Imaging prices at Hillcrest Medical Center
Tulsa, OK · every code in this section with a posted price and a Medicare benchmark.
344 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 3-D radiotherapy plan dose-volume histograms (77295) | $2,309.70 | $7,699 | 1.7× |
| Abdomen 1 View (74018) | $250.20 | $834 | 3.0× |
| Abdomen 2 views (74019) | $318 | $1,060 | 3.2× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,105.50 | $3,685 | 2.9× |
| Angio internal mammary (75756) | $2,253 | $7,510 | 0.7× |
| Angio pulmonary bilat (75743) | $5,712.90 | $19,043 | 1.9× |
| Angiography extremity bilateral rs&i (75716) | $2,797.20 | $9,324 | 0.9× |
| Angiography extremity unilateral rs&i (75710) | $2,778.30 | $9,261 | 0.9× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $4,761 | $15,870 | 1.6× |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$375.90–$563.85 | $1,253–$1,879.50 | varies |
| Aortography thoracic serialography rs&i (75605) | $3,099.60 | $10,332 | 0.6× |
| Artery X-Rays Abdomen (75726) | $7,614.90 | $25,383 | 1.4× |
| Artery X-Rays Adrenal Gland (75731) | $2,142.90 | $7,143 | 0.7× |
| Artery X-Rays Pelvis (75736) range across 2 matching MRF lines |
$2,740.80–$4,111.20 | $9,136–$13,704 | varies |
| Artery X-Rays Spine (75705) | $6,273.60 | $20,912 | 1.2× |
| Arthrogram hip (73525) | $714 | $2,380 | 2.1× |
| Arthrogram Wrist (73115) | $533.70 | $1,779 | 1.6× |
| Basic radiation dosimetry calculation (77300) | $225.60 | $752 | 1.7× |
| Bone age studies (77072) | $370.80 | $1,236 | 3.7× |
| Bone Imaging 3 Phase (78315) | $1,995 | $6,650 | 5.2× |
| Bone Imaging Limited Area (78300) | $889.80 | $2,966 | 2.3× |
| Bone Imaging Multiple Areas (78305) | $925.50 | $3,085 | 2.4× |
| Bone Imaging Whole Body (78306) | $1,358.10 | $4,527 | 3.5× |
| Bone marrow imaging limited area (78102) | $803.40 | $2,678 | 2.1× |
| Bone survey infant (77076) | $344.10 | $1,147 | 3.4× |
| Brain Flow Imaging Only (78610) | $1,531.20 | $5,104 | 2.9× |
| Brain Image W/Flow < 4 Views (78601) | $1,922.10 | $6,407 | 5.0× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $5,189.70 | $17,299 | 3.8× |
| Card Bl Pool Gated Spect Rest Wal Motn Ejct Frct (78494) | $366.90 | $1,223 | 1.0× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $1,587 | $5,290 | 4.7× |
| Cardiac MRI w/w/o contrast w/stress (75563) | $1,587 | $5,290 | 2.1× |
| Cat Scan Follow-Up Study (76380) | $76.80 | $256 | 0.9× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $763.80 | $2,546 | 1.5× |
| Cerebrospinal Fluid Scan (78630) | $1,800.30 | $6,001 | 3.4× |
| Chest 1 view (71045) | $258.30 | $861 | 3.1× |
| Chest 2 views (71046) | $440.40 | $1,468 | 5.3× |
| Chest 3 views (71047) | $484.80 | $1,616 | 5.8× |
| Chest 4 or more views (71048) | $691.20 | $2,304 | 6.9× |
| Clavicle complete (73000) range across 2 matching MRF lines |
$391.80–$587.70 | $1,306–$1,959 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $938.10 | $3,127 | 9.3× |
| Continuing medical physics consltj pr wk (77336) | $318.60 | $1,062 | 2.5× |
| Contrast Exam Abdominl Aorta (75625) | $2,950.20 | $9,834 | 1.0× |
| Contrast X-Ray Bladder (74430) | $628.80 | $2,096 | 1.9× |
| Contrast X-Ray Of Elbow (73085) | $553.50 | $1,845 | 1.6× |
| CT abdomen and pelvis without and with contrast (74178) | $2,789.40 | $9,298 | 8.3× |
| CT abdomen and pelvis without contrast (74176) | $2,038.20 | $6,794 | 8.9× |
| CT abdomen w contrast (74160) | $1,119 | $3,730 | 6.6× |
| CT abdomen w wo contrast (74170) | $1,474.50 | $4,915 | 8.7× |
| CT abdomen w/o contrast (74150) | $1,013.40 | $3,378 | 10.1× |
| CT Angio Abdomen and Pelvis (74174) | $2,248.80 | $7,496 | 6.7× |
| CT Angio Chest (71275) | $1,636.50 | $5,455 | 9.7× |
| CT Angio Head (70496) | $1,414.50 | $4,715 | 8.4× |
| CT angio hrt w/3d image (75574) | $1,644.30 | $5,481 | 4.9× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
$1,341.60–$2,012.40 | $4,472–$6,708 | varies |
| CT Angio Neck (70498) | $1,454.10 | $4,847 | 8.6× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 2 matching MRF lines |
$1,376.10–$2,064.15 | $4,587–$6,880.50 | varies |
| CT Cere Prfuj Alys C+ W/O CT/Cta Same Anatomy (70473) | $161.40 | $538 | 1.0× |
| CT cervical spine w/ contrast (72126) | $1,568.10 | $5,227 | 4.7× |
| CT cervical spine w/o contrast (72125) | $1,485.30 | $4,951 | 14.8× |
| CT cervical spine w/wo cont (72127) | $2,073 | $6,910 | 12.3× |
| CT chest w contrast (71260) | $1,218.60 | $4,062 | 7.2× |
| CT chest w/wo contrast (71270) | $1,328.40 | $4,428 | 7.9× |
| CT head/brain with contrast (70460) | $1,665.30 | $5,551 | 9.9× |
| CT head/brain without and with contrast (70470) | $2,001.30 | $6,671 | 11.9× |
| CT heart contrast eval cardiac structure&morph (75572) | $1,599.90 | $5,333 | 4.8× |
| CT heart no contrast quant eval coronry calcium (75571) | $46.80 | $156 | 0.6× |
| CT hrt w/3d image congen (75573) | $1,644.30 | $5,481 | 4.9× |
| CT iac w contrast (70481) | $1,426.80 | $4,756 | 8.5× |
| CT l-spine w&w/o contrast (72133) | $2,718.90 | $9,063 | 16.1× |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$933.60–$1,400.40 | $3,112–$4,668 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$1,071.30–$1,606.95 | $3,571–$5,356.50 | varies |
| CT lumbar spine w contrast (72132) | $1,230 | $4,100 | 3.7× |
| CT lumbar spine w/o contrast (72131) | $1,154.10 | $3,847 | 11.5× |
| CT maxillofacial w contrast (70487) | $1,315.80 | $4,386 | 7.8× |
| CT maxillofacial wo contrast (70486) | $1,156.20 | $3,854 | 11.5× |
| CT neck tissue combo (70492) | $1,362.60 | $4,542 | 8.1× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,568.70 | $5,229 | 9.3× |
| CT orbits w/o contrast (70480) | $1,297.50 | $4,325 | 12.9× |
| CT pelvis w&w/o contrast (72194) | $1,315.80 | $4,386 | 7.8× |
| CT pelvis w/o contrast (72192) | $820.80 | $2,736 | 8.2× |
| CT scan of leg combo (73702) range across 2 matching MRF lines |
$1,126.50–$1,689.75 | $3,755–$5,632.50 | varies |
| CT scans face/jaw combo (70488) | $1,382.70 | $4,609 | 8.2× |
| CT soft tissue neck w contrast (70491) | $1,323.60 | $4,412 | 7.8× |
| CT soft tissue neck w/o contrast (70490) | $992.40 | $3,308 | 9.9× |
| CT thoracic spine w contrast (72129) | $1,270.50 | $4,235 | 7.5× |
| CT thoracic spine w/o contrast (72128) | $1,161.60 | $3,872 | 11.6× |
| CT thoracic spine w/wo cont (72130) | $1,572.90 | $5,243 | 9.3× |
| CT thorax w/o contrast (71250) | $938.10 | $3,127 | 9.3× |
| CT upper ext wo (73200) | $850.80 | $2,836 | 8.5× |
| CT upper extremity w/o & w/contrast material (73202) | $1,341.90 | $4,473 | 8.0× |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$1,067.70–$1,601.55 | $3,559–$5,338.50 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,890.30 | $6,301 | 11.2× |
| Cta Abdomen (74175) | $1,423.80 | $4,746 | 8.4× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $2,758.80 | $9,196 | 8.2× |
| CTA pelvis (72191) | $1,578.60 | $5,262 | 9.4× |
| Doppler Fetal Mid Cerebral Artery (76821) | $441 | $1,470 | 4.4× |
| Dxa Bone Density Axial (77080) | $320.10 | $1,067 | 3.2× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $229.80 | $766 | 2.7× |
| Echo exam of fetal heart (76825) | $532.50 | $1,775 | 1.0× |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) | $192 | $640 | 0.8× |
| Esophagram (74220) | $407.10 | $1,357 | 2.4× |
| Fetal Biophys Profile W/Nst (76818) | $2,886.30 | $9,621 | 28.7× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $1,144.20 | $3,814 | 11.4× |
| Fluoroscopy up to 1 hr (76000) | $403.80 | $1,346 | 1.8× |
| Follow-Up Angiography (75898) | $1,075.50 | $3,585 | 0.4× |
| Foot 2 views (73620) range across 2 matching MRF lines |
$382.80–$574.20 | $1,276–$1,914 | varies |
| Forearm 2 views (73090) range across 3 matching MRF lines |
$399.90–$599.85 | $1,333–$1,999.50 | varies |
| Gastric emptying imaging study (78264) | $1,270.80 | $4,236 | 3.3× |
| Gated Heart Planar Single (78472) | $1,474.50 | $4,915 | 3.8× |
| Hand 2 views (73120) range across 2 matching MRF lines |
$409.20–$613.80 | $1,364–$2,046 | varies |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $3,786.30 | $12,621 | 1.2× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $3,559.20 | $11,864 | 1.2× |
| Hepatobil Syst Image W/Drug (78227) | $2,004.30 | $6,681 | 3.8× |
| Hepatobiliary System Imaging (78226) | $1,872.30 | $6,241 | 4.9× |
| Ht Muscle Image Spect Sing (78451) | $2,919.60 | $9,732 | 2.3× |
| Hysterosalpingogram (74740) | $594.90 | $1,983 | 2.6× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $222.60 | $742 | 2.7× |
| Infant hip ultrasound, limited static exam (76886) | $342 | $1,140 | 4.1× |
| K Flow/Funct Image W/Drug (78708) | $1,847.40 | $6,158 | 3.5× |
| K Flow/Funct Image W/O Drug (78707) | $1,637.10 | $5,457 | 3.1× |
| Kidney Funcj Study Non-Img Radioisotopic Study (78725) | $629.70 | $2,099 | 1.6× |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$452.40–$678.60 | $1,508–$2,262 | varies |
| Leveen/Shunt Patency Exam (78291) | $398.40 | $1,328 | 1.0× |
| Liver & Spleen Imaging Static Only (78215) | $1,163.10 | $3,877 | 3.0× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $1,279.50 | $4,265 | 3.3× |
| Liver imaging static only (78201) | $1,041 | $3,470 | 2.0× |
| Lung Perf&Ventilat Diferentl (78598) | $2,106.30 | $7,021 | 4.0× |
| Lung perfusion differential (78597) | $2,106.30 | $7,021 | 5.5× |
| Lung Ventilat&Perfus Imaging (78582) | $1,358.70 | $4,529 | 2.6× |
| Lung Ventilation Imaging (78579) | $1,152.90 | $3,843 | 3.0× |
| Lymph System Imaging (78195) | $1,576.50 | $5,255 | 3.0× |
| Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) | $3,776.70 | $12,589 | 1.2× |
| Magnetic Image Jaw Joint (70336) | $990 | $3,300 | 4.3× |
| Mammary ductogram or galactogram multiple (77054) | $728.70 | $2,429 | 3.2× |
| Mammary ductogram or galactogram single (77053) | $549 | $1,830 | 2.4× |
| Meckels Divert Exam (78290) | $852.90 | $2,843 | 2.2× |
| Mlc imrt design & construction per imrt plan (77338) | $2,492.70 | $8,309 | 6.9× |
| Mr safety determination physician/other qhp (76016) | $86.10 | $287 | 1.0× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $24.60 | $82 | 0.9× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) | $89.70 | $299 | 1.0× |
| Mr safety implt pos&/immoblj (76019) | $58.20 | $194 | 1.0× |
| Mr safety med physics xm customization plng&mntr (76017) | $235.80 | $786 | 1.0× |
| Mra Head W/O & W/Contrast Material (70546) | $1,851.60 | $6,172 | 5.5× |
| MRA head w/o contrast (70544) | $1,099.50 | $3,665 | 4.8× |
| MRA head with contrast (70545) | $1,264.20 | $4,214 | 3.8× |
| MRA neck w contrast (70548) | $1,478.10 | $4,927 | 4.4× |
| Mra Neck W/O &W/Contrast Material (70549) | $1,709.70 | $5,699 | 5.1× |
| MRA neck w/o contrast (70547) | $1,099.50 | $3,665 | 4.8× |
| MRI abdomen w contrast (74182) | $1,840.20 | $6,134 | 5.5× |
| MRI abdomen w/o contrast (74181) | $1,348.50 | $4,495 | 5.9× |
| MRI any jt lower extrem w/contrast material (73722) range across 2 matching MRF lines |
$2,566.50–$3,849.75 | $8,555–$12,832.50 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$2,171.10–$3,256.65 | $7,237–$10,855.50 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) | $1,900.20 | $6,334 | 2.5× |
| MRI Breast W/O Contrast Bilateral (77047) | $368.40 | $1,228 | 1.6× |
| MRI Breast Without Contrast Material Unilateral (77046) | $255 | $850 | 1.1× |
| MRI cardiac w/o cont stress (75559) | $1,037.40 | $3,458 | 2.0× |
| MRI cardiac w/o contrast (75557) | $1,296.90 | $4,323 | 5.7× |
| MRI cervical spine w contrast (72142) | $1,892.10 | $6,307 | 5.6× |
| MRI cervical spine w/o cont (72141) | $1,254.30 | $4,181 | 5.5× |
| MRI chest w/o contrast (71550) | $1,988.70 | $6,629 | 8.7× |
| MRI chest wo w contrast (71552) | $1,886.70 | $6,289 | 5.6× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $1,593.60 | $5,312 | 4.7× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 2 matching MRF lines |
$1,610.40–$2,415.60 | $5,368–$8,052 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines |
$1,380.60–$2,070.90 | $4,602–$6,903 | varies |
| MRI lumbar spine w contrast (72149) | $1,839.60 | $6,132 | 5.5× |
| Mri Neck Spine W/O & W/Dye (72156) | $2,082 | $6,940 | 6.2× |
| MRI orbit face &/neck w/o contrast (70540) | $1,478.70 | $4,929 | 6.4× |
| MRI orbit face neck w contrast (70542) | $1,663.50 | $5,545 | 5.0× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $2,263.50 | $7,545 | 6.7× |
| MRI pelvis w contrast (72196) | $1,829.70 | $6,099 | 5.5× |
| MRI pelvis w/o & w contrast (72197) | $1,539 | $5,130 | 4.6× |
| MRI pelvis w/o contrast (72195) | $1,128.30 | $3,761 | 4.9× |
| MRI thoracic spine w/o contrast (72146) | $1,362.90 | $4,543 | 5.9× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $1,471.20 | $4,904 | 4.4× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $1,398.90 | $4,663 | 6.1× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $2,490 | $8,300 | 7.4× |
| MRI, abdomen, combo (74183) | $2,007.60 | $6,692 | 6.0× |
| MRI, dorsal spine combo (72157) | $1,889.70 | $6,299 | 5.6× |
| MRI, dorsal spine contrast (72147) | $1,550.70 | $5,169 | 4.6× |
| MRI, joint upper extrem (73221) range across 2 matching MRF lines |
$1,391.70–$2,087.55 | $4,639–$6,958.50 | varies |
| MRI, joint upper extrem combo (73223) | $1,746.30 | $5,821 | 5.2× |
| MRI, lumbar spine combo (72158) | $2,191.80 | $7,306 | 6.5× |
| Myocardial Spect Multiple Studies (78452) | $3,416.70 | $11,389 | 2.7× |
| N-invas est c ffr sw aly CTA (75580) | $3,191.70 | $10,639 | 3.9× |
| Neck soft tissue (70360) | $242.70 | $809 | 2.9× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $495.90 | $1,653 | 1.3× |
| Nm csf leak detection (78650) | $1,262.10 | $4,207 | 1.0× |
| Nonvascular Shunt X-Ray (75809) | $351.90 | $1,173 | 3.5× |
| Ntsty modul radthx pln dose-vol histos (77301) | $2,390.70 | $7,969 | 1.8× |
| Nuclear Rx Intra-Arterial (79445) | $537.90 | $1,793 | 2.4× |
| Nuclear Rx Oral Admin (79005) | $1,142.70 | $3,809 | 5.1× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) | $153 | $510 | 1.5× |
| Parathyroid Planar Imaging (78070) | $1,922.10 | $6,407 | 5.0× |
| Pelvis 1 or 2 views (72170) | $418.20 | $1,394 | 4.2× |
| Peritoneogram Rs&I (74190) | $501.60 | $1,672 | 1.0× |
| PET image w/CT, full body (78816) | $5,727.30 | $19,091 | 4.2× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $5,206.80 | $17,356 | 3.8× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $2,713.20 | $9,044 | 0.9× |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,068.90 | $3,563 | 2.8× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $559.80 | $1,866 | 5.6× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $406.50 | $1,355 | 0.8× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$457.50–$686.25 | $1,525–$2,287.50 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$369–$553.50 | $1,230–$1,845 | varies |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$428.70–$643.05 | $1,429–$2,143.50 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $519.30 | $1,731 | 5.2× |
| Radex fingr minimum 2 views (73140) | $334.80 | $1,116 | 4.0× |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$465.30–$697.95 | $1,551–$2,326.50 | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$467.10–$700.65 | $1,557–$2,335.50 | varies |
| Radex lower extremity infant minimum 2 views (73592) | $310.50 | $1,035 | 3.7× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $416.10 | $1,387 | 5.0× |
| Radex Ribs Unilateral 2 Views (71100) | $475.50 | $1,585 | 5.7× |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$385.20–$577.80 | $1,284–$1,926 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $356.70 | $1,189 | 4.3× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $940.50 | $3,135 | 5.6× |
| Radex Spine 1 View Specify Level (72020) | $436.20 | $1,454 | 5.2× |
| Radex Sternum Minimum 2 Views (71120) | $327.90 | $1,093 | 3.9× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $71.10 | $237 | 0.8× |
| Radex Toe Minimum 2 Views (73660) | $327.90 | $1,093 | 3.9× |
| Radex upper extremity infant minimum 2 views (73092) | $360.90 | $1,203 | 3.6× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$450–$675 | $1,500–$2,250 | varies |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $24,134.70 | $80,449 | 3.4× |
| Radiation treatment delivery level 1 (77402) | $450 | $1,500 | 4.6× |
| Radiation treatment delivery level 2 (77407) | $570 | $1,900 | 1.5× |
| Radiation treatment delivery level 3 (77412) | $750 | $2,500 | 1.4× |
| Radiolog exam mandible compl minimum 4 views (70110) | $979.50 | $3,265 | 9.7× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $349.80 | $1,166 | 3.5× |
| Radiologic exam colon double contrast study (74280) | $896.10 | $2,987 | 5.3× |
| Radiologic exam colon single contrast study (74270) | $490.20 | $1,634 | 2.9× |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$488.40–$732.60 | $1,628–$2,442 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $600.30 | $2,001 | 6.0× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $514.50 | $1,715 | 3.0× |
| Radiologic exam swallow function contrast study (74230) | $338.10 | $1,127 | 2.0× |
| Radiologic exam upr gi trc double contrast study (74246) | $573 | $1,910 | 3.4× |
| Radiologic examination femur 1 view (73551) range across 2 matching MRF lines |
$103.80–$155.70 | $346–$519 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$430.80–$646.20 | $1,436–$2,154 | varies |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$394.80–$592.20 | $1,316–$1,974 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $488.40 | $1,628 | 4.9× |
| Radiologic examination tibia & fibula 2 views (73590) range across 2 matching MRF lines |
$399.90–$599.85 | $1,333–$1,999.50 | varies |
| Ribs bilateral 3 views (71110) | $692.10 | $2,307 | 6.9× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $1,612.50 | $5,375 | 4.2× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $1,773.30 | $5,911 | 4.6× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $2,995.80 | $9,986 | 5.7× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $1,773.30 | $5,911 | 3.4× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $3,295.20 | $10,984 | 6.3× |
| Rp Therapy Intravenous Administration (79101) | $1,212.30 | $4,041 | 5.4× |
| Scapula (73010) | $374.70 | $1,249 | 3.7× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $30.30 | $101 | 1.3× |
| Shoulder 1 view (73020) | $373.80 | $1,246 | 4.5× |
| Shoulder Arthrography (73040) | $753.30 | $2,511 | 2.2× |
| Sialogram (70390) | $399.60 | $1,332 | 1.7× |
| Skull less than 4 views (70250) | $325.50 | $1,085 | 3.2× |
| Special dosimetry (77331) | $589.80 | $1,966 | 4.6× |
| Special Physics Consult (77370) | $522 | $1,740 | 4.0× |
| Special teletherapy port plan (77321) | $537.60 | $1,792 | 1.5× |
| Special treatment procedure (77470) | $1,268.10 | $4,227 | 2.4× |
| Stereotactic Body Radiation Delivery (77373) | $13,480.80 | $44,936 | 7.8× |
| Superior sagittal sinus venogram (75870) | $3,003 | $10,010 | 1.0× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $592.20 | $1,974 | 1.6× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $387.90 | $1,293 | 1.1× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $628.50 | $2,095 | 1.7× |
| Ther rad simulaj-aided field setting simple (77280) | $442.50 | $1,475 | 3.4× |
| Thoracic spine 2 views (72070) | $448.20 | $1,494 | 4.5× |
| Thoracic spine 3 views (72072) | $513.60 | $1,712 | 5.1× |
| Thoracolumbar 2 views (72080) | $382.80 | $1,276 | 4.6× |
| Thyroid Imaging With Vascular Flow (78013) | $372.90 | $1,243 | 1.0× |
| Thyroid Met Imaging Body (78018) | $1,599.90 | $5,333 | 3.1× |
| Thyroid Uptake Measurement (78012) | $807.60 | $2,692 | 2.1× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,048.50 | $3,495 | 2.7× |
| Tx Devices Design & Construction Complex (77334) | $1,095.30 | $3,651 | 3.0× |
| Tx devices design & construction simple (77332) | $684.60 | $2,282 | 5.3× |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$559.80–$839.70 | $1,866–$2,799 | varies |
| Ultrasound Elastography Parenchyma (76981) | $192 | $640 | 1.9× |
| Ultrasound Exam Aaa Screen (76706) | $697.20 | $2,324 | 6.9× |
| Ultrasound, abdomen limited (76705) | $623.40 | $2,078 | 6.2× |
| Umbilical-artery Doppler (OB) (76820) | $342 | $1,140 | 3.4× |
| Unlisted magnetic resonance procedure (76498) | $1,005.30 | $3,351 | 12.0× |
| Upper gi w/o kub (74240) | $559.80 | $1,866 | 3.3× |
| Urethrocystogram voiding (74455) | $794.70 | $2,649 | 3.5× |
| Urethrocystography retrograde (74450) | $469.20 | $1,564 | 2.0× |
| Us chest (76604) | $419.70 | $1,399 | 4.2× |
| Us complete joint (76881) | $599.70 | $1,999 | 6.0× |
| Us exam, pelvic, limited (76857) | $366.60 | $1,222 | 3.6× |
| Us head (76506) | $729 | $2,430 | 7.3× |
| Us kidney transplant (76776) | $655.20 | $2,184 | 6.5× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$421.80–$632.70 | $1,406–$2,109 | varies |
| Us ob detailed single fetus (76811) | $1,011.90 | $3,373 | 4.4× |
| Us ob limited 1 or more fetuses (76815) | $441.60 | $1,472 | 4.4× |
| Us ob transvaginal (76817) | $546.90 | $1,823 | 5.4× |
| Us pelvic non ob complete (76856) | $716.40 | $2,388 | 7.1× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $578.40 | $1,928 | 5.8× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $594.90 | $1,983 | 5.9× |
| Us retroperitoneal complete (76770) | $780.30 | $2,601 | 7.8× |
| Us retroperitoneal limited (76775) | $572.40 | $1,908 | 5.7× |
| Us scrotum and contents (76870) | $612.30 | $2,041 | 6.1× |
| Us spinal canal and contents (76800) | $490.20 | $1,634 | 4.9× |
| Us thyroid (76536) | $599.70 | $1,999 | 6.0× |
| Us transrectal (76872) | $780.30 | $2,601 | 7.8× |
| Vein X-Ray Chest (75827) | $1,770 | $5,900 | 1.2× |
| Vein X-Ray Liver W/O Hemodyn (75887) | $1,568.10 | $5,227 | 0.5× |
| Venogram Sinus/Jugular (75860) | $1,379.70 | $4,599 | 0.5× |
| Venography caval inferior serialography rs&i (75825) | $2,248.80 | $7,496 | 0.7× |
| Venography extremity bilateral rs&i (75822) | $1,062 | $3,540 | 0.7× |
| Venography extremity unilateral rs&i (75820) | $1,030.20 | $3,434 | 0.7× |
| Venography Renal Unilateral (75831) | $4,015.20 | $13,384 | 1.3× |
| Venous sampling by catheter (75893) | $5,947.20 | $19,824 | 1.1× |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$378.90–$568.35 | $1,263–$1,894.50 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $71.10 | $237 | 0.8× |
| X-ray antegrade pyelogram tube (74425) | $548.40 | $1,828 | 1.6× |
| X-Ray Aorta Leg Arteries (75630) | $3,255.90 | $10,853 | 1.1× |
| X-Ray Bend Only L-S Spine (72120) | $407.40 | $1,358 | 4.1× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$393.90–$590.85 | $1,313–$1,969.50 | varies |
| X-Ray Exam Breast Specimen (76098) | $587.10 | $1,957 | 1.1× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $792 | $2,640 | 9.5× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $870.90 | $2,903 | 8.7× |
| X-Ray Exam Hip Uni 1 View (73501) | $249.90 | $833 | 3.0× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $306.30 | $1,021 | 3.7× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $337.20 | $1,124 | 3.4× |
| X-Ray Exam Hips Bi 2 Views (73521) | $337.20 | $1,124 | 3.4× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $410.70 | $1,369 | 4.1× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $451.20 | $1,504 | 4.5× |
| X-Ray Exam L-S Spine Bending (72114) | $812.70 | $2,709 | 8.1× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $403.80 | $1,346 | 4.8× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $569.70 | $1,899 | 5.7× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $557.70 | $1,859 | 5.5× |
| X-ray humerus (73060) range across 2 matching MRF lines |
$428.70–$643.05 | $1,429–$2,143.50 | varies |
| X-ray IV pyelogram (ivp) (74400) | $664.20 | $2,214 | 3.9× |
| X-ray IV pyelogram+tomography (74415) | $882.60 | $2,942 | 5.2× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $891 | $2,970 | 10.6× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $306.30 | $1,021 | 3.7× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $440.40 | $1,468 | 4.4× |
| X-ray nose-rectum child f.b. (76010) | $99.30 | $331 | 1.2× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $734.70 | $2,449 | 7.3× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $382.50 | $1,275 | 3.8× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $344.40 | $1,148 | 3.4× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $352.80 | $1,176 | 4.2× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $561 | $1,870 | 6.7× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $672.60 | $2,242 | 6.7× |
| X-ray thoracic spine 4 vw (72074) | $585.90 | $1,953 | 5.8× |
| X-Ray Tmj Unilat (70328) | $71.10 | $237 | 0.8× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $718.20 | $2,394 | 2.1× |
| X-Rays Bone Survey Complete (77075) | $942.90 | $3,143 | 9.4× |
| Xr c-spine 4 or 5 views (72050) | $537.60 | $1,792 | 5.3× |
| Xr facial bones less than 3 views (70140) | $314.40 | $1,048 | 3.8× |
| Xr orbits complete 4 views (70200) | $128.40 | $428 | 1.3× |
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.