Imaging prices at Lifecare Medical Center
Roseau, MN · every code in this section with a posted price and a Medicare benchmark.
249 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) range across 2 matching MRF lines |
$22–$228.80 | $25–$260 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$28.16–$281.60 | $32–$320 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,996.72 | $2,269 | 4.8× |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$20.24–$259.60 | $23–$295 | varies |
| Arthrogram hip (73525) | $577.28 | $656 | 1.6× |
| Arthrogram Wrist (73115) | $579.92 | $659 | 1.6× |
| Bone age studies (77072) range across 2 matching MRF lines |
$22.88–$197.12 | $26–$224 | varies |
| Bone Imaging 3 Phase (78315) | $1,456.40 | $1,655 | 3.5× |
| Bone Imaging Limited Area (78300) range across 2 matching MRF lines |
$73.92–$983.84 | $84–$1,118 | varies |
| Bone Imaging Multiple Areas (78305) | $1,128.16 | $1,282 | 2.7× |
| Bone Imaging Whole Body (78306) range across 2 matching MRF lines |
$101.20–$1,270.72 | $115–$1,444 | varies |
| Bone survey infant (77076) range across 2 matching MRF lines |
$84.48–$255.20 | $96–$290 | varies |
| Brain Flow Imaging Only (78610) | $543.84 | $618 | 1.0× |
| Cat Scan Follow-Up Study (76380) range across 2 matching MRF lines |
$113.52–$896.72 | $129–$1,019 | varies |
| Chest 1 view (71045) range across 2 matching MRF lines |
$22–$259.60 | $25–$295 | varies |
| Chest 2 views (71046) range across 2 matching MRF lines |
$26.40–$300.96 | $30–$342 | varies |
| Chest 3 views (71047) | $334.40 | $380 | 3.7× |
| Chest 4 or more views (71048) | $374 | $425 | 3.5× |
| Clavicle complete (73000) range across 2 matching MRF lines |
$21.12–$229.68 | $24–$261 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 2 matching MRF lines |
$128.48–$349.36 | $146–$397 | varies |
| Contrast X-Ray Bladder (74430) | $768.24 | $873 | 2.1× |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$239.36–$2,552 | $272–$2,900 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$206.80–$1,584 | $235–$1,800 | varies |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$151.36–$1,060.40 | $172–$1,205 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$165.44–$1,364 | $188–$1,550 | varies |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$141.68–$704 | $161–$800 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$262.24–$1,828.64 | $298–$2,078 | varies |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$217.36–$1,320 | $247–$1,500 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$207.68–$1,188 | $236–$1,350 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
$225.28–$1,060.40 | $256–$1,205 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$207.68–$1,188 | $236–$1,350 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 2 matching MRF lines |
$213.84–$1,060.40 | $243–$1,205 | varies |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$118.80–$871.20 | $135–$990 | varies |
| CT cervical spine w/wo cont (72127) | $1,108.80 | $1,260 | 6.1× |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$139.04–$1,108.80 | $158–$1,260 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$148.72–$1,364 | $169–$1,550 | varies |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$134.64–$1,108.80 | $153–$1,260 | varies |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$151.36–$1,386 | $172–$1,575 | varies |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$134.64–$1,108.80 | $153–$1,260 | varies |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$118.80–$871.20 | $135–$990 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$138.16–$1,108.80 | $157–$1,260 | varies |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$145.20–$1,568.16 | $165–$1,782 | varies |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$118.80–$871.20 | $135–$990 | varies |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$134.64–$1,108.80 | $153–$1,260 | varies |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$102.96–$871.20 | $117–$990 | varies |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$191.84–$1,386 | $218–$1,575 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 2 matching MRF lines |
$150.48–$1,386 | $171–$1,575 | varies |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$153.12–$871.20 | $174–$990 | varies |
| CT pelvis w&w/o contrast (72194) range across 2 matching MRF lines |
$145.20–$1,386 | $165–$1,575 | varies |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$129.36–$748 | $147–$850 | varies |
| CT scan of leg combo (73702) range across 2 matching MRF lines |
$144.32–$1,364 | $164–$1,550 | varies |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
$150.48–$1,386 | $171–$1,575 | varies |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$164.56–$1,108.80 | $187–$1,260 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$153.12–$871.20 | $174–$990 | varies |
| CT thoracic spine w contrast (72129) | $1,108.80 | $1,260 | 6.1× |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$118.80–$871.20 | $135–$990 | varies |
| CT thoracic spine w/wo cont (72130) | $1,108.80 | $1,260 | 6.1× |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$128.48–$871.20 | $146–$990 | varies |
| CT unlisted procedure (76497) | $1,496.88 | $1,701 | 16.7× |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$118.80–$634.48 | $135–$721 | varies |
| CT upper extremity w/o & w/contrast material (73202) | $2,024 | $2,300 | 11.2× |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$138.16–$1,828.64 | $157–$2,078 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$282.48–$1,496.88 | $321–$1,701 | varies |
| Cta Abdomen (74175) | $1,060.40 | $1,205 | 5.9× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) range across 2 matching MRF lines |
$207.68–$2,376 | $236–$2,700 | varies |
| CTA pelvis (72191) range across 2 matching MRF lines |
$213.84–$1,060.40 | $243–$1,205 | varies |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) | $206.80 | $235 | 1.9× |
| Doppler Fetal Mid Cerebral Artery (76821) | $340.56 | $387 | 3.2× |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$23.76–$402.16 | $27–$457 | varies |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $248.16 | $282 | 2.8× |
| Echo exam uterus (76831) | $768.24 | $873 | 3.1× |
| Esophagram (74220) range across 2 matching MRF lines |
$72.16–$475.20 | $82–$540 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 2 matching MRF lines |
$91.52–$566.72 | $104–$644 | varies |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$38.72–$574.64 | $44–$653 | varies |
| Foot 2 views (73620) range across 3 matching MRF lines |
$19.36–$232.32 | $22–$264 | varies |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$20.24–$232.32 | $23–$264 | varies |
| Gastric emptying imaging study (78264) range across 2 matching MRF lines |
$93.28–$1,552.32 | $106–$1,764 | varies |
| Gated Heart Planar Single (78472) range across 2 matching MRF lines |
$114.40–$1,348.16 | $130–$1,532 | varies |
| Hand 2 views (73120) range across 2 matching MRF lines |
$21.12–$257.84 | $24–$293 | varies |
| Hepatobil Syst Image W/Drug (78227) range across 2 matching MRF lines |
$105.60–$1,812.80 | $120–$2,060 | varies |
| Hepatobiliary System Imaging (78226) range across 2 matching MRF lines |
$87.12–$1,437.92 | $99–$1,634 | varies |
| Ht Muscle Image Spect Sing (78451) range across 2 matching MRF lines |
$160.16–$2,735.04 | $182–$3,108 | varies |
| Hysterosalpingogram (74740) range across 2 matching MRF lines |
$45.76–$800.80 | $52–$910 | varies |
| Joint Survey Single View (77077) range across 2 matching MRF lines |
$41.36–$257.84 | $47–$293 | varies |
| K Flow/Funct Image W/Drug (78708) | $1,698.40 | $1,930 | 3.0× |
| K Flow/Funct Image W/O Drug (78707) | $1,698.40 | $1,930 | 3.0× |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$22.88–$427.68 | $26–$486 | varies |
| Liver & Spleen Imaging Static Only (78215) | $1,038.40 | $1,180 | 2.5× |
| Lung Ventilat&Perfus Imaging (78582) range across 2 matching MRF lines |
$119.68–$1,552.32 | $136–$1,764 | varies |
| Lymph System Imaging (78195) | $1,566.40 | $1,780 | 2.8× |
| Magnetic Image Jaw Joint (70336) range across 2 matching MRF lines |
$175.12–$1,414.16 | $199–$1,607 | varies |
| Meckels Divert Exam (78290) range across 2 matching MRF lines |
$80.08–$1,259.28 | $91–$1,431 | varies |
| Mra Head W/O & W/Contrast Material (70546) | $2,002 | $2,275 | 5.6× |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$142.56–$1,414.16 | $162–$1,607 | varies |
| MRA head with contrast (70545) | $1,732.72 | $1,969 | 4.8× |
| MRA neck w contrast (70548) | $1,732.72 | $1,969 | 4.8× |
| Mra Neck W/O &W/Contrast Material (70549) range across 2 matching MRF lines |
$213.84–$1,828.64 | $243–$2,078 | varies |
| MRA neck w/o contrast (70547) | $1,414.16 | $1,607 | 5.7× |
| MRI abdomen w contrast (74182) | $2,219.36 | $2,522 | 6.2× |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$173.36–$1,414.16 | $197–$1,607 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 2 matching MRF lines |
$193.60–$3,080 | $220–$3,500 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$257.84–$3,520 | $293–$4,000 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 2 matching MRF lines |
$185.68–$2,511.52 | $211–$2,854 | varies |
| MRI cervical spine w contrast (72142) range across 2 matching MRF lines |
$214.72–$2,173.60 | $244–$2,470 | varies |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$176.88–$1,496 | $201–$1,700 | varies |
| MRI chest w/o contrast (71550) | $1,414.16 | $1,607 | 5.7× |
| MRI chest with contrast (71551) | $2,068 | $2,350 | 2.6× |
| MRI chest wo w contrast (71552) | $2,420 | $2,750 | 6.7× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 2 matching MRF lines |
$192.72–$2,219.36 | $219–$2,522 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 2 matching MRF lines |
$257.84–$2,508 | $293–$2,850 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines |
$161.04–$1,672 | $183–$1,900 | varies |
| MRI lumbar spine w contrast (72149) range across 2 matching MRF lines |
$213.84–$2,219.36 | $243–$2,522 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$274.56–$2,508 | $312–$2,850 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 2 matching MRF lines |
$153.12–$1,414.16 | $174–$1,607 | varies |
| MRI orbit face neck w contrast (70542) | $2,219.36 | $2,522 | 6.2× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 2 matching MRF lines |
$256.96–$2,530 | $292–$2,875 | varies |
| MRI pelvis w contrast (72196) range across 2 matching MRF lines |
$205.92–$2,219.36 | $234–$2,522 | varies |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$263.12–$2,508 | $299–$2,850 | varies |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$174.24–$1,414.16 | $198–$1,607 | varies |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$176.88–$1,496 | $201–$1,700 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) | $2,219.36 | $2,522 | 6.2× |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 2 matching MRF lines |
$161.92–$1,628 | $184–$1,850 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 2 matching MRF lines |
$257.84–$2,508 | $293–$2,850 | varies |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$263.12–$2,596 | $299–$2,950 | varies |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$274.56–$2,508 | $312–$2,850 | varies |
| MRI, dorsal spine contrast (72147) | $2,164.80 | $2,460 | 6.0× |
| MRI, joint upper extrem (73221) range across 2 matching MRF lines |
$161.92–$1,628 | $184–$1,850 | varies |
| MRI, joint upper extrem combo (73223) range across 2 matching MRF lines |
$257.84–$2,656.72 | $293–$3,019 | varies |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$274.56–$2,508 | $312–$2,850 | varies |
| Myelogram cervical (72240) | $880 | $1,000 | 1.1× |
| Myelogram Lumbar (72265) | $880 | $1,000 | 1.1× |
| Myelography thoracic (72255) | $1,100 | $1,250 | 1.4× |
| Myocardial Spect Multiple Studies (78452) range across 2 matching MRF lines |
$188.32–$3,615.92 | $214–$4,109 | varies |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$22–$241.12 | $25–$274 | varies |
| Parathyroid Planar Imaging (78070) | $1,672 | $1,900 | 4.1× |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$21.12–$263.12 | $24–$299 | varies |
| PET image w/CT, full body (78816) | $5,104 | $5,800 | 3.5× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $5,216.64 | $5,928 | 3.5× |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,015.52 | $1,154 | 2.5× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$39.60–$385.44 | $45–$438 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) | $879.12 | $999 | 1.6× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$21.12–$257.84 | $24–$293 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$20.24–$218.24 | $23–$248 | varies |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$21.12–$269.28 | $24–$306 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$31.68–$337.92 | $36–$384 | varies |
| Radex fingr minimum 2 views (73140) range across 2 matching MRF lines |
$17.60–$229.68 | $20–$261 | varies |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$21.12–$257.84 | $24–$293 | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$21.12–$253.44 | $24–$288 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 2 matching MRF lines |
$20.24–$196.24 | $23–$223 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) range across 2 matching MRF lines |
$41.36–$337.92 | $47–$384 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$21.12–$245.52 | $24–$279 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 2 matching MRF lines |
$27.28–$248.16 | $31–$282 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$22.88–$271.04 | $26–$308 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$21.12–$198 | $24–$225 | varies |
| Radex Spine 1 View Specify Level (72020) range across 2 matching MRF lines |
$20.24–$270.16 | $23–$307 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$23.76–$272.80 | $27–$310 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$29.04–$323.84 | $33–$368 | varies |
| Radex Toe Minimum 2 Views (73660) range across 2 matching MRF lines |
$16.72–$214.72 | $19–$244 | varies |
| Radex upper extremity infant minimum 2 views (73092) | $189.20 | $215 | 1.8× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$21.12–$264.88 | $24–$301 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$30.80–$293.92 | $35–$334 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $341.44 | $388 | 3.2× |
| Radiologic exam colon double contrast study (74280) | $886.16 | $1,007 | 4.9× |
| Radiologic exam colon single contrast study (74270) range across 2 matching MRF lines |
$123.20–$623.92 | $140–$709 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$28.16–$313.28 | $32–$356 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$30.80–$337.04 | $35–$383 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) | $848.32 | $964 | 4.7× |
| Radiologic exam swallow function contrast study (74230) range across 2 matching MRF lines |
$63.36–$528.88 | $72–$601 | varies |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$106.48–$616 | $121–$700 | varies |
| Radiologic examination femur 1 view (73551) range across 2 matching MRF lines |
$21.12–$258.72 | $24–$294 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$22–$271.92 | $25–$309 | varies |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$21.12–$264 | $24–$300 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $557.04 | $633 | 5.2× |
| Radiologic Examination Salivary Gland Calculus (70380) | $126.72 | $144 | 1.4× |
| Radiologic examination tibia & fibula 2 views (73590) range across 2 matching MRF lines |
$20.24–$252.56 | $23–$287 | varies |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$35.20–$352 | $40–$400 | varies |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $1,020.80 | $1,160 | 2.5× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $1,735.36 | $1,972 | 4.2× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 2 matching MRF lines |
$120.56–$2,301.20 | $137–$2,615 | varies |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $168.08 | $191 | 0.1× |
| Scapula (73010) range across 2 matching MRF lines |
$22–$262.24 | $25–$298 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 2 matching MRF lines |
$72.16–$191.84 | $82–$218 | varies |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$19.36–$243.76 | $22–$277 | varies |
| Shoulder Arthrography (73040) | $858.88 | $976 | 2.4× |
| Sialogram (70390) | $499.84 | $568 | 2.0× |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$22–$266.64 | $25–$303 | varies |
| Speech evaluation, complex (70371) | $445.28 | $506 | 1.8× |
| Sternoclavicular joints (71130) | $269.28 | $306 | 3.0× |
| Testicular Imaging W/Flow (78761) | $792 | $900 | 1.9× |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$24.64–$289.52 | $28–$329 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$27.28–$308.88 | $31–$351 | varies |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$25.52–$271.04 | $29–$308 | varies |
| Thyroid Imaging With Vascular Flow (78013) | $541.20 | $615 | 1.3× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) range across 2 matching MRF lines |
$58.96–$1,037.52 | $67–$1,179 | varies |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$82.72–$389.84 | $94–$443 | varies |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
$65.12–$443.52 | $74–$504 | varies |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$211.20–$488.40 | $240–$555 | varies |
| Umbilical-artery Doppler (OB) (76820) range across 2 matching MRF lines |
$57.20–$369.60 | $65–$420 | varies |
| Unlisted Dx Radiographic Procedure (76499) | $1,687.84 | $1,918 | 18.8× |
| Upper gi w/o kub (74240) range across 2 matching MRF lines |
$96.80–$576.40 | $110–$655 | varies |
| Urethrocystogram voiding (74455) | $835.12 | $949 | 3.4× |
| Us breast unilateral complete (76641) range across 2 matching MRF lines |
$88–$466.40 | $100–$530 | varies |
| Us chest (76604) range across 2 matching MRF lines |
$138.16–$418.88 | $157–$476 | varies |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$59.84–$386.32 | $68–$439 | varies |
| Us kidney transplant (76776) range across 2 matching MRF lines |
$90.64–$599.28 | $103–$681 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$82.72–$393.36 | $94–$447 | varies |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$78.32–$458.48 | $89–$521 | varies |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$89.76–$482.24 | $102–$548 | varies |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$82.72–$525.36 | $94–$597 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$118.80–$514.80 | $135–$585 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 2 matching MRF lines |
$102.08–$548.24 | $116–$623 | varies |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$88–$515.68 | $100–$586 | varies |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$69.52–$467.28 | $79–$531 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$76.56–$528 | $87–$600 | varies |
| Us spinal canal and contents (76800) | $316.80 | $360 | 2.9× |
| Us thyroid (76536) range across 2 matching MRF lines |
$67.76–$513.92 | $77–$584 | varies |
| Venography extremity bilateral rs&i (75822) | $2,295.04 | $2,608 | 1.4× |
| Venography extremity unilateral rs&i (75820) | $1,425.60 | $1,620 | 0.9× |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$21.12–$249.92 | $24–$284 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$22.88–$270.16 | $26–$307 | varies |
| X-ray antegrade pyelogram tube (74425) | $979.44 | $1,113 | 2.7× |
| X-Ray Bend Only L-S Spine (72120) | $295.68 | $336 | 2.7× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$21.12–$231.44 | $24–$263 | varies |
| X-Ray Exam Breast Specimen (76098) | $513.04 | $583 | 0.9× |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 2 matching MRF lines |
$31.68–$291.28 | $36–$331 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$38.72–$512.16 | $44–$582 | varies |
| X-Ray Exam Hip Uni 1 View (73501) | $308.88 | $351 | 3.4× |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 2 matching MRF lines |
$27.28–$330 | $31–$375 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$27.28–$428.56 | $31–$487 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$27.28–$279.84 | $31–$318 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$36.96–$462.88 | $42–$526 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 2 matching MRF lines |
$32.56–$312.40 | $37–$355 | varies |
| X-ray eye for foreign body (70030) range across 2 matching MRF lines |
$22–$260.48 | $25–$296 | varies |
| X-ray humerus (73060) range across 2 matching MRF lines |
$20.24–$258.72 | $23–$294 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 2 matching MRF lines |
$22–$286.88 | $25–$326 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$21.12–$277.20 | $24–$315 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$27.28–$282.48 | $31–$321 | varies |
| X-ray nose-rectum child f.b. (76010) range across 2 matching MRF lines |
$22–$246.40 | $25–$280 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$39.60–$390.72 | $45–$444 | varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) range across 2 matching MRF lines |
$21.12–$252.56 | $24–$287 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$21.12–$250.80 | $24–$285 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$26.40–$286.88 | $30–$326 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$34.32–$432.96 | $39–$492 | varies |
| X-Ray Stress View (77071) range across 2 matching MRF lines |
$84.48–$99.44 | $96–$113 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $871.20 | $990 | 2.4× |
| X-Rays Bone Length Studies (77073) range across 2 matching MRF lines |
$33.44–$324.72 | $38–$369 | varies |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$66–$625.68 | $75–$711 | varies |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$33.44–$354.64 | $38–$403 | varies |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$34.32–$369.60 | $39–$420 | varies |
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.