Imaging prices at Helen Keller Hospital
Sheffield, AL · every code in this section with a posted price and a Medicare benchmark.
386 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) | $46.50 | $46.50 | 0.0× |
| Abdomen 1 View (74018) range across 11 matching MRF lines |
$30.89–$6,688.50 | $30.89–$6,688.50 | varies |
| Abdomen 2 views (74019) range across 4 matching MRF lines |
$434–$780 | $434–$780 | varies |
| Angio internal mammary (75756) range across 3 matching MRF lines |
$990.50–$5,984 | $990.50–$5,984 | varies |
| Angio pulmonary bilat (75743) range across 2 matching MRF lines |
$3,123.50–$4,990 | $3,123.50–$4,990 | varies |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) range across 2 matching MRF lines |
$1,660–$4,990 | $1,660–$4,990 | varies |
| Angiography extremity bilateral rs&i (75716) range across 4 matching MRF lines |
$362–$5,988 | $362–$5,988 | varies |
| Angiography extremity unilateral rs&i (75710) range across 6 matching MRF lines |
$1,153.50–$5,988 | $1,153.50–$5,988 | varies |
| Angiography pulmonary unilateral slctv rs&i (75741) range across 3 matching MRF lines |
$4,990–$5,182.50 | $4,990–$5,182.50 | varies |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) range across 2 matching MRF lines |
$3,107–$4,990 | $3,107–$4,990 | varies |
| Ankle 2 views (73600) range across 4 matching MRF lines |
$209–$717 | $209–$717 | varies |
| Aortography thoracic serialography rs&i (75605) range across 3 matching MRF lines |
$2,926–$5,988 | $2,926–$5,988 | varies |
| Artery X-Rays Abdomen (75726) range across 3 matching MRF lines |
$3,663.50–$11,650.80 | $3,663.50–$11,650.80 | varies |
| Artery X-Rays Adrenal Gland (75731) range across 3 matching MRF lines |
$2,139.50–$4,990 | $2,139.50–$4,990 | varies |
| Artery X-Rays Pelvis (75736) range across 2 matching MRF lines |
$4,990–$5,945 | $4,990–$5,945 | varies |
| Artery X-Rays Spine (75705) | $9,709 | $9,709 | 2.0× |
| Arthrogram ankle (73615) | $1,328 | $1,328 | 4.4× |
| Arthrogram hip (73525) range across 5 matching MRF lines |
$917–$1,834 | $917–$1,834 | varies |
| Arthrogram Wrist (73115) | $740 | $740 | 2.5× |
| Basic radiation dosimetry calculation (77300) range across 3 matching MRF lines |
$237–$32,982.50 | $237–$32,982.50 | varies |
| Bone age studies (77072) range across 2 matching MRF lines |
$389–$655 | $389–$655 | varies |
| Bone Imaging 3 Phase (78315) range across 2 matching MRF lines |
$157.20–$953 | $157.20–$953 | varies |
| Bone Imaging Multiple Areas (78305) | $1,918.50 | $1,918.50 | 5.6× |
| Bone Imaging Whole Body (78306) | $2,039 | $2,039 | 5.9× |
| Bone marrow imaging; whole body (78104) | $1,918.50 | $1,918.50 | 5.6× |
| Bone survey infant (77076) range across 2 matching MRF lines |
$433–$508 | $433–$508 | varies |
| Brachytx isodose complex (77318) range across 2 matching MRF lines |
$228.57–$1,438 | $228.57–$1,438 | varies |
| Brachytx isodose intermed (77317) range across 2 matching MRF lines |
$691.50–$1,170 | $691.50–$1,170 | varies |
| Brachytx Isodose Plan Simple (77316) | $580.50 | $580.50 | 1.8× |
| Brain Image W/Flow < 4 Views (78601) | $1,273 | $1,273 | 3.7× |
| Brain Imaging Pet Metabolic Evaluation (78608) range across 2 matching MRF lines |
$2,403.50–$4,539 | $2,403.50–$4,539 | varies |
| Card Bl Pool Gated Spect Rest Wal Motn Ejct Frct (78494) | $613 | $613 | 1.8× |
| Cardiac MRI w/w/o contrast & further seq (75561) range across 3 matching MRF lines |
$334.91–$4,048.50 | $334.91–$4,048.50 | varies |
| Cardiac MRI w/w/o contrast w/stress (75563) | $5,057 | $5,057 | 7.5× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $2,283.50 | $2,283.50 | 4.9× |
| Cerebrospinal Fluid Scan (78630) | $830 | $830 | 1.8× |
| Chest 1 view (71045) range across 12 matching MRF lines |
$57.50–$9,767.52 | $57.50–$9,767.52 | varies |
| Chest 2 views (71046) range across 4 matching MRF lines |
$325.50–$3,596 | $325.50–$3,596 | varies |
| Chest 4 or more views (71048) range across 3 matching MRF lines |
$173.50–$1,100.50 | $173.50–$1,100.50 | varies |
| Chg us nrv&acc strux 1 xtr compre w/img pr extremity (76883) | $29,476 | $29,476 | 327.1× |
| Clavicle complete (73000) range across 4 matching MRF lines |
$306–$480 | $306–$480 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 2 matching MRF lines |
$817–$2,215 | $817–$2,215 | varies |
| Continuing medical physics consltj pr wk (77336) range across 2 matching MRF lines |
$61.50–$435 | $61.50–$435 | varies |
| Contrast Exam Abdominl Aorta (75625) range across 6 matching MRF lines |
$1,450–$5,988 | $1,450–$5,988 | varies |
| Contrast X-Ray Bladder (74430) range across 6 matching MRF lines |
$655–$2,625.01 | $655–$2,625.01 | varies |
| Contrast X-Ray Of Elbow (73085) range across 4 matching MRF lines |
$412.51–$1,357 | $412.51–$1,357 | varies |
| Contrast X-Ray Of Knee Joint (73580) range across 6 matching MRF lines |
$200.91–$12,353 | $200.91–$12,353 | varies |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$24–$3,123 | $24–$3,123 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$76–$3,123 | $76–$3,123 | varies |
| CT abdomen w contrast (74160) | $3,475 | $3,475 | 23.0× |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$2,434.50–$3,681 | $2,434.50–$3,681 | varies |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$3,123–$5,250.01 | $3,123–$5,250.01 | varies |
| CT Angio Abdomen and Pelvis (74174) | $2,627 | $2,627 | 8.7× |
| CT Angio Chest (71275) | $1,314 | $1,314 | 8.7× |
| CT Angio Head (70496) range across 2 matching MRF lines |
$560–$1,314 | $560–$1,314 | varies |
| CT angio hrt w/3d image (75574) | $3,431 | $3,431 | 11.4× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
$1,314–$3,133 | $1,314–$3,133 | varies |
| CT Angio Neck (70498) | $1,314 | $1,314 | 8.7× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 2 matching MRF lines |
$3,133–$6,266 | $3,133–$6,266 | varies |
| CT cervical spine w/ contrast (72126) range across 2 matching MRF lines |
$1,291–$52,500.01 | $1,291–$52,500.01 | varies |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$1,113–$60,000 | $1,113–$60,000 | varies |
| CT cervical spine w/wo cont (72127) | $1,557 | $1,557 | 10.3× |
| CT chest w contrast (71260) | $3,399 | $3,399 | 22.5× |
| CT chest w/wo contrast (71270) range across 3 matching MRF lines |
$80–$3,623 | $80–$3,623 | varies |
| CT Colonogrphy Dx Image Postprocess W/Contrast (74262) | $18,049 | $18,049 | 119.4× |
| CT colonogrphy dx image postprocess w/o contrast (74261) | $473.50 | $473.50 | 5.3× |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$131.26–$3,937 | $131.26–$3,937 | varies |
| CT head/brain without and with contrast (70470) range across 4 matching MRF lines |
$86–$4,284 | $86–$4,284 | varies |
| CT heart contrast eval cardiac structure&morph (75572) range across 7 matching MRF lines |
$413–$7,576.20 | $413–$7,576.20 | varies |
| CT heart no contrast quant eval coronry calcium (75571) | $235 | $235 | 3.1× |
| CT iac w contrast (70481) | $315 | $315 | 2.1× |
| CT l-spine w&w/o contrast (72133) range across 3 matching MRF lines |
$13.65–$4,217 | $13.65–$4,217 | varies |
| CT lower ext w/o (73700) range across 4 matching MRF lines |
$756–$2,257.50 | $756–$2,257.50 | varies |
| CT lower extremity w/contrast material (73701) range across 5 matching MRF lines |
$168.60–$13,125.01 | $168.60–$13,125.01 | varies |
| CT lumbar spine w contrast (72132) | $4,251 | $4,251 | 14.1× |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$131.26–$3,690 | $131.26–$3,690 | varies |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$1,312.51–$2,878 | $1,312.51–$2,878 | varies |
| CT maxillofacial wo contrast (70486) range across 5 matching MRF lines |
$348.50–$2,974 | $348.50–$2,974 | varies |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$8.99–$3,690 | $8.99–$3,690 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $315 | $315 | 2.1× |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$937.51–$3,475 | $937.51–$3,475 | varies |
| CT pelvis w&w/o contrast (72194) | $3,839 | $3,839 | 25.4× |
| CT pelvis w/o contrast (72192) range across 3 matching MRF lines |
$206.26–$3,123 | $206.26–$3,123 | varies |
| CT scan of leg combo (73702) range across 3 matching MRF lines |
$25.89–$785 | $25.89–$785 | varies |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
$247.27–$3,376 | $247.27–$3,376 | varies |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$412.51–$770 | $412.51–$770 | varies |
| CT soft tissue neck w/o contrast (70490) | $3,782 | $3,782 | 42.0× |
| CT thoracic spine w contrast (72129) range across 2 matching MRF lines |
$18.75–$1,291 | $18.75–$1,291 | varies |
| CT thoracic spine w/o contrast (72128) | $1,113 | $1,113 | 12.4× |
| CT thoracic spine w/wo cont (72130) | $1,557 | $1,557 | 10.3× |
| CT thorax w/o contrast (71250) range across 4 matching MRF lines |
$245.50–$3,047 | $245.50–$3,047 | varies |
| CT upper ext wo (73200) range across 5 matching MRF lines |
$3,123–$37,500.01 | $3,123–$37,500.01 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 3 matching MRF lines |
$121.74–$3,559 | $121.74–$3,559 | varies |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$2,935–$4,902 | $2,935–$4,902 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,314 | $1,314 | 8.7× |
| Cta Abdomen (74175) | $1,314 | $1,314 | 8.7× |
| CTA pelvis (72191) | $1,314 | $1,314 | 8.7× |
| Dacryocystography, nasolacrimal duct, radiological supervision and interpretation Non-Facility (70170) range across 2 matching MRF lines |
$843–$1,686 | $843–$1,686 | varies |
| Dilation ureters/urethra rs&i (74485) | $2,765 | $2,765 | 1.5× |
| Discography Cerv/Thor Spine (72285) range across 2 matching MRF lines |
$6,077–$7,292.50 | $6,077–$7,292.50 | varies |
| Diskography lumbar (72295) range across 4 matching MRF lines |
$181.20–$7,292.50 | $181.20–$7,292.50 | varies |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) | $282 | $282 | 3.1× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $282 | $282 | 3.1× |
| Doppler Fetal Mid Cerebral Artery (76821) | $169 | $169 | 1.9× |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$539–$787 | $539–$787 | varies |
| Dxa bone density study 1/>sites appendiclr skel (77081) range across 2 matching MRF lines |
$95–$304.50 | $95–$304.50 | varies |
| Echo exam of fetal heart (76825) | $854 | $854 | 1.8× |
| Echo exam uterus (76831) | $346 | $346 | 1.7× |
| Echo Guide For Artery Repair (76936) range across 2 matching MRF lines |
$917–$2,418.75 | $917–$2,418.75 | varies |
| Esophagram (74220) range across 2 matching MRF lines |
$543–$834 | $543–$834 | varies |
| Fetal Biophys Profile W/Nst (76818) | $282 | $282 | 3.1× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $1,352 | $1,352 | 15.0× |
| Fetal MRI w/placntl matrnl plvc img sing/1st ges (74712) range across 2 matching MRF lines |
$45–$3,575 | $45–$3,575 | varies |
| Fluoroscopy up to 1 hr (76000) range across 5 matching MRF lines |
$240.50–$9,022 | $240.50–$9,022 | varies |
| Follow-Up Angiography (75898) range across 2 matching MRF lines |
$2,860.38–$3,432.46 | $2,860.38–$3,432.46 | varies |
| Foot 2 views (73620) range across 3 matching MRF lines |
$115.50–$717 | $115.50–$717 | varies |
| Forearm 2 views (73090) range across 10 matching MRF lines |
$48.28–$34,217 | $48.28–$34,217 | varies |
| Gastric emptying imaging study (78264) | $2,728 | $2,728 | 7.9× |
| Gated Heart Planar Single (78472) range across 3 matching MRF lines |
$1,557–$1,830 | $1,557–$1,830 | varies |
| Gated Heart, Multiple (78473) | $1,868 | $1,868 | 5.4× |
| Gstrc Emptng Imag Std W/Sm Bwl Col Trnst Mlt Day (78266) | $1,069 | $1,069 | 2.3× |
| Hand 2 views (73120) range across 5 matching MRF lines |
$185–$215.50 | $185–$215.50 | varies |
| Hdr Rdncl Ntrstl/Icav Brchtx (77772) | $1,302 | $1,302 | 2.2× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) | $1,516 | $1,516 | 2.5× |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) range across 2 matching MRF lines |
$507–$11,089.50 | $507–$11,089.50 | varies |
| Heart Image (Pet) Multiple (78492) range across 2 matching MRF lines |
$866.50–$4,539 | $866.50–$4,539 | varies |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $4,990 | $4,990 | 1.8× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) range across 2 matching MRF lines |
$256–$4,990 | $256–$4,990 | varies |
| Hepatobil Syst Image W/Drug (78227) | $1,140 | $1,140 | 2.4× |
| Hepatobiliary System Imaging (78226) | $1,702 | $1,702 | 4.9× |
| Ht Muscle Image Spect Sing (78451) range across 5 matching MRF lines |
$70.74–$2,652.50 | $70.74–$2,652.50 | varies |
| Hysterosalpingogram (74740) range across 3 matching MRF lines |
$65–$1,348.50 | $65–$1,348.50 | varies |
| Infant hip ultrasound with hip movement (dynamic) (76885) range across 2 matching MRF lines |
$323–$5,895 | $323–$5,895 | varies |
| Infant hip ultrasound, limited static exam (76886) | $1,115 | $1,115 | 14.9× |
| Interstitial radiation source applic complex (77778) | $1,894 | $1,894 | 3.2× |
| Intracavitary Radiation Source Applic Complex (77763) | $1,210.16 | $1,210.16 | 2.0× |
| Intracavitary radiation source applic simple (77761) | $926.76 | $926.76 | 1.9× |
| Joint Survey Single View (77077) | $3,624.50 | $3,624.50 | 40.2× |
| K Flow/Funct Image Multiple (78709) | $810 | $810 | 1.7× |
| K Flow/Funct Image W/Drug (78708) range across 2 matching MRF lines |
$1,491.50–$1,951 | $1,491.50–$1,951 | varies |
| K Flow/Funct Image W/O Drug (78707) range across 4 matching MRF lines |
$565–$3,382 | $565–$3,382 | varies |
| Kidney Imaging Morphol (78700) | $1,063.50 | $1,063.50 | 3.1× |
| Knee 3 Views (73562) range across 4 matching MRF lines |
$572–$15,997 | $572–$15,997 | varies |
| Liver & Spleen Imaging Static Only (78215) | $1,352 | $1,352 | 3.9× |
| Liver imaging w/vascular flow (78202) range across 2 matching MRF lines |
$1,058–$26,250.01 | $1,058–$26,250.01 | varies |
| Lung Perf&Ventilat Diferentl (78598) | $1,830 | $1,830 | 3.9× |
| Lung Ventilat&Perfus Imaging (78582) range across 2 matching MRF lines |
$199.92–$1,360 | $199.92–$1,360 | varies |
| Lung Ventilation Imaging (78579) | $1,502 | $1,502 | 4.4× |
| Lymph System Imaging (78195) range across 2 matching MRF lines |
$458–$953 | $458–$953 | varies |
| Lymphangiography Extremity Only Bilateral Rs&I (75803) range across 2 matching MRF lines |
$602.50–$2,678 | $602.50–$2,678 | varies |
| Lymphangiography extremity only unilateral rs&i (75801) | $1,024 | $1,024 | 1.9× |
| Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) | $145 | $145 | 0.1× |
| Mammary ductogram or galactogram single (77053) | $700.50 | $700.50 | 3.4× |
| Meckels Divert Exam (78290) | $1,140 | $1,140 | 3.3× |
| Medical physics dose eval radiation expos w/rprt (76145) range across 2 matching MRF lines |
$766.50–$9,452 | $766.50–$9,452 | varies |
| Mlc imrt design & construction per imrt plan (77338) range across 2 matching MRF lines |
$562.50–$2,428 | $562.50–$2,428 | varies |
| Mr safety determination physician/other qhp (76016) | $176 | $176 | 2.3× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $49 | $49 | 2.0× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) | $183.50 | $183.50 | 2.2× |
| Mr safety implt pos&/immoblj (76019) | $119 | $119 | 2.3× |
| Mr safety med physics xm customization plng&mntr (76017) | $483 | $483 | 2.3× |
| Mra Head W/O & W/Contrast Material (70546) range across 3 matching MRF lines |
$167–$4,357.50 | $167–$4,357.50 | varies |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$1,989–$3,684.50 | $1,989–$3,684.50 | varies |
| MRA head with contrast (70545) range across 2 matching MRF lines |
$330.14–$3,810 | $330.14–$3,810 | varies |
| Mra Neck W/O &W/Contrast Material (70549) | $3,540 | $3,540 | 11.8× |
| MRA neck w/o contrast (70547) range across 2 matching MRF lines |
$98.48–$1,989 | $98.48–$1,989 | varies |
| MRI abdomen w contrast (74182) | $3,749 | $3,749 | 12.5× |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$600–$3,937 | $600–$3,937 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 3 matching MRF lines |
$157.17–$3,937 | $157.17–$3,937 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 5 matching MRF lines |
$101.42–$9,494.50 | $101.42–$9,494.50 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 4 matching MRF lines |
$208–$3,749 | $208–$3,749 | varies |
| MRI Breast W/O Contrast Bilateral (77047) | $4,380 | $4,380 | 21.3× |
| MRI Breast Without Contrast Material Unilateral (77046) range across 2 matching MRF lines |
$250–$3,245 | $250–$3,245 | varies |
| MRI cardiac w/o contrast (75557) | $471.60 | $471.60 | 2.3× |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$3,937–$4,237.50 | $3,937–$4,237.50 | varies |
| MRI chest w/o contrast (71550) | $3,937 | $3,937 | 19.1× |
| MRI chest with contrast (71551) range across 2 matching MRF lines |
$49–$3,749 | $49–$3,749 | varies |
| MRI chest wo w contrast (71552) range across 2 matching MRF lines |
$254.27–$4,344 | $254.27–$4,344 | varies |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 4 matching MRF lines |
$544–$3,749 | $544–$3,749 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $4,334.50 | $4,334.50 | 14.4× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 5 matching MRF lines |
$108.50–$6,527.50 | $108.50–$6,527.50 | varies |
| MRI lumbar spine w contrast (72149) range across 2 matching MRF lines |
$908–$4,548.50 | $908–$4,548.50 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$176.85–$4,152 | $176.85–$4,152 | varies |
| MRI orbit face &/neck w/o contrast (70540) | $3,937 | $3,937 | 19.1× |
| MRI orbit face neck w contrast (70542) range across 2 matching MRF lines |
$202–$4,163 | $202–$4,163 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $4,461 | $4,461 | 14.8× |
| MRI pelvis w contrast (72196) | $3,734 | $3,734 | 12.4× |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$292–$4,311 | $292–$4,311 | varies |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$163–$3,749 | $163–$3,749 | varies |
| MRI thoracic spine w/o contrast (72146) | $3,937 | $3,937 | 19.1× |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 2 matching MRF lines |
$105–$3,749 | $105–$3,749 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 6 matching MRF lines |
$3,749–$14,423.18 | $3,749–$14,423.18 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) | $4,230 | $4,230 | 14.1× |
| MRI, abdomen, combo (74183) range across 5 matching MRF lines |
$254.27–$4,747 | $254.27–$4,747 | varies |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$398–$4,152 | $398–$4,152 | varies |
| MRI, dorsal spine contrast (72147) | $3,926 | $3,926 | 13.1× |
| MRI, joint upper extrem (73221) range across 6 matching MRF lines |
$12.71–$9,494 | $12.71–$9,494 | varies |
| MRI, joint upper extrem combo (73223) range across 4 matching MRF lines |
$428–$9,494 | $428–$9,494 | varies |
| MRI, lumbar spine combo (72158) | $4,109 | $4,109 | 13.7× |
| Myocardial Spect Multiple Studies (78452) range across 4 matching MRF lines |
$396–$1,645 | $396–$1,645 | varies |
| N-invas est c ffr sw aly CTA (75580) | $1,865.94 | $1,865.94 | 2.5× |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$354–$434 | $354–$434 | varies |
| Nfs/Instlj Radioelmnt Sln 3 Mo Follow-Up Care (77750) | $443.50 | $443.50 | 1.3× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $610.50 | $610.50 | 1.8× |
| Nm whole blood volume (78122) range across 2 matching MRF lines |
$919.50–$2,515 | $919.50–$2,515 | varies |
| Nonvascular Shunt X-Ray (75809) range across 2 matching MRF lines |
$17.17–$1,124 | $17.17–$1,124 | varies |
| Ntsty modul radthx pln dose-vol histos (77301) range across 2 matching MRF lines |
$545–$7,790 | $545–$7,790 | varies |
| Nuclear Rx Intra-Arterial (79445) | $29,339 | $29,339 | 145.9× |
| Nuclear Rx Oral Admin (79005) range across 2 matching MRF lines |
$1,115–$2,193 | $1,115–$2,193 | varies |
| Ob us nuchal meas 1 gest (76813) range across 2 matching MRF lines |
$253–$11,520.50 | $253–$11,520.50 | varies |
| Ophthalmic Ultrasonic Foreign Body Localization (76529) range across 2 matching MRF lines |
$64–$246 | $64–$246 | varies |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) range across 5 matching MRF lines |
$200–$2,620.70 | $200–$2,620.70 | varies |
| Panoramic X-ray of jaws (70355) range across 2 matching MRF lines |
$433–$6,965.50 | $433–$6,965.50 | varies |
| Parathyroid planar imaging w/wo subtraction (78071) | $444 | $444 | 1.3× |
| Pelvis 1 or 2 views (72170) range across 6 matching MRF lines |
$427.50–$4,141.40 | $427.50–$4,141.40 | varies |
| Peritoneogram Rs&I (74190) range across 2 matching MRF lines |
$1,334–$1,509 | $1,334–$1,509 | varies |
| Pet Image W/Ct Lmtd (78814) | $4,512.06 | $4,512.06 | 3.7× |
| PET image w/CT, full body (78816) | $4,512.06 | $4,512.06 | 3.7× |
| PET imaging CT attenuation skull base mid-thigh (78815) range across 7 matching MRF lines |
$94–$4,917 | $94–$4,917 | varies |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $4,990 | $4,990 | 1.8× |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,485 | $1,485 | 4.3× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$542.50–$1,857.48 | $542.50–$1,857.48 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 3 matching MRF lines |
$396–$786 | $396–$786 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$572–$663.50 | $572–$663.50 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 6 matching MRF lines |
$5.45–$3,465 | $5.45–$3,465 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$572–$4,032 | $572–$4,032 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$434–$645 | $434–$645 | varies |
| Radex fingr minimum 2 views (73140) range across 23 matching MRF lines |
$5.32–$2,790 | $5.32–$2,790 | varies |
| Radex foot complete minimum 3 views (73630) range across 7 matching MRF lines |
$19.05–$1,041 | $19.05–$1,041 | varies |
| Radex Hand Minimum 3 Views (73130) | $572 | $572 | 7.6× |
| Radex lower extremity infant minimum 2 views (73592) range across 6 matching MRF lines |
$320–$3,743 | $320–$3,743 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) range across 3 matching MRF lines |
$289–$452.58 | $289–$452.58 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$645–$1,061.10 | $645–$1,061.10 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 4 matching MRF lines |
$25.52–$572 | $25.52–$572 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 6 matching MRF lines |
$26.21–$2,609.52 | $26.21–$2,609.52 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $413 | $413 | 5.5× |
| Radex Spine 1 View Specify Level (72020) range across 3 matching MRF lines |
$201.40–$5,721 | $201.40–$5,721 | varies |
| Radex Sternum Minimum 2 Views (71120) | $571 | $571 | 7.6× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$113.44–$759 | $113.44–$759 | varies |
| Radex Toe Minimum 2 Views (73660) range across 21 matching MRF lines |
$8.83–$19,935.30 | $8.83–$19,935.30 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 3 matching MRF lines |
$206.26–$385.80 | $206.26–$385.80 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$572–$663.50 | $572–$663.50 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $634 | $634 | 7.0× |
| Radiation Delivery Stereotactic Cranial Linear (77372) likely a partial charge, not the full procedure |
$1,882.50 | $1,882.50 | 0.3× |
| Radiation treatment delivery level 2 (77407) | $1,981 | $1,981 | 6.0× |
| Radiation treatment delivery level 3 (77412) | $435 | $435 | 0.9× |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$858–$1,113 | $858–$1,113 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $434 | $434 | 4.8× |
| Radiologic exam colon double contrast study (74280) | $1,425 | $1,425 | 9.4× |
| Radiologic exam colon single contrast study (74270) range across 4 matching MRF lines |
$754–$37,500.01 | $754–$37,500.01 | varies |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $1,251 | $1,251 | 8.3× |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$425–$775.50 | $425–$775.50 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $297 | $297 | 3.3× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $634 | $634 | 4.2× |
| Radiologic exam swallow function contrast study (74230) | $416 | $416 | 2.8× |
| Radiologic exam upr gi trc double contrast study (74246) | $1,139 | $1,139 | 7.5× |
| Radiologic examination femur 1 view (73551) | $508.80 | $508.80 | 6.8× |
| Radiologic examination femur minimum 2 views (73552) range across 5 matching MRF lines |
$424–$4,141.40 | $424–$4,141.40 | varies |
| Radiologic examination knee 1/2 views (73560) range across 11 matching MRF lines |
$52.50–$1,811.56 | $52.50–$1,811.56 | varies |
| Radiologic Examination Osseous Survey Limited (77074) range across 2 matching MRF lines |
$605–$4,141.40 | $605–$4,141.40 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 4 matching MRF lines |
$566.40–$18,767 | $566.40–$18,767 | varies |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77768) range across 2 matching MRF lines |
$443.50–$3,211 | $443.50–$3,211 | varies |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77767) | $443.50 | $443.50 | 1.3× |
| Ribs bilateral 3 views (71110) | $634 | $634 | 7.0× |
| Rp loclzj tum plnr 1 area single day imaging (78800) range across 2 matching MRF lines |
$665–$691 | $665–$691 | varies |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) range across 5 matching MRF lines |
$553–$3,439.50 | $553–$3,439.50 | varies |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) range across 3 matching MRF lines |
$2,034.50–$2,248.12 | $2,034.50–$2,248.12 | varies |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) range across 5 matching MRF lines |
$175–$1,572 | $175–$1,572 | varies |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 2 matching MRF lines |
$2,294.50–$2,359.50 | $2,294.50–$2,359.50 | varies |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $9,369 | $9,369 | 8.4× |
| Rp Therapy Intravenous Administration (79101) | $2,837 | $2,837 | 14.1× |
| Scapula (73010) range across 4 matching MRF lines |
$393–$652 | $393–$652 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $60 | $60 | 2.6× |
| Shoulder 1 view (73020) range across 3 matching MRF lines |
$449–$567.93 | $449–$567.93 | varies |
| Shoulder Arthrography (73040) range across 3 matching MRF lines |
$588–$2,356.50 | $588–$2,356.50 | varies |
| Sialogram (70390) | $629 | $629 | 3.1× |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$387–$572 | $387–$572 | varies |
| Special dosimetry (77331) | $216.72 | $216.72 | 1.9× |
| Special Physics Consult (77370) range across 2 matching MRF lines |
$253–$688.10 | $253–$688.10 | varies |
| Special teletherapy port plan (77321) | $1,189 | $1,189 | 3.7× |
| Special treatment procedure (77470) range across 2 matching MRF lines |
$928–$1,511 | $928–$1,511 | varies |
| Stereotactic Body Radiation Delivery (77373) | $3,511.50 | $3,511.50 | 2.3× |
| Sternoclavicular joints (71130) | $543 | $543 | 7.2× |
| Superior sagittal sinus venogram (75870) | $2,406.50 | $2,406.50 | 0.9× |
| Surface Applic Low Dose Rate Radionuclide Source (77789) | $220 | $220 | 2.5× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $1,178.50 | $1,178.50 | 3.7× |
| Temporomandble Jt Arthrography Rs&I (70332) | $1,432.50 | $1,432.50 | 7.0× |
| Testicular Imaging W/Flow (78761) | $1,352.50 | $1,352.50 | 3.9× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) range across 4 matching MRF lines |
$660.60–$76,676.32 | $660.60–$76,676.32 | varies |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) range across 2 matching MRF lines |
$862–$66,128.11 | $862–$66,128.11 | varies |
| Ther rad simulaj-aided field setting simple (77280) range across 2 matching MRF lines |
$581–$176,868 | $581–$176,868 | varies |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $1,573.50 | $1,573.50 | 10.4× |
| Thoracic spine 2 views (72070) range across 4 matching MRF lines |
$21.53–$750.60 | $21.53–$750.60 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$400.50–$717 | $400.50–$717 | varies |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$240.10–$508 | $240.10–$508 | varies |
| Thyroid Imaging With Vascular Flow (78013) range across 2 matching MRF lines |
$1,149.50–$1,360 | $1,149.50–$1,360 | varies |
| Thyroid Met Imaging Body (78018) | $963 | $963 | 2.1× |
| Thyroid Uptake Measurement (78012) range across 2 matching MRF lines |
$610.50–$700 | $610.50–$700 | varies |
| Tx Devices Design & Construction Complex (77334) | $581 | $581 | 1.8× |
| Tx devices design & construction simple (77332) | $522 | $522 | 4.5× |
| Ultrasound Breast Limited (76642) range across 5 matching MRF lines |
$186–$734 | $186–$734 | varies |
| Ultrasound Elastography Parenchyma (76981) | $250 | $250 | 2.8× |
| Ultrasound Exam Aaa Screen (76706) | $326.91 | $326.91 | 3.6× |
| Ultrasound, abdomen limited (76705) range across 6 matching MRF lines |
$147.50–$2,300 | $147.50–$2,300 | varies |
| Umbilical-artery Doppler (OB) (76820) range across 2 matching MRF lines |
$169–$17,512.50 | $169–$17,512.50 | varies |
| Unlisted Dx Radiographic Procedure (76499) | $304.50 | $304.50 | 4.1× |
| Unlisted magnetic resonance procedure (76498) | $827.50 | $827.50 | 11.0× |
| Unlisted Miscellaneous Px Dx Nuclear Medicine (78999) range across 2 matching MRF lines |
$370.50–$610.50 | $370.50–$610.50 | varies |
| Unlisted us procedure (76999) | $226 | $226 | 3.0× |
| Upper gi w/o kub (74240) range across 2 matching MRF lines |
$434–$1,007 | $434–$1,007 | varies |
| Urea Breath Test C-14 Isotopic Acquisj Analysis (78267) range across 2 matching MRF lines |
$2,806–$3,399 | $2,806–$3,399 | varies |
| Urethrocystogram voiding (74455) range across 2 matching MRF lines |
$659–$13,125.01 | $659–$13,125.01 | varies |
| Urethrocystography retrograde (74450) | $356 | $356 | 1.7× |
| Us breast unilateral complete (76641) range across 4 matching MRF lines |
$25–$2,662.50 | $25–$2,662.50 | varies |
| Us chest (76604) range across 5 matching MRF lines |
$386.50–$396 | $386.50–$396 | varies |
| Us complete joint (76881) range across 3 matching MRF lines |
$41.18–$11,595.77 | $41.18–$11,595.77 | varies |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$200–$457.50 | $200–$457.50 | varies |
| Us kidney transplant (76776) range across 2 matching MRF lines |
$326.91–$680.40 | $326.91–$680.40 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 5 matching MRF lines |
$7.60–$1,217 | $7.60–$1,217 | varies |
| Us ob detailed single fetus (76811) | $346 | $346 | 1.7× |
| Us ob limited 1 or more fetuses (76815) range across 5 matching MRF lines |
$200–$3,386 | $200–$3,386 | varies |
| Us ob transvaginal (76817) range across 4 matching MRF lines |
$34.50–$871.50 | $34.50–$871.50 | varies |
| Us pelvic non ob complete (76856) range across 3 matching MRF lines |
$339–$1,360 | $339–$1,360 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 3 matching MRF lines |
$230–$7,301 | $230–$7,301 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $169 | $169 | 1.9× |
| Us retroperitoneal complete (76770) | $249 | $249 | 2.8× |
| Us retroperitoneal limited (76775) range across 3 matching MRF lines |
$76–$724 | $76–$724 | varies |
| Us scrotum and contents (76870) | $876 | $876 | 9.7× |
| Us spinal canal and contents (76800) | $414 | $414 | 4.6× |
| Us thyroid (76536) | $326.91 | $326.91 | 3.6× |
| Us transrectal (76872) range across 2 matching MRF lines |
$694–$822.50 | $694–$822.50 | varies |
| Vasogram (74440) | $629 | $629 | 3.1× |
| Vein X-Ray Chest (75827) range across 3 matching MRF lines |
$857–$2,671.93 | $857–$2,671.93 | varies |
| Vein X-Ray Liver W/O Hemodyn (75887) | $2,406.50 | $2,406.50 | 0.9× |
| Vein X-Ray Skull Epidural (75872) | $4,990 | $4,990 | 9.2× |
| Vein X-Ray Spleen/Liver (75810) | $4,990 | $4,990 | 1.8× |
| Venogram Sinus/Jugular (75860) range across 2 matching MRF lines |
$460.50–$4,990 | $460.50–$4,990 | varies |
| Venography Adrenal Unilateral (75840) | $4,990 | $4,990 | 1.8× |
| Venography caval inferior serialography rs&i (75825) range across 3 matching MRF lines |
$1,540–$5,988 | $1,540–$5,988 | varies |
| Venography extremity bilateral rs&i (75822) range across 3 matching MRF lines |
$1,008–$2,590.80 | $1,008–$2,590.80 | varies |
| Venography extremity unilateral rs&i (75820) range across 6 matching MRF lines |
$1,008–$4,990 | $1,008–$4,990 | varies |
| Venography Renal Bilateral (75833) range across 2 matching MRF lines |
$949–$4,990 | $949–$4,990 | varies |
| Venography Renal Unilateral (75831) range across 3 matching MRF lines |
$212–$4,990 | $212–$4,990 | varies |
| Venous sampling by catheter (75893) range across 2 matching MRF lines |
$4,971–$4,990 | $4,971–$4,990 | varies |
| Venous Thrombosis Imaging Venogram Bilateral (78458) | $1,069 | $1,069 | 3.1× |
| Wrist 2 views (73100) range across 8 matching MRF lines |
$5.02–$603 | $5.02–$603 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$472.50–$508 | $472.50–$508 | varies |
| X-ray antegrade pyelogram tube (74425) range across 4 matching MRF lines |
$645.50–$3,317 | $645.50–$3,317 | varies |
| X-Ray Aorta Leg Arteries (75630) range across 5 matching MRF lines |
$239.50–$5,988 | $239.50–$5,988 | varies |
| X-Ray Bend Only L-S Spine (72120) | $173.50 | $173.50 | 1.9× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 4 matching MRF lines |
$338.40–$25,414 | $338.40–$25,414 | varies |
| X-Ray Exam Breast Specimen (76098) | $946.80 | $946.80 | 2.0× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $634 | $634 | 8.5× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) range across 2 matching MRF lines |
$634–$16,386.50 | $634–$16,386.50 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 6 matching MRF lines |
$274–$7,580 | $274–$7,580 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 6 matching MRF lines |
$31–$50,575 | $31–$50,575 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) range across 2 matching MRF lines |
$31–$676 | $31–$676 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) | $541.50 | $541.50 | 6.0× |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 2 matching MRF lines |
$733.50–$14,192 | $733.50–$14,192 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) | $998.50 | $998.50 | 11.1× |
| X-Ray Exam L-S Spine Bending (72114) | $981 | $981 | 10.9× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 6 matching MRF lines |
$5.75–$1,296.75 | $5.75–$1,296.75 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$208–$857 | $208–$857 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 3 matching MRF lines |
$10.03–$784.50 | $10.03–$784.50 | varies |
| X-ray humerus (73060) range across 5 matching MRF lines |
$353.70–$18,205 | $353.70–$18,205 | varies |
| X-ray IV pyelogram (ivp) (74400) range across 3 matching MRF lines |
$65–$1,190 | $65–$1,190 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 2 matching MRF lines |
$433–$589.50 | $433–$589.50 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $123 | $123 | 1.6× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 5 matching MRF lines |
$208.24–$572 | $208.24–$572 | varies |
| X-ray nose-rectum child f.b. (76010) | $513 | $513 | 6.8× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$455–$1,270 | $455–$1,270 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$543–$1,729 | $543–$1,729 | varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $384.50 | $384.50 | 4.3× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 3 matching MRF lines |
$242–$669 | $242–$669 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $787 | $787 | 10.5× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $791 | $791 | 8.8× |
| X-ray thoracic spine 4 vw (72074) | $787 | $787 | 8.7× |
| X-Ray Tmj Unilat (70328) range across 3 matching MRF lines |
$146.58–$34,977.28 | $146.58–$34,977.28 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 6 matching MRF lines |
$411.47–$1,901.72 | $411.47–$1,901.72 | varies |
| X-Rays Bone Length Studies (77073) range across 2 matching MRF lines |
$78.60–$543 | $78.60–$543 | varies |
| X-Rays Bone Survey Complete (77075) | $655 | $655 | 7.3× |
| Xr c-spine 4 or 5 views (72050) | $857 | $857 | 9.5× |
| Xr facial bones less than 3 views (70140) | $356 | $356 | 4.7× |
| XR Mastoids < 3 Views Bilateral (70120) | $201 | $201 | 2.2× |
| Xr orbits complete 4 views (70200) | $759 | $759 | 8.4× |
| Xr Tomogram Single Plane (76100) | $5,726.50 | $5,726.50 | 63.6× |
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.