Imaging prices at Iowa Specialty Hospital - Belmond
Belmond, IA · every code in this section with a posted price and a Medicare benchmark.
248 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abdomen 1 View (74018) range across 3 matching MRF lines |
$26.40–$176.40 | $44–$294 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$34.20–$202.20 | $57–$337 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) range across 2 matching MRF lines |
$70.80–$1,066.80 | $118–$1,778 | varies |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$24–$162.60 | $40–$271 | varies |
| Arthrogram hip (73525) range across 2 matching MRF lines |
$86.40–$399.60 | $144–$666 | varies |
| Arthrogram Wrist (73115) range across 2 matching MRF lines |
$48–$702 | $80–$1,170 | varies |
| Bone age studies (77072) range across 2 matching MRF lines |
$45–$97.20 | $75–$162 | varies |
| Bone Imaging 3 Phase (78315) range across 2 matching MRF lines |
$153.60–$1,202.40 | $256–$2,004 | varies |
| Bone Imaging Limited Area (78300) range across 2 matching MRF lines |
$90–$765.60 | $150–$1,276 | varies |
| Bone Imaging Whole Body (78306) range across 2 matching MRF lines |
$123–$1,129.20 | $205–$1,882 | varies |
| Bone survey infant (77076) range across 2 matching MRF lines |
$63.60–$171 | $106–$285 | varies |
| Brain Image W/Flow < 4 Views (78601) range across 2 matching MRF lines |
$54–$1,186.80 | $90–$1,978 | varies |
| Card Bl Pool Gated Spect Rest Wal Motn Ejct Frct (78494) range across 2 matching MRF lines |
$169.80–$2,542.20 | $283–$4,237 | varies |
| Chest 1 view (71045) range across 3 matching MRF lines |
$28.20–$163.20 | $47–$272 | varies |
| Chest 2 views (71046) range across 3 matching MRF lines |
$34.80–$193.80 | $58–$323 | varies |
| Chest 3 views (71047) range across 3 matching MRF lines |
$40.20–$223.80 | $67–$373 | varies |
| Chest 4 or more views (71048) range across 3 matching MRF lines |
$48–$270.60 | $80–$451 | varies |
| Clavicle complete (73000) range across 2 matching MRF lines |
$24–$180.60 | $40–$301 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 3 matching MRF lines |
$93.60–$592.80 | $156–$988 | varies |
| Contrast X-Ray Bladder (74430) range across 2 matching MRF lines |
$49.20–$312 | $82–$520 | varies |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$247.20–$3,420 | $412–$5,700 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$189–$2,653.80 | $315–$4,423 | varies |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$174.60–$1,399.80 | $291–$2,333 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$182.40–$1,674.60 | $304–$2,791 | varies |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$165–$1,236 | $275–$2,060 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$375–$3,487.80 | $625–$5,813 | varies |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$213–$1,753.80 | $355–$2,923 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$195.60–$1,603.80 | $326–$2,673 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
$171–$649.80 | $285–$1,083 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$213–$1,588.80 | $355–$2,648 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 2 matching MRF lines |
$147.60–$784.80 | $246–$1,308 | varies |
| CT cervical spine w/ contrast (72126) range across 2 matching MRF lines |
$206.40–$1,468.80 | $344–$2,448 | varies |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$174.60–$1,290 | $291–$2,150 | varies |
| CT cervical spine w/wo cont (72127) range across 2 matching MRF lines |
$220.20–$2,796 | $367–$4,660 | varies |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$174.60–$1,384.80 | $291–$2,308 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$178.80–$1,614 | $298–$2,690 | varies |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$147–$1,436.40 | $245–$2,394 | varies |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$165.60–$1,498.20 | $276–$2,497 | varies |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$178.80–$1,247.40 | $298–$2,079 | varies |
| CT l-spine w&w/o contrast (72133) range across 2 matching MRF lines |
$220.20–$2,731.80 | $367–$4,553 | varies |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$141–$1,404.60 | $235–$2,341 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$148.80–$1,543.80 | $248–$2,573 | varies |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$206.40–$1,504.20 | $344–$2,507 | varies |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$174.60–$1,304.40 | $291–$2,174 | varies |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$168.60–$1,227.60 | $281–$2,046 | varies |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$148.80–$1,174.80 | $248–$1,958 | varies |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$188.40–$1,499.40 | $314–$2,499 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 2 matching MRF lines |
$187.80–$1,468.80 | $313–$2,448 | varies |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$167.40–$1,115.40 | $279–$1,859 | varies |
| CT pelvis w&w/o contrast (72194) range across 2 matching MRF lines |
$165–$1,563 | $275–$2,605 | varies |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$141–$1,234.80 | $235–$2,058 | varies |
| CT scan of leg combo (73702) range across 2 matching MRF lines |
$157.80–$1,388.40 | $263–$2,314 | varies |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
$186–$1,430.40 | $310–$2,384 | varies |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$178.80–$1,306.80 | $298–$2,178 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$167.40–$1,096.80 | $279–$1,828 | varies |
| CT thoracic spine w contrast (72129) range across 2 matching MRF lines |
$331.20–$2,101.20 | $552–$3,502 | varies |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$174.60–$1,237.20 | $291–$2,062 | varies |
| CT thoracic spine w/wo cont (72130) range across 2 matching MRF lines |
$264–$2,520.60 | $440–$4,201 | varies |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$150.60–$1,249.20 | $251–$2,082 | varies |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$141–$1,216.80 | $235–$2,028 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 2 matching MRF lines |
$157.80–$1,681.80 | $263–$2,803 | varies |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$150.60–$1,543.80 | $251–$2,573 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$265.80–$1,801.80 | $443–$3,003 | varies |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$248.40–$1,734 | $414–$2,890 | varies |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) range across 2 matching MRF lines |
$199.80–$372 | $333–$620 | varies |
| CTA pelvis (72191) range across 2 matching MRF lines |
$150–$1,701 | $250–$2,835 | varies |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$32.40–$391.20 | $54–$652 | varies |
| Dxa bone density study 1/>sites appendiclr skel (77081) range across 2 matching MRF lines |
$34.80–$300 | $58–$500 | varies |
| Echo exam uterus (76831) range across 2 matching MRF lines |
$63.60–$687 | $106–$1,145 | varies |
| Echo Guide For Artery Repair (76936) range across 2 matching MRF lines |
$54–$868.80 | $90–$1,448 | varies |
| Esophagram (74220) range across 2 matching MRF lines |
$74.40–$356.40 | $124–$594 | varies |
| Fetal Biophys Profile W/Nst (76818) | $661.80 | $1,103 | 6.6× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 2 matching MRF lines |
$78.60–$395.40 | $131–$659 | varies |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$74.40–$322.80 | $124–$538 | varies |
| Foot 2 views (73620) range across 2 matching MRF lines |
$21.60–$162.60 | $36–$271 | varies |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$24–$179.40 | $40–$299 | varies |
| Gastric emptying imaging study (78264) range across 2 matching MRF lines |
$118.80–$1,941.60 | $198–$3,236 | varies |
| Gastroesophageal Reflux Exam (78262) range across 2 matching MRF lines |
$156–$1,984.80 | $260–$3,308 | varies |
| Gated Heart Planar Single (78472) range across 2 matching MRF lines |
$147–$1,269 | $245–$2,115 | varies |
| Hand 2 views (73120) range across 2 matching MRF lines |
$24–$163.80 | $40–$273 | varies |
| Hepatobil Syst Image W/Drug (78227) range across 2 matching MRF lines |
$168.60–$1,064.40 | $281–$1,774 | varies |
| Hepatobiliary System Imaging (78226) range across 2 matching MRF lines |
$127.20–$925.20 | $212–$1,542 | varies |
| Ht Muscle Image Spect Sing (78451) range across 2 matching MRF lines |
$218.40–$1,995.60 | $364–$3,326 | varies |
| Hysterosalpingogram (74740) range across 2 matching MRF lines |
$55.80–$788.40 | $93–$1,314 | varies |
| Infant hip ultrasound with hip movement (dynamic) (76885) range across 2 matching MRF lines |
$96.60–$471 | $161–$785 | varies |
| Joint Survey Single View (77077) range across 2 matching MRF lines |
$31.20–$286.20 | $52–$477 | varies |
| K Flow/Funct Image W/Drug (78708) range across 2 matching MRF lines |
$216.60–$1,430.40 | $361–$2,384 | varies |
| K Flow/Funct Image W/O Drug (78707) range across 2 matching MRF lines |
$147–$2,149.80 | $245–$3,583 | varies |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$27–$229.80 | $45–$383 | varies |
| Liver & Spleen Imaging Static Only (78215) range across 2 matching MRF lines |
$125.40–$1,059.60 | $209–$1,766 | varies |
| Lung perfusion differential (78597) | $136.20 | $227 | 0.4× |
| Lung Ventilat&Perfus Imaging (78582) range across 2 matching MRF lines |
$85.20–$1,708.20 | $142–$2,847 | varies |
| Lung Ventilation Imaging (78579) range across 2 matching MRF lines |
$118.20–$741 | $197–$1,235 | varies |
| Lymph System Imaging (78195) range across 2 matching MRF lines |
$70.80–$1,114.80 | $118–$1,858 | varies |
| Magnetic Image Jaw Joint (70336) range across 2 matching MRF lines |
$174–$2,404.20 | $290–$4,007 | varies |
| Meckels Divert Exam (78290) range across 2 matching MRF lines |
$70.80–$1,202.40 | $118–$2,004 | varies |
| Mra Head W/O & W/Contrast Material (70546) range across 2 matching MRF lines |
$340.20–$3,645 | $567–$6,075 | varies |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$231–$2,310.60 | $385–$3,851 | varies |
| Mra Neck W/O &W/Contrast Material (70549) range across 2 matching MRF lines |
$135–$3,143.40 | $225–$5,239 | varies |
| MRA neck w/o contrast (70547) range across 2 matching MRF lines |
$99–$1,996.20 | $165–$3,327 | varies |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$260.40–$2,496 | $434–$4,160 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 2 matching MRF lines |
$150.60–$3,051.60 | $251–$5,086 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$260.40–$3,326.40 | $434–$5,544 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 2 matching MRF lines |
$144.60–$2,430 | $241–$4,050 | varies |
| MRI Breast W/O Contrast Bilateral (77047) range across 2 matching MRF lines |
$160.20–$2,317.80 | $267–$3,863 | varies |
| MRI Breast Without Contrast Material Unilateral (77046) | $649.20 | $1,082 | 2.8× |
| MRI cervical spine w contrast (72142) range across 2 matching MRF lines |
$163.20–$3,065.40 | $272–$5,109 | varies |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$260.40–$2,587.80 | $434–$4,313 | varies |
| MRI chest w/o contrast (71550) range across 2 matching MRF lines |
$260.40–$2,496 | $434–$4,160 | varies |
| MRI chest with contrast (71551) range across 2 matching MRF lines |
$186–$2,565 | $310–$4,275 | varies |
| MRI chest wo w contrast (71552) range across 2 matching MRF lines |
$136.20–$3,420 | $227–$5,700 | varies |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 2 matching MRF lines |
$642–$2,857.20 | $1,070–$4,762 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 2 matching MRF lines |
$260.40–$3,143.40 | $434–$5,239 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines |
$118.20–$2,404.20 | $197–$4,007 | varies |
| MRI lumbar spine w contrast (72149) range across 2 matching MRF lines |
$148.80–$2,971.20 | $248–$4,952 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$406.20–$3,603 | $677–$6,005 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 2 matching MRF lines |
$131.40–$2,496 | $219–$4,160 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 2 matching MRF lines |
$266.40–$3,664.80 | $444–$6,108 | varies |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$301.20–$3,420 | $502–$5,700 | varies |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$132–$2,404.20 | $220–$4,007 | varies |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$324.60–$2,587.80 | $541–$4,313 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 2 matching MRF lines |
$122.40–$2,158.20 | $204–$3,597 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 2 matching MRF lines |
$260.40–$3,143.40 | $434–$5,239 | varies |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$406.20–$3,243.60 | $677–$5,406 | varies |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$406.20–$3,603 | $677–$6,005 | varies |
| MRI, joint upper extrem (73221) range across 2 matching MRF lines |
$174–$2,404.20 | $290–$4,007 | varies |
| MRI, joint upper extrem combo (73223) range across 2 matching MRF lines |
$191.40–$3,234.60 | $319–$5,391 | varies |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$390–$3,603 | $650–$6,005 | varies |
| Myocardial Spect Multiple Studies (78452) range across 2 matching MRF lines |
$107.40–$2,814.60 | $179–$4,691 | varies |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$24–$172.80 | $40–$288 | varies |
| Ob us nuchal meas 1 gest (76813) range across 2 matching MRF lines |
$109.20–$140.40 | $182–$234 | varies |
| Parathyroid Planar Imaging (78070) range across 2 matching MRF lines |
$108.60–$1,192.80 | $181–$1,988 | varies |
| Parathyroid planar imaging w/wo subtraction (78071) range across 2 matching MRF lines |
$106.20–$792 | $177–$1,320 | varies |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$22.80–$174 | $38–$290 | varies |
| PET image w/CT, full body (78816) | $5,005.80 | $8,343 | 3.6× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$45.60–$306 | $76–$510 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$27–$193.80 | $45–$323 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$27–$166.20 | $45–$277 | varies |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$28.80–$201.60 | $48–$336 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$45–$268.80 | $75–$448 | varies |
| Radex fingr minimum 2 views (73140) range across 2 matching MRF lines |
$24–$148.20 | $40–$247 | varies |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$27–$192.60 | $45–$321 | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$28.80–$193.20 | $48–$322 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 2 matching MRF lines |
$22.20–$132.60 | $37–$221 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$24–$196.80 | $40–$328 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 2 matching MRF lines |
$32.40–$204.60 | $54–$341 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$26.40–$208.20 | $44–$347 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$40.20–$170.40 | $67–$284 | varies |
| Radex Spine 1 View Specify Level (72020) range across 2 matching MRF lines |
$20.40–$166.20 | $34–$277 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$28.20–$204.60 | $47–$341 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$45–$405.60 | $75–$676 | varies |
| Radex Toe Minimum 2 Views (73660) range across 2 matching MRF lines |
$18.60–$148.20 | $31–$247 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 2 matching MRF lines |
$31.20–$132.60 | $52–$221 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$28.80–$193.20 | $48–$322 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$41.40–$259.80 | $69–$433 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 2 matching MRF lines |
$41.40–$231 | $69–$385 | varies |
| Radiologic exam colon double contrast study (74280) range across 2 matching MRF lines |
$145.20–$702.60 | $242–$1,171 | varies |
| Radiologic exam colon single contrast study (74270) range across 2 matching MRF lines |
$102–$592.80 | $170–$988 | varies |
| Radiologic Exam Esophagus Double Contrast Study (74221) range across 2 matching MRF lines |
$57.60–$192.60 | $96–$321 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$32.40–$240 | $54–$400 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$39.60–$230.40 | $66–$384 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 2 matching MRF lines |
$69–$384 | $115–$640 | varies |
| Radiologic exam swallow function contrast study (74230) range across 2 matching MRF lines |
$122.40–$411 | $204–$685 | varies |
| Radiologic exam upr gi trc double contrast study (74246) range across 4 matching MRF lines |
$83.40–$475.80 | $139–$793 | varies |
| Radiologic examination femur 1 view (73551) | $79.20 | $132 | 0.9× |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$18–$87 | $30–$145 | varies |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$27–$176.40 | $45–$294 | varies |
| Radiologic Examination Osseous Survey Limited (77074) range across 2 matching MRF lines |
$37.80–$520.20 | $63–$867 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 2 matching MRF lines |
$27–$190.80 | $45–$318 | varies |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$37.80–$250.20 | $63–$417 | varies |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $349.20 | $582 | 0.9× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 4 matching MRF lines |
$93.60–$2,072.40 | $156–$3,454 | varies |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $939.60 | $1,566 | 0.8× |
| Scapula (73010) range across 2 matching MRF lines |
$24–$190.20 | $40–$317 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 2 matching MRF lines |
$57.60–$97.80 | $96–$163 | varies |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$20.40–$154.80 | $34–$258 | varies |
| Shoulder Arthrography (73040) | $86.40 | $144 | 0.3× |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$34.20–$204 | $57–$340 | varies |
| Speech evaluation, complex (70371) range across 2 matching MRF lines |
$122.40–$411 | $204–$685 | varies |
| Sternoclavicular joints (71130) range across 2 matching MRF lines |
$31.20–$163.20 | $52–$272 | varies |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$31.20–$213 | $52–$355 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$31.20–$258 | $52–$430 | varies |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$31.20–$247.20 | $52–$412 | varies |
| Thyroid Imaging With Vascular Flow (78013) range across 2 matching MRF lines |
$74.40–$983.40 | $124–$1,639 | varies |
| Thyroid Uptake Measurement (78012) range across 2 matching MRF lines |
$51–$928.80 | $85–$1,548 | varies |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) range across 2 matching MRF lines |
$125.40–$1,351.20 | $209–$2,252 | varies |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$78–$178.20 | $130–$297 | varies |
| Ultrasound Elastography Parenchyma (76981) range across 2 matching MRF lines |
$51–$372.60 | $85–$621 | varies |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
$148.80–$484.80 | $248–$808 | varies |
| Ultrasound, abdomen limited (76705) range across 3 matching MRF lines |
$108.60–$609 | $181–$1,015 | varies |
| Umbilical-artery Doppler (OB) (76820) range across 2 matching MRF lines |
$52.80–$381.60 | $88–$636 | varies |
| Upper gi w/o kub (74240) range across 3 matching MRF lines |
$57.60–$220.80 | $96–$368 | varies |
| Urea breath test c-14 isotopic analysis (78268) range across 2 matching MRF lines |
$54–$445.20 | $90–$742 | varies |
| Urethrocystogram voiding (74455) | $681 | $1,135 | 3.0× |
| Urethrocystography retrograde (74450) range across 2 matching MRF lines |
$33.60–$670.20 | $56–$1,117 | varies |
| Us breast unilateral complete (76641) range across 2 matching MRF lines |
$78–$247.80 | $130–$413 | varies |
| Us chest (76604) range across 2 matching MRF lines |
$112.20–$553.20 | $187–$922 | varies |
| Us complete joint (76881) range across 2 matching MRF lines |
$165.60–$552.60 | $276–$921 | varies |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$141.60–$479.40 | $236–$799 | varies |
| Us head (76506) range across 2 matching MRF lines |
$58.80–$445.20 | $98–$742 | varies |
| Us kidney transplant (76776) range across 2 matching MRF lines |
$81.60–$734.40 | $136–$1,224 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$84–$348.60 | $140–$581 | varies |
| Us ob detailed single fetus (76811) range across 2 matching MRF lines |
$190.20–$489.60 | $317–$816 | varies |
| Us ob limited 1 or more fetuses (76815) range across 3 matching MRF lines |
$84–$290.40 | $140–$484 | varies |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$123.60–$364.80 | $206–$608 | varies |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$108.60–$518.40 | $181–$864 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$111.60–$318 | $186–$530 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 2 matching MRF lines |
$82.20–$268.80 | $137–$448 | varies |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$150–$873 | $250–$1,455 | varies |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$150–$529.20 | $250–$882 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$82.80–$466.80 | $138–$778 | varies |
| Us spinal canal and contents (76800) range across 2 matching MRF lines |
$99.60–$387 | $166–$645 | varies |
| Us thyroid (76536) range across 2 matching MRF lines |
$74.40–$291 | $124–$485 | varies |
| Us transrectal (76872) range across 2 matching MRF lines |
$58.20–$646.20 | $97–$1,077 | varies |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$24–$162 | $40–$270 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$28.20–$204.60 | $47–$341 | varies |
| X-Ray Bend Only L-S Spine (72120) range across 2 matching MRF lines |
$20.40–$466.20 | $34–$777 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$24–$162.60 | $40–$271 | varies |
| X-Ray Exam Breast Specimen (76098) range across 2 matching MRF lines |
$31.80–$151.80 | $53–$253 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 2 matching MRF lines |
$30.60–$141.60 | $51–$236 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$40.20–$205.20 | $67–$342 | varies |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $312 | $520 | 3.1× |
| X-Ray Exam Hip Uni 1 View (73501) range across 2 matching MRF lines |
$27–$79.20 | $45–$132 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 2 matching MRF lines |
$30.60–$84.60 | $51–$141 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$30.60–$191.40 | $51–$319 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$50.40–$403.80 | $84–$673 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$31.20–$215.40 | $52–$359 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$50.40–$349.80 | $84–$583 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 2 matching MRF lines |
$37.80–$287.40 | $63–$479 | varies |
| X-ray eye for foreign body (70030) range across 2 matching MRF lines |
$32.40–$161.40 | $54–$269 | varies |
| X-ray humerus (73060) range across 2 matching MRF lines |
$24–$185.40 | $40–$309 | varies |
| X-ray IV pyelogram (ivp) (74400) range across 2 matching MRF lines |
$87–$493.80 | $145–$823 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 2 matching MRF lines |
$29.40–$158.40 | $49–$264 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$24–$348 | $40–$580 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$32.40–$237.60 | $54–$396 | varies |
| X-ray nose-rectum child f.b. (76010) range across 2 matching MRF lines |
$32.40–$172.80 | $54–$288 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$31.80–$574.80 | $53–$958 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$27–$210.60 | $45–$351 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$27–$202.20 | $45–$337 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$256.80–$266.40 | $428–$444 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$48.60–$307.20 | $81–$512 | varies |
| X-Ray Stress View (77071) range across 2 matching MRF lines |
$87.60–$277.20 | $146–$462 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 2 matching MRF lines |
$42–$803.40 | $70–$1,339 | varies |
| X-Rays Bone Length Studies (77073) range across 2 matching MRF lines |
$31.20–$348 | $52–$580 | varies |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$96–$272.40 | $160–$454 | varies |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$45–$312 | $75–$520 | varies |
| Xr facial bones less than 3 views (70140) range across 2 matching MRF lines |
$31.20–$164.40 | $52–$274 | varies |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$39.60–$293.40 | $66–$489 | 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.