Imaging prices at Knox Community Hospital
Mount Vernon, OH · every code in this section with a posted price and a Medicare benchmark.
321 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) | $7,153.42 | $8,941.78 | 5.3× |
| Abdomen 1 View (74018) | $307.55 | $384.44 | 3.6× |
| Abdomen 2 views (74019) | $369.02 | $461.27 | 3.6× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $2,180.74 | $2,725.93 | 5.6× |
| Adrenal Cortex & Medulla Img (78075) | $2,669.24 | $3,336.55 | 2.1× |
| Angio pulmonary bilat (75743) range across 2 matching MRF lines |
$170.10–$4,087.70 | $212.63–$5,109.62 | varies |
| Angiography extremity bilateral rs&i (75716) range across 3 matching MRF lines |
$378.22–$7,064.94 | $472.78–$8,831.18 | varies |
| Angiography extremity unilateral rs&i (75710) range across 4 matching MRF lines |
$333.38–$6,275.97 | $416.73–$7,844.96 | varies |
| Angiography pulmonary unilateral slctv rs&i (75741) | $2,836.50 | $3,545.62 | 0.9× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) range across 2 matching MRF lines |
$89.01–$1,435.70 | $111.26–$1,794.63 | varies |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$16.86–$75.60 | $21.07–$94.50 | varies |
| Aortography thoracic serialography rs&i (75605) | $6,768.03 | $8,460.04 | 1.2× |
| Artery X-Rays Abdomen (75726) | $5,618.26 | $7,022.82 | 1.0× |
| Artery X-Rays Pelvis (75736) range across 2 matching MRF lines |
$306–$6,768.03 | $382.50–$8,460.04 | varies |
| Arthrogram hip (73525) range across 3 matching MRF lines |
$619.41–$929.11 | $774.26–$1,161.39 | varies |
| Arthrogram Wrist (73115) | $1,429.16 | $1,786.45 | 4.2× |
| Basic radiation dosimetry calculation (77300) | $3,127.24 | $3,909.05 | 23.9× |
| Bone age studies (77072) | $129.66 | $162.08 | 1.3× |
| Bone Imaging 3 Phase (78315) | $3,043.33 | $3,804.16 | 7.8× |
| Bone Imaging Limited Area (78300) | $1,849.86 | $2,312.33 | 4.7× |
| Bone Imaging Whole Body (78306) | $2,565.94 | $3,207.43 | 6.6× |
| Bone marrow imaging limited area (78102) | $705.76 | $882.20 | 1.8× |
| Bone marrow imaging; multiple areas (78103) | $840.73 | $1,050.91 | 2.2× |
| Bone marrow imaging; whole body (78104) | $896.78 | $1,120.97 | 2.3× |
| Bone survey infant (77076) | $1,253.26 | $1,566.57 | 12.3× |
| Brain imaging < 4 static views (78600) | $717.89 | $897.36 | 1.8× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $7,171.51 | $8,964.39 | 5.1× |
| Cat Scan Follow-Up Study (76380) range across 2 matching MRF lines |
$1,622.57–$1,769.91 | $2,028.21–$2,212.39 | varies |
| Cerebrospinal Fluid Scan (78630) | $1,235.78 | $1,544.73 | 2.3× |
| Chest 1 view (71045) range across 11 matching MRF lines |
$14.11–$253.09 | $17.64–$316.36 | varies |
| Chest 2 views (71046) | $309.32 | $386.65 | 3.6× |
| Chest 3 views (71047) | $379.62 | $474.52 | 4.5× |
| Chest 4 or more views (71048) | $435.86 | $544.82 | 4.3× |
| Cholecystography Oral Contrast (74290) | $352.66 | $440.82 | 2.1× |
| Clavicle complete (73000) | $417.10 | $521.37 | 4.9× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $926.32 | $1,157.90 | 9.1× |
| Continuing medical physics consltj pr wk (77336) range across 2 matching MRF lines |
$1,534.03–$2,028.74 | $1,917.54–$2,535.93 | varies |
| Contrast Exam Abdominl Aorta (75625) range across 3 matching MRF lines |
$263.94–$9,158.02 | $329.93–$11,447.53 | varies |
| Contrast X-Ray Bladder (74430) range across 2 matching MRF lines |
$1,064.33–$1,213.22 | $1,330.41–$1,516.52 | varies |
| Contrast X-Ray Of Elbow (73085) | $931.43 | $1,164.29 | 2.7× |
| Contrast X-Ray Of Knee Joint (73580) | $1,156.79 | $1,445.99 | 3.4× |
| CT abdomen and pelvis without and with contrast (74178) | $3,211.74 | $4,014.68 | 9.4× |
| CT abdomen and pelvis without contrast (74176) | $2,837.04 | $3,546.30 | 12.2× |
| CT abdomen w contrast (74160) | $2,063.72 | $2,579.65 | 12.1× |
| CT abdomen w wo contrast (74170) | $2,286.39 | $2,857.99 | 13.4× |
| CT abdomen w/o contrast (74150) | $1,888.75 | $2,360.94 | 18.5× |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$2,318.50–$2,895.19 | $2,898.13–$3,618.99 | varies |
| CT Angio Chest (71275) | $2,154.46 | $2,693.08 | 12.6× |
| CT Angio Head (70496) | $1,698.32 | $2,122.90 | 9.9× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $2,046.65 | $2,558.31 | 12.0× |
| CT Angio Neck (70498) | $1,780.70 | $2,225.88 | 10.4× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $2,107.80 | $2,634.75 | 12.3× |
| CT cervical spine w/ contrast (72126) | $1,397.58 | $1,746.97 | 4.1× |
| CT cervical spine w/o contrast (72125) | $1,385.78 | $1,732.22 | 13.6× |
| CT cervical spine w/wo cont (72127) | $2,314.90 | $2,893.63 | 13.5× |
| CT chest w contrast (71260) | $2,029.26 | $2,536.57 | 11.9× |
| CT chest w/wo contrast (71270) | $2,031.23 | $2,539.04 | 11.9× |
| CT Colonogrphy Dx Image Postprocess W/Contrast (74262) | $569.38 | $711.72 | 3.3× |
| CT head/brain with contrast (70460) | $1,257.43 | $1,571.79 | 7.4× |
| CT head/brain without and with contrast (70470) | $1,559.17 | $1,948.96 | 9.1× |
| CT iac w contrast (70481) range across 3 matching MRF lines |
$1,340.78–$1,436.80 | $1,675.97–$1,796 | varies |
| CT l-spine w&w/o contrast (72133) | $2,382.27 | $2,977.84 | 13.9× |
| CT lower ext w/o (73700) | $1,211.05 | $1,513.81 | 11.9× |
| CT lower extremity w/contrast material (73701) range across 14 matching MRF lines |
$1,526.74–$1,556.42 | $1,908.42–$1,945.53 | varies |
| CT lumbar spine w contrast (72132) | $2,107.46 | $2,634.32 | 6.2× |
| CT lumbar spine w/o contrast (72131) | $1,485 | $1,856.25 | 14.6× |
| CT maxillofacial w contrast (70487) | $1,412.97 | $1,766.21 | 8.3× |
| CT maxillofacial wo contrast (70486) | $1,279.31 | $1,599.14 | 12.6× |
| CT neck tissue combo (70492) | $1,689.30 | $2,111.62 | 9.9× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 3 matching MRF lines |
$1,501.74–$1,609.30 | $1,877.18–$2,011.63 | varies |
| CT orbits w/o contrast (70480) | $1,245.71 | $1,557.14 | 12.2× |
| CT pelvis w&w/o contrast (72194) | $2,129.25 | $2,661.56 | 12.5× |
| CT pelvis w/o contrast (72192) range across 3 matching MRF lines |
$1,636.64–$1,785.27 | $2,045.80–$2,231.59 | varies |
| CT scan of leg combo (73702) range across 14 matching MRF lines |
$1,680.62–$1,713.29 | $2,100.77–$2,141.61 | varies |
| CT scans face/jaw combo (70488) | $1,749.57 | $2,186.96 | 10.2× |
| CT soft tissue neck w contrast (70491) | $1,479.20 | $1,849 | 8.7× |
| CT soft tissue neck w/o contrast (70490) | $1,369.57 | $1,711.96 | 13.4× |
| CT thoracic spine w contrast (72129) | $1,074.86 | $1,343.57 | 6.3× |
| CT thoracic spine w/o contrast (72128) | $717.72 | $897.15 | 7.0× |
| CT thoracic spine w/wo cont (72130) | $2,020.43 | $2,525.54 | 11.8× |
| CT thorax w/o contrast (71250) range across 3 matching MRF lines |
$1,575.30–$1,685.57 | $1,969.12–$2,106.96 | varies |
| CT upper ext wo (73200) range across 14 matching MRF lines |
$1,031.47–$1,051.54 | $1,289.34–$1,314.42 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 14 matching MRF lines |
$1,642.07–$1,674.01 | $2,052.59–$2,092.51 | varies |
| CT upper extremity with contrast (73201) range across 14 matching MRF lines |
$1,554.32–$1,584.54 | $1,942.90–$1,980.68 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$2,166.82–$2,318.50 | $2,708.53–$2,898.13 | varies |
| Cta Abdomen (74175) | $2,442.11 | $3,052.64 | 14.3× |
| CTA pelvis (72191) | $2,359.94 | $2,949.92 | 13.8× |
| Discography Cerv/Thor Spine (72285) | $3,771.56 | $4,714.45 | 2.0× |
| Diskography lumbar (72295) | $3,771.56 | $4,714.45 | 2.0× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $418.18 | $522.72 | 4.1× |
| Dxa Bone Density Axial (77080) | $703.40 | $879.25 | 6.9× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $535.95 | $669.94 | 6.3× |
| Echo exam uterus (76831) range across 5 matching MRF lines |
$59.15–$1,610.82 | $73.94–$2,013.52 | varies |
| Echo Guide For Artery Repair (76936) range across 3 matching MRF lines |
$196.96–$643.86 | $246.20–$804.83 | varies |
| Esophagram (74220) | $692.91 | $866.14 | 4.1× |
| Fetal Biophys Profile W/Nst (76818) range across 2 matching MRF lines |
$554.02–$562.30 | $692.53–$702.88 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 2 matching MRF lines |
$63.14–$76.11 | $78.92–$95.14 | varies |
| Fluoroscopy up to 1 hr (76000) range across 6 matching MRF lines |
$90.34–$1,009.13 | $112.93–$1,261.41 | varies |
| Follow-Up Angiography (75898) range across 2 matching MRF lines |
$3,131.81 | $181.64–$3,914.76 | 1.0× |
| Foot 2 views (73620) range across 6 matching MRF lines |
$12.43–$86 | $15.54–$107.50 | varies |
| Forearm 2 views (73090) | $325.02 | $406.28 | 3.8× |
| Gastric emptying imaging study (78264) | $2,096.42 | $2,620.53 | 5.4× |
| Gastroesophageal Reflux Exam (78262) | $784.58 | $980.72 | 2.0× |
| Gated Heart Planar Single (78472) range across 3 matching MRF lines |
$77.30–$3,114.22 | $96.62–$3,892.77 | varies |
| Hand 2 views (73120) | $300.69 | $375.86 | 3.0× |
| Heart Image (Pet) Multiple (78492) | $8,340.11 | $10,425.14 | 6.0× |
| Hepatobil Syst Image W/Drug (78227) | $3,440.39 | $4,300.49 | 6.5× |
| Hepatobiliary System Imaging (78226) | $2,297.70 | $2,872.13 | 5.9× |
| Ht Muscle Image Spect Sing (78451) range across 6 matching MRF lines |
$107.79–$2,576.18 | $134.74–$3,220.22 | varies |
| Hysterosalpingogram (74740) | $1,682.03 | $2,102.54 | 7.2× |
| Infusion Ivp (74410) | $409.34 | $511.67 | 2.4× |
| K Flow/Funct Image W/Drug (78708) | $2,028.55 | $2,535.69 | 3.8× |
| K Flow/Funct Image W/O Drug (78707) | $1,649.58 | $2,061.97 | 3.1× |
| Kidney Imaging Morphol (78700) | $733.18 | $916.48 | 1.9× |
| Knee 3 Views (73562) | $385.60 | $482 | 4.5× |
| Liver & Spleen Imaging Static Only (78215) | $1,391.54 | $1,739.43 | 3.6× |
| Lung Perf&Ventilat Diferentl (78598) | $557.31 | $696.64 | 1.1× |
| Lung perfusion differential (78597) | $1,539.74 | $1,924.68 | 4.0× |
| Lung Ventilat&Perfus Imaging (78582) | $2,027.87 | $2,534.84 | 3.8× |
| Lung Ventilation Imaging (78579) | $737.32 | $921.65 | 1.9× |
| Lymph System Imaging (78195) | $1,566.18 | $1,957.73 | 3.0× |
| Magnetic Image Jaw Joint (70336) | $1,780.83 | $2,226.04 | 7.7× |
| Mammary ductogram or galactogram single (77053) | $308.22 | $385.28 | 1.3× |
| Meckels Divert Exam (78290) | $1,420.16 | $1,775.20 | 3.6× |
| Mlc imrt design & construction per imrt plan (77338) | $1,645 | $2,056.25 | 4.5× |
| Mra Head W/O & W/Contrast Material (70546) | $2,319.22 | $2,899.03 | 6.8× |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$1,579.80–$1,660.74 | $1,974.75–$2,075.93 | varies |
| MRA head with contrast (70545) | $2,006.86 | $2,508.58 | 5.9× |
| MRA neck w contrast (70548) | $2,010.07 | $2,512.59 | 5.9× |
| Mra Neck W/O &W/Contrast Material (70549) | $2,497.47 | $3,121.84 | 7.3× |
| MRA neck w/o contrast (70547) | $1,569.61 | $1,962.01 | 6.7× |
| MRI abdomen w contrast (74182) | $2,691.31 | $3,364.14 | 7.9× |
| MRI abdomen w/o contrast (74181) | $2,612.39 | $3,265.49 | 11.2× |
| MRI any jt lower extrem w/contrast material (73722) | $2,443.08 | $3,053.85 | 3.2× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $3,207.76 | $4,009.70 | 9.4× |
| MRI any jt upper extremity w/contrast matrl (73222) | $2,449.02 | $3,061.27 | 3.2× |
| MRI Breast W/O Contrast Bilateral (77047) | $1,571.96 | $1,964.95 | 6.8× |
| MRI Breast Without Contrast Material Unilateral (77046) | $1,498.36 | $1,872.95 | 6.4× |
| MRI cervical spine w contrast (72142) | $2,316.57 | $2,895.71 | 6.8× |
| MRI cervical spine w/o cont (72141) | $2,052.91 | $2,566.14 | 8.8× |
| MRI chest w/o contrast (71550) | $2,371.56 | $2,964.45 | 10.2× |
| MRI chest with contrast (71551) | $2,418.85 | $3,023.56 | 3.2× |
| MRI chest wo w contrast (71552) | $2,820.85 | $3,526.06 | 8.3× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $1,987.50 | $2,484.38 | 5.8× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $3,439.53 | $4,299.41 | 10.1× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $1,655.52 | $2,069.40 | 7.1× |
| MRI lumbar spine w contrast (72149) | $2,736.22 | $3,420.28 | 8.0× |
| Mri Neck Spine W/O & W/Dye (72156) | $2,461.70 | $3,077.12 | 7.2× |
| MRI orbit face &/neck w/o contrast (70540) | $2,090.04 | $2,612.55 | 9.0× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $2,793.30 | $3,491.62 | 8.2× |
| MRI pelvis w contrast (72196) | $2,621.69 | $3,277.11 | 7.7× |
| MRI pelvis w/o & w contrast (72197) | $3,137.25 | $3,921.56 | 9.2× |
| MRI pelvis w/o contrast (72195) | $2,081.57 | $2,601.96 | 9.0× |
| MRI thoracic spine w/o contrast (72146) | $2,239.88 | $2,799.85 | 9.6× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $1,676.95 | $2,096.19 | 4.9× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $2,208.06 | $2,760.08 | 9.5× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $2,320.89 | $2,901.11 | 6.8× |
| MRI, abdomen, combo (74183) | $3,508.67 | $4,385.84 | 10.3× |
| MRI, dorsal spine combo (72157) | $3,961.54 | $4,951.92 | 11.7× |
| MRI, dorsal spine contrast (72147) | $2,813.24 | $3,516.55 | 8.3× |
| MRI, joint upper extrem (73221) | $1,838.69 | $2,298.36 | 7.9× |
| MRI, joint upper extrem combo (73223) | $2,832.84 | $3,541.05 | 8.3× |
| MRI, lumbar spine combo (72158) | $3,636.54 | $4,545.67 | 10.7× |
| Myelogram Lumbar (72265) | $1,155.98 | $1,444.98 | 1.5× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $1,108.02 | $1,385.03 | 2.8× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) | $1,546.52 | $1,933.15 | 1.2× |
| Myocardial Spect Multiple Studies (78452) range across 4 matching MRF lines |
$126.94–$4,994.66 | $158.68–$6,243.33 | varies |
| Neck soft tissue (70360) | $313.94 | $392.42 | 3.7× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $723.51 | $904.39 | 1.9× |
| Nm csf leak detection (78650) | $1,701.08 | $2,126.35 | 1.3× |
| Nm myocard infarct spect (78469) | $1,701.08 | $2,126.35 | 3.2× |
| Nonvascular Shunt X-Ray (75809) | $1,226.05 | $1,532.56 | 12.0× |
| Ntsty modul radthx pln dose-vol histos (77301) | $16,919.73 | $21,149.66 | 12.5× |
| Nuclear Rx Oral Admin (79005) | $1,983.42 | $2,479.28 | 8.7× |
| Ob us nuchal meas 1 gest (76813) | $994.47 | $1,243.09 | 9.8× |
| Parathyroid Planar Imaging (78070) | $1,162.67 | $1,453.34 | 3.0× |
| Parathyroid planar imaging w/wo subtraction (78071) | $3,876.90 | $4,846.12 | 10.0× |
| Pelvis 1 or 2 views (72170) | $307.78 | $384.73 | 3.0× |
| Pet Image W/Ct Lmtd (78814) range across 2 matching MRF lines |
$4,764.25–$5,043 | $5,955.31–$6,303.75 | varies |
| PET image w/CT, full body (78816) range across 2 matching MRF lines |
$8,130.98–$8,793.20 | $10,163.72–$10,991.50 | varies |
| PET imaging CT attenuation skull base mid-thigh (78815) | $7,852.21 | $9,815.26 | 5.6× |
| Pet Myocardial Sngl Study (78491) | $7,228.10 | $9,035.12 | 5.2× |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,373.08 | $1,716.35 | 3.5× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $478.59 | $598.24 | 4.7× |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 2 matching MRF lines |
$2,796.34–$2,943.52 | $3,495.43–$3,679.40 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 7 matching MRF lines |
$17.58–$354.33 | $21.97–$442.91 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$15.78–$401.74 | $19.73–$502.18 | varies |
| Radex elbow complete minimum 3 views (73080) | $394.68 | $493.35 | 4.7× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $575.15 | $718.94 | 5.6× |
| Radex fingr minimum 2 views (73140) | $390.36 | $487.95 | 4.6× |
| Radex foot complete minimum 3 views (73630) range across 8 matching MRF lines |
$13.54–$542.70 | $16.92–$678.38 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$407.66–$611.50 | $509.58–$764.37 | varies |
| Radex lower extremity infant minimum 2 views (73592) | $221.73 | $277.16 | 2.6× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $187.23 | $234.04 | 1.8× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $458.86 | $573.57 | 5.4× |
| Radex Ribs Unilateral 2 Views (71100) range across 4 matching MRF lines |
$18.03–$448.93 | $22.54–$561.16 | varies |
| Radex shoulder complete minimum 2 views (73030) | $431.37 | $539.21 | 5.1× |
| Radex Sinuses Paransl < 3 Views (70210) | $317.30 | $396.62 | 3.7× |
| Radex Spine 1 View Specify Level (72020) | $285.94 | $357.42 | 3.4× |
| Radex Sternum Minimum 2 Views (71120) | $563.24 | $704.05 | 6.6× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $1,032.65 | $1,290.81 | 12.2× |
| Radex Toe Minimum 2 Views (73660) range across 11 matching MRF lines |
$53.72–$409.55 | $67.15–$511.94 | varies |
| Radex upper extremity infant minimum 2 views (73092) | $485.82 | $607.28 | 4.8× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 10 matching MRF lines |
$14.08–$636.32 | $17.60–$795.40 | varies |
| Radiation treatment delivery level 1 (77402) | $596.15 | $745.19 | 6.0× |
| Radiation treatment delivery level 2 (77407) | $1,148.29 | $1,435.36 | 3.1× |
| Radiation treatment delivery level 3 (77412) | $1,509.67 | $1,887.09 | 2.8× |
| Radiolog exam mandible compl minimum 4 views (70110) | $515.09 | $643.86 | 5.1× |
| Radiologic exam colon double contrast study (74280) | $1,451.70 | $1,814.63 | 8.5× |
| Radiologic exam colon single contrast study (74270) | $1,161.29 | $1,451.61 | 6.8× |
| Radiologic exam knee complete 4/more views (73564) | $471.29 | $589.11 | 4.6× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $491.38 | $614.22 | 4.8× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $1,304.86 | $1,631.08 | 7.6× |
| Radiologic exam swallow function contrast study (74230) range across 2 matching MRF lines |
$687.42–$744.41 | $859.28–$930.51 | varies |
| Radiologic exam upr gi trc double contrast study (74246) range across 4 matching MRF lines |
$1,315.89–$1,651.85 | $1,644.86–$2,064.81 | varies |
| Radiologic examination femur 1 view (73551) | $143.34 | $179.17 | 1.7× |
| Radiologic examination femur minimum 2 views (73552) | $329.92 | $412.40 | 3.9× |
| Radiologic examination knee 1/2 views (73560) | $342.75 | $428.44 | 4.0× |
| Radiologic Examination Salivary Gland Calculus (70380) | $223.28 | $279.10 | 2.6× |
| Radiologic examination tibia & fibula 2 views (73590) | $325.14 | $406.42 | 3.8× |
| Ribs bilateral 3 views (71110) | $483.68 | $604.60 | 4.7× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $3,010.30 | $3,762.88 | 7.7× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $1,038.34 | $1,297.92 | 2.7× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $3,716.33 | $4,645.41 | 7.0× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $3,162.04 | $3,952.55 | 6.0× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $2,743.58 | $3,429.47 | 5.2× |
| Rp Therapy Intravenous Administration (79101) | $1,558.52 | $1,948.15 | 6.9× |
| Scapula (73010) | $381.64 | $477.05 | 3.7× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $55.32 | $69.15 | 2.4× |
| Sella turcica (70240) | $127.30 | $159.13 | 1.5× |
| Shoulder 1 view (73020) | $274.26 | $342.83 | 3.2× |
| Shoulder Arthrography (73040) | $1,170.16 | $1,462.70 | 3.4× |
| Sialogram (70390) | $723.30 | $904.13 | 3.1× |
| Skull less than 4 views (70250) | $316.61 | $395.76 | 3.1× |
| Special dosimetry (77331) | $1,091.26 | $1,364.07 | 8.3× |
| Special teletherapy port plan (77321) | $6,966.74 | $8,708.42 | 19.1× |
| Special treatment procedure (77470) | $2,673.69 | $3,342.11 | 5.0× |
| Sternoclavicular joints (71130) | $1,073.27 | $1,341.59 | 12.7× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $9,123.68 | $11,404.60 | 25.0× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $613.94 | $767.43 | 1.7× |
| Testicular Imaging W/Flow (78761) | $579 | $723.75 | 1.5× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $2,771.31 | $3,464.14 | 7.6× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $756.29 | $945.36 | 2.1× |
| Ther rad simulaj-aided field setting simple (77280) | $748.42 | $935.52 | 5.7× |
| Thoracic spine 2 views (72070) | $492.80 | $616 | 4.8× |
| Thoracic spine 3 views (72072) | $501.56 | $626.95 | 4.9× |
| Thyroid Imaging With Vascular Flow (78013) | $891.38 | $1,114.22 | 2.3× |
| Thyroid Met Imaging Body (78018) range across 2 matching MRF lines |
$2,239.12–$2,563.16 | $2,798.90–$3,203.95 | varies |
| Thyroid Uptake Measurement (78012) | $926.11 | $1,157.64 | 2.4× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,848.90 | $2,311.13 | 4.7× |
| Tx Devices Design & Construction Complex (77334) | $1,086.54 | $1,358.17 | 3.0× |
| Tx devices design & construction intermediate (77333) | $616.18 | $770.23 | 4.7× |
| Tx devices design & construction simple (77332) | $321.49 | $401.86 | 2.5× |
| Ultrasound Breast Limited (76642) range across 5 matching MRF lines |
$449.11–$673.67 | $561.39–$842.09 | varies |
| Ultrasound, abdomen limited (76705) | $562.87 | $703.59 | 5.5× |
| Umbilical-artery Doppler (OB) (76820) range across 4 matching MRF lines |
$42.32–$323.20 | $52.90–$404 | varies |
| Unlisted us procedure (76999) | $1,434.06 | $1,792.57 | 16.9× |
| Upper gi w/o kub (74240) | $775.89 | $969.86 | 4.5× |
| Urethrocystogram voiding (74455) | $879.82 | $1,099.78 | 3.8× |
| Urethrocystography retrograde (74450) | $1,371.61 | $1,714.51 | 5.9× |
| Us breast unilateral complete (76641) range across 5 matching MRF lines |
$56.45–$1,163.13 | $70.56–$1,453.91 | varies |
| Us chest (76604) | $554.27 | $692.84 | 5.4× |
| Us complete joint (76881) range across 3 matching MRF lines |
$194.82–$596.78 | $243.53–$745.98 | varies |
| Us exam, pelvic, limited (76857) range across 3 matching MRF lines |
$35.44–$345.30 | $44.30–$431.62 | varies |
| Us head (76506) | $269.70 | $337.12 | 2.6× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 7 matching MRF lines |
$87.70–$464.16 | $109.62–$580.20 | varies |
| Us ob detailed single fetus (76811) range across 4 matching MRF lines |
$124.37–$1,704.13 | $155.46–$2,130.16 | varies |
| Us ob limited 1 or more fetuses (76815) range across 3 matching MRF lines |
$52.43–$867.51 | $65.54–$1,084.39 | varies |
| Us ob transvaginal (76817) range across 3 matching MRF lines |
$60.88–$687.66 | $76.10–$859.57 | varies |
| Us pelvic non ob complete (76856) range across 5 matching MRF lines |
$69.08–$514.68 | $86.35–$643.35 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 3 matching MRF lines |
$80.03–$881.96 | $100.04–$1,102.45 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 3 matching MRF lines |
$70.45–$827.55 | $88.06–$1,034.44 | varies |
| Us retroperitoneal complete (76770) | $831 | $1,038.75 | 8.2× |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$43.89–$46.24 | $54.86–$57.80 | varies |
| Us scrotum and contents (76870) | $737.44 | $921.80 | 7.2× |
| Us thyroid (76536) range across 5 matching MRF lines |
$44.42–$756.51 | $55.52–$945.64 | varies |
| Us transrectal (76872) range across 4 matching MRF lines |
$54.11–$777.20 | $67.64–$971.50 | varies |
| Vein X-Ray Chest (75827) range across 2 matching MRF lines |
$85.20–$1,872.56 | $106.50–$2,340.70 | varies |
| Vein X-Ray Liver W/O Hemodyn (75887) | $1,797.68 | $2,247.10 | 0.6× |
| Venography caval inferior serialography rs&i (75825) | $2,746.04 | $3,432.55 | 0.9× |
| Venography extremity bilateral rs&i (75822) range across 3 matching MRF lines |
$260.50–$2,617.70 | $325.63–$3,272.13 | varies |
| Venography extremity unilateral rs&i (75820) range across 4 matching MRF lines |
$170.27–$1,778.60 | $212.84–$2,223.25 | varies |
| Venography Renal Unilateral (75831) range across 2 matching MRF lines |
$184.93–$4,303.58 | $231.16–$5,379.48 | varies |
| Venous thrombosis imaging (78457) | $1,701.08 | $2,126.35 | 3.2× |
| Wrist 2 views (73100) | $402.82 | $503.52 | 4.7× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $554.30 | $692.87 | 6.5× |
| X-ray antegrade pyelogram tube (74425) | $1,649.63 | $2,062.04 | 4.9× |
| X-Ray Aorta Leg Arteries (75630) range across 2 matching MRF lines |
$186.36–$10,957.21 | $232.95–$13,696.51 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $335.94 | $419.93 | 4.0× |
| X-Ray Exam Breast Specimen (76098) range across 2 matching MRF lines |
$32.78–$714.67 | $40.98–$893.34 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $594.96 | $743.70 | 5.8× |
| X-Ray Exam Hip Uni 1 View (73501) | $447.62 | $559.52 | 5.3× |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 4 matching MRF lines |
$525.60–$547.09 | $657–$683.86 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) | $580.54 | $725.68 | 5.7× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $744.25 | $930.31 | 7.3× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $1,097.77 | $1,372.21 | 10.8× |
| X-Ray Exam L-S Spine Bending (72114) | $761.61 | $952.01 | 7.5× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $445.42 | $556.78 | 5.3× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $711.30 | $889.12 | 7.0× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $481.42 | $601.78 | 4.7× |
| X-ray eye for foreign body (70030) | $204 | $255 | 2.4× |
| X-ray humerus (73060) | $310.42 | $388.02 | 3.7× |
| X-ray IV pyelogram (ivp) (74400) | $1,639.27 | $2,049.09 | 9.6× |
| X-ray IV pyelogram+tomography (74415) | $409.34 | $511.67 | 2.4× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $55.38 | $69.22 | 0.7× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $683.02 | $853.78 | 8.1× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $476.02 | $595.02 | 4.7× |
| X-ray nose-rectum child f.b. (76010) | $411.80 | $514.75 | 4.9× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $500 | $625 | 4.9× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $402.82 | $503.52 | 4.0× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $249.20 | $311.50 | 2.4× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $400.56 | $500.70 | 4.7× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $610.90 | $763.63 | 7.2× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $531.77 | $664.71 | 5.2× |
| X-ray thoracic spine 4 vw (72074) | $573.21 | $716.51 | 5.6× |
| X-Ray Tmj Unilat (70328) | $774.49 | $968.11 | 9.1× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 3 matching MRF lines |
$37.10–$1,314.99 | $46.38–$1,643.74 | varies |
| X-Rays Bone Length Studies (77073) | $512.50 | $640.63 | 5.0× |
| X-Rays Bone Survey Complete (77075) | $1,253.26 | $1,566.57 | 12.3× |
| Xr orbits complete 4 views (70200) | $422.65 | $528.31 | 4.1× |
| Xr Tomogram Single Plane (76100) | $165.70 | $207.12 | 1.6× |
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.