Imaging prices at LMH Health
Lawrence, KS · every code in this section with a posted price and a Medicare benchmark.
330 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) | $1,344.25 | $5,377 | 1.0× |
| Abdomen 1 View (74018) | $105.56 | $422.25 | 1.3× |
| Abdomen 2 views (74019) | $190.06 | $760.25 | 1.9× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $507.63 | $2,030.50 | 1.4× |
| Acute venous thrombosis imaging, peptide Non-Facility (78456) | $554.25 | $2,217 | 0.5× |
| Angio pulmonary bilat (75743) | $1,553.50 | $6,214 | 0.5× |
| Angiography extremity bilateral rs&i (75716) | $2,311.25 | $9,245 | 0.8× |
| Angiography extremity unilateral rs&i (75710) | $2,311.25 | $9,245 | 0.8× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $1,553.50 | $6,214 | 0.5× |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$84.19–$168.38 | $336.75–$673.50 | varies |
| Aortography thoracic serialography rs&i (75605) | $3,564.88 | $14,259.50 | 0.7× |
| Artery X-Rays Abdomen (75726) | $3,564.56 | $14,258.25 | 0.7× |
| Artery X-Rays Pelvis (75736) | $3,564.56 | $14,258.25 | 0.7× |
| Arthrogram ankle (73615) | $297.56 | $1,190.25 | 0.9× |
| Arthrogram hip (73525) range across 3 matching MRF lines |
$371.44–$742.81 | $1,485.75–$2,971.25 | varies |
| Arthrogram Wrist (73115) range across 3 matching MRF lines |
$293.56–$587.06 | $1,174.25–$2,348.25 | varies |
| Basic radiation dosimetry calculation (77300) range across 2 matching MRF lines |
$124.44–$124.50 | $497.75–$498 | varies |
| Bone age studies (77072) | $114 | $456 | 1.2× |
| Bone Imaging 3 Phase (78315) | $659.19 | $2,636.75 | 1.8× |
| Bone Imaging Limited Area (78300) | $391.63 | $1,566.50 | 1.0× |
| Bone Imaging Multiple Areas (78305) | $499.50 | $1,998 | 1.3× |
| Bone Imaging Whole Body (78306) | $812.81 | $3,251.25 | 2.2× |
| Bone marrow imaging limited area (78102) | $315.75 | $1,263 | 0.8× |
| Bone marrow imaging; multiple areas (78103) | $462.25 | $1,849 | 1.2× |
| Bone marrow imaging; whole body (78104) | $544.94 | $2,179.75 | 1.4× |
| Bone survey infant (77076) | $105.13 | $420.50 | 1.1× |
| Brain Flow Imaging Only (78610) | $304.56 | $1,218.25 | 0.6× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $491.38 | $1,965.50 | 1.0× |
| Brain Imaging Minimum 4 Static Views (78605) | $449.63 | $1,798.50 | 0.9× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $1,474.31 | $5,897.25 | 1.1× |
| Cat Scan Follow-Up Study (76380) | $185.88 | $743.50 | 2.3× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $387.19 | $1,548.75 | 0.8× |
| Cerebrospinal Fluid Scan (78630) | $664.25 | $2,657 | 1.3× |
| Chest 1 view (71045) | $108.19 | $432.75 | 1.3× |
| Chest 2 views (71046) | $146.88 | $587.50 | 1.8× |
| Chest 3 views (71047) | $184.69 | $738.75 | 2.3× |
| Chest 4 or more views (71048) | $146.88 | $587.50 | 1.5× |
| Cholecystography Oral Contrast (74290) | $135.31 | $541.25 | 0.8× |
| Clavicle complete (73000) range across 3 matching MRF lines |
$112.25–$224.50 | $449–$898 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $185.88 | $743.50 | 1.9× |
| Continuing medical physics consltj pr wk (77336) | $383.06 | $1,532.25 | 3.0× |
| Contrast Exam Abdominl Aorta (75625) | $2,311.25 | $9,245 | 0.8× |
| Contrast X-Ray Bladder (74430) | $233.69 | $934.75 | 0.7× |
| Contrast X-Ray Of Elbow (73085) | $327.38 | $1,309.50 | 1.0× |
| Contrast X-Ray Of Knee Joint (73580) range across 3 matching MRF lines |
$226.63–$453.25 | $906.50–$1,813 | varies |
| CT abdomen and pelvis without and with contrast (74178) | $1,640.81 | $6,563.25 | 5.0× |
| CT abdomen and pelvis without contrast (74176) | $1,376.69 | $5,506.75 | 6.1× |
| CT abdomen w contrast (74160) | $970.88 | $3,883.50 | 5.9× |
| CT abdomen w wo contrast (74170) | $1,003.06 | $4,012.25 | 6.1× |
| CT abdomen w/o contrast (74150) | $704.44 | $2,817.75 | 7.2× |
| CT Angio Abdomen and Pelvis (74174) | $1,562.19 | $6,248.75 | 4.8× |
| CT Angio Chest (71275) | $1,003.69 | $4,014.75 | 6.1× |
| CT Angio Head (70496) | $872.75 | $3,491 | 5.3× |
| CT angio hrt w/3d image (75574) | $644.25 | $2,577 | 2.0× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 4 matching MRF lines |
$752.94–$1,505.94 | $3,011.75–$6,023.75 | varies |
| CT Angio Neck (70498) | $783.38 | $3,133.50 | 4.7× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 4 matching MRF lines |
$872.75–$1,745.56 | $3,491–$6,982.25 | varies |
| CT cervical spine w/ contrast (72126) | $1,003.69 | $4,014.75 | 3.1× |
| CT cervical spine w/o contrast (72125) | $905.19 | $3,620.75 | 9.2× |
| CT cervical spine w/wo cont (72127) | $1,076.81 | $4,307.25 | 6.5× |
| CT chest w contrast (71260) | $872.31 | $3,489.25 | 5.3× |
| CT chest w/wo contrast (71270) | $919.25 | $3,677 | 5.6× |
| CT head/brain with contrast (70460) | $769.88 | $3,079.50 | 4.7× |
| CT head/brain without and with contrast (70470) | $870.75 | $3,483 | 5.3× |
| CT heart contrast eval cardiac structure&morph (75572) | $644.25 | $2,577 | 2.0× |
| CT heart no contrast quant eval coronry calcium (75571) | $15 | $60 | 0.2× |
| CT hrt w/3d image congen (75573) | $736.25 | $2,945 | 2.2× |
| CT iac w contrast (70481) | $769.88 | $3,079.50 | 4.7× |
| CT l-spine w&w/o contrast (72133) | $1,076.81 | $4,307.25 | 6.5× |
| CT lower ext w/o (73700) range across 3 matching MRF lines |
$633.31–$1,267.06 | $2,533.25–$5,068.25 | varies |
| CT lower extremity w/contrast material (73701) range across 3 matching MRF lines |
$658.94–$1,317.94 | $2,635.75–$5,271.75 | varies |
| CT lumbar spine w contrast (72132) | $1,003.69 | $4,014.75 | 3.1× |
| CT lumbar spine w/o contrast (72131) | $905.19 | $3,620.75 | 9.2× |
| CT maxillofacial w contrast (70487) | $704.44 | $2,817.75 | 4.3× |
| CT maxillofacial wo contrast (70486) | $154.94 | $619.75 | 1.6× |
| CT neck tissue combo (70492) | $903.88 | $3,615.50 | 5.5× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $872.75 | $3,491 | 5.3× |
| CT orbits w/o contrast (70480) | $669.31 | $2,677.25 | 6.8× |
| CT pelvis w&w/o contrast (72194) | $888.38 | $3,553.50 | 5.4× |
| CT pelvis w/o contrast (72192) | $696.94 | $2,787.75 | 7.1× |
| CT scan of leg combo (73702) range across 3 matching MRF lines |
$700.56–$1,401 | $2,802.25–$5,604 | varies |
| CT scans face/jaw combo (70488) | $736.44 | $2,945.75 | 4.5× |
| CT soft tissue neck w contrast (70491) | $845.50 | $3,382 | 5.1× |
| CT soft tissue neck w/o contrast (70490) | $581.75 | $2,327 | 5.9× |
| CT thoracic spine w contrast (72129) | $1,003.69 | $4,014.75 | 6.1× |
| CT thoracic spine w/o contrast (72128) | $905.19 | $3,620.75 | 9.2× |
| CT thoracic spine w/wo cont (72130) | $1,076.81 | $4,307.25 | 6.5× |
| CT thorax w/o contrast (71250) range across 4 matching MRF lines |
$638.31–$745.94 | $2,553.25–$2,983.75 | varies |
| CT upper ext wo (73200) range across 4 matching MRF lines |
$728.94–$1,457.88 | $2,915.75–$5,831.50 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 3 matching MRF lines |
$793.31–$1,586.75 | $3,173.25–$6,347 | varies |
| CT upper extremity with contrast (73201) range across 3 matching MRF lines |
$761.19–$1,522.31 | $3,044.75–$6,089.25 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $872.75 | $3,491 | 5.3× |
| Cta Abdomen (74175) | $914.25 | $3,657 | 5.5× |
| CTA pelvis (72191) | $872.75 | $3,491 | 5.3× |
| Discography Cerv/Thor Spine (72285) | $1,219 | $4,876 | 0.7× |
| Dxa Bone Density Axial (77080) | $193.38 | $773.50 | 2.0× |
| Dxa bone density study (77085) | $86.38 | $345.50 | 0.9× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $154.88 | $619.50 | 1.9× |
| Echo Guide For Artery Repair (76936) | $2,819.13 | $11,276.50 | 13.9× |
| Esophagram (74220) | $177.88 | $711.50 | 1.1× |
| Fetal Biophys Profile W/Nst (76818) | $132.50 | $530 | 1.3× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $78.56 | $314.25 | 0.8× |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$164.50–$174.44 | $658–$697.75 | varies |
| Follow-Up Angiography (75898) | $324.19 | $1,296.75 | 0.1× |
| Foot 2 views (73620) range across 3 matching MRF lines |
$73.13–$146.13 | $292.50–$584.50 | varies |
| Forearm 2 views (73090) range across 3 matching MRF lines |
$112.25–$224.50 | $449–$898 | varies |
| Gastric emptying imaging study (78264) | $718.75 | $2,875 | 1.9× |
| Gated Heart Planar Single (78472) | $696.13 | $2,784.50 | 1.9× |
| Hand 2 views (73120) range across 3 matching MRF lines |
$87.94–$175.88 | $351.75–$703.50 | varies |
| Heart first pass single,planar (78481) | $490.50 | $1,962 | 1.0× |
| Hepatobil Syst Image W/Drug (78227) | $672 | $2,688 | 1.3× |
| Hepatobiliary System Imaging (78226) | $540.13 | $2,160.50 | 1.4× |
| Ht Muscle Image Spect Sing (78451) | $1,179.88 | $4,719.50 | 1.0× |
| Hysterosalpingogram (74740) | $350.38 | $1,401.50 | 1.6× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $642.81 | $2,571.25 | 7.9× |
| Joint Survey Single View (77077) | $73.13 | $292.50 | 0.7× |
| K Flow/Funct Image Multiple (78709) | $825.13 | $3,300.50 | 1.6× |
| K Flow/Funct Image W/Drug (78708) | $579.31 | $2,317.25 | 1.1× |
| K Flow/Funct Image W/O Drug (78707) | $572.81 | $2,291.25 | 1.1× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $449.19 | $1,796.75 | 1.2× |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$205.25–$410.50 | $821–$1,642 | varies |
| Liver & Spleen Imaging Static Only (78215) | $512.94 | $2,051.75 | 1.4× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $460.13 | $1,840.50 | 1.2× |
| Lung Perf&Ventilat Diferentl (78598) | $664.25 | $2,657 | 1.3× |
| Lung Ventilat&Perfus Imaging (78582) | $1,045.50 | $4,182 | 2.0× |
| Lung Ventilation Imaging (78579) | $364.56 | $1,458.25 | 1.0× |
| Lymph System Imaging (78195) | $544.94 | $2,179.75 | 1.1× |
| Magnetic Image Jaw Joint (70336) | $1,062.19 | $4,248.75 | 4.7× |
| Meckels Divert Exam (78290) | $460.13 | $1,840.50 | 1.2× |
| Mlc imrt design & construction per imrt plan (77338) | $563.13 | $2,252.50 | 1.6× |
| Mra Head W/O & W/Contrast Material (70546) | $1,487.88 | $5,951.50 | 4.5× |
| MRA head w/o contrast (70544) | $1,342.44 | $5,369.75 | 6.0× |
| MRA head with contrast (70545) | $1,409.56 | $5,638.25 | 4.3× |
| MRA neck w contrast (70548) | $1,342.44 | $5,369.75 | 4.1× |
| Mra Neck W/O &W/Contrast Material (70549) | $1,409.56 | $5,638.25 | 4.3× |
| MRA neck w/o contrast (70547) | $1,062.19 | $4,248.75 | 4.7× |
| MRI abdomen w contrast (74182) | $1,099.75 | $4,399 | 3.4× |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$1,025.63–$1,076.94 | $4,102.50–$4,307.75 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 3 matching MRF lines |
$1,279.44–$2,558.81 | $5,117.75–$10,235.25 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 3 matching MRF lines |
$1,417.88–$2,835.75 | $5,671.50–$11,343 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 3 matching MRF lines |
$1,273.63–$2,547.25 | $5,094.50–$10,189 | varies |
| MRI bone marrow blood supply (77084) | $1,342.44 | $5,369.75 | 6.0× |
| MRI Breast W/O Contrast Bilateral (77047) | $1,274.44 | $5,097.75 | 5.7× |
| MRI Breast Without Contrast Material Unilateral (77046) | $980.44 | $3,921.75 | 4.4× |
| MRI cervical spine w contrast (72142) | $1,342.44 | $5,369.75 | 4.1× |
| MRI cervical spine w/o cont (72141) | $1,013.63 | $4,054.50 | 4.5× |
| MRI chest w/o contrast (71550) | $1,062.19 | $4,248.75 | 4.7× |
| MRI chest with contrast (71551) | $1,225.81 | $4,903.25 | 1.7× |
| MRI chest wo w contrast (71552) | $1,345.31 | $5,381.25 | 4.1× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 3 matching MRF lines |
$1,244–$2,487.94 | $4,976–$9,951.75 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 3 matching MRF lines |
$1,417.88–$2,835.75 | $5,671.50–$11,343 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 3 matching MRF lines |
$1,119.63–$2,239.25 | $4,478.50–$8,957 | varies |
| MRI lumbar spine w contrast (72149) | $1,342.44 | $5,369.75 | 4.1× |
| Mri Neck Spine W/O & W/Dye (72156) | $1,480.13 | $5,920.50 | 4.5× |
| MRI orbit face &/neck w/o contrast (70540) | $965.38 | $3,861.50 | 4.3× |
| MRI orbit face neck w contrast (70542) | $1,099.75 | $4,399 | 3.4× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $1,260.75 | $5,043 | 3.8× |
| MRI pelvis w contrast (72196) | $1,062.19 | $4,248.75 | 3.2× |
| MRI pelvis w/o & w contrast (72197) | $1,383.19 | $5,532.75 | 4.2× |
| MRI pelvis w/o contrast (72195) | $951.31 | $3,805.25 | 4.2× |
| MRI thoracic spine w/o contrast (72146) | $1,115.50 | $4,462 | 5.0× |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 3 matching MRF lines |
$1,273.63–$2,547.25 | $5,094.50–$10,189 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 3 matching MRF lines |
$1,062.19–$2,124.44 | $4,248.75–$8,497.75 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 3 matching MRF lines |
$1,347–$2,694.06 | $5,388–$10,776.25 | varies |
| MRI, abdomen, combo (74183) | $1,265.94 | $5,063.75 | 3.9× |
| MRI, dorsal spine combo (72157) | $1,480.13 | $5,920.50 | 4.5× |
| MRI, dorsal spine contrast (72147) | $1,342.44 | $5,369.75 | 4.1× |
| MRI, joint upper extrem (73221) range across 3 matching MRF lines |
$1,062.19–$2,124.44 | $4,248.75–$8,497.75 | varies |
| MRI, joint upper extrem combo (73223) range across 3 matching MRF lines |
$1,347–$2,694.06 | $5,388–$10,776.25 | varies |
| MRI, lumbar spine combo (72158) | $1,480.13 | $5,920.50 | 4.5× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $304.56 | $1,218.25 | 0.8× |
| Myocardial Spect Multiple Studies (78452) | $1,813.88 | $7,255.50 | 1.5× |
| Myocrd Img Pet Metab Eval Single Study Cncrnt CT (78429) | $1,365.19 | $5,460.75 | 1.0× |
| Myocrd img PET prfuj 1std rest/stress cncrnt CT (78430) | $1,365.19 | $5,460.75 | 1.0× |
| Myocrd Img Pet Prfuj Mlt Std Rst&Strs Cncrnt CT (78431) | $1,476.88 | $5,907.50 | 0.7× |
| Neck soft tissue (70360) | $155.94 | $623.75 | 1.9× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $204.31 | $817.25 | 0.5× |
| Nm csf leak detection (78650) | $435.81 | $1,743.25 | 0.4× |
| Nm myocard infarct spect (78469) | $490.50 | $1,962 | 1.0× |
| Nonvascular Shunt X-Ray (75809) range across 2 matching MRF lines |
$175.63–$443.50 | $702.50–$1,774 | varies |
| Ntsty modul radthx pln dose-vol histos (77301) | $1,068.38 | $4,273.50 | 0.8× |
| Nuclear Rx Oral Admin (79005) | $403.19 | $1,612.75 | 1.8× |
| Ophthalmic Ultrasonic Foreign Body Localization (76529) | $58.94 | $235.75 | 0.7× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) | $79.44 | $317.75 | 0.8× |
| Optic foramina (70190) range across 3 matching MRF lines |
$152.38–$304.75 | $609.50–$1,219 | varies |
| Parathyroid Planar Imaging (78070) | $365.44 | $1,461.75 | 1.0× |
| Parathyroid planar imaging w/wo subtraction (78071) | $262.75 | $1,051 | 0.7× |
| Pelvis 1 or 2 views (72170) | $92 | $368 | 0.9× |
| PET image w/CT, full body (78816) | $1,365.06 | $5,460.25 | 1.0× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $1,365.06 | $5,460.25 | 1.0× |
| Pulmonary Perfusion Imaging Particulate (78580) | $773.25 | $3,093 | 2.1× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $256 | $1,024 | 2.6× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $240.25 | $961 | 0.5× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$112.25–$224.50 | $449–$898 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$117–$234.06 | $468–$936.25 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$138–$276 | $552–$1,104 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $197.94 | $791.75 | 2.0× |
| Radex fingr minimum 2 views (73140) range across 3 matching MRF lines |
$97.50–$194.94 | $390–$779.75 | varies |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$117–$234.06 | $468–$936.25 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$112.25–$224.50 | $449–$898 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 3 matching MRF lines |
$114–$215.06 | $456–$860.25 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) range across 3 matching MRF lines |
$149.25–$298.50 | $597–$1,194 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $168.44 | $673.75 | 2.1× |
| Radex Ribs Unilateral 2 Views (71100) | $165.69 | $662.75 | 2.0× |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$138–$276.06 | $552–$1,104.25 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $148.50 | $594 | 1.8× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $502.81 | $2,011.25 | 3.0× |
| Radex Spine 1 View Specify Level (72020) | $84.69 | $338.75 | 1.0× |
| Radex Sternum Minimum 2 Views (71120) | $168.44 | $673.75 | 2.1× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $207.63 | $830.50 | 2.5× |
| Radex Toe Minimum 2 Views (73660) range across 3 matching MRF lines |
$63.31–$194.94 | $253.25–$779.75 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 3 matching MRF lines |
$60.94–$122 | $243.75–$488 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$171.88–$343.69 | $687.50–$1,374.75 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $182.88 | $731.50 | 1.9× |
| Radiation treatment delivery level 1 (77402) | $126.31 | $505.25 | 1.3× |
| Radiation treatment delivery level 3 (77412) range across 2 matching MRF lines |
$161.81–$225.88 | $647.25–$903.50 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) | $209.63 | $838.50 | 2.1× |
| Radiologic exam colon double contrast study (74280) | $462.25 | $1,849 | 2.8× |
| Radiologic exam colon single contrast study (74270) | $462.25 | $1,849 | 2.8× |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$239.56–$479 | $958.25–$1,916 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $128.63 | $514.50 | 1.3× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $243.25 | $973 | 1.5× |
| Radiologic exam swallow function contrast study (74230) | $154.56 | $618.25 | 0.9× |
| Radiologic exam upr gi trc double contrast study (74246) | $303.31 | $1,213.25 | 1.8× |
| Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines |
$179.63–$359.25 | $718.50–$1,437 | varies |
| Radiologic examination knee 1/2 views (73560) range across 4 matching MRF lines |
$149.63–$299.13 | $598.50–$1,196.50 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $126.19 | $504.75 | 1.3× |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$138–$276.06 | $552–$1,104.25 | varies |
| Ribs bilateral 3 views (71110) | $152.94 | $611.75 | 1.6× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $373.19 | $1,492.75 | 1.0× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $558.25 | $2,233 | 1.5× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $1,112.88 | $4,451.50 | 2.2× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $674.94 | $2,699.75 | 1.3× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $775.75 | $3,103 | 1.5× |
| Rp Ther Radiolbld Monoclonal Antibody IV Infus (79403) | $785.31 | $3,141.25 | 3.6× |
| Rp Therapy Intravenous Administration (79101) | $1,054 | $4,216 | 4.8× |
| Scapula (73010) range across 3 matching MRF lines |
$184.25–$368.56 | $737–$1,474.25 | varies |
| Sella turcica (70240) | $129.81 | $519.25 | 1.6× |
| Shoulder 1 view (73020) range across 3 matching MRF lines |
$97.50–$194.94 | $390–$779.75 | varies |
| Shoulder Arthrography (73040) range across 3 matching MRF lines |
$455.75–$911.44 | $1,823–$3,645.75 | varies |
| Sialogram (70390) | $234.75 | $939 | 1.0× |
| Skull less than 4 views (70250) | $168.44 | $673.75 | 1.7× |
| Special dosimetry (77331) | $60.88 | $243.50 | 0.5× |
| Special treatment procedure (77470) | $502.44 | $2,009.75 | 1.0× |
| Stereotactic Body Radiation Delivery (77373) | $1,515.13 | $6,060.50 | 0.9× |
| Sternoclavicular joints (71130) | $129.81 | $519.25 | 1.6× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $225.25 | $901 | 0.6× |
| Testicular Imaging W/Flow (78761) | $304.56 | $1,218.25 | 0.8× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $813.25 | $3,253 | 2.3× |
| Ther rad simulaj-aided field setting simple (77280) | $103.44 | $413.75 | 0.8× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $344.94 | $1,379.75 | 2.1× |
| Thoracic spine 2 views (72070) | $182.94 | $731.75 | 1.9× |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$182.94–$210.38 | $731.75–$841.50 | varies |
| Thyroid Carcinoma Metastases Img Lmtd Area (78015) | $304.56 | $1,218.25 | 0.8× |
| Thyroid Imaging With Vascular Flow (78013) | $228.81 | $915.25 | 0.6× |
| Thyroid Met Imaging Body (78018) | $610.81 | $2,443.25 | 1.2× |
| Thyroid Uptake Measurement (78012) | $163.88 | $655.50 | 0.4× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $326.69 | $1,306.75 | 0.9× |
| Tx Devices Design & Construction Complex (77334) | $273.50 | $1,094 | 0.8× |
| Tx devices design & construction intermediate (77333) | $81.69 | $326.75 | 0.6× |
| Tx devices design & construction simple (77332) | $81.69 | $326.75 | 0.6× |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$116.69–$233.31 | $466.75–$933.25 | varies |
| Ultrasound Exam Aaa Screen (76706) | $96.38 | $385.50 | 1.0× |
| Ultrasound, abdomen limited (76705) | $272.38 | $1,089.50 | 2.8× |
| Umbilical-artery Doppler (OB) (76820) | $110.13 | $440.50 | 1.1× |
| Unlisted magnetic resonance procedure (76498) | $820.38 | $3,281.50 | 10.0× |
| Upper gi w/o kub (74240) | $390.75 | $1,563 | 2.4× |
| Ureteral Reflux Study (78740) | $304.56 | $1,218.25 | 0.8× |
| Urethrocystogram voiding (74455) | $276.56 | $1,106.25 | 1.2× |
| Urethrocystography retrograde (74450) | $207 | $828 | 0.9× |
| Us breast unilateral complete (76641) range across 2 matching MRF lines |
$187.69–$375.44 | $750.75–$1,501.75 | varies |
| Us chest (76604) | $188.75 | $755 | 1.9× |
| Us complete joint (76881) | $133.25 | $533 | 1.4× |
| Us exam, pelvic, limited (76857) | $187.69 | $750.75 | 1.9× |
| Us kidney transplant (76776) | $264 | $1,056 | 2.7× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 4 matching MRF lines |
$345.31–$690.50 | $1,381.25–$2,762 | varies |
| Us ob limited 1 or more fetuses (76815) | $142.31 | $569.25 | 1.4× |
| Us ob transvaginal (76817) | $168.88 | $675.50 | 1.7× |
| Us pelvic non ob complete (76856) | $332.88 | $1,331.50 | 3.4× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $156.19 | $624.75 | 1.6× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $109.44 | $437.75 | 1.1× |
| Us retroperitoneal complete (76770) | $318.94 | $1,275.75 | 3.2× |
| Us retroperitoneal limited (76775) range across 3 matching MRF lines |
$306.50–$327.38 | $1,226–$1,309.50 | varies |
| Us scrotum and contents (76870) | $193.38 | $773.50 | 2.0× |
| Us spinal canal and contents (76800) | $139.81 | $559.25 | 1.4× |
| Us thyroid (76536) | $230.25 | $921 | 2.3× |
| Us transrectal (76872) | $328.81 | $1,315.25 | 3.3× |
| Vascular Flow Imaging (78445) | $304.56 | $1,218.25 | 0.8× |
| Vein X-Ray Chest (75827) | $885 | $3,540 | 0.6× |
| Venogram Sinus/Jugular (75860) | $1,026.75 | $4,107 | 0.3× |
| Venography caval inferior serialography rs&i (75825) | $2,450 | $9,800 | 0.8× |
| Venography extremity bilateral rs&i (75822) | $787.69 | $3,150.75 | 0.5× |
| Venography extremity unilateral rs&i (75820) range across 3 matching MRF lines |
$807.06–$855.50 | $3,228.25–$3,422 | varies |
| Venography Renal Bilateral (75833) | $2,139.81 | $8,559.25 | 0.7× |
| Venography Renal Unilateral (75831) | $2,139.81 | $8,559.25 | 0.7× |
| Venous thrombosis imaging (78457) | $394.88 | $1,579.50 | 0.8× |
| Venous Thrombosis Imaging Venogram Bilateral (78458) | $377.44 | $1,509.75 | 1.0× |
| Vertebral fracture assessment via dxa (77086) | $61.56 | $246.25 | 0.8× |
| Wrist 2 views (73100) range across 3 matching MRF lines |
$117–$234 | $468–$936 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $155.94 | $623.75 | 1.9× |
| X-ray antegrade pyelogram tube (74425) | $259.38 | $1,037.50 | 0.8× |
| X-Ray Aorta Leg Arteries (75630) | $2,311.25 | $9,245 | 0.8× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$112.25–$224.50 | $449–$898 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) | $168.50 | $674 | 2.1× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $178.56 | $714.25 | 1.8× |
| X-Ray Exam Hip Uni 1 View (73501) range across 3 matching MRF lines |
$97.50–$194.94 | $390–$779.75 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $123.06 | $492.25 | 1.5× |
| X-Ray Exam Hips Bi 2 Views (73521) | $123.06 | $492.25 | 1.3× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $179.63 | $718.50 | 1.8× |
| X-Ray Exam L-S Spine Bending (72114) | $300 | $1,200 | 3.1× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $202.56 | $810.25 | 2.5× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $304.13 | $1,216.50 | 3.1× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $210.38 | $841.50 | 2.1× |
| X-ray humerus (73060) range across 3 matching MRF lines |
$138–$276 | $552–$1,104 | varies |
| X-ray IV pyelogram (ivp) (74400) | $326.75 | $1,307 | 2.0× |
| X-ray IV pyelogram+tomography (74415) | $337.25 | $1,349 | 2.0× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $210.38 | $841.50 | 2.1× |
| X-ray nose-rectum child f.b. (76010) | $161.25 | $645 | 2.0× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $214.75 | $859 | 2.2× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $105.56 | $422.25 | 1.1× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $179.63 | $718.50 | 2.2× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $197.94 | $791.75 | 2.4× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $197.94 | $791.75 | 2.0× |
| X-ray thoracic spine 4 vw (72074) | $72.19 | $288.75 | 0.7× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $465.75 | $1,863 | 1.4× |
| X-Rays Bone Length Studies (77073) | $83.94 | $335.75 | 0.9× |
| X-Rays Bone Survey Complete (77075) | $525.81 | $2,103.25 | 5.3× |
| Xr c-spine 4 or 5 views (72050) | $291.50 | $1,166 | 3.0× |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$175.50–$351.13 | $702–$1,404.50 | varies |
| Xr Tomogram Single Plane (76100) | $294 | $1,176 | 3.0× |
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.