Imaging prices at DMC Huron Valley-Sinai Hospital
Commerce Township, MI · every code in this section with a posted price and a Medicare benchmark.
321 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) | $4,063.50 | $5,418 | 2.9× |
| Abdomen 1 View (74018) | $801.75 | $1,069 | 9.2× |
| Abdomen 2 views (74019) | $705.75 | $941 | 6.8× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,565.25 | $2,087 | 3.9× |
| Angio pulmonary bilat (75743) range across 2 matching MRF lines |
$9,636.75–$9,690.75 | $12,849–$12,921 | varies |
| Angiography extremity bilateral rs&i (75716) range across 3 matching MRF lines |
$5,199.75–$10,668.75 | $6,933–$14,225 | varies |
| Angiography extremity unilateral rs&i (75710) | $9,452.25 | $12,603 | 3.0× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $6,956.25 | $9,275 | 2.2× |
| Ankle 2 views (73600) | $460.50 | $614 | 5.3× |
| Aortography thoracic serialography rs&i (75605) range across 2 matching MRF lines |
$8,989.50–$8,998.50 | $11,986–$11,998 | varies |
| Aortography thoracic w/o serialography rs&i (75600) | $8,850 | $11,800 | 2.8× |
| Artery X-Rays Abdomen (75726) | $11,550.75 | $15,401 | 2.1× |
| Artery X-Rays Pelvis (75736) | $9,684 | $12,912 | 1.7× |
| Artery X-Rays Spine (75705) | $11,759.25 | $15,679 | 2.1× |
| Arthrogram hip (73525) | $907.50 | $1,210 | 2.6× |
| Basic radiation dosimetry calculation (77300) | $527.25 | $703 | 3.9× |
| Bone age studies (77072) | $401.25 | $535 | 3.9× |
| Bone Imaging 3 Phase (78315) | $2,151.75 | $2,869 | 5.4× |
| Bone Imaging Limited Area (78300) | $1,737.75 | $2,317 | 4.4× |
| Bone Imaging Whole Body (78306) | $2,055.75 | $2,741 | 5.2× |
| Bone marrow imaging limited area (78102) | $1,272 | $1,696 | 3.2× |
| Bone survey infant (77076) | $896.25 | $1,195 | 8.6× |
| Brain Imaging Pet Metabolic Evaluation (78608) range across 2 matching MRF lines |
$7,269–$7,959 | $9,692–$10,612 | varies |
| Cardiac MRI w/w/o contrast & further seq (75561) | $7,605.75 | $10,141 | 21.9× |
| Cat Scan Follow-Up Study (76380) | $1,716 | $2,288 | 19.8× |
| Cerebrospinal Fluid Scan (78630) | $1,668 | $2,224 | 3.1× |
| Chest 1 view (71045) | $271.50 | $362 | 3.1× |
| Chest 2 views (71046) | $496.50 | $662 | 5.7× |
| Chest 3 views (71047) | $384 | $512 | 4.4× |
| Chest 4 or more views (71048) | $639.75 | $853 | 6.1× |
| Cineradiograpy/vidradiograpy xcpt where spec (76120) | $327 | $436 | 3.1× |
| Clavicle complete (73000) | $499.50 | $666 | 5.8× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $315 | $420 | 3.0× |
| Continuing medical physics consltj pr wk (77336) | $533.25 | $711 | 4.0× |
| Contrast Exam Abdominl Aorta (75625) | $3,729.75 | $4,973 | 1.2× |
| Contrast X-Ray Bladder (74430) | $1,445.25 | $1,927 | 4.2× |
| Contrast X-Ray Of Elbow (73085) | $1,648.50 | $2,198 | 4.7× |
| Contrast X-Ray Of Knee Joint (73580) | $1,097.25 | $1,463 | 3.2× |
| Contrast Xray Throat/Cerv Esopha (74210) | $459.75 | $613 | 2.6× |
| CT abdomen and pelvis without and with contrast (74178) | $5,098.50 | $6,798 | 14.7× |
| CT abdomen and pelvis without contrast (74176) | $3,969 | $5,292 | 16.7× |
| CT abdomen w contrast (74160) | $3,337.50 | $4,450 | 19.1× |
| CT abdomen w wo contrast (74170) | $3,934.50 | $5,246 | 22.5× |
| CT abdomen w/o contrast (74150) | $2,091.75 | $2,789 | 20.1× |
| CT Angio Abdomen and Pelvis (74174) | $5,406.75 | $7,209 | 15.6× |
| CT Angio Chest (71275) | $3,867 | $5,156 | 22.1× |
| CT Angio Head (70496) | $3,958.50 | $5,278 | 22.6× |
| CT angio hrt w/3d image (75574) | $2,226.75 | $2,969 | 6.4× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $3,085.50 | $4,114 | 17.7× |
| CT Angio Neck (70498) | $3,223.50 | $4,298 | 18.4× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $5,160.75 | $6,881 | 29.5× |
| CT cervical spine w/ contrast (72126) | $1,393.50 | $1,858 | 4.0× |
| CT cervical spine w/o contrast (72125) | $2,346 | $3,128 | 22.5× |
| CT cervical spine w/wo cont (72127) | $4,166.25 | $5,555 | 23.8× |
| CT chest w contrast (71260) | $3,360.75 | $4,481 | 19.2× |
| CT chest w/wo contrast (71270) | $4,026.75 | $5,369 | 23.0× |
| CT head/brain with contrast (70460) | $3,080.25 | $4,107 | 17.6× |
| CT head/brain without and with contrast (70470) | $3,285.75 | $4,381 | 18.8× |
| CT heart contrast eval cardiac structure&morph (75572) | $2,659.50 | $3,546 | 7.7× |
| CT heart no contrast quant eval coronry calcium (75571) | $457.54 | $610.05 | 5.3× |
| CT iac w contrast (70481) | $2,825.25 | $3,767 | 16.2× |
| CT l-spine w&w/o contrast (72133) | $3,798.75 | $5,065 | 21.7× |
| CT lower ext w/o (73700) | $2,340 | $3,120 | 22.5× |
| CT lower extremity w/contrast material (73701) | $3,316.50 | $4,422 | 19.0× |
| CT lumbar spine w contrast (72132) | $1,965.75 | $2,621 | 5.7× |
| CT lumbar spine w/o contrast (72131) | $1,965.75 | $2,621 | 18.9× |
| CT maxillofacial w contrast (70487) | $2,825.25 | $3,767 | 16.2× |
| CT maxillofacial wo contrast (70486) | $1,965.75 | $2,621 | 18.9× |
| CT neck tissue combo (70492) | $3,285.75 | $4,381 | 18.8× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $3,464.25 | $4,619 | 19.8× |
| CT orbits w/o contrast (70480) | $1,965.75 | $2,621 | 18.9× |
| CT pelvis w&w/o contrast (72194) | $4,026.75 | $5,369 | 23.0× |
| CT pelvis w/o contrast (72192) | $2,458.50 | $3,278 | 23.6× |
| CT scan of leg combo (73702) | $3,816 | $5,088 | 21.8× |
| CT scans face/jaw combo (70488) | $3,464.25 | $4,619 | 19.8× |
| CT soft tissue neck w contrast (70491) | $3,080.25 | $4,107 | 17.6× |
| CT soft tissue neck w/o contrast (70490) | $1,947.75 | $2,597 | 18.7× |
| CT thoracic spine w contrast (72129) | $1,393.50 | $1,858 | 8.0× |
| CT thoracic spine w/o contrast (72128) | $2,458.50 | $3,278 | 23.6× |
| CT thoracic spine w/wo cont (72130) | $4,894.50 | $6,526 | 28.0× |
| CT thorax w/o contrast (71250) | $2,472.75 | $3,297 | 23.7× |
| CT upper ext wo (73200) | $2,443.50 | $3,258 | 23.5× |
| CT upper extremity w/o & w/contrast material (73202) | $5,315.25 | $7,087 | 30.4× |
| CT upper extremity with contrast (73201) | $3,309.75 | $4,413 | 9.5× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $5,147.25 | $6,863 | 29.5× |
| Cta Abdomen (74175) | $3,657.75 | $4,877 | 20.9× |
| CTA pelvis (72191) | $3,348.75 | $4,465 | 19.2× |
| Dilation ureters/urethra rs&i (74485) | $4,671.75 | $6,229 | 2.2× |
| Diskography lumbar (72295) | $7,520.25 | $10,027 | 3.9× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) range across 2 matching MRF lines |
$863.25–$1,269.75 | $1,151–$1,693 | varies |
| Doppler Echo Fetal Spectral Display Complete (76827) range across 3 matching MRF lines |
$1,275–$3,290.25 | $1,700–$4,387 | varies |
| Doppler Fetal Mid Cerebral Artery (76821) | $844.50 | $1,126 | 8.1× |
| Dxa Bone Density Axial (77080) | $447.75 | $597 | 4.3× |
| Echo exam of fetal heart (76825) range across 2 matching MRF lines |
$2,394–$2,454.75 | $3,192–$3,273 | varies |
| Echo exam uterus (76831) | $1,461 | $1,948 | 6.1× |
| Echo Guide For Artery Repair (76936) | $4,343.25 | $5,791 | 20.2× |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) range across 2 matching MRF lines |
$1,787.25–$1,870.50 | $2,383–$2,494 | varies |
| Esophagram (74220) | $808.50 | $1,078 | 4.6× |
| Fetal Biophys Profile W/Nst (76818) range across 2 matching MRF lines |
$1,132.50–$1,477.50 | $1,510–$1,970 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $1,191 | $1,588 | 11.4× |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$509.25–$1,218 | $679–$1,624 | varies |
| Foot 2 views (73620) | $499.50 | $666 | 5.8× |
| Forearm 2 views (73090) | $450 | $600 | 5.2× |
| Gastric emptying imaging study (78264) | $2,091.75 | $2,789 | 5.3× |
| Gated Heart Planar Single (78472) | $2,262 | $3,016 | 5.7× |
| Hand 2 views (73120) | $415.50 | $554 | 4.0× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $8,853.75 | $11,805 | 2.8× |
| Hepatobil Syst Image W/Drug (78227) | $1,754.25 | $2,339 | 3.2× |
| Hepatobiliary System Imaging (78226) | $2,099.25 | $2,799 | 5.3× |
| Ht Muscle Image Spect Sing (78451) | $3,188.25 | $4,251 | 2.5× |
| Hysterosalpingogram (74740) | $1,414.50 | $1,886 | 5.9× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $750.75 | $1,001 | 8.7× |
| K Flow/Funct Image W/Drug (78708) | $1,604.25 | $2,139 | 3.0× |
| K Flow/Funct Image W/O Drug (78707) | $3,288 | $4,384 | 6.1× |
| Knee 3 Views (73562) | $459.75 | $613 | 5.3× |
| Liver imaging static only (78201) | $3,404.25 | $4,539 | 6.3× |
| Lung perfusion differential (78597) | $2,913.75 | $3,885 | 7.3× |
| Lung Ventilat&Perfus Imaging (78582) | $6,159 | $8,212 | 11.4× |
| Lymph System Imaging (78195) | $1,765.50 | $2,354 | 3.3× |
| Magnetic Image Jaw Joint (70336) | $3,270 | $4,360 | 13.8× |
| Magnetic Resonance Elastography (76391) | $4,701.75 | $6,269 | 19.8× |
| Mammary ductogram or galactogram single (77053) | $1,161 | $1,548 | 4.9× |
| Meckels Divert Exam (78290) | $1,470.75 | $1,961 | 3.7× |
| Mlc imrt design & construction per imrt plan (77338) | $1,134 | $1,512 | 3.0× |
| Mr safety determination physician/other qhp (76016) | $352.50 | $470 | 4.1× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $98.25 | $131 | 3.4× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) | $367.50 | $490 | 3.9× |
| Mr safety implt pos&/immoblj (76019) | $237.75 | $317 | 4.0× |
| Mr safety med physics xm customization plng&mntr (76017) | $968.25 | $1,291 | 4.1× |
| Mra Head W/O & W/Contrast Material (70546) range across 2 matching MRF lines |
$4,575.75–$10,297.50 | $6,101–$13,730 | varies |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$3,312.75–$3,393 | $4,417–$4,524 | varies |
| MRA head with contrast (70545) range across 2 matching MRF lines |
$5,511–$6,936.75 | $7,348–$9,249 | varies |
| MRA neck w contrast (70548) | $7,686.75 | $10,249 | 22.1× |
| Mra Neck W/O &W/Contrast Material (70549) | $4,575.75 | $6,101 | 13.2× |
| MRA neck w/o contrast (70547) | $3,393 | $4,524 | 14.3× |
| MRI abdomen w/o contrast (74181) | $3,911.25 | $5,215 | 16.5× |
| MRI any jt lower extrem w/contrast material (73722) | $6,876.75 | $9,169 | 8.8× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $8,397 | $11,196 | 24.2× |
| MRI any jt upper extremity w/contrast matrl (73222) | $7,754.25 | $10,339 | 9.9× |
| MRI Breast W/O Contrast Bilateral (77047) | $7,666.50 | $10,222 | 32.2× |
| MRI Breast Without Contrast Material Unilateral (77046) | $3,972.75 | $5,297 | 16.7× |
| MRI cervical spine w contrast (72142) | $7,409.25 | $9,879 | 21.3× |
| MRI cervical spine w/o cont (72141) | $6,934.50 | $9,246 | 29.2× |
| MRI chest w/o contrast (71550) | $5,332.50 | $7,110 | 22.4× |
| MRI chest wo w contrast (71552) | $6,559.50 | $8,746 | 18.9× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $5,089.50 | $6,786 | 14.6× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $8,397 | $11,196 | 24.2× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $6,144 | $8,192 | 25.8× |
| MRI lumbar spine w contrast (72149) | $3,875.25 | $5,167 | 11.1× |
| Mri Neck Spine W/O & W/Dye (72156) | $10,229.25 | $13,639 | 29.4× |
| MRI orbit face &/neck w/o contrast (70540) | $4,322.25 | $5,763 | 18.2× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $5,596.50 | $7,462 | 16.1× |
| MRI pelvis w/o & w contrast (72197) | $8,889 | $11,852 | 25.6× |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$3,912–$5,268.75 | $5,216–$7,025 | varies |
| MRI thoracic spine w/o contrast (72146) | $4,890.75 | $6,521 | 20.6× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $8,364 | $11,152 | 24.1× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $5,997 | $7,996 | 25.2× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $8,475 | $11,300 | 24.4× |
| MRI, abdomen, combo (74183) | $5,316.75 | $7,089 | 15.3× |
| MRI, dorsal spine combo (72157) | $6,763.50 | $9,018 | 19.5× |
| MRI, joint upper extrem (73221) | $5,997 | $7,996 | 25.2× |
| MRI, joint upper extrem combo (73223) | $8,475 | $11,300 | 24.4× |
| MRI, lumbar spine combo (72158) | $6,763.50 | $9,018 | 19.5× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $3,097.50 | $4,130 | 7.8× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) | $2,682 | $3,576 | 2.1× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $3,780 | $5,040 | 2.9× |
| Myocardial Spect Multiple Studies (78452) | $5,716.50 | $7,622 | 4.4× |
| Myocrd Img Pet Metab Eval Single Study Cncrnt CT (78429) | $9,376.50 | $12,502 | 6.6× |
| Myocrd img PET prfuj 1std rest/stress cncrnt CT (78430) | $9,376.50 | $12,502 | 6.6× |
| Myocrd Img Pet Prfuj Mlt Std Rst&Strs Cncrnt CT (78431) | $14,623.50 | $19,498 | 6.7× |
| Myocrd Img Pet Prfuj W/Metab 2rtracer Cncrnt CT (78433) | $17,872.50 | $23,830 | 8.1× |
| Myocrd Img Pet Prfuj W/Metab Dual Radiotracer (78432) | $17,872.50 | $23,830 | 11.8× |
| Neck soft tissue (70360) | $330.75 | $441 | 3.8× |
| Ntsty modul radthx pln dose-vol histos (77301) | $7,674 | $10,232 | 5.6× |
| Ob us nuchal meas 1 gest (76813) | $923.25 | $1,231 | 8.9× |
| Parathyroid Planar Imaging (78070) | $1,005 | $1,340 | 2.5× |
| Pelvis 1 or 2 views (72170) | $426.75 | $569 | 4.1× |
| Pet Image W/Ct Lmtd (78814) | $8,201.25 | $10,935 | 5.8× |
| PET image w/CT, full body (78816) | $6,981 | $9,308 | 4.9× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $6,981 | $9,308 | 4.9× |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,413.75 | $1,885 | 3.5× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $1,280.25 | $1,707 | 12.3× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $507.75 | $677 | 0.9× |
| Radex Ankle Complete Minimum 3 Views (73610) | $465.75 | $621 | 5.4× |
| Radex Calcaneus Minimum 2 Views (73650) | $527.25 | $703 | 6.1× |
| Radex elbow complete minimum 3 views (73080) | $465.75 | $621 | 5.4× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $415.50 | $554 | 4.0× |
| Radex fingr minimum 2 views (73140) | $451.50 | $602 | 5.2× |
| Radex foot complete minimum 3 views (73630) | $465.75 | $621 | 5.4× |
| Radex Hand Minimum 3 Views (73130) | $489 | $652 | 5.6× |
| Radex lower extremity infant minimum 2 views (73592) | $402.75 | $537 | 4.6× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $499.50 | $666 | 5.8× |
| Radex Pharynx/Larx W/Fluor&/Magnification Tq (70370) | $983.25 | $1,311 | 11.3× |
| Radex Ribs Unilateral 2 Views (71100) | $490.50 | $654 | 5.7× |
| Radex shoulder complete minimum 2 views (73030) | $575.25 | $767 | 6.6× |
| Radex Sinuses Paransl < 3 Views (70210) | $526.50 | $702 | 6.1× |
| Radex Spine 1 View Specify Level (72020) | $450 | $600 | 5.2× |
| Radex Sternum Minimum 2 Views (71120) | $651.75 | $869 | 7.5× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $396 | $528 | 4.6× |
| Radex Toe Minimum 2 Views (73660) | $330.75 | $441 | 3.8× |
| Radex upper extremity infant minimum 2 views (73092) | $594 | $792 | 5.7× |
| Radex Wrist Complete Minimum 3 Views (73110) | $478.50 | $638 | 5.5× |
| Radiation treatment delivery level 1 (77402) | $420 | $560 | 4.1× |
| Radiation treatment delivery level 3 (77412) | $1,175.25 | $1,567 | 2.1× |
| Radiolog exam mandible compl minimum 4 views (70110) | $415.50 | $554 | 4.0× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $656.25 | $875 | 6.3× |
| Radiologic exam colon double contrast study (74280) | $1,232.25 | $1,643 | 7.1× |
| Radiologic exam colon single contrast study (74270) | $1,005 | $1,340 | 5.8× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $1,184.25 | $1,579 | 6.8× |
| Radiologic exam knee complete 4/more views (73564) | $615 | $820 | 5.9× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $402.75 | $537 | 3.9× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $1,207.50 | $1,610 | 6.9× |
| Radiologic exam swallow function contrast study (74230) | $330.75 | $441 | 1.9× |
| Radiologic exam upr gi trc double contrast study (74246) | $1,554 | $2,072 | 8.9× |
| Radiologic examination femur 1 view (73551) | $148.50 | $198 | 1.7× |
| Radiologic examination femur minimum 2 views (73552) | $281.25 | $375 | 3.2× |
| Radiologic examination knee 1/2 views (73560) | $447.75 | $597 | 5.2× |
| Radiologic Examination Osseous Survey Limited (77074) | $1,084.50 | $1,446 | 10.4× |
| Radiologic examination tibia & fibula 2 views (73590) | $415.50 | $554 | 4.8× |
| Ribs bilateral 3 views (71110) | $391.50 | $522 | 3.8× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $2,208 | $2,944 | 5.5× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $3,696 | $4,928 | 9.3× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $4,679.25 | $6,239 | 8.6× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $4,363.50 | $5,818 | 8.1× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $4,362.75 | $5,817 | 8.1× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $8,264.25 | $11,019 | 6.4× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $17,872.50 | $23,830 | 12.5× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $8,264.25 | $11,019 | 6.4× |
| Scapula (73010) | $375.75 | $501 | 3.6× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $144.75 | $193 | 6.2× |
| Shoulder 1 view (73020) | $375.75 | $501 | 4.3× |
| Shoulder Arthrography (73040) | $1,899.75 | $2,533 | 5.5× |
| Skull less than 4 views (70250) | $375.75 | $501 | 3.6× |
| Special Physics Consult (77370) | $726.75 | $969 | 5.4× |
| Special teletherapy port plan (77321) | $604.50 | $806 | 1.6× |
| Special treatment procedure (77470) | $2,915.25 | $3,887 | 5.3× |
| Stereotactic Body Radiation Delivery (77373) | $7,292.25 | $9,723 | 4.1× |
| Sternoclavicular joints (71130) | $490.50 | $654 | 5.7× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $1,101.75 | $1,469 | 3.0× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $1,655.25 | $2,207 | 4.4× |
| Ther rad simulaj-aided field setting simple (77280) | $579 | $772 | 4.3× |
| Thoracic spine 2 views (72070) | $442.50 | $590 | 4.2× |
| Thoracic spine 3 views (72072) | $376.50 | $502 | 3.6× |
| Thoracolumbar 2 views (72080) | $376.50 | $502 | 4.3× |
| Thyroid Imaging With Vascular Flow (78013) | $1,707 | $2,276 | 4.3× |
| Thyroid Uptake Measurement (78012) | $1,473.75 | $1,965 | 3.7× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $2,437.50 | $3,250 | 6.1× |
| Tx Devices Design & Construction Complex (77334) | $801.75 | $1,069 | 2.1× |
| Tx devices design & construction simple (77332) | $613.50 | $818 | 4.6× |
| Ultrasound Breast Limited (76642) | $418.50 | $558 | 4.8× |
| Ultrasound elastography first target lesion (76982) | $383.25 | $511 | 3.7× |
| Ultrasound Elastography Parenchyma (76981) | $802.50 | $1,070 | 7.7× |
| Ultrasound Exam Aaa Screen (76706) | $882.75 | $1,177 | 8.5× |
| Ultrasound trgt dynamic microbubble 1st lesion (76978) | $867 | $1,156 | 2.5× |
| Ultrasound, abdomen limited (76705) range across 3 matching MRF lines |
$882.75–$1,420.50 | $1,177–$1,894 | varies |
| Umbilical-artery Doppler (OB) (76820) | $819.75 | $1,093 | 7.9× |
| Upper gi w/o kub (74240) | $1,198.50 | $1,598 | 6.9× |
| Urethrocystogram voiding (74455) | $1,754.25 | $2,339 | 7.4× |
| Us breast unilateral complete (76641) | $418.50 | $558 | 4.0× |
| Us chest (76604) range across 2 matching MRF lines |
$855.75–$957 | $1,141–$1,276 | varies |
| Us complete joint (76881) | $521.25 | $695 | 5.0× |
| Us exam, pelvic, limited (76857) | $750.75 | $1,001 | 7.2× |
| Us head (76506) | $750.75 | $1,001 | 7.2× |
| Us kidney transplant (76776) | $1,500.75 | $2,001 | 14.4× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $538.50 | $718 | 5.2× |
| Us ob detailed single fetus (76811) | $1,566 | $2,088 | 6.6× |
| Us ob limited 1 or more fetuses (76815) range across 3 matching MRF lines |
$556.50–$1,065 | $742–$1,420 | varies |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$966–$1,181.25 | $1,288–$1,575 | varies |
| Us pelvic non ob complete (76856) | $1,409.25 | $1,879 | 13.5× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 3 matching MRF lines |
$966–$1,442.25 | $1,288–$1,923 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $917.25 | $1,223 | 8.8× |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$1,671–$2,365.50 | $2,228–$3,154 | varies |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$1,187.25–$1,574.25 | $1,583–$2,099 | varies |
| Us scrotum and contents (76870) | $1,350.75 | $1,801 | 13.0× |
| Us thyroid (76536) | $1,409.25 | $1,879 | 13.5× |
| Us transrectal (76872) range across 3 matching MRF lines |
$979.50–$1,409.25 | $1,306–$1,879 | varies |
| Vein X-Ray Chest (75827) | $4,965 | $6,620 | 3.2× |
| Venogram Sinus/Jugular (75860) range across 2 matching MRF lines |
$5,041.50–$5,991 | $6,722–$7,988 | varies |
| Venography caval inferior serialography rs&i (75825) range across 2 matching MRF lines |
$5,519.25–$8,577 | $7,359–$11,436 | varies |
| Venography extremity bilateral rs&i (75822) range across 2 matching MRF lines |
$1,923.75–$2,028.75 | $2,565–$2,705 | varies |
| Venography extremity unilateral rs&i (75820) range across 2 matching MRF lines |
$1,329–$2,733 | $1,772–$3,644 | varies |
| Venography Renal Unilateral (75831) | $8,534.25 | $11,379 | 2.7× |
| Venous sampling by catheter (75893) | $10,124.25 | $13,499 | 1.8× |
| Wrist 2 views (73100) | $496.50 | $662 | 5.7× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $411 | $548 | 4.7× |
| X-Ray Aorta Leg Arteries (75630) | $10,564.50 | $14,086 | 3.4× |
| X-Ray Bend Only L-S Spine (72120) | $627.75 | $837 | 6.0× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $448.50 | $598 | 5.2× |
| X-Ray Exam Breast Specimen (76098) | $1,265.25 | $1,687 | 2.3× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $193.50 | $258 | 2.2× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $281.25 | $375 | 2.7× |
| X-Ray Exam Hip Uni 1 View (73501) | $205.50 | $274 | 2.4× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $347.25 | $463 | 4.0× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $391.50 | $522 | 3.8× |
| X-Ray Exam Hips Bi 2 Views (73521) | $391.50 | $522 | 3.8× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $558 | $744 | 5.4× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $521.25 | $695 | 5.0× |
| X-Ray Exam L-S Spine Bending (72114) | $808.50 | $1,078 | 7.8× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $391.50 | $522 | 4.5× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $623.25 | $831 | 6.0× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $391.50 | $522 | 3.8× |
| X-ray eye for foreign body (70030) | $346.50 | $462 | 4.0× |
| X-ray humerus (73060) | $415.50 | $554 | 4.8× |
| X-ray IV pyelogram (ivp) (74400) | $1,458.75 | $1,945 | 8.3× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $451.50 | $602 | 5.2× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $498 | $664 | 5.7× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $584.25 | $779 | 5.6× |
| X-ray nose-rectum child f.b. (76010) | $403.50 | $538 | 4.7× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $666 | $888 | 6.4× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $426.75 | $569 | 4.1× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $426.75 | $569 | 4.1× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $498 | $664 | 5.7× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $575.25 | $767 | 6.6× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $774 | $1,032 | 7.4× |
| X-ray thoracic spine 4 vw (72074) | $915 | $1,220 | 8.8× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $1,161 | $1,548 | 3.3× |
| X-Rays Bone Length Studies (77073) | $553.50 | $738 | 5.3× |
| X-Rays Bone Survey Complete (77075) | $681.75 | $909 | 6.5× |
| Xr c-spine 4 or 5 views (72050) | $757.50 | $1,010 | 7.3× |
| Xr facial bones less than 3 views (70140) | $417.75 | $557 | 4.8× |
| Xr orbits complete 4 views (70200) | $415.50 | $554 | 4.0× |
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.