Imaging prices at Lower Umpqua Hospital District
Reedsport, OR · every code in this section with a posted price and a Medicare benchmark.
284 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 |
$46.93–$78.46 | $86.91–$145.30 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$57.28–$144.15 | $106.07–$266.95 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) range across 2 matching MRF lines |
$63.50–$889.06 | $117.60–$1,646.40 | varies |
| Adrenal Cortex & Medulla Img (78075) range across 2 matching MRF lines |
$1,161.78 | $79.80–$2,151.45 | 0.8× |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$20.64–$157.62 | $38.22–$291.88 | varies |
| Arthrogram ankle (73615) | $57.83 | $107.10 | 0.1× |
| Arthrogram hip (73525) range across 2 matching MRF lines |
$57.83–$743.90 | $107.10–$1,377.60 | varies |
| Bone age studies (77072) range across 2 matching MRF lines |
$34.59–$281.23 | $64.05–$520.80 | varies |
| Bone Imaging 3 Phase (78315) range across 2 matching MRF lines |
$65.77–$1,136.27 | $121.80–$2,104.20 | varies |
| Bone Imaging Limited Area (78300) range across 2 matching MRF lines |
$40.82–$670.19 | $75.60–$1,241.10 | varies |
| Bone Imaging Multiple Areas (78305) range across 2 matching MRF lines |
$53.87–$965.60 | $99.75–$1,788.15 | varies |
| Bone Imaging Whole Body (78306) range across 2 matching MRF lines |
$55.70–$1,070.81 | $103.15–$1,982.99 | varies |
| Bone marrow imaging limited area (78102) | $36.29 | $67.20 | 0.1× |
| Bone marrow imaging; multiple areas (78103) | $750.14 | $1,389.15 | 1.7× |
| Bone marrow imaging; whole body (78104) range across 2 matching MRF lines |
$51.60–$805.14 | $95.55–$1,491 | varies |
| Bone survey infant (77076) range across 2 matching MRF lines |
$57.83–$278.96 | $107.10–$516.60 | varies |
| Brain Flow Imaging Only (78610) range across 2 matching MRF lines |
$764.32 | $36.75–$1,415.40 | 1.3× |
| Brain Image W/Flow < 4 Views (78601) range across 2 matching MRF lines |
$33.45–$247.78 | $61.95–$458.85 | varies |
| Brain imaging < 4 static views (78600) range across 2 matching MRF lines |
$28.92–$211.49 | $53.55–$391.65 | varies |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) range across 2 matching MRF lines |
$41.39–$1,180.49 | $76.65–$2,186.10 | varies |
| Brain Imaging Minimum 4 Static Views (78605) range across 2 matching MRF lines |
$34.59–$344.74 | $64.05–$638.40 | varies |
| Cardiac blood pool imaging, first pass technique; multiple studies, resting and with stress (exercise and/or… (78483) range across 2 matching MRF lines |
$90.72–$1,289.93 | $168–$2,388.75 | varies |
| Cardiac Shunt Detection (78428) | $51.60 | $95.55 | 0.1× |
| Cat Scan Follow-Up Study (76380) range across 3 matching MRF lines |
$100.36–$1,088.07 | $185.85–$2,014.95 | varies |
| Chest 1 view (71045) range across 2 matching MRF lines |
$34.20–$204.37 | $63.34–$378.46 | varies |
| Chest 2 views (71046) range across 2 matching MRF lines |
$52.54–$242.34 | $97.29–$448.78 | varies |
| Chest 3 views (71047) range across 2 matching MRF lines |
$67.47–$78.25 | $124.95–$144.90 | varies |
| Chest 4 or more views (71048) range across 2 matching MRF lines |
$72.58–$144.59 | $134.40–$267.75 | varies |
| Clavicle complete (73000) range across 4 matching MRF lines |
$20.61–$298.24 | $38.16–$552.30 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 2 matching MRF lines |
$247.66–$2,041.78 | $458.63–$3,781.08 | varies |
| Contrast X-Ray Bladder (74430) range across 2 matching MRF lines |
$62.94–$587.98 | $116.55–$1,088.85 | varies |
| Contrast X-Ray Of Knee Joint (73580) range across 2 matching MRF lines |
$71.44–$501.23 | $132.30–$928.20 | varies |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$164.13–$3,528.12 | $303.95–$6,533.56 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$116.11–$2,515.25 | $215.02–$4,657.87 | varies |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$116.70–$1,851.11 | $216.11–$3,427.98 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$124.39–$2,152.09 | $230.36–$3,985.35 | varies |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$116.15–$1,491.88 | $215.10–$2,762.74 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$663.57–$2,932.49 | $1,228.84–$5,430.53 | varies |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$181.20–$2,078.70 | $335.56–$3,849.45 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$181.45–$1,979.39 | $336.02–$3,665.53 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
$195.41–$1,981.23 | $361.87–$3,668.94 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$182.21–$1,933.44 | $337.43–$3,580.44 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 3 matching MRF lines |
$187.34–$1,869.42 | $346.92–$3,461.88 | varies |
| CT bone density (77078) range across 2 matching MRF lines |
$183.71–$248.91 | $340.20–$460.95 | varies |
| CT cervical spine w/ contrast (72126) range across 2 matching MRF lines |
$123.04–$1,895.48 | $227.85–$3,510.15 | varies |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$116.11–$1,601.99 | $215.01–$2,966.64 | varies |
| CT cervical spine w/wo cont (72127) range across 2 matching MRF lines |
$129.28–$2,239.65 | $239.40–$4,147.50 | varies |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$274.32–$1,785.41 | $508–$3,306.32 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$119.29–$2,069.15 | $220.90–$3,831.75 | varies |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$119.29–$1,608.95 | $220.90–$2,979.53 | varies |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$119.04–$1,890.59 | $220.44–$3,501.09 | varies |
| CT heart no contrast quant eval coronry calcium (75571) range across 3 matching MRF lines |
$165.24–$182.57 | $306–$338.10 | varies |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$116.80–$1,646.57 | $216.30–$3,049.20 | varies |
| CT l-spine w&w/o contrast (72133) range across 2 matching MRF lines |
$127.94–$2,176.29 | $236.93–$4,030.17 | varies |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$116.69–$1,390.77 | $216.10–$2,575.50 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$116.38–$1,625.23 | $215.52–$3,009.68 | varies |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$123.04–$1,916.46 | $227.85–$3,549 | varies |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$116.13–$1,585.05 | $215.05–$2,935.28 | varies |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$130.54–$1,638.17 | $241.74–$3,033.64 | varies |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$116.08–$1,342.24 | $214.97–$2,485.63 | varies |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$106.03–$1,900.02 | $196.35–$3,518.55 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 2 matching MRF lines |
$119.07–$1,828.01 | $220.50–$3,385.20 | varies |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$116.80–$1,470.27 | $216.30–$2,722.73 | varies |
| CT pelvis w&w/o contrast (72194) range across 2 matching MRF lines |
$123.04–$2,134.76 | $227.85–$3,953.25 | varies |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$116.27–$1,455.48 | $215.31–$2,695.34 | varies |
| CT scan of leg combo (73702) range across 2 matching MRF lines |
$128.71–$1,675.49 | $238.35–$3,102.75 | varies |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
$144.59–$1,706.67 | $267.75–$3,160.50 | varies |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$138.96–$1,680.02 | $257.33–$3,111.14 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$117.84–$1,383.52 | $218.22–$2,562.07 | varies |
| CT thoracic spine w contrast (72129) range across 2 matching MRF lines |
$123.04–$1,867.13 | $227.85–$3,457.65 | varies |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$116.41–$1,559.17 | $215.57–$2,887.36 | varies |
| CT thoracic spine w/wo cont (72130) range across 2 matching MRF lines |
$129.28–$2,082.59 | $239.40–$3,856.65 | varies |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$116.24–$1,437.97 | $215.26–$2,662.91 | varies |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$116.80–$1,336.79 | $216.30–$2,475.53 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 2 matching MRF lines |
$128.71–$1,644.30 | $238.35–$3,045 | varies |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$401.08–$1,608.10 | $742.74–$2,977.96 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$248.97–$2,279.96 | $461.06–$4,222.14 | varies |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$113.13–$2,170.61 | $209.50–$4,019.65 | varies |
| CTA pelvis (72191) range across 2 matching MRF lines |
$555.66–$1,644.30 | $1,029–$3,045 | varies |
| Diskography lumbar (72295) | $1,324.51 | $2,452.80 | 0.6× |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$40.82–$368.55 | $75.60–$682.50 | varies |
| Dxa bone density study 1/>sites appendiclr skel (77081) range across 2 matching MRF lines |
$31.19–$235.31 | $57.75–$435.75 | varies |
| Echo exam uterus (76831) range across 5 matching MRF lines |
$73.07–$618.03 | $135.32–$1,144.50 | varies |
| Esophagram (74220) range across 2 matching MRF lines |
$61.80–$402.57 | $114.45–$745.50 | varies |
| Fetal Biophys Profile W/Nst (76818) range across 2 matching MRF lines |
$82.22–$251.75 | $152.25–$466.20 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 2 matching MRF lines |
$78.81–$221.70 | $145.95–$410.55 | varies |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$57.59–$351.57 | $106.64–$651.06 | varies |
| Foot 2 views (73620) range across 2 matching MRF lines |
$20.70–$153.94 | $38.34–$285.08 | varies |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$20.62–$164.92 | $38.18–$305.41 | varies |
| Gastric emptying imaging study (78264) range across 2 matching MRF lines |
$49.96–$994.39 | $92.52–$1,841.47 | varies |
| Gastric Mucosa Imaging (78261) | $44.79 | $82.95 | 0.1× |
| Gastroesophageal Reflux Exam (78262) range across 2 matching MRF lines |
$44.23–$698.54 | $81.90–$1,293.60 | varies |
| Gated Heart Planar Single (78472) range across 2 matching MRF lines |
$63.50–$1,046.12 | $117.60–$1,937.25 | varies |
| Gated Heart, Multiple (78473) range across 2 matching MRF lines |
$95.26–$1,414.10 | $176.40–$2,618.70 | varies |
| Hand 2 views (73120) range across 2 matching MRF lines |
$20.48–$151.96 | $37.93–$281.40 | varies |
| Heart first pass single,planar (78481) range across 2 matching MRF lines |
$60.67–$917.97 | $112.35–$1,699.95 | varies |
| Hepatobil Syst Image W/Drug (78227) range across 2 matching MRF lines |
$54.52–$1,586.56 | $100.97–$2,938.07 | varies |
| Ht Muscle Image Spect Sing (78451) range across 2 matching MRF lines |
$151.96–$2,142.13 | $281.40–$3,966.90 | varies |
| Hysterosalpingogram (74740) range across 3 matching MRF lines |
$171.80–$775.43 | $318.15–$1,435.99 | varies |
| Infant hip ultrasound, limited static exam (76886) range across 2 matching MRF lines |
$32.89–$210.36 | $60.90–$389.55 | varies |
| Joint Survey Single View (77077) | $45.93 | $85.05 | 0.4× |
| K Flow/Funct Image Multiple (78709) range across 2 matching MRF lines |
$90.72–$1,305.23 | $168–$2,417.10 | varies |
| K Flow/Funct Image W/Drug (78708) range across 2 matching MRF lines |
$77.12–$1,026.70 | $142.82–$1,901.30 | varies |
| K Flow/Funct Image W/O Drug (78707) range across 2 matching MRF lines |
$62.02–$1,006.25 | $114.86–$1,863.42 | varies |
| Kidney Imaging Morphol (78700) range across 2 matching MRF lines |
$29.48–$587.98 | $54.60–$1,088.85 | varies |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$25.44–$204.91 | $47.12–$379.47 | varies |
| Liver & Spleen Imaging Static Only (78215) range across 2 matching MRF lines |
$31.75–$832.92 | $58.80–$1,542.45 | varies |
| Liver imaging w/vascular flow (78202) range across 2 matching MRF lines |
$967.87 | $50.40–$1,792.35 | 1.6× |
| Lung Ventilat&Perfus Imaging (78582) range across 2 matching MRF lines |
$70.31–$1,262.14 | $130.20–$2,337.30 | varies |
| Lung Ventilation Imaging (78579) | $784.16 | $1,452.15 | 1.8× |
| Lymph System Imaging (78195) range across 2 matching MRF lines |
$77.76–$972.19 | $144–$1,800.35 | varies |
| Magnetic Image Jaw Joint (70336) range across 2 matching MRF lines |
$543.19–$1,968.62 | $1,005.90–$3,645.60 | varies |
| Mammary ductogram or galactogram multiple (77054) range across 2 matching MRF lines |
$28.35–$235.31 | $52.50–$435.75 | varies |
| Mammary ductogram or galactogram single (77053) range across 2 matching MRF lines |
$47.63–$356.08 | $88.20–$659.40 | varies |
| Meckels Divert Exam (78290) range across 2 matching MRF lines |
$44.23–$828.95 | $81.90–$1,535.10 | varies |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$163.05–$1,277.55 | $301.94–$2,365.84 | varies |
| MRA head with contrast (70545) range across 2 matching MRF lines |
$123.04–$1,377.24 | $227.85–$2,550.45 | varies |
| MRA neck w contrast (70548) range across 2 matching MRF lines |
$123.61–$1,357.40 | $228.90–$2,513.70 | varies |
| Mra Neck W/O &W/Contrast Material (70549) range across 2 matching MRF lines |
$185.41–$2,688.15 | $343.35–$4,978.05 | varies |
| MRA neck w/o contrast (70547) range across 2 matching MRF lines |
$123.04–$1,377.24 | $227.85–$2,550.45 | varies |
| MRI abdomen w contrast (74182) range across 2 matching MRF lines |
$177.47–$1,221.89 | $328.65–$2,262.75 | varies |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$163.78–$1,483.39 | $303.29–$2,747.02 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 2 matching MRF lines |
$596.27–$2,337.07 | $1,104.20–$4,327.91 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$220.56–$2,252.69 | $408.45–$4,171.65 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 2 matching MRF lines |
$601.02–$2,337.07 | $1,113–$4,327.91 | varies |
| MRI cervical spine w contrast (72142) range across 2 matching MRF lines |
$172.94–$1,025.70 | $320.25–$1,899.45 | varies |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$163.92–$1,281.94 | $303.56–$2,373.96 | varies |
| MRI chest w/o contrast (71550) range across 2 matching MRF lines |
$164.43–$1,231.52 | $304.50–$2,280.60 | varies |
| MRI chest with contrast (71551) range across 2 matching MRF lines |
$177.47–$1,344.36 | $328.65–$2,489.55 | varies |
| MRI chest wo w contrast (71552) | $2,465.88 | $4,566.45 | 6.4× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 2 matching MRF lines |
$164.43–$1,172.56 | $304.50–$2,171.40 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines |
$137.78–$1,160.15 | $255.15–$2,148.43 | varies |
| MRI lumbar spine w contrast (72149) range across 2 matching MRF lines |
$172.94–$1,025.70 | $320.25–$1,899.45 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$179.77–$1,913.20 | $332.91–$3,542.96 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 2 matching MRF lines |
$164.43–$1,025.70 | $304.50–$1,899.45 | varies |
| MRI orbit face neck w contrast (70542) range across 2 matching MRF lines |
$166.13–$1,339.82 | $307.65–$2,481.15 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 2 matching MRF lines |
$220–$2,595.73 | $407.40–$4,806.90 | varies |
| MRI pelvis w contrast (72196) range across 2 matching MRF lines |
$164.43–$1,025.70 | $304.50–$1,899.45 | varies |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$231.79–$2,602.94 | $429.24–$4,820.25 | varies |
| MRI pelvis w/o contrast (72195) range across 3 matching MRF lines |
$149.81–$1,175.61 | $277.43–$2,177.06 | varies |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$164.24–$1,283.82 | $304.14–$2,377.44 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 2 matching MRF lines |
$505.98–$1,118.12 | $937–$2,070.60 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 2 matching MRF lines |
$164.43–$1,172.56 | $304.50–$2,171.40 | varies |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$230.31–$2,840.58 | $426.50–$5,260.34 | varies |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$180.87–$1,927.23 | $334.95–$3,568.95 | varies |
| MRI, dorsal spine contrast (72147) range across 2 matching MRF lines |
$172.94–$1,025.70 | $320.25–$1,899.45 | varies |
| MRI, joint upper extrem (73221) range across 2 matching MRF lines |
$164.08–$2,019.75 | $303.86–$3,740.28 | varies |
| MRI, joint upper extrem combo (73223) range across 2 matching MRF lines |
$220.56–$989.42 | $408.45–$1,832.25 | varies |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$178.45–$1,899.17 | $330.47–$3,516.98 | varies |
| Myelogram Lumbar (72265) | $74.84 | $138.60 | 0.1× |
| Myocardial Spect Multiple Studies (78452) range across 2 matching MRF lines |
$176.07–$2,597.64 | $326.05–$4,810.45 | varies |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$40.59–$258.52 | $75.16–$478.74 | varies |
| Nm csf leak detection (78650) range across 2 matching MRF lines |
$847.10 | $73.50–$1,568.70 | 0.6× |
| Nonvascular Shunt X-Ray (75809) range across 2 matching MRF lines |
$18.14–$772.25 | $33.60–$1,430.10 | varies |
| Nuclear Rx Oral Admin (79005) | $115.67 | $214.20 | 0.4× |
| Ob us nuchal meas 1 gest (76813) range across 2 matching MRF lines |
$61.24–$166.13 | $113.40–$307.65 | varies |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) range across 2 matching MRF lines |
$77.22–$243 | $143–$450 | varies |
| Parathyroid Planar Imaging (78070) range across 2 matching MRF lines |
$53.87–$849.37 | $99.75–$1,572.90 | varies |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$23.25–$205.82 | $43.05–$381.15 | varies |
| Pulmonary Perfusion Imaging Particulate (78580) range across 2 matching MRF lines |
$48.20–$839.73 | $89.25–$1,555.05 | varies |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$43.91–$312.70 | $81.32–$579.08 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 2 matching MRF lines |
$57.83–$356.08 | $107.10–$659.40 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$25.37–$206.15 | $46.99–$381.75 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$20.46–$154.23 | $37.88–$285.62 | varies |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$25.46–$204.95 | $47.15–$379.53 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$40.53–$330.55 | $75.05–$612.13 | varies |
| Radex fingr minimum 2 views (73140) range across 2 matching MRF lines |
$20.62–$155.64 | $38.18–$288.23 | varies |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$25.40–$204.57 | $47.04–$378.84 | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$25.46–$204.98 | $47.15–$379.60 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$25.55–$214.92 | $47.32–$398 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 2 matching MRF lines |
$28.67–$204.91 | $53.10–$379.46 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$25.44–$204.93 | $47.12–$379.50 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$23.78–$239.41 | $44.04–$443.35 | varies |
| Radex Spine 1 View Specify Level (72020) range across 2 matching MRF lines |
$23.51–$192.80 | $43.54–$357.03 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$22.91–$204.08 | $42.43–$377.92 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$40.26–$260.82 | $74.55–$483 | varies |
| Radex Toe Minimum 2 Views (73660) range across 3 matching MRF lines |
$20.65–$152.44 | $38.24–$282.30 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$25.45–$208.30 | $47.13–$385.74 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) range across 2 matching MRF lines |
$168.97–$394.07 | $312.90–$729.75 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$34.59–$284.63 | $64.05–$527.10 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 2 matching MRF lines |
$67.46–$144.83 | $124.92–$268.21 | varies |
| Radiologic exam colon double contrast study (74280) range across 2 matching MRF lines |
$81.08–$591.38 | $150.15–$1,095.15 | varies |
| Radiologic exam colon single contrast study (74270) range across 2 matching MRF lines |
$81.08–$510.30 | $150.15–$945 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$32.42–$255.15 | $60.03–$472.50 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$45.93–$350.41 | $85.05–$648.90 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 2 matching MRF lines |
$66.91–$423.55 | $123.90–$784.35 | varies |
| Radiologic exam swallow function contrast study (74230) range across 2 matching MRF lines |
$57.83–$379.89 | $107.10–$703.50 | varies |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$66.91–$450.20 | $123.90–$833.70 | varies |
| Radiologic examination femur 1 view (73551) range across 2 matching MRF lines |
$51.60–$178.61 | $95.55–$330.75 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$25.33–$209.79 | $46.91–$388.50 | varies |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$20.68–$155.93 | $38.29–$288.75 | varies |
| Radiologic Examination Salivary Gland Calculus (70380) | $40.26 | $74.55 | 0.4× |
| Radiologic examination tibia & fibula 2 views (73590) range across 2 matching MRF lines |
$20.59–$198.45 | $38.13–$367.50 | varies |
| Radiopharmaceutical therapy, by intracavitary administration Non-Facility (79200) | $129.28 | $239.40 | 0.5× |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$34.59–$163.30 | $64.05–$302.40 | varies |
| Rp loclzj tum plnr 1 area single day imaging (78800) range across 2 matching MRF lines |
$43.66–$860.14 | $80.85–$1,592.85 | varies |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) range across 2 matching MRF lines |
$52.16–$968.44 | $96.60–$1,793.40 | varies |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) range across 2 matching MRF lines |
$69.17–$1,781.51 | $128.10–$3,299.10 | varies |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) range across 2 matching MRF lines |
$56.13–$1,299.56 | $103.95–$2,406.60 | varies |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 2 matching MRF lines |
$71.44–$1,288.79 | $132.30–$2,386.65 | varies |
| Rp Therapy Intravenous Administration (79101) | $127.01 | $235.20 | 0.5× |
| Scapula (73010) range across 2 matching MRF lines |
$25.52–$186.54 | $47.25–$345.45 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 4 matching MRF lines |
$27–$84.78 | $50–$157 | varies |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$20.75–$158.76 | $38.42–$294 | varies |
| Shoulder Arthrography (73040) range across 2 matching MRF lines |
$71.44–$610.09 | $132.30–$1,129.80 | varies |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$28.63–$254.14 | $53.01–$470.63 | varies |
| Sternoclavicular joints (71130) range across 2 matching MRF lines |
$28.92–$188.81 | $53.55–$349.65 | varies |
| Testicular Imaging W/Flow (78761) range across 2 matching MRF lines |
$45.93–$643.55 | $85.05–$1,191.75 | varies |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$34.63–$253.72 | $64.13–$469.86 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$40.36–$297.69 | $74.74–$551.27 | varies |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$34.59–$255.72 | $64.05–$473.55 | varies |
| Thyroid Carcinoma Metastases Img Lmtd Area (78015) range across 2 matching MRF lines |
$43.66–$513.70 | $80.85–$951.30 | varies |
| Thyroid Imaging With Vascular Flow (78013) range across 2 matching MRF lines |
$26.08–$497.83 | $48.30–$921.90 | varies |
| Thyroid Met Imaging Body (78018) range across 2 matching MRF lines |
$56.13–$1,117.56 | $103.95–$2,069.55 | varies |
| Thyroid Uptake Measurement (78012) range across 2 matching MRF lines |
$136.08–$623.70 | $252–$1,155 | varies |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) range across 2 matching MRF lines |
$32.48–$853.24 | $60.15–$1,580.07 | varies |
| Ultrasound Breast Limited (76642) range across 4 matching MRF lines |
$137.16–$532.44 | $254–$986 | varies |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
$32.34–$315.95 | $59.89–$585.09 | varies |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$140.40–$420.95 | $260–$779.53 | varies |
| Upper gi w/o kub (74240) | $66.91 | $123.90 | 0.3× |
| Urea Breath Test C-14 Isotopic Acquisj Analysis (78267) range across 2 matching MRF lines |
$14.18–$102.63 | $26.25–$190.05 | varies |
| Urea breath test c-14 isotopic analysis (78268) range across 2 matching MRF lines |
$115.67–$267.62 | $214.20–$495.60 | varies |
| Ureteral Reflux Study (78740) range across 2 matching MRF lines |
$36.86–$636.74 | $68.25–$1,179.15 | varies |
| Urethrocystogram voiding (74455) range across 2 matching MRF lines |
$24.38–$293.14 | $45.15–$542.85 | varies |
| Urethrocystography retrograde (74450) | $34.59 | $64.05 | 0.1× |
| Us breast unilateral complete (76641) range across 4 matching MRF lines |
$165.24–$705.24 | $306–$1,306 | varies |
| Us chest (76604) range across 2 matching MRF lines |
$93.96–$335.34 | $174–$621 | varies |
| Us complete joint (76881) range across 2 matching MRF lines |
$39.12–$373.65 | $72.45–$691.95 | varies |
| Us exam, pelvic, limited (76857) range across 4 matching MRF lines |
$24.30–$317.52 | $45–$588 | varies |
| Us head (76506) range across 2 matching MRF lines |
$35.15–$386.69 | $65.10–$716.10 | varies |
| Us kidney transplant (76776) range across 2 matching MRF lines |
$40.26–$163.86 | $74.55–$303.45 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 6 matching MRF lines |
$23.73–$666.77 | $43.94–$1,234.76 | varies |
| Us ob detailed single fetus (76811) range across 2 matching MRF lines |
$199.58–$510.48 | $369.60–$945.33 | varies |
| Us ob limited 1 or more fetuses (76815) range across 3 matching MRF lines |
$42.62–$340.12 | $78.92–$629.86 | varies |
| Us ob transvaginal (76817) range across 5 matching MRF lines |
$48.76–$226.80 | $90.30–$420 | varies |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$73–$470.56 | $135.19–$871.41 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$101.49–$166.13 | $187.95–$307.65 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 2 matching MRF lines |
$86.48–$212.63 | $160.15–$393.75 | varies |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$73.32–$495.83 | $135.77–$918.20 | varies |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$96.38–$377.40 | $178.48–$698.88 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$73.44–$443.85 | $136–$821.95 | varies |
| Us spinal canal and contents (76800) range across 2 matching MRF lines |
$65.21–$221.13 | $120.75–$409.50 | varies |
| Us thyroid (76536) range across 2 matching MRF lines |
$69.62–$499.19 | $128.92–$924.42 | varies |
| Venography extremity unilateral rs&i (75820) range across 2 matching MRF lines |
$184.28–$903.23 | $341.25–$1,672.65 | varies |
| Venous thrombosis imaging (78457) range across 2 matching MRF lines |
$49.33–$630.50 | $91.35–$1,167.60 | varies |
| Venous Thrombosis Imaging Venogram Bilateral (78458) range across 2 matching MRF lines |
$58.97–$834.06 | $109.20–$1,544.55 | varies |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$20.59–$152.42 | $38.13–$282.25 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 3 matching MRF lines |
$34.34–$337.25 | $63.60–$624.53 | varies |
| X-Ray Bend Only L-S Spine (72120) range across 2 matching MRF lines |
$68.65–$271.16 | $127.13–$502.14 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$20.55–$154.90 | $38.05–$286.85 | varies |
| X-Ray Exam Breast Specimen (76098) range across 2 matching MRF lines |
$386.61 | $34.74–$715.95 | 0.6× |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 2 matching MRF lines |
$72.58–$185.41 | $134.40–$343.35 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$106.88–$133.60 | $197.93–$247.40 | varies |
| X-Ray Exam Entire Spi 4/5 Vw (72083) range across 2 matching MRF lines |
$134.38–$359.80 | $248.85–$666.29 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 2 matching MRF lines |
$20.98–$166.13 | $38.85–$307.65 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 2 matching MRF lines |
$28.70–$243.24 | $53.14–$450.45 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) range across 2 matching MRF lines |
$36.29–$286.90 | $67.20–$531.30 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$39.66–$126.22 | $73.45–$233.74 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 2 matching MRF lines |
$49.06–$126.73 | $90.85–$234.69 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) range across 2 matching MRF lines |
$56.13–$231.34 | $103.95–$428.40 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$97.52–$496.69 | $180.60–$919.80 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$33.22–$268.35 | $61.52–$496.94 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$40.51–$442.67 | $75.01–$819.76 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 3 matching MRF lines |
$46.02–$379.52 | $85.22–$702.81 | varies |
| X-ray eye for foreign body (70030) range across 4 matching MRF lines |
$10.77–$402 | $19.95–$744.45 | varies |
| X-ray humerus (73060) range across 3 matching MRF lines |
$25.48–$165.56 | $47.18–$306.60 | varies |
| X-ray IV pyelogram (ivp) (74400) range across 2 matching MRF lines |
$81.08–$539.78 | $150.15–$999.60 | varies |
| X-ray IV pyelogram+tomography (74415) range across 2 matching MRF lines |
$81.08–$717.26 | $150.15–$1,328.25 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 2 matching MRF lines |
$28.92–$212.63 | $53.55–$393.75 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$19.69–$206.73 | $36.47–$382.83 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$40.35–$242.12 | $74.72–$448.37 | varies |
| X-ray nose-rectum child f.b. (76010) range across 2 matching MRF lines |
$24.95–$196.18 | $46.20–$363.30 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$83.92–$460.97 | $155.40–$853.65 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$62.24–$310.04 | $115.25–$574.14 | varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) range across 3 matching MRF lines |
$40.33–$247.03 | $74.69–$457.47 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$22.97–$204.57 | $42.54–$378.84 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$40.53–$265.72 | $75.05–$492.08 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$43.66–$273.29 | $80.85–$506.10 | varies |
| X-ray thoracic spine 4 vw (72074) range across 2 matching MRF lines |
$72.36–$293.22 | $134–$543 | varies |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$57.83–$307.88 | $107.10–$570.15 | varies |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$46.06–$361.08 | $85.30–$668.66 | varies |
| Xr facial bones less than 3 views (70140) range across 2 matching MRF lines |
$55.65–$221.08 | $103.05–$409.40 | varies |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$40.26–$237.57 | $74.55–$439.95 | varies |
| Xr Tomogram Single Plane (76100) range across 2 matching MRF lines |
$51.60–$81.65 | $95.55–$151.20 | 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.