Imaging prices at Lakewood Health System
Staples, MN · every code in this section with a posted price and a Medicare benchmark.
242 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 3-D radiotherapy plan dose-volume histograms (77295) range across 2 matching MRF lines |
$363.32–$3,826.02 | $586–$6,171 | varies |
| Abdomen 1 View (74018) range across 2 matching MRF lines |
$13.64–$151.28 | $22–$244 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$17.36–$212.66 | $28–$343 | varies |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$12.40–$241.80 | $20–$390 | varies |
| Arthrogram hip (73525) | $410.44 | $662 | 1.1× |
| Basic radiation dosimetry calculation (77300) range across 2 matching MRF lines |
$52.70–$357.12 | $85–$576 | varies |
| Bone age studies (77072) range across 2 matching MRF lines |
$26.66–$35.34 | $43–$57 | varies |
| Bone Imaging 3 Phase (78315) range across 2 matching MRF lines |
$75.02–$804.76 | $121–$1,298 | varies |
| Bone Imaging Limited Area (78300) range across 2 matching MRF lines |
$46.50–$573.50 | $75–$925 | varies |
| Bone Imaging Whole Body (78306) range across 2 matching MRF lines |
$63.24–$863.66 | $102–$1,393 | varies |
| Bone survey infant (77076) | $300.70 | $485 | 2.8× |
| Brain Imaging Pet Metabolic Evaluation (78608) range across 2 matching MRF lines |
$109.12–$3,033.04 | $176–$4,892 | varies |
| Chest 1 view (71045) range across 2 matching MRF lines |
$13.64–$112.84 | $22–$182 | varies |
| Chest 2 views (71046) range across 2 matching MRF lines |
$16.74–$201.50 | $27–$325 | varies |
| Chest 4 or more views (71048) range across 2 matching MRF lines |
$23.56–$342.86 | $38–$553 | varies |
| Clavicle complete (73000) range across 2 matching MRF lines |
$13.02–$121.52 | $21–$196 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 2 matching MRF lines |
$81.22–$822.74 | $131–$1,327 | varies |
| Continuing medical physics consltj pr wk (77336) | $422.22 | $681 | 3.0× |
| Contrast X-Ray Bladder (74430) range across 2 matching MRF lines |
$24.18–$463.76 | $39–$748 | varies |
| Contrast X-Ray Of Knee Joint (73580) | $559.86 | $903 | 1.6× |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$151.28–$2,053.44 | $244–$3,312 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$130.82–$1,290.84 | $211–$2,082 | varies |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$95.48–$1,013.08 | $154–$1,634 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$104.78–$1,110.42 | $169–$1,791 | varies |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$89.28–$879.16 | $144–$1,418 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$165.54–$1,708.10 | $267–$2,755 | varies |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$137.02–$1,261.70 | $221–$2,035 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$131.44–$1,107.94 | $212–$1,787 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
$141.98–$1,506.60 | $229–$2,430 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$131.44–$909.54 | $212–$1,467 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 2 matching MRF lines |
$135.16–$1,431.58 | $218–$2,309 | varies |
| CT cervical spine w/ contrast (72126) | $992 | $1,600 | 2.8× |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$75.02–$992 | $121–$1,600 | varies |
| CT cervical spine w/wo cont (72127) | $1,100.50 | $1,775 | 6.1× |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$87.42–$1,030.44 | $141–$1,662 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$93.62–$1,011.22 | $151–$1,631 | varies |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$84.94–$988.28 | $137–$1,594 | varies |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$97.34–$1,045.94 | $157–$1,687 | varies |
| CT heart no contrast quant eval coronry calcium (75571) range across 2 matching MRF lines |
$44.02–$62 | $71–$100 | varies |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$293.26–$840.10 | $473–$1,355 | varies |
| CT l-spine w&w/o contrast (72133) range across 2 matching MRF lines |
$94.86–$1,149.48 | $153–$1,854 | varies |
| CT lower ext w/o (73700) range across 3 matching MRF lines |
$112.84–$1,298.28 | $182–$2,094 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$86.80–$990.76 | $140–$1,598 | varies |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$91.14–$1,038.50 | $147–$1,675 | varies |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$75.02–$959.14 | $121–$1,547 | varies |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$84.94–$768.18 | $137–$1,239 | varies |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$64.48–$808.48 | $104–$1,304 | varies |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$120.90–$1,019.28 | $195–$1,644 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $992 | $1,600 | 5.5× |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$96.72–$808.48 | $156–$1,304 | varies |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$81.84–$823.98 | $132–$1,329 | varies |
| CT scan of leg combo (73702) range across 2 matching MRF lines |
$90.52–$1,100.50 | $146–$1,775 | varies |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
$94.86–$962.86 | $153–$1,553 | varies |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$103.54–$909.54 | $167–$1,467 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$96.72–$730.36 | $156–$1,178 | varies |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$75.02–$1,048.42 | $121–$1,691 | varies |
| CT thoracic spine w/wo cont (72130) range across 2 matching MRF lines |
$95.48–$1,100.50 | $154–$1,775 | varies |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$81.22–$910.78 | $131–$1,469 | varies |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$75.02–$817.78 | $121–$1,319 | varies |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$86.80–$990.76 | $140–$1,598 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$177.94–$1,140.80 | $287–$1,840 | varies |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$136.40–$1,507.84 | $220–$2,432 | varies |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) range across 2 matching MRF lines |
$189.10–$1,293.94 | $305–$2,087 | varies |
| CTA pelvis (72191) range across 2 matching MRF lines |
$135.16–$200.26 | $218–$323 | varies |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$14.88–$132.06 | $24–$213 | varies |
| Echo exam uterus (76831) range across 2 matching MRF lines |
$186.62–$618.76 | $301–$998 | varies |
| Esophagram (74220) | $287.06 | $463 | 1.6× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 3 matching MRF lines |
$57.66–$270.32 | $93–$436 | varies |
| Fluoroscopy up to 1 hr (76000) range across 3 matching MRF lines |
$24.18–$246.14 | $39–$397 | varies |
| Foot 2 views (73620) range across 3 matching MRF lines |
$12.40–$234.98 | $20–$379 | varies |
| Forearm 2 views (73090) range across 3 matching MRF lines |
$12.40–$262.88 | $20–$424 | varies |
| Gastric emptying imaging study (78264) range across 2 matching MRF lines |
$58.90–$540.64 | $95–$872 | varies |
| Hand 2 views (73120) range across 3 matching MRF lines |
$13.02–$230.64 | $21–$372 | varies |
| Hepatobil Syst Image W/Drug (78227) range across 2 matching MRF lines |
$66.96–$796.08 | $108–$1,284 | varies |
| Hepatobiliary System Imaging (78226) | $796.08 | $1,284 | 1.9× |
| Hysterosalpingogram (74740) range across 2 matching MRF lines |
$28.52–$548.70 | $46–$885 | varies |
| Infant hip ultrasound with hip movement (dynamic) (76885) range across 2 matching MRF lines |
$55.80–$223.82 | $90–$361 | varies |
| Infant hip ultrasound, limited static exam (76886) | $223.82 | $361 | 2.5× |
| K Flow/Funct Image W/Drug (78708) range across 2 matching MRF lines |
$68.20–$88.66 | $110–$143 | varies |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$21.70–$274.66 | $35–$443 | varies |
| Lung Ventilat&Perfus Imaging (78582) range across 2 matching MRF lines |
$77.50–$1,317.50 | $125–$2,125 | varies |
| Lymph System Imaging (78195) range across 2 matching MRF lines |
$419.74–$603.26 | $677–$973 | varies |
| Magnetic Image Jaw Joint (70336) range across 2 matching MRF lines |
$110.36–$784.30 | $178–$1,265 | varies |
| Mlc imrt design & construction per imrt plan (77338) range across 2 matching MRF lines |
$363.32–$976.50 | $586–$1,575 | varies |
| Mra Head W/O & W/Contrast Material (70546) range across 2 matching MRF lines |
$110.98–$1,893.48 | $179–$3,054 | varies |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$89.90–$1,376.40 | $145–$2,220 | varies |
| MRA neck w contrast (70548) | $1,612 | $2,600 | 4.5× |
| Mra Neck W/O &W/Contrast Material (70549) range across 2 matching MRF lines |
$135.16–$1,798 | $218–$2,900 | varies |
| MRA neck w/o contrast (70547) | $1,267.28 | $2,044 | 5.1× |
| MRI abdomen w contrast (74182) | $1,732.28 | $2,794 | 4.8× |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$109.12–$1,346.02 | $176–$2,171 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 2 matching MRF lines |
$122.14–$1,942.46 | $197–$3,133 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$163.06–$2,092.50 | $263–$3,375 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 2 matching MRF lines |
$122.14–$1,649.82 | $197–$2,661 | varies |
| MRI Breast W/O Contrast Bilateral (77047) range across 2 matching MRF lines |
$120.28–$2,016.86 | $194–$3,253 | varies |
| MRI Breast Without Contrast Material Unilateral (77046) range across 2 matching MRF lines |
$108.50–$1,297.66 | $175–$2,093 | varies |
| MRI cervical spine w contrast (72142) range across 2 matching MRF lines |
$132.06–$1,541.32 | $213–$2,486 | varies |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$111.60–$1,377.02 | $180–$2,221 | varies |
| MRI chest w/o contrast (71550) range across 2 matching MRF lines |
$109.74–$1,211.48 | $177–$1,954 | varies |
| MRI chest wo w contrast (71552) range across 2 matching MRF lines |
$166.16–$627.44 | $268–$1,012 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 2 matching MRF lines |
$163.06–$1,310.06 | $263–$2,113 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 3 matching MRF lines |
$101.68–$1,811.64 | $164–$2,922 | varies |
| MRI lumbar spine w contrast (72149) | $1,541.32 | $2,486 | 4.3× |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$173.60–$1,781.26 | $280–$2,873 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 2 matching MRF lines |
$101.06–$1,200.94 | $163–$1,937 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 2 matching MRF lines |
$162.44–$1,200.94 | $262–$1,937 | varies |
| MRI pelvis w/o & w contrast (72197) range across 3 matching MRF lines |
$166.16–$2,313.84 | $268–$3,732 | varies |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$109.74–$1,257.36 | $177–$2,028 | varies |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$111.60–$1,465.68 | $180–$2,364 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 2 matching MRF lines |
$101.68–$1,207.76 | $164–$1,948 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 2 matching MRF lines |
$163.06–$1,310.06 | $263–$2,113 | varies |
| MRI, abdomen, combo (74183) range across 3 matching MRF lines |
$166.16–$2,510.38 | $268–$4,049 | varies |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$173.60–$1,862.48 | $280–$3,004 | varies |
| MRI, dorsal spine contrast (72147) | $1,541.32 | $2,486 | 4.3× |
| MRI, joint upper extrem (73221) range across 4 matching MRF lines |
$101.68–$2,881.02 | $164–$4,646.80 | varies |
| MRI, joint upper extrem combo (73223) range across 2 matching MRF lines |
$163.06–$1,767 | $263–$2,850 | varies |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$173.60–$1,783.74 | $280–$2,877 | varies |
| Myelogram cervical (72240) | $757.64 | $1,222 | 0.9× |
| Myocardial Spect Multiple Studies (78452) range across 2 matching MRF lines |
$119.04–$2,344.22 | $192–$3,781 | varies |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$13.64–$101.68 | $22–$164 | varies |
| Ntsty modul radthx pln dose-vol histos (77301) range across 2 matching MRF lines |
$678.28–$5,186.30 | $1,094–$8,365 | varies |
| Parathyroid Planar Imaging (78070) range across 2 matching MRF lines |
$59.52–$624.34 | $96–$1,007 | varies |
| Parathyroid planar imaging w/wo subtraction (78071) | $390.60 | $630 | 0.9× |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$13.64–$162.44 | $22–$262 | varies |
| PET image w/CT, full body (78816) range across 2 matching MRF lines |
$181.04–$3,669.78 | $292–$5,919 | varies |
| PET imaging CT attenuation skull base mid-thigh (78815) range across 2 matching MRF lines |
$179.80–$3,269.26 | $290–$5,273 | varies |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$24.80–$315.58 | $40–$509 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$13.64–$260.40 | $22–$420 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$12.40–$202.12 | $20–$326 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$13.64–$358.98 | $22–$579 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$19.84–$201.50 | $32–$325 | varies |
| Radex fingr minimum 2 views (73140) range across 3 matching MRF lines |
$10.54–$176.70 | $17–$285 | varies |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$13.02–$273.42 | $21–$441 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$13.64–$317.44 | $22–$512 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 3 matching MRF lines |
$12.40–$209.56 | $20–$338 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$13.64–$146.32 | $22–$236 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 2 matching MRF lines |
$17.36–$216.38 | $28–$349 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$14.26–$278.38 | $23–$449 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$13.64–$108.50 | $22–$175 | varies |
| Radex Spine 1 View Specify Level (72020) range across 2 matching MRF lines |
$12.40–$117.80 | $20–$190 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$14.88–$153.76 | $24–$248 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$17.98–$324.88 | $29–$524 | varies |
| Radex Toe Minimum 2 Views (73660) range across 3 matching MRF lines |
$9.92–$228.78 | $16–$369 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 2 matching MRF lines |
$12.40–$139.50 | $20–$225 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$13.64–$317.44 | $22–$512 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) range across 2 matching MRF lines |
$32.24–$104.16 | $52–$168 | varies |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $9,115.86 | $14,703 | 1.2× |
| Radiation treatment delivery level 1 (77402) | $350.30 | $565 | 3.3× |
| Radiation treatment delivery level 2 (77407) | $584.66 | $943 | 1.5× |
| Radiation treatment delivery level 3 (77412) | $621.24 | $1,002 | 1.1× |
| Radiolog exam mandible compl minimum 4 views (70110) | $163.06 | $263 | 1.5× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 2 matching MRF lines |
$20.46–$274.04 | $33–$442 | varies |
| Radiologic exam colon double contrast study (74280) | $575.36 | $928 | 3.2× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $291.40 | $470 | 1.6× |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$17.36–$319.92 | $28–$516 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$19.22–$186 | $31–$300 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 2 matching MRF lines |
$59.52–$315.58 | $96–$509 | varies |
| Radiologic exam swallow function contrast study (74230) range across 2 matching MRF lines |
$40.30–$228.16 | $65–$368 | varies |
| Radiologic exam upr gi trc double contrast study (74246) | $398.04 | $642 | 2.2× |
| Radiologic examination femur 1 view (73551) range across 2 matching MRF lines |
$13.02–$141.98 | $21–$229 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$13.64–$232.50 | $22–$375 | varies |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$13.02–$239.32 | $21–$386 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$12.40–$247.38 | $20–$399 | varies |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$21.08–$249.24 | $34–$402 | varies |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $1,138.32 | $1,836 | 2.0× |
| Scapula (73010) range across 2 matching MRF lines |
$13.64–$199.64 | $22–$322 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 2 matching MRF lines |
$45.26–$105.40 | $73–$170 | varies |
| Shoulder 1 view (73020) range across 3 matching MRF lines |
$11.78–$267.84 | $19–$432 | varies |
| Shoulder Arthrography (73040) range across 2 matching MRF lines |
$42.78–$324.88 | $69–$524 | varies |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$13.64–$144.46 | $22–$233 | varies |
| Special dosimetry (77331) range across 2 matching MRF lines |
$74.40–$372.62 | $120–$601 | varies |
| Special Physics Consult (77370) | $741.52 | $1,196 | 5.3× |
| Special teletherapy port plan (77321) range across 2 matching MRF lines |
$80.60–$640.46 | $130–$1,033 | varies |
| Special treatment procedure (77470) range across 2 matching MRF lines |
$172.36–$1,604.56 | $278–$2,588 | varies |
| Stereotactic Body Radiation Delivery (77373) | $4,847.78 | $7,819 | 2.6× |
| Sternoclavicular joints (71130) | $176.70 | $285 | 2.0× |
| Telethx isodose pln cplx w/basic dosimetry (77307) range across 2 matching MRF lines |
$246.76–$1,312.54 | $398–$2,117 | varies |
| Telethx isodose pln smpl w/dosimetry calculation (77306) range across 2 matching MRF lines |
$118.42–$1,113.52 | $191–$1,796 | varies |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) range across 2 matching MRF lines |
$132.06–$1,489.86 | $213–$2,403 | varies |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) range across 2 matching MRF lines |
$90.52–$831.42 | $146–$1,341 | varies |
| Ther rad simulaj-aided field setting simple (77280) range across 2 matching MRF lines |
$60.14–$931.24 | $97–$1,502 | varies |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$15.50–$186 | $25–$300 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$17.36–$227.54 | $28–$367 | varies |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$16.12–$189.10 | $26–$305 | varies |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) range across 2 matching MRF lines |
$36.58–$506.54 | $59–$817 | varies |
| Tx Devices Design & Construction Complex (77334) range across 2 matching MRF lines |
$97.34–$754.54 | $157–$1,217 | varies |
| Tx devices design & construction intermediate (77333) range across 2 matching MRF lines |
$63.86–$489.80 | $103–$790 | varies |
| Tx devices design & construction simple (77332) range across 2 matching MRF lines |
$38.44–$388.12 | $62–$626 | varies |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$51.46–$349.68 | $83–$564 | varies |
| Ultrasound Elastography Parenchyma (76981) range across 2 matching MRF lines |
$45.26–$204.60 | $73–$330 | varies |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$44.02–$382.54 | $71–$617 | varies |
| Umbilical-artery Doppler (OB) (76820) range across 2 matching MRF lines |
$37.20–$73.78 | $60–$119 | varies |
| Upper gi w/o kub (74240) | $375.72 | $606 | 2.1× |
| Urethrocystogram voiding (74455) | $525.76 | $848 | 2.1× |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$55.80–$401.14 | $90–$647 | varies |
| Us chest (76604) range across 2 matching MRF lines |
$44.02–$347.82 | $71–$561 | varies |
| Us complete joint (76881) range across 2 matching MRF lines |
$68.20–$340.38 | $110–$549 | varies |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$190.96–$196.54 | $308–$317 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$52.08–$309.38 | $84–$499 | varies |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$129.58–$186 | $209–$300 | varies |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$153.14–$343.48 | $247–$554 | varies |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$51.46–$447.02 | $83–$721 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$75.02–$372 | $121–$600 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 2 matching MRF lines |
$63.86–$230.02 | $103–$371 | varies |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$55.80–$450.74 | $90–$727 | varies |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$44.02–$396.18 | $71–$639 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$47.74–$332.94 | $77–$537 | varies |
| Us thyroid (76536) range across 2 matching MRF lines |
$42.78–$247.38 | $69–$399 | varies |
| Us transrectal (76872) range across 2 matching MRF lines |
$50.84–$783.06 | $82–$1,263 | varies |
| Wrist 2 views (73100) range across 3 matching MRF lines |
$13.02–$223.20 | $21–$360 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $93 | $150 | 1.0× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$13.02–$287.68 | $21–$464 | varies |
| X-Ray Exam Breast Specimen (76098) range across 2 matching MRF lines |
$24.18–$293.26 | $39–$473 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 2 matching MRF lines |
$19.84–$117.80 | $32–$190 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$24.18–$222.58 | $39–$359 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 2 matching MRF lines |
$14.26–$172.98 | $23–$279 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 2 matching MRF lines |
$17.36–$162.44 | $28–$262 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) | $264.74 | $427 | 2.5× |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$17.36–$238.08 | $28–$384 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 2 matching MRF lines |
$22.32–$265.98 | $36–$429 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) | $293.88 | $474 | 2.7× |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$23.56–$296.36 | $38–$478 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$17.36–$180.42 | $28–$291 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 2 matching MRF lines |
$20.46–$216.38 | $33–$349 | varies |
| X-ray eye for foreign body (70030) range across 2 matching MRF lines |
$13.64–$111.60 | $22–$180 | varies |
| X-ray humerus (73060) range across 3 matching MRF lines |
$12.40–$206.46 | $20–$333 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 2 matching MRF lines |
$13.64–$163.06 | $22–$263 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$13.64–$131.44 | $22–$212 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 5 matching MRF lines |
$17.36–$3,243.84 | $28–$5,232 | varies |
| X-ray nose-rectum child f.b. (76010) range across 2 matching MRF lines |
$13.64–$151.28 | $22–$244 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$24.80–$249.24 | $40–$402 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$17.36–$260.40 | $28–$420 | varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) range across 2 matching MRF lines |
$533.82–$1,225.74 | $861–$1,977 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$13.64–$236.22 | $22–$381 | varies |
| X-Ray Stress View (77071) | $563.58 | $909 | 6.3× |
| X-ray thoracic spine 4 vw (72074) range across 2 matching MRF lines |
$17.98–$326.74 | $29–$527 | varies |
| X-Ray Tmj Unilat (70328) range across 2 matching MRF lines |
$13.64–$162.44 | $22–$262 | varies |
| X-Rays Bone Length Studies (77073) range across 2 matching MRF lines |
$21.08–$111.60 | $34–$180 | varies |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$41.54–$465 | $67–$750 | varies |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$21.08–$375.72 | $34–$606 | varies |
| Xr facial bones less than 3 views (70140) range across 2 matching MRF lines |
$15.50–$128.96 | $25–$208 | varies |
| Xr orbits complete 4 views (70200) | $131.44 | $212 | 1.2× |
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.