Imaging prices at Marietta Memorial Hospital
Marietta, OH · every code in this section with a posted price and a Medicare benchmark.
354 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 3 matching MRF lines |
$257.57–$5,335.89 | $429.28–$8,893.15 | varies |
| Abdomen 1 View (74018) | $241.43 | $402.39 | 2.9× |
| Abdomen 2 views (74019) | $264.53 | $440.88 | 2.7× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,100.39 | $1,833.99 | 2.9× |
| Angio internal mammary (75756) | $3,183.66 | $5,306.10 | 1.1× |
| Angio pulmonary bilat (75743) range across 2 matching MRF lines |
$8,974.27–$9,348.20 | $14,957.12–$15,580.33 | varies |
| Angiography extremity bilateral rs&i (75716) range across 3 matching MRF lines |
$8,392.81–$8,974.27 | $13,988.01–$14,957.12 | varies |
| Angiography extremity unilateral rs&i (75710) range across 3 matching MRF lines |
$8,010.70–$8,974.27 | $13,351.16–$14,957.12 | varies |
| Angiography pulmonary unilateral slctv rs&i (75741) | $8,974.27 | $14,957.12 | 3.0× |
| Ankle 2 views (73600) range across 5 matching MRF lines |
$67.18–$238.15 | $111.97–$396.92 | varies |
| Aortography thoracic w/o serialography rs&i (75600) | $6,354.12 | $10,590.20 | 2.1× |
| Artery X-Rays Abdomen (75726) | $6,354.12 | $10,590.20 | 1.2× |
| Artery X-Rays Pelvis (75736) | $8,974.27 | $14,957.12 | 1.7× |
| Artery X-Rays Spine (75705) | $20,914.61 | $34,857.68 | 4.0× |
| Arthrogram hip (73525) | $606.86 | $1,011.43 | 1.8× |
| Arthrogram Wrist (73115) | $869.93 | $1,449.89 | 2.6× |
| Basic radiation dosimetry calculation (77300) range across 3 matching MRF lines |
$85.42–$669.05 | $142.37–$1,115.08 | varies |
| Bone age studies (77072) | $197.10 | $328.50 | 2.0× |
| Bone Imaging 3 Phase (78315) | $1,230.69 | $2,051.15 | 3.3× |
| Bone Imaging Limited Area (78300) | $811.35 | $1,352.25 | 2.1× |
| Bone Imaging Multiple Areas (78305) | $928.22 | $1,547.03 | 2.5× |
| Bone Imaging Whole Body (78306) | $1,538.99 | $2,564.99 | 4.1× |
| Bone marrow imaging limited area (78102) | $1,083.63 | $1,806.05 | 2.9× |
| Bone marrow imaging; multiple areas (78103) | $928.22 | $1,547.03 | 2.5× |
| Bone survey infant (77076) | $698.74 | $1,164.57 | 7.1× |
| Brain Image W/Flow < 4 Views (78601) | $928.22 | $1,547.03 | 2.5× |
| Brain imaging < 4 static views (78600) | $852.33 | $1,420.55 | 2.3× |
| Brain Imaging Minimum 4 Static Views (78605) | $1,190.10 | $1,983.50 | 2.3× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $3,639.17 | $6,065.29 | 2.7× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $1,013.97 | $1,689.95 | 2.0× |
| Cerebrospinal Fluid Scan (78630) | $1,268.11 | $2,113.51 | 2.5× |
| Chest 1 view (71045) range across 3 matching MRF lines |
$217.31–$228.18 | $362.19–$380.30 | varies |
| Chest 2 views (71046) | $199.43 | $332.38 | 2.4× |
| Chest 3 views (71047) | $218.90 | $364.84 | 2.7× |
| Chest 4 or more views (71048) range across 2 matching MRF lines |
$167.89–$308.87 | $279.81–$514.79 | varies |
| Cineradiograpy/vidradiograpy xcpt where spec (76120) | $263.56 | $439.26 | 2.7× |
| Clavicle complete (73000) range across 4 matching MRF lines |
$103.78–$242.99 | $172.97–$404.98 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $294.53 | $490.89 | 3.0× |
| Continuing medical physics consltj pr wk (77336) | $669.05 | $1,115.08 | 5.3× |
| Contrast Exam Abdominl Aorta (75625) range across 3 matching MRF lines |
$7,631.18–$8,974.27 | $12,718.64–$14,957.12 | varies |
| Contrast X-Ray Bladder (74430) | $398.23 | $663.71 | 1.2× |
| Contrast X-Ray Of Elbow (73085) | $1,012.41 | $1,687.35 | 3.1× |
| Contrast X-Ray Of Knee Joint (73580) | $434.95 | $724.91 | 1.3× |
| CT abdomen and pelvis without and with contrast (74178) | $1,529.96 | $2,549.94 | 4.6× |
| CT abdomen and pelvis without contrast (74176) | $1,529.96 | $2,549.94 | 6.8× |
| CT abdomen w contrast (74160) | $1,529.96 | $2,549.94 | 9.2× |
| CT abdomen w wo contrast (74170) | $1,529.96 | $2,549.94 | 9.2× |
| CT abdomen w/o contrast (74150) | $1,529.96 | $2,549.94 | 15.5× |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$1,529.96–$1,586.65 | $2,549.94–$2,644.41 | varies |
| CT Angio Chest (71275) | $1,529.96 | $2,549.94 | 9.2× |
| CT Angio Head (70496) | $1,208.22 | $2,013.70 | 7.3× |
| CT angio hrt w/3d image (75574) | $1,586.65 | $2,644.41 | 4.8× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $1,713.57 | $2,855.95 | 10.3× |
| CT Angio Neck (70498) | $1,208.22 | $2,013.70 | 7.3× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 3 matching MRF lines |
$1,529.96–$1,713.57 | $2,549.94–$2,855.95 | varies |
| CT bone density (77078) | $1,529.96 | $2,549.94 | 18.6× |
| CT cervical spine w/ contrast (72126) | $1,247.69 | $2,079.49 | 3.8× |
| CT cervical spine w/o contrast (72125) | $1,247.69 | $2,079.49 | 12.6× |
| CT cervical spine w/wo cont (72127) | $1,247.69 | $2,079.49 | 7.5× |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$1,529.96–$1,713.57 | $2,549.94–$2,855.95 | varies |
| CT chest w/wo contrast (71270) | $1,529.96 | $2,549.94 | 9.2× |
| CT head/brain with contrast (70460) | $1,208.22 | $2,013.70 | 7.3× |
| CT head/brain without and with contrast (70470) | $1,208.22 | $2,013.70 | 7.3× |
| CT heart contrast eval cardiac structure&morph (75572) | $1,586.65 | $2,644.41 | 4.8× |
| CT heart no contrast quant eval coronry calcium (75571) | $1,586.65 | $2,644.41 | 19.3× |
| CT iac w contrast (70481) | $1,208.22 | $2,013.70 | 7.3× |
| CT l-spine w&w/o contrast (72133) | $1,529.96 | $2,549.94 | 9.2× |
| CT lower ext w/o (73700) range across 14 matching MRF lines |
$1,529.96–$1,586.65 | $2,549.94–$2,644.41 | varies |
| CT lower extremity w/contrast material (73701) | $1,529.96 | $2,549.94 | 9.2× |
| CT lumbar spine w contrast (72132) | $1,529.96 | $2,549.94 | 4.6× |
| CT lumbar spine w/o contrast (72131) | $1,529.96 | $2,549.94 | 15.5× |
| CT maxillofacial w contrast (70487) | $1,208.22 | $2,013.70 | 7.3× |
| CT maxillofacial wo contrast (70486) | $1,208.22 | $2,013.70 | 12.2× |
| CT neck tissue combo (70492) | $1,208.22 | $2,013.70 | 7.3× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,208.22 | $2,013.70 | 7.3× |
| CT orbits w/o contrast (70480) | $1,208.22 | $2,013.70 | 12.2× |
| CT pelvis w&w/o contrast (72194) | $1,529.96 | $2,549.94 | 9.2× |
| CT pelvis w/o contrast (72192) | $1,529.96 | $2,549.94 | 15.5× |
| CT scan of leg combo (73702) | $1,529.96 | $2,549.94 | 9.2× |
| CT scans face/jaw combo (70488) | $1,208.22 | $2,013.70 | 7.3× |
| CT soft tissue neck w contrast (70491) | $1,208.22 | $2,013.70 | 7.3× |
| CT soft tissue neck w/o contrast (70490) | $1,208.22 | $2,013.70 | 12.2× |
| CT thoracic spine w contrast (72129) | $1,529.96 | $2,549.94 | 9.2× |
| CT thoracic spine w/o contrast (72128) | $1,529.96 | $2,549.94 | 15.5× |
| CT thoracic spine w/wo cont (72130) | $1,529.96 | $2,549.94 | 9.2× |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$1,529.96–$1,713.57 | $2,549.94–$2,855.95 | varies |
| CT unlisted procedure (76497) | $227.84 | $379.74 | 2.8× |
| CT upper ext wo (73200) | $1,529.96 | $2,549.94 | 15.5× |
| CT upper extremity w/o & w/contrast material (73202) range across 15 matching MRF lines |
$1,353.84–$1,530.07 | $2,256.40–$2,550.11 | varies |
| CT upper extremity with contrast (73201) | $1,529.96 | $2,549.94 | 4.6× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,713.57 | $2,855.95 | 10.3× |
| Cta Abdomen (74175) | $1,713.57 | $2,855.95 | 10.3× |
| CTA pelvis (72191) | $1,712.72 | $2,854.54 | 10.3× |
| Dilation ureters/urethra rs&i (74485) | $3,641.20 | $6,068.66 | 1.8× |
| Diskography lumbar (72295) range across 3 matching MRF lines |
$3,282.53–$4,431.59 | $5,470.89–$7,385.99 | varies |
| Dxa Bone Density Axial (77080) | $473.66 | $789.43 | 4.8× |
| Dxa bone density study (77085) | $413.71 | $689.51 | 4.2× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $257.55 | $429.25 | 3.1× |
| Echo exam uterus (76831) range across 2 matching MRF lines |
$710.51–$767.35 | $1,184.18–$1,278.92 | varies |
| Echo Guide For Artery Repair (76936) | $1,085.50 | $1,809.16 | 5.3× |
| Esophageal Motility Study (78258) | $1,018.67 | $1,697.79 | 2.7× |
| Esophagram (74220) | $433.83 | $723.05 | 2.6× |
| Fetal Biophys Profile W/Nst (76818) range across 2 matching MRF lines |
$197.42–$384.97 | $329.04–$641.61 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $597.81 | $996.35 | 6.0× |
| Fluoroscopy up to 1 hr (76000) range across 6 matching MRF lines |
$484.95–$731.42 | $808.25–$1,219.04 | varies |
| Follow-Up Angiography (75898) | $3,682.43 | $6,137.38 | 1.2× |
| Foot 2 views (73620) range across 5 matching MRF lines |
$77.26–$238.15 | $128.76–$396.92 | varies |
| Forearm 2 views (73090) range across 4 matching MRF lines |
$122.05–$242.99 | $203.41–$404.98 | varies |
| Gastric emptying imaging study (78264) | $1,349.37 | $2,248.95 | 3.6× |
| Gated Heart Planar Single (78472) | $1,829.26 | $3,048.76 | 4.8× |
| Hand 2 views (73120) range across 6 matching MRF lines |
$133.25–$292.96 | $222.09–$488.26 | varies |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) range across 2 matching MRF lines |
$10,374.37–$10,706.98 | $17,290.61–$17,844.96 | varies |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $8,983.31 | $14,972.19 | 3.0× |
| Hepatobil Syst Image W/Drug (78227) | $1,211.36 | $2,018.94 | 2.4× |
| Hepatobiliary System Imaging (78226) | $1,211.36 | $2,018.94 | 3.2× |
| Ht Muscle Image Spect Sing (78451) | $3,876.55 | $6,460.91 | 3.2× |
| Hysterosalpingogram (74740) | $727.20 | $1,212 | 3.2× |
| Interstitial radiation source applic complex (77778) | $19,691.82 | $32,819.70 | 29.9× |
| K Flow/Funct Image Multiple (78709) | $1,190.10 | $1,983.50 | 2.3× |
| K Flow/Funct Image W/Drug (78708) range across 2 matching MRF lines |
$1,183.08–$1,469.35 | $1,971.80–$2,448.91 | varies |
| K Flow/Funct Image W/O Drug (78707) | $1,345.50 | $2,242.50 | 2.6× |
| Kidney Imaging Morphol (78700) | $775.32 | $1,292.20 | 2.0× |
| Knee 3 Views (73562) range across 4 matching MRF lines |
$146.53–$311.97 | $244.22–$519.95 | varies |
| Liver & Spleen Imaging Static Only (78215) | $1,062.37 | $1,770.61 | 2.8× |
| Liver imaging w/vascular flow (78202) | $1,047.55 | $1,745.92 | 2.0× |
| Lung Perf&Ventilat Diferentl (78598) | $1,066.98 | $1,778.30 | 2.1× |
| Lung perfusion differential (78597) | $710.83 | $1,184.71 | 1.9× |
| Lung Ventilat&Perfus Imaging (78582) | $1,306.79 | $2,177.99 | 2.5× |
| Lung Ventilation Imaging (78579) | $835.94 | $1,393.23 | 2.2× |
| Lymph System Imaging (78195) | $1,265.30 | $2,108.83 | 2.5× |
| Lymphangiography, pelvic/abdominal, unilateral (75805) | $2,114.87 | $3,524.79 | 0.7× |
| Magnetic Image Jaw Joint (70336) | $2,270.40 | $3,784 | 10.1× |
| Mammary ductogram or galactogram multiple (77054) | $422.93 | $704.89 | 1.9× |
| Mammary ductogram or galactogram single (77053) | $422.93 | $704.89 | 1.9× |
| Meckels Divert Exam (78290) | $1,042.33 | $1,737.21 | 2.8× |
| Medical physics dose eval radiation expos w/rprt (76145) | $1,128.20 | $1,880.34 | 3.2× |
| Mlc imrt design & construction per imrt plan (77338) range across 3 matching MRF lines |
$594.04–$5,651.90 | $990.06–$9,419.83 | varies |
| Mra Head W/O & W/Contrast Material (70546) range across 2 matching MRF lines |
$2,075.90–$2,179.58 | $3,459.84–$3,632.64 | varies |
| MRA head w/o contrast (70544) range across 3 matching MRF lines |
$1,920–$2,162.40 | $3,200–$3,604 | varies |
| MRA head with contrast (70545) | $2,075.90 | $3,459.84 | 6.3× |
| MRA neck w contrast (70548) range across 2 matching MRF lines |
$1,920–$2,162.40 | $3,200–$3,604 | varies |
| Mra Neck W/O &W/Contrast Material (70549) range across 2 matching MRF lines |
$1,920–$2,162.40 | $3,200–$3,604 | varies |
| MRA neck w/o contrast (70547) range across 2 matching MRF lines |
$1,920–$2,162.40 | $3,200–$3,604 | varies |
| MRI abdomen w contrast (74182) range across 2 matching MRF lines |
$1,965.60–$2,270.40 | $3,276–$3,784 | varies |
| MRI abdomen w/o contrast (74181) range across 5 matching MRF lines |
$1,920–$2,270.40 | $3,200–$3,784 | varies |
| MRI any jt lower extrem w/contrast material (73722) | $2,270.40 | $3,784 | 3.1× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 10 matching MRF lines |
$1,920–$2,270.40 | $3,200–$3,784 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 11 matching MRF lines |
$2,162.40–$2,270.40 | $3,604–$3,784 | varies |
| MRI brain functional w/o physician admnistration (70554) | $2,179.58 | $3,632.64 | 9.7× |
| MRI Breast W/O Contrast Bilateral (77047) | $2,270.40 | $3,784 | 10.1× |
| MRI Breast Without Contrast Material Unilateral (77046) | $2,270.40 | $3,784 | 10.1× |
| MRI cervical spine w contrast (72142) | $2,179.58 | $3,632.64 | 6.6× |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$1,920–$2,270.40 | $3,200–$3,784 | varies |
| MRI chest w/o contrast (71550) | $2,270.40 | $3,784 | 10.1× |
| MRI chest with contrast (71551) | $2,270.40 | $3,784 | 3.1× |
| MRI chest wo w contrast (71552) | $2,270.40 | $3,784 | 6.9× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $2,270.40 | $3,784 | 6.9× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 9 matching MRF lines |
$1,920–$2,270.40 | $3,200–$3,784 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 12 matching MRF lines |
$1,920–$2,270.40 | $3,200–$3,784 | varies |
| MRI lumbar spine w contrast (72149) | $2,270.40 | $3,784 | 6.9× |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$1,920–$2,270.40 | $3,200–$3,784 | varies |
| MRI orbit face &/neck w/o contrast (70540) | $2,179.58 | $3,632.64 | 9.7× |
| MRI orbit face neck w contrast (70542) | $2,179.58 | $3,632.64 | 6.6× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 3 matching MRF lines |
$1,920–$2,270.40 | $3,200–$3,784 | varies |
| MRI pelvis w contrast (72196) | $2,270.40 | $3,784 | 6.9× |
| MRI pelvis w/o & w contrast (72197) range across 4 matching MRF lines |
$1,920–$2,270.40 | $3,200–$3,784 | varies |
| MRI pelvis w/o contrast (72195) range across 6 matching MRF lines |
$1,920–$2,270.40 | $3,200–$3,784 | varies |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$1,920–$2,270.40 | $3,200–$3,784 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) | $2,270.40 | $3,784 | 6.9× |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 14 matching MRF lines |
$1,920–$2,270.40 | $3,200–$3,784 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 11 matching MRF lines |
$1,920–$2,270.40 | $3,200–$3,784 | varies |
| MRI, abdomen, combo (74183) range across 4 matching MRF lines |
$1,920–$2,270.40 | $3,200–$3,784 | varies |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$1,920–$2,270.40 | $3,200–$3,784 | varies |
| MRI, dorsal spine contrast (72147) | $2,270.40 | $3,784 | 6.9× |
| MRI, joint upper extrem (73221) range across 12 matching MRF lines |
$1,920–$2,270.40 | $3,200–$3,784 | varies |
| MRI, joint upper extrem combo (73223) range across 7 matching MRF lines |
$1,920–$2,270.40 | $3,200–$3,784 | varies |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$1,920–$2,270.40 | $3,200–$3,784 | varies |
| Myelogram cervical (72240) | $1,124.70 | $1,874.50 | 1.5× |
| Myelogram Lumbar (72265) | $1,227.44 | $2,045.74 | 1.7× |
| Myelography thoracic (72255) | $1,171.57 | $1,952.61 | 1.6× |
| Myocardial Spect Multiple Studies (78452) range across 4 matching MRF lines |
$3,207.85–$3,876.55 | $5,346.42–$6,460.91 | varies |
| Neck soft tissue (70360) | $204.89 | $341.48 | 2.5× |
| Nm myocard infarct spect (78469) | $1,101.92 | $1,836.53 | 2.1× |
| Nm unlisted gi procedure (78299) | $908.81 | $1,514.68 | 2.4× |
| Nonvascular Shunt X-Ray (75809) | $221.30 | $368.84 | 2.2× |
| Ntsty modul radthx pln dose-vol histos (77301) range across 3 matching MRF lines |
$2,328.53–$5,335.89 | $3,880.88–$8,893.15 | varies |
| Nuclear Rx Intra-Arterial (79445) | $559 | $931.67 | 2.5× |
| Nuclear Rx Oral Admin (79005) | $806.25 | $1,343.75 | 3.7× |
| Ob us nuchal meas 1 gest (76813) | $198.68 | $331.14 | 2.0× |
| Oph bmtry us echograpy a-scan io lens pwr cal (76519) | $56.22 | $93.70 | 0.6× |
| Oph US Dx B-Scan&Quan a-Scan Sm Pt Enctr (76510) range across 2 matching MRF lines |
$45.22–$213.35 | $75.36–$355.59 | varies |
| Ophthalmic US Dx Corneal Pachymetry Uni/Bi (76514) | $10.86 | $18.10 | 0.4× |
| Optic foramina (70190) | $480.38 | $800.63 | 5.8× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $1,319.74 | $2,199.56 | 2.6× |
| Parathyroid Planar Imaging (78070) | $730.31 | $1,217.18 | 1.9× |
| Pelvis 1 or 2 views (72170) | $251.94 | $419.90 | 2.5× |
| Peritoneogram Rs&I (74190) | $964.61 | $1,607.69 | 1.9× |
| Pet Image W/Ct Lmtd (78814) | $5,658.98 | $9,431.64 | 4.2× |
| PET image w/CT, full body (78816) | $4,491.26 | $7,485.43 | 3.3× |
| PET imaging CT attenuation skull base mid-thigh (78815) range across 4 matching MRF lines |
$4,274.23–$4,491.26 | $7,123.72–$7,485.43 | varies |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,297.77 | $2,162.95 | 3.4× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $374.18 | $623.63 | 3.8× |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 3 matching MRF lines |
$327.05–$1,311 | $545.08–$2,185 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 4 matching MRF lines |
$238.15–$315.89 | $396.92–$526.49 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$260.90–$391.35 | $434.83–$652.25 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$264.27–$396.41 | $440.45–$660.68 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $329.21 | $548.69 | 3.3× |
| Radex fingr minimum 2 views (73140) | $223.95 | $373.25 | 2.7× |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$255.31–$382.97 | $425.52–$638.29 | varies |
| Radex Hand Minimum 3 Views (73130) range across 4 matching MRF lines |
$238.15–$315.89 | $396.92–$526.49 | varies |
| Radex lower extremity infant minimum 2 views (73592) | $180.29 | $300.48 | 2.2× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $288.89 | $481.49 | 3.5× |
| Radex Ribs Unilateral 2 Views (71100) | $178.05 | $296.75 | 2.2× |
| Radex shoulder complete minimum 2 views (73030) range across 4 matching MRF lines |
$286.66–$430 | $477.77–$716.66 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $351.62 | $586.03 | 4.3× |
| Radex Spine 1 View Specify Level (72020) | $193.72 | $322.86 | 2.4× |
| Radex Sternum Minimum 2 Views (71120) | $298.99 | $498.32 | 3.6× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $335.93 | $559.88 | 4.1× |
| Radex Toe Minimum 2 Views (73660) | $211.63 | $352.72 | 2.6× |
| Radex upper extremity infant minimum 2 views (73092) | $176.92 | $294.87 | 1.8× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$240.76–$361.15 | $401.27–$601.91 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $571.84 | $953.07 | 5.8× |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $55,289.44 | $92,149.07 | 7.9× |
| Radiation treatment delivery level 1 (77402) | $566.18 | $943.63 | 5.9× |
| Radiation treatment delivery level 2 (77407) | $528.04 | $880.06 | 1.4× |
| Radiation treatment delivery level 3 (77412) | $987.87 | $1,646.45 | 1.9× |
| Radiologic exam colon double contrast study (74280) | $841.67 | $1,402.78 | 5.1× |
| Radiologic exam colon single contrast study (74270) | $527.12 | $878.54 | 3.2× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $414.41 | $690.69 | 2.5× |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$197.37–$342.66 | $328.95–$571.10 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $356.08 | $593.47 | 3.6× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $579.08 | $965.13 | 3.5× |
| Radiologic exam swallow function contrast study (74230) range across 2 matching MRF lines |
$263.56–$628.13 | $439.26–$1,046.88 | varies |
| Radiologic exam upr gi trc double contrast study (74246) | $605.04 | $1,008.40 | 3.6× |
| Radiologic examination femur 1 view (73551) range across 3 matching MRF lines |
$181.04–$271.56 | $301.73–$452.60 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines |
$181.04–$271.54 | $301.73–$452.57 | varies |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$226.20–$452.39 | $377–$753.98 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 5 matching MRF lines |
$127.65–$381.29 | $212.75–$635.48 | varies |
| Ribs bilateral 3 views (71110) | $344.89 | $574.82 | 3.5× |
| Rp loclzj tum plnr 1 area single day imaging (78800) range across 3 matching MRF lines |
$849.13–$1,184.24 | $1,415.22–$1,973.73 | varies |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $928.22 | $1,547.03 | 2.5× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) range across 5 matching MRF lines |
$3,207.85–$4,474.50 | $5,346.42–$7,457.50 | varies |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) range across 4 matching MRF lines |
$2,940.45–$3,207.85 | $4,900.75–$5,346.42 | varies |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 3 matching MRF lines |
$2,660.09–$3,207.85 | $4,433.48–$5,346.42 | varies |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $3,207.85 | $5,346.42 | 2.6× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $3,638.94 | $6,064.90 | 2.7× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $3,207.85 | $5,346.42 | 2.6× |
| Rp Therapy Intravenous Administration (79101) | $562.03 | $936.72 | 2.5× |
| Scapula (73010) | $356.08 | $593.47 | 3.6× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $205.20 | $342 | 8.8× |
| Sella turcica (70240) | $153.43 | $255.71 | 1.9× |
| Shoulder 1 view (73020) | $167.97 | $279.95 | 2.0× |
| Shoulder Arthrography (73040) | $784.94 | $1,308.23 | 2.4× |
| Skull less than 4 views (70250) | $288.89 | $481.49 | 2.9× |
| Special dosimetry (77331) range across 2 matching MRF lines |
$69.77–$985.24 | $116.29–$1,642.07 | varies |
| Special Physics Consult (77370) | $528.21 | $880.35 | 4.2× |
| Special teletherapy port plan (77321) range across 2 matching MRF lines |
$195.62–$1,670.90 | $326.03–$2,784.83 | varies |
| Special treatment procedure (77470) range across 4 matching MRF lines |
$129.11–$2,371.68 | $215.18–$3,952.80 | varies |
| Stereotactic Body Radiation Delivery (77373) | $10,878.46 | $18,130.76 | 6.4× |
| Sternoclavicular joints (71130) | $251.94 | $419.90 | 3.1× |
| Telethx isodose pln cplx w/basic dosimetry (77307) range across 2 matching MRF lines |
$178.57–$640.11 | $297.62–$1,066.85 | varies |
| Telethx isodose pln smpl w/dosimetry calculation (77306) range across 2 matching MRF lines |
$85.87–$640.11 | $143.11–$1,066.85 | varies |
| Testicular Imaging W/Flow (78761) | $720.70 | $1,201.17 | 1.9× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) range across 4 matching MRF lines |
$88.03–$2,641.07 | $146.71–$4,401.79 | varies |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) range across 2 matching MRF lines |
$345.59–$1,232.49 | $575.99–$2,054.15 | varies |
| Ther rad simulaj-aided field setting simple (77280) range across 3 matching MRF lines |
$208.66–$792.34 | $347.77–$1,320.57 | varies |
| Thoracic spine 2 views (72070) | $293.39 | $488.99 | 3.0× |
| Thoracic spine 3 views (72072) | $491.59 | $819.31 | 5.0× |
| Thoracolumbar 2 views (72080) | $376.25 | $627.08 | 4.6× |
| Thyroid Carcinoma Metastases Img Lmtd Area (78015) | $928.35 | $1,547.25 | 2.5× |
| Thyroid Met Imaging Body (78018) | $1,190.23 | $1,983.71 | 2.3× |
| Thyroid Uptake Measurement (78012) | $451.52 | $752.53 | 1.2× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $922.38 | $1,537.30 | 2.4× |
| Tx Devices Design & Construction Complex (77334) range across 2 matching MRF lines |
$191.05–$1,584.63 | $318.42–$2,641.05 | varies |
| Tx devices design & construction intermediate (77333) range across 2 matching MRF lines |
$95.86–$1,056.41 | $159.76–$1,760.69 | varies |
| Tx devices design & construction simple (77332) range across 3 matching MRF lines |
$89.33–$1,056.41 | $148.89–$1,760.69 | varies |
| Ultrasound Breast Limited (76642) range across 5 matching MRF lines |
$34.65–$751.67 | $57.75–$1,252.79 | varies |
| Ultrasound elastography first target lesion (76982) | $204.65 | $341.08 | 2.1× |
| Ultrasound Elastography Parenchyma (76981) | $204.65 | $341.08 | 2.1× |
| Ultrasound Exam Aaa Screen (76706) | $202.04 | $336.73 | 2.0× |
| Ultrasound, abdomen limited (76705) | $818.35 | $1,363.91 | 8.3× |
| Umbilical-artery Doppler (OB) (76820) | $276.74 | $461.23 | 2.8× |
| Unlisted Dx Radiographic Procedure (76499) | $728.81 | $1,214.68 | 8.9× |
| Unlisted fluoroscopic procedure (76496) | $226.46 | $377.43 | 2.8× |
| Unlisted Miscellaneous Px Dx Nuclear Medicine (78999) range across 2 matching MRF lines |
$874.37–$928.22 | $1,457.28–$1,547.03 | varies |
| Unlisted us procedure (76999) | $159.89 | $266.48 | 1.9× |
| Upper gi w/o kub (74240) | $563.68 | $939.46 | 3.4× |
| Ureteral Reflux Study (78740) range across 2 matching MRF lines |
$869.48–$928.35 | $1,449.13–$1,547.25 | varies |
| Urethrocystogram voiding (74455) | $701.23 | $1,168.72 | 3.1× |
| Urethrocystography retrograde (74450) range across 2 matching MRF lines |
$430.16–$544.93 | $716.93–$908.21 | varies |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$375.83–$517.43 | $626.39–$862.39 | varies |
| Us chest (76604) range across 7 matching MRF lines |
$38.57–$404.09 | $64.28–$673.48 | varies |
| Us complete joint (76881) range across 5 matching MRF lines |
$69.14–$582.71 | $115.23–$971.18 | varies |
| Us exam, pelvic, limited (76857) range across 6 matching MRF lines |
$267.37–$521.33 | $445.62–$868.89 | varies |
| Us kidney transplant (76776) | $809.71 | $1,349.51 | 8.2× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 9 matching MRF lines |
$69.14–$818.35 | $115.23–$1,363.91 | varies |
| Us ob detailed single fetus (76811) range across 2 matching MRF lines |
$241.22–$357.11 | $402.04–$595.18 | varies |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$115.71–$257.48 | $192.85–$429.14 | varies |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$130.75–$254.92 | $217.91–$424.87 | varies |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$304.63–$594 | $507.72–$990 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $318.67 | $531.12 | 3.2× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $294.47 | $490.78 | 3.0× |
| Us retroperitoneal complete (76770) | $831.09 | $1,385.15 | 8.4× |
| Us retroperitoneal limited (76775) range across 4 matching MRF lines |
$34.72–$567.22 | $57.86–$945.37 | varies |
| Us scrotum and contents (76870) | $820.89 | $1,368.15 | 8.3× |
| Us spinal canal and contents (76800) | $387.50 | $645.84 | 3.9× |
| Us thyroid (76536) range across 4 matching MRF lines |
$76.80–$525.16 | $128–$875.26 | varies |
| Us transrectal (76872) range across 2 matching MRF lines |
$86.40–$242.44 | $144–$404.07 | varies |
| Vascular Flow Imaging (78445) | $598.57 | $997.62 | 1.6× |
| Vein X-Ray Liver W/O Hemodyn (75887) | $3,286.21 | $5,477.02 | 1.1× |
| Venogram Sinus/Jugular (75860) | $8,853.52 | $14,755.86 | 3.0× |
| Venography caval inferior serialography rs&i (75825) range across 3 matching MRF lines |
$4,378.22–$8,538.61 | $7,297.03–$14,231.02 | varies |
| Venography extremity bilateral rs&i (75822) | $3,230.01 | $5,383.35 | 2.2× |
| Venography extremity unilateral rs&i (75820) range across 4 matching MRF lines |
$1,086.32–$3,681.19 | $1,810.53–$6,135.31 | varies |
| Venography Renal Bilateral (75833) | $8,250.16 | $13,750.26 | 2.8× |
| Venous sampling by catheter (75893) | $13,473.26 | $22,455.43 | 2.6× |
| Wrist 2 views (73100) range across 6 matching MRF lines |
$129.90–$238.15 | $216.50–$396.92 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $356.08 | $593.47 | 4.3× |
| X-ray antegrade pyelogram tube (74425) | $548.29 | $913.82 | 1.7× |
| X-Ray Aorta Leg Arteries (75630) range across 2 matching MRF lines |
$8,974.27–$10,235.08 | $14,957.12–$17,058.46 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 4 matching MRF lines |
$134.37–$267.62 | $223.95–$446.04 | varies |
| X-Ray Exam Breast Specimen (76098) | $338.56 | $564.26 | 0.7× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $181.04 | $301.73 | 2.2× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $299.77 | $499.62 | 3.0× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $571.84 | $953.07 | 5.8× |
| X-Ray Exam Hip Uni 1 View (73501) | $181.04 | $301.73 | 2.2× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $181.04 | $301.73 | 2.2× |
| X-Ray Exam Hips Bi 2 Views (73521) | $254.91 | $424.85 | 2.6× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $299.77 | $499.62 | 3.0× |
| X-Ray Exam L-S Spine Bending (72114) | $732.33 | $1,220.55 | 7.4× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $232.91 | $388.19 | 2.8× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $569.95 | $949.92 | 5.8× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $367.28 | $612.14 | 3.7× |
| X-ray eye for foreign body (70030) | $195.26 | $325.43 | 2.4× |
| X-ray humerus (73060) range across 4 matching MRF lines |
$135.50–$269.87 | $225.83–$449.78 | varies |
| X-ray IV pyelogram (ivp) (74400) range across 2 matching MRF lines |
$590.50–$692.57 | $984.16–$1,154.29 | varies |
| X-ray IV pyelogram+tomography (74415) | $858.03 | $1,430.05 | 5.2× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $273.22 | $455.36 | 3.3× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $153.43 | $255.71 | 1.9× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $331.45 | $552.42 | 3.4× |
| X-ray nose-rectum child f.b. (76010) | $170.16 | $283.60 | 2.1× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $386.32 | $643.87 | 3.9× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $279.95 | $466.59 | 2.8× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $348.25 | $580.41 | 4.2× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $344.89 | $574.82 | 4.2× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $403.12 | $671.87 | 4.1× |
| X-Ray Stress View (77071) | $158.89 | $264.81 | 1.9× |
| X-ray thoracic spine 4 vw (72074) | $378.48 | $630.80 | 3.8× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $579.08 | $965.13 | 1.8× |
| X-Rays Bone Length Studies (77073) | $315.79 | $526.31 | 3.2× |
| X-Rays Bone Survey Complete (77075) | $584.53 | $974.21 | 5.9× |
| Xr c-spine 4 or 5 views (72050) | $478.15 | $796.91 | 4.8× |
| Xr facial bones less than 3 views (70140) | $247.48 | $412.46 | 3.0× |
| Xr orbits complete 4 views (70200) | $163.49 | $272.49 | 1.7× |
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.