Imaging prices at Highland Community Hospital
Picayune, MS · every code in this section with a posted price and a Medicare benchmark.
376 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) | $85.43 | $427.13 | 1.1× |
| Abdomen 2 views (74019) | $107.94 | $539.66 | 1.2× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $145.93 | $729.63 | 0.4× |
| Acute venous thrombosis imaging, peptide Non-Facility (78456) | $189.25 | $946.22 | 0.2× |
| Adrenal Cortex & Medulla Img (78075) | $172.07 | $860.31 | 0.2× |
| Angio pulmonary bilat (75743) | $704.47 | $3,522.31 | 0.3× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $670.59 | $3,352.91 | 0.2× |
| Angiography extremity bilateral rs&i (75716) range across 2 matching MRF lines |
$1,029.23–$1,029.47 | $5,146.13–$5,147.34 | varies |
| Angiography extremity unilateral rs&i (75710) | $900.73 | $4,503.62 | 0.3× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $820.87 | $4,104.32 | 0.3× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $237.89 | $1,189.43 | 0.1× |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$37.51–$91.96 | $187.55–$459.80 | varies |
| Aortography thoracic serialography rs&i (75605) | $873.38 | $4,366.89 | 0.2× |
| Artery X-Rays Abdomen (75726) range across 2 matching MRF lines |
$1,029.23–$1,029.47 | $5,146.13–$5,147.34 | varies |
| Artery X-Rays Adrenal Gland (75731) | $670.59 | $3,352.91 | 0.2× |
| Artery X-Rays Pelvis (75736) | $874.83 | $4,374.15 | 0.2× |
| Artery X-Rays Spine (75705) | $854.99 | $4,274.93 | 0.2× |
| Arthrogram ankle (73615) | $73.81 | $369.05 | 0.2× |
| Arthrogram hip (73525) | $84.22 | $421.08 | 0.3× |
| Arthrogram Wrist (73115) | $117.37 | $586.85 | 0.4× |
| Bone age studies (77072) | $24.45 | $122.21 | 0.3× |
| Bone Imaging 3 Phase (78315) | $253.38 | $1,266.87 | 0.7× |
| Bone Imaging Limited Area (78300) | $160.69 | $803.44 | 0.5× |
| Bone Imaging Multiple Areas (78305) | $294.03 | $1,470.15 | 0.8× |
| Bone Imaging Whole Body (78306) | $325.01 | $1,625.03 | 0.9× |
| Bone marrow imaging limited area (78102) | $134.07 | $670.34 | 0.4× |
| Bone marrow imaging; multiple areas (78103) | $248.54 | $1,242.67 | 0.7× |
| Bone marrow imaging; whole body (78104) | $267.66 | $1,338.26 | 0.8× |
| Bone survey infant (77076) | $75.75 | $378.73 | 0.8× |
| Brain Flow Imaging Only (78610) | $209.09 | $1,045.44 | 0.4× |
| Brain Image W/Flow < 4 Views (78601) | $220.47 | $1,102.31 | 0.6× |
| Brain imaging < 4 static views (78600) | $182.96 | $914.76 | 0.5× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $152.71 | $763.51 | 0.3× |
| Brain Imaging Minimum 4 Static Views (78605) | $126.57 | $632.83 | 0.3× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $1,089 | $5,445 | 3.5× |
| Cat Scan Follow-Up Study (76380) | $41.39 | $206.91 | 0.5× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $191.43 | $957.11 | 0.4× |
| Cerebrospinal Fluid Scan (78630) | $420.60 | $2,102.98 | 0.9× |
| Chest 1 view (71045) | $71.15 | $355.74 | 0.9× |
| Chest 2 views (71046) | $78.65 | $393.25 | 1.0× |
| Chest 3 views (71047) | $90.75 | $453.75 | 1.2× |
| Chest 4 or more views (71048) | $96.80 | $484 | 1.0× |
| Cholecystography Oral Contrast (74290) | $90.27 | $451.33 | 0.6× |
| Clavicle complete (73000) range across 3 matching MRF lines |
$37.51–$90.75 | $187.55–$453.75 | varies |
| Contrast Exam Abdominl Aorta (75625) | $1,068.92 | $5,344.57 | 0.4× |
| Contrast X-Ray Bladder (74430) | $65.59 | $327.91 | 0.2× |
| Contrast X-Ray Of Elbow (73085) | $103.10 | $515.46 | 0.3× |
| Contrast X-Ray Of Knee Joint (73580) | $88.33 | $441.65 | 0.3× |
| Contrast Xray Throat/Cerv Esopha (74210) | $80.11 | $400.51 | 0.5× |
| CT abdomen and pelvis without and with contrast (74178) | $969.94 | $4,849.68 | 3.1× |
| CT abdomen and pelvis without contrast (74176) | $669.86 | $3,349.28 | 3.2× |
| CT abdomen w contrast (74160) | $387.93 | $1,939.63 | 2.5× |
| CT abdomen w wo contrast (74170) | $484.97 | $2,424.84 | 3.1× |
| CT abdomen w/o contrast (74150) | $318.96 | $1,594.78 | 3.5× |
| CT Angio Abdomen and Pelvis (74174) | $639.61 | $3,198.03 | 2.1× |
| CT Angio Chest (71275) | $434.39 | $2,171.95 | 2.8× |
| CT Angio Head (70496) range across 2 matching MRF lines |
$442.14–$531.19 | $2,210.67–$2,655.95 | varies |
| CT angio hrt w/3d image (75574) | $502.88 | $2,514.38 | 1.6× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 3 matching MRF lines |
$370.51–$949.13 | $1,852.51–$4,745.62 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$492.23–$605.73 | $2,461.14–$3,028.63 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 3 matching MRF lines |
$338.32–$884.27 | $1,691.58–$4,421.34 | varies |
| CT bone density (77078) | $132.14 | $660.66 | 1.7× |
| CT cervical spine w/ contrast (72126) | $325.25 | $1,626.24 | 1.1× |
| CT cervical spine w/o contrast (72125) | $513.77 | $2,568.83 | 5.6× |
| CT cervical spine w/wo cont (72127) | $457.63 | $2,288.11 | 3.0× |
| CT chest w contrast (71260) | $374.38 | $1,871.87 | 2.4× |
| CT chest w/wo contrast (71270) | $533.61 | $2,668.05 | 3.4× |
| CT colonography screening (74263) | $346.79 | $1,733.93 | 1.6× |
| CT Colonogrphy Dx Image Postprocess W/Contrast (74262) | $401.72 | $2,008.60 | 2.6× |
| CT colonogrphy dx image postprocess w/o contrast (74261) | $266.93 | $1,334.63 | 2.9× |
| CT head/brain with contrast (70460) | $387.93 | $1,939.63 | 2.5× |
| CT head/brain without and with contrast (70470) | $471.18 | $2,355.87 | 3.0× |
| CT heart contrast eval cardiac structure&morph (75572) | $465.37 | $2,326.83 | 1.5× |
| CT heart no contrast quant eval coronry calcium (75571) | $36.06 | $180.29 | 0.5× |
| CT hrt w/3d image congen (75573) | $474.57 | $2,372.81 | 1.5× |
| CT iac w contrast (70481) | $301.54 | $1,507.66 | 1.9× |
| CT l-spine w&w/o contrast (72133) | $433.91 | $2,169.53 | 2.8× |
| CT lower ext w/o (73700) range across 3 matching MRF lines |
$277.34–$842.16 | $1,386.66–$4,210.80 | varies |
| CT lower extremity w/contrast material (73701) range across 3 matching MRF lines |
$346.79–$902.18 | $1,733.93–$4,510.88 | varies |
| CT lumbar spine w contrast (72132) | $431.97 | $2,159.85 | 1.4× |
| CT lumbar spine w/o contrast (72131) | $332.75 | $1,663.75 | 3.6× |
| CT maxillofacial w contrast (70487) | $313.88 | $1,569.37 | 2.0× |
| CT maxillofacial wo contrast (70486) | $304.68 | $1,523.39 | 3.3× |
| CT neck tissue combo (70492) | $431.97 | $2,159.85 | 2.8× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $409.71 | $2,048.53 | 2.6× |
| CT orbits w/o contrast (70480) | $325.25 | $1,626.24 | 3.5× |
| CT pelvis w&w/o contrast (72194) | $484.97 | $2,424.84 | 3.1× |
| CT pelvis w/o contrast (72192) | $351.15 | $1,755.71 | 3.8× |
| CT scan of leg combo (73702) range across 3 matching MRF lines |
$373.65–$1,136.92 | $1,868.24–$5,684.58 | varies |
| CT scans face/jaw combo (70488) | $567.25 | $2,836.24 | 3.7× |
| CT soft tissue neck w contrast (70491) | $387.93 | $1,939.63 | 2.5× |
| CT soft tissue neck w/o contrast (70490) | $349.69 | $1,748.45 | 3.8× |
| CT thoracic spine w contrast (72129) | $411.16 | $2,055.79 | 2.7× |
| CT thoracic spine w/o contrast (72128) | $313.88 | $1,569.37 | 3.4× |
| CT thoracic spine w/wo cont (72130) | $457.63 | $2,288.11 | 3.0× |
| CT thorax w/o contrast (71250) | $302.02 | $1,510.08 | 3.3× |
| CT upper ext wo (73200) range across 3 matching MRF lines |
$241.28–$825.71 | $1,206.37–$4,128.52 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 3 matching MRF lines |
$373.65–$1,092.88 | $1,868.24–$5,464.36 | varies |
| CT upper extremity with contrast (73201) range across 3 matching MRF lines |
$346.79–$931.70 | $1,733.93–$4,658.50 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $338.32 | $1,691.58 | 2.2× |
| Cta Abdomen (74175) | $510.87 | $2,554.31 | 3.3× |
| CTA pelvis (72191) | $338.32 | $1,691.58 | 2.2× |
| Dilation ureters/urethra rs&i (74485) | $770.77 | $3,853.85 | 0.4× |
| Discography Cerv/Thor Spine (72285) | $497.56 | $2,487.76 | 0.3× |
| Diskography lumbar (72295) | $638.16 | $3,190.77 | 0.4× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $123.91 | $619.52 | 1.3× |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$6.05–$61.71 | $30.25–$308.55 | varies |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $38.72 | $193.60 | 0.5× |
| Echo exam of fetal heart (76825) | $351.63 | $1,758.13 | 0.7× |
| Echo exam uterus (76831) | $189.25 | $946.22 | 0.9× |
| Echo Guide For Artery Repair (76936) | $223.37 | $1,116.83 | 1.2× |
| Echograp Trans R Pros Study (76873) | $128.26 | $641.30 | 1.4× |
| Esophagram (74220) | $69.46 | $347.27 | 0.4× |
| Fetal Biophys Profile W/Nst (76818) | $124.63 | $623.15 | 1.3× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 2 matching MRF lines |
$94.87–$147.62 | $474.32–$738.10 | varies |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$89.06–$116.16 | $445.28–$580.80 | varies |
| Follow-Up Angiography (75898) | $131.41 | $657.03 | 0.0× |
| Foot 2 views (73620) range across 3 matching MRF lines |
$38–$50.58 | $189.97–$252.89 | varies |
| Forearm 2 views (73090) range across 3 matching MRF lines |
$38–$89.54 | $189.97–$447.70 | varies |
| Gastric emptying imaging study (78264) | $311.70 | $1,558.48 | 0.9× |
| Gastroesophageal Reflux Exam (78262) | $191.43 | $957.11 | 0.5× |
| Gated Heart Planar Single (78472) | $242.25 | $1,211.21 | 0.7× |
| Hand 2 views (73120) range across 3 matching MRF lines |
$38–$75.99 | $189.97–$379.94 | varies |
| Heart Image (Pet) Multiple (78492) | $999.22 | $4,996.09 | 0.8× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $897.82 | $4,489.10 | 0.3× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $683.90 | $3,419.46 | 0.2× |
| Hepatobil Syst Image W/Drug (78227) | $287.02 | $1,435.06 | 0.6× |
| Hepatobiliary System Imaging (78226) | $228.69 | $1,143.45 | 0.6× |
| Ht Musc Image Planar Mult (78454) | $344.13 | $1,720.62 | 0.3× |
| Ht Muscle Image Spect Sing (78451) | $340.74 | $1,703.68 | 0.3× |
| Hysterosalpingogram (74740) | $138.67 | $693.33 | 0.7× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $82.77 | $413.82 | 1.1× |
| Joint Survey Single View (77077) | $62.20 | $310.97 | 0.7× |
| K Flow/Funct Image Multiple (78709) | $552.97 | $2,764.85 | 1.2× |
| K Flow/Funct Image W/Drug (78708) | $229.18 | $1,145.87 | 0.5× |
| K Flow/Funct Image W/O Drug (78707) | $275.40 | $1,376.98 | 0.6× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $127.05 | $635.25 | 0.4× |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$41.14–$82.28 | $205.70–$411.40 | varies |
| Labeled RBC Sequestration Differntl Organ/Tissue (78140) | $172.07 | $860.31 | 0.5× |
| Leveen/Shunt Patency Exam (78291) | $144.48 | $722.37 | 0.4× |
| Liver & Spleen Imaging Static Only (78215) | $322.35 | $1,611.72 | 0.9× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $200.86 | $1,004.30 | 0.6× |
| Liver imaging static only (78201) | $181.75 | $908.71 | 0.4× |
| Lung Perf&Ventilat Diferentl (78598) | $321.86 | $1,609.30 | 0.7× |
| Lung perfusion differential (78597) | $305.65 | $1,528.23 | 0.9× |
| Lung Ventilat&Perfus Imaging (78582) | $396.40 | $1,981.98 | 0.8× |
| Lung Ventilation Imaging (78579) | $245.39 | $1,226.94 | 0.7× |
| Lymph System Imaging (78195) | $196.27 | $981.31 | 0.4× |
| Lymphangiography Extremity Only Bilateral Rs&I (75803) | $103.58 | $517.88 | 0.1× |
| Lymphangiography extremity only unilateral rs&i (75801) | $101.16 | $505.78 | 0.2× |
| Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) | $113.50 | $567.49 | 0.0× |
| Lymphangiography, pelvic/abdominal, unilateral (75805) | $106.24 | $531.19 | 0.0× |
| Magnetic Image Jaw Joint (70336) | $597.99 | $2,989.91 | 2.8× |
| Meckels Divert Exam (78290) | $242.25 | $1,211.21 | 0.7× |
| Mra Head W/O & W/Contrast Material (70546) range across 2 matching MRF lines |
$616.38–$828.61 | $3,081.87–$4,143.04 | varies |
| MRA head w/o contrast (70544) | $325.01 | $1,625.03 | 1.5× |
| MRA head with contrast (70545) | $564.35 | $2,821.72 | 1.8× |
| MRA neck w contrast (70548) | $375.59 | $1,877.92 | 1.2× |
| Mra Neck W/O &W/Contrast Material (70549) | $571.61 | $2,858.02 | 1.9× |
| MRA neck w/o contrast (70547) | $325.01 | $1,625.03 | 1.5× |
| MRI abdomen w contrast (74182) | $497.07 | $2,485.34 | 1.6× |
| MRI abdomen w/o contrast (74181) | $373.89 | $1,869.45 | 1.8× |
| MRI any jt lower extrem w/contrast material (73722) range across 3 matching MRF lines |
$497.07–$1,064.80 | $2,485.34–$5,324 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 3 matching MRF lines |
$571.61–$1,472.33 | $2,858.02–$7,361.64 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 3 matching MRF lines |
$497.07–$1,044.23 | $2,485.34–$5,221.15 | varies |
| MRI Breast W/O Contrast Bilateral (77047) | $245.63 | $1,228.15 | 1.2× |
| MRI Breast Without Contrast Material Unilateral (77046) | $245.63 | $1,228.15 | 1.2× |
| MRI cardiac w/o contrast (75557) | $735.20 | $3,675.98 | 3.5× |
| MRI cervical spine w contrast (72142) | $497.07 | $2,485.34 | 1.6× |
| MRI cervical spine w/o cont (72141) | $373.89 | $1,869.45 | 1.8× |
| MRI chest w/o contrast (71550) | $373.89 | $1,869.45 | 1.8× |
| MRI chest with contrast (71551) | $497.07 | $2,485.34 | 0.7× |
| MRI chest wo w contrast (71552) | $571.61 | $2,858.02 | 1.9× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 3 matching MRF lines |
$497.07–$1,168.14 | $2,485.34–$5,840.67 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 3 matching MRF lines |
$571.61–$1,139.82 | $2,858.02–$5,699.10 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 3 matching MRF lines |
$373.89–$1,067.95 | $1,869.45–$5,339.73 | varies |
| MRI lumbar spine w contrast (72149) | $497.07 | $2,485.34 | 1.6× |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$571.61–$962.20 | $2,858.02–$4,810.96 | varies |
| MRI orbit face &/neck w/o contrast (70540) | $373.89 | $1,869.45 | 1.8× |
| MRI orbit face neck w contrast (70542) | $497.07 | $2,485.34 | 1.6× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $571.61 | $2,858.02 | 1.9× |
| MRI pelvis w contrast (72196) | $497.07 | $2,485.34 | 1.6× |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$571.61–$960.50 | $2,858.02–$4,802.49 | varies |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$373.89–$762.30 | $1,869.45–$3,811.50 | varies |
| MRI spectroscopy (76390) | $495.62 | $2,478.08 | 6.4× |
| MRI thoracic spine w/o contrast (72146) | $373.89 | $1,869.45 | 1.8× |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 3 matching MRF lines |
$497.07–$1,012.05 | $2,485.34–$5,060.22 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 3 matching MRF lines |
$373.89–$906.78 | $1,869.45–$4,533.87 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 3 matching MRF lines |
$571.61–$1,219.93 | $2,858.02–$6,099.61 | varies |
| MRI, abdomen, combo (74183) | $571.61 | $2,858.02 | 1.9× |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$571.61–$962.92 | $2,858.02–$4,814.59 | varies |
| MRI, dorsal spine contrast (72147) | $497.07 | $2,485.34 | 1.6× |
| MRI, joint upper extrem (73221) range across 3 matching MRF lines |
$373.89–$1,017.13 | $1,869.45–$5,085.63 | varies |
| MRI, joint upper extrem combo (73223) range across 3 matching MRF lines |
$571.61–$1,202.50 | $2,858.02–$6,012.49 | varies |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$571.61–$959.29 | $2,858.02–$4,796.44 | varies |
| Myelogram cervical (72240) | $380.43 | $1,902.12 | 0.5× |
| Myelogram Lumbar (72265) | $380.43 | $1,902.12 | 0.5× |
| Myelography thoracic (72255) | $380.43 | $1,902.12 | 0.5× |
| Myelograpy 2/more regions rs&i (72270) | $380.43 | $1,902.12 | 0.5× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $152.71 | $763.51 | 0.4× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $293.31 | $1,466.52 | 0.3× |
| Myocardial Spect Multiple Studies (78452) | $658.24 | $3,291.20 | 0.6× |
| Neck soft tissue (70360) | $42.11 | $210.54 | 0.5× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $145.20 | $726 | 0.4× |
| Nm csf leak detection (78650) | $191.43 | $957.11 | 0.2× |
| Nm myocard infarct spect (78469) | $191.43 | $957.11 | 0.4× |
| Nonvascular Shunt X-Ray (75809) | $201.35 | $1,006.72 | 2.2× |
| Nuclear Rx Oral Admin (79005) | $242.97 | $1,214.84 | 1.2× |
| Optic foramina (70190) | $35.58 | $177.87 | 0.5× |
| Panoramic X-ray of jaws (70355) | $39.21 | $196.02 | 0.5× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $242.97 | $1,214.84 | 0.5× |
| Parathyroid Planar Imaging (78070) | $162.63 | $813.12 | 0.5× |
| Parathyroid planar imaging w/wo subtraction (78071) | $242.97 | $1,214.84 | 0.7× |
| Pelvis 1 or 2 views (72170) | $42.60 | $212.96 | 0.5× |
| Peritoneogram Rs&I (74190) | $130.93 | $654.61 | 0.3× |
| PET image w/CT, full body (78816) | $1,573 | $7,865 | 1.2× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $1,500.89 | $7,504.42 | 1.2× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $820.87 | $4,104.32 | 0.3× |
| Pulmonary Perfusion Imaging Particulate (78580) | $196.27 | $981.31 | 0.6× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $47.19 | $235.95 | 0.5× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $81.80 | $408.98 | 0.2× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$41.14–$107.45 | $205.70–$537.24 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$50.58–$65.59 | $252.89–$327.91 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$46.47–$61.96 | $232.32–$309.76 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $46.47 | $232.32 | 0.5× |
| Radex fingr minimum 2 views (73140) range across 3 matching MRF lines |
$33.88–$75.02 | $169.40–$375.10 | varies |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$41.14–$54.94 | $205.70–$274.67 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$43.08–$95.59 | $215.38–$477.95 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 3 matching MRF lines |
$39.21–$52.28 | $196.02–$261.36 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $50.58 | $252.89 | 0.5× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$45.26–$86.40 | $226.27–$431.97 | varies |
| Radex Pharynx/Larx W/Fluor&/Magnification Tq (70370) | $108.90 | $544.50 | 1.4× |
| Radex Ribs Unilateral 2 Views (71100) | $51.31 | $256.52 | 0.7× |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$45.74–$135.52 | $228.69–$677.60 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $38.48 | $192.39 | 0.5× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $81.07 | $405.35 | 0.5× |
| Radex Spine 1 View Specify Level (72020) | $34.61 | $173.03 | 0.4× |
| Radex Sternum Minimum 2 Views (71120) | $49.13 | $245.63 | 0.6× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $46.47 | $232.32 | 0.6× |
| Radex Toe Minimum 2 Views (73660) range across 3 matching MRF lines |
$33.88–$72.60 | $169.40–$363 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 3 matching MRF lines |
$66.55–$126.09 | $332.75–$630.41 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$40.66–$54.21 | $203.28–$271.04 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $141.57 | $707.85 | 1.5× |
| Radiolog exam mandible compl minimum 4 views (70110) | $51.31 | $256.52 | 0.6× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $114.47 | $572.33 | 1.2× |
| Radiologic exam colon double contrast study (74280) | $127.30 | $636.46 | 0.8× |
| Radiologic exam colon single contrast study (74270) | $137.46 | $687.28 | 0.9× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $132.86 | $664.29 | 0.9× |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$45.26–$90.51 | $226.27–$452.54 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $37.27 | $186.34 | 0.4× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $82.77 | $413.82 | 0.5× |
| Radiologic exam swallow function contrast study (74230) | $107.45 | $537.24 | 0.7× |
| Radiologic exam upr gi trc double contrast study (74246) | $97.53 | $487.63 | 0.6× |
| Radiologic examination femur 1 view (73551) range across 3 matching MRF lines |
$71.88–$95.84 | $359.37–$479.16 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines |
$61.96–$95.59 | $309.76–$477.95 | varies |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$36.06–$72.12 | $180.29–$360.58 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $75.75 | $378.73 | 0.8× |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$39.21–$52.28 | $196.02–$261.36 | varies |
| Renal Cyst Study (74470) | $101.16 | $505.78 | 0.2× |
| Ribs bilateral 3 views (71110) | $52.52 | $262.57 | 0.6× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $143.27 | $716.32 | 0.4× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $221.19 | $1,105.94 | 0.6× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $770.77 | $3,853.85 | 1.6× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $449.64 | $2,248.18 | 0.9× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $191.43 | $957.11 | 0.4× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $547.89 | $2,739.44 | 0.5× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $696.96 | $3,484.80 | 0.6× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $547.89 | $2,739.44 | 0.5× |
| Rp Ther Radiolbld Monoclonal Antibody IV Infus (79403) | $310.73 | $1,553.64 | 1.5× |
| Rp Therapy Intravenous Administration (79101) | $233.29 | $1,166.44 | 1.1× |
| Salivary Gland Imaging (78230) | $143.27 | $716.32 | 0.4× |
| Scapula (73010) range across 3 matching MRF lines |
$46.47–$96.80 | $232.32–$484 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 2 matching MRF lines |
$14.52–$21.78 | $72.60–$108.90 | varies |
| Sella turcica (70240) | $35.58 | $177.87 | 0.5× |
| Shoulder 1 view (73020) | $38.48 | $192.39 | 0.5× |
| Shoulder Arthrography (73040) | $105.27 | $526.35 | 0.3× |
| Sialogram (70390) | $101.64 | $508.20 | 0.5× |
| Skull less than 4 views (70250) | $42.60 | $212.96 | 0.5× |
| Sternoclavicular joints (71130) | $38.24 | $191.18 | 0.5× |
| Superior sagittal sinus venogram (75870) | $211.27 | $1,056.33 | 0.1× |
| Testicular Imaging W/Flow (78761) | $172.07 | $860.31 | 0.5× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $235.95 | $1,179.75 | 1.5× |
| Thoracic spine 2 views (72070) | $42.60 | $212.96 | 0.5× |
| Thoracic spine 3 views (72072) | $89.30 | $446.49 | 1.0× |
| Thoracolumbar 2 views (72080) | $47.19 | $235.95 | 0.6× |
| Thyroid Carcinoma Metastases Img Lmtd Area (78015) | $172.07 | $860.31 | 0.5× |
| Thyroid Imaging With Vascular Flow (78013) | $181.50 | $907.50 | 0.5× |
| Thyroid Met Imaging Body (78018) | $219.50 | $1,097.47 | 0.5× |
| Thyroid Uptake Measurement (78012) | $181.50 | $907.50 | 0.5× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $538.94 | $2,694.67 | 1.5× |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$60.50–$121 | $302.50–$605 | varies |
| Ultrasound Exam Aaa Screen (76706) | $120.52 | $602.58 | 1.3× |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$133.83–$199.65 | $669.13–$998.25 | varies |
| Umbilical-artery Doppler (OB) (76820) | $121.73 | $608.63 | 1.3× |
| Unlisted magnetic resonance procedure (76498) | $349.69 | $1,748.45 | 4.5× |
| Upper gi w/o kub (74240) | $71.39 | $356.95 | 0.5× |
| Ureteral Reflux Study (78740) | $229.18 | $1,145.87 | 0.6× |
| Urethrocystogram voiding (74455) | $77.93 | $389.62 | 0.4× |
| Urethrocystography retrograde (74450) | $90.75 | $453.75 | 0.4× |
| Us bone density measurement (76977) | $2.67 | $13.31 | 0.0× |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$104.06–$157.30 | $520.30–$786.50 | varies |
| Us chest (76604) | $97.77 | $488.84 | 1.1× |
| Us complete joint (76881) range across 4 matching MRF lines |
$60.26–$128.26 | $301.29–$641.30 | varies |
| Us exam, pelvic, limited (76857) | $120.04 | $600.16 | 1.3× |
| Us head (76506) | $106.24 | $531.19 | 1.1× |
| Us kidney transplant (76776) | $133.59 | $667.92 | 1.4× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 4 matching MRF lines |
$51.07–$128.26 | $255.31–$641.30 | varies |
| Us ob detailed single fetus (76811) | $207.40 | $1,036.97 | 1.0× |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$107.45–$120.04 | $537.24–$600.16 | varies |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$107.45–$131.17 | $537.24–$655.82 | varies |
| Us pelvic non ob complete (76856) | $131.17 | $655.82 | 1.4× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $78.41 | $392.04 | 0.8× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $87.85 | $439.23 | 1.0× |
| Us retroperitoneal complete (76770) | $99.47 | $497.31 | 1.1× |
| Us retroperitoneal limited (76775) | $102.37 | $511.83 | 1.1× |
| Us scrotum and contents (76870) | $127.78 | $638.88 | 1.4× |
| Us spinal canal and contents (76800) | $78.17 | $390.83 | 0.8× |
| Us thyroid (76536) | $113.99 | $569.91 | 1.2× |
| Us transrectal (76872) | $97.77 | $488.84 | 1.1× |
| Vein X-Ray Chest (75827) | $480.62 | $2,403.06 | 0.3× |
| Vein X-Ray Liver W/O Hemodyn (75887) | $804.65 | $4,023.25 | 0.3× |
| Vein X-Ray Skull Epidural (75872) | $207.16 | $1,035.76 | 0.4× |
| Venogram Sinus/Jugular (75860) | $219.74 | $1,098.68 | 0.1× |
| Venography Adrenal Unilateral (75840) | $670.59 | $3,352.91 | 0.2× |
| Venography caval inferior serialography rs&i (75825) | $1,013.98 | $5,069.90 | 0.4× |
| Venography extremity bilateral rs&i (75822) range across 2 matching MRF lines |
$126.33–$544.02 | $631.62–$2,720.08 | varies |
| Venography extremity unilateral rs&i (75820) | $94.63 | $473.11 | 0.1× |
| Venography Orbital Rs&I (75880) | $166.50 | $832.48 | 0.3× |
| Venography Renal Bilateral (75833) | $782.39 | $3,911.93 | 0.3× |
| Venography Renal Unilateral (75831) | $718.26 | $3,591.28 | 0.3× |
| Venous sampling by catheter (75893) | $670.59 | $3,352.91 | 0.1× |
| Venous thrombosis imaging (78457) | $152.71 | $763.51 | 0.3× |
| Venous Thrombosis Imaging Venogram Bilateral (78458) | $181.75 | $908.71 | 0.5× |
| Vertebral fracture assessment via dxa (77086) | $66.55 | $332.75 | 0.9× |
| Wrist 2 views (73100) range across 3 matching MRF lines |
$37.51–$82.28 | $187.55–$411.40 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $39.21 | $196.02 | 0.5× |
| X-ray antegrade pyelogram tube (74425) range across 2 matching MRF lines |
$117.37–$139.40 | $586.85–$696.96 | varies |
| X-Ray Aorta Leg Arteries (75630) | $989.78 | $4,948.90 | 0.4× |
| X-Ray Bend Only L-S Spine (72120) | $143.03 | $715.11 | 1.5× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$39.21–$83.49 | $196.02–$417.45 | varies |
| X-Ray Exam Breast Specimen (76098) | $39.69 | $198.44 | 0.1× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $68.97 | $344.85 | 0.9× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $46.47 | $232.32 | 0.5× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $117.37 | $586.85 | 1.3× |
| X-Ray Exam Hip Uni 1 View (73501) | $44.77 | $223.85 | 0.6× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $95.59 | $477.95 | 1.2× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $116.16 | $580.80 | 1.3× |
| X-Ray Exam Hips Bi 2 Views (73521) | $134.07 | $670.34 | 1.5× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $155.61 | $778.03 | 1.7× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $177.15 | $885.72 | 1.9× |
| X-Ray Exam L-S Spine Bending (72114) | $91.72 | $458.59 | 1.0× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $38.48 | $192.39 | 0.5× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $81.56 | $407.77 | 0.9× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $55.42 | $277.09 | 0.6× |
| X-ray humerus (73060) range across 3 matching MRF lines |
$39.21–$88.33 | $196.02–$441.65 | varies |
| X-ray IV pyelogram (ivp) (74400) | $125.84 | $629.20 | 0.8× |
| X-ray IV pyelogram+tomography (74415) | $152.95 | $764.72 | 1.0× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $30.25 | $151.25 | 0.4× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $62.20 | $310.97 | 0.8× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $41.14 | $205.70 | 0.4× |
| X-ray nose-rectum child f.b. (76010) | $52.52 | $262.57 | 0.7× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $67.76 | $338.80 | 0.7× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $48.16 | $240.79 | 0.5× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $66.31 | $331.54 | 0.7× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $43.32 | $216.59 | 0.6× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $46.47 | $232.32 | 0.6× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $53.49 | $267.41 | 0.6× |
| X-ray thoracic spine 4 vw (72074) | $89.30 | $446.49 | 1.0× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $142.54 | $712.69 | 0.5× |
| X-Rays Bone Length Studies (77073) | $32.43 | $162.14 | 0.4× |
| X-Rays Bone Survey Complete (77075) | $127.30 | $636.46 | 1.4× |
| Xr c-spine 4 or 5 views (72050) | $61.47 | $307.34 | 0.7× |
| Xr facial bones less than 3 views (70140) | $38 | $189.97 | 0.5× |
| XR Mastoids < 3 Views Bilateral (70120) | $40.42 | $202.07 | 0.4× |
| Xr orbits complete 4 views (70200) | $46.47 | $232.32 | 0.5× |
| Xr Tomogram Single Plane (76100) | $99.71 | $498.52 | 1.1× |
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.