Imaging prices at Kingman Regional Medical Center
Kingman, AZ · every code in this section with a posted price and a Medicare benchmark.
348 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 |
$317.80–$3,535.35 | $908–$10,101 | varies |
| Abdomen 1 View (74018) range across 5 matching MRF lines |
$21.70–$339.85 | $62–$971 | varies |
| Abdomen 2 views (74019) range across 5 matching MRF lines |
$26.25–$386.75 | $75–$1,105 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) range across 2 matching MRF lines |
$110.95–$1,573.25 | $317–$4,495 | varies |
| Angio internal mammary (75756) range across 2 matching MRF lines |
$3,010.35 | $224–$8,601 | 0.9× |
| Angio pulmonary bilat (75743) range across 2 matching MRF lines |
$3,052 | $289–$8,720 | 0.9× |
| Angiography extremity bilateral rs&i (75716) range across 4 matching MRF lines |
$177.80–$4,402.65 | $231–$12,579 | varies |
| Angiography extremity unilateral rs&i (75710) range across 4 matching MRF lines |
$170.45–$3,892.70 | $197–$11,122 | varies |
| Angiography pulmonary unilateral slctv rs&i (75741) range across 2 matching MRF lines |
$2,262.75 | $230–$6,465 | 0.7× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) range across 2 matching MRF lines |
$2,787.40 | $201–$7,964 | 0.8× |
| Ankle 2 views (73600) range across 8 matching MRF lines |
$9.10–$547.75 | $26–$1,565 | varies |
| Aortography thoracic serialography rs&i (75605) | $4,659.90 | $13,314 | 0.8× |
| Artery X-Rays Abdomen (75726) | $4,477.55 | $12,793 | 0.8× |
| Artery X-Rays Pelvis (75736) | $3,871.35 | $11,061 | 0.7× |
| Artery X-Rays Spine (75705) range across 2 matching MRF lines |
$5,806.85 | $373–$16,591 | 1.0× |
| Arthrogram ankle (73615) range across 3 matching MRF lines |
$55.65–$603.05 | $159–$1,723 | varies |
| Arthrogram hip (73525) range across 2 matching MRF lines |
$118.30–$860.30 | $338–$2,458 | varies |
| Arthrogram Wrist (73115) range across 3 matching MRF lines |
$109.90–$1,046.15 | $314–$2,989 | varies |
| Basic radiation dosimetry calculation (77300) range across 2 matching MRF lines |
$40.60–$387.45 | $116–$1,107 | varies |
| Bone age studies (77072) range across 3 matching MRF lines |
$43.40–$365.40 | $124–$1,044 | varies |
| Bone Imaging 3 Phase (78315) range across 2 matching MRF lines |
$146.30–$2,177 | $418–$6,220 | varies |
| Bone Imaging Limited Area (78300) range across 2 matching MRF lines |
$85.75–$1,236.90 | $245–$3,534 | varies |
| Bone Imaging Whole Body (78306) range across 2 matching MRF lines |
$127.75–$2,239.30 | $365–$6,398 | varies |
| Bone marrow imaging limited area (78102) range across 2 matching MRF lines |
$66.50–$565.95 | $190–$1,617 | varies |
| Bone marrow imaging; multiple areas (78103) range across 2 matching MRF lines |
$59.15–$451.50 | $169–$1,290 | varies |
| Bone survey infant (77076) range across 2 matching MRF lines |
$196–$597.45 | $560–$1,707 | varies |
| Brain Flow Imaging Only (78610) range across 2 matching MRF lines |
$34.30–$666.40 | $98–$1,904 | varies |
| Brain Image W/Flow < 4 Views (78601) range across 2 matching MRF lines |
$71.40–$1,014.65 | $204–$2,899 | varies |
| Brain Imaging Pet Metabolic Evaluation (78608) | $107.45 | $307 | 0.1× |
| Cardiac MRI w/w/o contrast & further seq (75561) range across 3 matching MRF lines |
$124.95–$300.30 | $357–$858 | varies |
| Cerebrospinal Fluid Scan (78630) range across 2 matching MRF lines |
$84.35–$1,722.70 | $241–$4,922 | varies |
| Chest 1 view (71045) range across 5 matching MRF lines |
$15.75–$310.10 | $45–$886 | varies |
| Chest 2 views (71046) range across 5 matching MRF lines |
$24.15–$389.20 | $69–$1,112 | varies |
| Chest 3 views (71047) range across 2 matching MRF lines |
$54.95–$414.40 | $157–$1,184 | varies |
| Chest 4 or more views (71048) range across 2 matching MRF lines |
$78.75–$438.20 | $225–$1,252 | varies |
| Cisternography Positive Contrast Rs&I (70015) range across 2 matching MRF lines |
$72.80–$1,150.45 | $208–$3,287 | varies |
| Clavicle complete (73000) range across 8 matching MRF lines |
$9.10–$521.15 | $26–$1,489 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 2 matching MRF lines |
$58.10–$130.55 | $166–$373 | varies |
| Continuing medical physics consltj pr wk (77336) | $443.10 | $1,266 | 3.1× |
| Contrast Exam Abdominl Aorta (75625) range across 4 matching MRF lines |
$4,382.35 | $193–$12,521 | 1.3× |
| Contrast X-Ray Bladder (74430) range across 2 matching MRF lines |
$85.40–$504.70 | $244–$1,442 | varies |
| Contrast X-Ray Of Elbow (73085) range across 4 matching MRF lines |
$52.50–$817.25 | $150–$2,335 | varies |
| Contrast X-Ray Of Knee Joint (73580) range across 2 matching MRF lines |
$86.10–$801.50 | $246–$2,290 | varies |
| Corpora cavernosography (74445) | $717.85 | $2,051 | 6.4× |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$138.60–$5,015.15 | $396–$14,329 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$105–$3,798.90 | $300–$10,854 | varies |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$161–$2,685.90 | $460–$7,674 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$149.80–$3,009.65 | $428–$8,599 | varies |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$84.35–$1,559.60 | $241–$4,456 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$123.55–$3,995.95 | $353–$11,417 | varies |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$179.20–$2,236.15 | $512–$6,389 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$172.20–$2,626.75 | $492–$7,505 | varies |
| CT angio hrt w/3d image (75574) range across 2 matching MRF lines |
$136.15–$1,704.50 | $389–$4,870 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
$199.85–$2,410.80 | $571–$6,888 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$173.25–$2,817.15 | $495–$8,049 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 2 matching MRF lines |
$138.25–$2,046.80 | $395–$5,848 | varies |
| CT cervical spine w/ contrast (72126) range across 2 matching MRF lines |
$150.85–$2,762.90 | $431–$7,894 | varies |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$145.95–$2,657.55 | $417–$7,593 | varies |
| CT cervical spine w/wo cont (72127) range across 2 matching MRF lines |
$134.40–$2,900.45 | $384–$8,287 | varies |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$125.30–$2,491.65 | $358–$7,119 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$131.25–$2,669.80 | $375–$7,628 | varies |
| CT colonogrphy dx image postprocess w/o contrast (74261) range across 2 matching MRF lines |
$136.85–$550.90 | $391–$1,574 | varies |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$126.35–$2,398.90 | $361–$6,854 | varies |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$125.30–$2,538.55 | $358–$7,253 | varies |
| CT heart contrast eval cardiac structure&morph (75572) | $479.85 | $1,371 | 1.3× |
| CT heart no contrast quant eval coronry calcium (75571) range across 2 matching MRF lines |
$106.75–$133.35 | $305–$381 | varies |
| CT hrt w/3d image congen (75573) range across 2 matching MRF lines |
$142.80–$563.50 | $408–$1,610 | varies |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$148.40–$2,150.75 | $424–$6,145 | varies |
| CT l-spine w&w/o contrast (72133) range across 2 matching MRF lines |
$134.40–$2,950.50 | $384–$8,430 | varies |
| CT lower ext w/o (73700) range across 4 matching MRF lines |
$145.60–$3,290.35 | $416–$9,401 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$145.95–$2,286.20 | $417–$6,532 | varies |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$158.55–$2,772.35 | $453–$7,921 | varies |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$175.35–$2,681.35 | $501–$7,661 | varies |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$103.95–$1,956.50 | $297–$5,590 | varies |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$67.20–$1,380.05 | $192–$3,943 | varies |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$133.35–$2,518.25 | $381–$7,195 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 2 matching MRF lines |
$135.80–$2,236.85 | $388–$6,391 | varies |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$154–$2,021.25 | $440–$5,775 | varies |
| CT pelvis w&w/o contrast (72194) range across 2 matching MRF lines |
$127.75–$2,950.50 | $365–$8,430 | varies |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$125.30–$2,437.75 | $358–$6,965 | varies |
| CT scan of leg combo (73702) range across 4 matching MRF lines |
$154–$3,805.55 | $440–$10,873 | varies |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
$138.60–$2,045.05 | $396–$5,843 | varies |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$138.60–$2,383.15 | $396–$6,809 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$135.80–$2,243.50 | $388–$6,410 | varies |
| CT thoracic spine w contrast (72129) range across 2 matching MRF lines |
$150.85–$2,762.90 | $431–$7,894 | varies |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$171.15–$2,681.35 | $489–$7,661 | varies |
| CT thoracic spine w/wo cont (72130) range across 2 matching MRF lines |
$134.40–$2,900.45 | $384–$8,287 | varies |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$98–$2,230.90 | $280–$6,374 | varies |
| CT unlisted procedure (76497) range across 2 matching MRF lines |
$98–$135.80 | $280–$388 | varies |
| CT upper ext wo (73200) range across 4 matching MRF lines |
$145.60–$3,165.05 | $416–$9,043 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 4 matching MRF lines |
$138.25–$3,846.15 | $395–$10,989 | varies |
| CT upper extremity with contrast (73201) range across 4 matching MRF lines |
$145.95–$3,629.85 | $417–$10,371 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$183.40–$2,484.65 | $524–$7,099 | varies |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$141.75–$2,181.90 | $405–$6,234 | varies |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) range across 2 matching MRF lines |
$122.50–$390.95 | $350–$1,117 | varies |
| CTA pelvis (72191) range across 2 matching MRF lines |
$171.50–$1,953.35 | $490–$5,581 | varies |
| Dilation ureters/urethra rs&i (74485) | $103.60 | $296 | 0.0× |
| Doppler Fetal Mid Cerebral Artery (76821) range across 2 matching MRF lines |
$41.65–$120.05 | $119–$343 | varies |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$20.65–$364.70 | $59–$1,042 | varies |
| Dxa bone density study (77085) range across 2 matching MRF lines |
$12.60–$186.20 | $36–$532 | varies |
| Echo Guide For Artery Repair (76936) range across 3 matching MRF lines |
$105–$308 | $300–$880 | varies |
| Esophagram (74220) range across 2 matching MRF lines |
$148.75–$832.65 | $425–$2,379 | varies |
| Fetal Biophys Profile W/Nst (76818) range across 4 matching MRF lines |
$58.45–$642.60 | $167–$1,836 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 4 matching MRF lines |
$42.35–$255.50 | $121–$730 | varies |
| Fetal MRI w/placntl matrnl plvc img sing/1st ges (74712) range across 2 matching MRF lines |
$188.30–$285.25 | $538–$815 | varies |
| Fluoroscopy up to 1 hr (76000) range across 3 matching MRF lines |
$13.30–$597.45 | $27–$1,707 | varies |
| Foot 2 views (73620) range across 5 matching MRF lines |
$8.40–$323.05 | $24–$923 | varies |
| Forearm 2 views (73090) range across 8 matching MRF lines |
$9.10–$557.55 | $26–$1,593 | varies |
| Gastric emptying imaging study (78264) range across 2 matching MRF lines |
$65.10–$1,807.40 | $186–$5,164 | varies |
| Gastric Emptyng Imag Std W/Sm Bwl Transit (78265) range across 2 matching MRF lines |
$60.55–$929.95 | $173–$2,657 | varies |
| Gated Heart Planar Single (78472) range across 2 matching MRF lines |
$75.60–$1,850.10 | $216–$5,286 | varies |
| Gstrc Emptng Imag Std W/Sm Bwl Col Trnst Mlt Day (78266) range across 2 matching MRF lines |
$66.85–$922.95 | $191–$2,637 | varies |
| Hand 2 views (73120) range across 5 matching MRF lines |
$9.10–$314.30 | $26–$898 | varies |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) range across 2 matching MRF lines |
$3,733.80 | $196–$10,668 | 1.1× |
| Hepatobil Syst Image W/Drug (78227) range across 2 matching MRF lines |
$94.50–$1,593.20 | $270–$4,552 | varies |
| Hepatobiliary System Imaging (78226) range across 2 matching MRF lines |
$94.50–$1,653.75 | $270–$4,725 | varies |
| Ht Musc Image Planar Mult (78454) range across 4 matching MRF lines |
$365.75–$1,414.70 | $1,045–$4,042 | varies |
| Ht Muscle Image Spect Sing (78451) | $2,120.65 | $6,059 | 1.5× |
| Hysterosalpingogram (74740) range across 2 matching MRF lines |
$99.75–$795.55 | $285–$2,273 | varies |
| Image fusion (77399) | $124.60 | $356 | 0.9× |
| Infant hip ultrasound with hip movement (dynamic) (76885) range across 2 matching MRF lines |
$45.85–$219.10 | $131–$626 | varies |
| K Flow/Funct Image W/Drug (78708) range across 2 matching MRF lines |
$107.10–$1,587.25 | $306–$4,535 | varies |
| Kidney Funcj Study Non-Img Radioisotopic Study (78725) range across 2 matching MRF lines |
$54.95–$533.05 | $157–$1,523 | varies |
| Knee 3 Views (73562) range across 5 matching MRF lines |
$10.15–$447.65 | $29–$1,279 | varies |
| Liver & Spleen Imaging Static Only (78215) range across 2 matching MRF lines |
$84.35–$1,316 | $241–$3,760 | varies |
| Lung Perf&Ventilat Diferentl (78598) range across 2 matching MRF lines |
$34.30–$592.20 | $98–$1,692 | varies |
| Lung perfusion differential (78597) range across 2 matching MRF lines |
$30.10–$502.60 | $86–$1,436 | varies |
| Lung Ventilat&Perfus Imaging (78582) range across 2 matching MRF lines |
$178.15–$2,148.30 | $509–$6,138 | varies |
| Lymph System Imaging (78195) range across 2 matching MRF lines |
$95.20–$1,607.90 | $272–$4,594 | varies |
| Lymphangiography extremity only unilateral rs&i (75801) range across 3 matching MRF lines |
$54.95–$555.80 | $157–$1,588 | varies |
| Magnetic Image Jaw Joint (70336) range across 2 matching MRF lines |
$111.30–$2,063.95 | $318–$5,897 | varies |
| Magnetic Resonance Elastography (76391) range across 2 matching MRF lines |
$63.70–$288.40 | $182–$824 | varies |
| Meckels Divert Exam (78290) range across 2 matching MRF lines |
$80.85–$756 | $231–$2,160 | varies |
| Mlc imrt design & construction per imrt plan (77338) range across 2 matching MRF lines |
$276.15–$864.85 | $789–$2,471 | varies |
| Mra Head W/O & W/Contrast Material (70546) range across 2 matching MRF lines |
$104.65–$3,004.05 | $299–$8,583 | varies |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$98–$2,540.30 | $280–$7,258 | varies |
| MRA head with contrast (70545) range across 2 matching MRF lines |
$105–$2,772 | $300–$7,920 | varies |
| MRA neck w contrast (70548) range across 2 matching MRF lines |
$101.50–$2,359.70 | $290–$6,742 | varies |
| Mra Neck W/O &W/Contrast Material (70549) range across 2 matching MRF lines |
$103.25–$2,638.65 | $295–$7,539 | varies |
| MRA neck w/o contrast (70547) range across 2 matching MRF lines |
$98–$2,116.80 | $280–$6,048 | varies |
| MRI abdomen w contrast (74182) range across 2 matching MRF lines |
$122.50–$2,648.45 | $350–$7,567 | varies |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$112.70–$2,339.75 | $322–$6,685 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 2 matching MRF lines |
$122.85–$2,341.15 | $351–$6,689 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 4 matching MRF lines |
$77–$4,255.30 | $220–$12,158 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 2 matching MRF lines |
$103.95–$2,192.75 | $297–$6,265 | varies |
| MRI Breast W/O Contrast Bilateral (77047) range across 2 matching MRF lines |
$92.40–$1,508.15 | $264–$4,309 | varies |
| MRI Breast Without Contrast Material Unilateral (77046) range across 2 matching MRF lines |
$84–$191.80 | $240–$548 | varies |
| MRI cervical spine w contrast (72142) range across 2 matching MRF lines |
$121.80–$3,165.75 | $348–$9,045 | varies |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$150.50–$2,939.65 | $430–$8,399 | varies |
| MRI chest w/o contrast (71550) range across 2 matching MRF lines |
$93.45–$1,206.80 | $267–$3,448 | varies |
| MRI chest with contrast (71551) range across 2 matching MRF lines |
$100.45–$1,550.50 | $287–$4,430 | varies |
| MRI chest wo w contrast (71552) range across 2 matching MRF lines |
$93.45–$2,185.05 | $267–$6,243 | varies |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 2 matching MRF lines |
$113.40–$1,956.50 | $324–$5,590 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 4 matching MRF lines |
$67.55–$3,279.50 | $193–$9,370 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 4 matching MRF lines |
$114.10–$2,698.15 | $326–$7,709 | varies |
| MRI lumbar spine w contrast (72149) range across 2 matching MRF lines |
$112–$3,165.75 | $320–$9,045 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$131.60–$3,513.30 | $376–$10,038 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 2 matching MRF lines |
$108.50–$1,717.80 | $310–$4,908 | varies |
| MRI orbit face neck w contrast (70542) range across 2 matching MRF lines |
$68.95–$2,254.70 | $197–$6,442 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 2 matching MRF lines |
$74.90–$3,078.95 | $214–$8,797 | varies |
| MRI pelvis w contrast (72196) range across 2 matching MRF lines |
$138.60–$2,619.05 | $396–$7,483 | varies |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$104.65–$3,358.60 | $299–$9,596 | varies |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$119.70–$2,066.75 | $342–$5,905 | varies |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$133.35–$2,939.65 | $381–$8,399 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 2 matching MRF lines |
$113.40–$2,084.25 | $324–$5,955 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 4 matching MRF lines |
$114.80–$2,415 | $328–$6,900 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 4 matching MRF lines |
$82.95–$3,969 | $237–$11,340 | varies |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$121.10–$3,399.90 | $346–$9,714 | varies |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$131.60–$3,484.95 | $376–$9,957 | varies |
| MRI, dorsal spine contrast (72147) range across 2 matching MRF lines |
$121.80–$3,165.75 | $348–$9,045 | varies |
| MRI, joint upper extrem (73221) range across 4 matching MRF lines |
$90.30–$2,283.75 | $258–$6,525 | varies |
| MRI, joint upper extrem combo (73223) range across 2 matching MRF lines |
$82.25–$2,577.75 | $235–$7,365 | varies |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$121.10–$3,558.80 | $346–$10,168 | varies |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) range across 3 matching MRF lines |
$255.85–$353.85 | $731–$1,011 | varies |
| Myocardial Spect Multiple Studies (78452) range across 4 matching MRF lines |
$414.05–$4,118.45 | $1,183–$11,767 | varies |
| Myocrd Img Pet Metab Eval Single Study Cncrnt CT (78429) range across 3 matching MRF lines |
$95.55–$1,163.05 | $273–$3,323 | varies |
| Myocrd img PET prfuj 1std rest/stress cncrnt CT (78430) range across 3 matching MRF lines |
$91–$1,163.05 | $260–$3,323 | varies |
| Myocrd Img Pet Prfuj Mlt Std Rst&Strs Cncrnt CT (78431) range across 2 matching MRF lines |
$105.70–$2,105.95 | $302–$6,017 | varies |
| Myocrd Img Pet Prfuj W/Metab 2rtracer Cncrnt CT (78433) range across 2 matching MRF lines |
$123.20–$2,772.35 | $352–$7,921 | varies |
| Myocrd Img Pet Prfuj W/Metab Dual Radiotracer (78432) range across 2 matching MRF lines |
$149.10–$1,815.10 | $426–$5,186 | varies |
| Neck soft tissue (70360) range across 5 matching MRF lines |
$9.10–$371 | $26–$1,060 | varies |
| Nonvascular Shunt X-Ray (75809) | $30.80 | $88 | 0.3× |
| Ntsty modul radthx pln dose-vol histos (77301) range across 2 matching MRF lines |
$514.50–$4,107.25 | $1,470–$11,735 | varies |
| Nuclear Rx Oral Admin (79005) range across 2 matching MRF lines |
$191.10–$1,157.10 | $546–$3,306 | varies |
| Ob us nuchal meas 1 gest (76813) range across 4 matching MRF lines |
$65.45–$148.75 | $187–$425 | varies |
| Parathyroid Planar Imaging (78070) range across 2 matching MRF lines |
$55.30–$1,240.75 | $158–$3,545 | varies |
| Parathyroid planar imaging w/wo subtraction (78071) range across 2 matching MRF lines |
$50.05–$884.80 | $143–$2,528 | varies |
| Pelvis 1 or 2 views (72170) range across 5 matching MRF lines |
$9.45–$435.40 | $27–$1,244 | varies |
| Peritoneogram Rs&I (74190) range across 2 matching MRF lines |
$29.75–$612.15 | $85–$1,749 | varies |
| Pet Image W/Ct Lmtd (78814) range across 2 matching MRF lines |
$142.80–$2,353.75 | $408–$6,725 | varies |
| PET image w/CT, full body (78816) range across 2 matching MRF lines |
$162.40–$3,836.35 | $464–$10,961 | varies |
| PET imaging CT attenuation skull base mid-thigh (78815) range across 2 matching MRF lines |
$158.20–$4,061.75 | $452–$11,605 | varies |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) range across 2 matching MRF lines |
$3,216.15 | $251–$9,189 | 1.0× |
| Pulmonary Perfusion Imaging Particulate (78580) range across 2 matching MRF lines |
$70–$1,088.50 | $200–$3,110 | varies |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 4 matching MRF lines |
$17.50–$705.60 | $50–$2,016 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 2 matching MRF lines |
$189.35–$544.60 | $541–$1,556 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 5 matching MRF lines |
$9.45–$410.55 | $27–$1,173 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 8 matching MRF lines |
$8.75–$479.85 | $25–$1,371 | varies |
| Radex elbow complete minimum 3 views (73080) range across 10 matching MRF lines |
$9.45–$598.85 | $27–$1,711 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$57.05–$605.50 | $163–$1,730 | varies |
| Radex fingr minimum 2 views (73140) range across 5 matching MRF lines |
$7.70–$296.80 | $22–$848 | varies |
| Radex foot complete minimum 3 views (73630) range across 5 matching MRF lines |
$9.10–$403.20 | $26–$1,152 | varies |
| Radex Hand Minimum 3 Views (73130) range across 5 matching MRF lines |
$9.45–$402.50 | $27–$1,150 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 2 matching MRF lines |
$50.05–$279.30 | $143–$798 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) range across 5 matching MRF lines |
$47.95–$127.40 | $137–$364 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 5 matching MRF lines |
$9.45–$296.45 | $27–$847 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 4 matching MRF lines |
$12.25–$400.40 | $35–$1,144 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 5 matching MRF lines |
$10.15–$445.20 | $29–$1,272 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$9.45–$98 | $27–$280 | varies |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) range across 2 matching MRF lines |
$42–$694.05 | $120–$1,983 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 3 matching MRF lines |
$40.95–$419.30 | $117–$1,198 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$56.35–$403.55 | $161–$1,153 | varies |
| Radex Toe Minimum 2 Views (73660) range across 8 matching MRF lines |
$7.35–$445.90 | $21–$1,274 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 4 matching MRF lines |
$23.10–$214.20 | $66–$612 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 4 matching MRF lines |
$38.85–$470.05 | $111–$1,343 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) range across 2 matching MRF lines |
$25.55–$487.90 | $73–$1,394 | varies |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $8,759.10 | $25,026 | 1.1× |
| Radiation treatment delivery level 1 (77402) | $533.75 | $1,525 | 4.9× |
| Radiation treatment delivery level 2 (77407) | $489.65 | $1,399 | 1.2× |
| Radiation treatment delivery level 3 (77412) | $588.35 | $1,681 | 1.0× |
| Radiolog exam mandible compl minimum 4 views (70110) range across 4 matching MRF lines |
$13.65–$540.05 | $39–$1,543 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 3 matching MRF lines |
$16.80–$450.10 | $48–$1,286 | varies |
| Radiologic exam colon single contrast study (74270) range across 2 matching MRF lines |
$118.30–$872.20 | $338–$2,492 | varies |
| Radiologic Exam Esophagus Double Contrast Study (74221) range across 2 matching MRF lines |
$148.75–$832.65 | $425–$2,379 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 5 matching MRF lines |
$12.25–$494.55 | $35–$1,413 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$70.70–$484.40 | $202–$1,384 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 2 matching MRF lines |
$100.80–$745.50 | $288–$2,130 | varies |
| Radiologic exam swallow function contrast study (74230) range across 2 matching MRF lines |
$93.80–$796.60 | $268–$2,276 | varies |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$126.35–$807.10 | $361–$2,306 | varies |
| Radiologic examination femur 1 view (73551) range across 3 matching MRF lines |
$10.85–$112 | $31–$320 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 8 matching MRF lines |
$10.15–$502.60 | $29–$1,436 | varies |
| Radiologic examination knee 1/2 views (73560) range across 4 matching MRF lines |
$23.45–$372.40 | $67–$1,064 | varies |
| Radiologic Examination Osseous Survey Limited (77074) range across 2 matching MRF lines |
$35.35–$332.85 | $101–$951 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 8 matching MRF lines |
$9.10–$583.45 | $26–$1,667 | varies |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$64.40–$508.55 | $184–$1,453 | varies |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) range across 2 matching MRF lines |
$94.50–$2,083.90 | $270–$5,954 | varies |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) range across 2 matching MRF lines |
$44.10–$2,134.65 | $126–$6,099 | varies |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 2 matching MRF lines |
$137.20–$2,051 | $392–$5,860 | varies |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) range across 3 matching MRF lines |
$100.45–$1,650.25 | $287–$4,715 | varies |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) range across 3 matching MRF lines |
$116.90–$1,403.85 | $334–$4,011 | varies |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) range across 2 matching MRF lines |
$81.90–$1,170.40 | $234–$3,344 | varies |
| Rp Ther Radiolbld Monoclonal Antibody IV Infus (79403) range across 3 matching MRF lines |
$89.25–$230.30 | $255–$658 | varies |
| Rp Therapy Intravenous Administration (79101) range across 2 matching MRF lines |
$119–$460.25 | $340–$1,315 | varies |
| Scapula (73010) range across 8 matching MRF lines |
$9.80–$509.25 | $28–$1,455 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 2 matching MRF lines |
$25.20–$35.35 | $72–$101 | varies |
| Sella turcica (70240) range across 2 matching MRF lines |
$52.15–$210 | $149–$600 | varies |
| Shoulder 1 view (73020) range across 6 matching MRF lines |
$35–$424.55 | $100–$1,213 | varies |
| Shoulder Arthrography (73040) range across 2 matching MRF lines |
$118.30–$818.65 | $338–$2,339 | varies |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$68.60–$443.80 | $196–$1,268 | varies |
| Special dosimetry (77331) range across 3 matching MRF lines |
$52.15–$278.25 | $149–$795 | varies |
| Special Physics Consult (77370) | $774.20 | $2,212 | 5.4× |
| Special teletherapy port plan (77321) range across 2 matching MRF lines |
$61.60–$821.10 | $176–$2,346 | varies |
| Special treatment procedure (77470) range across 2 matching MRF lines |
$126–$2,014.25 | $360–$5,755 | varies |
| Stereotactic Body Radiation Delivery (77373) | $2,931.25 | $8,375 | 1.5× |
| Sternoclavicular joints (71130) range across 2 matching MRF lines |
$47.95–$313.25 | $137–$895 | varies |
| Surf radj ther orthvlt dlvr>150-500 kv per fxj (77438) | $76.30 | $218 | 0.7× |
| Surf radj ther supfc dlvr<=150 kv per fraction (77437) | $76.30 | $218 | 0.7× |
| Surf radj ther supfc/orthvlt treatment planning (77436) range across 3 matching MRF lines |
$28–$58.10 | $80–$166 | varies |
| Telethx isodose pln cplx w/basic dosimetry (77307) range across 2 matching MRF lines |
$186.55–$906.50 | $533–$2,590 | varies |
| Telethx isodose pln smpl w/dosimetry calculation (77306) range across 2 matching MRF lines |
$90.65–$541.45 | $259–$1,547 | varies |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) range across 2 matching MRF lines |
$101.15–$1,325.45 | $289–$3,787 | varies |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) range across 2 matching MRF lines |
$67.90–$738.50 | $194–$2,110 | varies |
| Ther rad simulaj-aided field setting simple (77280) range across 2 matching MRF lines |
$45.50–$591.50 | $130–$1,690 | varies |
| Thoracic spine 3 views (72072) range across 4 matching MRF lines |
$11.55–$631.40 | $33–$1,804 | varies |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$51.45–$432.60 | $147–$1,236 | varies |
| Thyroid Imaging With Vascular Flow (78013) | $432.95 | $1,237 | 1.0× |
| Thyroid Met Imaging Body (78018) range across 2 matching MRF lines |
$49.35–$1,302.70 | $141–$3,722 | varies |
| Thyroid Uptake Measurement (78012) range across 2 matching MRF lines |
$32.55–$610.05 | $93–$1,743 | varies |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) range across 2 matching MRF lines |
$28–$603.05 | $80–$1,723 | varies |
| Tx Devices Design & Construction Complex (77334) range across 2 matching MRF lines |
$74.20–$821.80 | $212–$2,348 | varies |
| Tx devices design & construction intermediate (77333) range across 2 matching MRF lines |
$50.40–$589.75 | $144–$1,685 | varies |
| Tx devices design & construction simple (77332) range across 2 matching MRF lines |
$32.20–$473.55 | $92–$1,353 | varies |
| Ultrasound Breast Limited (76642) range across 4 matching MRF lines |
$28–$395.15 | $80–$1,129 | varies |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
$34.30–$235.90 | $98–$674 | varies |
| Ultrasound trgt dynamic microbubble 1st lesion (76978) range across 2 matching MRF lines |
$93.80–$251.30 | $268–$718 | varies |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$91.35–$510.65 | $261–$1,459 | varies |
| Umbilical-artery Doppler (OB) (76820) range across 4 matching MRF lines |
$33.95–$184.80 | $97–$528 | varies |
| Unlisted fluoroscopic procedure (76496) | $111.30 | $318 | 1.2× |
| Unlisted magnetic resonance procedure (76498) range across 2 matching MRF lines |
$175–$927.50 | $500–$2,650 | varies |
| Upper gi w/o kub (74240) range across 2 matching MRF lines |
$46.55–$304.85 | $133–$871 | varies |
| Urethrocystogram voiding (74455) range across 2 matching MRF lines |
$71.75–$760.55 | $205–$2,173 | varies |
| Urethrocystography retrograde (74450) range across 2 matching MRF lines |
$18.55–$499.45 | $53–$1,427 | varies |
| Us breast unilateral complete (76641) range across 2 matching MRF lines |
$121.80–$548.10 | $348–$1,566 | varies |
| Us chest (76604) range across 2 matching MRF lines |
$49.70–$509.60 | $142–$1,456 | varies |
| Us complete joint (76881) range across 2 matching MRF lines |
$26.25–$483.35 | $75–$1,381 | varies |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$54.60–$344.40 | $156–$984 | varies |
| Us kidney transplant (76776) range across 2 matching MRF lines |
$47.60–$353.85 | $136–$1,011 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$20.30–$312.90 | $58–$894 | varies |
| Us ob detailed single fetus (76811) range across 4 matching MRF lines |
$105.35–$298.90 | $301–$854 | varies |
| Us ob limited 1 or more fetuses (76815) range across 4 matching MRF lines |
$35–$318.15 | $100–$909 | varies |
| Us ob transvaginal (76817) range across 4 matching MRF lines |
$30.80–$249.90 | $88–$714 | varies |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$116.20–$754.95 | $332–$2,157 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 4 matching MRF lines |
$35.70–$237.65 | $102–$679 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 4 matching MRF lines |
$47.25–$272.65 | $135–$779 | varies |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$116.20–$876.40 | $332–$2,504 | varies |
| Us retroperitoneal limited (76775) range across 3 matching MRF lines |
$148.05–$705.25 | $423–$2,015 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$64.40–$754.95 | $184–$2,157 | varies |
| Us spinal canal and contents (76800) range across 2 matching MRF lines |
$146.65–$229.25 | $419–$655 | varies |
| Us thyroid (76536) range across 2 matching MRF lines |
$102.55–$551.25 | $293–$1,575 | varies |
| Us transrectal (76872) range across 3 matching MRF lines |
$36.40–$106.40 | $104–$304 | varies |
| Vein X-Ray Chest (75827) range across 2 matching MRF lines |
$1,426.25 | $196–$4,075 | 0.8× |
| Vein X-Ray Liver W/O Hemodyn (75887) range across 2 matching MRF lines |
$87.50–$1,141 | $250–$3,260 | varies |
| Venogram Sinus/Jugular (75860) range across 2 matching MRF lines |
$2,459.10 | $205–$7,026 | 0.7× |
| Venography caval inferior serialography rs&i (75825) range across 4 matching MRF lines |
$3,432.10 | $199–$9,806 | 1.0× |
| Venography extremity bilateral rs&i (75822) range across 2 matching MRF lines |
$65.80–$1,257.20 | $188–$3,592 | varies |
| Venography extremity unilateral rs&i (75820) range across 2 matching MRF lines |
$1,194.90 | $149–$3,414 | 0.7× |
| Venography Renal Bilateral (75833) range across 2 matching MRF lines |
$3,216.15 | $253–$9,189 | 1.0× |
| Venography Renal Unilateral (75831) range across 2 matching MRF lines |
$2,339.40 | $214–$6,684 | 0.7× |
| Vertebral fracture assessment via dxa (77086) range across 2 matching MRF lines |
$10.15–$123.90 | $29–$354 | varies |
| Wrist 2 views (73100) range across 5 matching MRF lines |
$9.45–$341.60 | $27–$976 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 4 matching MRF lines |
$34.30–$299.25 | $98–$855 | varies |
| X-ray antegrade pyelogram tube (74425) range across 2 matching MRF lines |
$165.55–$1,370.60 | $473–$3,916 | varies |
| X-Ray Aorta Leg Arteries (75630) range across 4 matching MRF lines |
$177.80–$4,714.15 | $298–$13,469 | varies |
| X-Ray Bend Only L-S Spine (72120) range across 4 matching MRF lines |
$12.25–$548.80 | $35–$1,568 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 9 matching MRF lines |
$11.55–$548.80 | $33–$1,568 | varies |
| X-Ray Exam Breast Specimen (76098) range across 2 matching MRF lines |
$34.30–$497.35 | $98–$1,421 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 2 matching MRF lines |
$16.80–$155.40 | $48–$444 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$19.95–$217.35 | $57–$621 | varies |
| X-Ray Exam Entire Spi 4/5 Vw (72083) range across 2 matching MRF lines |
$21.35–$351.40 | $61–$1,004 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 3 matching MRF lines |
$23.80–$273.70 | $68–$782 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 3 matching MRF lines |
$12.25–$371.35 | $35–$1,061 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) range across 2 matching MRF lines |
$77–$493.85 | $220–$1,411 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$77–$376.60 | $220–$1,076 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 2 matching MRF lines |
$77–$530.25 | $220–$1,515 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) range across 2 matching MRF lines |
$77–$626.85 | $220–$1,791 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$20.30–$216.30 | $58–$618 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 4 matching MRF lines |
$33.60–$490 | $96–$1,400 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 4 matching MRF lines |
$19.60–$759.15 | $56–$2,169 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 4 matching MRF lines |
$14.70–$469.70 | $42–$1,342 | varies |
| X-ray eye for foreign body (70030) range across 4 matching MRF lines |
$21.35–$205.80 | $61–$588 | varies |
| X-ray humerus (73060) range across 5 matching MRF lines |
$9.10–$413.35 | $26–$1,181 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 2 matching MRF lines |
$56–$414.05 | $160–$1,183 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 3 matching MRF lines |
$44.45–$346.50 | $127–$990 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 4 matching MRF lines |
$12.25–$572.25 | $35–$1,635 | varies |
| X-ray nose-rectum child f.b. (76010) range across 2 matching MRF lines |
$36.75–$212.45 | $105–$607 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 4 matching MRF lines |
$17.85–$554.40 | $51–$1,584 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 3 matching MRF lines |
$44.80–$555.45 | $128–$1,587 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 3 matching MRF lines |
$9.45–$428.05 | $27–$1,223 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 3 matching MRF lines |
$32.90–$632.10 | $94–$1,806 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$79.80–$542.85 | $228–$1,551 | varies |
| X-ray thoracic spine 4 vw (72074) range across 3 matching MRF lines |
$36.75–$44.10 | $105–$126 | varies |
| X-Ray Tmj Unilat (70328) range across 2 matching MRF lines |
$37.45–$192.50 | $107–$550 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 2 matching MRF lines |
$86.80–$1,290.80 | $248–$3,688 | varies |
| X-Rays Bone Length Studies (77073) range across 2 matching MRF lines |
$51.45–$347.20 | $147–$992 | varies |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$155.75–$926.10 | $445–$2,646 | varies |
| Xr c-spine 4 or 5 views (72050) range across 4 matching MRF lines |
$17.15–$716.10 | $49–$2,046 | varies |
| Xr facial bones less than 3 views (70140) range across 2 matching MRF lines |
$42–$405.30 | $120–$1,158 | varies |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$64.40–$436.80 | $184–$1,248 | 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.