Imaging prices at Highpoint Health – Riverview with Ascension Saint Thomas
Carthage, TN · every code in this section with a posted price and a Medicare benchmark.
345 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 |
$2,845.19–$3,139.31 | $8,727.57–$9,513.05 | varies |
| Abdomen 1 View (74018) range across 2 matching MRF lines |
$239.03–$263.74 | $733.23–$799.22 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$238.48–$263.13 | $731.53–$797.37 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) range across 2 matching MRF lines |
$1,581.95–$1,745.48 | $4,852.60–$5,289.33 | varies |
| Angio internal mammary (75756) range across 2 matching MRF lines |
$2,351.88–$2,595 | $7,214.36–$7,863.65 | varies |
| Angio pulmonary bilat (75743) range across 2 matching MRF lines |
$6,731.56–$7,427.43 | $20,648.95–$22,507.36 | varies |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) range across 2 matching MRF lines |
$6,731.56–$7,427.43 | $20,648.95–$22,507.36 | varies |
| Angiography extremity bilateral rs&i (75716) range across 2 matching MRF lines |
$4,979.52–$5,494.27 | $15,274.59–$16,649.30 | varies |
| Angiography extremity unilateral rs&i (75710) range across 3 matching MRF lines |
$5,491.31–$7,427.43 | $16,640.32–$22,507.36 | varies |
| Angiography pulmonary unilateral slctv rs&i (75741) range across 2 matching MRF lines |
$4,481.02–$4,944.24 | $13,745.46–$14,982.55 | varies |
| Ankle 2 views (73600) range across 5 matching MRF lines |
$86.94–$391.40 | $263.44–$1,186.07 | varies |
| Aortography thoracic serialography rs&i (75605) range across 2 matching MRF lines |
$4,363.37–$4,814.43 | $13,384.56–$14,589.17 | varies |
| Artery X-Rays Abdomen (75726) range across 2 matching MRF lines |
$4,363.37–$4,814.43 | $13,384.56–$14,589.17 | varies |
| Artery X-Rays Adrenal Gland (75731) range across 2 matching MRF lines |
$6,731.56–$7,427.43 | $20,648.95–$22,507.36 | varies |
| Artery X-Rays Pelvis (75736) range across 2 matching MRF lines |
$4,363.37–$4,814.43 | $13,384.56–$14,589.17 | varies |
| Arthrogram ankle (73615) range across 2 matching MRF lines |
$741.76–$818.44 | $2,275.33–$2,480.11 | varies |
| Arthrogram hip (73525) range across 3 matching MRF lines |
$341.59–$768.52 | $1,035.13–$2,328.84 | varies |
| Arthrogram Wrist (73115) range across 4 matching MRF lines |
$324.91–$731 | $984.57–$2,215.14 | varies |
| Basic radiation dosimetry calculation (77300) range across 3 matching MRF lines |
$383.52–$423.17 | $1,176.45–$1,282.33 | varies |
| Bone age studies (77072) range across 2 matching MRF lines |
$228.29–$251.89 | $700.28–$763.31 | varies |
| Bone Imaging 3 Phase (78315) range across 2 matching MRF lines |
$711.75–$785.33 | $2,183.28–$2,379.78 | varies |
| Bone Imaging Limited Area (78300) range across 2 matching MRF lines |
$711.75–$785.33 | $2,183.28–$2,379.78 | varies |
| Bone Imaging Whole Body (78306) range across 2 matching MRF lines |
$692.94–$764.57 | $2,125.57–$2,316.87 | varies |
| Bone marrow imaging limited area (78102) range across 2 matching MRF lines |
$874.69–$965.11 | $2,683.10–$2,924.58 | varies |
| Bone survey infant (77076) range across 2 matching MRF lines |
$228.29–$251.89 | $700.28–$763.31 | varies |
| Brain Flow Imaging Only (78610) range across 2 matching MRF lines |
$526.23–$580.63 | $1,614.21–$1,759.49 | varies |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) range across 2 matching MRF lines |
$797.83–$880.31 | $2,447.34–$2,667.60 | varies |
| Cat Scan Follow-Up Study (76380) range across 2 matching MRF lines |
$1,015.24–$1,120.19 | $3,114.23–$3,394.51 | varies |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) range across 2 matching MRF lines |
$526.23–$580.63 | $1,614.21–$1,759.49 | varies |
| Cerebrospinal Fluid Scan (78630) range across 2 matching MRF lines |
$1,587.32–$1,751.41 | $4,869.08–$5,307.30 | varies |
| Chest 1 view (71045) range across 3 matching MRF lines |
$137.65–$191.64 | $417.11–$580.74 | varies |
| Chest 2 views (71046) range across 3 matching MRF lines |
$137.65–$273.63 | $417.11–$829.17 | varies |
| Chest 3 views (71047) range across 2 matching MRF lines |
$126.23–$139.28 | $387.20–$422.05 | varies |
| Chest 4 or more views (71048) range across 3 matching MRF lines |
$241.72–$266.71 | $741.47–$808.20 | varies |
| Cholecystography Oral Contrast (74290) range across 2 matching MRF lines |
$302.61–$333.89 | $928.25–$1,011.79 | varies |
| Clavicle complete (73000) range across 4 matching MRF lines |
$101.86–$459.33 | $308.68–$1,391.92 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 2 matching MRF lines |
$102.89–$113.52 | $315.60–$344 | varies |
| Continuing medical physics consltj pr wk (77336) | $365.28 | $1,120.49 | 2.8× |
| Contrast Exam Abdominl Aorta (75625) range across 2 matching MRF lines |
$4,363.37–$4,814.43 | $13,384.56–$14,589.17 | varies |
| Contrast X-Ray Bladder (74430) range across 2 matching MRF lines |
$443.18–$488.99 | $1,359.44–$1,481.79 | varies |
| Contrast X-Ray Of Elbow (73085) range across 3 matching MRF lines |
$320.96–$722.10 | $972.60–$2,188.19 | varies |
| Contrast X-Ray Of Knee Joint (73580) range across 3 matching MRF lines |
$328.42–$738.90 | $995.22–$2,239.08 | varies |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$4,296.46–$4,740.60 | $13,179.32–$14,365.46 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$2,964.55–$3,271 | $9,093.70–$9,912.13 | varies |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$1,515.70–$1,672.38 | $4,649.38–$5,067.82 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$2,170.14–$2,394.48 | $6,656.87–$7,255.99 | varies |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$1,448.55–$1,598.30 | $4,443.41–$4,843.32 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$3,842.85–$4,240.10 | $11,787.89–$12,848.80 | varies |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$2,416.35–$2,666.14 | $7,412.11–$8,079.20 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$2,515.72–$2,775.78 | $7,716.94–$8,411.46 | varies |
| CT angio hrt w/3d image (75574) range across 3 matching MRF lines |
$1,703.99–$2,045.74 | $5,163.62–$6,199.20 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 4 matching MRF lines |
$687.14–$3,091.88 | $2,082.24–$9,369.33 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$1,355.44–$1,495.56 | $4,157.80–$4,532 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 4 matching MRF lines |
$687.14–$3,091.88 | $2,082.24–$9,369.33 | varies |
| CT cervical spine w/ contrast (72126) range across 2 matching MRF lines |
$961.52–$1,060.92 | $2,949.45–$3,214.90 | varies |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$1,436.91–$1,585.45 | $4,407.70–$4,804.39 | varies |
| CT cervical spine w/wo cont (72127) range across 2 matching MRF lines |
$1,470.05–$1,622.01 | $4,509.35–$4,915.19 | varies |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$1,612.38–$1,779.05 | $4,945.94–$5,391.07 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$2,128.07–$2,348.06 | $6,527.82–$7,115.32 | varies |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$1,225.63–$1,352.33 | $3,759.61–$4,097.97 | varies |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$1,892.60–$2,088.24 | $5,805.51–$6,328.01 | varies |
| CT heart contrast eval cardiac structure&morph (75572) range across 2 matching MRF lines |
$465.70–$513.84 | $1,428.52–$1,557.09 | varies |
| CT heart no contrast quant eval coronry calcium (75571) range across 2 matching MRF lines |
$168.31–$185.71 | $516.30–$562.77 | varies |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$1,222.94–$1,349.36 | $3,751.36–$4,088.98 | varies |
| CT l-spine w&w/o contrast (72133) range across 2 matching MRF lines |
$2,329.49–$2,570.30 | $7,145.69–$7,788.80 | varies |
| CT lower ext w/o (73700) range across 4 matching MRF lines |
$633.14–$2,848.87 | $1,918.60–$8,632.94 | varies |
| CT lower extremity w/contrast material (73701) range across 4 matching MRF lines |
$666.50–$2,999.02 | $2,019.71–$9,087.95 | varies |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$2,020.64–$2,229.52 | $6,198.28–$6,756.13 | varies |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$2,020.64–$2,229.52 | $6,198.28–$6,756.13 | varies |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$1,225.63–$1,352.33 | $3,759.61–$4,097.97 | varies |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$1,117.29–$1,232.79 | $3,427.28–$3,735.74 | varies |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$1,355.44–$1,495.56 | $4,157.80–$4,532 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 2 matching MRF lines |
$1,225.63–$1,352.33 | $3,759.61–$4,097.97 | varies |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$1,180.88–$1,302.95 | $3,622.32–$3,948.33 | varies |
| CT pelvis w&w/o contrast (72194) range across 2 matching MRF lines |
$2,384.12–$2,630.58 | $7,313.26–$7,971.45 | varies |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$1,660.74–$1,832.41 | $5,094.28–$5,552.77 | varies |
| CT scan of leg combo (73702) range across 4 matching MRF lines |
$687.14–$3,091.88 | $2,082.24–$9,369.33 | varies |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
$1,903.37–$2,100.13 | $5,838.55–$6,364.02 | varies |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$1,355.44–$1,495.56 | $4,157.80–$4,532 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$1,355.44–$1,495.56 | $4,157.80–$4,532 | varies |
| CT thoracic spine w contrast (72129) range across 2 matching MRF lines |
$998.24–$1,101.44 | $3,062.10–$3,337.69 | varies |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$2,047.49–$2,259.15 | $6,280.64–$6,845.90 | varies |
| CT thoracic spine w/wo cont (72130) range across 2 matching MRF lines |
$1,264.13–$1,394.80 | $3,877.69–$4,226.68 | varies |
| CT thorax w/o contrast (71250) range across 4 matching MRF lines |
$249.82–$1,990.47 | $757.04–$6,031.72 | varies |
| CT upper ext wo (73200) range across 4 matching MRF lines |
$622.16–$2,799.47 | $1,885.34–$8,483.25 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 4 matching MRF lines |
$666.06–$2,997.05 | $2,018.37–$9,081.98 | varies |
| CT upper extremity with contrast (73201) range across 4 matching MRF lines |
$655.53–$2,949.65 | $1,986.45–$8,938.34 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$2,215.80–$2,444.85 | $6,796.93–$7,408.65 | varies |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$2,110.16–$2,328.30 | $6,472.88–$7,055.44 | varies |
| CTA pelvis (72191) range across 2 matching MRF lines |
$1,924.85–$2,123.83 | $5,904.44–$6,435.84 | varies |
| Discography Cerv/Thor Spine (72285) range across 2 matching MRF lines |
$5,180.95–$5,716.53 | $15,892.49–$17,322.81 | varies |
| Diskography lumbar (72295) range across 2 matching MRF lines |
$5,180.95–$5,716.53 | $15,892.49–$17,322.81 | varies |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$183.54–$202.51 | $563.01–$613.68 | varies |
| Dxa bone density study (77085) range across 2 matching MRF lines |
$183.54–$202.51 | $563.01–$613.68 | varies |
| Echo exam uterus (76831) range across 2 matching MRF lines |
$1,430.64–$1,578.53 | $4,388.46–$4,783.42 | varies |
| Echo Guide For Artery Repair (76936) range across 3 matching MRF lines |
$230.20–$254 | $706.15–$769.70 | varies |
| Echograp Trans R Pros Study (76873) range across 2 matching MRF lines |
$302.61–$333.89 | $928.25–$1,011.79 | varies |
| Esophagram (74220) range across 2 matching MRF lines |
$418.98–$462.29 | $1,285.20–$1,400.87 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 3 matching MRF lines |
$302.61–$350.58 | $928.25–$1,062.35 | varies |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$348.27–$384.28 | $1,068.32–$1,164.47 | varies |
| Follow-Up Angiography (75898) range across 2 matching MRF lines |
$613.27–$676.67 | $1,881.20–$2,050.51 | varies |
| Foot 2 views (73620) range across 7 matching MRF lines |
$112.40–$546.01 | $340.62–$1,654.59 | varies |
| Forearm 2 views (73090) range across 4 matching MRF lines |
$53.57–$242.01 | $162.33–$733.37 | varies |
| Gastric emptying imaging study (78264) range across 2 matching MRF lines |
$1,274.87–$1,406.66 | $3,910.65–$4,262.61 | varies |
| Gastroesophageal Reflux Exam (78262) range across 2 matching MRF lines |
$592.68–$653.95 | $1,818.05–$1,981.67 | varies |
| Gated Heart Planar Single (78472) range across 2 matching MRF lines |
$1,419.01–$1,565.70 | $4,352.79–$4,744.54 | varies |
| Hand 2 views (73120) range across 6 matching MRF lines |
$96.16–$431.68 | $291.38–$1,308.11 | varies |
| Hepatobil Syst Image W/Drug (78227) range across 2 matching MRF lines |
$757.15–$835.42 | $2,322.54–$2,531.57 | varies |
| Hepatobiliary System Imaging (78226) range across 2 matching MRF lines |
$757.15–$835.42 | $2,322.54–$2,531.57 | varies |
| Ht Muscle Image Spect Sing (78451) range across 3 matching MRF lines |
$2,419.17–$3,689.51 | $7,330.83–$11,180.34 | varies |
| Hysterosalpingogram (74740) range across 2 matching MRF lines |
$596.26–$657.89 | $1,829.01–$1,993.62 | varies |
| Image fusion (77399) range across 2 matching MRF lines |
$405.57–$447.49 | $1,244.07–$1,356.04 | varies |
| Infant hip ultrasound with hip movement (dynamic) (76885) range across 2 matching MRF lines |
$193.38–$213.37 | $593.19–$646.58 | varies |
| Infant hip ultrasound, limited static exam (76886) range across 2 matching MRF lines |
$173.69–$191.64 | $532.79–$580.74 | varies |
| Interstitial radiation source applic complex (77778) range across 2 matching MRF lines |
$7,323.34–$8,080.38 | $22,464.22–$24,486 | varies |
| Intracavitary Radiation Source Applic Complex (77763) range across 2 matching MRF lines |
$1,521.97–$1,679.31 | $4,668.63–$5,088.81 | varies |
| Intracavitary Radiation Source Applic Intermed (77762) range across 2 matching MRF lines |
$1,521.97–$1,679.31 | $4,668.63–$5,088.81 | varies |
| Intracavitary radiation source applic simple (77761) range across 2 matching MRF lines |
$1,521.97–$1,679.31 | $4,668.63–$5,088.81 | varies |
| Joint Survey Single View (77077) range across 2 matching MRF lines |
$153.99–$169.90 | $472.35–$514.86 | varies |
| K Flow/Funct Image Multiple (78709) range across 2 matching MRF lines |
$1,918.57–$2,116.90 | $5,885.19–$6,414.86 | varies |
| K Flow/Funct Image W/Drug (78708) range across 2 matching MRF lines |
$978.53–$1,079.69 | $3,001.63–$3,271.78 | varies |
| K Flow/Funct Image W/O Drug (78707) range across 2 matching MRF lines |
$1,419.91–$1,566.69 | $4,355.54–$4,747.54 | varies |
| Knee 3 Views (73562) range across 4 matching MRF lines |
$93.52–$420.83 | $283.39–$1,275.25 | varies |
| Leveen/Shunt Patency Exam (78291) range across 2 matching MRF lines |
$532.84–$587.92 | $1,634.49–$1,781.59 | varies |
| Liver & Spleen Imaging Static Only (78215) range across 2 matching MRF lines |
$757.40–$835.70 | $2,323.31–$2,532.41 | varies |
| Lung Perf&Ventilat Diferentl (78598) range across 2 matching MRF lines |
$1,175.80–$1,297.35 | $3,606.75–$3,931.36 | varies |
| Lung perfusion differential (78597) range across 2 matching MRF lines |
$1,175.80–$1,297.35 | $3,606.75–$3,931.36 | varies |
| Lung Ventilat&Perfus Imaging (78582) range across 2 matching MRF lines |
$875.68–$966.20 | $2,686.12–$2,927.87 | varies |
| Lung Ventilation Imaging (78579) range across 2 matching MRF lines |
$515.85–$569.17 | $1,582.36–$1,724.77 | varies |
| Lymph System Imaging (78195) range across 2 matching MRF lines |
$935.57–$1,032.29 | $2,869.86–$3,128.15 | varies |
| Magnetic Image Jaw Joint (70336) range across 4 matching MRF lines |
$467.97–$1,780.06 | $1,418.08–$5,394.13 | varies |
| Mammary ductogram or galactogram multiple (77054) range across 2 matching MRF lines |
$687.57–$758.64 | $2,109.10–$2,298.92 | varies |
| Mammary ductogram or galactogram single (77053) range across 2 matching MRF lines |
$516.98–$570.42 | $1,585.83–$1,728.55 | varies |
| Meckels Divert Exam (78290) range across 2 matching MRF lines |
$649.97–$717.16 | $1,993.78–$2,173.22 | varies |
| Mlc imrt design & construction per imrt plan (77338) range across 2 matching MRF lines |
$767.24–$846.56 | $2,353.51–$2,565.33 | varies |
| Mr safety determination physician/other qhp (76016) range across 2 matching MRF lines |
$114.82–$126.69 | $352.20–$383.90 | varies |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $31.93 | $97.96 | 1.2× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) range across 2 matching MRF lines |
$119.69–$132.07 | $367.16–$400.20 | varies |
| Mr safety implt pos&/immoblj (76019) range across 2 matching MRF lines |
$77.46–$85.46 | $237.60–$258.98 | varies |
| Mr safety med physics xm customization plng&mntr (76017) range across 2 matching MRF lines |
$315.20–$347.79 | $966.88–$1,053.90 | varies |
| Mra Head W/O & W/Contrast Material (70546) range across 3 matching MRF lines |
$766.79–$3,616.41 | $2,323.60–$10,958.83 | varies |
| MRA head w/o contrast (70544) range across 4 matching MRF lines |
$467.97–$3,266.89 | $1,418.08–$9,899.66 | varies |
| MRA head with contrast (70545) range across 4 matching MRF lines |
$766.79–$1,114.14 | $2,323.60–$3,376.17 | varies |
| MRA neck w contrast (70548) range across 3 matching MRF lines |
$766.79–$1,495.56 | $2,323.60–$4,532 | varies |
| Mra Neck W/O &W/Contrast Material (70549) range across 3 matching MRF lines |
$766.79–$3,468.24 | $2,323.60–$10,509.82 | varies |
| MRA neck w/o contrast (70547) range across 3 matching MRF lines |
$467.97–$1,529.15 | $1,418.08–$4,633.79 | varies |
| MRI abdomen w contrast (74182) range across 3 matching MRF lines |
$766.79–$1,234.77 | $2,323.60–$3,741.74 | varies |
| MRI abdomen w/o contrast (74181) range across 3 matching MRF lines |
$467.97–$2,394.48 | $1,418.08–$7,255.99 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 4 matching MRF lines |
$834.67–$1,877.85 | $2,529.29–$5,690.44 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 6 matching MRF lines |
$766.79–$5,324.36 | $2,323.60–$16,134.41 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 4 matching MRF lines |
$1,045.86–$2,352.99 | $3,169.27–$7,130.28 | varies |
| MRI Breast W/O Contrast Bilateral (77047) range across 2 matching MRF lines |
$1,878–$2,072.14 | $5,760.73–$6,279.20 | varies |
| MRI Breast Without Contrast Material Unilateral (77046) range across 2 matching MRF lines |
$1,482.19–$1,635.41 | $4,546.59–$4,955.78 | varies |
| MRI cervical spine w contrast (72142) range across 3 matching MRF lines |
$766.79–$1,568.66 | $2,323.60–$4,753.51 | varies |
| MRI cervical spine w/o cont (72141) range across 3 matching MRF lines |
$467.97–$2,442.89 | $1,418.08–$7,402.69 | varies |
| MRI chest w/o contrast (71550) range across 3 matching MRF lines |
$467.97–$2,939.76 | $1,418.08–$8,908.35 | varies |
| MRI chest wo w contrast (71552) range across 3 matching MRF lines |
$766.79–$3,279.58 | $2,323.60–$9,938.11 | varies |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 4 matching MRF lines |
$766.79–$1,877.85 | $2,323.60–$5,690.44 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 6 matching MRF lines |
$766.79–$5,254.23 | $2,323.60–$15,921.90 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 6 matching MRF lines |
$467.97–$3,620.38 | $1,418.08–$10,970.85 | varies |
| MRI lumbar spine w contrast (72149) range across 3 matching MRF lines |
$766.79–$1,620.04 | $2,323.60–$4,909.20 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 3 matching MRF lines |
$766.79–$3,697.44 | $2,323.60–$11,204.36 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 3 matching MRF lines |
$467.97–$2,088.24 | $1,418.08–$6,328.01 | varies |
| MRI orbit face neck w contrast (70542) range across 3 matching MRF lines |
$766.79–$2,214.70 | $2,323.60–$6,711.21 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 3 matching MRF lines |
$766.79–$2,926.90 | $2,323.60–$8,869.38 | varies |
| MRI pelvis w/o & w contrast (72197) range across 3 matching MRF lines |
$766.79–$4,048.07 | $2,323.60–$12,266.89 | varies |
| MRI pelvis w/o contrast (72195) range across 3 matching MRF lines |
$467.97–$3,188.69 | $1,418.08–$9,662.70 | varies |
| MRI thoracic spine w/o contrast (72146) range across 3 matching MRF lines |
$467.97–$2,548.59 | $1,418.08–$7,722.99 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 8 matching MRF lines |
$766.79–$6,982.73 | $2,323.60–$21,159.80 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 10 matching MRF lines |
$467.97–$5,730.41 | $1,418.08–$17,364.88 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 10 matching MRF lines |
$766.79–$8,906.34 | $2,323.60–$26,988.90 | varies |
| MRI, abdomen, combo (74183) range across 4 matching MRF lines |
$766.79–$2,911.21 | $2,323.60–$8,821.85 | varies |
| MRI, dorsal spine combo (72157) range across 3 matching MRF lines |
$766.79–$3,446.51 | $2,323.60–$10,443.98 | varies |
| MRI, dorsal spine contrast (72147) range across 3 matching MRF lines |
$766.79–$1,581.50 | $2,323.60–$4,792.41 | varies |
| MRI, joint upper extrem (73221) range across 5 matching MRF lines |
$467.97–$4,533.12 | $1,418.08–$13,736.73 | varies |
| MRI, joint upper extrem combo (73223) range across 6 matching MRF lines |
$766.79–$6,507.76 | $2,323.60–$19,720.48 | varies |
| MRI, lumbar spine combo (72158) range across 3 matching MRF lines |
$766.79–$3,272.66 | $2,323.60–$9,917.15 | varies |
| Myelogram cervical (72240) range across 2 matching MRF lines |
$1,211.31–$1,336.53 | $3,715.68–$4,050.09 | varies |
| Myelogram Lumbar (72265) range across 2 matching MRF lines |
$1,211.31–$1,336.53 | $3,715.68–$4,050.09 | varies |
| Myelography thoracic (72255) range across 2 matching MRF lines |
$1,211.31–$1,336.53 | $3,715.68–$4,050.09 | varies |
| Myelograpy 2/more regions rs&i (72270) range across 2 matching MRF lines |
$1,906.92–$2,104.05 | $5,849.46–$6,375.91 | varies |
| Myocardial Spect Multiple Studies (78452) range across 3 matching MRF lines |
$2,678.98–$3,948.33 | $8,118.11–$11,964.65 | varies |
| N-invas est c ffr sw aly CTA (75580) range across 2 matching MRF lines |
$1,326.68–$1,463.82 | $4,069.56–$4,435.82 | varies |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$270.38–$298.33 | $829.38–$904.02 | varies |
| Nfs/Instlj Radioelmnt Sln 3 Mo Follow-Up Care (77750) range across 2 matching MRF lines |
$537.18–$592.71 | $1,647.78–$1,796.08 | varies |
| Ntsty modul radthx pln dose-vol histos (77301) range across 2 matching MRF lines |
$2,845.19–$3,139.31 | $8,727.57–$9,513.05 | varies |
| Nuclear Rx Oral Admin (79005) range across 2 matching MRF lines |
$1,000.91–$1,104.38 | $3,070.29–$3,346.62 | varies |
| Parathyroid Planar Imaging (78070) range across 2 matching MRF lines |
$983.92–$1,085.63 | $3,018.16–$3,289.79 | varies |
| Parathyroid planar imaging w/wo subtraction (78071) range across 2 matching MRF lines |
$650.09–$717.29 | $1,994.15–$2,173.62 | varies |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$217.55–$240.04 | $667.34–$727.40 | varies |
| Pet Image W/Ct Lmtd (78814) range across 3 matching MRF lines |
$8,016.84–$8,459.13 | $24,293.45–$25,633.73 | varies |
| PET image w/CT, full body (78816) range across 3 matching MRF lines |
$7,666.60–$8,459.13 | $23,517.18–$25,633.73 | varies |
| PET imaging CT attenuation skull base mid-thigh (78815) range across 3 matching MRF lines |
$8,016.84–$8,459.13 | $24,293.45–$25,633.73 | varies |
| Platelet survival study Non-Facility (78191) range across 2 matching MRF lines |
$802.17–$885.10 | $2,460.65–$2,682.11 | varies |
| Pulmonary Perfusion Imaging Particulate (78580) range across 2 matching MRF lines |
$767.24–$846.56 | $2,353.51–$2,565.33 | varies |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$465.54–$513.67 | $1,428.05–$1,556.57 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 2 matching MRF lines |
$494.40–$545.50 | $1,516.55–$1,653.04 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 4 matching MRF lines |
$139.62–$628.26 | $423.10–$1,903.82 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 4 matching MRF lines |
$110.20–$495.90 | $333.95–$1,502.73 | varies |
| Radex elbow complete minimum 3 views (73080) range across 4 matching MRF lines |
$110.20–$495.90 | $333.95–$1,502.73 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$404.67–$446.50 | $1,241.31–$1,353.03 | varies |
| Radex fingr minimum 2 views (73140) range across 4 matching MRF lines |
$101.86–$459.33 | $308.68–$1,391.92 | varies |
| Radex foot complete minimum 3 views (73630) range across 4 matching MRF lines |
$118.55–$533.44 | $359.24–$1,616.47 | varies |
| Radex Hand Minimum 3 Views (73130) range across 4 matching MRF lines |
$129.96–$584.80 | $393.83–$1,772.12 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 4 matching MRF lines |
$83.86–$377.34 | $254.12–$1,143.46 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) range across 2 matching MRF lines |
$153.99–$169.90 | $472.35–$514.86 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$376.92–$415.88 | $1,156.19–$1,260.25 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 3 matching MRF lines |
$104.94–$236.09 | $317.99–$715.41 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 4 matching MRF lines |
$110.65–$497.87 | $335.29–$1,508.71 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$254.25–$280.53 | $779.90–$850.09 | varies |
| Radex Spine 1 View Specify Level (72020) range across 2 matching MRF lines |
$189.80–$209.42 | $582.22–$634.62 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$113.70–$125.45 | $348.76–$380.15 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$534.49–$589.74 | $1,639.54–$1,787.10 | varies |
| Radex Toe Minimum 2 Views (73660) range across 4 matching MRF lines |
$102.74–$463.29 | $311.34–$1,403.91 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 4 matching MRF lines |
$55.76–$250.91 | $168.97–$760.33 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 4 matching MRF lines |
$127.33–$572.94 | $385.85–$1,736.18 | varies |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $14,975.02 | $45,935.65 | 2.1× |
| Radiation treatment delivery level 1 (77402) | $174.53 | $535.37 | 1.8× |
| Radiation treatment delivery level 2 (77407) | $174.53 | $535.37 | 0.5× |
| Radiation treatment delivery level 3 (77412) | $336.85 | $1,033.27 | 0.6× |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$495.99–$547.26 | $1,521.44–$1,658.37 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 2 matching MRF lines |
$238.48–$263.13 | $731.53–$797.37 | varies |
| Radiologic exam colon double contrast study (74280) range across 2 matching MRF lines |
$894.37–$986.83 | $2,743.48–$2,990.39 | varies |
| Radiologic exam colon single contrast study (74270) range across 2 matching MRF lines |
$434.22–$479.10 | $1,331.95–$1,451.83 | varies |
| Radiologic Exam Esophagus Double Contrast Study (74221) range across 2 matching MRF lines |
$442.09–$487.79 | $1,356.11–$1,478.16 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 4 matching MRF lines |
$200.22–$900.89 | $606.72–$2,729.96 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 4 matching MRF lines |
$235.46–$287.84 | $722.27–$872.25 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 2 matching MRF lines |
$396.60–$437.60 | $1,216.57–$1,326.06 | varies |
| Radiologic exam swallow function contrast study (74230) range across 2 matching MRF lines |
$438.69–$484.03 | $1,345.66–$1,466.77 | varies |
| Radiologic exam upr gi trc double contrast study (74246) range across 3 matching MRF lines |
$454.40–$666.06 | $1,376.98–$2,018.36 | varies |
| Radiologic examination femur 1 view (73551) range across 3 matching MRF lines |
$134.64–$312.06 | $413–$945.65 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines |
$134.64–$296.97 | $413–$899.91 | varies |
| Radiologic examination knee 1/2 views (73560) range across 4 matching MRF lines |
$89.13–$402.05 | $270.09–$1,218.33 | varies |
| Radiologic Examination Osseous Survey Limited (77074) range across 2 matching MRF lines |
$228.29–$251.89 | $700.28–$763.31 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 4 matching MRF lines |
$138.75–$624.31 | $420.45–$1,891.86 | varies |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$276.64–$305.24 | $848.60–$924.97 | varies |
| Rp loclzj tum plnr 1 area single day imaging (78800) range across 2 matching MRF lines |
$996.45–$1,099.45 | $3,056.58–$3,331.67 | varies |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) range across 2 matching MRF lines |
$2,152.35–$2,374.85 | $6,602.30–$7,196.51 | varies |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 2 matching MRF lines |
$2,098.98–$2,315.96 | $6,438.59–$7,018.06 | varies |
| Rp Therapy Intravenous Administration (79101) range across 2 matching MRF lines |
$760.98–$839.65 | $2,334.30–$2,544.39 | varies |
| Scapula (73010) range across 4 matching MRF lines |
$101.86–$459.33 | $308.68–$1,391.92 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 2 matching MRF lines |
$12.62–$13.92 | $38.71–$42.19 | varies |
| Shoulder 1 view (73020) range across 4 matching MRF lines |
$104.49–$470.22 | $316.65–$1,424.90 | varies |
| Shoulder Arthrography (73040) range across 3 matching MRF lines |
$332.38–$747.78 | $1,007.20–$2,266.01 | varies |
| Sialogram (70390) range across 2 matching MRF lines |
$494.40–$545.50 | $1,516.55–$1,653.04 | varies |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$293.65–$324 | $900.76–$981.83 | varies |
| Special dosimetry (77331) range across 3 matching MRF lines |
$383.52–$423.17 | $1,176.45–$1,282.33 | varies |
| Special Physics Consult (77370) | $365.28 | $1,120.49 | 2.8× |
| Special teletherapy port plan (77321) range across 2 matching MRF lines |
$814.69–$898.91 | $2,499.06–$2,723.98 | varies |
| Special treatment procedure (77470) range across 2 matching MRF lines |
$1,188.92–$1,311.82 | $3,646.98–$3,975.21 | varies |
| Stereotactic Body Radiation Delivery (77373) | $3,316.54 | $10,173.45 | 1.9× |
| Sternoclavicular joints (71130) range across 3 matching MRF lines |
$125.45–$145.21 | $380.15–$440.03 | varies |
| Telethx isodose pln cplx w/basic dosimetry (77307) range across 2 matching MRF lines |
$814.69–$898.91 | $2,499.06–$2,723.98 | varies |
| Telethx isodose pln smpl w/dosimetry calculation (77306) range across 2 matching MRF lines |
$365.28–$403.04 | $1,120.49–$1,221.33 | varies |
| Testicular Imaging W/Flow (78761) range across 2 matching MRF lines |
$1,095.82–$1,209.10 | $3,361.42–$3,663.95 | varies |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) range across 2 matching MRF lines |
$814.69–$898.91 | $2,499.06–$2,723.98 | varies |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) range across 2 matching MRF lines |
$723.38–$798.16 | $2,218.95–$2,418.66 | varies |
| Ther rad simulaj-aided field setting simple (77280) range across 2 matching MRF lines |
$365.28–$403.04 | $1,120.49–$1,221.33 | varies |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$99.37–$109.65 | $304.83–$332.26 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$303.50–$334.87 | $930.97–$1,014.76 | varies |
| Thyroid Imaging With Vascular Flow (78013) range across 2 matching MRF lines |
$302.87–$334.18 | $929.06–$1,012.68 | varies |
| Thyroid Met Imaging Body (78018) range across 2 matching MRF lines |
$1,897.10–$2,093.21 | $5,819.33–$6,343.07 | varies |
| Thyroid Uptake Measurement (78012) range across 2 matching MRF lines |
$230.18–$253.98 | $706.08–$769.63 | varies |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) range across 2 matching MRF lines |
$470.22–$518.83 | $1,442.39–$1,572.21 | varies |
| Tx Devices Design & Construction Complex (77334) range across 3 matching MRF lines |
$658.04–$726.06 | $2,018.52–$2,200.19 | varies |
| Tx devices design & construction intermediate (77333) range across 2 matching MRF lines |
$599.84–$661.85 | $1,840–$2,005.60 | varies |
| Tx devices design & construction simple (77332) range across 2 matching MRF lines |
$532.68–$587.75 | $1,634–$1,781.06 | varies |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$159.84–$352.71 | $490.30–$1,068.83 | varies |
| Ultrasound elastography first target lesion (76982) range across 2 matching MRF lines |
$150.25–$165.79 | $460.90–$502.38 | varies |
| Ultrasound Elastography Parenchyma (76981) range across 2 matching MRF lines |
$150.25–$165.79 | $460.90–$502.38 | varies |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
$189.99–$209.63 | $582.79–$635.24 | varies |
| Ultrasound, abdomen limited (76705) range across 3 matching MRF lines |
$487.93–$612.45 | $1,478.59–$1,855.92 | varies |
| Umbilical-artery Doppler (OB) (76820) range across 3 matching MRF lines |
$93.98–$226.40 | $284.80–$686.06 | varies |
| Unlisted Dx Radiographic Procedure (76499) range across 2 matching MRF lines |
$103.53–$114.23 | $317.58–$346.16 | varies |
| Unlisted magnetic resonance procedure (76498) range across 4 matching MRF lines |
$105.35–$174.69 | $319.24–$529.36 | varies |
| Unlisted us procedure (76999) range across 2 matching MRF lines |
$888.84–$980.72 | $2,726.49–$2,971.87 | varies |
| Upper gi w/o kub (74240) range across 3 matching MRF lines |
$233.13–$666.06 | $706.46–$2,018.36 | varies |
| Ureteral Reflux Study (78740) range across 2 matching MRF lines |
$931.99–$1,028.33 | $2,858.86–$3,116.16 | varies |
| Urethrocystogram voiding (74455) range across 2 matching MRF lines |
$443.18–$488.99 | $1,359.44–$1,481.79 | varies |
| Urethrocystography retrograde (74450) range across 2 matching MRF lines |
$443.18–$488.99 | $1,359.44–$1,481.79 | varies |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$159.84–$352.71 | $490.30–$1,068.83 | varies |
| Us chest (76604) range across 2 matching MRF lines |
$393.94–$434.66 | $1,208.39–$1,317.15 | varies |
| Us complete joint (76881) range across 4 matching MRF lines |
$134.62–$605.73 | $407.93–$1,835.56 | varies |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$271.27–$299.31 | $832.11–$907 | varies |
| Us head (76506) range across 3 matching MRF lines |
$434.66–$481.57 | $1,317.15–$1,459.30 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 6 matching MRF lines |
$89.47–$402.58 | $271.12–$1,219.95 | varies |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$406.45–$448.47 | $1,246.78–$1,358.99 | varies |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$861.27–$950.30 | $2,641.93–$2,879.70 | varies |
| Us pelvic non ob complete (76856) range across 3 matching MRF lines |
$535.15–$671.73 | $1,621.68–$2,035.54 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$302.61–$333.89 | $928.25–$1,011.79 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 2 matching MRF lines |
$137.57–$151.79 | $422–$459.98 | varies |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$580.14–$640.11 | $1,779.58–$1,939.74 | varies |
| Us retroperitoneal limited (76775) range across 3 matching MRF lines |
$148.40–$333.89 | $449.71–$1,011.79 | varies |
| Us scrotum and contents (76870) range across 3 matching MRF lines |
$266–$333.89 | $806.06–$1,011.79 | varies |
| Us spinal canal and contents (76800) range across 2 matching MRF lines |
$237.26–$261.79 | $727.80–$793.30 | varies |
| Us thyroid (76536) range across 3 matching MRF lines |
$399–$500.82 | $1,209.10–$1,517.65 | varies |
| Us transrectal (76872) range across 2 matching MRF lines |
$302.61–$333.89 | $928.25–$1,011.79 | varies |
| Vein X-Ray Chest (75827) range across 2 matching MRF lines |
$2,351.88–$2,595 | $7,214.36–$7,863.65 | varies |
| Venography caval inferior serialography rs&i (75825) range across 2 matching MRF lines |
$6,731.56–$7,427.43 | $20,648.95–$22,507.36 | varies |
| Venography extremity bilateral rs&i (75822) range across 2 matching MRF lines |
$2,351.88–$2,595 | $7,214.36–$7,863.65 | varies |
| Venography extremity unilateral rs&i (75820) range across 2 matching MRF lines |
$1,379.05–$1,521.61 | $4,230.22–$4,610.94 | varies |
| Venous thrombosis imaging (78457) range across 2 matching MRF lines |
$622.23–$686.56 | $1,908.69–$2,080.47 | varies |
| Venous Thrombosis Imaging Venogram Bilateral (78458) range across 2 matching MRF lines |
$590.88–$651.97 | $1,812.53–$1,975.66 | varies |
| Wrist 2 views (73100) range across 4 matching MRF lines |
$125.14–$563.08 | $379.20–$1,706.29 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$232.78–$256.84 | $714.04–$778.30 | varies |
| X-ray antegrade pyelogram tube (74425) range across 2 matching MRF lines |
$580.14–$640.11 | $1,779.58–$1,939.74 | varies |
| X-Ray Aorta Leg Arteries (75630) range across 2 matching MRF lines |
$4,363.37–$4,814.43 | $13,384.56–$14,589.17 | varies |
| X-Ray Bend Only L-S Spine (72120) range across 2 matching MRF lines |
$434.84–$479.80 | $1,333.88–$1,453.93 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 6 matching MRF lines |
$104.06–$469.22 | $315.33–$1,421.87 | varies |
| X-Ray Exam Breast Specimen (76098) range across 4 matching MRF lines |
$435.91–$1,236.26 | $1,320.93–$3,746.23 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 2 matching MRF lines |
$134.64–$148.56 | $413–$450.17 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$222.97–$246.02 | $683.96–$745.52 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 2 matching MRF lines |
$134.64–$148.56 | $413–$450.17 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 2 matching MRF lines |
$134.64–$148.56 | $413–$450.17 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) range across 2 matching MRF lines |
$222.97–$246.02 | $683.96–$745.52 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$222.97–$246.02 | $683.96–$745.52 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 2 matching MRF lines |
$222.97–$246.02 | $683.96–$745.52 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) range across 2 matching MRF lines |
$425.08–$469.02 | $1,303.93–$1,421.28 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$470.92–$519.60 | $1,444.53–$1,574.54 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 3 matching MRF lines |
$335.73–$491.94 | $1,029.86–$1,490.73 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$459.28–$506.76 | $1,408.84–$1,535.64 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 3 matching MRF lines |
$135.67–$305.24 | $411.13–$924.97 | varies |
| X-ray eye for foreign body (70030) range across 4 matching MRF lines |
$75.52–$339.83 | $228.85–$1,029.78 | varies |
| X-ray humerus (73060) range across 4 matching MRF lines |
$110.65–$497.87 | $335.29–$1,508.71 | varies |
| X-ray IV pyelogram (ivp) (74400) range across 2 matching MRF lines |
$580.14–$640.11 | $1,779.58–$1,939.74 | varies |
| X-ray IV pyelogram+tomography (74415) range across 2 matching MRF lines |
$598.95–$660.86 | $1,837.26–$2,002.61 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 2 matching MRF lines |
$288.29–$318.09 | $884.32–$963.91 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 3 matching MRF lines |
$547.91–$900.89 | $1,680.70–$2,729.96 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 4 matching MRF lines |
$207.45–$544.28 | $628.64–$1,649.33 | varies |
| X-ray nose-rectum child f.b. (76010) range across 2 matching MRF lines |
$153.99–$169.90 | $472.35–$514.86 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$379.61–$418.85 | $1,164.45–$1,269.25 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$263.21–$290.42 | $807.39–$880.06 | varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) range across 3 matching MRF lines |
$131.61–$169.90 | $403.70–$514.86 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$258.74–$285.49 | $793.68–$865.11 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$408.25–$450.46 | $1,252.31–$1,365.02 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$447.64–$493.91 | $1,373.13–$1,496.71 | varies |
| X-ray thoracic spine 4 vw (72074) range across 3 matching MRF lines |
$339.31–$414.79 | $1,040.82–$1,256.93 | varies |
| X-Ray Tmj Unilat (70328) range across 3 matching MRF lines |
$82.99–$186.71 | $251.47–$565.78 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 3 matching MRF lines |
$640.11–$800.13 | $1,939.74–$2,424.64 | varies |
| X-Rays Bone Length Studies (77073) range across 5 matching MRF lines |
$88.25–$416.96 | $267.43–$1,263.50 | varies |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$228.29–$251.89 | $700.28–$763.31 | varies |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$445.85–$491.94 | $1,367.64–$1,490.73 | varies |
| Xr facial bones less than 3 views (70140) range across 2 matching MRF lines |
$272.16–$300.30 | $834.86–$910 | varies |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$240.84–$265.73 | $738.76–$805.25 | varies |
| Xr Tomogram Single Plane (76100) range across 2 matching MRF lines |
$256.05–$282.52 | $785.43–$856.12 | varies |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.