Imaging prices at Henry Ford Warren Hospital
Warren, MI · 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) | $2,331.28 | $4,163 | 1.7× |
| Abdomen 1 View (74018) | $112 | $200 | 1.3× |
| Abdomen 2 views (74019) | $161.84 | $289 | 1.6× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $433.44 | $774 | 1.1× |
| Angio internal mammary (75756) | $828.24 | $1,479 | 0.3× |
| Angio pulmonary bilat (75743) | $1,694 | $3,025 | 0.5× |
| Angiography extremity bilateral rs&i (75716) | $1,515.36 | $2,706 | 0.5× |
| Angiography extremity unilateral rs&i (75710) | $1,442.56 | $2,576 | 0.5× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $1,088.08 | $1,943 | 0.3× |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$101.92–$152.88 | $182–$273 | varies |
| Aortography thoracic serialography rs&i (75605) likely a partial charge, not the full procedure |
$1,498 | $2,675 | 0.3× |
| Artery X-Rays Abdomen (75726) likely a partial charge, not the full procedure |
$1,535.52 | $2,742 | 0.3× |
| Artery X-Rays Pelvis (75736) likely a partial charge, not the full procedure |
$1,467.20 | $2,620 | 0.3× |
| Artery X-Rays Spine (75705) likely a partial charge, not the full procedure |
$1,032.64 | $1,844 | 0.2× |
| Arthrogram ankle (73615) | $294.56 | $526 | 0.8× |
| Arthrogram hip (73525) range across 2 matching MRF lines |
$431.20–$646.24 | $770–$1,154 | varies |
| Arthrogram Wrist (73115) range across 2 matching MRF lines |
$285.60–$428.40 | $510–$765 | varies |
| Basic radiation dosimetry calculation (77300) | $190.96 | $341 | 1.4× |
| Bone age studies (77072) | $114.80 | $205 | 1.1× |
| Bone Imaging 3 Phase (78315) | $683.76 | $1,221 | 1.7× |
| Bone Imaging Limited Area (78300) | $273.28 | $488 | 0.7× |
| Bone Imaging Multiple Areas (78305) | $695.52 | $1,242 | 1.7× |
| Bone Imaging Whole Body (78306) | $1,089.76 | $1,946 | 2.7× |
| Bone marrow imaging limited area (78102) | $269.92 | $482 | 0.7× |
| Bone survey infant (77076) | $75.60 | $135 | 0.7× |
| Brachytx isodose complex (77318) | $659.68 | $1,178 | 1.8× |
| Brachytx isodose intermed (77317) | $622.72 | $1,112 | 1.7× |
| Brachytx Isodose Plan Simple (77316) | $469.28 | $838 | 1.3× |
| Brain Flow Imaging Only (78610) | $274.40 | $490 | 0.5× |
| Brain Image W/Flow < 4 Views (78601) | $554.96 | $991 | 1.4× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $2,783.20 | $4,970 | 2.0× |
| Cat Scan Follow-Up Study (76380) | $146.16 | $261 | 1.7× |
| Cerebrospinal Fluid Scan (78630) | $599.76 | $1,071 | 1.1× |
| Chest 1 view (71045) | $91.28 | $163 | 1.1× |
| Chest 2 views (71046) | $155.68 | $278 | 1.8× |
| Chest 3 views (71047) | $131.04 | $234 | 1.5× |
| Chest 4 or more views (71048) | $178.08 | $318 | 1.7× |
| Clavicle complete (73000) range across 2 matching MRF lines |
$106.96–$128.24 | $191–$229 | varies |
| Continuing medical physics consltj pr wk (77336) | $254.24 | $454 | 1.9× |
| Contrast Exam Abdominl Aorta (75625) | $1,293.04 | $2,309 | 0.4× |
| Contrast X-Ray Bladder (74430) | $207.20 | $370 | 0.6× |
| Contrast X-Ray Of Elbow (73085) | $203.84 | $364 | 0.6× |
| Contrast X-Ray Of Knee Joint (73580) range across 2 matching MRF lines |
$435.68–$652.96 | $778–$1,166 | varies |
| CT abdomen and pelvis without and with contrast (74178) | $2,044 | $3,650 | 5.9× |
| CT abdomen and pelvis without contrast (74176) | $1,666.56 | $2,976 | 7.0× |
| CT abdomen w contrast (74160) | $981.68 | $1,753 | 5.6× |
| CT abdomen w wo contrast (74170) | $1,022 | $1,825 | 5.8× |
| CT abdomen w/o contrast (74150) | $832.72 | $1,487 | 8.0× |
| CT Angio Abdomen and Pelvis (74174) | $2,414.72 | $4,312 | 6.9× |
| CT Angio Chest (71275) | $1,255.52 | $2,242 | 7.2× |
| CT Angio Head (70496) range across 2 matching MRF lines |
$986.72–$1,659.28 | $1,762–$2,963 | varies |
| CT angio hrt w/3d image (75574) | $441.84 | $789 | 1.3× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
$955.92–$1,737.12 | $1,707–$3,102 | varies |
| CT Angio Neck (70498) | $945.84 | $1,689 | 5.4× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 2 matching MRF lines |
$955.92–$1,911.28 | $1,707–$3,413 | varies |
| CT cervical spine w/ contrast (72126) | $688.24 | $1,229 | 2.0× |
| CT cervical spine w/o contrast (72125) | $632.24 | $1,129 | 6.1× |
| CT cervical spine w/wo cont (72127) | $893.20 | $1,595 | 5.1× |
| CT chest w contrast (71260) | $1,020.32 | $1,822 | 5.8× |
| CT chest w/wo contrast (71270) | $1,324.40 | $2,365 | 7.6× |
| CT head/brain with contrast (70460) | $981.12 | $1,752 | 5.6× |
| CT head/brain without and with contrast (70470) | $1,022 | $1,825 | 5.8× |
| CT heart contrast eval cardiac structure&morph (75572) | $441.84 | $789 | 1.3× |
| CT iac w contrast (70481) | $719.04 | $1,284 | 4.1× |
| CT l-spine w&w/o contrast (72133) | $893.20 | $1,595 | 5.1× |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$604.80–$844.48 | $1,080–$1,508 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$690.48–$965.44 | $1,233–$1,724 | varies |
| CT lumbar spine w contrast (72132) | $688.24 | $1,229 | 2.0× |
| CT lumbar spine w/o contrast (72131) | $632.24 | $1,129 | 6.1× |
| CT maxillofacial w contrast (70487) | $694.96 | $1,241 | 4.0× |
| CT maxillofacial wo contrast (70486) | $635.04 | $1,134 | 6.1× |
| CT neck tissue combo (70492) | $770 | $1,375 | 4.4× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $817.04 | $1,459 | 4.7× |
| CT orbits w/o contrast (70480) | $579.60 | $1,035 | 5.6× |
| CT pelvis w&w/o contrast (72194) | $1,156.40 | $2,065 | 6.6× |
| CT pelvis w/o contrast (72192) | $832.72 | $1,487 | 8.0× |
| CT scan of leg combo (73702) range across 2 matching MRF lines |
$895.44–$1,254.40 | $1,599–$2,240 | varies |
| CT scans face/jaw combo (70488) | $781.76 | $1,396 | 4.5× |
| CT soft tissue neck w contrast (70491) | $709.52 | $1,267 | 4.1× |
| CT soft tissue neck w/o contrast (70490) | $650.16 | $1,161 | 6.2× |
| CT thoracic spine w contrast (72129) | $665.28 | $1,188 | 3.8× |
| CT thoracic spine w/o contrast (72128) | $626.64 | $1,119 | 6.0× |
| CT thoracic spine w/wo cont (72130) | $893.20 | $1,595 | 5.1× |
| CT thorax w/o contrast (71250) | $832.72 | $1,487 | 8.0× |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$604.80–$844.48 | $1,080–$1,508 | varies |
| CT upper extremity w/o & w/contrast material (73202) | $814.24 | $1,454 | 4.7× |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$690.48–$877.52 | $1,233–$1,567 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,352.40 | $2,415 | 7.7× |
| Cta Abdomen (74175) | $1,232 | $2,200 | 7.0× |
| CTA pelvis (72191) | $1,184.96 | $2,116 | 6.8× |
| Dxa Bone Density Axial (77080) | $330.96 | $591 | 3.2× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $322 | $575 | 3.7× |
| Echo Guide For Artery Repair (76936) | $453.60 | $810 | 2.1× |
| Echograp Trans R Pros Study (76873) | $298.48 | $533 | 2.9× |
| Esophagram (74220) | $192.64 | $344 | 1.1× |
| Fluoroscopy up to 1 hr (76000) | $218.40 | $390 | 0.9× |
| Follow-Up Angiography (75898) | $613.76 | $1,096 | 0.2× |
| Foot 2 views (73620) range across 2 matching MRF lines |
$86.80–$131.04 | $155–$234 | varies |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$102.48–$153.44 | $183–$274 | varies |
| Gastric emptying imaging study (78264) | $678.72 | $1,212 | 1.7× |
| Gated Heart Planar Single (78472) | $450.24 | $804 | 1.1× |
| Gated Heart, Multiple (78473) | $927.36 | $1,656 | 2.3× |
| Hand 2 views (73120) range across 2 matching MRF lines |
$63.28–$95.76 | $113–$171 | varies |
| Hdr Rdncl Ntrstl/Icav Brchtx (77772) | $1,928.64 | $3,444 | 2.8× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) | $1,870.96 | $3,341 | 2.7× |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) | $1,814.40 | $3,240 | 2.6× |
| Hepatobil Syst Image W/Drug (78227) | $450.24 | $804 | 0.8× |
| Hepatobiliary System Imaging (78226) | $450.24 | $804 | 1.1× |
| Ht Musc Image Planar Mult (78454) | $2,149.28 | $3,838 | 1.7× |
| Ht Muscle Image Spect Sing (78451) | $2,014.88 | $3,598 | 1.6× |
| Interstitial radiation source applic complex (77778) | $1,076.32 | $1,922 | 1.6× |
| Intracavitary Radiation Source Applic Complex (77763) | $534.24 | $954 | 0.8× |
| K Flow/Funct Image Multiple (78709) | $494.48 | $883 | 0.9× |
| K Flow/Funct Image W/Drug (78708) | $591.92 | $1,057 | 1.1× |
| K Flow/Funct Image W/O Drug (78707) | $484.96 | $866 | 0.9× |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$123.76–$184.24 | $221–$329 | varies |
| Liver & Spleen Imaging Static Only (78215) | $577.92 | $1,032 | 1.5× |
| Lung Perf&Ventilat Diferentl (78598) | $421.68 | $753 | 0.8× |
| Lung perfusion differential (78597) | $310.24 | $554 | 0.8× |
| Lung Ventilat&Perfus Imaging (78582) | $484.96 | $866 | 0.9× |
| Lung Ventilation Imaging (78579) | $310.24 | $554 | 0.8× |
| Lymph System Imaging (78195) | $526.96 | $941 | 1.0× |
| Magnetic Image Jaw Joint (70336) range across 3 matching MRF lines |
$890.96–$1,623.44 | $1,591–$2,899 | varies |
| Mammary ductogram or galactogram multiple (77054) | $189.84 | $339 | 0.8× |
| Mammary ductogram or galactogram single (77053) | $157.92 | $282 | 0.7× |
| Meckels Divert Exam (78290) | $420.56 | $751 | 1.1× |
| Mlc imrt design & construction per imrt plan (77338) | $626.08 | $1,118 | 1.7× |
| Mra Head W/O & W/Contrast Material (70546) | $1,518.16 | $2,711 | 4.4× |
| MRA head w/o contrast (70544) | $1,261.68 | $2,253 | 5.3× |
| MRA head with contrast (70545) | $1,302.56 | $2,326 | 3.7× |
| MRA neck w contrast (70548) | $1,302.56 | $2,326 | 3.7× |
| Mra Neck W/O &W/Contrast Material (70549) | $1,518.16 | $2,711 | 4.4× |
| MRA neck w/o contrast (70547) | $1,261.68 | $2,253 | 5.3× |
| MRI abdomen w contrast (74182) | $1,726.48 | $3,083 | 5.0× |
| MRI abdomen w/o contrast (74181) | $1,480.08 | $2,643 | 6.2× |
| MRI any jt lower extrem w/contrast material (73722) | $1,726.48 | $3,083 | 2.2× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $1,972.32 | $3,522 | 5.7× |
| MRI any jt upper extremity w/contrast matrl (73222) | $1,501.36 | $2,681 | 1.9× |
| MRI Breast W/O Contrast Bilateral (77047) | $1,644.72 | $2,937 | 6.9× |
| MRI cervical spine w contrast (72142) | $1,726.48 | $3,083 | 5.0× |
| MRI cervical spine w/o cont (72141) | $1,480.08 | $2,643 | 6.2× |
| MRI chest w/o contrast (71550) | $1,480.08 | $2,643 | 6.2× |
| MRI chest with contrast (71551) | $1,726.48 | $3,083 | 2.2× |
| MRI chest wo w contrast (71552) | $1,972.32 | $3,522 | 5.7× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $2,137.52 | $3,817 | 6.1× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $1,480.08 | $2,643 | 6.2× |
| MRI lumbar spine w contrast (72149) | $1,726.48 | $3,083 | 5.0× |
| Mri Neck Spine W/O & W/Dye (72156) | $1,972.32 | $3,522 | 5.7× |
| MRI orbit face &/neck w/o contrast (70540) | $1,480.08 | $2,643 | 6.2× |
| MRI orbit face neck w contrast (70542) | $1,726.48 | $3,083 | 5.0× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $1,972.32 | $3,522 | 5.7× |
| MRI pelvis w contrast (72196) | $1,726.48 | $3,083 | 5.0× |
| MRI pelvis w/o & w contrast (72197) | $1,972.32 | $3,522 | 5.7× |
| MRI pelvis w/o contrast (72195) | $1,480.08 | $2,643 | 6.2× |
| MRI thoracic spine w/o contrast (72146) | $1,480.08 | $2,643 | 6.2× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $1,480.08 | $2,643 | 6.2× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $1,972.32 | $3,522 | 5.7× |
| MRI, abdomen, combo (74183) | $1,972.32 | $3,522 | 5.7× |
| MRI, dorsal spine combo (72157) | $1,972.32 | $3,522 | 5.7× |
| MRI, dorsal spine contrast (72147) | $1,726.48 | $3,083 | 5.0× |
| MRI, joint upper extrem (73221) | $1,480.08 | $2,643 | 6.2× |
| MRI, joint upper extrem combo (73223) | $1,972.32 | $3,522 | 5.7× |
| MRI, lumbar spine combo (72158) | $1,972.32 | $3,522 | 5.7× |
| Myelogram cervical (72240) | $966 | $1,725 | 1.2× |
| Myelogram Lumbar (72265) | $978.88 | $1,748 | 1.3× |
| Myelography thoracic (72255) | $917.84 | $1,639 | 1.2× |
| Myelograpy 2/more regions rs&i (72270) | $1,068.48 | $1,908 | 1.4× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $429.52 | $767 | 1.1× |
| Myocardial Spect Multiple Studies (78452) | $2,688.56 | $4,801 | 2.1× |
| Neck soft tissue (70360) | $126.56 | $226 | 1.5× |
| Ntsty modul radthx pln dose-vol histos (77301) | $1,803.20 | $3,220 | 1.3× |
| Nuclear Rx Intra-Arterial (79445) | $219.52 | $392 | 0.9× |
| Panoramic X-ray of jaws (70355) | $40.32 | $72 | 0.5× |
| Parathyroid Planar Imaging (78070) | $434.56 | $776 | 1.1× |
| Parathyroid planar imaging w/wo subtraction (78071) | $505.12 | $902 | 1.3× |
| Pelvis 1 or 2 views (72170) | $98.56 | $176 | 0.9× |
| PET image w/CT, full body (78816) | $2,013.20 | $3,595 | 1.4× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $2,013.20 | $3,595 | 1.4× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $784 | $1,400 | 0.2× |
| Pulmonary Perfusion Imaging Particulate (78580) | $454.72 | $812 | 1.1× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $133.28 | $238 | 1.3× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $137.20 | $245 | 0.3× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$154.56–$231.28 | $276–$413 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$102.48–$152.88 | $183–$273 | varies |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$147.28–$220.08 | $263–$393 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $238 | $425 | 2.3× |
| Radex fingr minimum 2 views (73140) | $78.96 | $141 | 0.9× |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$154.56–$231.28 | $276–$413 | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$137.76–$206.08 | $246–$368 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 2 matching MRF lines |
$114.80–$171.92 | $205–$307 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $148.40 | $265 | 1.7× |
| Radex Ribs Unilateral 2 Views (71100) | $127.68 | $228 | 1.5× |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$187.04–$281.12 | $334–$502 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $63.84 | $114 | 0.7× |
| Radex Spine 1 View Specify Level (72020) | $63.28 | $113 | 0.7× |
| Radex Sternum Minimum 2 Views (71120) | $114.80 | $205 | 1.3× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $106.96 | $191 | 1.2× |
| Radex Toe Minimum 2 Views (73660) | $72.24 | $129 | 0.8× |
| Radex upper extremity infant minimum 2 views (73092) range across 2 matching MRF lines |
$78.96–$118.16 | $141–$211 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$154.56–$231.28 | $276–$413 | varies |
| Radiation treatment delivery level 1 (77402) | $219.52 | $392 | 2.2× |
| Radiation treatment delivery level 2 (77407) | $273.84 | $489 | 0.7× |
| Radiation treatment delivery level 3 (77412) | $351.12 | $627 | 0.6× |
| Radiolog exam mandible compl minimum 4 views (70110) | $232.96 | $416 | 2.2× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $176.40 | $315 | 1.7× |
| Radiologic exam colon double contrast study (74280) | $359.52 | $642 | 2.1× |
| Radiologic exam colon single contrast study (74270) | $366.80 | $655 | 2.1× |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$175.28–$263.20 | $313–$470 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $177.52 | $317 | 1.7× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $238 | $425 | 1.4× |
| Radiologic exam swallow function contrast study (74230) | $160.16 | $286 | 0.9× |
| Radiologic exam upr gi trc double contrast study (74246) | $370.72 | $662 | 2.1× |
| Radiologic examination femur 1 view (73551) range across 2 matching MRF lines |
$73.36–$109.76 | $131–$196 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$128.24–$192.64 | $229–$344 | varies |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$115.92–$173.60 | $207–$310 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 2 matching MRF lines |
$102.48–$152.88 | $183–$273 | varies |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77768) | $187.04 | $334 | 0.5× |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77767) | $187.04 | $334 | 0.5× |
| Renal Cyst Study (74470) | $631.68 | $1,128 | 1.2× |
| Ribs bilateral 3 views (71110) | $201.60 | $360 | 1.9× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $253.12 | $452 | 0.6× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $754.32 | $1,347 | 1.4× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $870.24 | $1,554 | 1.6× |
| Scapula (73010) range across 2 matching MRF lines |
$114.80–$171.92 | $205–$307 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $20.72 | $37 | 0.9× |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$91.28–$137.20 | $163–$245 | varies |
| Shoulder Arthrography (73040) range across 2 matching MRF lines |
$359.52–$539.28 | $642–$963 | varies |
| Skull less than 4 views (70250) | $187.04 | $334 | 1.8× |
| Special dosimetry (77331) | $161.84 | $289 | 1.2× |
| Special Physics Consult (77370) | $297.36 | $531 | 2.2× |
| Special teletherapy port plan (77321) | $431.76 | $771 | 1.2× |
| Special treatment procedure (77470) | $821.52 | $1,467 | 1.5× |
| Stereotactic Body Radiation Delivery (77373) | $877.52 | $1,567 | 0.5× |
| Sternoclavicular joints (71130) | $132.16 | $236 | 1.5× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $631.12 | $1,127 | 1.7× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $426.72 | $762 | 1.1× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $789.60 | $1,410 | 2.1× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $469.84 | $839 | 1.3× |
| Ther rad simulaj-aided field setting simple (77280) | $264.88 | $473 | 2.0× |
| Thoracic spine 2 views (72070) | $129.92 | $232 | 1.2× |
| Thoracic spine 3 views (72072) | $185.92 | $332 | 1.8× |
| Thoracolumbar 2 views (72080) | $81.20 | $145 | 0.9× |
| Thyroid Imaging With Vascular Flow (78013) | $300.72 | $537 | 0.8× |
| Thyroid Uptake Measurement (78012) | $183.68 | $328 | 0.5× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $381.92 | $682 | 1.0× |
| Tx Devices Design & Construction Complex (77334) | $855.12 | $1,527 | 2.3× |
| Tx devices design & construction intermediate (77333) | $557.20 | $995 | 4.2× |
| Tx devices design & construction simple (77332) | $430.64 | $769 | 3.2× |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$407.68–$611.52 | $728–$1,092 | varies |
| Ultrasound Exam Aaa Screen (76706) | $129.36 | $231 | 1.2× |
| Ultrasound, abdomen limited (76705) | $407.68 | $728 | 3.9× |
| Unlisted Procedure Clinical Brachytherapy (77799) | $106.40 | $190 | 1.0× |
| Upper gi w/o kub (74240) | $370.72 | $662 | 2.1× |
| Urethrocystogram voiding (74455) | $248.08 | $443 | 1.0× |
| Urethrocystography retrograde (74450) | $222.32 | $397 | 0.9× |
| Us breast unilateral complete (76641) range across 2 matching MRF lines |
$470.40–$705.60 | $840–$1,260 | varies |
| Us chest (76604) | $84.56 | $151 | 0.8× |
| Us complete joint (76881) range across 2 matching MRF lines |
$672–$1,008.56 | $1,200–$1,801 | varies |
| Us exam, pelvic, limited (76857) | $172.48 | $308 | 1.7× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 4 matching MRF lines |
$600.88–$901.60 | $1,073–$1,610 | varies |
| Us ob detailed single fetus (76811) | $725.20 | $1,295 | 3.1× |
| Us ob limited 1 or more fetuses (76815) | $347.20 | $620 | 3.3× |
| Us ob transvaginal (76817) | $304.64 | $544 | 2.9× |
| Us pelvic non ob complete (76856) | $536.48 | $958 | 5.2× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $228.48 | $408 | 2.2× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $197.12 | $352 | 1.9× |
| Us retroperitoneal complete (76770) | $536.48 | $958 | 5.2× |
| Us retroperitoneal limited (76775) | $211.12 | $377 | 2.0× |
| Us scrotum and contents (76870) | $372.40 | $665 | 3.6× |
| Us thyroid (76536) | $453.60 | $810 | 4.4× |
| Us transrectal (76872) | $325.36 | $581 | 3.1× |
| Vein X-Ray Chest (75827) | $991.76 | $1,771 | 0.6× |
| Vein X-Ray Liver W/O Hemodyn (75887) | $1,070.72 | $1,912 | 0.3× |
| Venogram Sinus/Jugular (75860) | $600.32 | $1,072 | 0.2× |
| Venography caval inferior serialography rs&i (75825) | $1,696.80 | $3,030 | 0.5× |
| Venography extremity bilateral rs&i (75822) | $1,201.76 | $2,146 | 0.8× |
| Venography extremity unilateral rs&i (75820) | $600.88 | $1,073 | 0.4× |
| Venography Renal Bilateral (75833) | $1,696.80 | $3,030 | 0.5× |
| Venography Renal Unilateral (75831) | $1,131.20 | $2,020 | 0.4× |
| Vertebral fracture assessment via dxa (77086) | $93.52 | $167 | 1.1× |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$97.44–$146.16 | $174–$261 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $132.16 | $236 | 1.5× |
| X-Ray Aorta Leg Arteries (75630) | $1,386.56 | $2,476 | 0.4× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$99.12–$148.40 | $177–$265 | varies |
| X-Ray Exam Breast Specimen (76098) | $283.36 | $506 | 0.5× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $193.20 | $345 | 2.2× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $249.20 | $445 | 2.4× |
| X-Ray Exam Hip Uni 1 View (73501) | $140.56 | $251 | 1.6× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $262.64 | $469 | 3.0× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $342.16 | $611 | 3.3× |
| X-Ray Exam Hips Bi 2 Views (73521) | $269.92 | $482 | 2.6× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $342.16 | $611 | 3.3× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $359.52 | $642 | 3.5× |
| X-Ray Exam L-S Spine Bending (72114) | $211.68 | $378 | 2.0× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $180.32 | $322 | 2.1× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $238 | $425 | 2.3× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $142.80 | $255 | 1.4× |
| X-ray eye for foreign body (70030) | $128.24 | $229 | 1.5× |
| X-ray humerus (73060) range across 2 matching MRF lines |
$103.60–$155.68 | $185–$278 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $112 | $200 | 1.3× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $139.44 | $249 | 1.6× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $197.12 | $352 | 1.9× |
| X-ray nose-rectum child f.b. (76010) | $42 | $75 | 0.5× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $159.60 | $285 | 1.5× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $114.80 | $205 | 1.1× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $124.88 | $223 | 1.4× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $238 | $425 | 2.7× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $255.36 | $456 | 2.5× |
| X-Ray Stress View (77071) | $91.84 | $164 | 1.1× |
| X-ray thoracic spine 4 vw (72074) | $231.84 | $414 | 2.2× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $288.40 | $515 | 0.8× |
| X-Rays Bone Length Studies (77073) | $199.92 | $357 | 1.9× |
| X-Rays Bone Survey Complete (77075) | $150.08 | $268 | 1.4× |
| Xr c-spine 4 or 5 views (72050) | $231.84 | $414 | 2.2× |
| Xr facial bones less than 3 views (70140) | $53.76 | $96 | 0.6× |
| Xr orbits complete 4 views (70200) | $222.88 | $398 | 2.1× |
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.