Imaging prices at Maria Parham Health
Henderson, NC · every code in this section with a posted price and a Medicare benchmark.
327 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) range across 2 matching MRF lines |
$4,501.21–$4,906.32 | $11,253.02–$12,265.80 | varies |
| Abdomen 1 View (74018) range across 2 matching MRF lines |
$230.31–$251.04 | $575.77–$627.59 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$346.42–$377.60 | $866.06–$944.01 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) range across 3 matching MRF lines |
$685.30–$1,063.92 | $1,713.26–$2,659.79 | varies |
| Angiography extremity bilateral rs&i (75716) range across 2 matching MRF lines |
$3,388.48–$3,693.45 | $8,471.21–$9,233.62 | varies |
| Angiography extremity unilateral rs&i (75710) range across 2 matching MRF lines |
$1,609.40–$1,754.24 | $4,023.49–$4,385.61 | varies |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$353.98–$385.84 | $884.95–$964.60 | varies |
| Artery X-Rays Abdomen (75726) range across 2 matching MRF lines |
$4,957.57–$5,403.75 | $12,393.92–$13,509.38 | varies |
| Arthrogram ankle (73615) range across 2 matching MRF lines |
$656.84–$715.96 | $1,642.10–$1,789.89 | varies |
| Arthrogram hip (73525) range across 3 matching MRF lines |
$741.95–$878.71 | $1,854.88–$2,196.78 | varies |
| Arthrogram Wrist (73115) range across 4 matching MRF lines |
$612.19–$790.97 | $1,530.48–$1,977.43 | varies |
| Basic radiation dosimetry calculation (77300) range across 2 matching MRF lines |
$690.98–$753.18 | $1,727.46–$1,882.94 | varies |
| Bone age studies (77072) range across 2 matching MRF lines |
$184.05–$200.62 | $460.12–$501.54 | varies |
| Bone Imaging 3 Phase (78315) range across 3 matching MRF lines |
$1,002.41–$1,702.90 | $2,506.02–$4,257.25 | varies |
| Bone Imaging Limited Area (78300) range across 2 matching MRF lines |
$1,234.73–$1,345.86 | $3,086.82–$3,364.64 | varies |
| Bone Imaging Multiple Areas (78305) range across 3 matching MRF lines |
$988.35–$1,077.30 | $2,470.87–$2,693.25 | varies |
| Bone Imaging Whole Body (78306) range across 3 matching MRF lines |
$1,065.98–$1,702.90 | $2,664.94–$4,257.25 | varies |
| Bone marrow imaging limited area (78102) range across 2 matching MRF lines |
$912.82–$994.98 | $2,282.06–$2,487.45 | varies |
| Bone marrow imaging; multiple areas (78103) range across 2 matching MRF lines |
$860.75–$938.22 | $2,151.87–$2,345.54 | varies |
| Bone marrow imaging; whole body (78104) range across 2 matching MRF lines |
$1,110.91–$1,210.90 | $2,777.28–$3,027.24 | varies |
| Bone survey infant (77076) range across 2 matching MRF lines |
$250.13–$272.64 | $625.33–$681.61 | varies |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) range across 2 matching MRF lines |
$1,498.62–$1,633.50 | $3,746.56–$4,083.76 | varies |
| Brain Imaging Pet Metabolic Evaluation (78608) range across 2 matching MRF lines |
$1,874.75–$2,043.48 | $4,686.87–$5,108.69 | varies |
| Cat Scan Follow-Up Study (76380) range across 2 matching MRF lines |
$134.09–$146.16 | $335.22–$365.39 | varies |
| Chest 1 view (71045) range across 2 matching MRF lines |
$379.46–$413.62 | $948.66–$1,034.04 | varies |
| Chest 2 views (71046) range across 3 matching MRF lines |
$197.29–$413.62 | $493.23–$1,034.04 | varies |
| Chest 3 views (71047) range across 5 matching MRF lines |
$174.90–$223.26 | $437.24–$558.16 | varies |
| Chest 4 or more views (71048) range across 2 matching MRF lines |
$200.58–$218.63 | $501.44–$546.57 | varies |
| Clavicle complete (73000) range across 2 matching MRF lines |
$226.40–$246.78 | $566.01–$616.96 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 2 matching MRF lines |
$336.97–$367.30 | $842.43–$918.25 | varies |
| Continuing medical physics consltj pr wk (77336) range across 2 matching MRF lines |
$511.36–$1,041.21 | $1,278.41–$2,603.02 | varies |
| Contrast Exam Abdominl Aorta (75625) range across 2 matching MRF lines |
$4,523.08–$4,930.16 | $11,307.71–$12,325.41 | varies |
| Contrast X-Ray Bladder (74430) range across 2 matching MRF lines |
$422.89–$460.96 | $1,057.23–$1,152.39 | varies |
| Contrast X-Ray Of Elbow (73085) range across 2 matching MRF lines |
$388.20–$423.14 | $970.51–$1,057.86 | varies |
| Contrast X-Ray Of Knee Joint (73580) range across 3 matching MRF lines |
$490.86–$582.38 | $1,227.15–$1,455.94 | varies |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$5,611.10–$6,116.10 | $14,027.74–$15,290.24 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$3,736.32–$4,072.59 | $9,340.80–$10,181.48 | varies |
| CT abdomen w contrast (74160) range across 3 matching MRF lines |
$2,048.10–$2,500.36 | $5,120.26–$6,250.89 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$2,760.22–$3,008.65 | $6,900.56–$7,521.62 | varies |
| CT abdomen w/o contrast (74150) range across 3 matching MRF lines |
$1,870.04–$2,431.40 | $4,675.10–$6,078.51 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$3,496.55–$3,811.24 | $8,741.37–$9,528.10 | varies |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$1,748.26–$1,905.61 | $4,370.66–$4,764.02 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$1,526.42–$1,663.80 | $3,816.05–$4,159.50 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
$1,168.64–$1,273.82 | $2,921.60–$3,184.55 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$1,466.94–$1,598.97 | $3,667.36–$3,997.43 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 2 matching MRF lines |
$1,456.56–$1,587.65 | $3,641.40–$3,969.13 | varies |
| CT cervical spine w/ contrast (72126) range across 2 matching MRF lines |
$1,685.02–$1,836.67 | $4,212.54–$4,591.67 | varies |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$1,806.78–$1,969.40 | $4,516.96–$4,923.49 | varies |
| CT cervical spine w/wo cont (72127) range across 2 matching MRF lines |
$1,374.43–$1,498.13 | $3,436.07–$3,745.32 | varies |
| CT chest w contrast (71260) range across 3 matching MRF lines |
$859.36–$1,793.44 | $2,148.39–$4,483.60 | varies |
| CT chest w/wo contrast (71270) range across 3 matching MRF lines |
$1,054.40–$2,142.27 | $2,636–$5,355.67 | varies |
| CT colonography screening (74263) range across 2 matching MRF lines |
$316.64–$345.14 | $791.60–$862.85 | varies |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$1,234.73–$1,345.86 | $3,086.82–$3,364.64 | varies |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$1,587.78–$1,730.69 | $3,969.46–$4,326.72 | varies |
| CT heart no contrast quant eval coronry calcium (75571) range across 2 matching MRF lines |
$184.80–$201.43 | $462–$503.58 | varies |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$1,563.24–$1,703.93 | $3,908.10–$4,259.83 | varies |
| CT l-spine w&w/o contrast (72133) range across 3 matching MRF lines |
$1,486.49–$1,883.98 | $3,716.22–$4,709.96 | varies |
| CT lower ext w/o (73700) range across 3 matching MRF lines |
$1,057.75–$1,516.66 | $2,644.37–$3,791.66 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$1,494.31–$1,628.80 | $3,735.78–$4,072.01 | varies |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$1,974.83–$2,152.56 | $4,937.07–$5,381.41 | varies |
| CT lumbar spine w/o contrast (72131) range across 3 matching MRF lines |
$1,222.37–$2,209.15 | $3,055.92–$5,522.87 | varies |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$1,598.16–$1,742 | $3,995.40–$4,354.99 | varies |
| CT maxillofacial wo contrast (70486) range across 4 matching MRF lines |
$1,484.88–$1,703.93 | $3,712.21–$4,259.83 | varies |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$1,403.70–$1,530.03 | $3,509.24–$3,825.08 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 2 matching MRF lines |
$1,364.06–$1,486.82 | $3,410.14–$3,717.06 | varies |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$1,280.04–$1,395.24 | $3,200.10–$3,488.11 | varies |
| CT pelvis w&w/o contrast (72194) range across 2 matching MRF lines |
$2,850.86–$3,107.44 | $7,127.14–$7,768.59 | varies |
| CT pelvis w/o contrast (72192) range across 3 matching MRF lines |
$1,505.70–$2,035.26 | $3,764.24–$5,088.14 | varies |
| CT scan of leg combo (73702) range across 2 matching MRF lines |
$994.95–$1,084.50 | $2,487.38–$2,711.25 | varies |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
$1,996.52–$2,176.20 | $4,991.29–$5,440.51 | varies |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$2,026.74–$2,209.15 | $5,066.85–$5,522.87 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$1,669.91–$1,820.21 | $4,174.78–$4,550.52 | varies |
| CT thoracic spine w contrast (72129) range across 3 matching MRF lines |
$1,484.78–$1,804.76 | $3,711.96–$4,511.90 | varies |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$2,026.74–$2,209.15 | $5,066.85–$5,522.87 | varies |
| CT thoracic spine w/wo cont (72130) range across 2 matching MRF lines |
$1,728.42–$1,883.98 | $4,321.06–$4,709.96 | varies |
| CT thorax w/o contrast (71250) range across 3 matching MRF lines |
$1,482.05–$1,615.44 | $3,705.12–$4,038.59 | varies |
| CT unlisted procedure (76497) range across 2 matching MRF lines |
$109.78–$119.66 | $274.44–$299.14 | varies |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$1,277.20–$1,392.15 | $3,193–$3,480.37 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 2 matching MRF lines |
$1,162.03–$1,266.62 | $2,905.08–$3,166.54 | varies |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$1,496.22–$1,630.88 | $3,740.54–$4,077.19 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$1,168.64–$1,273.82 | $2,921.60–$3,184.55 | varies |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$1,748.26–$1,905.61 | $4,370.66–$4,764.02 | varies |
| CTA pelvis (72191) range across 2 matching MRF lines |
$1,748.26–$1,905.61 | $4,370.66–$4,764.02 | varies |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$436.10–$475.35 | $1,090.25–$1,188.38 | varies |
| Dxa bone density study 1/>sites appendiclr skel (77081) range across 2 matching MRF lines |
$246.58–$268.78 | $616.46–$671.95 | varies |
| Echo exam uterus (76831) range across 2 matching MRF lines |
$624.73–$680.96 | $1,561.83–$1,702.40 | varies |
| Esophagram (74220) range across 3 matching MRF lines |
$420.99–$458.88 | $1,052.48–$1,147.21 | varies |
| Fetal Biophys Profile W/Nst (76818) range across 2 matching MRF lines |
$710.81–$774.78 | $1,777.02–$1,936.96 | varies |
| Fluoroscopy up to 1 hr (76000) range across 5 matching MRF lines |
$217.08–$436.06 | $542.69–$1,090.14 | varies |
| Foot 2 views (73620) range across 2 matching MRF lines |
$283.17–$308.66 | $707.92–$771.64 | varies |
| Forearm 2 views (73090) range across 3 matching MRF lines |
$197.38–$313.80 | $493.44–$784.49 | varies |
| Gastric emptying imaging study (78264) range across 3 matching MRF lines |
$1,365.87–$1,726.56 | $3,414.67–$4,316.39 | varies |
| Gastric Mucosa Imaging (78261) range across 2 matching MRF lines |
$653.88–$712.73 | $1,634.69–$1,781.82 | varies |
| Gastroesophageal Reflux Exam (78262) range across 2 matching MRF lines |
$628.72–$685.30 | $1,571.79–$1,713.26 | varies |
| Gated Heart Planar Single (78472) range across 2 matching MRF lines |
$2,319.38–$2,528.13 | $5,798.46–$6,320.33 | varies |
| Gated Heart, Multiple (78473) range across 3 matching MRF lines |
$1,493.21–$1,936.04 | $3,733.03–$4,840.10 | varies |
| Hand 2 views (73120) range across 3 matching MRF lines |
$222.76–$242.81 | $556.89–$607.03 | varies |
| Hepatobil Syst Image W/Drug (78227) range across 3 matching MRF lines |
$1,506.78–$2,277.07 | $3,766.95–$5,692.67 | varies |
| Hepatobiliary System Imaging (78226) range across 3 matching MRF lines |
$1,214.90–$2,146.39 | $3,037.24–$5,365.97 | varies |
| Ht Musc Image Planar Mult (78454) range across 2 matching MRF lines |
$1,050.46–$1,145.01 | $2,626.16–$2,862.52 | varies |
| Ht Muscle Image Spect Sing (78451) range across 3 matching MRF lines |
$1,903.55–$3,489.17 | $4,758.88–$8,722.92 | varies |
| Hysterosalpingogram (74740) range across 3 matching MRF lines |
$493.68–$599.97 | $1,234.20–$1,499.92 | varies |
| Infusion Ivp (74410) range across 3 matching MRF lines |
$386.48–$732.60 | $966.19–$1,831.50 | varies |
| K Flow/Funct Image Multiple (78709) range across 2 matching MRF lines |
$1,376.34–$1,500.21 | $3,440.84–$3,750.52 | varies |
| K Flow/Funct Image W/Drug (78708) range across 2 matching MRF lines |
$1,774.68–$1,934.41 | $4,436.71–$4,836.02 | varies |
| K Flow/Funct Image W/O Drug (78707) range across 2 matching MRF lines |
$1,278.14–$1,393.17 | $3,195.34–$3,482.93 | varies |
| Kidney Imaging Morphol (78700) range across 2 matching MRF lines |
$534.40–$582.49 | $1,335.99–$1,456.23 | varies |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) range across 3 matching MRF lines |
$582.49–$798.45 | $1,456.23–$1,996.13 | varies |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$147.84–$161.15 | $369.60–$402.87 | varies |
| Liver & Spleen Imaging Static Only (78215) range across 4 matching MRF lines |
$477.09–$617.44 | $1,192.73–$1,543.60 | varies |
| Liver imaging static only (78201) range across 2 matching MRF lines |
$534.40–$582.49 | $1,335.99–$1,456.23 | varies |
| Lung Ventilat&Perfus Imaging (78582) range across 2 matching MRF lines |
$1,147.88–$1,251.20 | $2,869.71–$3,127.99 | varies |
| Lung Ventilation Imaging (78579) range across 4 matching MRF lines |
$498.04–$1,096.95 | $1,245.11–$2,742.38 | varies |
| Lymph System Imaging (78195) range across 2 matching MRF lines |
$1,622.70–$1,768.75 | $4,056.76–$4,421.87 | varies |
| Magnetic Image Jaw Joint (70336) range across 2 matching MRF lines |
$1,513.10–$1,649.28 | $3,782.74–$4,123.19 | varies |
| Mammary ductogram or galactogram multiple (77054) range across 2 matching MRF lines |
$451.11–$491.71 | $1,127.77–$1,229.27 | varies |
| Mammary ductogram or galactogram single (77053) range across 2 matching MRF lines |
$338.05–$368.48 | $845.13–$921.20 | varies |
| Meckels Divert Exam (78290) range across 3 matching MRF lines |
$582.49–$930.17 | $1,456.23–$2,325.42 | varies |
| Mlc imrt design & construction per imrt plan (77338) range across 4 matching MRF lines |
$1,566.05–$23,316.16 | $3,915.13–$58,290.40 | varies |
| Mr safety determination physician/other qhp (76016) range across 2 matching MRF lines |
$115.35–$125.73 | $288.37–$314.33 | varies |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $32.08 | $80.19 | 1.2× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) range across 2 matching MRF lines |
$120.25–$131.07 | $300.62–$327.68 | varies |
| Mr safety implt pos&/immoblj (76019) range across 2 matching MRF lines |
$77.81–$84.82 | $194.53–$212.04 | varies |
| Mr safety med physics xm customization plng&mntr (76017) range across 2 matching MRF lines |
$316.64–$345.14 | $791.60–$862.85 | varies |
| Mra Head W/O & W/Contrast Material (70546) range across 2 matching MRF lines |
$2,928.24–$3,191.79 | $7,320.61–$7,979.47 | varies |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$2,071.11–$2,257.51 | $5,177.77–$5,643.77 | varies |
| MRA head with contrast (70545) range across 2 matching MRF lines |
$1,935.33–$2,109.51 | $4,838.33–$5,273.78 | varies |
| MRA neck w contrast (70548) range across 2 matching MRF lines |
$1,825.20–$1,989.47 | $4,563–$4,973.67 | varies |
| Mra Neck W/O &W/Contrast Material (70549) range across 2 matching MRF lines |
$2,784.76–$3,035.39 | $6,961.90–$7,588.48 | varies |
| MRA neck w/o contrast (70547) range across 2 matching MRF lines |
$2,183.44–$2,379.95 | $5,458.60–$5,949.88 | varies |
| MRI abdomen w contrast (74182) range across 2 matching MRF lines |
$1,928.57–$2,102.14 | $4,821.43–$5,255.36 | varies |
| MRI abdomen w/o contrast (74181) range across 3 matching MRF lines |
$2,554.53–$3,094.06 | $6,386.33–$7,735.14 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 2 matching MRF lines |
$1,928.57–$2,102.14 | $4,821.43–$5,255.36 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$3,603.22–$3,927.51 | $9,008.04–$9,818.77 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 2 matching MRF lines |
$2,103.19–$2,292.48 | $5,257.98–$5,731.20 | varies |
| MRI Breast Without Contrast Material Unilateral (77046) range across 2 matching MRF lines |
$1,975.23–$2,153 | $4,938.07–$5,382.50 | varies |
| MRI cardiac w/o contrast (75557) range across 2 matching MRF lines |
$2,741.77–$2,988.53 | $6,854.42–$7,471.32 | varies |
| MRI cervical spine w contrast (72142) range across 2 matching MRF lines |
$3,522.03–$3,839.02 | $8,805.08–$9,597.54 | varies |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$2,932.02–$3,195.91 | $7,330.06–$7,989.77 | varies |
| MRI chest w/o contrast (71550) range across 2 matching MRF lines |
$2,411.89–$2,628.96 | $6,029.72–$6,572.40 | varies |
| MRI chest with contrast (71551) range across 2 matching MRF lines |
$1,935.33–$2,109.51 | $4,838.33–$5,273.78 | varies |
| MRI chest wo w contrast (71552) range across 2 matching MRF lines |
$2,471.71–$2,694.17 | $6,179.28–$6,735.42 | varies |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 2 matching MRF lines |
$2,625.23–$2,861.50 | $6,563.08–$7,153.76 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 3 matching MRF lines |
$1,616.48–$2,975.73 | $4,041.20–$7,439.32 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 4 matching MRF lines |
$2,038.58–$2,861.50 | $5,096.44–$7,153.76 | varies |
| MRI lumbar spine w contrast (72149) range across 3 matching MRF lines |
$1,916.80–$4,548.98 | $4,792–$11,372.45 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$3,603.22–$3,927.51 | $9,008.04–$9,818.77 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 2 matching MRF lines |
$2,124.90–$2,316.15 | $5,312.26–$5,790.37 | varies |
| MRI orbit face neck w contrast (70542) range across 2 matching MRF lines |
$1,774.10–$1,933.77 | $4,435.24–$4,834.42 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 2 matching MRF lines |
$3,462.56–$3,774.20 | $8,656.41–$9,435.49 | varies |
| MRI pelvis w contrast (72196) range across 2 matching MRF lines |
$2,004.10–$2,184.47 | $5,010.24–$5,461.17 | varies |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$4,221.53–$4,601.47 | $10,553.83–$11,503.68 | varies |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$3,039.65–$3,313.22 | $7,599.12–$8,283.05 | varies |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$2,932.02–$3,195.91 | $7,330.06–$7,989.77 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 2 matching MRF lines |
$2,930.61–$3,194.37 | $7,326.53–$7,985.92 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 2 matching MRF lines |
$1,918.18–$2,090.82 | $4,795.45–$5,227.05 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 2 matching MRF lines |
$3,199.18–$3,487.10 | $7,997.94–$8,717.76 | varies |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$4,221.53–$4,601.47 | $10,553.83–$11,503.68 | varies |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$4,989–$5,438.01 | $12,472.50–$13,595.03 | varies |
| MRI, dorsal spine contrast (72147) range across 2 matching MRF lines |
$3,576.78–$3,898.70 | $8,941.96–$9,746.74 | varies |
| MRI, joint upper extrem (73221) range across 3 matching MRF lines |
$1,157.19–$3,100.22 | $2,892.97–$7,750.55 | varies |
| MRI, joint upper extrem combo (73223) range across 2 matching MRF lines |
$3,275.64–$3,570.45 | $8,189.10–$8,926.12 | varies |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$4,068.59–$4,434.76 | $10,171.47–$11,086.91 | varies |
| Myelogram cervical (72240) range across 2 matching MRF lines |
$1,492.45–$1,626.77 | $3,731.12–$4,066.93 | varies |
| Myelogram Lumbar (72265) range across 3 matching MRF lines |
$1,382.93–$1,507.40 | $3,457.33–$3,768.49 | varies |
| Myelography thoracic (72255) range across 2 matching MRF lines |
$1,372.54–$1,496.07 | $3,431.34–$3,740.17 | varies |
| Myelograpy 2/more regions rs&i (72270) range across 2 matching MRF lines |
$2,446.81–$2,667.03 | $6,117.03–$6,667.57 | varies |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) range across 2 matching MRF lines |
$414.64–$451.96 | $1,036.59–$1,129.89 | varies |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) range across 2 matching MRF lines |
$967.61–$1,054.70 | $2,419.03–$2,636.75 | varies |
| Myocardial Spect Multiple Studies (78452) range across 3 matching MRF lines |
$2,266.65–$3,707.30 | $5,666.63–$9,268.24 | varies |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$307.72–$335.41 | $769.29–$838.53 | varies |
| Nfs/Instlj Radioelmnt Sln 3 Mo Follow-Up Care (77750) range across 2 matching MRF lines |
$478.58–$521.66 | $1,196.45–$1,304.14 | varies |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $579.58 | $1,448.94 | 1.5× |
| Nonvascular Shunt X-Ray (75809) range across 2 matching MRF lines |
$509.74–$555.62 | $1,274.34–$1,389.04 | varies |
| Ntsty modul radthx pln dose-vol histos (77301) range across 2 matching MRF lines |
$4,615.69–$5,031.10 | $11,539.22–$12,577.75 | varies |
| Nuclear Rx Oral Admin (79005) range across 3 matching MRF lines |
$877.56–$5,147.44 | $2,193.91–$12,868.61 | varies |
| Optic foramina (70190) range across 2 matching MRF lines |
$65.29–$71.16 | $163.22–$177.91 | varies |
| Parathyroid Planar Imaging (78070) range across 2 matching MRF lines |
$1,588.72–$1,731.71 | $3,971.80–$4,329.27 | varies |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$266.18–$290.14 | $665.45–$725.35 | varies |
| Pet Image W/Ct Lmtd (78814) range across 2 matching MRF lines |
$1,910.81–$2,082.78 | $4,777.02–$5,206.96 | varies |
| PET image w/CT, full body (78816) range across 2 matching MRF lines |
$2,081.49–$2,268.83 | $5,203.73–$5,672.07 | varies |
| PET imaging CT attenuation skull base mid-thigh (78815) range across 2 matching MRF lines |
$2,081.49–$2,268.83 | $5,203.73–$5,672.07 | varies |
| Pet Imaging Limited Area Chest Head/Neck (78811) range across 2 matching MRF lines |
$2,081.49–$2,268.83 | $5,203.73–$5,672.07 | varies |
| Pulmonary Perfusion Imaging Particulate (78580) range across 3 matching MRF lines |
$849.58–$926.04 | $2,123.94–$2,315.10 | varies |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 3 matching MRF lines |
$108.01–$480.50 | $270.03–$1,201.24 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 3 matching MRF lines |
$238.40–$377.61 | $596–$944.02 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$279.86–$331.29 | $699.65–$828.23 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 4 matching MRF lines |
$177.08–$286.03 | $442.71–$715.07 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$225.74–$324.09 | $564.35–$810.22 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 5 matching MRF lines |
$97.92–$468.16 | $244.79–$1,170.40 | varies |
| Radex fingr minimum 2 views (73140) range across 2 matching MRF lines |
$412.50–$449.63 | $1,031.26–$1,124.08 | varies |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$302.06–$329.25 | $755.15–$823.12 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$298.28–$330.26 | $745.69–$825.65 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 2 matching MRF lines |
$405.90–$442.43 | $1,014.74–$1,106.07 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) range across 2 matching MRF lines |
$201.06–$219.15 | $502.64–$547.88 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$324.72–$353.94 | $811.79–$884.86 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 2 matching MRF lines |
$367.19–$400.24 | $917.97–$1,000.59 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$332.27–$362.18 | $830.67–$905.44 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$229.36–$250 | $573.40–$625.01 | varies |
| Radex Spine 1 View Specify Level (72020) range across 2 matching MRF lines |
$346.43–$377.61 | $866.07–$944.02 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$366.24–$399.21 | $915.61–$998.02 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$296.39–$323.07 | $740.98–$807.67 | varies |
| Radex Toe Minimum 2 Views (73660) range across 3 matching MRF lines |
$289.77–$315.85 | $724.42–$789.63 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 2 matching MRF lines |
$285.05–$310.71 | $712.63–$776.77 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$222.23–$354.96 | $555.58–$887.40 | varies |
| Radiation treatment delivery level 1 (77402) | $440.56 | $1,101.40 | 4.5× |
| Radiation treatment delivery level 2 (77407) | $389.84 | $974.59 | 1.1× |
| Radiation treatment delivery level 3 (77412) | $1,764.68 | $4,411.70 | 3.3× |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$322.82–$351.87 | $807.04–$879.68 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 2 matching MRF lines |
$341.70–$372.46 | $854.26–$931.15 | varies |
| Radiologic exam colon double contrast study (74280) range across 3 matching MRF lines |
$732.60–$962.05 | $1,831.50–$2,405.12 | varies |
| Radiologic exam colon single contrast study (74270) range across 3 matching MRF lines |
$480.46–$732.60 | $1,201.16–$1,831.50 | varies |
| Radiologic Exam Esophagus Double Contrast Study (74221) range across 2 matching MRF lines |
$245.94–$268.08 | $614.86–$670.20 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$172.48–$188 | $431.20–$470.01 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 3 matching MRF lines |
$210.48–$281 | $526.21–$702.49 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 2 matching MRF lines |
$425.71–$464.02 | $1,064.27–$1,160.06 | varies |
| Radiologic exam swallow function contrast study (74230) range across 2 matching MRF lines |
$432.32–$471.23 | $1,080.80–$1,178.08 | varies |
| Radiologic exam teeth complete full mouth (70320) range across 2 matching MRF lines |
$278.45–$303.51 | $696.12–$758.78 | varies |
| Radiologic Exam Teeth Prtl Exam < Full Mouth (70310) range across 2 matching MRF lines |
$437.04–$476.38 | $1,092.60–$1,190.94 | varies |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$807.08–$879.72 | $2,017.71–$2,199.31 | varies |
| Radiologic examination femur 1 view (73551) range across 3 matching MRF lines |
$178.39–$222.23 | $445.97–$555.58 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$178.38–$194.44 | $445.96–$486.10 | varies |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$293.84–$349.83 | $734.60–$874.57 | varies |
| Radiologic Examination Osseous Survey Limited (77074) range across 2 matching MRF lines |
$124.99–$136.24 | $312.48–$340.61 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$167.69–$259.26 | $419.22–$648.16 | varies |
| Radiologic examination, teeth; single view Non-Facility (70300) range across 2 matching MRF lines |
$140.63–$153.29 | $351.57–$383.22 | varies |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$444.31–$484.30 | $1,110.77–$1,210.74 | varies |
| Rp loclzj tum plnr 1 area single day imaging (78800) range across 2 matching MRF lines |
$670.02–$730.32 | $1,675.04–$1,825.80 | varies |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) range across 3 matching MRF lines |
$560.23–$1,416.85 | $1,400.57–$3,542.12 | varies |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) range across 3 matching MRF lines |
$1,259.51–$1,870.84 | $3,148.78–$4,677.09 | varies |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) range across 4 matching MRF lines |
$477.96–$2,521.88 | $1,194.90–$6,304.71 | varies |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 2 matching MRF lines |
$1,155.51–$1,259.51 | $2,888.78–$3,148.78 | varies |
| Rp Therapy Intravenous Administration (79101) range across 4 matching MRF lines |
$613.96–$4,902.34 | $1,534.91–$12,255.85 | varies |
| Scapula (73010) range across 3 matching MRF lines |
$288.84–$314.83 | $722.09–$787.08 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 3 matching MRF lines |
$40.90–$52.20 | $102.25–$130.51 | varies |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$387.01–$421.84 | $967.53–$1,054.61 | varies |
| Shoulder Arthrography (73040) range across 2 matching MRF lines |
$684.37–$745.97 | $1,710.93–$1,864.92 | varies |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$523.89–$571.04 | $1,309.72–$1,427.60 | varies |
| Special dosimetry (77331) range across 2 matching MRF lines |
$319.04–$347.76 | $797.61–$869.40 | varies |
| Special Physics Consult (77370) | $188.78 | $471.96 | 1.5× |
| Special teletherapy port plan (77321) range across 2 matching MRF lines |
$1,335.38–$1,455.57 | $3,338.46–$3,638.93 | varies |
| Special treatment procedure (77470) range across 2 matching MRF lines |
$906.22–$987.78 | $2,265.55–$2,469.45 | varies |
| Spleen Imaging (78185) range across 2 matching MRF lines |
$502.04–$547.22 | $1,255.09–$1,368.05 | varies |
| Sternoclavicular joints (71130) range across 2 matching MRF lines |
$231.25–$252.06 | $578.12–$630.16 | varies |
| Telethx isodose pln cplx w/basic dosimetry (77307) range across 2 matching MRF lines |
$829.80–$904.49 | $2,074.51–$2,261.22 | varies |
| Telethx isodose pln smpl w/dosimetry calculation (77306) range across 2 matching MRF lines |
$225.73–$246.05 | $564.33–$615.12 | varies |
| Testicular Imaging W/Flow (78761) range across 2 matching MRF lines |
$472.19–$514.69 | $1,180.48–$1,286.73 | varies |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) range across 2 matching MRF lines |
$2,771.55–$3,020.99 | $6,928.88–$7,552.48 | varies |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) range across 2 matching MRF lines |
$1,126.50–$1,227.88 | $2,816.24–$3,069.71 | varies |
| Ther rad simulaj-aided field setting simple (77280) range across 2 matching MRF lines |
$1,145.03–$1,248.09 | $2,862.58–$3,120.22 | varies |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) range across 2 matching MRF lines |
$392.60–$427.93 | $981.49–$1,069.83 | varies |
| Thoracic spine 2 views (72070) range across 3 matching MRF lines |
$251.31–$431.10 | $628.28–$1,077.75 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$477.64–$520.62 | $1,194.09–$1,301.56 | varies |
| Thyroid Imaging With Vascular Flow (78013) range across 2 matching MRF lines |
$923.79–$1,006.93 | $2,309.47–$2,517.33 | varies |
| Thyroid Met Imaging Body (78018) range across 2 matching MRF lines |
$1,227.20–$1,337.65 | $3,068–$3,344.12 | varies |
| Thyroid Uptake Measurement (78012) range across 2 matching MRF lines |
$368.54–$401.71 | $921.34–$1,004.27 | varies |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) range across 2 matching MRF lines |
$1,355.54–$1,477.54 | $3,388.86–$3,693.86 | varies |
| Tx Devices Design & Construction Complex (77334) range across 2 matching MRF lines |
$2,251.41–$2,454.04 | $5,628.52–$6,135.09 | varies |
| Tx devices design & construction intermediate (77333) range across 2 matching MRF lines |
$1,240.39–$1,352.02 | $3,100.97–$3,380.06 | varies |
| Tx devices design & construction simple (77332) range across 3 matching MRF lines |
$737.74–$980.56 | $1,844.34–$2,451.40 | varies |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$430.13–$659.49 | $1,075.33–$1,648.72 | varies |
| Ultrasound elastography first target lesion (76982) range across 2 matching MRF lines |
$148.80–$162.19 | $372–$405.48 | varies |
| Ultrasound Elastography Parenchyma (76981) range across 2 matching MRF lines |
$148.80–$162.19 | $372–$405.48 | varies |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
$249.92–$272.41 | $624.79–$681.03 | varies |
| Ultrasound, abdomen limited (76705) range across 4 matching MRF lines |
$509.12–$956.90 | $1,272.80–$2,392.25 | varies |
| Unlisted magnetic resonance procedure (76498) range across 2 matching MRF lines |
$2,208.94–$2,407.75 | $5,522.36–$6,019.38 | varies |
| Unlisted us procedure (76999) range across 2 matching MRF lines |
$414.37–$451.67 | $1,035.93–$1,129.17 | varies |
| Upper gi w/o kub (74240) range across 3 matching MRF lines |
$529.03–$728.46 | $1,322.57–$1,821.14 | varies |
| Ureteral Reflux Study (78740) range across 2 matching MRF lines |
$628.72–$685.30 | $1,571.79–$1,713.26 | varies |
| Urethrocystogram voiding (74455) range across 2 matching MRF lines |
$568.27–$619.42 | $1,420.68–$1,548.55 | varies |
| Urethrocystography retrograde (74450) range across 2 matching MRF lines |
$724.97–$790.22 | $1,812.42–$1,975.54 | varies |
| Us chest (76604) range across 4 matching MRF lines |
$179.80–$855.02 | $449.49–$2,137.56 | varies |
| Us complete joint (76881) range across 3 matching MRF lines |
$473.29–$624.56 | $1,183.23–$1,561.40 | varies |
| Us exam, pelvic, limited (76857) range across 3 matching MRF lines |
$410.34–$738.76 | $1,025.85–$1,846.89 | varies |
| Us head (76506) range across 3 matching MRF lines |
$388.26–$682.17 | $970.65–$1,705.43 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$321.87–$350.84 | $804.67–$877.10 | varies |
| Us ob limited 1 or more fetuses (76815) range across 3 matching MRF lines |
$373.94–$509.31 | $934.84–$1,273.27 | varies |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$582.23–$634.63 | $1,455.57–$1,586.58 | varies |
| Us pelvic non ob complete (76856) range across 3 matching MRF lines |
$765.26–$1,106.10 | $1,913.16–$2,765.25 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$644.72–$702.75 | $1,611.80–$1,756.87 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 4 matching MRF lines |
$388.76–$669.82 | $971.91–$1,674.55 | varies |
| Us retroperitoneal complete (76770) range across 3 matching MRF lines |
$576.20–$740.83 | $1,440.51–$1,852.07 | varies |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$314.12–$342.39 | $785.29–$855.97 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$915.66–$998.07 | $2,289.14–$2,495.17 | varies |
| Us thyroid (76536) range across 3 matching MRF lines |
$547.38–$860.18 | $1,368.46–$2,150.46 | varies |
| Us transrectal (76872) range across 3 matching MRF lines |
$482.56–$525.99 | $1,206.40–$1,314.98 | varies |
| Vascular Flow Imaging (78445) range across 2 matching MRF lines |
$352.44–$384.16 | $881.09–$960.39 | varies |
| Venography caval inferior serialography rs&i (75825) range across 2 matching MRF lines |
$716.08–$780.53 | $1,790.21–$1,951.33 | varies |
| Venography extremity bilateral rs&i (75822) range across 2 matching MRF lines |
$1,521.54–$1,658.48 | $3,803.84–$4,146.19 | varies |
| Venography extremity unilateral rs&i (75820) range across 2 matching MRF lines |
$862.56–$940.19 | $2,156.40–$2,350.48 | varies |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$427.62–$466.10 | $1,069.04–$1,165.26 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$272.80–$297.35 | $681.99–$743.37 | varies |
| X-ray antegrade pyelogram tube (74425) range across 2 matching MRF lines |
$475.18–$517.94 | $1,187.94–$1,294.86 | varies |
| X-Ray Aorta Leg Arteries (75630) range across 2 matching MRF lines |
$3,690.34–$4,022.48 | $9,225.86–$10,056.19 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$360.57–$393.02 | $901.43–$982.56 | varies |
| X-Ray Exam Breast Specimen (76098) range across 3 matching MRF lines |
$481.17–$1,237.82 | $1,202.92–$3,094.55 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 3 matching MRF lines |
$234.57–$563.84 | $586.42–$1,409.60 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$523.89–$571.04 | $1,309.72–$1,427.60 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 4 matching MRF lines |
$212.38–$826.90 | $530.95–$2,067.26 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 2 matching MRF lines |
$240.68–$262.34 | $601.70–$655.86 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$407.78–$444.49 | $1,019.46–$1,111.22 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 2 matching MRF lines |
$392.68–$428.02 | $981.70–$1,070.06 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$407.78–$444.48 | $1,019.45–$1,111.21 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 4 matching MRF lines |
$224.97–$357.02 | $562.43–$892.54 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$653.22–$712.01 | $1,633.04–$1,780.02 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 2 matching MRF lines |
$448.36–$488.72 | $1,120.91–$1,221.80 | varies |
| X-ray humerus (73060) range across 3 matching MRF lines |
$237.86–$259.26 | $594.64–$648.16 | varies |
| X-ray IV pyelogram+tomography (74415) range across 2 matching MRF lines |
$926.98–$1,010.40 | $2,317.44–$2,526.01 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 2 matching MRF lines |
$171.90–$187.37 | $429.74–$468.42 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$181.20–$197.51 | $453–$493.77 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 3 matching MRF lines |
$238.68–$385.84 | $596.70–$964.60 | varies |
| X-ray nose-rectum child f.b. (76010) range across 2 matching MRF lines |
$138.74–$151.23 | $346.85–$378.07 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$692.88–$755.24 | $1,732.19–$1,888.09 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$213.30–$232.50 | $533.26–$581.26 | varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) range across 2 matching MRF lines |
$206.40–$224.98 | $516.01–$562.46 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$337.91–$368.33 | $844.78–$920.82 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$285.05–$310.71 | $712.63–$776.77 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$421.94–$459.91 | $1,054.84–$1,149.78 | varies |
| X-Ray Stress View (77071) range across 2 matching MRF lines |
$142.54–$155.38 | $356.36–$388.44 | varies |
| X-ray thoracic spine 4 vw (72074) range across 2 matching MRF lines |
$461.58–$503.13 | $1,153.96–$1,257.82 | varies |
| X-Ray Tmj Unilat (70328) range across 3 matching MRF lines |
$200.11–$237.66 | $500.28–$594.15 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 2 matching MRF lines |
$411.56–$448.60 | $1,028.89–$1,121.50 | varies |
| X-Rays Bone Length Studies (77073) range across 3 matching MRF lines |
$156.37–$695.54 | $390.93–$1,738.86 | varies |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$651.32–$709.94 | $1,628.31–$1,774.86 | varies |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$439.88–$479.47 | $1,099.70–$1,198.68 | varies |
| Xr facial bones less than 3 views (70140) range across 2 matching MRF lines |
$91.54–$99.78 | $228.86–$249.46 | varies |
| Xr orbits complete 4 views (70200) range across 3 matching MRF lines |
$535.04–$584.43 | $1,337.60–$1,461.07 | 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.