Imaging prices at Higgins General Hospital
Bremen, GA · every code in this section with a posted price and a Medicare benchmark.
377 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) range across 2 matching MRF lines |
$184.80–$4,881.60 | $462–$12,204 | varies |
| Abdomen 1 View (74018) range across 3 matching MRF lines |
$7.60–$164.80 | $19–$412 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$109.20–$195.60 | $273–$489 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) range across 2 matching MRF lines |
$580.40–$661.60 | $1,451–$1,654 | varies |
| Adrenal Cortex & Medulla Img (78075) range across 2 matching MRF lines |
$682–$827.60 | $1,705–$2,069 | varies |
| Angio internal mammary (75756) | $750 | $1,875 | 0.2× |
| Angio pulmonary bilat (75743) | $2,342.80 | $5,857 | 0.7× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $3,006.40 | $7,516 | 0.9× |
| Angiography extremity bilateral rs&i (75716) | $1,788.80 | $4,472 | 0.6× |
| Angiography extremity unilateral rs&i (75710) | $1,727.20 | $4,318 | 0.5× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $3,006.40 | $7,516 | 0.9× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $3,131.60 | $7,829 | 1.0× |
| Ankle 2 views (73600) range across 5 matching MRF lines |
$76–$243.20 | $190–$608 | varies |
| Aortography thoracic serialography rs&i (75605) | $5,647.60 | $14,119 | 1.0× |
| Aortography thoracic w/o serialography rs&i (75600) | $2,059.20 | $5,148 | 0.6× |
| Artery X-Rays Abdomen (75726) unusually low: confirm this is the full procedure |
$2,658.80 | $6,647 | 0.5× |
| Artery X-Rays Adrenal Gland (75731) | $793.60 | $1,984 | 0.2× |
| Artery X-Rays Pelvis (75736) unusually low: confirm this is the full procedure |
$2,578 | $6,445 | 0.5× |
| Artery X-Rays Spine (75705) unusually low: confirm this is the full procedure |
$2,223.20 | $5,558 | 0.4× |
| Arthrogram ankle (73615) range across 2 matching MRF lines |
$181.60–$356.80 | $454–$892 | varies |
| Arthrogram hip (73525) range across 2 matching MRF lines |
$181.60–$373.20 | $454–$933 | varies |
| Arthrogram Wrist (73115) range across 2 matching MRF lines |
$142.80–$323.60 | $357–$809 | varies |
| Basic radiation dosimetry calculation (77300) range across 2 matching MRF lines |
$26.80–$326 | $67–$815 | varies |
| Bone age studies (77072) range across 3 matching MRF lines |
$48.40–$100 | $121–$250 | varies |
| Bone Imaging 3 Phase (78315) range across 2 matching MRF lines |
$690.80–$1,132.80 | $1,727–$2,832 | varies |
| Bone Imaging Limited Area (78300) range across 2 matching MRF lines |
$414–$631.20 | $1,035–$1,578 | varies |
| Bone Imaging Multiple Areas (78305) | $672.80 | $1,682 | 1.7× |
| Bone Imaging Whole Body (78306) range across 2 matching MRF lines |
$762.80–$1,225.20 | $1,907–$3,063 | varies |
| Bone marrow imaging limited area (78102) range across 2 matching MRF lines |
$475.20–$516.80 | $1,188–$1,292 | varies |
| Brachytx isodose complex (77318) | $1,052.80 | $2,632 | 2.8× |
| Brachytx isodose intermed (77317) | $672.80 | $1,682 | 1.8× |
| Brachytx Isodose Plan Simple (77316) | $347.20 | $868 | 0.9× |
| Brain Flow Imaging Only (78610) range across 2 matching MRF lines |
$400–$562.80 | $1,000–$1,407 | varies |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $656.40 | $1,641 | 1.2× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $1,769.20 | $4,423 | 5.0× |
| Cardiac MRI w/w/o contrast w/stress (75563) | $1,946 | $4,865 | 2.4× |
| Cat Scan Follow-Up Study (76380) range across 2 matching MRF lines |
$358.80–$595.60 | $897–$1,489 | varies |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $638 | $1,595 | 1.2× |
| Cerebrospinal Fluid Scan (78630) range across 2 matching MRF lines |
$580.40–$759.60 | $1,451–$1,899 | varies |
| Chest 1 view (71045) range across 4 matching MRF lines |
$7.60–$278.40 | $19–$696 | varies |
| Chest 2 views (71046) range across 4 matching MRF lines |
$8.80–$255.20 | $22–$638 | varies |
| Chest 3 views (71047) range across 2 matching MRF lines |
$119.20–$260.80 | $298–$652 | varies |
| Chest 4 or more views (71048) range across 2 matching MRF lines |
$180.80–$249.20 | $452–$623 | varies |
| Clavicle complete (73000) range across 5 matching MRF lines |
$72–$236 | $180–$590 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 2 matching MRF lines |
$58.80–$143.20 | $147–$358 | varies |
| Continuing medical physics consltj pr wk (77336) | $288.40 | $721 | 2.1× |
| Contrast Exam Abdominl Aorta (75625) | $1,680.40 | $4,201 | 0.5× |
| Contrast X-Ray Bladder (74430) range across 2 matching MRF lines |
$129.20–$332 | $323–$830 | varies |
| Contrast X-Ray Of Elbow (73085) range across 2 matching MRF lines |
$181.60–$334 | $454–$835 | varies |
| Contrast X-Ray Of Knee Joint (73580) range across 2 matching MRF lines |
$181.60–$376.80 | $454–$942 | varies |
| CT abdomen and pelvis without and with contrast (74178) range across 3 matching MRF lines |
$82.40–$3,108 | $206–$7,770 | varies |
| CT abdomen and pelvis without contrast (74176) range across 4 matching MRF lines |
$71.60–$2,423.20 | $179–$6,058 | varies |
| CT abdomen w contrast (74160) range across 3 matching MRF lines |
$700–$1,974.40 | $1,750–$4,936 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$774–$2,138.40 | $1,935–$5,346 | varies |
| CT abdomen w/o contrast (74150) range across 3 matching MRF lines |
$576.80–$1,557.60 | $1,442–$3,894 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$695.20–$2,004.80 | $1,738–$5,012 | varies |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$893.60–$1,594.80 | $2,234–$3,987 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$599.60–$1,666 | $1,499–$4,165 | varies |
| CT angio hrt w/3d image (75574) range across 2 matching MRF lines |
$632–$1,311.20 | $1,580–$3,278 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 3 matching MRF lines |
$690.80–$1,817.20 | $1,727–$4,543 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$599.60–$1,677.20 | $1,499–$4,193 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 3 matching MRF lines |
$657.60–$1,405.20 | $1,644–$3,513 | varies |
| CT Cere Prfuj Alys C+ W/O CT/Cta Same Anatomy (70473) | $140.80 | $352 | 0.8× |
| CT cervical spine w/ contrast (72126) range across 2 matching MRF lines |
$479.20–$1,300.80 | $1,198–$3,252 | varies |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$650.40–$981.20 | $1,626–$2,453 | varies |
| CT cervical spine w/wo cont (72127) range across 2 matching MRF lines |
$720–$1,312 | $1,800–$3,280 | varies |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$672.80–$1,247.20 | $1,682–$3,118 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$768.80–$1,564.80 | $1,922–$3,912 | varies |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$515.20–$1,247.20 | $1,288–$3,118 | varies |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$626.80–$1,526.40 | $1,567–$3,816 | varies |
| CT heart contrast eval cardiac structure&morph (75572) | $732.80 | $1,832 | 2.1× |
| CT heart no contrast quant eval coronry calcium (75571) range across 2 matching MRF lines |
$75.20–$102 | $188–$255 | varies |
| CT hrt w/3d image congen (75573) | $724.40 | $1,811 | 2.0× |
| CT iac w contrast (70481) range across 3 matching MRF lines |
$500.40–$1,562 | $1,251–$3,905 | varies |
| CT l-spine w&w/o contrast (72133) range across 2 matching MRF lines |
$717.20–$1,316.40 | $1,793–$3,291 | varies |
| CT lower ext w/o (73700) range across 6 matching MRF lines |
$420.80–$3,267.60 | $1,052–$8,169 | varies |
| CT lower extremity w/contrast material (73701) range across 4 matching MRF lines |
$589.20–$1,311.60 | $1,473–$3,279 | varies |
| CT lumbar spine w contrast (72132) range across 3 matching MRF lines |
$479.20–$1,235.20 | $1,198–$3,088 | varies |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$650.40–$981.20 | $1,626–$2,453 | varies |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$517.60–$1,431.60 | $1,294–$3,579 | varies |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$467.20–$1,018 | $1,168–$2,545 | varies |
| CT neck tissue combo (70492) range across 3 matching MRF lines |
$581.20–$1,640.80 | $1,453–$4,102 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 3 matching MRF lines |
$605.60–$1,758 | $1,514–$4,395 | varies |
| CT orbits w/o contrast (70480) range across 4 matching MRF lines |
$482–$1,294.40 | $1,205–$3,236 | varies |
| CT pelvis w&w/o contrast (72194) range across 3 matching MRF lines |
$696.40–$1,932.80 | $1,741–$4,832 | varies |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$576.80–$902.40 | $1,442–$2,256 | varies |
| CT scan of leg combo (73702) range across 3 matching MRF lines |
$442.40–$1,410.80 | $1,106–$3,527 | varies |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
$454–$1,448.40 | $1,135–$3,621 | varies |
| CT soft tissue neck w contrast (70491) range across 3 matching MRF lines |
$534.40–$1,596 | $1,336–$3,990 | varies |
| CT soft tissue neck w/o contrast (70490) range across 3 matching MRF lines |
$436.40–$1,102 | $1,091–$2,755 | varies |
| CT thoracic spine w contrast (72129) range across 2 matching MRF lines |
$479.20–$1,105.20 | $1,198–$2,763 | varies |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$684–$1,054.80 | $1,710–$2,637 | varies |
| CT thoracic spine w/wo cont (72130) range across 2 matching MRF lines |
$832–$1,120 | $2,080–$2,800 | varies |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$545.20–$878 | $1,363–$2,195 | varies |
| CT unlisted procedure (76497) | $642 | $1,605 | 7.3× |
| CT upper ext wo (73200) range across 4 matching MRF lines |
$398.40–$1,262.40 | $996–$3,156 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 4 matching MRF lines |
$615.60–$1,263.20 | $1,539–$3,158 | varies |
| CT upper extremity with contrast (73201) range across 3 matching MRF lines |
$596.80–$1,185.60 | $1,492–$2,964 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$657.60–$1,272 | $1,644–$3,180 | varies |
| Cta Abdomen (74175) range across 3 matching MRF lines |
$816.40–$1,828.40 | $2,041–$4,571 | varies |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $350 | $875 | 1.0× |
| CTA pelvis (72191) range across 2 matching MRF lines |
$740.80–$1,318.80 | $1,852–$3,297 | varies |
| Dacryocystography, nasolacrimal duct, radiological supervision and interpretation Non-Facility (70170) | $146.80 | $367 | 0.6× |
| Dxa Bone Density Axial (77080) | $348.80 | $872 | 3.3× |
| Dxa bone density study (77085) | $327.60 | $819 | 3.1× |
| Dxa bone density study 1/>sites appendiclr skel (77081) range across 2 matching MRF lines |
$71.20–$94.80 | $178–$237 | varies |
| Echo exam uterus (76831) | $255.20 | $638 | 1.1× |
| Echo Guide For Artery Repair (76936) range across 2 matching MRF lines |
$246–$490.80 | $615–$1,227 | varies |
| Echograp Trans R Pros Study (76873) | $375.60 | $939 | 3.5× |
| Esophagram (74220) range across 2 matching MRF lines |
$121.60–$344 | $304–$860 | varies |
| Fetal Biophys Profile W/Nst (76818) range across 2 matching MRF lines |
$154–$337.20 | $385–$843 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $100 | $250 | 0.9× |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$180.80–$373.60 | $452–$934 | varies |
| Follow-Up Angiography (75898) | $346.40 | $866 | 0.1× |
| Foot 2 views (73620) range across 5 matching MRF lines |
$79.20–$259.60 | $198–$649 | varies |
| Forearm 2 views (73090) range across 7 matching MRF lines |
$6.80–$474.40 | $17–$1,186 | varies |
| Gastric emptying imaging study (78264) range across 2 matching MRF lines |
$754.80–$1,164 | $1,887–$2,910 | varies |
| Gastroesophageal Reflux Exam (78262) | $638 | $1,595 | 1.6× |
| Gated Heart Planar Single (78472) range across 2 matching MRF lines |
$580.40–$1,110 | $1,451–$2,775 | varies |
| Hdr Rdncl Ntrstl/Icav Brchtx (77772) | $1,776.80 | $4,442 | 2.5× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) | $1,805.60 | $4,514 | 2.6× |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) | $1,488 | $3,720 | 2.1× |
| Hepatobil Syst Image W/Drug (78227) range across 2 matching MRF lines |
$352–$1,387.20 | $880–$3,468 | varies |
| Hepatobiliary System Imaging (78226) range across 2 matching MRF lines |
$497.20–$722.80 | $1,243–$1,807 | varies |
| Ht Muscle Image Spect Sing (78451) range across 2 matching MRF lines |
$1,182.40–$1,757.20 | $2,956–$4,393 | varies |
| Hysterosalpingogram (74740) range across 2 matching MRF lines |
$183.60–$449.60 | $459–$1,124 | varies |
| Infant hip ultrasound with hip movement (dynamic) (76885) range across 2 matching MRF lines |
$88.40–$192.40 | $221–$481 | varies |
| Interstitial radiation source applic complex (77778) | $2,262.80 | $5,657 | 3.2× |
| K Flow/Funct Image Multiple (78709) range across 2 matching MRF lines |
$816–$1,111.20 | $2,040–$2,778 | varies |
| K Flow/Funct Image W/Drug (78708) range across 2 matching MRF lines |
$725.60–$1,122 | $1,814–$2,805 | varies |
| K Flow/Funct Image W/O Drug (78707) range across 2 matching MRF lines |
$539.20–$716.80 | $1,348–$1,792 | varies |
| Knee 3 Views (73562) range across 6 matching MRF lines |
$102.40–$346 | $256–$865 | varies |
| Leveen/Shunt Patency Exam (78291) | $630.80 | $1,577 | 1.6× |
| Liver & Spleen Imaging Static Only (78215) range across 2 matching MRF lines |
$498–$667.20 | $1,245–$1,668 | varies |
| Liver imaging static only (78201) | $535.60 | $1,339 | 1.0× |
| Liver imaging w/vascular flow (78202) | $535.60 | $1,339 | 1.0× |
| Lung Perf&Ventilat Diferentl (78598) | $683.60 | $1,709 | 1.2× |
| Lung perfusion differential (78597) | $1,403.20 | $3,508 | 3.5× |
| Lung Ventilat&Perfus Imaging (78582) range across 2 matching MRF lines |
$538.80–$897.20 | $1,347–$2,243 | varies |
| Lung Ventilation Imaging (78579) range across 2 matching MRF lines |
$402.40–$501.60 | $1,006–$1,254 | varies |
| Lymph System Imaging (78195) range across 2 matching MRF lines |
$580.40–$1,264.40 | $1,451–$3,161 | varies |
| Magnetic Image Jaw Joint (70336) range across 2 matching MRF lines |
$1,718.40–$1,840 | $4,296–$4,600 | varies |
| Mammary ductogram or galactogram multiple (77054) | $115.60 | $289 | 0.5× |
| Mammary ductogram or galactogram single (77053) | $263.60 | $659 | 1.1× |
| Meckels Divert Exam (78290) | $590.40 | $1,476 | 1.5× |
| Mlc imrt design & construction per imrt plan (77338) range across 2 matching MRF lines |
$184.80–$1,714.80 | $462–$4,287 | varies |
| Mr safety determination physician/other qhp (76016) | $87.60 | $219 | 1.0× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $24.40 | $61 | 0.8× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) | $91.20 | $228 | 0.9× |
| Mr safety med physics xm customization plng&mntr (76017) | $240.40 | $601 | 1.0× |
| Mra Head W/O & W/Contrast Material (70546) | $2,084.80 | $5,212 | 5.9× |
| MRA head w/o contrast (70544) | $1,712.40 | $4,281 | 7.1× |
| MRA head with contrast (70545) | $1,954.80 | $4,887 | 5.5× |
| MRA neck w contrast (70548) | $1,737.20 | $4,343 | 4.9× |
| Mra Neck W/O &W/Contrast Material (70549) | $1,890.40 | $4,726 | 5.3× |
| MRA neck w/o contrast (70547) | $1,668 | $4,170 | 6.9× |
| MRI abdomen w contrast (74182) | $2,510 | $6,275 | 7.1× |
| MRI abdomen w/o contrast (74181) | $2,423.20 | $6,058 | 10.0× |
| MRI any jt lower extrem w/contrast material (73722) range across 2 matching MRF lines |
$648.40–$1,847.60 | $1,621–$4,619 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 3 matching MRF lines |
$730.40–$4,083.20 | $1,826–$10,208 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 3 matching MRF lines |
$712.80–$2,361.20 | $1,782–$5,903 | varies |
| MRI Breast W/O Contrast Bilateral (77047) range across 3 matching MRF lines |
$1,723.20–$1,861.60 | $4,308–$4,654 | varies |
| MRI Breast Without Contrast Material Unilateral (77046) | $1,549.20 | $3,873 | 6.4× |
| MRI cardiac w/o cont stress (75559) | $1,769.20 | $4,423 | 3.2× |
| MRI cardiac w/o contrast (75557) | $1,359.20 | $3,398 | 5.6× |
| MRI cervical spine w contrast (72142) | $1,945.60 | $4,864 | 5.5× |
| MRI cervical spine w/o cont (72141) | $1,795.20 | $4,488 | 7.4× |
| MRI chest w/o contrast (71550) | $1,719.60 | $4,299 | 7.1× |
| MRI chest with contrast (71551) | $1,746 | $4,365 | 2.2× |
| MRI chest wo w contrast (71552) | $1,765.60 | $4,414 | 5.0× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 2 matching MRF lines |
$648.40–$2,072.40 | $1,621–$5,181 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 3 matching MRF lines |
$683.60–$2,807.60 | $1,709–$7,019 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines |
$624–$1,870.40 | $1,560–$4,676 | varies |
| MRI lumbar spine w contrast (72149) | $1,729.20 | $4,323 | 4.9× |
| Mri Neck Spine W/O & W/Dye (72156) | $2,920.40 | $7,301 | 8.2× |
| MRI orbit face &/neck w/o contrast (70540) | $1,462.40 | $3,656 | 6.0× |
| MRI orbit face neck w contrast (70542) | $1,465.20 | $3,663 | 4.1× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $2,641.20 | $6,603 | 7.5× |
| MRI pelvis w contrast (72196) | $1,732 | $4,330 | 4.9× |
| MRI pelvis w/o & w contrast (72197) | $2,538 | $6,345 | 7.2× |
| MRI pelvis w/o contrast (72195) | $1,550.40 | $3,876 | 6.4× |
| MRI thoracic spine w/o contrast (72146) | $1,648.80 | $4,122 | 6.8× |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 2 matching MRF lines |
$683.60–$1,812.80 | $1,709–$4,532 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 2 matching MRF lines |
$571.20–$1,752.40 | $1,428–$4,381 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 2 matching MRF lines |
$718.40–$2,288.40 | $1,796–$5,721 | varies |
| MRI, abdomen, combo (74183) | $2,718.40 | $6,796 | 7.7× |
| MRI, dorsal spine combo (72157) | $2,817.20 | $7,043 | 8.0× |
| MRI, dorsal spine contrast (72147) | $1,729.20 | $4,323 | 4.9× |
| MRI, joint upper extrem (73221) range across 2 matching MRF lines |
$571.20–$1,962.40 | $1,428–$4,906 | varies |
| MRI, joint upper extrem combo (73223) range across 2 matching MRF lines |
$747.20–$2,710 | $1,868–$6,775 | varies |
| MRI, lumbar spine combo (72158) | $2,452.80 | $6,132 | 6.9× |
| Myelogram cervical (72240) | $786 | $1,965 | 1.0× |
| Myelogram Lumbar (72265) | $692.80 | $1,732 | 0.9× |
| Myelography thoracic (72255) range across 2 matching MRF lines |
$592.80–$712.40 | $1,482–$1,781 | varies |
| Myelograpy 2/more regions rs&i (72270) | $786 | $1,965 | 1.0× |
| Myocardial Spect Multiple Studies (78452) range across 2 matching MRF lines |
$1,740.80–$2,334.40 | $4,352–$5,836 | varies |
| Myocrd Img Pet Metab Eval Single Study Cncrnt CT (78429) | $2,564.40 | $6,411 | 1.8× |
| Myocrd img PET prfuj 1std rest/stress cncrnt CT (78430) | $2,564.40 | $6,411 | 1.8× |
| Myocrd Img Pet Prfuj Mlt Std Rst&Strs Cncrnt CT (78431) | $2,773.60 | $6,934 | 1.2× |
| Myocrd Img Pet Prfuj W/Metab Dual Radiotracer (78432) | $1,780 | $4,450 | 1.2× |
| N-invas est c ffr sw aly CTA (75580) range across 3 matching MRF lines |
$788.80–$2,360 | $1,972–$5,900 | varies |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$88.40–$181.20 | $221–$453 | varies |
| Nfs/Instlj Radioelmnt Sln 3 Mo Follow-Up Care (77750) | $254.80 | $637 | 0.7× |
| Nonvascular Shunt X-Ray (75809) range across 2 matching MRF lines |
$126.80–$231.20 | $317–$578 | varies |
| Ntsty modul radthx pln dose-vol histos (77301) range across 2 matching MRF lines |
$344.40–$2,955.60 | $861–$7,389 | varies |
| Nuclear Rx Intra-Arterial (79445) | $334.40 | $836 | 1.4× |
| Nuclear Rx Oral Admin (79005) range across 2 matching MRF lines |
$267.20–$965.60 | $668–$2,414 | varies |
| Ophthalmic Ultrasonic Foreign Body Localization (76529) | $147.60 | $369 | 1.7× |
| Optic foramina (70190) | $96 | $240 | 1.1× |
| Panoramic X-ray of jaws (70355) | $122 | $305 | 1.4× |
| Parathyroid Planar Imaging (78070) range across 2 matching MRF lines |
$460.40–$667.20 | $1,151–$1,668 | varies |
| Parathyroid planar imaging w/wo subtraction (78071) range across 2 matching MRF lines |
$713.60–$963.20 | $1,784–$2,408 | varies |
| Pelvis 1 or 2 views (72170) range across 3 matching MRF lines |
$7.20–$130.80 | $18–$327 | varies |
| Pet Image Skull-Thigh (78812) | $1,670 | $4,175 | 1.1× |
| Pet Image W/Ct Lmtd (78814) | $1,434.40 | $3,586 | 1.0× |
| PET image w/CT, full body (78816) | $3,328.80 | $8,322 | 2.3× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $3,184 | $7,960 | 2.2× |
| Pet Imaging Limited Area Chest Head/Neck (78811) | $1,298.40 | $3,246 | 1.0× |
| PET whole body (78813) | $1,434.40 | $3,586 | 1.0× |
| Pulmonary Perfusion Imaging Particulate (78580) range across 2 matching MRF lines |
$497.20–$631.20 | $1,243–$1,578 | varies |
| Quan&Charac C Atherosclerotc Plaq Asses Sev C Ds (75577) | $2,360 | $5,900 | 2.5× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$148.40–$262.40 | $371–$656 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 2 matching MRF lines |
$209.20–$545.60 | $523–$1,364 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 6 matching MRF lines |
$94.80–$548.80 | $237–$1,372 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 5 matching MRF lines |
$92–$309.60 | $230–$774 | varies |
| Radex elbow complete minimum 3 views (73080) range across 7 matching MRF lines |
$7.20–$313.60 | $18–$784 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 3 matching MRF lines |
$94.80–$245.60 | $237–$614 | varies |
| Radex fingr minimum 2 views (73140) range across 5 matching MRF lines |
$65.20–$236.40 | $163–$591 | varies |
| Radex foot complete minimum 3 views (73630) range across 7 matching MRF lines |
$6.80–$290.80 | $17–$727 | varies |
| Radex Hand Minimum 3 Views (73130) range across 7 matching MRF lines |
$7.20–$328.80 | $18–$822 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 4 matching MRF lines |
$48.80–$150.80 | $122–$377 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) range across 2 matching MRF lines |
$99.20–$148.80 | $248–$372 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 3 matching MRF lines |
$73.60–$237.20 | $184–$593 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 5 matching MRF lines |
$89.20–$380 | $223–$950 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 6 matching MRF lines |
$94.80–$414.40 | $237–$1,036 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 3 matching MRF lines |
$82.80–$166.40 | $207–$416 | varies |
| Radex Spine 1 View Specify Level (72020) range across 2 matching MRF lines |
$67.20–$120 | $168–$300 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 3 matching MRF lines |
$86.40–$205.20 | $216–$513 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$118.80–$230.80 | $297–$577 | varies |
| Radex Toe Minimum 2 Views (73660) range across 4 matching MRF lines |
$70–$232 | $175–$580 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 3 matching MRF lines |
$49.20–$78.80 | $123–$197 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 6 matching MRF lines |
$79.60–$474.40 | $199–$1,186 | varies |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $13,690 | $34,225 | 1.8× |
| Radiation treatment delivery level 1 (77402) | $608.40 | $1,521 | 5.9× |
| Radiation treatment delivery level 2 (77407) | $857.60 | $2,144 | 2.2× |
| Radiation treatment delivery level 3 (77412) | $1,268 | $3,170 | 2.3× |
| Radiolog exam mandible compl minimum 4 views (70110) range across 3 matching MRF lines |
$60–$144.80 | $150–$362 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 3 matching MRF lines |
$11.20–$211.60 | $28–$529 | varies |
| Radiologic exam colon double contrast study (74280) range across 2 matching MRF lines |
$241.60–$497.20 | $604–$1,243 | varies |
| Radiologic exam colon single contrast study (74270) range across 2 matching MRF lines |
$196–$464 | $490–$1,160 | varies |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $352.80 | $882 | 2.0× |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 2 matching MRF lines |
$174.80–$360 | $437–$900 | varies |
| Radiologic exam swallow function contrast study (74230) range across 2 matching MRF lines |
$158–$268.80 | $395–$672 | varies |
| Radiologic exam upr gi trc double contrast study (74246) range across 4 matching MRF lines |
$197.20–$468 | $493–$1,170 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 4 matching MRF lines |
$72.40–$240.40 | $181–$601 | varies |
| Radiologic examination knee 1/2 views (73560) range across 5 matching MRF lines |
$89.20–$212.80 | $223–$532 | varies |
| Radiologic Examination Osseous Survey Limited (77074) range across 2 matching MRF lines |
$175.20–$388.40 | $438–$971 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 6 matching MRF lines |
$6.80–$250.80 | $17–$627 | varies |
| Radiologic examination, internal auditory meati, complete Non-Facility (70134) range across 2 matching MRF lines |
$92.40–$105.60 | $231–$264 | varies |
| Ribs bilateral 3 views (71110) range across 3 matching MRF lines |
$118.40–$269.20 | $296–$673 | varies |
| Rp loclzj tum plnr 1 area single day imaging (78800) range across 2 matching MRF lines |
$280–$520 | $700–$1,300 | varies |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) range across 2 matching MRF lines |
$280–$581.20 | $700–$1,453 | varies |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) range across 2 matching MRF lines |
$911.60–$1,544 | $2,279–$3,860 | varies |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) range across 2 matching MRF lines |
$746–$897.20 | $1,865–$2,243 | varies |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 2 matching MRF lines |
$580.40–$1,100.40 | $1,451–$2,751 | varies |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $942.40 | $2,356 | 0.7× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $1,102.40 | $2,756 | 0.8× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $874.80 | $2,187 | 0.7× |
| Rp Therapy Intravenous Administration (79101) | $473.20 | $1,183 | 2.0× |
| Scapula (73010) range across 4 matching MRF lines |
$80.40–$236 | $201–$590 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 2 matching MRF lines |
$21.20–$24.40 | $53–$61 | varies |
| Sella turcica (70240) | $70.40 | $176 | 0.8× |
| Shoulder 1 view (73020) range across 5 matching MRF lines |
$69.20–$216 | $173–$540 | varies |
| Shoulder Arthrography (73040) range across 2 matching MRF lines |
$181.60–$370.80 | $454–$927 | varies |
| Sialogram (70390) | $446.80 | $1,117 | 1.8× |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$105.60–$230.80 | $264–$577 | varies |
| Special dosimetry (77331) range across 2 matching MRF lines |
$37.60–$290.80 | $94–$727 | varies |
| Special Physics Consult (77370) | $437.60 | $1,094 | 3.2× |
| Special teletherapy port plan (77321) | $663.60 | $1,659 | 1.7× |
| Special treatment procedure (77470) | $930.40 | $2,326 | 1.7× |
| Stereotactic Body Radiation Delivery (77373) | $5,017.60 | $12,544 | 2.8× |
| Sternoclavicular joints (71130) range across 2 matching MRF lines |
$131.20–$199.20 | $328–$498 | varies |
| Surf radj ther orthvlt dlvr>150-500 kv per fxj (77438) | $210.40 | $526 | 2.0× |
| Surf radj ther supfc dlvr<=150 kv per fraction (77437) | $210.40 | $526 | 2.0× |
| Surf radj ther supfc/orthvlt treatment planning (77436) | $210.40 | $526 | 5.5× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $1,102.80 | $2,757 | 2.9× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) range across 2 matching MRF lines |
$60.40–$720 | $151–$1,800 | varies |
| Temporomandble Jt Arthrography Rs&I (70332) | $266 | $665 | 1.1× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) range across 2 matching MRF lines |
$67.20–$1,446.40 | $168–$3,616 | varies |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $641.60 | $1,604 | 1.7× |
| Ther rad simulaj-aided field setting simple (77280) range across 2 matching MRF lines |
$30.80–$785.60 | $77–$1,964 | varies |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$112.40–$228.40 | $281–$571 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$114.40–$237.20 | $286–$593 | varies |
| Thoracolumbar 2 views (72080) range across 3 matching MRF lines |
$87.60–$174 | $219–$435 | varies |
| Thyroid Carcinoma Metastases Img Lmtd Area (78015) | $525.60 | $1,314 | 1.3× |
| Thyroid Imaging With Vascular Flow (78013) | $364.80 | $912 | 0.9× |
| Thyroid Met Imaging Body (78018) range across 2 matching MRF lines |
$820–$1,361.60 | $2,050–$3,404 | varies |
| Thyroid Uptake Measurement (78012) | $400.80 | $1,002 | 1.0× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) range across 2 matching MRF lines |
$479.60–$957.20 | $1,199–$2,393 | varies |
| Tx Devices Design & Construction Complex (77334) range across 2 matching MRF lines |
$49.60–$845.60 | $124–$2,114 | varies |
| Tx devices design & construction intermediate (77333) | $452.80 | $1,132 | 3.3× |
| Tx devices design & construction simple (77332) | $485.60 | $1,214 | 3.6× |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$176–$418 | $440–$1,045 | varies |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
$58.80–$260 | $147–$650 | varies |
| Ultrasound trgt dynamic microbubble 1st lesion (76978) | $350 | $875 | 1.0× |
| Ultrasound, abdomen limited (76705) range across 5 matching MRF lines |
$24–$606.40 | $60–$1,516 | varies |
| Umbilical-artery Doppler (OB) (76820) range across 2 matching MRF lines |
$86.80–$121.60 | $217–$304 | varies |
| Unlisted Dx Radiographic Procedure (76499) range across 2 matching MRF lines |
$78.40–$86.80 | $196–$217 | varies |
| Unlisted magnetic resonance procedure (76498) range across 2 matching MRF lines |
$1,054–$1,096.40 | $2,635–$2,741 | varies |
| Unlisted Miscellaneous Px Dx Nuclear Medicine (78999) | $2,193.60 | $5,484 | 5.4× |
| Upper gi w/o kub (74240) range across 2 matching MRF lines |
$200.80–$519.60 | $502–$1,299 | varies |
| Ureteral Reflux Study (78740) | $796 | $1,990 | 2.0× |
| Urethrocystogram voiding (74455) range across 2 matching MRF lines |
$140–$315.20 | $350–$788 | varies |
| Urethrocystography retrograde (74450) | $270 | $675 | 1.1× |
| Us breast unilateral complete (76641) range across 2 matching MRF lines |
$66.40–$368.40 | $166–$921 | varies |
| Us chest (76604) range across 2 matching MRF lines |
$108–$237.20 | $270–$593 | varies |
| Us complete joint (76881) range across 2 matching MRF lines |
$160–$359.60 | $400–$899 | varies |
| Us exam, pelvic, limited (76857) range across 3 matching MRF lines |
$109.60–$343.60 | $274–$859 | varies |
| Us head (76506) range across 2 matching MRF lines |
$136–$294.80 | $340–$737 | varies |
| Us kidney transplant (76776) | $308.80 | $772 | 2.9× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 5 matching MRF lines |
$166–$856.80 | $415–$2,142 | varies |
| Us ob detailed single fetus (76811) | $344 | $860 | 1.4× |
| Us ob limited 1 or more fetuses (76815) range across 3 matching MRF lines |
$134–$358.80 | $335–$897 | varies |
| Us ob transvaginal (76817) range across 3 matching MRF lines |
$117.20–$379.60 | $293–$949 | varies |
| Us pelvic non ob complete (76856) range across 3 matching MRF lines |
$256–$671.20 | $640–$1,678 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 3 matching MRF lines |
$126.80–$506.80 | $317–$1,267 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 2 matching MRF lines |
$124.80–$233.20 | $312–$583 | varies |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$237.20–$348 | $593–$870 | varies |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$224–$332.40 | $560–$831 | varies |
| Us scrotum and contents (76870) range across 3 matching MRF lines |
$150.40–$630 | $376–$1,575 | varies |
| Us spinal canal and contents (76800) range across 2 matching MRF lines |
$113.60–$254.40 | $284–$636 | varies |
| Us thyroid (76536) range across 3 matching MRF lines |
$209.20–$700 | $523–$1,750 | varies |
| Us transrectal (76872) range across 2 matching MRF lines |
$160.40–$336.80 | $401–$842 | varies |
| Vein X-Ray Chest (75827) | $1,623.20 | $4,058 | 1.0× |
| Venogram Sinus/Jugular (75860) | $3,132 | $7,830 | 1.0× |
| Venography caval inferior serialography rs&i (75825) | $3,288.40 | $8,221 | 1.0× |
| Venography extremity bilateral rs&i (75822) range across 2 matching MRF lines |
$410–$833.60 | $1,025–$2,084 | varies |
| Venography extremity unilateral rs&i (75820) range across 2 matching MRF lines |
$346.80–$784.40 | $867–$1,961 | varies |
| Venography Renal Bilateral (75833) | $2,582.80 | $6,457 | 0.8× |
| Venography Renal Unilateral (75831) | $1,999.20 | $4,998 | 0.6× |
| Venous sampling by catheter (75893) | $5,378.40 | $13,446 | 1.0× |
| Wrist 2 views (73100) range across 4 matching MRF lines |
$77.20–$253.20 | $193–$633 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$88–$154.80 | $220–$387 | varies |
| X-ray antegrade pyelogram tube (74425) range across 2 matching MRF lines |
$199.60–$339.60 | $499–$849 | varies |
| X-Ray Aorta Leg Arteries (75630) | $1,810 | $4,525 | 0.6× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 4 matching MRF lines |
$86.80–$262 | $217–$655 | varies |
| X-Ray Exam Breast Specimen (76098) range across 2 matching MRF lines |
$193.60–$417.60 | $484–$1,044 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 3 matching MRF lines |
$95.20–$182.80 | $238–$457 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$151.20–$296.80 | $378–$742 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 4 matching MRF lines |
$8–$149.60 | $20–$374 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 5 matching MRF lines |
$9.20–$276.80 | $23–$692 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$118.40–$193.20 | $296–$483 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 2 matching MRF lines |
$165.60–$199.20 | $414–$498 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) range across 3 matching MRF lines |
$175.60–$386.40 | $439–$966 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 3 matching MRF lines |
$112.80–$303.60 | $282–$759 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$131.60–$433.20 | $329–$1,083 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 3 matching MRF lines |
$114.40–$257.20 | $286–$643 | varies |
| X-ray eye for foreign body (70030) range across 2 matching MRF lines |
$67.20–$114 | $168–$285 | varies |
| X-ray humerus (73060) range across 4 matching MRF lines |
$79.60–$272.80 | $199–$682 | varies |
| X-ray IV pyelogram (ivp) (74400) | $340 | $850 | 1.9× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 3 matching MRF lines |
$141.60–$262.80 | $354–$657 | varies |
| X-ray nose-rectum child f.b. (76010) range across 4 matching MRF lines |
$69.20–$289.60 | $173–$724 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 3 matching MRF lines |
$151.20–$336.40 | $378–$841 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 3 matching MRF lines |
$84–$218.40 | $210–$546 | varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) range across 2 matching MRF lines |
$66.40–$130 | $166–$325 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$113.20–$217.60 | $283–$544 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 3 matching MRF lines |
$125.60–$316.40 | $314–$791 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 3 matching MRF lines |
$140–$277.20 | $350–$693 | varies |
| X-Ray Tmj Unilat (70328) range across 3 matching MRF lines |
$84.40–$154.80 | $211–$387 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 2 matching MRF lines |
$197.60–$420.80 | $494–$1,052 | varies |
| X-Rays Bone Length Studies (77073) range across 2 matching MRF lines |
$64.40–$194.80 | $161–$487 | varies |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$205.20–$414.80 | $513–$1,037 | varies |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$179.20–$407.60 | $448–$1,019 | varies |
| Xr facial bones less than 3 views (70140) range across 2 matching MRF lines |
$128.40–$172.80 | $321–$432 | varies |
| XR Mastoids < 3 Views Bilateral (70120) | $144.80 | $362 | 1.4× |
| Xr orbits complete 4 views (70200) range across 3 matching MRF lines |
$109.60–$236.40 | $274–$591 | varies |
| Xr Tomogram Single Plane (76100) | $178.40 | $446 | 1.7× |
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.