Imaging prices at Marion General Hospital
Marion, OH · every code in this section with a posted price and a Medicare benchmark.
434 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) | $8,195.20 | $12,608 | 6.2× |
| Abdomen 1 View (74018) | $242.45 | $373 | 2.9× |
| Abdomen 2 views (74019) | $309.40 | $476 | 3.1× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $3,013.40 | $4,636 | 7.9× |
| Adrenal Cortex & Medulla Img (78075) | $2,488.20 | $3,828 | 2.0× |
| Angio internal mammary (75756) | $852.80 | $1,312 | 0.3× |
| Angio pulmonary bilat (75743) | $3,739.45 | $5,753 | 1.2× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $3,146.65 | $4,841 | 1.0× |
| Angiography extremity bilateral rs&i (75716) | $6,564.35 | $10,099 | 2.2× |
| Angiography extremity unilateral rs&i (75710) | $5,850 | $9,000 | 1.9× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $1,690 | $2,600 | 0.6× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $2,483 | $3,820 | 0.8× |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$223.60–$447.20 | $344–$688 | varies |
| Aortography thoracic serialography rs&i (75605) | $4,227.60 | $6,504 | 0.8× |
| Artery X-Rays Abdomen (75726) | $3,454.10 | $5,314 | 0.7× |
| Artery X-Rays Adrenal Gland (75731) | $3,146.65 | $4,841 | 1.0× |
| Artery X-Rays Pelvis (75736) | $3,075.80 | $4,732 | 0.6× |
| Artery X-Rays Spine (75705) | $5,701.80 | $8,772 | 1.1× |
| Arthrogram ankle (73615) range across 2 matching MRF lines |
$751.40–$1,502.80 | $1,156–$2,312 | varies |
| Arthrogram hip (73525) range across 2 matching MRF lines |
$817.70–$1,635.40 | $1,258–$2,516 | varies |
| Arthrogram Wrist (73115) range across 2 matching MRF lines |
$981.50–$1,963 | $1,510–$3,020 | varies |
| Basic radiation dosimetry calculation (77300) | $2,902.90 | $4,466 | 22.6× |
| Bone age studies (77072) | $339.30 | $522 | 3.4× |
| Bone Imaging 3 Phase (78315) | $1,763.45 | $2,713 | 4.6× |
| Bone Imaging Limited Area (78300) | $1,522.95 | $2,343 | 4.0× |
| Bone Imaging Multiple Areas (78305) | $1,599 | $2,460 | 4.2× |
| Bone Imaging Whole Body (78306) | $1,678.95 | $2,583 | 4.4× |
| Bone marrow imaging limited area (78102) | $1,524.25 | $2,345 | 4.0× |
| Bone marrow imaging; multiple areas (78103) | $1,712.10 | $2,634 | 4.5× |
| Bone marrow imaging; whole body (78104) | $1,886.95 | $2,903 | 4.9× |
| Bone survey infant (77076) | $741 | $1,140 | 7.4× |
| Brachytx isodose complex (77318) | $8,766.55 | $13,487 | 24.5× |
| Brachytx isodose intermed (77317) | $8,766.55 | $13,487 | 24.5× |
| Brachytx Isodose Plan Simple (77316) | $5,027.75 | $7,735 | 14.1× |
| Brain Flow Imaging Only (78610) | $833.30 | $1,282 | 1.6× |
| Brain Image W/Flow < 4 Views (78601) | $1,013.35 | $1,559 | 2.7× |
| Brain imaging < 4 static views (78600) | $1,013.35 | $1,559 | 2.7× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $1,599 | $2,460 | 3.1× |
| Brain Imaging Minimum 4 Static Views (78605) | $1,305.85 | $2,009 | 2.5× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $5,002.40 | $7,696 | 3.7× |
| Card Bl Pool Gated Spect Rest Wal Motn Ejct Frct (78494) | $1,550.25 | $2,385 | 4.1× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $4,988.75 | $7,675 | 15.0× |
| Cardiac Shunt Detection (78428) | $1,550.25 | $2,385 | 4.1× |
| Cat Scan Follow-Up Study (76380) | $2,007.85 | $3,089 | 24.2× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $833.30 | $1,282 | 1.6× |
| Cerebrospinal Fluid Scan (78630) | $910.65 | $1,401 | 1.8× |
| Chest 1 view (71045) | $295.75 | $455 | 3.6× |
| Chest 2 views (71046) | $328.90 | $506 | 4.0× |
| Chest 3 views (71047) | $356.85 | $549 | 4.3× |
| Chest 4 or more views (71048) | $392.60 | $604 | 3.9× |
| Clavicle complete (73000) range across 2 matching MRF lines |
$342.55–$685.10 | $527–$1,054 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $1,026.35 | $1,579 | 10.3× |
| Continuing medical physics consltj pr wk (77336) | $2,548 | $3,920 | 19.9× |
| Contrast Exam Abdominl Aorta (75625) | $6,102.20 | $9,388 | 2.0× |
| Contrast X-Ray Bladder (74430) | $1,204.45 | $1,853 | 3.6× |
| Contrast X-Ray Of Elbow (73085) range across 2 matching MRF lines |
$877.50–$1,755 | $1,350–$2,700 | varies |
| Contrast X-Ray Of Knee Joint (73580) range across 2 matching MRF lines |
$1,025.05–$2,050.10 | $1,577–$3,154 | varies |
| Corpora cavernosography (74445) | $990.60 | $1,524 | 9.9× |
| CT abdomen and pelvis without and with contrast (74178) | $3,475.55 | $5,347 | 10.4× |
| CT abdomen and pelvis without contrast (74176) | $2,871.05 | $4,417 | 12.6× |
| CT abdomen w contrast (74160) | $2,234.05 | $3,437 | 13.3× |
| CT abdomen w wo contrast (74170) | $2,456.35 | $3,779 | 14.7× |
| CT abdomen w/o contrast (74150) | $2,029.30 | $3,122 | 20.3× |
| CT Angio Abdomen and Pelvis (74174) | $3,159.65 | $4,861 | 9.5× |
| CT Angio Chest (71275) | $2,284.10 | $3,514 | 13.6× |
| CT Angio Head (70496) | $2,265.90 | $3,486 | 13.5× |
| CT angio hrt w/3d image (75574) | $3,101.80 | $4,772 | 9.3× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
$2,094.95–$4,189.90 | $3,223–$6,446 | varies |
| CT Angio Neck (70498) | $2,808 | $4,320 | 16.8× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $2,171.65 | $3,341 | 13.0× |
| CT cervical spine w/ contrast (72126) | $1,953.90 | $3,006 | 5.9× |
| CT cervical spine w/o contrast (72125) | $1,777.10 | $2,734 | 17.8× |
| CT cervical spine w/wo cont (72127) | $2,148.90 | $3,306 | 12.8× |
| CT chest w contrast (71260) | $2,210.65 | $3,401 | 13.2× |
| CT chest w/wo contrast (71270) | $2,432.30 | $3,742 | 14.5× |
| CT colonography screening (74263) | $1,677.65 | $2,581 | 7.4× |
| CT colonogrphy dx image postprocess w/o contrast (74261) | $1,677.65 | $2,581 | 16.8× |
| CT head/brain with contrast (70460) | $1,357.20 | $2,088 | 8.1× |
| CT head/brain without and with contrast (70470) | $1,493.05 | $2,297 | 8.9× |
| CT heart contrast eval cardiac structure&morph (75572) | $1,821.30 | $2,802 | 5.5× |
| CT heart no contrast quant eval coronry calcium (75571) | $334.10 | $514 | 4.0× |
| CT hrt w/3d image congen (75573) | $2,616.25 | $4,025 | 7.9× |
| CT iac w contrast (70481) | $1,723.15 | $2,651 | 10.3× |
| CT l-spine w&w/o contrast (72133) | $1,703 | $2,620 | 10.2× |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$1,466.40–$2,932.80 | $2,256–$4,512 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$1,612–$3,224 | $2,480–$4,960 | varies |
| CT lumbar spine w contrast (72132) | $1,548.30 | $2,382 | 4.6× |
| CT lumbar spine w/o contrast (72131) | $1,393.60 | $2,144 | 14.0× |
| CT maxillofacial w contrast (70487) | $1,443 | $2,220 | 8.6× |
| CT maxillofacial wo contrast (70486) | $1,313 | $2,020 | 13.2× |
| CT neck tissue combo (70492) | $2,176.85 | $3,349 | 13.0× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,895.40 | $2,916 | 11.3× |
| CT orbits w/o contrast (70480) | $1,565.20 | $2,408 | 15.7× |
| CT pelvis w&w/o contrast (72194) | $2,484.30 | $3,822 | 14.8× |
| CT pelvis w/o contrast (72192) | $2,054 | $3,160 | 20.6× |
| CT scan of leg combo (73702) range across 2 matching MRF lines |
$1,773.20–$3,546.40 | $2,728–$5,456 | varies |
| CT scans face/jaw combo (70488) | $1,587.30 | $2,442 | 9.5× |
| CT soft tissue neck w contrast (70491) | $1,977.95 | $3,043 | 11.8× |
| CT soft tissue neck w/o contrast (70490) | $1,798.55 | $2,767 | 18.0× |
| CT thoracic spine w contrast (72129) | $1,548.30 | $2,382 | 9.2× |
| CT thoracic spine w/o contrast (72128) | $1,393.60 | $2,144 | 14.0× |
| CT thoracic spine w/wo cont (72130) | $1,703 | $2,620 | 10.2× |
| CT thorax w/o contrast (71250) | $2,009.15 | $3,091 | 20.1× |
| CT unlisted procedure (76497) | $2,409.55 | $3,707 | 29.0× |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$1,328.60–$2,657.20 | $2,044–$4,088 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 2 matching MRF lines |
$1,608.75–$3,217.50 | $2,475–$4,950 | varies |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$1,459.90–$2,919.80 | $2,246–$4,492 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $2,771.60 | $4,264 | 16.5× |
| Cta Abdomen (74175) | $2,733.25 | $4,205 | 16.3× |
| CTA pelvis (72191) | $2,512.25 | $3,865 | 15.0× |
| Dilation ureters/urethra rs&i (74485) | $4,702.75 | $7,235 | 2.4× |
| Discography Cerv/Thor Spine (72285) | $557.70 | $858 | 0.3× |
| Diskography lumbar (72295) | $2,834.65 | $4,361 | 1.5× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) | $853.45 | $1,313 | 8.5× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $1,147.25 | $1,765 | 11.5× |
| Doppler Fetal Mid Cerebral Artery (76821) | $220.35 | $339 | 2.2× |
| Dxa Bone Density Axial (77080) | $342.55 | $527 | 3.4× |
| Dxa bone density study (77085) | $1,090.70 | $1,678 | 10.9× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $312.65 | $481 | 3.8× |
| Echo exam of fetal heart (76825) | $1,149.85 | $1,769 | 2.2× |
| Echo exam uterus (76831) | $1,314.95 | $2,023 | 5.8× |
| Echo Guide For Artery Repair (76936) | $1,916.20 | $2,948 | 9.3× |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) | $755.95 | $1,163 | 3.3× |
| Echograp Trans R Pros Study (76873) | $453.70 | $698 | 4.5× |
| Esophagram (74220) | $547.95 | $843 | 3.3× |
| Fetal Biophys Profile W/Nst (76818) | $704.60 | $1,084 | 7.1× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $652.60 | $1,004 | 6.5× |
| Fluoroscopy up to 1 hr (76000) | $729.30 | $1,122 | 3.2× |
| Follow-Up Angiography (75898) | $1,261 | $1,940 | 0.4× |
| Foot 2 views (73620) range across 2 matching MRF lines |
$229.45–$458.90 | $353–$706 | varies |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$250.90–$501.80 | $386–$772 | varies |
| Gastric emptying imaging study (78264) | $2,689.70 | $4,138 | 7.0× |
| Gastric Emptyng Imag Std W/Sm Bwl Transit (78265) | $3,196.05 | $4,917 | 8.4× |
| Gated Heart Planar Single (78472) | $2,313.35 | $3,559 | 6.1× |
| Gated Heart, Multiple (78473) | $2,611.70 | $4,018 | 6.8× |
| Gstrc Emptng Imag Std W/Sm Bwl Col Trnst Mlt Day (78266) | $3,196.05 | $4,917 | 6.2× |
| Hand 2 views (73120) range across 2 matching MRF lines |
$241.80–$483.60 | $372–$744 | varies |
| Hdr Rdncl Ntrstl/Icav Brchtx (77772) | $10,562.50 | $16,250 | 15.9× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) | $10,562.50 | $16,250 | 15.9× |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) | $10,562.50 | $16,250 | 15.9× |
| Heart first pass single,planar (78481) | $1,735.50 | $2,670 | 3.3× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $3,341 | $5,140 | 1.1× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $1,560.65 | $2,401 | 0.5× |
| Hepatobil Syst Image W/Drug (78227) | $2,859.35 | $4,399 | 5.5× |
| Hepatobiliary System Imaging (78226) | $2,382.25 | $3,665 | 6.2× |
| Ht Musc Image Planar Mult (78454) | $2,940.60 | $4,524 | 2.4× |
| Ht Muscle Image Spect Sing (78451) | $2,332.20 | $3,588 | 1.9× |
| Hysterosalpingogram (74740) | $1,096.55 | $1,687 | 4.8× |
| Interstitial radiation source applic complex (77778) | $5,088.85 | $7,829 | 7.7× |
| Joint Survey Single View (77077) | $267.15 | $411 | 2.7× |
| K Flow/Funct Image Multiple (78709) | $3,253.90 | $5,006 | 6.3× |
| K Flow/Funct Image W/Drug (78708) | $1,962.35 | $3,019 | 3.8× |
| K Flow/Funct Image W/O Drug (78707) | $1,712.75 | $2,635 | 3.3× |
| Kidney Imaging Morphol (78700) | $1,626.30 | $2,502 | 4.3× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $1,626.30 | $2,502 | 4.3× |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$361.40–$722.80 | $556–$1,112 | varies |
| Labeled RBC Sequestration Differntl Organ/Tissue (78140) | $978.25 | $1,505 | 2.6× |
| Leveen/Shunt Patency Exam (78291) | $1,100.45 | $1,693 | 2.9× |
| Liver & Spleen Imaging Static Only (78215) | $1,839.50 | $2,830 | 4.8× |
| Liver imaging static only (78201) | $1,851.85 | $2,849 | 3.6× |
| Liver imaging w/vascular flow (78202) | $1,909.70 | $2,938 | 3.7× |
| Lung perfusion differential (78597) | $2,052.70 | $3,158 | 5.4× |
| Lung Ventilat&Perfus Imaging (78582) | $1,893.45 | $2,913 | 3.7× |
| Lung Ventilation Imaging (78579) | $915.20 | $1,408 | 2.4× |
| Lymph System Imaging (78195) | $1,680.90 | $2,586 | 3.2× |
| Lymphangiography Extremity Only Bilateral Rs&I (75803) | $4,506.45 | $6,933 | 3.0× |
| Lymphangiography extremity only unilateral rs&i (75801) | $1,502.15 | $2,311 | 2.5× |
| Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) | $5,686.85 | $8,749 | 1.9× |
| Lymphangiography, pelvic/abdominal, unilateral (75805) | $5,686.85 | $8,749 | 1.9× |
| Magnetic Image Jaw Joint (70336) range across 2 matching MRF lines |
$1,948.05–$3,896.10 | $2,997–$5,994 | varies |
| Magnetic resonance (eg, proton) imaging, brain (including brain stem andskull base), during open intracranial procedure… (70558) | $2,984.80 | $4,592 | 17.8× |
| Magnetic resonance (eg, proton) imaging, brain (including brain stem andskull base), during open intracranial procedure… (70557) | $2,715.05 | $4,177 | 5.2× |
| Magnetic resonance (eg, proton) imaging, brain (including brain stem andskull base), during open intracranial procedure… (70559) | $3,284.45 | $5,053 | 19.6× |
| Mammary ductogram or galactogram multiple (77054) | $1,629.55 | $2,507 | 7.2× |
| Mammary ductogram or galactogram single (77053) | $609.70 | $938 | 2.7× |
| Meckels Divert Exam (78290) | $3,472.30 | $5,342 | 9.1× |
| Medical physics dose eval radiation expos w/rprt (76145) | $3,222.70 | $4,958 | 9.0× |
| Mlc imrt design & construction per imrt plan (77338) | $1,789.45 | $2,753 | 5.0× |
| Mr safety determination physician/other qhp (76016) | $206.70 | $318 | 2.5× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $58.50 | $90 | 2.1× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) | $214.50 | $330 | 2.4× |
| Mr safety implt pos&/immoblj (76019) | $140.40 | $216 | 2.5× |
| Mra Head W/O & W/Contrast Material (70546) | $2,917.20 | $4,488 | 8.8× |
| MRA head w/o contrast (70544) | $2,410.20 | $3,708 | 10.6× |
| MRA head with contrast (70545) | $2,652 | $4,080 | 8.0× |
| MRA neck w contrast (70548) | $3,199.30 | $4,922 | 9.6× |
| Mra Neck W/O &W/Contrast Material (70549) | $3,521.05 | $5,417 | 10.6× |
| MRA neck w/o contrast (70547) | $2,908.75 | $4,475 | 12.8× |
| MRI abdomen w contrast (74182) | $3,491.15 | $5,371 | 10.5× |
| MRI abdomen w/o contrast (74181) | $3,172 | $4,880 | 13.9× |
| MRI any jt lower extrem w/contrast material (73722) range across 2 matching MRF lines |
$2,771.60–$5,543.20 | $4,264–$8,528 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$3,048.50–$6,097 | $4,690–$9,380 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 2 matching MRF lines |
$2,961.40–$5,922.80 | $4,556–$9,112 | varies |
| MRI bone marrow blood supply (77084) | $2,698.15 | $4,151 | 11.8× |
| MRI brain functional w/o physician admnistration (70554) range across 2 matching MRF lines |
$2,540.20–$5,080.40 | $3,908–$7,816 | varies |
| MRI Breast W/O Contrast Bilateral (77047) | $3,510.65 | $5,401 | 15.4× |
| MRI Breast Without Contrast Material Unilateral (77046) | $2,674.10 | $4,114 | 11.7× |
| MRI cardiac w/o contrast (75557) | $4,988.75 | $7,675 | 21.9× |
| MRI cervical spine w contrast (72142) | $2,900.30 | $4,462 | 8.7× |
| MRI cervical spine w/o cont (72141) | $2,636.40 | $4,056 | 11.6× |
| MRI chest w/o contrast (71550) | $3,018.60 | $4,644 | 13.2× |
| MRI chest with contrast (71551) | $3,318.90 | $5,106 | 4.4× |
| MRI chest wo w contrast (71552) | $3,650.40 | $5,616 | 11.0× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 2 matching MRF lines |
$2,962.70–$5,925.40 | $4,558–$9,116 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 2 matching MRF lines |
$3,259.10–$6,518.20 | $5,014–$10,028 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines |
$2,693.60–$5,387.20 | $4,144–$8,288 | varies |
| MRI lumbar spine w contrast (72149) | $3,037.45 | $4,673 | 9.1× |
| Mri Neck Spine W/O & W/Dye (72156) | $3,190.20 | $4,908 | 9.6× |
| MRI orbit face &/neck w/o contrast (70540) | $2,208.05 | $3,397 | 9.7× |
| MRI orbit face neck w contrast (70542) | $2,440.75 | $3,755 | 7.3× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $2,672.80 | $4,112 | 8.0× |
| MRI pelvis w contrast (72196) | $3,135.60 | $4,824 | 9.4× |
| MRI pelvis w/o & w contrast (72197) | $3,448.90 | $5,306 | 10.4× |
| MRI pelvis w/o contrast (72195) | $2,850.25 | $4,385 | 12.5× |
| MRI spectroscopy (76390) | $3,104.40 | $4,776 | 37.4× |
| MRI thoracic spine w/o contrast (72146) | $2,789.15 | $4,291 | 12.2× |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 2 matching MRF lines |
$2,911.35–$5,822.70 | $4,479–$8,958 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 2 matching MRF lines |
$2,644.85–$5,289.70 | $4,069–$8,138 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 2 matching MRF lines |
$3,202.55–$6,405.10 | $4,927–$9,854 | varies |
| MRI, abdomen, combo (74183) | $3,840.20 | $5,908 | 11.5× |
| MRI, dorsal spine combo (72157) | $3,374.15 | $5,191 | 10.1× |
| MRI, dorsal spine contrast (72147) | $3,068.65 | $4,721 | 9.2× |
| MRI, joint upper extrem (73221) range across 2 matching MRF lines |
$2,760.55–$5,521.10 | $4,247–$8,494 | varies |
| MRI, joint upper extrem combo (73223) range across 2 matching MRF lines |
$3,166.80–$6,333.60 | $4,872–$9,744 | varies |
| MRI, lumbar spine combo (72158) | $3,341 | $5,140 | 10.0× |
| Myelogram cervical (72240) | $664.95 | $1,023 | 0.9× |
| Myelogram Lumbar (72265) | $669.50 | $1,030 | 0.9× |
| Myelography thoracic (72255) | $624 | $960 | 0.8× |
| Myelograpy 2/more regions rs&i (72270) | $668.20 | $1,028 | 0.9× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $1,521.65 | $2,341 | 4.0× |
| Myocardial imaging, infarct avid, planar; with ejection fraction by first pass technique Non-Facility (78468) | $1,521.65 | $2,341 | 2.9× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $2,051.40 | $3,156 | 1.7× |
| Myocardial Spect Multiple Studies (78452) | $3,829.15 | $5,891 | 3.1× |
| Myocrd Img Pet Metab Eval Single Study Cncrnt CT (78429) | $1,210.95 | $1,863 | 0.9× |
| Myocrd img PET prfuj 1std rest/stress cncrnt CT (78430) | $1,878.50 | $2,890 | 1.4× |
| Myocrd Img Pet Prfuj Mlt Std Rst&Strs Cncrnt CT (78431) | $2,247.05 | $3,457 | 1.1× |
| Myocrd Img Pet Prfuj W/Metab 2rtracer Cncrnt CT (78433) | $3,531.45 | $5,433 | 1.7× |
| Neck soft tissue (70360) | $252.85 | $389 | 3.0× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $702 | $1,080 | 1.8× |
| Nm csf leak detection (78650) | $2,250.30 | $3,462 | 1.8× |
| Nm myocard infarct spect (78469) | $1,521.65 | $2,341 | 2.9× |
| Nonvascular Shunt X-Ray (75809) | $913.25 | $1,405 | 9.1× |
| Ntsty modul radthx pln dose-vol histos (77301) | $21,166.60 | $32,564 | 16.0× |
| Nuclear Rx Intra-Arterial (79445) | $1,777.10 | $2,734 | 8.0× |
| Nuclear Rx Oral Admin (79005) | $2,201.55 | $3,387 | 9.9× |
| Ob us nuchal meas 1 gest (76813) | $648.70 | $998 | 6.5× |
| Optic foramina (70190) range across 2 matching MRF lines |
$168.35–$336.70 | $259–$518 | varies |
| Panoramic X-ray of jaws (70355) | $308.10 | $474 | 3.7× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $2,340.65 | $3,601 | 4.5× |
| Parathyroid Planar Imaging (78070) | $1,666.60 | $2,564 | 4.4× |
| Parathyroid planar imaging w/wo subtraction (78071) | $2,083.90 | $3,206 | 5.5× |
| Pelvis 1 or 2 views (72170) | $305.50 | $470 | 3.1× |
| Perineogram (74775) | $1,258.40 | $1,936 | 5.5× |
| Peritoneogram Rs&I (74190) | $1,506.05 | $2,317 | 2.9× |
| Pet Image W/Ct Lmtd (78814) | $4,663.10 | $7,174 | 3.4× |
| PET image w/CT, full body (78816) | $6,307.60 | $9,704 | 4.6× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $5,185.70 | $7,978 | 3.8× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $3,454.10 | $5,314 | 1.1× |
| Pulmonary Perfusion Imaging Particulate (78580) | $978.25 | $1,505 | 2.6× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $399.10 | $614 | 4.0× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $1,066 | $1,640 | 2.0× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$306.80–$613.60 | $472–$944 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$331.50–$663 | $510–$1,020 | varies |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$373.75–$747.50 | $575–$1,150 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $536.25 | $825 | 5.4× |
| Radex fingr minimum 2 views (73140) range across 2 matching MRF lines |
$328.25–$656.50 | $505–$1,010 | varies |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$375.70–$751.40 | $578–$1,156 | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$351.65–$703.30 | $541–$1,082 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 2 matching MRF lines |
$346.45–$692.90 | $533–$1,066 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) range across 2 matching MRF lines |
$475.80–$951.60 | $732–$1,464 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $384.80 | $592 | 4.6× |
| Radex Ribs Unilateral 2 Views (71100) | $434.85 | $669 | 5.2× |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$330.20–$660.40 | $508–$1,016 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $211.90 | $326 | 2.5× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $1,235.65 | $1,901 | 7.4× |
| Radex Spine 1 View Specify Level (72020) | $239.85 | $369 | 2.9× |
| Radex Sternum Minimum 2 Views (71120) | $485.55 | $747 | 5.8× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $529.75 | $815 | 6.4× |
| Radex Toe Minimum 2 Views (73660) range across 2 matching MRF lines |
$295.10–$590.20 | $454–$908 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 2 matching MRF lines |
$351–$702 | $540–$1,080 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$293.15–$586.30 | $451–$902 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $764.40 | $1,176 | 7.7× |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $7,551.70 | $11,618 | 1.1× |
| Radiation treatment delivery level 1 (77402) | $1,853.15 | $2,851 | 19.0× |
| Radiation treatment delivery level 2 (77407) | $1,945.45 | $2,993 | 5.3× |
| Radiation treatment delivery level 3 (77412) | $2,167.10 | $3,334 | 4.1× |
| Radiolog exam mandible compl minimum 4 views (70110) | $447.20 | $688 | 4.5× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $332.15 | $511 | 3.3× |
| Radiologic exam colon double contrast study (74280) | $814.45 | $1,253 | 4.9× |
| Radiologic exam colon single contrast study (74270) | $773.50 | $1,190 | 4.6× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $609.05 | $937 | 3.6× |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$406.25–$812.50 | $625–$1,250 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $322.40 | $496 | 3.2× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $991.25 | $1,525 | 5.9× |
| Radiologic exam swallow function contrast study (74230) | $475.80 | $732 | 2.8× |
| Radiologic exam upr gi trc double contrast study (74246) | $907.40 | $1,396 | 5.4× |
| Radiologic examination femur 1 view (73551) range across 2 matching MRF lines |
$249.60–$499.20 | $384–$768 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$308.10–$616.20 | $474–$948 | varies |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$278.20–$556.40 | $428–$856 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $260 | $400 | 2.6× |
| Radiologic examination tibia & fibula 2 views (73590) range across 2 matching MRF lines |
$274.30–$548.60 | $422–$844 | varies |
| Radiologic examination, internal auditory meati, complete Non-Facility (70134) | $339.95 | $523 | 0.7× |
| Renal Cyst Study (74470) | $1,585.35 | $2,439 | 3.0× |
| Ribs bilateral 3 views (71110) | $457.60 | $704 | 4.6× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $2,266.55 | $3,487 | 5.9× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $2,428.40 | $3,736 | 6.4× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $2,705.95 | $4,163 | 5.2× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $2,567.50 | $3,950 | 5.0× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $2,845.05 | $4,377 | 5.5× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $3,133 | $4,820 | 2.5× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $3,289 | $5,060 | 2.4× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $2,983.50 | $4,590 | 2.4× |
| Rp Ther Radiolbld Monoclonal Antibody IV Infus (79403) | $4,540.90 | $6,986 | 20.4× |
| Rp Therapy Intravenous Administration (79101) | $2,193.75 | $3,375 | 9.8× |
| Salivary Gland Imaging (78230) | $2,219.10 | $3,414 | 5.8× |
| Scapula (73010) range across 2 matching MRF lines |
$391.95–$783.90 | $603–$1,206 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $44.85 | $69 | 1.9× |
| Sella turcica (70240) | $237.90 | $366 | 2.9× |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$215.80–$431.60 | $332–$664 | varies |
| Shoulder Arthrography (73040) range across 2 matching MRF lines |
$791.05–$1,582.10 | $1,217–$2,434 | varies |
| Sialogram (70390) | $1,373.45 | $2,113 | 6.0× |
| Skull less than 4 views (70250) | $247.65 | $381 | 2.5× |
| Special dosimetry (77331) | $1,134.90 | $1,746 | 8.8× |
| Special Physics Consult (77370) | $3,324.10 | $5,114 | 25.9× |
| Special teletherapy port plan (77321) | $8,119.80 | $12,492 | 22.7× |
| Special treatment procedure (77470) | $4,434.95 | $6,823 | 8.4× |
| Stereotactic Body Radiation Delivery (77373) | $5,177.25 | $7,965 | 3.0× |
| Sternoclavicular joints (71130) | $361.40 | $556 | 4.3× |
| Superior sagittal sinus venogram (75870) | $1,756.30 | $2,702 | 0.6× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $13,827.45 | $21,273 | 38.7× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $11,233.30 | $17,282 | 31.4× |
| Testicular Imaging W/Flow (78761) | $1,302.60 | $2,004 | 3.4× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $6,279.65 | $9,661 | 17.6× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $3,032.90 | $4,666 | 8.5× |
| Ther rad simulaj-aided field setting simple (77280) | $1,695.85 | $2,609 | 13.2× |
| Thoracic spine 2 views (72070) | $369.20 | $568 | 3.7× |
| Thoracic spine 3 views (72072) | $420.55 | $647 | 4.2× |
| Thoracolumbar 2 views (72080) | $373.75 | $575 | 4.5× |
| Thyroid Imaging With Vascular Flow (78013) | $881.40 | $1,356 | 2.3× |
| Thyroid Met Imaging Body (78018) | $2,228.20 | $3,428 | 4.3× |
| Thyroid Uptake Measurement (78012) | $1,329.90 | $2,046 | 3.5× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $2,011.10 | $3,094 | 5.3× |
| Tx Devices Design & Construction Complex (77334) | $2,246.40 | $3,456 | 6.3× |
| Tx devices design & construction intermediate (77333) | $2,074.80 | $3,192 | 16.2× |
| Tx devices design & construction simple (77332) | $1,848.60 | $2,844 | 14.4× |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$414.70–$829.40 | $638–$1,276 | varies |
| Ultrasound Elastography Parenchyma (76981) | $699.40 | $1,076 | 7.0× |
| Ultrasound Exam Aaa Screen (76706) | $438.10 | $674 | 4.4× |
| Ultrasound, abdomen limited (76705) | $529.10 | $814 | 5.3× |
| Umbilical-artery Doppler (OB) (76820) | $215.15 | $331 | 2.2× |
| Unlisted fluoroscopic procedure (76496) | $1,328.60 | $2,044 | 16.0× |
| Unlisted magnetic resonance procedure (76498) | $520 | $800 | 6.3× |
| Unlisted Procedure Clinical Brachytherapy (77799) | $1,674.40 | $2,576 | 17.2× |
| Unlisted us procedure (76999) | $1,046.50 | $1,610 | 12.6× |
| Upper gi w/o kub (74240) | $685.75 | $1,055 | 4.1× |
| Ureteral Reflux Study (78740) | $3,390.40 | $5,216 | 8.9× |
| Urethrocystogram voiding (74455) | $899.60 | $1,384 | 3.9× |
| Urethrocystography retrograde (74450) | $894.40 | $1,376 | 3.9× |
| Us breast unilateral complete (76641) range across 5 matching MRF lines |
$146.25–$1,105 | $225–$1,700 | varies |
| Us chest (76604) | $456.95 | $703 | 4.6× |
| Us complete joint (76881) | $903.50 | $1,390 | 9.1× |
| Us exam, pelvic, limited (76857) | $484.25 | $745 | 4.9× |
| Us head (76506) | $657.80 | $1,012 | 6.6× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $502.45 | $773 | 5.0× |
| Us ob detailed single fetus (76811) | $928.85 | $1,429 | 4.1× |
| Us ob limited 1 or more fetuses (76815) | $529.10 | $814 | 5.3× |
| Us ob transvaginal (76817) | $593.45 | $913 | 5.9× |
| Us pelvic non ob complete (76856) | $725.40 | $1,116 | 7.3× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $617.50 | $950 | 6.2× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $733.20 | $1,128 | 7.3× |
| Us retroperitoneal complete (76770) | $705.90 | $1,086 | 7.1× |
| Us retroperitoneal limited (76775) | $490.75 | $755 | 4.9× |
| Us scrotum and contents (76870) | $534.95 | $823 | 5.4× |
| Us spinal canal and contents (76800) | $654.55 | $1,007 | 6.6× |
| Us thyroid (76536) | $644.15 | $991 | 6.5× |
| Us transrectal (76872) | $954.20 | $1,468 | 9.6× |
| Vascular Flow Imaging (78445) | $1,626.30 | $2,502 | 4.3× |
| Vein X-Ray Chest (75827) | $1,235 | $1,900 | 0.8× |
| Vein X-Ray Liver W/O Hemodyn (75887) | $2,360.15 | $3,631 | 0.8× |
| Vein X-Ray Skull Epidural (75872) | $999.70 | $1,538 | 1.7× |
| Vein X-Ray Spleen/Liver (75810) | $2,275.65 | $3,501 | 0.8× |
| Venogram Sinus/Jugular (75860) | $2,603.25 | $4,005 | 0.9× |
| Venography Adrenal Unilateral (75840) | $846.30 | $1,302 | 0.3× |
| Venography caval inferior serialography rs&i (75825) | $1,701.05 | $2,617 | 0.6× |
| Venography extremity bilateral rs&i (75822) | $2,980.90 | $4,586 | 2.0× |
| Venography extremity unilateral rs&i (75820) | $2,698.15 | $4,151 | 1.8× |
| Venography Renal Bilateral (75833) | $2,497.95 | $3,843 | 0.8× |
| Venography Renal Unilateral (75831) | $2,497.95 | $3,843 | 0.8× |
| Venous sampling by catheter (75893) | $3,454.10 | $5,314 | 0.7× |
| Venous Thrombosis Imaging Venogram Bilateral (78458) | $1,626.30 | $2,502 | 4.3× |
| Vertebral fracture assessment via dxa (77086) | $527.15 | $811 | 6.3× |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$260–$520 | $400–$800 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $533 | $820 | 6.4× |
| X-ray antegrade pyelogram tube (74425) | $836.55 | $1,287 | 2.5× |
| X-Ray Aorta Leg Arteries (75630) | $7,290.40 | $11,216 | 2.4× |
| X-Ray Bend Only L-S Spine (72120) | $428.35 | $659 | 4.3× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$278.20–$556.40 | $428–$856 | varies |
| X-Ray Exam Breast Specimen (76098) | $410.80 | $632 | 0.8× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $442 | $680 | 5.3× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $530.40 | $816 | 5.3× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $637 | $980 | 6.4× |
| X-Ray Exam Hip Uni 1 View (73501) | $282.75 | $435 | 3.4× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $432.90 | $666 | 5.2× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $583.05 | $897 | 5.8× |
| X-Ray Exam Hips Bi 2 Views (73521) | $501.15 | $771 | 5.0× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $614.25 | $945 | 6.2× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $809.25 | $1,245 | 8.1× |
| X-Ray Exam L-S Spine Bending (72114) | $587.60 | $904 | 5.9× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $426.40 | $656 | 5.1× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $585.65 | $901 | 5.9× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $528.45 | $813 | 5.3× |
| X-ray eye for foreign body (70030) range across 2 matching MRF lines |
$263.25–$526.50 | $405–$810 | varies |
| X-ray humerus (73060) | $271.70 | $418 | 3.3× |
| X-ray IV pyelogram (ivp) (74400) | $1,192.10 | $1,834 | 7.1× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $308.10 | $474 | 3.7× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $333.45 | $513 | 4.0× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $473.20 | $728 | 4.7× |
| X-ray nose-rectum child f.b. (76010) | $412.75 | $635 | 5.0× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $577.20 | $888 | 5.8× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $607.10 | $934 | 6.1× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $458.25 | $705 | 4.6× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $384.15 | $591 | 4.6× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $505.05 | $777 | 6.1× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $444.60 | $684 | 4.5× |
| X-Ray Stress View (77071) | $215.80 | $332 | 2.6× |
| X-ray thoracic spine 4 vw (72074) | $444.60 | $684 | 4.5× |
| X-Ray Tmj Unilat (70328) | $403 | $620 | 4.8× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $796.90 | $1,226 | 2.4× |
| X-Rays Bone Length Studies (77073) | $468 | $720 | 4.7× |
| X-Rays Bone Survey Complete (77075) | $611 | $940 | 6.1× |
| Xr c-spine 4 or 5 views (72050) | $509.60 | $784 | 5.1× |
| Xr facial bones less than 3 views (70140) | $347.10 | $534 | 4.2× |
| Xr orbits complete 4 views (70200) | $541.45 | $833 | 5.4× |
| Xr Tomogram Single Plane (76100) | $325 | $500 | 3.3× |
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.