Imaging prices at HCA Healthcare Colleton Hospital
Walterboro, SC · every code in this section with a posted price and a Medicare benchmark.
284 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abdomen 1 View (74018) range across 2 matching MRF lines |
$429–$465 | $429–$465 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$648–$680 | $648–$680 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $5,632 | $5,632 | 15.1× |
| Ankle 2 views (73600) range across 6 matching MRF lines |
$635–$1,068 | $635–$1,068 | varies |
| Arthrogram ankle (73615) | $1,304 | $1,304 | 4.0× |
| Arthrogram hip (73525) | $1,304 | $1,304 | 4.0× |
| Arthrogram Wrist (73115) range across 3 matching MRF lines |
$1,304–$1,319 | $1,304–$1,319 | varies |
| Bone age studies (77072) | $534 | $534 | 5.5× |
| Bone Imaging 3 Phase (78315) | $4,419 | $4,419 | 11.9× |
| Bone Imaging Limited Area (78300) | $1,855 | $1,855 | 5.0× |
| Bone Imaging Whole Body (78306) | $3,520 | $3,520 | 9.5× |
| Brain Flow Imaging Only (78610) | $2,980 | $2,980 | 5.9× |
| Brain Image W/Flow < 4 Views (78601) | $5,073 | $5,073 | 13.6× |
| Brain imaging < 4 static views (78600) | $4,402 | $4,402 | 11.8× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $3,840 | $3,840 | 7.6× |
| Brain Imaging Minimum 4 Static Views (78605) | $3,213 | $3,213 | 6.4× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $9,016 | $9,016 | 6.8× |
| Cat Scan Follow-Up Study (76380) | $982 | $982 | 12.1× |
| Cerebrospinal Fluid Scan (78630) | $9,240 | $9,240 | 18.3× |
| Chest 1 view (71045) range across 2 matching MRF lines |
$428–$463 | $428–$463 | varies |
| Chest 2 views (71046) range across 2 matching MRF lines |
$534–$577 | $534–$577 | varies |
| Chest 3 views (71047) | $693 | $693 | 8.6× |
| Chest 4 or more views (71048) | $800 | $800 | 8.2× |
| Clavicle complete (73000) range across 6 matching MRF lines |
$725–$1,216 | $725–$1,216 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $377 | $377 | 3.9× |
| Contrast X-Ray Bladder (74430) | $1,695 | $1,695 | 5.2× |
| Contrast X-Ray Of Elbow (73085) range across 3 matching MRF lines |
$1,109–$1,304 | $1,109–$1,304 | varies |
| Contrast X-Ray Of Knee Joint (73580) | $1,304 | $1,304 | 4.0× |
| CT abdomen and pelvis without and with contrast (74178) | $11,941 | $11,941 | 36.8× |
| CT abdomen and pelvis without contrast (74176) | $10,127 | $10,127 | 45.6× |
| CT abdomen w contrast (74160) | $5,295 | $5,295 | 32.5× |
| CT abdomen w wo contrast (74170) | $5,915 | $5,915 | 36.3× |
| CT abdomen w/o contrast (74150) | $4,996 | $4,996 | 51.4× |
| CT Angio Abdomen and Pelvis (74174) | $15,639 | $15,639 | 48.2× |
| CT Angio Chest (71275) | $7,076 | $7,076 | 43.4× |
| CT Angio Head (70496) | $8,611 | $8,611 | 52.8× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 3 matching MRF lines |
$5,603–$11,252 | $5,603–$11,252 | varies |
| CT Angio Neck (70498) | $7,530 | $7,530 | 46.2× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 2 matching MRF lines |
$5,693–$11,121 | $5,693–$11,121 | varies |
| CT cervical spine w/ contrast (72126) | $5,732 | $5,732 | 17.7× |
| CT cervical spine w/o contrast (72125) | $5,412 | $5,412 | 55.7× |
| CT cervical spine w/wo cont (72127) | $6,641 | $6,641 | 40.7× |
| CT chest w contrast (71260) | $5,999 | $5,999 | 36.8× |
| CT chest w/wo contrast (71270) | $5,402 | $5,402 | 33.1× |
| CT head/brain with contrast (70460) | $5,368 | $5,368 | 32.9× |
| CT head/brain without and with contrast (70470) | $5,627 | $5,627 | 34.5× |
| CT iac w contrast (70481) | $5,974 | $5,974 | 36.6× |
| CT l-spine w&w/o contrast (72133) | $6,960 | $6,960 | 42.7× |
| CT lower ext w/o (73700) range across 3 matching MRF lines |
$4,770–$8,108 | $4,770–$8,108 | varies |
| CT lower extremity w/contrast material (73701) range across 3 matching MRF lines |
$5,046–$8,391 | $5,046–$8,391 | varies |
| CT lumbar spine w contrast (72132) | $6,055 | $6,055 | 18.7× |
| CT lumbar spine w/o contrast (72131) | $5,732 | $5,732 | 58.9× |
| CT maxillofacial w contrast (70487) | $5,974 | $5,974 | 36.6× |
| CT maxillofacial wo contrast (70486) | $5,748 | $5,748 | 59.1× |
| CT neck tissue combo (70492) | $7,930 | $7,930 | 48.6× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $6,277 | $6,277 | 38.5× |
| CT orbits w/o contrast (70480) | $5,748 | $5,748 | 59.1× |
| CT pelvis w&w/o contrast (72194) | $5,847 | $5,847 | 35.8× |
| CT pelvis w/o contrast (72192) | $5,135 | $5,135 | 52.8× |
| CT scan of leg combo (73702) range across 3 matching MRF lines |
$5,282–$8,624 | $5,282–$8,624 | varies |
| CT scans face/jaw combo (70488) | $6,277 | $6,277 | 38.5× |
| CT soft tissue neck w contrast (70491) | $7,640 | $7,640 | 46.8× |
| CT soft tissue neck w/o contrast (70490) | $7,340 | $7,340 | 75.5× |
| CT thoracic spine w contrast (72129) | $6,055 | $6,055 | 37.1× |
| CT thoracic spine w/o contrast (72128) | $5,732 | $5,732 | 58.9× |
| CT thoracic spine w/wo cont (72130) | $6,960 | $6,960 | 42.7× |
| CT thorax w/o contrast (71250) | $5,044 | $5,044 | 51.9× |
| CT upper ext wo (73200) range across 3 matching MRF lines |
$4,770–$8,108 | $4,770–$8,108 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 3 matching MRF lines |
$5,282–$8,624 | $5,282–$8,624 | varies |
| CT upper extremity with contrast (73201) range across 3 matching MRF lines |
$5,046–$8,391 | $5,046–$8,391 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $12,039 | $12,039 | 73.8× |
| Cta Abdomen (74175) | $5,511 | $5,511 | 33.8× |
| CTA pelvis (72191) | $10,131 | $10,131 | 62.1× |
| Dacryocystography, nasolacrimal duct, radiological supervision and interpretation Non-Facility (70170) | $1,588 | $1,588 | 7.2× |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$1,120–$1,211 | $1,120–$1,211 | varies |
| Dxa bone density study (77085) | $2,856 | $2,856 | 29.4× |
| Echo exam uterus (76831) | $1,703 | $1,703 | 7.7× |
| Esophagram (74220) | $1,597 | $1,597 | 9.8× |
| Fetal Biophys Profile W/Nst (76818) | $2,220 | $2,220 | 22.8× |
| Fluoroscopy up to 1 hr (76000) | $1,575 | $1,575 | 7.1× |
| Foot 2 views (73620) range across 3 matching MRF lines |
$680–$1,066 | $680–$1,066 | varies |
| Forearm 2 views (73090) range across 6 matching MRF lines |
$885–$1,491 | $885–$1,491 | varies |
| Gastric emptying imaging study (78264) | $5,175 | $5,175 | 13.9× |
| Gated Heart Planar Single (78472) | $9,806 | $9,806 | 26.4× |
| Hand 2 views (73120) range across 6 matching MRF lines |
$625–$1,053 | $625–$1,053 | varies |
| Hepatobil Syst Image W/Drug (78227) | $4,036 | $4,036 | 8.0× |
| Hepatobiliary System Imaging (78226) | $4,036 | $4,036 | 10.9× |
| Ht Musc Image Planar Mult (78454) | $7,954 | $7,954 | 6.6× |
| Ht Muscle Image Spect Sing (78451) | $4,540 | $4,540 | 3.8× |
| Hysterosalpingogram (74740) | $1,919 | $1,919 | 8.6× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $1,414 | $1,414 | 17.5× |
| Infusion Ivp (74410) | $978 | $978 | 6.0× |
| K Flow/Funct Image W/Drug (78708) | $3,838 | $3,838 | 7.6× |
| K Flow/Funct Image W/O Drug (78707) | $3,219 | $3,219 | 6.4× |
| Kidney Imaging Morphol (78700) | $2,258 | $2,258 | 6.1× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $3,510 | $3,510 | 9.4× |
| Knee 3 Views (73562) range across 6 matching MRF lines |
$885–$1,672 | $885–$1,672 | varies |
| Liver & Spleen Imaging Static Only (78215) | $5,143 | $5,143 | 13.8× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $3,821 | $3,821 | 10.3× |
| Liver imaging static only (78201) | $2,958 | $2,958 | 5.9× |
| Lung Perf&Ventilat Diferentl (78598) | $6,062 | $6,062 | 12.0× |
| Lung Ventilat&Perfus Imaging (78582) | $4,649 | $4,649 | 9.2× |
| Lung Ventilation Imaging (78579) | $6,061 | $6,061 | 16.3× |
| Lymph System Imaging (78195) | $3,295 | $3,295 | 6.5× |
| Meckels Divert Exam (78290) | $4,676 | $4,676 | 12.6× |
| Mra Head W/O & W/Contrast Material (70546) | $5,778 | $5,778 | 17.8× |
| MRA head w/o contrast (70544) | $4,520 | $4,520 | 20.4× |
| MRA head with contrast (70545) | $5,158 | $5,158 | 15.9× |
| MRA neck w contrast (70548) | $5,158 | $5,158 | 15.9× |
| Mra Neck W/O &W/Contrast Material (70549) | $5,778 | $5,778 | 17.8× |
| MRA neck w/o contrast (70547) | $4,520 | $4,520 | 20.4× |
| MRI abdomen w contrast (74182) | $6,619 | $6,619 | 20.4× |
| MRI abdomen w/o contrast (74181) | $5,998 | $5,998 | 27.0× |
| MRI any jt lower extrem w/contrast material (73722) | $9,611 | $9,611 | 13.2× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 3 matching MRF lines |
$10,325–$15,792 | $10,325–$15,792 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) | $8,433 | $8,433 | 11.6× |
| MRI Breast W/O Contrast Bilateral (77047) | $9,642 | $9,642 | 43.4× |
| MRI Breast Without Contrast Material Unilateral (77046) | $5,575 | $5,575 | 25.1× |
| MRI cervical spine w contrast (72142) | $9,139 | $9,139 | 28.2× |
| MRI cervical spine w/o cont (72141) | $6,789 | $6,789 | 30.6× |
| MRI chest w/o contrast (71550) | $5,998 | $5,998 | 27.0× |
| MRI chest with contrast (71551) | $9,337 | $9,337 | 12.8× |
| MRI chest wo w contrast (71552) | $11,486 | $11,486 | 35.4× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 3 matching MRF lines |
$8,433–$15,111 | $8,433–$15,111 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 3 matching MRF lines |
$9,068–$15,792 | $9,068–$15,792 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 3 matching MRF lines |
$7,812–$14,295 | $7,812–$14,295 | varies |
| MRI lumbar spine w contrast (72149) | $7,333 | $7,333 | 22.6× |
| Mri Neck Spine W/O & W/Dye (72156) | $11,486 | $11,486 | 35.4× |
| MRI orbit face &/neck w/o contrast (70540) | $5,907 | $5,907 | 26.6× |
| MRI orbit face neck w contrast (70542) | $6,533 | $6,533 | 20.1× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $7,158 | $7,158 | 22.1× |
| MRI pelvis w contrast (72196) | $9,049 | $9,049 | 27.9× |
| MRI pelvis w/o & w contrast (72197) | $11,636 | $11,636 | 35.9× |
| MRI pelvis w/o contrast (72195) | $5,998 | $5,998 | 27.0× |
| MRI thoracic spine w/o contrast (72146) | $6,789 | $6,789 | 30.6× |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 3 matching MRF lines |
$8,433–$15,111 | $8,433–$15,111 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 3 matching MRF lines |
$7,801–$14,295 | $7,801–$14,295 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 3 matching MRF lines |
$9,066–$15,792 | $9,066–$15,792 | varies |
| MRI, abdomen, combo (74183) | $7,252 | $7,252 | 22.3× |
| MRI, dorsal spine combo (72157) | $11,486 | $11,486 | 35.4× |
| MRI, dorsal spine contrast (72147) | $10,635 | $10,635 | 32.8× |
| MRI, joint upper extrem (73221) range across 3 matching MRF lines |
$7,801–$14,139 | $7,801–$14,139 | varies |
| MRI, joint upper extrem combo (73223) range across 3 matching MRF lines |
$9,066–$15,792 | $9,066–$15,792 | varies |
| MRI, lumbar spine combo (72158) | $11,486 | $11,486 | 35.4× |
| Myelogram cervical (72240) | $2,596 | $2,596 | 3.6× |
| Myelogram Lumbar (72265) | $2,596 | $2,596 | 3.6× |
| Myelography thoracic (72255) | $2,596 | $2,596 | 3.6× |
| Myelograpy 2/more regions rs&i (72270) | $2,567 | $2,567 | 3.5× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $3,452 | $3,452 | 9.3× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $6,509 | $6,509 | 5.4× |
| Myocardial Spect Multiple Studies (78452) | $8,891 | $8,891 | 7.4× |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$756–$881 | $756–$881 | varies |
| Nm myocard infarct spect (78469) | $5,561 | $5,561 | 11.0× |
| Nuclear Rx Oral Admin (79005) | $2,906 | $2,906 | 13.4× |
| Parathyroid Planar Imaging (78070) | $4,036 | $4,036 | 10.9× |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$826–$889 | $826–$889 | varies |
| Pet Image Skull-Thigh (78812) | $9,016 | $9,016 | 6.8× |
| Pet Image W/Ct Lmtd (78814) | $9,016 | $9,016 | 6.8× |
| PET image w/CT, full body (78816) | $9,016 | $9,016 | 6.8× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $9,016 | $9,016 | 6.8× |
| Pet Imaging Limited Area Chest Head/Neck (78811) | $9,016 | $9,016 | 7.5× |
| PET whole body (78813) | $9,016 | $9,016 | 6.8× |
| Pulmonary Perfusion Imaging Particulate (78580) | $2,101 | $2,101 | 5.7× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $1,211 | $1,211 | 12.5× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $1,648 | $1,648 | 3.2× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 6 matching MRF lines |
$892–$1,507 | $892–$1,507 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 6 matching MRF lines |
$760–$1,279 | $760–$1,279 | varies |
| Radex elbow complete minimum 3 views (73080) range across 6 matching MRF lines |
$981–$1,653 | $981–$1,653 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$1,084–$1,176 | $1,084–$1,176 | varies |
| Radex fingr minimum 2 views (73140) range across 4 matching MRF lines |
$658–$713 | $658–$713 | varies |
| Radex foot complete minimum 3 views (73630) range across 6 matching MRF lines |
$885–$1,491 | $885–$1,491 | varies |
| Radex Hand Minimum 3 Views (73130) range across 6 matching MRF lines |
$866–$1,462 | $866–$1,462 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 4 matching MRF lines |
$904–$1,579 | $904–$1,579 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $1,324 | $1,324 | 13.6× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $954 | $954 | 11.8× |
| Radex Pharynx/Larx W/Fluor&/Magnification Tq (70370) | $715 | $715 | 8.8× |
| Radex Ribs Unilateral 2 Views (71100) range across 4 matching MRF lines |
$1,096–$1,190 | $1,096–$1,190 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 6 matching MRF lines |
$1,037–$1,750 | $1,037–$1,750 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$568–$611 | $568–$611 | varies |
| Radex Spine 1 View Specify Level (72020) | $389 | $389 | 4.8× |
| Radex Sternum Minimum 2 Views (71120) | $931 | $931 | 11.5× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $1,241 | $1,241 | 15.3× |
| Radex Toe Minimum 2 Views (73660) range across 5 matching MRF lines |
$778–$840 | $778–$840 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 4 matching MRF lines |
$954–$1,672 | $954–$1,672 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 6 matching MRF lines |
$919–$1,537 | $919–$1,537 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) | $1,288 | $1,288 | 13.2× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 2 matching MRF lines |
$676–$728 | $676–$728 | varies |
| Radiologic exam colon double contrast study (74280) | $2,852 | $2,852 | 17.5× |
| Radiologic exam colon single contrast study (74270) | $2,300 | $2,300 | 14.1× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $1,919 | $1,919 | 11.8× |
| Radiologic exam knee complete 4/more views (73564) range across 6 matching MRF lines |
$1,066–$1,999 | $1,066–$1,999 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$1,169–$1,255 | $1,169–$1,255 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) | $1,176 | $1,176 | 7.2× |
| Radiologic exam swallow function contrast study (74230) | $1,311 | $1,311 | 8.0× |
| Radiologic exam upr gi trc double contrast study (74246) | $2,446 | $2,446 | 15.0× |
| Radiologic examination femur minimum 2 views (73552) | $899 | $899 | 11.1× |
| Radiologic examination knee 1/2 views (73560) range across 6 matching MRF lines |
$714–$1,192 | $714–$1,192 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $939 | $939 | 9.7× |
| Radiologic examination tibia & fibula 2 views (73590) range across 6 matching MRF lines |
$840–$1,406 | $840–$1,406 | varies |
| Radiologic examination, internal auditory meati, complete Non-Facility (70134) | $693 | $693 | 1.4× |
| Ribs bilateral 3 views (71110) | $1,190 | $1,190 | 12.2× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $2,624 | $2,624 | 7.1× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $6,126 | $6,126 | 16.5× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $9,988 | $9,988 | 19.8× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $3,458 | $3,458 | 6.8× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $5,206 | $5,206 | 10.3× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $6,000 | $6,000 | 5.0× |
| Scapula (73010) range across 3 matching MRF lines |
$1,070–$1,678 | $1,070–$1,678 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $72 | $72 | 3.1× |
| Sella turcica (70240) | $746 | $746 | 9.2× |
| Shoulder 1 view (73020) range across 3 matching MRF lines |
$808–$1,257 | $808–$1,257 | varies |
| Shoulder Arthrography (73040) range across 3 matching MRF lines |
$1,304–$1,319 | $1,304–$1,319 | varies |
| Sialogram (70390) | $892 | $892 | 4.0× |
| Skull less than 4 views (70250) | $1,191 | $1,191 | 12.2× |
| Spleen Imaging (78185) | $2,958 | $2,958 | 8.0× |
| Sternoclavicular joints (71130) range across 2 matching MRF lines |
$1,037–$1,119 | $1,037–$1,119 | varies |
| Testicular Imaging W/Flow (78761) | $4,333 | $4,333 | 11.7× |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$610–$661 | $610–$661 | varies |
| Thoracic spine 3 views (72072) | $995 | $995 | 10.2× |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$534–$577 | $534–$577 | varies |
| Thyroid carcinoma metastases imaging; with additional studies (eg, urinary recovery) Non-Facility (78016) | $4,567 | $4,567 | 12.3× |
| Thyroid Imaging With Vascular Flow (78013) | $1,989 | $1,989 | 5.3× |
| Thyroid Met Imaging Body (78018) | $4,567 | $4,567 | 9.0× |
| Thyroid Uptake Measurement (78012) | $1,256 | $1,256 | 3.4× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $3,412 | $3,412 | 9.2× |
| Ultrasound Breast Limited (76642) range across 4 matching MRF lines |
$2,127–$3,938 | $2,127–$3,938 | varies |
| Ultrasound Exam Aaa Screen (76706) | $570 | $570 | 5.9× |
| Ultrasound, abdomen limited (76705) | $2,634 | $2,634 | 27.1× |
| Unlisted us procedure (76999) | $819 | $819 | 10.1× |
| Upper gi w/o kub (74240) | $2,446 | $2,446 | 15.0× |
| Urethrocystogram voiding (74455) | $1,695 | $1,695 | 7.6× |
| Urethrocystography retrograde (74450) | $1,695 | $1,695 | 7.6× |
| Us breast unilateral complete (76641) range across 4 matching MRF lines |
$2,127–$3,938 | $2,127–$3,938 | varies |
| Us chest (76604) | $2,068 | $2,068 | 21.3× |
| Us complete joint (76881) | $1,678 | $1,678 | 17.3× |
| Us exam, pelvic, limited (76857) | $1,575 | $1,575 | 16.2× |
| Us head (76506) | $1,521 | $1,521 | 15.6× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $1,095 | $1,095 | 11.3× |
| Us ob detailed single fetus (76811) | $2,409 | $2,409 | 10.9× |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$901–$1,119 | $901–$1,119 | varies |
| Us ob transvaginal (76817) | $2,409 | $2,409 | 24.8× |
| Us pelvic non ob complete (76856) | $2,613 | $2,613 | 26.9× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $1,002 | $1,002 | 10.3× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $787 | $787 | 8.1× |
| Us retroperitoneal complete (76770) | $1,876 | $1,876 | 19.3× |
| Us scrotum and contents (76870) | $983 | $983 | 10.1× |
| Us spinal canal and contents (76800) | $983 | $983 | 10.1× |
| Us thyroid (76536) | $2,068 | $2,068 | 21.3× |
| Us transrectal (76872) | $2,298 | $2,298 | 23.6× |
| Venous Thrombosis Imaging Venogram Bilateral (78458) | $3,821 | $3,821 | 10.3× |
| Vertebral fracture assessment via dxa (77086) | $336 | $336 | 4.2× |
| Wrist 2 views (73100) range across 6 matching MRF lines |
$535–$904 | $535–$904 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$954–$1,034 | $954–$1,034 | varies |
| X-ray antegrade pyelogram tube (74425) | $1,695 | $1,695 | 5.2× |
| X-Ray Bend Only L-S Spine (72120) | $1,618 | $1,618 | 16.6× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$765–$1,191 | $765–$1,191 | varies |
| X-Ray Exam Breast Specimen (76098) | $463 | $463 | 0.9× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $693 | $693 | 8.6× |
| X-Ray Exam Hip Uni 1 View (73501) | $632 | $632 | 7.8× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $1,147 | $1,147 | 14.2× |
| X-Ray Exam Hips Bi 2 Views (73521) | $1,241 | $1,241 | 12.8× |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$2,226–$2,401 | $2,226–$2,401 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$978–$1,054 | $978–$1,054 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $2,037 | $2,037 | 20.9× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $1,190 | $1,190 | 12.2× |
| X-ray eye for foreign body (70030) | $972 | $972 | 12.0× |
| X-ray humerus (73060) range across 6 matching MRF lines |
$866–$1,462 | $866–$1,462 | varies |
| X-ray IV pyelogram (ivp) (74400) | $2,674 | $2,674 | 16.4× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $1,211 | $1,211 | 15.0× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$746–$808 | $746–$808 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$1,152–$1,247 | $1,152–$1,247 | varies |
| X-ray nose-rectum child f.b. (76010) | $534 | $534 | 6.6× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$2,398–$2,590 | $2,398–$2,590 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $1,068 | $1,068 | 11.0× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$494–$534 | $494–$534 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$1,115–$1,206 | $1,115–$1,206 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$1,355–$1,461 | $1,355–$1,461 | varies |
| X-ray thoracic spine 4 vw (72074) | $772 | $772 | 7.9× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $2,857 | $2,857 | 8.8× |
| X-Rays Bone Length Studies (77073) range across 2 matching MRF lines |
$693–$866 | $693–$866 | varies |
| X-Rays Bone Survey Complete (77075) | $1,396 | $1,396 | 14.4× |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$1,361–$1,473 | $1,361–$1,473 | varies |
| Xr orbits complete 4 views (70200) | $1,192 | $1,192 | 12.3× |
| Xr Tomogram Single Plane (76100) | $1,211 | $1,211 | 12.5× |
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.