Imaging prices at Lee's Summit Medical Center
Lee's Summit, MO · every code in this section with a posted price and a Medicare benchmark.
331 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) | $2,024.31 | $2,024.31 | 23.2× |
| Abdomen 2 views (74019) | $2,773.88 | $2,773.88 | 26.5× |
| Acute Gastrointestinal Blood Loss Imaging (78278) range across 2 matching MRF lines |
$8,018.10–$12,894.38 | $8,018.10–$12,894.38 | varies |
| Angio pulmonary bilat (75743) range across 2 matching MRF lines |
$7,935.26–$26,130.03 | $7,935.26–$26,130.03 | varies |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $37,145.13 | $37,145.13 | 11.7× |
| Angiography extremity bilateral rs&i (75716) range across 2 matching MRF lines |
$28,677.20–$32,978.73 | $28,677.20–$32,978.73 | varies |
| Angiography extremity unilateral rs&i (75710) | $30,051.49 | $30,051.49 | 9.5× |
| Angiography pulmonary unilateral slctv rs&i (75741) range across 4 matching MRF lines |
$4,296.77–$21,145.90 | $4,296.77–$21,145.90 | varies |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) range across 2 matching MRF lines |
$11,406.50–$28,636.76 | $11,406.50–$28,636.76 | varies |
| Ankle 2 views (73600) range across 5 matching MRF lines |
$1,507.71–$3,028.30 | $1,507.71–$3,028.30 | varies |
| Aortography thoracic serialography rs&i (75605) range across 2 matching MRF lines |
$15,621.39–$20,826.43 | $15,621.39–$20,826.43 | varies |
| Artery X-Rays Abdomen (75726) range across 2 matching MRF lines |
$26,132.76–$45,988.33 | $26,132.76–$45,988.33 | varies |
| Artery X-Rays Adrenal Gland (75731) | $16,882.66 | $16,882.66 | 5.3× |
| Artery X-Rays Pelvis (75736) range across 2 matching MRF lines |
$23,258.20–$33,500.30 | $23,258.20–$33,500.30 | varies |
| Artery X-Rays Spine (75705) | $13,016.13 | $13,016.13 | 2.3× |
| Arthrogram ankle (73615) range across 2 matching MRF lines |
$6,311.15–$6,939.99 | $6,311.15–$6,939.99 | varies |
| Arthrogram hip (73525) range across 2 matching MRF lines |
$6,311.15–$6,939.99 | $6,311.15–$6,939.99 | varies |
| Arthrogram Wrist (73115) | $3,100.02 | $3,100.02 | 8.9× |
| Bone age studies (77072) range across 2 matching MRF lines |
$3,819.73–$3,836.73 | $3,819.73–$3,836.73 | varies |
| Bone Imaging 3 Phase (78315) range across 2 matching MRF lines |
$6,257.09–$10,064.63 | $6,257.09–$10,064.63 | varies |
| Bone Imaging Limited Area (78300) range across 2 matching MRF lines |
$2,835.03–$4,559.68 | $2,835.03–$4,559.68 | varies |
| Bone Imaging Multiple Areas (78305) | $8,449.80 | $8,449.80 | 21.1× |
| Bone Imaging Whole Body (78306) range across 2 matching MRF lines |
$6,245.72–$10,046.47 | $6,245.72–$10,046.47 | varies |
| Bone marrow imaging limited area (78102) | $4,262.77 | $4,262.77 | 10.6× |
| Bone survey infant (77076) range across 2 matching MRF lines |
$3,558.36–$3,575.91 | $3,558.36–$3,575.91 | varies |
| Brain Flow Imaging Only (78610) range across 2 matching MRF lines |
$2,711.57–$6,956.18 | $2,711.57–$6,956.18 | varies |
| Brain Imaging Minimum 4 Static Views (78605) | $6,229.03 | $6,229.03 | 11.5× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $15,887.09 | $15,887.09 | 45.5× |
| Cat Scan Follow-Up Study (76380) range across 2 matching MRF lines |
$5,245.07–$6,032.02 | $5,245.07–$6,032.02 | varies |
| Cerebrospinal Fluid Scan (78630) | $16,303.19 | $16,303.19 | 30.0× |
| Chest 1 view (71045) | $1,841.76 | $1,841.76 | 21.1× |
| Chest 2 views (71046) | $2,523.02 | $2,523.02 | 28.9× |
| Chest 4 or more views (71048) | $3,406.44 | $3,406.44 | 32.5× |
| Clavicle complete (73000) range across 6 matching MRF lines |
$1,637.91–$3,292.33 | $1,637.91–$3,292.33 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $726.21 | $726.21 | 6.9× |
| Contrast Exam Abdominl Aorta (75625) range across 2 matching MRF lines |
$15,621.39–$28,891 | $15,621.39–$28,891 | varies |
| Contrast X-Ray Bladder (74430) range across 2 matching MRF lines |
$3,751.98–$5,003.69 | $3,751.98–$5,003.69 | varies |
| Contrast X-Ray Of Elbow (73085) range across 2 matching MRF lines |
$2,819.67–$3,100.02 | $2,819.67–$3,100.02 | varies |
| Contrast X-Ray Of Knee Joint (73580) range across 2 matching MRF lines |
$4,227.89–$4,645.13 | $4,227.89–$4,645.13 | varies |
| Contrast Xray Throat/Cerv Esopha (74210) | $3,038.07 | $3,038.07 | 17.3× |
| CT abdomen and pelvis without and with contrast (74178) | $30,180.34 | $30,180.34 | 86.4× |
| CT abdomen and pelvis without contrast (74176) | $26,247.67 | $26,247.67 | 109.8× |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$11,411.45–$13,122.38 | $11,411.45–$13,122.38 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$13,121.29–$15,088.69 | $13,121.29–$15,088.69 | varies |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$10,496.39–$12,069.82 | $10,496.39–$12,069.82 | varies |
| CT Angio Abdomen and Pelvis (74174) | $55,991.35 | $55,991.35 | 160.2× |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$25,100.34–$28,864.65 | $25,100.34–$28,864.65 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$23,730.93–$27,291.57 | $23,730.93–$27,291.57 | varies |
| CT angio hrt w/3d image (75574) | $782.82 | $782.82 | 2.2× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 3 matching MRF lines |
$26,721.91–$53,446.69 | $26,721.91–$53,446.69 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$25,553.17–$29,385.15 | $25,553.17–$29,385.15 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 2 matching MRF lines |
$26,721.91–$53,446.69 | $26,721.91–$53,446.69 | varies |
| CT cervical spine w/ contrast (72126) range across 2 matching MRF lines |
$14,037.90–$16,144.19 | $14,037.90–$16,144.19 | varies |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$13,121.29–$15,088.69 | $13,121.29–$15,088.69 | varies |
| CT cervical spine w/wo cont (72127) range across 2 matching MRF lines |
$15,743.82–$18,104.74 | $15,743.82–$18,104.74 | varies |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$14,037.90–$16,144.19 | $14,037.90–$16,144.19 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$15,743.82–$18,104.74 | $15,743.82–$18,104.74 | varies |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$10,836.82–$12,463.09 | $10,836.82–$12,463.09 | varies |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$11,411.45–$13,122.38 | $11,411.45–$13,122.38 | varies |
| CT heart contrast eval cardiac structure&morph (75572) | $2,666.12 | $2,666.12 | 7.6× |
| CT heart no contrast quant eval coronry calcium (75571) | $462.32 | $462.32 | 5.3× |
| CT hrt w/3d image congen (75573) | $782.82 | $782.82 | 2.2× |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$8,814.69–$10,138.19 | $8,814.69–$10,138.19 | varies |
| CT l-spine w&w/o contrast (72133) range across 2 matching MRF lines |
$14,379.08–$16,534.55 | $14,379.08–$16,534.55 | varies |
| CT lower ext w/o (73700) range across 6 matching MRF lines |
$9,550.94–$21,959.33 | $9,550.94–$21,959.33 | varies |
| CT lower extremity w/contrast material (73701) range across 6 matching MRF lines |
$10,371.49–$23,856.26 | $10,371.49–$23,856.26 | varies |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$12,819.15–$14,741.15 | $12,819.15–$14,741.15 | varies |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$13,121.29–$15,088.69 | $13,121.29–$15,088.69 | varies |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$10,836.82–$12,463.09 | $10,836.82–$12,463.09 | varies |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$10,040.41–$11,546.43 | $10,040.41–$11,546.43 | varies |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$13,121.29–$15,088.69 | $13,121.29–$15,088.69 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 2 matching MRF lines |
$10,371.49–$11,928.16 | $10,371.49–$11,928.16 | varies |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$9,126.97–$10,496.75 | $9,126.97–$10,496.75 | varies |
| CT pelvis w&w/o contrast (72194) | $15,088.69 | $15,088.69 | 85.9× |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$10,496.39–$12,069.82 | $10,496.39–$12,069.82 | varies |
| CT scan of leg combo (73702) range across 6 matching MRF lines |
$14,091.76–$32,409.83 | $14,091.76–$32,409.83 | varies |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
$11,411.45–$13,122.38 | $11,411.45–$13,122.38 | varies |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$11,411.45–$13,122.38 | $11,411.45–$13,122.38 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$10,496.39–$12,069.82 | $10,496.39–$12,069.82 | varies |
| CT thoracic spine w contrast (72129) range across 2 matching MRF lines |
$13,337.55–$15,337.43 | $13,337.55–$15,337.43 | varies |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$13,121.29–$15,088.69 | $13,121.29–$15,088.69 | varies |
| CT thoracic spine w/wo cont (72130) range across 2 matching MRF lines |
$15,659.49–$18,009.30 | $15,659.49–$18,009.30 | varies |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$13,121.29–$15,088.69 | $13,121.29–$15,088.69 | varies |
| CT upper ext wo (73200) range across 6 matching MRF lines |
$9,550.94–$21,959.33 | $9,550.94–$21,959.33 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 6 matching MRF lines |
$14,091.76–$32,409.83 | $14,091.76–$32,409.83 | varies |
| CT upper extremity with contrast (73201) range across 6 matching MRF lines |
$10,371.49–$23,856.26 | $10,371.49–$23,856.26 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $26,664.07 | $26,664.07 | 151.8× |
| Cta Abdomen (74175) | $26,664.07 | $26,664.07 | 151.8× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $1,069.29 | $1,069.29 | 3.1× |
| CTA pelvis (72191) range across 2 matching MRF lines |
$24,344.60–$27,997.13 | $24,344.60–$27,997.13 | varies |
| Dilation ureters/urethra rs&i (74485) | $20,480.88 | $20,480.88 | 9.8× |
| Discography Cerv/Thor Spine (72285) range across 2 matching MRF lines |
$2,232.91–$23,013.72 | $2,232.91–$23,013.72 | varies |
| Diskography lumbar (72295) range across 2 matching MRF lines |
$2,232.91–$23,013.72 | $2,232.91–$23,013.72 | varies |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$2,963.09–$4,765.75 | $2,963.09–$4,765.75 | varies |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $1,483.16 | $1,483.16 | 17.0× |
| Echo exam uterus (76831) | $915.49 | $915.49 | 3.8× |
| Echo Guide For Artery Repair (76936) | $10,498.60 | $10,498.60 | 48.5× |
| Esophagram (74220) | $2,640.38 | $2,640.38 | 15.0× |
| Fetal Biophys Profile W/Nst (76818) range across 2 matching MRF lines |
$3,539.17–$4,071.99 | $3,539.17–$4,071.99 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $4,844.04 | $4,844.04 | 46.3× |
| Fluoroscopy up to 1 hr (76000) range across 3 matching MRF lines |
$1,049.65–$2,157.96 | $1,049.65–$2,157.96 | varies |
| Follow-Up Angiography (75898) | $10,414.85 | $10,414.85 | 3.3× |
| Foot 2 views (73620) range across 6 matching MRF lines |
$1,507.71–$3,028.30 | $1,507.71–$3,028.30 | varies |
| Forearm 2 views (73090) range across 6 matching MRF lines |
$1,755–$3,523.79 | $1,755–$3,523.79 | varies |
| Gastric emptying imaging study (78264) range across 3 matching MRF lines |
$5,253.49–$12,561.08 | $5,253.49–$12,561.08 | varies |
| Gated Heart Planar Single (78472) range across 2 matching MRF lines |
$6,400.94–$10,294.87 | $6,400.94–$10,294.87 | varies |
| Hand 2 views (73120) range across 6 matching MRF lines |
$1,507.71–$3,028.30 | $1,507.71–$3,028.30 | varies |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $28,470.53 | $28,470.53 | 9.0× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $22,625.82 | $22,625.82 | 7.2× |
| Hepatobil Syst Image W/Drug (78227) | $9,931.31 | $9,931.31 | 18.3× |
| Hepatobiliary System Imaging (78226) | $8,425.54 | $8,425.54 | 21.0× |
| Ht Musc Image Planar Mult (78454) | $19,523.32 | $19,523.32 | 15.1× |
| Ht Muscle Image Spect Sing (78451) | $21,677.43 | $21,677.43 | 16.7× |
| Hysterosalpingogram (74740) | $3,015.26 | $3,015.26 | 12.6× |
| Infant hip ultrasound, limited static exam (76886) | $1,386.28 | $1,386.28 | 15.9× |
| K Flow/Funct Image Multiple (78709) | $16,248.22 | $16,248.22 | 29.9× |
| K Flow/Funct Image W/Drug (78708) | $10,873.54 | $10,873.54 | 20.0× |
| K Flow/Funct Image W/O Drug (78707) range across 2 matching MRF lines |
$7,441.69–$11,967.26 | $7,441.69–$11,967.26 | varies |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $4,992.93 | $4,992.93 | 12.5× |
| Knee 3 Views (73562) range across 6 matching MRF lines |
$2,398.35–$4,811.37 | $2,398.35–$4,811.37 | varies |
| Leveen/Shunt Patency Exam (78291) | $1,830.10 | $1,830.10 | 4.6× |
| Liver & Spleen Imaging Static Only (78215) range across 2 matching MRF lines |
$4,460.48–$7,174.06 | $4,460.48–$7,174.06 | varies |
| Lung perfusion differential (78597) | $9,155.74 | $9,155.74 | 22.9× |
| Lung Ventilat&Perfus Imaging (78582) | $7,540.91 | $7,540.91 | 13.9× |
| Lung Ventilation Imaging (78579) | $17,793.37 | $17,793.37 | 44.4× |
| Lymph System Imaging (78195) | $9,607.16 | $9,607.16 | 17.7× |
| Magnetic Image Jaw Joint (70336) | $9,144.28 | $9,144.28 | 38.3× |
| Mammary ductogram or galactogram multiple (77054) | $5,525.26 | $5,525.26 | 23.1× |
| Mammary ductogram or galactogram single (77053) | $3,941.02 | $3,941.02 | 16.5× |
| Meckels Divert Exam (78290) | $6,229.03 | $6,229.03 | 15.6× |
| Mr safety determination physician/other qhp (76016) | $264.15 | $264.15 | 3.0× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $73.47 | $73.47 | 2.5× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) | $275.37 | $275.37 | 2.9× |
| Mr safety implt pos&/immoblj (76019) | $178.20 | $178.20 | 3.0× |
| Mr safety med physics xm customization plng&mntr (76017) | $725.16 | $725.16 | 3.0× |
| Mra Head W/O & W/Contrast Material (70546) | $11,514.43 | $11,514.43 | 33.0× |
| MRA head w/o contrast (70544) | $9,588.13 | $9,588.13 | 40.1× |
| MRA head with contrast (70545) | $10,710.93 | $10,710.93 | 30.7× |
| MRA neck w contrast (70548) | $13,323.99 | $13,323.99 | 38.1× |
| Mra Neck W/O &W/Contrast Material (70549) | $14,931.81 | $14,931.81 | 42.7× |
| MRA neck w/o contrast (70547) | $12,024.81 | $12,024.81 | 50.3× |
| MRI abdomen w contrast (74182) | $14,858.33 | $14,858.33 | 42.5× |
| MRI abdomen w/o contrast (74181) | $13,080.03 | $13,080.03 | 54.7× |
| MRI any jt lower extrem w/contrast material (73722) range across 3 matching MRF lines |
$15,531.43–$28,141.19 | $15,531.43–$28,141.19 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 3 matching MRF lines |
$17,571.33–$30,665 | $17,571.33–$30,665 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 3 matching MRF lines |
$14,858.33–$26,803.77 | $14,858.33–$26,803.77 | varies |
| MRI Breast W/O Contrast Bilateral (77047) | $11,492.80 | $11,492.80 | 48.1× |
| MRI cardiac w/o contrast (75557) | $11,783.79 | $11,783.79 | 49.3× |
| MRI cervical spine w contrast (72142) | $17,935.83 | $17,935.83 | 51.3× |
| MRI cervical spine w/o cont (72141) | $12,686.18 | $12,686.18 | 53.1× |
| MRI chest w/o contrast (71550) | $14,123.49 | $14,123.49 | 59.1× |
| MRI chest with contrast (71551) | $15,540.27 | $15,540.27 | 19.8× |
| MRI chest wo w contrast (71552) | $17,086.33 | $17,086.33 | 48.9× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 3 matching MRF lines |
$14,858.33–$26,794.97 | $14,858.33–$26,794.97 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 3 matching MRF lines |
$15,222.81–$23,720.44 | $15,222.81–$23,720.44 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 3 matching MRF lines |
$11,633.88–$21,025.05 | $11,633.88–$21,025.05 | varies |
| MRI lumbar spine w contrast (72149) | $18,044.55 | $18,044.55 | 51.6× |
| Mri Neck Spine W/O & W/Dye (72156) | $18,482.53 | $18,482.53 | 52.9× |
| MRI orbit face &/neck w/o contrast (70540) | $12,686.18 | $12,686.18 | 53.1× |
| MRI orbit face neck w contrast (70542) | $14,017.69 | $14,017.69 | 40.1× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $16,354.45 | $16,354.45 | 46.8× |
| MRI pelvis w contrast (72196) | $13,808.99 | $13,808.99 | 39.5× |
| MRI pelvis w/o & w contrast (72197) | $16,354.45 | $16,354.45 | 46.8× |
| MRI pelvis w/o contrast (72195) | $12,894.87 | $12,894.87 | 54.0× |
| MRI spectroscopy (76390) | $2,354.41 | $2,354.41 | 27.0× |
| MRI thoracic spine w/o contrast (72146) | $12,686.18 | $12,686.18 | 53.1× |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 3 matching MRF lines |
$14,858.33–$26,803.77 | $14,858.33–$26,803.77 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 3 matching MRF lines |
$12,894.87–$23,561.70 | $12,894.87–$23,561.70 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 3 matching MRF lines |
$15,222.81–$25,960.19 | $15,222.81–$25,960.19 | varies |
| MRI, abdomen, combo (74183) | $16,354.45 | $16,354.45 | 46.8× |
| MRI, dorsal spine combo (72157) | $18,608.92 | $18,608.92 | 53.3× |
| MRI, dorsal spine contrast (72147) | $18,044.55 | $18,044.55 | 51.6× |
| MRI, joint upper extrem (73221) range across 3 matching MRF lines |
$12,686.18–$23,132.57 | $12,686.18–$23,132.57 | varies |
| MRI, joint upper extrem combo (73223) range across 3 matching MRF lines |
$16,898.24–$27,476.90 | $16,898.24–$27,476.90 | varies |
| MRI, lumbar spine combo (72158) | $18,608.92 | $18,608.92 | 53.3× |
| Myelogram cervical (72240) | $10,659.33 | $10,659.33 | 13.6× |
| Myelogram Lumbar (72265) | $11,578.60 | $11,578.60 | 14.7× |
| Myelography thoracic (72255) | $9,707.47 | $9,707.47 | 12.4× |
| Myelograpy 2/more regions rs&i (72270) | $14,163.55 | $14,163.55 | 18.0× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $8,346.78 | $8,346.78 | 6.4× |
| Myocardial Spect Multiple Studies (78452) | $23,995.13 | $23,995.13 | 18.5× |
| N-invas est c ffr sw aly CTA (75580) | $3,485.83 | $3,485.83 | 4.1× |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$1,621.18–$1,629.87 | $1,621.18–$1,629.87 | varies |
| Nm myocard infarct spect (78469) | $7,446.98 | $7,446.98 | 13.7× |
| Nuclear Rx Oral Admin (79005) range across 4 matching MRF lines |
$7,613.59–$18,468.96 | $7,613.59–$18,468.96 | varies |
| Parathyroid Planar Imaging (78070) range across 2 matching MRF lines |
$3,448.57–$5,547.39 | $3,448.57–$5,547.39 | varies |
| Parathyroid planar imaging w/wo subtraction (78071) | $3,365.97 | $3,365.97 | 8.4× |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$1,928.36–$1,936.29 | $1,928.36–$1,936.29 | varies |
| Peritoneogram Rs&I (74190) | $3,999.72 | $3,999.72 | 7.3× |
| Pet Imaging Limited Area Chest Head/Neck (78811) | $56,715.90 | $56,715.90 | 43.7× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $21,012.24 | $21,012.24 | 6.6× |
| Pulmonary Perfusion Imaging Particulate (78580) range across 2 matching MRF lines |
$4,165.82–$6,701.67 | $4,165.82–$6,701.67 | varies |
| Quan&Charac C Atherosclerotc Plaq Asses Sev C Ds (75577) | $2,851.50 | $2,851.50 | 3.1× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$2,785.61–$2,796.84 | $2,785.61–$2,796.84 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 2 matching MRF lines |
$3,999.72–$4,394.13 | $3,999.72–$4,394.13 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 6 matching MRF lines |
$1,867.64–$3,751.98 | $1,867.64–$3,751.98 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 6 matching MRF lines |
$1,548.16–$3,109.78 | $1,548.16–$3,109.78 | varies |
| Radex elbow complete minimum 3 views (73080) range across 6 matching MRF lines |
$2,391.30–$4,801.59 | $2,391.30–$4,801.59 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 3 matching MRF lines |
$2,549.12–$4,847.22 | $2,549.12–$4,847.22 | varies |
| Radex fingr minimum 2 views (73140) range across 4 matching MRF lines |
$1,515.56–$1,675.51 | $1,515.56–$1,675.51 | varies |
| Radex foot complete minimum 3 views (73630) range across 6 matching MRF lines |
$1,867.64–$3,751.98 | $1,867.64–$3,751.98 | varies |
| Radex Hand Minimum 3 Views (73130) range across 6 matching MRF lines |
$1,755–$3,523.79 | $1,755–$3,523.79 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 6 matching MRF lines |
$2,307.70–$4,635.36 | $2,307.70–$4,635.36 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$2,342.01–$2,353.53 | $2,342.01–$2,353.53 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 3 matching MRF lines |
$2,244.30–$2,255.76 | $2,244.30–$2,255.76 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 6 matching MRF lines |
$1,867.64–$3,751.98 | $1,867.64–$3,751.98 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$840.52–$844.25 | $840.52–$844.25 | varies |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $6,056.56 | $6,056.56 | 34.5× |
| Radex Spine 1 View Specify Level (72020) range across 3 matching MRF lines |
$844.25–$2,102.52 | $844.25–$2,102.52 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$2,467.88–$2,477.41 | $2,467.88–$2,477.41 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$2,829.63–$2,842.50 | $2,829.63–$2,842.50 | varies |
| Radex Toe Minimum 2 Views (73660) range across 6 matching MRF lines |
$1,547.25–$3,060.90 | $1,547.25–$3,060.90 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 6 matching MRF lines |
$2,307.70–$4,635.36 | $2,307.70–$4,635.36 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 6 matching MRF lines |
$1,755–$3,523.79 | $1,755–$3,523.79 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $3,722.45 | $3,722.45 | 35.6× |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$2,857.77–$2,871.84 | $2,857.77–$2,871.84 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $3,799.40 | $3,799.40 | 36.3× |
| Radiologic exam colon double contrast study (74280) | $6,359.75 | $6,359.75 | 36.2× |
| Radiologic exam colon single contrast study (74270) | $4,384.34 | $4,384.34 | 25.0× |
| Radiologic exam knee complete 4/more views (73564) range across 6 matching MRF lines |
$2,398.35–$4,811.37 | $2,398.35–$4,811.37 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$5,160.20–$5,182.98 | $5,160.20–$5,182.98 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) | $4,081.19 | $4,081.19 | 23.2× |
| Radiologic exam swallow function contrast study (74230) | $3,073.91 | $3,073.91 | 17.5× |
| Radiologic exam upr gi trc double contrast study (74246) | $4,068.14 | $4,068.14 | 23.2× |
| Radiologic examination femur 1 view (73551) range across 4 matching MRF lines |
$493.53–$2,543.77 | $493.53–$2,543.77 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 4 matching MRF lines |
$493.53–$2,543.77 | $493.53–$2,543.77 | varies |
| Radiologic examination knee 1/2 views (73560) range across 6 matching MRF lines |
$1,811.30–$3,637.86 | $1,811.30–$3,637.86 | varies |
| Radiologic Examination Osseous Survey Limited (77074) range across 2 matching MRF lines |
$3,046.11–$3,060.90 | $3,046.11–$3,060.90 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 6 matching MRF lines |
$1,928.36–$3,637.86 | $1,928.36–$3,637.86 | varies |
| Red Cell Volume Determination Spx Mult Samplings (78121) | $5,329.23 | $5,329.23 | 9.8× |
| Renal Cyst Study (74470) | $5,753.43 | $5,753.43 | 10.5× |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$3,214.22–$3,227.13 | $3,214.22–$3,227.13 | varies |
| Rp loclzj tum plnr 1 area single day imaging (78800) range across 2 matching MRF lines |
$3,584.89–$5,765.52 | $3,584.89–$5,765.52 | varies |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) range across 2 matching MRF lines |
$7,765.11–$12,488.40 | $7,765.11–$12,488.40 | varies |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 2 matching MRF lines |
$8,004.42–$12,876.15 | $8,004.42–$12,876.15 | varies |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $12,876.15 | $12,876.15 | 9.9× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $12,876.15 | $12,876.15 | 9.0× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $12,876.15 | $12,876.15 | 9.9× |
| Rp Therapy Intravenous Administration (79101) | $4,132.49 | $4,132.49 | 17.7× |
| Scapula (73010) range across 6 matching MRF lines |
$1,748.82–$3,517.24 | $1,748.82–$3,517.24 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $88.91 | $88.91 | 3.8× |
| Shoulder 1 view (73020) range across 6 matching MRF lines |
$1,867.64–$3,751.98 | $1,867.64–$3,751.98 | varies |
| Shoulder Arthrography (73040) range across 2 matching MRF lines |
$2,819.67–$3,100.02 | $2,819.67–$3,100.02 | varies |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$1,044.67–$1,049.65 | $1,044.67–$1,049.65 | varies |
| Sternoclavicular joints (71130) range across 2 matching MRF lines |
$4,319.65–$4,338.71 | $4,319.65–$4,338.71 | varies |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$2,086.78–$2,096 | $2,086.78–$2,096 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$2,601.31–$2,614.32 | $2,601.31–$2,614.32 | varies |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$1,700.44–$1,708.13 | $1,700.44–$1,708.13 | varies |
| Thyroid Imaging With Vascular Flow (78013) | $4,205.23 | $4,205.23 | 10.5× |
| Thyroid Met Imaging Body (78018) range across 2 matching MRF lines |
$7,455.32–$11,991.50 | $7,455.32–$11,991.50 | varies |
| Thyroid Uptake Measurement (78012) | $4,402.16 | $4,402.16 | 11.0× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $10,985.64 | $10,985.64 | 27.4× |
| Ultrasound Breast Limited (76642) | $2,996.49 | $2,996.49 | 34.4× |
| Ultrasound Exam Aaa Screen (76706) | $1,936.32 | $1,936.32 | 18.5× |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$5,199.87–$5,980.28 | $5,199.87–$5,980.28 | varies |
| Upper gi w/o kub (74240) | $2,607.80 | $2,607.80 | 14.8× |
| Urethrocystogram voiding (74455) | $6,421.68 | $6,421.68 | 26.9× |
| Urethrocystography retrograde (74450) | $4,870.02 | $4,870.02 | 20.4× |
| Us breast unilateral complete (76641) | $2,996.49 | $2,996.49 | 28.6× |
| Us chest (76604) range across 2 matching MRF lines |
$3,539.17–$4,071.99 | $3,539.17–$4,071.99 | varies |
| Us complete joint (76881) | $3,264.73 | $3,264.73 | 31.2× |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$2,293.62–$2,636 | $2,293.62–$2,636 | varies |
| Us kidney transplant (76776) range across 2 matching MRF lines |
$4,881.86–$5,612.93 | $4,881.86–$5,612.93 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 3 matching MRF lines |
$2,215.60–$3,419.99 | $2,215.60–$3,419.99 | varies |
| Us ob detailed single fetus (76811) range across 2 matching MRF lines |
$6,449.46–$7,415.66 | $6,449.46–$7,415.66 | varies |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$1,600.34–$1,840.70 | $1,600.34–$1,840.70 | varies |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$3,666–$4,215.34 | $3,666–$4,215.34 | varies |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$4,572–$5,256.86 | $4,572–$5,256.86 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$4,512.69–$5,188.73 | $4,512.69–$5,188.73 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 2 matching MRF lines |
$3,099.51–$3,563.64 | $3,099.51–$3,563.64 | varies |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$4,572–$5,256.86 | $4,572–$5,256.86 | varies |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$2,293.62–$2,636 | $2,293.62–$2,636 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$2,838.73–$3,264.73 | $2,838.73–$3,264.73 | varies |
| Us thyroid (76536) range across 2 matching MRF lines |
$1,370.28–$1,575.57 | $1,370.28–$1,575.57 | varies |
| Us transrectal (76872) | $2,168.68 | $2,168.68 | 20.7× |
| Vascular Flow Imaging (78445) | $5,989.67 | $5,989.67 | 15.0× |
| Vein X-Ray Chest (75827) | $36,225.41 | $36,225.41 | 23.0× |
| Vein X-Ray Liver W/O Hemodyn (75887) | $35,019.31 | $35,019.31 | 11.1× |
| Vein X-Ray Skull Epidural (75872) | $32,978.73 | $32,978.73 | 52.5× |
| Vein X-Ray Spleen/Liver (75810) | $22,625.82 | $22,625.82 | 7.2× |
| Venogram Sinus/Jugular (75860) | $12,005.58 | $12,005.58 | 3.8× |
| Venography Adrenal Unilateral (75840) | $20,516.75 | $20,516.75 | 6.5× |
| Venography caval inferior serialography rs&i (75825) | $36,225.41 | $36,225.41 | 11.5× |
| Venography extremity bilateral rs&i (75822) range across 2 matching MRF lines |
$18,985.11–$21,735.90 | $18,985.11–$21,735.90 | varies |
| Venography extremity unilateral rs&i (75820) range across 4 matching MRF lines |
$9,492.37–$10,867.95 | $9,492.37–$10,867.95 | varies |
| Venography Renal Bilateral (75833) | $27,772.91 | $27,772.91 | 8.8× |
| Venography Renal Unilateral (75831) | $20,568.92 | $20,568.92 | 6.5× |
| Venous sampling by catheter (75893) | $14,750.27 | $14,750.27 | 2.6× |
| Wrist 2 views (73100) range across 6 matching MRF lines |
$1,507.71–$3,028.30 | $1,507.71–$3,028.30 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$2,467.88–$2,477.41 | $2,467.88–$2,477.41 | varies |
| X-ray antegrade pyelogram tube (74425) range across 2 matching MRF lines |
$5,603.49–$7,891.82 | $5,603.49–$7,891.82 | varies |
| X-Ray Aorta Leg Arteries (75630) range across 2 matching MRF lines |
$18,594.44–$55,881.60 | $18,594.44–$55,881.60 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 6 matching MRF lines |
$1,867.64–$3,751.98 | $1,867.64–$3,751.98 | varies |
| X-Ray Exam Breast Specimen (76098) range across 2 matching MRF lines |
$785.60–$1,499.49 | $785.60–$1,499.49 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) | $2,383.07 | $2,383.07 | 27.3× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $2,543.77 | $2,543.77 | 24.3× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $2,684.34 | $2,684.34 | 25.6× |
| X-Ray Exam Hip Uni 1 View (73501) | $2,366.37 | $2,366.37 | 27.1× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $2,530.38 | $2,530.38 | 29.0× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $2,530.38 | $2,530.38 | 24.2× |
| X-Ray Exam Hips Bi 2 Views (73521) | $4,361.22 | $4,361.22 | 41.7× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $4,361.22 | $4,361.22 | 41.7× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $4,383.98 | $4,383.98 | 41.9× |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$3,046.11–$3,060.90 | $3,046.11–$3,060.90 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$2,060.39–$2,069.92 | $2,060.39–$2,069.92 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$3,084.87–$3,100.02 | $3,084.87–$3,100.02 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 4 matching MRF lines |
$3,277.61–$3,292.33 | $3,277.61–$3,292.33 | varies |
| X-ray eye for foreign body (70030) range across 3 matching MRF lines |
$3,947.53–$7,904.69 | $3,947.53–$7,904.69 | varies |
| X-ray humerus (73060) range across 6 matching MRF lines |
$1,867.64–$3,751.98 | $1,867.64–$3,751.98 | varies |
| X-ray IV pyelogram (ivp) (74400) | $9,319.57 | $9,319.57 | 53.0× |
| X-ray IV pyelogram+tomography (74415) | $9,580.36 | $9,580.36 | 54.5× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 2 matching MRF lines |
$2,534.78–$2,545.85 | $2,534.78–$2,545.85 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$991.03–$994.22 | $991.03–$994.22 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$2,467.88–$2,477.41 | $2,467.88–$2,477.41 | varies |
| X-ray nose-rectum child f.b. (76010) range across 2 matching MRF lines |
$4,324.09–$4,341.96 | $4,324.09–$4,341.96 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$3,390.26–$3,406.44 | $3,390.26–$3,406.44 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$2,696.70–$2,708.85 | $2,696.70–$2,708.85 | varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $2,477.41 | $2,477.41 | 23.7× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$2,666.81–$2,679.50 | $2,666.81–$2,679.50 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$3,000.33–$3,015.26 | $3,000.33–$3,015.26 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$3,405.20–$3,419.46 | $3,405.20–$3,419.46 | varies |
| X-Ray Stress View (77071) | $1,131.15 | $1,131.15 | 13.0× |
| X-ray thoracic spine 4 vw (72074) range across 2 matching MRF lines |
$3,100.02–$3,252.57 | $3,100.02–$3,252.57 | varies |
| X-Ray Tmj Unilat (70328) range across 3 matching MRF lines |
$1,284.99–$1,290.87 | $1,284.99–$1,290.87 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $3,227.13 | $3,227.13 | 9.2× |
| X-Rays Bone Length Studies (77073) range across 2 matching MRF lines |
$3,915.67–$3,934.52 | $3,915.67–$3,934.52 | varies |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$3,914.79–$3,931.24 | $3,914.79–$3,931.24 | varies |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$3,084.87–$3,100.02 | $3,084.87–$3,100.02 | varies |
| Xr facial bones less than 3 views (70140) range across 2 matching MRF lines |
$2,631.60–$2,644.13 | $2,631.60–$2,644.13 | varies |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$2,084.13–$2,092.79 | $2,084.13–$2,092.79 | varies |
| Xr Tomogram Single Plane (76100) | $6,421.68 | $6,421.68 | 61.3× |
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.