Imaging prices at Ingalls Memorial Hospital

Harvey, IL · every code in this section with a posted price and a Medicare benchmark.

371 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
3-D radiotherapy plan dose-volume histograms (77295) $9,370 $9,370 6.3×
Abdomen 1 View (74018) $545 $545 5.8×
Abdomen 2 views (74019) $646 $646 5.8×
Acute Gastrointestinal Blood Loss Imaging (78278) $5,353 $5,353 12.5×
Angio pulmonary bilat (75743) $4,564 $4,564 1.3×
Angiography Adrenal Bilateral Slctv Rs&I (75733) $4,266 $4,266 1.3×
Angiography extremity bilateral rs&i (75716) $6,580 $6,580 1.9×
Angiography extremity unilateral rs&i (75710) $5,186 $5,186 1.5×
Angiography pulmonary unilateral slctv rs&i (75741) $3,823 $3,823 1.1×
Angrph pulmonary nonslctv cath/ven njx rs&i (75746) $2,947 $2,947 0.9×
Ankle 2 views (73600) $485 $485 5.2×
Aortography thoracic serialography rs&i (75605) $4,892 $4,892 0.8×
Artery X-Rays Abdomen (75726) $6,616 $6,616 1.1×
Artery X-Rays Adrenal Gland (75731) $3,514 $3,514 1.0×
Artery X-Rays Pelvis (75736) $6,898 $6,898 1.2×
Arthrogram ankle (73615) $1,707 $1,707 4.6×
Arthrogram hip (73525) $2,050 $2,050 5.5×
Arthrogram Wrist (73115) $1,722 $1,722 4.6×
Basic radiation dosimetry calculation (77300) $1,324 $1,324 9.2×
Bone age studies (77072) $219 $219 2.0×
Bone Imaging 3 Phase (78315) $3,798 $3,798 8.9×
Bone Imaging Limited Area (78300) $1,953 $1,953 4.6×
Bone Imaging Whole Body (78306) $3,460 $3,460 8.1×
Bone survey infant (77076) $380 $380 3.4×
Brachytx isodose complex (77318) $2,574 $2,574 6.4×
Brachytx isodose intermed (77317) $2,266 $2,266 5.6×
Brachytx Isodose Plan Simple (77316) $1,687 $1,687 4.2×
Brain Image W/Flow < 4 Views (78601) $1,375 $1,375 3.2×
Brain Imaging Min 4 Static Views W Vascular Flow (78606) $2,069 $2,069 3.6×
Brain Imaging Pet Metabolic Evaluation (78608) $8,720 $8,720 5.7×
Cat Scan Follow-Up Study (76380) $673 $673 7.2×
Cerebrospinal Fluid Scan (78630) $3,096 $3,096 5.3×
Chest 1 view (71045) $590 $590 6.3×
Chest 2 views (71046) $684 $684 7.3×
Chest 3 views (71047) $732 $732 7.8×
Chest 4 or more views (71048) $783 $783 7.0×
Clavicle complete (73000) $540 $540 5.8×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $2,224 $2,224 19.9×
Continuing medical physics consltj pr wk (77336) $1,349 $1,349 9.4×
Contrast Exam Abdominl Aorta (75625) $5,696 $5,696 1.7×
Contrast X-Ray Bladder (74430) $1,402 $1,402 3.8×
Contrast X-Ray Of Elbow (73085) $611 $611 1.6×
Contrast X-Ray Of Knee Joint (73580) $2,003 $2,003 5.4×
CT abdomen and pelvis without and with contrast (74178) $7,558 $7,558 20.2×
CT abdomen and pelvis without contrast (74176) $5,182 $5,182 20.3×
CT abdomen w contrast (74160) $3,043 $3,043 16.2×
CT abdomen w wo contrast (74170) $3,819 $3,819 20.3×
CT abdomen w/o contrast (74150) $2,606 $2,606 23.3×
CT Angio Abdomen and Pelvis (74174) $5,237 $5,237 14.0×
CT Angio Chest (71275) $3,939 $3,939 21.0×
CT Angio Head (70496) $2,856 $2,856 15.2×
CT angio hrt w/3d image (75574) $2,288 $2,288 6.1×
Ct Angio Lwr Extr W/O&W/Dye (73706) $3,035 $3,035 16.1×
CT Angio Neck (70498) $3,547 $3,547 18.9×
Ct Angio Upr Extrm W/O&W/Dye (73206) $4,282 $4,282 22.8×
CT cervical spine w/ contrast (72126) $3,024 $3,024 8.1×
CT cervical spine w/o contrast (72125) $2,928 $2,928 26.1×
CT cervical spine w/wo cont (72127) $5,126 $5,126 27.3×
CT chest w contrast (71260) $3,033 $3,033 16.1×
CT chest w/wo contrast (71270) $2,979 $2,979 15.8×
CT colonography screening (74263) $5,182 $5,182 20.3×
CT Colonogrphy Dx Image Postprocess W/Contrast (74262) $6,149 $6,149 32.7×
CT colonogrphy dx image postprocess w/o contrast (74261) $5,182 $5,182 46.3×
CT head/brain with contrast (70460) $2,872 $2,872 15.3×
CT head/brain without and with contrast (70470) $3,541 $3,541 18.8×
CT heart contrast eval cardiac structure&morph (75572) $2,304 $2,304 6.2×
CT heart no contrast quant eval coronry calcium (75571) $89 $89 1.0×
CT hrt w/3d image congen (75573) $958 $958 2.6×
CT iac w contrast (70481) $2,706 $2,706 14.4×
CT l-spine w&w/o contrast (72133) $4,901 $4,901 26.1×
CT lower ext w/o (73700) $2,444 $2,444 21.8×
CT lower extremity w/contrast material (73701) $2,531 $2,531 13.5×
CT lumbar spine w contrast (72132) $3,032 $3,032 8.1×
CT lumbar spine w/o contrast (72131) $2,935 $2,935 26.2×
CT maxillofacial w contrast (70487) $2,488 $2,488 13.2×
CT maxillofacial wo contrast (70486) $2,420 $2,420 21.6×
CT neck tissue combo (70492) $3,683 $3,683 19.6×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $2,863 $2,863 15.2×
CT orbits w/o contrast (70480) $2,601 $2,601 23.2×
CT pelvis w&w/o contrast (72194) $3,255 $3,255 17.3×
CT pelvis w/o contrast (72192) $2,290 $2,290 20.4×
CT scan of leg combo (73702) $3,237 $3,237 17.2×
CT scans face/jaw combo (70488) $3,057 $3,057 16.3×
CT soft tissue neck w contrast (70491) $2,937 $2,937 15.6×
CT soft tissue neck w/o contrast (70490) $2,450 $2,450 21.9×
CT thoracic spine w contrast (72129) $3,036 $3,036 16.2×
CT thoracic spine w/o contrast (72128) $2,917 $2,917 26.0×
CT thoracic spine w/wo cont (72130) $5,294 $5,294 28.2×
CT thorax w/o contrast (71250) $2,424 $2,424 21.6×
CT unlisted procedure (76497) $347 $347 3.7×
CT upper ext wo (73200) $2,470 $2,470 22.0×
CT upper extremity w/o & w/contrast material (73202) $3,694 $3,694 19.7×
CT upper extremity with contrast (73201) $2,496 $2,496 6.7×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $3,424 $3,424 18.2×
Cta Abdomen (74175) $3,238 $3,238 17.2×
CTA pelvis (72191) $3,319 $3,319 17.7×
Dilation ureters/urethra rs&i (74485) $2,445 $2,445 1.1×
Doppler Echo Fetal Spectral Display Complete (76827) $277 $277 2.5×
Dxa Bone Density Axial (77080) $912 $912 8.1×
Echo exam of fetal heart (76825) $1,181 $1,181 2.0×
Echo exam uterus (76831) $1,525 $1,525 6.0×
Echo Guide For Artery Repair (76936) $877 $877 3.8×
Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) $574 $574 2.2×
Echograp Trans R Pros Study (76873) $1,691 $1,691 15.1×
Esophagram (74220) $873 $873 4.6×
Fetal Biophys Profile W/Nst (76818) $954 $954 8.5×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $951 $951 8.5×
Fluoroscopy up to 1 hr (76000) $1,414 $1,414 5.5×
Follow-Up Angiography (75898) $1,605 $1,605 0.5×
Foot 2 views (73620) $465 $465 5.0×
Forearm 2 views (73090) $578 $578 6.2×
Gastric emptying imaging study (78264) $3,092 $3,092 7.2×
Gastroesophageal Reflux Exam (78262) $1,735 $1,735 4.0×
Gated Heart Planar Single (78472) $3,272 $3,272 7.6×
Hand 2 views (73120) $405 $405 3.6×
Hdr Rdncl Ntrstl/Icav Brchtx (77772) $8,252 $8,252 11.1×
Hdr Rdncl Ntrstl/Icav Brchtx (77771) $6,493 $6,493 8.7×
Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) $6,493 $6,493 8.7×
Heart first pass single,planar (78481) $1,480 $1,480 2.5×
Heart Image (Pet) Multiple (78492) $5,863 $5,863 3.8×
Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) $5,269 $5,269 1.6×
Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) $3,514 $3,514 1.0×
Hepatobil Syst Image W/Drug (78227) $3,738 $3,738 6.4×
Hepatobiliary System Imaging (78226) $4,117 $4,117 9.6×
Ht Muscle Image Spect Sing (78451) $4,643 $4,643 3.3×
Hysterosalpingogram (74740) $1,563 $1,563 6.1×
Infant hip ultrasound with hip movement (dynamic) (76885) $820 $820 8.8×
Interstitial radiation source applic complex (77778) $6,883 $6,883 9.2×
Intracavitary Radiation Source Applic Complex (77763) $3,563 $3,563 4.8×
Intracavitary Radiation Source Applic Intermed (77762) $2,706 $2,706 4.6×
Intracavitary radiation source applic simple (77761) $2,045 $2,045 3.5×
K Flow/Funct Image W/Drug (78708) $3,571 $3,571 6.1×
K Flow/Funct Image W/O Drug (78707) $2,782 $2,782 4.8×
Kidney Imaging Morphoogy W/Vascular Flow (78701) $1,457 $1,457 3.4×
Knee 3 Views (73562) $722 $722 7.7×
Leveen/Shunt Patency Exam (78291) $1,440 $1,440 3.4×
Liver & Spleen Imaging Static Only (78215) $2,770 $2,770 6.5×
Liver & Spleen Imaging W/Vascular Flow (78216) $2,019 $2,019 4.7×
Liver imaging w/vascular flow (78202) $2,945 $2,945 5.1×
Lung Perf&Ventilat Diferentl (78598) $5,046 $5,046 8.7×
Lung Ventilat&Perfus Imaging (78582) $3,335 $3,335 5.7×
Lung Ventilation Imaging (78579) $2,164 $2,164 5.1×
Lymph System Imaging (78195) $2,605 $2,605 4.5×
Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) $6,916 $6,916 2.0×
Magnetic Image Jaw Joint (70336) $3,709 $3,709 14.5×
Magnetic Resonance Elastography (76391) $6,150 $6,150 24.1×
Mammary ductogram or galactogram multiple (77054) $1,125 $1,125 4.4×
Mammary ductogram or galactogram single (77053) $1,945 $1,945 7.6×
Meckels Divert Exam (78290) $2,486 $2,486 5.8×
Mlc imrt design & construction per imrt plan (77338) $3,856 $3,856 9.6×
Mra Head W/O & W/Contrast Material (70546) $4,762 $4,762 12.7×
MRA head w/o contrast (70544) $3,830 $3,830 15.0×
MRA head with contrast (70545) $3,376 $3,376 9.0×
MRA neck w contrast (70548) $3,703 $3,703 9.9×
Mra Neck W/O &W/Contrast Material (70549) $5,346 $5,346 14.3×
MRA neck w/o contrast (70547) $3,834 $3,834 15.0×
MRI abdomen w contrast (74182) $4,162 $4,162 11.1×
MRI abdomen w/o contrast (74181) $4,052 $4,052 15.8×
MRI any jt lower extrem w/contrast material (73722) $4,853 $4,853 5.8×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $5,542 $5,542 14.8×
MRI any jt upper extremity w/contrast matrl (73222) $4,510 $4,510 5.4×
MRI Breast W/O Contrast Bilateral (77047) $5,454 $5,454 21.3×
MRI cervical spine w contrast (72142) $4,858 $4,858 13.0×
MRI cervical spine w/o cont (72141) $4,630 $4,630 18.1×
MRI chest w/o contrast (71550) $4,795 $4,795 18.8×
MRI chest wo w contrast (71552) $4,442 $4,442 11.9×
MRI lower extrem oth/thn jt w/contrast matrl (73719) $4,072 $4,072 10.9×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $5,662 $5,662 15.1×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $3,941 $3,941 15.4×
MRI lumbar spine w contrast (72149) $4,758 $4,758 12.7×
Mri Neck Spine W/O & W/Dye (72156) $6,827 $6,827 18.3×
MRI orbit face &/neck w/o contrast (70540)
range across 3 matching MRF lines		 $2,949–$4,016 $2,949–$4,016 varies
MRI orbit face neck w contrast (70542) $3,924 $3,924 10.5×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $6,063 $6,063 16.2×
MRI pelvis w contrast (72196) $4,739 $4,739 12.7×
MRI pelvis w/o & w contrast (72197) $5,754 $5,754 15.4×
MRI pelvis w/o contrast (72195) $4,163 $4,163 16.3×
MRI spectroscopy (76390) $1,928 $1,928 20.7×
MRI thoracic spine w/o contrast (72146) $4,717 $4,717 18.4×
MRI upper extremity oth than jt w/contr matrl (73219) $3,673 $3,673 9.8×
MRI upper extremity oth than jt w/o contr matrl (73218) $3,819 $3,819 14.9×
Mri Uppr Extremity W/O&W/Dye (73220) $5,686 $5,686 15.2×
MRI, abdomen, combo (74183) $6,432 $6,432 17.2×
MRI, dorsal spine combo (72157) $6,922 $6,922 18.5×
MRI, dorsal spine contrast (72147) $4,330 $4,330 11.6×
MRI, joint upper extrem (73221) $4,307 $4,307 16.8×
MRI, joint upper extrem combo (73223) $5,313 $5,313 14.2×
MRI, lumbar spine combo (72158) $6,679 $6,679 17.9×
Myelogram cervical (72240) $2,383 $2,383 2.8×
Myelogram Lumbar (72265) $2,501 $2,501 3.0×
Myelography thoracic (72255) $2,430 $2,430 2.9×
Myelograpy 2/more regions rs&i (72270) $2,501 $2,501 3.0×
Myocardial Spect Multiple Studies (78452) $6,474 $6,474 4.7×
N-invas est c ffr sw aly CTA (75580) $2,459 $2,459 2.7×
Neck soft tissue (70360) $561 $561 6.0×
Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) $1,026 $1,026 2.4×
Nonvascular Shunt X-Ray (75809) $663 $663 5.9×
Ntsty modul radthx pln dose-vol histos (77301) $9,121 $9,121 6.1×
Nuclear Rx Intra-Arterial (79445) $811 $811 3.2×
Nuclear Rx Oral Admin (79005) $2,821 $2,821 11.3×
Ophthalmic Ultrasonic Foreign Body Localization (76529) $200 $200 2.1×
Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) $717 $717 6.4×
Ophthalmic us dx quantitative a-scan only (76511) $717 $717 6.4×
Panoramic X-ray of jaws (70355) $550 $550 5.9×
Parathyroid imaging w/tomographic spect & CT (78072) $3,242 $3,242 5.6×
Parathyroid Planar Imaging (78070) $2,610 $2,610 6.1×
Parathyroid planar imaging w/wo subtraction (78071) $2,778 $2,778 6.5×
Pelvis 1 or 2 views (72170) $541 $541 4.8×
Perineogram (74775) $782 $782 3.1×
Peritoneogram Rs&I (74190) $589 $589 1.0×
Pet Image W/Ct Lmtd (78814) $9,140 $9,140 6.0×
PET image w/CT, full body (78816) $9,140 $9,140 6.0×
PET imaging CT attenuation skull base mid-thigh (78815) $9,615 $9,615 6.3×
Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) $7,553 $7,553 2.2×
Pulmonary Perfusion Imaging Particulate (78580) $2,450 $2,450 5.7×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $884 $884 7.9×
Radex abscess/fistula/sinus tract rs&i (76080) $1,567 $1,567 2.7×
Radex Ankle Complete Minimum 3 Views (73610) $543 $543 5.8×
Radex Calcaneus Minimum 2 Views (73650) $506 $506 5.4×
Radex elbow complete minimum 3 views (73080) $600 $600 6.4×
Radex Facial Bones Complete Minimum 3 Views (70150) $959 $959 8.6×
Radex fingr minimum 2 views (73140) $436 $436 4.7×
Radex foot complete minimum 3 views (73630) $607 $607 6.5×
Radex Hand Minimum 3 Views (73130) $600 $600 6.4×
Radex lower extremity infant minimum 2 views (73592) $235 $235 2.5×
Radex Nasal Bones Complete Minimum 3 Views (70160) $510 $510 5.5×
Radex Ribs Unilateral 2 Views (71100) $618 $618 6.6×
Radex shoulder complete minimum 2 views (73030) $783 $783 8.4×
Radex Sinuses Paransl < 3 Views (70210) $710 $710 7.6×
Radex Spine 1 View Specify Level (72020) $497 $497 5.3×
Radex Sternum Minimum 2 Views (71120) $514 $514 5.5×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $658 $658 7.1×
Radex Toe Minimum 2 Views (73660) $453 $453 4.9×
Radex upper extremity infant minimum 2 views (73092) $219 $219 2.0×
Radex Wrist Complete Minimum 3 Views (73110) $584 $584 6.3×
Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) $392 $392 3.5×
Radiation Delivery Stereotactic Cranial Linear (77372) $23,499 $23,499 3.0×
Radiation treatment delivery level 1 (77402) $997 $997 9.1×
Radiation treatment delivery level 2 (77407) $1,419 $1,419 3.4×
Radiation treatment delivery level 3 (77412) $1,562 $1,562 2.6×
Radiolog exam mandible compl minimum 4 views (70110) $692 $692 6.2×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $884 $884 7.9×
Radiologic exam colon double contrast study (74280) $1,582 $1,582 8.4×
Radiologic exam colon single contrast study (74270) $1,145 $1,145 6.1×
Radiologic Exam Esophagus Double Contrast Study (74221) $873 $873 4.6×
Radiologic exam knee complete 4/more views (73564) $741 $741 6.6×
Radiologic exam pelvis compl minimum 3 views (72190) $756 $756 6.7×
Radiologic Exam Small Int Single Contrast Study (74250) $1,095 $1,095 5.8×
Radiologic exam swallow function contrast study (74230) $862 $862 4.6×
Radiologic exam upr gi trc double contrast study (74246) $1,530 $1,530 8.1×
Radiologic examination femur 1 view (73551) $549 $549 5.9×
Radiologic examination femur minimum 2 views (73552) $127 $127 1.4×
Radiologic examination knee 1/2 views (73560) $673 $673 7.2×
Radiologic Examination Osseous Survey Limited (77074) $1,167 $1,167 10.4×
Radiologic examination tibia & fibula 2 views (73590) $650 $650 7.0×
Renal Cyst Study (74470) $1,654 $1,654 2.8×
Ribs bilateral 3 views (71110) $704 $704 6.3×
Rp loclzj tum plnr 1 area single day imaging (78800) $2,294 $2,294 5.4×
Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) $4,084 $4,084 9.5×
Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) $5,166 $5,166 8.9×
Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) $3,851 $3,851 6.6×
Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) $3,954 $3,954 6.8×
Rp Ther Radiolbld Monoclonal Antibody IV Infus (79403) $4,097 $4,097 16.4×
Rp Therapy Intravenous Administration (79101) $6,439 $6,439 25.8×
Scapula (73010) $581 $581 5.2×
Screening Digital Breast Tomosynthesis Bi (77063) $140 $140 6.0×
Shoulder 1 view (73020) $416 $416 4.5×
Shoulder Arthrography (73040) $1,911 $1,911 5.1×
Sialogram (70390) $1,115 $1,115 4.4×
Skull less than 4 views (70250) $562 $562 5.0×
Special dosimetry (77331) $1,486 $1,486 10.3×
Special Physics Consult (77370) $1,917 $1,917 13.3×
Special teletherapy port plan (77321) $2,812 $2,812 7.0×
Special treatment procedure (77470) $4,001 $4,001 6.8×
Stereotactic Body Radiation Delivery (77373) $12,421 $12,421 6.5×
Sternoclavicular joints (71130) $491 $491 5.3×
Surface Applic Low Dose Rate Radionuclide Source (77789) $1,224 $1,224 11.2×
Telethx isodose pln cplx w/basic dosimetry (77307) $2,462 $2,462 6.1×
Telethx isodose pln smpl w/dosimetry calculation (77306) $1,126 $1,126 2.8×
Testicular Imaging W/Flow (78761) $1,521 $1,521 3.6×
Ther Rad Simulaj-Aided Field Setting Complex (77290) $3,934 $3,934 9.8×
Ther Rad Simulaj-Aided Field Setting Intermed (77285) $3,021 $3,021 7.5×
Ther rad simulaj-aided field setting simple (77280) $2,071 $2,071 14.4×
Thoracic spine 2 views (72070) $555 $555 5.0×
Thoracic spine 3 views (72072) $723 $723 6.5×
Thoracolumbar 2 views (72080) $582 $582 6.2×
Thyroid Imaging With Vascular Flow (78013) $1,152 $1,152 2.7×
Thyroid Met Imaging Body (78018) $3,176 $3,176 5.5×
Thyroid Uptake Measurement (78012) $730 $730 1.7×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $2,322 $2,322 5.4×
Tx Devices Design & Construction Complex (77334) $1,933 $1,933 4.8×
Tx devices design & construction intermediate (77333) $1,542 $1,542 10.7×
Tx devices design & construction simple (77332) $1,356 $1,356 9.4×
Ultrasound Breast Limited (76642) $972 $972 10.4×
Ultrasound elastography first target lesion (76982) $465 $465 4.2×
Ultrasound Elastography Parenchyma (76981) $465 $465 4.2×
Ultrasound Exam Aaa Screen (76706) $240 $240 2.1×
Ultrasound, abdomen limited (76705) $1,524 $1,524 13.6×
Umbilical-artery Doppler (OB) (76820) $299 $299 2.7×
Upper gi w/o kub (74240) $1,192 $1,192 6.3×
Urethrocystogram voiding (74455) $1,193 $1,193 4.7×
Urethrocystography retrograde (74450) $1,142 $1,142 4.5×
Us breast unilateral complete (76641) $972 $972 8.7×
Us chest (76604) $1,029 $1,029 9.2×
Us complete joint (76881) $1,423 $1,423 12.7×
Us exam, pelvic, limited (76857) $1,078 $1,078 9.6×
Us head (76506) $868 $868 7.7×
Us kidney transplant (76776) $1,221 $1,221 10.9×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $1,371 $1,371 12.2×
Us ob detailed single fetus (76811) $1,328 $1,328 5.2×
Us ob limited 1 or more fetuses (76815) $832 $832 7.4×
Us ob transvaginal (76817) $905 $905 8.1×
Us pelvic non ob complete (76856) $1,589 $1,589 14.2×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $1,347 $1,347 12.0×
Us preg uterus real time f/u trnsabdl per fetus (76816) $783 $783 7.0×
Us retroperitoneal complete (76770) $1,609 $1,609 14.4×
Us retroperitoneal limited (76775) $1,616 $1,616 14.4×
Us scrotum and contents (76870) $1,328 $1,328 11.9×
Us spinal canal and contents (76800) $897 $897 8.0×
Us thyroid (76536) $1,375 $1,375 12.3×
Vein X-Ray Chest (75827) $4,362 $4,362 2.6×
Venogram Sinus/Jugular (75860) $5,299 $5,299 1.6×
Venography Adrenal Unilateral (75840) $3,514 $3,514 1.0×
Venography caval inferior serialography rs&i (75825) $4,730 $4,730 1.4×
Venography extremity bilateral rs&i (75822) $3,287 $3,287 1.9×
Venography extremity unilateral rs&i (75820) $2,728 $2,728 1.6×
Venography Renal Bilateral (75833) $3,934 $3,934 1.2×
Venography Renal Unilateral (75831) $3,514 $3,514 1.0×
Venous sampling by catheter (75893) $3,514 $3,514 0.6×
Vertebral fracture assessment via dxa (77086) $328 $328 3.5×
Wrist 2 views (73100) $562 $562 6.0×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $769 $769 8.2×
X-ray antegrade pyelogram tube (74425) $1,384 $1,384 3.7×
X-Ray Aorta Leg Arteries (75630) $7,327 $7,327 2.2×
X-Ray Bend Only L-S Spine (72120) $841 $841 7.5×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $457 $457 4.9×
X-Ray Exam Breast Specimen (76098) $878 $878 1.5×
X-Ray Exam Entire Spi 1 Vw (72081) $127 $127 1.4×
X-Ray Exam Entire Spi 2/3 Vw (72082) $207 $207 1.8×
X-Ray Exam Entire Spi 4/5 Vw (72083) $392 $392 3.5×
X-Ray Exam Hip Uni 1 View (73501) $337 $337 3.6×
X-Ray Exam Hip Uni 2-3 Views (73502) $207 $207 2.2×
X-Ray Exam Hip Uni 4/> Views (73503) $207 $207 1.8×
X-Ray Exam Hips Bi 2 Views (73521) $711 $711 6.3×
X-Ray Exam Hips Bi 3-4 Views (73522) $207 $207 1.8×
X-Ray Exam Hips Bi 5/> Views (73523) $392 $392 3.5×
X-Ray Exam L-S Spine Bending (72114) $982 $982 8.8×
X-Ray Exam Neck Spine 2-3 Vw (72040) $661 $661 7.1×
X-Ray Exam Neck Spine 6/>Vws (72052) $998 $998 8.9×
X-Ray Exam Unilat Ribs/Chest (71101) $865 $865 7.7×
X-ray humerus (73060) $600 $600 6.4×
X-ray IV pyelogram (ivp) (74400) $1,157 $1,157 6.2×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $284 $284 3.0×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $490 $490 5.3×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $744 $744 6.6×
X-ray nose-rectum child f.b. (76010) $126 $126 1.4×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $840 $840 7.5×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $590 $590 5.3×
X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) $497 $497 4.4×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $600 $600 6.4×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $710 $710 7.6×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $784 $784 7.0×
X-ray thoracic spine 4 vw (72074) $751 $751 6.7×
X-Ray Tmj Unilat (70328) $236 $236 2.5×
X-Ray Urinary Tract Exam With Contrast Material (74420) $1,399 $1,399 3.7×
X-Rays Bone Length Studies (77073) $663 $663 5.9×
X-Rays Bone Survey Complete (77075) $1,312 $1,312 11.7×
Xr c-spine 4 or 5 views (72050) $931 $931 8.3×
Xr facial bones less than 3 views (70140) $563 $563 6.0×
Xr orbits complete 4 views (70200) $778 $778 6.9×
Xr Tomogram Single Plane (76100) $1,399 $1,399 12.5×

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.