Imaging prices at Lafayette Regional Health Center
Lexington, MO · every code in this section with a posted price and a Medicare benchmark.
274 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) | $758.23 | $758.23 | 8.7× |
| Abdomen 2 views (74019) | $1,171.96 | $1,171.96 | 11.2× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $4,781.61 | $4,781.61 | 11.9× |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$651.77–$1,296.17 | $651.77–$1,296.17 | varies |
| Arthrogram ankle (73615) | $3,896.24 | $3,896.24 | 11.1× |
| Arthrogram hip (73525) | $4,187.19 | $4,187.19 | 12.0× |
| Arthrogram Wrist (73115) range across 2 matching MRF lines |
$1,188.50–$4,154.81 | $1,188.50–$4,154.81 | varies |
| Bone age studies (77072) | $425.19 | $425.19 | 4.1× |
| Bone Imaging 3 Phase (78315) | $4,910.41 | $4,910.41 | 12.3× |
| Bone Imaging Limited Area (78300) | $3,556.59 | $3,556.59 | 8.9× |
| Bone Imaging Multiple Areas (78305) | $5,221.66 | $5,221.66 | 13.0× |
| Bone Imaging Whole Body (78306) | $5,296.80 | $5,296.80 | 13.2× |
| Bone marrow imaging limited area (78102) | $2,275.42 | $2,275.42 | 5.7× |
| Bone survey infant (77076) | $965.14 | $965.14 | 9.2× |
| Brain Flow Imaging Only (78610) | $3,715.46 | $3,715.46 | 6.8× |
| Brain Imaging Minimum 4 Static Views (78605) | $3,021.38 | $3,021.38 | 5.6× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $19,223.41 | $19,223.41 | 13.4× |
| Cat Scan Follow-Up Study (76380) | $3,498.81 | $3,498.81 | 40.1× |
| Cerebrospinal Fluid Scan (78630) | $4,452.44 | $4,452.44 | 8.2× |
| Chest 1 view (71045) | $510.46 | $510.46 | 5.9× |
| Chest 2 views (71046) | $1,020.92 | $1,020.92 | 11.7× |
| Clavicle complete (73000) range across 3 matching MRF lines |
$912.18–$1,824.35 | $912.18–$1,824.35 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $3,498.81 | $3,498.81 | 33.4× |
| Contrast X-Ray Bladder (74430) | $2,217.19 | $2,217.19 | 6.3× |
| Contrast X-Ray Of Elbow (73085) | $3,896.24 | $3,896.24 | 11.1× |
| Contrast X-Ray Of Knee Joint (73580) | $4,187.19 | $4,187.19 | 12.0× |
| Contrast Xray Throat/Cerv Esopha (74210) | $1,396.22 | $1,396.22 | 7.9× |
| CT abdomen and pelvis without and with contrast (74178) | $14,690.22 | $14,690.22 | 42.0× |
| CT abdomen and pelvis without contrast (74176) | $8,562.63 | $8,562.63 | 35.8× |
| CT abdomen w contrast (74160) | $6,136.96 | $6,136.96 | 34.9× |
| CT abdomen w wo contrast (74170) | $9,166.68 | $9,166.68 | 52.2× |
| CT abdomen w/o contrast (74150) | $5,844.28 | $5,844.28 | 55.8× |
| CT Angio Abdomen and Pelvis (74174) | $6,158.35 | $6,158.35 | 17.6× |
| CT Angio Chest (71275) | $5,872.35 | $5,872.35 | 33.4× |
| CT Angio Head (70496) | $6,807.87 | $6,807.87 | 38.8× |
| CT Angio Neck (70498) | $7,331.75 | $7,331.75 | 41.7× |
| CT cervical spine w/ contrast (72126) | $5,841.62 | $5,841.62 | 16.7× |
| CT cervical spine w/o contrast (72125) | $5,772.12 | $5,772.12 | 55.1× |
| CT cervical spine w/wo cont (72127) | $5,772.12 | $5,772.12 | 32.9× |
| CT chest w contrast (71260) | $6,166.36 | $6,166.36 | 35.1× |
| CT chest w/wo contrast (71270) | $8,571.97 | $8,571.97 | 48.8× |
| CT head/brain with contrast (70460) | $5,226.84 | $5,226.84 | 29.8× |
| CT head/brain without and with contrast (70470) | $8,407.58 | $8,407.58 | 47.9× |
| CT heart no contrast quant eval coronry calcium (75571) | $54.08 | $54.08 | 0.6× |
| CT iac w contrast (70481) | $5,662.52 | $5,662.52 | 32.2× |
| CT l-spine w&w/o contrast (72133) | $8,584 | $8,584 | 48.9× |
| CT lower ext w/o (73700) range across 3 matching MRF lines |
$5,841.62–$11,669.86 | $5,841.62–$11,669.86 | varies |
| CT lower extremity w/contrast material (73701) range across 3 matching MRF lines |
$6,166.36–$12,332.73 | $6,166.36–$12,332.73 | varies |
| CT lumbar spine w contrast (72132) | $5,841.62 | $5,841.62 | 16.7× |
| CT lumbar spine w/o contrast (72131) | $4,902.08 | $4,902.08 | 46.8× |
| CT maxillofacial w contrast (70487) | $6,166.36 | $6,166.36 | 35.1× |
| CT maxillofacial wo contrast (70486) | $5,841.62 | $5,841.62 | 55.8× |
| CT neck tissue combo (70492) | $8,571.97 | $8,571.97 | 48.8× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $8,407.58 | $8,407.58 | 47.9× |
| CT orbits w/o contrast (70480) | $5,355.16 | $5,355.16 | 51.1× |
| CT pelvis w&w/o contrast (72194) | $8,584 | $8,584 | 48.9× |
| CT pelvis w/o contrast (72192) | $4,902.08 | $4,902.08 | 46.8× |
| CT scan of leg combo (73702) range across 3 matching MRF lines |
$8,584–$17,153.29 | $8,584–$17,153.29 | varies |
| CT scans face/jaw combo (70488) | $8,584 | $8,584 | 48.9× |
| CT soft tissue neck w contrast (70491) | $6,166.36 | $6,166.36 | 35.1× |
| CT soft tissue neck w/o contrast (70490) | $5,841.62 | $5,841.62 | 55.8× |
| CT thoracic spine w contrast (72129) | $5,841.62 | $5,841.62 | 33.3× |
| CT thoracic spine w/o contrast (72128) | $5,772.12 | $5,772.12 | 55.1× |
| CT thoracic spine w/wo cont (72130) | $8,584 | $8,584 | 48.9× |
| CT thorax w/o contrast (71250) | $5,844.28 | $5,844.28 | 55.8× |
| CT upper ext wo (73200) range across 3 matching MRF lines |
$5,464.72–$10,930.80 | $5,464.72–$10,930.80 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 3 matching MRF lines |
$8,584–$17,153.29 | $8,584–$17,153.29 | varies |
| CT upper extremity with contrast (73201) range across 3 matching MRF lines |
$5,772.12–$11,549.56 | $5,772.12–$11,549.56 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $6,650.16 | $6,650.16 | 37.9× |
| Cta Abdomen (74175) | $5,941.84 | $5,941.84 | 33.8× |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$432.56–$1,945 | $432.56–$1,945 | varies |
| Dxa bone density study 1/>sites appendiclr skel (77081) range across 2 matching MRF lines |
$432.56–$660.61 | $432.56–$660.61 | varies |
| Esophagram (74220) | $1,472.72 | $1,472.72 | 8.4× |
| Fetal Biophys Profile W/Nst (76818) | $2,762.25 | $2,762.25 | 26.4× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $2,522.31 | $2,522.31 | 24.1× |
| Fluoroscopy up to 1 hr (76000) | $625.29 | $625.29 | 2.6× |
| Foot 2 views (73620) range across 3 matching MRF lines |
$651.77–$1,296.17 | $651.77–$1,296.17 | varies |
| Forearm 2 views (73090) range across 3 matching MRF lines |
$716.50–$1,068.12 | $716.50–$1,068.12 | varies |
| Gastric emptying imaging study (78264) range across 2 matching MRF lines |
$5,296.80–$6,405.89 | $5,296.80–$6,405.89 | varies |
| Gated Heart Planar Single (78472) | $6,715.36 | $6,715.36 | 16.8× |
| Hand 2 views (73120) range across 3 matching MRF lines |
$651.77–$1,296.17 | $651.77–$1,296.17 | varies |
| Hepatobil Syst Image W/Drug (78227) | $4,286.10 | $4,286.10 | 7.9× |
| Hepatobiliary System Imaging (78226) | $4,286.10 | $4,286.10 | 10.7× |
| Ht Musc Image Planar Mult (78454) | $8,309.24 | $8,309.24 | 6.4× |
| Ht Muscle Image Spect Sing (78451) | $8,280.62 | $8,280.62 | 6.4× |
| Hysterosalpingogram (74740) | $2,025.92 | $2,025.92 | 8.5× |
| K Flow/Funct Image Multiple (78709) | $8,674.17 | $8,674.17 | 15.9× |
| K Flow/Funct Image W/Drug (78708) | $5,277.12 | $5,277.12 | 9.7× |
| K Flow/Funct Image W/O Drug (78707) | $4,337.97 | $4,337.97 | 8.0× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $2,660.02 | $2,660.02 | 6.6× |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$716.50–$1,427.13 | $716.50–$1,427.13 | varies |
| Liver & Spleen Imaging Static Only (78215) | $4,103.63 | $4,103.63 | 10.2× |
| Lung Perf&Ventilat Diferentl (78598) | $4,654.59 | $4,654.59 | 8.6× |
| Lung perfusion differential (78597) | $4,012.40 | $4,012.40 | 10.0× |
| Lung Ventilat&Perfus Imaging (78582) | $6,599.09 | $6,599.09 | 12.1× |
| Lung Ventilation Imaging (78579) | $3,203.84 | $3,203.84 | 8.0× |
| Lymph System Imaging (78195) | $5,123.29 | $5,123.29 | 9.4× |
| Magnetic Image Jaw Joint (70336) | $7,287.42 | $7,287.42 | 30.5× |
| Mammary ductogram or galactogram multiple (77054) | $3,820.85 | $3,820.85 | 16.0× |
| Mammary ductogram or galactogram single (77053) | $2,920.44 | $2,920.44 | 12.2× |
| Meckels Divert Exam (78290) | $3,851.40 | $3,851.40 | 9.6× |
| Mra Head W/O & W/Contrast Material (70546) | $7,287.42 | $7,287.42 | 20.9× |
| MRA head w/o contrast (70544) | $6,052.45 | $6,052.45 | 25.3× |
| MRA head with contrast (70545) | $6,052.45 | $6,052.45 | 17.3× |
| MRA neck w contrast (70548) | $6,052.45 | $6,052.45 | 17.3× |
| Mra Neck W/O &W/Contrast Material (70549) | $12,106.28 | $12,106.28 | 34.6× |
| MRA neck w/o contrast (70547) | $6,052.45 | $6,052.45 | 25.3× |
| MRI abdomen w contrast (74182) | $6,052.45 | $6,052.45 | 17.3× |
| MRI abdomen w/o contrast (74181) | $6,052.45 | $6,052.45 | 25.3× |
| MRI any jt lower extrem w/contrast material (73722) range across 3 matching MRF lines |
$6,052.45–$12,106.28 | $6,052.45–$12,106.28 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 3 matching MRF lines |
$7,446.95–$14,902.16 | $7,446.95–$14,902.16 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 3 matching MRF lines |
$6,052.45–$12,106.28 | $6,052.45–$12,106.28 | varies |
| MRI Breast Without Contrast Material Unilateral (77046) | $5,403.62 | $5,403.62 | 22.6× |
| MRI cervical spine w contrast (72142) | $5,872.30 | $5,872.30 | 16.8× |
| MRI cervical spine w/o cont (72141) | $6,892.74 | $6,892.74 | 28.8× |
| MRI chest w/o contrast (71550) | $7,287.42 | $7,287.42 | 30.5× |
| MRI chest with contrast (71551) | $8,009.43 | $8,009.43 | 10.2× |
| MRI chest wo w contrast (71552) | $8,816.69 | $8,816.69 | 25.2× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 3 matching MRF lines |
$6,052.45–$12,106.28 | $6,052.45–$12,106.28 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 3 matching MRF lines |
$7,446.95–$14,902.16 | $7,446.95–$14,902.16 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 3 matching MRF lines |
$6,052.45–$12,106.28 | $6,052.45–$12,106.28 | varies |
| MRI lumbar spine w contrast (72149) | $5,872.30 | $5,872.30 | 16.8× |
| Mri Neck Spine W/O & W/Dye (72156) | $7,446.95 | $7,446.95 | 21.3× |
| MRI orbit face &/neck w/o contrast (70540) | $6,052.45 | $6,052.45 | 25.3× |
| MRI orbit face neck w contrast (70542) | $6,052.45 | $6,052.45 | 17.3× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $7,287.42 | $7,287.42 | 20.9× |
| MRI pelvis w contrast (72196) | $6,052.45 | $6,052.45 | 17.3× |
| MRI pelvis w/o & w contrast (72197) | $7,446.95 | $7,446.95 | 21.3× |
| MRI pelvis w/o contrast (72195) | $6,052.45 | $6,052.45 | 25.3× |
| MRI thoracic spine w/o contrast (72146) | $6,892.74 | $6,892.74 | 28.8× |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 3 matching MRF lines |
$6,052.45–$12,106.28 | $6,052.45–$12,106.28 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 3 matching MRF lines |
$6,052.45–$12,106.28 | $6,052.45–$12,106.28 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 3 matching MRF lines |
$7,446.95–$14,902.16 | $7,446.95–$14,902.16 | varies |
| MRI, abdomen, combo (74183) | $7,287.42 | $7,287.42 | 20.9× |
| MRI, dorsal spine combo (72157) | $7,446.95 | $7,446.95 | 21.3× |
| MRI, dorsal spine contrast (72147) | $10,660.89 | $10,660.89 | 30.5× |
| MRI, joint upper extrem (73221) range across 3 matching MRF lines |
$6,052.45–$12,106.28 | $6,052.45–$12,106.28 | varies |
| MRI, joint upper extrem combo (73223) range across 3 matching MRF lines |
$7,446.95–$14,902.16 | $7,446.95–$14,902.16 | varies |
| MRI, lumbar spine combo (72158) | $6,205.11 | $6,205.11 | 17.8× |
| Myelogram cervical (72240) | $4,609.43 | $4,609.43 | 5.9× |
| Myelogram Lumbar (72265) | $3,835.57 | $3,835.57 | 4.9× |
| Myelography thoracic (72255) | $4,513.80 | $4,513.80 | 5.7× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) | $19,223.41 | $19,223.41 | 14.8× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $6,119.67 | $6,119.67 | 4.7× |
| Myocardial Spect Multiple Studies (78452) | $8,309.24 | $8,309.24 | 6.4× |
| Neck soft tissue (70360) | $769.47 | $769.47 | 8.8× |
| Nm myocard infarct spect (78469) | $3,973.04 | $3,973.04 | 7.3× |
| Nuclear Rx Oral Admin (79005) range across 4 matching MRF lines |
$3,209.21–$9,853.02 | $3,209.21–$9,853.02 | varies |
| Parathyroid Planar Imaging (78070) | $2,788.82 | $2,788.82 | 7.0× |
| Pelvis 1 or 2 views (72170) | $716.50 | $716.50 | 6.8× |
| Pet Image W/Ct Lmtd (78814) | $19,223.41 | $19,223.41 | 13.4× |
| PET image w/CT, full body (78816) | $19,223.41 | $19,223.41 | 13.4× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $19,223.41 | $19,223.41 | 13.4× |
| Pet Imaging Limited Area Chest Head/Neck (78811) | $22,576.24 | $22,576.24 | 17.4× |
| Pulmonary Perfusion Imaging Particulate (78580) | $3,747.66 | $3,747.66 | 9.4× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $1,418.29 | $1,418.29 | 13.5× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $1,066.65 | $1,066.65 | 1.9× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$716.50–$1,427.13 | $716.50–$1,427.13 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$716.50–$1,427.13 | $716.50–$1,427.13 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$912.18–$1,824.35 | $912.18–$1,824.35 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$523.76–$1,296.17 | $523.76–$1,296.17 | varies |
| Radex fingr minimum 2 views (73140) | $651.77 | $651.77 | 7.5× |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$716.50–$1,427.13 | $716.50–$1,427.13 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$716.50–$1,427.13 | $716.50–$1,427.13 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 3 matching MRF lines |
$1,633.09–$3,255.88 | $1,633.09–$3,255.88 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $965.14 | $965.14 | 11.1× |
| Radex Ribs Unilateral 2 Views (71100) | $965.14 | $965.14 | 11.1× |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$965.14–$1,922.94 | $965.14–$1,922.94 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $523.76 | $523.76 | 6.0× |
| Radex Spine 1 View Specify Level (72020) range across 3 matching MRF lines |
$482.57–$750.34 | $482.57–$750.34 | varies |
| Radex Sternum Minimum 2 Views (71120) | $720.90 | $720.90 | 8.3× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $1,159.35 | $1,159.35 | 13.3× |
| Radex Toe Minimum 2 Views (73660) range across 3 matching MRF lines |
$651.77–$1,066.65 | $651.77–$1,066.65 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 3 matching MRF lines |
$1,633.09–$3,255.88 | $1,633.09–$3,255.88 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$716.50–$1,975.89 | $716.50–$1,975.89 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $1,147.57 | $1,147.57 | 11.0× |
| Radiolog exam mandible compl minimum 4 views (70110) | $1,107.84 | $1,107.84 | 10.6× |
| Radiologic exam colon double contrast study (74280) | $1,613.97 | $1,613.97 | 9.2× |
| Radiologic exam colon single contrast study (74270) | $1,605.15 | $1,605.15 | 9.1× |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$1,232.90–$2,471.81 | $1,232.90–$2,471.81 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $1,199.07 | $1,199.07 | 11.5× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $1,613.97 | $1,613.97 | 9.2× |
| Radiologic exam swallow function contrast study (74230) | $1,802.28 | $1,802.28 | 10.3× |
| Radiologic exam upr gi trc double contrast study (74246) | $1,009.28 | $1,009.28 | 5.7× |
| Radiologic examination femur 1 view (73551) range across 4 matching MRF lines |
$482.57–$642.95 | $482.57–$642.95 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 4 matching MRF lines |
$642.95–$994.57 | $642.95–$994.57 | varies |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$651.77–$1,296.17 | $651.77–$1,296.17 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $1,425.65 | $1,425.65 | 13.6× |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$769.47–$1,540.41 | $769.47–$1,540.41 | varies |
| Red Cell Volume Determination Spx Mult Samplings (78121) | $2,846.08 | $2,846.08 | 5.2× |
| Ribs bilateral 3 views (71110) | $1,229.97 | $1,229.97 | 11.7× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $3,085.77 | $3,085.77 | 7.7× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $6,658.13 | $6,658.13 | 12.2× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $6,870.99 | $6,870.99 | 12.6× |
| Rp Therapy Intravenous Administration (79101) | $2,202.09 | $2,202.09 | 9.4× |
| Scapula (73010) range across 3 matching MRF lines |
$912.18–$1,824.35 | $912.18–$1,824.35 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $92.26 | $92.26 | 3.9× |
| Shoulder 1 view (73020) range across 3 matching MRF lines |
$425.19–$848.90 | $425.19–$848.90 | varies |
| Shoulder Arthrography (73040) | $4,473.95 | $4,473.95 | 12.8× |
| Skull less than 4 views (70250) | $482.57 | $482.57 | 4.6× |
| Sternoclavicular joints (71130) | $1,035.75 | $1,035.75 | 11.9× |
| Thoracic spine 2 views (72070) | $848.90 | $848.90 | 8.1× |
| Thoracic spine 3 views (72072) | $1,032.81 | $1,032.81 | 9.9× |
| Thoracolumbar 2 views (72080) | $1,613.97 | $1,613.97 | 18.5× |
| Thyroid Imaging With Vascular Flow (78013) | $2,495.47 | $2,495.47 | 6.2× |
| Thyroid Met Imaging Body (78018) | $5,983.73 | $5,983.73 | 11.0× |
| Thyroid Uptake Measurement (78012) | $4,985.54 | $4,985.54 | 12.5× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $5,425.61 | $5,425.61 | 13.5× |
| Tx devices design & construction simple (77332) | $177.85 | $177.85 | 1.3× |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$1,191.95–$1,505.70 | $1,191.95–$1,505.70 | varies |
| Ultrasound Exam Aaa Screen (76706) | $1,795.84 | $1,795.84 | 17.2× |
| Ultrasound, abdomen limited (76705) | $2,497.71 | $2,497.71 | 23.9× |
| Upper gi w/o kub (74240) | $888.64 | $888.64 | 5.1× |
| Urethrocystogram voiding (74455) | $2,411.38 | $2,411.38 | 10.1× |
| Urethrocystography retrograde (74450) | $2,193.65 | $2,193.65 | 9.2× |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$1,677.95–$2,311.62 | $1,677.95–$2,311.62 | varies |
| Us chest (76604) | $1,731.79 | $1,731.79 | 16.5× |
| Us complete joint (76881) | $2,062.45 | $2,062.45 | 19.7× |
| Us exam, pelvic, limited (76857) | $1,125.82 | $1,125.82 | 10.8× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $1,033.53 | $1,033.53 | 9.9× |
| Us ob limited 1 or more fetuses (76815) | $2,028.62 | $2,028.62 | 19.4× |
| Us ob transvaginal (76817) | $2,028.62 | $2,028.62 | 19.4× |
| Us pelvic non ob complete (76856) | $2,497.71 | $2,497.71 | 23.9× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $2,028.62 | $2,028.62 | 19.4× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $1,256.55 | $1,256.55 | 12.0× |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$2,050.15–$2,543.84 | $2,050.15–$2,543.84 | varies |
| Us retroperitoneal limited (76775) | $1,241.16 | $1,241.16 | 11.9× |
| Us scrotum and contents (76870) | $2,497.71 | $2,497.71 | 23.9× |
| Us thyroid (76536) | $1,256.55 | $1,256.55 | 12.0× |
| Us transrectal (76872) | $2,050.15 | $2,050.15 | 19.6× |
| Vascular Flow Imaging (78445) | $3,193.09 | $3,193.09 | 8.0× |
| Venography extremity unilateral rs&i (75820) | $2,161.29 | $2,161.29 | 1.4× |
| Wrist 2 views (73100) range across 3 matching MRF lines |
$651.77–$1,296.17 | $651.77–$1,296.17 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $1,107.84 | $1,107.84 | 12.7× |
| X-ray antegrade pyelogram tube (74425) | $2,851.29 | $2,851.29 | 8.2× |
| X-Ray Bend Only L-S Spine (72120) | $1,613.97 | $1,613.97 | 15.4× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$651.77–$1,296.17 | $651.77–$1,296.17 | varies |
| X-Ray Exam Breast Specimen (76098) range across 2 matching MRF lines |
$500.23–$1,013.69 | $500.23–$1,013.69 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) | $482.57 | $482.57 | 5.5× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $642.95 | $642.95 | 6.1× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $1,147.57 | $1,147.57 | 11.0× |
| X-Ray Exam Hip Uni 1 View (73501) | $642.95 | $642.95 | 7.4× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $960.73 | $960.73 | 11.0× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $1,199.07 | $1,199.07 | 11.5× |
| X-Ray Exam Hips Bi 2 Views (73521) | $960.73 | $960.73 | 9.2× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $1,019.58 | $1,019.58 | 9.7× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $1,078.43 | $1,078.43 | 10.3× |
| X-Ray Exam L-S Spine Bending (72114) | $2,118.61 | $2,118.61 | 20.2× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $912.18 | $912.18 | 10.5× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $1,540.41 | $1,540.41 | 14.7× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $1,346.19 | $1,346.19 | 12.9× |
| X-ray eye for foreign body (70030) range across 2 matching MRF lines |
$669.42–$1,341.77 | $669.42–$1,341.77 | varies |
| X-ray humerus (73060) range across 3 matching MRF lines |
$912.18–$1,824.35 | $912.18–$1,824.35 | varies |
| X-ray IV pyelogram (ivp) (74400) | $2,295.15 | $2,295.15 | 13.1× |
| X-ray IV pyelogram+tomography (74415) | $2,295.15 | $2,295.15 | 13.1× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $651.77 | $651.77 | 7.5× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $1,296.17 | $1,296.17 | 14.9× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $912.18 | $912.18 | 8.7× |
| X-ray nose-rectum child f.b. (76010) | $716.50 | $716.50 | 8.2× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $1,513.91 | $1,513.91 | 14.5× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $919.49 | $919.49 | 8.8× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $716.50 | $716.50 | 6.8× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $716.50 | $716.50 | 8.2× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $1,540.41 | $1,540.41 | 17.7× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $1,296.17 | $1,296.17 | 12.4× |
| X-Ray Stress View (77071) | $651.77 | $651.77 | 7.5× |
| X-ray thoracic spine 4 vw (72074) | $1,147.57 | $1,147.57 | 11.0× |
| X-Ray Tmj Unilat (70328) | $1,068.12 | $1,068.12 | 12.3× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $1,605.15 | $1,605.15 | 4.6× |
| X-Rays Bone Survey Complete (77075) | $1,877.32 | $1,877.32 | 17.9× |
| Xr c-spine 4 or 5 views (72050) | $1,346.19 | $1,346.19 | 12.9× |
| Xr facial bones less than 3 views (70140) | $482.57 | $482.57 | 5.5× |
| Xr orbits complete 4 views (70200) | $1,107.84 | $1,107.84 | 10.6× |
| Xr Tomogram Single Plane (76100) | $2,215.71 | $2,215.71 | 21.2× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.