372.20 | $2,287 | 7.8× |
| Radiologic examination femur 1 view (73551) range across 3 matching MRF lines |
$223.20–$306.60 | $372–$511 | varies |
| Radiologic examination femur minimum 2 views (73552) | $306.60 | $511 | 3.5× |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$347.40–$694.80 | $579–$1,158 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$351–$702 | $585–$1,170 | varies |
| Renal Cyst Study (74470) | $1,469.40 | $2,449 | 2.7× |
| Ribs bilateral 3 views (71110) | $535.80 | $893 | 5.1× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $2,005.20 | $3,342 | 5.0× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $2,189.40 | $3,649 | 5.5× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $5,911.80 | $9,853 | 10.9× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $2,955 | $4,925 | 5.4× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $3,447 | $5,745 | 2.4× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $2,766.60 | $4,611 | 2.1× |
| Rp Therapy Intravenous Administration (79101) | $1,367.40 | $2,279 | 5.9× |
| Scapula (73010) range across 3 matching MRF lines |
$302.40–$604.80 | $504–$1,008 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $54.60 | $91 | 2.3× |
| Shoulder 1 view (73020) | $286.80 | $478 | 3.3× |
| Shoulder Arthrography (73040) | $1,795.20 | $2,992 | 5.1× |
| Sialogram (70390) | $1,324.80 | $2,208 | 5.5× |
| Skull less than 4 views (70250) | $376.80 | $628 | 3.6× |
| Special Physics Consult (77370) | $844.80 | $1,408 | 6.3× |
| Special teletherapy port plan (77321) | $1,076.40 | $1,794 | 2.9× |
| Special treatment procedure (77470) | $2,257.20 | $3,762 | 4.1× |
| Spleen Imaging (78185) | $1,181.40 | $1,969 | 3.0× |
| Stereotactic Body Radiation Delivery (77373) | $3,778.20 | $6,297 | 2.1× |
| Sternoclavicular joints (71130) | $264.60 | $441 | 3.0× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $2,003.40 | $3,339 | 5.3× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $970.80 | $1,618 | 2.6× |
| Temporomandble Jt Arthrography Rs&I (70332) | $1,134 | $1,890 | 4.7× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $1,879.80 | $3,133 | 5.0× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $1,383.60 | $2,306 | 3.7× |
| Ther rad simulaj-aided field setting simple (77280) | $929.40 | $1,549 | 6.9× |
| Thoracic spine 2 views (72070) | $406.80 | $678 | 3.9× |
| Thoracic spine 3 views (72072) | $428.40 | $714 | 4.1× |
| Thoracolumbar 2 views (72080) | $355.20 | $592 | 4.1× |
| Thyroid carcinoma metastases imaging; with additional studies (eg, urinary recovery) Non-Facility (78016) | $1,996.80 | $3,328 | 5.0× |
| Thyroid Carcinoma Metastases Img Lmtd Area (78015) | $1,737.60 | $2,896 | 4.3× |
| Thyroid Imaging With Vascular Flow (78013) | $1,483.20 | $2,472 | 3.7× |
| Thyroid Met Imaging Body (78018) | $2,670.60 | $4,451 | 4.9× |
| Thyroid Uptake Measurement (78012) | $1,409.40 | $2,349 | 3.5× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,971 | $3,285 | 4.9× |
| Tx Devices Design & Construction Complex (77334) | $1,227 | $2,045 | 3.3× |
| Tx devices design & construction intermediate (77333) | $741.60 | $1,236 | 5.5× |
| Tx devices design & construction simple (77332) | $620.40 | $1,034 | 4.6× |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$418.80–$628.20 | $698–$1,047 | varies |
| Ultrasound elastography first target lesion (76982) | $288.60 | $481 | 2.8× |
| Ultrasound Elastography Parenchyma (76981) | $492.60 | $821 | 4.7× |
| Ultrasound Exam Aaa Screen (76706) | $354 | $590 | 3.4× |
| Ultrasound, abdomen limited (76705) | $1,009.80 | $1,683 | 9.6× |
| Umbilical-artery Doppler (OB) (76820) | $490.20 | $817 | 4.7× |
| Upper gi w/o kub (74240) | $1,361.40 | $2,269 | 7.7× |
| Ureteral Reflux Study (78740) | $1,821.60 | $3,036 | 4.5× |
| Urethrocystogram voiding (74455) | $1,521.60 | $2,536 | 6.4× |
| Urethrocystography retrograde (74450) | $1,432.80 | $2,388 | 6.0× |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$438–$657 | $730–$1,095 | varies |
| Us chest (76604) | $549.60 | $916 | 5.2× |
| Us complete joint (76881) | $467.40 | $779 | 4.5× |
| Us exam, pelvic, limited (76857) | $472.20 | $787 | 4.5× |
| Us head (76506) | $449.40 | $749 | 4.3× |
| Us kidney transplant (76776) | $780.60 | $1,301 | 7.5× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $618 | $1,030 | 5.9× |
| Us ob detailed single fetus (76811) | $777.60 | $1,296 | 3.3× |
| Us ob limited 1 or more fetuses (76815) | $464.40 | $774 | 4.4× |
| Us ob transvaginal (76817) | $641.40 | $1,069 | 6.1× |
| Us pelvic non ob complete (76856) | $919.20 | $1,532 | 8.8× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $576 | $960 | 5.5× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $429.60 | $716 | 4.1× |
| Us retroperitoneal complete (76770) | $857.40 | $1,429 | 8.2× |
| Us retroperitoneal limited (76775) | $691.80 | $1,153 | 6.6× |
| Us scrotum and contents (76870) | $823.20 | $1,372 | 7.9× |
| Us spinal canal and contents (76800) | $895.20 | $1,492 | 8.5× |
| Us thyroid (76536) | $775.80 | $1,293 | 7.4× |
| Vein X-Ray Chest (75827) | $2,316.60 | $3,861 | 1.5× |
| Venogram Sinus/Jugular (75860) | $3,178.20 | $5,297 | 1.0× |
| Venography caval inferior serialography rs&i (75825) | $4,513.80 | $7,523 | 1.4× |
| Venography extremity bilateral rs&i (75822) | $3,304.20 | $5,507 | 2.1× |
| Venography extremity unilateral rs&i (75820) | $2,383.20 | $3,972 | 1.5× |
| Vertebral fracture assessment via dxa (77086) | $189.60 | $316 | 2.2× |
| Wrist 2 views (73100) | $282.60 | $471 | 3.2× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $289.80 | $483 | 3.3× |
| X-ray antegrade pyelogram tube (74425) | $876 | $1,460 | 2.5× |
| X-Ray Aorta Leg Arteries (75630) | $4,748.40 | $7,914 | 1.5× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$288–$576 | $480–$960 | varies |
| X-Ray Exam Breast Specimen (76098) | $603 | $1,005 | 1.1× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $254.40 | $424 | 2.9× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $405 | $675 | 3.9× |
| X-Ray Exam Hip Uni 1 View (73501) | $234 | $390 | 2.7× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $343.20 | $572 | 3.9× |
| X-Ray Exam Hips Bi 2 Views (73521) | $447.60 | $746 | 4.3× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $466.20 | $777 | 4.5× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $498 | $830 | 4.8× |
| X-Ray Exam L-S Spine Bending (72114) | $586.80 | $978 | 5.6× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $426.60 | $711 | 4.9× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $678.60 | $1,131 | 6.5× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $506.40 | $844 | 4.8× |
| X-ray eye for foreign body (70030) | $277.80 | $463 | 3.2× |
| X-ray humerus (73060) range across 3 matching MRF lines |
$326.40–$652.80 | $544–$1,088 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $261.60 | $436 | 3.0× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $331.80 | $553 | 3.8× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $456.60 | $761 | 4.4× |
| X-ray nose-rectum child f.b. (76010) | $250.20 | $417 | 2.9× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $759 | $1,265 | 7.2× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $379.80 | $633 | 3.6× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $255.60 | $426 | 2.4× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $448.80 | $748 | 5.1× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $471 | $785 | 5.4× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $416.40 | $694 | 4.0× |
| X-ray thoracic spine 4 vw (72074) | $435.60 | $726 | 4.2× |
| X-Ray Tmj Unilat (70328) | $244.80 | $408 | 2.8× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $1,854 | $3,090 | 5.3× |
| X-Rays Bone Length Studies (77073) | $363 | $605 | 3.5× |
| X-Rays Bone Survey Complete (77075) | $637.20 | $1,062 | 6.1× |
| Xr c-spine 4 or 5 views (72050) | $593.40 | $989 | 5.7× |
| Xr facial bones less than 3 views (70140) | $258.60 | $431 | 3.0× |
| Xr orbits complete 4 views (70200) | $353.40 | $589 | 3.4× |
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.