Imaging prices at Jackson Memorial Hospital
Miami, FL · every code in this section with a posted price and a Medicare benchmark.
341 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) | $1,343 | $3,875 | 0.9× |
| Abdomen 1 View (74018) range across 2 matching MRF lines |
$86 | $392–$430 | 0.9× |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$116 | $460–$516 | 1.1× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $401 | $866 | 1.0× |
| Adrenal Cortex & Medulla Img (78075) | $1,390 | $2,028 | 1.0× |
| Angio pulmonary bilat (75743) | $3,044 | $4,946 | 0.9× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $3,044 | $4,946 | 0.9× |
| Angiography extremity bilateral rs&i (75716) | $3,044 | $4,946 | 0.9× |
| Angiography extremity unilateral rs&i (75710) | $3,044 | $4,946 | 0.9× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $3,044 | $4,946 | 0.9× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $3,044 | $6,940 | 0.9× |
| Ankle 2 views (73600) range across 5 matching MRF lines |
$86 | $364–$866 | 0.9× |
| Aortography thoracic serialography rs&i (75605) range across 2 matching MRF lines |
$5,071 | $8,716–$8,717 | 0.9× |
| Artery X-Rays Abdomen (75726) range across 2 matching MRF lines |
$5,071 | $8,716–$8,717 | 0.9× |
| Artery X-Rays Pelvis (75736) | $5,071 | $8,717 | 0.9× |
| Artery X-Rays Spine (75705) | $5,071 | $8,717 | 0.9× |
| Arthrogram hip (73525) | $392 | $547 | 1.1× |
| Basic radiation dosimetry calculation (77300) | $135 | $383 | 1.0× |
| Bone age studies (77072) | $116 | $399 | 1.1× |
| Bone Imaging 3 Phase (78315) | $401 | $2,099 | 1.0× |
| Bone Imaging Whole Body (78306) | $401 | $1,560 | 1.0× |
| Bone survey infant (77076) | $116 | $173 | 1.1× |
| Brachytx isodose complex (77318) | $360 | $1,235 | 0.9× |
| Brachytx isodose intermed (77317) | $360 | $1,011 | 0.9× |
| Brachytx Isodose Plan Simple (77316) | $360 | $686 | 0.9× |
| Brain Flow Imaging Only (78610) | $520 | $1,320 | 0.9× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $520 | $3,389 | 0.9× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $1,574 | $5,165 | 1.1× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $392 | $3,843 | 1.1× |
| Cardiac Shunt Detection (78428) | $401 | $627 | 1.0× |
| Cat Scan Follow-Up Study (76380) range across 2 matching MRF lines |
$86 | $804–$896 | 0.9× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $520 | $1,693 | 0.9× |
| Chest 1 view (71045) range across 3 matching MRF lines |
$86 | $391–$427 | 0.9× |
| Chest 2 views (71046) range across 2 matching MRF lines |
$86 | $534–$578 | 0.9× |
| Chest 3 views (71047) | $86 | $550 | 0.9× |
| Chest 4 or more views (71048) | $116 | $604 | 1.1× |
| Cholecystography Oral Contrast (74290) | $190 | $426 | 1.0× |
| Cisternography Positive Contrast Rs&I (70015) | $761 | $1,228 | 0.9× |
| Clavicle complete (73000) range across 6 matching MRF lines |
$86 | $242–$572 | 0.9× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 2 matching MRF lines |
$116 | $1,981–$2,085 | 1.1× |
| Continuing medical physics consltj pr wk (77336) | $135 | $336 | 1.0× |
| Contrast Exam Abdominl Aorta (75625) | $3,044 | $4,946 | 0.9× |
| Contrast X-Ray Bladder (74430) | $392 | $944 | 1.1× |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$392 | $6,688–$6,882 | 1.1× |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$245 | $3,879–$4,046 | 1.0× |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$190 | $2,435–$2,920 | 1.0× |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$190 | $3,032–$3,166 | 1.0× |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$116 | $2,269–$2,383 | 1.1× |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$392 | $3,837–$3,944 | 1.1× |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$190 | $3,680–$3,777 | 1.0× |
| CT Angio Head (70496) range across 2 matching MRF lines |
$190 | $3,248–$3,332 | 1.0× |
| CT angio hrt w/3d image (75574) range across 2 matching MRF lines |
$190 | $1,896–$2,127 | 0.5× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
$190 | $2,590–$2,691 | 1.0× |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$190 | $3,248–$3,332 | 1.0× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 2 matching MRF lines |
$190 | $3,953–$4,507 | 1.0× |
| CT Cere Prfuj Alys C+ W/O CT/Cta Same Anatomy (70473) | — | $3,195 | — |
| CT cervical spine w/ contrast (72126) range across 2 matching MRF lines |
$392 | $2,167–$2,523 | 1.1× |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$116 | $2,050–$2,145 | 1.1× |
| CT cervical spine w/wo cont (72127) range across 2 matching MRF lines |
$190 | $2,604–$2,726 | 1.0× |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$190 | $2,241–$2,353 | 1.0× |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$190 | $2,618–$2,738 | 1.0× |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$190 | $1,619–$1,934 | 1.0× |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$190 | $2,372–$2,494 | 1.0× |
| CT heart contrast eval cardiac structure&morph (75572) range across 2 matching MRF lines |
$190 | $1,528–$1,619 | 0.5× |
| CT heart no contrast quant eval coronry calcium (75571) range across 2 matching MRF lines |
$86 | $570–$626 | 0.9× |
| CT hrt w/3d image congen (75573) range across 2 matching MRF lines |
$190 | $2,115–$2,251 | 0.5× |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$190 | $2,208–$2,316 | 1.0× |
| CT l-spine w&w/o contrast (72133) range across 2 matching MRF lines |
$190 | $2,708–$2,830 | 1.0× |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$116 | $1,740–$1,835 | 1.1× |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$190 | $1,892–$2,003 | 1.0× |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$392 | $2,149–$2,506 | 1.1× |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$116 | $2,017–$2,112 | 1.1× |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$190 | $2,366–$2,474 | 1.0× |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$116 | $2,020–$2,103 | 1.1× |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$190 | $2,156–$2,311 | 1.0× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 2 matching MRF lines |
$190 | $2,311–$2,433 | 1.0× |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$116 | $1,520–$1,644 | 1.1× |
| CT pelvis w&w/o contrast (72194) range across 2 matching MRF lines |
$190 | $2,691–$2,807 | 1.0× |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$116 | $1,976–$2,081 | 1.1× |
| CT scan of leg combo (73702) range across 2 matching MRF lines |
$190 | $2,034–$2,150 | 1.0× |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
$190 | $2,652–$2,774 | 1.0× |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$190 | $2,058–$2,190 | 1.0× |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$116 | $1,889–$2,013 | 1.1× |
| CT thoracic spine w contrast (72129) range across 2 matching MRF lines |
$190 | $2,068–$2,426 | 1.0× |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$116 | $2,010–$2,105 | 1.1× |
| CT thoracic spine w/wo cont (72130) range across 2 matching MRF lines |
$190 | $2,303–$2,425 | 1.0× |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$116 | $1,981–$2,085 | 1.1× |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$116 | $1,746–$1,841 | 1.1× |
| CT upper extremity w/o & w/contrast material (73202) range across 2 matching MRF lines |
$190 | $2,001–$2,117 | 1.0× |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$392 | $1,993–$2,104 | 1.1× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$190 | $2,322–$2,449 | 1.0× |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$190 | $3,837–$4,391 | 1.0× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) range across 2 matching MRF lines |
— | $6,496–$6,664 | — |
| CTA pelvis (72191) range across 2 matching MRF lines |
$190 | $3,921–$4,474 | 1.0× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) | $116 | $697 | 1.1× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $116 | $715 | 1.1× |
| Doppler Fetal Mid Cerebral Artery (76821) | $116 | $704 | 1.1× |
| Dxa Bone Density Axial (77080) | $116 | $298 | 1.1× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $86 | $306 | 0.9× |
| Echo exam of fetal heart (76825) | $514 | $1,251 | 0.9× |
| Echo exam uterus (76831) | $245 | $581 | 1.0× |
| Echo Guide For Artery Repair (76936) | $281 | $726 | 1.2× |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) | $245 | $580 | 1.0× |
| Esophagram (74220) | $190 | $492 | 1.0× |
| Fetal Biophys Profile W/Nst (76818) | $116 | $1,065 | 1.1× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $116 | $809 | 1.1× |
| Fetal MRI w/placntl matrnl plvc img sing/1st ges (74712) | $245 | $374 | 1.0× |
| Fluoroscopy up to 1 hr (76000) | $245 | $1,123 | 1.0× |
| Follow-Up Angiography (75898) | $3,044 | $4,946 | 0.9× |
| Foot 2 views (73620) range across 5 matching MRF lines |
$86 | $559–$1,241 | 0.9× |
| Forearm 2 views (73090) range across 6 matching MRF lines |
$86 | $574–$1,272 | 0.9× |
| Gastric emptying imaging study (78264) | $401 | $1,751 | 1.0× |
| Gated Heart Planar Single (78472) | $401 | $1,240 | 1.0× |
| GI Endoscopic US S&I (76975) | $245 | $374 | 1.0× |
| Hand 2 views (73120) range across 2 matching MRF lines |
$116 | $288–$330 | 1.1× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) | $754 | $1,091 | 1.0× |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) | $754 | $1,867 | 1.0× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $3,044 | $6,315 | 0.9× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $3,044 | $4,946 | 0.9× |
| Hepatobil Syst Image W/Drug (78227) | $520 | $851 | 0.9× |
| Hepatobiliary System Imaging (78226) | $401 | $2,292 | 1.0× |
| Ht Muscle Image Spect Sing (78451) | $1,390 | $2,570 | 1.0× |
| Hysterosalpingogram (74740) | $245 | $722 | 1.0× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $86 | $846 | 0.9× |
| Infant hip ultrasound, limited static exam (76886) | $86 | $558 | 0.9× |
| Interstitial radiation source applic complex (77778) | $754 | $4,054 | 1.0× |
| Intraop radiaj tx deliver xray single tx session (77424) | $8,270 | $11,538 | 1.1× |
| K Flow/Funct Image W/Drug (78708) | $520 | $1,251 | 0.9× |
| K Flow/Funct Image W/O Drug (78707) | $520 | $1,202 | 0.9× |
| Knee 3 Views (73562) range across 4 matching MRF lines |
$86 | $448–$1,010 | 0.9× |
| Liver & Spleen Imaging Static Only (78215) | $401 | $1,664 | 1.0× |
| Lung perfusion differential (78597) | $401 | $2,334 | 1.0× |
| Lung Ventilat&Perfus Imaging (78582) | $520 | $1,941 | 0.9× |
| Lymph System Imaging (78195) | $520 | $1,791 | 0.9× |
| Magnetic Image Jaw Joint (70336) | $245 | $1,813 | 1.0× |
| Meckels Divert Exam (78290) | $401 | $837 | 1.0× |
| Mlc imrt design & construction per imrt plan (77338) | $360 | $1,277 | 0.9× |
| Mr safety determination physician/other qhp (76016) | — | $137 | — |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | — | $46 | — |
| Mr safety implt electronics prepj supvj phys/qhp (76018) | — | $149 | — |
| Mr safety implt pos&/immoblj (76019) | — | $93 | — |
| Mr safety med physics xm customization plng&mntr (76017) | — | $374 | — |
| Mra Head W/O & W/Contrast Material (70546) | $392 | $2,867 | 1.1× |
| MRA head w/o contrast (70544) | $245 | $2,631 | 1.0× |
| MRA head with contrast (70545) | $392 | $2,650 | 1.1× |
| Mra Neck W/O &W/Contrast Material (70549) | $392 | $2,490 | 1.1× |
| MRA neck w/o contrast (70547) | $245 | $2,076 | 1.0× |
| MRI abdomen w contrast (74182) | $392 | $3,118 | 1.1× |
| MRI abdomen w/o contrast (74181) | $245 | $2,503 | 1.0× |
| MRI any jt lower extrem w/contrast material (73722) | $761 | $2,371 | 0.9× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $392 | $2,950 | 1.1× |
| MRI any jt upper extremity w/contrast matrl (73222) | $761 | $2,899 | 0.9× |
| MRI brain functional w/physician admnistration (70555) | $245 | $374 | 1.0× |
| MRI Breast W/O Contrast Bilateral (77047) | $245 | $3,390 | 1.0× |
| MRI cardiac w/o contrast (75557) | $245 | $2,662 | 1.0× |
| MRI cervical spine w contrast (72142) | $392 | $3,190 | 1.1× |
| MRI cervical spine w/o cont (72141) | $245 | $2,584 | 1.0× |
| MRI chest w/o contrast (71550) | $245 | $2,377 | 1.0× |
| MRI chest wo w contrast (71552) | $392 | $3,534 | 1.1× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $392 | $2,258 | 1.1× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $392 | $2,623 | 1.1× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $245 | $2,168 | 1.0× |
| MRI lumbar spine w contrast (72149) | $392 | $3,150 | 1.1× |
| Mri Neck Spine W/O & W/Dye (72156) | $392 | $3,714 | 1.1× |
| MRI orbit face &/neck w/o contrast (70540) | $245 | $2,389 | 1.0× |
| MRI orbit face neck w contrast (70542) | $392 | $2,677 | 1.1× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $392 | $2,811 | 1.1× |
| MRI pelvis w contrast (72196) | $392 | $2,587 | 1.1× |
| MRI pelvis w/o & w contrast (72197) | $392 | $3,146 | 1.1× |
| MRI pelvis w/o contrast (72195) | $245 | $1,920 | 1.0× |
| MRI spectroscopy (76390) | $86 | $137 | 0.9× |
| MRI thoracic spine w/o contrast (72146) | $245 | $2,797 | 1.0× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $392 | $2,419 | 1.1× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $245 | $2,032 | 1.0× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $392 | $2,535 | 1.1× |
| MRI, abdomen, combo (74183) | $392 | $3,626 | 1.1× |
| MRI, dorsal spine combo (72157) | $392 | $3,859 | 1.1× |
| MRI, dorsal spine contrast (72147) | $392 | $3,150 | 1.1× |
| MRI, joint upper extrem (73221) | $245 | $2,774 | 1.0× |
| MRI, joint upper extrem combo (73223) | $392 | $2,969 | 1.1× |
| MRI, lumbar spine combo (72158) | $392 | $3,428 | 1.1× |
| Myelogram cervical (72240) | $761 | $1,644 | 0.9× |
| Myelogram Lumbar (72265) | $761 | $1,228 | 0.9× |
| Myelography thoracic (72255) | $761 | $1,644 | 0.9× |
| Myelograpy 2/more regions rs&i (72270) | $761 | $1,701 | 0.9× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) | $1,390 | $2,290 | 1.0× |
| Myocardial Spect Multiple Studies (78452) | $1,390 | $4,263 | 1.0× |
| Neck soft tissue (70360) range across 3 matching MRF lines |
$86 | $402–$468 | 0.9× |
| Nonvascular Shunt X-Ray (75809) | $116 | $485 | 1.1× |
| Ntsty modul radthx pln dose-vol histos (77301) | $1,343 | $2,169 | 0.9× |
| Nuclear Rx Oral Admin (79005) | $269 | $1,937 | 1.1× |
| Ob us nuchal meas 1 gest (76813) | $116 | $231 | 1.1× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) | $116 | $164 | 1.1× |
| Panoramic X-ray of jaws (70355) | $86 | $411 | 0.9× |
| Parathyroid Planar Imaging (78070) | $401 | $801 | 1.0× |
| Pelvis 1 or 2 views (72170) range across 3 matching MRF lines |
$116 | $465–$525 | 1.1× |
| PET image w/CT, full body (78816) | $1,574 | $3,665 | 1.1× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $1,574 | $3,436 | 1.1× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $3,044 | $5,407 | 0.9× |
| Pulmonary Perfusion Imaging Particulate (78580) | $401 | $1,124 | 1.0× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$116 | $480–$551 | 1.1× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $514 | $923 | 0.9× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 4 matching MRF lines |
$86 | $529–$1,158 | 0.9× |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$86 | $302–$604 | 0.9× |
| Radex elbow complete minimum 3 views (73080) range across 4 matching MRF lines |
$86 | $454–$1,008 | 0.9× |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 3 matching MRF lines |
$116 | $381–$446 | 1.1× |
| Radex fingr minimum 2 views (73140) range across 3 matching MRF lines |
$86 | $322–$644 | 0.9× |
| Radex foot complete minimum 3 views (73630) range across 5 matching MRF lines |
$86 | $559–$1,210 | 0.9× |
| Radex Hand Minimum 3 Views (73130) range across 4 matching MRF lines |
$86 | $489–$1,076 | 0.9× |
| Radex lower extremity infant minimum 2 views (73592) range across 2 matching MRF lines |
$86 | $376–$752 | 0.9× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$86 | $330–$382 | 0.9× |
| Radex Ribs Unilateral 2 Views (71100) range across 3 matching MRF lines |
$86 | $481–$539 | 0.9× |
| Radex shoulder complete minimum 2 views (73030) range across 6 matching MRF lines |
$86 | $577–$1,306 | 0.9× |
| Radex Sinuses Paransl < 3 Views (70210) range across 3 matching MRF lines |
$86 | $311–$380 | 0.9× |
| Radex Spine 1 View Specify Level (72020) | $86 | $290 | 0.9× |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$86 | $471–$518 | 0.9× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$86 | $393–$467 | 0.9× |
| Radex Toe Minimum 2 Views (73660) range across 4 matching MRF lines |
$86 | $364–$818 | 0.9× |
| Radex upper extremity infant minimum 2 views (73092) range across 2 matching MRF lines |
$116 | $382–$764 | 1.1× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 4 matching MRF lines |
$86 | $546–$1,204 | 0.9× |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $8,270 | $11,538 | 1.1× |
| Radiation treatment delivery level 1 (77402) | $127 | $162 | 1.2× |
| Radiation treatment delivery level 2 (77407) | $257 | $604 | 0.6× |
| Radiation treatment delivery level 3 (77412) | $257 | $866 | 0.4× |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$116 | $636–$696 | 1.1× |
| Radiologic exam colon double contrast study (74280) | $190 | $735 | 1.0× |
| Radiologic exam colon single contrast study (74270) | $190 | $684 | 1.0× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $190 | $593 | 1.0× |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$116 | $590–$1,180 | 1.1× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $116 | $687 | 1.1× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $190 | $983 | 1.0× |
| Radiologic exam swallow function contrast study (74230) | $190 | $753 | 1.0× |
| Radiologic exam upr gi trc double contrast study (74246) | $190 | $1,127 | 1.0× |
| Radiologic examination femur minimum 2 views (73552) range across 6 matching MRF lines |
$86 | $627–$1,406 | 0.9× |
| Radiologic examination knee 1/2 views (73560) range across 6 matching MRF lines |
$86 | $439–$1,024 | 0.9× |
| Radiologic Examination Osseous Survey Limited (77074) | $116 | $173 | 1.1× |
| Radiologic examination tibia & fibula 2 views (73590) range across 6 matching MRF lines |
$86 | $607–$1,348 | 0.9× |
| Ribs bilateral 3 views (71110) range across 3 matching MRF lines |
$116 | $618–$708 | 1.1× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $1,390 | $1,895 | 2.5× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $1,390 | $2,743 | 1.0× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $1,574 | $2,240 | 1.1× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $1,390 | $2,028 | 1.0× |
| Salivary Gland Function Study (78232) | $401 | $626 | 1.0× |
| Scapula (73010) range across 5 matching MRF lines |
$116 | $316–$739 | 1.1× |
| Screening Digital Breast Tomosynthesis Bi (77063) | — | $128 | — |
| Shoulder 1 view (73020) range across 3 matching MRF lines |
$86 | $206–$412 | 0.9× |
| Shoulder Arthrography (73040) range across 2 matching MRF lines |
$392 | $676–$1,352 | 1.1× |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$116 | $461–$518 | 1.1× |
| Special dosimetry (77331) | $135 | $621 | 1.0× |
| Special Physics Consult (77370) | $135 | $211 | 1.0× |
| Special treatment procedure (77470) | $577 | $2,144 | 1.0× |
| Stereotactic Body Radiation Delivery (77373) | $1,844 | $2,801 | 1.0× |
| Sternoclavicular joints (71130) | $86 | $203 | 0.9× |
| Superior sagittal sinus venogram (75870) | $3,044 | $4,946 | 0.9× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $360 | $587 | 0.9× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $360 | $587 | 0.9× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $360 | $1,433 | 0.9× |
| Ther rad simulaj-aided field setting simple (77280) | $135 | $520 | 1.0× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $190 | $368 | 1.0× |
| Thoracic spine 2 views (72070) range across 3 matching MRF lines |
$116 | $558–$628 | 1.1× |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$116 | $765–$820 | 1.1× |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$86 | $137–$166 | 0.9× |
| Thyroid Imaging With Vascular Flow (78013) | $401 | $762 | 1.0× |
| Thyroid Met Imaging Body (78018) | $520 | $2,310 | 0.9× |
| Thyroid Uptake Measurement (78012) | $401 | $627 | 1.0× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $401 | $1,085 | 1.0× |
| Tx Devices Design & Construction Complex (77334) | $360 | $614 | 0.9× |
| Tx devices design & construction simple (77332) | $135 | $222 | 1.0× |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$86 | $202–$404 | 0.9× |
| Ultrasound Elastography Parenchyma (76981) | $116 | $276 | 1.1× |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
$116 | $164–$217 | 1.1× |
| Ultrasound trgt dynamic microbubble 1st lesion (76978) | $190 | $546 | 0.5× |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$116 | $741–$798 | 1.1× |
| Umbilical-artery Doppler (OB) (76820) | $116 | $704 | 1.1× |
| Upper gi w/o kub (74240) | $190 | $1,032 | 1.0× |
| Urethrocystogram voiding (74455) | $245 | $1,343 | 1.0× |
| Urethrocystography retrograde (74450) | $245 | $955 | 1.0× |
| Us breast unilateral complete (76641) range across 2 matching MRF lines |
$116 | $213–$426 | 1.1× |
| Us chest (76604) range across 2 matching MRF lines |
$116 | $173–$229 | 1.1× |
| Us complete joint (76881) range across 2 matching MRF lines |
$116 | $164–$279 | 1.1× |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$116 | $455–$503 | 1.1× |
| Us head (76506) | $116 | $936 | 1.1× |
| Us kidney transplant (76776) | $116 | $423 | 1.1× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$116 | $173–$241 | 1.1× |
| Us ob detailed single fetus (76811) | $245 | $572 | 1.0× |
| Us ob limited 1 or more fetuses (76815) | $116 | $524 | 1.1× |
| Us ob transvaginal (76817) | $116 | $866 | 1.1× |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$116 | $652–$718 | 1.1× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $116 | $327 | 1.1× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $116 | $524 | 1.1× |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$116 | $755–$827 | 1.1× |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$116 | $583–$639 | 1.1× |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$116 | $545–$607 | 1.1× |
| Us spinal canal and contents (76800) | $116 | $409 | 1.1× |
| Us thyroid (76536) range across 2 matching MRF lines |
$116 | $567–$594 | 1.1× |
| Us transrectal (76872) | $116 | $583 | 1.1× |
| Vein X-Ray Chest (75827) | $1,495 | $3,215 | 0.9× |
| Vein X-Ray Liver W/O Hemodyn (75887) | $3,044 | $4,946 | 0.9× |
| Venogram Sinus/Jugular (75860) | $3,044 | $4,946 | 0.9× |
| Venography caval inferior serialography rs&i (75825) | $3,044 | $4,946 | 0.9× |
| Venography extremity bilateral rs&i (75822) | $1,495 | $2,466 | 0.9× |
| Venography extremity unilateral rs&i (75820) | $1,495 | $2,466 | 0.9× |
| Venography Renal Bilateral (75833) | $3,044 | $4,946 | 0.9× |
| Venography Renal Unilateral (75831) | $3,044 | $4,946 | 0.9× |
| Venous sampling by catheter (75893) | $5,071 | $8,717 | 0.9× |
| Wrist 2 views (73100) range across 3 matching MRF lines |
$86 | $327–$654 | 0.9× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$86 | $164–$220 | 0.9× |
| X-ray antegrade pyelogram tube (74425) | $392 | $758 | 1.1× |
| X-Ray Aorta Leg Arteries (75630) | $3,044 | $4,946 | 0.9× |
| X-Ray Bend Only L-S Spine (72120) | $116 | $385 | 1.1× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 6 matching MRF lines |
$86 | $369–$863 | 0.9× |
| X-Ray Exam Breast Specimen (76098) | $514 | $856 | 0.9× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $86 | $726 | 0.9× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $116 | $180 | 1.1× |
| X-Ray Exam Hip Uni 1 View (73501) range across 2 matching MRF lines |
$86 | $236–$283 | 0.9× |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 4 matching MRF lines |
$86 | $402–$505 | 0.9× |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 3 matching MRF lines |
$116 | $574–$690 | 1.1× |
| X-Ray Exam L-S Spine Bending (72114) | $116 | $505 | 1.1× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$86 | $592–$645 | 0.9× |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$116 | $735–$824 | 1.1× |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 4 matching MRF lines |
$116 | $535–$624 | 1.1× |
| X-ray eye for foreign body (70030) range across 4 matching MRF lines |
$86 | $136–$216 | 0.9× |
| X-ray humerus (73060) range across 5 matching MRF lines |
$86 | $565–$1,267 | 0.9× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 4 matching MRF lines |
$86 | $367–$838 | 0.9× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $86 | $352 | 0.9× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$116 | $575–$631 | 1.1× |
| X-ray nose-rectum child f.b. (76010) | $86 | $192 | 0.9× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 3 matching MRF lines |
$116 | $694–$803 | 1.1× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$116 | $386–$438 | 1.1× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) range across 2 matching MRF lines |
$116 | $190–$236 | 1.1× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$86 | $488–$533 | 0.9× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 3 matching MRF lines |
$86 | $591–$650 | 0.9× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 3 matching MRF lines |
$116 | $895–$968 | 1.1× |
| X-ray thoracic spine 4 vw (72074) | $116 | $777 | 1.1× |
| X-Ray Tmj Unilat (70328) range across 2 matching MRF lines |
$86 | $230–$279 | 0.9× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $392 | $632 | 1.1× |
| X-Rays Bone Length Studies (77073) | $116 | $417 | 1.1× |
| X-Rays Bone Survey Complete (77075) | $116 | $266 | 1.1× |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$116 | $615–$686 | 1.1× |
| Xr facial bones less than 3 views (70140) range across 3 matching MRF lines |
$86 | $265–$333 | 0.9× |
| Xr orbits complete 4 views (70200) range across 3 matching MRF lines |
$116 | $427–$526 | 1.1× |
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.