Imaging prices at Heart of the Rockies Regional Medical Center
Salida, CO · every code in this section with a posted price and a Medicare benchmark.
266 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 |
$23.80–$347.65 | $28–$409 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$25.50–$437.75 | $30–$515 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) range across 2 matching MRF lines |
$107.95–$1,910.80 | $127–$2,248 | varies |
| Angiography extremity unilateral rs&i (75710) range across 2 matching MRF lines |
$185.30–$188.70 | $218–$222 | varies |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$22.95–$306.85 | $27–$361 | varies |
| Bone age studies (77072) range across 2 matching MRF lines |
$26.35–$313.65 | $31–$369 | varies |
| Bone Imaging 3 Phase (78315) range across 2 matching MRF lines |
$110.50–$2,195.55 | $130–$2,583 | varies |
| Bone Imaging Limited Area (78300) range across 2 matching MRF lines |
$68.85–$1,870 | $81–$2,200 | varies |
| Bone Imaging Whole Body (78306) range across 2 matching MRF lines |
$93.50–$2,060.40 | $110–$2,424 | varies |
| Bone survey infant (77076) range across 2 matching MRF lines |
$51.85–$515.10 | $61–$606 | varies |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) range across 2 matching MRF lines |
$69.70–$1,756.95 | $82–$2,067 | varies |
| Brain Imaging Pet Metabolic Evaluation (78608) range across 2 matching MRF lines |
$158.95–$10,918.25 | $187–$12,845 | varies |
| Cat Scan Follow-Up Study (76380) range across 2 matching MRF lines |
$103.70–$947.75 | $122–$1,115 | varies |
| Chest 1 view (71045) range across 3 matching MRF lines |
$21.25–$303.45 | $25–$357 | varies |
| Chest 2 views (71046) range across 3 matching MRF lines |
$24.65–$367.20 | $29–$432 | varies |
| Chest 3 views (71047) range across 2 matching MRF lines |
$24.65–$459.85 | $29–$541 | varies |
| Chest 4 or more views (71048) range across 3 matching MRF lines |
$24.65–$583.95 | $29–$687 | varies |
| Cholecystography Oral Contrast (74290) range across 2 matching MRF lines |
$35.70–$430.95 | $42–$507 | varies |
| Clavicle complete (73000) range across 2 matching MRF lines |
$22.10–$312.80 | $26–$368 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 2 matching MRF lines |
$117.30–$547.40 | $138–$644 | varies |
| Contrast X-Ray Bladder (74430) range across 2 matching MRF lines |
$68.85–$631.55 | $81–$743 | varies |
| Contrast X-Ray Of Elbow (73085) range across 2 matching MRF lines |
$64.60–$726.75 | $76–$855 | varies |
| Contrast X-Ray Of Knee Joint (73580) range across 2 matching MRF lines |
$65.45–$1,132.20 | $77–$1,332 | varies |
| Contrast Xray Throat/Cerv Esopha (74210) range across 2 matching MRF lines |
$66.30–$632.40 | $78–$744 | varies |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$216.75–$4,370.70 | $255–$5,142 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$188.70–$3,380.45 | $222–$3,977 | varies |
| CT abdomen w contrast (74160) range across 3 matching MRF lines |
$138.55–$2,096.10 | $163–$2,466 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$191.25–$2,355.35 | $225–$2,771 | varies |
| CT abdomen w/o contrast (74150) range across 4 matching MRF lines |
$130.05–$2,238.90 | $153–$2,634 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 3 matching MRF lines |
$236.30–$4,425.95 | $278–$5,207 | varies |
| CT Angio Chest (71275) range across 4 matching MRF lines |
$188.70–$3,388.10 | $222–$3,986 | varies |
| CT Angio Head (70496) range across 3 matching MRF lines |
$189.55–$3,944 | $223–$4,640 | varies |
| CT angio hrt w/3d image (75574) range across 2 matching MRF lines |
$271.15–$1,413.55 | $319–$1,663 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
$203.15–$3,154.35 | $239–$3,711 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$214.20–$3,811.40 | $252–$4,484 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 2 matching MRF lines |
$187–$2,249.95 | $220–$2,647 | varies |
| CT cervical spine w/ contrast (72126) range across 2 matching MRF lines |
$165.75–$2,890 | $195–$3,400 | varies |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$159.80–$2,859.40 | $188–$3,364 | varies |
| CT cervical spine w/wo cont (72127) range across 2 matching MRF lines |
$138.55–$3,173.05 | $163–$3,733 | varies |
| CT chest w contrast (71260) range across 3 matching MRF lines |
$125.80–$2,805 | $148–$3,300 | varies |
| CT chest w/wo contrast (71270) range across 3 matching MRF lines |
$136.85–$3,136.50 | $161–$3,690 | varies |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$153–$2,720 | $180–$3,200 | varies |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$173.40–$3,017.50 | $204–$3,550 | varies |
| CT heart no contrast quant eval coronry calcium (75571) range across 5 matching MRF lines |
$62.05–$566.10 | $73–$666 | varies |
| CT hrt w/3d image congen (75573) range across 3 matching MRF lines |
$275.40–$609.45 | $324–$717 | varies |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$121.55–$2,926.55 | $143–$3,443 | varies |
| CT l-spine w&w/o contrast (72133) range across 2 matching MRF lines |
$138.55–$3,634.60 | $163–$4,276 | varies |
| CT lower ext w/o (73700) range across 3 matching MRF lines |
$108.80–$1,938.85 | $128–$2,281 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$159.80–$2,652 | $188–$3,120 | varies |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$131.75–$2,924 | $155–$3,440 | varies |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$159.80–$2,541.50 | $188–$2,990 | varies |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$206.55–$2,493.05 | $243–$2,933 | varies |
| CT maxillofacial wo contrast (70486) range across 3 matching MRF lines |
$92.65–$1,922.70 | $109–$2,262 | varies |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$195.50–$2,635 | $230–$3,100 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 3 matching MRF lines |
$137.70–$3,219.80 | $162–$3,788 | varies |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$175.10–$2,022.15 | $206–$2,379 | varies |
| CT pelvis w&w/o contrast (72194) range across 2 matching MRF lines |
$165.75–$2,720 | $195–$3,200 | varies |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$148.75–$1,826.65 | $175–$2,149 | varies |
| CT scan of leg combo (73702) range across 2 matching MRF lines |
$239.70–$2,795.65 | $282–$3,289 | varies |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
$251.60–$3,371.10 | $296–$3,966 | varies |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$188.70–$2,434.40 | $222–$2,864 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$175.10–$2,000.90 | $206–$2,354 | varies |
| CT thoracic spine w contrast (72129) range across 2 matching MRF lines |
$132.60–$2,337.50 | $156–$2,750 | varies |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$159.80–$2,125 | $188–$2,500 | varies |
| CT thoracic spine w/wo cont (72130) range across 2 matching MRF lines |
$137.70–$2,507.50 | $162–$2,950 | varies |
| CT thorax w/o contrast (71250) range across 4 matching MRF lines |
$114.75–$1,870 | $135–$2,200 | varies |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$108.80–$1,743.35 | $128–$2,051 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 2 matching MRF lines |
$131.75–$2,839.85 | $155–$3,341 | varies |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$216.75–$2,537.25 | $255–$2,985 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$302.60–$2,772.70 | $356–$3,262 | varies |
| Cta Abdomen (74175) range across 3 matching MRF lines |
$233.75–$2,834.75 | $275–$3,335 | varies |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $3,944 | $4,640 | 10.7× |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$39.95–$632.40 | $47–$744 | varies |
| Dxa bone density study 1/>sites appendiclr skel (77081) range across 2 matching MRF lines |
$22.95–$382.50 | $27–$450 | varies |
| Echo exam uterus (76831) range across 2 matching MRF lines |
$80.75–$1,040.40 | $95–$1,224 | varies |
| Esophagram (74220) range across 2 matching MRF lines |
$67.15–$476.85 | $79–$561 | varies |
| Fetal Biophys Profile W/Nst (76818) range across 2 matching MRF lines |
$86.70–$752.25 | $102–$885 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 2 matching MRF lines |
$86.70–$752.25 | $102–$885 | varies |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$35.70–$655.35 | $42–$771 | varies |
| Foot 2 views (73620) range across 2 matching MRF lines |
$22.95–$297.50 | $27–$350 | varies |
| Forearm 2 views (73090) range across 4 matching MRF lines |
$18.70–$510 | $22–$600 | varies |
| Gastric emptying imaging study (78264) range across 2 matching MRF lines |
$86.70–$2,265.25 | $102–$2,665 | varies |
| Gastroesophageal Reflux Exam (78262) range across 3 matching MRF lines |
$76.50–$2,265.25 | $90–$2,665 | varies |
| Gated Heart Planar Single (78472) range across 2 matching MRF lines |
$107.10–$2,805 | $126–$3,300 | varies |
| Hand 2 views (73120) range across 2 matching MRF lines |
$22.95–$329.80 | $27–$388 | varies |
| Hepatobil Syst Image W/Drug (78227) range across 2 matching MRF lines |
$98.60–$2,265.25 | $116–$2,665 | varies |
| Ht Muscle Image Spect Sing (78451) range across 2 matching MRF lines |
$160.65–$3,412.75 | $189–$4,015 | varies |
| Hysterosalpingogram (74740) range across 2 matching MRF lines |
$65.45–$986.85 | $77–$1,161 | varies |
| Infant hip ultrasound with hip movement (dynamic) (76885) range across 2 matching MRF lines |
$82.45–$645.15 | $97–$759 | varies |
| Infant hip ultrasound, limited static exam (76886) range across 2 matching MRF lines |
$68.85–$538.90 | $81–$634 | varies |
| Interstitial radiation source applic complex (77778) range across 2 matching MRF lines |
$999.60–$1,022.55 | $1,176–$1,203 | varies |
| K Flow/Funct Image W/Drug (78708) range across 2 matching MRF lines |
$130.05–$2,015.35 | $153–$2,371 | varies |
| K Flow/Funct Image W/O Drug (78707) range across 2 matching MRF lines |
$102–$2,015.35 | $120–$2,371 | varies |
| Kidney Imaging Morphol (78700) range across 2 matching MRF lines |
$49.30–$1,402.50 | $58–$1,650 | varies |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) range across 2 matching MRF lines |
$53.55–$457.30 | $63–$538 | varies |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$25.50–$351.05 | $30–$413 | varies |
| Liver & Spleen Imaging Static Only (78215) range across 2 matching MRF lines |
$53.55–$2,343.45 | $63–$2,757 | varies |
| Liver & Spleen Imaging W/Vascular Flow (78216) range across 2 matching MRF lines |
$61.20–$612.85 | $72–$721 | varies |
| Lung Ventilat&Perfus Imaging (78582) range across 2 matching MRF lines |
$115.60–$3,305.65 | $136–$3,889 | varies |
| Lung Ventilation Imaging (78579) range across 2 matching MRF lines |
$52.70–$1,602.25 | $62–$1,885 | varies |
| Lymph System Imaging (78195) range across 3 matching MRF lines |
$129.20–$1,775.65 | $152–$2,089 | varies |
| Magnetic Image Jaw Joint (70336) range across 2 matching MRF lines |
$160.65–$1,936.30 | $189–$2,278 | varies |
| Mammary ductogram or galactogram single (77053) range across 2 matching MRF lines |
$38.25–$874.65 | $45–$1,029 | varies |
| Meckels Divert Exam (78290) range across 2 matching MRF lines |
$73.10–$1,797.75 | $86–$2,115 | varies |
| Mra Head W/O & W/Contrast Material (70546) range across 2 matching MRF lines |
$470.90–$3,793.55 | $554–$4,463 | varies |
| MRA head w/o contrast (70544) range across 4 matching MRF lines |
$123.55–$2,633.30 | $145.35–$3,098 | varies |
| MRA head with contrast (70545) range across 2 matching MRF lines |
$314.50–$3,026 | $370–$3,560 | varies |
| MRA neck w contrast (70548) range across 2 matching MRF lines |
$210.80–$3,512.20 | $248–$4,132 | varies |
| Mra Neck W/O &W/Contrast Material (70549) range across 2 matching MRF lines |
$470.90–$3,708.55 | $554–$4,363 | varies |
| MRA neck w/o contrast (70547) range across 3 matching MRF lines |
$130.90–$2,952.05 | $154–$3,473 | varies |
| MRI abdomen w contrast (74182) range across 2 matching MRF lines |
$187–$3,187.50 | $220–$3,750 | varies |
| MRI abdomen w/o contrast (74181) range across 3 matching MRF lines |
$187–$2,897.65 | $220–$3,409 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 4 matching MRF lines |
$178.50–$3,859.85 | $210–$4,541 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 4 matching MRF lines |
$232.90–$4,969.95 | $274–$5,847 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 4 matching MRF lines |
$178.50–$3,997.55 | $210–$4,703 | varies |
| MRI bone marrow blood supply (77084) range across 2 matching MRF lines |
$173.40–$2,323.90 | $204–$2,734 | varies |
| MRI Breast W/O Contrast Bilateral (77047) | $2,739.55 | $3,223 | 10.9× |
| MRI cervical spine w contrast (72142) range across 2 matching MRF lines |
$289–$3,060 | $340–$3,600 | varies |
| MRI cervical spine w/o cont (72141) range across 3 matching MRF lines |
$261.80–$2,334.95 | $308–$2,747 | varies |
| MRI chest w/o contrast (71550) range across 2 matching MRF lines |
$158.95–$3,137.35 | $187–$3,691 | varies |
| MRI chest wo w contrast (71552) range across 2 matching MRF lines |
$244.80–$4,030.70 | $288–$4,742 | varies |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 5 matching MRF lines |
$175.95–$3,918.50 | $207–$4,610 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 4 matching MRF lines |
$232.90–$5,020.10 | $274–$5,906 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 4 matching MRF lines |
$146.20–$3,454.40 | $172–$4,064 | varies |
| MRI lumbar spine w contrast (72149) range across 3 matching MRF lines |
$192.95–$3,251.25 | $227–$3,825 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$377.40–$3,517.30 | $444–$4,138 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 3 matching MRF lines |
$175.10–$3,266.55 | $206–$3,843 | varies |
| MRI orbit face neck w contrast (70542) | $3,660.95 | $4,307 | 9.9× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 4 matching MRF lines |
$232.05–$4,122.50 | $273–$4,850 | varies |
| MRI pelvis w contrast (72196) range across 3 matching MRF lines |
$282.20–$3,060 | $332–$3,600 | varies |
| MRI pelvis w/o & w contrast (72197) range across 3 matching MRF lines |
$238–$3,838.60 | $280–$4,516 | varies |
| MRI pelvis w/o contrast (72195) range across 3 matching MRF lines |
$159.80–$2,550 | $188–$3,000 | varies |
| MRI thoracic spine w/o contrast (72146) range across 3 matching MRF lines |
$161.50–$2,670.70 | $190–$3,142 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 4 matching MRF lines |
$176.80–$4,108.90 | $208–$4,834 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 4 matching MRF lines |
$147.90–$3,707.70 | $174–$4,362 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 4 matching MRF lines |
$232.90–$4,910.45 | $274–$5,777 | varies |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$237.15–$3,400 | $279–$4,000 | varies |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$381.65–$3,570.85 | $449–$4,201 | varies |
| MRI, dorsal spine contrast (72147) range across 2 matching MRF lines |
$289–$3,145 | $340–$3,700 | varies |
| MRI, joint upper extrem (73221) range across 4 matching MRF lines |
$148.75–$3,416.15 | $175–$4,019 | varies |
| MRI, joint upper extrem combo (73223) range across 4 matching MRF lines |
$232.90–$4,869.65 | $274–$5,729 | varies |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$381.65–$3,668.60 | $449–$4,316 | varies |
| Myelogram cervical (72240) | $102 | $120 | 0.1× |
| Myelography thoracic (72255) | $104.55 | $123 | 0.1× |
| Myelograpy 2/more regions rs&i (72270) | $154.70 | $182 | 0.2× |
| Myocardial Spect Multiple Studies (78452) range across 2 matching MRF lines |
$187.85–$3,920.20 | $221–$4,612 | varies |
| N-invas est c ffr sw aly CTA (75580) range across 2 matching MRF lines |
$340–$2,828.80 | $400–$3,328 | varies |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$23.80–$378.25 | $28–$445 | varies |
| Nm whole blood volume (78122) range across 2 matching MRF lines |
$47.60–$1,740.80 | $56–$2,048 | varies |
| Ob us nuchal meas 1 gest (76813) range across 2 matching MRF lines |
$131.75–$184.45 | $155–$217 | varies |
| Parathyroid Planar Imaging (78070) range across 2 matching MRF lines |
$85.85–$1,565.70 | $101–$1,842 | varies |
| Parathyroid planar imaging w/wo subtraction (78071) range across 2 matching MRF lines |
$129.20–$1,766.30 | $152–$2,078 | varies |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$23.80–$357.85 | $28–$421 | varies |
| Pet Image W/Ct Lmtd (78814) range across 3 matching MRF lines |
$236.30–$3,230 | $278–$3,800 | varies |
| PET image w/CT, full body (78816) range across 2 matching MRF lines |
$264.35–$4,360.50 | $311–$5,130 | varies |
| PET imaging CT attenuation skull base mid-thigh (78815) range across 2 matching MRF lines |
$261.80–$4,360.50 | $308–$5,130 | varies |
| Pulmonary Perfusion Imaging Particulate (78580) range across 2 matching MRF lines |
$80.75–$2,081.65 | $95–$2,449 | varies |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$44.20–$515.10 | $52–$606 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 2 matching MRF lines |
$57.80–$976.65 | $68–$1,149 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 4 matching MRF lines |
$20.40–$548.25 | $24–$645 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 4 matching MRF lines |
$18.70–$456.45 | $22–$537 | varies |
| Radex elbow complete minimum 3 views (73080) range across 4 matching MRF lines |
$20.40–$537.20 | $24–$632 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$37.40–$461.55 | $44–$543 | varies |
| Radex fingr minimum 2 views (73140) range across 3 matching MRF lines |
$16.15–$308.55 | $19–$363 | varies |
| Radex foot complete minimum 3 views (73630) range across 4 matching MRF lines |
$19.55–$538.05 | $23–$633 | varies |
| Radex Hand Minimum 3 Views (73130) range across 4 matching MRF lines |
$20.40–$540.60 | $24–$636 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$23.80–$467.50 | $28–$550 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 2 matching MRF lines |
$32.30–$408 | $38–$480 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 6 matching MRF lines |
$22.10–$728.45 | $26–$857 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$23.80–$265.20 | $28–$312 | varies |
| Radex Spine 1 View Specify Level (72020) range across 2 matching MRF lines |
$22.10–$313.65 | $26–$369 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$28.90–$328.95 | $34–$387 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$39.95–$446.25 | $47–$525 | varies |
| Radex Toe Minimum 2 Views (73660) range across 2 matching MRF lines |
$20.40–$286.45 | $24–$337 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 6 matching MRF lines |
$19.55–$548.25 | $23–$645 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$35.70–$500.65 | $42–$589 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $38.25 | $45 | 0.3× |
| Radiologic exam colon double contrast study (74280) range across 2 matching MRF lines |
$140.25–$1,010.65 | $165–$1,189 | varies |
| Radiologic exam colon single contrast study (74270) range across 2 matching MRF lines |
$114.75–$731.85 | $135–$861 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 4 matching MRF lines |
$25.50–$835.55 | $30–$983 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$31.45–$552.50 | $37–$650 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 2 matching MRF lines |
$89.25–$789.65 | $105–$929 | varies |
| Radiologic exam swallow function contrast study (74230) range across 2 matching MRF lines |
$59.50–$718.25 | $70–$845 | varies |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$99.45–$872.10 | $117–$1,026 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 4 matching MRF lines |
$21.25–$588.20 | $25–$692 | varies |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$18.70–$497.25 | $22–$585 | varies |
| Radiologic Examination Osseous Survey Limited (77074) range across 2 matching MRF lines |
$56.95–$427.55 | $67–$503 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 5 matching MRF lines |
$18.70–$515.10 | $22–$606 | varies |
| Rp loclzj tum plnr 1 area single day imaging (78800) range across 2 matching MRF lines |
$71.40–$1,130.50 | $84–$1,330 | varies |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) range across 2 matching MRF lines |
$85.85–$2,154.75 | $101–$2,535 | varies |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 3 matching MRF lines |
$115.60–$2,780.35 | $136–$3,271 | varies |
| Salivary Gland Function Study (78232) | $1,024.25 | $1,205 | 2.4× |
| Scapula (73010) range across 2 matching MRF lines |
$23.80–$441.15 | $28–$519 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 2 matching MRF lines |
$64.60–$90.10 | $76–$106 | varies |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$22.10–$317.05 | $26–$373 | varies |
| Sialogram (70390) range across 2 matching MRF lines |
$42.50–$568.65 | $50–$669 | varies |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$34.85–$413.95 | $41–$487 | varies |
| Sternoclavicular joints (71130) range across 2 matching MRF lines |
$31.45–$333.20 | $37–$392 | varies |
| Testicular Imaging W/Flow (78761) range across 2 matching MRF lines |
$79.90–$1,408.45 | $94–$1,657 | varies |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$31.45–$438.60 | $37–$516 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$31.45–$656.20 | $37–$772 | varies |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$23.80–$503.20 | $28–$592 | varies |
| Thyroid Met Imaging Body (78018) range across 2 matching MRF lines |
$92.65–$1,958.40 | $109–$2,304 | varies |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) range across 2 matching MRF lines |
$54.40–$1,847.05 | $64–$2,173 | varies |
| Ultrasound Breast Limited (76642) range across 4 matching MRF lines |
$74.80–$499.80 | $88–$588 | varies |
| Ultrasound elastography first target lesion (76982) range across 2 matching MRF lines |
$67.15–$696.15 | $79–$819 | varies |
| Ultrasound Elastography Parenchyma (76981) range across 2 matching MRF lines |
$67.15–$696.15 | $79–$819 | varies |
| Ultrasound Exam Aaa Screen (76706) range across 4 matching MRF lines |
$57.80–$504.05 | $68–$593 | varies |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$108.80–$634.95 | $128–$747 | varies |
| Umbilical-artery Doppler (OB) (76820) range across 2 matching MRF lines |
$48.45–$305.15 | $57–$359 | varies |
| Unlisted us procedure (76999) | $660.45 | $777 | 7.2× |
| Upper gi w/o kub (74240) range across 2 matching MRF lines |
$88.40–$872.10 | $104–$1,026 | varies |
| Ureteral Reflux Study (78740) range across 2 matching MRF lines |
$59.50–$1,705.95 | $70–$2,007 | varies |
| Urethrocystogram voiding (74455) range across 2 matching MRF lines |
$130.05–$821.95 | $153–$967 | varies |
| Urethrocystography retrograde (74450) range across 2 matching MRF lines |
$36.55–$1,046.35 | $43–$1,231 | varies |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$122.40–$729.30 | $144–$858 | varies |
| Us chest (76604) range across 2 matching MRF lines |
$101.15–$592.45 | $119–$697 | varies |
| Us complete joint (76881) | $108.80 | $128 | 1.0× |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$68–$484.50 | $80–$570 | varies |
| Us head (76506) range across 2 matching MRF lines |
$71.40–$362.95 | $84–$427 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 4 matching MRF lines |
$53.55–$660.45 | $63–$777 | varies |
| Us ob detailed single fetus (76811) range across 2 matching MRF lines |
$110.50–$992.80 | $130–$1,168 | varies |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$72.25–$460.70 | $85–$542 | varies |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$134.30–$688.50 | $158–$810 | varies |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$125.80–$686.80 | $148–$808 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$181.90–$754.80 | $214–$888 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 2 matching MRF lines |
$95.20–$718.25 | $112–$845 | varies |
| Us retroperitoneal complete (76770) range across 3 matching MRF lines |
$81.60–$878.90 | $96–$1,034 | varies |
| Us retroperitoneal limited (76775) range across 4 matching MRF lines |
$88.40–$731 | $104–$860 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$71.40–$697.85 | $84–$821 | varies |
| Us thyroid (76536) range across 2 matching MRF lines |
$102.85–$616.25 | $121–$725 | varies |
| Venogram Sinus/Jugular (75860) | $2,755.70 | $3,242 | 0.8× |
| Venography extremity bilateral rs&i (75822) range across 2 matching MRF lines |
$157.25–$1,421.20 | $185–$1,672 | varies |
| Venography extremity unilateral rs&i (75820) range across 2 matching MRF lines |
$114.75–$1,336.20 | $135–$1,572 | varies |
| Venous Thrombosis Imaging Venogram Bilateral (78458) range across 2 matching MRF lines |
$100.30–$2,356.20 | $118–$2,772 | varies |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$22.10–$308.55 | $26–$363 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$28.90–$562.70 | $34–$662 | varies |
| X-Ray Bend Only L-S Spine (72120) range across 2 matching MRF lines |
$25.50–$503.20 | $30–$592 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$21.25–$321.30 | $25–$378 | varies |
| X-Ray Exam Breast Specimen (76098) range across 2 matching MRF lines |
$34–$459.85 | $40–$541 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 2 matching MRF lines |
$28.90–$438.60 | $34–$516 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$35.70–$568.65 | $42–$669 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 2 matching MRF lines |
$23.80–$311.10 | $28–$366 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 2 matching MRF lines |
$31.45–$384.20 | $37–$452 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$25.50–$552.50 | $30–$650 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$51–$689.35 | $60–$811 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$31.45–$352.75 | $37–$415 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 2 matching MRF lines |
$38.25–$478.55 | $45–$563 | varies |
| X-ray humerus (73060) range across 4 matching MRF lines |
$18.70–$552.50 | $22–$650 | varies |
| X-ray IV pyelogram (ivp) (74400) range across 3 matching MRF lines |
$53.55–$1,281.80 | $63–$1,508 | varies |
| X-ray IV pyelogram+tomography (74415) | $53.55 | $63 | 0.3× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 2 matching MRF lines |
$29.75–$357.85 | $35–$421 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$31.45–$503.20 | $37–$592 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$38.25–$588.20 | $45–$692 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$26.35–$494.70 | $31–$582 | varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) range across 2 matching MRF lines |
$23.80–$398.65 | $28–$469 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$23.80–$461.55 | $28–$543 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$35.70–$461.55 | $42–$543 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$48.45–$687.65 | $57–$809 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 2 matching MRF lines |
$56.95–$1,332.80 | $67–$1,568 | varies |
| X-Rays Bone Length Studies (77073) range across 2 matching MRF lines |
$34.85–$414.80 | $41–$488 | varies |
| X-Rays Bone Survey Complete (77075) range across 3 matching MRF lines |
$62.05–$927.35 | $73–$1,091 | varies |
| Xr c-spine 4 or 5 views (72050) range across 3 matching MRF lines |
$42.50–$615.40 | $50–$724 | varies |
| XR Mastoids < 3 Views Bilateral (70120) range across 2 matching MRF lines |
$21.25–$532.10 | $25–$626 | varies |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$39.10–$448.80 | $46–$528 | varies |
| Xr Tomogram Single Plane (76100) range across 2 matching MRF lines |
$65.45–$705.50 | $77–$830 | varies |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.