Imaging prices at Hardin Memorial Hospital

Kenton, OH · every code in this section with a posted price and a Medicare benchmark.

335 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018) $321.10 $494 3.9×
Abdomen 2 views (74019) $410.15 $631 4.1×
Angiography Adrenal Bilateral Slctv Rs&I (75733) $8,687.25 $13,365 2.9×
Ankle 2 views (73600)
range across 2 matching MRF lines
$269.75–$539.50 $415–$830 varies
Arthrogram ankle (73615)
range across 2 matching MRF lines
$822.90–$1,645.80 $1,266–$2,532 varies
Arthrogram hip (73525)
range across 2 matching MRF lines
$1,075.10–$2,150.20 $1,654–$3,308 varies
Arthrogram Wrist (73115)
range across 2 matching MRF lines
$1,128.40–$2,256.80 $1,736–$3,472 varies
Bone age studies (77072) $370.50 $570 3.7×
Bone Imaging 3 Phase (78315) $2,093 $3,220 5.5×
Bone Imaging Multiple Areas (78305) $1,898.65 $2,921 5.0×
Bone Imaging Whole Body (78306) $1,992.90 $3,066 5.3×
Bone survey infant (77076) $854.10 $1,314 8.6×
Brain Image W/Flow < 4 Views (78601) $1,143.35 $1,759 3.0×
Brain imaging < 4 static views (78600) $1,257.10 $1,934 3.3×
Brain Imaging Minimum 4 Static Views (78605) $1,621.10 $2,494 3.2×
Cardiac blood pool imaging, first pass technique; multiple studies, resting and with stress (exercise and/or… (78483) $5,872.75 $9,035 11.4×
Cardiac MRI w/w/o contrast & further seq (75561) $2,974.40 $4,576 9.0×
Cat Scan Follow-Up Study (76380) $1,259.70 $1,938 15.3×
Chest 1 view (71045) $322.40 $496 3.9×
Chest 2 views (71046) $388.05 $597 4.7×
Chest 3 views (71047) $421.85 $649 5.1×
Chest 4 or more views (71048) $501.15 $771 5.1×
Clavicle complete (73000)
range across 2 matching MRF lines
$461.50–$923 $710–$1,420 varies
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $824.85 $1,269 8.3×
Contrast X-Ray Bladder (74430) $1,041.30 $1,602 3.2×
Contrast X-Ray Of Elbow (73085)
range across 2 matching MRF lines
$1,152.45–$2,304.90 $1,773–$3,546 varies
Contrast X-Ray Of Knee Joint (73580)
range across 2 matching MRF lines
$1,178.45–$2,356.90 $1,813–$3,626 varies
Corpora cavernosography (74445) $813.15 $1,251 8.2×
CT abdomen and pelvis without and with contrast (74178) $2,854.80 $4,392 8.6×
CT abdomen and pelvis without contrast (74176) $2,360.15 $3,631 10.5×
CT abdomen w contrast (74160) $1,755.65 $2,701 10.6×
CT abdomen w wo contrast (74170) $1,931.80 $2,972 11.6×
CT abdomen w/o contrast (74150) $1,597.05 $2,457 16.1×
CT Angio Abdomen and Pelvis (74174) $2,378.35 $3,659 7.2×
CT Angio Chest (71275) $2,059.20 $3,168 12.4×
CT Angio Head (70496) $2,136.55 $3,287 12.9×
CT angio hrt w/3d image (75574) $1,631.50 $2,510 4.9×
Ct Angio Lwr Extr W/O&W/Dye (73706)
range across 2 matching MRF lines
$1,650.35–$3,300.70 $2,539–$5,078 varies
CT Angio Neck (70498) $1,942.20 $2,988 11.7×
Ct Angio Upr Extrm W/O&W/Dye (73206) $1,652.95 $2,543 10.0×
CT cervical spine w/ contrast (72126) $1,483.95 $2,283 4.5×
CT cervical spine w/o contrast (72125) $1,348.75 $2,075 13.6×
CT cervical spine w/wo cont (72127) $1,632.15 $2,511 9.8×
CT chest w contrast (71260) $1,816.10 $2,794 10.9×
CT chest w/wo contrast (71270) $1,997.45 $3,073 12.0×
CT colonography screening (74263) $1,064.70 $1,638 4.7×
CT colonogrphy dx image postprocess w/o contrast (74261) $1,314.95 $2,023 13.3×
CT head/brain with contrast (70460) $1,015.30 $1,562 6.1×
CT head/brain without and with contrast (70470) $1,117.35 $1,719 6.7×
CT heart contrast eval cardiac structure&morph (75572) $5,152.55 $7,927 15.6×
CT heart no contrast quant eval coronry calcium (75571) $289.25 $445 3.5×
CT hrt w/3d image congen (75573) $934.70 $1,438 2.8×
CT iac w contrast (70481) $1,624.35 $2,499 9.8×
CT l-spine w&w/o contrast (72133) $1,157 $1,780 7.0×
CT lower ext w/o (73700)
range across 2 matching MRF lines
$1,142.05–$2,284.10 $1,757–$3,514 varies
CT lower extremity w/contrast material (73701)
range across 2 matching MRF lines
$1,254.50–$2,509 $1,930–$3,860 varies
CT lumbar spine w contrast (72132) $1,052.35 $1,619 3.2×
CT lumbar spine w/o contrast (72131) $958.10 $1,474 9.7×
CT maxillofacial w contrast (70487) $1,207.70 $1,858 7.3×
CT maxillofacial wo contrast (70486) $1,097.20 $1,688 11.1×
CT neck tissue combo (70492) $2,050.10 $3,154 12.4×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $1,705.60 $2,624 10.3×
CT orbits w/o contrast (70480) $1,475.50 $2,270 14.9×
CT pelvis w&w/o contrast (72194) $1,838.20 $2,828 11.1×
CT pelvis w/o contrast (72192) $1,598.35 $2,459 16.2×
CT scan of leg combo (73702)
range across 2 matching MRF lines
$1,379.30–$2,758.60 $2,122–$4,244 varies
CT scans face/jaw combo (70488) $1,342.90 $2,066 8.1×
CT soft tissue neck w contrast (70491) $1,864.20 $2,868 11.2×
CT soft tissue neck w/o contrast (70490) $1,693.90 $2,606 17.1×
CT thoracic spine w contrast (72129) $1,066 $1,640 6.4×
CT thoracic spine w/o contrast (72128) $950.30 $1,462 9.6×
CT thoracic spine w/wo cont (72130) $1,225.90 $1,886 7.4×
CT thorax w/o contrast (71250) $1,651 $2,540 16.7×
CT unlisted procedure (76497) $1,888.90 $2,906 22.9×
CT upper ext wo (73200)
range across 2 matching MRF lines
$1,203.80–$2,407.60 $1,852–$3,704 varies
CT upper extremity w/o & w/contrast material (73202)
range across 2 matching MRF lines
$1,425.45–$2,850.90 $2,193–$4,386 varies
CT upper extremity with contrast (73201)
range across 2 matching MRF lines
$1,324.05–$2,648.10 $2,037–$4,074 varies
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $2,132 $3,280 12.8×
Cta Abdomen (74175) $2,111.85 $3,249 12.7×
CTA pelvis (72191) $2,023.45 $3,113 12.2×
Dilation ureters/urethra rs&i (74485) $3,623.10 $5,574 1.8×
Discography Cerv/Thor Spine (72285) $2,303.60 $3,544 1.2×
Diskography lumbar (72295) $3,103.75 $4,775 1.7×
Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) $625.30 $962 6.3×
Doppler Echo Fetal Spectral Display Complete (76827) $833.95 $1,283 8.4×
Doppler Fetal Mid Cerebral Artery (76821) $606.45 $933 6.1×
Dxa Bone Density Axial (77080) $585 $900 5.9×
Dxa bone density study (77085) $907.40 $1,396 9.2×
Dxa bone density study 1/>sites appendiclr skel (77081) $468 $720 5.7×
Echo exam of fetal heart (76825) $1,170 $1,800 2.3×
Echo exam uterus (76831) $892.45 $1,373 4.0×
Echo Guide For Artery Repair (76936) $3,779.10 $5,814 18.5×
Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) $769.60 $1,184 3.4×
Echograp Trans R Pros Study (76873) $536.25 $825 5.4×
Esophagram (74220) $633.10 $974 3.8×
Fetal Biophys Profile W/Nst (76818) $606.45 $933 6.1×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $524.55 $807 5.3×
Fluoroscopy up to 1 hr (76000) $1,008.15 $1,551 4.5×
Foot 2 views (73620)
range across 2 matching MRF lines
$275.60–$551.20 $424–$848 varies
Forearm 2 views (73090)
range across 2 matching MRF lines
$341.25–$682.50 $525–$1,050 varies
Gastric emptying imaging study (78264) $2,509 $3,860 6.6×
Gastric Emptyng Imag Std W/Sm Bwl Transit (78265) $2,941.25 $4,525 7.8×
Gated Heart Planar Single (78472) $2,978.95 $4,583 7.9×
Gstrc Emptng Imag Std W/Sm Bwl Col Trnst Mlt Day (78266) $3,315 $5,100 6.5×
Hand 2 views (73120)
range across 2 matching MRF lines
$291.20–$582.40 $448–$896 varies
Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) $9,223.50 $14,190 3.1×
Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) $4,310.15 $6,631 1.4×
Hepatobil Syst Image W/Drug (78227) $3,569.15 $5,491 6.9×
Hepatobiliary System Imaging (78226) $2,397.20 $3,688 6.3×
Hysterosalpingogram (74740) $900.90 $1,386 4.0×
Joint Survey Single View (77077) $320.45 $493 3.2×
K Flow/Funct Image W/Drug (78708) $2,436.85 $3,749 4.7×
K Flow/Funct Image W/O Drug (78707) $2,159.95 $3,323 4.2×
Knee 3 Views (73562)
range across 2 matching MRF lines
$529.10–$1,058.20 $814–$1,628 varies
Lung Ventilat&Perfus Imaging (78582) $2,243.15 $3,451 4.4×
Lung Ventilation Imaging (78579) $1,129.70 $1,738 3.0×
Lymphangiography Extremity Only Bilateral Rs&I (75803) $5,495.10 $8,454 3.7×
Lymphangiography extremity only unilateral rs&i (75801) $4,145.70 $6,378 7.0×
Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) $9,278.75 $14,275 3.1×
Lymphangiography, pelvic/abdominal, unilateral (75805) $6,958.90 $10,706 2.3×
Magnetic Image Jaw Joint (70336)
range across 2 matching MRF lines
$1,458.60–$2,917.20 $2,244–$4,488 varies
Magnetic resonance (eg, proton) imaging, brain (including brain stem andskull base), during open intracranial procedure… (70558) $2,123.55 $3,267 12.8×
Magnetic resonance (eg, proton) imaging, brain (including brain stem andskull base), during open intracranial procedure… (70557) $1,930.50 $2,970 3.7×
Magnetic resonance (eg, proton) imaging, brain (including brain stem andskull base), during open intracranial procedure… (70559) $2,335.45 $3,593 14.1×
Mammary ductogram or galactogram multiple (77054) $1,936.35 $2,979 8.6×
Mammary ductogram or galactogram single (77053) $687.05 $1,057 3.0×
Medical physics dose eval radiation expos w/rprt (76145) $1,884.35 $2,899 5.3×
Mr safety determination physician/other qhp (76016) $180.70 $278 2.2×
Mr safety implant&/fb assmt clin staf 1st 15 min (76014) $51.35 $79 1.9×
Mr safety implt electronics prepj supvj phys/qhp (76018) $187.85 $289 2.1×
Mr safety implt pos&/immoblj (76019) $122.85 $189 2.2×
Mra Head W/O & W/Contrast Material (70546) $2,085.20 $3,208 6.3×
MRA head w/o contrast (70544) $1,723.80 $2,652 7.6×
MRA head with contrast (70545) $1,896.05 $2,917 5.7×
MRA neck w contrast (70548) $2,127.45 $3,273 6.4×
Mra Neck W/O &W/Contrast Material (70549) $2,275 $3,500 6.9×
MRA neck w/o contrast (70547) $1,880.45 $2,893 8.3×
MRI abdomen w contrast (74182) $2,057.90 $3,166 6.2×
MRI abdomen w/o contrast (74181) $1,981.20 $3,048 8.8×
MRI any jt lower extrem w/contrast material (73722)
range across 2 matching MRF lines
$1,931.80–$3,863.60 $2,972–$5,944 varies
MRI any jt lower extrem w/o & w/contrast matrl (73723)
range across 2 matching MRF lines
$2,024.75–$4,049.50 $3,115–$6,230 varies
MRI any jt upper extremity w/contrast matrl (73222)
range across 2 matching MRF lines
$1,756.95–$3,513.90 $2,703–$5,406 varies
MRI bone marrow blood supply (77084) $1,608.10 $2,474 7.1×
MRI brain functional w/o physician admnistration (70554)
range across 2 matching MRF lines
$2,629.90–$5,259.80 $4,046–$8,092 varies
MRI Breast W/O Contrast Bilateral (77047) $2,092.35 $3,219 9.3×
MRI Breast Without Contrast Material Unilateral (77046) $1,912.30 $2,942 8.5×
MRI cardiac w/o contrast (75557) $2,974.40 $4,576 13.2×
MRI cervical spine w contrast (72142) $1,873.95 $2,883 5.7×
MRI cervical spine w/o cont (72141) $1,784.90 $2,746 7.9×
MRI chest w/o contrast (71550) $2,054 $3,160 9.1×
MRI chest with contrast (71551) $2,169.70 $3,338 2.9×
MRI chest wo w contrast (71552) $2,298.40 $3,536 7.0×
MRI lower extrem oth/thn jt w/contrast matrl (73719)
range across 2 matching MRF lines
$1,906.45–$3,812.90 $2,933–$5,866 varies
MRI lower extrem oth/thn jt w/o & w/contr matr (73720)
range across 2 matching MRF lines
$2,258.10–$4,516.20 $3,474–$6,948 varies
MRI lower extrem oth/thn jt w/o contr matrl (73718)
range across 2 matching MRF lines
$1,834.95–$3,669.90 $2,823–$5,646 varies
MRI lumbar spine w contrast (72149) $1,877.85 $2,889 5.7×
Mri Neck Spine W/O & W/Dye (72156) $2,159.30 $3,322 6.5×
MRI orbit face &/neck w/o contrast (70540) $2,226.25 $3,425 9.9×
MRI orbit face neck w contrast (70542) $2,403.70 $3,698 7.3×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $2,692.95 $4,143 8.2×
MRI pelvis w contrast (72196) $2,124.85 $3,269 6.4×
MRI pelvis w/o & w contrast (72197) $2,516.80 $3,872 7.6×
MRI pelvis w/o contrast (72195) $2,045.55 $3,147 9.1×
MRI spectroscopy (76390) $2,335.45 $3,593 28.4×
MRI thoracic spine w/o contrast (72146) $1,742.65 $2,681 7.7×
MRI upper extremity oth than jt w/contr matrl (73219)
range across 2 matching MRF lines
$1,872–$3,744 $2,880–$5,760 varies
MRI upper extremity oth than jt w/o contr matrl (73218)
range across 2 matching MRF lines
$1,801.80–$3,603.60 $2,772–$5,544 varies
Mri Uppr Extremity W/O&W/Dye (73220)
range across 2 matching MRF lines
$2,217.15–$4,434.30 $3,411–$6,822 varies
MRI, abdomen, combo (74183) $2,437.50 $3,750 7.4×
MRI, dorsal spine combo (72157) $2,143.70 $3,298 6.5×
MRI, dorsal spine contrast (72147) $1,859.65 $2,861 5.6×
MRI, joint upper extrem (73221)
range across 2 matching MRF lines
$1,724.45–$3,448.90 $2,653–$5,306 varies
MRI, joint upper extrem combo (73223)
range across 2 matching MRF lines
$1,929.20–$3,858.40 $2,968–$5,936 varies
MRI, lumbar spine combo (72158) $2,123.55 $3,267 6.4×
Myelogram cervical (72240) $1,836.25 $2,825 2.5×
Myelogram Lumbar (72265) $1,844.70 $2,838 2.5×
Myelography thoracic (72255) $1,721.85 $2,649 2.3×
Myelograpy 2/more regions rs&i (72270) $1,932.45 $2,973 2.6×
Myocardial Perfusion Planar 1 Study Rest/Stress (78453) $2,339.35 $3,599 1.9×
Myocardial Spect Multiple Studies (78452) $4,755.40 $7,316 3.9×
Myocrd Img Pet Metab Eval Single Study Cncrnt CT (78429) $1,502.80 $2,312 1.1×
Myocrd img PET prfuj 1std rest/stress cncrnt CT (78430) $2,332.85 $3,589 1.7×
Myocrd Img Pet Prfuj Mlt Std Rst&Strs Cncrnt CT (78431) $3,218.15 $4,951 1.5×
Myocrd Img Pet Prfuj W/Metab 2rtracer Cncrnt CT (78433) $4,385.55 $6,747 2.1×
Neck soft tissue (70360) $304.85 $469 3.7×
Nonvascular Shunt X-Ray (75809) $750.10 $1,154 7.6×
Ob us nuchal meas 1 gest (76813) $781.30 $1,202 7.9×
Optic foramina (70190)
range across 2 matching MRF lines
$204.10–$408.20 $314–$628 varies
Panoramic X-ray of jaws (70355) $371.80 $572 4.5×
Parathyroid planar imaging w/wo subtraction (78071) $3,573.70 $5,498 9.4×
Pelvis 1 or 2 views (72170) $370.50 $570 3.7×
Perineogram (74775) $1,032.85 $1,589 4.6×
Peritoneogram Rs&I (74190) $1,730.95 $2,663 3.3×
Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) $9,536.15 $14,671 3.2×
Pulmonary Perfusion Imaging Particulate (78580) $1,190.15 $1,831 3.1×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $481.65 $741 4.9×
Radex abscess/fistula/sinus tract rs&i (76080) $1,023.75 $1,575 2.0×
Radex Ankle Complete Minimum 3 Views (73610)
range across 2 matching MRF lines
$370.50–$741 $570–$1,140 varies
Radex Calcaneus Minimum 2 Views (73650)
range across 2 matching MRF lines
$381.55–$763.10 $587–$1,174 varies
Radex elbow complete minimum 3 views (73080)
range across 2 matching MRF lines
$450.45–$900.90 $693–$1,386 varies
Radex Facial Bones Complete Minimum 3 Views (70150) $586.30 $902 5.9×
Radex fingr minimum 2 views (73140)
range across 2 matching MRF lines
$381.55–$763.10 $587–$1,174 varies
Radex foot complete minimum 3 views (73630)
range across 2 matching MRF lines
$453.05–$906.10 $697–$1,394 varies
Radex Hand Minimum 3 Views (73130)
range across 2 matching MRF lines
$421.85–$843.70 $649–$1,298 varies
Radex lower extremity infant minimum 2 views (73592)
range across 2 matching MRF lines
$547.30–$1,094.60 $842–$1,684 varies
Radex Mastoids Compl Minimum 3 Views PR Side (70130)
range across 2 matching MRF lines
$759.85–$1,519.70 $1,169–$2,338 varies
Radex Nasal Bones Complete Minimum 3 Views (70160) $442.65 $681 5.4×
Radex Ribs Unilateral 2 Views (71100) $469.30 $722 5.7×
Radex shoulder complete minimum 2 views (73030)
range across 2 matching MRF lines
$474.50–$949 $730–$1,460 varies
Radex Sinuses Paransl < 3 Views (70210) $254.80 $392 3.1×
Radex sm int w/mlt srl imges via enteroclss tube (74251) $1,147.25 $1,765 6.9×
Radex Spine 1 View Specify Level (72020) $287.30 $442 3.5×
Radex Sternum Minimum 2 Views (71120) $506.35 $779 6.2×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $579.80 $892 7.0×
Radex Toe Minimum 2 Views (73660)
range across 2 matching MRF lines
$403.65–$807.30 $621–$1,242 varies
Radex upper extremity infant minimum 2 views (73092)
range across 2 matching MRF lines
$474.50–$949 $730–$1,460 varies
Radex Wrist Complete Minimum 3 Views (73110)
range across 2 matching MRF lines
$471.90–$943.80 $726–$1,452 varies
Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) $687.05 $1,057 6.9×
Radiolog exam mandible compl minimum 4 views (70110) $544.70 $838 5.5×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $419.90 $646 4.2×
Radiologic exam colon double contrast study (74280) $1,189.50 $1,830 7.2×
Radiologic exam colon single contrast study (74270) $760.50 $1,170 4.6×
Radiologic Exam Esophagus Double Contrast Study (74221) $733.85 $1,129 4.4×
Radiologic exam knee complete 4/more views (73564)
range across 2 matching MRF lines
$580.45–$1,160.90 $893–$1,786 varies
Radiologic exam pelvis compl minimum 3 views (72190) $436.80 $672 4.4×
Radiologic Exam Small Int Single Contrast Study (74250) $1,274 $1,960 7.7×
Radiologic exam swallow function contrast study (74230) $554.45 $853 3.3×
Radiologic exam upr gi trc double contrast study (74246) $993.20 $1,528 6.0×
Radiologic examination femur 1 view (73551)
range across 2 matching MRF lines
$354.25–$708.50 $545–$1,090 varies
Radiologic examination femur minimum 2 views (73552)
range across 2 matching MRF lines
$435.50–$871 $670–$1,340 varies
Radiologic examination knee 1/2 views (73560)
range across 2 matching MRF lines
$334.75–$669.50 $515–$1,030 varies
Radiologic Examination Osseous Survey Limited (77074) $283.40 $436 2.9×
Radiologic examination tibia & fibula 2 views (73590)
range across 2 matching MRF lines
$330.85–$661.70 $509–$1,018 varies
Radiologic examination, internal auditory meati, complete Non-Facility (70134) $408.20 $628 0.8×
Renal Cyst Study (74470) $1,127.75 $1,735 2.2×
Ribs bilateral 3 views (71110) $576.55 $887 5.8×
Rp loclzj tum spect 2 area/sep acquisj img (78831) $2,883.40 $4,436 2.4×
Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) $2,883.40 $4,436 2.1×
Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) $2,883.40 $4,436 2.4×
Scapula (73010)
range across 2 matching MRF lines
$469.95–$939.90 $723–$1,446 varies
Screening Digital Breast Tomosynthesis Bi (77063) $56.55 $87 2.4×
Sella turcica (70240) $286.65 $441 3.5×
Shoulder 1 view (73020)
range across 2 matching MRF lines
$259.35–$518.70 $399–$798 varies
Shoulder Arthrography (73040)
range across 2 matching MRF lines
$1,040–$2,080 $1,600–$3,200 varies
Sialogram (70390) $1,578.85 $2,429 7.0×
Skull less than 4 views (70250) $297.05 $457 3.0×
Sternoclavicular joints (71130) $708.50 $1,090 8.6×
Superior sagittal sinus venogram (75870) $4,845.75 $7,455 1.6×
Thoracic spine 2 views (72070) $421.85 $649 4.3×
Thoracic spine 3 views (72072) $460.85 $709 4.7×
Thoracolumbar 2 views (72080) $430.30 $662 5.2×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $2,406.95 $3,703 6.4×
Ultrasound Breast Limited (76642)
range across 2 matching MRF lines
$500.50–$1,001 $770–$1,540 varies
Ultrasound Elastography Parenchyma (76981) $506.35 $779 5.1×
Ultrasound Exam Aaa Screen (76706) $395.20 $608 4.0×
Ultrasound, abdomen limited (76705) $564.85 $869 5.7×
Umbilical-artery Doppler (OB) (76820) $592.15 $911 6.0×
Unlisted fluoroscopic procedure (76496) $1,747.85 $2,689 21.2×
Unlisted magnetic resonance procedure (76498) $308.10 $474 3.7×
Unlisted us procedure (76999) $1,065.35 $1,639 12.9×
Upper gi w/o kub (74240) $988 $1,520 6.0×
Urethrocystogram voiding (74455) $702.65 $1,081 3.1×
Urethrocystography retrograde (74450) $734.50 $1,130 3.3×
Us breast unilateral complete (76641)
range across 5 matching MRF lines
$146.25–$1,251.90 $225–$1,926 varies
Us chest (76604) $531.05 $817 5.4×
Us complete joint (76881) $848.90 $1,306 8.6×
Us exam, pelvic, limited (76857) $516.75 $795 5.2×
Us head (76506) $668.85 $1,029 6.8×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $536.25 $825 5.4×
Us ob detailed single fetus (76811) $902.20 $1,388 4.0×
Us ob limited 1 or more fetuses (76815) $438.75 $675 4.4×
Us ob transvaginal (76817) $601.90 $926 6.1×
Us pelvic non ob complete (76856) $772.85 $1,189 7.8×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $547.95 $843 5.5×
Us preg uterus real time f/u trnsabdl per fetus (76816) $711.75 $1,095 7.2×
Us retroperitoneal complete (76770) $793 $1,220 8.0×
Us retroperitoneal limited (76775) $523.90 $806 5.3×
Us scrotum and contents (76870) $622.05 $957 6.3×
Us spinal canal and contents (76800) $665.60 $1,024 6.7×
Us thyroid (76536) $789.10 $1,214 8.0×
Us transrectal (76872) $887.25 $1,365 9.0×
Vein X-Ray Chest (75827) $3,406.65 $5,241 2.3×
Vein X-Ray Liver W/O Hemodyn (75887) $6,513.65 $10,021 2.2×
Vein X-Ray Skull Epidural (75872) $2,761.20 $4,248 4.7×
Vein X-Ray Spleen/Liver (75810) $6,282.25 $9,665 2.1×
Venography Adrenal Unilateral (75840) $2,891.20 $4,448 1.0×
Venography caval inferior serialography rs&i (75825) $5,811 $8,940 1.9×
Venography extremity bilateral rs&i (75822) $4,657.90 $7,166 3.1×
Venography extremity unilateral rs&i (75820) $4,325.10 $6,654 2.9×
Venography Renal Bilateral (75833) $6,896.50 $10,610 2.3×
Venography Renal Unilateral (75831) $6,896.50 $10,610 2.3×
Venous sampling by catheter (75893) $9,536.15 $14,671 1.8×
Vertebral fracture assessment via dxa (77086) $439.40 $676 5.3×
Wrist 2 views (73100)
range across 2 matching MRF lines
$297.70–$595.40 $458–$916 varies
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $584.35 $899 7.1×
X-ray antegrade pyelogram tube (74425) $990.60 $1,524 3.0×
X-Ray Bend Only L-S Spine (72120) $491.40 $756 5.0×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070)
range across 2 matching MRF lines
$334.75–$669.50 $515–$1,030 varies
X-Ray Exam Breast Specimen (76098) $577.85 $889 1.1×
X-Ray Exam Entire Spi 1 Vw (72081) $516.75 $795 6.3×
X-Ray Exam Entire Spi 2/3 Vw (72082) $568.10 $874 5.7×
X-Ray Exam Entire Spi 4/5 Vw (72083) $624.65 $961 6.3×
X-Ray Exam Hip Uni 1 View (73501) $510.25 $785 6.2×
X-Ray Exam Hip Uni 2-3 Views (73502) $553.80 $852 6.7×
X-Ray Exam Hip Uni 4/> Views (73503) $579.80 $892 5.9×
X-Ray Exam Hips Bi 2 Views (73521) $632.45 $973 6.4×
X-Ray Exam Hips Bi 3-4 Views (73522) $696.15 $1,071 7.0×
X-Ray Exam Hips Bi 5/> Views (73523) $765.70 $1,178 7.7×
X-Ray Exam L-S Spine Bending (72114) $733.20 $1,128 7.4×
X-Ray Exam Neck Spine 2-3 Vw (72040) $485.55 $747 5.9×
X-Ray Exam Neck Spine 6/>Vws (72052) $673.40 $1,036 6.8×
X-Ray Exam Unilat Ribs/Chest (71101) $576.55 $887 5.8×
X-ray eye for foreign body (70030)
range across 2 matching MRF lines
$246.35–$492.70 $379–$758 varies
X-ray humerus (73060) $326.30 $502 4.0×
X-ray IV pyelogram (ivp) (74400) $825.50 $1,270 5.0×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $338 $520 4.1×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $502.45 $773 6.1×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $517.40 $796 5.2×
X-ray nose-rectum child f.b. (76010) $338 $520 4.1×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $691.60 $1,064 7.0×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $535.60 $824 5.4×
X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) $430.30 $662 4.4×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $441.35 $679 5.4×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $605.15 $931 7.4×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $534.30 $822 5.4×
X-Ray Stress View (77071) $259.35 $399 3.2×
X-ray thoracic spine 4 vw (72074) $486.20 $748 4.9×
X-Ray Tmj Unilat (70328) $517.40 $796 6.3×
X-Ray Urinary Tract Exam With Contrast Material (74420) $900.25 $1,385 2.7×
X-Rays Bone Length Studies (77073) $570.70 $878 5.8×
X-Rays Bone Survey Complete (77075) $996.45 $1,533 10.1×
Xr c-spine 4 or 5 views (72050) $586.30 $902 5.9×
Xr facial bones less than 3 views (70140) $380.25 $585 4.6×
Xr orbits complete 4 views (70200) $592.15 $911 6.0×
Xr Tomogram Single Plane (76100) $379.60 $584 3.8×

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.