Imaging prices at Huntsville Memorial Hospital
Huntsville, TX · every code in this section with a posted price and a Medicare benchmark.
303 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) | $107 | $428 | 1.2× |
| Abdomen 2 views (74019) | $130 | $518 | 1.2× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $486 | $1,943 | 1.2× |
| Angio pulmonary bilat (75743) | $1,715 | $6,860 | 0.5× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $1,252 | $5,007 | 0.4× |
| Angiography extremity bilateral rs&i (75716) | $1,126 | $4,504 | 0.4× |
| Angiography extremity unilateral rs&i (75710) | $1,126 | $4,504 | 0.4× |
| Ankle 2 views (73600) range across 4 matching MRF lines |
$107–$231 | $428–$923 | varies |
| Aortography thoracic serialography rs&i (75605) likely a partial charge, not the full procedure |
$1,279 | $5,117 | 0.2× |
| Artery X-Rays Abdomen (75726) unusually low: confirm this is the full procedure |
$1,887 | $7,548 | 0.3× |
| Artery X-Rays Adrenal Gland (75731) | $1,252 | $5,007 | 0.4× |
| Arthrogram hip (73525) | $367 | $1,468 | 1.0× |
| Arthrogram Wrist (73115) | $453 | $1,812 | 1.3× |
| Bone age studies (77072) | $81 | $323 | 0.8× |
| Bone Imaging 3 Phase (78315) | $486 | $1,943 | 1.2× |
| Bone Imaging Limited Area (78300) range across 2 matching MRF lines |
$486–$490 | $1,944–$1,960 | varies |
| Bone Imaging Whole Body (78306) | $486 | $1,943 | 1.2× |
| Bone survey infant (77076) | $130 | $518 | 1.2× |
| Brain Image W/Flow < 4 Views (78601) | $472 | $1,886 | 1.2× |
| Brain imaging < 4 static views (78600) | $272 | $1,087 | 0.7× |
| Cat Scan Follow-Up Study (76380) | $107 | $428 | 1.2× |
| Cerebrospinal Fluid Scan (78630) | $472 | $1,888 | 0.9× |
| Chest 1 view (71045) | $93 | $370 | 1.1× |
| Chest 2 views (71046) | $93 | $373 | 1.1× |
| Cholecystography Oral Contrast (74290) | $153 | $613 | 0.9× |
| Clavicle complete (73000) range across 4 matching MRF lines |
$107–$219 | $428–$875 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $113 | $453 | 1.1× |
| Contrast Exam Abdominl Aorta (75625) | $988 | $3,953 | 0.3× |
| Contrast X-Ray Bladder (74430) | $292 | $1,167 | 0.8× |
| Contrast X-Ray Of Knee Joint (73580) | $413 | $1,651 | 1.2× |
| CT abdomen and pelvis without and with contrast (74178) | $453 | $1,812 | 1.3× |
| CT abdomen and pelvis without contrast (74176) | $289 | $1,155 | 1.2× |
| CT abdomen w contrast (74160) | $217 | $866 | 1.2× |
| CT abdomen w wo contrast (74170) | $217 | $866 | 1.2× |
| CT abdomen w/o contrast (74150) | $130 | $518 | 1.2× |
| CT Angio Abdomen and Pelvis (74174) | $453 | $1,812 | 1.3× |
| CT Angio Chest (71275) | $217 | $866 | 1.2× |
| CT Angio Head (70496) | $217 | $866 | 1.2× |
| CT angio hrt w/3d image (75574) | $661 | $2,642 | 1.9× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 4 matching MRF lines |
$217–$896 | $866–$3,585 | varies |
| CT Angio Neck (70498) | $217 | $866 | 1.2× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 4 matching MRF lines |
$217–$896 | $866–$3,585 | varies |
| CT bone density (77078) | $122 | $486 | 1.4× |
| CT cervical spine w/ contrast (72126) | $453 | $1,812 | 1.3× |
| CT cervical spine w/o contrast (72125) | $130 | $518 | 1.2× |
| CT cervical spine w/wo cont (72127) | $217 | $866 | 1.2× |
| CT chest w contrast (71260) | $217 | $866 | 1.2× |
| CT chest w/wo contrast (71270) | $217 | $866 | 1.2× |
| CT head/brain with contrast (70460) | $217 | $866 | 1.2× |
| CT head/brain without and with contrast (70470) | $217 | $866 | 1.2× |
| CT heart contrast eval cardiac structure&morph (75572) | $661 | $2,642 | 1.9× |
| CT heart no contrast quant eval coronry calcium (75571) | $123 | $491 | 1.4× |
| CT hrt w/3d image congen (75573) | $661 | $2,642 | 1.9× |
| CT iac w contrast (70481) | $217 | $866 | 1.2× |
| CT l-spine w&w/o contrast (72133) | $217 | $866 | 1.2× |
| CT lower ext w/o (73700) range across 4 matching MRF lines |
$130–$459 | $518–$1,834 | varies |
| CT lower extremity w/contrast material (73701) range across 4 matching MRF lines |
$217–$698 | $866–$2,792 | varies |
| CT lumbar spine w contrast (72132) | $453 | $1,812 | 1.3× |
| CT lumbar spine w/o contrast (72131) | $130 | $518 | 1.2× |
| CT maxillofacial w contrast (70487) | $217 | $866 | 1.2× |
| CT maxillofacial wo contrast (70486) | $130 | $518 | 1.2× |
| CT neck tissue combo (70492) | $217 | $866 | 1.2× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $217 | $866 | 1.2× |
| CT orbits w/o contrast (70480) | $130 | $518 | 1.2× |
| CT pelvis w&w/o contrast (72194) | $217 | $866 | 1.2× |
| CT pelvis w/o contrast (72192) | $130 | $518 | 1.2× |
| CT scan of leg combo (73702) range across 4 matching MRF lines |
$217–$870 | $866–$3,481 | varies |
| CT scans face/jaw combo (70488) | $217 | $866 | 1.2× |
| CT soft tissue neck w contrast (70491) | $217 | $866 | 1.2× |
| CT soft tissue neck w/o contrast (70490) | $130 | $518 | 1.2× |
| CT thoracic spine w contrast (72129) | $217 | $866 | 1.2× |
| CT thoracic spine w/o contrast (72128) | $130 | $518 | 1.2× |
| CT thoracic spine w/wo cont (72130) | $217 | $866 | 1.2× |
| CT thorax w/o contrast (71250) | $130 | $518 | 1.2× |
| CT upper ext wo (73200) range across 4 matching MRF lines |
$130–$459 | $518–$1,834 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 4 matching MRF lines |
$217–$870 | $866–$3,481 | varies |
| CT upper extremity with contrast (73201) range across 4 matching MRF lines |
$453–$698 | $1,812–$2,792 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $217 | $866 | 1.2× |
| Cta Abdomen (74175) | $217 | $866 | 1.2× |
| CTA pelvis (72191) | $217 | $866 | 1.2× |
| Discography Cerv/Thor Spine (72285) | $1,289 | $5,156 | 0.7× |
| Diskography lumbar (72295) | $1,289 | $5,156 | 0.7× |
| Dxa Bone Density Axial (77080) | $130 | $518 | 1.2× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $104 | $414 | 1.2× |
| Echo Guide For Artery Repair (76936) range across 2 matching MRF lines |
$104–$232 | $417–$929 | varies |
| Esophagram (74220) | $217 | $866 | 1.2× |
| Fetal Biophys Profile W/Nst (76818) | $177 | $709 | 1.7× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $130 | $518 | 1.2× |
| Fluoroscopy up to 1 hr (76000) | $279 | $1,114 | 1.2× |
| Follow-Up Angiography (75898) | $742 | $2,966 | 0.2× |
| Foot 2 views (73620) range across 4 matching MRF lines |
$107–$145 | $428–$578 | varies |
| Forearm 2 views (73090) range across 4 matching MRF lines |
$107–$200 | $428–$798 | varies |
| Gastric emptying imaging study (78264) | $486 | $1,943 | 1.2× |
| Gastric Emptyng Imag Std W/Sm Bwl Transit (78265) | $245 | $978 | 0.6× |
| Gastroesophageal Reflux Exam (78262) | $573 | $2,291 | 1.4× |
| Gated Heart Planar Single (78472) | $486 | $1,943 | 1.2× |
| Gstrc Emptng Imag Std W/Sm Bwl Col Trnst Mlt Day (78266) | $325 | $1,298 | 0.6× |
| Hand 2 views (73120) range across 4 matching MRF lines |
$130–$258 | $518–$1,033 | varies |
| Hepatobil Syst Image W/Drug (78227) | $637 | $2,547 | 1.2× |
| Hepatobiliary System Imaging (78226) | $486 | $1,943 | 1.2× |
| Ht Musc Image Planar Mult (78454) | $1,329 | $5,316 | 1.0× |
| Ht Muscle Image Spect Sing (78451) | $1,329 | $5,316 | 1.0× |
| Hysterosalpingogram (74740) | $289 | $1,155 | 1.2× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $67 | $268 | 0.8× |
| Joint Survey Single View (77077) | $118 | $472 | 1.1× |
| K Flow/Funct Image Multiple (78709) | $575 | $2,300 | 1.1× |
| K Flow/Funct Image W/O Drug (78707) | $637 | $2,547 | 1.2× |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$107–$149 | $428–$594 | varies |
| Liver & Spleen Imaging Static Only (78215) | $379 | $1,517 | 0.9× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $379 | $1,517 | 0.9× |
| Lung Perf&Ventilat Diferentl (78598) | $329 | $1,315 | 0.6× |
| Lung perfusion differential (78597) | $216 | $864 | 0.5× |
| Lung Ventilat&Perfus Imaging (78582) | $339 | $1,356 | 0.6× |
| Lung Ventilation Imaging (78579) | $481 | $1,925 | 1.2× |
| Lymph System Imaging (78195) | $272 | $1,088 | 0.5× |
| Magnetic Image Jaw Joint (70336) range across 2 matching MRF lines |
$289 | $13–$1,155 | 1.2× |
| Mammary ductogram or galactogram single (77053) | $584 | $2,336 | 2.4× |
| Meckels Divert Exam (78290) | $486 | $1,943 | 1.2× |
| Medical physics dose eval radiation expos w/rprt (76145) | $158 | $633 | 0.4× |
| Mra Head W/O & W/Contrast Material (70546) | $453 | $1,812 | 1.3× |
| MRA head w/o contrast (70544) | $289 | $1,155 | 1.2× |
| MRA head with contrast (70545) | $453 | $1,812 | 1.3× |
| MRA neck w contrast (70548) | $1,028 | $4,112 | 2.9× |
| Mra Neck W/O &W/Contrast Material (70549) | $453 | $1,812 | 1.3× |
| MRA neck w/o contrast (70547) | $289 | $1,155 | 1.2× |
| MRI abdomen w contrast (74182) range across 2 matching MRF lines |
$453–$866 | $1,812–$3,464 | varies |
| MRI abdomen w/o contrast (74181) | $289 | $1,155 | 1.2× |
| MRI any jt lower extrem w/contrast material (73722) range across 4 matching MRF lines |
$943–$1,751 | $3,773–$7,004 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 4 matching MRF lines |
$453–$2,001 | $1,812–$8,005 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 4 matching MRF lines |
$943–$1,656 | $3,773–$6,622 | varies |
| MRI Breast W/O Contrast Bilateral (77047) | $289 | $1,155 | 1.2× |
| MRI Breast Without Contrast Material Unilateral (77046) range across 2 matching MRF lines |
$180–$193 | $718–$771 | varies |
| MRI cervical spine w contrast (72142) | $453 | $1,812 | 1.3× |
| MRI cervical spine w/o cont (72141) | $289 | $1,155 | 1.2× |
| MRI chest w/o contrast (71550) | $289 | $1,155 | 1.2× |
| MRI chest with contrast (71551) range across 2 matching MRF lines |
$668–$943 | $2,673–$3,773 | varies |
| MRI chest wo w contrast (71552) | $453 | $1,812 | 1.3× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 4 matching MRF lines |
$453–$1,656 | $1,812–$6,622 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 4 matching MRF lines |
$453–$1,751 | $1,812–$7,004 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 4 matching MRF lines |
$289–$1,233 | $1,155–$4,931 | varies |
| MRI lumbar spine w contrast (72149) | $453 | $1,812 | 1.3× |
| Mri Neck Spine W/O & W/Dye (72156) | $453 | $1,812 | 1.3× |
| MRI orbit face &/neck w/o contrast (70540) | $289 | $1,155 | 1.2× |
| MRI orbit face neck w contrast (70542) | $453 | $1,812 | 1.3× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $453 | $1,812 | 1.3× |
| MRI pelvis w contrast (72196) | $453 | $1,812 | 1.3× |
| MRI pelvis w/o & w contrast (72197) | $453 | $1,812 | 1.3× |
| MRI pelvis w/o contrast (72195) | $289 | $1,155 | 1.2× |
| MRI thoracic spine w/o contrast (72146) | $289 | $1,155 | 1.2× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $453 | $1,812 | 1.3× |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 4 matching MRF lines |
$289–$1,233 | $1,155–$4,931 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 4 matching MRF lines |
$453–$1,779 | $1,812–$7,115 | varies |
| MRI, abdomen, combo (74183) | $453 | $1,812 | 1.3× |
| MRI, dorsal spine combo (72157) | $453 | $1,812 | 1.3× |
| MRI, dorsal spine contrast (72147) | $453 | $1,812 | 1.3× |
| MRI, joint upper extrem (73221) range across 4 matching MRF lines |
$289–$1,331 | $1,155–$5,325 | varies |
| MRI, joint upper extrem combo (73223) range across 4 matching MRF lines |
$453–$2,001 | $1,812–$8,005 | varies |
| MRI, lumbar spine combo (72158) | $453 | $1,812 | 1.3× |
| Myelogram cervical (72240) | $573 | $2,293 | 0.7× |
| Myelogram Lumbar (72265) | $573 | $2,293 | 0.7× |
| Myelography thoracic (72255) | $573 | $2,293 | 0.7× |
| Myelograpy 2/more regions rs&i (72270) | $573 | $2,293 | 0.7× |
| Myocardial Spect Multiple Studies (78452) | $1,329 | $5,316 | 1.0× |
| Neck soft tissue (70360) | $107 | $428 | 1.2× |
| Nm red cell survival study (78130) | $15 | $60 | 0.0× |
| Parathyroid Planar Imaging (78070) | $420 | $1,680 | 1.0× |
| Pelvis 1 or 2 views (72170) | $107 | $429 | 1.0× |
| Peritoneogram Rs&I (74190) | $686 | $2,742 | 1.2× |
| Plasma volume, radiopharmaceutical volume-dilution technique (separate procedure); single sampling Non-Facility (78110) range across 2 matching MRF lines |
$3 | $5–$10 | 0.0× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $1,348 | $5,391 | 0.4× |
| Pulmonary Perfusion Imaging Particulate (78580) | $481 | $1,925 | 1.2× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $130 | $518 | 1.2× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $338 | $1,350 | 0.6× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 4 matching MRF lines |
$107–$235 | $428–$938 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 4 matching MRF lines |
$107–$172 | $428–$686 | varies |
| Radex elbow complete minimum 3 views (73080) range across 4 matching MRF lines |
$107–$210 | $428–$839 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $130 | $518 | 1.2× |
| Radex fingr minimum 2 views (73140) range across 20 matching MRF lines |
$107–$160 | $428–$641 | varies |
| Radex foot complete minimum 3 views (73630) range across 4 matching MRF lines |
$107–$251 | $428–$1,002 | varies |
| Radex Hand Minimum 3 Views (73130) range across 4 matching MRF lines |
$107–$265 | $428–$1,060 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 3 matching MRF lines |
$107–$119 | $428–$474 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $102 | $406 | 1.0× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $107 | $428 | 1.2× |
| Radex Ribs Unilateral 2 Views (71100) range across 4 matching MRF lines |
$107–$174 | $428–$695 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 4 matching MRF lines |
$107–$251 | $428–$1,005 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $107 | $428 | 1.2× |
| Radex Spine 1 View Specify Level (72020) | $107 | $428 | 1.2× |
| Radex Sternum Minimum 2 Views (71120) | $107 | $428 | 1.2× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $81 | $323 | 0.9× |
| Radex Toe Minimum 2 Views (73660) range across 20 matching MRF lines |
$107–$177 | $428–$708 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 4 matching MRF lines |
$130–$131 | $518–$524 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 5 matching MRF lines |
$107–$256 | $428–$1,022 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $130 | $518 | 1.2× |
| Radiolog exam mandible compl minimum 4 views (70110) | $130 | $518 | 1.2× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $130 | $518 | 1.2× |
| Radiologic exam colon double contrast study (74280) | $217 | $866 | 1.2× |
| Radiologic exam colon single contrast study (74270) | $217 | $866 | 1.2× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $217 | $866 | 1.2× |
| Radiologic exam knee complete 4/more views (73564) range across 4 matching MRF lines |
$130–$328 | $518–$1,313 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $130 | $518 | 1.2× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $217 | $866 | 1.2× |
| Radiologic exam swallow function contrast study (74230) | $125 | $499 | 0.7× |
| Radiologic exam upr gi trc double contrast study (74246) | $217 | $866 | 1.2× |
| Radiologic examination femur 1 view (73551) | $99 | $397 | 1.1× |
| Radiologic examination femur minimum 2 views (73552) | $99 | $397 | 1.1× |
| Radiologic examination knee 1/2 views (73560) range across 4 matching MRF lines |
$107–$148 | $428–$592 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $130 | $518 | 1.2× |
| Radiologic examination tibia & fibula 2 views (73590) | $107 | $428 | 1.2× |
| Red Cell Volume Determination Spx 1 Sampling (78120) | — | $2 | — |
| Red Cell Volume Determination Spx Mult Samplings (78121) range across 2 matching MRF lines |
$3 | $2–$12 | 0.0× |
| Ribs bilateral 3 views (71110) | $130 | $518 | 1.2× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $396 | $1,582 | 1.0× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $486 | $1,943 | 1.2× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $1,197 | $4,786 | 2.2× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) range across 2 matching MRF lines |
$459–$662 | $1,836–$2,649 | varies |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 3 matching MRF lines |
$662–$1,029 | $2,649–$4,116 | varies |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $1,272 | $5,088 | 1.0× |
| Scapula (73010) range across 4 matching MRF lines |
$130–$155 | $518–$618 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $36 | $142 | 1.5× |
| Sella turcica (70240) | $107 | $428 | 1.2× |
| Shoulder 1 view (73020) range across 4 matching MRF lines |
$107–$246 | $428–$984 | varies |
| Shoulder Arthrography (73040) range across 4 matching MRF lines |
$453–$579 | $1,812–$2,316 | varies |
| Sialogram (70390) | $158 | $633 | 0.7× |
| Skull less than 4 views (70250) | $130 | $518 | 1.2× |
| Sternoclavicular joints (71130) | $107 | $428 | 1.2× |
| Testicular Imaging W/Flow (78761) | $343 | $1,370 | 0.9× |
| Thoracic spine 2 views (72070) | $130 | $518 | 1.2× |
| Thoracic spine 3 views (72072) | $130 | $518 | 1.2× |
| Thyroid Imaging With Vascular Flow (78013) | $170 | $681 | 0.4× |
| Thyroid Met Imaging Body (78018) | $396 | $1,582 | 0.7× |
| Thyroid Uptake Measurement (78012) | $185 | $741 | 0.5× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $259 | $1,035 | 0.6× |
| Ultrasound Breast Limited (76642) | $107 | $428 | 1.2× |
| Ultrasound Exam Aaa Screen (76706) | $130 | $518 | 1.2× |
| Ultrasound, abdomen limited (76705) range across 11 matching MRF lines |
$130–$476 | $518–$1,904 | varies |
| Unlisted Dx Radiographic Procedure (76499) | $85 | $340 | 1.0× |
| Unlisted us procedure (76999) | $53 | $213 | 0.6× |
| Urea Breath Test C-14 Isotopic Acquisj Analysis (78267) | $20 | $81 | 1.8× |
| Urethrocystogram voiding (74455) | $289 | $1,155 | 1.2× |
| Urethrocystography retrograde (74450) | $243 | $972 | 1.0× |
| Us breast unilateral complete (76641) | $130 | $518 | 1.2× |
| Us chest (76604) | $76 | $303 | 0.7× |
| Us complete joint (76881) | $130 | $518 | 1.2× |
| Us exam, pelvic, limited (76857) | $134 | $534 | 1.3× |
| Us head (76506) | $89 | $354 | 0.8× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 3 matching MRF lines |
$130–$193 | $518–$773 | varies |
| Us ob detailed single fetus (76811) | $191 | $763 | 0.8× |
| Us ob limited 1 or more fetuses (76815) range across 4 matching MRF lines |
$130–$192 | $518–$768 | varies |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$130–$291 | $518–$1,164 | varies |
| Us pelvic non ob complete (76856) range across 3 matching MRF lines |
$130–$489 | $518–$1,956 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 3 matching MRF lines |
$82–$290 | $327–$1,158 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $119 | $475 | 1.1× |
| Us retroperitoneal complete (76770) | $130 | $518 | 1.2× |
| Us retroperitoneal limited (76775) range across 3 matching MRF lines |
$130–$201 | $518–$804 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$130–$381 | $518–$1,524 | varies |
| Us spinal canal and contents (76800) | $82 | $327 | 0.8× |
| Us thyroid (76536) | $130 | $518 | 1.2× |
| Us transrectal (76872) range across 2 matching MRF lines |
$130–$208 | $518–$832 | varies |
| Vein X-Ray Chest (75827) | $487 | $1,947 | 0.3× |
| Venogram Sinus/Jugular (75860) | $742 | $2,966 | 0.2× |
| Venography caval inferior serialography rs&i (75825) | $742 | $2,966 | 0.2× |
| Venography extremity bilateral rs&i (75822) | $530 | $2,121 | 0.3× |
| Venography extremity unilateral rs&i (75820) range across 5 matching MRF lines |
$412–$440 | $1,648–$1,759 | varies |
| Venography Renal Unilateral (75831) | $1,260 | $5,039 | 0.4× |
| Venous Thrombosis Imaging Venogram Bilateral (78458) | $341 | $1,362 | 0.8× |
| Wrist 2 views (73100) range across 4 matching MRF lines |
$107–$246 | $428–$985 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $102 | $406 | 1.2× |
| X-ray antegrade pyelogram tube (74425) | $208 | $831 | 0.6× |
| X-Ray Aorta Leg Arteries (75630) | $1,311 | $5,242 | 0.4× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 4 matching MRF lines |
$107–$201 | $428–$802 | varies |
| X-Ray Exam Breast Specimen (76098) | $202 | $806 | 0.4× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $107 | $428 | 1.2× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $130 | $518 | 1.2× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $130 | $518 | 1.2× |
| X-Ray Exam Hip Uni 1 View (73501) | $99 | $397 | 1.1× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $100 | $400 | 1.1× |
| X-Ray Exam Hip Uni 4/> Views (73503) range across 4 matching MRF lines |
$130–$153 | $518–$611 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) | $100 | $400 | 1.0× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $130 | $518 | 1.2× |
| X-Ray Exam L-S Spine Bending (72114) | $130 | $518 | 1.2× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $107 | $428 | 1.2× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $130 | $518 | 1.2× |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 5 matching MRF lines |
$6–$269 | $22–$1,075 | varies |
| X-ray humerus (73060) range across 4 matching MRF lines |
$107–$213 | $428–$853 | varies |
| X-ray IV pyelogram (ivp) (74400) | $217 | $866 | 1.2× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $107 | $428 | 1.2× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $107 | $428 | 1.2× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $130 | $518 | 1.2× |
| X-ray nose-rectum child f.b. (76010) | $47 | $189 | 0.5× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $130 | $518 | 1.2× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $130 | $518 | 1.2× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $126 | $502 | 1.2× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $107 | $428 | 1.2× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $107 | $428 | 1.2× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $130 | $518 | 1.2× |
| X-ray thoracic spine 4 vw (72074) | $130 | $518 | 1.2× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $314 | $1,254 | 0.9× |
| X-Rays Bone Length Studies (77073) | $130 | $518 | 1.2× |
| X-Rays Bone Survey Complete (77075) | $130 | $518 | 1.2× |
| Xr c-spine 4 or 5 views (72050) | $130 | $518 | 1.2× |
| Xr facial bones less than 3 views (70140) | $107 | $428 | 1.2× |
| Xr orbits complete 4 views (70200) | $130 | $518 | 1.2× |
| Xr Tomogram Single Plane (76100) | $131 | $525 | 1.2× |
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.