Imaging prices at Kaleida Health

Buffalo, NY · every code in this section with a posted price and a Medicare benchmark.

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

Compare against other hospitals interactively →

ProcedurePosted cashPosted gross× Medicare
Abdomen 1 View (74018) $278 $278 2.6×
Abdomen 2 views (74019) $407 $407 3.1×
Acute Gastrointestinal Blood Loss Imaging (78278) $1,535 $1,535 3.1×
Acute venous thrombosis imaging, peptide Non-Facility (78456) $1,535 $1,535 0.9×
Adrenal Cortex & Medulla Img (78075) $1,839 $1,839 1.1×
Angio internal mammary (75756) $3,387 $3,387 0.9×
Angio pulmonary bilat (75743) $5,942 $5,942 1.5×
Angiography Adrenal Bilateral Slctv Rs&I (75733) $5,942 $5,942 1.5×
Angiography extremity bilateral rs&i (75716) $5,942 $5,942 1.5×
Angiography extremity unilateral rs&i (75710) $5,942 $5,942 1.5×
Angiography pulmonary unilateral slctv rs&i (75741) $8,191 $8,191 2.1×
Angrph pulmonary nonslctv cath/ven njx rs&i (75746) $3,387 $3,387 0.9×
Ankle 2 views (73600) $295 $295 2.7×
Aortography thoracic serialography rs&i (75605) $5,942 $5,942 0.9×
Aortography thoracic w/o serialography rs&i (75600) $5,942 $5,942 1.5×
Artery X-Rays Abdomen (75726) $5,942 $5,942 0.9×
Artery X-Rays Adrenal Gland (75731) $5,942 $5,942 1.5×
Artery X-Rays Pelvis (75736) $5,942 $5,942 0.9×
Artery X-Rays Spine (75705)
unusually low: confirm this is the full procedure		 $3,387 $3,387 0.5×
Arthrogram ankle (73615) $1,033 $1,033 2.4×
Arthrogram hip (73525) $1,137 $1,137 2.6×
Arthrogram Wrist (73115) $1,033 $1,033 2.4×
Basic radiation dosimetry calculation (77300) $448 $448 2.7×
Bone age studies (77072) $295 $295 2.3×
Bone Imaging 3 Phase (78315) $1,839 $1,839 3.7×
Bone Imaging Limited Area (78300) $1,535 $1,535 3.1×
Bone Imaging Multiple Areas (78305) $1,535 $1,535 3.1×
Bone Imaging Whole Body (78306) $1,535 $1,535 3.1×
Bone marrow imaging limited area (78102) $1,535 $1,535 3.1×
Bone marrow imaging; multiple areas (78103) $1,839 $1,839 3.7×
Bone marrow imaging; whole body (78104) $1,839 $1,839 3.7×
Bone survey infant (77076) $497 $497 3.8×
Brain Flow Imaging Only (78610) $1,535 $1,535 2.3×
Brain Image W/Flow < 4 Views (78601) $1,535 $1,535 3.1×
Brain imaging < 4 static views (78600) $1,535 $1,535 3.1×
Brain Imaging Min 4 Static Views W Vascular Flow (78606) $1,839 $1,839 2.7×
Brain Imaging Minimum 4 Static Views (78605) $1,839 $1,839 2.7×
Brain Imaging Pet Metabolic Evaluation (78608) $22,391 $22,391 12.5×
Cardiac MRI w/w/o contrast & further seq (75561) $3,102 $3,102 7.1×
Cardiac MRI w/w/o contrast w/stress (75563) $3,102 $3,102 3.2×
Cardiac Shunt Detection (78428) $1,839 $1,839 3.7×
Cat Scan Follow-Up Study (76380) $462 $462 4.3×
Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) $1,535 $1,535 2.3×
Cerebrospinal fluid flow, imaging (not including introduction of material); ventriculography Non-Facility (78635) $1,839 $1,839 2.7×
Cerebrospinal Fluid Scan (78630) $1,839 $1,839 2.7×
Chest 1 view (71045) $311 $311 2.9×
Chest 2 views (71046) $311 $311 2.9×
Chest 3 views (71047) $311 $311 2.9×
Chest 4 or more views (71048) $425 $425 3.3×
Chg us nrv&acc strux 1 xtr compre w/img pr extremity (76883) $311 $311 2.4×
Cholecystography Oral Contrast (74290) $603 $603 2.8×
Cineradiograpy/vidradiograpy xcpt where spec (76120) $494 $494 3.8×
Cisternography Positive Contrast Rs&I (70015) $2,129 $2,129 2.2×
Clavicle complete (73000) $295 $295 2.7×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $1,492 $1,492 11.4×
Contrast Exam Abdominl Aorta (75625) $5,942 $5,942 1.5×
Contrast X-Ray Bladder (74430) $953 $953 2.2×
Contrast X-Ray Of Elbow (73085) $1,137 $1,137 2.6×
Contrast X-Ray Of Knee Joint (73580) $1,033 $1,033 2.4×
Contrast Xray Throat/Cerv Esopha (74210) $603 $603 2.8×
Corpora cavernosography (74445) $953 $953 7.3×
CT abdomen and pelvis without and with contrast (74178) $1,968 $1,968 4.5×
CT abdomen and pelvis without contrast (74176) $1,505 $1,505 5.1×
CT abdomen w contrast (74160) $1,819 $1,819 8.3×
CT abdomen w wo contrast (74170) $1,819 $1,819 8.3×
CT abdomen w/o contrast (74150) $823 $823 6.3×
CT Angio Abdomen and Pelvis (74174) $2,045 $2,045 4.7×
CT Angio Chest (71275) $1,819 $1,819 8.3×
CT Angio Head (70496) $1,819 $1,819 8.3×
CT angio hrt w/3d image (75574) $2,044 $2,044 4.7×
Ct Angio Lwr Extr W/O&W/Dye (73706) $2,031 $2,031 9.3×
CT Angio Neck (70498) $1,819 $1,819 8.3×
Ct Angio Upr Extrm W/O&W/Dye (73206) $1,857 $1,857 8.5×
CT bone density (77078) $462 $462 4.3×
CT cervical spine w/ contrast (72126) $1,819 $1,819 4.2×
CT cervical spine w/o contrast (72125) $869 $869 6.7×
CT cervical spine w/wo cont (72127) $2,067 $2,067 9.4×
CT chest w contrast (71260) $1,819 $1,819 8.3×
CT chest w/wo contrast (71270) $1,819 $1,819 8.3×
CT head/brain with contrast (70460) $1,819 $1,819 8.3×
CT head/brain without and with contrast (70470) $1,819 $1,819 8.3×
CT heart contrast eval cardiac structure&morph (75572) $1,819 $1,819 4.2×
CT heart no contrast quant eval coronry calcium (75571) $462 $462 4.3×
CT hrt w/3d image congen (75573) $1,569 $1,569 3.6×
CT iac w contrast (70481) $1,819 $1,819 8.3×
CT l-spine w&w/o contrast (72133) $2,067 $2,067 9.4×
CT lower ext w/o (73700) $869 $869 6.7×
CT lower extremity w/contrast material (73701) $1,819 $1,819 8.3×
CT lumbar spine w contrast (72132) $1,819 $1,819 4.2×
CT lumbar spine w/o contrast (72131) $869 $869 6.7×
CT maxillofacial w contrast (70487) $1,819 $1,819 8.3×
CT maxillofacial wo contrast (70486) $823 $823 6.3×
CT neck tissue combo (70492) $1,819 $1,819 8.3×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $1,855 $1,855 8.5×
CT orbits w/o contrast (70480) $869 $869 6.7×
CT pelvis w&w/o contrast (72194) $1,819 $1,819 8.3×
CT pelvis w/o contrast (72192) $823 $823 6.3×
CT scan of leg combo (73702) $1,819 $1,819 8.3×
CT scans face/jaw combo (70488) $1,819 $1,819 8.3×
CT soft tissue neck w contrast (70491) $1,819 $1,819 8.3×
CT soft tissue neck w/o contrast (70490) $869 $869 6.7×
CT thoracic spine w contrast (72129) $1,819 $1,819 8.3×
CT thoracic spine w/o contrast (72128) $869 $869 6.7×
CT thoracic spine w/wo cont (72130) $1,819 $1,819 8.3×
CT thorax w/o contrast (71250) $869 $869 6.7×
CT upper ext wo (73200) $869 $869 6.7×
CT upper extremity w/o & w/contrast material (73202) $1,819 $1,819 8.3×
CT upper extremity with contrast (73201) $1,819 $1,819 4.2×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $2,042 $2,042 9.3×
Cta Abdomen (74175) $1,819 $1,819 8.3×
CTA pelvis (72191) $1,819 $1,819 8.3×
Dacryocystography, nasolacrimal duct, radiological supervision and interpretation Non-Facility (70170) $656 $656 2.2×
Determination of central c-v hemodynamics (non-imaging) (eg, ejection fraction with probe technique) with or without… (78414) $1,839 $1,839 2.7×
Dilation ureters/urethra rs&i (74485) $1,378 $1,378 0.5×
Discography Cerv/Thor Spine (72285) $2,129 $2,129 0.9×
Diskography lumbar (72295) $2,129 $2,129 0.9×
Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) $881 $881 6.8×
Doppler Echo Fetal Spectral Display Complete (76827) $883 $883 6.8×
Doppler Fetal Mid Cerebral Artery (76821) $327 $327 2.5×
Dxa Bone Density Axial (77080) $594 $594 4.6×
Dxa bone density study 1/>sites appendiclr skel (77081) $594 $594 5.5×
Echo exam of fetal heart (76825) $1,313 $1,313 1.9×
Echo exam uterus (76831) $653 $653 2.2×
Echo Guide For Artery Repair (76936) $3,214 $3,214 11.9×
Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) $881 $881 3.0×
Echograp Trans R Pros Study (76873) $653 $653 5.0×
Esophageal Motility Study (78258) $1,535 $1,535 3.1×
Esophagram (74220) $491 $491 2.2×
Fetal Biophys Profile W/Nst (76818) $653 $653 5.0×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $625 $625 4.8×
Fetal MRI w/placntl matrnl plvc img sing/1st ges (74712) $1,699 $1,699 5.7×
Fluoroscopy up to 1 hr (76000) $613 $613 2.1×
Follow-Up Angiography (75898) $1,630 $1,630 0.4×
Foot 2 views (73620) $295 $295 2.7×
Forearm 2 views (73090) $295 $295 2.7×
Gastric emptying imaging study (78264) $1,535 $1,535 3.1×
Gastric Emptyng Imag Std W/Sm Bwl Transit (78265) $1,535 $1,535 3.1×
Gastric Mucosa Imaging (78261) $1,535 $1,535 3.1×
Gastroesophageal Reflux Exam (78262) $1,535 $1,535 3.1×
Gastrointestinal Protein Loss (78282) $768 $768 1.5×
Gated Heart Planar Single (78472) $2,368 $2,368 4.7×
Gated Heart, Multiple (78473) $2,368 $2,368 4.7×
GI Endoscopic US S&I (76975) $653 $653 2.2×
Gstrc Emptng Imag Std W/Sm Bwl Col Trnst Mlt Day (78266) $2,691 $2,691 4.0×
Hand 2 views (73120) $295 $295 2.3×
Heart first pass single,planar (78481) $2,368 $2,368 3.5×
Heart Image (Pet) Multiple (78492) $16,469 $16,469 9.2×
Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) $3,456 $3,456 0.9×
Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) $3,456 $3,456 0.9×
Hepatobil Syst Image W/Drug (78227) $1,839 $1,839 2.7×
Hepatobiliary System Imaging (78226) $1,839 $1,839 3.7×
Ht Musc Image Planar Mult (78454) $3,137 $3,137 1.9×
Ht Muscle Image Spect Sing (78451) $2,200 $2,200 1.4×
Hysterosalpingogram (74740) $1,511 $1,511 5.1×
Infant hip ultrasound with hip movement (dynamic) (76885) $653 $653 6.0×
Infant hip ultrasound, limited static exam (76886) $653 $653 6.0×
Infusion Ivp (74410) $953 $953 4.4×
Joint Survey Single View (77077) $295 $295 2.3×
K Flow/Funct Image Multiple (78709) $1,839 $1,839 2.7×
K Flow/Funct Image W/Drug (78708) $1,839 $1,839 2.7×
K Flow/Funct Image W/O Drug (78707) $1,839 $1,839 2.7×
Kidney Funcj Study Non-Img Radioisotopic Study (78725) $1,535 $1,535 3.1×
Kidney Imaging Morphol (78700) $1,535 $1,535 3.1×
Kidney Imaging Morphoogy W/Vascular Flow (78701) $1,535 $1,535 3.1×
Knee 3 Views (73562) $295 $295 2.7×
Leveen/Shunt Patency Exam (78291) $1,535 $1,535 3.1×
Liver & Spleen Imaging Static Only (78215) $1,535 $1,535 3.1×
Liver & Spleen Imaging W/Vascular Flow (78216) $1,535 $1,535 3.1×
Liver imaging static only (78201) $1,535 $1,535 2.3×
Liver imaging w/vascular flow (78202) $1,535 $1,535 2.3×
Lung Perf&Ventilat Diferentl (78598) $1,839 $1,839 2.7×
Lung perfusion differential (78597) $1,535 $1,535 3.1×
Lung Ventilat&Perfus Imaging (78582) $1,839 $1,839 2.7×
Lung Ventilation Imaging (78579) $1,535 $1,535 3.1×
Lymph System Imaging (78195) $1,535 $1,535 2.3×
Lymphangiography Extremity Only Bilateral Rs&I (75803) $1,662 $1,662 0.8×
Lymphangiography extremity only unilateral rs&i (75801) $1,662 $1,662 2.1×
Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) $1,662 $1,662 0.4×
Lymphangiography, pelvic/abdominal, unilateral (75805) $1,662 $1,662 0.4×
Magnetic Image Jaw Joint (70336) $1,772 $1,772 5.9×
Magnetic resonance (eg, proton) imaging, brain (including brain stem andskull base), during open intracranial procedure… (70558) $2,248 $2,248 10.3×
Magnetic resonance (eg, proton) imaging, brain (including brain stem andskull base), during open intracranial procedure… (70557) $1,915 $1,915 2.8×
Magnetic resonance (eg, proton) imaging, brain (including brain stem andskull base), during open intracranial procedure… (70559) $3,100 $3,100 14.2×
Magnetic Resonance Elastography (76391) $1,699 $1,699 5.7×
Mammary ductogram or galactogram multiple (77054) $705 $705 2.4×
Mammary ductogram or galactogram single (77053) $705 $705 2.4×
Meckels Divert Exam (78290) $1,535 $1,535 3.1×
Mra Head W/O & W/Contrast Material (70546) $3,684 $3,684 8.5×
MRA head w/o contrast (70544) $1,915 $1,915 6.4×
MRA head with contrast (70545) $2,250 $2,250 5.2×
MRA neck w contrast (70548) $2,248 $2,248 5.2×
Mra Neck W/O &W/Contrast Material (70549) $3,684 $3,684 8.5×
MRA neck w/o contrast (70547) $1,915 $1,915 6.4×
MRI abdomen w contrast (74182) $3,102 $3,102 7.1×
MRI abdomen w/o contrast (74181) $1,772 $1,772 5.9×
MRI any jt lower extrem w/contrast material (73722) $3,102 $3,102 3.2×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $3,337 $3,337 7.7×
MRI any jt upper extremity w/contrast matrl (73222) $3,102 $3,102 3.2×
MRI bone marrow blood supply (77084) $2,338 $2,338 7.8×
MRI brain functional w/o physician admnistration (70554) $2,035 $2,035 6.8×
MRI brain functional w/physician admnistration (70555) $2,035 $2,035 6.8×
MRI cardiac w/o cont stress (75559) $1,772 $1,772 2.6×
MRI cardiac w/o contrast (75557) $1,728 $1,728 5.8×
MRI cervical spine w contrast (72142) $3,386 $3,386 7.8×
MRI cervical spine w/o cont (72141) $1,839 $1,839 6.2×
MRI chest w/o contrast (71550) $1,770 $1,770 5.9×
MRI chest with contrast (71551) $3,102 $3,102 3.2×
MRI chest wo w contrast (71552) $3,404 $3,404 7.8×
MRI lower extrem oth/thn jt w/contrast matrl (73719) $2,079 $2,079 4.8×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $3,345 $3,345 7.7×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $1,772 $1,772 5.9×
MRI lumbar spine w contrast (72149) $3,129 $3,129 7.2×
Mri Neck Spine W/O & W/Dye (72156) $3,612 $3,612 8.3×
MRI orbit face &/neck w/o contrast (70540) $1,918 $1,918 6.4×
MRI orbit face neck w contrast (70542) $3,357 $3,357 7.7×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $3,612 $3,612 8.3×
MRI pelvis w contrast (72196) $3,102 $3,102 7.1×
MRI pelvis w/o & w contrast (72197) $3,337 $3,337 7.7×
MRI pelvis w/o contrast (72195) $1,770 $1,770 5.9×
MRI spectroscopy (76390) $2,973 $2,973 27.4×
MRI thoracic spine w/o contrast (72146) $1,699 $1,699 5.7×
MRI upper extremity oth than jt w/contr matrl (73219) $3,102 $3,102 7.1×
MRI upper extremity oth than jt w/o contr matrl (73218) $1,772 $1,772 5.9×
Mri Uppr Extremity W/O&W/Dye (73220) $3,337 $3,337 7.7×
MRI, abdomen, combo (74183) $3,337 $3,337 7.7×
MRI, dorsal spine combo (72157) $3,337 $3,337 7.7×
MRI, dorsal spine contrast (72147) $3,129 $3,129 7.2×
MRI, joint upper extrem (73221) $1,699 $1,699 5.7×
MRI, joint upper extrem combo (73223) $3,337 $3,337 7.7×
MRI, lumbar spine combo (72158) $3,337 $3,337 7.7×
Myelogram cervical (72240) $2,231 $2,231 2.3×
Myelogram Lumbar (72265) $2,231 $2,231 2.3×
Myelography thoracic (72255) $2,231 $2,231 2.3×
Myelograpy 2/more regions rs&i (72270) $2,231 $2,231 2.3×
Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) $1,535 $1,535 3.1×
Myocardial Imaging Pet Metabolic Evaluation (78459) $19,589 $19,589 12.1×
Myocardial imaging, infarct avid, planar; with ejection fraction by first pass technique Non-Facility (78468) $1,839 $1,839 2.7×
Myocardial Perfusion Planar 1 Study Rest/Stress (78453) $3,137 $3,137 1.9×
Myocardial Spect Multiple Studies (78452) $2,928 $2,928 1.8×
N-invas est c ffr sw aly CTA (75580) $3,079 $3,079 2.9×
Neck soft tissue (70360) $295 $295 2.7×
Nm csf leak detection (78650) $1,839 $1,839 1.1×
Nm myocard infarct spect (78469) $1,839 $1,839 2.7×
Nonvascular Shunt X-Ray (75809) $656 $656 5.0×
Nuclear Rx Intra-Arterial (79445) $5,376 $5,376 18.5×
Nuclear Rx Oral Admin (79005) $2,225 $2,225 7.6×
Ob us nuchal meas 1 gest (76813) $560 $560 4.3×
Oph bmtry us echograpy a-scan io lens pwr cal (76519) $653 $653 5.0×
Oph us dx ant sgm us immersion b-scan/hr biom (76513) $653 $653 5.0×
Ophthalmic Biometry US Echograpy a-Scan (76516) $653 $653 5.0×
Ophthalmic Ultrasonic Foreign Body Localization (76529) $401 $401 3.7×
Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) $401 $401 3.1×
Ophthalmic US Dx Corneal Pachymetry Uni/Bi (76514)
range across 2 matching MRF lines		 $30–$385 $30–$385 varies
Ophthalmic us dx quantitative a-scan only (76511) $401 $401 3.1×
Optic foramina (70190) $295 $295 2.7×
Panoramic X-ray of jaws (70355) $285 $285 2.6×
Parathyroid Planar Imaging (78070) $1,483 $1,483 3.0×
Parathyroid planar imaging w/wo subtraction (78071) $1,535 $1,535 3.1×
Pelvis 1 or 2 views (72170) $295 $295 2.3×
Perineogram (74775) $953 $953 3.2×
Peritoneogram Rs&I (74190) $733 $733 1.1×
Pet Imaging Limited Area Chest Head/Neck (78811) $12,527 $12,527 7.8×
Pet Myocardial Sngl Study (78491) $7,942 $7,942 4.4×
PET whole body (78813) $12,527 $12,527 7.0×
Platelet survival study Non-Facility (78191) $1,535 $1,535 3.1×
Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) $6,061 $6,061 1.5×
Pulmonary Perfusion Imaging Particulate (78580) $1,535 $1,535 3.1×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $497 $497 3.8×
Radex abscess/fistula/sinus tract rs&i (76080) $733 $733 1.1×
Radex Ankle Complete Minimum 3 Views (73610) $295 $295 2.7×
Radex Calcaneus Minimum 2 Views (73650) $295 $295 2.7×
Radex elbow complete minimum 3 views (73080) $295 $295 2.7×
Radex Facial Bones Complete Minimum 3 Views (70150) $295 $295 2.3×
Radex fingr minimum 2 views (73140) $295 $295 2.7×
Radex foot complete minimum 3 views (73630) $295 $295 2.7×
Radex Hand Minimum 3 Views (73130) $295 $295 2.7×
Radex lower extremity infant minimum 2 views (73592) $295 $295 2.7×
Radex Mastoids Compl Minimum 3 Views PR Side (70130) $295 $295 2.3×
Radex Nasal Bones Complete Minimum 3 Views (70160) $295 $295 2.7×
Radex Pharynx/Larx W/Fluor&/Magnification Tq (70370) $516 $516 4.8×
Radex Ribs Unilateral 2 Views (71100) $295 $295 2.7×
Radex shoulder complete minimum 2 views (73030) $295 $295 2.7×
Radex Sinuses Paransl < 3 Views (70210) $295 $295 2.7×
Radex sm int w/mlt srl imges via enteroclss tube (74251) $874 $874 4.0×
Radex Spine 1 View Specify Level (72020) $295 $295 2.7×
Radex Sternum Minimum 2 Views (71120) $295 $295 2.7×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $295 $295 2.7×
Radex Toe Minimum 2 Views (73660) $295 $295 2.7×
Radex upper extremity infant minimum 2 views (73092) $295 $295 2.3×
Radex Wrist Complete Minimum 3 Views (73110) $295 $295 2.7×
Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) $711 $711 5.4×
Radiolog exam mandible compl minimum 4 views (70110) $295 $295 2.3×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $407 $407 3.1×
Radiologic exam colon double contrast study (74280) $874 $874 4.0×
Radiologic exam colon single contrast study (74270) $603 $603 2.8×
Radiologic Exam Esophagus Double Contrast Study (74221) $517 $517 2.4×
Radiologic exam knee complete 4/more views (73564) $295 $295 2.3×
Radiologic exam pelvis compl minimum 3 views (72190) $295 $295 2.3×
Radiologic Exam Small Int Single Contrast Study (74250) $603 $603 2.8×
Radiologic exam swallow function contrast study (74230) $603 $603 2.8×
Radiologic exam teeth complete full mouth (70320) $284 $284 1.0×
Radiologic Exam Teeth Prtl Exam < Full Mouth (70310) $273 $273 0.9×
Radiologic exam upr gi trc double contrast study (74246) $630 $630 2.9×
Radiologic examination femur 1 view (73551) $295 $295 2.7×
Radiologic examination femur minimum 2 views (73552) $295 $295 2.7×
Radiologic examination knee 1/2 views (73560) $295 $295 2.7×
Radiologic Examination Osseous Survey Limited (77074) $497 $497 3.8×
Radiologic Examination Salivary Gland Calculus (70380) $295 $295 2.7×
Radiologic examination tibia & fibula 2 views (73590) $295 $295 2.7×
Radiologic examination, internal auditory meati, complete Non-Facility (70134) $497 $497 0.7×
Radiologic examination, teeth; single view Non-Facility (70300) $263 $263 2.4×
Radiopharm Dacryocystography (78660) $1,535 $1,535 3.1×
Radiopharmaceutical therapy, by interstitial radioactive colloid administration Facility (79300) $3,366 $3,366 11.6×
Radiopharmaceutical therapy, by intra-articular administration Non-Facility (79440) $2,537 $2,537 8.7×
Radiopharmaceutical therapy, by intracavitary administration Non-Facility (79200) $6,129 $6,129 21.0×
Renal Cyst Study (74470) $1,511 $1,511 2.2×
Ribs bilateral 3 views (71110) $295 $295 2.3×
Rp loclzj tum plnr 1 area single day imaging (78800) $1,535 $1,535 3.1×
Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) $1,839 $1,839 3.7×
Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) $1,839 $1,839 2.7×
Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) $1,839 $1,839 2.7×
Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) $1,839 $1,839 2.7×
Rp loclzj tum spect 2 area/sep acquisj img (78831) $4,845 $4,845 3.0×
Rp Therapy Intravenous Administration (79101)
range across 3 matching MRF lines		 $5,376–$5,377 $5,376–$5,377 varies
Salivary Gland Function Study (78232) $1,535 $1,535 3.1×
Salivary Gland Imaging (78230) $1,535 $1,535 3.1×
Salivary Gland Imaging Serial Images (78231) $1,535 $1,535 3.1×
Scapula (73010) $295 $295 2.3×
Screening Digital Breast Tomosynthesis Bi (77063) $96 $96 4.1×
Sella turcica (70240) $295 $295 2.7×
Shoulder 1 view (73020) $295 $295 2.7×
Shoulder Arthrography (73040) $1,137 $1,137 2.6×
Sialogram (70390) $656 $656 2.2×
Skull less than 4 views (70250) $295 $295 2.3×
Speech evaluation, complex (70371) $558 $558 1.9×
Spleen Imaging (78185) $1,535 $1,535 3.1×
Sternoclavicular joints (71130) $295 $295 2.7×
Superior sagittal sinus venogram (75870) $1,820 $1,820 0.5×
Temporomandble Jt Arthrography Rs&I (70332) $1,033 $1,033 3.5×
Testicular Imaging W/Flow (78761) $1,535 $1,535 3.1×
Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) $663 $663 3.0×
Thoracic spine 2 views (72070) $295 $295 2.3×
Thoracic spine 3 views (72072) $295 $295 2.3×
Thoracolumbar 2 views (72080) $295 $295 2.7×
Thyroid carcinoma metastases imaging; with additional studies (eg, urinary recovery) Non-Facility (78016) $1,535 $1,535 3.1×
Thyroid Carcinoma Metastases Img Lmtd Area (78015) $1,535 $1,535 3.1×
Thyroid Imaging With Vascular Flow (78013) $768 $768 1.5×
Thyroid Met Imaging Body (78018) $1,839 $1,839 2.7×
Thyroid Uptake Measurement (78012) $768 $768 1.5×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $1,483 $1,483 3.0×
Ultrasound Breast Limited (76642) $274 $274 2.5×
Ultrasound elastography first target lesion (76982) $1,061 $1,061 8.1×
Ultrasound Elastography Parenchyma (76981) $1,061 $1,061 8.1×
Ultrasound Exam Aaa Screen (76706) $560 $560 4.3×
Ultrasound trgt dynamic microbubble 1st lesion (76978) $680 $680 1.6×
Ultrasound, abdomen limited (76705) $653 $653 5.0×
Umbilical-artery Doppler (OB) (76820) $327 $327 2.5×
Unlisted magnetic resonance procedure (76498) $273 $273 2.5×
Upper gi w/o kub (74240) $603 $603 2.8×
Urea Breath Test C-14 Isotopic Acquisj Analysis (78267) $91 $91 8.2×
Urea breath test c-14 isotopic analysis (78268) $1,142 $1,142 12.1×
Ureteral Reflux Study (78740) $1,535 $1,535 3.1×
Urethrocystogram voiding (74455) $953 $953 3.2×
Urethrocystography retrograde (74450) $953 $953 3.2×
Us bone density measurement (76977) $401 $401 3.1×
Us breast unilateral complete (76641) $401 $401 3.1×
Us chest (76604) $653 $653 5.0×
Us complete joint (76881) $471 $471 3.6×
Us exam, pelvic, limited (76857) $401 $401 3.1×
Us head (76506) $653 $653 5.0×
Us kidney transplant (76776) $726 $726 5.6×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $305 $305 2.3×
Us ob detailed single fetus (76811) $1,055 $1,055 3.5×
Us ob limited 1 or more fetuses (76815) $424 $424 3.2×
Us ob transvaginal (76817) $424 $424 3.2×
Us pelvic non ob complete (76856) $653 $653 5.0×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $424 $424 3.2×
Us preg uterus real time f/u trnsabdl per fetus (76816) $424 $424 3.2×
Us retroperitoneal complete (76770) $653 $653 5.0×
Us retroperitoneal limited (76775) $653 $653 5.0×
Us scrotum and contents (76870) $653 $653 5.0×
Us spinal canal and contents (76800) $653 $653 5.0×
Us thyroid (76536) $653 $653 5.0×
Us transrectal (76872) $653 $653 5.0×
Vascular Flow Imaging (78445) $1,535 $1,535 3.1×
Vasogram (74440) $953 $953 3.2×
Vein X-Ray Chest (75827) $3,456 $3,456 1.8×
Vein X-Ray Liver W/O Hemodyn (75887) $8,191 $8,191 2.1×
Vein X-Ray Skull Epidural (75872) $1,820 $1,820 2.3×
Vein X-Ray Spleen/Liver (75810) $3,456 $3,456 0.9×
Venogram Sinus/Jugular (75860) $1,820 $1,820 0.5×
Venography Adrenal Unilateral (75840) $1,820 $1,820 0.5×
Venography caval inferior serialography rs&i (75825) $9,190 $9,190 2.3×
Venography extremity bilateral rs&i (75822) $1,933 $1,933 1.0×
Venography extremity unilateral rs&i (75820) $1,933 $1,933 1.0×
Venography Orbital Rs&I (75880) $1,820 $1,820 2.3×
Venography Renal Bilateral (75833) $9,190 $9,190 2.3×
Venography Renal Unilateral (75831) $9,190 $9,190 2.3×
Venous sampling by catheter (75893) $4,308 $4,308 0.6×
Venous thrombosis imaging (78457) $1,535 $1,535 2.3×
Venous Thrombosis Imaging Venogram Bilateral (78458) $1,535 $1,535 3.1×
Wrist 2 views (73100) $295 $295 2.7×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $295 $295 2.7×
X-ray antegrade pyelogram tube (74425) $953 $953 2.2×
X-Ray Aorta Leg Arteries (75630) $5,942 $5,942 1.5×
X-Ray Bend Only L-S Spine (72120) $295 $295 2.3×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $295 $295 2.7×
X-Ray Exam Breast Specimen (76098) $316 $316 0.5×
X-Ray Exam Entire Spi 1 Vw (72081) $225 $225 2.1×
X-Ray Exam Entire Spi 2/3 Vw (72082) $392 $392 3.0×
X-Ray Exam Entire Spi 4/5 Vw (72083) $711 $711 5.4×
X-Ray Exam Hip Uni 1 View (73501) $384 $384 3.5×
X-Ray Exam Hip Uni 2-3 Views (73502) $384 $384 3.5×
X-Ray Exam Hip Uni 4/> Views (73503) $503 $503 3.9×
X-Ray Exam Hips Bi 2 Views (73521) $503 $503 3.9×
X-Ray Exam Hips Bi 3-4 Views (73522) $503 $503 3.9×
X-Ray Exam Hips Bi 5/> Views (73523) $711 $711 5.4×
X-Ray Exam L-S Spine Bending (72114) $497 $497 3.8×
X-Ray Exam Neck Spine 2-3 Vw (72040) $295 $295 2.7×
X-Ray Exam Neck Spine 6/>Vws (72052) $497 $497 3.8×
X-Ray Exam Unilat Ribs/Chest (71101) $295 $295 2.3×
X-ray eye for foreign body (70030) $295 $295 2.7×
X-ray head for orthodontia (70350) $285 $285 2.6×
X-ray humerus (73060) $295 $295 2.7×
X-ray IV pyelogram (ivp) (74400) $953 $953 4.4×
X-ray IV pyelogram+tomography (74415) $953 $953 4.4×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $295 $295 2.7×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $295 $295 2.7×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $295 $295 2.3×
X-ray nose-rectum child f.b. (76010) $295 $295 2.7×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $497 $497 3.8×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $295 $295 2.3×
X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) $295 $295 2.3×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $295 $295 2.7×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $295 $295 2.7×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $497 $497 3.8×
X-Ray Stress View (77071)
range across 2 matching MRF lines		 $80–$295 $80–$295 varies
X-ray thoracic spine 4 vw (72074) $295 $295 2.3×
X-Ray Tmj Unilat (70328) $295 $295 2.7×
X-Ray Urinary Tract Exam With Contrast Material (74420) $953 $953 2.2×
X-Rays Bone Length Studies (77073) $295 $295 2.3×
X-Rays Bone Survey Complete (77075) $497 $497 3.8×
Xr c-spine 4 or 5 views (72050) $497 $497 3.8×
Xr facial bones less than 3 views (70140) $295 $295 2.7×
XR Mastoids < 3 Views Bilateral (70120) $295 $295 2.3×
Xr myelogram posterior fossa (70010) $2,129 $2,129 4.9×
Xr orbits complete 4 views (70200) $295 $295 2.3×
Xr Tomogram Single Plane (76100) $494 $494 3.8×

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.