Imaging prices at Lakewood Ranch Medical Center
Bradenton, FL · every code in this section with a posted price and a Medicare benchmark.
378 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) | $3,695.60 | $9,239 | 2.6× |
| Abdomen 1 View (74018) range across 2 matching MRF lines |
$467.60–$496 | $1,169–$1,240 | varies |
| Abdomen 2 views (74019) | $708 | $1,770 | 6.5× |
| Acute Gastrointestinal Blood Loss Imaging (78278) range across 2 matching MRF lines |
$1,118–$1,360.80 | $2,795–$3,402 | varies |
| Adrenal Cortex & Medulla Img (78075) | $2,176.40 | $5,441 | 1.6× |
| Angio internal mammary (75756) range across 4 matching MRF lines |
$2,455.20–$3,781.20 | $6,138–$9,453 | varies |
| Angio pulmonary bilat (75743) range across 4 matching MRF lines |
$2,224.40–$2,452.40 | $5,561–$6,131 | varies |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $3,157.60 | $7,894 | 1.0× |
| Angiography extremity bilateral rs&i (75716) range across 5 matching MRF lines |
$6,240.40–$7,346.40 | $15,601–$18,366 | varies |
| Angiography extremity unilateral rs&i (75710) range across 15 matching MRF lines |
$1,480.80–$4,862.40 | $3,702–$12,156 | varies |
| Angiography pulmonary unilateral slctv rs&i (75741) range across 8 matching MRF lines |
$3,024.80–$4,082 | $7,562–$10,205 | varies |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) range across 2 matching MRF lines |
$1,777.60–$1,844 | $4,444–$4,610 | varies |
| Ankle 2 views (73600) range across 5 matching MRF lines |
$395.60–$659.60 | $989–$1,649 | varies |
| Aortography thoracic serialography rs&i (75605) range across 4 matching MRF lines |
$2,953.20–$4,578.40 | $7,383–$11,446 | varies |
| Aortography thoracic w/o serialography rs&i (75600) range across 3 matching MRF lines |
$4,446.40–$4,748.80 | $11,116–$11,872 | varies |
| Artery X-Rays Abdomen (75726) range across 7 matching MRF lines |
$4,211.60–$4,799.60 | $10,529–$11,999 | varies |
| Artery X-Rays Adrenal Gland (75731) | $2,555.20 | $6,388 | 0.8× |
| Artery X-Rays Pelvis (75736) range across 10 matching MRF lines |
$2,110–$4,018 | $5,275–$10,045 | varies |
| Artery X-Rays Spine (75705) range across 6 matching MRF lines |
$2,072.40–$5,617.20 | $5,181–$14,043 | varies |
| Arthrogram ankle (73615) | $848 | $2,120 | 2.3× |
| Arthrogram hip (73525) range across 4 matching MRF lines |
$1,208–$1,242.40 | $3,020–$3,106 | varies |
| Arthrogram Wrist (73115) | $610.80 | $1,527 | 1.7× |
| Basic radiation dosimetry calculation (77300) | $451.20 | $1,128 | 3.2× |
| Bone age studies (77072) range across 2 matching MRF lines |
$174.80–$180.80 | $437–$452 | varies |
| Bone Imaging 3 Phase (78315) | $2,568.80 | $6,422 | 6.2× |
| Bone Imaging Limited Area (78300) | $1,564.80 | $3,912 | 3.7× |
| Bone Imaging Multiple Areas (78305) | $1,464.80 | $3,662 | 3.5× |
| Bone Imaging Whole Body (78306) | $2,238.40 | $5,596 | 5.4× |
| Bone marrow imaging limited area (78102) | $948.80 | $2,372 | 2.3× |
| Bone marrow imaging; whole body (78104) | $948.80 | $2,372 | 2.3× |
| Bone survey infant (77076) | $472.40 | $1,181 | 4.3× |
| Brachytx isodose complex (77318) | $1,199.20 | $2,998 | 3.1× |
| Brachytx isodose intermed (77317) | $1,142.40 | $2,856 | 2.9× |
| Brachytx Isodose Plan Simple (77316) | $1,016.80 | $2,542 | 2.6× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $1,560.40 | $3,901 | 2.8× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $1,624 | $4,060 | 1.1× |
| Cardiac blood pool imaging, first pass technique; multiple studies, resting and with stress (exercise and/or… (78483) | $2,289.20 | $5,723 | 4.0× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $1,539.20 | $3,848 | 4.2× |
| Cat Scan Follow-Up Study (76380) range across 2 matching MRF lines |
$1,617.20–$1,640.80 | $4,043–$4,102 | varies |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $1,816.40 | $4,541 | 3.2× |
| Cerebrospinal Fluid Scan (78630) | $1,946 | $4,865 | 3.4× |
| Chest 1 view (71045) range across 3 matching MRF lines |
$493.60–$1,034.40 | $1,234–$2,586 | varies |
| Chest 2 views (71046) range across 3 matching MRF lines |
$703.20–$740.40 | $1,758–$1,851 | varies |
| Chest 3 views (71047) | $891.60 | $2,229 | 9.8× |
| Chest 4 or more views (71048) | $938.40 | $2,346 | 8.6× |
| Cisternography Positive Contrast Rs&I (70015) range across 2 matching MRF lines |
$555.20–$710 | $1,388–$1,775 | varies |
| Clavicle complete (73000) range across 3 matching MRF lines |
$376–$581.60 | $940–$1,454 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $88.40 | $221 | 0.8× |
| Continuing medical physics consltj pr wk (77336) | $294 | $735 | 2.1× |
| Contrast Exam Abdominl Aorta (75625) range across 5 matching MRF lines |
$3,164–$3,966.40 | $7,910–$9,916 | varies |
| Contrast X-Ray Bladder (74430) range across 2 matching MRF lines |
$528.40–$724 | $1,321–$1,810 | varies |
| Contrast X-Ray Of Knee Joint (73580) range across 3 matching MRF lines |
$848–$1,060 | $2,120–$2,650 | varies |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$10,525.60–$10,681.60 | $26,314–$26,704 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$9,667.60–$9,810.80 | $24,169–$24,527 | varies |
| CT abdomen w contrast (74160) range across 3 matching MRF lines |
$5,247.20–$5,508.40 | $13,118–$13,771 | varies |
| CT abdomen w wo contrast (74170) range across 3 matching MRF lines |
$5,659.60–$5,743.60 | $14,149–$14,359 | varies |
| CT abdomen w/o contrast (74150) range across 4 matching MRF lines |
$5,020.80–$5,274.80 | $12,552–$13,187 | varies |
| CT Angio Abdomen and Pelvis (74174) | $8,622.80 | $21,557 | 23.7× |
| CT Angio Chest (71275) range across 4 matching MRF lines |
$2,726.40–$4,467.60 | $6,816–$11,169 | varies |
| CT Angio Head (70496) range across 4 matching MRF lines |
$3,389.20–$4,272.80 | $8,473–$10,682 | varies |
| CT angio hrt w/3d image (75574) | $1,373.60 | $3,434 | 3.8× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 8 matching MRF lines |
$2,729.20–$4,064.40 | $6,823–$10,161 | varies |
| CT Angio Neck (70498) range across 3 matching MRF lines |
$3,132.40–$4,071.60 | $7,831–$10,179 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 4 matching MRF lines |
$2,167.60–$2,205.60 | $5,419–$5,514 | varies |
| CT cervical spine w/ contrast (72126) range across 2 matching MRF lines |
$2,864–$3,272 | $7,160–$8,180 | varies |
| CT cervical spine w/o contrast (72125) range across 4 matching MRF lines |
$2,614–$3,116.40 | $6,535–$7,791 | varies |
| CT cervical spine w/wo cont (72127) | $4,356.40 | $10,891 | 23.8× |
| CT chest w contrast (71260) range across 4 matching MRF lines |
$2,168.40–$3,258.80 | $5,421–$8,147 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$2,388.80–$3,421.60 | $5,972–$8,554 | varies |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$4,489.20–$4,656.80 | $11,223–$11,642 | varies |
| CT head/brain without and with contrast (70470) range across 3 matching MRF lines |
$4,479.60–$4,880 | $11,199–$12,200 | varies |
| CT heart contrast eval cardiac structure&morph (75572) | $1,373.60 | $3,434 | 3.8× |
| CT heart no contrast quant eval coronry calcium (75571) range across 2 matching MRF lines |
$50–$313.60 | $125–$784 | varies |
| CT iac w contrast (70481) range across 3 matching MRF lines |
$4,726–$4,796 | $11,815–$11,990 | varies |
| CT l-spine w&w/o contrast (72133) | $3,928.40 | $9,821 | 21.4× |
| CT lower ext w/o (73700) range across 8 matching MRF lines |
$1,929.60–$3,808.40 | $4,824–$9,521 | varies |
| CT lower extremity w/contrast material (73701) range across 8 matching MRF lines |
$1,952–$3,950.80 | $4,880–$9,877 | varies |
| CT lumbar spine w contrast (72132) range across 3 matching MRF lines |
$3,592.80–$3,646.40 | $8,982–$9,116 | varies |
| CT lumbar spine w/o contrast (72131) range across 3 matching MRF lines |
$2,138–$3,366.80 | $5,345–$8,417 | varies |
| CT maxillofacial w contrast (70487) range across 4 matching MRF lines |
$2,722–$4,084 | $6,805–$10,210 | varies |
| CT maxillofacial wo contrast (70486) range across 4 matching MRF lines |
$2,401.60–$3,002.40 | $6,004–$7,506 | varies |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$3,532–$3,584.80 | $8,830–$8,962 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 2 matching MRF lines |
$4,838.40–$5,093.20 | $12,096–$12,733 | varies |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$4,428–$4,493.20 | $11,070–$11,233 | varies |
| CT pelvis w&w/o contrast (72194) | $5,213.20 | $13,033 | 28.5× |
| CT pelvis w/o contrast (72192) range across 3 matching MRF lines |
$4,548.80–$4,788 | $11,372–$11,970 | varies |
| CT scan of leg combo (73702) range across 6 matching MRF lines |
$2,090.80–$6,056 | $5,227–$15,140 | varies |
| CT scans face/jaw combo (70488) range across 3 matching MRF lines |
$2,401.60–$4,225.60 | $6,004–$10,564 | varies |
| CT soft tissue neck w contrast (70491) range across 3 matching MRF lines |
$3,104.40–$3,259.20 | $7,761–$8,148 | varies |
| CT soft tissue neck w/o contrast (70490) range across 3 matching MRF lines |
$2,793.60–$2,934.40 | $6,984–$7,336 | varies |
| CT thoracic spine w contrast (72129) range across 2 matching MRF lines |
$2,289.60–$2,878 | $5,724–$7,195 | varies |
| CT thoracic spine w/o contrast (72128) range across 3 matching MRF lines |
$2,180.80–$2,741.20 | $5,452–$6,853 | varies |
| CT thoracic spine w/wo cont (72130) | $2,248.80 | $5,622 | 12.3× |
| CT thorax w/o contrast (71250) range across 4 matching MRF lines |
$1,953.60–$2,604 | $4,884–$6,510 | varies |
| CT unlisted procedure (76497) | $610.80 | $1,527 | 6.7× |
| CT upper ext wo (73200) range across 8 matching MRF lines |
$2,212.40–$2,988 | $5,531–$7,470 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 6 matching MRF lines |
$2,261.20–$2,912 | $5,653–$7,280 | varies |
| CT upper extremity with contrast (73201) range across 6 matching MRF lines |
$2,110–$2,647.20 | $5,275–$6,618 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 4 matching MRF lines |
$2,698.80–$3,750 | $6,747–$9,375 | varies |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$4,952.40–$5,025.60 | $12,381–$12,564 | varies |
| CTA pelvis (72191) range across 2 matching MRF lines |
$3,725.20–$3,863.60 | $9,313–$9,659 | varies |
| Diskography lumbar (72295) | $1,160 | $2,900 | 0.6× |
| Doppler Fetal Mid Cerebral Artery (76821) | $424 | $1,060 | 3.9× |
| Dxa Bone Density Axial (77080) range across 3 matching MRF lines |
$88.40–$776 | $221–$1,940 | varies |
| Echo exam of fetal heart (76825) | $1,397.20 | $3,493 | 2.4× |
| Echo exam uterus (76831) | $592 | $1,480 | 2.4× |
| Echo Guide For Artery Repair (76936) | $1,077.20 | $2,693 | 4.8× |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) | $821.60 | $2,054 | 3.3× |
| Esophagram (74220) range across 2 matching MRF lines |
$1,128.40–$1,145.20 | $2,821–$2,863 | varies |
| Fetal Biophys Profile W/Nst (76818) range across 3 matching MRF lines |
$387.20–$669.60 | $968–$1,674 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 2 matching MRF lines |
$435.60–$605.60 | $1,089–$1,514 | varies |
| Fluoroscopy up to 1 hr (76000) | $826.40 | $2,066 | 3.3× |
| Follow-Up Angiography (75898) range across 3 matching MRF lines |
$453.20–$1,215.20 | $1,133–$3,038 | varies |
| Foot 2 views (73620) range across 5 matching MRF lines |
$125.60–$816.80 | $314–$2,042 | varies |
| Forearm 2 views (73090) range across 5 matching MRF lines |
$374–$700.80 | $935–$1,752 | varies |
| Gastric emptying imaging study (78264) | $1,748 | $4,370 | 4.2× |
| Gated Heart Planar Single (78472) | $2,374.80 | $5,937 | 5.7× |
| Gated Heart, Multiple (78473) | $2,022.40 | $5,056 | 4.8× |
| Hand 2 views (73120) range across 4 matching MRF lines |
$332–$554 | $830–$1,385 | varies |
| Heart first pass single,planar (78481) | $2,200.80 | $5,502 | 3.9× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $3,096.80 | $7,742 | 0.9× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $3,397.20 | $8,493 | 1.0× |
| Hepatobil Syst Image W/Drug (78227) range across 2 matching MRF lines |
$1,331.60–$2,105.20 | $3,329–$5,263 | varies |
| Hepatobiliary System Imaging (78226) | $1,752 | $4,380 | 4.2× |
| Ht Musc Image Planar Mult (78454) | $3,553.20 | $8,883 | 2.6× |
| Ht Muscle Image Spect Sing (78451) | $2,205.60 | $5,514 | 1.6× |
| Hysterosalpingogram (74740) | $1,129.60 | $2,824 | 4.5× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $639.20 | $1,598 | 7.0× |
| Interstitial radiation source applic complex (77778) range across 2 matching MRF lines |
$2,268.40–$2,444.40 | $5,671–$6,111 | varies |
| Intracavitary radiation source applic simple (77761) | $1,364.80 | $3,412 | 2.4× |
| K Flow/Funct Image Multiple (78709) | $1,082.40 | $2,706 | 1.9× |
| K Flow/Funct Image W/Drug (78708) | $1,803.20 | $4,508 | 3.2× |
| K Flow/Funct Image W/O Drug (78707) | $1,499.60 | $3,749 | 2.6× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) range across 2 matching MRF lines |
$991.20–$1,385.20 | $2,478–$3,463 | varies |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$439.20–$658.80 | $1,098–$1,647 | varies |
| Leveen/Shunt Patency Exam (78291) | $1,650.80 | $4,127 | 4.0× |
| Liver & Spleen Imaging Static Only (78215) | $1,597.20 | $3,993 | 3.8× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $1,510.80 | $3,777 | 3.6× |
| Liver imaging static only (78201) | $1,693.20 | $4,233 | 3.0× |
| Liver imaging w/vascular flow (78202) | $981.20 | $2,453 | 1.7× |
| Lung Perf&Ventilat Diferentl (78598) | $1,677.20 | $4,193 | 3.0× |
| Lung perfusion differential (78597) | $1,677.20 | $4,193 | 4.0× |
| Lung Ventilat&Perfus Imaging (78582) | $2,026.80 | $5,067 | 3.6× |
| Lung Ventilation Imaging (78579) | $1,930.80 | $4,827 | 4.6× |
| Lymph System Imaging (78195) range across 2 matching MRF lines |
$1,850.40–$2,487.20 | $4,626–$6,218 | varies |
| Lymphangiography Extremity Only Bilateral Rs&I (75803) | $2,999.60 | $7,499 | 1.8× |
| Lymphangiography extremity only unilateral rs&i (75801) | $2,999.60 | $7,499 | 4.6× |
| Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) | $2,999.60 | $7,499 | 0.9× |
| Lymphangiography, pelvic/abdominal, unilateral (75805) | $2,999.60 | $7,499 | 0.9× |
| Magnetic Image Jaw Joint (70336) range across 10 matching MRF lines |
$2,886–$4,329.60 | $7,215–$10,824 | varies |
| Mammary ductogram or galactogram multiple (77054) | $410 | $1,025 | 1.6× |
| Mammary ductogram or galactogram single (77053) range across 5 matching MRF lines |
$379.20–$394 | $948–$985 | varies |
| Meckels Divert Exam (78290) | $789.20 | $1,973 | 1.9× |
| Mra Head W/O & W/Contrast Material (70546) range across 2 matching MRF lines |
$4,906–$5,164.40 | $12,265–$12,911 | varies |
| MRA head w/o contrast (70544) range across 5 matching MRF lines |
$3,692.40–$3,886.80 | $9,231–$9,717 | varies |
| MRA head with contrast (70545) | $4,750 | $11,875 | 13.0× |
| MRA neck w contrast (70548) range across 3 matching MRF lines |
$3,707.20–$4,037.60 | $9,268–$10,094 | varies |
| Mra Neck W/O &W/Contrast Material (70549) range across 3 matching MRF lines |
$3,972.40–$4,120 | $9,931–$10,300 | varies |
| MRA neck w/o contrast (70547) range across 4 matching MRF lines |
$3,052.80–$3,324.40 | $7,632–$8,311 | varies |
| MRI abdomen w contrast (74182) range across 5 matching MRF lines |
$3,978.40–$4,172.80 | $9,946–$10,432 | varies |
| MRI abdomen w/o contrast (74181) range across 5 matching MRF lines |
$2,881.60–$3,187.20 | $7,204–$7,968 | varies |
| MRI any jt lower extrem w/contrast material (73722) | $3,722.40 | $9,306 | 4.5× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 6 matching MRF lines |
$3,907.60–$4,667.20 | $9,769–$11,668 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) | $4,307.60 | $10,769 | 5.3× |
| MRI bone marrow blood supply (77084) | $3,818.40 | $9,546 | 15.3× |
| MRI Breast W/O Contrast Bilateral (77047) | $4,674 | $11,685 | 18.8× |
| MRI Breast Without Contrast Material Unilateral (77046) | $3,117.60 | $7,794 | 12.5× |
| MRI cardiac w/o contrast (75557) | $919.60 | $2,299 | 3.7× |
| MRI cervical spine w contrast (72142) range across 3 matching MRF lines |
$3,987.20–$4,100 | $9,968–$10,250 | varies |
| MRI cervical spine w/o cont (72141) range across 3 matching MRF lines |
$3,758–$3,945.20 | $9,395–$9,863 | varies |
| MRI chest w/o contrast (71550) range across 3 matching MRF lines |
$1,591.60–$1,622 | $3,979–$4,055 | varies |
| MRI chest with contrast (71551) range across 2 matching MRF lines |
$2,159.60–$2,240 | $5,399–$5,600 | varies |
| MRI chest wo w contrast (71552) range across 2 matching MRF lines |
$2,557.20–$2,691.60 | $6,393–$6,729 | varies |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $3,722.40 | $9,306 | 10.2× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 6 matching MRF lines |
$4,053.60–$4,609.20 | $10,134–$11,523 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 10 matching MRF lines |
$2,741.20–$3,269.60 | $6,853–$8,174 | varies |
| MRI lumbar spine w contrast (72149) range across 4 matching MRF lines |
$6,903.20–$9,231.20 | $17,258–$23,078 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$4,962–$5,043.20 | $12,405–$12,608 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 3 matching MRF lines |
$3,456–$3,747.20 | $8,640–$9,368 | varies |
| MRI orbit face neck w contrast (70542) range across 3 matching MRF lines |
$4,850.40–$4,996.80 | $12,126–$12,492 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 3 matching MRF lines |
$4,996.80–$5,370.40 | $12,492–$13,426 | varies |
| MRI pelvis w contrast (72196) range across 4 matching MRF lines |
$3,842–$3,919.20 | $9,605–$9,798 | varies |
| MRI pelvis w/o & w contrast (72197) range across 3 matching MRF lines |
$3,919.20–$4,056.80 | $9,798–$10,142 | varies |
| MRI pelvis w/o contrast (72195) range across 3 matching MRF lines |
$2,594–$2,903.60 | $6,485–$7,259 | varies |
| MRI spectroscopy (76390) | $4,706 | $11,765 | 51.8× |
| MRI thoracic spine w/o contrast (72146) range across 3 matching MRF lines |
$4,112–$6,716.80 | $10,280–$16,792 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) | $4,989.60 | $12,474 | 13.7× |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 6 matching MRF lines |
$3,310.80–$3,673.20 | $8,277–$9,183 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 6 matching MRF lines |
$4,244.80–$4,468.40 | $10,612–$11,171 | varies |
| MRI, abdomen, combo (74183) range across 4 matching MRF lines |
$4,112–$4,328.40 | $10,280–$10,821 | varies |
| MRI, dorsal spine combo (72157) range across 4 matching MRF lines |
$5,386.80–$7,405.20 | $13,467–$18,513 | varies |
| MRI, dorsal spine contrast (72147) range across 3 matching MRF lines |
$5,386.80–$7,052.40 | $13,467–$17,631 | varies |
| MRI, joint upper extrem (73221) range across 8 matching MRF lines |
$3,168.40–$3,674.80 | $7,921–$9,187 | varies |
| MRI, joint upper extrem combo (73223) range across 7 matching MRF lines |
$4,307.60–$4,769.20 | $10,769–$11,923 | varies |
| MRI, lumbar spine combo (72158) range across 3 matching MRF lines |
$7,386–$9,692.40 | $18,465–$24,231 | varies |
| Myelogram cervical (72240) | $1,516.40 | $3,791 | 1.9× |
| Myelogram Lumbar (72265) | $1,572.40 | $3,931 | 1.9× |
| Myelography thoracic (72255) | $1,683.20 | $4,208 | 2.1× |
| Myelograpy 2/more regions rs&i (72270) | $1,838 | $4,595 | 2.2× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $1,833.60 | $4,584 | 4.4× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) | $5,564 | $13,910 | 4.1× |
| Myocardial Spect Multiple Studies (78452) range across 2 matching MRF lines |
$3,553.20–$4,495.60 | $8,883–$11,239 | varies |
| N-invas est c ffr sw aly CTA (75580) | $9,877.20 | $24,693 | 11.0× |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$424–$474 | $1,060–$1,185 | varies |
| Nm myocard infarct spect (78469) | $1,050 | $2,625 | 1.9× |
| Nonvascular Shunt X-Ray (75809) | $203.20 | $508 | 1.9× |
| Nuclear Rx Intra-Arterial (79445) | $2,847.60 | $7,119 | 11.7× |
| Nuclear Rx Oral Admin (79005) | $1,095.60 | $2,739 | 4.5× |
| Parathyroid Planar Imaging (78070) | $2,082 | $5,205 | 5.0× |
| Parathyroid planar imaging w/wo subtraction (78071) | $2,191.60 | $5,479 | 5.2× |
| Pelvis 1 or 2 views (72170) | $452.80 | $1,132 | 4.1× |
| Perineogram (74775) | $919.60 | $2,299 | 3.7× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $11,028 | $27,570 | 3.3× |
| Pulmonary Perfusion Imaging Particulate (78580) range across 2 matching MRF lines |
$1,352–$1,996.40 | $3,380–$4,991 | varies |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $800 | $2,000 | 7.3× |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 5 matching MRF lines |
$1,108.40–$1,208.40 | $2,771–$3,021 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$504.80–$757.20 | $1,262–$1,893 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 5 matching MRF lines |
$187.60–$624 | $469–$1,560 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$514–$621.20 | $1,285–$1,553 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $795.20 | $1,988 | 7.3× |
| Radex fingr minimum 2 views (73140) | $426.80 | $1,067 | 4.7× |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$676.40–$815.60 | $1,691–$2,039 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$456.80–$685.20 | $1,142–$1,713 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 3 matching MRF lines |
$228.40–$548 | $571–$1,370 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $326.80 | $817 | 3.0× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$652.80–$688.80 | $1,632–$1,722 | varies |
| Radex Pharynx/Larx W/Fluor&/Magnification Tq (70370) | $488 | $1,220 | 5.4× |
| Radex Ribs Unilateral 2 Views (71100) | $619.60 | $1,549 | 6.8× |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$543.20–$693.20 | $1,358–$1,733 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $252 | $630 | 2.8× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $2,329.20 | $5,823 | 12.7× |
| Radex Spine 1 View Specify Level (72020) | $623.20 | $1,558 | 6.9× |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$408.40–$642.40 | $1,021–$1,606 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$421.60–$686 | $1,054–$1,715 | varies |
| Radex Toe Minimum 2 Views (73660) range across 12 matching MRF lines |
$426.80–$433.60 | $1,067–$1,084 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 3 matching MRF lines |
$228.40–$528 | $571–$1,320 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$597.20–$725.60 | $1,493–$1,814 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $520.40 | $1,301 | 4.8× |
| Radiation treatment delivery level 1 (77402) | $562.40 | $1,406 | 5.3× |
| Radiation treatment delivery level 2 (77407) | $622.80 | $1,557 | 1.5× |
| Radiation treatment delivery level 3 (77412) | $661.20 | $1,653 | 1.1× |
| Radiolog exam mandible compl minimum 4 views (70110) | $805.60 | $2,014 | 7.4× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 2 matching MRF lines |
$572.40–$733.60 | $1,431–$1,834 | varies |
| Radiologic exam colon double contrast study (74280) range across 2 matching MRF lines |
$1,242.40–$1,288.80 | $3,106–$3,222 | varies |
| Radiologic exam colon single contrast study (74270) range across 2 matching MRF lines |
$1,007.20–$1,022 | $2,518–$2,555 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$587.60–$910.80 | $1,469–$2,277 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $564.40 | $1,411 | 5.2× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $1,451.60 | $3,629 | 7.9× |
| Radiologic exam swallow function contrast study (74230) | $634.80 | $1,587 | 3.5× |
| Radiologic exam upr gi trc double contrast study (74246) range across 5 matching MRF lines |
$1,240–$1,770.40 | $3,100–$4,426 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines |
$468.80–$703.20 | $1,172–$1,758 | varies |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$405.60–$608.40 | $1,014–$1,521 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $638 | $1,595 | 5.8× |
| Radiologic examination tibia & fibula 2 views (73590) range across 5 matching MRF lines |
$439.60–$732.80 | $1,099–$1,832 | varies |
| Renal Cyst Study (74470) | $1,540 | $3,850 | 2.7× |
| Ribs bilateral 3 views (71110) | $772 | $1,930 | 7.1× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $2,594.80 | $6,487 | 6.2× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $933.20 | $2,333 | 2.2× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $2,407.60 | $6,019 | 4.2× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $2,340.40 | $5,851 | 4.1× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 5 matching MRF lines |
$1,263.60–$2,650.40 | $3,159–$6,626 | varies |
| Rp Therapy Intravenous Administration (79101) | $994 | $2,485 | 4.1× |
| Salivary Gland Imaging (78230) | $2,112.80 | $5,282 | 5.1× |
| Scapula (73010) range across 3 matching MRF lines |
$475.20–$710 | $1,188–$1,775 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 4 matching MRF lines |
$192.80–$404.80 | $482–$1,012 | varies |
| Sella turcica (70240) | $671.60 | $1,679 | 7.4× |
| Shoulder 1 view (73020) range across 3 matching MRF lines |
$377.20–$667.60 | $943–$1,669 | varies |
| Shoulder Arthrography (73040) | $1,245.60 | $3,114 | 3.4× |
| Sialogram (70390) | $1,122.40 | $2,806 | 4.5× |
| Skull less than 4 views (70250) | $536 | $1,340 | 4.9× |
| Special dosimetry (77331) | $455.60 | $1,139 | 3.2× |
| Special Physics Consult (77370) | $674 | $1,685 | 4.8× |
| Special teletherapy port plan (77321) | $1,016.80 | $2,542 | 2.6× |
| Special treatment procedure (77470) | $1,240 | $3,100 | 2.1× |
| Speech evaluation, complex (70371) | $1,773.20 | $4,433 | 7.1× |
| Sternoclavicular joints (71130) range across 2 matching MRF lines |
$256.40–$282 | $641–$705 | varies |
| Superior sagittal sinus venogram (75870) | $3,162 | $7,905 | 1.0× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $1,016.80 | $2,542 | 2.6× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $455.60 | $1,139 | 1.2× |
| Testicular Imaging W/Flow (78761) | $1,327.20 | $3,318 | 3.2× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $947.20 | $2,368 | 2.4× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $956.40 | $2,391 | 2.4× |
| Ther rad simulaj-aided field setting simple (77280) | $413.20 | $1,033 | 2.9× |
| Thoracic spine 2 views (72070) | $688.40 | $1,721 | 6.3× |
| Thoracic spine 3 views (72072) | $838.40 | $2,096 | 7.7× |
| Thoracolumbar 2 views (72080) | $554.40 | $1,386 | 6.1× |
| Thyroid Imaging With Vascular Flow (78013) | $872.80 | $2,182 | 2.1× |
| Thyroid Met Imaging Body (78018) | $832.40 | $2,081 | 1.5× |
| Thyroid Uptake Measurement (78012) range across 2 matching MRF lines |
$813.20–$968 | $2,033–$2,420 | varies |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,332.40 | $3,331 | 3.2× |
| Tx Devices Design & Construction Complex (77334) | $640.40 | $1,601 | 1.6× |
| Tx devices design & construction intermediate (77333) | $640.40 | $1,601 | 4.6× |
| Tx devices design & construction simple (77332) | $640.40 | $1,601 | 4.6× |
| Ultrasound Breast Limited (76642) range across 5 matching MRF lines |
$501.60–$752.40 | $1,254–$1,881 | varies |
| Ultrasound elastography first target lesion (76982) | $274.40 | $686 | 2.5× |
| Ultrasound Elastography Parenchyma (76981) | $260.80 | $652 | 2.4× |
| Ultrasound Exam Aaa Screen (76706) | $355.60 | $889 | 3.3× |
| Ultrasound, abdomen limited (76705) range across 9 matching MRF lines |
$1,335.60–$1,591.20 | $3,339–$3,978 | varies |
| Umbilical-artery Doppler (OB) (76820) | $421.20 | $1,053 | 3.9× |
| Unlisted Dx Radiographic Procedure (76499) | $121.20 | $303 | 1.3× |
| Unlisted magnetic resonance procedure (76498) | $3,841.60 | $9,604 | 42.3× |
| Unlisted Miscellaneous Px Dx Nuclear Medicine (78999) | $1,194.80 | $2,987 | 2.9× |
| Unlisted us procedure (76999) | $724.40 | $1,811 | 8.0× |
| Upper gi w/o kub (74240) range across 5 matching MRF lines |
$1,241.20–$2,238 | $3,103–$5,595 | varies |
| Urea Breath Test C-14 Isotopic Acquisj Analysis (78267) | $1,166.80 | $2,917 | 105.5× |
| Ureteral Reflux Study (78740) | $1,327.20 | $3,318 | 3.2× |
| Urethrocystogram voiding (74455) | $971.20 | $2,428 | 3.9× |
| Urethrocystography retrograde (74450) range across 2 matching MRF lines |
$573.20–$603.20 | $1,433–$1,508 | varies |
| Us breast unilateral complete (76641) range across 4 matching MRF lines |
$717.20–$1,076 | $1,793–$2,690 | varies |
| Us chest (76604) range across 3 matching MRF lines |
$708–$828.40 | $1,770–$2,071 | varies |
| Us complete joint (76881) | $861.20 | $2,153 | 7.9× |
| Us exam, pelvic, limited (76857) | $732.80 | $1,832 | 6.7× |
| Us head (76506) range across 2 matching MRF lines |
$546.40–$566.40 | $1,366–$1,416 | varies |
| Us kidney transplant (76776) | $1,623.20 | $4,058 | 14.9× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 6 matching MRF lines |
$539.20–$615.60 | $1,348–$1,539 | varies |
| Us ob detailed single fetus (76811) | $900 | $2,250 | 3.6× |
| Us ob limited 1 or more fetuses (76815) range across 3 matching MRF lines |
$356.80–$453.60 | $892–$1,134 | varies |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$220.40–$722.40 | $551–$1,806 | varies |
| Us pelvic non ob complete (76856) range across 3 matching MRF lines |
$715.20–$911.60 | $1,788–$2,279 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $721.60 | $1,804 | 6.6× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $482.40 | $1,206 | 4.4× |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$1,104.40–$1,161.60 | $2,761–$2,904 | varies |
| Us retroperitoneal limited (76775) range across 4 matching MRF lines |
$762.40–$979.60 | $1,906–$2,449 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$811.20–$942 | $2,028–$2,355 | varies |
| Us spinal canal and contents (76800) | $464.80 | $1,162 | 4.3× |
| Us thyroid (76536) range across 4 matching MRF lines |
$733.20–$857.60 | $1,833–$2,144 | varies |
| Us transrectal (76872) range across 3 matching MRF lines |
$638.80–$644 | $1,597–$1,610 | varies |
| Vein X-Ray Chest (75827) range across 5 matching MRF lines |
$2,710–$5,617.20 | $6,775–$14,043 | varies |
| Vein X-Ray Liver W/O Hemodyn (75887) | $9,738 | $24,345 | 3.0× |
| Vein X-Ray Spleen/Liver (75810) | $10,186 | $25,465 | 3.1× |
| Venogram Sinus/Jugular (75860) range across 5 matching MRF lines |
$2,895.20–$3,070 | $7,238–$7,675 | varies |
| Venography Adrenal Unilateral (75840) | $7,500.40 | $18,751 | 2.3× |
| Venography caval inferior serialography rs&i (75825) range across 5 matching MRF lines |
$2,385.60–$3,081.20 | $5,964–$7,703 | varies |
| Venography extremity bilateral rs&i (75822) range across 5 matching MRF lines |
$1,707.60–$4,000 | $4,269–$10,000 | varies |
| Venography extremity unilateral rs&i (75820) range across 13 matching MRF lines |
$874.40–$1,658.80 | $2,186–$4,147 | varies |
| Venography Renal Bilateral (75833) range across 3 matching MRF lines |
$7,901.60–$8,456 | $19,754–$21,140 | varies |
| Venography Renal Unilateral (75831) range across 4 matching MRF lines |
$6,678–$7,377.20 | $16,695–$18,443 | varies |
| Venous sampling by catheter (75893) likely a partial charge, not the full procedure |
$1,455.60 | $3,639 | 0.3× |
| Venous Thrombosis Imaging Venogram Bilateral (78458) | $1,327.20 | $3,318 | 3.2× |
| Vertebral fracture assessment via dxa (77086) | $192 | $480 | 2.1× |
| Wrist 2 views (73100) range across 5 matching MRF lines |
$394–$740.40 | $985–$1,851 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$321.20–$352.40 | $803–$881 | varies |
| X-ray antegrade pyelogram tube (74425) range across 2 matching MRF lines |
$1,012.80–$1,064.80 | $2,532–$2,662 | varies |
| X-Ray Aorta Leg Arteries (75630) range across 4 matching MRF lines |
$4,150.80–$5,588 | $10,377–$13,970 | varies |
| X-Ray Bend Only L-S Spine (72120) | $784.80 | $1,962 | 7.2× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 5 matching MRF lines |
$300–$606 | $750–$1,515 | varies |
| X-Ray Exam Breast Specimen (76098) | $608.80 | $1,522 | 1.1× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $514 | $1,285 | 4.7× |
| X-Ray Exam Hip Uni 1 View (73501) | $922.80 | $2,307 | 10.2× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $794.40 | $1,986 | 8.7× |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$202.40–$472 | $506–$1,180 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $1,919.60 | $4,799 | 17.6× |
| X-Ray Exam L-S Spine Bending (72114) | $784.80 | $1,962 | 7.2× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $726.40 | $1,816 | 8.0× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $961.20 | $2,403 | 8.8× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $698.80 | $1,747 | 6.4× |
| X-ray eye for foreign body (70030) range across 3 matching MRF lines |
$271.20–$462.40 | $678–$1,156 | varies |
| X-ray humerus (73060) range across 3 matching MRF lines |
$483.20–$619.60 | $1,208–$1,549 | varies |
| X-ray IV pyelogram (ivp) (74400) | $1,160 | $2,900 | 6.3× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $473.20 | $1,183 | 5.2× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $488.40 | $1,221 | 5.4× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $785.20 | $1,963 | 7.2× |
| X-ray nose-rectum child f.b. (76010) | $169.60 | $424 | 1.9× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $756.40 | $1,891 | 6.9× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $428.80 | $1,072 | 3.9× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $196.40 | $491 | 1.8× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$479.60–$504.80 | $1,199–$1,262 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $711.60 | $1,779 | 7.8× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $652.40 | $1,631 | 6.0× |
| X-ray thoracic spine 4 vw (72074) | $202.40 | $506 | 1.9× |
| X-Ray Tmj Unilat (70328) range across 2 matching MRF lines |
$395.60–$429.60 | $989–$1,074 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 2 matching MRF lines |
$1,122.80–$1,296.80 | $2,807–$3,242 | varies |
| X-Rays Bone Length Studies (77073) | $164.40 | $411 | 1.5× |
| X-Rays Bone Survey Complete (77075) | $878.80 | $2,197 | 8.0× |
| Xr c-spine 4 or 5 views (72050) | $906 | $2,265 | 8.3× |
| Xr facial bones less than 3 views (70140) | $710 | $1,775 | 7.8× |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$590.40–$798.80 | $1,476–$1,997 | varies |
| Xr Tomogram Single Plane (76100) | $571.20 | $1,428 | 5.2× |
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.