Imaging prices at Magnolia Regional Health Center
Corinth, MS · every code in this section with a posted price and a Medicare benchmark.
288 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 3-D radiotherapy plan dose-volume histograms (77295) | — | $3,468.96 | — |
| Abdomen 1 View (74018) range across 3 matching MRF lines |
— | $24–$235.29 | — |
| Abdomen 2 views (74019) range across 6 matching MRF lines |
— | $30.51–$284.16 | — |
| Acute Gastrointestinal Blood Loss Imaging (78278) range across 3 matching MRF lines |
— | $127.17–$1,073.79 | — |
| Angio pulmonary bilat (75743) | — | $8,579.01 | — |
| Angiography extremity bilateral rs&i (75716) | — | $7,980 | — |
| Angiography extremity unilateral rs&i (75710) | — | $7,980 | — |
| Ankle 2 views (73600) range across 11 matching MRF lines |
— | $21.24–$339 | — |
| Aortography thoracic serialography rs&i (75605) | — | $14,445.21 | — |
| Aortography thoracic w/o serialography rs&i (75600) | — | $7,980 | — |
| Artery X-Rays Abdomen (75726) | — | $13,757.79 | — |
| Arthrogram ankle (73615) range across 6 matching MRF lines |
— | $74.49–$962.79 | — |
| Arthrogram hip (73525) range across 8 matching MRF lines |
— | $76.05–$962.79 | — |
| Arthrogram Wrist (73115) range across 6 matching MRF lines |
— | $74.40–$962.79 | — |
| Basic radiation dosimetry calculation (77300) | — | $339.69 | — |
| Bone age studies (77072) range across 3 matching MRF lines |
— | $24.96–$284.16 | — |
| Bone Imaging 3 Phase (78315) range across 3 matching MRF lines |
— | $130.89–$1,073.79 | — |
| Bone Imaging Limited Area (78300) range across 3 matching MRF lines |
— | $80.58–$1,073.79 | — |
| Bone Imaging Whole Body (78306) range across 3 matching MRF lines |
— | $110.40–$1,073.79 | — |
| Bone marrow imaging limited area (78102) | — | $1,032.57 | — |
| Bone marrow imaging; multiple areas (78103) range across 3 matching MRF lines |
— | $83.43–$1,073.79 | — |
| Bone marrow imaging; whole body (78104) range across 3 matching MRF lines |
— | $100.53–$1,073.79 | — |
| Bone survey infant (77076) range across 3 matching MRF lines |
— | $92.40–$284.16 | — |
| Brain Imaging Pet Metabolic Evaluation (78608) range across 3 matching MRF lines |
— | $189.81–$3,916.68 | — |
| Cerebrospinal Fluid Scan (78630) range across 3 matching MRF lines |
— | $87.24–$1,438.38 | — |
| Chest 1 view (71045) range across 6 matching MRF lines |
— | $24–$235.29 | — |
| Chest 2 views (71046) range across 3 matching MRF lines |
— | $28.71–$235.29 | — |
| Clavicle complete (73000) range across 11 matching MRF lines |
— | $22.05–$235.29 | — |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 4 matching MRF lines |
— | $140.79–$284.16 | — |
| Continuing medical physics consltj pr wk (77336) | — | $339.69 | — |
| Contrast Exam Abdominl Aorta (75625) | — | $7,980 | — |
| Contrast X-Ray Bladder (74430) range across 3 matching MRF lines |
— | $41.64–$962.79 | — |
| Contrast X-Ray Of Elbow (73085) range across 6 matching MRF lines |
— | $71.16–$962.79 | — |
| Contrast X-Ray Of Knee Joint (73580) range across 6 matching MRF lines |
— | $83.22–$962.79 | — |
| CT abdomen and pelvis without and with contrast (74178) range across 3 matching MRF lines |
— | $262.02–$962.79 | — |
| CT abdomen and pelvis without contrast (74176) range across 3 matching MRF lines |
— | $226.89–$645.93 | — |
| CT abdomen w contrast (74160) range across 3 matching MRF lines |
— | $165.75–$475.71 | — |
| CT abdomen w wo contrast (74170) range across 3 matching MRF lines |
— | $181.68–$475.71 | — |
| CT abdomen w/o contrast (74150) range across 3 matching MRF lines |
— | $154.77–$284.16 | — |
| CT Angio Abdomen and Pelvis (74174) range across 3 matching MRF lines |
— | $286.83–$962.79 | — |
| CT Angio Chest (71275) range across 6 matching MRF lines |
— | $237.81–$475.71 | — |
| CT Angio Head (70496) range across 4 matching MRF lines |
— | $227.88–$475.71 | — |
| CT angio hrt w/3d image (75574) range across 4 matching MRF lines |
— | $459.99–$954.33 | — |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 9 matching MRF lines |
— | $246.39–$475.71 | — |
| CT Angio Neck (70498) range across 3 matching MRF lines |
— | $227.88–$475.71 | — |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 9 matching MRF lines |
— | $234.36–$475.71 | — |
| CT bone density (77078) | — | $227.49 | — |
| CT cervical spine w/ contrast (72126) range across 3 matching MRF lines |
— | $158.49–$962.79 | — |
| CT cervical spine w/o contrast (72125) range across 5 matching MRF lines |
— | $129.78–$284.16 | — |
| CT cervical spine w/wo cont (72127) range across 3 matching MRF lines |
— | $164.91–$475.71 | — |
| CT chest w contrast (71260) range across 3 matching MRF lines |
— | $151.86–$475.71 | — |
| CT chest w/wo contrast (71270) range across 3 matching MRF lines |
— | $162.99–$475.71 | — |
| CT head/brain with contrast (70460) range across 3 matching MRF lines |
— | $147.27–$475.71 | — |
| CT head/brain without and with contrast (70470) range across 3 matching MRF lines |
— | $165.75–$475.71 | — |
| CT heart no contrast quant eval coronry calcium (75571) range across 3 matching MRF lines |
— | $75.87–$235.29 | — |
| CT iac w contrast (70481) range across 3 matching MRF lines |
— | $147.27–$475.71 | — |
| CT l-spine w&w/o contrast (72133) range across 3 matching MRF lines |
— | $164.91–$475.71 | — |
| CT lower ext w/o (73700) range across 9 matching MRF lines |
— | $129.78–$284.16 | — |
| CT lower extremity w/contrast material (73701) range across 9 matching MRF lines |
— | $151.02–$475.71 | — |
| CT lumbar spine w contrast (72132) range across 3 matching MRF lines |
— | $158.49–$962.79 | — |
| CT lumbar spine w/o contrast (72131) range across 5 matching MRF lines |
— | $129.78–$284.16 | — |
| CT maxillofacial w contrast (70487) range across 4 matching MRF lines |
— | $147.27–$475.71 | — |
| CT maxillofacial wo contrast (70486) range across 12 matching MRF lines |
— | $111.93–$284.16 | — |
| CT neck tissue combo (70492) range across 3 matching MRF lines |
— | $210.39–$475.71 | — |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 5 matching MRF lines |
— | $164.91–$475.71 | — |
| CT orbits w/o contrast (70480) range across 3 matching MRF lines |
— | $167.55–$284.16 | — |
| CT pelvis w&w/o contrast (72194) range across 3 matching MRF lines |
— | $158.49–$475.71 | — |
| CT pelvis w/o contrast (72192) range across 5 matching MRF lines |
— | $141.75–$284.16 | — |
| CT scan of leg combo (73702) range across 6 matching MRF lines |
— | $157.68–$475.71 | — |
| CT scans face/jaw combo (70488) range across 5 matching MRF lines |
— | $164.91–$475.71 | — |
| CT soft tissue neck w contrast (70491) range across 3 matching MRF lines |
— | $179.73–$475.71 | — |
| CT soft tissue neck w/o contrast (70490) range across 3 matching MRF lines |
— | $167.55–$284.16 | — |
| CT thoracic spine w contrast (72129) range across 3 matching MRF lines |
— | $159.24–$475.71 | — |
| CT thoracic spine w/o contrast (72128) range across 5 matching MRF lines |
— | $129.78–$284.16 | — |
| CT thoracic spine w/wo cont (72130) range across 3 matching MRF lines |
— | $165.75–$475.71 | — |
| CT thorax w/o contrast (71250) range across 6 matching MRF lines |
— | $140.79–$284.16 | — |
| CT upper ext wo (73200) range across 6 matching MRF lines |
— | $129.78–$284.16 | — |
| CT upper extremity w/o & w/contrast material (73202) range across 9 matching MRF lines |
— | $157.68–$475.71 | — |
| CT upper extremity with contrast (73201) range across 6 matching MRF lines |
— | $151.02–$962.79 | — |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 4 matching MRF lines |
— | $309.54–$475.71 | — |
| Cta Abdomen (74175) range across 5 matching MRF lines |
— | $236.97–$475.71 | — |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) range across 2 matching MRF lines |
— | $338.40–$947.91 | — |
| CTA pelvis (72191) range across 3 matching MRF lines |
— | $234.36–$475.71 | — |
| Dxa Bone Density Axial (77080) range across 3 matching MRF lines |
— | $25.95–$284.16 | — |
| Echo exam uterus (76831) range across 3 matching MRF lines |
— | $94.53–$645.93 | — |
| Echo Guide For Artery Repair (76936) | — | $785.79 | — |
| Esophagram (74220) range across 3 matching MRF lines |
— | $78.63–$475.71 | — |
| Fetal Biophys Profile W/Nst (76818) range across 2 matching MRF lines |
— | $137.28–$284.16 | — |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 3 matching MRF lines |
— | $100.20–$284.16 | — |
| Fluoroscopy up to 1 hr (76000) range across 9 matching MRF lines |
— | $41.25–$645.93 | — |
| Foot 2 views (73620) range across 11 matching MRF lines |
— | $20.40–$265 | — |
| Forearm 2 views (73090) range across 11 matching MRF lines |
— | $21.24–$235.29 | — |
| Gastric emptying imaging study (78264) range across 3 matching MRF lines |
— | $101.97–$1,073.79 | — |
| Gated Heart Planar Single (78472) range across 3 matching MRF lines |
— | $125.37–$1,073.79 | — |
| Hand 2 views (73120) range across 11 matching MRF lines |
— | $22.05–$284.16 | — |
| Hepatobil Syst Image W/Drug (78227) range across 3 matching MRF lines |
— | $115.95–$1,438.38 | — |
| Ht Muscle Image Spect Sing (78451) range across 5 matching MRF lines |
— | $175.74–$3,554.94 | — |
| Hysterosalpingogram (74740) range across 3 matching MRF lines |
— | $49.95–$645.93 | — |
| Image fusion (77399) | — | $339.69 | — |
| Infant hip ultrasound with hip movement (dynamic) (76885) range across 3 matching MRF lines |
— | $97.11–$235.29 | — |
| Infant hip ultrasound, limited static exam (76886) range across 3 matching MRF lines |
— | $81.42–$235.29 | — |
| K Flow/Funct Image W/Drug (78708) range across 6 matching MRF lines |
— | $154.23–$1,438.38 | — |
| K Flow/Funct Image W/O Drug (78707) range across 3 matching MRF lines |
— | $121.77–$1,438.38 | — |
| Knee 3 Views (73562) range across 11 matching MRF lines |
— | $24.84–$319 | — |
| Liver & Spleen Imaging Static Only (78215) range across 3 matching MRF lines |
— | $63.09–$1,073.79 | — |
| Liver imaging static only (78201) range across 3 matching MRF lines |
— | $55.77–$1,438.38 | — |
| Lung Ventilat&Perfus Imaging (78582) range across 3 matching MRF lines |
— | $136.56–$1,438.38 | — |
| Lymph System Imaging (78195) range across 3 matching MRF lines |
— | $152.43–$1,438.38 | — |
| Magnetic Image Jaw Joint (70336) range across 3 matching MRF lines |
— | $191.82–$645.93 | — |
| Mammary ductogram or galactogram multiple (77054) range across 3 matching MRF lines |
— | $58.38–$645.93 | — |
| Mammary ductogram or galactogram single (77053) | — | $613.47 | — |
| Meckels Divert Exam (78290) range across 3 matching MRF lines |
— | $87.24–$1,073.79 | — |
| Mlc imrt design & construction per imrt plan (77338) | — | $925.05 | — |
| Mra Head W/O & W/Contrast Material (70546) range across 3 matching MRF lines |
— | $192.66–$962.79 | — |
| MRA head w/o contrast (70544) range across 6 matching MRF lines |
— | $155.73–$645.93 | — |
| MRA head with contrast (70545) range across 3 matching MRF lines |
— | $155.73–$962.79 | — |
| MRA neck w contrast (70548) range across 3 matching MRF lines |
— | $195.42–$962.79 | — |
| Mra Neck W/O &W/Contrast Material (70549) range across 3 matching MRF lines |
— | $234.36–$962.79 | — |
| MRA neck w/o contrast (70547) range across 3 matching MRF lines |
— | $156.54–$645.93 | — |
| MRI abdomen w contrast (74182) range across 3 matching MRF lines |
— | $225.09–$962.79 | — |
| MRI abdomen w/o contrast (74181) range across 7 matching MRF lines |
— | $189.90–$645.93 | — |
| MRI any jt lower extrem w/contrast material (73722) range across 16 matching MRF lines |
— | $212.04–$2,111.22 | — |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 22 matching MRF lines |
— | $282.06–$962.79 | — |
| MRI any jt upper extremity w/contrast matrl (73222) range across 25 matching MRF lines |
— | $212.04–$2,111.22 | — |
| MRI Breast W/O Contrast Bilateral (77047) range across 3 matching MRF lines |
— | $208.44–$645.93 | — |
| MRI Breast Without Contrast Material Unilateral (77046) range across 6 matching MRF lines |
— | $188.16–$645.93 | — |
| MRI cervical spine w contrast (72142) range across 3 matching MRF lines |
— | $234.75–$962.79 | — |
| MRI cervical spine w/o cont (72141) range across 6 matching MRF lines |
— | $193.50–$645.93 | — |
| MRI chest w/o contrast (71550) range across 3 matching MRF lines |
— | $190.71–$645.93 | — |
| MRI chest with contrast (71551) range across 3 matching MRF lines |
— | $225.09–$2,111.22 | — |
| MRI chest wo w contrast (71552) range across 3 matching MRF lines |
— | $295.95–$962.79 | — |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 15 matching MRF lines |
— | $282.06–$962.79 | — |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 8 matching MRF lines |
— | $175.98–$645.93 | — |
| MRI lumbar spine w contrast (72149) range across 3 matching MRF lines |
— | $233.91–$962.79 | — |
| Mri Neck Spine W/O & W/Dye (72156) range across 6 matching MRF lines |
— | $300.54–$962.79 | — |
| MRI orbit face &/neck w/o contrast (70540) range across 9 matching MRF lines |
— | $175.17–$645.93 | — |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 9 matching MRF lines |
— | $281.25–$962.79 | — |
| MRI pelvis w contrast (72196) range across 5 matching MRF lines |
— | $225.09–$962.79 | — |
| MRI pelvis w/o & w contrast (72197) range across 9 matching MRF lines |
— | $287.76–$962.79 | — |
| MRI pelvis w/o contrast (72195) range across 9 matching MRF lines |
— | $190.71–$645.93 | — |
| MRI thoracic spine w/o contrast (72146) range across 6 matching MRF lines |
— | $193.50–$645.93 | — |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 17 matching MRF lines |
— | $176.82–$645.93 | — |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 33 matching MRF lines |
— | $282.06–$962.79 | — |
| MRI, abdomen, combo (74183) range across 4 matching MRF lines |
— | $287.76–$962.79 | — |
| MRI, dorsal spine combo (72157) range across 6 matching MRF lines |
— | $300.54–$962.79 | — |
| MRI, dorsal spine contrast (72147) range across 3 matching MRF lines |
— | $232.44–$962.79 | — |
| MRI, joint upper extrem (73221) range across 26 matching MRF lines |
— | $176.82–$645.93 | — |
| MRI, joint upper extrem combo (73223) range across 18 matching MRF lines |
— | $282.06–$962.79 | — |
| MRI, lumbar spine combo (72158) range across 6 matching MRF lines |
— | $300.54–$962.79 | — |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | — | $1,032.57 | — |
| Myocardial Spect Multiple Studies (78452) range across 2 matching MRF lines |
— | $3,488.52–$3,554.94 | — |
| Neck soft tissue (70360) range across 3 matching MRF lines |
— | $24–$235.29 | — |
| Nm csf leak detection (78650) range across 3 matching MRF lines |
— | $68.22–$3,554.94 | — |
| Ntsty modul radthx pln dose-vol histos (77301) | — | $3,468.96 | — |
| Parathyroid Planar Imaging (78070) range across 3 matching MRF lines |
— | $103.77–$1,073.79 | — |
| PET image w/CT, full body (78816) range across 6 matching MRF lines |
— | $315.36–$3,916.68 | — |
| PET imaging CT attenuation skull base mid-thigh (78815) range across 7 matching MRF lines |
— | $312.69–$5,700 | — |
| Plasma Vol Radiopharm Vol Dilute Spx Mult Smples (78111) range across 2 matching MRF lines |
— | $3,488.52–$3,554.94 | — |
| Pulmonary Perfusion Imaging Particulate (78580) range across 3 matching MRF lines |
— | $95.46–$1,073.79 | — |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 3 matching MRF lines |
— | $42.45–$284.16 | — |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 2 matching MRF lines |
— | $68.61–$1,465.17 | — |
| Radex Ankle Complete Minimum 3 Views (73610) range across 11 matching MRF lines |
— | $23.04–$339 | — |
| Radex Calcaneus Minimum 2 Views (73650) range across 8 matching MRF lines |
— | $21.24–$235.29 | — |
| Radex elbow complete minimum 3 views (73080) range across 9 matching MRF lines |
— | $23.04–$240 | — |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 3 matching MRF lines |
— | $34.26–$284.16 | — |
| Radex fingr minimum 2 views (73140) range across 15 matching MRF lines |
— | $18.33–$235.29 | — |
| Radex foot complete minimum 3 views (73630) range across 18 matching MRF lines |
— | $22.20–$265 | — |
| Radex Hand Minimum 3 Views (73130) range across 11 matching MRF lines |
— | $23.04–$249 | — |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) range across 3 matching MRF lines |
— | $45.24–$284.16 | — |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 3 matching MRF lines |
— | $23.04–$235.29 | — |
| Radex Ribs Unilateral 2 Views (71100) range across 8 matching MRF lines |
— | $29.55–$291 | — |
| Radex shoulder complete minimum 2 views (73030) range across 11 matching MRF lines |
— | $24.84–$262 | — |
| Radex Spine 1 View Specify Level (72020) range across 3 matching MRF lines |
— | $21.24–$235.29 | — |
| Radex Sternum Minimum 2 Views (71120) range across 3 matching MRF lines |
— | $25.95–$235.29 | — |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 3 matching MRF lines |
— | $31.47–$235.29 | — |
| Radex Toe Minimum 2 Views (73660) range across 11 matching MRF lines |
— | $17.49–$278 | — |
| Radex Wrist Complete Minimum 3 Views (73110) range across 11 matching MRF lines |
— | $23.04–$235.29 | — |
| Radiation Delivery Stereotactic Cranial Linear (77372) | — | $19,495.71 | — |
| Radiation treatment delivery level 1 (77402) | — | $300.21 | — |
| Radiation treatment delivery level 2 (77407) range across 2 matching MRF lines |
— | $672.81–$1,047.96 | — |
| Radiation treatment delivery level 3 (77412) | — | $672.81 | — |
| Radiolog exam mandible compl minimum 4 views (70110) range across 3 matching MRF lines |
— | $33.27–$284.16 | — |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 3 matching MRF lines |
— | $35.22–$284.16 | — |
| Radiologic exam colon double contrast study (74280) range across 3 matching MRF lines |
— | $163.95–$475.71 | — |
| Radiologic exam colon single contrast study (74270) range across 6 matching MRF lines |
— | $134.49–$475.71 | — |
| Radiologic exam knee complete 4/more views (73564) range across 9 matching MRF lines |
— | $30.36–$284.16 | — |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 3 matching MRF lines |
— | $33.27–$284.16 | — |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 6 matching MRF lines |
— | $105.57–$475.71 | — |
| Radiologic exam swallow function contrast study (74230) range across 3 matching MRF lines |
— | $69.36–$475.71 | — |
| Radiologic exam upr gi trc double contrast study (74246) range across 3 matching MRF lines |
— | $116.76–$475.71 | — |
| Radiologic examination femur 1 view (73551) range across 9 matching MRF lines |
— | $22.05–$235.29 | — |
| Radiologic examination femur minimum 2 views (73552) range across 11 matching MRF lines |
— | $24–$235.29 | — |
| Radiologic examination knee 1/2 views (73560) range across 11 matching MRF lines |
— | $22.05–$262 | — |
| Radiologic Examination Osseous Survey Limited (77074) range across 3 matching MRF lines |
— | $57.42–$284.16 | — |
| Radiologic examination tibia & fibula 2 views (73590) range across 11 matching MRF lines |
— | $21.24–$265 | — |
| Red Cell Volume Determination Spx Mult Samplings (78121) range across 3 matching MRF lines |
— | $40.89–$1,438.38 | — |
| Ribs bilateral 3 views (71110) range across 3 matching MRF lines |
— | $37.98–$284.16 | — |
| Rp loclzj tum plnr 1 area single day imaging (78800) range across 3 matching MRF lines |
— | $84.03–$1,073.79 | — |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) range across 3 matching MRF lines |
— | $92.91–$1,073.79 | — |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) range across 3 matching MRF lines |
— | $128.28–$3,554.94 | — |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) range across 3 matching MRF lines |
— | $102.09–$3,554.94 | — |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 4 matching MRF lines |
— | $137.70–$3,554.94 | — |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | — | $3,554.94 | — |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) range across 3 matching MRF lines |
— | $266.25–$3,916.68 | — |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) range across 3 matching MRF lines |
— | $185.52–$3,554.94 | — |
| Scapula (73010) range across 8 matching MRF lines |
— | $23.85–$284.16 | — |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 15 matching MRF lines |
— | $20–$78.63 | — |
| Shoulder 1 view (73020) range across 8 matching MRF lines |
— | $20.25–$291 | — |
| Shoulder Arthrography (73040) range across 7 matching MRF lines |
— | $73.65–$962.79 | — |
| Skull less than 4 views (70250) range across 3 matching MRF lines |
— | $24–$284.16 | — |
| Special dosimetry (77331) | — | $339.69 | — |
| Special Physics Consult (77370) | — | $339.69 | — |
| Special teletherapy port plan (77321) | — | $925.05 | — |
| Special treatment procedure (77470) | — | $1,473.72 | — |
| Stereotactic Body Radiation Delivery (77373) | — | $4,467.21 | — |
| Sternoclavicular joints (71130) range across 2 matching MRF lines |
— | $28.71–$235.29 | — |
| Telethx isodose pln cplx w/basic dosimetry (77307) | — | $925.05 | — |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | — | $925.05 | — |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | — | $925.05 | — |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | — | $925.05 | — |
| Ther rad simulaj-aided field setting simple (77280) | — | $339.69 | — |
| Thoracic spine 2 views (72070) range across 3 matching MRF lines |
— | $26.76–$284.16 | — |
| Thoracic spine 3 views (72072) range across 3 matching MRF lines |
— | $29.67–$284.16 | — |
| Thyroid Met Imaging Body (78018) | — | $1,353.18 | — |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) range across 3 matching MRF lines |
— | $64.08–$1,073.79 | — |
| Tx Devices Design & Construction Complex (77334) | — | $925.05 | — |
| Tx devices design & construction intermediate (77333) | — | $339.69 | — |
| Tx devices design & construction simple (77332) | — | $339.69 | — |
| Ultrasound Breast Limited (76642) range across 10 matching MRF lines |
— | $89.64–$235.29 | — |
| Ultrasound elastography first target lesion (76982) range across 2 matching MRF lines |
— | $77.67–$284.16 | — |
| Ultrasound Elastography Parenchyma (76981) range across 2 matching MRF lines |
— | $78.51–$284.16 | — |
| Ultrasound Exam Aaa Screen (76706) range across 3 matching MRF lines |
— | $71.31–$284.16 | — |
| Ultrasound, abdomen limited (76705) range across 18 matching MRF lines |
— | $76.86–$284.16 | — |
| Unlis px ther radiol clinical tx planning (77299) | — | $339.69 | — |
| Upper gi w/o kub (74240) range across 6 matching MRF lines |
— | $105.42–$475.71 | — |
| Urethrocystogram voiding (74455) range across 3 matching MRF lines |
— | $42.69–$645.93 | — |
| Us breast unilateral complete (76641) range across 10 matching MRF lines |
— | $96.15–$284.16 | — |
| Us chest (76604) range across 3 matching MRF lines |
— | $75.21–$284.16 | — |
| Us exam, pelvic, limited (76857) range across 3 matching MRF lines |
— | $64.89–$284.16 | — |
| Us head (76506) range across 3 matching MRF lines |
— | $83.13–$284.16 | — |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 9 matching MRF lines |
— | $90.60–$284.16 | — |
| Us ob limited 1 or more fetuses (76815) range across 4 matching MRF lines |
— | $85.14–$284.16 | — |
| Us ob transvaginal (76817) range across 3 matching MRF lines |
— | $98.16–$284.16 | — |
| Us pelvic non ob complete (76856) range across 6 matching MRF lines |
— | $89.85–$284.16 | — |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 3 matching MRF lines |
— | $129.63–$284.16 | — |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 2 matching MRF lines |
— | $111.27–$284.16 | — |
| Us retroperitoneal complete (76770) range across 3 matching MRF lines |
— | $96.27–$284.16 | — |
| Us retroperitoneal limited (76775) range across 6 matching MRF lines |
— | $75.87–$284.16 | — |
| Us scrotum and contents (76870) range across 3 matching MRF lines |
— | $83.37–$284.16 | — |
| Us spinal canal and contents (76800) range across 3 matching MRF lines |
— | $169.95–$284.16 | — |
| Us thyroid (76536) range across 10 matching MRF lines |
— | $73.92–$284.16 | — |
| Vein X-Ray Chest (75827) | — | $4,009.50 | — |
| Venography caval inferior serialography rs&i (75825) | — | $7,980 | — |
| Venography extremity bilateral rs&i (75822) | — | $4,009.50 | — |
| Venography extremity unilateral rs&i (75820) | — | $4,009.50 | — |
| Venography Renal Bilateral (75833) | — | $7,980 | — |
| Wrist 2 views (73100) range across 11 matching MRF lines |
— | $22.05–$264 | — |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 5 matching MRF lines |
— | $24.84–$235.29 | — |
| X-Ray Aorta Leg Arteries (75630) | — | $7,980 | — |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 11 matching MRF lines |
— | $22.05–$240 | — |
| X-Ray Exam Breast Specimen (76098) range across 7 matching MRF lines |
— | $41.49–$1,465.17 | — |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 3 matching MRF lines |
— | $34.26–$235.29 | — |
| X-Ray Exam Hip Uni 1 View (73501) range across 10 matching MRF lines |
— | $24.84–$235.29 | — |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 8 matching MRF lines |
— | $29.55–$235.29 | — |
| X-Ray Exam Hip Uni 4/> Views (73503) | — | $264 | — |
| X-Ray Exam Hips Bi 2 Views (73521) range across 3 matching MRF lines |
— | $29.55–$284.16 | — |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 2 matching MRF lines |
— | $39.90–$284.04 | — |
| X-Ray Exam L-S Spine Bending (72114) range across 3 matching MRF lines |
— | $40.53–$284.16 | — |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 3 matching MRF lines |
— | $29.55–$235.29 | — |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 3 matching MRF lines |
— | $39.69–$284.16 | — |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 8 matching MRF lines |
— | $35.22–$291 | — |
| X-ray humerus (73060) range across 11 matching MRF lines |
— | $21.24–$249 | — |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 8 matching MRF lines |
— | $24–$249 | — |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 11 matching MRF lines |
— | $22.89–$235.29 | — |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 3 matching MRF lines |
— | $29.55–$284.16 | — |
| X-ray nose-rectum child f.b. (76010) range across 3 matching MRF lines |
— | $24–$235.29 | — |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 3 matching MRF lines |
— | $42.45–$284.16 | — |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 9 matching MRF lines |
— | $29.67–$284.16 | — |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 9 matching MRF lines |
— | $23.04–$235.29 | — |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 3 matching MRF lines |
— | $28.71–$235.29 | — |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 3 matching MRF lines |
— | $37.02–$284.16 | — |
| X-ray thoracic spine 4 vw (72074) | — | $275.25 | — |
| X-Ray Tmj Unilat (70328) | — | $319 | — |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 3 matching MRF lines |
— | $67.68–$962.79 | — |
| X-Rays Bone Survey Complete (77075) range across 3 matching MRF lines |
— | $72.15–$284.16 | — |
| Xr c-spine 4 or 5 views (72050) range across 3 matching MRF lines |
— | $36.03–$284.16 | — |
| Xr facial bones less than 3 views (70140) range across 3 matching MRF lines |
— | $26.64–$235.29 | — |
| Xr orbits complete 4 views (70200) range across 11 matching MRF lines |
— | $37.02–$284.16 | — |
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.