Imaging prices at Manatee Memorial Hospital
Bradenton, FL · every code in this section with a posted price and a Medicare benchmark.
384 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) | $3,695.60 | $9,239 | 2.6× |
| Abdomen 1 View (74018) range across 3 matching MRF lines |
$36–$496 | $90–$1,240 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$44–$708 | $110–$1,770 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) range across 2 matching MRF lines |
$1,118–$1,360.80 | $2,795–$3,402 | varies |
| Adrenal Cortex & Medulla Img (78075) | $2,176.40 | $5,441 | 1.6× |
| Angio internal mammary (75756) range across 4 matching MRF lines |
$2,455.20–$3,781.20 | $6,138–$9,453 | varies |
| Angio pulmonary bilat (75743) range across 5 matching MRF lines |
$2,224.40–$2,544 | $5,561–$6,360 | varies |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $3,157.60 | $7,894 | 1.0× |
| Angiography extremity bilateral rs&i (75716) range across 5 matching MRF lines |
$6,240.40–$7,082 | $15,601–$17,705 | varies |
| Angiography extremity unilateral rs&i (75710) range across 15 matching MRF lines |
$1,480.80–$4,862.40 | $3,702–$12,156 | varies |
| Angiography pulmonary unilateral slctv rs&i (75741) range across 9 matching MRF lines |
$3,024.80–$4,082 | $7,562–$10,205 | varies |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) range across 3 matching MRF lines |
$1,777.60–$1,844 | $4,444–$4,610 | varies |
| Ankle 2 views (73600) range across 9 matching MRF lines |
$38.40–$470.80 | $96–$1,177 | varies |
| Aortography thoracic serialography rs&i (75605) range across 3 matching MRF lines |
$3,238–$5,811.20 | $8,095–$14,528 | varies |
| Aortography thoracic w/o serialography rs&i (75600) range across 2 matching MRF lines |
$4,446.40–$4,578.40 | $11,116–$11,446 | varies |
| Artery X-Rays Abdomen (75726) range across 6 matching MRF lines |
$4,211.60–$5,811.20 | $10,529–$14,528 | varies |
| Artery X-Rays Adrenal Gland (75731) | $2,555.20 | $6,388 | 0.8× |
| Artery X-Rays Pelvis (75736) range across 9 matching MRF lines |
$2,172.80–$4,018 | $5,432–$10,045 | varies |
| Artery X-Rays Spine (75705) range across 6 matching MRF lines |
$2,072.40–$5,617.20 | $5,181–$14,043 | varies |
| Arthrogram ankle (73615) | $848 | $2,120 | 2.3× |
| Arthrogram hip (73525) range across 4 matching MRF lines |
$1,208–$1,242.40 | $3,020–$3,106 | varies |
| Arthrogram Wrist (73115) | $610.80 | $1,527 | 1.7× |
| Basic radiation dosimetry calculation (77300) | $451.20 | $1,128 | 3.2× |
| Bone age studies (77072) range across 4 matching MRF lines |
$31.20–$189.60 | $78–$474 | varies |
| Bone Imaging 3 Phase (78315) | $2,568.80 | $6,422 | 6.2× |
| Bone Imaging Limited Area (78300) | $1,564.80 | $3,912 | 3.7× |
| Bone Imaging Multiple Areas (78305) | $1,464.80 | $3,662 | 3.5× |
| Bone Imaging Whole Body (78306) | $2,238.40 | $5,596 | 5.4× |
| Bone marrow imaging limited area (78102) | $948.80 | $2,372 | 2.3× |
| Bone marrow imaging; whole body (78104) | $948.80 | $2,372 | 2.3× |
| Bone survey infant (77076) | $472.40 | $1,181 | 4.3× |
| Brachytx isodose complex (77318) | $1,199.20 | $2,998 | 3.1× |
| Brachytx isodose intermed (77317) | $1,142.40 | $2,856 | 2.9× |
| Brachytx Isodose Plan Simple (77316) | $1,016.80 | $2,542 | 2.6× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $1,560.40 | $3,901 | 2.8× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $1,624 | $4,060 | 1.1× |
| Cardiac blood pool imaging, first pass technique; multiple studies, resting and with stress (exercise and/or… (78483) | $2,289.20 | $5,723 | 4.0× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $1,462.40 | $3,656 | 4.0× |
| Cat Scan Follow-Up Study (76380) range across 3 matching MRF lines |
$1,558.80–$1,640.80 | $3,897–$4,102 | varies |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $1,816.40 | $4,541 | 3.2× |
| Cerebrospinal Fluid Scan (78630) | $1,946 | $4,865 | 3.4× |
| Chest 1 view (71045) range across 6 matching MRF lines |
$30.80–$1,030.40 | $77–$2,576 | varies |
| Chest 2 views (71046) range across 6 matching MRF lines |
$40–$982.80 | $100–$2,457 | varies |
| Chest 3 views (71047) range across 2 matching MRF lines |
$48.80–$938.40 | $122–$2,346 | varies |
| Chest 4 or more views (71048) range across 3 matching MRF lines |
$55.20–$973.60 | $138–$2,434 | varies |
| Cisternography Positive Contrast Rs&I (70015) | $710 | $1,775 | 0.9× |
| Clavicle complete (73000) range across 7 matching MRF lines |
$37.20–$581.60 | $93–$1,454 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 2 matching MRF lines |
$169.60–$2,912.40 | $424–$7,281 | varies |
| Continuing medical physics consltj pr wk (77336) | $294 | $735 | 2.1× |
| Contrast Exam Abdominl Aorta (75625) range across 5 matching MRF lines |
$3,164–$3,966.40 | $7,910–$9,916 | varies |
| Contrast X-Ray Bladder (74430) range across 2 matching MRF lines |
$528.40–$724 | $1,321–$1,810 | varies |
| Contrast X-Ray Of Knee Joint (73580) range across 3 matching MRF lines |
$848–$1,060 | $2,120–$2,650 | varies |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$672.40–$11,079.60 | $1,681–$27,699 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$227.20–$9,667.60 | $568–$24,169 | varies |
| CT abdomen w contrast (74160) range across 5 matching MRF lines |
$280.40–$5,428.40 | $701–$13,571 | varies |
| CT abdomen w wo contrast (74170) range across 5 matching MRF lines |
$288.40–$5,957.60 | $721–$14,894 | varies |
| CT abdomen w/o contrast (74150) range across 6 matching MRF lines |
$170.40–$5,198.40 | $426–$12,996 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$474–$8,622.80 | $1,185–$21,557 | varies |
| CT Angio Chest (71275) range across 6 matching MRF lines |
$312.40–$4,467.60 | $781–$11,169 | varies |
| CT Angio Head (70496) range across 10 matching MRF lines |
$308.40–$4,272.80 | $771–$10,682 | varies |
| CT angio hrt w/3d image (75574) | $1,502 | $3,755 | 4.1× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 13 matching MRF lines |
$315.60–$4,005.20 | $789–$10,013 | varies |
| CT Angio Neck (70498) range across 8 matching MRF lines |
$308.40–$4,071.60 | $771–$10,179 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 6 matching MRF lines |
$310.80–$2,281.60 | $777–$5,704 | varies |
| CT cervical spine w/ contrast (72126) range across 2 matching MRF lines |
$2,864–$3,428 | $7,160–$8,570 | varies |
| CT cervical spine w/o contrast (72125) range across 5 matching MRF lines |
$160.80–$3,116.40 | $402–$7,791 | varies |
| CT cervical spine w/wo cont (72127) range across 6 matching MRF lines |
$246.40–$4,356.40 | $616–$10,891 | varies |
| CT chest w contrast (71260) range across 8 matching MRF lines |
$205.60–$3,258.80 | $514–$8,147 | varies |
| CT chest w/wo contrast (71270) range across 3 matching MRF lines |
$244.80–$3,584.80 | $612–$8,962 | varies |
| CT head/brain with contrast (70460) range across 3 matching MRF lines |
$183.60–$4,656.80 | $459–$11,642 | varies |
| CT head/brain without and with contrast (70470) range across 6 matching MRF lines |
$216–$4,880 | $540–$12,200 | varies |
| CT heart contrast eval cardiac structure&morph (75572) | $1,373.60 | $3,434 | 3.8× |
| CT heart no contrast quant eval coronry calcium (75571) range across 2 matching MRF lines |
$120–$1,510 | $300–$3,775 | varies |
| CT iac w contrast (70481) range across 4 matching MRF lines |
$4,726–$4,796 | $11,815–$11,990 | varies |
| CT l-spine w&w/o contrast (72133) range across 3 matching MRF lines |
$246–$4,074.40 | $615–$10,186 | varies |
| CT lower ext w/o (73700) range across 15 matching MRF lines |
$160–$3,752.80 | $400–$9,382 | varies |
| CT lower extremity w/contrast material (73701) range across 11 matching MRF lines |
$206–$3,894 | $515–$9,735 | varies |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$3,646.40–$3,782 | $9,116–$9,455 | varies |
| CT lumbar spine w/o contrast (72131) range across 6 matching MRF lines |
$160–$3,366.80 | $400–$8,417 | varies |
| CT maxillofacial w contrast (70487) range across 4 matching MRF lines |
$2,722–$4,084 | $6,805–$10,210 | varies |
| CT maxillofacial wo contrast (70486) range across 6 matching MRF lines |
$157.60–$3,002.40 | $394–$7,506 | varies |
| CT neck tissue combo (70492) range across 3 matching MRF lines |
$446–$3,584.80 | $1,115–$8,962 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 3 matching MRF lines |
$262.80–$5,093.20 | $657–$12,733 | varies |
| CT orbits w/o contrast (70480) range across 3 matching MRF lines |
$196.80–$4,493.20 | $492–$11,233 | varies |
| CT pelvis w&w/o contrast (72194) range across 3 matching MRF lines |
$277.60–$5,407.60 | $694–$13,519 | varies |
| CT pelvis w/o contrast (72192) range across 5 matching MRF lines |
$164.80–$4,788 | $412–$11,970 | varies |
| CT scan of leg combo (73702) range across 9 matching MRF lines |
$206–$6,056 | $515–$15,140 | varies |
| CT scans face/jaw combo (70488) range across 4 matching MRF lines |
$230–$4,204 | $575–$10,510 | varies |
| CT soft tissue neck w contrast (70491) range across 4 matching MRF lines |
$3,104.40–$3,189.20 | $7,761–$7,973 | varies |
| CT soft tissue neck w/o contrast (70490) range across 6 matching MRF lines |
$186.80–$2,934.40 | $467–$7,336 | varies |
| CT thoracic spine w contrast (72129) range across 3 matching MRF lines |
$2,180.80–$2,350.80 | $5,452–$5,877 | varies |
| CT thoracic spine w/o contrast (72128) range across 5 matching MRF lines |
$160.40–$3,770.80 | $401–$9,427 | varies |
| CT thoracic spine w/wo cont (72130) range across 3 matching MRF lines |
$288–$2,566.40 | $720–$6,416 | varies |
| CT thorax w/o contrast (71250) range across 8 matching MRF lines |
$164.40–$2,604 | $411–$6,510 | varies |
| CT unlisted procedure (76497) | $610.80 | $1,527 | 6.7× |
| CT upper ext wo (73200) range across 13 matching MRF lines |
$184–$2,988 | $460–$7,470 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 9 matching MRF lines |
$277.60–$2,912 | $694–$7,280 | varies |
| CT upper extremity with contrast (73201) range across 6 matching MRF lines |
$2,110–$2,647.20 | $5,275–$6,618 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 5 matching MRF lines |
$343.60–$3,562.40 | $859–$8,906 | varies |
| Cta Abdomen (74175) range across 3 matching MRF lines |
$312–$4,952.40 | $780–$12,381 | varies |
| CTA pelvis (72191) range across 3 matching MRF lines |
$311.20–$3,863.60 | $778–$9,659 | varies |
| Diskography lumbar (72295) | $1,160 | $2,900 | 0.6× |
| Doppler Fetal Mid Cerebral Artery (76821) | $424 | $1,060 | 3.9× |
| Dxa Bone Density Axial (77080) range across 3 matching MRF lines |
$44–$776 | $110–$1,940 | varies |
| Dxa bone density study (77085) | $60 | $150 | 0.5× |
| Echo exam of fetal heart (76825) | $1,397.20 | $3,493 | 2.4× |
| Echo exam uterus (76831) | $592 | $1,480 | 2.4× |
| Echo Guide For Artery Repair (76936) | $1,077.20 | $2,693 | 4.8× |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) | $821.60 | $2,054 | 3.3× |
| Esophagram (74220) range across 3 matching MRF lines |
$120–$1,145.20 | $300–$2,863 | varies |
| Fetal Biophys Profile W/Nst (76818) range across 5 matching MRF lines |
$387.20–$669.60 | $968–$1,674 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 4 matching MRF lines |
$198.80–$435.60 | $497–$1,089 | varies |
| Fluoroscopy up to 1 hr (76000) | $790 | $1,975 | 3.2× |
| Follow-Up Angiography (75898) range across 3 matching MRF lines |
$453.20–$1,215.20 | $1,133–$3,038 | varies |
| Foot 2 views (73620) range across 10 matching MRF lines |
$33.60–$680.40 | $84–$1,701 | varies |
| Forearm 2 views (73090) range across 10 matching MRF lines |
$34.80–$757.60 | $87–$1,894 | varies |
| Gastric emptying imaging study (78264) | $1,748 | $4,370 | 4.2× |
| Gated Heart Planar Single (78472) range across 2 matching MRF lines |
$2,256–$2,374.80 | $5,640–$5,937 | varies |
| Gated Heart, Multiple (78473) | $2,022.40 | $5,056 | 4.8× |
| Hand 2 views (73120) range across 9 matching MRF lines |
$37.20–$470.80 | $93–$1,177 | varies |
| Heart first pass single,planar (78481) | $2,283.20 | $5,708 | 4.0× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) range across 3 matching MRF lines |
$3,096.80–$3,283.60 | $7,742–$8,209 | varies |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $3,397.20 | $8,493 | 1.0× |
| Hepatobil Syst Image W/Drug (78227) range across 2 matching MRF lines |
$1,331.60–$2,105.20 | $3,329–$5,263 | varies |
| Hepatobiliary System Imaging (78226) | $1,752 | $4,380 | 4.2× |
| Ht Musc Image Planar Mult (78454) | $3,686 | $9,215 | 2.7× |
| Ht Muscle Image Spect Sing (78451) | $2,205.60 | $5,514 | 1.6× |
| Hysterosalpingogram (74740) | $1,129.60 | $2,824 | 4.5× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $639.20 | $1,598 | 7.0× |
| Interstitial radiation source applic complex (77778) range across 2 matching MRF lines |
$2,268.40–$2,444.40 | $5,671–$6,111 | varies |
| Intracavitary radiation source applic simple (77761) | $1,364.80 | $3,412 | 2.4× |
| K Flow/Funct Image Multiple (78709) | $1,082.40 | $2,706 | 1.9× |
| K Flow/Funct Image W/Drug (78708) | $1,803.20 | $4,508 | 3.2× |
| K Flow/Funct Image W/O Drug (78707) | $1,446 | $3,615 | 2.6× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) range across 2 matching MRF lines |
$991.20–$1,385.20 | $2,478–$3,463 | varies |
| Knee 3 Views (73562) range across 6 matching MRF lines |
$48.40–$671.60 | $121–$1,679 | varies |
| Leveen/Shunt Patency Exam (78291) | $1,650.80 | $4,127 | 4.0× |
| Liver & Spleen Imaging Static Only (78215) | $1,539.60 | $3,849 | 3.7× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $1,510.80 | $3,777 | 3.6× |
| Liver imaging static only (78201) | $1,040 | $2,600 | 1.8× |
| Liver imaging w/vascular flow (78202) | $981.20 | $2,453 | 1.7× |
| Lung Perf&Ventilat Diferentl (78598) | $1,739.20 | $4,348 | 3.1× |
| Lung perfusion differential (78597) | $1,677.20 | $4,193 | 4.0× |
| Lung Ventilat&Perfus Imaging (78582) | $1,925.20 | $4,813 | 3.4× |
| Lung Ventilation Imaging (78579) | $1,930.80 | $4,827 | 4.6× |
| Lymph System Imaging (78195) range across 2 matching MRF lines |
$1,850.40–$2,487.20 | $4,626–$6,218 | varies |
| Lymphangiography Extremity Only Bilateral Rs&I (75803) | $2,999.60 | $7,499 | 1.8× |
| Lymphangiography extremity only unilateral rs&i (75801) | $2,999.60 | $7,499 | 4.6× |
| Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) | $2,999.60 | $7,499 | 0.9× |
| Lymphangiography, pelvic/abdominal, unilateral (75805) | $2,999.60 | $7,499 | 0.9× |
| Magnetic Image Jaw Joint (70336) range across 12 matching MRF lines |
$334–$4,329.60 | $835–$10,824 | varies |
| Mammary ductogram or galactogram multiple (77054) | $410 | $1,025 | 1.6× |
| Mammary ductogram or galactogram single (77053) | $379.20 | $948 | 1.5× |
| Meckels Divert Exam (78290) | $789.20 | $1,973 | 1.9× |
| Mra Head W/O & W/Contrast Material (70546) range across 3 matching MRF lines |
$468–$4,906 | $1,170–$12,265 | varies |
| MRA head w/o contrast (70544) range across 6 matching MRF lines |
$474.80–$3,747.20 | $1,187–$9,368 | varies |
| MRA head with contrast (70545) | $4,750 | $11,875 | 13.0× |
| MRA neck w contrast (70548) range across 2 matching MRF lines |
$3,707.20–$4,037.60 | $9,268–$10,094 | varies |
| Mra Neck W/O &W/Contrast Material (70549) range across 4 matching MRF lines |
$429.60–$3,972.40 | $1,074–$9,931 | varies |
| MRA neck w/o contrast (70547) range across 5 matching MRF lines |
$268–$3,204.40 | $670–$8,011 | varies |
| MRI abdomen w contrast (74182) range across 4 matching MRF lines |
$3,976.40–$4,172.80 | $9,941–$10,432 | varies |
| MRI abdomen w/o contrast (74181) range across 6 matching MRF lines |
$245.20–$3,137.20 | $613–$7,843 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 6 matching MRF lines |
$396–$4,131.60 | $990–$10,329 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 6 matching MRF lines |
$487.60–$5,180.40 | $1,219–$12,951 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 3 matching MRF lines |
$4,609.20–$4,781.20 | $11,523–$11,953 | varies |
| MRI bone marrow blood supply (77084) | $3,818.40 | $9,546 | 15.3× |
| MRI Breast W/O Contrast Bilateral (77047) range across 2 matching MRF lines |
$274.80–$4,955.60 | $687–$12,389 | varies |
| MRI Breast Without Contrast Material Unilateral (77046) | $3,304.80 | $8,262 | 13.3× |
| MRI cardiac w/o contrast (75557) | $919.60 | $2,299 | 3.7× |
| MRI cervical spine w contrast (72142) range across 2 matching MRF lines |
$3,987.20–$4,550.40 | $9,968–$11,376 | varies |
| MRI cervical spine w/o cont (72141) range across 4 matching MRF lines |
$239.20–$3,945.20 | $598–$9,863 | varies |
| MRI chest w/o contrast (71550) range across 4 matching MRF lines |
$351.20–$2,160 | $878–$5,400 | varies |
| MRI chest with contrast (71551) | $2,224.40 | $5,561 | 2.7× |
| MRI chest wo w contrast (71552) range across 2 matching MRF lines |
$556–$2,732 | $1,390–$6,830 | varies |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $3,982.80 | $9,957 | 10.9× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 6 matching MRF lines |
$424.80–$4,931.60 | $1,062–$12,329 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 10 matching MRF lines |
$280–$3,626.80 | $700–$9,067 | varies |
| MRI lumbar spine w contrast (72149) range across 2 matching MRF lines |
$7,041.60–$9,231.20 | $17,604–$23,078 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 3 matching MRF lines |
$401.20–$5,043.20 | $1,003–$12,608 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 4 matching MRF lines |
$283.60–$3,819.20 | $709–$9,548 | varies |
| MRI orbit face neck w contrast (70542) | $4,996.80 | $12,492 | 13.7× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 4 matching MRF lines |
$425.60–$5,370.40 | $1,064–$13,426 | varies |
| MRI pelvis w contrast (72196) range across 3 matching MRF lines |
$3,842–$3,919.20 | $9,605–$9,798 | varies |
| MRI pelvis w/o & w contrast (72197) range across 4 matching MRF lines |
$424.80–$4,056.80 | $1,062–$10,142 | varies |
| MRI pelvis w/o contrast (72195) range across 4 matching MRF lines |
$288.80–$2,812.80 | $722–$7,032 | varies |
| MRI spectroscopy (76390) | $4,706 | $11,765 | 51.8× |
| MRI thoracic spine w/o contrast (72146) range across 4 matching MRF lines |
$238.80–$6,716.80 | $597–$16,792 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) | $5,338.80 | $13,347 | 14.7× |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 8 matching MRF lines |
$344.80–$3,930 | $862–$9,825 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 6 matching MRF lines |
$368–$4,769.20 | $920–$11,923 | varies |
| MRI, abdomen, combo (74183) range across 6 matching MRF lines |
$425.60–$4,322 | $1,064–$10,805 | varies |
| MRI, dorsal spine combo (72157) range across 4 matching MRF lines |
$401.60–$5,866 | $1,004–$14,665 | varies |
| MRI, dorsal spine contrast (72147) range across 2 matching MRF lines |
$5,386.80–$5,572.80 | $13,467–$13,932 | varies |
| MRI, joint upper extrem (73221) range across 10 matching MRF lines |
$252.80–$3,674.80 | $632–$9,187 | varies |
| MRI, joint upper extrem combo (73223) range across 8 matching MRF lines |
$489.60–$4,769.20 | $1,224–$11,923 | varies |
| MRI, lumbar spine combo (72158) range across 4 matching MRF lines |
$400–$9,653.20 | $1,000–$24,133 | varies |
| Myelogram cervical (72240) | $1,516.40 | $3,791 | 1.9× |
| Myelogram Lumbar (72265) | $1,572.40 | $3,931 | 1.9× |
| Myelography thoracic (72255) | $1,683.20 | $4,208 | 2.1× |
| Myelograpy 2/more regions rs&i (72270) | $1,838 | $4,595 | 2.2× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $1,833.60 | $4,584 | 4.4× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) | $5,564 | $13,910 | 4.1× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $5,086.40 | $12,716 | 3.8× |
| Myocardial Spect Multiple Studies (78452) range across 2 matching MRF lines |
$3,501.60–$3,553.20 | $8,754–$8,883 | varies |
| N-invas est c ffr sw aly CTA (75580) | $9,877.20 | $24,693 | 11.0× |
| Neck soft tissue (70360) range across 4 matching MRF lines |
$37.60–$474 | $94–$1,185 | varies |
| Nm myocard infarct spect (78469) | $1,050 | $2,625 | 1.9× |
| Nonvascular Shunt X-Ray (75809) | $203.20 | $508 | 1.9× |
| Nuclear Rx Intra-Arterial (79445) range across 2 matching MRF lines |
$2,705.20–$2,847.60 | $6,763–$7,119 | varies |
| Nuclear Rx Oral Admin (79005) | $1,323.20 | $3,308 | 5.4× |
| Parathyroid Planar Imaging (78070) | $2,082 | $5,205 | 5.0× |
| Parathyroid planar imaging w/wo subtraction (78071) | $2,191.60 | $5,479 | 5.2× |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$33.20–$452.80 | $83–$1,132 | varies |
| Perineogram (74775) | $919.60 | $2,299 | 3.7× |
| Pet Image W/Ct Lmtd (78814) | $1,794 | $4,485 | 1.2× |
| PET image w/CT, full body (78816) | $1,809.60 | $4,524 | 1.2× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $1,808.40 | $4,521 | 1.2× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $11,028 | $27,570 | 3.3× |
| Pulmonary Perfusion Imaging Particulate (78580) range across 2 matching MRF lines |
$1,352–$1,996.40 | $3,380–$4,991 | varies |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 3 matching MRF lines |
$59.20–$800 | $148–$2,000 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 5 matching MRF lines |
$1,046.80–$1,208.40 | $2,617–$3,021 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 6 matching MRF lines |
$43.60–$621.20 | $109–$1,553 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 10 matching MRF lines |
$34.40–$592.80 | $86–$1,482 | varies |
| Radex elbow complete minimum 3 views (73080) range across 6 matching MRF lines |
$38.80–$621.20 | $97–$1,553 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$56.40–$795.20 | $141–$1,988 | varies |
| Radex fingr minimum 2 views (73140) range across 20 matching MRF lines |
$44.40–$426.80 | $111–$1,067 | varies |
| Radex foot complete minimum 3 views (73630) range across 6 matching MRF lines |
$41.20–$815.60 | $103–$2,039 | varies |
| Radex Hand Minimum 3 Views (73130) range across 6 matching MRF lines |
$43.20–$489.20 | $108–$1,223 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 6 matching MRF lines |
$38–$548 | $95–$1,370 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) range across 3 matching MRF lines |
$74.80–$326.80 | $187–$817 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 4 matching MRF lines |
$45.20–$688.80 | $113–$1,722 | varies |
| Radex Pharynx/Larx W/Fluor&/Magnification Tq (70370) | $488 | $1,220 | 5.4× |
| Radex Ribs Unilateral 2 Views (71100) range across 4 matching MRF lines |
$44–$619.60 | $110–$1,549 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 6 matching MRF lines |
$41.20–$693.20 | $103–$1,733 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$38.80–$252 | $97–$630 | varies |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $2,416 | $6,040 | 13.2× |
| Radex Spine 1 View Specify Level (72020) | $623.20 | $1,558 | 6.9× |
| Radex Sternum Minimum 2 Views (71120) range across 4 matching MRF lines |
$40.40–$642.40 | $101–$1,606 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 4 matching MRF lines |
$63.60–$686 | $159–$1,715 | varies |
| Radex Toe Minimum 2 Views (73660) range across 24 matching MRF lines |
$34.80–$449.20 | $87–$1,123 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 6 matching MRF lines |
$38–$548 | $95–$1,370 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 6 matching MRF lines |
$48.40–$725.60 | $121–$1,814 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) range across 2 matching MRF lines |
$116.80–$520.40 | $292–$1,301 | varies |
| Radiation treatment delivery level 1 (77402) | $562.40 | $1,406 | 5.3× |
| Radiation treatment delivery level 2 (77407) | $622.80 | $1,557 | 1.5× |
| Radiation treatment delivery level 3 (77412) | $661.20 | $1,653 | 1.1× |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$52–$805.60 | $130–$2,014 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 4 matching MRF lines |
$51.60–$572.40 | $129–$1,431 | varies |
| Radiologic exam colon double contrast study (74280) range across 3 matching MRF lines |
$270.80–$1,288.80 | $677–$3,222 | varies |
| Radiologic exam colon single contrast study (74270) range across 3 matching MRF lines |
$188.40–$1,022 | $471–$2,555 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 6 matching MRF lines |
$54.80–$910.80 | $137–$2,277 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$50–$564.40 | $125–$1,411 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 4 matching MRF lines |
$149.60–$1,451.60 | $374–$3,629 | varies |
| Radiologic exam swallow function contrast study (74230) range across 2 matching MRF lines |
$571.20–$634.80 | $1,428–$1,587 | varies |
| Radiologic exam upr gi trc double contrast study (74246) range across 11 matching MRF lines |
$170.80–$1,744.40 | $427–$4,361 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 6 matching MRF lines |
$42–$623.20 | $105–$1,558 | varies |
| Radiologic examination knee 1/2 views (73560) range across 6 matching MRF lines |
$40.40–$540.40 | $101–$1,351 | varies |
| Radiologic Examination Osseous Survey Limited (77074) range across 2 matching MRF lines |
$77.60–$638 | $194–$1,595 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 9 matching MRF lines |
$37.60–$634.40 | $94–$1,586 | varies |
| Renal Cyst Study (74470) | $1,540 | $3,850 | 2.7× |
| Ribs bilateral 3 views (71110) range across 3 matching MRF lines |
$52.40–$772 | $131–$1,930 | varies |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $2,594.80 | $6,487 | 6.2× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $933.20 | $2,333 | 2.2× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $2,407.60 | $6,019 | 4.2× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $2,340.40 | $5,851 | 4.1× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 5 matching MRF lines |
$2,046–$2,650.40 | $5,115–$6,626 | varies |
| Rp Therapy Intravenous Administration (79101) | $994 | $2,485 | 4.1× |
| Salivary Gland Imaging (78230) | $2,112.80 | $5,282 | 5.1× |
| Scapula (73010) range across 6 matching MRF lines |
$28.40–$674.40 | $71–$1,686 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 2 matching MRF lines |
$202.80–$404.80 | $507–$1,012 | varies |
| Sella turcica (70240) | $671.60 | $1,679 | 7.4× |
| Shoulder 1 view (73020) range across 6 matching MRF lines |
$25.60–$634.40 | $64–$1,586 | varies |
| Shoulder Arthrography (73040) | $1,245.60 | $3,114 | 3.4× |
| Sialogram (70390) | $1,122.40 | $2,806 | 4.5× |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$42.40–$536 | $106–$1,340 | varies |
| Special dosimetry (77331) | $455.60 | $1,139 | 3.2× |
| Special Physics Consult (77370) | $674 | $1,685 | 4.8× |
| Special teletherapy port plan (77321) | $1,016.80 | $2,542 | 2.6× |
| Special treatment procedure (77470) | $1,240 | $3,100 | 2.1× |
| Speech evaluation, complex (70371) | $1,773.20 | $4,433 | 7.1× |
| Sternoclavicular joints (71130) range across 4 matching MRF lines |
$49.20–$293.20 | $123–$733 | varies |
| Superior sagittal sinus venogram (75870) | $3,162 | $7,905 | 1.0× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $1,016.80 | $2,542 | 2.6× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $455.60 | $1,139 | 1.2× |
| Testicular Imaging W/Flow (78761) | $1,327.20 | $3,318 | 3.2× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $947.20 | $2,368 | 2.4× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $956.40 | $2,391 | 2.4× |
| Ther rad simulaj-aided field setting simple (77280) | $413.20 | $1,033 | 2.9× |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$39.20–$688.40 | $98–$1,721 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$46.80–$838.40 | $117–$2,096 | varies |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$41.60–$554.40 | $104–$1,386 | varies |
| Thyroid Imaging With Vascular Flow (78013) | $1,092.40 | $2,731 | 2.6× |
| Thyroid Met Imaging Body (78018) | $832.40 | $2,081 | 1.5× |
| Thyroid Uptake Measurement (78012) range across 2 matching MRF lines |
$813.20–$968 | $2,033–$2,420 | varies |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,332.40 | $3,331 | 3.2× |
| Tx Devices Design & Construction Complex (77334) | $640.40 | $1,601 | 1.6× |
| Tx devices design & construction intermediate (77333) | $640.40 | $1,601 | 4.6× |
| Tx devices design & construction simple (77332) | $640.40 | $1,601 | 4.6× |
| Ultrasound Breast Limited (76642) range across 6 matching MRF lines |
$102–$719.60 | $255–$1,799 | varies |
| Ultrasound elastography first target lesion (76982) | $274.40 | $686 | 2.5× |
| Ultrasound Elastography Parenchyma (76981) range across 2 matching MRF lines |
$124.40–$274.40 | $311–$686 | varies |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
$127.60–$180.40 | $319–$451 | varies |
| Ultrasound, abdomen limited (76705) range across 16 matching MRF lines |
$105.60–$1,591.20 | $264–$3,978 | varies |
| Umbilical-artery Doppler (OB) (76820) | $421.20 | $1,053 | 3.9× |
| Unlisted Dx Radiographic Procedure (76499) range across 6 matching MRF lines |
$121.20–$125.60 | $303–$314 | varies |
| Unlisted magnetic resonance procedure (76498) | $3,841.60 | $9,604 | 42.3× |
| Unlisted Miscellaneous Px Dx Nuclear Medicine (78999) | $1,194.80 | $2,987 | 2.9× |
| Unlisted us procedure (76999) | $724.40 | $1,811 | 8.0× |
| Upper gi w/o kub (74240) range across 11 matching MRF lines |
$146.40–$2,238 | $366–$5,595 | varies |
| Urea Breath Test C-14 Isotopic Acquisj Analysis (78267) | $1,166.80 | $2,917 | 105.5× |
| Ureteral Reflux Study (78740) | $1,327.20 | $3,318 | 3.2× |
| Urethrocystogram voiding (74455) | $1,007.60 | $2,519 | 4.0× |
| Urethrocystography retrograde (74450) range across 2 matching MRF lines |
$573.20–$603.20 | $1,433–$1,508 | varies |
| Us breast unilateral complete (76641) range across 6 matching MRF lines |
$123.60–$754.80 | $309–$1,887 | varies |
| Us chest (76604) range across 6 matching MRF lines |
$69.20–$828.40 | $173–$2,071 | varies |
| Us complete joint (76881) range across 8 matching MRF lines |
$70–$861.20 | $175–$2,153 | varies |
| Us exam, pelvic, limited (76857) range across 4 matching MRF lines |
$57.20–$732.80 | $143–$1,832 | varies |
| Us head (76506) range across 2 matching MRF lines |
$546.40–$566.40 | $1,366–$1,416 | varies |
| Us kidney transplant (76776) range across 2 matching MRF lines |
$178.40–$946.40 | $446–$2,366 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 9 matching MRF lines |
$66.80–$615.60 | $167–$1,539 | varies |
| Us ob detailed single fetus (76811) range across 2 matching MRF lines |
$209.60–$900 | $524–$2,250 | varies |
| Us ob limited 1 or more fetuses (76815) range across 5 matching MRF lines |
$98–$453.60 | $245–$1,134 | varies |
| Us ob transvaginal (76817) range across 4 matching MRF lines |
$111.60–$722.40 | $279–$1,806 | varies |
| Us pelvic non ob complete (76856) range across 4 matching MRF lines |
$270.80–$911.60 | $677–$2,279 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 3 matching MRF lines |
$140.80–$721.60 | $352–$1,804 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 4 matching MRF lines |
$130.40–$482.40 | $326–$1,206 | varies |
| Us retroperitoneal complete (76770) range across 3 matching MRF lines |
$130.40–$1,161.60 | $326–$2,904 | varies |
| Us retroperitoneal limited (76775) range across 7 matching MRF lines |
$70–$979.60 | $175–$2,449 | varies |
| Us scrotum and contents (76870) range across 4 matching MRF lines |
$121.20–$942 | $303–$2,355 | varies |
| Us spinal canal and contents (76800) range across 4 matching MRF lines |
$177.20–$464.80 | $443–$1,162 | varies |
| Us thyroid (76536) range across 5 matching MRF lines |
$134–$824.40 | $335–$2,061 | varies |
| Us transrectal (76872) range across 3 matching MRF lines |
$638.80–$892 | $1,597–$2,230 | varies |
| Vein X-Ray Chest (75827) range across 4 matching MRF lines |
$2,810.40–$5,617.20 | $7,026–$14,043 | varies |
| Vein X-Ray Liver W/O Hemodyn (75887) | $9,738 | $24,345 | 3.0× |
| Vein X-Ray Spleen/Liver (75810) | $10,186 | $25,465 | 3.1× |
| Venogram Sinus/Jugular (75860) range across 4 matching MRF lines |
$2,895.20–$3,070 | $7,238–$7,675 | varies |
| Venography Adrenal Unilateral (75840) | $7,500.40 | $18,751 | 2.3× |
| Venography caval inferior serialography rs&i (75825) range across 4 matching MRF lines |
$2,385.60–$3,081.20 | $5,964–$7,703 | varies |
| Venography extremity bilateral rs&i (75822) range across 5 matching MRF lines |
$1,707.60–$4,000 | $4,269–$10,000 | varies |
| Venography extremity unilateral rs&i (75820) range across 11 matching MRF lines |
$874.40–$1,658.80 | $2,186–$4,147 | varies |
| Venography Renal Bilateral (75833) range across 3 matching MRF lines |
$7,901.60–$8,456 | $19,754–$21,140 | varies |
| Venography Renal Unilateral (75831) range across 4 matching MRF lines |
$6,678–$7,377.20 | $16,695–$18,443 | varies |
| Venous sampling by catheter (75893) likely a partial charge, not the full procedure |
$1,455.60 | $3,639 | 0.3× |
| Venous Thrombosis Imaging Venogram Bilateral (78458) | $1,327.20 | $3,318 | 3.2× |
| Vertebral fracture assessment via dxa (77086) | $192 | $480 | 2.1× |
| Wrist 2 views (73100) range across 10 matching MRF lines |
$40.40–$740.40 | $101–$1,851 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 3 matching MRF lines |
$34–$366 | $85–$915 | varies |
| X-ray antegrade pyelogram tube (74425) range across 2 matching MRF lines |
$1,012.80–$1,064.80 | $2,532–$2,662 | varies |
| X-Ray Aorta Leg Arteries (75630) range across 5 matching MRF lines |
$4,150.80–$5,588 | $10,377–$13,970 | varies |
| X-Ray Bend Only L-S Spine (72120) range across 2 matching MRF lines |
$48.40–$784.80 | $121–$1,962 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 10 matching MRF lines |
$34.80–$582.40 | $87–$1,456 | varies |
| X-Ray Exam Breast Specimen (76098) range across 2 matching MRF lines |
$608.80–$640.80 | $1,522–$1,602 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 3 matching MRF lines |
$83.20–$521.60 | $208–$1,304 | varies |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $92.80 | $232 | 0.9× |
| X-Ray Exam Hip Uni 1 View (73501) range across 4 matching MRF lines |
$38.80–$922.80 | $97–$2,307 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 6 matching MRF lines |
$55.60–$794.40 | $139–$1,986 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 3 matching MRF lines |
$48.80–$350 | $122–$875 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 2 matching MRF lines |
$63.60–$1,919.60 | $159–$4,799 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$73.20–$784.80 | $183–$1,962 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 4 matching MRF lines |
$46.80–$726.40 | $117–$1,816 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$73.20–$873.60 | $183–$2,184 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 5 matching MRF lines |
$50.40–$698.80 | $126–$1,747 | varies |
| X-ray eye for foreign body (70030) range across 6 matching MRF lines |
$38.80–$479.20 | $97–$1,198 | varies |
| X-ray humerus (73060) range across 6 matching MRF lines |
$38–$619.60 | $95–$1,549 | varies |
| X-ray IV pyelogram (ivp) (74400) | $1,160 | $2,900 | 6.3× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $498 | $1,245 | 5.5× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$48–$488.40 | $120–$1,221 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$47.20–$785.20 | $118–$1,963 | varies |
| X-ray nose-rectum child f.b. (76010) | $163.60 | $409 | 1.8× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$61.20–$756.40 | $153–$1,891 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$46.80–$428.80 | $117–$1,072 | varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $196.40 | $491 | 1.8× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 3 matching MRF lines |
$38.80–$479.60 | $97–$1,199 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$45.20–$711.60 | $113–$1,779 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$53.20–$652.40 | $133–$1,631 | varies |
| X-ray thoracic spine 4 vw (72074) range across 2 matching MRF lines |
$52.80–$202.40 | $132–$506 | varies |
| X-Ray Tmj Unilat (70328) range across 2 matching MRF lines |
$410.40–$414 | $1,026–$1,035 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 2 matching MRF lines |
$1,082.40–$1,296.80 | $2,706–$3,242 | varies |
| X-Rays Bone Length Studies (77073) range across 2 matching MRF lines |
$54–$164.40 | $135–$411 | varies |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$118.80–$878.80 | $297–$2,197 | varies |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$63.20–$906 | $158–$2,265 | varies |
| Xr facial bones less than 3 views (70140) range across 2 matching MRF lines |
$38.40–$710 | $96–$1,775 | varies |
| Xr orbits complete 4 views (70200) range across 4 matching MRF lines |
$115.20–$798.80 | $288–$1,997 | varies |
| Xr Tomogram Single Plane (76100) | $571.20 | $1,428 | 5.2× |
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.