Imaging prices at Jackson Purchase Medical Center
Mayfield, KY · every code in this section with a posted price and a Medicare benchmark.
287 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 |
$237.10–$258.44 | $592.74–$646.09 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$278.82–$303.91 | $697.04–$759.77 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) range across 2 matching MRF lines |
$1,502.26–$1,637.46 | $3,755.65–$4,093.66 | varies |
| Acute venous thrombosis imaging, peptide Non-Facility (78456) range across 2 matching MRF lines |
$1,005.42–$1,095.90 | $2,513.54–$2,739.76 | varies |
| Angiography extremity bilateral rs&i (75716) range across 2 matching MRF lines |
$1,773.98–$1,933.63 | $4,434.94–$4,834.08 | varies |
| Angiography extremity unilateral rs&i (75710) range across 3 matching MRF lines |
$2,238.60–$2,440.08 | $5,596.50–$6,100.19 | varies |
| Angiography pulmonary unilateral slctv rs&i (75741) range across 2 matching MRF lines |
$5,252.13–$5,724.82 | $13,130.32–$14,312.05 | varies |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$407.58–$444.26 | $1,018.94–$1,110.64 | varies |
| Arthrogram Wrist (73115) range across 2 matching MRF lines |
$794.94–$866.49 | $1,987.36–$2,166.22 | varies |
| Bone age studies (77072) range across 2 matching MRF lines |
$226.68–$247.08 | $566.69–$617.69 | varies |
| Bone Imaging 3 Phase (78315) range across 2 matching MRF lines |
$1,727.18–$1,882.62 | $4,317.94–$4,706.55 | varies |
| Bone Imaging Limited Area (78300) range across 2 matching MRF lines |
$1,900.22–$2,071.24 | $4,750.56–$5,178.11 | varies |
| Bone Imaging Whole Body (78306) range across 2 matching MRF lines |
$1,764.51–$1,923.32 | $4,411.28–$4,808.30 | varies |
| Bone marrow imaging limited area (78102) range across 2 matching MRF lines |
$1,643.53–$1,791.44 | $4,108.82–$4,478.61 | varies |
| Bone marrow imaging; multiple areas (78103) range across 2 matching MRF lines |
$1,643.53–$1,791.44 | $4,108.82–$4,478.61 | varies |
| Bone marrow imaging; whole body (78104) range across 2 matching MRF lines |
$1,643.53–$1,791.44 | $4,108.82–$4,478.61 | varies |
| Bone survey infant (77076) range across 2 matching MRF lines |
$267.33–$291.39 | $668.32–$728.47 | varies |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) range across 2 matching MRF lines |
$894.81–$975.34 | $2,237.02–$2,438.35 | varies |
| Brain Imaging Minimum 4 Static Views (78605) range across 2 matching MRF lines |
$982.84–$1,071.30 | $2,457.10–$2,678.24 | varies |
| Cardiac blood pool imaging, first pass technique; multiple studies, resting and with stress (exercise and/or… (78483) range across 2 matching MRF lines |
$4,721.34–$5,146.26 | $11,803.34–$12,865.64 | varies |
| Cat Scan Follow-Up Study (76380) range across 2 matching MRF lines |
$598.92–$652.82 | $1,497.29–$1,632.05 | varies |
| Cerebrospinal Fluid Scan (78630) range across 2 matching MRF lines |
$884.67–$964.29 | $2,211.68–$2,410.73 | varies |
| Chest 1 view (71045) range across 2 matching MRF lines |
$141.72–$154.48 | $354.31–$386.20 | varies |
| Chest 2 views (71046) range across 2 matching MRF lines |
$160.82–$175.30 | $402.06–$438.25 | varies |
| Chest 3 views (71047) range across 2 matching MRF lines |
$265.22–$289.09 | $663.05–$722.72 | varies |
| Chest 4 or more views (71048) range across 2 matching MRF lines |
$278.82–$303.91 | $697.04–$759.77 | varies |
| Clavicle complete (73000) range across 2 matching MRF lines |
$455.48–$496.47 | $1,138.69–$1,241.17 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 2 matching MRF lines |
$112.28–$122.38 | $280.69–$305.95 | varies |
| Contrast Exam Abdominl Aorta (75625) range across 2 matching MRF lines |
$5,302.78–$5,780.04 | $13,256.96–$14,450.09 | varies |
| Contrast X-Ray Bladder (74430) range across 2 matching MRF lines |
$786.85–$857.66 | $1,967.12–$2,144.16 | varies |
| Contrast X-Ray Of Elbow (73085) range across 2 matching MRF lines |
$1,309.16–$1,426.98 | $3,272.89–$3,567.45 | varies |
| Contrast X-Ray Of Knee Joint (73580) range across 2 matching MRF lines |
$1,287.02–$1,402.86 | $3,217.56–$3,507.14 | varies |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$5,046.11–$5,500.26 | $12,615.27–$13,750.64 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$4,837.32–$5,272.68 | $12,093.31–$13,181.71 | varies |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$2,517.01–$2,743.54 | $6,292.52–$6,858.85 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$2,836.46–$3,091.74 | $7,091.16–$7,729.36 | varies |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$2,649.58–$2,888.04 | $6,623.95–$7,220.11 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$584.41–$637.01 | $1,461.03–$1,592.52 | varies |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$2,511.25–$2,737.26 | $6,278.13–$6,843.16 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$2,704.07–$2,947.44 | $6,760.18–$7,368.60 | varies |
| CT angio hrt w/3d image (75574) range across 2 matching MRF lines |
$1,182.94–$1,289.40 | $2,957.35–$3,223.51 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
$2,275.43–$2,480.22 | $5,688.58–$6,200.55 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$2,704.07–$2,947.44 | $6,760.18–$7,368.60 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 3 matching MRF lines |
$1,901.16–$2,100.68 | $4,752.90–$5,251.70 | varies |
| CT bone density (77078) range across 2 matching MRF lines |
$681.28–$742.60 | $1,703.21–$1,856.50 | varies |
| CT cervical spine w/ contrast (72126) range across 2 matching MRF lines |
$2,525.09–$2,752.34 | $6,312.72–$6,880.86 | varies |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$2,612.77–$2,847.92 | $6,531.93–$7,119.80 | varies |
| CT cervical spine w/wo cont (72127) range across 2 matching MRF lines |
$2,922.23–$3,185.23 | $7,305.58–$7,963.08 | varies |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$2,216.68–$2,416.18 | $5,541.71–$6,040.46 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$2,378.86–$2,592.95 | $5,947.14–$6,482.38 | varies |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$1,443.03–$1,572.90 | $3,607.57–$3,932.25 | varies |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$2,516.14–$2,742.60 | $6,290.36–$6,856.49 | varies |
| CT heart no contrast quant eval coronry calcium (75571) range across 2 matching MRF lines |
$200.07–$218.08 | $500.17–$545.19 | varies |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$1,822.73–$1,986.77 | $4,556.82–$4,966.93 | varies |
| CT l-spine w&w/o contrast (72133) range across 2 matching MRF lines |
$2,915–$3,177.34 | $7,287.49–$7,943.36 | varies |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$2,275.43–$2,480.22 | $5,688.58–$6,200.55 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$2,275.43–$2,480.22 | $5,688.58–$6,200.55 | varies |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$2,638.30–$2,875.74 | $6,595.74–$7,189.36 | varies |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$2,345.24–$2,556.31 | $5,863.09–$6,390.77 | varies |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$2,247.54–$2,449.82 | $5,618.86–$6,124.56 | varies |
| CT maxillofacial wo contrast (70486) range across 3 matching MRF lines |
$1,822.73–$2,295.78 | $4,556.82–$5,739.46 | varies |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$1,682.57–$1,834 | $4,206.43–$4,585.01 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 2 matching MRF lines |
$2,424.83–$2,643.07 | $6,062.08–$6,607.67 | varies |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$1,822.73–$1,986.77 | $4,556.82–$4,966.93 | varies |
| CT pelvis w&w/o contrast (72194) range across 2 matching MRF lines |
$2,277.34–$2,482.30 | $5,693.35–$6,205.75 | varies |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$2,188.80–$2,385.80 | $5,472.01–$5,964.49 | varies |
| CT scan of leg combo (73702) range across 3 matching MRF lines |
$250.28–$1,456.27 | $625.70–$3,640.67 | varies |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
$1,549.46–$1,688.91 | $3,873.65–$4,222.28 | varies |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$2,478.46–$2,701.52 | $6,196.16–$6,753.81 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$2,341.19–$2,551.90 | $5,852.97–$6,379.74 | varies |
| CT thoracic spine w contrast (72129) range across 2 matching MRF lines |
$1,406–$1,532.54 | $3,515–$3,831.35 | varies |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$1,778.04–$1,938.06 | $4,445.10–$4,845.16 | varies |
| CT thoracic spine w/wo cont (72130) range across 2 matching MRF lines |
$1,292.34–$1,408.65 | $3,230.85–$3,521.63 | varies |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$1,909.34–$2,081.18 | $4,773.36–$5,202.96 | varies |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$1,778.88–$1,938.98 | $4,447.21–$4,847.46 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 2 matching MRF lines |
$1,336.02–$1,456.27 | $3,340.06–$3,640.67 | varies |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$1,562.21–$1,702.81 | $3,905.52–$4,257.02 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$1,496.45–$1,631.13 | $3,741.13–$4,077.83 | varies |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$2,936.06–$3,200.31 | $7,340.16–$8,000.77 | varies |
| CTA pelvis (72191) range across 2 matching MRF lines |
$584.41–$637.01 | $1,461.03–$1,592.52 | varies |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$197.71–$215.50 | $494.27–$538.75 | varies |
| Dxa bone density study 1/>sites appendiclr skel (77081) range across 2 matching MRF lines |
$146.90–$160.12 | $367.24–$400.29 | varies |
| Echo exam uterus (76831) range across 2 matching MRF lines |
$1,144.84–$1,247.88 | $2,862.11–$3,119.70 | varies |
| Echo Guide For Artery Repair (76936) range across 2 matching MRF lines |
$839–$914.52 | $2,097.51–$2,286.29 | varies |
| Esophageal Motility Study (78258) range across 2 matching MRF lines |
$1,025.93–$1,118.26 | $2,564.82–$2,795.65 | varies |
| Esophagram (74220) range across 2 matching MRF lines |
$420.99–$458.88 | $1,052.48–$1,147.20 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 2 matching MRF lines |
$575.72–$627.54 | $1,439.30–$1,568.84 | varies |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$400.14–$436.15 | $1,000.34–$1,090.37 | varies |
| Foot 2 views (73620) range across 2 matching MRF lines |
$307.12–$334.76 | $767.81–$836.91 | varies |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$381.20–$415.50 | $952.99–$1,038.76 | varies |
| Gastric emptying imaging study (78264) range across 2 matching MRF lines |
$1,568.87–$1,710.07 | $3,922.17–$4,275.17 | varies |
| Gated Heart Planar Single (78472) range across 2 matching MRF lines |
$1,539.58–$1,678.15 | $3,848.96–$4,195.37 | varies |
| Gated Heart, Multiple (78473) range across 2 matching MRF lines |
$3,185.20–$3,471.86 | $7,962.99–$8,679.66 | varies |
| Hand 2 views (73120) range across 2 matching MRF lines |
$346.93–$378.15 | $867.32–$945.38 | varies |
| Heart first pass single,planar (78481) range across 2 matching MRF lines |
$1,206.82–$1,315.44 | $3,017.06–$3,288.60 | varies |
| Hepatobil Syst Image W/Drug (78227) range across 2 matching MRF lines |
$1,901.16–$2,072.26 | $4,752.89–$5,180.65 | varies |
| Hepatobiliary System Imaging (78226) range across 2 matching MRF lines |
$1,901.16–$2,072.26 | $4,752.89–$5,180.65 | varies |
| Ht Musc Image Planar Mult (78454) range across 2 matching MRF lines |
$3,832.97–$4,177.94 | $9,582.43–$10,444.85 | varies |
| Ht Muscle Image Spect Sing (78451) range across 2 matching MRF lines |
$3,832.97–$4,177.94 | $9,582.43–$10,444.85 | varies |
| Hysterosalpingogram (74740) range across 2 matching MRF lines |
$996.49–$1,086.18 | $2,491.23–$2,715.44 | varies |
| Infant hip ultrasound with hip movement (dynamic) (76885) range across 2 matching MRF lines |
$878.58–$957.65 | $2,196.45–$2,394.13 | varies |
| K Flow/Funct Image W/Drug (78708) range across 2 matching MRF lines |
$1,669.57–$1,819.83 | $4,173.92–$4,549.57 | varies |
| K Flow/Funct Image W/O Drug (78707) range across 2 matching MRF lines |
$1,065.58–$1,161.48 | $2,663.94–$2,903.69 | varies |
| Kidney Funcj Study Non-Img Radioisotopic Study (78725) range across 2 matching MRF lines |
$570.13–$621.44 | $1,425.33–$1,553.61 | varies |
| Kidney Imaging Morphol (78700) range across 2 matching MRF lines |
$1,442.12–$1,571.92 | $3,605.31–$3,929.79 | varies |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) range across 2 matching MRF lines |
$1,582.46–$1,724.88 | $3,956.16–$4,312.21 | varies |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$433.55–$472.57 | $1,083.87–$1,181.42 | varies |
| Labeled RBC Sequestration Differntl Organ/Tissue (78140) range across 2 matching MRF lines |
$667.38–$727.44 | $1,668.44–$1,818.60 | varies |
| Liver & Spleen Imaging Static Only (78215) range across 2 matching MRF lines |
$1,566.56–$1,707.56 | $3,916.41–$4,268.89 | varies |
| Liver & Spleen Imaging W/Vascular Flow (78216) range across 2 matching MRF lines |
$1,630.15–$1,776.86 | $4,075.38–$4,442.16 | varies |
| Lung perfusion differential (78597) range across 2 matching MRF lines |
$1,124.32–$1,225.50 | $2,810.79–$3,063.76 | varies |
| Lung Ventilat&Perfus Imaging (78582) range across 2 matching MRF lines |
$1,108.43–$1,208.19 | $2,771.08–$3,020.48 | varies |
| Lung Ventilation Imaging (78579) range across 2 matching MRF lines |
$1,279.19–$1,394.32 | $3,197.98–$3,485.80 | varies |
| Lymph System Imaging (78195) range across 2 matching MRF lines |
$864.17–$941.95 | $2,160.43–$2,354.87 | varies |
| Magnetic Image Jaw Joint (70336) range across 2 matching MRF lines |
$2,323.10–$2,532.18 | $5,807.74–$6,330.44 | varies |
| Mammary ductogram or galactogram single (77053) range across 3 matching MRF lines |
$127.52–$286.36 | $318.81–$715.91 | varies |
| Meckels Divert Exam (78290) range across 2 matching MRF lines |
$1,130.09–$1,231.80 | $2,825.22–$3,079.49 | varies |
| Mr safety determination physician/other qhp (76016) range across 2 matching MRF lines |
$134.85–$146.98 | $337.12–$367.46 | varies |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $37.50 | $93.76 | 1.3× |
| Mr safety implt pos&/immoblj (76019) range across 2 matching MRF lines |
$90.98–$99.16 | $227.44–$247.91 | varies |
| Mr safety med physics xm customization plng&mntr (76017) range across 2 matching MRF lines |
$370.21–$403.53 | $925.52–$1,008.82 | varies |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$1,042.89–$1,136.75 | $2,607.23–$2,841.88 | varies |
| MRA neck w contrast (70548) range across 2 matching MRF lines |
$1,505.45–$1,640.94 | $3,763.62–$4,102.35 | varies |
| Mra Neck W/O &W/Contrast Material (70549) range across 2 matching MRF lines |
$1,344.15–$1,465.12 | $3,360.37–$3,662.80 | varies |
| MRA neck w/o contrast (70547) range across 2 matching MRF lines |
$1,384.50–$1,509.10 | $3,461.24–$3,772.75 | varies |
| MRI abdomen w/o contrast (74181) range across 3 matching MRF lines |
$487.19–$1,947.10 | $1,217.97–$4,867.74 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$1,661.64–$1,811.19 | $4,154.10–$4,527.97 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 2 matching MRF lines |
$3,008.22–$3,278.96 | $7,520.55–$8,197.40 | varies |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$3,152.73–$3,436.48 | $7,881.83–$8,591.19 | varies |
| MRI chest w/o contrast (71550) range across 3 matching MRF lines |
$1,136.75–$2,454.47 | $2,841.88–$6,136.17 | varies |
| MRI chest wo w contrast (71552) range across 2 matching MRF lines |
$1,661.64–$1,811.19 | $4,154.10–$4,527.97 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 2 matching MRF lines |
$1,661.64–$1,811.19 | $4,154.10–$4,527.97 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines |
$2,721.09–$2,965.99 | $6,802.73–$7,414.98 | varies |
| MRI lumbar spine w contrast (72149) range across 2 matching MRF lines |
$1,309.22–$1,427.04 | $3,273.04–$3,567.61 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$3,348.96–$3,650.37 | $8,372.41–$9,125.93 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 3 matching MRF lines |
$3,125.50–$3,406.79 | $7,813.74–$8,516.98 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 2 matching MRF lines |
$1,661.64–$1,811.19 | $4,154.10–$4,527.97 | varies |
| MRI pelvis w contrast (72196) range across 2 matching MRF lines |
$3,082.49–$3,359.92 | $7,706.23–$8,399.79 | varies |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$1,661.64–$1,811.19 | $4,154.10–$4,527.97 | varies |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$3,237.24–$3,528.59 | $8,093.09–$8,821.47 | varies |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$3,250.43–$3,542.97 | $8,126.07–$8,857.42 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 2 matching MRF lines |
$1,661.64–$1,811.19 | $4,154.10–$4,527.97 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 2 matching MRF lines |
$2,955.65–$3,221.66 | $7,389.13–$8,054.15 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 2 matching MRF lines |
$2,955.65–$3,221.66 | $7,389.13–$8,054.15 | varies |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$962.29–$1,048.89 | $2,405.72–$2,622.23 | varies |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$3,447.52–$3,757.80 | $8,618.80–$9,394.49 | varies |
| MRI, joint upper extrem (73221) range across 2 matching MRF lines |
$3,008.22–$3,278.96 | $7,520.55–$8,197.40 | varies |
| MRI, joint upper extrem combo (73223) range across 2 matching MRF lines |
$1,870.05–$2,038.36 | $4,675.13–$5,095.89 | varies |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$3,367.91–$3,671.02 | $8,419.77–$9,177.55 | varies |
| Myelogram cervical (72240) range across 2 matching MRF lines |
$865.16–$943.03 | $2,162.91–$2,357.57 | varies |
| Myelogram Lumbar (72265) range across 2 matching MRF lines |
$1,000.75–$1,090.82 | $2,501.88–$2,727.05 | varies |
| Myelography thoracic (72255) range across 2 matching MRF lines |
$865.16–$943.03 | $2,162.91–$2,357.57 | varies |
| Myelograpy 2/more regions rs&i (72270) range across 2 matching MRF lines |
$1,477.30–$1,610.26 | $3,693.25–$4,025.64 | varies |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) range across 2 matching MRF lines |
$3,832.97–$4,177.94 | $9,582.43–$10,444.85 | varies |
| Myocardial Spect Multiple Studies (78452) range across 2 matching MRF lines |
$3,832.97–$4,177.94 | $9,582.43–$10,444.85 | varies |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$256.05–$279.09 | $640.12–$697.73 | varies |
| Nm csf leak detection (78650) range across 2 matching MRF lines |
$812.08–$885.17 | $2,030.20–$2,212.92 | varies |
| Parathyroid imaging w/tomographic spect & CT (78072) range across 2 matching MRF lines |
$819.42–$893.17 | $2,048.55–$2,232.92 | varies |
| Parathyroid Planar Imaging (78070) range across 2 matching MRF lines |
$1,174.11–$1,279.78 | $2,935.27–$3,199.44 | varies |
| Parathyroid planar imaging w/wo subtraction (78071) range across 2 matching MRF lines |
$819.42–$893.17 | $2,048.55–$2,232.92 | varies |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$481.85–$525.22 | $1,204.63–$1,313.05 | varies |
| Pet Image W/Ct Lmtd (78814) range across 2 matching MRF lines |
$5,543.92–$6,042.88 | $13,859.81–$15,107.19 | varies |
| PET image w/CT, full body (78816) range across 2 matching MRF lines |
$5,543.92–$6,042.88 | $13,859.81–$15,107.19 | varies |
| PET imaging CT attenuation skull base mid-thigh (78815) range across 2 matching MRF lines |
$5,543.92–$6,042.88 | $13,859.81–$15,107.19 | varies |
| Pulmonary Perfusion Imaging Particulate (78580) range across 2 matching MRF lines |
$1,068.80–$1,165 | $2,672.01–$2,912.49 | varies |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$365.66–$398.56 | $914.14–$996.41 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 2 matching MRF lines |
$711.30–$775.32 | $1,778.25–$1,938.29 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$420.99–$458.88 | $1,052.48–$1,147.20 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$393.75–$429.19 | $984.38–$1,072.97 | varies |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$442.90–$482.76 | $1,107.25–$1,206.90 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$610.20–$665.12 | $1,525.51–$1,662.81 | varies |
| Radex fingr minimum 2 views (73140) range across 2 matching MRF lines |
$282.86–$308.32 | $707.15–$770.79 | varies |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$340.53–$371.18 | $851.33–$927.95 | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$379.28–$413.42 | $948.21–$1,033.55 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 2 matching MRF lines |
$194.11–$211.58 | $485.28–$528.96 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) range across 2 matching MRF lines |
$289.04–$315.05 | $722.59–$787.62 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$276.90–$301.82 | $692.26–$754.56 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 2 matching MRF lines |
$284.34–$309.93 | $710.85–$774.83 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$474.19–$516.87 | $1,185.48–$1,292.17 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$139.32–$151.86 | $348.30–$379.65 | varies |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) range across 2 matching MRF lines |
$886.04–$965.78 | $2,215.09–$2,414.45 | varies |
| Radex Spine 1 View Specify Level (72020) range across 3 matching MRF lines |
$293.72–$411.09 | $734.29–$1,027.73 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$486.12–$529.87 | $1,215.29–$1,324.67 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$351.19–$382.80 | $877.97–$956.99 | varies |
| Radex Toe Minimum 2 Views (73660) range across 2 matching MRF lines |
$303.28–$330.58 | $758.21–$826.45 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 2 matching MRF lines |
$194.11–$211.58 | $485.28–$528.96 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$420.99–$458.88 | $1,052.48–$1,147.20 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) range across 2 matching MRF lines |
$348.67–$380.05 | $871.68–$950.13 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$587.01–$639.84 | $1,467.53–$1,599.61 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 2 matching MRF lines |
$278.68–$303.76 | $696.70–$759.40 | varies |
| Radiologic exam colon double contrast study (74280) range across 2 matching MRF lines |
$741.73–$808.49 | $1,854.33–$2,021.22 | varies |
| Radiologic exam colon single contrast study (74270) range across 2 matching MRF lines |
$660.43–$719.87 | $1,651.08–$1,799.68 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$480.59–$523.84 | $1,201.48–$1,309.61 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$193.04–$210.42 | $482.61–$526.04 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 2 matching MRF lines |
$701.94–$765.11 | $1,754.84–$1,912.78 | varies |
| Radiologic exam swallow function contrast study (74230) range across 2 matching MRF lines |
$228.81–$249.40 | $572.02–$623.50 | varies |
| Radiologic exam upr gi trc double contrast study (74246) range across 3 matching MRF lines |
$238.14–$701.54 | $595.34–$1,753.84 | varies |
| Radiologic examination femur 1 view (73551) range across 2 matching MRF lines |
$110.43–$120.37 | $276.08–$300.93 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$110.43–$120.37 | $276.08–$300.93 | varies |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$394.81–$430.34 | $987.02–$1,075.85 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 2 matching MRF lines |
$456.53–$497.62 | $1,141.33–$1,244.05 | varies |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$461.64–$503.19 | $1,154.11–$1,257.98 | varies |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) range across 2 matching MRF lines |
$1,189.78–$1,296.86 | $2,974.46–$3,242.16 | varies |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) range across 2 matching MRF lines |
$2,636.51–$2,873.80 | $6,591.28–$7,184.50 | varies |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 6 matching MRF lines |
$1,816.06–$4,040.04 | $4,540.14–$10,100.11 | varies |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) range across 2 matching MRF lines |
$1,331.07–$1,450.87 | $3,327.68–$3,627.17 | varies |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) range across 2 matching MRF lines |
$3,687.94–$4,019.85 | $9,219.84–$10,049.63 | varies |
| Scapula (73010) range across 2 matching MRF lines |
$476.55–$519.44 | $1,191.38–$1,298.60 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 2 matching MRF lines |
$49.64–$54.11 | $124.11–$135.28 | varies |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$236.03–$257.28 | $590.08–$643.19 | varies |
| Shoulder Arthrography (73040) range across 2 matching MRF lines |
$1,241.04–$1,352.73 | $3,102.59–$3,381.82 | varies |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$395.87–$431.50 | $989.67–$1,078.74 | varies |
| Sternoclavicular joints (71130) range across 2 matching MRF lines |
$284.34–$309.93 | $710.85–$774.83 | varies |
| Testicular Imaging W/Flow (78761) range across 3 matching MRF lines |
$752.03–$843.23 | $1,880.08–$2,108.07 | varies |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$574.66–$626.38 | $1,436.64–$1,565.94 | varies |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$489.95–$534.04 | $1,224.87–$1,335.11 | varies |
| Thyroid Imaging With Vascular Flow (78013) range across 2 matching MRF lines |
$413.42–$450.62 | $1,033.54–$1,126.56 | varies |
| Thyroid Met Imaging Body (78018) range across 2 matching MRF lines |
$2,215.71–$2,415.12 | $5,539.27–$6,037.80 | varies |
| Thyroid Uptake Measurement (78012) range across 2 matching MRF lines |
$314.10–$342.37 | $785.26–$855.93 | varies |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) range across 2 matching MRF lines |
$641.34–$699.06 | $1,603.34–$1,747.64 | varies |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$390.17–$425.29 | $975.43–$1,063.22 | varies |
| Ultrasound elastography first target lesion (76982) range across 2 matching MRF lines |
$251.60–$274.25 | $629.01–$685.62 | varies |
| Ultrasound Elastography Parenchyma (76981) range across 2 matching MRF lines |
$251.60–$274.25 | $629.01–$685.62 | varies |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
$276.02–$300.86 | $690.05–$752.15 | varies |
| Ultrasound, abdomen limited (76705) range across 3 matching MRF lines |
$737.72–$1,029.36 | $1,844.31–$2,573.39 | varies |
| Upper gi w/o kub (74240) range across 2 matching MRF lines |
$218.47–$238.14 | $546.18–$595.34 | varies |
| Urethrocystogram voiding (74455) range across 2 matching MRF lines |
$937.11–$1,021.45 | $2,342.77–$2,553.62 | varies |
| Urethrocystography retrograde (74450) range across 2 matching MRF lines |
$332.03–$361.91 | $830.07–$904.78 | varies |
| Us breast unilateral complete (76641) range across 2 matching MRF lines |
$390.17–$425.29 | $975.43–$1,063.22 | varies |
| Us chest (76604) range across 2 matching MRF lines |
$194.11–$211.58 | $485.28–$528.96 | varies |
| Us complete joint (76881) range across 2 matching MRF lines |
$406.30–$442.87 | $1,015.76–$1,107.18 | varies |
| Us exam, pelvic, limited (76857) range across 3 matching MRF lines |
$527.08–$1,227.70 | $1,317.70–$3,069.24 | varies |
| Us head (76506) range across 2 matching MRF lines |
$363.73–$396.47 | $909.33–$991.17 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$210.56–$229.51 | $526.39–$573.77 | varies |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$527.41–$574.88 | $1,318.53–$1,437.20 | varies |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$431.64–$470.49 | $1,079.11–$1,176.23 | varies |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$1,126.33–$1,227.70 | $2,815.82–$3,069.24 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$600.63–$654.68 | $1,501.57–$1,636.71 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 2 matching MRF lines |
$187.08–$203.91 | $467.69–$509.78 | varies |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$528.48–$576.04 | $1,321.20–$1,440.11 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$988.41–$1,077.36 | $2,471.02–$2,693.41 | varies |
| Us spinal canal and contents (76800) range across 2 matching MRF lines |
$851.56–$928.20 | $2,128.90–$2,320.50 | varies |
| Us thyroid (76536) range across 2 matching MRF lines |
$816.02–$889.46 | $2,040.05–$2,223.65 | varies |
| Us transrectal (76872) range across 2 matching MRF lines |
$1,192.94–$1,300.30 | $2,982.34–$3,250.75 | varies |
| Vascular Flow Imaging (78445) range across 2 matching MRF lines |
$719.68–$784.45 | $1,799.19–$1,961.12 | varies |
| Vein X-Ray Chest (75827) range across 2 matching MRF lines |
$1,764.18–$1,922.96 | $4,410.46–$4,807.40 | varies |
| Venography caval inferior serialography rs&i (75825) range across 3 matching MRF lines |
$2,757.68–$3,078.04 | $6,894.21–$7,695.11 | varies |
| Venography extremity unilateral rs&i (75820) range across 2 matching MRF lines |
$635.10–$692.26 | $1,587.75–$1,730.65 | varies |
| Venous thrombosis imaging (78457) range across 2 matching MRF lines |
$1,015.79–$1,107.21 | $2,539.48–$2,768.03 | varies |
| Vertebral fracture assessment via dxa (77086) range across 2 matching MRF lines |
$146.90–$160.12 | $367.24–$400.29 | varies |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$382.68–$417.12 | $956.71–$1,042.81 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$484.41–$528 | $1,211.02–$1,320.01 | varies |
| X-ray antegrade pyelogram tube (74425) range across 2 matching MRF lines |
$512.93–$559.10 | $1,282.33–$1,397.74 | varies |
| X-Ray Bend Only L-S Spine (72120) range across 2 matching MRF lines |
$390.55–$425.70 | $976.37–$1,064.24 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$304.14–$331.52 | $760.36–$828.79 | varies |
| X-Ray Exam Breast Specimen (76098) range across 2 matching MRF lines |
$1,700.03–$1,853.03 | $4,250.07–$4,632.58 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 2 matching MRF lines |
$110.43–$120.37 | $276.08–$300.93 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$454.40–$495.30 | $1,136–$1,238.24 | varies |
| X-Ray Exam Entire Spi 4/5 Vw (72083) range across 2 matching MRF lines |
$348.67–$380.05 | $871.68–$950.13 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 3 matching MRF lines |
$110.43–$288.14 | $276.08–$720.35 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 2 matching MRF lines |
$110.43–$120.37 | $276.08–$300.93 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) range across 2 matching MRF lines |
$182.87–$199.33 | $457.18–$498.33 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$182.87–$199.33 | $457.18–$498.33 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 2 matching MRF lines |
$182.87–$199.33 | $457.18–$498.33 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) range across 2 matching MRF lines |
$348.67–$380.05 | $871.68–$950.13 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$579.98–$632.17 | $1,449.94–$1,580.43 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$475.06–$517.82 | $1,187.65–$1,294.54 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 2 matching MRF lines |
$359.48–$391.83 | $898.70–$979.58 | varies |
| X-ray humerus (73060) range across 2 matching MRF lines |
$422.06–$460.04 | $1,055.14–$1,150.10 | varies |
| X-ray IV pyelogram (ivp) (74400) range across 2 matching MRF lines |
$1,126.33–$1,227.70 | $2,815.82–$3,069.24 | varies |
| X-ray IV pyelogram+tomography (74415) range across 2 matching MRF lines |
$1,512.62–$1,648.75 | $3,781.54–$4,121.88 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$817.09–$890.62 | $2,042.72–$2,226.56 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$489.95–$534.04 | $1,224.87–$1,335.11 | varies |
| X-ray nose-rectum child f.b. (76010) range across 2 matching MRF lines |
$141.10–$153.80 | $352.76–$384.51 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$248.60–$270.98 | $621.51–$677.45 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$488.66–$532.64 | $1,221.66–$1,331.61 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$300.73–$327.80 | $751.83–$819.49 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$615.30–$670.68 | $1,538.26–$1,676.70 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$695.76–$758.38 | $1,739.40–$1,895.95 | varies |
| X-Ray Stress View (77071) range across 2 matching MRF lines |
$79.82–$87 | $199.55–$217.51 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 2 matching MRF lines |
$1,096.96–$1,195.69 | $2,742.41–$2,989.23 | varies |
| X-Rays Bone Length Studies (77073) range across 2 matching MRF lines |
$241.13–$262.83 | $602.83–$657.08 | varies |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$532.72–$580.66 | $1,331.80–$1,451.66 | varies |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$691.50–$753.73 | $1,728.74–$1,884.33 | varies |
| Xr facial bones less than 3 views (70140) range across 2 matching MRF lines |
$355.45–$387.44 | $888.62–$968.60 | varies |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$394.81–$430.34 | $987.02–$1,075.85 | varies |
| Xr Tomogram Single Plane (76100) range across 2 matching MRF lines |
$512.93–$559.10 | $1,282.33–$1,397.74 | 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.