Imaging prices at Hays Medical Center
Hays, KS · every code in this section with a posted price and a Medicare benchmark.
292 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 |
$3,303.30–$4,187.70 | $10,010–$12,690 | varies |
| Abdomen 1 View (74018) range across 2 matching MRF lines |
$13.86–$165 | $42–$500 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$194.70–$204.60 | $590–$620 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $627 | $1,900 | 1.6× |
| Angiography extremity bilateral rs&i (75716) | $2,537.70 | $7,690 | 0.8× |
| Angiography extremity unilateral rs&i (75710) range across 2 matching MRF lines |
$2,237.40–$2,240.70 | $6,780–$6,790 | varies |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$14.85–$135.30 | $45–$410 | varies |
| Aortography thoracic serialography rs&i (75605) unusually low: confirm this is the full procedure |
$2,772 | $8,400 | 0.5× |
| Arthrogram hip (73525) | $425.70 | $1,290 | 1.2× |
| Arthrogram Wrist (73115) | $366.30 | $1,110 | 1.0× |
| Basic radiation dosimetry calculation (77300) range across 2 matching MRF lines |
$402.60–$660 | $1,220–$2,000 | varies |
| Bone age studies (77072) range across 3 matching MRF lines |
$18.48–$191.40 | $56–$580 | varies |
| Bone Imaging 3 Phase (78315) | $828.30 | $2,510 | 2.1× |
| Bone Imaging Limited Area (78300) | $521.40 | $1,580 | 1.3× |
| Bone Imaging Multiple Areas (78305) | $745.80 | $2,260 | 1.9× |
| Bone Imaging Whole Body (78306) range across 2 matching MRF lines |
$818.40–$854.70 | $2,480–$2,590 | varies |
| Bone marrow imaging limited area (78102) | $603.90 | $1,830 | 1.5× |
| Bone survey infant (77076) | $165 | $500 | 1.6× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $854.70 | $2,590 | 1.6× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $1,973.40 | $5,980 | 1.4× |
| Cat Scan Follow-Up Study (76380) | $316.80 | $960 | 3.6× |
| Cerebrospinal Fluid Scan (78630) | $729.30 | $2,210 | 1.3× |
| Chest 1 view (71045) range across 2 matching MRF lines |
$13.86–$151.80 | $42–$460 | varies |
| Chest 2 views (71046) range across 4 matching MRF lines |
$16.83–$184.80 | $51–$560 | varies |
| Clavicle complete (73000) range across 3 matching MRF lines |
$15.51–$168.30 | $47–$510 | varies |
| Continuing medical physics consltj pr wk (77336) range across 2 matching MRF lines |
$488.40–$508.20 | $1,480–$1,540 | varies |
| Contrast Exam Abdominl Aorta (75625) range across 3 matching MRF lines |
$1,478.40–$1,656.60 | $4,480–$5,020 | varies |
| Contrast X-Ray Bladder (74430) range across 2 matching MRF lines |
$379.50–$405.90 | $1,150–$1,230 | varies |
| CT abdomen and pelvis without and with contrast (74178) range across 3 matching MRF lines |
$1,438.80–$2,181.30 | $4,360–$6,610 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$1,303.50–$1,323.30 | $3,950–$4,010 | varies |
| CT abdomen w contrast (74160) range across 3 matching MRF lines |
$663.30–$1,075.80 | $2,010–$3,260 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$1,052.70–$1,085.70 | $3,190–$3,290 | varies |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$785.40–$821.70 | $2,380–$2,490 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 3 matching MRF lines |
$1,217.70–$1,676.40 | $3,690–$5,080 | varies |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$1,174.80–$1,201.20 | $3,560–$3,640 | varies |
| CT Angio Head (70496) range across 3 matching MRF lines |
$851.40–$1,075.80 | $2,580–$3,260 | varies |
| CT angio hrt w/3d image (75574) | $693 | $2,100 | 2.0× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
$960.30–$1,029.60 | $2,910–$3,120 | varies |
| CT Angio Neck (70498) range across 3 matching MRF lines |
$788.70–$1,204.50 | $2,390–$3,650 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $983.40 | $2,980 | 5.6× |
| CT cervical spine w/ contrast (72126) range across 2 matching MRF lines |
$947.10–$1,062.60 | $2,870–$3,220 | varies |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$914.10–$973.50 | $2,770–$2,950 | varies |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$960.30–$1,026.30 | $2,910–$3,110 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$719.40–$1,184.70 | $2,180–$3,590 | varies |
| CT head/brain with contrast (70460) | $864.60 | $2,620 | 4.9× |
| CT head/brain without and with contrast (70470) range across 3 matching MRF lines |
$957–$1,013.10 | $2,900–$3,070 | varies |
| CT heart contrast eval cardiac structure&morph (75572) range across 2 matching MRF lines |
$650.10–$656.70 | $1,970–$1,990 | varies |
| CT heart no contrast quant eval coronry calcium (75571) | $198 | $600 | 2.3× |
| CT iac w contrast (70481) | $795.30 | $2,410 | 4.5× |
| CT l-spine w&w/o contrast (72133) | $891 | $2,700 | 5.1× |
| CT lower ext w/o (73700) | $782.10 | $2,370 | 7.5× |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$943.80–$970.20 | $2,860–$2,940 | varies |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$851.40–$953.70 | $2,580–$2,890 | varies |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$620.40–$841.50 | $1,880–$2,550 | varies |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$877.80–$884.40 | $2,660–$2,680 | varies |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$524.70–$778.80 | $1,590–$2,360 | varies |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$663.30–$1,095.60 | $2,010–$3,320 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 2 matching MRF lines |
$940.50–$1,056 | $2,850–$3,200 | varies |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$498.30–$808.50 | $1,510–$2,450 | varies |
| CT pelvis w&w/o contrast (72194) | $1,059.30 | $3,210 | 6.0× |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$726–$745.80 | $2,200–$2,260 | varies |
| CT scan of leg combo (73702) range across 3 matching MRF lines |
$607.20–$986.70 | $1,840–$2,990 | varies |
| CT scans face/jaw combo (70488) | $966.90 | $2,930 | 5.5× |
| CT soft tissue neck w contrast (70491) range across 3 matching MRF lines |
$636.90–$904.20 | $1,930–$2,740 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$686.40–$712.80 | $2,080–$2,160 | varies |
| CT thoracic spine w contrast (72129) range across 2 matching MRF lines |
$597.30–$874.50 | $1,810–$2,650 | varies |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$782.10–$838.20 | $2,370–$2,540 | varies |
| CT thoracic spine w/wo cont (72130) | $1,023 | $3,100 | 5.8× |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$864.60–$904.20 | $2,620–$2,740 | varies |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$752.40–$841.50 | $2,280–$2,550 | varies |
| CT upper extremity w/o & w/contrast material (73202) | $1,026.30 | $3,110 | 5.8× |
| CT upper extremity with contrast (73201) | $983.40 | $2,980 | 2.8× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$1,098.90–$1,310.10 | $3,330–$3,970 | varies |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$1,135.20–$1,234.20 | $3,440–$3,740 | varies |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $1,620.30 | $4,910 | 4.6× |
| CTA pelvis (72191) | $1,082.40 | $3,280 | 6.2× |
| Doppler Fetal Mid Cerebral Artery (76821) | $174.90 | $530 | 1.7× |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$171.60–$211.20 | $520–$640 | varies |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $148.50 | $450 | 1.7× |
| Echo Guide For Artery Repair (76936) | $323.40 | $980 | 1.5× |
| Esophagram (74220) range across 2 matching MRF lines |
$277.20–$283.80 | $840–$860 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 2 matching MRF lines |
$207.90–$234.30 | $630–$710 | varies |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$15.84–$267.30 | $48–$810 | varies |
| Foot 2 views (73620) range across 4 matching MRF lines |
$13.53–$125.40 | $41–$380 | varies |
| Forearm 2 views (73090) range across 4 matching MRF lines |
$13.53–$145.20 | $41–$440 | varies |
| Gastric emptying imaging study (78264) range across 2 matching MRF lines |
$841.50–$884.40 | $2,550–$2,680 | varies |
| Gated Heart Planar Single (78472) | $772.20 | $2,340 | 1.9× |
| Hand 2 views (73120) range across 3 matching MRF lines |
$11.55–$178.20 | $35–$540 | varies |
| Hepatobil Syst Image W/Drug (78227) range across 2 matching MRF lines |
$772.20–$815.10 | $2,340–$2,470 | varies |
| Hepatobiliary System Imaging (78226) range across 2 matching MRF lines |
$679.80–$719.40 | $2,060–$2,180 | varies |
| Ht Musc Image Planar Mult (78454) | $1,894.20 | $5,740 | 1.5× |
| Ht Muscle Image Spect Sing (78451) | $1,310.10 | $3,970 | 1.0× |
| Hysterosalpingogram (74740) range across 2 matching MRF lines |
$468.60–$528 | $1,420–$1,600 | varies |
| Infant hip ultrasound with hip movement (dynamic) (76885) range across 2 matching MRF lines |
$237.60–$267.30 | $720–$810 | varies |
| Joint Survey Single View (77077) | $138.60 | $420 | 1.3× |
| K Flow/Funct Image W/Drug (78708) range across 2 matching MRF lines |
$759–$811.80 | $2,300–$2,460 | varies |
| K Flow/Funct Image W/O Drug (78707) range across 2 matching MRF lines |
$960.30–$1,075.80 | $2,910–$3,260 | varies |
| Kidney Imaging Morphol (78700) | $630.30 | $1,910 | 1.6× |
| Knee 3 Views (73562) range across 5 matching MRF lines |
$17.49–$214.50 | $53–$650 | varies |
| Leveen/Shunt Patency Exam (78291) | $432.30 | $1,310 | 1.1× |
| Lung Perf&Ventilat Diferentl (78598) | $772.20 | $2,340 | 1.4× |
| Lung Ventilat&Perfus Imaging (78582) | $726 | $2,200 | 1.3× |
| Lymph System Imaging (78195) range across 2 matching MRF lines |
$712.80–$716.10 | $2,160–$2,170 | varies |
| Magnetic Image Jaw Joint (70336) | $795.30 | $2,410 | 3.3× |
| Mammary ductogram or galactogram multiple (77054) | $273.90 | $830 | 1.1× |
| Mammary ductogram or galactogram single (77053) | $224.40 | $680 | 0.9× |
| Meckels Divert Exam (78290) | $759 | $2,300 | 1.9× |
| Mlc imrt design & construction per imrt plan (77338) range across 2 matching MRF lines |
$1,105.50–$2,079 | $3,350–$6,300 | varies |
| Mr safety determination physician/other qhp (76016) | $89.10 | $270 | 1.0× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $26.40 | $80 | 0.9× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) | $85.80 | $260 | 0.9× |
| Mr safety med physics xm customization plng&mntr (76017) | $239.25 | $725 | 1.0× |
| Mra Head W/O & W/Contrast Material (70546) range across 2 matching MRF lines |
$1,369.50–$1,534.50 | $4,150–$4,650 | varies |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$993.30–$1,059.30 | $3,010–$3,210 | varies |
| MRA head with contrast (70545) | $1,056 | $3,200 | 3.0× |
| MRA neck w contrast (70548) | $1,138.50 | $3,450 | 3.3× |
| Mra Neck W/O &W/Contrast Material (70549) range across 2 matching MRF lines |
$1,290.30–$1,445.40 | $3,910–$4,380 | varies |
| MRA neck w/o contrast (70547) | $904.20 | $2,740 | 3.8× |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$1,174.80–$1,194.60 | $3,560–$3,620 | varies |
| MRI any jt lower extrem w/contrast material (73722) | $1,141.80 | $3,460 | 1.5× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 4 matching MRF lines |
$1,042.80–$1,692.90 | $3,160–$5,130 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 2 matching MRF lines |
$1,075.80–$1,105.50 | $3,260–$3,350 | varies |
| MRI Breast W/O Contrast Bilateral (77047) range across 2 matching MRF lines |
$851.40–$953.70 | $2,580–$2,890 | varies |
| MRI Breast Without Contrast Material Unilateral (77046) | $666.60 | $2,020 | 2.8× |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$1,184.70–$1,257.30 | $3,590–$3,810 | varies |
| MRI chest w/o contrast (71550) | $953.70 | $2,890 | 4.0× |
| MRI chest wo w contrast (71552) | $1,438.80 | $4,360 | 4.1× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 3 matching MRF lines |
$1,112.10–$1,673.10 | $3,370–$5,070 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines |
$1,052.70–$1,062.60 | $3,190–$3,220 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$1,646.70–$1,679.70 | $4,990–$5,090 | varies |
| MRI orbit face &/neck w/o contrast (70540) | $1,029.60 | $3,120 | 4.3× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 2 matching MRF lines |
$1,471.80–$1,650 | $4,460–$5,000 | varies |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$1,712.70–$1,745.70 | $5,190–$5,290 | varies |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$1,128.60–$1,168.20 | $3,420–$3,540 | varies |
| MRI thoracic spine w/o contrast (72146) range across 3 matching MRF lines |
$1,108.80–$1,141.80 | $3,360–$3,460 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 3 matching MRF lines |
$976.80–$1,095.60 | $2,960–$3,320 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 2 matching MRF lines |
$1,422.30–$1,593.90 | $4,310–$4,830 | varies |
| MRI, abdomen, combo (74183) range across 3 matching MRF lines |
$1,689.60–$2,009.70 | $5,120–$6,090 | varies |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$1,758.90–$1,801.80 | $5,330–$5,460 | varies |
| MRI, joint upper extrem (73221) range across 2 matching MRF lines |
$1,092.30–$1,122 | $3,310–$3,400 | varies |
| MRI, joint upper extrem combo (73223) | $1,742.40 | $5,280 | 5.0× |
| MRI, lumbar spine combo (72158) range across 3 matching MRF lines |
$1,712.70–$1,768.80 | $5,190–$5,360 | varies |
| Myocardial Spect Multiple Studies (78452) range across 2 matching MRF lines |
$2,036.10–$2,326.50 | $6,170–$7,050 | varies |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$155.10–$161.70 | $470–$490 | varies |
| Ntsty modul radthx pln dose-vol histos (77301) range across 2 matching MRF lines |
$3,653.10–$5,461.50 | $11,070–$16,550 | varies |
| Nuclear Rx Oral Admin (79005) | $696.30 | $2,110 | 3.0× |
| Panoramic X-ray of jaws (70355) | $132 | $400 | 1.5× |
| Parathyroid Planar Imaging (78070) | $577.50 | $1,750 | 1.4× |
| Parathyroid planar imaging w/wo subtraction (78071) | $706.20 | $2,140 | 1.8× |
| Pelvis 1 or 2 views (72170) range across 3 matching MRF lines |
$17.82–$148.50 | $54–$450 | varies |
| Pet Image W/Ct Lmtd (78814) | $2,560.80 | $7,760 | 1.8× |
| PET image w/CT, full body (78816) range across 2 matching MRF lines |
$2,352.90–$2,478.30 | $7,130–$7,510 | varies |
| PET imaging CT attenuation skull base mid-thigh (78815) range across 3 matching MRF lines |
$2,428.80–$2,722.50 | $7,360–$8,250 | varies |
| Pulmonary Perfusion Imaging Particulate (78580) | $495 | $1,500 | 1.2× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$290.40–$300.30 | $880–$910 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) | $412.50 | $1,250 | 0.8× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 5 matching MRF lines |
$16.50–$174.90 | $50–$530 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 4 matching MRF lines |
$14.52–$148.50 | $44–$450 | varies |
| Radex elbow complete minimum 3 views (73080) range across 4 matching MRF lines |
$23.76–$184.80 | $72–$560 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$184.80–$194.70 | $560–$590 | varies |
| Radex fingr minimum 2 views (73140) range across 6 matching MRF lines |
$17.49–$128.70 | $53–$390 | varies |
| Radex foot complete minimum 3 views (73630) range across 6 matching MRF lines |
$15.18–$168.30 | $46–$510 | varies |
| Radex Hand Minimum 3 Views (73130) range across 5 matching MRF lines |
$16.17–$174.90 | $49–$530 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 2 matching MRF lines |
$141.90–$161.70 | $430–$490 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$198–$224.40 | $600–$680 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 4 matching MRF lines |
$19.80–$151.80 | $60–$460 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 7 matching MRF lines |
$14.19–$184.80 | $43–$560 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $138.60 | $420 | 1.6× |
| Radex Spine 1 View Specify Level (72020) | $161.70 | $490 | 1.9× |
| Radex Sternum Minimum 2 Views (71120) range across 3 matching MRF lines |
$19.80–$155.10 | $60–$470 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$171.60–$221.10 | $520–$670 | varies |
| Radex Toe Minimum 2 Views (73660) range across 4 matching MRF lines |
$11.55–$122.10 | $35–$370 | varies |
| Radex upper extremity infant minimum 2 views (73092) | $181.50 | $550 | 1.7× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 6 matching MRF lines |
$21.78–$168.30 | $66–$510 | varies |
| Radiation Delivery Stereotactic Cranial Linear (77372) range across 2 matching MRF lines |
$8,339.10–$13,629 | $25,270–$41,300 | varies |
| Radiation treatment delivery level 1 (77402) | $1,314.06 | $3,982 | 12.9× |
| Radiation treatment delivery level 2 (77407) | $1,481.70 | $4,490 | 3.8× |
| Radiation treatment delivery level 3 (77412) range across 2 matching MRF lines |
$594–$1,706.10 | $1,800–$5,170 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$191.40–$211.20 | $580–$640 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $201.30 | $610 | 1.9× |
| Radiologic exam colon double contrast study (74280) | $415.80 | $1,260 | 2.4× |
| Radiologic exam colon single contrast study (74270) range across 2 matching MRF lines |
$339.90–$399.30 | $1,030–$1,210 | varies |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $313.50 | $950 | 1.8× |
| Radiologic exam knee complete 4/more views (73564) range across 4 matching MRF lines |
$30.69–$270.60 | $93–$820 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 3 matching MRF lines |
$20.79–$194.70 | $63–$590 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 2 matching MRF lines |
$320.10–$359.70 | $970–$1,090 | varies |
| Radiologic exam swallow function contrast study (74230) range across 2 matching MRF lines |
$290.40–$323.40 | $880–$980 | varies |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$422.40–$429 | $1,280–$1,300 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 5 matching MRF lines |
$16.50–$201.30 | $50–$610 | varies |
| Radiologic examination knee 1/2 views (73560) range across 4 matching MRF lines |
$14.52–$148.50 | $44–$450 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $326.70 | $990 | 3.1× |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$15.51–$171.60 | $47–$520 | varies |
| Ribs bilateral 3 views (71110) | $178.20 | $540 | 1.7× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $485.10 | $1,470 | 1.2× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $1,399.20 | $4,240 | 2.6× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $943.80 | $2,860 | 1.7× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $1,362.90 | $4,130 | 2.5× |
| Rp Therapy Intravenous Administration (79101) | $409.20 | $1,240 | 1.7× |
| Scapula (73010) range across 4 matching MRF lines |
$18.48–$174.90 | $56–$530 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 3 matching MRF lines |
$29.70–$36.30 | $90–$110 | varies |
| Shoulder 1 view (73020) range across 3 matching MRF lines |
$13.86–$141.90 | $42–$430 | varies |
| Shoulder Arthrography (73040) | $435.60 | $1,320 | 1.2× |
| Skull less than 4 views (70250) range across 3 matching MRF lines |
$17.49–$198 | $53–$600 | varies |
| Special Physics Consult (77370) range across 2 matching MRF lines |
$491.70–$745.80 | $1,490–$2,260 | varies |
| Special teletherapy port plan (77321) range across 2 matching MRF lines |
$897.60–$1,069.20 | $2,720–$3,240 | varies |
| Special treatment procedure (77470) range across 2 matching MRF lines |
$1,316.70–$1,877.70 | $3,990–$5,690 | varies |
| Stereotactic Body Radiation Delivery (77373) range across 2 matching MRF lines |
$4,613.40–$7,068.60 | $13,980–$21,420 | varies |
| Sternoclavicular joints (71130) | $141.90 | $430 | 1.6× |
| Telethx isodose pln cplx w/basic dosimetry (77307) range across 2 matching MRF lines |
$1,006.50–$1,518 | $3,050–$4,600 | varies |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $752.40 | $2,280 | 2.0× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) range across 2 matching MRF lines |
$1,224.30–$1,669.80 | $3,710–$5,060 | varies |
| Ther rad simulaj-aided field setting simple (77280) range across 2 matching MRF lines |
$633.60–$742.50 | $1,920–$2,250 | varies |
| Thoracic spine 2 views (72070) range across 3 matching MRF lines |
$17.49–$207.90 | $53–$630 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$207.90–$214.50 | $630–$650 | varies |
| Thoracolumbar 2 views (72080) | $17.49 | $53 | 0.2× |
| Thyroid Imaging With Vascular Flow (78013) | $425.70 | $1,290 | 1.1× |
| Thyroid Met Imaging Body (78018) | $963.60 | $2,920 | 1.8× |
| Thyroid Uptake Measurement (78012) | $349.80 | $1,060 | 0.9× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $574.20 | $1,740 | 1.4× |
| Tx Devices Design & Construction Complex (77334) range across 2 matching MRF lines |
$765.60–$953.70 | $2,320–$2,890 | varies |
| Tx devices design & construction intermediate (77333) | $544.50 | $1,650 | 4.0× |
| Tx devices design & construction simple (77332) range across 3 matching MRF lines |
$247.50–$501.60 | $750–$1,520 | varies |
| Ultrasound Breast Limited (76642) range across 4 matching MRF lines |
$198–$429 | $600–$1,300 | varies |
| Ultrasound Elastography Parenchyma (76981) | $165 | $500 | 1.6× |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
$161.70–$191.40 | $490–$580 | varies |
| Ultrasound, abdomen limited (76705) range across 3 matching MRF lines |
$277.20–$297 | $840–$900 | varies |
| Umbilical-artery Doppler (OB) (76820) range across 2 matching MRF lines |
$181.50–$204.60 | $550–$620 | varies |
| Unlisted Dx Radiographic Procedure (76499) | $323.40 | $980 | 3.7× |
| Upper gi w/o kub (74240) range across 2 matching MRF lines |
$386.10–$409.20 | $1,170–$1,240 | varies |
| Urethrocystogram voiding (74455) range across 2 matching MRF lines |
$429–$481.80 | $1,300–$1,460 | varies |
| Urethrocystography retrograde (74450) range across 3 matching MRF lines |
$392.70–$442.20 | $1,190–$1,340 | varies |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$254.10–$508.20 | $770–$1,540 | varies |
| Us chest (76604) range across 2 matching MRF lines |
$234.30–$254.10 | $710–$770 | varies |
| Us complete joint (76881) | $290.40 | $880 | 2.8× |
| Us exam, pelvic, limited (76857) range across 4 matching MRF lines |
$37.62–$270.60 | $114–$820 | varies |
| Us head (76506) range across 2 matching MRF lines |
$270.60–$303.60 | $820–$920 | varies |
| Us kidney transplant (76776) range across 2 matching MRF lines |
$320.10–$359.70 | $970–$1,090 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 4 matching MRF lines |
$174.90–$214.50 | $530–$650 | varies |
| Us ob limited 1 or more fetuses (76815) range across 3 matching MRF lines |
$250.80–$283.80 | $760–$860 | varies |
| Us ob transvaginal (76817) range across 3 matching MRF lines |
$250.80–$567.60 | $760–$1,720 | varies |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$363–$435.60 | $1,100–$1,320 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$244.20–$273.90 | $740–$830 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 2 matching MRF lines |
$181.50–$204.60 | $550–$620 | varies |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$330–$369.60 | $1,000–$1,120 | varies |
| Us retroperitoneal limited (76775) | $221.10 | $670 | 2.1× |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$297–$330 | $900–$1,000 | varies |
| Us spinal canal and contents (76800) range across 2 matching MRF lines |
$237.60–$267.30 | $720–$810 | varies |
| Us thyroid (76536) range across 2 matching MRF lines |
$333.30–$359.70 | $1,010–$1,090 | varies |
| Us transrectal (76872) range across 5 matching MRF lines |
$44.88–$759 | $136–$2,300 | varies |
| Venography caval inferior serialography rs&i (75825) | $1,600.50 | $4,850 | 0.5× |
| Venography extremity bilateral rs&i (75822) range across 2 matching MRF lines |
$904.20–$1,013.10 | $2,740–$3,070 | varies |
| Venography extremity unilateral rs&i (75820) | $716.10 | $2,170 | 0.5× |
| Venography Renal Bilateral (75833) | $1,329.90 | $4,030 | 0.4× |
| Wrist 2 views (73100) range across 4 matching MRF lines |
$13.53–$151.80 | $41–$460 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $198 | $600 | 2.3× |
| X-ray antegrade pyelogram tube (74425) | $399.30 | $1,210 | 1.1× |
| X-Ray Aorta Leg Arteries (75630) range across 2 matching MRF lines |
$2,372.70–$2,531.10 | $7,190–$7,670 | varies |
| X-Ray Bend Only L-S Spine (72120) | $20.46 | $62 | 0.2× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$14.52–$171.60 | $44–$520 | varies |
| X-Ray Exam Breast Specimen (76098) range across 2 matching MRF lines |
$244.20–$250.80 | $740–$760 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 3 matching MRF lines |
$19.80–$125.40 | $60–$380 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$34.65–$181.50 | $105–$550 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 4 matching MRF lines |
$16.50–$138.60 | $50–$420 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 5 matching MRF lines |
$31.35–$168.30 | $95–$510 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$21.45–$181.50 | $65–$550 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 4 matching MRF lines |
$24.75–$231 | $75–$700 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) range across 2 matching MRF lines |
$27.06–$280.50 | $82–$850 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 3 matching MRF lines |
$29.04–$366.30 | $88–$1,110 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 3 matching MRF lines |
$17.49–$217.80 | $53–$660 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$34.98–$382.80 | $106–$1,160 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 4 matching MRF lines |
$20.79–$254.10 | $63–$770 | varies |
| X-ray eye for foreign body (70030) | $105.60 | $320 | 1.2× |
| X-ray humerus (73060) range across 3 matching MRF lines |
$16.17–$155.10 | $49–$470 | varies |
| X-ray IV pyelogram (ivp) (74400) | $468.60 | $1,420 | 2.7× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $151.80 | $460 | 1.7× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 4 matching MRF lines |
$14.52–$118.80 | $44–$360 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 4 matching MRF lines |
$17.49–$254.10 | $53–$770 | varies |
| X-ray nose-rectum child f.b. (76010) range across 2 matching MRF lines |
$141.90–$181.50 | $430–$550 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$257.40–$260.70 | $780–$790 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$161.70–$188.10 | $490–$570 | varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $15.18 | $46 | 0.1× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 3 matching MRF lines |
$14.85–$198 | $45–$600 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $207.90 | $630 | 2.4× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$240.90–$270.60 | $730–$820 | varies |
| X-Ray Stress View (77071) | $15.51 | $47 | 0.2× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $584.10 | $1,770 | 1.7× |
| X-Rays Bone Length Studies (77073) range across 2 matching MRF lines |
$25.74–$148.50 | $78–$450 | varies |
| X-Rays Bone Survey Complete (77075) | $386.10 | $1,170 | 3.7× |
| Xr c-spine 4 or 5 views (72050) range across 3 matching MRF lines |
$27.39–$280.50 | $83–$850 | varies |
| Xr facial bones less than 3 views (70140) range across 2 matching MRF lines |
$122.10–$132 | $370–$400 | varies |
| Xr orbits complete 4 views (70200) | $194.70 | $590 | 1.9× |
| Xr Tomogram Single Plane (76100) | $237.60 | $720 | 2.3× |
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.