Imaging prices at King's Daughters Medical Center - Ohio
Portsmouth, OH · 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 |
|---|---|---|---|
| Abdomen 1 View (74018) | $123.66 | $309.13 | 1.5× |
| Abdomen 2 views (74019) | $157.46 | $393.64 | 1.6× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $373.93 | $934.81 | 1.0× |
| Angio internal mammary (75756) | $1,480.20 | $3,700.50 | 0.5× |
| Angio pulmonary bilat (75743) | $2,637.74 | $6,594.35 | 0.9× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $1,244.80 | $3,112 | 0.4× |
| Angiography extremity bilateral rs&i (75716) | $1,604 | $4,010 | 0.5× |
| Angiography extremity unilateral rs&i (75710) | $1,384.92 | $3,462.30 | 0.5× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $2,025.88 | $5,064.70 | 0.7× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $915.10 | $2,287.75 | 0.3× |
| Ankle 2 views (73600) | $147.60 | $368.98 | 1.8× |
| Aortography thoracic serialography rs&i (75605) likely a partial charge, not the full procedure |
$601.38 | $1,503.45 | 0.1× |
| Artery X-Rays Abdomen (75726) | $3,059.12 | $7,647.80 | 0.6× |
| Artery X-Rays Adrenal Gland (75731) | $1,244.80 | $3,112 | 0.4× |
| Artery X-Rays Pelvis (75736) likely a partial charge, not the full procedure |
$1,435.55 | $3,588.86 | 0.3× |
| Artery X-Rays Spine (75705) likely a partial charge, not the full procedure |
$1,244.80 | $3,112 | 0.2× |
| Arthrogram ankle (73615) | $470.20 | $1,175.48 | 1.4× |
| Arthrogram hip (73525) | $498.80 | $1,247 | 1.5× |
| Arthrogram Wrist (73115) | $457.65 | $1,144.12 | 1.4× |
| Bone age studies (77072) | $163.85 | $409.61 | 1.7× |
| Bone Imaging 3 Phase (78315) | $932.32 | $2,330.78 | 2.5× |
| Bone Imaging Limited Area (78300) | $696.90 | $1,742.25 | 1.8× |
| Bone Imaging Whole Body (78306) | $758.86 | $1,897.13 | 2.0× |
| Bone marrow imaging limited area (78102) | $350.13 | $875.32 | 0.9× |
| Brain Image W/Flow < 4 Views (78601) | $1,104.57 | $2,761.41 | 2.9× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $3,709.46 | $9,273.63 | 2.7× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $1,393.54 | $3,483.84 | 4.2× |
| Cardiac MRI w/w/o contrast w/stress (75563) | $1,371.07 | $3,427.67 | 1.8× |
| Cardiovasc nucl exam unlisted (78499) | $601.57 | $1,503.91 | 1.6× |
| Cat Scan Follow-Up Study (76380) | $374.88 | $937.20 | 4.6× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $433.82 | $1,084.54 | 0.8× |
| Cerebrospinal Fluid Scan (78630) | $434.22 | $1,085.53 | 0.8× |
| Chest 1 view (71045) | $98.42 | $246.05 | 1.2× |
| Chest 2 views (71046) | $126.96 | $317.40 | 1.5× |
| Chest 3 views (71047) | $133.24 | $333.10 | 1.6× |
| Chest 4 or more views (71048) range across 2 matching MRF lines |
$166.04–$563.56 | $415.10–$1,408.90 | varies |
| Cholecystography Oral Contrast (74290) | $300.07 | $750.17 | 1.8× |
| Clavicle complete (73000) | $114.75 | $286.87 | 1.4× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $136.82 | $342.03 | 1.4× |
| Contrast Exam Abdominl Aorta (75625) | $1,432.74 | $3,581.85 | 0.5× |
| Contrast X-Ray Bladder (74430) | $328.48 | $821.18 | 1.0× |
| Contrast X-Ray Of Elbow (73085) | $421.88 | $1,054.70 | 1.3× |
| Contrast X-Ray Of Knee Joint (73580) | $387.60 | $969 | 1.2× |
| CT abdomen and pelvis without and with contrast (74178) | $1,965.74 | $4,914.35 | 6.0× |
| CT abdomen and pelvis without contrast (74176) | $1,601.32 | $4,003.30 | 7.1× |
| CT abdomen w contrast (74160) | $874.18 | $2,185.45 | 5.3× |
| CT abdomen w wo contrast (74170) | $958.78 | $2,396.95 | 5.8× |
| CT abdomen w/o contrast (74150) | $800.66 | $2,001.65 | 8.1× |
| CT Angio Abdomen and Pelvis (74174) | $628.50 | $1,571.25 | 1.9× |
| CT Angio Chest (71275) | $1,174.58 | $2,936.45 | 7.1× |
| CT Angio Head (70496) | $1,259.40 | $3,148.50 | 7.6× |
| CT angio hrt w/3d image (75574) | $925.96 | $2,314.90 | 2.8× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $986.78 | $2,466.95 | 5.9× |
| CT Angio Neck (70498) | $1,272.02 | $3,180.05 | 7.7× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $495.24 | $1,238.10 | 3.0× |
| CT Cere Prfuj Alys C+ W/O CT/Cta Same Anatomy (70473) | $1,161.70 | $2,904.25 | 7.0× |
| CT cervical spine w/ contrast (72126) | $980.44 | $2,451.10 | 3.0× |
| CT cervical spine w/o contrast (72125) | $914.82 | $2,287.05 | 9.2× |
| CT cervical spine w/wo cont (72127) | $1,035 | $2,587.50 | 6.2× |
| CT chest w contrast (71260) | $874.18 | $2,185.45 | 5.3× |
| CT chest w/wo contrast (71270) | $949.14 | $2,372.85 | 5.7× |
| CT colonography screening (74263) | $904.12 | $2,260.30 | 4.0× |
| CT Colonogrphy Dx Image Postprocess W/Contrast (74262) | $841.32 | $2,103.30 | 5.1× |
| CT colonogrphy dx image postprocess w/o contrast (74261) | $683.46 | $1,708.65 | 6.9× |
| CT head/brain with contrast (70460) | $880.72 | $2,201.80 | 5.3× |
| CT head/brain without and with contrast (70470) | $1,081.16 | $2,702.90 | 6.5× |
| CT heart contrast eval cardiac structure&morph (75572) | $829.14 | $2,072.85 | 2.5× |
| CT heart no contrast quant eval coronry calcium (75571) range across 2 matching MRF lines |
$32–$205.62 | $80–$514.05 | varies |
| CT iac w contrast (70481) | $955.86 | $2,389.65 | 5.8× |
| CT l-spine w&w/o contrast (72133) | $948.92 | $2,372.30 | 5.7× |
| CT lower ext w/o (73700) | $831.66 | $2,079.15 | 8.4× |
| CT lower extremity w/contrast material (73701) | $883.32 | $2,208.30 | 5.3× |
| CT lumbar spine w contrast (72132) | $885.64 | $2,214.10 | 2.7× |
| CT lumbar spine w/o contrast (72131) | $831.66 | $2,079.15 | 8.4× |
| CT maxillofacial w contrast (70487) | $965.06 | $2,412.65 | 5.8× |
| CT maxillofacial wo contrast (70486) | $914.82 | $2,287.05 | 9.2× |
| CT neck tissue combo (70492) | $1,027.52 | $2,568.80 | 6.2× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,021.56 | $2,553.90 | 6.2× |
| CT orbits w/o contrast (70480) | $880.52 | $2,201.30 | 8.9× |
| CT pelvis w&w/o contrast (72194) | $1,194.86 | $2,987.15 | 7.2× |
| CT pelvis w/o contrast (72192) | $800.66 | $2,001.65 | 8.1× |
| CT scan of leg combo (73702) | $954.94 | $2,387.35 | 5.8× |
| CT scans face/jaw combo (70488) | $1,021.56 | $2,553.90 | 6.2× |
| CT soft tissue neck w contrast (70491) | $971.66 | $2,429.15 | 5.9× |
| CT soft tissue neck w/o contrast (70490) | $887.92 | $2,219.80 | 9.0× |
| CT thoracic spine w contrast (72129) | $808.26 | $2,020.65 | 4.9× |
| CT thoracic spine w/o contrast (72128) | $767.94 | $1,919.85 | 7.8× |
| CT thoracic spine w/wo cont (72130) | $883.32 | $2,208.30 | 5.3× |
| CT thorax w/o contrast (71250) | $800.66 | $2,001.65 | 8.1× |
| CT unlisted procedure (76497) | $78.48 | $196.20 | 1.0× |
| CT upper ext wo (73200) | $820.10 | $2,050.25 | 8.3× |
| CT upper extremity w/o & w/contrast material (73202) | $1,014.68 | $2,536.70 | 6.1× |
| CT upper extremity with contrast (73201) | $891.30 | $2,228.25 | 2.7× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,122.42 | $2,806.05 | 6.8× |
| Cta Abdomen (74175) | $1,160.02 | $2,900.05 | 7.0× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $1,161.70 | $2,904.25 | 3.5× |
| CTA pelvis (72191) | $1,163.26 | $2,908.15 | 7.0× |
| Dacryocystography, nasolacrimal duct, radiological supervision and interpretation Non-Facility (70170) | $342.52 | $856.28 | 1.5× |
| Dilation ureters/urethra rs&i (74485) | $264.30 | $660.75 | 0.1× |
| Discography Cerv/Thor Spine (72285) | $854.33 | $2,135.82 | 0.5× |
| Diskography lumbar (72295) | $860.64 | $2,151.58 | 0.5× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) | $147.09 | $367.71 | 1.5× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $337.26 | $843.15 | 3.4× |
| Dxa Bone Density Axial (77080) | $227.06 | $567.65 | 2.3× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $242.10 | $605.24 | 2.9× |
| Echo exam of fetal heart (76825) | $497.90 | $1,244.74 | 1.0× |
| Echo Guide For Artery Repair (76936) | $506.02 | $1,265.05 | 2.5× |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) | $409.43 | $1,023.57 | 1.8× |
| Echograp Trans R Pros Study (76873) | $443.86 | $1,109.65 | 4.5× |
| Esophagram (74220) | $212.80 | $532 | 1.3× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $134.08 | $335.20 | 1.4× |
| Fluoroscopy up to 1 hr (76000) | $281.08 | $702.70 | 1.2× |
| Follow-Up Angiography (75898) | $422.34 | $1,055.84 | 0.1× |
| Foot 2 views (73620) | $147.76 | $369.39 | 1.8× |
| Forearm 2 views (73090) | $146.64 | $366.60 | 1.8× |
| Gastric emptying imaging study (78264) | $793.07 | $1,982.67 | 2.1× |
| Gastroesophageal Reflux Exam (78262) | $644.93 | $1,612.32 | 1.7× |
| Gated Heart Planar Single (78472) | $685.84 | $1,714.59 | 1.8× |
| Hand 2 views (73120) | $148.39 | $370.96 | 1.5× |
| Heart Image (Pet) Multiple (78492) | $3,709.46 | $9,273.63 | 2.7× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $1,244.80 | $3,112 | 0.4× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $1,140.92 | $2,852.29 | 0.4× |
| Hepatobil Syst Image W/Drug (78227) | $1,093.27 | $2,733.17 | 2.1× |
| Hepatobiliary System Imaging (78226) | $1,093.27 | $2,733.17 | 2.9× |
| Ht Musc Image Planar Mult (78454) | $1,825.43 | $4,563.57 | 1.5× |
| Ht Muscle Image Spect Sing (78451) | $1,482.60 | $3,706.48 | 1.2× |
| Hysterosalpingogram (74740) | $254.50 | $636.25 | 1.1× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $134.08 | $335.20 | 1.6× |
| Interstitial radiation source applic complex (77778) | $4,987.56 | $12,468.90 | 7.6× |
| K Flow/Funct Image W/Drug (78708) | $703.49 | $1,758.71 | 1.4× |
| K Flow/Funct Image W/O Drug (78707) | $607.65 | $1,519.12 | 1.2× |
| Knee 3 Views (73562) | $232.98 | $582.45 | 2.8× |
| Leveen/Shunt Patency Exam (78291) | $557.54 | $1,393.83 | 1.5× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $547.32 | $1,368.30 | 1.4× |
| Lung Perf&Ventilat Diferentl (78598) | $453.16 | $1,132.88 | 0.9× |
| Lung Ventilat&Perfus Imaging (78582) | $806.87 | $2,017.16 | 1.6× |
| Lymph System Imaging (78195) | $738.54 | $1,846.34 | 1.4× |
| Magnetic Image Jaw Joint (70336) | $1,211.17 | $3,027.91 | 5.4× |
| Magnetic resonance (eg, proton) imaging, brain (including brain stem andskull base), during open intracranial procedure… (70558) | $657.34 | $1,643.35 | 4.0× |
| Magnetic resonance (eg, proton) imaging, brain (including brain stem andskull base), during open intracranial procedure… (70557) | $489.48 | $1,223.70 | 0.9× |
| Magnetic resonance (eg, proton) imaging, brain (including brain stem andskull base), during open intracranial procedure… (70559) | $794.58 | $1,986.45 | 4.8× |
| Mammary ductogram or galactogram multiple (77054) | $433.46 | $1,083.65 | 1.9× |
| Mammary ductogram or galactogram single (77053) | $288 | $720 | 1.3× |
| Meckels Divert Exam (78290) | $557.54 | $1,393.83 | 1.5× |
| Mr safety determination physician/other qhp (76016) | $79.78 | $199.43 | 1.0× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $22.20 | $55.48 | 0.8× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) | $83.16 | $207.88 | 0.9× |
| Mra Head W/O & W/Contrast Material (70546) | $1,793.20 | $4,483 | 5.4× |
| MRA head w/o contrast (70544) | $1,306.92 | $3,267.30 | 5.8× |
| MRA head with contrast (70545) | $1,425.66 | $3,564.15 | 4.3× |
| MRA neck w contrast (70548) | $1,054.26 | $2,635.65 | 3.2× |
| Mra Neck W/O &W/Contrast Material (70549) | $1,247.82 | $3,119.55 | 3.8× |
| MRA neck w/o contrast (70547) | $791.24 | $1,978.10 | 3.5× |
| MRI abdomen w contrast (74182) | $1,459.60 | $3,649 | 4.4× |
| MRI abdomen w/o contrast (74181) | $1,186.43 | $2,966.07 | 5.3× |
| MRI any jt lower extrem w/contrast material (73722) | $1,352.50 | $3,381.24 | 1.8× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $1,646 | $4,114.98 | 5.0× |
| MRI any jt upper extremity w/contrast matrl (73222) | $1,286.79 | $3,216.96 | 1.7× |
| MRI Breast W/O Contrast Bilateral (77047) | $335.08 | $837.69 | 1.5× |
| MRI Breast Without Contrast Material Unilateral (77046) | $622.06 | $1,555.13 | 2.8× |
| MRI cardiac w/o cont stress (75559) | $996.29 | $2,490.72 | 1.9× |
| MRI cardiac w/o contrast (75557) | $1,161.05 | $2,902.62 | 5.1× |
| MRI cervical spine w contrast (72142) | $1,601.70 | $4,004.25 | 4.9× |
| MRI cervical spine w/o cont (72141) | $1,350.62 | $3,376.55 | 6.0× |
| MRI chest w/o contrast (71550) | $1,161.05 | $2,902.62 | 5.1× |
| MRI chest with contrast (71551) | $1,446.40 | $3,616 | 2.0× |
| MRI chest wo w contrast (71552) | $1,543.83 | $3,859.56 | 4.7× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $1,337.24 | $3,343.09 | 4.1× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $1,418.80 | $3,546.98 | 4.3× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $1,190.64 | $2,976.59 | 5.3× |
| MRI lumbar spine w contrast (72149) | $1,452.46 | $3,631.15 | 4.4× |
| Mri Neck Spine W/O & W/Dye (72156) | $1,661.52 | $4,153.80 | 5.0× |
| MRI orbit face &/neck w/o contrast (70540) | $1,360.68 | $3,401.70 | 6.0× |
| MRI orbit face neck w contrast (70542) | $1,602.74 | $4,006.85 | 4.9× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $1,616.82 | $4,042.05 | 4.9× |
| MRI pelvis w contrast (72196) | $1,407.53 | $3,518.82 | 4.3× |
| MRI pelvis w/o & w contrast (72197) | $1,461.54 | $3,653.84 | 4.4× |
| MRI pelvis w/o contrast (72195) | $1,196.26 | $2,990.64 | 5.3× |
| MRI spectroscopy (76390) | $1,062.09 | $2,655.21 | 12.9× |
| MRI thoracic spine w/o contrast (72146) | $1,222.66 | $3,056.64 | 5.4× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $1,222.66 | $3,056.64 | 3.7× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $1,176.46 | $2,941.14 | 5.2× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $1,286.79 | $3,216.96 | 3.9× |
| MRI, abdomen, combo (74183) | $1,485.84 | $3,714.59 | 4.5× |
| MRI, dorsal spine combo (72157) | $1,540.27 | $3,850.66 | 4.7× |
| MRI, dorsal spine contrast (72147) | $1,478.64 | $3,696.58 | 4.5× |
| MRI, joint upper extrem (73221) | $1,222.66 | $3,056.64 | 5.4× |
| MRI, joint upper extrem combo (73223) | $1,418.80 | $3,546.98 | 4.3× |
| MRI, lumbar spine combo (72158) | $1,482.99 | $3,707.46 | 4.5× |
| Myelogram cervical (72240) | $716.86 | $1,792.15 | 1.0× |
| Myelogram Lumbar (72265) | $693.42 | $1,733.55 | 0.9× |
| Myelography thoracic (72255) | $853.66 | $2,134.15 | 1.2× |
| Myelograpy 2/more regions rs&i (72270) | $669.98 | $1,674.95 | 0.9× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) | $3,478.82 | $8,697.03 | 2.8× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $1,458.01 | $3,645.01 | 1.2× |
| Myocardial Spect Multiple Studies (78452) | $2,371.98 | $5,929.94 | 1.9× |
| Neck soft tissue (70360) | $192.40 | $480.99 | 2.3× |
| Nm csf leak detection (78650) | $373.58 | $933.94 | 0.3× |
| Nonvascular Shunt X-Ray (75809) | $457.11 | $1,142.77 | 4.6× |
| Nuclear Rx Oral Admin (79005) | $1,046.74 | $2,616.84 | 4.7× |
| Optic foramina (70190) | $209.18 | $522.93 | 2.5× |
| Parathyroid Planar Imaging (78070) | $231.94 | $579.83 | 0.6× |
| Pelvis 1 or 2 views (72170) | $133.33 | $333.32 | 1.3× |
| Pet Myocardial Sngl Study (78491) | $2,914.03 | $7,285.07 | 2.2× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $2,336.98 | $5,842.45 | 0.8× |
| Pulmonary Perfusion Imaging Particulate (78580) | $423.23 | $1,058.07 | 1.1× |
| Quan&Charac C Atherosclerotc Plaq Asses Sev C Ds (75577) | $885.32 | $2,213.28 | 1.0× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $253.14 | $632.84 | 2.6× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $167.28 | $418.19 | 0.3× |
| Radex Ankle Complete Minimum 3 Views (73610) | $203.18 | $507.93 | 2.5× |
| Radex Calcaneus Minimum 2 Views (73650) | $148.18 | $370.45 | 1.8× |
| Radex elbow complete minimum 3 views (73080) | $188.26 | $470.65 | 2.3× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $199.26 | $498.15 | 2.0× |
| Radex fingr minimum 2 views (73140) | $155.09 | $387.72 | 1.9× |
| Radex foot complete minimum 3 views (73630) | $180.32 | $450.79 | 2.2× |
| Radex Hand Minimum 3 Views (73130) | $180.32 | $450.79 | 2.2× |
| Radex lower extremity infant minimum 2 views (73592) | $131.08 | $327.70 | 1.6× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $273.83 | $684.57 | 2.8× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $180.20 | $450.49 | 2.2× |
| Radex Pharynx/Larx W/Fluor&/Magnification Tq (70370) | $192.40 | $480.99 | 2.3× |
| Radex Ribs Unilateral 2 Views (71100) | $176.25 | $440.61 | 2.1× |
| Radex shoulder complete minimum 2 views (73030) | $178.70 | $446.74 | 2.2× |
| Radex Sinuses Paransl < 3 Views (70210) | $151.91 | $379.77 | 1.8× |
| Radex Spine 1 View Specify Level (72020) | $110.60 | $276.48 | 1.3× |
| Radex Sternum Minimum 2 Views (71120) | $151.91 | $379.77 | 1.8× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $224.13 | $560.31 | 2.7× |
| Radex Toe Minimum 2 Views (73660) | $162.85 | $407.12 | 2.0× |
| Radex upper extremity infant minimum 2 views (73092) | $113.66 | $284.13 | 1.1× |
| Radex Wrist Complete Minimum 3 Views (73110) | $188.26 | $470.65 | 2.3× |
| Radiolog exam mandible compl minimum 4 views (70110) | $211.99 | $529.97 | 2.1× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $158.64 | $396.59 | 1.6× |
| Radiologic exam colon double contrast study (74280) | $495.42 | $1,238.55 | 3.0× |
| Radiologic exam colon single contrast study (74270) | $327.48 | $818.70 | 2.0× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $563 | $1,407.50 | 3.4× |
| Radiologic exam knee complete 4/more views (73564) | $283.84 | $709.59 | 2.9× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $370.30 | $925.74 | 3.7× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $313.51 | $783.76 | 1.9× |
| Radiologic exam swallow function contrast study (74230) | $297.94 | $744.84 | 1.8× |
| Radiologic exam upr gi trc double contrast study (74246) | $320.06 | $800.15 | 1.9× |
| Radiologic examination femur 1 view (73551) | $135.84 | $339.60 | 1.6× |
| Radiologic examination femur minimum 2 views (73552) | $271.66 | $679.15 | 3.3× |
| Radiologic examination knee 1/2 views (73560) | $138.80 | $347 | 1.7× |
| Radiologic Examination Salivary Gland Calculus (70380) | $202.14 | $505.33 | 2.5× |
| Radiologic examination tibia & fibula 2 views (73590) | $151.91 | $379.77 | 1.8× |
| Radiologic examination, internal auditory meati, complete Non-Facility (70134) | $440.15 | $1,100.36 | 0.9× |
| Renal Cyst Study (74470) | $385.97 | $964.92 | 0.7× |
| Ribs bilateral 3 views (71110) | $234.68 | $586.70 | 2.4× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $677.17 | $1,692.91 | 1.8× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $877.34 | $2,193.35 | 2.3× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $1,492.56 | $3,731.38 | 2.9× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $1,228.89 | $3,072.21 | 2.4× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $1,165.98 | $2,914.93 | 2.3× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $1,182.66 | $2,956.65 | 1.0× |
| Rp Therapy Intravenous Administration (79101) | $260.63 | $651.57 | 1.2× |
| Salivary Gland Function Study (78232) | $685.36 | $1,713.39 | 1.8× |
| Scapula (73010) | $109.91 | $274.76 | 1.1× |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 2 matching MRF lines |
$15.96–$21.28 | $39.90–$53.20 | varies |
| Sella turcica (70240) | $158.46 | $396.13 | 1.9× |
| Shoulder 1 view (73020) | $109.66 | $274.15 | 1.3× |
| Shoulder Arthrography (73040) | $303.48 | $758.70 | 0.9× |
| Skull less than 4 views (70250) | $200.80 | $502 | 2.0× |
| Sternoclavicular joints (71130) | $229.80 | $574.49 | 2.8× |
| Testicular Imaging W/Flow (78761) | $539.51 | $1,348.77 | 1.4× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $338.96 | $847.40 | 2.0× |
| Thoracic spine 2 views (72070) | $149.36 | $373.39 | 1.5× |
| Thoracic spine 3 views (72072) | $151.91 | $379.77 | 1.5× |
| Thoracolumbar 2 views (72080) | $82.03 | $205.06 | 1.0× |
| Thyroid Imaging With Vascular Flow (78013) | $286.80 | $717 | 0.8× |
| Thyroid Met Imaging Body (78018) | $1,180.21 | $2,950.51 | 2.3× |
| Thyroid Uptake Measurement (78012) | $551.28 | $1,378.20 | 1.5× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,622.44 | $4,056.10 | 4.3× |
| Ultrasound Breast Limited (76642) | $330.35 | $825.87 | 4.0× |
| Ultrasound Exam Aaa Screen (76706) | $132.91 | $332.26 | 1.3× |
| Ultrasound, abdomen limited (76705) | $453.34 | $1,133.34 | 4.6× |
| Umbilical-artery Doppler (OB) (76820) | $212.50 | $531.25 | 2.1× |
| Unlisted Dx Radiographic Procedure (76499) | $314.88 | $787.20 | 3.8× |
| Upper gi w/o kub (74240) | $300.48 | $751.20 | 1.8× |
| Urethrocystogram voiding (74455) | $483.24 | $1,208.10 | 2.1× |
| Urethrocystography retrograde (74450) | $493.83 | $1,234.57 | 2.2× |
| Us breast unilateral complete (76641) | $396.85 | $992.11 | 4.0× |
| Us chest (76604) | $618.28 | $1,545.70 | 6.3× |
| Us complete joint (76881) | $418.72 | $1,046.78 | 4.2× |
| Us exam, pelvic, limited (76857) | $405 | $1,012.48 | 4.1× |
| Us head (76506) | $363.15 | $907.86 | 3.7× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $330.62 | $826.55 | 3.3× |
| Us ob detailed single fetus (76811) | $422.88 | $1,057.18 | 1.9× |
| Us ob limited 1 or more fetuses (76815) | $247.11 | $617.77 | 2.5× |
| Us ob transvaginal (76817) | $372.24 | $930.60 | 3.8× |
| Us pelvic non ob complete (76856) | $404.24 | $1,010.60 | 4.1× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $384.47 | $961.17 | 3.9× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $256.57 | $641.41 | 2.6× |
| Us retroperitoneal complete (76770) | $426.38 | $1,065.95 | 4.3× |
| Us retroperitoneal limited (76775) | $315.12 | $787.79 | 3.2× |
| Us scrotum and contents (76870) | $418.72 | $1,046.78 | 4.2× |
| Us spinal canal and contents (76800) | $413.65 | $1,034.12 | 4.2× |
| Us thyroid (76536) | $348.67 | $871.67 | 3.5× |
| Us transrectal (76872) | $375.24 | $938.08 | 3.8× |
| Vascular Flow Imaging (78445) | $608.17 | $1,520.42 | 1.6× |
| Vein X-Ray Chest (75827) | $945.40 | $2,363.50 | 0.6× |
| Vein X-Ray Liver W/O Hemodyn (75887) | $2,144.04 | $5,360.10 | 0.7× |
| Vein X-Ray Spleen/Liver (75810) | $1,244.80 | $3,112 | 0.4× |
| Venogram Sinus/Jugular (75860) | $2,904.66 | $7,261.65 | 1.0× |
| Venography Adrenal Unilateral (75840) | $1,346.88 | $3,367.20 | 0.5× |
| Venography caval inferior serialography rs&i (75825) | $1,491.80 | $3,729.50 | 0.5× |
| Venography extremity bilateral rs&i (75822) | $622.34 | $1,555.85 | 0.4× |
| Venography extremity unilateral rs&i (75820) | $586.42 | $1,466.05 | 0.4× |
| Venography Renal Bilateral (75833) | $1,244.80 | $3,112 | 0.4× |
| Venography Renal Unilateral (75831) | $1,244.80 | $3,112 | 0.4× |
| Venous sampling by catheter (75893) likely a partial charge, not the full procedure |
$1,244.80 | $3,112 | 0.2× |
| Wrist 2 views (73100) | $144.86 | $362.14 | 1.8× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $182.35 | $455.86 | 2.2× |
| X-ray antegrade pyelogram tube (74425) | $253.68 | $634.19 | 0.8× |
| X-Ray Aorta Leg Arteries (75630) | $1,437.04 | $3,592.60 | 0.5× |
| X-Ray Bend Only L-S Spine (72120) | $170.72 | $426.78 | 1.7× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $151.91 | $379.77 | 1.8× |
| X-Ray Exam Breast Specimen (76098) range across 2 matching MRF lines |
$141.82–$149.28 | $354.55–$373.20 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) | $424.04 | $1,060.08 | 5.2× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $706.72 | $1,766.79 | 7.1× |
| X-Ray Exam Hip Uni 1 View (73501) | $160.12 | $400.29 | 1.9× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $168.12 | $420.30 | 2.0× |
| X-Ray Exam Hips Bi 2 Views (73521) | $403.84 | $1,009.58 | 4.1× |
| X-Ray Exam L-S Spine Bending (72114) | $218.74 | $546.83 | 2.2× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $163.87 | $409.66 | 2.0× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $248.18 | $620.44 | 2.5× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $188.26 | $470.65 | 1.9× |
| X-ray eye for foreign body (70030) | $231.29 | $578.21 | 2.8× |
| X-ray humerus (73060) | $167.03 | $417.56 | 2.0× |
| X-ray IV pyelogram (ivp) (74400) | $427.51 | $1,068.76 | 2.6× |
| X-ray IV pyelogram+tomography (74415) | $521.64 | $1,304.09 | 3.1× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $165.98 | $414.93 | 2.0× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $112.38 | $280.94 | 1.4× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $169.68 | $424.20 | 1.7× |
| X-ray nose-rectum child f.b. (76010) | $125.99 | $314.97 | 1.5× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $256.49 | $641.21 | 2.6× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $185.24 | $463.10 | 1.9× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $177.56 | $443.90 | 2.2× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $191.50 | $478.75 | 2.3× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $218.48 | $546.18 | 2.2× |
| X-Ray Stress View (77071) | $569.83 | $1,424.56 | 6.9× |
| X-ray thoracic spine 4 vw (72074) | $388.03 | $970.07 | 3.9× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $322.54 | $806.35 | 1.0× |
| X-Rays Bone Length Studies (77073) | $145.45 | $363.61 | 1.5× |
| X-Rays Bone Survey Complete (77075) | $291.80 | $729.50 | 3.0× |
| Xr c-spine 4 or 5 views (72050) | $215.21 | $538.02 | 2.2× |
| Xr facial bones less than 3 views (70140) | $192.88 | $482.20 | 2.3× |
| XR Mastoids < 3 Views Bilateral (70120) | $209.18 | $522.93 | 2.1× |
| Xr orbits complete 4 views (70200) | $231.73 | $579.31 | 2.3× |
| Xr Tomogram Single Plane (76100) | $268.50 | $671.24 | 2.7× |
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.