Imaging prices at Highpoint Health – Winchester with Ascension Saint Thomas
Winchester, TN · every code in this section with a posted price and a Medicare benchmark.
315 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abdomen 1 View (74018) range across 2 matching MRF lines |
$299.55–$330.47 | $1,212.74–$1,321.89 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$315.08–$347.61 | $1,275.64–$1,390.45 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) range across 2 matching MRF lines |
$1,016.05–$1,120.95 | $4,113.56–$4,483.78 | varies |
| Angio pulmonary bilat (75743) range across 2 matching MRF lines |
$1,273.87–$1,405.39 | $5,157.38–$5,621.54 | varies |
| Angiography extremity bilateral rs&i (75716) range across 2 matching MRF lines |
$3,739.54–$4,125.60 | $15,139.83–$16,502.41 | varies |
| Angiography extremity unilateral rs&i (75710) range across 2 matching MRF lines |
$3,739.54–$4,125.60 | $15,139.83–$16,502.41 | varies |
| Angiography pulmonary unilateral slctv rs&i (75741) range across 3 matching MRF lines |
$702.04–$1,638.31 | $2,808.16–$6,553.23 | varies |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$182.33–$297.16 | $729.30–$1,188.63 | varies |
| Aortography thoracic serialography rs&i (75605) range across 2 matching MRF lines |
$1,038.33–$1,145.53 | $4,203.77–$4,582.11 | varies |
| Aortography thoracic w/o serialography rs&i (75600) range across 2 matching MRF lines |
$889.28–$981.09 | $3,600.33–$3,924.36 | varies |
| Artery X-Rays Abdomen (75726) range across 2 matching MRF lines |
$3,739.54–$4,125.60 | $15,139.83–$16,502.41 | varies |
| Artery X-Rays Pelvis (75736) range across 2 matching MRF lines |
$3,739.54–$4,125.60 | $15,139.83–$16,502.41 | varies |
| Arthrogram ankle (73615) range across 2 matching MRF lines |
$628.52–$693.41 | $2,544.62–$2,773.64 | varies |
| Arthrogram hip (73525) range across 2 matching MRF lines |
$460.37–$507.90 | $1,863.84–$2,031.59 | varies |
| Arthrogram Wrist (73115) range across 2 matching MRF lines |
$613.97–$677.35 | $2,485.69–$2,709.40 | varies |
| Bone age studies (77072) range across 2 matching MRF lines |
$202.75–$223.68 | $820.83–$894.70 | varies |
| Bone Imaging 3 Phase (78315) range across 2 matching MRF lines |
$1,523.93–$1,681.26 | $6,169.74–$6,725.02 | varies |
| Bone Imaging Limited Area (78300) range across 2 matching MRF lines |
$1,204.08–$1,328.39 | $4,874.83–$5,313.56 | varies |
| Bone Imaging Multiple Areas (78305) range across 2 matching MRF lines |
$1,422.62–$1,569.49 | $5,759.60–$6,277.96 | varies |
| Bone Imaging Whole Body (78306) range across 2 matching MRF lines |
$1,642.25–$1,811.79 | $6,648.77–$7,247.16 | varies |
| Brain Flow Imaging Only (78610) range across 2 matching MRF lines |
$1,853.82–$2,045.21 | $7,505.36–$8,180.84 | varies |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) range across 2 matching MRF lines |
$1,853.82–$2,045.21 | $7,505.36–$8,180.84 | varies |
| Brain Imaging Pet Metabolic Evaluation (78608) range across 2 matching MRF lines |
$2,839.99–$3,133.19 | $11,497.93–$12,532.74 | varies |
| Cardiac MRI w/w/o contrast & further seq (75561) range across 2 matching MRF lines |
$3,433.82–$3,788.33 | $13,902.11–$15,153.30 | varies |
| Cat Scan Follow-Up Study (76380) range across 2 matching MRF lines |
$682.11–$752.53 | $2,761.59–$3,010.13 | varies |
| Cerebrospinal Fluid Scan (78630) range across 2 matching MRF lines |
$2,383.23–$2,629.27 | $9,648.69–$10,517.07 | varies |
| Chest 1 view (71045) range across 2 matching MRF lines |
$224.13–$247.27 | $907.39–$989.06 | varies |
| Chest 2 views (71046) range across 2 matching MRF lines |
$289.17–$319.03 | $1,170.73–$1,276.10 | varies |
| Chest 3 views (71047) range across 2 matching MRF lines |
$230.32–$254.09 | $932.45–$1,016.37 | varies |
| Chest 4 or more views (71048) range across 2 matching MRF lines |
$305.44–$336.97 | $1,236.60–$1,347.89 | varies |
| Cholecystography Oral Contrast (74290) range across 2 matching MRF lines |
$122.20–$134.82 | $494.75–$539.28 | varies |
| Cineradiograpy/vidradiograpy xcpt where spec (76120) range across 2 matching MRF lines |
$598.33–$660.10 | $2,422.38–$2,640.39 | varies |
| Clavicle complete (73000) range across 3 matching MRF lines |
$264.85–$292.22 | $1,072.28–$1,168.87 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 2 matching MRF lines |
$79.87–$88.12 | $323.36–$352.46 | varies |
| Contrast Exam Abdominl Aorta (75625) range across 2 matching MRF lines |
$3,739.54–$4,125.60 | $15,139.83–$16,502.41 | varies |
| Contrast X-Ray Bladder (74430) range across 2 matching MRF lines |
$443.59–$489.39 | $1,795.93–$1,957.56 | varies |
| Contrast X-Ray Of Elbow (73085) range across 2 matching MRF lines |
$408.55–$450.73 | $1,654.04–$1,802.90 | varies |
| Contrast X-Ray Of Knee Joint (73580) range across 2 matching MRF lines |
$505.40–$557.57 | $2,046.14–$2,230.29 | varies |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$4,090.23–$4,512.50 | $16,559.62–$18,049.99 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$3,020.12–$3,331.91 | $12,227.19–$13,327.64 | varies |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$2,048.83–$2,260.35 | $8,294.86–$9,041.40 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$2,253.91–$2,486.60 | $9,125.13–$9,946.39 | varies |
| CT abdomen w/o contrast (74150) range across 3 matching MRF lines |
$1,640.25–$1,809.58 | $6,592.39–$7,238.33 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$2,093.76–$2,309.92 | $8,476.78–$9,239.69 | varies |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$1,713.97–$1,890.91 | $6,939.13–$7,563.65 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$1,113.51–$1,228.47 | $4,508.15–$4,913.88 | varies |
| CT angio hrt w/3d image (75574) range across 2 matching MRF lines |
$1,703.75–$1,879.64 | $6,897.76–$7,518.56 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
$1,831.80–$2,020.92 | $7,416.21–$8,083.67 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$1,335.47–$1,473.34 | $5,406.76–$5,893.37 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 2 matching MRF lines |
$616.76–$680.43 | $2,497–$2,721.73 | varies |
| CT bone density (77078) range across 2 matching MRF lines |
$296.77–$327.40 | $1,201.48–$1,309.61 | varies |
| CT cervical spine w/ contrast (72126) range across 2 matching MRF lines |
$1,312.84–$1,448.38 | $5,315.15–$5,793.51 | varies |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$1,238.37–$1,366.22 | $5,013.66–$5,464.89 | varies |
| CT cervical spine w/wo cont (72127) range across 2 matching MRF lines |
$1,689.81–$1,864.26 | $6,841.32–$7,457.04 | varies |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$1,709.79–$1,886.30 | $6,922.21–$7,545.21 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$2,160.19–$2,383.20 | $8,745.70–$9,532.81 | varies |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$1,232.65–$1,359.91 | $4,990.50–$5,439.65 | varies |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$1,400.53–$1,545.12 | $5,670.15–$6,180.46 | varies |
| CT heart contrast eval cardiac structure&morph (75572) range across 2 matching MRF lines |
$1,703.75–$1,879.64 | $6,897.76–$7,518.56 | varies |
| CT heart no contrast quant eval coronry calcium (75571) range across 2 matching MRF lines |
$851.87–$939.82 | $3,448.87–$3,759.27 | varies |
| CT hrt w/3d image congen (75573) range across 2 matching MRF lines |
$1,703.75–$1,879.64 | $6,897.76–$7,518.56 | varies |
| CT iac w contrast (70481) range across 3 matching MRF lines |
$1,232.65–$1,359.91 | $4,956.47–$5,439.65 | varies |
| CT l-spine w&w/o contrast (72133) range across 2 matching MRF lines |
$1,930.03–$2,129.28 | $7,813.87–$8,517.12 | varies |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$1,332.79–$1,470.39 | $5,395.92–$5,881.55 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$1,528.26–$1,686.03 | $6,187.27–$6,744.12 | varies |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$1,733.94–$1,912.95 | $7,020.01–$7,651.81 | varies |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$1,617.94–$1,784.98 | $6,550.37–$7,139.90 | varies |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$1,625.82–$1,793.67 | $6,582.28–$7,174.69 | varies |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$1,003.06–$1,106.62 | $4,060.98–$4,426.47 | varies |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$1,542.78–$1,702.06 | $6,246.08–$6,808.23 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 2 matching MRF lines |
$1,200.13–$1,324.03 | $4,858.81–$5,296.10 | varies |
| CT orbits w/o contrast (70480) range across 4 matching MRF lines |
$767.76–$1,239.12 | $3,071.03–$4,956.47 | varies |
| CT pelvis w&w/o contrast (72194) range across 2 matching MRF lines |
$1,836.47–$2,026.07 | $7,435.12–$8,104.28 | varies |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$1,379.72–$1,522.16 | $5,585.91–$6,088.64 | varies |
| CT scan of leg combo (73702) range across 2 matching MRF lines |
$1,785.52–$1,969.86 | $7,228.84–$7,879.44 | varies |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
$1,787.38–$1,971.91 | $7,236.37–$7,887.64 | varies |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$1,335.47–$1,473.34 | $5,406.76–$5,893.37 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$1,131.74–$1,248.58 | $4,581.94–$4,994.31 | varies |
| CT thoracic spine w contrast (72129) range across 2 matching MRF lines |
$1,876.90–$2,070.67 | $7,598.80–$8,282.69 | varies |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$1,706.84–$1,883.06 | $6,910.30–$7,532.23 | varies |
| CT thoracic spine w/wo cont (72130) range across 2 matching MRF lines |
$2,065.72–$2,278.98 | $8,363.22–$9,115.91 | varies |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$1,554.59–$1,715.08 | $6,293.87–$6,860.32 | varies |
| CT unlisted procedure (76497) range across 2 matching MRF lines |
$82.25–$90.74 | $332.98–$362.95 | varies |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$1,367.02–$1,508.15 | $5,534.50–$6,032.61 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 2 matching MRF lines |
$1,785.52–$1,969.86 | $7,228.84–$7,879.44 | varies |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$1,547.16–$1,706.89 | $6,263.80–$6,827.54 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$2,278.83–$2,514.10 | $9,226.05–$10,056.39 | varies |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$2,198.45–$2,425.42 | $8,900.61–$9,701.66 | varies |
| CTA pelvis (72191) range across 2 matching MRF lines |
$253.38–$279.54 | $1,025.83–$1,118.15 | varies |
| Determination of central c-v hemodynamics (non-imaging) (eg, ejection fraction with probe technique) with or without… (78414) range across 2 matching MRF lines |
$569.68–$628.49 | $2,306.39–$2,513.97 | varies |
| Dilation ureters/urethra rs&i (74485) range across 2 matching MRF lines |
$1,012.34–$1,116.85 | $4,098.53–$4,467.40 | varies |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$323.71–$357.13 | $1,310.57–$1,428.52 | varies |
| Esophagram (74220) range across 2 matching MRF lines |
$422.07–$465.64 | $1,708.78–$1,862.57 | varies |
| Fetal Biophys Profile W/Nst (76818) range across 2 matching MRF lines |
$714.49–$788.25 | $2,892.66–$3,153 | varies |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$346.71–$382.50 | $1,403.67–$1,530 | varies |
| Follow-Up Angiography (75898) range across 2 matching MRF lines |
$372.44–$410.90 | $1,507.87–$1,643.58 | varies |
| Foot 2 views (73620) range across 3 matching MRF lines |
$181.98–$285.88 | $727.93–$1,143.50 | varies |
| Forearm 2 views (73090) range across 3 matching MRF lines |
$182.33–$280.24 | $729.30–$1,120.96 | varies |
| Gastric emptying imaging study (78264) range across 2 matching MRF lines |
$944.50–$1,042.01 | $3,823.89–$4,168.04 | varies |
| Gastroesophageal Reflux Exam (78262) range across 2 matching MRF lines |
$502.29–$554.14 | $2,033.55–$2,216.57 | varies |
| Gated Heart Planar Single (78472) range across 2 matching MRF lines |
$1,619.03–$1,786.17 | $6,554.76–$7,144.69 | varies |
| Gated Heart, Multiple (78473) range across 2 matching MRF lines |
$2,011.66–$2,219.34 | $8,144.38–$8,877.37 | varies |
| Hand 2 views (73120) range across 3 matching MRF lines |
$182.33–$312.87 | $729.30–$1,251.47 | varies |
| Heart first pass single,planar (78481) range across 2 matching MRF lines |
$1,083.28–$1,195.12 | $4,385.74–$4,780.46 | varies |
| Heart Image (Pet) Multiple (78492) range across 2 matching MRF lines |
$2,839.99–$3,133.19 | $11,497.93–$12,532.74 | varies |
| Hepatobil Syst Image W/Drug (78227) range across 2 matching MRF lines |
$2,075.46–$2,289.73 | $8,402.69–$9,158.93 | varies |
| Hepatobiliary System Imaging (78226) range across 2 matching MRF lines |
$2,075.46–$2,289.73 | $8,402.69–$9,158.93 | varies |
| Ht Musc Image Planar Mult (78454) range across 2 matching MRF lines |
$2,267.37–$2,501.46 | $9,179.65–$10,005.82 | varies |
| Ht Muscle Image Spect Sing (78451) range across 2 matching MRF lines |
$3,326.48–$3,669.90 | $13,467.53–$14,679.61 | varies |
| Hysterosalpingogram (74740) range across 2 matching MRF lines |
$566.26–$624.73 | $2,292.57–$2,498.90 | varies |
| Infant hip ultrasound with hip movement (dynamic) (76885) range across 2 matching MRF lines |
$368.17–$406.18 | $1,490.56–$1,624.71 | varies |
| Infant hip ultrasound, limited static exam (76886) range across 2 matching MRF lines |
$452.58–$499.30 | $1,832.29–$1,997.20 | varies |
| Infusion Ivp (74410) range across 2 matching MRF lines |
$882.84–$973.99 | $3,574.27–$3,895.95 | varies |
| Joint Survey Single View (77077) range across 2 matching MRF lines |
$245.35–$270.68 | $993.30–$1,082.70 | varies |
| K Flow/Funct Image W/Drug (78708) range across 2 matching MRF lines |
$717.96–$792.08 | $2,906.71–$3,168.31 | varies |
| K Flow/Funct Image W/O Drug (78707) range across 2 matching MRF lines |
$2,047.59–$2,258.98 | $8,289.84–$9,035.93 | varies |
| Kidney Funcj Study Non-Img Radioisotopic Study (78725) range across 2 matching MRF lines |
$1,873.65–$2,067.09 | $7,585.64–$8,268.35 | varies |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$362.28–$399.68 | $1,466.71–$1,598.71 | varies |
| Leveen/Shunt Patency Exam (78291) range across 2 matching MRF lines |
$547.68–$604.23 | $2,217.34–$2,416.90 | varies |
| Liver & Spleen Imaging Static Only (78215) range across 2 matching MRF lines |
$1,614.22–$1,780.88 | $6,535.32–$7,123.50 | varies |
| Liver imaging static only (78201) range across 2 matching MRF lines |
$1,446.48–$1,595.82 | $5,856.20–$6,383.26 | varies |
| Lung Perf&Ventilat Diferentl (78598) range across 2 matching MRF lines |
$2,044.03–$2,255.05 | $8,275.41–$9,020.20 | varies |
| Lung Ventilat&Perfus Imaging (78582) range across 2 matching MRF lines |
$2,044.03–$2,255.05 | $8,275.41–$9,020.20 | varies |
| Lymph System Imaging (78195) range across 2 matching MRF lines |
$1,556.76–$1,717.48 | $6,302.68–$6,869.92 | varies |
| Magnetic Image Jaw Joint (70336) range across 2 matching MRF lines |
$1,895.33–$2,091.01 | $7,673.42–$8,364.03 | varies |
| Meckels Divert Exam (78290) range across 2 matching MRF lines |
$1,148.33–$1,266.89 | $4,649.12–$5,067.54 | varies |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $19.51 | $79 | 0.7× |
| Mra Head W/O & W/Contrast Material (70546) range across 2 matching MRF lines |
$2,759.30–$3,044.17 | $11,171.25–$12,176.66 | varies |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$2,235.63–$2,466.43 | $9,051.13–$9,865.73 | varies |
| MRA head with contrast (70545) range across 2 matching MRF lines |
$2,430.93–$2,681.90 | $9,841.84–$10,727.61 | varies |
| MRA neck w contrast (70548) range across 2 matching MRF lines |
$2,430.93–$2,681.90 | $9,841.84–$10,727.61 | varies |
| Mra Neck W/O &W/Contrast Material (70549) range across 2 matching MRF lines |
$2,759.30–$3,044.17 | $11,171.25–$12,176.66 | varies |
| MRA neck w/o contrast (70547) range across 2 matching MRF lines |
$2,184.52–$2,410.05 | $8,844.20–$9,640.18 | varies |
| MRI abdomen w contrast (74182) range across 2 matching MRF lines |
$1,898.12–$2,094.08 | $7,684.70–$8,376.32 | varies |
| MRI abdomen w/o contrast (74181) range across 3 matching MRF lines |
$2,033.25–$2,403.72 | $8,133.01–$9,614.87 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 2 matching MRF lines |
$2,282.54–$2,518.19 | $9,241.07–$10,072.77 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$3,037.15–$3,350.70 | $12,296.16–$13,402.81 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 2 matching MRF lines |
$2,773.23–$3,059.54 | $11,227.65–$12,238.14 | varies |
| MRI bone marrow blood supply (77084) range across 2 matching MRF lines |
$1,620.11–$1,787.37 | $6,559.14–$7,149.46 | varies |
| MRI Breast W/O Contrast Bilateral (77047) range across 2 matching MRF lines |
$1,948.61–$2,149.78 | $7,889.11–$8,599.13 | varies |
| MRI Breast Without Contrast Material Unilateral (77046) range across 2 matching MRF lines |
$1,540.81–$1,699.88 | $6,238.09–$6,799.52 | varies |
| MRI cardiac w/o contrast (75557) range across 2 matching MRF lines |
$3,037.62–$3,351.22 | $12,298.06–$13,404.89 | varies |
| MRI cervical spine w contrast (72142) range across 2 matching MRF lines |
$2,849.59–$3,143.78 | $11,536.79–$12,575.10 | varies |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$1,962.24–$2,164.82 | $7,944.29–$8,659.28 | varies |
| MRI chest w/o contrast (71550) range across 2 matching MRF lines |
$1,725.73–$1,903.90 | $6,986.78–$7,615.59 | varies |
| MRI chest with contrast (71551) range across 2 matching MRF lines |
$1,920.89–$2,119.21 | $7,776.90–$8,476.82 | varies |
| MRI chest wo w contrast (71552) range across 3 matching MRF lines |
$2,182.95–$2,761.71 | $8,731.79–$11,046.82 | varies |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 2 matching MRF lines |
$2,546.48–$2,809.37 | $10,309.62–$11,237.49 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 2 matching MRF lines |
$2,282.54–$2,518.19 | $9,241.07–$10,072.77 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines |
$2,282.54–$2,518.19 | $9,241.07–$10,072.77 | varies |
| MRI lumbar spine w contrast (72149) range across 2 matching MRF lines |
$2,849.59–$3,143.78 | $11,536.79–$12,575.10 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$2,849.59–$3,143.78 | $11,536.79–$12,575.10 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 3 matching MRF lines |
$1,843.41–$2,476 | $7,373.62–$9,903.99 | varies |
| MRI orbit face neck w contrast (70542) range across 4 matching MRF lines |
$2,164.38–$2,978.03 | $8,762.67–$11,912.13 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 4 matching MRF lines |
$2,932.40–$3,518.34 | $11,729.61–$14,073.34 | varies |
| MRI pelvis w contrast (72196) range across 2 matching MRF lines |
$2,299.59–$2,537 | $9,310.09–$10,148 | varies |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$2,571.41–$2,836.88 | $10,410.58–$11,347.53 | varies |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$2,299.59–$2,537 | $9,310.09–$10,148 | varies |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$2,106.76–$2,324.27 | $8,529.41–$9,297.06 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 2 matching MRF lines |
$2,773.23–$3,059.54 | $11,227.65–$12,238.14 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 2 matching MRF lines |
$2,246.92–$2,478.90 | $9,096.86–$9,915.58 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 2 matching MRF lines |
$3,037.15–$3,350.70 | $12,296.16–$13,402.81 | varies |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$2,503.27–$2,761.71 | $10,134.70–$11,046.82 | varies |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$2,849.59–$3,143.78 | $11,536.79–$12,575.10 | varies |
| MRI, dorsal spine contrast (72147) range across 2 matching MRF lines |
$2,849.59–$3,143.78 | $11,536.79–$12,575.10 | varies |
| MRI, joint upper extrem (73221) range across 2 matching MRF lines |
$2,313.53–$2,552.38 | $9,366.52–$10,209.51 | varies |
| MRI, joint upper extrem combo (73223) range across 2 matching MRF lines |
$3,037.15–$3,350.70 | $12,296.16–$13,402.81 | varies |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$2,849.59–$3,143.78 | $11,536.79–$12,575.10 | varies |
| Myelogram cervical (72240) range across 2 matching MRF lines |
$977.45–$1,078.36 | $3,957.29–$4,313.45 | varies |
| Myelogram Lumbar (72265) range across 2 matching MRF lines |
$977.45–$1,078.36 | $3,957.29–$4,313.45 | varies |
| Myelography thoracic (72255) range across 2 matching MRF lines |
$977.45–$1,078.36 | $3,957.29–$4,313.45 | varies |
| Myelograpy 2/more regions rs&i (72270) range across 2 matching MRF lines |
$1,020.82–$1,126.21 | $4,132.87–$4,504.83 | varies |
| Myocardial Imaging Pet Metabolic Evaluation (78459) range across 2 matching MRF lines |
$2,839.99–$3,133.19 | $11,497.93–$12,532.74 | varies |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) range across 2 matching MRF lines |
$1,732.25–$1,911.08 | $7,013.14–$7,644.32 | varies |
| Myocardial Spect Multiple Studies (78452) range across 2 matching MRF lines |
$3,852.78–$4,250.54 | $15,598.31–$17,002.16 | varies |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$249.68–$275.45 | $1,010.83–$1,101.80 | varies |
| Nm myocard infarct spect (78469) range across 2 matching MRF lines |
$2,868.64–$3,164.80 | $11,613.93–$12,659.18 | varies |
| Nonvascular Shunt X-Ray (75809) range across 2 matching MRF lines |
$445.15–$491.10 | $1,802.21–$1,964.41 | varies |
| Nuclear Rx Oral Admin (79005) range across 2 matching MRF lines |
$1,177.60–$1,299.17 | $4,767.60–$5,196.68 | varies |
| Optic foramina (70190) range across 2 matching MRF lines |
$308.23–$340.05 | $1,247.90–$1,360.21 | varies |
| Parathyroid Planar Imaging (78070) range across 2 matching MRF lines |
$2,322.98–$2,562.80 | $9,404.77–$10,251.20 | varies |
| Pelvis 1 or 2 views (72170) range across 3 matching MRF lines |
$55.61–$293.22 | $225.16–$1,172.89 | varies |
| Pet Image Skull-Thigh (78812) range across 2 matching MRF lines |
$2,469.51–$2,724.46 | $9,998–$10,897.82 | varies |
| Pet Image W/Ct Lmtd (78814) range across 2 matching MRF lines |
$2,469.51–$2,724.46 | $9,998–$10,897.82 | varies |
| PET image w/CT, full body (78816) range across 2 matching MRF lines |
$2,469.51–$2,724.46 | $9,998–$10,897.82 | varies |
| PET imaging CT attenuation skull base mid-thigh (78815) range across 2 matching MRF lines |
$2,469.51–$2,724.46 | $9,998–$10,897.82 | varies |
| Pet Imaging Limited Area Chest Head/Neck (78811) range across 2 matching MRF lines |
$2,469.51–$2,724.46 | $9,998–$10,897.82 | varies |
| Pet Myocardial Sngl Study (78491) range across 2 matching MRF lines |
$2,839.99–$3,133.19 | $11,497.93–$12,532.74 | varies |
| PET whole body (78813) range across 2 matching MRF lines |
$2,469.51–$2,724.46 | $9,998–$10,897.82 | varies |
| Pulmonary Perfusion Imaging Particulate (78580) range across 2 matching MRF lines |
$2,044.03–$2,255.05 | $8,275.41–$9,020.20 | varies |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$361.67–$399.01 | $1,464.24–$1,596.02 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 2 matching MRF lines |
$519.33–$572.94 | $2,102.54–$2,291.77 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$298–$328.77 | $1,206.48–$1,315.06 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$250.61–$276.49 | $1,014.63–$1,105.95 | varies |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$324.95–$358.50 | $1,315.60–$1,434 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$284.84–$314.25 | $1,153.19–$1,256.98 | varies |
| Radex fingr minimum 2 views (73140) range across 2 matching MRF lines |
$226.60–$249.99 | $917.40–$999.97 | varies |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$284.99–$314.41 | $1,153.80–$1,257.64 | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$296.60–$327.22 | $1,200.80–$1,308.87 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 2 matching MRF lines |
$100.30–$110.66 | $406.07–$442.62 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) range across 2 matching MRF lines |
$351.59–$387.89 | $1,423.46–$1,551.57 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$299.71–$330.65 | $1,213.39–$1,322.60 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 2 matching MRF lines |
$351.43–$387.71 | $1,422.80–$1,550.85 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$293.20–$323.47 | $1,187.04–$1,293.87 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$269.35–$297.16 | $1,090.49–$1,188.63 | varies |
| Radex Spine 1 View Specify Level (72020) range across 4 matching MRF lines |
$233.75–$345 | $935–$1,380.01 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$293.35–$323.64 | $1,187.67–$1,294.56 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$437.09–$482.21 | $1,769.59–$1,928.85 | varies |
| Radex Toe Minimum 2 Views (73660) range across 2 matching MRF lines |
$225.37–$248.64 | $912.42–$994.54 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 2 matching MRF lines |
$188.90–$208.40 | $764.76–$833.59 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$270.74–$298.69 | $1,096.10–$1,194.75 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$400.69–$442.05 | $1,622.21–$1,768.21 | varies |
| Radiologic exam colon double contrast study (74280) range across 2 matching MRF lines |
$830.04–$915.73 | $3,360.48–$3,662.92 | varies |
| Radiologic exam colon single contrast study (74270) range across 2 matching MRF lines |
$569.35–$628.14 | $2,305.08–$2,512.54 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$394.96–$435.74 | $1,599.03–$1,742.94 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$320.62–$353.72 | $1,298.04–$1,414.86 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 2 matching MRF lines |
$589.81–$650.70 | $2,387.89–$2,602.80 | varies |
| Radiologic exam swallow function contrast study (74230) range across 2 matching MRF lines |
$496.10–$547.32 | $2,008.51–$2,189.28 | varies |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$481.18–$719.28 | $1,924.73–$2,912.07 | varies |
| Radiologic examination femur 1 view (73551) range across 2 matching MRF lines |
$165.26–$182.33 | $669.08–$729.30 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$290.26–$320.23 | $1,175.15–$1,280.91 | varies |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$290.26–$320.23 | $1,175.15–$1,280.91 | varies |
| Radiologic Examination Osseous Survey Limited (77074) range across 2 matching MRF lines |
$559.76–$617.55 | $2,266.25–$2,470.21 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$182.33–$321.93 | $729.30–$1,287.72 | varies |
| Red Cell Volume Determination Spx 1 Sampling (78120) range across 2 matching MRF lines |
$574.94–$634.30 | $2,327.69–$2,537.18 | varies |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$188.90–$208.40 | $764.76–$833.59 | varies |
| Rp loclzj tum plnr 1 area single day imaging (78800) range across 2 matching MRF lines |
$893.07–$985.27 | $3,615.66–$3,941.07 | varies |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) range across 2 matching MRF lines |
$1,706.84–$1,883.06 | $6,910.30–$7,532.23 | varies |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) range across 2 matching MRF lines |
$1,584.64–$1,748.24 | $6,415.56–$6,992.96 | varies |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 5 matching MRF lines |
$1,727.76–$2,609.11 | $6,994.96–$10,436.42 | varies |
| Rp Therapy Intravenous Administration (79101) range across 2 matching MRF lines |
$5,978.74–$6,595.98 | $24,205.42–$26,383.91 | varies |
| Scapula (73010) range across 2 matching MRF lines |
$266.25–$293.74 | $1,077.93–$1,174.94 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 3 matching MRF lines |
$60.62–$70.22 | $245.43–$280.89 | varies |
| Sella turcica (70240) range across 2 matching MRF lines |
$192.37–$212.23 | $778.82–$848.91 | varies |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$241.47–$266.40 | $977.60–$1,065.58 | varies |
| Shoulder Arthrography (73040) range across 2 matching MRF lines |
$443.22–$488.98 | $1,794.40–$1,955.90 | varies |
| Sialogram (70390) range across 2 matching MRF lines |
$398.21–$439.32 | $1,612.18–$1,757.28 | varies |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$403.94–$445.64 | $1,635.38–$1,782.56 | varies |
| Speech evaluation, complex (70371) range across 2 matching MRF lines |
$391.56–$431.98 | $1,585.25–$1,727.92 | varies |
| Sternoclavicular joints (71130) range across 2 matching MRF lines |
$267.80–$295.45 | $1,084.20–$1,181.78 | varies |
| Testicular Imaging W/Flow (78761) range across 2 matching MRF lines |
$1,217.40–$1,343.08 | $4,928.73–$5,372.32 | varies |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$265.78–$293.22 | $1,076.05–$1,172.89 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$366.62–$404.47 | $1,484.29–$1,617.88 | varies |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$219.16–$241.79 | $887.30–$967.16 | varies |
| Thyroid Imaging With Vascular Flow (78013) range across 2 matching MRF lines |
$1,324.91–$1,461.69 | $5,363.99–$5,846.75 | varies |
| Thyroid Met Imaging Body (78018) range across 2 matching MRF lines |
$2,024.67–$2,233.70 | $8,197.05–$8,934.78 | varies |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) range across 2 matching MRF lines |
$1,324.91–$1,461.69 | $5,363.99–$5,846.75 | varies |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$348.65–$696.32 | $1,411.54–$2,785.27 | varies |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
$77.86–$85.90 | $315.22–$343.59 | varies |
| Ultrasound, abdomen limited (76705) range across 3 matching MRF lines |
$602.17–$695.98 | $2,408.66–$2,783.93 | varies |
| Upper gi w/o kub (74240) range across 3 matching MRF lines |
$599.95–$793.54 | $2,399.80–$3,174.16 | varies |
| Urea Breath Test C-14 Isotopic Acquisj Analysis (78267) | $19.52 | $79.02 | 1.8× |
| Ureteral Reflux Study (78740) range across 2 matching MRF lines |
$1,279.98–$1,412.13 | $5,182.12–$5,648.51 | varies |
| Urethrocystogram voiding (74455) range across 2 matching MRF lines |
$591.51–$652.58 | $2,394.77–$2,610.30 | varies |
| Urethrocystography retrograde (74450) range across 2 matching MRF lines |
$388.77–$428.90 | $1,573.95–$1,715.61 | varies |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$192.76–$347.90 | $771.03–$1,391.59 | varies |
| Us chest (76604) range across 2 matching MRF lines |
$409.98–$452.30 | $1,659.83–$1,809.21 | varies |
| Us complete joint (76881) range across 2 matching MRF lines |
$883.93–$975.19 | $3,578.67–$3,900.75 | varies |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$630.85–$695.98 | $2,554.06–$2,783.93 | varies |
| Us head (76506) range across 2 matching MRF lines |
$407.82–$449.92 | $1,651.09–$1,799.69 | varies |
| Us ob detailed single fetus (76811) range across 2 matching MRF lines |
$606.69–$669.32 | $2,456.22–$2,677.28 | varies |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$339.67–$374.74 | $1,375.18–$1,498.95 | varies |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$594.91–$656.33 | $2,408.55–$2,625.32 | varies |
| Us pelvic non ob complete (76856) range across 3 matching MRF lines |
$596.69–$695.98 | $2,386.76–$2,783.93 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$339.67–$374.74 | $1,375.18–$1,498.95 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 2 matching MRF lines |
$311.17–$343.30 | $1,259.81–$1,373.19 | varies |
| Us retroperitoneal complete (76770) range across 4 matching MRF lines |
$545.82–$695.98 | $2,209.78–$2,783.93 | varies |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$533.13–$588.17 | $2,158.42–$2,352.68 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$630.85–$695.98 | $2,554.06–$2,783.93 | varies |
| Us spinal canal and contents (76800) range across 2 matching MRF lines |
$367.85–$405.83 | $1,489.27–$1,623.30 | varies |
| Us thyroid (76536) range across 3 matching MRF lines |
$545.82–$699.91 | $2,209.78–$2,799.65 | varies |
| Us transrectal (76872) range across 2 matching MRF lines |
$673.91–$743.49 | $2,728.39–$2,973.95 | varies |
| Vascular Flow Imaging (78445) range across 2 matching MRF lines |
$742.37–$819.01 | $3,005.53–$3,276.03 | varies |
| Venography caval inferior serialography rs&i (75825) range across 3 matching MRF lines |
$780.51–$1,110.56 | $3,122.05–$4,442.25 | varies |
| Venography extremity bilateral rs&i (75822) range across 3 matching MRF lines |
$1,179.99–$1,301.81 | $4,777.29–$5,207.25 | varies |
| Venography extremity unilateral rs&i (75820) range across 3 matching MRF lines |
$551.51–$695.73 | $2,232.82–$2,782.90 | varies |
| Venography Renal Bilateral (75833) range across 2 matching MRF lines |
$1,202.12–$1,326.23 | $4,866.90–$5,304.92 | varies |
| Venous sampling by catheter (75893) range across 2 matching MRF lines |
$987.93–$1,089.93 | $3,999.73–$4,359.71 | varies |
| Vertebral fracture assessment via dxa (77086) range across 2 matching MRF lines |
$63.27–$69.80 | $256.15–$279.20 | varies |
| Wrist 2 views (73100) range across 3 matching MRF lines |
$182.33–$271.69 | $729.30–$1,086.77 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 3 matching MRF lines |
$327.73–$361.57 | $1,326.86–$1,446.28 | varies |
| X-Ray Aorta Leg Arteries (75630) range across 2 matching MRF lines |
$3,739.54–$4,125.60 | $15,139.83–$16,502.41 | varies |
| X-Ray Bend Only L-S Spine (72120) range across 2 matching MRF lines |
$519.64–$573.29 | $2,103.82–$2,293.16 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$182.33–$325.35 | $729.30–$1,301.38 | varies |
| X-Ray Exam Breast Specimen (76098) range across 3 matching MRF lines |
$249.37–$275.12 | $1,006.78–$1,100.47 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$681.81–$752.20 | $2,760.37–$3,008.80 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 2 matching MRF lines |
$164.95–$181.98 | $667.83–$727.93 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 2 matching MRF lines |
$281.89–$310.99 | $1,141.26–$1,243.97 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) range across 2 matching MRF lines |
$381.49–$420.87 | $1,544.48–$1,683.48 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$867.52–$957.08 | $3,512.21–$3,828.31 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$337.81–$372.68 | $1,367.64–$1,490.73 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$583.93–$644.21 | $2,364.07–$2,576.84 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 2 matching MRF lines |
$366.92–$404.81 | $1,485.52–$1,619.22 | varies |
| X-ray eye for foreign body (70030) range across 2 matching MRF lines |
$234.65–$258.88 | $950.02–$1,035.52 | varies |
| X-ray humerus (73060) range across 3 matching MRF lines |
$253.39–$279.55 | $1,025.88–$1,118.21 | varies |
| X-ray IV pyelogram+tomography (74415) range across 2 matching MRF lines |
$882.84–$973.99 | $3,574.27–$3,895.95 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 2 matching MRF lines |
$230.94–$254.78 | $934.96–$1,019.11 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$290.26–$320.23 | $1,175.15–$1,280.91 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$377.62–$416.60 | $1,528.82–$1,666.41 | varies |
| X-ray nose-rectum child f.b. (76010) range across 2 matching MRF lines |
$161.86–$178.57 | $655.30–$714.28 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$387.99–$428.04 | $1,570.79–$1,712.16 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$337.50–$372.34 | $1,366.39–$1,489.37 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$282.98–$312.20 | $1,145.67–$1,248.78 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$407.82–$449.92 | $1,651.09–$1,799.69 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$437.87–$483.07 | $1,772.74–$1,932.29 | varies |
| X-Ray Stress View (77071) | $181.84 | $736.21 | 2.3× |
| X-ray thoracic spine 4 vw (72074) range across 2 matching MRF lines |
$291.65–$321.76 | $1,180.78–$1,287.05 | varies |
| X-Ray Tmj Unilat (70328) range across 2 matching MRF lines |
$257.58–$284.18 | $1,042.84–$1,136.70 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 2 matching MRF lines |
$456.61–$503.75 | $1,848.61–$2,014.98 | varies |
| X-Rays Bone Length Studies (77073) range across 2 matching MRF lines |
$374.21–$412.84 | $1,515.01–$1,651.36 | varies |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$571.23–$630.20 | $2,312.66–$2,520.80 | varies |
| Xr facial bones less than 3 views (70140) range across 2 matching MRF lines |
$264.24–$291.52 | $1,069.79–$1,166.07 | varies |
| XR Mastoids < 3 Views Bilateral (70120) range across 2 matching MRF lines |
$236.82–$261.27 | $958.80–$1,045.09 | varies |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$409.52–$451.80 | $1,657.98–$1,807.20 | varies |
| Xr Tomogram Single Plane (76100) range across 2 matching MRF lines |
$578.19–$637.88 | $2,340.84–$2,551.52 | 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.