Imaging prices at Havasu Regional Medical Center
Lake Havasu City, AZ · every code in this section with a posted price and a Medicare benchmark.
333 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) range across 2 matching MRF lines |
$7,234.38–$7,740.79 | $12,057.30–$12,901.31 | varies |
| Abdomen 1 View (74018) range across 2 matching MRF lines |
$522.92–$559.53 | $871.54–$932.55 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$771.34–$825.34 | $1,285.57–$1,375.56 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) range across 2 matching MRF lines |
$3,778.56–$4,043.06 | $6,297.60–$6,738.43 | varies |
| Angiography extremity bilateral rs&i (75716) range across 2 matching MRF lines |
$7,478.98–$8,002.51 | $12,464.97–$13,337.52 | varies |
| Angiography extremity unilateral rs&i (75710) range across 3 matching MRF lines |
$3,443.58–$7,123.96 | $5,739.30–$11,873.26 | varies |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$292.95–$550.58 | $488.25–$917.64 | varies |
| Aortography thoracic serialography rs&i (75605) range across 2 matching MRF lines |
$8,967.86–$9,595.61 | $14,946.43–$15,992.68 | varies |
| Artery X-Rays Abdomen (75726) range across 2 matching MRF lines |
$6,771.56–$7,245.58 | $11,285.94–$12,075.96 | varies |
| Arthrogram hip (73525) range across 2 matching MRF lines |
$1,759.90–$1,883.09 | $2,933.16–$3,138.48 | varies |
| Arthrogram Wrist (73115) range across 2 matching MRF lines |
$1,541.68–$1,649.59 | $2,569.46–$2,749.32 | varies |
| Basic radiation dosimetry calculation (77300) range across 2 matching MRF lines |
$677.97–$725.43 | $1,129.95–$1,209.05 | varies |
| Bone age studies (77072) range across 3 matching MRF lines |
$110.88–$702.62 | $184.80–$1,171.04 | varies |
| Bone Imaging 3 Phase (78315) range across 2 matching MRF lines |
$3,048.84–$3,262.26 | $5,081.40–$5,437.10 | varies |
| Bone Imaging Limited Area (78300) range across 2 matching MRF lines |
$2,679.40–$2,866.96 | $4,465.67–$4,778.27 | varies |
| Bone Imaging Multiple Areas (78305) range across 2 matching MRF lines |
$2,672.28–$2,859.34 | $4,453.80–$4,765.57 | varies |
| Bone Imaging Whole Body (78306) range across 2 matching MRF lines |
$3,367.52–$3,603.25 | $5,612.54–$6,005.42 | varies |
| Bone survey infant (77076) range across 3 matching MRF lines |
$175.77–$1,271.68 | $292.95–$2,119.47 | varies |
| Brain Flow Imaging Only (78610) range across 2 matching MRF lines |
$802.80–$859 | $1,338–$1,431.66 | varies |
| Cardiac MRI w/w/o contrast & further seq (75561) range across 2 matching MRF lines |
$3,904.41–$4,177.72 | $6,507.35–$6,962.86 | varies |
| Cat Scan Follow-Up Study (76380) range across 2 matching MRF lines |
$2,150.62–$2,301.16 | $3,584.36–$3,835.27 | varies |
| Cerebrospinal Fluid Scan (78630) range across 2 matching MRF lines |
$3,414.19–$3,653.18 | $5,690.32–$6,088.64 | varies |
| Chest 1 view (71045) range across 3 matching MRF lines |
$437.86–$491.94 | $729.77–$819.90 | varies |
| Chest 2 views (71046) range across 3 matching MRF lines |
$556.77–$625.52 | $927.95–$1,042.54 | varies |
| Chest 3 views (71047) range across 2 matching MRF lines |
$764.57–$818.09 | $1,274.28–$1,363.48 | varies |
| Chest 4 or more views (71048) range across 2 matching MRF lines |
$848.67–$908.08 | $1,414.45–$1,513.46 | varies |
| Cholecystography Oral Contrast (74290) range across 2 matching MRF lines |
$904.30–$967.60 | $1,507.17–$1,612.67 | varies |
| Clavicle complete (73000) range across 2 matching MRF lines |
$489.20–$523.44 | $815.33–$872.40 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 2 matching MRF lines |
$153.17–$163.90 | $255.29–$273.16 | varies |
| Continuing medical physics consltj pr wk (77336) | $940.84 | $1,568.06 | 6.4× |
| Contrast Exam Abdominl Aorta (75625) range across 2 matching MRF lines |
$7,858.55–$8,408.65 | $13,097.58–$14,014.41 | varies |
| Contrast X-Ray Bladder (74430) range across 2 matching MRF lines |
$874.87–$936.11 | $1,458.12–$1,560.19 | varies |
| Contrast X-Ray Of Knee Joint (73580) range across 2 matching MRF lines |
$1,675.64–$1,792.94 | $2,792.74–$2,988.23 | varies |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$8,810.55–$9,427.29 | $14,684.25–$15,712.15 | varies |
| CT abdomen and pelvis without contrast (74176) range across 3 matching MRF lines |
$4,534.11–$7,815.70 | $7,556.85–$13,026.17 | varies |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$4,141.91–$4,431.84 | $6,903.18–$7,386.40 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$4,662.56–$4,988.94 | $7,770.93–$8,314.90 | varies |
| CT abdomen w/o contrast (74150) range across 3 matching MRF lines |
$2,311.47–$3,984.41 | $3,852.45–$6,640.68 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$5,924.10–$6,338.79 | $9,873.50–$10,564.65 | varies |
| CT Angio Chest (71275) range across 3 matching MRF lines |
$2,592.45–$4,468.76 | $4,320.75–$7,447.94 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$3,729.83–$3,990.92 | $6,216.39–$6,651.54 | varies |
| CT angio hrt w/3d image (75574) range across 2 matching MRF lines |
$3,316.76–$3,548.94 | $5,527.94–$5,914.90 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 3 matching MRF lines |
$2,746.17–$4,733.74 | $4,576.95–$7,889.56 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$4,036.34–$4,318.89 | $6,727.24–$7,198.15 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 2 matching MRF lines |
$3,597.90–$3,849.76 | $5,996.50–$6,416.26 | varies |
| CT cervical spine w/ contrast (72126) range across 2 matching MRF lines |
$4,852.35–$5,192.02 | $8,087.25–$8,653.36 | varies |
| CT cervical spine w/o contrast (72125) range across 3 matching MRF lines |
$2,359.98–$4,068.04 | $3,933.30–$6,780.07 | varies |
| CT cervical spine w/wo cont (72127) range across 2 matching MRF lines |
$5,337.49–$5,711.12 | $8,895.82–$9,518.53 | varies |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$4,293.13–$4,593.64 | $7,155.21–$7,656.07 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$4,823.93–$5,161.60 | $8,039.88–$8,602.67 | varies |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$3,550.20–$3,798.71 | $5,917–$6,331.19 | varies |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$3,957.18–$4,234.18 | $6,595.30–$7,056.97 | varies |
| CT heart contrast eval cardiac structure&morph (75572) range across 2 matching MRF lines |
$6,495.50–$6,950.19 | $10,825.84–$11,583.65 | varies |
| CT heart no contrast quant eval coronry calcium (75571) range across 2 matching MRF lines |
$1,192.54–$1,276.01 | $1,987.56–$2,126.69 | varies |
| CT hrt w/3d image congen (75573) range across 2 matching MRF lines |
$1,469.60–$1,572.47 | $2,449.33–$2,620.78 | varies |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$3,917.60–$4,191.83 | $6,529.33–$6,986.38 | varies |
| CT l-spine w&w/o contrast (72133) range across 2 matching MRF lines |
$5,772.88–$6,176.98 | $9,621.46–$10,294.96 | varies |
| CT lower ext w/o (73700) range across 3 matching MRF lines |
$2,199.96–$3,792.20 | $3,666.60–$6,320.34 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$3,628.35–$3,882.34 | $6,047.25–$6,470.56 | varies |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$4,569.19–$4,889.03 | $7,615.32–$8,148.39 | varies |
| CT lumbar spine w/o contrast (72131) range across 3 matching MRF lines |
$2,482.83–$4,279.81 | $4,138.05–$7,133.02 | varies |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$3,700.43–$3,959.46 | $6,167.38–$6,599.10 | varies |
| CT maxillofacial wo contrast (70486) range across 3 matching MRF lines |
$1,777.86–$3,064.61 | $2,963.10–$5,107.68 | varies |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$4,124.65–$4,413.38 | $6,874.42–$7,355.63 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 3 matching MRF lines |
$2,516.22–$4,337.36 | $4,193.70–$7,228.94 | varies |
| CT orbits w/o contrast (70480) range across 3 matching MRF lines |
$2,067.66–$3,564.16 | $3,446.10–$5,940.27 | varies |
| CT pelvis w&w/o contrast (72194) range across 2 matching MRF lines |
$4,615.88–$4,938.99 | $7,693.13–$8,231.65 | varies |
| CT pelvis w/o contrast (72192) range across 3 matching MRF lines |
$2,285.64–$3,939.88 | $3,809.40–$6,566.47 | varies |
| CT scan of leg combo (73702) range across 2 matching MRF lines |
$4,811.75–$5,148.58 | $8,019.59–$8,580.96 | varies |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
$4,242.37–$4,539.33 | $7,070.61–$7,565.55 | varies |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$3,767.40–$4,031.12 | $6,279–$6,718.53 | varies |
| CT soft tissue neck w/o contrast (70490) range across 3 matching MRF lines |
$2,097.90–$3,616.28 | $3,496.50–$6,027.14 | varies |
| CT thoracic spine w contrast (72129) range across 2 matching MRF lines |
$4,567.16–$4,886.86 | $7,611.93–$8,144.77 | varies |
| CT thoracic spine w/o contrast (72128) range across 3 matching MRF lines |
$2,453.22–$4,228.77 | $4,088.70–$7,047.95 | varies |
| CT thoracic spine w/wo cont (72130) range across 2 matching MRF lines |
$4,811.75–$5,148.58 | $8,019.59–$8,580.96 | varies |
| CT thorax w/o contrast (71250) range across 3 matching MRF lines |
$2,199.96–$3,792.20 | $3,666.60–$6,320.34 | varies |
| CT upper ext wo (73200) range across 3 matching MRF lines |
$2,099.79–$3,619.52 | $3,499.65–$6,032.53 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 2 matching MRF lines |
$4,769.12–$5,102.96 | $7,948.54–$8,504.94 | varies |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$3,794.80–$4,060.43 | $6,324.66–$6,767.39 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$4,669.66–$4,996.53 | $7,782.76–$8,327.55 | varies |
| Cta Abdomen (74175) range across 3 matching MRF lines |
$4,296.16–$8,837.80 | $7,160.26–$14,729.66 | varies |
| CTA pelvis (72191) range across 2 matching MRF lines |
$4,545.84–$4,864.05 | $7,576.40–$8,106.75 | varies |
| Dilation ureters/urethra rs&i (74485) range across 2 matching MRF lines |
$2,213.54–$2,368.49 | $3,689.24–$3,947.49 | varies |
| Discography Cerv/Thor Spine (72285) | $4,181.31 | $6,968.85 | 2.0× |
| Diskography lumbar (72295) range across 2 matching MRF lines |
$10,399.93–$11,127.93 | $17,333.22–$18,546.55 | varies |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$656.66–$702.62 | $1,094.43–$1,171.04 | varies |
| Dxa bone density study (77085) | $263.97 | $439.95 | 2.3× |
| Dxa bone density study 1/>sites appendiclr skel (77081) range across 2 matching MRF lines |
$136.38–$145.93 | $227.30–$243.21 | varies |
| Echo exam uterus (76831) range across 2 matching MRF lines |
$495.19–$529.85 | $825.31–$883.08 | varies |
| Echo Guide For Artery Repair (76936) range across 2 matching MRF lines |
$1,926.34–$2,061.18 | $3,210.56–$3,435.30 | varies |
| Esophagram (74220) range across 2 matching MRF lines |
$1,547.76–$1,656.10 | $2,579.60–$2,760.17 | varies |
| Fetal Biophys Profile W/Nst (76818) range across 3 matching MRF lines |
$289.98–$1,686.50 | $483.30–$2,810.84 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 2 matching MRF lines |
$954.04–$1,020.82 | $1,590.06–$1,701.36 | varies |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$814.99–$872.04 | $1,358.32–$1,453.40 | varies |
| Follow-Up Angiography (75898) range across 2 matching MRF lines |
$1,366.09–$1,461.72 | $2,276.82–$2,436.20 | varies |
| Foot 2 views (73620) range across 3 matching MRF lines |
$110.88–$518 | $184.80–$863.33 | varies |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$522.68–$559.27 | $871.14–$932.12 | varies |
| Gastric emptying imaging study (78264) range across 2 matching MRF lines |
$3,780.59–$4,045.23 | $6,300.98–$6,742.05 | varies |
| Gastric Emptyng Imag Std W/Sm Bwl Transit (78265) | $1,448.37 | $2,413.95 | 3.3× |
| Gated Heart Planar Single (78472) range across 2 matching MRF lines |
$7,122.74–$7,621.33 | $11,871.23–$12,702.22 | varies |
| Gated Heart, Multiple (78473) range across 2 matching MRF lines |
$7,097.35–$7,594.16 | $11,828.91–$12,656.93 | varies |
| Hand 2 views (73120) range across 3 matching MRF lines |
$110.88–$459.37 | $184.80–$765.61 | varies |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $5,566.68 | $9,277.80 | 1.6× |
| Hepatobil Syst Image W/Drug (78227) range across 2 matching MRF lines |
$4,025.20–$4,306.96 | $6,708.66–$7,178.27 | varies |
| Hepatobiliary System Imaging (78226) range across 2 matching MRF lines |
$4,025.20–$4,306.96 | $6,708.66–$7,178.27 | varies |
| Ht Muscle Image Spect Sing (78451) range across 3 matching MRF lines |
$2,713.41–$4,677.26 | $4,522.35–$7,795.44 | varies |
| Hysterosalpingogram (74740) range across 2 matching MRF lines |
$1,753.78–$1,876.55 | $2,922.97–$3,127.58 | varies |
| Image fusion (77399) | $364.77 | $607.95 | 2.5× |
| Infant hip ultrasound with hip movement (dynamic) (76885) range across 2 matching MRF lines |
$1,061.61–$1,135.92 | $1,769.35–$1,893.20 | varies |
| Infant hip ultrasound, limited static exam (76886) range across 2 matching MRF lines |
$932.72–$998.02 | $1,554.54–$1,663.36 | varies |
| Interstitial radiation source applic complex (77778) range across 2 matching MRF lines |
$7,660.64–$8,196.88 | $12,767.73–$13,661.47 | varies |
| K Flow/Funct Image Multiple (78709) range across 2 matching MRF lines |
$3,564.41–$3,813.92 | $5,940.69–$6,356.54 | varies |
| K Flow/Funct Image W/Drug (78708) range across 2 matching MRF lines |
$2,773.78–$2,967.95 | $4,622.97–$4,946.58 | varies |
| K Flow/Funct Image W/O Drug (78707) range across 2 matching MRF lines |
$2,456.11–$2,628.04 | $4,093.52–$4,380.07 | varies |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$585.35–$736.30 | $975.58–$1,227.16 | varies |
| Liver & Spleen Imaging Static Only (78215) range across 2 matching MRF lines |
$3,756.23–$4,019.17 | $6,260.39–$6,698.62 | varies |
| Lung perfusion differential (78597) range across 3 matching MRF lines |
$2,449.44–$4,222.24 | $4,082.40–$7,037.06 | varies |
| Lung Ventilat&Perfus Imaging (78582) range across 2 matching MRF lines |
$3,946.01–$4,222.24 | $6,576.69–$7,037.06 | varies |
| Lymph System Imaging (78195) range across 2 matching MRF lines |
$3,186.87–$3,409.95 | $5,311.45–$5,683.25 | varies |
| Magnetic Image Jaw Joint (70336) range across 2 matching MRF lines |
$4,426.07–$4,735.90 | $7,376.79–$7,893.17 | varies |
| Mammary ductogram or galactogram multiple (77054) range across 2 matching MRF lines |
$3,996.78–$4,276.55 | $6,661.30–$7,127.59 | varies |
| Mammary ductogram or galactogram single (77053) range across 3 matching MRF lines |
$940.59–$1,621.35 | $1,567.65–$2,702.25 | varies |
| Meckels Divert Exam (78290) range across 2 matching MRF lines |
$2,426.68–$2,596.54 | $4,044.46–$4,327.57 | varies |
| Mlc imrt design & construction per imrt plan (77338) range across 2 matching MRF lines |
$2,135.39–$2,284.87 | $3,558.99–$3,808.12 | varies |
| Mra Head W/O & W/Contrast Material (70546) | $5,178.98 | $8,631.64 | 13.6× |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$4,110.45–$4,398.18 | $6,850.75–$7,330.30 | varies |
| MRA head with contrast (70545) range across 2 matching MRF lines |
$4,229.19–$4,525.24 | $7,048.65–$7,542.06 | varies |
| MRA neck w contrast (70548) range across 2 matching MRF lines |
$2,700.71–$2,889.76 | $4,501.18–$4,816.26 | varies |
| Mra Neck W/O &W/Contrast Material (70549) range across 2 matching MRF lines |
$3,839.46–$4,108.22 | $6,399.10–$6,847.04 | varies |
| MRA neck w/o contrast (70547) range across 2 matching MRF lines |
$2,588.07–$2,769.23 | $4,313.45–$4,615.39 | varies |
| MRI abdomen w contrast (74182) range across 2 matching MRF lines |
$4,816.82–$5,153.99 | $8,028.03–$8,589.99 | varies |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$4,471.77–$4,784.80 | $7,452.95–$7,974.66 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 3 matching MRF lines |
$2,146.20–$4,498.07 | $3,577–$7,496.79 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 3 matching MRF lines |
$26.40–$5,531.93 | $44–$9,219.88 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 3 matching MRF lines |
$2,332.26–$4,020.26 | $3,887.10–$6,700.43 | varies |
| MRI Breast W/O Contrast Bilateral (77047) range across 3 matching MRF lines |
$569.52–$1,630.43 | $949.20–$2,717.38 | varies |
| MRI Breast Without Contrast Material Unilateral (77046) range across 3 matching MRF lines |
$569.52–$1,630.43 | $949.20–$2,717.38 | varies |
| MRI cardiac w/o contrast (75557) range across 2 matching MRF lines |
$3,865.84–$4,136.44 | $6,443.06–$6,894.07 | varies |
| MRI cervical spine w contrast (72142) range across 2 matching MRF lines |
$5,286.74–$5,656.81 | $8,811.23–$9,428.02 | varies |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$5,107.10–$5,464.60 | $8,511.83–$9,107.66 | varies |
| MRI chest w/o contrast (71550) range across 2 matching MRF lines |
$3,573.55–$3,823.69 | $5,955.91–$6,372.82 | varies |
| MRI chest with contrast (71551) range across 2 matching MRF lines |
$4,510.33–$4,826.05 | $7,517.21–$8,043.41 | varies |
| MRI chest wo w contrast (71552) range across 2 matching MRF lines |
$5,862.19–$6,272.54 | $9,770.32–$10,454.24 | varies |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 2 matching MRF lines |
$4,559.03–$4,878.16 | $7,598.38–$8,130.27 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 2 matching MRF lines |
$4,885.84–$5,227.84 | $8,143.06–$8,713.07 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines |
$3,849.61–$4,119.08 | $6,416.01–$6,865.13 | varies |
| MRI lumbar spine w contrast (72149) range across 2 matching MRF lines |
$5,063.45–$5,417.90 | $8,439.09–$9,029.83 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$5,905.84–$6,319.24 | $9,843.06–$10,532.07 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 2 matching MRF lines |
$4,220.06–$4,515.46 | $7,033.43–$7,525.77 | varies |
| MRI orbit face neck w contrast (70542) range across 2 matching MRF lines |
$4,465.66–$4,778.26 | $7,442.77–$7,963.76 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 2 matching MRF lines |
$4,948.78–$5,295.19 | $8,247.96–$8,825.32 | varies |
| MRI pelvis w contrast (72196) range across 3 matching MRF lines |
$4,525.24–$5,418.65 | $7,542.06–$9,031.09 | varies |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$5,716.05–$6,116.17 | $9,526.75–$10,193.62 | varies |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$3,874.99–$4,146.23 | $6,458.31–$6,910.39 | varies |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$4,508.30–$4,823.88 | $7,513.83–$8,039.80 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 2 matching MRF lines |
$3,653.72–$3,909.49 | $6,089.54–$6,515.81 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 3 matching MRF lines |
$3,653.72–$3,909.49 | $6,089.54–$6,515.81 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 3 matching MRF lines |
$4,271.96–$4,709.84 | $7,119.94–$7,849.73 | varies |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$5,553.65–$5,942.41 | $9,256.09–$9,904.02 | varies |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$5,729.24–$6,130.28 | $9,548.73–$10,217.14 | varies |
| MRI, dorsal spine contrast (72147) range across 2 matching MRF lines |
$5,196.41–$5,560.16 | $8,660.68–$9,266.93 | varies |
| MRI, joint upper extrem (73221) range across 2 matching MRF lines |
$3,446.68–$3,687.94 | $5,744.46–$6,146.57 | varies |
| MRI, joint upper extrem combo (73223) range across 3 matching MRF lines |
$2,657.97–$4,581.70 | $4,429.95–$7,636.16 | varies |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$5,974.85–$6,393.09 | $9,958.08–$10,655.15 | varies |
| Myelogram cervical (72240) range across 3 matching MRF lines |
$1,702.89–$2,935.37 | $2,838.15–$4,892.29 | varies |
| Myelogram Lumbar (72265) range across 2 matching MRF lines |
$2,839.75–$3,038.53 | $4,732.92–$5,064.22 | varies |
| Myelography thoracic (72255) range across 2 matching MRF lines |
$2,296.78–$2,457.55 | $3,827.96–$4,095.92 | varies |
| Myelograpy 2/more regions rs&i (72270) range across 2 matching MRF lines |
$7,648.46–$8,183.85 | $12,747.43–$13,639.75 | varies |
| Myocardial Imaging Pet Metabolic Evaluation (78459) range across 2 matching MRF lines |
$3,500.30–$3,745.33 | $5,833.84–$6,242.21 | varies |
| Myocardial Spect Multiple Studies (78452) range across 2 matching MRF lines |
$7,318.61–$7,830.92 | $12,197.69–$13,051.53 | varies |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$537.91–$575.57 | $896.52–$959.28 | varies |
| Nonvascular Shunt X-Ray (75809) range across 2 matching MRF lines |
$1,230.08–$1,316.19 | $2,050.14–$2,193.65 | varies |
| Ntsty modul radthx pln dose-vol histos (77301) range across 2 matching MRF lines |
$9,257.12–$9,905.12 | $15,428.53–$16,508.53 | varies |
| Nuclear Rx Oral Admin (79005) range across 2 matching MRF lines |
$2,829.60–$3,027.67 | $4,716–$5,046.12 | varies |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) range across 2 matching MRF lines |
$246.32–$263.57 | $410.54–$439.28 | varies |
| Parathyroid imaging w/tomographic spect & CT (78072) range across 2 matching MRF lines |
$1,543.85–$1,651.93 | $2,573.09–$2,753.21 | varies |
| Parathyroid Planar Imaging (78070) range across 2 matching MRF lines |
$3,469.01–$3,711.85 | $5,781.69–$6,186.41 | varies |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$688.13–$736.30 | $1,146.88–$1,227.16 | varies |
| Pet Image W/Ct Lmtd (78814) range across 2 matching MRF lines |
$6,066.19–$6,490.82 | $10,110.32–$10,818.04 | varies |
| PET image w/CT, full body (78816) range across 2 matching MRF lines |
$5,748.53–$6,150.92 | $9,580.88–$10,251.54 | varies |
| PET imaging CT attenuation skull base mid-thigh (78815) range across 2 matching MRF lines |
$10,563.34–$11,302.77 | $17,605.56–$18,837.95 | varies |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $3,373.02 | $5,621.70 | 1.0× |
| Pulmonary Perfusion Imaging Particulate (78580) | $2,216.34 | $3,693.90 | 5.1× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$1,099.18–$1,176.12 | $1,831.96–$1,960.20 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 2 matching MRF lines |
$1,661.42–$1,777.72 | $2,769.04–$2,962.87 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$621.13–$664.60 | $1,035.21–$1,107.67 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$480.05–$513.66 | $800.09–$856.10 | varies |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$588.65–$629.86 | $981.08–$1,049.76 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$874.87–$936.11 | $1,458.12–$1,560.19 | varies |
| Radex fingr minimum 2 views (73140) range across 3 matching MRF lines |
$424.24–$718.93 | $707.06–$1,198.21 | varies |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$581.55–$622.26 | $969.25–$1,037.10 | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$563.29–$602.72 | $938.81–$1,004.53 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 2 matching MRF lines |
$223.99–$239.67 | $373.32–$399.45 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$575.47–$615.75 | $959.11–$1,026.25 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 3 matching MRF lines |
$110.88–$832.95 | $184.80–$1,388.25 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$239.67–$736.30 | $399.45–$1,227.16 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$641.43–$686.33 | $1,069.05–$1,143.88 | varies |
| Radex Spine 1 View Specify Level (72020) range across 3 matching MRF lines |
$110.88–$461.53 | $184.80–$769.22 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$751.03–$803.60 | $1,251.72–$1,339.34 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$137.79–$147.44 | $229.65–$245.73 | varies |
| Radex Toe Minimum 2 Views (73660) range across 2 matching MRF lines |
$433.37–$463.71 | $722.29–$772.85 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 2 matching MRF lines |
$376.54–$402.90 | $627.57–$671.50 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$804.82–$861.16 | $1,341.36–$1,435.26 | varies |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $14,117.47 | $23,529.11 | 1.8× |
| Radiation treatment delivery level 1 (77402) | $968.24 | $1,613.74 | 8.7× |
| Radiation treatment delivery level 2 (77407) | $913.42 | $1,522.37 | 2.2× |
| Radiation treatment delivery level 3 (77412) | $1,030.15 | $1,716.91 | 1.7× |
| Radiolog exam mandible compl minimum 4 views (70110) range across 3 matching MRF lines |
$175.77–$1,043.62 | $292.95–$1,739.37 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 2 matching MRF lines |
$1,046.85–$1,120.13 | $1,744.75–$1,866.88 | varies |
| Radiologic exam colon double contrast study (74280) range across 2 matching MRF lines |
$2,315.05–$2,477.10 | $3,858.41–$4,128.50 | varies |
| Radiologic exam colon single contrast study (74270) range across 2 matching MRF lines |
$1,575.16–$1,685.42 | $2,625.26–$2,809.03 | varies |
| Radiologic Exam Esophagus Double Contrast Study (74221) range across 2 matching MRF lines |
$362.22–$387.58 | $603.70–$645.96 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$746.99–$799.28 | $1,244.98–$1,332.13 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$915.47–$979.55 | $1,525.78–$1,632.58 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 2 matching MRF lines |
$1,126.57–$1,205.42 | $1,877.61–$2,009.04 | varies |
| Radiologic exam swallow function contrast study (74230) range across 2 matching MRF lines |
$1,131.64–$1,210.85 | $1,886.07–$2,018.09 | varies |
| Radiologic exam upr gi trc double contrast study (74246) range across 3 matching MRF lines |
$1,360.73–$1,670.22 | $2,267.88–$2,783.70 | varies |
| Radiologic examination femur 1 view (73551) | $228.06 | $380.10 | 2.4× |
| Radiologic examination femur minimum 2 views (73552) range across 4 matching MRF lines |
$386.19–$736.30 | $643.65–$1,227.16 | varies |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$110.88–$587.50 | $184.80–$979.17 | varies |
| Radiologic Examination Osseous Survey Limited (77074) range across 3 matching MRF lines |
$175.77–$875.70 | $292.95–$1,459.50 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 2 matching MRF lines |
$547.06–$585.35 | $911.76–$975.58 | varies |
| Radiologic examination, teeth; single view Non-Facility (70300) | $74.34 | $123.90 | 0.8× |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$954.04–$1,020.82 | $1,590.06–$1,701.36 | varies |
| Rp loclzj tum plnr 1 area single day imaging (78800) range across 2 matching MRF lines |
$4,248.47–$4,545.87 | $7,080.79–$7,576.45 | varies |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) range across 2 matching MRF lines |
$1,543.70–$1,651.76 | $2,572.83–$2,752.93 | varies |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) range across 2 matching MRF lines |
$4,995.46–$5,345.14 | $8,325.77–$8,908.57 | varies |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) range across 2 matching MRF lines |
$4,333.72–$4,637.08 | $7,222.87–$7,728.47 | varies |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 5 matching MRF lines |
$3,039.74–$3,834.56 | $5,066.24–$6,390.93 | varies |
| Rp Therapy Intravenous Administration (79101) range across 2 matching MRF lines |
$578.05–$2,320.92 | $963.42–$3,868.20 | varies |
| Salivary Gland Imaging (78230) | $1,161.09 | $1,935.15 | 2.7× |
| Scapula (73010) range across 3 matching MRF lines |
$600.84–$642.90 | $1,001.40–$1,071.50 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 3 matching MRF lines |
$87.60–$198.67 | $146–$331.11 | varies |
| Sella turcica (70240) range across 2 matching MRF lines |
$819.05–$876.38 | $1,365.08–$1,460.64 | varies |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$478.03–$511.49 | $796.72–$852.49 | varies |
| Shoulder Arthrography (73040) range across 2 matching MRF lines |
$1,848.17–$1,977.55 | $3,080.29–$3,295.91 | varies |
| Skull less than 4 views (70250) range across 3 matching MRF lines |
$110.88–$720.01 | $184.80–$1,200.01 | varies |
| Special dosimetry (77331) range across 2 matching MRF lines |
$637.38–$682 | $1,062.30–$1,136.66 | varies |
| Special Physics Consult (77370) | $334.93 | $558.22 | 2.3× |
| Special teletherapy port plan (77321) range across 2 matching MRF lines |
$1,570.09–$1,679.99 | $2,616.81–$2,799.99 | varies |
| Special treatment procedure (77470) range across 2 matching MRF lines |
$4,468.70–$4,781.51 | $7,447.84–$7,969.19 | varies |
| Speech evaluation, complex (70371) | $1,151.01 | $1,918.35 | 4.4× |
| Stereotactic Body Radiation Delivery (77373) | $2,115.10 | $3,525.17 | 1.1× |
| Sternoclavicular joints (71130) range across 3 matching MRF lines |
$239.67–$684.17 | $399.45–$1,140.28 | varies |
| Tbs technical calculation only (77091) | $225.24 | $375.40 | 2.4× |
| Telethx isodose pln cplx w/basic dosimetry (77307) range across 2 matching MRF lines |
$1,704.06–$1,823.35 | $2,840.10–$3,038.91 | varies |
| Telethx isodose pln smpl w/dosimetry calculation (77306) range across 2 matching MRF lines |
$1,435.11–$1,535.57 | $2,391.85–$2,559.28 | varies |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) range across 3 matching MRF lines |
$1,549.80–$2,671.48 | $2,583–$4,452.47 | varies |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $1,166.76 | $1,944.60 | 2.9× |
| Ther rad simulaj-aided field setting simple (77280) range across 2 matching MRF lines |
$1,279.81–$1,369.40 | $2,133.02–$2,282.33 | varies |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$861.67–$921.99 | $1,436.12–$1,536.65 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$999.70–$1,069.67 | $1,666.16–$1,782.79 | varies |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$842.38–$901.35 | $1,403.97–$1,502.25 | varies |
| Thyroid Imaging With Vascular Flow (78013) | $1,109.43 | $1,849.05 | 2.5× |
| Thyroid Met Imaging Body (78018) range across 2 matching MRF lines |
$3,585.73–$3,836.72 | $5,976.21–$6,394.54 | varies |
| Thyroid Uptake Measurement (78012) range across 2 matching MRF lines |
$1,787.30–$1,912.41 | $2,978.83–$3,187.35 | varies |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $2,226.42 | $3,710.70 | 5.1× |
| Tx Devices Design & Construction Complex (77334) range across 2 matching MRF lines |
$1,464.53–$1,567.05 | $2,440.89–$2,611.75 | varies |
| Tx devices design & construction intermediate (77333) range across 2 matching MRF lines |
$1,654.33–$1,770.14 | $2,757.22–$2,950.23 | varies |
| Tx devices design & construction simple (77332) range across 2 matching MRF lines |
$867.76–$928.51 | $1,446.27–$1,547.51 | varies |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$541.17–$1,171.76 | $901.95–$1,952.93 | varies |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
$259.36–$277.51 | $432.26–$462.52 | varies |
| Ultrasound, abdomen limited (76705) range across 3 matching MRF lines |
$655.83–$1,130.49 | $1,093.05–$1,884.15 | varies |
| Umbilical-artery Doppler (OB) (76820) range across 2 matching MRF lines |
$983.47–$1,052.31 | $1,639.11–$1,753.85 | varies |
| Unlisted fluoroscopic procedure (76496) | $422.73 | $704.55 | 4.4× |
| Upper gi w/o kub (74240) range across 3 matching MRF lines |
$1,261.55–$1,670.22 | $2,102.58–$2,783.70 | varies |
| Ureteral Reflux Study (78740) range across 2 matching MRF lines |
$2,456.11–$2,628.04 | $4,093.52–$4,380.07 | varies |
| Urethrocystogram voiding (74455) range across 2 matching MRF lines |
$1,506.16–$1,611.59 | $2,510.26–$2,685.98 | varies |
| Urethrocystography retrograde (74450) range across 2 matching MRF lines |
$1,687.82–$1,805.96 | $2,813.03–$3,009.94 | varies |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$932.86–$1,253.21 | $1,554.76–$2,088.68 | varies |
| Us chest (76604) range across 2 matching MRF lines |
$806.87–$863.35 | $1,344.78–$1,438.91 | varies |
| Us complete joint (76881) range across 3 matching MRF lines |
$543.06–$936.11 | $905.10–$1,560.19 | varies |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$736.84–$788.41 | $1,228.06–$1,314.02 | varies |
| Us head (76506) range across 2 matching MRF lines |
$837.31–$895.93 | $1,395.52–$1,493.21 | varies |
| Us kidney transplant (76776) range across 2 matching MRF lines |
$1,056.53–$1,130.49 | $1,760.89–$1,884.15 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$673.90–$721.07 | $1,123.17–$1,201.79 | varies |
| Us ob detailed single fetus (76811) range across 2 matching MRF lines |
$604.03–$646.31 | $1,006.72–$1,077.19 | varies |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$745.97–$798.19 | $1,243.29–$1,330.32 | varies |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$1,041.32–$1,114.22 | $1,735.54–$1,857.03 | varies |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$1,337.68–$1,431.31 | $2,229.46–$2,385.52 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$976.36–$1,044.71 | $1,627.27–$1,741.18 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 2 matching MRF lines |
$456.73–$488.69 | $761.21–$814.49 | varies |
| Us retroperitoneal complete (76770) range across 3 matching MRF lines |
$846.09–$1,458.46 | $1,410.15–$2,430.76 | varies |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$1,127.57–$1,206.50 | $1,879.29–$2,010.84 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$1,304.18–$1,395.47 | $2,173.64–$2,325.79 | varies |
| Us spinal canal and contents (76800) range across 2 matching MRF lines |
$672.90–$720.01 | $1,121.50–$1,200.01 | varies |
| Us thyroid (76536) range across 3 matching MRF lines |
$662.76–$1,142.44 | $1,104.60–$1,904.07 | varies |
| Vein X-Ray Chest (75827) range across 2 matching MRF lines |
$3,304.59–$3,535.91 | $5,507.65–$5,893.19 | varies |
| Vein X-Ray Liver W/O Hemodyn (75887) | $905.94 | $1,509.90 | 0.3× |
| Venogram Sinus/Jugular (75860) | $1,612.17 | $2,686.95 | 0.5× |
| Venography caval inferior serialography rs&i (75825) range across 2 matching MRF lines |
$4,842.20–$5,181.16 | $8,070.34–$8,635.26 | varies |
| Venography extremity bilateral rs&i (75822) range across 3 matching MRF lines |
$1,612.17–$4,224.23 | $2,686.95–$7,040.39 | varies |
| Venography extremity unilateral rs&i (75820) range across 2 matching MRF lines |
$1,958.81–$2,095.93 | $3,264.69–$3,493.22 | varies |
| Wrist 2 views (73100) range across 3 matching MRF lines |
$110.88–$536.47 | $184.80–$894.11 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$604.88–$647.23 | $1,008.14–$1,078.71 | varies |
| X-ray antegrade pyelogram tube (74425) range across 2 matching MRF lines |
$1,890.80–$2,023.16 | $3,151.34–$3,371.93 | varies |
| X-Ray Aorta Leg Arteries (75630) range across 2 matching MRF lines |
$6,001.23–$6,421.31 | $10,002.05–$10,702.19 | varies |
| X-Ray Bend Only L-S Spine (72120) range across 2 matching MRF lines |
$1,015.94–$1,087.06 | $1,693.24–$1,811.77 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$110.88–$561.44 | $184.80–$935.73 | varies |
| X-Ray Exam Breast Specimen (76098) range across 3 matching MRF lines |
$391.23–$674.38 | $652.05–$1,123.96 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) | $114.03 | $190.05 | 1.2× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 4 matching MRF lines |
$167.58–$1,721.26 | $279.30–$2,868.76 | varies |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $998.55 | $1,664.25 | 8.7× |
| X-Ray Exam Hip Uni 1 View (73501) range across 4 matching MRF lines |
$105.84–$504.97 | $176.40–$841.61 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 5 matching MRF lines |
$417.06–$1,227.87 | $695.10–$2,046.45 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$428.31–$458.29 | $713.85–$763.82 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $521.64 | $869.40 | 4.6× |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$1,362.04–$1,457.38 | $2,270.06–$2,428.96 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$751.03–$803.60 | $1,251.72–$1,339.34 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$1,086.99–$1,163.08 | $1,811.65–$1,938.47 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 3 matching MRF lines |
$891.10–$953.48 | $1,485.17–$1,589.13 | varies |
| X-ray eye for foreign body (70030) range across 3 matching MRF lines |
$110.88–$1,165.24 | $184.80–$1,942.07 | varies |
| X-ray humerus (73060) range across 2 matching MRF lines |
$589.68–$630.96 | $982.80–$1,051.60 | varies |
| X-ray IV pyelogram (ivp) (74400) range across 2 matching MRF lines |
$1,537.60–$1,645.24 | $2,562.67–$2,742.06 | varies |
| X-ray IV pyelogram+tomography (74415) range across 2 matching MRF lines |
$2,241.96–$2,398.90 | $3,736.60–$3,998.16 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 3 matching MRF lines |
$429.03–$739.55 | $715.05–$1,232.58 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$495.28–$529.95 | $825.47–$883.25 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$874.87–$936.11 | $1,458.12–$1,560.19 | varies |
| X-ray nose-rectum child f.b. (76010) range across 2 matching MRF lines |
$447.58–$478.91 | $745.97–$798.19 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$1,183.40–$1,266.24 | $1,972.34–$2,110.40 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$915.47–$979.55 | $1,525.78–$1,632.58 | varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) range across 4 matching MRF lines |
$110.88–$853.58 | $184.80–$1,422.64 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$732.78–$784.07 | $1,221.30–$1,306.79 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$846.44–$905.69 | $1,410.74–$1,509.49 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$1,108.31–$1,185.89 | $1,847.18–$1,976.48 | varies |
| X-Ray Stress View (77071) | $180.18 | $300.30 | 1.9× |
| X-ray thoracic spine 4 vw (72074) range across 3 matching MRF lines |
$110.88–$1,186.96 | $184.80–$1,978.27 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 2 matching MRF lines |
$1,972–$2,110.04 | $3,286.67–$3,516.74 | varies |
| X-Rays Bone Length Studies (77073) range across 5 matching MRF lines |
$110.88–$1,501.90 | $184.80–$2,503.17 | varies |
| X-Rays Bone Survey Complete (77075) range across 3 matching MRF lines |
$175.77–$1,795.10 | $292.95–$2,991.84 | varies |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$1,110.32–$1,188.05 | $1,850.54–$1,980.08 | varies |
| Xr facial bones less than 3 views (70140) range across 3 matching MRF lines |
$110.88–$696.11 | $184.80–$1,160.18 | varies |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$915.47–$979.55 | $1,525.78–$1,632.58 | 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.