Imaging prices at HCA Healthcare Trident Hospital
Charleston, SC · every code in this section with a posted price and a Medicare benchmark.
383 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) | $10,412 | $10,412 | 8.1× |
| Abdomen 1 View (74018) | $1,015 | $1,015 | 12.5× |
| Abdomen 2 views (74019) | $1,587 | $1,587 | 16.3× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $3,603 | $3,603 | 9.7× |
| Adrenal Cortex & Medulla Img (78075) | $3,601 | $3,601 | 3.0× |
| Angio pulmonary bilat (75743) range across 2 matching MRF lines |
$8,328–$12,264 | $8,328–$12,264 | varies |
| Angiography extremity bilateral rs&i (75716) range across 2 matching MRF lines |
$8,328–$8,329 | $8,328–$8,329 | varies |
| Angiography extremity unilateral rs&i (75710) range across 3 matching MRF lines |
$8,328–$9,431 | $8,328–$9,431 | varies |
| Angiography pulmonary unilateral slctv rs&i (75741) range across 4 matching MRF lines |
$5,923–$6,154 | $5,923–$6,154 | varies |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $9,872 | $9,872 | 3.4× |
| Ankle 2 views (73600) | $902 | $902 | 11.1× |
| Aortography thoracic serialography rs&i (75605) | $12,264 | $12,264 | 2.4× |
| Aortography thoracic w/o serialography rs&i (75600) | $8,328 | $8,328 | 2.8× |
| Artery X-Rays Abdomen (75726) range across 2 matching MRF lines |
$9,595–$9,779 | $9,595–$9,779 | varies |
| Artery X-Rays Pelvis (75736) | $14,261 | $14,261 | 2.8× |
| Artery X-Rays Spine (75705) | $17,038 | $17,038 | 3.3× |
| Arthrogram ankle (73615) range across 4 matching MRF lines |
$2,611–$2,820 | $2,611–$2,820 | varies |
| Arthrogram hip (73525) range across 4 matching MRF lines |
$2,387–$2,578 | $2,387–$2,578 | varies |
| Arthrogram Wrist (73115) | $2,578 | $2,578 | 7.9× |
| Basic radiation dosimetry calculation (77300) range across 2 matching MRF lines |
$862–$1,723 | $862–$1,723 | varies |
| Bone age studies (77072) | $1,080 | $1,080 | 11.1× |
| Bone Imaging 3 Phase (78315) | $4,647 | $4,647 | 12.5× |
| Bone Imaging Limited Area (78300) | $3,522 | $3,522 | 9.5× |
| Bone Imaging Whole Body (78306) | $6,740 | $6,740 | 18.1× |
| Bone survey infant (77076) range across 2 matching MRF lines |
$915–$988 | $915–$988 | varies |
| Brachytx isodose complex (77318) | $3,952 | $3,952 | 11.3× |
| Brachytx isodose intermed (77317) | $3,447 | $3,447 | 9.9× |
| Brachytx Isodose Plan Simple (77316) | $3,131 | $3,131 | 9.0× |
| Brain Flow Imaging Only (78610) | $3,837 | $3,837 | 7.6× |
| Brain Image W/Flow < 4 Views (78601) | $4,646 | $4,646 | 12.5× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $8,348 | $8,348 | 6.3× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $9,196 | $9,196 | 28.3× |
| Cat Scan Follow-Up Study (76380) range across 3 matching MRF lines |
$810–$1,177 | $810–$1,177 | varies |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $3,371 | $3,371 | 6.7× |
| Cerebrospinal Fluid Scan (78630) | $9,272 | $9,272 | 18.4× |
| Chest 1 view (71045) | $964 | $964 | 11.9× |
| Chest 2 views (71046) | $1,026 | $1,026 | 12.7× |
| Chest 3 views (71047) range across 2 matching MRF lines |
$1,259–$1,360 | $1,259–$1,360 | varies |
| Chest 4 or more views (71048) | $1,192 | $1,192 | 12.3× |
| Clavicle complete (73000) range across 4 matching MRF lines |
$886–$1,570 | $886–$1,570 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 2 matching MRF lines |
$1,007–$1,108 | $1,007–$1,108 | varies |
| Continuing medical physics consltj pr wk (77336) | $1,463 | $1,463 | 11.7× |
| Contrast Exam Abdominl Aorta (75625) range across 2 matching MRF lines |
$11,519–$12,264 | $11,519–$12,264 | varies |
| Contrast X-Ray Bladder (74430) | $1,817 | $1,817 | 5.6× |
| Contrast X-Ray Of Elbow (73085) range across 4 matching MRF lines |
$2,611–$2,820 | $2,611–$2,820 | varies |
| Contrast X-Ray Of Knee Joint (73580) range across 3 matching MRF lines |
$2,578–$2,820 | $2,578–$2,820 | varies |
| CT abdomen and pelvis without and with contrast (74178) | $16,614 | $16,614 | 51.2× |
| CT abdomen and pelvis without contrast (74176) | $12,172 | $12,172 | 54.8× |
| CT abdomen w contrast (74160) | $5,887 | $5,887 | 36.1× |
| CT abdomen w wo contrast (74170) | $8,961 | $8,961 | 54.9× |
| CT abdomen w/o contrast (74150) | $5,645 | $5,645 | 58.1× |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$15,104–$16,614 | $15,104–$16,614 | varies |
| CT Angio Chest (71275) | $5,400 | $5,400 | 33.1× |
| CT Angio Head (70496) range across 4 matching MRF lines |
$8,941–$9,835 | $8,941–$9,835 | varies |
| CT angio hrt w/3d image (75574) range across 2 matching MRF lines |
$6,169–$6,786 | $6,169–$6,786 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 3 matching MRF lines |
$6,394–$6,679 | $6,394–$6,679 | varies |
| CT Angio Neck (70498) | $8,610 | $8,610 | 52.8× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 2 matching MRF lines |
$6,394–$6,679 | $6,394–$6,679 | varies |
| CT cervical spine w/ contrast (72126) | $9,059 | $9,059 | 27.9× |
| CT cervical spine w/o contrast (72125) | $4,797 | $4,797 | 49.3× |
| CT cervical spine w/wo cont (72127) | $9,547 | $9,547 | 58.5× |
| CT chest w contrast (71260) | $7,099 | $7,099 | 43.5× |
| CT chest w/wo contrast (71270) | $7,622 | $7,622 | 46.7× |
| CT colonography screening (74263) range across 2 matching MRF lines |
$3,331–$3,664 | $3,331–$3,664 | varies |
| CT colonogrphy dx image postprocess w/o contrast (74261) range across 2 matching MRF lines |
$3,331–$3,664 | $3,331–$3,664 | varies |
| CT head/brain with contrast (70460) | $8,543 | $8,543 | 52.4× |
| CT head/brain without and with contrast (70470) | $9,109 | $9,109 | 55.8× |
| CT heart contrast eval cardiac structure&morph (75572) range across 2 matching MRF lines |
$4,360–$4,796 | $4,360–$4,796 | varies |
| CT heart no contrast quant eval coronry calcium (75571) | $255 | $255 | 3.2× |
| CT iac w contrast (70481) | $7,746 | $7,746 | 47.5× |
| CT l-spine w&w/o contrast (72133) | $11,121 | $11,121 | 68.2× |
| CT lower ext w/o (73700) range across 3 matching MRF lines |
$5,108–$10,205 | $5,108–$10,205 | varies |
| CT lower extremity w/contrast material (73701) range across 3 matching MRF lines |
$5,519–$11,030 | $5,519–$11,030 | varies |
| CT lumbar spine w contrast (72132) | $8,242 | $8,242 | 25.4× |
| CT lumbar spine w/o contrast (72131) | $6,771 | $6,771 | 69.6× |
| CT maxillofacial w contrast (70487) | $7,115 | $7,115 | 43.6× |
| CT maxillofacial wo contrast (70486) | $6,498 | $6,498 | 66.8× |
| CT neck tissue combo (70492) | $8,610 | $8,610 | 52.8× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $8,451 | $8,451 | 51.8× |
| CT orbits w/o contrast (70480) | $7,181 | $7,181 | 73.8× |
| CT pelvis w&w/o contrast (72194) | $8,985 | $8,985 | 55.1× |
| CT pelvis w/o contrast (72192) | $6,527 | $6,527 | 67.1× |
| CT scan of leg combo (73702) range across 3 matching MRF lines |
$5,866–$11,747 | $5,866–$11,747 | varies |
| CT scans face/jaw combo (70488) | $7,703 | $7,703 | 47.2× |
| CT soft tissue neck w contrast (70491) | $7,246 | $7,246 | 44.4× |
| CT soft tissue neck w/o contrast (70490) | $6,036 | $6,036 | 62.1× |
| CT thoracic spine w contrast (72129) | $6,899 | $6,899 | 42.3× |
| CT thoracic spine w/o contrast (72128) | $8,478 | $8,478 | 87.2× |
| CT thoracic spine w/wo cont (72130) | $8,504 | $8,504 | 52.1× |
| CT thorax w/o contrast (71250) | $6,994 | $6,994 | 71.9× |
| CT upper ext wo (73200) range across 3 matching MRF lines |
$5,108–$10,205 | $5,108–$10,205 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 3 matching MRF lines |
$6,394–$12,785 | $6,394–$12,785 | varies |
| CT upper extremity with contrast (73201) range across 3 matching MRF lines |
$5,927–$11,846 | $5,927–$11,846 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $9,678 | $9,678 | 59.3× |
| Cta Abdomen (74175) | $6,296 | $6,296 | 38.6× |
| CTA pelvis (72191) | $11,121 | $11,121 | 68.2× |
| Dilation ureters/urethra rs&i (74485) | $2,851 | $2,851 | 1.5× |
| Discography Cerv/Thor Spine (72285) range across 2 matching MRF lines |
$7,365–$7,954 | $7,365–$7,954 | varies |
| Diskography lumbar (72295) range across 2 matching MRF lines |
$7,365–$7,954 | $7,365–$7,954 | varies |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) | $2,848 | $2,848 | 29.3× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $2,848 | $2,848 | 29.3× |
| Doppler Fetal Mid Cerebral Artery (76821) | $1,687 | $1,687 | 17.3× |
| Dxa Bone Density Axial (77080) | $1,398 | $1,398 | 14.4× |
| Dxa bone density study (77085) range across 2 matching MRF lines |
$2,644–$2,856 | $2,644–$2,856 | varies |
| Echo exam of fetal heart (76825) | $4,801 | $4,801 | 9.4× |
| Echo exam uterus (76831) | $1,215 | $1,215 | 5.5× |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) | $4,801 | $4,801 | 21.6× |
| Esophagram (74220) | $1,705 | $1,705 | 10.5× |
| Fetal Biophys Profile W/Nst (76818) | $1,191 | $1,191 | 12.2× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $1,507 | $1,507 | 15.5× |
| Fetal MRI w/placntl matrnl plvc img sing/1st ges (74712) | $6,938 | $6,938 | 31.3× |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$820–$1,037 | $820–$1,037 | varies |
| Follow-Up Angiography (75898) | $5,082 | $5,082 | 1.7× |
| Foot 2 views (73620) | $1,015 | $1,015 | 12.5× |
| Forearm 2 views (73090) range across 4 matching MRF lines |
$973–$1,921 | $973–$1,921 | varies |
| Gastric emptying imaging study (78264) | $5,293 | $5,293 | 14.2× |
| Gated Heart Planar Single (78472) | $5,899 | $5,899 | 15.9× |
| Gated Heart, Multiple (78473) | $8,424 | $8,424 | 22.7× |
| Hand 2 views (73120) range across 5 matching MRF lines |
$820–$1,549 | $820–$1,549 | varies |
| Hdr Rdncl Ntrstl/Icav Brchtx (77772) | $13,026 | $13,026 | 20.1× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) | $13,026 | $13,026 | 20.1× |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) | $13,026 | $13,026 | 20.1× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $6,990 | $6,990 | 2.4× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $6,356 | $6,356 | 2.2× |
| Hepatobil Syst Image W/Drug (78227) | $8,716 | $8,716 | 17.3× |
| Hepatobiliary System Imaging (78226) | $8,716 | $8,716 | 23.4× |
| Ht Musc Image Planar Mult (78454) | $8,704 | $8,704 | 7.2× |
| Ht Muscle Image Spect Sing (78451) | $4,522 | $4,522 | 3.8× |
| Hysterosalpingogram (74740) | $2,684 | $2,684 | 12.1× |
| Image fusion (77399) | $1,479 | $1,479 | 11.8× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $2,624 | $2,624 | 32.4× |
| Interstitial radiation source applic complex (77778) | $37,287 | $37,287 | 57.6× |
| Intracavitary Radiation Source Applic Complex (77763) | $36,087 | $36,087 | 55.7× |
| Intracavitary Radiation Source Applic Intermed (77762) | $36,087 | $36,087 | 70.2× |
| Intracavitary radiation source applic simple (77761) | $36,087 | $36,087 | 70.2× |
| Joint Survey Single View (77077) | $768 | $768 | 7.9× |
| K Flow/Funct Image Multiple (78709) | $5,998 | $5,998 | 11.9× |
| K Flow/Funct Image W/Drug (78708) | $5,998 | $5,998 | 11.9× |
| K Flow/Funct Image W/O Drug (78707) | $4,055 | $4,055 | 8.0× |
| Kidney Imaging Morphol (78700) | $3,074 | $3,074 | 8.3× |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$1,089–$2,170 | $1,089–$2,170 | varies |
| Leveen/Shunt Patency Exam (78291) | $2,900 | $2,900 | 7.8× |
| Liver & Spleen Imaging Static Only (78215) | $5,085 | $5,085 | 13.7× |
| Lung Perf&Ventilat Diferentl (78598) | $10,162 | $10,162 | 20.1× |
| Lung perfusion differential (78597) | $4,141 | $4,141 | 11.1× |
| Lung Ventilat&Perfus Imaging (78582) | $10,162 | $10,162 | 20.1× |
| Lung Ventilation Imaging (78579) | $4,141 | $4,141 | 11.1× |
| Lymph System Imaging (78195) | $3,889 | $3,889 | 7.7× |
| Magnetic Image Jaw Joint (70336) | $8,991 | $8,991 | 40.5× |
| Mammary ductogram or galactogram single (77053) range across 2 matching MRF lines |
$1,449–$1,565 | $1,449–$1,565 | varies |
| Meckels Divert Exam (78290) | $3,421 | $3,421 | 9.2× |
| Mlc imrt design & construction per imrt plan (77338) | $7,933 | $7,933 | 22.8× |
| Mra Head W/O & W/Contrast Material (70546) | $4,584 | $4,584 | 14.1× |
| MRA head w/o contrast (70544) | $5,303 | $5,303 | 23.9× |
| MRA head with contrast (70545) | $9,777 | $9,777 | 30.1× |
| MRA neck w contrast (70548) | $5,108 | $5,108 | 15.7× |
| Mra Neck W/O &W/Contrast Material (70549) | $4,584 | $4,584 | 14.1× |
| MRA neck w/o contrast (70547) | $7,491 | $7,491 | 33.8× |
| MRI abdomen w contrast (74182) | $9,777 | $9,777 | 30.1× |
| MRI abdomen w/o contrast (74181) | $10,086 | $10,086 | 45.4× |
| MRI any jt lower extrem w/contrast material (73722) range across 3 matching MRF lines |
$8,848–$15,582 | $8,848–$15,582 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 3 matching MRF lines |
$7,157–$18,499 | $7,157–$18,499 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 3 matching MRF lines |
$6,744–$19,532 | $6,744–$19,532 | varies |
| MRI brain functional w/o physician admnistration (70554) | $1,993 | $1,993 | 9.0× |
| MRI Breast W/O Contrast Bilateral (77047) | $15,939 | $15,939 | 71.8× |
| MRI Breast Without Contrast Material Unilateral (77046) | $11,134 | $11,134 | 50.2× |
| MRI cardiac w/o contrast (75557) | $8,419 | $8,419 | 37.9× |
| MRI cervical spine w contrast (72142) | $10,782 | $10,782 | 33.2× |
| MRI cervical spine w/o cont (72141) | $5,898 | $5,898 | 26.6× |
| MRI chest w/o contrast (71550) | $11,583 | $11,583 | 52.2× |
| MRI chest with contrast (71551) | $9,777 | $9,777 | 13.4× |
| MRI chest wo w contrast (71552) | $7,157 | $7,157 | 22.1× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 3 matching MRF lines |
$7,678–$19,532 | $7,678–$19,532 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 3 matching MRF lines |
$9,887–$21,856 | $9,887–$21,856 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 3 matching MRF lines |
$7,491–$14,969 | $7,491–$14,969 | varies |
| MRI lumbar spine w contrast (72149) | $13,451 | $13,451 | 41.5× |
| Mri Neck Spine W/O & W/Dye (72156) | $10,943 | $10,943 | 33.7× |
| MRI orbit face &/neck w/o contrast (70540) | $12,521 | $12,521 | 56.4× |
| MRI orbit face neck w contrast (70542) | $9,777 | $9,777 | 30.1× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $7,157 | $7,157 | 22.1× |
| MRI pelvis w contrast (72196) | $8,561 | $8,561 | 26.4× |
| MRI pelvis w/o & w contrast (72197) | $7,157 | $7,157 | 22.1× |
| MRI pelvis w/o contrast (72195) | $7,491 | $7,491 | 33.8× |
| MRI spectroscopy (76390) | $1,407 | $1,407 | 17.4× |
| MRI thoracic spine w/o contrast (72146) | $11,629 | $11,629 | 52.4× |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 3 matching MRF lines |
$7,678–$19,532 | $7,678–$19,532 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 3 matching MRF lines |
$7,491–$14,969 | $7,491–$14,969 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 3 matching MRF lines |
$10,135–$26,898 | $10,135–$26,898 | varies |
| MRI, abdomen, combo (74183) | $7,157 | $7,157 | 22.1× |
| MRI, dorsal spine combo (72157) | $11,724 | $11,724 | 36.1× |
| MRI, dorsal spine contrast (72147) | $10,794 | $10,794 | 33.3× |
| MRI, joint upper extrem (73221) range across 3 matching MRF lines |
$7,491–$15,369 | $7,491–$15,369 | varies |
| MRI, joint upper extrem combo (73223) range across 3 matching MRF lines |
$7,157–$20,422 | $7,157–$20,422 | varies |
| MRI, lumbar spine combo (72158) | $7,770 | $7,770 | 23.9× |
| Musculoskeletal Nuclear Exam (78399) | $1,486 | $1,486 | 4.0× |
| Myelogram cervical (72240) | $4,539 | $4,539 | 6.2× |
| Myelogram Lumbar (72265) | $3,952 | $3,952 | 5.4× |
| Myelography thoracic (72255) | $3,861 | $3,861 | 5.3× |
| Myelograpy 2/more regions rs&i (72270) | $6,175 | $6,175 | 8.5× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $4,365 | $4,365 | 3.6× |
| Myocardial Spect Multiple Studies (78452) | $10,434 | $10,434 | 8.7× |
| Neck soft tissue (70360) | $997 | $997 | 12.3× |
| Nm csf leak detection (78650) | $6,707 | $6,707 | 5.6× |
| Nm myocard infarct spect (78469) | $6,589 | $6,589 | 13.0× |
| Nonvascular Shunt X-Ray (75809) range across 2 matching MRF lines |
$865–$934 | $865–$934 | varies |
| Ntsty modul radthx pln dose-vol histos (77301) | $15,862 | $15,862 | 12.3× |
| Nuclear medicine study of endocrine organs (78099) | $1,486 | $1,486 | 4.0× |
| Nuclear Rx Intra-Arterial (79445) | $1,841 | $1,841 | 8.5× |
| Nuclear Rx Oral Admin (79005) | $3,007 | $3,007 | 13.9× |
| Ob us nuchal meas 1 gest (76813) | $1,687 | $1,687 | 17.3× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $1,947 | $1,947 | 3.9× |
| Parathyroid Planar Imaging (78070) | $5,892 | $5,892 | 15.8× |
| Parathyroid planar imaging w/wo subtraction (78071) | $1,486 | $1,486 | 4.0× |
| Pelvis 1 or 2 views (72170) | $977 | $977 | 10.0× |
| Peritoneogram Rs&I (74190) | $2,147 | $2,147 | 4.2× |
| Pet Image Skull-Thigh (78812) | $8,348 | $8,348 | 6.3× |
| Pet Image W/Ct Lmtd (78814) | $8,348 | $8,348 | 6.3× |
| PET image w/CT, full body (78816) | $8,348 | $8,348 | 6.3× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $8,348 | $8,348 | 6.3× |
| Pet Imaging Limited Area Chest Head/Neck (78811) | $8,348 | $8,348 | 6.9× |
| PET whole body (78813) | $8,348 | $8,348 | 6.3× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $5,203 | $5,203 | 1.8× |
| Pulmonary Perfusion Imaging Particulate (78580) | $4,766 | $4,766 | 12.8× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $2,547 | $2,547 | 26.2× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $1,393 | $1,393 | 2.7× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$997–$1,985 | $997–$1,985 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 4 matching MRF lines |
$845–$1,660 | $845–$1,660 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$887–$1,766 | $887–$1,766 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $1,577 | $1,577 | 16.2× |
| Radex fingr minimum 2 views (73140) range across 3 matching MRF lines |
$654–$706 | $654–$706 | varies |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$1,080–$2,134 | $1,080–$2,134 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$951–$1,882 | $951–$1,882 | varies |
| Radex lower extremity infant minimum 2 views (73592) | $1,312 | $1,312 | 16.2× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $1,592 | $1,592 | 16.4× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $902 | $902 | 11.1× |
| Radex Ribs Unilateral 2 Views (71100) | $768 | $768 | 9.5× |
| Radex shoulder complete minimum 2 views (73030) range across 4 matching MRF lines |
$1,026–$2,038 | $1,026–$2,038 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $1,055 | $1,055 | 13.0× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $2,304 | $2,304 | 14.1× |
| Radex Spine 1 View Specify Level (72020) | $1,497 | $1,497 | 18.5× |
| Radex Sternum Minimum 2 Views (71120) | $987 | $987 | 12.2× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $1,619 | $1,619 | 20.0× |
| Radex Toe Minimum 2 Views (73660) range across 3 matching MRF lines |
$687–$742 | $687–$742 | varies |
| Radex upper extremity infant minimum 2 views (73092) | $907 | $907 | 9.3× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$927–$1,543 | $927–$1,543 | varies |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $63,884 | $63,884 | 9.3× |
| Radiation treatment delivery level 1 (77402) | $1,871 | $1,871 | 19.7× |
| Radiation treatment delivery level 2 (77407) | $2,304 | $2,304 | 6.4× |
| Radiation treatment delivery level 3 (77412) | $2,878 | $2,878 | 5.6× |
| Radiolog exam mandible compl minimum 4 views (70110) | $850 | $850 | 8.7× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $1,587 | $1,587 | 16.3× |
| Radiologic exam colon double contrast study (74280) | $3,511 | $3,511 | 21.5× |
| Radiologic exam colon single contrast study (74270) | $2,897 | $2,897 | 17.8× |
| Radiologic Exam Esophagus Double Contrast Study (74221) range across 2 matching MRF lines |
$1,811–$1,956 | $1,811–$1,956 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$1,429–$2,834 | $1,429–$2,834 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $1,521 | $1,521 | 15.6× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $2,106 | $2,106 | 12.9× |
| Radiologic exam swallow function contrast study (74230) | $1,705 | $1,705 | 10.5× |
| Radiologic exam upr gi trc double contrast study (74246) | $2,820 | $2,820 | 17.3× |
| Radiologic examination femur 1 view (73551) | $705 | $705 | 8.7× |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$943–$2,051 | $943–$2,051 | varies |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$902–$1,780 | $902–$1,780 | varies |
| Radiologic Examination Osseous Survey Limited (77074) range across 2 matching MRF lines |
$967–$1,044 | $967–$1,044 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$885–$1,746 | $885–$1,746 | varies |
| Renal Cyst Study (74470) range across 2 matching MRF lines |
$3,604–$7,199 | $3,604–$7,199 | varies |
| Ribs bilateral 3 views (71110) | $1,350 | $1,350 | 13.9× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $6,343 | $6,343 | 17.1× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $6,343 | $6,343 | 17.1× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $10,539 | $10,539 | 20.9× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $9,131 | $9,131 | 18.1× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $3,196 | $3,196 | 6.3× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $5,711 | $5,711 | 4.7× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $5,210 | $5,210 | 3.9× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $4,643 | $4,643 | 3.9× |
| Rp Therapy Intravenous Administration (79101) | $1,259 | $1,259 | 5.8× |
| Scapula (73010) range across 3 matching MRF lines |
$606–$1,354 | $606–$1,354 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $166 | $166 | 7.1× |
| Shoulder 1 view (73020) range across 4 matching MRF lines |
$768–$1,521 | $768–$1,521 | varies |
| Shoulder Arthrography (73040) range across 4 matching MRF lines |
$2,578–$5,603 | $2,578–$5,603 | varies |
| Sialogram (70390) | $1,587 | $1,587 | 7.2× |
| Skull less than 4 views (70250) | $1,229 | $1,229 | 12.6× |
| Special dosimetry (77331) range across 2 matching MRF lines |
$1,528–$1,598 | $1,528–$1,598 | varies |
| Special Physics Consult (77370) | $1,783 | $1,783 | 14.3× |
| Special teletherapy port plan (77321) | $1,661 | $1,661 | 4.8× |
| Special treatment procedure (77470) range across 2 matching MRF lines |
$3,110–$6,309 | $3,110–$6,309 | varies |
| Stereotactic Body Radiation Delivery (77373) | $13,999 | $13,999 | 8.4× |
| Sternoclavicular joints (71130) | $580 | $580 | 7.2× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $4,374 | $4,374 | 12.6× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $2,905 | $2,905 | 8.3× |
| Testicular Imaging W/Flow (78761) | $4,169 | $4,169 | 11.2× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) range across 2 matching MRF lines |
$5,654–$5,937 | $5,654–$5,937 | varies |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) range across 2 matching MRF lines |
$4,009–$4,220 | $4,009–$4,220 | varies |
| Ther rad simulaj-aided field setting simple (77280) range across 2 matching MRF lines |
$2,228–$2,349 | $2,228–$2,349 | varies |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $2,897 | $2,897 | 17.8× |
| Thoracic spine 2 views (72070) | $1,428 | $1,428 | 14.7× |
| Thoracic spine 3 views (72072) | $1,649 | $1,649 | 17.0× |
| Thoracolumbar 2 views (72080) | $1,229 | $1,229 | 15.2× |
| Thyroid Imaging With Vascular Flow (78013) | $3,420 | $3,420 | 9.2× |
| Thyroid Met Imaging Body (78018) | $4,666 | $4,666 | 9.2× |
| Thyroid Uptake Measurement (78012) | $2,746 | $2,746 | 7.4× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $3,552 | $3,552 | 9.6× |
| Tx Devices Design & Construction Complex (77334) | $3,748 | $3,748 | 10.8× |
| Tx devices design & construction intermediate (77333) | $3,309 | $3,309 | 26.5× |
| Tx devices design & construction simple (77332) | $2,893 | $2,893 | 23.1× |
| Ultrasound Breast Limited (76642) | $2,079 | $2,079 | 25.7× |
| Ultrasound Exam Aaa Screen (76706) | $1,644 | $1,644 | 16.9× |
| Ultrasound, abdomen limited (76705) | $2,081 | $2,081 | 21.4× |
| Umbilical-artery Doppler (OB) (76820) range across 2 matching MRF lines |
$704–$1,687 | $704–$1,687 | varies |
| Unlisted Dx Radiographic Procedure (76499) | $1,577 | $1,577 | 19.5× |
| Unlisted hematopoietic, reticuloendothelial and lymphatic procedure, diagnostic nuclear medicine (78199) | $1,486 | $1,486 | 4.0× |
| Unlisted magnetic resonance procedure (76498) | $2,492 | $2,492 | 30.8× |
| Unlisted Miscellaneous Px Dx Nuclear Medicine (78999) | $1,486 | $1,486 | 4.0× |
| Unlisted us procedure (76999) | $713 | $713 | 8.8× |
| Upper gi w/o kub (74240) | $3,197 | $3,197 | 19.6× |
| Urea Breath Test C-14 Isotopic Acquisj Analysis (78267) | $70 | $70 | 6.3× |
| Urea breath test c-14 isotopic analysis (78268) | $602 | $602 | 6.4× |
| Urethrocystogram voiding (74455) | $2,247 | $2,247 | 10.1× |
| Urethrocystography retrograde (74450) range across 2 matching MRF lines |
$2,003–$2,163 | $2,003–$2,163 | varies |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$606–$2,079 | $606–$2,079 | varies |
| Us chest (76604) | $2,081 | $2,081 | 21.4× |
| Us complete joint (76881) | $4,789 | $4,789 | 49.2× |
| Us exam, pelvic, limited (76857) | $1,499 | $1,499 | 15.4× |
| Us head (76506) | $2,614 | $2,614 | 26.9× |
| Us kidney transplant (76776) | $1,904 | $1,904 | 19.6× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$2,407–$2,601 | $2,407–$2,601 | varies |
| Us ob detailed single fetus (76811) | $2,848 | $2,848 | 12.8× |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$1,102–$1,507 | $1,102–$1,507 | varies |
| Us ob transvaginal (76817) | $1,967 | $1,967 | 20.2× |
| Us pelvic non ob complete (76856) | $2,624 | $2,624 | 27.0× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $2,848 | $2,848 | 29.3× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $2,848 | $2,848 | 29.3× |
| Us retroperitoneal complete (76770) | $1,162 | $1,162 | 11.9× |
| Us retroperitoneal limited (76775) | $994 | $994 | 10.2× |
| Us scrotum and contents (76870) | $2,312 | $2,312 | 23.8× |
| Us spinal canal and contents (76800) | $2,554 | $2,554 | 26.3× |
| Us thyroid (76536) | $2,171 | $2,171 | 22.3× |
| Us transrectal (76872) | $2,935 | $2,935 | 30.2× |
| Vein X-Ray Chest (75827) | $6,990 | $6,990 | 4.8× |
| Vein X-Ray Skull Epidural (75872) | $6,299 | $6,299 | 10.8× |
| Vein X-Ray Spleen/Liver (75810) | $12,730 | $12,730 | 4.3× |
| Venogram Sinus/Jugular (75860) range across 2 matching MRF lines |
$3,933–$3,955 | $3,933–$3,955 | varies |
| Venography Adrenal Unilateral (75840) | $5,923 | $5,923 | 2.0× |
| Venography caval inferior serialography rs&i (75825) | $6,990 | $6,990 | 2.4× |
| Venography extremity bilateral rs&i (75822) | $8,256 | $8,256 | 5.6× |
| Venography extremity unilateral rs&i (75820) range across 4 matching MRF lines |
$4,911–$5,304 | $4,911–$5,304 | varies |
| Venography Renal Bilateral (75833) | $6,990 | $6,990 | 2.4× |
| Venography Renal Unilateral (75831) | $5,923 | $5,923 | 2.0× |
| Venous sampling by catheter (75893) | $23,508 | $23,508 | 4.5× |
| Wrist 2 views (73100) range across 3 matching MRF lines |
$765–$1,518 | $765–$1,518 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $1,192 | $1,192 | 14.7× |
| X-ray antegrade pyelogram tube (74425) | $2,926 | $2,926 | 9.0× |
| X-Ray Aorta Leg Arteries (75630) range across 2 matching MRF lines |
$9,988–$10,592 | $9,988–$10,592 | varies |
| X-Ray Bend Only L-S Spine (72120) | $1,345 | $1,345 | 13.8× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $698 | $698 | 8.6× |
| X-Ray Exam Breast Specimen (76098) | $691 | $691 | 1.4× |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 2 matching MRF lines |
$1,354–$1,462 | $1,354–$1,462 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$1,620–$1,750 | $1,620–$1,750 | varies |
| X-Ray Exam Hip Uni 1 View (73501) | $907 | $907 | 11.2× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $1,247 | $1,247 | 15.4× |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$1,472–$1,590 | $1,472–$1,590 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 2 matching MRF lines |
$1,629–$1,759 | $1,629–$1,759 | varies |
| X-Ray Exam L-S Spine Bending (72114) | $1,765 | $1,765 | 18.2× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $1,147 | $1,147 | 14.2× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $1,570 | $1,570 | 16.1× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $846 | $846 | 8.7× |
| X-ray humerus (73060) range across 3 matching MRF lines |
$1,192–$2,377 | $1,192–$2,377 | varies |
| X-ray IV pyelogram (ivp) (74400) | $3,130 | $3,130 | 19.2× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $850 | $850 | 10.5× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $794 | $794 | 9.8× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $1,345 | $1,345 | 13.8× |
| 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) | $928 | $928 | 9.5× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $1,570 | $1,570 | 16.1× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $1,118 | $1,118 | 13.8× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $1,380 | $1,380 | 17.0× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $1,506 | $1,506 | 15.5× |
| X-ray thoracic spine 4 vw (72074) range across 2 matching MRF lines |
$1,597–$1,725 | $1,597–$1,725 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $3,343 | $3,343 | 10.3× |
| X-Rays Bone Length Studies (77073) range across 4 matching MRF lines |
$359–$1,364 | $359–$1,364 | varies |
| X-Rays Bone Survey Complete (77075) | $1,836 | $1,836 | 18.9× |
| Xr c-spine 4 or 5 views (72050) | $1,406 | $1,406 | 14.5× |
| Xr facial bones less than 3 views (70140) | $1,072 | $1,072 | 13.2× |
| Xr orbits complete 4 views (70200) | $1,212 | $1,212 | 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.