Imaging prices at Lahey Hospital & Medical Center

Burlington, MA · every code in this section with a posted price and a Medicare benchmark.

446 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
3-D radiotherapy plan dose-volume histograms (77295) $9,427 $9,427 5.7×
Abdomen 1 View (74018) $345 $345 3.3×
Abdomen 2 views (74019) $567 $567 4.5×
Acute Gastrointestinal Blood Loss Imaging (78278) $1,152 $1,152 2.4×
Acute venous thrombosis imaging, peptide Non-Facility (78456) $2,471 $2,471 1.6×
Angio internal mammary (75756) $4,348 $4,348 1.1×
Angio pulmonary bilat (75743) $8,940 $8,940 2.4×
Angiography Adrenal Bilateral Slctv Rs&I (75733) $8,940 $8,940 2.4×
Angiography extremity bilateral rs&i (75716) $8,940 $8,940 2.4×
Angiography extremity unilateral rs&i (75710) $8,940 $8,940 2.4×
Angiography pulmonary unilateral slctv rs&i (75741) $8,940 $8,940 2.4×
Angrph pulmonary nonslctv cath/ven njx rs&i (75746) $4,348 $4,348 1.1×
Ankle 2 views (73600) $292 $292 2.8×
Aortography thoracic serialography rs&i (75605) $8,940 $8,940 1.3×
Aortography thoracic w/o serialography rs&i (75600) $8,940 $8,940 2.4×
Artery X-Rays Abdomen (75726) $15,659 $15,659 2.3×
Artery X-Rays Adrenal Gland (75731) $8,940 $8,940 2.4×
Artery X-Rays Pelvis (75736) $8,940 $8,940 1.3×
Artery X-Rays Spine (75705) $15,659 $15,659 2.3×
Arthrogram ankle (73615) $1,313 $1,313 3.1×
Arthrogram hip (73525) $1,193 $1,193 2.9×
Arthrogram Wrist (73115) $1,313 $1,313 3.1×
Basic radiation dosimetry calculation (77300) $589 $589 3.7×
Bone age studies (77072) $257 $257 2.1×
Bone Imaging 3 Phase (78315) $1,277 $1,277 2.7×
Bone Imaging Limited Area (78300) $1,086 $1,086 2.3×
Bone Imaging Multiple Areas (78305) $1,086 $1,086 2.3×
Bone Imaging Whole Body (78306) $1,193 $1,193 2.5×
Bone marrow imaging; whole body (78104) $1,158 $1,158 2.4×
Bone survey infant (77076) $409 $409 3.3×
Brachytx isodose complex (77318) $1,609 $1,609 3.6×
Brachytx isodose intermed (77317) $1,609 $1,609 3.6×
Brachytx Isodose Plan Simple (77316) $873 $873 1.9×
Brain Imaging Pet Metabolic Evaluation (78608) $9,492 $9,492 5.5×
Card Bl Pool Gated Spect Rest Wal Motn Ejct Frct (78494) $1,576 $1,576 3.3×
Cardiac MRI w/w/o contrast & further seq (75561) $3,768 $3,768 9.0×
Cardiac MRI w/w/o contrast w/stress (75563) $4,696 $4,696 5.0×
Cardiac Shunt Detection (78428) $1,283 $1,283 2.7×
Cardiovasc nucl exam unlisted (78499) $1,040 $1,040 2.2×
Cat Scan Follow-Up Study (76380) $1,173 $1,173 11.2×
Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) $1,784 $1,784 2.7×
Chest 1 view (71045) $206 $206 2.0×
Chest 2 views (71046) $206 $206 2.0×
Chest 3 views (71047) $206 $206 2.0×
Chest 4 or more views (71048) $397 $397 3.2×
Cholecystography Oral Contrast (74290) $868 $868 4.1×
Cineradiograpy/vidradiograpy xcpt where spec (76120) $882 $882 7.0×
Cisternography Positive Contrast Rs&I (70015) $3,341 $3,341 3.6×
Clavicle complete (73000) $322 $322 3.1×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $526 $526 4.2×
Continuing medical physics consltj pr wk (77336) $954 $954 5.9×
Contrast Exam Abdominl Aorta (75625) $8,940 $8,940 2.4×
Contrast X-Ray Bladder (74430) $1,446 $1,446 3.5×
Contrast X-Ray Of Elbow (73085) $1,193 $1,193 2.9×
Contrast X-Ray Of Knee Joint (73580) $1,313 $1,313 3.1×
Contrast Xray Throat/Cerv Esopha (74210) $569 $569 2.7×
Corpora cavernosography (74445) $1,563 $1,563 12.5×
CT abdomen and pelvis without and with contrast (74178) $2,630 $2,630 6.3×
CT abdomen and pelvis without contrast (74176) $1,240 $1,240 4.3×
CT abdomen w contrast (74160) $1,911 $1,911 9.1×
CT abdomen w wo contrast (74170) $2,274 $2,274 10.8×
CT abdomen w/o contrast (74150) $1,243 $1,243 9.9×
CT Angio Abdomen and Pelvis (74174) $2,601 $2,601 6.2×
CT Angio Chest (71275) $2,167 $2,167 10.3×
CT Angio Head (70496) $2,541 $2,541 12.1×
CT angio hrt w/3d image (75574) $1,173 $1,173 2.8×
Ct Angio Lwr Extr W/O&W/Dye (73706) $3,967 $3,967 18.9×
CT Angio Neck (70498) $2,361 $2,361 11.2×
Ct Angio Upr Extrm W/O&W/Dye (73206) $2,472 $2,472 11.8×
CT cervical spine w/ contrast (72126) $1,321 $1,321 3.2×
CT cervical spine w/o contrast (72125) $1,476 $1,476 11.8×
CT cervical spine w/wo cont (72127) $3,174 $3,174 15.1×
CT chest w contrast (71260) $1,826 $1,826 8.7×
CT chest w/wo contrast (71270) $2,726 $2,726 13.0×
CT colonography screening (74263) $2,847 $2,847 10.0×
CT Colonogrphy Dx Image Postprocess W/Contrast (74262) $2,450 $2,450 11.7×
CT colonogrphy dx image postprocess w/o contrast (74261) $1,610 $1,610 12.9×
CT head/brain with contrast (70460) $1,205 $1,205 5.7×
CT head/brain without and with contrast (70470) $1,492 $1,492 7.1×
CT heart contrast eval cardiac structure&morph (75572) $1,472 $1,472 3.5×
CT heart no contrast quant eval coronry calcium (75571)
range across 2 matching MRF lines		 $275–$1,105 $275–$1,105 varies
CT hrt w/3d image congen (75573) $2,080 $2,080 5.0×
CT iac w contrast (70481) $1,622 $1,622 7.7×
CT l-spine w&w/o contrast (72133) $3,801 $3,801 18.1×
CT lower ext w/o (73700) $1,445 $1,445 11.5×
CT lower extremity w/contrast material (73701) $2,086 $2,086 9.9×
CT lumbar spine w contrast (72132) $1,889 $1,889 4.5×
CT lumbar spine w/o contrast (72131) $1,366 $1,366 10.9×
CT maxillofacial w contrast (70487) $1,619 $1,619 7.7×
CT maxillofacial wo contrast (70486) $1,181 $1,181 9.4×
CT neck tissue combo (70492) $2,255 $2,255 10.7×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $1,664 $1,664 7.9×
CT orbits w/o contrast (70480) $1,283 $1,283 10.2×
CT pelvis w&w/o contrast (72194) $2,065 $2,065 9.8×
CT pelvis w/o contrast (72192) $1,331 $1,331 10.6×
CT scan of leg combo (73702) $2,223 $2,223 10.6×
CT scans face/jaw combo (70488) $1,913 $1,913 9.1×
CT soft tissue neck w contrast (70491) $1,533 $1,533 7.3×
CT soft tissue neck w/o contrast (70490) $1,194 $1,194 9.5×
CT thoracic spine w contrast (72129) $1,912 $1,912 9.1×
CT thoracic spine w/o contrast (72128) $1,740 $1,740 13.9×
CT thoracic spine w/wo cont (72130) $2,694 $2,694 12.8×
CT thorax w/o contrast (71250) $1,443 $1,443 11.5×
CT unlisted procedure (76497) $1,173 $1,173 11.2×
CT upper ext wo (73200) $1,532 $1,532 12.2×
CT upper extremity w/o & w/contrast material (73202) $1,741 $1,741 8.3×
CT upper extremity with contrast (73201) $1,361 $1,361 3.3×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $1,969 $1,969 9.4×
Cta Abdomen (74175) $2,804 $2,804 13.3×
CTA pelvis (72191) $3,040 $3,040 14.5×
Dacryocystography, nasolacrimal duct, radiological supervision and interpretation Non-Facility (70170) $2,813 $2,813 9.8×
Dilation ureters/urethra rs&i (74485) $6,741 $6,741 2.7×
Discography Cerv/Thor Spine (72285) $10,531 $10,531 4.5×
Diskography lumbar (72295) $10,531 $10,531 4.5×
Dxa Bone Density Axial (77080) $852 $852 6.8×
Dxa bone density study (77085) $321 $321 2.6×
Dxa bone density study 1/>sites appendiclr skel (77081) $246 $246 2.4×
Echo exam uterus (76831) $867 $867 3.0×
Echo Guide For Artery Repair (76936) $1,474 $1,474 5.7×
Echograp Trans R Pros Study (76873) $838 $838 6.7×
Esophagram (74220) $779 $779 3.7×
Fetal Biophys Profile W/Nst (76818) $410 $410 3.3×
Fetal MRI w/placntl matrnl plvc img sing/1st ges (74712) $2,945 $2,945 10.3×
Fluoroscopy up to 1 hr (76000) $598 $598 2.1×
Follow-Up Angiography (75898) $3,209 $3,209 0.8×
Foot 2 views (73620) $323 $323 3.1×
Forearm 2 views (73090) $323 $323 3.1×
Gastric emptying imaging study (78264) $1,171 $1,171 2.4×
Gastroesophageal Reflux Exam (78262) $1,156 $1,156 2.4×
Gated Heart Planar Single (78472) $1,576 $1,576 3.3×
Gated Heart, Multiple (78473) $1,665 $1,665 3.5×
Hand 2 views (73120) $278 $278 2.2×
Hdr Rdncl Ntrstl/Icav Brchtx (77772) $2,807 $2,807 3.4×
Hdr Rdncl Ntrstl/Icav Brchtx (77771) $2,807 $2,807 3.4×
Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) $2,807 $2,807 3.4×
Heart first pass single,planar (78481) $1,576 $1,576 2.4×
Heart Image (Pet) Multiple (78492) $5,332 $5,332 3.1×
Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) $8,940 $8,940 2.4×
Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) $8,940 $8,940 2.4×
Hepatobil Syst Image W/Drug (78227) $1,891 $1,891 2.9×
Hepatobiliary System Imaging (78226) $1,891 $1,891 3.9×
Ht Musc Image Planar Mult (78454) $4,696 $4,696 3.0×
Ht Muscle Image Spect Sing (78451) $4,696 $4,696 3.0×
Hysterosalpingogram (74740) $1,782 $1,782 6.2×
Image fusion (77399) $437 $437 2.7×
Infant hip ultrasound with hip movement (dynamic) (76885) $709 $709 6.8×
Interstitial radiation source applic complex (77778) $5,244 $5,244 6.3×
Intracavitary Radiation Source Applic Complex (77763) $2,098 $2,098 2.5×
Intracavitary Radiation Source Applic Intermed (77762) $1,854 $1,854 2.8×
Intracavitary radiation source applic simple (77761) $1,854 $1,854 2.8×
Intraop radiaj tx deliver xray single tx session (77424) $15,554 $15,554 1.8×
Joint Survey Single View (77077) $585 $585 4.7×
K Flow/Funct Image Multiple (78709) $2,011 $2,011 3.1×
K Flow/Funct Image W/Drug (78708) $1,470 $1,470 2.3×
K Flow/Funct Image W/O Drug (78707) $1,396 $1,396 2.1×
Kidney Imaging Morphol (78700) $1,428 $1,428 3.0×
Knee 3 Views (73562) $378 $378 3.6×
Leveen/Shunt Patency Exam (78291) $1,085 $1,085 2.3×
Liver & Spleen Imaging Static Only (78215) $1,121 $1,121 2.3×
Liver imaging static only (78201) $1,745 $1,745 2.7×
Lung Perf&Ventilat Diferentl (78598) $1,695 $1,695 2.6×
Lung perfusion differential (78597) $1,047 $1,047 2.2×
Lung Ventilat&Perfus Imaging (78582) $1,442 $1,442 2.2×
Lung Ventilation Imaging (78579) $1,025 $1,025 2.1×
Lymph System Imaging (78195) $1,150 $1,150 1.8×
Lymphangiography Extremity Only Bilateral Rs&I (75803) $2,671 $2,671 1.4×
Lymphangiography extremity only unilateral rs&i (75801) $1,588 $1,588 2.1×
Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) $4,290 $4,290 1.1×
Lymphangiography, pelvic/abdominal, unilateral (75805) $2,671 $2,671 0.7×
Magnetic Image Jaw Joint (70336) $2,945 $2,945 10.3×
Magnetic Resonance Elastography (76391) $10,334 $10,334 36.1×
Mammary ductogram or galactogram multiple (77054) $1,530 $1,530 5.4×
Mammary ductogram or galactogram single (77053) $1,530 $1,530 5.4×
Meckels Divert Exam (78290) $1,085 $1,085 2.3×
Mlc imrt design & construction per imrt plan (77338) $2,443 $2,443 5.4×
Mr safety determination physician/other qhp (76016) $273 $273 2.6×
Mr safety implant&/fb assmt clin staf 1st 15 min (76014) $76 $76 2.2×
Mr safety implt electronics prepj supvj phys/qhp (76018) $444 $444 3.9×
Mr safety implt pos&/immoblj (76019) $211 $211 3.0×
Mr safety med physics xm customization plng&mntr (76017) $870 $870 3.0×
Mra Head W/O & W/Contrast Material (70546) $3,779 $3,779 9.0×
MRA head w/o contrast (70544) $2,945 $2,945 10.3×
MRA head with contrast (70545) $2,945 $2,945 7.0×
MRA neck w contrast (70548) $2,945 $2,945 7.0×
Mra Neck W/O &W/Contrast Material (70549) $3,930 $3,930 9.4×
MRA neck w/o contrast (70547) $2,945 $2,945 10.3×
MRI abdomen w contrast (74182) $2,945 $2,945 7.0×
MRI abdomen w/o contrast (74181) $2,945 $2,945 10.3×
MRI any jt lower extrem w/contrast material (73722) $2,983 $2,983 3.2×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $2,945 $2,945 7.0×
MRI any jt upper extremity w/contrast matrl (73222) $2,945 $2,945 3.1×
MRI brain functional w/o physician admnistration (70554) $2,945 $2,945 10.3×
MRI brain functional w/physician admnistration (70555) $2,945 $2,945 10.3×
MRI Breast W/O Contrast Bilateral (77047) $3,653 $3,653 12.8×
MRI Breast Without Contrast Material Unilateral (77046) $3,322 $3,322 11.6×
MRI cardiac w/o cont stress (75559) $2,945 $2,945 4.5×
MRI cardiac w/o contrast (75557) $2,945 $2,945 10.3×
MRI cervical spine w contrast (72142) $3,705 $3,705 8.9×
MRI cervical spine w/o cont (72141) $2,945 $2,945 10.3×
MRI chest w/o contrast (71550) $2,945 $2,945 10.3×
MRI chest with contrast (71551) $4,444 $4,444 4.7×
MRI chest wo w contrast (71552) $3,637 $3,637 8.7×
MRI lower extrem oth/thn jt w/contrast matrl (73719) $2,945 $2,945 7.0×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $2,945 $2,945 7.0×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $2,945 $2,945 10.3×
MRI lumbar spine w contrast (72149) $3,326 $3,326 8.0×
Mri Neck Spine W/O & W/Dye (72156) $3,707 $3,707 8.9×
MRI orbit face &/neck w/o contrast (70540) $3,167 $3,167 11.1×
MRI orbit face neck w contrast (70542) $4,701 $4,701 11.2×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $3,509 $3,509 8.4×
MRI pelvis w contrast (72196) $3,218 $3,218 7.7×
MRI pelvis w/o & w contrast (72197) $2,945 $2,945 7.0×
MRI pelvis w/o contrast (72195) $2,945 $2,945 10.3×
MRI spectroscopy (76390) $2,945 $2,945 28.2×
MRI thoracic spine w/o contrast (72146) $2,945 $2,945 10.3×
MRI upper extremity oth than jt w/contr matrl (73219) $2,945 $2,945 7.0×
MRI upper extremity oth than jt w/o contr matrl (73218) $2,945 $2,945 10.3×
Mri Uppr Extremity W/O&W/Dye (73220) $2,945 $2,945 7.0×
MRI, abdomen, combo (74183) $3,521 $3,521 8.4×
MRI, dorsal spine combo (72157) $3,605 $3,605 8.6×
MRI, dorsal spine contrast (72147) $3,594 $3,594 8.6×
MRI, joint upper extrem (73221) $2,945 $2,945 10.3×
MRI, joint upper extrem combo (73223) $3,145 $3,145 7.5×
MRI, lumbar spine combo (72158) $3,231 $3,231 7.7×
Myelogram cervical (72240) $2,093 $2,093 2.2×
Myelogram Lumbar (72265) $2,093 $2,093 2.2×
Myelography thoracic (72255) $2,093 $2,093 2.2×
Myelograpy 2/more regions rs&i (72270) $2,093 $2,093 2.2×
Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) $1,560 $1,560 3.3×
Myocardial Imaging Pet Metabolic Evaluation (78459) $4,422 $4,422 2.9×
Myocardial Perfusion Planar 1 Study Rest/Stress (78453) $4,696 $4,696 3.0×
Myocardial Spect Multiple Studies (78452) $4,696 $4,696 3.0×
Myocrd Img Pet Metab Eval Single Study Cncrnt CT (78429) $4,990 $4,990 2.9×
N-invas est c ffr sw aly CTA (75580) $3,427 $3,427 3.3×
Neck soft tissue (70360) $444 $444 4.3×
Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) $926 $926 1.9×
Nm myocard infarct spect (78469) $2,530 $2,530 3.9×
Nonvascular Shunt X-Ray (75809) $966 $966 7.7×
Ntsty modul radthx pln dose-vol histos (77301) $8,165 $8,165 4.9×
Nuclear Rx Intra-Arterial (79445) $841 $841 3.0×
Nuclear Rx Oral Admin (79005) $1,121 $1,121 4.0×
Oph bmtry us echograpy a-scan io lens pwr cal (76519) $482 $482 3.8×
Oph us dx ant sgm us immersion b-scan/hr biom (76513) $1,495 $1,495 11.9×
Oph US Dx B-Scan&Quan a-Scan Sm Pt Enctr (76510) $2,498 $2,498 15.7×
Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) $1,492 $1,492 11.9×
Ophthalmic US Dx Corneal Pachymetry Uni/Bi (76514) $407 $407 11.7×
Ophthalmic us dx quantitative a-scan only (76511) $723 $723 5.8×
Optic foramina (70190) $316 $316 3.0×
Panoramic X-ray of jaws (70355) $226 $226 2.2×
Parathyroid imaging w/tomographic spect & CT (78072) $2,484 $2,484 3.8×
Parathyroid Planar Imaging (78070) $965 $965 2.0×
Parathyroid planar imaging w/wo subtraction (78071) $2,484 $2,484 5.2×
Pelvis 1 or 2 views (72170) $275 $275 2.2×
Perineogram (74775) $1,446 $1,446 5.1×
Peritoneogram Rs&I (74190) $4,264 $4,264 6.5×
Pet Image W/Ct Lmtd (78814) $8,983 $8,983 5.2×
PET image w/CT, full body (78816) $14,969 $14,969 8.7×
PET imaging CT attenuation skull base mid-thigh (78815) $11,975 $11,975 7.0×
Pet Imaging Limited Area Chest Head/Neck (78811) $5,332 $5,332 3.4×
Pet Myocardial Sngl Study (78491) $7,992 $7,992 4.7×
Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) $8,940 $8,940 2.4×
Pulmonary Perfusion Imaging Particulate (78580) $1,025 $1,025 2.1×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $644 $644 5.1×
Radex abscess/fistula/sinus tract rs&i (76080) $1,790 $1,790 2.7×
Radex Ankle Complete Minimum 3 Views (73610) $343 $343 3.3×
Radex Calcaneus Minimum 2 Views (73650) $304 $304 2.9×
Radex elbow complete minimum 3 views (73080) $344 $344 3.3×
Radex Facial Bones Complete Minimum 3 Views (70150) $455 $455 3.6×
Radex fingr minimum 2 views (73140) $260 $260 2.5×
Radex foot complete minimum 3 views (73630) $333 $333 3.2×
Radex Hand Minimum 3 Views (73130) $326 $326 3.1×
Radex lower extremity infant minimum 2 views (73592) $268 $268 2.6×
Radex Mastoids Compl Minimum 3 Views PR Side (70130) $387 $387 3.1×
Radex Nasal Bones Complete Minimum 3 Views (70160) $378 $378 3.6×
Radex Pharynx/Larx W/Fluor&/Magnification Tq (70370) $882 $882 8.5×
Radex Ribs Unilateral 2 Views (71100) $331 $331 3.2×
Radex shoulder complete minimum 2 views (73030) $330 $330 3.2×
Radex Sinuses Paransl < 3 Views (70210) $330 $330 3.2×
Radex sm int w/mlt srl imges via enteroclss tube (74251) $891 $891 4.2×
Radex Spine 1 View Specify Level (72020) $259 $259 2.5×
Radex Sternum Minimum 2 Views (71120) $354 $354 3.4×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $415 $415 4.0×
Radex Toe Minimum 2 Views (73660) $270 $270 2.6×
Radex upper extremity infant minimum 2 views (73092) $351 $351 2.8×
Radex Wrist Complete Minimum 3 Views (73110) $351 $351 3.4×
Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) $670 $670 5.3×
Radiation Delivery Stereotactic Cranial Linear (77372) $30,172 $30,172 3.4×
Radiation treatment delivery level 1 (77402) $815 $815 6.7×
Radiation treatment delivery level 2 (77407) $955 $955 2.1×
Radiation treatment delivery level 3 (77412) $1,211 $1,211 1.8×
Radiolog exam mandible compl minimum 4 views (70110) $490 $490 3.9×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $567 $567 4.5×
Radiologic exam colon double contrast study (74280) $1,275 $1,275 6.1×
Radiologic exam colon single contrast study (74270) $1,042 $1,042 5.0×
Radiologic Exam Esophagus Double Contrast Study (74221) $1,062 $1,062 5.1×
Radiologic exam knee complete 4/more views (73564) $432 $432 3.4×
Radiologic exam pelvis compl minimum 3 views (72190) $461 $461 3.7×
Radiologic Exam Small Int Single Contrast Study (74250) $1,062 $1,062 5.1×
Radiologic exam swallow function contrast study (74230) $758 $758 3.6×
Radiologic exam upr gi trc double contrast study (74246) $960 $960 4.6×
Radiologic examination femur 1 view (73551) $223 $223 2.1×
Radiologic examination femur minimum 2 views (73552) $223 $223 2.1×
Radiologic examination knee 1/2 views (73560) $305 $305 2.9×
Radiologic Examination Osseous Survey Limited (77074) $357 $357 2.8×
Radiologic Examination Salivary Gland Calculus (70380) $989 $989 9.5×
Radiologic examination tibia & fibula 2 views (73590) $335 $335 3.2×
Radiologic examination, internal auditory meati, complete Non-Facility (70134) $257 $257 0.4×
Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77768) $787 $787 1.7×
Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77767) $787 $787 1.7×
Renal Cyst Study (74470) $4,135 $4,135 6.3×
Ribs bilateral 3 views (71110) $391 $391 3.1×
Rp loclzj tum plnr 1 area single day imaging (78800) $1,279 $1,279 2.7×
Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) $2,551 $2,551 5.3×
Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) $3,869 $3,869 5.9×
Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) $2,198 $2,198 3.4×
Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) $2,548 $2,548 3.9×
Rp loclzj tum spect 2 area/sep acquisj img (78831) $4,586 $4,586 3.0×
Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) $4,751 $4,751 3.1×
Rp Ther Radiolbld Monoclonal Antibody IV Infus (79403) $2,149 $2,149 7.7×
Rp Therapy Intravenous Administration (79101) $1,157 $1,157 4.1×
Salivary Gland Imaging (78230) $1,085 $1,085 2.3×
Salivary Gland Imaging Serial Images (78231) $1,085 $1,085 2.3×
Scapula (73010) $300 $300 2.4×
Screening Digital Breast Tomosynthesis Bi (77063) $364 $364 15.6×
Sella turcica (70240) $237 $237 2.3×
Shoulder 1 view (73020) $278 $278 2.7×
Shoulder Arthrography (73040) $1,193 $1,193 2.9×
Sialogram (70390) $1,782 $1,782 6.2×
Skull less than 4 views (70250) $311 $311 2.5×
Special dosimetry (77331) $797 $797 4.9×
Special Physics Consult (77370) $1,487 $1,487 9.2×
Special teletherapy port plan (77321) $1,598 $1,598 3.6×
Special treatment procedure (77470) $4,559 $4,559 6.9×
Spleen Imaging (78185) $1,158 $1,158 2.4×
Stereotactic Body Radiation Delivery (77373) $10,639 $10,639 5.0×
Sternoclavicular joints (71130) $271 $271 2.6×
Superior sagittal sinus venogram (75870) $3,684 $3,684 1.0×
Surface Applic Low Dose Rate Radionuclide Source (77789) $989 $989 8.1×
Telethx isodose pln cplx w/basic dosimetry (77307) $1,609 $1,609 3.6×
Telethx isodose pln smpl w/dosimetry calculation (77306) $873 $873 1.9×
Temporomandble Jt Arthrography Rs&I (70332) $1,313 $1,313 4.6×
Testicular Imaging W/Flow (78761) $1,396 $1,396 2.9×
Ther Rad Simulaj-Aided Field Setting Complex (77290) $2,337 $2,337 5.2×
Ther Rad Simulaj-Aided Field Setting Intermed (77285) $1,598 $1,598 3.6×
Ther rad simulaj-aided field setting simple (77280) $1,211 $1,211 7.5×
Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) $1,022 $1,022 4.9×
Thoracic spine 2 views (72070) $409 $409 3.3×
Thoracic spine 3 views (72072) $359 $359 2.9×
Thoracolumbar 2 views (72080) $450 $450 4.3×
Thyroid Imaging With Vascular Flow (78013) $926 $926 1.9×
Thyroid Met Imaging Body (78018) $1,659 $1,659 2.5×
Thyroid Uptake Measurement (78012) $926 $926 1.9×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $963 $963 2.0×
Tx Devices Design & Construction Complex (77334) $1,151 $1,151 2.6×
Tx devices design & construction intermediate (77333) $1,098 $1,098 6.8×
Tx devices design & construction simple (77332) $1,098 $1,098 6.8×
Ultrasound Breast Limited (76642) $452 $452 4.3×
Ultrasound elastography first target lesion (76982) $510 $510 4.1×
Ultrasound Elastography Parenchyma (76981) $510 $510 4.1×
Ultrasound Exam Aaa Screen (76706) $439 $439 3.5×
Ultrasound trgt dynamic microbubble 1st lesion (76978) $914 $914 2.2×
Ultrasound, abdomen limited (76705) $751 $751 6.0×
Unlisted Dx Radiographic Procedure (76499) $2,886 $2,886 27.7×
Unlisted magnetic resonance procedure (76498)
range across 2 matching MRF lines		 $302–$313 $302–$313 varies
Unlisted Miscellaneous Px Dx Nuclear Medicine (78999) $926 $926 1.9×
Unlisted us procedure (76999) $892 $892 8.6×
Upper gi w/o kub (74240) $854 $854 4.1×
Ureteral Reflux Study (78740) $1,396 $1,396 2.9×
Urethrocystogram voiding (74455) $1,446 $1,446 5.1×
Urethrocystography retrograde (74450) $1,446 $1,446 5.1×
Us breast unilateral complete (76641) $452 $452 3.6×
Us chest (76604) $581 $581 4.6×
Us complete joint (76881) $767 $767 6.1×
Us exam, pelvic, limited (76857) $554 $554 4.4×
Us kidney transplant (76776) $832 $832 6.6×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $407 $407 3.2×
Us ob detailed single fetus (76811) $860 $860 3.0×
Us ob limited 1 or more fetuses (76815) $581 $581 4.6×
Us ob transvaginal (76817) $803 $803 6.4×
Us pelvic non ob complete (76856) $980 $980 7.8×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $645 $645 5.1×
Us preg uterus real time f/u trnsabdl per fetus (76816) $363 $363 2.9×
Us retroperitoneal complete (76770) $764 $764 6.1×
Us retroperitoneal limited (76775) $625 $625 5.0×
Us scrotum and contents (76870) $892 $892 7.1×
Us spinal canal and contents (76800) $590 $590 4.7×
Us thyroid (76536) $807 $807 6.4×
Us transrectal (76872) $639 $639 5.1×
Vascular Flow Imaging (78445) $1,065 $1,065 2.2×
Vein X-Ray Chest (75827) $4,348 $4,348 2.3×
Vein X-Ray Liver W/O Hemodyn (75887) $4,348 $4,348 1.1×
Vein X-Ray Skull Epidural (75872) $4,348 $4,348 5.8×
Vein X-Ray Spleen/Liver (75810) $8,940 $8,940 2.4×
Venogram Sinus/Jugular (75860) $4,348 $4,348 1.1×
Venography caval inferior serialography rs&i (75825) $8,940 $8,940 2.4×
Venography extremity bilateral rs&i (75822) $2,591 $2,591 1.4×
Venography extremity unilateral rs&i (75820) $2,899 $2,899 1.5×
Venography Orbital Rs&I (75880) $4,348 $4,348 5.8×
Venography Renal Bilateral (75833) $8,940 $8,940 2.4×
Venography Renal Unilateral (75831) $8,940 $8,940 2.4×
Venous sampling by catheter (75893) $8,940 $8,940 1.3×
Vertebral fracture assessment via dxa (77086) $205 $205 2.0×
Wrist 2 views (73100) $267 $267 2.6×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $337 $337 3.2×
X-ray antegrade pyelogram tube (74425) $1,563 $1,563 3.7×
X-Ray Aorta Leg Arteries (75630) $8,940 $8,940 2.4×
X-Ray Bend Only L-S Spine (72120) $354 $354 2.8×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $330 $330 3.2×
X-Ray Exam Breast Specimen (76098) $1,121 $1,121 1.7×
X-Ray Exam Entire Spi 1 Vw (72081) $223 $223 2.1×
X-Ray Exam Entire Spi 2/3 Vw (72082) $354 $354 2.8×
X-Ray Exam Entire Spi 4/5 Vw (72083) $670 $670 5.3×
X-Ray Exam Hip Uni 1 View (73501) $223 $223 2.1×
X-Ray Exam Hip Uni 2-3 Views (73502) $223 $223 2.1×
X-Ray Exam Hip Uni 4/> Views (73503) $354 $354 2.8×
X-Ray Exam Hips Bi 2 Views (73521) $354 $354 2.8×
X-Ray Exam Hips Bi 3-4 Views (73522) $354 $354 2.8×
X-Ray Exam Hips Bi 5/> Views (73523) $670 $670 5.3×
X-Ray Exam L-S Spine Bending (72114) $919 $919 7.3×
X-Ray Exam Neck Spine 2-3 Vw (72040) $378 $378 3.6×
X-Ray Exam Neck Spine 6/>Vws (72052) $756 $756 6.0×
X-Ray Exam Unilat Ribs/Chest (71101) $465 $465 3.7×
X-ray eye for foreign body (70030) $441 $441 4.2×
X-ray head for orthodontia (70350) $226 $226 2.2×
X-ray humerus (73060) $315 $315 3.0×
X-ray IV pyelogram (ivp) (74400) $1,446 $1,446 6.9×
X-ray IV pyelogram+tomography (74415) $1,446 $1,446 6.9×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $398 $398 3.8×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $226 $226 2.2×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $438 $438 3.5×
X-ray nose-rectum child f.b. (76010) $487 $487 4.7×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $533 $533 4.3×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $351 $351 2.8×
X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) $303 $303 2.4×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $324 $324 3.1×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $465 $465 4.5×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $533 $533 4.3×
X-Ray Stress View (77071) $351 $351 3.4×
X-ray thoracic spine 4 vw (72074) $346 $346 2.8×
X-Ray Urinary Tract Exam With Contrast Material (74420) $1,563 $1,563 3.7×
X-Rays Bone Length Studies (77073) $290 $290 2.3×
X-Rays Bone Survey Complete (77075) $535 $535 4.3×
Xr c-spine 4 or 5 views (72050) $491 $491 3.9×
Xr facial bones less than 3 views (70140) $283 $283 2.7×
Xr orbits complete 4 views (70200) $434 $434 3.5×
Xr Tomogram Single Plane (76100) $812 $812 6.5×

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.