Imaging prices at Iowa Specialty Hospital - Clarion
Clarion, IA · every code in this section with a posted price and a Medicare benchmark.
266 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 2 matching MRF lines |
$27–$176.40 | $45–$294 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$33.60–$209.40 | $56–$349 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) range across 2 matching MRF lines |
$73.80–$1,147.20 | $123–$1,912 | varies |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$25.80–$147 | $43–$245 | varies |
| Arthrogram hip (73525) range across 2 matching MRF lines |
$87–$433.20 | $145–$722 | varies |
| Arthrogram Wrist (73115) range across 2 matching MRF lines |
$48–$729.60 | $80–$1,216 | varies |
| Bone age studies (77072) range across 2 matching MRF lines |
$45.60–$100.80 | $76–$168 | varies |
| Bone Imaging 3 Phase (78315) range across 2 matching MRF lines |
$159–$1,299 | $265–$2,165 | varies |
| Bone Imaging Limited Area (78300) range across 2 matching MRF lines |
$93–$758.40 | $155–$1,264 | varies |
| Bone Imaging Whole Body (78306) range across 2 matching MRF lines |
$126.60–$1,141.80 | $211–$1,903 | varies |
| Bone survey infant (77076) range across 2 matching MRF lines |
$63.60–$179.40 | $106–$299 | varies |
| Brain Image W/Flow < 4 Views (78601) range across 2 matching MRF lines |
$55.20–$1,234.80 | $92–$2,058 | varies |
| Brain Imaging Pet Metabolic Evaluation (78608) range across 2 matching MRF lines |
$73.80–$8,582.40 | $123–$14,304 | varies |
| Card Bl Pool Gated Spect Rest Wal Motn Ejct Frct (78494) range across 2 matching MRF lines |
$171–$2,644.20 | $285–$4,407 | varies |
| Chest 1 view (71045) range across 3 matching MRF lines |
$28.20–$164.40 | $47–$274 | varies |
| Chest 2 views (71046) range across 3 matching MRF lines |
$34.20–$200.40 | $57–$334 | varies |
| Chest 3 views (71047) range across 3 matching MRF lines |
$40.20–$231 | $67–$385 | varies |
| Chest 4 or more views (71048) range across 2 matching MRF lines |
$48–$280.80 | $80–$468 | varies |
| Clavicle complete (73000) range across 2 matching MRF lines |
$25.80–$169.20 | $43–$282 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 3 matching MRF lines |
$96.60–$616.20 | $161–$1,027 | varies |
| Contrast X-Ray Bladder (74430) range across 2 matching MRF lines |
$49.20–$325.20 | $82–$542 | varies |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$222–$3,844.80 | $370–$6,408 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$183–$3,029.40 | $305–$5,049 | varies |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$180–$1,665 | $300–$2,775 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$188.40–$1,950 | $314–$3,250 | varies |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$169.80–$1,491.60 | $283–$2,486 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$255.60–$2,862.60 | $426–$4,771 | varies |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$200.40–$2,406.60 | $334–$4,011 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$123.60–$748.20 | $206–$1,247 | varies |
| CT angio hrt w/3d image (75574) range across 2 matching MRF lines |
$191.40–$790.80 | $319–$1,318 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
$171.60–$675.60 | $286–$1,126 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$160.80–$2,724 | $268–$4,540 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 2 matching MRF lines |
$147.60–$816.60 | $246–$1,361 | varies |
| CT cervical spine w/ contrast (72126) range across 2 matching MRF lines |
$213–$1,665 | $355–$2,775 | varies |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$180–$1,491.60 | $300–$2,486 | varies |
| CT cervical spine w/wo cont (72127) range across 2 matching MRF lines |
$226.80–$2,796 | $378–$4,660 | varies |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$180–$1,605.60 | $300–$2,676 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$184.20–$2,005.80 | $307–$3,343 | varies |
| CT colonography screening (74263) range across 2 matching MRF lines |
$193.20–$1,536.60 | $322–$2,561 | varies |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$151.20–$1,432.80 | $252–$2,388 | varies |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$169.80–$1,491.60 | $283–$2,486 | varies |
| CT heart no contrast quant eval coronry calcium (75571) range across 2 matching MRF lines |
$84–$102 | $140–$170 | varies |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$184.20–$1,605.60 | $307–$2,676 | varies |
| CT l-spine w&w/o contrast (72133) range across 2 matching MRF lines |
$226.80–$2,731.80 | $378–$4,553 | varies |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$145.20–$1,461 | $242–$2,435 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$153–$1,605.60 | $255–$2,676 | varies |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$213–$1,605.60 | $355–$2,676 | varies |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$180–$1,377.60 | $300–$2,296 | varies |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$174.60–$1,461 | $291–$2,435 | varies |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$153–$1,320 | $255–$2,200 | varies |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$193.80–$1,749 | $323–$2,915 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 2 matching MRF lines |
$193.80–$1,720.80 | $323–$2,868 | varies |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$172.80–$1,461 | $288–$2,435 | varies |
| CT pelvis w&w/o contrast (72194) range across 2 matching MRF lines |
$169.80–$1,834.20 | $283–$3,057 | varies |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$145.20–$1,377.60 | $242–$2,296 | varies |
| CT scan of leg combo (73702) range across 2 matching MRF lines |
$162–$1,749 | $270–$2,915 | varies |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
$190.80–$1,605.60 | $318–$2,676 | varies |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$184.20–$1,605.60 | $307–$2,676 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$172.80–$1,461 | $288–$2,435 | 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 |
$180–$1,432.80 | $300–$2,388 | 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 |
$168.60–$1,405.20 | $281–$2,342 | varies |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$145.20–$1,266 | $242–$2,110 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 2 matching MRF lines |
$162–$1,749 | $270–$2,915 | varies |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$155.40–$1,605.60 | $259–$2,676 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$274.20–$3,148.80 | $457–$5,248 | varies |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$255.60–$2,862.60 | $426–$4,771 | 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–$1,105.80 | $250–$1,843 | varies |
| Diskography lumbar (72295) | $215.40 | $359 | 0.1× |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$32.40–$407.40 | $54–$679 | varies |
| Dxa bone density study 1/>sites appendiclr skel (77081) range across 2 matching MRF lines |
$35.40–$311.40 | $59–$519 | varies |
| Echo exam uterus (76831) range across 2 matching MRF lines |
$63.60–$714.60 | $106–$1,191 | varies |
| Echo Guide For Artery Repair (76936) range across 2 matching MRF lines |
$55.20–$903.60 | $92–$1,506 | varies |
| Esophagram (74220) range across 2 matching MRF lines |
$75–$371.40 | $125–$619 | varies |
| Fetal Biophys Profile W/Nst (76818) range across 2 matching MRF lines |
$106.80–$661.80 | $178–$1,103 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 2 matching MRF lines |
$80.40–$412.80 | $134–$688 | varies |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$75–$402.60 | $125–$671 | varies |
| Foot 2 views (73620) range across 2 matching MRF lines |
$22.80–$156 | $38–$260 | varies |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$25.80–$158.40 | $43–$264 | varies |
| Gastric emptying imaging study (78264) range across 2 matching MRF lines |
$124.20–$2,064 | $207–$3,440 | varies |
| Gastroesophageal Reflux Exam (78262) range across 2 matching MRF lines |
$156.60–$2,149.20 | $261–$3,582 | varies |
| Gated Heart Planar Single (78472) range across 2 matching MRF lines |
$151.20–$1,288.80 | $252–$2,148 | varies |
| Hand 2 views (73120) range across 2 matching MRF lines |
$25.80–$141.60 | $43–$236 | varies |
| Heart Image (Pet) Multiple (78492) range across 2 matching MRF lines |
$88.20–$8,582.40 | $147–$14,304 | varies |
| Hepatobil Syst Image W/Drug (78227) range across 2 matching MRF lines |
$136.80–$1,050 | $228–$1,750 | varies |
| Hepatobiliary System Imaging (78226) range across 2 matching MRF lines |
$136.80–$1,050 | $228–$1,750 | varies |
| Ht Muscle Image Spect Sing (78451) range across 2 matching MRF lines |
$218.40–$2,076 | $364–$3,460 | varies |
| Hysterosalpingogram (74740) range across 2 matching MRF lines |
$56.40–$820.20 | $94–$1,367 | varies |
| Infant hip ultrasound with hip movement (dynamic) (76885) range across 2 matching MRF lines |
$99–$490.80 | $165–$818 | varies |
| Joint Survey Single View (77077) range across 2 matching MRF lines |
$31.20–$297.60 | $52–$496 | varies |
| K Flow/Funct Image W/Drug (78708) range across 2 matching MRF lines |
$223.20–$1,432.80 | $372–$2,388 | varies |
| K Flow/Funct Image W/O Drug (78707) range across 2 matching MRF lines |
$151.20–$2,236.20 | $252–$3,727 | varies |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$27.60–$213.60 | $46–$356 | varies |
| Liver & Spleen Imaging Static Only (78215) range across 2 matching MRF lines |
$129.60–$1,103.40 | $216–$1,839 | varies |
| Lung perfusion differential (78597) | $136.80 | $228 | 0.4× |
| Lung Ventilat&Perfus Imaging (78582) range across 2 matching MRF lines |
$85.20–$1,774.80 | $142–$2,958 | varies |
| Lung Ventilation Imaging (78579) range across 2 matching MRF lines |
$73.80–$867 | $123–$1,445 | varies |
| Lymph System Imaging (78195) range across 2 matching MRF lines |
$115.80–$1,159.20 | $193–$1,932 | varies |
| Magnetic Image Jaw Joint (70336) range across 2 matching MRF lines |
$178.80–$1,834.20 | $298–$3,057 | varies |
| Mammary ductogram or galactogram multiple (77054) range across 2 matching MRF lines |
$69.60–$581.40 | $116–$969 | varies |
| Mammary ductogram or galactogram single (77053) range across 2 matching MRF lines |
$55.20–$408.60 | $92–$681 | varies |
| Meckels Divert Exam (78290) range across 2 matching MRF lines |
$73.80–$1,300.20 | $123–$2,167 | varies |
| Mra Head W/O & W/Contrast Material (70546) range across 2 matching MRF lines |
$223.20–$3,645 | $372–$6,075 | varies |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$151.20–$2,436 | $252–$4,060 | varies |
| Mra Neck W/O &W/Contrast Material (70549) range across 2 matching MRF lines |
$165–$2,200.80 | $275–$3,668 | 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 |
$268.20–$2,292.60 | $447–$3,821 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 2 matching MRF lines |
$150.60–$3,168.60 | $251–$5,281 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$88.20–$3,664.80 | $147–$6,108 | 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) | $675 | $1,125 | 2.9× |
| MRI cervical spine w contrast (72142) range across 2 matching MRF lines |
$163.20–$3,187.80 | $272–$5,313 | varies |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$268.20–$2,292.60 | $447–$3,821 | varies |
| MRI chest w/o contrast (71550) range across 2 matching MRF lines |
$268.20–$2,064 | $447–$3,440 | 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 |
$88.20–$3,664.80 | $147–$6,108 | varies |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 2 matching MRF lines |
$642–$2,971.20 | $1,070–$4,952 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 2 matching MRF lines |
$268.20–$3,664.80 | $447–$6,108 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines |
$178.80–$2,121 | $298–$3,535 | 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 |
$418.20–$3,664.80 | $697–$6,108 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 2 matching MRF lines |
$136.80–$2,292.60 | $228–$3,821 | 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 |
$309.60–$3,664.80 | $516–$6,108 | varies |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$136.20–$2,064 | $227–$3,440 | varies |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$268.20–$2,064 | $447–$3,440 | 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 |
$268.20–$3,664.80 | $447–$6,108 | varies |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$418.20–$3,664.80 | $697–$6,108 | varies |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$418.20–$3,664.80 | $697–$6,108 | varies |
| MRI, joint upper extrem (73221) range across 2 matching MRF lines |
$190.20–$2,404.20 | $317–$4,007 | varies |
| MRI, joint upper extrem combo (73223) range across 2 matching MRF lines |
$194.40–$3,664.80 | $324–$6,108 | varies |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$401.40–$3,664.80 | $669–$6,108 | varies |
| Myocardial Imaging Pet Metabolic Evaluation (78459) range across 2 matching MRF lines |
$73.80–$8,582.40 | $123–$14,304 | varies |
| Myocardial Spect Multiple Studies (78452) range across 2 matching MRF lines |
$218.40–$2,803.20 | $364–$4,672 | varies |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$25.80–$192.60 | $43–$321 | varies |
| Ob us nuchal meas 1 gest (76813) range across 2 matching MRF lines |
$109.80–$145.80 | $183–$243 | varies |
| Parathyroid Planar Imaging (78070) range across 2 matching MRF lines |
$112.20–$1,240.20 | $187–$2,067 | varies |
| Parathyroid planar imaging w/wo subtraction (78071) range across 2 matching MRF lines |
$106.80–$814.20 | $178–$1,357 | varies |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$24–$163.20 | $40–$272 | varies |
| Pet Image Skull-Thigh (78812) range across 2 matching MRF lines |
$174–$8,582.40 | $290–$14,304 | varies |
| Pet Image W/Ct Lmtd (78814) range across 2 matching MRF lines |
$184.20–$10,867.20 | $307–$18,112 | varies |
| PET image w/CT, full body (78816) range across 3 matching MRF lines |
$208.80–$5,005.80 | $348–$8,343 | varies |
| PET imaging CT attenuation skull base mid-thigh (78815) range across 2 matching MRF lines |
$204.60–$10,867.20 | $341–$18,112 | varies |
| Pet Imaging Limited Area Chest Head/Neck (78811) | $8,582.40 | $14,304 | 6.9× |
| Pet Myocardial Sngl Study (78491) range across 2 matching MRF lines |
$88.20–$8,582.40 | $147–$14,304 | varies |
| PET whole body (78813) | $8,582.40 | $14,304 | 6.2× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$57.60–$307.80 | $96–$513 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$27.60–$187.20 | $46–$312 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$27.60–$153 | $46–$255 | varies |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$30–$180 | $50–$300 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$45.60–$256.80 | $76–$428 | varies |
| Radex fingr minimum 2 views (73140) range across 2 matching MRF lines |
$25.80–$130.80 | $43–$218 | varies |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$27.60–$187.20 | $46–$312 | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$30–$180 | $50–$300 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 2 matching MRF lines |
$24–$153 | $40–$255 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$25.80–$186 | $43–$310 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 2 matching MRF lines |
$33–$174.60 | $55–$291 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$27–$196.20 | $45–$327 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$27.60–$169.20 | $46–$282 | varies |
| Radex Spine 1 View Specify Level (72020) range across 2 matching MRF lines |
$21.60–$141.60 | $36–$236 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$29.40–$186 | $49–$310 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$45.60–$202.20 | $76–$337 | varies |
| Radex Toe Minimum 2 Views (73660) range across 2 matching MRF lines |
$19.80–$147 | $33–$245 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 2 matching MRF lines |
$31.80–$137.40 | $53–$229 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$30–$169.20 | $50–$282 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$43.20–$222.60 | $72–$371 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 2 matching MRF lines |
$40.20–$222.60 | $67–$371 | varies |
| Radiologic exam colon double contrast study (74280) range across 2 matching MRF lines |
$145.20–$732 | $242–$1,220 | varies |
| Radiologic exam colon single contrast study (74270) range across 2 matching MRF lines |
$102.60–$617.40 | $171–$1,029 | varies |
| Radiologic Exam Esophagus Double Contrast Study (74221) range across 2 matching MRF lines |
$57.60–$200.40 | $96–$334 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$33–$192.60 | $55–$321 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$40.20–$240 | $67–$400 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 2 matching MRF lines |
$69.60–$399 | $116–$665 | varies |
| Radiologic exam swallow function contrast study (74230) range across 2 matching MRF lines |
$123–$428.40 | $205–$714 | varies |
| Radiologic exam upr gi trc double contrast study (74246) range across 4 matching MRF lines |
$83.40–$496.20 | $139–$827 | varies |
| Radiologic examination femur 1 view (73551) | $82.20 | $137 | 1.0× |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$18.60–$88.80 | $31–$148 | varies |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$25.80–$174.60 | $43–$291 | varies |
| Radiologic Examination Osseous Survey Limited (77074) range across 2 matching MRF lines |
$37.80–$541.20 | $63–$902 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 2 matching MRF lines |
$27.60–$181.80 | $46–$303 | varies |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$40.20–$222.60 | $67–$371 | 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 |
$87.60–$2,155.20 | $146–$3,592 | varies |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $976.80 | $1,628 | 0.8× |
| Scapula (73010) range across 2 matching MRF lines |
$25.80–$169.20 | $43–$282 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 2 matching MRF lines |
$57.60–$102 | $96–$170 | varies |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$21.60–$137.40 | $36–$229 | varies |
| Shoulder Arthrography (73040) range across 2 matching MRF lines |
$87–$472.80 | $145–$788 | varies |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$35.40–$180 | $59–$300 | varies |
| Sternoclavicular joints (71130) range across 2 matching MRF lines |
$31.80–$163.20 | $53–$272 | varies |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$31.80–$209.40 | $53–$349 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$31.80–$261.60 | $53–$436 | varies |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$31.80–$196.20 | $53–$327 | varies |
| Thyroid Imaging With Vascular Flow (78013) range across 2 matching MRF lines |
$76.80–$1,023.60 | $128–$1,706 | varies |
| Thyroid Uptake Measurement (78012) range across 2 matching MRF lines |
$51.60–$966 | $86–$1,610 | varies |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) range across 2 matching MRF lines |
$129.60–$1,405.20 | $216–$2,342 | varies |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$78–$185.40 | $130–$309 | varies |
| Ultrasound Elastography Parenchyma (76981) range across 2 matching MRF lines |
$51–$387.60 | $85–$646 | varies |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
$149.40–$908.40 | $249–$1,514 | varies |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$112.20–$633 | $187–$1,055 | varies |
| Umbilical-artery Doppler (OB) (76820) range across 2 matching MRF lines |
$52.80–$396.60 | $88–$661 | varies |
| Unlisted us procedure (76999) | $168.60 | $281 | 2.0× |
| Upper gi w/o kub (74240) range across 3 matching MRF lines |
$57.60–$229.20 | $96–$382 | varies |
| Urea breath test c-14 isotopic analysis (78268) range across 2 matching MRF lines |
$55.20–$462.60 | $92–$771 | varies |
| Urethrocystogram voiding (74455) range across 2 matching MRF lines |
$50.40–$708 | $84–$1,180 | varies |
| Urethrocystography retrograde (74450) range across 2 matching MRF lines |
$33.60–$696.60 | $56–$1,161 | varies |
| Us breast unilateral complete (76641) range across 2 matching MRF lines |
$78–$267.60 | $130–$446 | varies |
| Us chest (76604) range across 2 matching MRF lines |
$112.20–$576 | $187–$960 | varies |
| Us complete joint (76881) range across 2 matching MRF lines |
$165.60–$575.40 | $276–$959 | varies |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$145.80–$479.40 | $243–$799 | varies |
| Us head (76506) range across 2 matching MRF lines |
$58.80–$462.60 | $98–$771 | 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 |
$168.60–$371.40 | $281–$619 | varies |
| Us ob detailed single fetus (76811) range across 2 matching MRF lines |
$190.80–$509.40 | $318–$849 | varies |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$87.60–$303 | $146–$505 | varies |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$127.20–$303 | $212–$505 | varies |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$112.20–$556.20 | $187–$927 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$114.60–$428.40 | $191–$714 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 2 matching MRF lines |
$82.20–$280.80 | $137–$468 | varies |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$154.80–$596.40 | $258–$994 | varies |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$154.80–$546.60 | $258–$911 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$86.40–$485.40 | $144–$809 | varies |
| Us spinal canal and contents (76800) range across 2 matching MRF lines |
$99.60–$402.60 | $166–$671 | varies |
| Us thyroid (76536) range across 2 matching MRF lines |
$76.80–$348.60 | $128–$581 | varies |
| Us transrectal (76872) range across 2 matching MRF lines |
$58.20–$673.20 | $97–$1,122 | varies |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$25.80–$137.40 | $43–$229 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$29.40–$192.60 | $49–$321 | varies |
| X-Ray Bend Only L-S Spine (72120) range across 2 matching MRF lines |
$25.20–$343.80 | $42–$573 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$25.80–$158.40 | $43–$264 | varies |
| X-Ray Exam Breast Specimen (76098) range across 2 matching MRF lines |
$31.80–$159.60 | $53–$266 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 2 matching MRF lines |
$30.60–$147 | $51–$245 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$40.20–$213.60 | $67–$356 | varies |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $325.20 | $542 | 3.2× |
| X-Ray Exam Hip Uni 1 View (73501) range across 2 matching MRF lines |
$27–$82.80 | $45–$138 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 2 matching MRF lines |
$30.60–$88.80 | $51–$148 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) | $156.60 | $261 | 1.6× |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$30.60–$200.40 | $51–$334 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $204.60 | $341 | 2.0× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $213.60 | $356 | 2.1× |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$52.20–$403.80 | $87–$673 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$31.80–$192.60 | $53–$321 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$52.20–$312.60 | $87–$521 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 2 matching MRF lines |
$40.20–$273.60 | $67–$456 | varies |
| X-ray eye for foreign body (70030) range across 2 matching MRF lines |
$33–$169.20 | $55–$282 | varies |
| X-ray humerus (73060) range across 2 matching MRF lines |
$25.80–$180 | $43–$300 | varies |
| X-ray IV pyelogram (ivp) (74400) range across 2 matching MRF lines |
$87.60–$514.20 | $146–$857 | 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 |
$25.80–$147 | $43–$245 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$31.80–$231 | $53–$385 | varies |
| X-ray nose-rectum child f.b. (76010) range across 2 matching MRF lines |
$33–$169.80 | $55–$283 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$31.80–$452.40 | $53–$754 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$27.60–$209.40 | $46–$349 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$27.60–$169.20 | $46–$282 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$40.20–$240 | $67–$400 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$49.20–$247.80 | $82–$413 | varies |
| X-Ray Stress View (77071) range across 2 matching MRF lines |
$88.20–$282.60 | $147–$471 | 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 |
$30.60–$362.40 | $51–$604 | varies |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$98.40–$472.80 | $164–$788 | varies |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$45.60–$306 | $76–$510 | varies |
| Xr facial bones less than 3 views (70140) range across 2 matching MRF lines |
$31.80–$165.60 | $53–$276 | varies |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$42–$240.60 | $70–$401 | 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.