Imaging prices at Hillsboro Area Hospital
Hillsboro, IL · every code in this section with a posted price and a Medicare benchmark.
276 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 6 matching MRF lines |
$300.20–$711.32 | $333.55–$790.35 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$504.63–$519.75 | $560.70–$577.50 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) range across 2 matching MRF lines |
$1,885.32–$1,932.39 | $2,094.80–$2,147.10 | varies |
| Ankle 2 views (73600) range across 4 matching MRF lines |
$156.78–$1,277.55 | $174.20–$1,419.50 | varies |
| Arthrogram ankle (73615) range across 2 matching MRF lines |
$1,625.09–$1,625.40 | $1,805.65–$1,806 | varies |
| Arthrogram hip (73525) | $1,625.40 | $1,806 | 4.3× |
| Arthrogram Wrist (73115) | $900.23 | $1,000.25 | 2.4× |
| Bone age studies (77072) | $339.80 | $377.55 | 3.0× |
| Bone Imaging 3 Phase (78315) | $2,189.88 | $2,433.20 | 5.1× |
| Bone Imaging Limited Area (78300) | $1,896.26 | $2,106.95 | 4.4× |
| Bone Imaging Multiple Areas (78305) | $1,516.82 | $1,685.35 | 3.5× |
| Bone Imaging Whole Body (78306) | $2,141.82 | $2,379.80 | 5.0× |
| Bone survey infant (77076) | $414.09 | $460.10 | 3.7× |
| Cat Scan Follow-Up Study (76380) | $1,171.04 | $1,301.15 | 12.6× |
| Chest 1 view (71045) range across 2 matching MRF lines |
$407.25–$419.49 | $452.50–$466.10 | varies |
| Chest 2 views (71046) range across 2 matching MRF lines |
$778.68–$802.04 | $865.20–$891.15 | varies |
| Chest 4 or more views (71048) range across 2 matching MRF lines |
$355.01–$390.20 | $394.45–$433.55 | varies |
| Cholecystography Oral Contrast (74290) | $643.64 | $715.15 | 3.4× |
| Clavicle complete (73000) range across 2 matching MRF lines |
$447.48–$460.89 | $497.20–$512.10 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 2 matching MRF lines |
$1,934.64–$1,992.69 | $2,149.60–$2,214.10 | varies |
| Contrast X-Ray Bladder (74430) | $966.15 | $1,073.50 | 2.6× |
| Contrast X-Ray Of Knee Joint (73580) | $1,625.40 | $1,806 | 4.3× |
| Contrast Xray Throat/Cerv Esopha (74210) | $288.50 | $320.55 | 1.5× |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$6,456.56–$6,650.24 | $7,173.95–$7,389.15 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$4,992.84–$5,142.65 | $5,547.60–$5,714.05 | varies |
| CT abdomen w contrast (74160) | $3,446.96 | $3,829.95 | 18.3× |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$4,091.13–$4,213.85 | $4,545.70–$4,682.05 | varies |
| CT abdomen w/o contrast (74150) | $2,700.68 | $3,000.75 | 24.1× |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$5,025.11–$5,175.86 | $5,583.45–$5,750.95 | varies |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$4,034.39–$4,155.44 | $4,482.65–$4,617.15 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$3,697.56–$3,808.49 | $4,108.40–$4,231.65 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $3,658.14 | $4,064.60 | 19.5× |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$3,675.38–$3,785.63 | $4,083.75–$4,206.25 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 2 matching MRF lines |
$3,551.58–$3,658.14 | $3,946.20–$4,064.60 | varies |
| CT bone density (77078) | $801.05 | $890.05 | 8.6× |
| CT cervical spine w/ contrast (72126) | $4,071.60 | $4,524 | 10.9× |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$2,857.91–$2,943.63 | $3,175.45–$3,270.70 | varies |
| CT cervical spine w/wo cont (72127) | $3,446.28 | $3,829.20 | 18.3× |
| CT chest w contrast (71260) range across 3 matching MRF lines |
$3,307.55–$3,579.39 | $3,675.05–$3,977.10 | varies |
| CT chest w/wo contrast (71270) | $4,111.65 | $4,568.50 | 21.9× |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$2,836.31–$2,921.40 | $3,151.45–$3,246 | varies |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$3,305.30–$3,404.48 | $3,672.55–$3,782.75 | varies |
| CT iac w contrast (70481) | $2,981.39 | $3,312.65 | 15.9× |
| CT l-spine w&w/o contrast (72133) range across 2 matching MRF lines |
$3,969.18–$4,088.25 | $4,410.20–$4,542.50 | varies |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$2,309.49–$2,378.79 | $2,566.10–$2,643.10 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$3,234.15–$3,331.17 | $3,593.50–$3,701.30 | varies |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$3,264.75–$3,362.72 | $3,627.50–$3,736.35 | varies |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$3,180.56–$3,275.96 | $3,533.95–$3,639.95 | varies |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$2,637.32–$2,716.43 | $2,930.35–$3,018.25 | varies |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$2,558.07–$2,634.80 | $2,842.30–$2,927.55 | varies |
| CT neck tissue combo (70492) | $3,574.04 | $3,971.15 | 19.0× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $3,457.35 | $3,841.50 | 18.4× |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$2,463.75–$2,537.69 | $2,737.50–$2,819.65 | varies |
| CT pelvis w&w/o contrast (72194) | $3,906.41 | $4,340.45 | 20.8× |
| CT pelvis w/o contrast (72192) | $2,570.90 | $2,856.55 | 22.9× |
| CT scan of leg combo (73702) | $3,236.04 | $3,595.60 | 17.2× |
| CT scans face/jaw combo (70488) | $2,946.92 | $3,274.35 | 15.7× |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$3,394.67–$3,496.50 | $3,771.85–$3,885 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$2,631.47–$2,710.40 | $2,923.85–$3,011.55 | varies |
| CT thoracic spine w contrast (72129) | $3,362.72 | $3,736.35 | 17.9× |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$2,496.02–$2,570.90 | $2,773.35–$2,856.55 | varies |
| CT thoracic spine w/wo cont (72130) | $4,088.25 | $4,542.50 | 21.8× |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$2,371.46–$2,442.60 | $2,634.95–$2,714 | varies |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$2,267.55–$2,335.59 | $2,519.50–$2,595.10 | varies |
| CT upper extremity w/o & w/contrast material (73202) | $3,236.04 | $3,595.60 | 17.2× |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$2,947.73–$3,036.15 | $3,275.25–$3,373.50 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$3,889.76–$4,006.44 | $4,321.95–$4,451.60 | varies |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$3,889.76–$4,006.44 | $4,321.95–$4,451.60 | varies |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) range across 2 matching MRF lines |
$3,078–$3,170.34 | $3,420–$3,522.60 | varies |
| CTA pelvis (72191) range across 2 matching MRF lines |
$3,889.76–$4,006.44 | $4,321.95–$4,451.60 | varies |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$824.40–$849.15 | $916–$943.50 | varies |
| Dxa bone density study (77085) range across 2 matching MRF lines |
$948.29–$976.73 | $1,053.65–$1,085.25 | varies |
| Dxa bone density study 1/>sites appendiclr skel (77081) range across 2 matching MRF lines |
$410.90–$423.23 | $456.55–$470.25 | varies |
| Esophagram (74220) range across 3 matching MRF lines |
$343.71–$900.23 | $381.90–$1,000.25 | varies |
| Fetal Biophys Profile W/Nst (76818) | $893.34 | $992.60 | 8.0× |
| Fluoroscopy up to 1 hr (76000) range across 6 matching MRF lines |
$40.55–$1,107.59 | $45.05–$1,230.65 | varies |
| Foot 2 views (73620) range across 4 matching MRF lines |
$156.78–$1,213.07 | $174.20–$1,347.85 | varies |
| Forearm 2 views (73090) range across 4 matching MRF lines |
$899.19–$1,389.24 | $999.10–$1,543.60 | varies |
| Gastric emptying imaging study (78264) range across 2 matching MRF lines |
$2,144.52–$2,208.87 | $2,382.80–$2,454.30 | varies |
| Gastroesophageal Reflux Exam (78262) | $1,510.97 | $1,678.85 | 3.5× |
| Gated Heart Planar Single (78472) | $1,885.32 | $2,094.80 | 4.4× |
| Hand 2 views (73120) range across 4 matching MRF lines |
$156.78–$1,360.62 | $174.20–$1,511.80 | varies |
| Hepatobil Syst Image W/Drug (78227) range across 2 matching MRF lines |
$3,259.85–$3,357.63 | $3,622.05–$3,730.70 | varies |
| Hepatobiliary System Imaging (78226) | $2,086.07 | $2,317.85 | 4.9× |
| Ht Muscle Image Spect Sing (78451) range across 5 matching MRF lines |
$251.96–$8,167.73 | $279.95–$9,075.25 | varies |
| Hysterosalpingogram (74740) | $555.26 | $616.95 | 2.2× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $382.32 | $424.80 | 4.1× |
| Joint Survey Single View (77077) | $352.40 | $391.55 | 3.1× |
| K Flow/Funct Image Multiple (78709) range across 2 matching MRF lines |
$1,755.72–$2,319.17 | $1,950.80–$2,576.85 | varies |
| K Flow/Funct Image W/Drug (78708) range across 2 matching MRF lines |
$2,256.21–$2,323.89 | $2,506.90–$2,582.10 | varies |
| K Flow/Funct Image W/O Drug (78707) | $1,889.19 | $2,099.10 | 3.2× |
| Kidney Funcj Study Non-Img Radioisotopic Study (78725) | $1,244.57 | $1,382.85 | 2.9× |
| Kidney Imaging Morphol (78700) | $1,244.57 | $1,382.85 | 2.9× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $2,024.10 | $2,249 | 4.7× |
| Knee 3 Views (73562) range across 4 matching MRF lines |
$912.15–$1,409.31 | $1,013.50–$1,565.90 | varies |
| Liver & Spleen Imaging Static Only (78215) | $2,166.71 | $2,407.45 | 5.1× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $1,126.44 | $1,251.60 | 2.6× |
| Liver imaging static only (78201) | $3,569.67 | $3,966.30 | 6.1× |
| Lung Ventilat&Perfus Imaging (78582) range across 2 matching MRF lines |
$2,595.33–$2,673.18 | $2,883.70–$2,970.20 | varies |
| Lung Ventilation Imaging (78579) | $1,115.33 | $1,239.25 | 2.6× |
| Magnetic Image Jaw Joint (70336) | $5,343.48 | $5,937.20 | 20.9× |
| Meckels Divert Exam (78290) | $1,173.24 | $1,303.60 | 2.7× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $139.05 | $154.50 | 4.5× |
| Mr safety implt pos&/immoblj (76019) | $278.10 | $309 | 4.4× |
| Mra Head W/O & W/Contrast Material (70546) range across 3 matching MRF lines |
$5,225.49–$7,256.57 | $5,806.10–$8,062.85 | varies |
| MRA head w/o contrast (70544) range across 3 matching MRF lines |
$5,073.30–$7,256.57 | $5,637–$8,062.85 | varies |
| MRA head with contrast (70545) | $3,200.49 | $3,556.10 | 8.6× |
| MRA neck w contrast (70548) | $898.88 | $998.75 | 2.4× |
| Mra Neck W/O &W/Contrast Material (70549) range across 2 matching MRF lines |
$4,665.51–$4,805.46 | $5,183.90–$5,339.40 | varies |
| MRA neck w/o contrast (70547) | $3,508.38 | $3,898.20 | 13.7× |
| MRI abdomen w contrast (74182) range across 2 matching MRF lines |
$3,922.52–$5,458.86 | $4,358.35–$6,065.40 | varies |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$3,808.26–$3,922.52 | $4,231.40–$4,358.35 | varies |
| MRI any jt lower extrem w/contrast material (73722) | $3,996.45 | $4,440.50 | 4.8× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 3 matching MRF lines |
$2,763.18–$4,333.41 | $3,070.20–$4,814.90 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 2 matching MRF lines |
$3,930.84–$4,048.79 | $4,367.60–$4,498.65 | varies |
| MRI Breast W/O Contrast Bilateral (77047) | $6,636.38 | $7,373.75 | 26.0× |
| MRI Breast Without Contrast Material Unilateral (77046) | $5,655.65 | $6,284.05 | 22.1× |
| MRI cervical spine w contrast (72142) range across 2 matching MRF lines |
$3,774.65–$3,887.87 | $4,194.05–$4,319.85 | varies |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$4,082.99–$4,205.48 | $4,536.65–$4,672.75 | varies |
| MRI chest w/o contrast (71550) | $2,610.14 | $2,900.15 | 10.2× |
| MRI chest wo w contrast (71552) | $4,003.92 | $4,448.80 | 10.7× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $2,909.79 | $3,233.10 | 7.8× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 2 matching MRF lines |
$5,825.52–$6,000.30 | $6,472.80–$6,667 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines |
$3,602.52–$3,710.61 | $4,002.80–$4,122.90 | varies |
| MRI lumbar spine w contrast (72149) | $3,648.06 | $4,053.40 | 9.8× |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$4,894.20–$5,041.04 | $5,438–$5,601.15 | varies |
| MRI orbit face &/neck w/o contrast (70540) | $3,626.69 | $4,029.65 | 14.2× |
| MRI orbit face neck w contrast (70542) | $3,222.45 | $3,580.50 | 8.6× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 2 matching MRF lines |
$4,687.70–$4,828.32 | $5,208.55–$5,364.80 | varies |
| MRI pelvis w contrast (72196) | $3,456.59 | $3,840.65 | 9.2× |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$3,454.11–$5,179.32 | $3,837.90–$5,754.80 | varies |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$3,511.35–$3,616.70 | $3,901.50–$4,018.55 | varies |
| MRI thoracic spine w/o contrast (72146) range across 3 matching MRF lines |
$1,350.50–$3,980.97 | $1,500.55–$4,423.30 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 2 matching MRF lines |
$4,448.07–$4,581.50 | $4,942.30–$5,090.55 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) | $5,152.19 | $5,724.65 | 13.8× |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$4,976.33–$5,125.64 | $5,529.25–$5,695.15 | varies |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$5,462.06–$5,625.90 | $6,068.95–$6,251 | varies |
| MRI, dorsal spine contrast (72147) range across 2 matching MRF lines |
$4,672.76–$4,812.93 | $5,191.95–$5,347.70 | varies |
| MRI, joint upper extrem (73221) range across 2 matching MRF lines |
$4,408.56–$4,540.82 | $4,898.40–$5,045.35 | varies |
| MRI, joint upper extrem combo (73223) | $6,074.87 | $6,749.85 | 16.2× |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$5,330.25–$5,490.18 | $5,922.50–$6,100.20 | varies |
| Myelogram cervical (72240) | $2,023.83 | $2,248.70 | 2.4× |
| Myelogram Lumbar (72265) | $2,023.83 | $2,248.70 | 2.4× |
| Myelography thoracic (72255) | $2,023.83 | $2,248.70 | 2.4× |
| Myelograpy 2/more regions rs&i (72270) | $3,037.41 | $3,374.90 | 3.6× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) range across 4 matching MRF lines |
$413.33–$7,804.31 | $459.25–$8,671.45 | varies |
| Myocardial imaging, infarct avid, planar; with ejection fraction by first pass technique Non-Facility (78468) | $1,613.70 | $1,793 | 2.8× |
| Myocardial Spect Multiple Studies (78452) range across 8 matching MRF lines |
$261.32–$10,079.42 | $290.35–$11,199.35 | varies |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$333.72–$343.71 | $370.80–$381.90 | varies |
| Nm myocard infarct spect (78469) | $4,283.60 | $4,759.55 | 7.4× |
| Optic foramina (70190) | $306.81 | $340.90 | 3.3× |
| Parathyroid Planar Imaging (78070) | $1,244.57 | $1,382.85 | 2.9× |
| Parathyroid planar imaging w/wo subtraction (78071) | $1,282.55 | $1,425.05 | 3.0× |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$460.98–$474.80 | $512.20–$527.55 | varies |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,898.24 | $2,109.15 | 4.4× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$644.81–$664.16 | $716.45–$737.95 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) | $1,472.85 | $1,636.50 | 2.5× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 4 matching MRF lines |
$1,001.16–$1,717.65 | $1,112.40–$1,908.50 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$596.97–$922.37 | $663.30–$1,024.85 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$1,001.16–$1,546.79 | $1,112.40–$1,718.65 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $679.37 | $754.85 | 6.1× |
| Radex fingr minimum 2 views (73140) range across 3 matching MRF lines |
$615.51–$951.03 | $683.90–$1,056.70 | varies |
| Radex foot complete minimum 3 views (73630) range across 4 matching MRF lines |
$1,001.16–$2,062.40 | $1,112.40–$2,291.55 | varies |
| Radex Hand Minimum 3 Views (73130) range across 4 matching MRF lines |
$712.85–$1,270.08 | $792.05–$1,411.20 | varies |
| Radex lower extremity infant minimum 2 views (73592) | $220.37 | $244.85 | 2.4× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $598.19 | $664.65 | 5.3× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $478.40 | $531.55 | 5.1× |
| Radex Ribs Unilateral 2 Views (71100) range across 2 matching MRF lines |
$836.10–$861.17 | $929–$956.85 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 4 matching MRF lines |
$308.25–$1,529.60 | $342.50–$1,699.55 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $455.58 | $506.20 | 4.9× |
| Radex Spine 1 View Specify Level (72020) | $412.07 | $457.85 | 4.4× |
| Radex Sternum Minimum 2 Views (71120) | $469.89 | $522.10 | 5.0× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $829.17 | $921.30 | 8.9× |
| Radex Toe Minimum 2 Views (73660) range across 2 matching MRF lines |
$332.42–$342.41 | $369.35–$380.45 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 2 matching MRF lines |
$195.93–$344.30 | $217.70–$382.55 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$660.56–$1,019.75 | $733.95–$1,133.05 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) | $667.67 | $741.85 | 6.0× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $538.92 | $598.80 | 4.8× |
| Radiologic exam colon double contrast study (74280) | $995.09 | $1,105.65 | 5.3× |
| Radiologic exam colon single contrast study (74270) | $865.80 | $962 | 4.6× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $933.66 | $1,037.40 | 5.0× |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$610.07–$628.38 | $677.85–$698.20 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $541.94 | $602.15 | 4.8× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $855.27 | $950.30 | 4.6× |
| Radiologic exam swallow function contrast study (74230) range across 2 matching MRF lines |
$842.18–$867.42 | $935.75–$963.80 | varies |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$1,019.16–$1,049.72 | $1,132.40–$1,166.35 | varies |
| Radiologic examination femur 1 view (73551) | $165.11 | $183.45 | 1.8× |
| Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines |
$830.61–$1,283.27 | $922.90–$1,425.85 | varies |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$656.33–$1,013.99 | $729.25–$1,126.65 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $414.09 | $460.10 | 3.7× |
| Radiologic Examination Salivary Gland Calculus (70380) | $306.81 | $340.90 | 3.3× |
| Radiologic examination tibia & fibula 2 views (73590) range across 5 matching MRF lines |
$165.11–$1,436.54 | $183.45–$1,596.15 | varies |
| Radiologic examination, internal auditory meati, complete Non-Facility (70134) | $345.11 | $383.45 | 0.6× |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$1,036.80–$1,067.90 | $1,152–$1,186.55 | varies |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $2,289.06 | $2,543.40 | 3.9× |
| Salivary Gland Imaging Serial Images (78231) | $1,214.51 | $1,349.45 | 2.8× |
| Scapula (73010) range across 2 matching MRF lines |
$421.74–$434.39 | $468.60–$482.65 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 2 matching MRF lines |
$243.90–$251.24 | $271–$279.15 | varies |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$293–$331.47 | $325.55–$368.30 | varies |
| Shoulder Arthrography (73040) | $1,625.40 | $1,806 | 4.3× |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$445.86–$455.58 | $495.40–$506.20 | varies |
| Spleen Imaging (78185) | $1,244.57 | $1,382.85 | 2.9× |
| Sternoclavicular joints (71130) range across 2 matching MRF lines |
$402.03–$414.09 | $446.70–$460.10 | varies |
| Testicular Imaging W/Flow (78761) range across 2 matching MRF lines |
$1,224–$1,244.57 | $1,360–$1,382.85 | varies |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$430.20–$443.12 | $478–$492.35 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$578.34–$595.71 | $642.60–$661.90 | varies |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$480.02–$494.42 | $533.35–$549.35 | varies |
| Thyroid Imaging With Vascular Flow (78013) | $1,244.57 | $1,382.85 | 2.9× |
| Thyroid Met Imaging Body (78018) | $1,960.34 | $2,178.15 | 3.4× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,726.70 | $1,918.55 | 4.0× |
| Ultrasound Breast Limited (76642) range across 4 matching MRF lines |
$1,025.28–$1,584 | $1,139.20–$1,760 | varies |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
$928.08–$955.94 | $1,031.20–$1,062.15 | varies |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$1,304.28–$1,343.43 | $1,449.20–$1,492.70 | varies |
| Unlisted genitourinary px dx nuclear medicine (78799) | $1,523.43 | $1,692.70 | 3.6× |
| Upper gi w/o kub (74240) | $944.73 | $1,049.70 | 5.0× |
| Ureteral Reflux Study (78740) | $1,244.57 | $1,382.85 | 2.9× |
| Urethrocystography retrograde (74450) | $525.24 | $583.60 | 2.1× |
| Us breast unilateral complete (76641) range across 2 matching MRF lines |
$2,048.09–$3,072.11 | $2,275.65–$3,413.45 | varies |
| Us chest (76604) | $754.25 | $838.05 | 6.7× |
| Us complete joint (76881) | $806.45 | $896.05 | 7.2× |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$845.33–$870.71 | $939.25–$967.45 | varies |
| Us head (76506) | $430.25 | $478.05 | 3.8× |
| Us kidney transplant (76776) | $1,210.05 | $1,344.50 | 10.8× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 3 matching MRF lines |
$1,092.02–$1,687.14 | $1,213.35–$1,874.60 | varies |
| Us ob limited 1 or more fetuses (76815) | $837.54 | $930.60 | 7.5× |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$783.95–$807.48 | $871.05–$897.20 | varies |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$1,203.26–$1,239.35 | $1,336.95–$1,377.05 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $1,111.19 | $1,234.65 | 9.9× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $729.23 | $810.25 | 6.5× |
| Us retroperitoneal complete (76770) range across 3 matching MRF lines |
$1,035–$1,359.63 | $1,150–$1,510.70 | varies |
| Us retroperitoneal limited (76775) range across 5 matching MRF lines |
$724.19–$938.21 | $804.65–$1,042.45 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$1,092.78–$1,125.59 | $1,214.20–$1,250.65 | varies |
| Us thyroid (76536) range across 2 matching MRF lines |
$1,003.95–$1,034.06 | $1,115.50–$1,148.95 | varies |
| Vascular Flow Imaging (78445) | $1,244.57 | $1,382.85 | 2.9× |
| Venography extremity bilateral rs&i (75822) | $3,501.05 | $3,890.05 | 2.1× |
| Venography extremity unilateral rs&i (75820) | $1,818.14 | $2,020.15 | 1.1× |
| Venous thrombosis imaging (78457) | $3,569.67 | $3,966.30 | 6.1× |
| Venous Thrombosis Imaging Venogram Bilateral (78458) | $1,396.89 | $1,552.10 | 3.3× |
| Wrist 2 views (73100) range across 4 matching MRF lines |
$293–$1,208.79 | $325.55–$1,343.10 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $572.36 | $635.95 | 6.1× |
| X-Ray Bend Only L-S Spine (72120) | $475.74 | $528.60 | 4.2× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$156.78–$1,132.88 | $174.20–$1,258.75 | varies |
| X-Ray Exam Breast Specimen (76098) | $1,444.55 | $1,605.05 | 2.5× |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 3 matching MRF lines |
$257.49–$446.63 | $286.10–$496.25 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$456.30–$469.98 | $507–$522.20 | varies |
| X-Ray Exam Hip Uni 1 View (73501) | $455.58 | $506.20 | 4.9× |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 2 matching MRF lines |
$663.75–$683.69 | $737.50–$759.65 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) range across 3 matching MRF lines |
$176.81–$525.15 | $196.45–$583.50 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 3 matching MRF lines |
$285.26–$1,274.67 | $316.95–$1,416.30 | varies |
| X-Ray Exam L-S Spine Bending (72114) | $967.46 | $1,074.95 | 8.6× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$569.52–$586.62 | $632.80–$651.80 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $980.01 | $1,088.90 | 8.7× |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 6 matching MRF lines |
$604.80–$1,138.37 | $672–$1,264.85 | varies |
| X-ray eye for foreign body (70030) range across 2 matching MRF lines |
$361.58–$372.42 | $401.75–$413.80 | varies |
| X-ray humerus (73060) range across 4 matching MRF lines |
$165.11–$1,326.20 | $183.45–$1,473.55 | varies |
| X-ray IV pyelogram (ivp) (74400) | $1,057.82 | $1,175.35 | 5.6× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $518.58 | $576.20 | 5.6× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $327.06 | $363.40 | 3.5× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$612.27–$630.63 | $680.30–$700.70 | varies |
| X-ray nose-rectum child f.b. (76010) range across 2 matching MRF lines |
$227.84–$234.68 | $253.15–$260.75 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 4 matching MRF lines |
$523.67–$686.43 | $581.85–$762.70 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$529.70–$545.58 | $588.55–$606.20 | varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $370.98 | $412.20 | 3.3× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$554.81–$571.46 | $616.45–$634.95 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $652.95 | $725.50 | 7.0× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$706.19–$727.38 | $784.65–$808.20 | varies |
| X-ray thoracic spine 4 vw (72074) | $398.75 | $443.05 | 3.6× |
| X-Ray Tmj Unilat (70328) | $352.71 | $391.90 | 3.8× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 2 matching MRF lines |
$1,625.40–$2,245.05 | $1,806–$2,494.50 | varies |
| X-Rays Bone Length Studies (77073) | $411.17 | $456.85 | 3.7× |
| X-Rays Bone Survey Complete (77075) | $1,121.13 | $1,245.70 | 10.0× |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$741.69–$763.92 | $824.10–$848.80 | varies |
| Xr facial bones less than 3 views (70140) | $479.30 | $532.55 | 5.1× |
| XR Mastoids < 3 Views Bilateral (70120) | $536.76 | $596.40 | 4.8× |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$540.45–$556.65 | $600.50–$618.50 | varies |
| Xr Tomogram Single Plane (76100) range across 4 matching MRF lines |
$362.43–$731.03 | $402.70–$812.25 | 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.