Imaging prices at Huntsville Hospital
Huntsville, AL · every code in this section with a posted price and a Medicare benchmark.
380 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 3-D radiotherapy plan dose-volume histograms (77295) range across 2 matching MRF lines |
$198–$3,091.50 | $198–$3,091.50 | varies |
| Abdomen 1 View (74018) range across 6 matching MRF lines |
$366–$724.50 | $366–$724.50 | varies |
| Abdomen 2 views (74019) range across 4 matching MRF lines |
$114.50–$487 | $114.50–$487 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) range across 2 matching MRF lines |
$1,670–$1,768.50 | $1,670–$1,768.50 | varies |
| Angio internal mammary (75756) range across 2 matching MRF lines |
$3,647.98–$4,990 | $3,647.98–$4,990 | varies |
| Angio pulmonary bilat (75743) | $4,990 | $4,990 | 1.7× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $4,990 | $4,990 | 1.7× |
| Angiography extremity bilateral rs&i (75716) range across 2 matching MRF lines |
$4,990–$5,988 | $4,990–$5,988 | varies |
| Angiography extremity unilateral rs&i (75710) range across 7 matching MRF lines |
$162–$5,988 | $162–$5,988 | varies |
| Angiography pulmonary unilateral slctv rs&i (75741) range across 3 matching MRF lines |
$2,034.50–$4,990 | $2,034.50–$4,990 | varies |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $7.36 | $7.36 | 0.0× |
| Ankle 2 views (73600) range across 4 matching MRF lines |
$360.50–$2,075.50 | $360.50–$2,075.50 | varies |
| Aortography thoracic serialography rs&i (75605) range across 2 matching MRF lines |
$4,990–$5,988 | $4,990–$5,988 | varies |
| Artery X-Rays Abdomen (75726) range across 2 matching MRF lines |
$9,709–$11,650.80 | $9,709–$11,650.80 | varies |
| Artery X-Rays Adrenal Gland (75731) | $4,990 | $4,990 | 1.7× |
| Artery X-Rays Pelvis (75736) range across 2 matching MRF lines |
$4,990–$5,945 | $4,990–$5,945 | varies |
| Artery X-Rays Spine (75705) | $9,709 | $9,709 | 1.9× |
| Arthrogram ankle (73615) | $1,328 | $1,328 | 4.2× |
| Arthrogram hip (73525) range across 4 matching MRF lines |
$917–$1,834 | $917–$1,834 | varies |
| Arthrogram Wrist (73115) | $740 | $740 | 2.3× |
| Basic radiation dosimetry calculation (77300) | $360 | $360 | 2.9× |
| Bone age studies (77072) range across 2 matching MRF lines |
$655–$1,604.50 | $655–$1,604.50 | varies |
| Bone Imaging Limited Area (78300) | $1,058 | $1,058 | 2.9× |
| Bone Imaging Multiple Areas (78305) range across 2 matching MRF lines |
$1,918.50–$4,142 | $1,918.50–$4,142 | varies |
| Bone Imaging Whole Body (78306) | $1,918.50 | $1,918.50 | 5.3× |
| Bone marrow imaging; whole body (78104) range across 2 matching MRF lines |
$1,918.50–$4,990 | $1,918.50–$4,990 | varies |
| Bone survey infant (77076) range across 2 matching MRF lines |
$433–$495.02 | $433–$495.02 | varies |
| Brachytx isodose complex (77318) | $1,438 | $1,438 | 4.2× |
| Brachytx isodose intermed (77317) range across 2 matching MRF lines |
$347.73–$691.50 | $347.73–$691.50 | varies |
| Brachytx Isodose Plan Simple (77316) range across 2 matching MRF lines |
$124.97–$580.50 | $124.97–$580.50 | varies |
| Brain Image W/Flow < 4 Views (78601) | $685.80 | $685.80 | 1.9× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $1,273 | $1,273 | 2.6× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $4,539 | $4,539 | 3.5× |
| Card Bl Pool Gated Spect Rest Wal Motn Ejct Frct (78494) | $613 | $613 | 1.7× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $4,048.50 | $4,048.50 | 12.7× |
| Cardiac MRI w/w/o contrast w/stress (75563) range across 2 matching MRF lines |
$2,080–$6,739.50 | $2,080–$6,739.50 | varies |
| Cat Scan Follow-Up Study (76380) | $425.50 | $425.50 | 5.4× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $2,283.50 | $2,283.50 | 4.6× |
| Cerebrospinal Fluid Scan (78630) | $353 | $353 | 0.7× |
| Chest 1 view (71045) range across 8 matching MRF lines |
$318.50–$3,537 | $318.50–$3,537 | varies |
| Chest 2 views (71046) range across 4 matching MRF lines |
$117.60–$663.50 | $117.60–$663.50 | varies |
| Chest 3 views (71047) range across 2 matching MRF lines |
$336–$362 | $336–$362 | varies |
| Chest 4 or more views (71048) | $404.50 | $404.50 | 4.2× |
| Chg us nrv&acc strux 1 xtr compre w/img pr extremity (76883) | $1,217 | $1,217 | 12.8× |
| Clavicle complete (73000) range across 6 matching MRF lines |
$255–$144,500 | $255–$144,500 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $2,215 | $2,215 | 23.2× |
| Continuing medical physics consltj pr wk (77336) range across 2 matching MRF lines |
$237.50–$290.90 | $237.50–$290.90 | varies |
| Contrast Exam Abdominl Aorta (75625) range across 3 matching MRF lines |
$4,990–$5,988 | $4,990–$5,988 | varies |
| Contrast X-Ray Bladder (74430) range across 7 matching MRF lines |
$25.89–$7,530 | $25.89–$7,530 | varies |
| Contrast X-Ray Of Elbow (73085) | $1,357 | $1,357 | 4.3× |
| Contrast X-Ray Of Knee Joint (73580) range across 4 matching MRF lines |
$73.15–$101,150 | $73.15–$101,150 | varies |
| CT abdomen and pelvis without and with contrast (74178) | $5,053.50 | $5,053.50 | 15.9× |
| CT abdomen and pelvis without contrast (74176) | $2,086.50 | $2,086.50 | 9.6× |
| CT abdomen w contrast (74160) | $2,321.50 | $2,321.50 | 14.5× |
| CT abdomen w wo contrast (74170) range across 3 matching MRF lines |
$82.47–$2,434.50 | $82.47–$2,434.50 | varies |
| CT abdomen w/o contrast (74150) range across 3 matching MRF lines |
$884.50–$1,287.50 | $884.50–$1,287.50 | varies |
| CT Angio Abdomen and Pelvis (74174) | $5,913.50 | $5,913.50 | 18.6× |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$240.50–$3,206.50 | $240.50–$3,206.50 | varies |
| CT Angio Head (70496) | $2,958 | $2,958 | 18.5× |
| CT angio hrt w/3d image (75574) | $1,938.50 | $1,938.50 | 6.1× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 3 matching MRF lines |
$32.01–$5,719.50 | $32.01–$5,719.50 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$9.65–$2,958 | $9.65–$2,958 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 4 matching MRF lines |
$135–$6,266 | $135–$6,266 | varies |
| CT cervical spine w/ contrast (72126) | $2,417.50 | $2,417.50 | 7.6× |
| CT cervical spine w/o contrast (72125) | $2,321.50 | $2,321.50 | 24.4× |
| CT cervical spine w/wo cont (72127) | $2,646.50 | $2,646.50 | 16.5× |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$115.50–$2,213.50 | $115.50–$2,213.50 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$25–$2,227 | $25–$2,227 | varies |
| CT Colonogrphy Dx Image Postprocess W/Contrast (74262) | $20,792 | $20,792 | 130.0× |
| CT colonogrphy dx image postprocess w/o contrast (74261) | $473.50 | $473.50 | 5.0× |
| CT head/brain with contrast (70460) | $2,505.50 | $2,505.50 | 15.7× |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$17.50–$2,723 | $17.50–$2,723 | varies |
| CT heart contrast eval cardiac structure&morph (75572) range across 4 matching MRF lines |
$631.50–$15,548.40 | $631.50–$15,548.40 | varies |
| CT heart no contrast quant eval coronry calcium (75571) | $235 | $235 | 3.0× |
| CT hrt w/3d image congen (75573) | $7,552 | $7,552 | 23.7× |
| CT iac w contrast (70481) | $2,822 | $2,822 | 17.6× |
| CT l-spine w&w/o contrast (72133) | $2,646.50 | $2,646.50 | 16.5× |
| CT lower ext w/o (73700) range across 7 matching MRF lines |
$756–$3,777.50 | $756–$3,777.50 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$2,253–$4,122.50 | $2,253–$4,122.50 | varies |
| CT lumbar spine w contrast (72132) | $2,533.50 | $2,533.50 | 8.0× |
| CT lumbar spine w/o contrast (72131) | $2,427 | $2,427 | 25.5× |
| CT maxillofacial w contrast (70487) | $2,652.50 | $2,652.50 | 16.6× |
| CT maxillofacial wo contrast (70486) range across 3 matching MRF lines |
$1,925.50–$2,317.50 | $1,925.50–$2,317.50 | varies |
| CT neck tissue combo (70492) | $2,268 | $2,268 | 14.2× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 2 matching MRF lines |
$110.72–$2,509.50 | $110.72–$2,509.50 | varies |
| CT orbits w/o contrast (70480) | $2,533 | $2,533 | 26.6× |
| CT pelvis w&w/o contrast (72194) range across 2 matching MRF lines |
$112.11–$2,619.50 | $112.11–$2,619.50 | varies |
| CT pelvis w/o contrast (72192) | $799.50 | $799.50 | 8.4× |
| CT scan of leg combo (73702) | $2,349.50 | $2,349.50 | 14.7× |
| CT scans face/jaw combo (70488) | $2,739 | $2,739 | 17.1× |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$2,247–$7,820.50 | $2,247–$7,820.50 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$668–$2,119.50 | $668–$2,119.50 | varies |
| CT thoracic spine w contrast (72129) | $2,477 | $2,477 | 15.5× |
| CT thoracic spine w/o contrast (72128) | $2,427 | $2,427 | 25.5× |
| CT thoracic spine w/wo cont (72130) | $2,522 | $2,522 | 15.8× |
| CT thorax w/o contrast (71250) range across 4 matching MRF lines |
$160–$2,185.50 | $160–$2,185.50 | varies |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$2,247–$3,777.50 | $2,247–$3,777.50 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 2 matching MRF lines |
$49.20–$2,684.50 | $49.20–$2,684.50 | varies |
| CT upper extremity with contrast (73201) range across 3 matching MRF lines |
$86.50–$4,902 | $86.50–$4,902 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $3,317 | $3,317 | 20.7× |
| Cta Abdomen (74175) | $2,978.50 | $2,978.50 | 18.6× |
| CTA pelvis (72191) | $2,935 | $2,935 | 18.4× |
| Dacryocystography, nasolacrimal duct, radiological supervision and interpretation Non-Facility (70170) range across 2 matching MRF lines |
$1,686–$2,023 | $1,686–$2,023 | varies |
| Dilation ureters/urethra rs&i (74485) range across 2 matching MRF lines |
$895.50–$2,765 | $895.50–$2,765 | varies |
| Discography Cerv/Thor Spine (72285) range across 2 matching MRF lines |
$6,077–$7,292.50 | $6,077–$7,292.50 | varies |
| Diskography lumbar (72295) range across 4 matching MRF lines |
$224.40–$11,650.80 | $224.40–$11,650.80 | varies |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) range across 2 matching MRF lines |
$282–$17,512.50 | $282–$17,512.50 | varies |
| Doppler Echo Fetal Spectral Display Complete (76827) range across 2 matching MRF lines |
$282–$13,922 | $282–$13,922 | varies |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$539–$556.50 | $539–$556.50 | varies |
| Dxa bone density study 1/>sites appendiclr skel (77081) range across 2 matching MRF lines |
$280.50–$304.50 | $280.50–$304.50 | varies |
| Echo Guide For Artery Repair (76936) range across 3 matching MRF lines |
$121.59–$542.50 | $121.59–$542.50 | varies |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) | $408 | $408 | 1.9× |
| Esophagram (74220) range across 3 matching MRF lines |
$24.50–$834 | $24.50–$834 | varies |
| Fetal Biophys Profile W/Nst (76818) range across 2 matching MRF lines |
$282–$17,512.50 | $282–$17,512.50 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $282 | $282 | 3.0× |
| Fluoroscopy up to 1 hr (76000) range across 5 matching MRF lines |
$159.50–$144,500 | $159.50–$144,500 | varies |
| Follow-Up Angiography (75898) range across 3 matching MRF lines |
$2,860.38–$8,412.47 | $2,860.38–$8,412.47 | varies |
| Foot 2 views (73620) range across 6 matching MRF lines |
$115.50–$3,684.50 | $115.50–$3,684.50 | varies |
| Forearm 2 views (73090) range across 6 matching MRF lines |
$47.54–$17,350 | $47.54–$17,350 | varies |
| Gastric emptying imaging study (78264) | $1,703 | $1,703 | 4.7× |
| Gated Heart Planar Single (78472) range across 3 matching MRF lines |
$108–$2,270.50 | $108–$2,270.50 | varies |
| Gated Heart, Multiple (78473) range across 2 matching MRF lines |
$1,868–$3,537 | $1,868–$3,537 | varies |
| Hand 2 views (73120) range across 7 matching MRF lines |
$118–$1,214.40 | $118–$1,214.40 | varies |
| Hdr Rdncl Ntrstl/Icav Brchtx (77772) | $1,129 | $1,129 | 1.8× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) range across 2 matching MRF lines |
$1,516–$6,776 | $1,516–$6,776 | varies |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) range across 2 matching MRF lines |
$196.20–$507 | $196.20–$507 | varies |
| Heart Image (Pet) Multiple (78492) range across 2 matching MRF lines |
$936.50–$4,539 | $936.50–$4,539 | varies |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $4,990 | $4,990 | 1.7× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $4,990 | $4,990 | 1.7× |
| Hepatobil Syst Image W/Drug (78227) | $1,702 | $1,702 | 3.4× |
| Hepatobiliary System Imaging (78226) | $1,702 | $1,702 | 4.7× |
| Ht Muscle Image Spect Sing (78451) range across 9 matching MRF lines |
$82.50–$9,309.60 | $82.50–$9,309.60 | varies |
| Hysterosalpingogram (74740) range across 3 matching MRF lines |
$1,348.50–$14,226 | $1,348.50–$14,226 | varies |
| Infant hip ultrasound, limited static exam (76886) | $282 | $282 | 3.6× |
| Interstitial radiation source applic complex (77778) | $1,302 | $1,302 | 2.1× |
| Intracavitary radiation source applic simple (77761) | $996 | $996 | 2.0× |
| K Flow/Funct Image Multiple (78709) range across 2 matching MRF lines |
$498–$810 | $498–$810 | varies |
| K Flow/Funct Image W/Drug (78708) range across 2 matching MRF lines |
$198–$1,491.50 | $198–$1,491.50 | varies |
| K Flow/Funct Image W/O Drug (78707) range across 4 matching MRF lines |
$58.80–$1,506.50 | $58.80–$1,506.50 | varies |
| Kidney Imaging Morphol (78700) range across 2 matching MRF lines |
$355–$1,063.50 | $355–$1,063.50 | varies |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$173.50–$347 | $173.50–$347 | varies |
| Leveen/Shunt Patency Exam (78291) range across 2 matching MRF lines |
$98–$610.50 | $98–$610.50 | varies |
| Liver & Spleen Imaging Static Only (78215) | $10,030 | $10,030 | 27.5× |
| Liver imaging w/vascular flow (78202) | $141.50 | $141.50 | 0.3× |
| Lung Perf&Ventilat Diferentl (78598) | $161 | $161 | 0.3× |
| Lymphangiography Extremity Only Bilateral Rs&I (75803) | $2,678 | $2,678 | 1.9× |
| Lymphangiography extremity only unilateral rs&i (75801) range across 2 matching MRF lines |
$1,024–$17,988.30 | $1,024–$17,988.30 | varies |
| Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) | $4,990 | $4,990 | 1.7× |
| Magnetic Image Jaw Joint (70336) | $3,447.50 | $3,447.50 | 15.8× |
| Mammary ductogram or galactogram single (77053) range across 2 matching MRF lines |
$18.71–$700.50 | $18.71–$700.50 | varies |
| Meckels Divert Exam (78290) | $1,436 | $1,436 | 3.9× |
| Medical physics dose eval radiation expos w/rprt (76145) | $766.50 | $766.50 | 2.3× |
| Mlc imrt design & construction per imrt plan (77338) range across 2 matching MRF lines |
$562.50–$1,641.50 | $562.50–$1,641.50 | varies |
| Mr safety determination physician/other qhp (76016) | $176 | $176 | 2.2× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $49 | $49 | 1.9× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) | $183.50 | $183.50 | 2.1× |
| Mr safety med physics xm customization plng&mntr (76017) | $483 | $483 | 2.2× |
| Mra Head W/O & W/Contrast Material (70546) range across 3 matching MRF lines |
$151.50–$4,357.50 | $151.50–$4,357.50 | varies |
| MRA head w/o contrast (70544) | $3,684.50 | $3,684.50 | 16.9× |
| MRA head with contrast (70545) | $3,810 | $3,810 | 12.0× |
| MRA neck w contrast (70548) | $3,840.50 | $3,840.50 | 12.1× |
| Mra Neck W/O &W/Contrast Material (70549) | $4,357.50 | $4,357.50 | 13.7× |
| MRA neck w/o contrast (70547) | $3,684.50 | $3,684.50 | 16.9× |
| MRI abdomen w contrast (74182) | $3,909.50 | $3,909.50 | 12.3× |
| MRI abdomen w/o contrast (74181) | $600 | $600 | 2.8× |
| MRI any jt lower extrem w/contrast material (73722) range across 3 matching MRF lines |
$3,564–$7,128 | $3,564–$7,128 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$4,747–$9,494.50 | $4,747–$9,494.50 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 4 matching MRF lines |
$1,453–$3,564 | $1,453–$3,564 | varies |
| MRI Breast W/O Contrast Bilateral (77047) | $4,380 | $4,380 | 20.1× |
| MRI Breast Without Contrast Material Unilateral (77046) | $3,245 | $3,245 | 14.9× |
| MRI cardiac w/o contrast (75557) | $3,810 | $3,810 | 17.5× |
| MRI cervical spine w contrast (72142) range across 2 matching MRF lines |
$1,432.50–$4,499.50 | $1,432.50–$4,499.50 | varies |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$2,751–$4,237.50 | $2,751–$4,237.50 | varies |
| MRI chest w/o contrast (71550) range across 3 matching MRF lines |
$1,768.50–$96,092.50 | $1,768.50–$96,092.50 | varies |
| MRI chest with contrast (71551) | $3,820 | $3,820 | 5.3× |
| MRI chest wo w contrast (71552) | $4,048.50 | $4,048.50 | 12.7× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $3,734 | $3,734 | 11.7× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 3 matching MRF lines |
$4,334.50–$8,668.50 | $4,334.50–$8,668.50 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 5 matching MRF lines |
$4,011.50–$27,426 | $4,011.50–$27,426 | varies |
| Mri Neck Spine W/O & W/Dye (72156) | $4,892.50 | $4,892.50 | 15.4× |
| MRI orbit face &/neck w/o contrast (70540) range across 2 matching MRF lines |
$3,537–$3,575 | $3,537–$3,575 | varies |
| MRI orbit face neck w contrast (70542) range across 2 matching MRF lines |
$1,378.82–$4,191.50 | $1,378.82–$4,191.50 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $4,334.50 | $4,334.50 | 13.6× |
| MRI pelvis w contrast (72196) range across 2 matching MRF lines |
$6,877.50–$15,701 | $6,877.50–$15,701 | varies |
| MRI pelvis w/o & w contrast (72197) | $4,747 | $4,747 | 14.9× |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$80.50–$3,575 | $80.50–$3,575 | varies |
| MRI spectroscopy (76390) | $4,996.50 | $4,996.50 | 63.0× |
| MRI thoracic spine w/o contrast (72146) | $3,611.50 | $3,611.50 | 16.6× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $3,564 | $3,564 | 11.2× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $4,011.50 | $4,011.50 | 18.4× |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 5 matching MRF lines |
$3,613–$4,912.50 | $3,613–$4,912.50 | varies |
| MRI, abdomen, combo (74183) | $4,747 | $4,747 | 14.9× |
| MRI, dorsal spine combo (72157) | $4,758 | $4,758 | 15.0× |
| MRI, dorsal spine contrast (72147) | $3,926 | $3,926 | 12.3× |
| MRI, joint upper extrem (73221) range across 5 matching MRF lines |
$455.50–$6,894 | $455.50–$6,894 | varies |
| MRI, joint upper extrem combo (73223) range across 3 matching MRF lines |
$84–$9,494 | $84–$9,494 | varies |
| MRI, lumbar spine combo (72158) | $4,974.50 | $4,974.50 | 15.6× |
| Myocardial Spect Multiple Studies (78452) range across 6 matching MRF lines |
$688–$2,652.50 | $688–$2,652.50 | varies |
| N-invas est c ffr sw aly CTA (75580) | $2,799 | $2,799 | 3.6× |
| Neck soft tissue (70360) | $354 | $354 | 4.5× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $342.50 | $342.50 | 0.9× |
| Nm whole blood volume (78122) | $1,145.50 | $1,145.50 | 2.3× |
| Ntsty modul radthx pln dose-vol histos (77301) | $7,790 | $7,790 | 6.2× |
| Nuclear Rx Intra-Arterial (79445) | $505 | $505 | 2.4× |
| Nuclear Rx Oral Admin (79005) range across 2 matching MRF lines |
$959.50–$1,130 | $959.50–$1,130 | varies |
| Ob us nuchal meas 1 gest (76813) | $169 | $169 | 1.8× |
| Ophthalmic Ultrasonic Foreign Body Localization (76529) | $246 | $246 | 3.1× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) range across 3 matching MRF lines |
$200–$2,425 | $200–$2,425 | varies |
| Panoramic X-ray of jaws (70355) range across 2 matching MRF lines |
$433–$956.50 | $433–$956.50 | varies |
| Parathyroid Planar Imaging (78070) | $775 | $775 | 2.1× |
| Parathyroid planar imaging w/wo subtraction (78071) | $2,432.50 | $2,432.50 | 6.7× |
| Pelvis 1 or 2 views (72170) range across 5 matching MRF lines |
$81–$513 | $81–$513 | varies |
| Peritoneogram Rs&I (74190) | $1,334 | $1,334 | 2.7× |
| Pet Image W/Ct Lmtd (78814) range across 2 matching MRF lines |
$1,312.50–$4,917 | $1,312.50–$4,917 | varies |
| PET image w/CT, full body (78816) | $4,917 | $4,917 | 3.8× |
| PET imaging CT attenuation skull base mid-thigh (78815) range across 5 matching MRF lines |
$1,187.50–$5,565 | $1,187.50–$5,565 | varies |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $4,990 | $4,990 | 1.7× |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,316.50 | $1,316.50 | 3.6× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $542.50 | $542.50 | 5.7× |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 2 matching MRF lines |
$786–$2,782.50 | $786–$2,782.50 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 5 matching MRF lines |
$364–$101,150 | $364–$101,150 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 7 matching MRF lines |
$324.50–$24,290 | $324.50–$24,290 | varies |
| Radex elbow complete minimum 3 views (73080) range across 4 matching MRF lines |
$364–$202,300 | $364–$202,300 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $606 | $606 | 6.4× |
| Radex fingr minimum 2 views (73140) range across 23 matching MRF lines |
$13–$1,552.50 | $13–$1,552.50 | varies |
| Radex foot complete minimum 3 views (73630) range across 6 matching MRF lines |
$364–$231,200 | $364–$231,200 | varies |
| Radex Hand Minimum 3 Views (73130) range across 4 matching MRF lines |
$295–$641 | $295–$641 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 4 matching MRF lines |
$290.40–$384 | $290.40–$384 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) range across 3 matching MRF lines |
$289–$36,125 | $289–$36,125 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $362 | $362 | 4.6× |
| Radex Ribs Unilateral 2 Views (71100) | $519.50 | $519.50 | 6.5× |
| Radex shoulder complete minimum 2 views (73030) range across 5 matching MRF lines |
$405–$8,675 | $405–$8,675 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$229.50–$413 | $229.50–$413 | varies |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $1,169.50 | $1,169.50 | 7.3× |
| Radex Spine 1 View Specify Level (72020) range across 7 matching MRF lines |
$6.07–$4,990 | $6.07–$4,990 | varies |
| Radex Sternum Minimum 2 Views (71120) | $430.50 | $430.50 | 5.4× |
| Radex Toe Minimum 2 Views (73660) range across 25 matching MRF lines |
$48–$2,850.50 | $48–$2,850.50 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 4 matching MRF lines |
$321.50–$1,551 | $321.50–$1,551 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$364–$663.50 | $364–$663.50 | varies |
| Radiation Delivery Stereotactic Cranial Linear (77372) range across 2 matching MRF lines |
$1,882.50–$14,089 | $1,882.50–$14,089 | varies |
| Radiation treatment delivery level 2 (77407) | $532 | $532 | 1.5× |
| Radiation treatment delivery level 3 (77412) | $619 | $619 | 1.2× |
| Radiolog exam mandible compl minimum 4 views (70110) | $430.50 | $430.50 | 4.5× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $459 | $459 | 4.8× |
| Radiologic exam colon double contrast study (74280) range across 2 matching MRF lines |
$1,722–$12,492 | $1,722–$12,492 | varies |
| Radiologic exam colon single contrast study (74270) | $754 | $754 | 4.7× |
| Radiologic Exam Esophagus Double Contrast Study (74221) range across 2 matching MRF lines |
$12.48–$1,251 | $12.48–$1,251 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 4 matching MRF lines |
$10.19–$144,500 | $10.19–$144,500 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $699 | $699 | 7.3× |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 2 matching MRF lines |
$1,013.50–$4,625 | $1,013.50–$4,625 | varies |
| Radiologic exam swallow function contrast study (74230) | $883 | $883 | 5.5× |
| Radiologic exam upr gi trc double contrast study (74246) | $1,015 | $1,015 | 6.3× |
| Radiologic examination femur 1 view (73551) range across 3 matching MRF lines |
$212–$508.80 | $212–$508.80 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines |
$848–$5,612.40 | $848–$5,612.40 | varies |
| Radiologic examination knee 1/2 views (73560) range across 8 matching MRF lines |
$5.16–$231,200 | $5.16–$231,200 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $185 | $185 | 1.9× |
| Radiologic examination tibia & fibula 2 views (73590) range across 7 matching MRF lines |
$472–$17,350 | $472–$17,350 | varies |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77768) | $1,062 | $1,062 | 3.0× |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77767) | $443.50 | $443.50 | 1.3× |
| Ribs bilateral 3 views (71110) | $907 | $907 | 9.5× |
| Rp loclzj tum plnr 1 area single day imaging (78800) range across 3 matching MRF lines |
$87–$691 | $87–$691 | varies |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) range across 3 matching MRF lines |
$114–$2,898 | $114–$2,898 | varies |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) range across 4 matching MRF lines |
$98–$2,167.50 | $98–$2,167.50 | varies |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $1,572 | $1,572 | 3.2× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 5 matching MRF lines |
$315–$2,359.50 | $315–$2,359.50 | varies |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $315 | $315 | 0.3× |
| Scapula (73010) range across 6 matching MRF lines |
$357–$6,877.50 | $357–$6,877.50 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 3 matching MRF lines |
$60–$3,235.20 | $60–$3,235.20 | varies |
| Shoulder 1 view (73020) range across 9 matching MRF lines |
$9.96–$2,670 | $9.96–$2,670 | varies |
| Shoulder Arthrography (73040) range across 5 matching MRF lines |
$632.50–$12,145 | $632.50–$12,145 | varies |
| Sialogram (70390) range across 2 matching MRF lines |
$629–$2,161.50 | $629–$2,161.50 | varies |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$387–$464.40 | $387–$464.40 | varies |
| Special dosimetry (77331) range across 2 matching MRF lines |
$78.60–$541.50 | $78.60–$541.50 | varies |
| Special Physics Consult (77370) | $757.50 | $757.50 | 6.2× |
| Special treatment procedure (77470) range across 4 matching MRF lines |
$928–$5,517.60 | $928–$5,517.60 | varies |
| Stereotactic Body Radiation Delivery (77373) | $3,511.50 | $3,511.50 | 2.2× |
| Sternoclavicular joints (71130) | $370.50 | $370.50 | 4.7× |
| Superior sagittal sinus venogram (75870) range across 2 matching MRF lines |
$1,440–$2,406.50 | $1,440–$2,406.50 | varies |
| Surface Applic Low Dose Rate Radionuclide Source (77789) | $220 | $220 | 2.4× |
| Telethx isodose pln cplx w/basic dosimetry (77307) range across 2 matching MRF lines |
$1,178.50–$1,698 | $1,178.50–$1,698 | varies |
| Telethx isodose pln smpl w/dosimetry calculation (77306) range across 2 matching MRF lines |
$513–$3,560.50 | $513–$3,560.50 | varies |
| Temporomandble Jt Arthrography Rs&I (70332) range across 3 matching MRF lines |
$1,432.50–$31,230 | $1,432.50–$31,230 | varies |
| Testicular Imaging W/Flow (78761) range across 2 matching MRF lines |
$1,352.50–$3,043.50 | $1,352.50–$3,043.50 | varies |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) range across 2 matching MRF lines |
$1,358–$2,926.50 | $1,358–$2,926.50 | varies |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $1,182 | $1,182 | 3.5× |
| Ther rad simulaj-aided field setting simple (77280) | $887 | $887 | 7.2× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $3,306 | $3,306 | 20.7× |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$625.50–$750.60 | $625.50–$750.60 | varies |
| Thoracic spine 3 views (72072) | $410 | $410 | 4.3× |
| Thoracolumbar 2 views (72080) | $133.50 | $133.50 | 1.7× |
| Thyroid Met Imaging Body (78018) | $986 | $986 | 2.0× |
| Thyroid Uptake Measurement (78012) | $34,977 | $34,977 | 96.0× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) range across 2 matching MRF lines |
$54.80–$1,533 | $54.80–$1,533 | varies |
| Tx Devices Design & Construction Complex (77334) range across 2 matching MRF lines |
$558.50–$1,321.50 | $558.50–$1,321.50 | varies |
| Tx devices design & construction intermediate (77333) | $390 | $390 | 3.2× |
| Tx devices design & construction simple (77332) | $390 | $390 | 3.2× |
| Ultrasound Breast Limited (76642) range across 5 matching MRF lines |
$367–$4,467 | $367–$4,467 | varies |
| Ultrasound Elastography Parenchyma (76981) range across 2 matching MRF lines |
$250–$505.50 | $250–$505.50 | varies |
| Ultrasound Exam Aaa Screen (76706) | $181 | $181 | 1.9× |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$5.87–$822 | $5.87–$822 | varies |
| Umbilical-artery Doppler (OB) (76820) range across 2 matching MRF lines |
$17,512.50–$20,187.60 | $17,512.50–$20,187.60 | varies |
| Unlisted Dx Radiographic Procedure (76499) | $304.50 | $304.50 | 3.8× |
| Unlisted fluoroscopic procedure (76496) range across 2 matching MRF lines |
$820–$13,620.96 | $820–$13,620.96 | varies |
| Unlisted magnetic resonance procedure (76498) | $827.50 | $827.50 | 10.4× |
| Unlisted Miscellaneous Px Dx Nuclear Medicine (78999) | $610.50 | $610.50 | 1.7× |
| Upper gi w/o kub (74240) | $1,007 | $1,007 | 6.3× |
| Urea Breath Test C-14 Isotopic Acquisj Analysis (78267) | $2,806 | $2,806 | 253.7× |
| Ureteral Reflux Study (78740) | $1,829 | $1,829 | 5.0× |
| Urethrocystogram voiding (74455) range across 2 matching MRF lines |
$946–$4,959.50 | $946–$4,959.50 | varies |
| Urethrocystography retrograde (74450) range across 2 matching MRF lines |
$1,376–$4,113 | $1,376–$4,113 | varies |
| Us breast unilateral complete (76641) range across 4 matching MRF lines |
$367–$4,102.80 | $367–$4,102.80 | varies |
| Us chest (76604) range across 7 matching MRF lines |
$73.50–$3,423.75 | $73.50–$3,423.75 | varies |
| Us complete joint (76881) range across 2 matching MRF lines |
$800.73–$1,217 | $800.73–$1,217 | varies |
| Us exam, pelvic, limited (76857) range across 5 matching MRF lines |
$200–$859 | $200–$859 | varies |
| Us kidney transplant (76776) range across 2 matching MRF lines |
$668.50–$105,930 | $668.50–$105,930 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 3 matching MRF lines |
$200–$1,256.50 | $200–$1,256.50 | varies |
| Us ob limited 1 or more fetuses (76815) range across 3 matching MRF lines |
$10.50–$386.50 | $10.50–$386.50 | varies |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$871.50–$13,922 | $871.50–$13,922 | varies |
| Us pelvic non ob complete (76856) | $591.50 | $591.50 | 6.2× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 3 matching MRF lines |
$649–$13,922 | $649–$13,922 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $169 | $169 | 1.8× |
| Us retroperitoneal complete (76770) | $795 | $795 | 8.3× |
| Us retroperitoneal limited (76775) | $724 | $724 | 7.6× |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$820.80–$859.50 | $820.80–$859.50 | varies |
| Us spinal canal and contents (76800) range across 2 matching MRF lines |
$187.50–$212 | $187.50–$212 | varies |
| Us thyroid (76536) range across 3 matching MRF lines |
$139.50–$16,993.30 | $139.50–$16,993.30 | varies |
| Us transrectal (76872) range across 2 matching MRF lines |
$822.50–$2,475.50 | $822.50–$2,475.50 | varies |
| Vasogram (74440) range across 2 matching MRF lines |
$3,686.50–$12,353 | $3,686.50–$12,353 | varies |
| Vein X-Ray Chest (75827) range across 2 matching MRF lines |
$2,226.61–$2,671.93 | $2,226.61–$2,671.93 | varies |
| Vein X-Ray Liver W/O Hemodyn (75887) | $2,406.50 | $2,406.50 | 0.8× |
| Vein X-Ray Skull Epidural (75872) | $4,990 | $4,990 | 8.7× |
| Venogram Sinus/Jugular (75860) range across 2 matching MRF lines |
$538–$4,990 | $538–$4,990 | varies |
| Venography Adrenal Unilateral (75840) | $4,990 | $4,990 | 1.7× |
| Venography caval inferior serialography rs&i (75825) range across 3 matching MRF lines |
$509–$5,988 | $509–$5,988 | varies |
| Venography extremity bilateral rs&i (75822) range across 4 matching MRF lines |
$1,277.50–$4,406 | $1,277.50–$4,406 | varies |
| Venography extremity unilateral rs&i (75820) range across 6 matching MRF lines |
$94.36–$2,020.17 | $94.36–$2,020.17 | varies |
| Venography Renal Bilateral (75833) | $4,990 | $4,990 | 1.7× |
| Venography Renal Unilateral (75831) | $4,990 | $4,990 | 1.7× |
| Venous sampling by catheter (75893) range across 2 matching MRF lines |
$547–$4,990 | $547–$4,990 | varies |
| Venous Thrombosis Imaging Venogram Bilateral (78458) | $1,069 | $1,069 | 2.9× |
| Wrist 2 views (73100) range across 8 matching MRF lines |
$8.84–$4,912.50 | $8.84–$4,912.50 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $472.50 | $472.50 | 6.0× |
| X-ray antegrade pyelogram tube (74425) range across 4 matching MRF lines |
$645.50–$4,370 | $645.50–$4,370 | varies |
| X-Ray Aorta Leg Arteries (75630) range across 2 matching MRF lines |
$196.50–$5,988 | $196.50–$5,988 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 5 matching MRF lines |
$282–$517 | $282–$517 | varies |
| X-Ray Exam Breast Specimen (76098) range across 2 matching MRF lines |
$152.42–$946.80 | $152.42–$946.80 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) | $519.50 | $519.50 | 6.5× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $542.50 | $542.50 | 5.7× |
| X-Ray Exam Hip Uni 1 View (73501) range across 4 matching MRF lines |
$580.50–$707.40 | $580.50–$707.40 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 5 matching MRF lines |
$83.98–$713 | $83.98–$713 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) | $984.50 | $984.50 | 10.3× |
| X-Ray Exam Hips Bi 2 Views (73521) | $541.50 | $541.50 | 5.7× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $733.50 | $733.50 | 7.7× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $998.50 | $998.50 | 10.5× |
| X-Ray Exam L-S Spine Bending (72114) | $424.50 | $424.50 | 4.5× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 4 matching MRF lines |
$203.50–$436.80 | $203.50–$436.80 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $716 | $716 | 7.5× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $784.50 | $784.50 | 8.2× |
| X-ray humerus (73060) range across 5 matching MRF lines |
$364–$4,990 | $364–$4,990 | varies |
| X-ray IV pyelogram (ivp) (74400) range across 2 matching MRF lines |
$1,768.50–$2,826 | $1,768.50–$2,826 | varies |
| X-ray IV pyelogram+tomography (74415) range across 2 matching MRF lines |
$952.50–$2,908 | $952.50–$2,908 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $433 | $433 | 5.5× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $123 | $123 | 1.6× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 4 matching MRF lines |
$398–$813 | $398–$813 | varies |
| X-ray nose-rectum child f.b. (76010) | $633.50 | $633.50 | 8.0× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $1,228.50 | $1,228.50 | 12.9× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $367 | $367 | 3.9× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $384.50 | $384.50 | 4.0× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 3 matching MRF lines |
$349–$359 | $349–$359 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $414.50 | $414.50 | 5.2× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $438.50 | $438.50 | 4.6× |
| X-ray thoracic spine 4 vw (72074) | $185 | $185 | 1.9× |
| X-Ray Tmj Unilat (70328) range across 3 matching MRF lines |
$289–$2,751 | $289–$2,751 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 4 matching MRF lines |
$491.50–$9,584 | $491.50–$9,584 | varies |
| X-Rays Bone Length Studies (77073) range across 2 matching MRF lines |
$491.50–$534 | $491.50–$534 | varies |
| X-Rays Bone Survey Complete (77075) | $655 | $655 | 6.9× |
| Xr c-spine 4 or 5 views (72050) | $430.50 | $430.50 | 4.5× |
| Xr facial bones less than 3 views (70140) range across 2 matching MRF lines |
$357–$12,145 | $357–$12,145 | varies |
| Xr orbits complete 4 views (70200) | $542.50 | $542.50 | 5.7× |
| Xr Tomogram Single Plane (76100) range across 2 matching MRF lines |
$402.60–$904 | $402.60–$904 | 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.