Imaging prices at HealthAlliance Hospital Mary's Avenue Campus
Kingston, NY · every code in this section with a posted price and a Medicare benchmark.
342 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) | $464 | $464 | 4.3× |
| Abdomen 2 views (74019) | $257 | $257 | 2.0× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $2,934 | $2,934 | 5.9× |
| Angio pulmonary bilat (75743) | $8,336 | $8,336 | 2.1× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $8,336 | $8,336 | 2.1× |
| Angiography extremity bilateral rs&i (75716) | $10,904 | $10,904 | 2.8× |
| Angiography extremity unilateral rs&i (75710) | $9,723 | $9,723 | 2.5× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $8,336 | $8,336 | 2.1× |
| Ankle 2 views (73600) range across 11 matching MRF lines |
$245–$368 | $245–$368 | varies |
| Aortography thoracic serialography rs&i (75605) | $12,265 | $12,265 | 1.8× |
| Artery X-Rays Abdomen (75726) | $12,265 | $12,265 | 1.8× |
| Artery X-Rays Adrenal Gland (75731) | $8,558 | $8,558 | 2.2× |
| Artery X-Rays Pelvis (75736) | $12,265 | $12,265 | 1.8× |
| Arthrogram hip (73525) range across 6 matching MRF lines |
$1,271–$1,907 | $1,271–$1,907 | varies |
| Arthrogram Wrist (73115) range across 6 matching MRF lines |
$1,271–$1,907 | $1,271–$1,907 | varies |
| Bone age studies (77072) | $257 | $257 | 2.0× |
| Bone Imaging 3 Phase (78315) | $2,897 | $2,897 | 5.8× |
| Bone Imaging Limited Area (78300) | $1,383 | $1,383 | 2.8× |
| Bone Imaging Multiple Areas (78305) | $1,600 | $1,600 | 3.2× |
| Bone Imaging Whole Body (78306) | $2,051 | $2,051 | 4.1× |
| Bone marrow imaging limited area (78102) | $1,313 | $1,313 | 2.6× |
| Bone marrow imaging; multiple areas (78103) | $1,546 | $1,546 | 3.1× |
| Bone survey infant (77076) | $541 | $541 | 4.1× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $1,231 | $1,231 | 2.8× |
| Cardiac MRI w/w/o contrast w/stress (75563) | $3,102 | $3,102 | 3.2× |
| Cat Scan Follow-Up Study (76380) | $287 | $287 | 2.6× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $2,487 | $2,487 | 3.7× |
| Cerebrospinal Fluid Scan (78630) | $2,975 | $2,975 | 4.4× |
| Chest 1 view (71045) range across 3 matching MRF lines |
$227–$329 | $227–$329 | varies |
| Chest 2 views (71046) | $392 | $392 | 3.6× |
| Chest 3 views (71047) range across 3 matching MRF lines |
$290–$359 | $290–$359 | varies |
| Chest 4 or more views (71048) | $488 | $488 | 3.7× |
| Cholecystography Oral Contrast (74290) | $652 | $652 | 3.0× |
| Cineradiograpy/vidradiograpy xcpt where spec (76120) range across 2 matching MRF lines |
$355–$423 | $355–$423 | varies |
| Clavicle complete (73000) range across 9 matching MRF lines |
$396–$594 | $396–$594 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $1,409 | $1,409 | 10.8× |
| Contrast Exam Abdominl Aorta (75625) | $7,110 | $7,110 | 1.8× |
| Contrast X-Ray Bladder (74430) | $889 | $889 | 2.0× |
| Contrast X-Ray Of Elbow (73085) range across 6 matching MRF lines |
$1,271–$1,907 | $1,271–$1,907 | varies |
| Contrast X-Ray Of Knee Joint (73580) range across 6 matching MRF lines |
$1,271–$1,907 | $1,271–$1,907 | varies |
| Contrast Xray Throat/Cerv Esopha (74210) | $524 | $524 | 2.4× |
| CT abdomen and pelvis without and with contrast (74178) | $3,346 | $3,346 | 7.7× |
| CT abdomen and pelvis without contrast (74176) | $2,263 | $2,263 | 7.6× |
| CT abdomen w contrast (74160) | $2,713 | $2,713 | 12.4× |
| CT abdomen w wo contrast (74170) | $3,346 | $3,346 | 15.3× |
| CT abdomen w/o contrast (74150) | $2,263 | $2,263 | 17.3× |
| CT Angio Abdomen and Pelvis (74174) | $2,781 | $2,781 | 6.4× |
| CT Angio Chest (71275) | $3,346 | $3,346 | 15.3× |
| CT Angio Head (70496) | $2,466 | $2,466 | 11.3× |
| CT angio hrt w/3d image (75574) | $2,840 | $2,840 | 6.5× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 4 matching MRF lines |
$2,448–$3,672 | $2,448–$3,672 | varies |
| CT Angio Neck (70498) | $2,466 | $2,466 | 11.3× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 4 matching MRF lines |
$3,500–$5,250 | $3,500–$5,250 | varies |
| CT Cere Prfuj Alys C+ W/O CT/Cta Same Anatomy (70473) | $538 | $538 | 2.5× |
| CT cervical spine w/ contrast (72126) | $2,713 | $2,713 | 6.2× |
| CT cervical spine w/o contrast (72125) | $2,263 | $2,263 | 17.3× |
| CT cervical spine w/wo cont (72127) | $3,069 | $3,069 | 14.0× |
| CT chest w contrast (71260) | $2,263 | $2,263 | 10.3× |
| CT chest w/wo contrast (71270) | $3,346 | $3,346 | 15.3× |
| CT head/brain with contrast (70460) | $2,713 | $2,713 | 12.4× |
| CT head/brain without and with contrast (70470) | $3,346 | $3,346 | 15.3× |
| CT heart contrast eval cardiac structure&morph (75572) | $1,698 | $1,698 | 3.9× |
| CT heart no contrast quant eval coronry calcium (75571) | $645 | $645 | 5.9× |
| CT hrt w/3d image congen (75573) | $2,128 | $2,128 | 4.9× |
| CT iac w contrast (70481) | $2,713 | $2,713 | 12.4× |
| CT l-spine w&w/o contrast (72133) | $3,069 | $3,069 | 14.0× |
| CT lower ext w/o (73700) | $2,263 | $2,263 | 17.3× |
| CT lower extremity w/contrast material (73701) | $2,713 | $2,713 | 12.4× |
| CT lumbar spine w contrast (72132) | $2,713 | $2,713 | 6.2× |
| CT lumbar spine w/o contrast (72131) | $2,263 | $2,263 | 17.3× |
| CT maxillofacial w contrast (70487) | $2,713 | $2,713 | 12.4× |
| CT maxillofacial wo contrast (70486) | $2,263 | $2,263 | 17.3× |
| CT neck tissue combo (70492) | $2,211 | $2,211 | 10.1× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $2,210 | $2,210 | 10.1× |
| CT orbits w/o contrast (70480) | $2,263 | $2,263 | 17.3× |
| CT pelvis w&w/o contrast (72194) | $3,346 | $3,346 | 15.3× |
| CT pelvis w/o contrast (72192) | $2,263 | $2,263 | 17.3× |
| CT scan of leg combo (73702) | $3,346 | $3,346 | 15.3× |
| CT scans face/jaw combo (70488) | $2,293 | $2,293 | 10.5× |
| CT soft tissue neck w contrast (70491) | $2,713 | $2,713 | 12.4× |
| CT soft tissue neck w/o contrast (70490) | $2,263 | $2,263 | 17.3× |
| CT thoracic spine w contrast (72129) | $2,713 | $2,713 | 12.4× |
| CT thoracic spine w/o contrast (72128) | $2,263 | $2,263 | 17.3× |
| CT thoracic spine w/wo cont (72130) | $3,069 | $3,069 | 14.0× |
| CT thorax w/o contrast (71250) | $2,263 | $2,263 | 17.3× |
| CT upper ext wo (73200) | $2,263 | $2,263 | 17.3× |
| CT upper extremity w/o & w/contrast material (73202) | $3,346 | $3,346 | 15.3× |
| CT upper extremity with contrast (73201) | $2,713 | $2,713 | 6.2× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $3,346 | $3,346 | 15.3× |
| Cta Abdomen (74175) | $3,346 | $3,346 | 15.3× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $1,069 | $1,069 | 2.5× |
| CTA pelvis (72191) | $3,069 | $3,069 | 14.0× |
| Dilation ureters/urethra rs&i (74485) | $5,584 | $5,584 | 2.1× |
| Discography Cerv/Thor Spine (72285) | $4,290 | $4,290 | 1.8× |
| Diskography lumbar (72295) | $6,879 | $6,879 | 2.8× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $264 | $264 | 2.0× |
| Doppler Fetal Mid Cerebral Artery (76821) | $464 | $464 | 3.6× |
| Dxa Bone Density Axial (77080) | $724 | $724 | 5.5× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $1,104 | $1,104 | 10.2× |
| Echo exam of fetal heart (76825) | $2,447 | $2,447 | 3.6× |
| Echo exam uterus (76831) | $723 | $723 | 2.4× |
| Echo Guide For Artery Repair (76936) | $1,653 | $1,653 | 6.1× |
| Echograp Trans R Pros Study (76873) | $897 | $897 | 6.9× |
| Esophagram (74220) | $916 | $916 | 4.2× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $907 | $907 | 7.0× |
| Fluoroscopy up to 1 hr (76000) | $559 | $559 | 1.9× |
| Follow-Up Angiography (75898) | $7,110 | $7,110 | 1.8× |
| Foot 2 views (73620) range across 11 matching MRF lines |
$245–$368 | $245–$368 | varies |
| Forearm 2 views (73090) range across 9 matching MRF lines |
$355–$532 | $355–$532 | varies |
| Gastric emptying imaging study (78264) | $2,911 | $2,911 | 5.8× |
| Gastroesophageal Reflux Exam (78262) | $1,758 | $1,758 | 3.5× |
| Gated Heart Planar Single (78472) | $1,770 | $1,770 | 3.5× |
| Gated Heart, Multiple (78473) | $1,828 | $1,828 | 3.7× |
| Hand 2 views (73120) range across 9 matching MRF lines |
$257–$385 | $257–$385 | varies |
| Hepatobil Syst Image W/Drug (78227) | $3,955 | $3,955 | 5.8× |
| Hepatobiliary System Imaging (78226) | $2,882 | $2,882 | 5.8× |
| Ht Musc Image Planar Mult (78454) | $3,169 | $3,169 | 2.0× |
| Ht Muscle Image Spect Sing (78451) | $4,092 | $4,092 | 2.5× |
| Hysterosalpingogram (74740) | $1,240 | $1,240 | 4.2× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $893 | $893 | 8.2× |
| K Flow/Funct Image Multiple (78709) | $2,489 | $2,489 | 3.7× |
| K Flow/Funct Image W/Drug (78708) | $2,193 | $2,193 | 3.2× |
| K Flow/Funct Image W/O Drug (78707) | $1,673 | $1,673 | 2.5× |
| Knee 3 Views (73562) range across 9 matching MRF lines |
$472–$709 | $472–$709 | varies |
| Labeled RBC Sequestration Differntl Organ/Tissue (78140) | $1,844 | $1,844 | 3.7× |
| Leveen/Shunt Patency Exam (78291) | $1,864 | $1,864 | 3.7× |
| Liver & Spleen Imaging Static Only (78215) | $1,424 | $1,424 | 2.9× |
| Lung Perf&Ventilat Diferentl (78598) | $2,219 | $2,219 | 3.3× |
| Lung perfusion differential (78597) | $1,497 | $1,497 | 3.0× |
| Lung Ventilat&Perfus Imaging (78582) | $2,760 | $2,760 | 4.1× |
| Lung Ventilation Imaging (78579) | $1,363 | $1,363 | 2.7× |
| Lymph System Imaging (78195) | $2,723 | $2,723 | 4.0× |
| Magnetic Image Jaw Joint (70336) | $3,018 | $3,018 | 10.1× |
| Mammary ductogram or galactogram multiple (77054) | $1,188 | $1,188 | 4.0× |
| Mammary ductogram or galactogram single (77053) | $948 | $948 | 3.2× |
| Meckels Divert Exam (78290) | $2,676 | $2,676 | 5.4× |
| Mr safety determination physician/other qhp (76016) | $305 | $305 | 2.8× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $85 | $85 | 2.4× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) | $318 | $318 | 2.7× |
| Mr safety implt pos&/immoblj (76019) | $206 | $206 | 2.8× |
| Mr safety med physics xm customization plng&mntr (76017) | $836 | $836 | 2.8× |
| Mra Head W/O & W/Contrast Material (70546) | $4,393 | $4,393 | 10.1× |
| MRA head w/o contrast (70544) | $3,124 | $3,124 | 10.5× |
| MRA head with contrast (70545) | $2,985 | $2,985 | 6.9× |
| MRA neck w contrast (70548) | $3,046 | $3,046 | 7.0× |
| Mra Neck W/O &W/Contrast Material (70549) | $4,820 | $4,820 | 11.1× |
| MRA neck w/o contrast (70547) | $3,141 | $3,141 | 10.5× |
| MRI abdomen w contrast (74182) | $3,172 | $3,172 | 7.3× |
| MRI abdomen w/o contrast (74181) | $3,072 | $3,072 | 10.3× |
| MRI any jt lower extrem w/contrast material (73722) | $3,316 | $3,316 | 3.4× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $4,517 | $4,517 | 10.4× |
| MRI any jt upper extremity w/contrast matrl (73222) | $3,378 | $3,378 | 3.5× |
| MRI cardiac w/o contrast (75557) | $782 | $782 | 2.6× |
| MRI cervical spine w contrast (72142) | $3,549 | $3,549 | 8.1× |
| MRI cervical spine w/o cont (72141) | $3,072 | $3,072 | 10.3× |
| MRI chest w/o contrast (71550) | $3,614 | $3,614 | 12.1× |
| MRI chest with contrast (71551) | $3,408 | $3,408 | 3.5× |
| MRI chest wo w contrast (71552) | $4,517 | $4,517 | 10.4× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $2,875 | $2,875 | 6.6× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $4,145 | $4,145 | 9.5× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $3,072 | $3,072 | 10.3× |
| MRI lumbar spine w contrast (72149) | $3,867 | $3,867 | 8.9× |
| Mri Neck Spine W/O & W/Dye (72156) | $4,517 | $4,517 | 10.4× |
| MRI orbit face &/neck w/o contrast (70540) | $2,820 | $2,820 | 9.5× |
| MRI orbit face neck w contrast (70542) | $3,715 | $3,715 | 8.5× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $4,517 | $4,517 | 10.4× |
| MRI pelvis w contrast (72196) | $2,875 | $2,875 | 6.6× |
| MRI pelvis w/o & w contrast (72197) | $4,517 | $4,517 | 10.4× |
| MRI pelvis w/o contrast (72195) | $3,072 | $3,072 | 10.3× |
| MRI spectroscopy (76390) | $3,408 | $3,408 | 31.4× |
| MRI thoracic spine w/o contrast (72146) | $3,072 | $3,072 | 10.3× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $3,281 | $3,281 | 7.5× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $3,072 | $3,072 | 10.3× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $4,145 | $4,145 | 9.5× |
| MRI, abdomen, combo (74183) | $4,517 | $4,517 | 10.4× |
| MRI, dorsal spine combo (72157) | $4,517 | $4,517 | 10.4× |
| MRI, dorsal spine contrast (72147) | $4,019 | $4,019 | 9.2× |
| MRI, joint upper extrem (73221) | $3,072 | $3,072 | 10.3× |
| MRI, joint upper extrem combo (73223) | $4,145 | $4,145 | 9.5× |
| MRI, lumbar spine combo (72158) | $4,517 | $4,517 | 10.4× |
| Myelogram cervical (72240) | $2,056 | $2,056 | 2.1× |
| Myelogram Lumbar (72265) | $2,689 | $2,689 | 2.7× |
| Myelography thoracic (72255) | $2,056 | $2,056 | 2.1× |
| Myelograpy 2/more regions rs&i (72270) | $1,951 | $1,951 | 2.0× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $1,345 | $1,345 | 2.7× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $3,509 | $3,509 | 2.2× |
| Myocardial Spect Multiple Studies (78452) | $4,469 | $4,469 | 2.8× |
| N-invas est c ffr sw aly CTA (75580) | $3,169 | $3,169 | 3.0× |
| Neck soft tissue (70360) | $245 | $245 | 2.3× |
| Nm csf leak detection (78650) | $3,169 | $3,169 | 2.0× |
| Nonvascular Shunt X-Ray (75809) | $708 | $708 | 5.4× |
| Nuclear Rx Oral Admin (79005) | $1,757 | $1,757 | 6.0× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) | $378 | $378 | 2.9× |
| Parathyroid Planar Imaging (78070) | $2,557 | $2,557 | 5.1× |
| Parathyroid planar imaging w/wo subtraction (78071) | $2,733 | $2,733 | 5.5× |
| Pelvis 1 or 2 views (72170) | $416 | $416 | 3.2× |
| Peritoneogram Rs&I (74190) range across 2 matching MRF lines |
$2,424–$3,120 | $2,424–$3,120 | varies |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,985 | $1,985 | 4.0× |
| Quan&Charac C Atherosclerotc Plaq Asses Sev C Ds (75577) | $2,852 | $2,852 | 2.5× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $1,203 | $1,203 | 1.8× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 9 matching MRF lines |
$369–$554 | $369–$554 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 9 matching MRF lines |
$245–$368 | $245–$368 | varies |
| Radex elbow complete minimum 3 views (73080) range across 9 matching MRF lines |
$416–$624 | $416–$624 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $263 | $263 | 2.0× |
| Radex fingr minimum 2 views (73140) range across 8 matching MRF lines |
$245–$368 | $245–$368 | varies |
| Radex foot complete minimum 3 views (73630) range across 11 matching MRF lines |
$396–$594 | $396–$594 | varies |
| Radex Hand Minimum 3 Views (73130) range across 9 matching MRF lines |
$374–$560 | $374–$560 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 9 matching MRF lines |
$245–$368 | $245–$368 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $693 | $693 | 5.3× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $499 | $499 | 4.6× |
| Radex Ribs Unilateral 2 Views (71100) | $464 | $464 | 4.3× |
| Radex shoulder complete minimum 2 views (73030) range across 9 matching MRF lines |
$432–$648 | $432–$648 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $299 | $299 | 2.8× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $3,626 | $3,626 | 16.6× |
| Radex Spine 1 View Specify Level (72020) | $459 | $459 | 4.2× |
| Radex Sternum Minimum 2 Views (71120) | $581 | $581 | 5.3× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $306 | $306 | 2.8× |
| Radex Toe Minimum 2 Views (73660) range across 9 matching MRF lines |
$245–$368 | $245–$368 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 9 matching MRF lines |
$257–$385 | $257–$385 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 9 matching MRF lines |
$350–$525 | $350–$525 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $677 | $677 | 5.2× |
| Radiolog exam mandible compl minimum 4 views (70110) | $541 | $541 | 4.1× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $433 | $433 | 3.3× |
| Radiologic exam colon double contrast study (74280) | $1,540 | $1,540 | 7.0× |
| Radiologic exam colon single contrast study (74270) | $1,084 | $1,084 | 5.0× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $664 | $664 | 3.0× |
| Radiologic exam knee complete 4/more views (73564) range across 9 matching MRF lines |
$472–$709 | $472–$709 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $642 | $642 | 4.9× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $840 | $840 | 3.8× |
| Radiologic exam swallow function contrast study (74230) | $1,011 | $1,011 | 4.6× |
| Radiologic exam upr gi trc double contrast study (74246) | $809 | $809 | 3.7× |
| Radiologic examination femur 1 view (73551) range across 8 matching MRF lines |
$252–$378 | $252–$378 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 8 matching MRF lines |
$252–$378 | $252–$378 | varies |
| Radiologic examination knee 1/2 views (73560) range across 12 matching MRF lines |
$432–$648 | $432–$648 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $351 | $351 | 2.7× |
| Radiologic Examination Salivary Gland Calculus (70380) | $662 | $662 | 6.1× |
| Radiologic examination tibia & fibula 2 views (73590) range across 11 matching MRF lines |
$396–$594 | $396–$594 | varies |
| Ribs bilateral 3 views (71110) | $544 | $544 | 4.2× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $2,311 | $2,311 | 4.6× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $2,091 | $2,091 | 4.2× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $4,695 | $4,695 | 6.9× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $3,169 | $3,169 | 4.7× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $3,169 | $3,169 | 4.7× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $3,892 | $3,892 | 2.4× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $4,415 | $4,415 | 2.5× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $3,892 | $3,892 | 2.4× |
| Rp Ther Radiolbld Monoclonal Antibody IV Infus (79403) | $1,511 | $1,511 | 5.2× |
| Rp Therapy Intravenous Administration (79101) | $5,313 | $5,313 | 18.2× |
| Scapula (73010) range across 9 matching MRF lines |
$257–$385 | $257–$385 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $581 | $581 | 24.9× |
| Sella turcica (70240) | $501 | $501 | 4.6× |
| Shoulder 1 view (73020) range across 10 matching MRF lines |
$245–$368 | $245–$368 | varies |
| Shoulder Arthrography (73040) range across 6 matching MRF lines |
$1,386–$2,079 | $1,386–$2,079 | varies |
| Sialogram (70390) | $948 | $948 | 3.2× |
| Skull less than 4 views (70250) | $257 | $257 | 2.0× |
| Sternoclavicular joints (71130) | $552 | $552 | 5.1× |
| Superior sagittal sinus venogram (75870) | $7,110 | $7,110 | 1.8× |
| Temporomandble Jt Arthrography Rs&I (70332) | $559 | $559 | 1.9× |
| Testicular Imaging W/Flow (78761) | $1,491 | $1,491 | 3.0× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $991 | $991 | 4.5× |
| Thoracic spine 2 views (72070) | $623 | $623 | 4.8× |
| Thoracic spine 3 views (72072) | $583 | $583 | 4.5× |
| Thoracolumbar 2 views (72080) | $384 | $384 | 3.5× |
| Thyroid Imaging With Vascular Flow (78013) | $1,447 | $1,447 | 2.9× |
| Thyroid Met Imaging Body (78018) | $2,279 | $2,279 | 3.4× |
| Thyroid Uptake Measurement (78012) | $929 | $929 | 1.9× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $2,120 | $2,120 | 4.2× |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$440–$661 | $440–$661 | varies |
| Ultrasound Exam Aaa Screen (76706) | $697 | $697 | 5.3× |
| Ultrasound, abdomen limited (76705) | $1,041 | $1,041 | 8.0× |
| Umbilical-artery Doppler (OB) (76820) | $290 | $290 | 2.2× |
| Unlisted us procedure (76999) | $290 | $290 | 2.7× |
| Upper gi w/o kub (74240) | $970 | $970 | 4.4× |
| Urethrocystography retrograde (74450) | $1,310 | $1,310 | 4.4× |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$673–$1,009 | $673–$1,009 | varies |
| Us chest (76604) | $583 | $583 | 4.5× |
| Us complete joint (76881) | $705 | $705 | 5.4× |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$615–$646 | $615–$646 | varies |
| Us head (76506) | $717 | $717 | 5.5× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$292–$438 | $292–$438 | varies |
| Us ob detailed single fetus (76811) | $757 | $757 | 2.5× |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$470–$494 | $470–$494 | varies |
| Us ob transvaginal (76817) | $626 | $626 | 4.8× |
| Us pelvic non ob complete (76856) | $858 | $858 | 6.6× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $698 | $698 | 5.3× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $685 | $685 | 5.2× |
| Us retroperitoneal complete (76770) | $1,102 | $1,102 | 8.4× |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$1,420–$1,491 | $1,420–$1,491 | varies |
| Us scrotum and contents (76870) | $927 | $927 | 7.1× |
| Us spinal canal and contents (76800) | $865 | $865 | 6.6× |
| Us thyroid (76536) | $856 | $856 | 6.6× |
| Vein X-Ray Chest (75827) | $3,551 | $3,551 | 1.8× |
| Venogram Sinus/Jugular (75860) | $7,110 | $7,110 | 1.8× |
| Venography Adrenal Unilateral (75840) | $8,336 | $8,336 | 2.1× |
| Venography caval inferior serialography rs&i (75825) | $7,110 | $7,110 | 1.8× |
| Venography extremity bilateral rs&i (75822) | $3,551 | $3,551 | 1.8× |
| Venography extremity unilateral rs&i (75820) | $3,868 | $3,868 | 2.0× |
| Venography Renal Unilateral (75831) | $8,523 | $8,523 | 2.2× |
| Venous sampling by catheter (75893) | $12,265 | $12,265 | 1.8× |
| Wrist 2 views (73100) range across 11 matching MRF lines |
$245–$368 | $245–$368 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $643 | $643 | 5.9× |
| X-ray antegrade pyelogram tube (74425) range across 3 matching MRF lines |
$1,126–$1,206 | $1,126–$1,206 | varies |
| X-Ray Aorta Leg Arteries (75630) | $10,190 | $10,190 | 2.6× |
| X-Ray Bend Only L-S Spine (72120) | $749 | $749 | 5.7× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 10 matching MRF lines |
$245–$368 | $245–$368 | varies |
| X-Ray Exam Breast Specimen (76098) | $1,955 | $1,955 | 2.9× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $217 | $217 | 2.0× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $373 | $373 | 2.9× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $677 | $677 | 5.2× |
| X-Ray Exam Hip Uni 1 View (73501) range across 7 matching MRF lines |
$249–$252 | $249–$252 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 7 matching MRF lines |
$249–$285 | $249–$285 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) | $357 | $357 | 2.7× |
| X-Ray Exam Hips Bi 2 Views (73521) | $416 | $416 | 3.2× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $357 | $357 | 2.7× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $677 | $677 | 5.2× |
| X-Ray Exam L-S Spine Bending (72114) | $920 | $920 | 7.0× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $510 | $510 | 4.7× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $662 | $662 | 5.1× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $464 | $464 | 3.6× |
| X-ray eye for foreign body (70030) range across 7 matching MRF lines |
$256–$384 | $256–$384 | varies |
| X-ray humerus (73060) range across 9 matching MRF lines |
$396–$594 | $396–$594 | varies |
| X-ray IV pyelogram (ivp) (74400) | $1,057 | $1,057 | 4.8× |
| X-ray IV pyelogram+tomography (74415) | $1,085 | $1,085 | 5.0× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $245 | $245 | 2.3× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $600 | $600 | 5.5× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $524 | $524 | 4.0× |
| X-ray nose-rectum child f.b. (76010) | $245 | $245 | 2.3× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $581 | $581 | 4.5× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $257 | $257 | 2.0× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $257 | $257 | 2.0× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $464 | $464 | 4.3× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $638 | $638 | 5.9× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $350 | $350 | 2.7× |
| X-ray thoracic spine 4 vw (72074) | $257 | $257 | 2.0× |
| X-Ray Tmj Unilat (70328) | $688 | $688 | 6.3× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $1,211 | $1,211 | 2.8× |
| X-Rays Bone Length Studies (77073) | $257 | $257 | 2.0× |
| X-Rays Bone Survey Complete (77075) | $567 | $567 | 4.3× |
| Xr c-spine 4 or 5 views (72050) | $557 | $557 | 4.3× |
| Xr facial bones less than 3 views (70140) | $210 | $210 | 1.9× |
| Xr orbits complete 4 views (70200) | $263 | $263 | 2.0× |
| Xr Tomogram Single Plane (76100) | $865 | $865 | 6.6× |
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.