Imaging prices at Hendricks Regional Health
Danville, IN · every code in this section with a posted price and a Medicare benchmark.
316 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) | $6,248.40 | $15,621 | 4.3× |
| Abdomen 1 View (74018) | $96 | $240 | 1.0× |
| Abdomen 2 views (74019) | $159.60 | $399 | 1.4× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $917.60 | $2,294 | 2.2× |
| Adrenal Cortex & Medulla Img (78075) | $1,442.80 | $3,607 | 1.1× |
| Angio internal mammary (75756) | $3,584.40 | $8,961 | 1.1× |
| Angio pulmonary bilat (75743) | $4,016 | $10,040 | 1.2× |
| Angiography extremity bilateral rs&i (75716) | $4,016 | $10,040 | 1.2× |
| Angiography extremity unilateral rs&i (75710) | $4,016 | $10,040 | 1.2× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $4,016 | $10,040 | 1.2× |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$120.40–$180.60 | $301–$451.50 | varies |
| Aortography thoracic serialography rs&i (75605) | $5,696 | $14,240 | 1.0× |
| Artery X-Rays Abdomen (75726) | $5,696 | $14,240 | 1.0× |
| Artery X-Rays Pelvis (75736) | $6,106.80 | $15,267 | 1.0× |
| Arthrogram ankle (73615) | $290 | $725 | 0.8× |
| Arthrogram hip (73525) | $1,147.60 | $2,869 | 3.1× |
| Arthrogram Wrist (73115) | $1,296.80 | $3,242 | 3.5× |
| Basic radiation dosimetry calculation (77300) | $571.60 | $1,429 | 4.0× |
| Bone age studies (77072) | $253.60 | $634 | 2.3× |
| Bone Imaging 3 Phase (78315) | $1,030 | $2,575 | 2.4× |
| Bone Imaging Limited Area (78300) | $364.40 | $911 | 0.9× |
| Bone Imaging Multiple Areas (78305) | $470 | $1,175 | 1.1× |
| Bone Imaging Whole Body (78306) | $1,443.20 | $3,608 | 3.4× |
| Bone survey infant (77076) | $310 | $775 | 2.8× |
| Brachytx isodose intermed (77317) | $743.60 | $1,859 | 1.9× |
| Brachytx Isodose Plan Simple (77316) | $511.60 | $1,279 | 1.3× |
| Brain Flow Imaging Only (78610) | $404.40 | $1,011 | 0.7× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $746 | $1,865 | 1.3× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $1,843.60 | $4,609 | 1.2× |
| Cardiac Shunt Detection (78428) | $563.60 | $1,409 | 1.3× |
| Cat Scan Follow-Up Study (76380) | $109.20 | $273 | 1.2× |
| Chest 1 view (71045) | $139.20 | $348 | 1.5× |
| Chest 2 views (71046) | $146.40 | $366 | 1.6× |
| Chest 3 views (71047) | $153.60 | $384 | 1.7× |
| Chest 4 or more views (71048) | $162 | $405 | 1.5× |
| Clavicle complete (73000) range across 2 matching MRF lines |
$300.80–$451.20 | $752–$1,128 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $96.80 | $242 | 0.9× |
| Continuing medical physics consltj pr wk (77336) | $1,004 | $2,510 | 7.1× |
| Contrast Exam Abdominl Aorta (75625) | $4,016 | $10,040 | 1.2× |
| Contrast X-Ray Bladder (74430) | $652 | $1,630 | 1.8× |
| Contrast X-Ray Of Elbow (73085) range across 2 matching MRF lines |
$824–$1,236 | $2,060–$3,090 | varies |
| Contrast X-Ray Of Knee Joint (73580) | $576.40 | $1,441 | 1.6× |
| CT abdomen and pelvis without and with contrast (74178) | $1,158.80 | $2,897 | 3.1× |
| CT abdomen and pelvis without contrast (74176) | $772.40 | $1,931 | 3.1× |
| CT abdomen w contrast (74160) | $416.80 | $1,042 | 2.2× |
| CT abdomen w wo contrast (74170) | $494.40 | $1,236 | 2.7× |
| CT abdomen w/o contrast (74150) | $330.40 | $826 | 3.0× |
| CT Angio Abdomen and Pelvis (74174) | $1,780.80 | $4,452 | 4.8× |
| CT Angio Chest (71275) | $891.60 | $2,229 | 4.8× |
| CT Angio Head (70496) | $416.80 | $1,042 | 2.2× |
| CT angio hrt w/3d image (75574) | $712.80 | $1,782 | 1.9× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
$1,069.60–$1,604.40 | $2,674–$4,011 | varies |
| CT Angio Neck (70498) | $854.80 | $2,137 | 4.6× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 2 matching MRF lines |
$1,069.60–$1,604.40 | $2,674–$4,011 | varies |
| CT bone density (77078) | $110.80 | $277 | 1.2× |
| CT cervical spine w/ contrast (72126) | $488 | $1,220 | 1.3× |
| CT cervical spine w/o contrast (72125) | $328.80 | $822 | 3.0× |
| CT cervical spine w/wo cont (72127) | $712.80 | $1,782 | 3.8× |
| CT chest w contrast (71260) | $416.80 | $1,042 | 2.2× |
| CT chest w/wo contrast (71270) | $712.80 | $1,782 | 3.8× |
| CT colonography screening (74263) | $720.40 | $1,801 | 2.9× |
| CT Colonogrphy Dx Image Postprocess W/Contrast (74262) | $650.40 | $1,626 | 3.5× |
| CT head/brain with contrast (70460) | $430 | $1,075 | 2.3× |
| CT head/brain without and with contrast (70470) | $473.20 | $1,183 | 2.5× |
| CT heart no contrast quant eval coronry calcium (75571) | $106 | $265 | 1.2× |
| CT iac w contrast (70481) | $681.60 | $1,704 | 3.7× |
| CT l-spine w&w/o contrast (72133) | $462.40 | $1,156 | 2.5× |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$634.40–$951.60 | $1,586–$2,379 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$712.80–$1,069.20 | $1,782–$2,673 | varies |
| CT lumbar spine w contrast (72132) | $385.60 | $964 | 1.0× |
| CT lumbar spine w/o contrast (72131) | $308 | $770 | 2.8× |
| CT maxillofacial w contrast (70487) | $258.80 | $647 | 1.4× |
| CT maxillofacial wo contrast (70486) | $206.80 | $517 | 1.9× |
| CT neck tissue combo (70492) | $712.80 | $1,782 | 3.8× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $855.60 | $2,139 | 4.6× |
| CT orbits w/o contrast (70480) | $544.80 | $1,362 | 4.9× |
| CT pelvis w&w/o contrast (72194) | $439.20 | $1,098 | 2.4× |
| CT pelvis w/o contrast (72192) | $292.80 | $732 | 2.6× |
| CT scan of leg combo (73702) range across 2 matching MRF lines |
$748.40–$1,122.60 | $1,871–$2,806.50 | varies |
| CT scans face/jaw combo (70488) | $310.40 | $776 | 1.7× |
| CT soft tissue neck w contrast (70491) | $602.80 | $1,507 | 3.2× |
| CT soft tissue neck w/o contrast (70490) | $504.80 | $1,262 | 4.6× |
| CT thoracic spine w contrast (72129) | $937.20 | $2,343 | 5.1× |
| CT thoracic spine w/o contrast (72128) | $782.80 | $1,957 | 7.1× |
| CT thoracic spine w/wo cont (72130) | $1,176 | $2,940 | 6.3× |
| CT thorax w/o contrast (71250) | $328.80 | $822 | 3.0× |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$681.60–$1,022.40 | $1,704–$2,556 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 2 matching MRF lines |
$975.60–$1,463.60 | $2,439–$3,659 | varies |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$712.80–$1,069.20 | $1,782–$2,673 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $891.60 | $2,229 | 4.8× |
| Cta Abdomen (74175) | $732.80 | $1,832 | 3.9× |
| CTA pelvis (72191) | $576.40 | $1,441 | 3.1× |
| Dilation ureters/urethra rs&i (74485) | $2,520 | $6,300 | 1.1× |
| Dxa Bone Density Axial (77080) | $75.60 | $189 | 0.7× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $160.40 | $401 | 1.7× |
| Echo Guide For Artery Repair (76936) | $569.20 | $1,423 | 2.5× |
| Esophagram (74220) | $392.80 | $982 | 2.1× |
| Fetal Biophys Profile W/Nst (76818) | $240.80 | $602 | 2.2× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $260.40 | $651 | 2.4× |
| Fluoroscopy up to 1 hr (76000) | $540.80 | $1,352 | 2.1× |
| Foot 2 views (73620) range across 3 matching MRF lines |
$120–$180 | $300–$450 | varies |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$201.60–$302.40 | $504–$756 | varies |
| Gastric emptying imaging study (78264) | $1,260.40 | $3,151 | 3.0× |
| Gated Heart Planar Single (78472) | $780.80 | $1,952 | 1.8× |
| Hand 2 views (73120) range across 2 matching MRF lines |
$225.20–$337.80 | $563–$844.50 | varies |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) | $5,839.60 | $14,599 | 7.9× |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) | $3,356.80 | $8,392 | 4.6× |
| Hepatobil Syst Image W/Drug (78227) | $1,237.60 | $3,094 | 2.2× |
| Hepatobiliary System Imaging (78226) | $1,296.80 | $3,242 | 3.1× |
| Ht Muscle Image Spect Sing (78451) | $2,928 | $7,320 | 2.1× |
| Hysterosalpingogram (74740) | $652 | $1,630 | 2.6× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $174.40 | $436 | 1.9× |
| K Flow/Funct Image W/Drug (78708) | $1,182.40 | $2,956 | 2.1× |
| K Flow/Funct Image W/O Drug (78707) | $960.40 | $2,401 | 1.7× |
| Kidney Funcj Study Non-Img Radioisotopic Study (78725) | $210 | $525 | 0.5× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $337.20 | $843 | 0.8× |
| Knee 3 Views (73562) | $268.40 | $671 | 2.9× |
| Liver & Spleen Imaging Static Only (78215) | $815.20 | $2,038 | 1.9× |
| Lung Perf&Ventilat Diferentl (78598) | $1,055.20 | $2,638 | 1.8× |
| Lung Ventilat&Perfus Imaging (78582) | $1,182.40 | $2,956 | 2.1× |
| Lymph System Imaging (78195) | $940.40 | $2,351 | 1.6× |
| Magnetic Image Jaw Joint (70336) | $536.40 | $1,341 | 2.1× |
| Mammary ductogram or galactogram multiple (77054) | $493.20 | $1,233 | 2.0× |
| Meckels Divert Exam (78290) | $536 | $1,340 | 1.3× |
| Mlc imrt design & construction per imrt plan (77338) | $2,372.80 | $5,932 | 6.0× |
| Mra Head W/O & W/Contrast Material (70546) | $1,632.80 | $4,082 | 4.4× |
| MRA head w/o contrast (70544) | $1,139.60 | $2,849 | 4.5× |
| MRA head with contrast (70545) | $1,241.60 | $3,104 | 3.4× |
| Mra Neck W/O &W/Contrast Material (70549) | $855.60 | $2,139 | 2.3× |
| MRA neck w/o contrast (70547) | $570.80 | $1,427 | 2.3× |
| MRI abdomen w contrast (74182) | $670.80 | $1,677 | 1.8× |
| MRI abdomen w/o contrast (74181) | $589.20 | $1,473 | 2.3× |
| MRI any jt lower extrem w/contrast material (73722) | $1,242.40 | $3,106 | 1.5× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$1,258.80–$1,888.20 | $3,147–$4,720.50 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) | $1,315.20 | $3,288 | 1.6× |
| MRI Breast W/O Contrast Bilateral (77047) | $673.20 | $1,683 | 2.7× |
| MRI cervical spine w contrast (72142) | $422.40 | $1,056 | 1.1× |
| MRI cervical spine w/o cont (72141) | $354.40 | $886 | 1.4× |
| MRI chest w/o contrast (71550) | $1,049.60 | $2,624 | 4.2× |
| MRI chest with contrast (71551) | $982.80 | $2,457 | 1.2× |
| MRI chest wo w contrast (71552) | $1,111.60 | $2,779 | 3.0× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 2 matching MRF lines |
$1,667.60–$2,501.40 | $4,169–$6,253.50 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines |
$883.60–$1,325.40 | $2,209–$3,313.50 | varies |
| MRI lumbar spine w contrast (72149) | $625.60 | $1,564 | 1.7× |
| Mri Neck Spine W/O & W/Dye (72156) | $560.40 | $1,401 | 1.5× |
| MRI orbit face &/neck w/o contrast (70540) | $841.20 | $2,103 | 3.3× |
| MRI orbit face neck w contrast (70542) | $960 | $2,400 | 2.6× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $1,263.60 | $3,159 | 3.4× |
| MRI pelvis w contrast (72196) | $670.80 | $1,677 | 1.8× |
| MRI pelvis w/o & w contrast (72197) | $883.20 | $2,208 | 2.4× |
| MRI pelvis w/o contrast (72195) | $589.20 | $1,473 | 2.3× |
| MRI thoracic spine w/o contrast (72146) | $372 | $930 | 1.5× |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 2 matching MRF lines |
$1,521.20–$2,281.80 | $3,803–$5,704.50 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 2 matching MRF lines |
$618.40–$927.60 | $1,546–$2,319 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 2 matching MRF lines |
$1,111.60–$1,667.40 | $2,779–$4,168.50 | varies |
| MRI, abdomen, combo (74183) | $883.20 | $2,208 | 2.4× |
| MRI, dorsal spine combo (72157) | $648.40 | $1,621 | 1.8× |
| MRI, dorsal spine contrast (72147) | $422.40 | $1,056 | 1.1× |
| MRI, joint upper extrem (73221) range across 2 matching MRF lines |
$944.40–$1,416.60 | $2,361–$3,541.50 | varies |
| MRI, joint upper extrem combo (73223) range across 2 matching MRF lines |
$1,258.80–$1,888.20 | $3,147–$4,720.50 | varies |
| MRI, lumbar spine combo (72158) | $712.80 | $1,782 | 1.9× |
| Myelography thoracic (72255) | $1,236.40 | $3,091 | 1.5× |
| Myocardial Spect Multiple Studies (78452) | $2,124 | $5,310 | 1.6× |
| N-invas est c ffr sw aly CTA (75580) | $1,152 | $2,880 | 1.3× |
| Neck soft tissue (70360) | $164.40 | $411 | 1.8× |
| Nm csf leak detection (78650) | $1,624.40 | $4,061 | 1.2× |
| Ntsty modul radthx pln dose-vol histos (77301) | $11,004.80 | $27,512 | 7.5× |
| Nuclear Rx Oral Admin (79005) | $373.20 | $933 | 1.5× |
| Ob us nuchal meas 1 gest (76813) | $130 | $325 | 1.2× |
| Oph US Dx B-Scan&Quan a-Scan Sm Pt Enctr (76510) | $144 | $360 | 1.0× |
| Ophthalmic Ultrasonic Foreign Body Localization (76529) | $86 | $215 | 0.9× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) | $182 | $455 | 1.6× |
| Parathyroid Planar Imaging (78070) | $670.40 | $1,676 | 1.6× |
| Parathyroid planar imaging w/wo subtraction (78071) | $729.20 | $1,823 | 1.7× |
| Pelvis 1 or 2 views (72170) | $226 | $565 | 2.0× |
| Pet Image W/Ct Lmtd (78814) | $1,757.60 | $4,394 | 1.2× |
| PET image w/CT, full body (78816) | $2,272.40 | $5,681 | 1.5× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $2,272.40 | $5,681 | 1.5× |
| Pulmonary Perfusion Imaging Particulate (78580) | $355.60 | $889 | 0.8× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $300.80 | $752 | 2.7× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $534.80 | $1,337 | 0.9× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$253.60–$380.40 | $634–$951 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$258.40–$387.60 | $646–$969 | varies |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$221.20–$331.80 | $553–$829.50 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $310 | $775 | 2.8× |
| Radex fingr minimum 2 views (73140) | $201.60 | $504 | 2.2× |
| Radex foot complete minimum 3 views (73630) | $193.20 | $483 | 2.1× |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$226.40–$339.60 | $566–$849 | varies |
| Radex lower extremity infant minimum 2 views (73592) | $182.80 | $457 | 2.0× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $164.40 | $411 | 1.8× |
| Radex Ribs Unilateral 2 Views (71100) | $163.60 | $409 | 1.8× |
| Radex shoulder complete minimum 2 views (73030) | $284 | $710 | 3.1× |
| Radex Sinuses Paransl < 3 Views (70210) | $164.40 | $411 | 1.8× |
| Radex Spine 1 View Specify Level (72020) | $152.80 | $382 | 1.7× |
| Radex Sternum Minimum 2 Views (71120) | $164.40 | $411 | 1.8× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $140 | $350 | 1.5× |
| Radex Toe Minimum 2 Views (73660) | $206 | $515 | 2.2× |
| Radex upper extremity infant minimum 2 views (73092) | $106.40 | $266 | 1.0× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$362.40–$543.60 | $906–$1,359 | varies |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $11,538.80 | $28,847 | 1.5× |
| Radiation treatment delivery level 1 (77402) | $280.40 | $701 | 2.6× |
| Radiation treatment delivery level 2 (77407) | $560.80 | $1,402 | 1.4× |
| Radiation treatment delivery level 3 (77412) | $886.80 | $2,217 | 1.5× |
| Radiolog exam mandible compl minimum 4 views (70110) | $260 | $650 | 2.4× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $285.20 | $713 | 2.6× |
| Radiologic exam colon double contrast study (74280) | $431.20 | $1,078 | 2.3× |
| Radiologic exam colon single contrast study (74270) | $325.20 | $813 | 1.8× |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$310–$443.60 | $775–$1,109 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $266.40 | $666 | 2.4× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $325.20 | $813 | 1.8× |
| Radiologic exam swallow function contrast study (74230) | $293.60 | $734 | 1.6× |
| Radiologic exam teeth complete full mouth (70320) | $216.80 | $542 | 0.9× |
| Radiologic exam upr gi trc double contrast study (74246) | $548.80 | $1,372 | 3.0× |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$312–$468 | $780–$1,170 | varies |
| Radiologic examination knee 1/2 views (73560) | $223.60 | $559 | 2.4× |
| Radiologic Examination Osseous Survey Limited (77074) | $289.60 | $724 | 2.6× |
| Radiologic examination tibia & fibula 2 views (73590) range across 2 matching MRF lines |
$309.60–$464.40 | $774–$1,161 | varies |
| Ribs bilateral 3 views (71110) | $289.60 | $724 | 2.6× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $354.80 | $887 | 0.8× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $481.60 | $1,204 | 1.1× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $2,070 | $5,175 | 3.6× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $1,624.40 | $4,061 | 2.8× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $422.80 | $1,057 | 0.7× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $1,665.20 | $4,163 | 1.2× |
| Scapula (73010) | $172.40 | $431 | 1.6× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $40.40 | $101 | 1.7× |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$153.60–$230.40 | $384–$576 | varies |
| Shoulder Arthrography (73040) | $746.40 | $1,866 | 2.0× |
| Sialogram (70390) | $266 | $665 | 1.1× |
| Skull less than 4 views (70250) | $258 | $645 | 2.3× |
| Special dosimetry (77331) | $150 | $375 | 1.1× |
| Special Physics Consult (77370) | $339.20 | $848 | 2.4× |
| Special teletherapy port plan (77321) | $548.40 | $1,371 | 1.4× |
| Special treatment procedure (77470) | $3,568 | $8,920 | 6.1× |
| Stereotactic Body Radiation Delivery (77373) | $4,196 | $10,490 | 2.2× |
| Sternoclavicular joints (71130) | $164.40 | $411 | 1.8× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $1,154.40 | $2,886 | 2.9× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $764.40 | $1,911 | 1.9× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $2,288 | $5,720 | 5.8× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $1,555.60 | $3,889 | 3.9× |
| Ther rad simulaj-aided field setting simple (77280) | $1,021.20 | $2,553 | 7.2× |
| Thoracic spine 2 views (72070) | $273.20 | $683 | 2.5× |
| Thyroid Carcinoma Metastases Img Lmtd Area (78015) | $457.20 | $1,143 | 1.1× |
| Thyroid Imaging With Vascular Flow (78013) | $259.20 | $648 | 0.6× |
| Thyroid Met Imaging Body (78018) | $436.40 | $1,091 | 0.8× |
| Thyroid Uptake Measurement (78012) | $458.80 | $1,147 | 1.1× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $899.20 | $2,248 | 2.1× |
| Tx Devices Design & Construction Complex (77334) | $1,206.40 | $3,016 | 3.0× |
| Tx devices design & construction intermediate (77333) | $811.60 | $2,029 | 5.7× |
| Tx devices design & construction simple (77332) | $553.20 | $1,383 | 3.9× |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$305.60–$458.40 | $764–$1,146 | varies |
| Ultrasound Elastography Parenchyma (76981) | $89.20 | $223 | 0.8× |
| Ultrasound Exam Aaa Screen (76706) | $280.80 | $702 | 2.5× |
| Ultrasound, abdomen limited (76705) | $24.80 | $62 | 0.2× |
| Umbilical-artery Doppler (OB) (76820) | $166 | $415 | 1.5× |
| Unlisted Dx Radiographic Procedure (76499) | $75.60 | $189 | 0.8× |
| Unlisted magnetic resonance procedure (76498) | $224.80 | $562 | 2.4× |
| Unlisted Miscellaneous Px Dx Nuclear Medicine (78999) | $465.20 | $1,163 | 1.1× |
| Unlisted Procedure Clinical Brachytherapy (77799) | $160.80 | $402 | 1.5× |
| Upper gi w/o kub (74240) | $708.80 | $1,772 | 3.8× |
| Urethrocystogram voiding (74455) | $554.40 | $1,386 | 2.2× |
| Urethrocystography retrograde (74450) | $538.40 | $1,346 | 2.1× |
| Us breast unilateral complete (76641) range across 2 matching MRF lines |
$393.60–$590.40 | $984–$1,476 | varies |
| Us chest (76604) | $310 | $775 | 2.8× |
| Us complete joint (76881) | $76 | $190 | 0.7× |
| Us exam, pelvic, limited (76857) | $63.20 | $158 | 0.6× |
| Us head (76506) | $310 | $775 | 2.8× |
| Us kidney transplant (76776) | $276 | $690 | 2.5× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $34.40 | $86 | 0.3× |
| Us ob detailed single fetus (76811) | $210 | $525 | 0.8× |
| Us ob limited 1 or more fetuses (76815) | $73.20 | $183 | 0.7× |
| Us ob transvaginal (76817) | $77.20 | $193 | 0.7× |
| Us pelvic non ob complete (76856) | $91.60 | $229 | 0.8× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $106 | $265 | 1.0× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $74.80 | $187 | 0.7× |
| Us retroperitoneal complete (76770) | $450.80 | $1,127 | 4.1× |
| Us retroperitoneal limited (76775) | $76.40 | $191 | 0.7× |
| Us scrotum and contents (76870) | $63.60 | $159 | 0.6× |
| Us spinal canal and contents (76800) | $167.20 | $418 | 1.5× |
| Us thyroid (76536) | $84.80 | $212 | 0.8× |
| Vein X-Ray Chest (75827) | $1,761.20 | $4,403 | 1.1× |
| Venography caval inferior serialography rs&i (75825) | $4,016 | $10,040 | 1.2× |
| Venography extremity bilateral rs&i (75822) | $1,445.20 | $3,613 | 0.9× |
| Venography extremity unilateral rs&i (75820) | $1,761.20 | $4,403 | 1.1× |
| Venography Renal Bilateral (75833) | $4,569.20 | $11,423 | 1.4× |
| Venography Renal Unilateral (75831) | $3,416.80 | $8,542 | 1.0× |
| Venous sampling by catheter (75893) | $7,020.80 | $17,552 | 1.2× |
| Wrist 2 views (73100) | $174.40 | $436 | 1.9× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $181.20 | $453 | 2.0× |
| X-ray antegrade pyelogram tube (74425) range across 2 matching MRF lines |
$469.60–$501.60 | $1,174–$1,254 | varies |
| X-Ray Aorta Leg Arteries (75630) | $4,016 | $10,040 | 1.2× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$189.20–$283.80 | $473–$709.50 | varies |
| X-Ray Exam Breast Specimen (76098) | $422 | $1,055 | 0.7× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $303.20 | $758 | 2.7× |
| X-Ray Exam Hip Uni 1 View (73501) | $169.60 | $424 | 1.8× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $195.20 | $488 | 2.1× |
| X-Ray Exam Hips Bi 2 Views (73521) | $322.40 | $806 | 2.9× |
| X-Ray Exam L-S Spine Bending (72114) | $289.60 | $724 | 2.6× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $285.20 | $713 | 3.1× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $303.20 | $758 | 2.7× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $287.60 | $719 | 2.6× |
| X-ray humerus (73060) | $206 | $515 | 2.2× |
| X-ray IV pyelogram (ivp) (74400) | $652 | $1,630 | 3.5× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $179.60 | $449 | 2.0× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $285.20 | $713 | 2.6× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $303.60 | $759 | 2.7× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $325.20 | $813 | 2.9× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $201.60 | $504 | 2.2× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $214.80 | $537 | 2.3× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $310 | $775 | 2.8× |
| X-ray thoracic spine 4 vw (72074) | $303.20 | $758 | 2.7× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $924.40 | $2,311 | 2.5× |
| X-Rays Bone Length Studies (77073) | $172.80 | $432 | 1.6× |
| X-Rays Bone Survey Complete (77075) | $386 | $965 | 3.5× |
| Xr c-spine 4 or 5 views (72050) | $300.80 | $752 | 2.7× |
| Xr orbits complete 4 views (70200) | $272.40 | $681 | 2.5× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.