Imaging prices at Huggins Hospital
Wolfeboro, NH · every code in this section with a posted price and a Medicare benchmark.
257 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 |
$202.50–$212.50 | $405–$425 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$243.50–$255.50 | $487–$511 | varies |
| Ankle 2 views (73600) range across 4 matching MRF lines |
$193–$405 | $386–$810 | varies |
| Arthrogram hip (73525) range across 3 matching MRF lines |
$512–$1,075 | $1,024–$2,150 | varies |
| Arthrogram Wrist (73115) range across 2 matching MRF lines |
$495.50–$991 | $991–$1,982 | varies |
| Bone age studies (77072) range across 2 matching MRF lines |
$193–$202.50 | $386–$405 | varies |
| Bone Imaging 3 Phase (78315) range across 2 matching MRF lines |
$1,478.50–$1,552.50 | $2,957–$3,105 | varies |
| Bone Imaging Limited Area (78300) | $1,039.50 | $2,079 | 2.4× |
| Bone Imaging Whole Body (78306) range across 2 matching MRF lines |
$1,293.50–$1,358 | $2,587–$2,716 | varies |
| Bone survey infant (77076) | $372 | $744 | 3.3× |
| Cat Scan Follow-Up Study (76380) | $768 | $1,536 | 8.3× |
| Chest 1 view (71045) range across 3 matching MRF lines |
$244.50–$256.50 | $489–$513 | varies |
| Chest 2 views (71046) range across 3 matching MRF lines |
$275.50–$289.50 | $551–$579 | varies |
| Chest 4 or more views (71048) | $377.50 | $755 | 3.4× |
| Clavicle complete (73000) range across 4 matching MRF lines |
$211–$443 | $422–$886 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 3 matching MRF lines |
$1,304.50–$1,369.50 | $2,609–$2,739 | varies |
| Contrast X-Ray Bladder (74430) | $338 | $676 | 0.9× |
| Contrast X-Ray Of Elbow (73085) range across 2 matching MRF lines |
$445.50–$891 | $891–$1,782 | varies |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$2,995–$3,145 | $5,990–$6,290 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$2,307.50–$2,423 | $4,615–$4,846 | varies |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$1,548–$1,625.50 | $3,096–$3,251 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$2,147.50–$2,255 | $4,295–$4,510 | varies |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$1,374.50–$1,443 | $2,749–$2,886 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$2,537.50–$2,664.50 | $5,075–$5,329 | varies |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$1,423.50–$1,494.50 | $2,847–$2,989 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$1,971–$2,069.50 | $3,942–$4,139 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $1,725.50 | $3,451 | 9.2× |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$1,971–$2,069.50 | $3,942–$4,139 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $1,725.50 | $3,451 | 9.2× |
| CT cervical spine w/ contrast (72126) | $1,535.50 | $3,071 | 4.1× |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$1,290–$1,354.50 | $2,580–$2,709 | varies |
| CT cervical spine w/wo cont (72127) | $2,053.50 | $4,107 | 11.0× |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$1,019–$1,070 | $2,038–$2,140 | varies |
| CT chest w/wo contrast (71270) | $1,644 | $3,288 | 8.8× |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$1,331.50–$1,398 | $2,663–$2,796 | varies |
| CT head/brain without and with contrast (70470) | $2,053.50 | $4,107 | 11.0× |
| CT heart no contrast quant eval coronry calcium (75571) | $250 | $500 | 2.7× |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$1,971–$2,069.50 | $3,942–$4,139 | varies |
| CT l-spine w&w/o contrast (72133) | $2,053.50 | $4,107 | 11.0× |
| CT lower ext w/o (73700) range across 3 matching MRF lines |
$1,053–$1,105.50 | $2,106–$2,211 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$1,259–$1,322 | $2,518–$2,644 | varies |
| CT lumbar spine w contrast (72132) | $1,535.50 | $3,071 | 4.1× |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$1,290–$1,354.50 | $2,580–$2,709 | varies |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$1,884.50–$1,978.50 | $3,769–$3,957 | varies |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$1,712.50–$1,798 | $3,425–$3,596 | varies |
| CT neck tissue combo (70492) | $2,053.50 | $4,107 | 11.0× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $2,354.50 | $4,709 | 12.6× |
| CT orbits w/o contrast (70480) range across 3 matching MRF lines |
$1,712.50–$1,798 | $3,425–$3,596 | varies |
| CT pelvis w&w/o contrast (72194) | $2,053.50 | $4,107 | 11.0× |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$1,290–$1,354.50 | $2,580–$2,709 | varies |
| CT scan of leg combo (73702) | $1,826 | $3,652 | 9.7× |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
$2,242.50–$2,354.50 | $4,485–$4,709 | varies |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$1,498.50–$1,573.50 | $2,997–$3,147 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$1,326–$1,392.50 | $2,652–$2,785 | varies |
| CT thoracic spine w contrast (72129) | $1,535.50 | $3,071 | 8.2× |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$1,290–$1,354.50 | $2,580–$2,709 | varies |
| CT thoracic spine w/wo cont (72130) | $2,053.50 | $4,107 | 11.0× |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$932–$978.50 | $1,864–$1,957 | varies |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$1,087.50–$1,142 | $2,175–$2,284 | varies |
| CT upper extremity w/o & w/contrast material (73202) | $1,826 | $3,652 | 9.7× |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$1,259–$1,322 | $2,518–$2,644 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$3,091–$3,245.50 | $6,182–$6,491 | varies |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$1,596–$1,676 | $3,192–$3,352 | varies |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $2,069.50 | $4,139 | 5.6× |
| CTA pelvis (72191) | $1,494.50 | $2,989 | 8.0× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) | $668 | $1,336 | 6.0× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $668 | $1,336 | 6.0× |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$283–$297 | $566–$594 | varies |
| Dxa bone density study (77085) | $377.50 | $755 | 3.4× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $149.50 | $299 | 1.6× |
| Echo exam of fetal heart (76825) | $988.50 | $1,977 | 1.7× |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) | $631.50 | $1,263 | 2.5× |
| Esophagram (74220) range across 2 matching MRF lines |
$368–$386.50 | $736–$773 | varies |
| Fetal Biophys Profile W/Nst (76818) | $448 | $896 | 4.0× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $524.50 | $1,049 | 4.7× |
| Fluoroscopy up to 1 hr (76000) | $205 | $410 | 0.8× |
| Foot 2 views (73620) range across 4 matching MRF lines |
$185.50–$390 | $371–$780 | varies |
| Forearm 2 views (73090) range across 5 matching MRF lines |
$193–$405 | $386–$810 | varies |
| Gastric emptying imaging study (78264) range across 2 matching MRF lines |
$1,473.50–$1,547 | $2,947–$3,094 | varies |
| Gated Heart Planar Single (78472) | $1,340.50 | $2,681 | 3.1× |
| Hand 2 views (73120) range across 3 matching MRF lines |
$193–$405 | $386–$810 | varies |
| Hepatobil Syst Image W/Drug (78227) range across 2 matching MRF lines |
$1,999.50–$2,099.50 | $3,999–$4,199 | varies |
| Hepatobiliary System Imaging (78226) | $1,540.50 | $3,081 | 3.6× |
| Ht Muscle Image Spect Sing (78451) range across 2 matching MRF lines |
$1,356.50–$1,424.50 | $2,713–$2,849 | varies |
| Hysterosalpingogram (74740) | $399 | $798 | 1.6× |
| Joint Survey Single View (77077) | $160.50 | $321 | 1.4× |
| K Flow/Funct Image W/O Drug (78707) | $1,134.50 | $2,269 | 2.0× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $1,015 | $2,030 | 2.4× |
| Knee 3 Views (73562) range across 4 matching MRF lines |
$241.50–$507 | $483–$1,014 | varies |
| Liver & Spleen Imaging Static Only (78215) | $896.50 | $1,793 | 2.1× |
| Lung Ventilat&Perfus Imaging (78582) range across 2 matching MRF lines |
$1,411–$1,481.50 | $2,822–$2,963 | varies |
| Lymph System Imaging (78195) | $1,564 | $3,128 | 2.7× |
| Magnetic Image Jaw Joint (70336) range across 2 matching MRF lines |
$1,633.50–$3,267 | $3,267–$6,534 | varies |
| Meckels Divert Exam (78290) | $1,554 | $3,108 | 3.6× |
| Mra Head W/O & W/Contrast Material (70546) range across 2 matching MRF lines |
$2,024–$2,125 | $4,048–$4,250 | varies |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$1,496–$1,571 | $2,992–$3,142 | varies |
| MRA head with contrast (70545) | $1,816 | $3,632 | 4.9× |
| MRA neck w contrast (70548) range across 2 matching MRF lines |
$1,663–$1,746 | $3,326–$3,492 | varies |
| Mra Neck W/O &W/Contrast Material (70549) range across 2 matching MRF lines |
$1,945.50–$2,043 | $3,891–$4,086 | varies |
| MRA neck w/o contrast (70547) range across 2 matching MRF lines |
$1,496–$1,571 | $2,992–$3,142 | varies |
| MRI abdomen w contrast (74182) | $1,385.50 | $2,771 | 3.7× |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$1,069–$1,122.50 | $2,138–$2,245 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 3 matching MRF lines |
$1,422–$2,986 | $2,844–$5,972 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 4 matching MRF lines |
$2,240.50–$4,705 | $4,481–$9,410 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 3 matching MRF lines |
$1,403–$2,946 | $2,806–$5,892 | varies |
| MRI bone marrow blood supply (77084) | $1,633.50 | $3,267 | 6.4× |
| MRI Breast W/O Contrast Bilateral (77047) | $894 | $1,788 | 3.5× |
| MRI Breast Without Contrast Material Unilateral (77046) | $899.50 | $1,799 | 3.5× |
| MRI cervical spine w contrast (72142) | $1,345 | $2,690 | 3.6× |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$1,069–$1,122.50 | $2,138–$2,245 | varies |
| MRI chest w/o contrast (71550) | $1,571 | $3,142 | 6.2× |
| MRI chest with contrast (71551) | $1,851 | $3,702 | 2.2× |
| MRI chest wo w contrast (71552) range across 2 matching MRF lines |
$2,024–$2,125 | $4,048–$4,250 | varies |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 2 matching MRF lines |
$1,281–$1,345 | $2,562–$2,690 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 2 matching MRF lines |
$2,240.50–$2,352.50 | $4,481–$4,705 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines |
$1,069–$1,122.50 | $2,138–$2,245 | varies |
| MRI lumbar spine w contrast (72149) | $1,404 | $2,808 | 3.8× |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$1,781–$1,870 | $3,562–$3,740 | varies |
| MRI orbit face &/neck w/o contrast (70540) | $1,633.50 | $3,267 | 6.4× |
| MRI orbit face neck w contrast (70542) | $1,633.50 | $3,267 | 4.4× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 2 matching MRF lines |
$2,024–$2,125 | $4,048–$4,250 | varies |
| MRI pelvis w contrast (72196) | $1,299.50 | $2,599 | 3.5× |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$2,255.50–$2,368.50 | $4,511–$4,737 | varies |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$1,069–$1,122.50 | $2,138–$2,245 | varies |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$1,069–$1,122.50 | $2,138–$2,245 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) | $1,597.50 | $3,195 | 4.3× |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 2 matching MRF lines |
$1,101.50–$1,156.50 | $2,203–$2,313 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 4 matching MRF lines |
$1,941.50–$3,883 | $3,883–$7,766 | varies |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$2,255.50–$2,368.50 | $4,511–$4,737 | varies |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$1,781–$1,870 | $3,562–$3,740 | varies |
| MRI, dorsal spine contrast (72147) | $1,167.50 | $2,335 | 3.1× |
| MRI, joint upper extrem (73221) range across 3 matching MRF lines |
$1,069–$2,245 | $2,138–$4,490 | varies |
| MRI, joint upper extrem combo (73223) range across 3 matching MRF lines |
$2,255.50–$4,737 | $4,511–$9,474 | varies |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$1,781–$1,870 | $3,562–$3,740 | varies |
| Myelogram cervical (72240) | $720.50 | $1,441 | 0.9× |
| Myelogram Lumbar (72265) | $721 | $1,442 | 0.9× |
| Myelography thoracic (72255) | $720.50 | $1,441 | 0.9× |
| Myocardial Spect Multiple Studies (78452) range across 2 matching MRF lines |
$2,198–$2,308 | $4,396–$4,616 | varies |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$211.50–$222 | $423–$444 | varies |
| Optic foramina (70190) | $182.50 | $365 | 2.0× |
| Parathyroid Planar Imaging (78070) | $1,360.50 | $2,721 | 3.2× |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$211.50–$222 | $423–$444 | varies |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,059.50 | $2,119 | 2.5× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$283.50–$297.50 | $567–$595 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) | $354.50 | $709 | 0.6× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 4 matching MRF lines |
$241.50–$507 | $483–$1,014 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 5 matching MRF lines |
$193–$405 | $386–$810 | varies |
| Radex elbow complete minimum 3 views (73080) range across 4 matching MRF lines |
$241.50–$507 | $483–$1,014 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$235.50–$247.50 | $471–$495 | varies |
| Radex fingr minimum 2 views (73140) range across 3 matching MRF lines |
$146.50–$154 | $293–$308 | varies |
| Radex foot complete minimum 3 views (73630) range across 4 matching MRF lines |
$241.50–$507 | $483–$1,014 | varies |
| Radex Hand Minimum 3 Views (73130) range across 4 matching MRF lines |
$241.50–$507 | $483–$1,014 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 2 matching MRF lines |
$253.50–$507 | $507–$1,014 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $316.50 | $633 | 2.8× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$216–$227 | $432–$454 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 2 matching MRF lines |
$227.50–$239 | $455–$478 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 4 matching MRF lines |
$202.50–$425 | $405–$850 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $138 | $276 | 1.5× |
| Radex Spine 1 View Specify Level (72020) range across 2 matching MRF lines |
$150–$157.50 | $300–$315 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$235.50–$247.50 | $471–$495 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $365 | $730 | 3.9× |
| Radex Toe Minimum 2 Views (73660) range across 2 matching MRF lines |
$142–$149 | $284–$298 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 2 matching MRF lines |
$253.50–$507 | $507–$1,014 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 4 matching MRF lines |
$232–$487 | $464–$974 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$257.50–$270.50 | $515–$541 | varies |
| Radiologic exam colon double contrast study (74280) | $1,162.50 | $2,325 | 6.2× |
| Radiologic exam colon single contrast study (74270) | $651.50 | $1,303 | 3.5× |
| Radiologic Exam Esophagus Double Contrast Study (74221) range across 2 matching MRF lines |
$490.50–$515 | $981–$1,030 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 4 matching MRF lines |
$272–$571 | $544–$1,142 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$322–$338 | $644–$676 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) | $460.50 | $921 | 2.5× |
| Radiologic exam swallow function contrast study (74230) range across 2 matching MRF lines |
$506.50–$532 | $1,013–$1,064 | varies |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$554.50–$582 | $1,109–$1,164 | varies |
| Radiologic examination femur 1 view (73551) range across 2 matching MRF lines |
$185.50–$371 | $371–$742 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 4 matching MRF lines |
$241.50–$507 | $483–$1,014 | varies |
| Radiologic examination knee 1/2 views (73560) range across 4 matching MRF lines |
$202.50–$425 | $405–$850 | varies |
| Radiologic Examination Salivary Gland Calculus (70380) | $139.50 | $279 | 1.5× |
| Radiologic examination tibia & fibula 2 views (73590) range across 4 matching MRF lines |
$241.50–$507 | $483–$1,014 | varies |
| Radiologic examination, internal auditory meati, complete Non-Facility (70134) | $196.50 | $393 | 0.3× |
| Ribs bilateral 3 views (71110) | $365 | $730 | 3.3× |
| Scapula (73010) range across 4 matching MRF lines |
$204–$428 | $408–$856 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 2 matching MRF lines |
$123–$129 | $246–$258 | varies |
| Sella turcica (70240) | $134.50 | $269 | 1.4× |
| Shoulder 1 view (73020) range across 4 matching MRF lines |
$137.50–$289 | $275–$578 | varies |
| Shoulder Arthrography (73040) range across 3 matching MRF lines |
$516.50–$1,085 | $1,033–$2,170 | varies |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$131.50–$138 | $263–$276 | varies |
| Sternoclavicular joints (71130) | $377.50 | $755 | 4.1× |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$290–$304.50 | $580–$609 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$354–$371.50 | $708–$743 | varies |
| Thoracolumbar 2 views (72080) | $304.50 | $609 | 3.3× |
| Thyroid Imaging With Vascular Flow (78013) | $907 | $1,814 | 2.1× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) range across 2 matching MRF lines |
$1,082.50–$1,136.50 | $2,165–$2,273 | varies |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$261.50–$282 | $523–$564 | varies |
| Ultrasound elastography first target lesion (76982) | $335.50 | $671 | 3.0× |
| Ultrasound Elastography Parenchyma (76981) range across 2 matching MRF lines |
$405.50–$426 | $811–$852 | varies |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
$421.50–$442.50 | $843–$885 | varies |
| Ultrasound, abdomen limited (76705) range across 3 matching MRF lines |
$302–$317 | $604–$634 | varies |
| Umbilical-artery Doppler (OB) (76820) | $479 | $958 | 4.3× |
| Unlisted Dx Radiographic Procedure (76499) | $180.50 | $361 | 1.9× |
| Unlisted us procedure (76999) | $476 | $952 | 5.1× |
| Upper gi w/o kub (74240) range across 2 matching MRF lines |
$427.50–$449 | $855–$898 | varies |
| Urethrocystogram voiding (74455) | $411 | $822 | 1.6× |
| Us chest (76604) range across 2 matching MRF lines |
$434–$455.50 | $868–$911 | varies |
| Us complete joint (76881) | $293.50 | $587 | 2.6× |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$117–$123 | $234–$246 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$387–$406.50 | $774–$813 | varies |
| Us ob limited 1 or more fetuses (76815) | $266 | $532 | 2.4× |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$286.50–$301 | $573–$602 | varies |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$454.50–$477 | $909–$954 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$357–$375 | $714–$750 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $448 | $896 | 4.0× |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$371.50–$390 | $743–$780 | varies |
| Us retroperitoneal limited (76775) range across 3 matching MRF lines |
$153.50–$161 | $307–$322 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$360.50–$378.50 | $721–$757 | varies |
| Us spinal canal and contents (76800) | $432.50 | $865 | 3.9× |
| Us thyroid (76536) range across 2 matching MRF lines |
$426.50–$448 | $853–$896 | varies |
| Venography extremity bilateral rs&i (75822) | $630 | $1,260 | 0.4× |
| Venography extremity unilateral rs&i (75820) | $394 | $788 | 0.2× |
| Vertebral fracture assessment via dxa (77086) | $169 | $338 | 1.8× |
| Wrist 2 views (73100) range across 3 matching MRF lines |
$193–$405 | $386–$810 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $249 | $498 | 2.7× |
| X-ray antegrade pyelogram tube (74425) | $1,952.50 | $3,905 | 5.2× |
| X-Ray Bend Only L-S Spine (72120) | $371.50 | $743 | 3.3× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 4 matching MRF lines |
$193–$405 | $386–$810 | varies |
| X-Ray Exam Breast Specimen (76098) | $137 | $274 | 0.2× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$262.50–$275.50 | $525–$551 | varies |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $385 | $770 | 3.4× |
| X-Ray Exam Hip Uni 1 View (73501) range across 2 matching MRF lines |
$211.50–$222 | $423–$444 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 2 matching MRF lines |
$232–$243.50 | $464–$487 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) | $504 | $1,008 | 4.5× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $504 | $1,008 | 4.5× |
| X-Ray Exam Hips Bi 5/> Views (73523) range across 2 matching MRF lines |
$493–$517.50 | $986–$1,035 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$416.50–$437.50 | $833–$875 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$251.50–$264 | $503–$528 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$354.50–$372 | $709–$744 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 2 matching MRF lines |
$359.50–$377.50 | $719–$755 | varies |
| X-ray eye for foreign body (70030) range across 3 matching MRF lines |
$224.50–$449 | $449–$898 | varies |
| X-ray humerus (73060) range across 3 matching MRF lines |
$241.50–$507 | $483–$1,014 | varies |
| X-ray IV pyelogram (ivp) (74400) | $672 | $1,344 | 3.6× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 2 matching MRF lines |
$133–$139.50 | $266–$279 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$202.50–$212.50 | $405–$425 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$290–$304.50 | $580–$609 | varies |
| X-ray nose-rectum child f.b. (76010) range across 2 matching MRF lines |
$153–$160.50 | $306–$321 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $499 | $998 | 4.5× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$235.50–$247.50 | $471–$495 | varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) range across 2 matching MRF lines |
$204–$214 | $408–$428 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$235.50–$247.50 | $471–$495 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $227 | $454 | 2.4× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $289.50 | $579 | 2.6× |
| X-ray thoracic spine 4 vw (72074) range across 2 matching MRF lines |
$354–$371.50 | $708–$743 | varies |
| X-Ray Tmj Unilat (70328) | $182.50 | $365 | 2.0× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $591.50 | $1,183 | 1.6× |
| X-Rays Bone Length Studies (77073) range across 2 matching MRF lines |
$283.50–$297.50 | $567–$595 | varies |
| X-Rays Bone Survey Complete (77075) | $871.50 | $1,743 | 7.8× |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$275.50–$289.50 | $551–$579 | varies |
| Xr facial bones less than 3 views (70140) range across 2 matching MRF lines |
$188–$197.50 | $376–$395 | varies |
| Xr orbits complete 4 views (70200) | $270.50 | $541 | 2.4× |
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.