Imaging prices at Karmanos Cancer Center
Detroit, MI · every code in this section with a posted price and a Medicare benchmark.
417 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) range across 2 matching MRF lines |
$460.70–$2,453.50 | $921.40–$4,907 | varies |
| Abdomen 1 View (74018) range across 3 matching MRF lines |
$23.35–$94.05 | $46.70–$188.10 | varies |
| Abdomen 2 views (74019) range across 5 matching MRF lines |
$33.30–$234 | $66.60–$468 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $545.65 | $1,091.30 | 1.4× |
| Angio internal mammary (75756) | $1,715.70 | $3,431.40 | 0.5× |
| Angio pulmonary bilat (75743) | $1,715.70 | $3,431.40 | 0.5× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $1,715.70 | $3,431.40 | 0.5× |
| Angiography extremity bilateral rs&i (75716) | $2,274.80 | $4,549.60 | 0.7× |
| Angiography extremity unilateral rs&i (75710) | $1,938.85 | $3,877.70 | 0.6× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $1,715.70 | $3,431.40 | 0.5× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $1,149.40 | $2,298.80 | 0.4× |
| Ankle 2 views (73600) | $84.75 | $169.50 | 1.0× |
| Aortography thoracic serialography rs&i (75605) | $2,852.15 | $5,704.30 | 0.5× |
| Aortography thoracic w/o serialography rs&i (75600) | $3,926.95 | $7,853.90 | 1.2× |
| Artery X-Rays Abdomen (75726) range across 3 matching MRF lines |
$1,610.40–$5,036 | $3,220.80–$10,072 | varies |
| Artery X-Rays Adrenal Gland (75731) | $1,919.60 | $3,839.20 | 0.6× |
| Artery X-Rays Pelvis (75736) likely a partial charge, not the full procedure |
$1,610.40 | $3,220.80 | 0.3× |
| Artery X-Rays Spine (75705) likely a partial charge, not the full procedure |
$324.80 | $649.60 | 0.1× |
| Arthrogram ankle (73615) | $172.25 | $344.50 | 0.5× |
| Arthrogram hip (73525) | $173.50 | $347 | 0.5× |
| Arthrogram Wrist (73115) | $179.75 | $359.50 | 0.5× |
| Basic radiation dosimetry calculation (77300) range across 3 matching MRF lines |
$91.30–$340.20 | $182.60–$680.40 | varies |
| Bone age studies (77072) | $343.70 | $687.40 | 3.3× |
| Bone Imaging 3 Phase (78315) | $583.60 | $1,167.20 | 1.5× |
| Bone Imaging Limited Area (78300) | $837.75 | $1,675.50 | 2.1× |
| Bone Imaging Multiple Areas (78305) | $488.50 | $977 | 1.2× |
| Bone Imaging Whole Body (78306) range across 3 matching MRF lines |
$617.45–$827.80 | $1,234.90–$1,655.60 | varies |
| Brachytx isodose complex (77318) | $1,337.20 | $2,674.40 | 3.6× |
| Brachytx isodose intermed (77317) | $1,103.70 | $2,207.40 | 3.0× |
| Brachytx Isodose Plan Simple (77316) | $762.95 | $1,525.90 | 2.0× |
| Brain Flow Imaging Only (78610) | $346.10 | $692.20 | 0.6× |
| Brain Image W/Flow < 4 Views (78601) | $365.85 | $731.70 | 0.9× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $582.20 | $1,164.40 | 1.1× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $2,171.35 | $4,342.70 | 1.5× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $2,174.30 | $4,348.60 | 6.3× |
| Cardiac MRI w/w/o contrast w/stress (75563) | $2,394.05 | $4,788.10 | 3.1× |
| Cat Scan Follow-Up Study (76380) | $723.55 | $1,447.10 | 8.3× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $573.15 | $1,146.30 | 1.1× |
| Cerebrospinal Fluid Scan (78630) | $517.30 | $1,034.60 | 1.0× |
| Chest 1 view (71045) range across 4 matching MRF lines |
$23.35–$68.75 | $46.70–$137.50 | varies |
| Chest 2 views (71046) range across 6 matching MRF lines |
$10.69–$157.90 | $21.38–$315.80 | varies |
| Chest 3 views (71047) range across 2 matching MRF lines |
$28.30–$205.10 | $56.60–$410.20 | varies |
| Chest 4 or more views (71048) range across 4 matching MRF lines |
$177.80–$224.10 | $355.60–$448.20 | varies |
| Cineradiograpy/vidradiograpy xcpt where spec (76120) | $118 | $236 | 1.1× |
| Cisternography Positive Contrast Rs&I (70015) | $493.45 | $986.90 | 0.6× |
| Clavicle complete (73000) range across 6 matching MRF lines |
$95.35–$116.25 | $190.70–$232.50 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $318.50 | $637 | 3.1× |
| Continuing medical physics consltj pr wk (77336) | $390.65 | $781.30 | 2.9× |
| Contrast Exam Abdominl Aorta (75625) range across 5 matching MRF lines |
$93.30–$1,715.70 | $186.60–$3,431.40 | varies |
| Contrast X-Ray Bladder (74430) | $279.05 | $558.10 | 0.8× |
| Contrast X-Ray Of Elbow (73085) | $217.80 | $435.60 | 0.6× |
| Contrast X-Ray Of Knee Joint (73580) | $1,040.15 | $2,080.30 | 3.0× |
| Contrast Xray Throat/Cerv Esopha (74210) | $202.45 | $404.90 | 1.2× |
| Corpora cavernosography (74445) | $159.70 | $319.40 | 1.5× |
| CT abdomen and pelvis without and with contrast (74178) range across 4 matching MRF lines |
$602.60–$2,364.35 | $1,205.20–$4,728.70 | varies |
| CT abdomen and pelvis without contrast (74176) | $1,229.55 | $2,459.10 | 5.2× |
| CT abdomen w contrast (74160) range across 4 matching MRF lines |
$166.05–$1,371.65 | $332.10–$2,743.30 | varies |
| CT abdomen w wo contrast (74170) | $2,117.85 | $4,235.70 | 12.1× |
| CT abdomen w/o contrast (74150) range across 4 matching MRF lines |
$188.50–$1,016.15 | $377–$2,032.30 | varies |
| CT Angio Abdomen and Pelvis (74174) | $591.50 | $1,183 | 1.7× |
| CT Angio Chest (71275) | $1,941.75 | $3,883.50 | 11.1× |
| CT Angio Head (70496) | $1,697.35 | $3,394.70 | 9.7× |
| CT angio hrt w/3d image (75574) | $542.90 | $1,085.80 | 1.6× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $1,474.40 | $2,948.80 | 8.4× |
| CT Angio Neck (70498) | $1,452.15 | $2,904.30 | 8.3× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $1,474.40 | $2,948.80 | 8.4× |
| CT cervical spine w/ contrast (72126) | $1,103.45 | $2,206.90 | 3.2× |
| CT cervical spine w/o contrast (72125) | $888.30 | $1,776.60 | 8.5× |
| CT cervical spine w/wo cont (72127) | $1,108.85 | $2,217.70 | 6.3× |
| CT chest w contrast (71260) range across 4 matching MRF lines |
$229.70–$1,371.65 | $459.40–$2,743.30 | varies |
| CT chest w/wo contrast (71270) | $1,842 | $3,684 | 10.5× |
| CT head/brain with contrast (70460) range across 4 matching MRF lines |
$159.55–$1,133.60 | $319.10–$2,267.20 | varies |
| CT head/brain without and with contrast (70470) range across 5 matching MRF lines |
$270.25–$2,364.35 | $540.50–$4,728.70 | varies |
| CT heart contrast eval cardiac structure&morph (75572) | $319.35 | $638.70 | 0.9× |
| CT heart no contrast quant eval coronry calcium (75571) | $73 | $146 | 0.8× |
| CT iac w contrast (70481) | $1,133.60 | $2,267.20 | 6.5× |
| CT l-spine w&w/o contrast (72133) | $1,168.30 | $2,336.60 | 6.7× |
| CT lower ext w/o (73700) | $1,016.15 | $2,032.30 | 9.8× |
| CT lower extremity w/contrast material (73701) range across 4 matching MRF lines |
$160.85–$1,133.60 | $321.70–$2,267.20 | varies |
| CT lumbar spine w contrast (72132) | $1,133.60 | $2,267.20 | 3.3× |
| CT lumbar spine w/o contrast (72131) | $888.30 | $1,776.60 | 8.5× |
| CT maxillofacial w contrast (70487) range across 5 matching MRF lines |
$136.40–$1,267.25 | $272.80–$2,534.50 | varies |
| CT maxillofacial wo contrast (70486) range across 5 matching MRF lines |
$136.40–$1,016.15 | $272.80–$2,032.30 | varies |
| CT neck tissue combo (70492) | $1,556.15 | $3,112.30 | 8.9× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,729.15 | $3,458.30 | 9.9× |
| CT orbits w/o contrast (70480) | $1,133.60 | $2,267.20 | 10.9× |
| CT pelvis w&w/o contrast (72194) | $1,729.15 | $3,458.30 | 9.9× |
| CT pelvis w/o contrast (72192) range across 4 matching MRF lines |
$131.25–$1,229.55 | $262.50–$2,459.10 | varies |
| CT scan of leg combo (73702) | $1,729.15 | $3,458.30 | 9.9× |
| CT scans face/jaw combo (70488) | $1,729.15 | $3,458.30 | 9.9× |
| CT soft tissue neck w contrast (70491) range across 3 matching MRF lines |
$177.55–$1,371.65 | $355.10–$2,743.30 | varies |
| CT soft tissue neck w/o contrast (70490) range across 3 matching MRF lines |
$136.40–$1,229.55 | $272.80–$2,459.10 | varies |
| CT thoracic spine w contrast (72129) | $1,133.60 | $2,267.20 | 6.5× |
| CT thoracic spine w/o contrast (72128) range across 4 matching MRF lines |
$76.95–$888.30 | $153.90–$1,776.60 | varies |
| CT thoracic spine w/wo cont (72130) | $1,729.15 | $3,458.30 | 9.9× |
| CT thorax w/o contrast (71250) range across 5 matching MRF lines |
$151.20–$1,051.20 | $302.40–$2,102.40 | varies |
| CT upper ext wo (73200) | $1,117.80 | $2,235.60 | 10.7× |
| CT upper extremity w/o & w/contrast material (73202) | $1,729.15 | $3,458.30 | 9.9× |
| CT upper extremity with contrast (73201) | $1,246.85 | $2,493.70 | 3.6× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 4 matching MRF lines |
$1,715.70–$2,050.25 | $3,431.40–$4,100.50 | varies |
| Cta Abdomen (74175) | $1,374.75 | $2,749.50 | 7.9× |
| CTA pelvis (72191) | $1,718.30 | $3,436.60 | 9.8× |
| Dacryocystography, nasolacrimal duct, radiological supervision and interpretation Non-Facility (70170) | $320.05 | $640.10 | 1.3× |
| Dilation ureters/urethra rs&i (74485) | $1,227.15 | $2,454.30 | 0.6× |
| Discography Cerv/Thor Spine (72285) | $1,136.25 | $2,272.50 | 0.6× |
| Diskography lumbar (72295) | $1,136.25 | $2,272.50 | 0.6× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $984.65 | $1,969.30 | 9.4× |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$83.60–$334.05 | $167.20–$668.10 | varies |
| Dxa bone density study (77085) | $65.45 | $130.90 | 0.6× |
| Dxa bone density study 1/>sites appendiclr skel (77081) range across 2 matching MRF lines |
$43.35–$186.15 | $86.70–$372.30 | varies |
| Echo exam of fetal heart (76825) | $2,718.40 | $5,436.80 | 5.0× |
| Echo exam uterus (76831) | $179.85 | $359.70 | 0.8× |
| Echo Guide For Artery Repair (76936) | $1,195.75 | $2,391.50 | 5.6× |
| Echograp Trans R Pros Study (76873) | $275.30 | $550.60 | 2.6× |
| Esophagram (74220) | $211.10 | $422.20 | 1.2× |
| Fluoroscopy up to 1 hr (76000) range across 3 matching MRF lines |
$28.95–$158.85 | $57.90–$317.70 | varies |
| Follow-Up Angiography (75898) range across 3 matching MRF lines |
$116.50–$1,208.70 | $233–$2,417.40 | varies |
| Foot 2 views (73620) | $116.25 | $232.50 | 1.3× |
| Forearm 2 views (73090) | $126.85 | $253.70 | 1.5× |
| Gastric emptying imaging study (78264) | $728.15 | $1,456.30 | 1.8× |
| Gastric Emptyng Imag Std W/Sm Bwl Transit (78265) | $266.70 | $533.40 | 0.7× |
| Gastroesophageal Reflux Exam (78262) | $416.70 | $833.40 | 1.0× |
| Gated Heart Planar Single (78472) range across 4 matching MRF lines |
$90.75–$534.25 | $181.50–$1,068.50 | varies |
| Gated Heart, Multiple (78473) | $430.25 | $860.50 | 1.1× |
| GI Endoscopic US S&I (76975) | $1,922.75 | $3,845.50 | 8.1× |
| Hand 2 views (73120) | $119.60 | $239.20 | 1.1× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77772) | $2,729.75 | $5,459.50 | 3.9× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) | $2,729.75 | $5,459.50 | 3.9× |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) | $2,392.30 | $4,784.60 | 3.4× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $1,687.50 | $3,375 | 0.5× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $1,301.40 | $2,602.80 | 0.4× |
| Hepatobil Syst Image W/Drug (78227) range across 4 matching MRF lines |
$335.90–$762.80 | $671.80–$1,525.60 | varies |
| Hepatobiliary System Imaging (78226) range across 3 matching MRF lines |
$271.65–$715.85 | $543.30–$1,431.70 | varies |
| Ht Musc Image Planar Mult (78454) | $796.20 | $1,592.40 | 0.6× |
| Ht Muscle Image Spect Sing (78451) | $500.35 | $1,000.70 | 0.4× |
| Interstitial radiation source applic complex (77778) | $1,396.55 | $2,793.10 | 2.0× |
| Intracavitary Radiation Source Applic Complex (77763) | $483.65 | $967.30 | 0.7× |
| Intracavitary Radiation Source Applic Intermed (77762) | $369.90 | $739.80 | 0.7× |
| Intracavitary radiation source applic simple (77761) | $864.55 | $1,729.10 | 1.6× |
| Joint Survey Single View (77077) | $113 | $226 | 1.1× |
| K Flow/Funct Image Multiple (78709) | $1,970.05 | $3,940.10 | 3.6× |
| K Flow/Funct Image W/Drug (78708) range across 4 matching MRF lines |
$543.80–$1,186.55 | $1,087.60–$2,373.10 | varies |
| K Flow/Funct Image W/O Drug (78707) | $560.20 | $1,120.40 | 1.0× |
| Kidney Imaging Morphol (78700) | $351.95 | $703.90 | 0.9× |
| Knee 3 Views (73562) | $119.60 | $239.20 | 1.4× |
| Leveen/Shunt Patency Exam (78291) | $929.20 | $1,858.40 | 2.3× |
| Liver & Spleen Imaging Static Only (78215) | $747.55 | $1,495.10 | 1.9× |
| Liver imaging w/vascular flow (78202) | $591.70 | $1,183.40 | 1.1× |
| Lung Perf&Ventilat Diferentl (78598) | $216.80 | $433.60 | 0.4× |
| Lung perfusion differential (78597) range across 4 matching MRF lines |
$133.85–$1,198.55 | $267.70–$2,397.10 | varies |
| Lung Ventilat&Perfus Imaging (78582) range across 2 matching MRF lines |
$224.15–$2,573.80 | $448.30–$5,147.60 | varies |
| Lung Ventilation Imaging (78579) range across 2 matching MRF lines |
$125.15–$321.10 | $250.30–$642.20 | varies |
| Lymph System Imaging (78195) | $506.65 | $1,013.30 | 0.9× |
| Lymphangiography Extremity Only Bilateral Rs&I (75803) | $1,208.70 | $2,417.40 | 0.8× |
| Lymphangiography extremity only unilateral rs&i (75801) | $685.20 | $1,370.40 | 1.1× |
| Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) | $2,919.25 | $5,838.50 | 0.9× |
| Lymphangiography, pelvic/abdominal, unilateral (75805) | $4,068.55 | $8,137.10 | 1.3× |
| Magnetic Image Jaw Joint (70336) | $1,566.80 | $3,133.60 | 6.6× |
| Magnetic Resonance Elastography (76391) | $2,050.20 | $4,100.40 | 8.6× |
| Mammary ductogram or galactogram multiple (77054) | $455.35 | $910.70 | 1.9× |
| Mammary ductogram or galactogram single (77053) | $368.85 | $737.70 | 1.6× |
| Meckels Divert Exam (78290) | $576.50 | $1,153 | 1.4× |
| Mlc imrt design & construction per imrt plan (77338) | $599.35 | $1,198.70 | 1.6× |
| Mr safety determination physician/other qhp (76016) | $53.70 | $107.40 | 0.6× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $14.95 | $29.90 | 0.5× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) | $56 | $112 | 0.6× |
| Mr safety implt pos&/immoblj (76019) | $36.25 | $72.50 | 0.6× |
| Mr safety med physics xm customization plng&mntr (76017) | $614 | $1,228 | 2.6× |
| Mra Head W/O & W/Contrast Material (70546) | $4,573.85 | $9,147.70 | 13.2× |
| MRA head w/o contrast (70544) range across 6 matching MRF lines |
$220.70–$1,391.55 | $441.40–$2,783.10 | varies |
| MRA head with contrast (70545) | $1,530.40 | $3,060.80 | 4.4× |
| MRA neck w contrast (70548) | $2,037.90 | $4,075.80 | 5.9× |
| Mra Neck W/O &W/Contrast Material (70549) | $2,829.40 | $5,658.80 | 8.1× |
| MRA neck w/o contrast (70547) | $1,909.10 | $3,818.20 | 8.0× |
| MRI abdomen w contrast (74182) | $1,752.50 | $3,505 | 5.0× |
| MRI abdomen w/o contrast (74181) | $1,752.80 | $3,505.60 | 7.4× |
| MRI any jt lower extrem w/contrast material (73722) | $1,890.80 | $3,781.60 | 2.4× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $2,088.05 | $4,176.10 | 6.0× |
| MRI any jt upper extremity w/contrast matrl (73222) | $1,836.30 | $3,672.60 | 2.3× |
| MRI bone marrow blood supply (77084) | $1,566.80 | $3,133.60 | 6.6× |
| MRI brain functional w/o physician admnistration (70554) | $1,587.70 | $3,175.40 | 6.7× |
| MRI brain functional w/physician admnistration (70555) | $1,587.70 | $3,175.40 | 6.7× |
| MRI Breast W/O Contrast Bilateral (77047) | $2,473.80 | $4,947.60 | 10.4× |
| MRI Breast Without Contrast Material Unilateral (77046) range across 2 matching MRF lines |
$1,566.80–$1,801.80 | $3,133.60–$3,603.60 | varies |
| MRI cardiac w/o contrast (75557) | $1,591.65 | $3,183.30 | 6.7× |
| MRI cervical spine w contrast (72142) | $1,817.35 | $3,634.70 | 5.2× |
| MRI cervical spine w/o cont (72141) | $1,752.80 | $3,505.60 | 7.4× |
| MRI chest w/o contrast (71550) | $1,895.75 | $3,791.50 | 8.0× |
| MRI chest with contrast (71551) | $1,927.70 | $3,855.40 | 2.5× |
| MRI chest wo w contrast (71552) | $2,552 | $5,104 | 7.3× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $1,836.30 | $3,672.60 | 5.3× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $2,965.60 | $5,931.20 | 8.5× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $1,950.30 | $3,900.60 | 8.2× |
| MRI lumbar spine w contrast (72149) | $2,053.65 | $4,107.30 | 5.9× |
| Mri Neck Spine W/O & W/Dye (72156) | $3,110.80 | $6,221.60 | 8.9× |
| MRI orbit face &/neck w/o contrast (70540) | $1,895.75 | $3,791.50 | 8.0× |
| MRI orbit face neck w contrast (70542) | $1,927.70 | $3,855.40 | 5.5× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $2,777.40 | $5,554.80 | 8.0× |
| MRI pelvis w contrast (72196) range across 4 matching MRF lines |
$1,624.95–$1,752.50 | $3,249.90–$3,505 | varies |
| MRI pelvis w/o & w contrast (72197) | $3,294.50 | $6,589 | 9.5× |
| MRI pelvis w/o contrast (72195) | $1,668.90 | $3,337.80 | 7.0× |
| MRI spectroscopy (76390) | $608.50 | $1,217 | 7.0× |
| MRI thoracic spine w/o contrast (72146) range across 3 matching MRF lines |
$1,547.65–$1,593.50 | $3,095.30–$3,187 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) | $2,100.75 | $4,201.50 | 6.0× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $1,895.75 | $3,791.50 | 8.0× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $3,119.20 | $6,238.40 | 9.0× |
| MRI, abdomen, combo (74183) | $3,394.55 | $6,789.10 | 9.8× |
| MRI, dorsal spine combo (72157) range across 4 matching MRF lines |
$211–$3,098.65 | $422–$6,197.30 | varies |
| MRI, dorsal spine contrast (72147) | $1,817.35 | $3,634.70 | 5.2× |
| MRI, joint upper extrem (73221) | $1,507.45 | $3,014.90 | 6.3× |
| MRI, joint upper extrem combo (73223) | $2,088.05 | $4,176.10 | 6.0× |
| MRI, lumbar spine combo (72158) range across 3 matching MRF lines |
$279.60–$3,095.70 | $559.20–$6,191.40 | varies |
| Myelogram cervical (72240) | $326.80 | $653.60 | 0.4× |
| Myelogram Lumbar (72265) | $1,402.35 | $2,804.70 | 1.8× |
| Myelography thoracic (72255) | $1,949.25 | $3,898.50 | 2.5× |
| Myelograpy 2/more regions rs&i (72270) | $1,402.35 | $2,804.70 | 1.8× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) | $889.25 | $1,778.50 | 0.7× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $796.20 | $1,592.40 | 0.6× |
| Myocardial Spect Multiple Studies (78452) | $1,186.20 | $2,372.40 | 0.9× |
| Myocrd Img Pet Metab Eval Single Study Cncrnt CT (78429) | $1,965.65 | $3,931.30 | 1.4× |
| Neck soft tissue (70360) | $76.10 | $152.20 | 0.9× |
| Nm csf leak detection (78650) | $923.60 | $1,847.20 | 0.7× |
| Nm myocard infarct spect (78469) | $2,601.85 | $5,203.70 | 4.8× |
| Nonvascular Shunt X-Ray (75809) | $118.35 | $236.70 | 1.1× |
| Ntsty modul radthx pln dose-vol histos (77301) | $4,841.40 | $9,682.80 | 3.5× |
| Nuclear Rx Intra-Arterial (79445) | $280.90 | $561.80 | 1.2× |
| Nuclear Rx Oral Admin (79005) | $315.40 | $630.80 | 1.4× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) | $408.90 | $817.80 | 3.9× |
| Ophthalmic us dx quantitative a-scan only (76511) | $222.30 | $444.60 | 2.1× |
| Panoramic X-ray of jaws (70355) range across 2 matching MRF lines |
$76.10–$87 | $152.20–$174 | varies |
| Parathyroid imaging w/tomographic spect & CT (78072) range across 2 matching MRF lines |
$647.10–$698.65 | $1,294.20–$1,397.30 | varies |
| Parathyroid Planar Imaging (78070) range across 4 matching MRF lines |
$530.05–$545.05 | $1,060.10–$1,090.10 | varies |
| Parathyroid planar imaging w/wo subtraction (78071) | $506.65 | $1,013.30 | 1.3× |
| Pelvis 1 or 2 views (72170) | $127.30 | $254.60 | 1.2× |
| Peritoneogram Rs&I (74190) | $549.80 | $1,099.60 | 1.0× |
| Pet Image Skull-Thigh (78812) | $160.85 | $321.70 | 0.1× |
| Pet Image W/Ct Lmtd (78814) | $2,092.80 | $4,185.60 | 1.5× |
| PET image w/CT, full body (78816) | $1,575 | $3,150 | 1.1× |
| PET imaging CT attenuation skull base mid-thigh (78815) range across 3 matching MRF lines |
$176.95–$2,633.60 | $353.90–$5,267.20 | varies |
| PET whole body (78813) | $994.90 | $1,989.80 | 0.7× |
| Proton trmt simple w/comp (77522) | $881.90 | $1,763.80 | 0.7× |
| Proton tx delivery complex (77525) | $881.90 | $1,763.80 | 0.7× |
| Proton tx delivery intermediate (77523) | $881.90 | $1,763.80 | 0.7× |
| Proton tx delivery simple w/o compensation (77520) | $369.90 | $739.80 | 0.7× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $1,715.70 | $3,431.40 | 0.5× |
| Pulmonary Perfusion Imaging Particulate (78580) | $343.55 | $687.10 | 0.9× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 4 matching MRF lines |
$37.55–$245.85 | $75.10–$491.70 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 3 matching MRF lines |
$96.55–$320.50 | $193.10–$641 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$30.25–$96.55 | $60.50–$193.10 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$94.85–$108.40 | $189.70–$216.80 | varies |
| Radex elbow complete minimum 3 views (73080) | $93.55 | $187.10 | 1.1× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $231.65 | $463.30 | 2.2× |
| Radex fingr minimum 2 views (73140) | $96.10 | $192.20 | 1.1× |
| Radex foot complete minimum 3 views (73630) range across 4 matching MRF lines |
$31.50–$124.05 | $63–$248.10 | varies |
| Radex Hand Minimum 3 Views (73130) | $189.35 | $378.70 | 2.2× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $149.45 | $298.90 | 1.4× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $118.30 | $236.60 | 1.4× |
| Radex Pharynx/Larx W/Fluor&/Magnification Tq (70370) | $55.80 | $111.60 | 0.6× |
| Radex Ribs Unilateral 2 Views (71100) | $155.60 | $311.20 | 1.8× |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$34.05–$155.60 | $68.10–$311.20 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $153.60 | $307.20 | 1.8× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $658.55 | $1,317.10 | 3.8× |
| Radex Spine 1 View Specify Level (72020) | $109.70 | $219.40 | 1.3× |
| Radex Sternum Minimum 2 Views (71120) | $90.25 | $180.50 | 1.0× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $102.20 | $204.40 | 1.2× |
| Radex Toe Minimum 2 Views (73660) | $88.90 | $177.80 | 1.0× |
| Radex Wrist Complete Minimum 3 Views (73110) | $92.40 | $184.80 | 1.1× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $227.80 | $455.60 | 2.2× |
| Radiation Delivery Stereotactic Cranial Linear (77372) unusually low: confirm this is the full procedure |
$3,009.50 | $6,019 | 0.4× |
| Radiation treatment delivery level 1 (77402) | $410.40 | $820.80 | 4.0× |
| Radiation treatment delivery level 2 (77407) | $705.20 | $1,410.40 | 1.8× |
| Radiation treatment delivery level 3 (77412) | $1,202.90 | $2,405.80 | 2.2× |
| Radiolog exam mandible compl minimum 4 views (70110) | $240.95 | $481.90 | 2.3× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 3 matching MRF lines |
$246.75–$326.70 | $493.50–$653.40 | varies |
| Radiologic exam colon double contrast study (74280) | $401 | $802 | 2.3× |
| Radiologic exam colon single contrast study (74270) | $371.45 | $742.90 | 2.1× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $166.35 | $332.70 | 1.0× |
| Radiologic exam knee complete 4/more views (73564) | $134.05 | $268.10 | 1.3× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $138.35 | $276.70 | 1.3× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $205.70 | $411.40 | 1.2× |
| Radiologic exam swallow function contrast study (74230) range across 2 matching MRF lines |
$167.08–$363.55 | $334.16–$727.10 | varies |
| Radiologic exam teeth complete full mouth (70320) | $40.45 | $80.90 | 0.2× |
| Radiologic exam upr gi trc double contrast study (74246) | $858.90 | $1,717.80 | 4.9× |
| Radiologic examination femur 1 view (73551) | $70.10 | $140.20 | 0.8× |
| Radiologic examination femur minimum 2 views (73552) | $105.60 | $211.20 | 1.2× |
| Radiologic examination knee 1/2 views (73560) | $105.95 | $211.90 | 1.2× |
| Radiologic Examination Osseous Survey Limited (77074) range across 3 matching MRF lines |
$384.80–$398.50 | $769.60–$797 | varies |
| Radiologic examination tibia & fibula 2 views (73590) | $91.30 | $182.60 | 1.1× |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77768) | $235.15 | $470.30 | 0.6× |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77767) | $235.15 | $470.30 | 0.6× |
| Renal Cyst Study (74470) | $549.80 | $1,099.60 | 1.0× |
| Ribs bilateral 3 views (71110) | $242.15 | $484.30 | 2.3× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $432.40 | $864.80 | 1.1× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $2,012.55 | $4,025.10 | 5.1× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $1,009.35 | $2,018.70 | 1.9× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $758.80 | $1,517.60 | 1.4× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $706.70 | $1,413.40 | 1.3× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $1,159.20 | $2,318.40 | 0.9× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $1,566.05 | $3,132.10 | 1.1× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $812.85 | $1,625.70 | 0.6× |
| Rp Ther Radiolbld Monoclonal Antibody IV Infus (79403) | $1,261.65 | $2,523.30 | 5.4× |
| Rp Therapy Intravenous Administration (79101) | $230.60 | $461.20 | 1.0× |
| Salivary Gland Imaging (78230) | $550.75 | $1,101.50 | 1.4× |
| Salivary Gland Imaging Serial Images (78231) | $599.90 | $1,199.80 | 1.5× |
| Scapula (73010) | $152.95 | $305.90 | 1.5× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $47.45 | $94.90 | 2.0× |
| Shoulder 1 view (73020) | $91.25 | $182.50 | 1.1× |
| Shoulder Arthrography (73040) | $165.85 | $331.70 | 0.5× |
| Sialogram (70390) | $164.20 | $328.40 | 0.7× |
| Skull less than 4 views (70250) | $137.80 | $275.60 | 1.3× |
| Special dosimetry (77331) range across 2 matching MRF lines |
$117.50–$705.70 | $235–$1,411.40 | varies |
| Special Physics Consult (77370) | $472.60 | $945.20 | 3.5× |
| Special teletherapy port plan (77321) range across 2 matching MRF lines |
$399.90–$1,150.05 | $799.80–$2,300.10 | varies |
| Special treatment procedure (77470) range across 3 matching MRF lines |
$385.05–$2,291.30 | $770.10–$4,582.60 | varies |
| Spleen Imaging (78185) | $297.55 | $595.10 | 0.7× |
| Srs Multisource (77371) | $19,210.95 | $38,421.90 | 2.6× |
| Stereotactic Body Radiation Delivery (77373) | $2,156.85 | $4,313.70 | 1.2× |
| Sternoclavicular joints (71130) range across 3 matching MRF lines |
$90.25–$100.35 | $180.50–$200.70 | varies |
| Superior sagittal sinus venogram (75870) | $1,715.70 | $3,431.40 | 0.5× |
| Surface Applic Low Dose Rate Radionuclide Source (77789) | $190.55 | $381.10 | 1.9× |
| Telethx isodose pln cplx w/basic dosimetry (77307) range across 2 matching MRF lines |
$158.30–$1,295.75 | $316.60–$2,591.50 | varies |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $1,096.15 | $2,192.30 | 2.9× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) range across 5 matching MRF lines |
$281–$1,298.10 | $562–$2,596.20 | varies |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $669.25 | $1,338.50 | 1.8× |
| Ther rad simulaj-aided field setting simple (77280) range across 3 matching MRF lines |
$131.25–$398.12 | $262.50–$796.24 | varies |
| Thoracic spine 2 views (72070) | $110.80 | $221.60 | 1.1× |
| Thoracic spine 3 views (72072) | $153.35 | $306.70 | 1.5× |
| Thoracolumbar 2 views (72080) | $155.60 | $311.20 | 1.8× |
| Thyroid carcinoma metastases imaging; with additional studies (eg, urinary recovery) Non-Facility (78016) | $421.25 | $842.50 | 1.1× |
| Thyroid Carcinoma Metastases Img Lmtd Area (78015) | $325.20 | $650.40 | 0.8× |
| Thyroid Imaging With Vascular Flow (78013) range across 3 matching MRF lines |
$335.85–$336.10 | $671.70–$672.20 | varies |
| Thyroid Met Imaging Body (78018) | $555.15 | $1,110.30 | 1.0× |
| Thyroid Uptake Measurement (78012) | $121.95 | $243.90 | 0.3× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $441.85 | $883.70 | 1.1× |
| Tx Devices Design & Construction Complex (77334) range across 3 matching MRF lines |
$155.70–$702.70 | $311.40–$1,405.40 | varies |
| Tx devices design & construction intermediate (77333) range across 3 matching MRF lines |
$84.90–$420.05 | $169.80–$840.10 | varies |
| Tx devices design & construction simple (77332) range across 3 matching MRF lines |
$55.35–$318.50 | $110.70–$637 | varies |
| Ultrasound Breast Limited (76642) | $299 | $598 | 3.4× |
| Ultrasound elastography first target lesion (76982) | $167.15 | $334.30 | 1.6× |
| Ultrasound Elastography Parenchyma (76981) | $185.85 | $371.70 | 1.8× |
| Ultrasound Exam Aaa Screen (76706) | $491.30 | $982.60 | 4.7× |
| Ultrasound trgt dynamic microbubble 1st lesion (76978) | $378.55 | $757.10 | 1.1× |
| Ultrasound, abdomen limited (76705) range across 8 matching MRF lines |
$79.25–$435.50 | $158.50–$871 | varies |
| Unlisted Dx Radiographic Procedure (76499) | $38.45 | $76.90 | 0.4× |
| Unlisted magnetic resonance procedure (76498) | $55.10 | $110.20 | 0.6× |
| Upper gi w/o kub (74240) | $299 | $598 | 1.7× |
| Urethrocystogram voiding (74455) | $188.20 | $376.40 | 0.8× |
| Urethrocystography retrograde (74450) | $158.85 | $317.70 | 0.7× |
| Us breast unilateral complete (76641) | $318 | $636 | 3.1× |
| Us chest (76604) range across 5 matching MRF lines |
$69.45–$370.15 | $138.90–$740.30 | varies |
| Us complete joint (76881) range across 6 matching MRF lines |
$90.75–$385.35 | $181.50–$770.70 | varies |
| Us exam, pelvic, limited (76857) | $273.85 | $547.70 | 2.6× |
| Us head (76506) | $536.25 | $1,072.50 | 5.1× |
| Us kidney transplant (76776) | $234.80 | $469.60 | 2.3× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 6 matching MRF lines |
$68.05–$149.45 | $136.10–$298.90 | varies |
| Us pelvic non ob complete (76856) | $797.60 | $1,595.20 | 7.7× |
| Us retroperitoneal complete (76770) range across 7 matching MRF lines |
$82.10–$822.50 | $164.20–$1,645 | varies |
| Us retroperitoneal limited (76775) | $311.45 | $622.90 | 3.0× |
| Us scrotum and contents (76870) | $700.20 | $1,400.40 | 6.7× |
| Us spinal canal and contents (76800) | $212.90 | $425.80 | 2.0× |
| Us thyroid (76536) | $400.75 | $801.50 | 3.8× |
| Us transrectal (76872) | $626.85 | $1,253.70 | 6.0× |
| Vasogram (74440) | $168.15 | $336.30 | 0.7× |
| Vein X-Ray Chest (75827) range across 2 matching MRF lines |
$497.25–$803.70 | $994.50–$1,607.40 | varies |
| Vein X-Ray Liver W/O Hemodyn (75887) | $527.35 | $1,054.70 | 0.2× |
| Vein X-Ray Skull Epidural (75872) | $497.25 | $994.50 | 0.8× |
| Venogram Sinus/Jugular (75860) | $1,715.70 | $3,431.40 | 0.5× |
| Venography Adrenal Unilateral (75840) | $1,715.70 | $3,431.40 | 0.5× |
| Venography caval inferior serialography rs&i (75825) range across 3 matching MRF lines |
$497.25–$1,687.50 | $994.50–$3,375 | varies |
| Venography extremity bilateral rs&i (75822) | $738.80 | $1,477.60 | 0.5× |
| Venography extremity unilateral rs&i (75820) range across 10 matching MRF lines |
$63.70–$630.85 | $127.40–$1,261.70 | varies |
| Venography Orbital Rs&I (75880) | $561.90 | $1,123.80 | 0.9× |
| Venography Renal Bilateral (75833) | $1,715.70 | $3,431.40 | 0.5× |
| Venography Renal Unilateral (75831) | $1,715.70 | $3,431.40 | 0.5× |
| Venous sampling by catheter (75893) | $2,852.15 | $5,704.30 | 0.5× |
| Venous Thrombosis Imaging Venogram Bilateral (78458) | $461.85 | $923.70 | 1.2× |
| Vertebral fracture assessment via dxa (77086) | $48.30 | $96.60 | 0.6× |
| Wrist 2 views (73100) | $87.85 | $175.70 | 1.0× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $102.20 | $204.40 | 1.2× |
| X-ray antegrade pyelogram tube (74425) | $426.40 | $852.80 | 1.2× |
| X-Ray Aorta Leg Arteries (75630) | $1,715.70 | $3,431.40 | 0.5× |
| X-Ray Bend Only L-S Spine (72120) | $166.80 | $333.60 | 1.6× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $88.80 | $177.60 | 1.0× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $118.90 | $237.80 | 1.4× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $148.60 | $297.20 | 1.4× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $215.40 | $430.80 | 2.1× |
| X-Ray Exam Hip Uni 1 View (73501) | $52.65 | $105.30 | 0.6× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $110.80 | $221.60 | 1.3× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $132.60 | $265.20 | 1.3× |
| X-Ray Exam Hips Bi 2 Views (73521) | $171.70 | $343.40 | 1.6× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $200.35 | $400.70 | 1.9× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $263.45 | $526.90 | 2.5× |
| X-Ray Exam L-S Spine Bending (72114) | $319.35 | $638.70 | 3.1× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 4 matching MRF lines |
$18–$162.55 | $36–$325.10 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $169.90 | $339.80 | 1.6× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $197.70 | $395.40 | 1.9× |
| X-ray eye for foreign body (70030) | $42.05 | $84.10 | 0.5× |
| X-ray humerus (73060) range across 3 matching MRF lines |
$28.95–$129.20 | $57.90–$258.40 | varies |
| X-ray IV pyelogram (ivp) (74400) | $247.25 | $494.50 | 1.4× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $151.50 | $303 | 1.7× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $109.40 | $218.80 | 1.3× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 6 matching MRF lines |
$20.60–$157.45 | $41.20–$314.90 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $277.70 | $555.40 | 2.7× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $143.45 | $286.90 | 1.4× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $143.45 | $286.90 | 1.4× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $125.45 | $250.90 | 1.4× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $163.90 | $327.80 | 1.9× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $176.10 | $352.20 | 1.7× |
| X-ray thoracic spine 4 vw (72074) | $237.40 | $474.80 | 2.3× |
| X-Ray Tmj Unilat (70328) | $90.85 | $181.70 | 1.0× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $295.75 | $591.50 | 0.9× |
| X-Rays Bone Length Studies (77073) | $66.95 | $133.90 | 0.6× |
| X-Rays Bone Survey Complete (77075) range across 4 matching MRF lines |
$72.75–$538.60 | $145.50–$1,077.20 | varies |
| Xr c-spine 4 or 5 views (72050) | $169.90 | $339.80 | 1.6× |
| Xr facial bones less than 3 views (70140) | $134.20 | $268.40 | 1.5× |
| Xr myelogram posterior fossa (70010) | $330.35 | $660.70 | 0.9× |
| Xr orbits complete 4 views (70200) | $227.55 | $455.10 | 2.2× |
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.