Imaging prices at Henry County Memorial Hospital
New Castle, IN · every code in this section with a posted price and a Medicare benchmark.
215 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 3 matching MRF lines |
$49.49–$317.45 | $70.70–$453.50 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$68.04–$413.49 | $97.20–$590.70 | varies |
| Ankle 2 views (73600) range across 4 matching MRF lines |
$42.98–$457.03 | $61.40–$652.90 | varies |
| Arthrogram hip (73525) range across 2 matching MRF lines |
$142.59–$1,341.13 | $203.70–$1,915.90 | varies |
| Bone age studies (77072) range across 2 matching MRF lines |
$119.98–$270.55 | $171.40–$386.50 | varies |
| Bone Imaging 3 Phase (78315) range across 2 matching MRF lines |
$283.64–$2,179.80 | $405.20–$3,114 | varies |
| Bone Imaging Limited Area (78300) range across 2 matching MRF lines |
$190.47–$1,329.86 | $272.10–$1,899.80 | varies |
| Bone survey infant (77076) range across 2 matching MRF lines |
$178.29–$655.13 | $254.70–$935.90 | varies |
| Cat Scan Follow-Up Study (76380) range across 4 matching MRF lines |
$160.44–$1,254.19 | $229.20–$1,791.70 | varies |
| Chest 1 view (71045) range across 4 matching MRF lines |
$47.88–$279.93 | $68.40–$399.90 | varies |
| Chest 2 views (71046) range across 2 matching MRF lines |
$55.37–$361.62 | $79.10–$516.60 | varies |
| Chest 3 views (71047) range across 2 matching MRF lines |
$57.54–$384.58 | $82.20–$549.40 | varies |
| Chest 4 or more views (71048) | $414.47 | $592.10 | 3.7× |
| Clavicle complete (73000) range across 2 matching MRF lines |
$44.59–$308.91 | $63.70–$441.30 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 2 matching MRF lines |
$133.77–$234.22 | $191.10–$334.60 | varies |
| Contrast X-Ray Bladder (74430) range across 2 matching MRF lines |
$95.62–$689.64 | $136.60–$985.20 | varies |
| CT abdomen and pelvis without and with contrast (74178) range across 3 matching MRF lines |
$529.97–$8,332.38 | $757.10–$11,903.40 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$458.64–$5,682.95 | $655.20–$8,118.50 | varies |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$350.91–$3,482.57 | $501.30–$4,975.10 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$378.42–$4,222.89 | $540.60–$6,032.70 | varies |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$337.96–$2,966.11 | $482.80–$4,237.30 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$501.62–$4,492.53 | $716.60–$6,417.90 | varies |
| CT Angio Chest (71275) range across 4 matching MRF lines |
$360.64–$4,898.39 | $515.20–$6,997.70 | varies |
| CT Angio Head (70496) range across 3 matching MRF lines |
$440.86–$2,509.22 | $629.80–$3,584.60 | varies |
| CT angio hrt w/3d image (75574) range across 2 matching MRF lines |
$546.98–$1,234.24 | $781.40–$1,763.20 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$461.86–$3,763.34 | $659.80–$5,376.20 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 2 matching MRF lines |
$412.51–$3,976.91 | $589.30–$5,681.30 | varies |
| CT cervical spine w/ contrast (72126) | $3,540.53 | $5,057.90 | 9.5× |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$310.38–$3,043.53 | $443.40–$4,347.90 | varies |
| CT cervical spine w/wo cont (72127) range across 2 matching MRF lines |
$473.27–$3,669.75 | $676.10–$5,242.50 | varies |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$317.66–$3,561.74 | $453.80–$5,088.20 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$343.63–$4,356.38 | $490.90–$6,223.40 | varies |
| CT colonogrphy dx image postprocess w/o contrast (74261) range across 2 matching MRF lines |
$342.79–$3,168.62 | $489.70–$4,526.60 | varies |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$290.08–$2,930.34 | $414.40–$4,186.20 | varies |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$324.17–$3,577.91 | $463.10–$5,111.30 | varies |
| CT heart no contrast quant eval coronry calcium (75571) range across 2 matching MRF lines |
$34.30–$52.71 | $49–$75.30 | varies |
| CT iac w contrast (70481) range across 3 matching MRF lines |
$319.27–$3,007.83 | $456.10–$4,296.90 | varies |
| CT l-spine w&w/o contrast (72133) range across 2 matching MRF lines |
$363.02–$4,263.63 | $518.60–$6,090.90 | varies |
| CT lower ext w/o (73700) range across 6 matching MRF lines |
$253.68–$2,630.04 | $362.40–$3,757.20 | varies |
| CT lower extremity w/contrast material (73701) range across 3 matching MRF lines |
$278.81–$3,043.53 | $398.30–$4,347.90 | varies |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$354.13–$3,540.53 | $505.90–$5,057.90 | varies |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$294.98–$3,043.53 | $421.40–$4,347.90 | varies |
| CT maxillofacial w contrast (70487) range across 3 matching MRF lines |
$335.44–$3,035.83 | $479.20–$4,336.90 | varies |
| CT maxillofacial wo contrast (70486) range across 4 matching MRF lines |
$289.31–$2,569.63 | $413.30–$3,670.90 | varies |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$397.04–$3,684.17 | $567.20–$5,263.10 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 2 matching MRF lines |
$345.24–$3,684.17 | $493.20–$5,263.10 | varies |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$269.92–$2,645.37 | $385.60–$3,779.10 | varies |
| CT pelvis w&w/o contrast (72194) range across 2 matching MRF lines |
$317.66–$4,112.15 | $453.80–$5,874.50 | varies |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$283.64–$3,004.47 | $405.20–$4,292.10 | varies |
| CT scan of leg combo (73702) range across 3 matching MRF lines |
$322.49–$3,684.17 | $460.70–$5,263.10 | varies |
| CT scans face/jaw combo (70488) | $3,677.45 | $5,253.50 | 19.5× |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$358.19–$3,081.89 | $511.70–$4,402.70 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$342.79–$2,645.37 | $489.70–$3,779.10 | varies |
| CT thoracic spine w contrast (72129) range across 2 matching MRF lines |
$248.78–$3,540.53 | $355.40–$5,057.90 | varies |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$305.55–$3,043.53 | $436.50–$4,347.90 | varies |
| CT thoracic spine w/wo cont (72130) | $2,718.45 | $3,883.50 | 14.4× |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$300.72–$3,043.53 | $429.60–$4,347.90 | varies |
| CT upper ext wo (73200) range across 4 matching MRF lines |
$260.96–$5,260.01 | $372.80–$7,514.30 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 4 matching MRF lines |
$322.49–$6,078.52 | $460.70–$8,683.60 | varies |
| CT upper extremity with contrast (73201) range across 4 matching MRF lines |
$306.25–$6,087.06 | $437.50–$8,695.80 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$913.29–$4,898.39 | $1,304.70–$6,997.70 | varies |
| Cta Abdomen (74175) range across 3 matching MRF lines |
$712.39–$4,898.39 | $1,017.70–$6,997.70 | varies |
| Diskography lumbar (72295) | $976.85 | $1,395.50 | 0.5× |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$72.17–$472.43 | $103.10–$674.90 | varies |
| Dxa bone density study 1/>sites appendiclr skel (77081) range across 2 matching MRF lines |
$64.82–$294.98 | $92.60–$421.40 | varies |
| Echo exam uterus (76831) | $370.93 | $529.90 | 1.4× |
| Esophagram (74220) range across 2 matching MRF lines |
$102.06–$671.79 | $145.80–$959.70 | varies |
| Fetal Biophys Profile W/Nst (76818) | $333.55 | $476.50 | 3.0× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 2 matching MRF lines |
$175–$453.60 | $250–$648 | varies |
| Fluoroscopy up to 1 hr (76000) range across 3 matching MRF lines |
$74.90–$942.48 | $107–$1,346.40 | varies |
| Foot 2 views (73620) range across 4 matching MRF lines |
$44.59–$442.47 | $63.70–$632.10 | varies |
| Forearm 2 views (73090) range across 4 matching MRF lines |
$44.59–$515.62 | $63.70–$736.60 | varies |
| Gastric emptying imaging study (78264) range across 2 matching MRF lines |
$196.07–$2,157.12 | $280.10–$3,081.60 | varies |
| Gated Heart Planar Single (78472) range across 2 matching MRF lines |
$311.43–$2,593.08 | $444.90–$3,704.40 | varies |
| Hand 2 views (73120) range across 5 matching MRF lines |
$46.97–$462.77 | $67.10–$661.10 | varies |
| Hepatobil Syst Image W/Drug (78227) range across 2 matching MRF lines |
$237.51–$1,887.34 | $339.30–$2,696.20 | varies |
| Hepatobiliary System Imaging (78226) range across 2 matching MRF lines |
$195.37–$1,804.67 | $279.10–$2,578.10 | varies |
| Ht Muscle Image Spect Sing (78451) | $4,824.75 | $6,892.50 | 3.5× |
| Hysterosalpingogram (74740) range across 2 matching MRF lines |
$98.14–$748.72 | $140.20–$1,069.60 | varies |
| Infant hip ultrasound with hip movement (dynamic) (76885) range across 2 matching MRF lines |
$202.58–$863.03 | $289.40–$1,232.90 | varies |
| Joint Survey Single View (77077) range across 4 matching MRF lines |
$78.26–$742.77 | $111.80–$1,061.10 | varies |
| K Flow/Funct Image W/Drug (78708) range across 2 matching MRF lines |
$310.38–$1,920.45 | $443.40–$2,743.50 | varies |
| Knee 3 Views (73562) range across 4 matching MRF lines |
$49.49–$569.24 | $70.70–$813.20 | varies |
| Lymph System Imaging (78195) range across 2 matching MRF lines |
$318.50–$1,563.94 | $455–$2,234.20 | varies |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$345.24–$2,755.13 | $493.20–$3,935.90 | varies |
| MRA neck w contrast (70548) range across 2 matching MRF lines |
$365.54–$2,644.18 | $522.20–$3,777.40 | varies |
| MRA neck w/o contrast (70547) range across 2 matching MRF lines |
$324.17–$2,755.13 | $463.10–$3,935.90 | varies |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$438.41–$2,727.62 | $626.30–$3,896.60 | varies |
| MRI any jt lower extrem w/contrast material (73722) | $427.84 | $611.20 | 0.5× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$473.27–$4,099.55 | $676.10–$5,856.50 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 2 matching MRF lines |
$385.70–$2,670.85 | $551–$3,815.50 | varies |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$403.55–$2,727.62 | $576.50–$3,896.60 | varies |
| MRI chest wo w contrast (71552) range across 2 matching MRF lines |
$597.24–$4,899.30 | $853.20–$6,999 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 2 matching MRF lines |
$802.27–$2,687.93 | $1,146.10–$3,839.90 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines |
$316.05–$2,687.93 | $451.50–$3,839.90 | varies |
| MRI lumbar spine w contrast (72149) range across 2 matching MRF lines |
$346.85–$3,228.40 | $495.50–$4,612 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$499.17–$5,462.52 | $713.10–$7,803.60 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 2 matching MRF lines |
$333.13–$2,687.93 | $475.90–$3,839.90 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 2 matching MRF lines |
$542.15–$3,900.19 | $774.50–$5,571.70 | varies |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$504.07–$3,952.83 | $720.10–$5,646.90 | varies |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$383.32–$2,727.62 | $547.60–$3,896.60 | varies |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$378.42–$2,978.01 | $540.60–$4,254.30 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 3 matching MRF lines |
$348.46–$2,687.93 | $497.80–$3,839.90 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 2 matching MRF lines |
$802.27–$2,687.93 | $1,146.10–$3,839.90 | varies |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$532.42–$3,973.13 | $760.60–$5,675.90 | varies |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$551.88–$5,462.52 | $788.40–$7,803.60 | varies |
| MRI, joint upper extrem (73221) range across 2 matching MRF lines |
$370.37–$2,548.56 | $529.10–$3,640.80 | varies |
| MRI, joint upper extrem combo (73223) range across 2 matching MRF lines |
$612.64–$3,694.39 | $875.20–$5,277.70 | varies |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$500.78–$5,700.73 | $715.40–$8,143.90 | varies |
| Myocardial Spect Multiple Studies (78452) range across 2 matching MRF lines |
$818.51–$5,281.01 | $1,169.30–$7,544.30 | varies |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$46.97–$223.79 | $67.10–$319.70 | varies |
| Nonvascular Shunt X-Ray (75809) range across 2 matching MRF lines |
$200.97–$637.77 | $287.10–$911.10 | varies |
| Pelvis 1 or 2 views (72170) range across 3 matching MRF lines |
$50.26–$311.43 | $71.80–$444.90 | varies |
| PET image w/CT, full body (78816) | $315.21 | $450.30 | 0.2× |
| PET imaging CT attenuation skull base mid-thigh (78815) range across 2 matching MRF lines |
$507.29–$7,737.94 | $724.70–$11,054.20 | varies |
| Pulmonary Perfusion Imaging Particulate (78580) range across 2 matching MRF lines |
$193.76–$1,409.24 | $276.80–$2,013.20 | varies |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$81.06–$561.61 | $115.80–$802.30 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 4 matching MRF lines |
$46.97–$539.49 | $67.10–$770.70 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 4 matching MRF lines |
$42.98–$403.27 | $61.40–$576.10 | varies |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$45.36–$319.13 | $64.80–$455.90 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$60.76–$402.50 | $86.80–$575 | varies |
| Radex fingr minimum 2 views (73140) range across 2 matching MRF lines |
$35.63–$252.77 | $50.90–$361.10 | varies |
| Radex foot complete minimum 3 views (73630) range across 4 matching MRF lines |
$46.97–$539.49 | $67.10–$770.70 | varies |
| Radex Hand Minimum 3 Views (73130) range across 5 matching MRF lines |
$55.16–$539.49 | $78.80–$770.70 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 2 matching MRF lines |
$220.43–$221.27 | $314.90–$316.10 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $421.96 | $602.80 | 3.8× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$42.14–$263.76 | $60.20–$376.80 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 2 matching MRF lines |
$55.16–$308.91 | $78.80–$441.30 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 5 matching MRF lines |
$50.26–$569.24 | $71.80–$813.20 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $239.19 | $341.70 | 2.6× |
| Radex Spine 1 View Specify Level (72020) range across 2 matching MRF lines |
$42.98–$226.17 | $61.40–$323.10 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$46.97–$317.45 | $67.10–$453.50 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$49.49–$403.27 | $70.70–$576.10 | varies |
| Radex Toe Minimum 2 Views (73660) range across 2 matching MRF lines |
$38.15–$252.77 | $54.50–$361.10 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 3 matching MRF lines |
$40.53–$462.91 | $57.90–$661.30 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 4 matching MRF lines |
$51.87–$539.49 | $74.10–$770.70 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$67.34–$340.41 | $96.20–$486.30 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 4 matching MRF lines |
$60.76–$653.45 | $86.80–$933.50 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$75.39–$246.75 | $107.70–$352.50 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 2 matching MRF lines |
$110.18–$637.77 | $157.40–$911.10 | varies |
| Radiologic exam swallow function contrast study (74230) range across 2 matching MRF lines |
$115.08–$679.98 | $164.40–$971.40 | varies |
| Radiologic exam upr gi trc double contrast study (74246) range across 4 matching MRF lines |
$192.85–$1,046.22 | $275.50–$1,494.60 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 5 matching MRF lines |
$38.85–$555.66 | $55.50–$793.80 | varies |
| Radiologic examination knee 1/2 views (73560) range across 5 matching MRF lines |
$45.36–$517.86 | $64.80–$739.80 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $762.37 | $1,089.10 | 6.8× |
| Radiologic examination tibia & fibula 2 views (73590) range across 5 matching MRF lines |
$44.59–$518.98 | $63.70–$741.40 | varies |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$68.04–$353.92 | $97.20–$505.60 | varies |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) range across 2 matching MRF lines |
$233.38–$1,972.39 | $333.40–$2,817.70 | varies |
| Scapula (73010) range across 2 matching MRF lines |
$45.36–$263.76 | $64.80–$376.80 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $78.68 | $112.40 | 3.4× |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$38.15–$286.86 | $54.50–$409.80 | varies |
| Shoulder Arthrography (73040) range across 2 matching MRF lines |
$132.16–$1,028.37 | $188.80–$1,469.10 | varies |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$68.04–$335.23 | $97.20–$478.90 | varies |
| Sternoclavicular joints (71130) range across 3 matching MRF lines |
$33.32–$350.49 | $47.60–$500.70 | varies |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$58.38–$349.30 | $83.40–$499 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$57.54–$423.71 | $82.20–$605.30 | varies |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$52.71–$335.23 | $75.30–$478.90 | varies |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) range across 2 matching MRF lines |
$125.58–$1,394.68 | $179.40–$1,992.40 | varies |
| Ultrasound Breast Limited (76642) range across 4 matching MRF lines |
$283.64–$729.33 | $405.20–$1,041.90 | varies |
| Ultrasound Elastography Parenchyma (76981) | $688.80 | $984 | 6.1× |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
$61.60–$551.04 | $88–$787.20 | varies |
| Ultrasound, abdomen limited (76705) range across 4 matching MRF lines |
$185.57–$660.45 | $265.10–$943.50 | varies |
| Umbilical-artery Doppler (OB) (76820) | $208.53 | $297.90 | 1.9× |
| Unlisted Dx Radiographic Procedure (76499) | $208.53 | $297.90 | 2.2× |
| Upper gi w/o kub (74240) range across 2 matching MRF lines |
$136.15–$973.28 | $194.50–$1,390.40 | varies |
| Us breast unilateral complete (76641) range across 4 matching MRF lines |
$166.95–$529.97 | $238.50–$757.10 | varies |
| Us chest (76604) range across 2 matching MRF lines |
$142.59–$529.97 | $203.70–$757.10 | varies |
| Us complete joint (76881) | $172.83 | $246.90 | 1.5× |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$99.75–$397.04 | $142.50–$567.20 | varies |
| Us head (76506) range across 2 matching MRF lines |
$123.20–$519.47 | $176–$742.10 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 3 matching MRF lines |
$107.80–$529.20 | $154–$756 | varies |
| Us ob detailed single fetus (76811) range across 2 matching MRF lines |
$279.93–$310.59 | $399.90–$443.70 | varies |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$145.88–$236.53 | $208.40–$337.90 | varies |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$200.20–$396.55 | $286–$566.50 | varies |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$158.34–$189.77 | $226.20–$271.10 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$187.18–$381.15 | $267.40–$544.50 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 2 matching MRF lines |
$127.26–$133.63 | $181.80–$190.90 | varies |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$142.59–$755.23 | $203.70–$1,078.90 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$155.61–$714 | $222.30–$1,020 | varies |
| Us spinal canal and contents (76800) range across 2 matching MRF lines |
$333.83–$470.05 | $476.90–$671.50 | varies |
| Us thyroid (76536) range across 2 matching MRF lines |
$170.17–$650.79 | $243.10–$929.70 | varies |
| Us transrectal (76872) | $294 | $420 | 2.6× |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$42.98–$286.09 | $61.40–$408.70 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$52.71–$319.90 | $75.30–$457 | varies |
| X-Ray Bend Only L-S Spine (72120) | $328.44 | $469.20 | 2.9× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 5 matching MRF lines |
$42.98–$512.19 | $61.40–$731.70 | varies |
| X-Ray Exam Breast Specimen (76098) | $1,195.25 | $1,707.50 | 2.0× |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 3 matching MRF lines |
$56.77–$279.09 | $81.10–$398.70 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$67.34–$669.69 | $96.20–$956.70 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 2 matching MRF lines |
$38.85–$229.39 | $55.50–$327.70 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 4 matching MRF lines |
$47.88–$329.28 | $68.40–$470.40 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 3 matching MRF lines |
$47.88–$480.55 | $68.40–$686.50 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 2 matching MRF lines |
$63.21–$376.95 | $90.30–$538.50 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) range across 2 matching MRF lines |
$67.34–$408.45 | $96.20–$583.50 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$106.96–$661.92 | $152.80–$945.60 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$57.54–$370.93 | $82.20–$529.90 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$82.67–$599.06 | $118.10–$855.80 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 2 matching MRF lines |
$77–$428.89 | $110–$612.70 | varies |
| X-ray eye for foreign body (70030) range across 2 matching MRF lines |
$52.71–$241.64 | $75.30–$345.20 | varies |
| X-ray humerus (73060) range across 4 matching MRF lines |
$46.97–$555.66 | $67.10–$793.80 | varies |
| X-ray IV pyelogram+tomography (74415) range across 2 matching MRF lines |
$111.09–$1,072.89 | $158.70–$1,532.70 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $279.93 | $399.90 | 3.0× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$53.48–$311.43 | $76.40–$444.90 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$60.41–$400.82 | $86.30–$572.60 | varies |
| X-ray nose-rectum child f.b. (76010) range across 2 matching MRF lines |
$51.87–$266.35 | $74.10–$380.50 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$88.48–$498.61 | $126.40–$712.30 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$52.71–$308.91 | $75.30–$441.30 | varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) range across 2 matching MRF lines |
$45.36–$251.79 | $64.80–$359.70 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$47.88–$333.55 | $68.40–$476.50 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$59.99–$470.54 | $85.70–$672.20 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$78.68–$474.81 | $112.40–$678.30 | varies |
| X-Ray Stress View (77071) range across 2 matching MRF lines |
$163.59–$171.78 | $233.70–$245.40 | varies |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$143.50–$2,420.74 | $205–$3,458.20 | varies |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$81.69–$549.64 | $116.70–$785.20 | varies |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$52.71–$405.86 | $75.30–$579.80 | 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.