Imaging prices at Kansas Medical Center LLC
Andover, KS · every code in this section with a posted price and a Medicare benchmark.
322 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) | $106.44 | $177.40 | 1.3× |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$92.22–$92.31 | $153.70–$153.85 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $563.82 | $939.70 | 1.5× |
| Acute venous thrombosis imaging, peptide Non-Facility (78456) | $462.39 | $770.65 | 0.4× |
| Adrenal Cortex & Medulla Img (78075) | $741.60 | $1,236 | 0.6× |
| Angio internal mammary (75756) range across 2 matching MRF lines |
$590.43–$1,109.37 | $984.05–$1,848.95 | varies |
| Angio pulmonary bilat (75743) range across 2 matching MRF lines |
$2,124.21–$2,230.41 | $3,540.35–$3,717.35 | varies |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) range across 2 matching MRF lines |
$2,113.08–$2,218.74 | $3,521.80–$3,697.90 | varies |
| Angiography extremity bilateral rs&i (75716) range across 2 matching MRF lines |
$1,713.36–$2,476.08 | $2,855.60–$4,126.80 | varies |
| Angiography extremity unilateral rs&i (75710) range across 5 matching MRF lines |
$1,400.25–$2,514.81 | $2,333.75–$4,191.35 | varies |
| Angiography pulmonary unilateral slctv rs&i (75741) | $1,507.74 | $2,512.90 | 0.5× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) range across 2 matching MRF lines |
$1,056.57–$1,109.37 | $1,760.95–$1,848.95 | varies |
| Ankle 2 views (73600) | $73.20 | $122 | 0.9× |
| Aortography thoracic serialography rs&i (75605) range across 2 matching MRF lines |
$1,272.96–$1,507.74 | $2,121.60–$2,512.90 | varies |
| Artery X-Rays Abdomen (75726) range across 3 matching MRF lines |
$1,336.89–$1,713.36 | $2,228.15–$2,855.60 | varies |
| Artery X-Rays Adrenal Gland (75731) | $1,713.36 | $2,855.60 | 0.6× |
| Artery X-Rays Pelvis (75736) range across 3 matching MRF lines |
$1,384.98–$2,296.62 | $2,308.30–$3,827.70 | varies |
| Artery X-Rays Spine (75705) range across 2 matching MRF lines |
$1,109.37–$1,507.74 | $1,848.95–$2,512.90 | varies |
| Arthrogram ankle (73615) | $197.10 | $328.50 | 0.6× |
| Arthrogram hip (73525) | $315.18 | $525.30 | 1.0× |
| Arthrogram Wrist (73115) range across 2 matching MRF lines |
$151.35–$279.18 | $252.25–$465.30 | varies |
| Bone age studies (77072) | $110.10 | $183.50 | 1.1× |
| Bone Imaging 3 Phase (78315) | $704.37 | $1,173.95 | 1.9× |
| Bone Imaging Limited Area (78300) | $317.67 | $529.45 | 0.9× |
| Bone Imaging Multiple Areas (78305) | $319.80 | $533 | 0.9× |
| Bone Imaging Whole Body (78306) | $511.44 | $852.40 | 1.4× |
| Bone marrow imaging limited area (78102) | $225.30 | $375.50 | 0.6× |
| Bone marrow imaging; multiple areas (78103) | $280.47 | $467.45 | 0.8× |
| Bone marrow imaging; whole body (78104) | $343.98 | $573.30 | 0.9× |
| Bone survey infant (77076) | $110.37 | $183.95 | 1.1× |
| Brain Flow Imaging Only (78610) range across 3 matching MRF lines |
$423.33–$577.44 | $705.55–$962.40 | varies |
| Brain Image W/Flow < 4 Views (78601) | $406.65 | $677.75 | 1.1× |
| Brain imaging < 4 static views (78600) | $231.33 | $385.55 | 0.6× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $577.44 | $962.40 | 1.2× |
| Brain Imaging Minimum 4 Static Views (78605) | $274.44 | $457.40 | 0.5× |
| Cat Scan Follow-Up Study (76380) | $370.08 | $616.80 | 4.6× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $279.72 | $466.20 | 0.6× |
| Cerebrospinal fluid flow, imaging (not including introduction of material); ventriculography Non-Facility (78635) | $577.44 | $962.40 | 1.2× |
| Cerebrospinal Fluid Scan (78630) | $732.63 | $1,221.05 | 1.5× |
| Chest 1 view (71045) range across 2 matching MRF lines |
$66.54–$97.62 | $110.90–$162.70 | varies |
| Chest 2 views (71046) range across 3 matching MRF lines |
$89.22–$186.72 | $148.70–$311.20 | varies |
| Chest 3 views (71047) | $88.98 | $148.30 | 1.1× |
| Chest 4 or more views (71048) | $74.85 | $124.75 | 0.8× |
| Cholecystography Oral Contrast (74290) | $95.25 | $158.75 | 0.6× |
| Cineradiograpy/vidradiograpy xcpt where spec (76120) | $472.32 | $787.20 | 4.9× |
| Clavicle complete (73000) | $90.27 | $150.45 | 1.1× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $642 | $1,070 | 6.7× |
| Contrast Exam Abdominl Aorta (75625) range across 2 matching MRF lines |
$1,384.98–$1,519.92 | $2,308.30–$2,533.20 | varies |
| Contrast X-Ray Bladder (74430) | $142.14 | $236.90 | 0.4× |
| Contrast X-Ray Of Elbow (73085) | $197.10 | $328.50 | 0.6× |
| Contrast X-Ray Of Knee Joint (73580) | $246.99 | $411.65 | 0.8× |
| CT abdomen and pelvis without and with contrast (74178) | $1,584 | $2,640 | 4.9× |
| CT abdomen and pelvis without contrast (74176) | $1,080 | $1,800 | 4.9× |
| CT abdomen w contrast (74160) | $597.93 | $996.55 | 3.7× |
| CT abdomen w wo contrast (74170) | $1,141.50 | $1,902.50 | 7.1× |
| CT abdomen w/o contrast (74150) | $597.93 | $996.55 | 6.2× |
| CT Angio Abdomen and Pelvis (74174) | $1,843.20 | $3,072 | 5.7× |
| CT Angio Chest (71275) | $1,089.90 | $1,816.50 | 6.7× |
| CT Angio Head (70496) | $947.82 | $1,579.70 | 5.9× |
| CT angio hrt w/3d image (75574) | $960.12 | $1,600.20 | 3.0× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 3 matching MRF lines |
$966.84–$1,841.61 | $1,611.40–$3,069.35 | varies |
| CT Angio Neck (70498) | $947.82 | $1,579.70 | 5.9× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $966.84 | $1,611.40 | 6.0× |
| CT cervical spine w/ contrast (72126) | $642 | $1,070 | 2.0× |
| CT cervical spine w/o contrast (72125) | $642 | $1,070 | 6.7× |
| CT cervical spine w/wo cont (72127) | $1,225.62 | $2,042.70 | 7.6× |
| CT chest w contrast (71260) | $642 | $1,070 | 4.0× |
| CT chest w/wo contrast (71270) | $1,225.62 | $2,042.70 | 7.6× |
| CT head/brain with contrast (70460) | $563.82 | $939.70 | 3.5× |
| CT head/brain without and with contrast (70470) | $1,076.40 | $1,794 | 6.7× |
| CT heart no contrast quant eval coronry calcium (75571) | $108 | $180 | 1.3× |
| CT iac w contrast (70481) | $563.82 | $939.70 | 3.5× |
| CT l-spine w&w/o contrast (72133) | $1,225.62 | $2,042.70 | 7.6× |
| CT lower ext w/o (73700) | $563.82 | $939.70 | 5.9× |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$563.82–$565.98 | $939.70–$943.30 | varies |
| CT lumbar spine w contrast (72132) | $642 | $1,070 | 2.0× |
| CT lumbar spine w/o contrast (72131) | $642 | $1,070 | 6.7× |
| CT maxillofacial w contrast (70487) | $563.82 | $939.70 | 3.5× |
| CT maxillofacial wo contrast (70486) | $563.82 | $939.70 | 5.9× |
| CT neck tissue combo (70492) | $1,076.40 | $1,794 | 6.7× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,076.40 | $1,794 | 6.7× |
| CT orbits w/o contrast (70480) | $563.82 | $939.70 | 5.9× |
| CT pelvis w&w/o contrast (72194) range across 2 matching MRF lines |
$499.38–$1,225.62 | $832.30–$2,042.70 | varies |
| CT pelvis w/o contrast (72192) | $642 | $1,070 | 6.7× |
| CT scans face/jaw combo (70488) | $1,076.40 | $1,794 | 6.7× |
| CT soft tissue neck w contrast (70491) | $563.82 | $939.70 | 3.5× |
| CT soft tissue neck w/o contrast (70490) | $563.82 | $939.70 | 5.9× |
| CT thoracic spine w contrast (72129) | $642 | $1,070 | 4.0× |
| CT thoracic spine w/o contrast (72128) | $642 | $1,070 | 6.7× |
| CT thoracic spine w/wo cont (72130) | $1,225.62 | $2,042.70 | 7.6× |
| CT thorax w/o contrast (71250) | $642 | $1,070 | 6.7× |
| CT upper ext wo (73200) | $563.82 | $939.70 | 5.9× |
| CT upper extremity w/o & w/contrast material (73202) | $1,076.40 | $1,794 | 6.7× |
| CT upper extremity with contrast (73201) | $563.82 | $939.70 | 1.8× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,080 | $1,800 | 6.7× |
| Cta Abdomen (74175) | $1,058.16 | $1,763.60 | 6.5× |
| CTA pelvis (72191) | $907.20 | $1,512 | 5.6× |
| Dacryocystography, nasolacrimal duct, radiological supervision and interpretation Non-Facility (70170) | $257.76 | $429.60 | 1.2× |
| Dilation ureters/urethra rs&i (74485) | $276.90 | $461.50 | 0.1× |
| Discography Cerv/Thor Spine (72285) | $1,160.46 | $1,934.10 | 0.6× |
| Diskography lumbar (72295) | $1,149.87 | $1,916.45 | 0.6× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) | $154.98 | $258.30 | 1.6× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $204.12 | $340.20 | 2.1× |
| Doppler Fetal Mid Cerebral Artery (76821) | $211.68 | $352.80 | 2.2× |
| Echo exam of fetal heart (76825) | $332.79 | $554.65 | 0.7× |
| Echo exam uterus (76831) range across 2 matching MRF lines |
$326.82–$343.14 | $544.70–$571.90 | varies |
| Echo Guide For Artery Repair (76936) | $642.66 | $1,071.10 | 3.2× |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) | $196.77 | $327.95 | 0.9× |
| Esophagram (74220) | $170.10 | $283.50 | 1.1× |
| Fetal Biophys Profile W/Nst (76818) | $208.65 | $347.75 | 2.2× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 2 matching MRF lines |
$140.97–$148.02 | $234.95–$246.70 | varies |
| Fluoroscopy up to 1 hr (76000) range across 5 matching MRF lines |
$118.08–$237.57 | $196.80–$395.95 | varies |
| Follow-Up Angiography (75898) range across 2 matching MRF lines |
$209.88–$411.66 | $349.80–$686.10 | varies |
| Foot 2 views (73620) | $73.20 | $122 | 0.9× |
| Forearm 2 views (73090) | $98.34 | $163.90 | 1.2× |
| Gastric emptying imaging study (78264) | $493.95 | $823.25 | 1.3× |
| Gastroesophageal Reflux Exam (78262) | $509.76 | $849.60 | 1.4× |
| Gated Heart Planar Single (78472) | $455.10 | $758.50 | 1.2× |
| Hand 2 views (73120) | $73.20 | $122 | 0.8× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $1,507.74 | $2,512.90 | 0.5× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $1,507.74 | $2,512.90 | 0.5× |
| Hepatobil Syst Image W/Drug (78227) | $484.80 | $808 | 1.0× |
| Hepatobiliary System Imaging (78226) | $484.80 | $808 | 1.3× |
| Ht Musc Image Planar Mult (78454) range across 2 matching MRF lines |
$1,339.35–$1,355.76 | $2,232.25–$2,259.60 | varies |
| Ht Muscle Image Spect Sing (78451) | $1,339.35 | $2,232.25 | 1.1× |
| Hysterosalpingogram (74740) | $113.94 | $189.90 | 0.5× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $204.12 | $340.20 | 2.5× |
| Infusion Ivp (74410) | $188.79 | $314.65 | 1.2× |
| K Flow/Funct Image Multiple (78709) | $777.57 | $1,295.95 | 1.6× |
| K Flow/Funct Image W/Drug (78708) | $498.96 | $831.60 | 1.0× |
| K Flow/Funct Image W/O Drug (78707) | $710.16 | $1,183.60 | 1.4× |
| Kidney Funcj Study Non-Img Radioisotopic Study (78725) | $276.09 | $460.15 | 0.7× |
| Kidney Imaging Morphol (78700) | $346.32 | $577.20 | 0.9× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) range across 2 matching MRF lines |
$253.80–$346.32 | $423–$577.20 | varies |
| Knee 3 Views (73562) | $118.17 | $196.95 | 1.5× |
| Leveen/Shunt Patency Exam (78291) | $285 | $475 | 0.8× |
| Liver & Spleen Imaging Static Only (78215) | $338.46 | $564.10 | 0.9× |
| Liver imaging static only (78201) | $274.44 | $457.40 | 0.5× |
| Liver imaging w/vascular flow (78202) | $296.07 | $493.45 | 0.6× |
| Lymph System Imaging (78195) | $394.17 | $656.95 | 0.8× |
| Meckels Divert Exam (78290) | $363.42 | $605.70 | 1.0× |
| Mra Head W/O & W/Contrast Material (70546) | $1,355.79 | $2,259.65 | 4.2× |
| MRA head w/o contrast (70544) | $710.16 | $1,183.60 | 3.2× |
| MRA head with contrast (70545) | $710.16 | $1,183.60 | 2.2× |
| MRA neck w contrast (70548) | $710.16 | $1,183.60 | 2.2× |
| Mra Neck W/O &W/Contrast Material (70549) | $1,355.79 | $2,259.65 | 4.2× |
| MRA neck w/o contrast (70547) | $710.16 | $1,183.60 | 3.2× |
| MRI abdomen w contrast (74182) | $710.16 | $1,183.60 | 2.2× |
| MRI abdomen w/o contrast (74181) | $710.16 | $1,183.60 | 3.2× |
| MRI any jt lower extrem w/contrast material (73722) range across 9 matching MRF lines |
$709.95–$1,355.79 | $1,183.25–$2,259.65 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 9 matching MRF lines |
$1,355.79–$2,711.64 | $2,259.65–$4,519.40 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 9 matching MRF lines |
$710.16–$1,355.79 | $1,183.60–$2,259.65 | varies |
| MRI cervical spine w contrast (72142) | $1,513.92 | $2,523.20 | 4.7× |
| MRI cervical spine w/o cont (72141) | $710.16 | $1,183.60 | 3.2× |
| MRI chest w/o contrast (71550) | $710.16 | $1,183.60 | 3.2× |
| MRI chest with contrast (71551) | $710.16 | $1,183.60 | 1.0× |
| MRI chest wo w contrast (71552) | $1,355.79 | $2,259.65 | 4.2× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 9 matching MRF lines |
$710.16–$1,355.79 | $1,183.60–$2,259.65 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 9 matching MRF lines |
$1,355.79–$2,711.64 | $2,259.65–$4,519.40 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 3 matching MRF lines |
$710.16–$1,355.79 | $1,183.60–$2,259.65 | varies |
| MRI lumbar spine w contrast (72149) | $710.16 | $1,183.60 | 2.2× |
| Mri Neck Spine W/O & W/Dye (72156) | $1,908.12 | $3,180.20 | 5.9× |
| MRI orbit face &/neck w/o contrast (70540) | $710.16 | $1,183.60 | 3.2× |
| MRI orbit face neck w contrast (70542) | $710.16 | $1,183.60 | 2.2× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $1,355.79 | $2,259.65 | 4.2× |
| MRI pelvis w contrast (72196) | $710.16 | $1,183.60 | 2.2× |
| MRI pelvis w/o & w contrast (72197) | $1,355.79 | $2,259.65 | 4.2× |
| MRI pelvis w/o contrast (72195) | $710.16 | $1,183.60 | 3.2× |
| MRI spectroscopy (76390) | $710.16 | $1,183.60 | 8.9× |
| MRI thoracic spine w/o contrast (72146) | $1,232.88 | $2,054.80 | 5.6× |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 9 matching MRF lines |
$710.16–$1,355.79 | $1,183.60–$2,259.65 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 3 matching MRF lines |
$710.16–$1,355.79 | $1,183.60–$2,259.65 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 9 matching MRF lines |
$1,355.79–$2,711.64 | $2,259.65–$4,519.40 | varies |
| MRI, abdomen, combo (74183) | $1,355.79 | $2,259.65 | 4.2× |
| MRI, dorsal spine combo (72157) | $1,908.12 | $3,180.20 | 5.9× |
| MRI, dorsal spine contrast (72147) | $1,513.92 | $2,523.20 | 4.7× |
| MRI, joint upper extrem (73221) range across 2 matching MRF lines |
$710.16–$1,355.79 | $1,183.60–$2,259.65 | varies |
| MRI, joint upper extrem combo (73223) range across 9 matching MRF lines |
$1,355.79–$2,711.64 | $2,259.65–$4,519.40 | varies |
| MRI, lumbar spine combo (72158) | $1,355.79 | $2,259.65 | 4.2× |
| Myelogram Lumbar (72265) | $1,832.88 | $3,054.80 | 2.5× |
| Myelography thoracic (72255) | $1,832.88 | $3,054.80 | 2.5× |
| Myelograpy 2/more regions rs&i (72270) | $1,832.88 | $3,054.80 | 2.5× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) | $1,298.88 | $2,164.80 | 1.1× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) range across 2 matching MRF lines |
$858.09–$1,339.35 | $1,430.15–$2,232.25 | varies |
| Myocardial Spect Multiple Studies (78452) range across 2 matching MRF lines |
$1,339.35–$1,428.06 | $2,232.25–$2,380.10 | varies |
| Neck soft tissue (70360) | $102.03 | $170.05 | 1.3× |
| Nm csf leak detection (78650) | $577.44 | $962.40 | 0.5× |
| Nm myocard infarct spect (78469) | $475.68 | $792.80 | 1.0× |
| Nm whole blood volume (78122) | $552.18 | $920.30 | 1.1× |
| Nonvascular Shunt X-Ray (75809) | $215.46 | $359.10 | 2.2× |
| Nuclear Rx Intra-Arterial (79445) | $229.83 | $383.05 | 1.1× |
| Nuclear Rx Oral Admin (79005) | $343.23 | $572.05 | 1.6× |
| Parathyroid Planar Imaging (78070) | $210.39 | $350.65 | 0.6× |
| Pelvis 1 or 2 views (72170) | $99.84 | $166.40 | 1.0× |
| Pet Image W/Ct Lmtd (78814) | $1,487.40 | $2,479 | 1.1× |
| PET image w/CT, full body (78816) | $1,487.40 | $2,479 | 1.1× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $1,487.40 | $2,479 | 1.1× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $1,507.74 | $2,512.90 | 0.5× |
| Pulmonary Perfusion Imaging Particulate (78580) | $410.79 | $684.65 | 1.1× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $93.75 | $156.25 | 1.0× |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 3 matching MRF lines |
$174.90–$182.19 | $291.50–$303.65 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) | $110.10 | $183.50 | 1.4× |
| Radex Calcaneus Minimum 2 Views (73650) | $90.27 | $150.45 | 1.1× |
| Radex elbow complete minimum 3 views (73080) | $119.64 | $199.40 | 1.5× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $149.73 | $249.55 | 1.6× |
| Radex fingr minimum 2 views (73140) | $83.67 | $139.45 | 1.0× |
| Radex foot complete minimum 3 views (73630) | $106.44 | $177.40 | 1.3× |
| Radex Hand Minimum 3 Views (73130) | $107.91 | $179.85 | 1.3× |
| Radex lower extremity infant minimum 2 views (73592) | $73.20 | $122 | 0.9× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $114.78 | $191.30 | 1.2× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $116.70 | $194.50 | 1.5× |
| Radex Pharynx/Larx W/Fluor&/Magnification Tq (70370) | $165.48 | $275.80 | 2.1× |
| Radex Ribs Unilateral 2 Views (71100) | $105.69 | $176.15 | 1.3× |
| Radex shoulder complete minimum 2 views (73030) | $110.85 | $184.75 | 1.4× |
| Radex Spine 1 View Specify Level (72020) | $135.06 | $225.10 | 1.7× |
| Radex Sternum Minimum 2 Views (71120) | $99.03 | $165.05 | 1.2× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $88.17 | $146.95 | 1.1× |
| Radex Toe Minimum 2 Views (73660) | $85.14 | $141.90 | 1.1× |
| Radex upper extremity infant minimum 2 views (73092) | $73.20 | $122 | 0.8× |
| Radex Wrist Complete Minimum 3 Views (73110) | $113.04 | $188.40 | 1.4× |
| Radiolog exam mandible compl minimum 4 views (70110) | $166.62 | $277.70 | 1.7× |
| Radiologic exam colon double contrast study (74280) | $333.39 | $555.65 | 2.1× |
| Radiologic exam colon single contrast study (74270) range across 2 matching MRF lines |
$229.83–$230.37 | $383.05–$383.95 | varies |
| Radiologic exam knee complete 4/more views (73564) | $93.12 | $155.20 | 1.0× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $107.16 | $178.60 | 1.1× |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 2 matching MRF lines |
$185.97–$186.27 | $309.95–$310.45 | varies |
| Radiologic exam swallow function contrast study (74230) | $103.56 | $172.60 | 0.6× |
| Radiologic exam upr gi trc double contrast study (74246) | $281.13 | $468.55 | 1.7× |
| Radiologic examination femur minimum 2 views (73552) | $86.19 | $143.65 | 1.1× |
| Radiologic examination knee 1/2 views (73560) range across 4 matching MRF lines |
$78.15–$85.14 | $130.25–$141.90 | varies |
| Radiologic examination tibia & fibula 2 views (73590) | $112.29 | $187.15 | 1.4× |
| Red Cell Volume Determination Spx 1 Sampling (78120) | $308.73 | $514.55 | 0.8× |
| Renal Cyst Study (74470) | $174.90 | $291.50 | 0.3× |
| Ribs bilateral 3 views (71110) | $174.63 | $291.05 | 1.8× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $425.76 | $709.60 | 1.2× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $435.12 | $725.20 | 1.2× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $814.98 | $1,358.30 | 1.6× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $759.66 | $1,266.10 | 1.5× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 2 matching MRF lines |
$861.27–$908.10 | $1,435.45–$1,513.50 | varies |
| Rp Therapy Intravenous Administration (79101) | $359.10 | $598.50 | 1.7× |
| Scapula (73010) | $92.49 | $154.15 | 1.0× |
| Shoulder 1 view (73020) | $83.67 | $139.45 | 1.0× |
| Shoulder Arthrography (73040) | $267.78 | $446.30 | 0.8× |
| Sialogram (70390) | $226.05 | $376.75 | 1.0× |
| Skull less than 4 views (70250) | $113.04 | $188.40 | 1.2× |
| Spleen Imaging (78185) | $276.48 | $460.80 | 0.8× |
| Sternoclavicular joints (71130) | $64.26 | $107.10 | 0.8× |
| Superior sagittal sinus venogram (75870) | $1,155.78 | $1,926.30 | 0.4× |
| Testicular Imaging W/Flow (78761) range across 2 matching MRF lines |
$238.89–$517.26 | $398.15–$862.10 | varies |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $95.64 | $159.40 | 0.6× |
| Thoracic spine 2 views (72070) | $105.69 | $176.15 | 1.1× |
| Thoracic spine 3 views (72072) | $159.27 | $265.45 | 1.7× |
| Thyroid Carcinoma Metastases Img Lmtd Area (78015) | $233.61 | $389.35 | 0.6× |
| Thyroid Imaging With Vascular Flow (78013) | $212.91 | $354.85 | 0.6× |
| Thyroid Met Imaging Body (78018) | $672.78 | $1,121.30 | 1.3× |
| Ultrasound elastography first target lesion (76982) | $229.53 | $382.55 | 2.4× |
| Ultrasound Elastography Parenchyma (76981) | $229.53 | $382.55 | 2.4× |
| Ultrasound, abdomen limited (76705) range across 6 matching MRF lines |
$144–$229.53 | $240–$382.55 | varies |
| Umbilical-artery Doppler (OB) (76820) | $188.25 | $313.75 | 2.0× |
| Unlisted Dx Radiographic Procedure (76499) | $593.76 | $989.60 | 7.4× |
| Upper gi w/o kub (74240) | $336.90 | $561.50 | 2.1× |
| Ureteral Reflux Study (78740) | $346.32 | $577.20 | 0.9× |
| Urethrocystogram voiding (74455) range across 2 matching MRF lines |
$173.13–$204.87 | $288.55–$341.45 | varies |
| Urethrocystography retrograde (74450) range across 2 matching MRF lines |
$222.87–$288 | $371.45–$480 | varies |
| Us breast unilateral complete (76641) | $228.96 | $381.60 | 2.4× |
| Us chest (76604) | $126.39 | $210.65 | 1.3× |
| Us complete joint (76881) range across 2 matching MRF lines |
$180.48–$343.74 | $300.80–$572.90 | varies |
| Us exam, pelvic, limited (76857) | $175.38 | $292.30 | 1.8× |
| Us head (76506) | $229.53 | $382.55 | 2.4× |
| Us kidney transplant (76776) | $200.34 | $333.90 | 2.1× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $274.44 | $457.40 | 2.8× |
| Us ob detailed single fetus (76811) | $333.48 | $555.80 | 1.5× |
| Us ob limited 1 or more fetuses (76815) | $144 | $240 | 1.5× |
| Us ob transvaginal (76817) | $134.70 | $224.50 | 1.4× |
| Us pelvic non ob complete (76856) | $233.61 | $389.35 | 2.4× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $340.53 | $567.55 | 3.5× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $98.97 | $164.95 | 1.0× |
| Us retroperitoneal complete (76770) | $330.15 | $550.25 | 3.4× |
| Us retroperitoneal limited (76775) | $148.17 | $246.95 | 1.5× |
| Us scrotum and contents (76870) | $251.97 | $419.95 | 2.6× |
| Us spinal canal and contents (76800) | $129.75 | $216.25 | 1.3× |
| Us thyroid (76536) | $379.77 | $632.95 | 3.9× |
| Us transrectal (76872) | $233.61 | $389.35 | 2.4× |
| Vein X-Ray Chest (75827) range across 2 matching MRF lines |
$1,089.12–$1,143.54 | $1,815.20–$1,905.90 | varies |
| Vein X-Ray Liver W/O Hemodyn (75887) | $1,038 | $1,730 | 0.4× |
| Vein X-Ray Skull Epidural (75872) | $660.24 | $1,100.40 | 1.1× |
| Venogram Sinus/Jugular (75860) | $1,155.78 | $1,926.30 | 0.4× |
| Venography caval inferior serialography rs&i (75825) | $1,507.74 | $2,512.90 | 0.5× |
| Venography extremity bilateral rs&i (75822) range across 3 matching MRF lines |
$526.71–$597.63 | $877.85–$996.05 | varies |
| Venography extremity unilateral rs&i (75820) | $526.71 | $877.85 | 0.4× |
| Venography Renal Bilateral (75833) range across 2 matching MRF lines |
$2,113.08–$2,218.74 | $3,521.80–$3,697.90 | varies |
| Venography Renal Unilateral (75831) | $1,507.74 | $2,512.90 | 0.5× |
| Venous sampling by catheter (75893) range across 2 matching MRF lines |
$1,507.74–$2,659.20 | $2,512.90–$4,432 | varies |
| Wrist 2 views (73100) | $76.32 | $127.20 | 1.0× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $86.94 | $144.90 | 1.1× |
| X-ray antegrade pyelogram tube (74425) range across 2 matching MRF lines |
$152.55–$266.88 | $254.25–$444.80 | varies |
| X-Ray Aorta Leg Arteries (75630) range across 2 matching MRF lines |
$1,507.74–$1,627.92 | $2,512.90–$2,713.20 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $78.15 | $130.25 | 1.0× |
| X-Ray Exam Breast Specimen (76098) | $260.13 | $433.55 | 0.5× |
| X-Ray Exam Hip Uni 1 View (73501) | $112.17 | $186.95 | 1.4× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $136.86 | $228.10 | 1.7× |
| X-Ray Exam L-S Spine Bending (72114) | $236.34 | $393.90 | 2.5× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $126.24 | $210.40 | 1.6× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $214.32 | $357.20 | 2.2× |
| X-ray humerus (73060) | $108.63 | $181.05 | 1.4× |
| X-ray IV pyelogram (ivp) (74400) | $257.79 | $429.65 | 1.6× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $74.85 | $124.75 | 0.9× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $138 | $230 | 1.4× |
| X-ray nose-rectum child f.b. (76010) | $74.88 | $124.80 | 0.9× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $164.88 | $274.80 | 1.7× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $87.69 | $146.15 | 1.1× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $153.39 | $255.65 | 1.9× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $166.62 | $277.70 | 1.7× |
| X-Ray Tmj Unilat (70328) | $44.07 | $73.45 | 0.5× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 2 matching MRF lines |
$255.15–$293.40 | $425.25–$489 | varies |
| X-Rays Bone Length Studies (77073) | $71.52 | $119.20 | 0.7× |
| X-Rays Bone Survey Complete (77075) | $130.80 | $218 | 1.4× |
| Xr c-spine 4 or 5 views (72050) | $182.04 | $303.40 | 1.9× |
| Xr facial bones less than 3 views (70140) | $94.50 | $157.50 | 1.2× |
| XR Mastoids < 3 Views Bilateral (70120) | $57.39 | $95.65 | 0.6× |
| Xr orbits complete 4 views (70200) | $143.85 | $239.75 | 1.5× |
| Xr Tomogram Single Plane (76100) | $186.72 | $311.20 | 1.9× |
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.