Imaging prices at Marshall Medical Center South
Boaz, AL · every code in this section with a posted price and a Medicare benchmark.
417 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) | $1,790.80 | $1,790.80 | 1.5× |
| Abdomen 1 View (74018) range across 7 matching MRF lines |
$293.70–$724.50 | $293.70–$724.50 | varies |
| Abdomen 2 views (74019) | $162.80 | $162.80 | 1.8× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $904.20 | $904.20 | 2.6× |
| Angio internal mammary (75756) | $4,990 | $4,990 | 1.8× |
| Angio pulmonary bilat (75743) range across 2 matching MRF lines |
$1,864.50–$4,990 | $1,864.50–$4,990 | varies |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $4,990 | $4,990 | 1.8× |
| Angiography extremity bilateral rs&i (75716) range across 3 matching MRF lines |
$2,007.50–$5,988 | $2,007.50–$5,988 | varies |
| Angiography extremity unilateral rs&i (75710) range across 5 matching MRF lines |
$1,976.70–$5,988 | $1,976.70–$5,988 | varies |
| Angiography pulmonary unilateral slctv rs&i (75741) range across 4 matching MRF lines |
$1,678.60–$4,990 | $1,678.60–$4,990 | varies |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) range across 2 matching MRF lines |
$1,492.70–$4,990 | $1,492.70–$4,990 | varies |
| Ankle 2 views (73600) range across 5 matching MRF lines |
$284.90–$663.50 | $284.90–$663.50 | varies |
| Aortography thoracic serialography rs&i (75605) range across 3 matching MRF lines |
$1,976.70–$9,344.50 | $1,976.70–$9,344.50 | varies |
| Artery X-Rays Abdomen (75726) range across 3 matching MRF lines |
$1,976.70–$11,650.80 | $1,976.70–$11,650.80 | varies |
| Artery X-Rays Adrenal Gland (75731) | $4,990 | $4,990 | 1.8× |
| Artery X-Rays Pelvis (75736) range across 2 matching MRF lines |
$4,990–$5,945 | $4,990–$5,945 | varies |
| Artery X-Rays Spine (75705) | $9,709 | $9,709 | 2.0× |
| Arthrogram ankle (73615) | $1,328 | $1,328 | 4.4× |
| Arthrogram hip (73525) range across 5 matching MRF lines |
$427.90–$1,834 | $427.90–$1,834 | varies |
| Arthrogram Wrist (73115) range across 2 matching MRF lines |
$427.90–$740 | $427.90–$740 | varies |
| Basic radiation dosimetry calculation (77300) range across 2 matching MRF lines |
$360–$522.50 | $360–$522.50 | varies |
| Bone age studies (77072) range across 2 matching MRF lines |
$293.70–$655 | $293.70–$655 | varies |
| Bone Imaging 3 Phase (78315) | $1,148.40 | $1,148.40 | 3.3× |
| Bone Imaging Limited Area (78300) | $1,058 | $1,058 | 3.1× |
| Bone Imaging Multiple Areas (78305) | $469.70 | $469.70 | 1.4× |
| Bone Imaging Whole Body (78306) | $1,035.10 | $1,035.10 | 3.0× |
| Bone marrow imaging limited area (78102) | $1,058 | $1,058 | 3.1× |
| Bone marrow imaging; whole body (78104) | $1,918.50 | $1,918.50 | 5.6× |
| Bone survey infant (77076) | $446.60 | $446.60 | 5.0× |
| Brachytx isodose complex (77318) | $1,438 | $1,438 | 4.5× |
| Brachytx isodose intermed (77317) | $691.50 | $691.50 | 2.1× |
| Brachytx Isodose Plan Simple (77316) | $580.50 | $580.50 | 1.8× |
| Brain Image W/Flow < 4 Views (78601) | $1,273 | $1,273 | 3.7× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $1,273 | $1,273 | 2.7× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $4,539 | $4,539 | 3.7× |
| Card Bl Pool Gated Spect Rest Wal Motn Ejct Frct (78494) | $613 | $613 | 1.8× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $4,048.50 | $4,048.50 | 13.5× |
| Cardiac MRI w/w/o contrast w/stress (75563) | $2,080 | $2,080 | 3.1× |
| Cat Scan Follow-Up Study (76380) | $425.50 | $425.50 | 5.7× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $2,283.50 | $2,283.50 | 4.9× |
| Cerebrospinal Fluid Scan (78630) | $1,016.50 | $1,016.50 | 2.2× |
| Chest 1 view (71045) range across 2 matching MRF lines |
$245.30–$382.20 | $245.30–$382.20 | varies |
| Chest 2 views (71046) | $353.10 | $353.10 | 4.7× |
| Chest 3 views (71047) | $433.40 | $433.40 | 5.8× |
| Chest 4 or more views (71048) range across 2 matching MRF lines |
$173.50–$404.50 | $173.50–$404.50 | varies |
| Chg us nrv&acc strux 1 xtr compre w/img pr extremity (76883) | $1,217 | $1,217 | 13.5× |
| Clavicle complete (73000) range across 5 matching MRF lines |
$298.10–$327.80 | $298.10–$327.80 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $1,526.80 | $1,526.80 | 16.9× |
| Continuing medical physics consltj pr wk (77336) | $447.70 | $447.70 | 3.9× |
| Contrast Exam Abdominl Aorta (75625) range across 3 matching MRF lines |
$1,976.70–$5,988 | $1,976.70–$5,988 | varies |
| Contrast X-Ray Bladder (74430) range across 4 matching MRF lines |
$158.40–$1,572 | $158.40–$1,572 | varies |
| Contrast X-Ray Of Elbow (73085) | $427.90 | $427.90 | 1.4× |
| Contrast X-Ray Of Knee Joint (73580) | $1,295.50 | $1,295.50 | 4.3× |
| CT abdomen and pelvis without and with contrast (74178) | $2,288 | $2,288 | 7.6× |
| CT abdomen and pelvis without contrast (74176) | $1,526.80 | $1,526.80 | 7.4× |
| CT abdomen w contrast (74160) | $2,046 | $2,046 | 13.5× |
| CT abdomen w wo contrast (74170) | $2,288 | $2,288 | 15.1× |
| CT abdomen w/o contrast (74150) | $1,526.80 | $1,526.80 | 16.9× |
| CT Angio Abdomen and Pelvis (74174) | $2,288 | $2,288 | 7.6× |
| CT Angio Chest (71275) | $2,356.20 | $2,356.20 | 15.6× |
| CT Angio Head (70496) | $2,011.90 | $2,011.90 | 13.3× |
| CT angio hrt w/3d image (75574) | $1,938.50 | $1,938.50 | 6.4× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $1,976.70 | $1,976.70 | 13.1× |
| CT Angio Neck (70498) | $2,114.20 | $2,114.20 | 14.0× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $1,976.70 | $1,976.70 | 13.1× |
| CT Cere Prfuj Alys C+ W/O CT/Cta Same Anatomy (70473) | $534 | $534 | 3.5× |
| CT cervical spine w/ contrast (72126) | $2,423.30 | $2,423.30 | 8.1× |
| CT cervical spine w/o contrast (72125) | $2,356.20 | $2,356.20 | 26.2× |
| CT cervical spine w/wo cont (72127) | $2,511.30 | $2,511.30 | 16.6× |
| CT chest w contrast (71260) | $1,703.90 | $1,703.90 | 11.3× |
| CT chest w/wo contrast (71270) | $1,948.10 | $1,948.10 | 12.9× |
| CT Colonogrphy Dx Image Postprocess W/Contrast (74262) | $540 | $540 | 3.6× |
| CT colonogrphy dx image postprocess w/o contrast (74261) | $473.50 | $473.50 | 5.3× |
| CT head/brain with contrast (70460) | $1,831.50 | $1,831.50 | 12.1× |
| CT head/brain without and with contrast (70470) | $1,964.60 | $1,964.60 | 13.0× |
| CT heart contrast eval cardiac structure&morph (75572) | $631.50 | $631.50 | 2.1× |
| CT heart no contrast quant eval coronry calcium (75571) | $235 | $235 | 3.1× |
| CT hrt w/3d image congen (75573) | $1,865.50 | $1,865.50 | 6.2× |
| CT iac w contrast (70481) | $1,703.90 | $1,703.90 | 11.3× |
| CT l-spine w&w/o contrast (72133) | $2,212.10 | $2,212.10 | 14.6× |
| CT lower ext w/o (73700) | $1,526.80 | $1,526.80 | 16.9× |
| CT lower extremity w/contrast material (73701) | $2,046 | $2,046 | 13.5× |
| CT lumbar spine w contrast (72132) | $2,113.10 | $2,113.10 | 7.0× |
| CT lumbar spine w/o contrast (72131) | $2,046 | $2,046 | 22.7× |
| CT maxillofacial w contrast (70487) | $1,739.10 | $1,739.10 | 11.5× |
| CT maxillofacial wo contrast (70486) | $1,644.50 | $1,644.50 | 18.3× |
| CT neck tissue combo (70492) | $2,288 | $2,288 | 15.1× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,771 | $1,771 | 11.7× |
| CT orbits w/o contrast (70480) | $1,644.50 | $1,644.50 | 18.3× |
| CT pelvis w&w/o contrast (72194) | $2,288 | $2,288 | 15.1× |
| CT pelvis w/o contrast (72192) | $1,526.80 | $1,526.80 | 16.9× |
| CT scan of leg combo (73702) | $2,288 | $2,288 | 15.1× |
| CT scans face/jaw combo (70488) | $1,771 | $1,771 | 11.7× |
| CT soft tissue neck w contrast (70491) | $2,046 | $2,046 | 13.5× |
| CT soft tissue neck w/o contrast (70490) | $1,526.80 | $1,526.80 | 16.9× |
| CT thoracic spine w contrast (72129) | $2,113.10 | $2,113.10 | 14.0× |
| CT thoracic spine w/o contrast (72128) | $2,046 | $2,046 | 22.7× |
| CT thoracic spine w/wo cont (72130) | $2,212.10 | $2,212.10 | 14.6× |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$1,526.80–$2,185.50 | $1,526.80–$2,185.50 | varies |
| CT upper ext wo (73200) | $1,526.80 | $1,526.80 | 16.9× |
| CT upper extremity w/o & w/contrast material (73202) | $2,288 | $2,288 | 15.1× |
| CT upper extremity with contrast (73201) | $2,046 | $2,046 | 6.8× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $2,164.80 | $2,164.80 | 14.3× |
| Cta Abdomen (74175) | $2,114.20 | $2,114.20 | 14.0× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $1,072 | $1,072 | 3.6× |
| CTA pelvis (72191) | $2,935 | $2,935 | 19.4× |
| Dacryocystography, nasolacrimal duct, radiological supervision and interpretation Non-Facility (70170) range across 2 matching MRF lines |
$843–$1,686 | $843–$1,686 | varies |
| Dilation ureters/urethra rs&i (74485) | $2,765 | $2,765 | 1.5× |
| Discography Cerv/Thor Spine (72285) range across 2 matching MRF lines |
$6,077–$7,292.50 | $6,077–$7,292.50 | varies |
| Diskography lumbar (72295) range across 2 matching MRF lines |
$6,077–$7,292.50 | $6,077–$7,292.50 | varies |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) | $282 | $282 | 3.1× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $282 | $282 | 3.1× |
| Doppler Fetal Mid Cerebral Artery (76821) | $169 | $169 | 1.9× |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$539–$556.50 | $539–$556.50 | varies |
| Dxa bone density study 1/>sites appendiclr skel (77081) range across 2 matching MRF lines |
$280.50–$304.50 | $280.50–$304.50 | varies |
| Echo exam of fetal heart (76825) | $854 | $854 | 1.8× |
| Echo exam uterus (76831) | $346 | $346 | 1.7× |
| Echo Guide For Artery Repair (76936) | $917 | $917 | 4.9× |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) | $408 | $408 | 2.0× |
| Esophagram (74220) | $414.70 | $414.70 | 2.7× |
| Fetal Biophys Profile W/Nst (76818) | $282 | $282 | 3.1× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 2 matching MRF lines |
$282–$640.20 | $282–$640.20 | varies |
| Fetal MRI w/placntl matrnl plvc img sing/1st ges (74712) | $3,575 | $3,575 | 17.4× |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$440–$876 | $440–$876 | varies |
| Follow-Up Angiography (75898) range across 2 matching MRF lines |
$2,860.38–$3,432.46 | $2,860.38–$3,432.46 | varies |
| Foot 2 views (73620) range across 4 matching MRF lines |
$115.50–$220 | $115.50–$220 | varies |
| Forearm 2 views (73090) range across 5 matching MRF lines |
$279.40–$318.60 | $279.40–$318.60 | varies |
| Gastric emptying imaging study (78264) | $449.90 | $449.90 | 1.3× |
| Gastric Emptyng Imag Std W/Sm Bwl Transit (78265) | $1,703 | $1,703 | 4.9× |
| Gated Heart Planar Single (78472) range across 3 matching MRF lines |
$1,084.60–$1,572 | $1,084.60–$1,572 | varies |
| Gated Heart, Multiple (78473) | $1,868 | $1,868 | 5.4× |
| Gstrc Emptng Imag Std W/Sm Bwl Col Trnst Mlt Day (78266) | $2,271 | $2,271 | 4.9× |
| Hand 2 views (73120) range across 6 matching MRF lines |
$185–$215.50 | $185–$215.50 | varies |
| Hdr Rdncl Ntrstl/Icav Brchtx (77772) | $1,302 | $1,302 | 2.2× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) | $1,516 | $1,516 | 2.5× |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) | $507 | $507 | 0.8× |
| Heart Image (Pet) Multiple (78492) | $4,539 | $4,539 | 3.7× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $4,990 | $4,990 | 1.8× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $4,990 | $4,990 | 1.8× |
| Hepatobil Syst Image W/Drug (78227) | $1,127.50 | $1,127.50 | 2.4× |
| Hepatobiliary System Imaging (78226) | $1,127.50 | $1,127.50 | 3.3× |
| Ht Muscle Image Spect Sing (78451) range across 3 matching MRF lines |
$2,134–$2,652.50 | $2,134–$2,652.50 | varies |
| Hysterosalpingogram (74740) | $178.20 | $178.20 | 0.9× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $323 | $323 | 4.3× |
| Infant hip ultrasound, limited static exam (76886) | $282 | $282 | 3.8× |
| Interstitial radiation source applic complex (77778) | $1,302 | $1,302 | 2.2× |
| Intracavitary Radiation Source Applic Complex (77763) | $1,302 | $1,302 | 2.2× |
| Intracavitary radiation source applic simple (77761) | $996 | $996 | 2.1× |
| Joint Survey Single View (77077) | $486.50 | $486.50 | 5.4× |
| K Flow/Funct Image Multiple (78709) | $810 | $810 | 1.7× |
| K Flow/Funct Image W/Drug (78708) | $784.30 | $784.30 | 1.7× |
| K Flow/Funct Image W/O Drug (78707) | $744.70 | $744.70 | 1.6× |
| Kidney Imaging Morphol (78700) | $524.70 | $524.70 | 1.5× |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$309.10–$323.40 | $309.10–$323.40 | varies |
| Leveen/Shunt Patency Exam (78291) | $610.50 | $610.50 | 1.8× |
| Liver & Spleen Imaging Static Only (78215) | $869 | $869 | 2.5× |
| Liver imaging w/vascular flow (78202) | $908 | $908 | 1.9× |
| Lung Perf&Ventilat Diferentl (78598) | $2,864.50 | $2,864.50 | 6.1× |
| Lung Ventilat&Perfus Imaging (78582) | $1,655.50 | $1,655.50 | 3.5× |
| Lung Ventilation Imaging (78579) | $1,318 | $1,318 | 3.8× |
| Lymph System Imaging (78195) | $1,027.50 | $1,027.50 | 2.2× |
| Lymphangiography Extremity Only Bilateral Rs&I (75803) | $2,678 | $2,678 | 2.0× |
| Lymphangiography extremity only unilateral rs&i (75801) | $1,024 | $1,024 | 1.9× |
| Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) | $4,990 | $4,990 | 1.8× |
| Lymphangiography, pelvic/abdominal, unilateral (75805) | $2,941.50 | $2,941.50 | 1.1× |
| Magnetic Image Jaw Joint (70336) | $1,864.50 | $1,864.50 | 9.1× |
| Mammary ductogram or galactogram single (77053) | $700.50 | $700.50 | 3.4× |
| Meckels Divert Exam (78290) | $856.90 | $856.90 | 2.5× |
| Medical physics dose eval radiation expos w/rprt (76145) | $766.50 | $766.50 | 2.4× |
| Mlc imrt design & construction per imrt plan (77338) | $799.70 | $799.70 | 2.5× |
| Mr safety determination physician/other qhp (76016) | $176 | $176 | 2.3× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $49 | $49 | 2.0× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) | $183.50 | $183.50 | 2.2× |
| Mr safety implt pos&/immoblj (76019) | $119 | $119 | 2.3× |
| Mr safety med physics xm customization plng&mntr (76017) | $483 | $483 | 2.3× |
| Mra Head W/O & W/Contrast Material (70546) | $4,357.50 | $4,357.50 | 14.5× |
| MRA head w/o contrast (70544) | $2,164.80 | $2,164.80 | 10.5× |
| MRA head with contrast (70545) | $3,810 | $3,810 | 12.7× |
| MRA neck w contrast (70548) | $2,164.80 | $2,164.80 | 7.2× |
| Mra Neck W/O &W/Contrast Material (70549) | $2,461.80 | $2,461.80 | 8.2× |
| MRA neck w/o contrast (70547) | $1,864.50 | $1,864.50 | 9.1× |
| MRI abdomen w contrast (74182) | $2,164.80 | $2,164.80 | 7.2× |
| MRI abdomen w/o contrast (74181) | $1,864.50 | $1,864.50 | 9.1× |
| MRI any jt lower extrem w/contrast material (73722) range across 3 matching MRF lines |
$3,564–$7,128 | $3,564–$7,128 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $2,461.80 | $2,461.80 | 8.2× |
| MRI any jt upper extremity w/contrast matrl (73222) range across 3 matching MRF lines |
$3,564–$7,128 | $3,564–$7,128 | varies |
| MRI Breast W/O Contrast Bilateral (77047) | $4,380 | $4,380 | 21.3× |
| MRI Breast Without Contrast Material Unilateral (77046) | $3,245 | $3,245 | 15.8× |
| MRI cardiac w/o contrast (75557) | $3,810 | $3,810 | 18.5× |
| MRI cervical spine w contrast (72142) | $2,164.80 | $2,164.80 | 7.2× |
| MRI cervical spine w/o cont (72141) | $1,864.50 | $1,864.50 | 9.1× |
| MRI chest w/o contrast (71550) | $3,575 | $3,575 | 17.4× |
| MRI chest with contrast (71551) | $3,820 | $3,820 | 5.7× |
| MRI chest wo w contrast (71552) | $4,048.50 | $4,048.50 | 13.5× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $2,164.80 | $2,164.80 | 7.2× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $2,461.80 | $2,461.80 | 8.2× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 4 matching MRF lines |
$1,864.50–$4,011.50 | $1,864.50–$4,011.50 | varies |
| MRI lumbar spine w contrast (72149) | $2,164.80 | $2,164.80 | 7.2× |
| Mri Neck Spine W/O & W/Dye (72156) | $2,461.80 | $2,461.80 | 8.2× |
| MRI orbit face &/neck w/o contrast (70540) | $1,864.50 | $1,864.50 | 9.1× |
| MRI orbit face neck w contrast (70542) | $4,191.50 | $4,191.50 | 13.9× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $2,461.80 | $2,461.80 | 8.2× |
| MRI pelvis w contrast (72196) | $2,164.80 | $2,164.80 | 7.2× |
| MRI pelvis w/o & w contrast (72197) | $2,461.80 | $2,461.80 | 8.2× |
| MRI pelvis w/o contrast (72195) | $1,864.50 | $1,864.50 | 9.1× |
| MRI spectroscopy (76390) | $4,996.50 | $4,996.50 | 66.6× |
| MRI thoracic spine w/o contrast (72146) | $1,864.50 | $1,864.50 | 9.1× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $3,564 | $3,564 | 11.9× |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 4 matching MRF lines |
$1,864.50–$4,011.50 | $1,864.50–$4,011.50 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) | $2,461.80 | $2,461.80 | 8.2× |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$2,461.80–$4,747 | $2,461.80–$4,747 | varies |
| MRI, dorsal spine combo (72157) | $2,461.80 | $2,461.80 | 8.2× |
| MRI, dorsal spine contrast (72147) | $2,164.80 | $2,164.80 | 7.2× |
| MRI, joint upper extrem (73221) | $1,864.50 | $1,864.50 | 9.1× |
| MRI, joint upper extrem combo (73223) | $2,461.80 | $2,461.80 | 8.2× |
| MRI, lumbar spine combo (72158) | $2,461.80 | $2,461.80 | 8.2× |
| Myocardial Spect Multiple Studies (78452) range across 2 matching MRF lines |
$2,134–$2,652.50 | $2,134–$2,652.50 | varies |
| N-invas est c ffr sw aly CTA (75580) | $2,799 | $2,799 | 3.8× |
| Neck soft tissue (70360) | $215.60 | $215.60 | 2.9× |
| Nfs/Instlj Radioelmnt Sln 3 Mo Follow-Up Care (77750) | $443.50 | $443.50 | 1.3× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $440 | $440 | 1.3× |
| Nm whole blood volume (78122) | $1,145.50 | $1,145.50 | 2.4× |
| Nonvascular Shunt X-Ray (75809) | $522.50 | $522.50 | 5.8× |
| Ntsty modul radthx pln dose-vol histos (77301) | $2,537.70 | $2,537.70 | 2.1× |
| Nuclear Rx Intra-Arterial (79445) | $505 | $505 | 2.5× |
| Nuclear Rx Oral Admin (79005) | $1,130 | $1,130 | 5.6× |
| Ob us nuchal meas 1 gest (76813) | $169 | $169 | 1.9× |
| Ophthalmic Ultrasonic Foreign Body Localization (76529) | $246 | $246 | 3.3× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) range across 3 matching MRF lines |
$200–$2,425 | $200–$2,425 | varies |
| Panoramic X-ray of jaws (70355) | $433 | $433 | 5.8× |
| Parathyroid Planar Imaging (78070) | $1,065.90 | $1,065.90 | 3.1× |
| Parathyroid planar imaging w/wo subtraction (78071) | $1,347.50 | $1,347.50 | 3.9× |
| Pelvis 1 or 2 views (72170) range across 4 matching MRF lines |
$293.70–$513 | $293.70–$513 | varies |
| Peritoneogram Rs&I (74190) | $1,334 | $1,334 | 2.8× |
| Pet Image W/Ct Lmtd (78814) | $4,917 | $4,917 | 4.0× |
| PET image w/CT, full body (78816) | $4,917 | $4,917 | 4.0× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $4,917 | $4,917 | 4.0× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $4,990 | $4,990 | 1.8× |
| Pulmonary Perfusion Imaging Particulate (78580) | $651.20 | $651.20 | 1.9× |
| Quan&Charac C Atherosclerotc Plaq Asses Sev C Ds (75577) | $3,000 | $3,000 | 3.7× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $388.30 | $388.30 | 4.3× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $786 | $786 | 1.7× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$298.10–$327.80 | $298.10–$327.80 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 5 matching MRF lines |
$279.40–$389.40 | $279.40–$389.40 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$279.40–$309.10 | $279.40–$309.10 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $429 | $429 | 4.8× |
| Radex fingr minimum 2 views (73140) range across 20 matching MRF lines |
$219.60–$236.50 | $219.60–$236.50 | varies |
| Radex foot complete minimum 3 views (73630) range across 5 matching MRF lines |
$279.40–$436.80 | $279.40–$436.80 | varies |
| Radex Hand Minimum 3 Views (73130) range across 5 matching MRF lines |
$279.40–$421.20 | $279.40–$421.20 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 4 matching MRF lines |
$268.40–$585.50 | $268.40–$585.50 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) range across 3 matching MRF lines |
$289–$356.40 | $289–$356.40 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $322.30 | $322.30 | 4.3× |
| Radex Ribs Unilateral 2 Views (71100) | $381.70 | $381.70 | 5.1× |
| Radex shoulder complete minimum 2 views (73030) range across 5 matching MRF lines |
$355.30–$486 | $355.30–$486 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $413 | $413 | 5.5× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $1,169.50 | $1,169.50 | 7.7× |
| Radex Spine 1 View Specify Level (72020) range across 2 matching MRF lines |
$215.60–$484.20 | $215.60–$484.20 | varies |
| Radex Sternum Minimum 2 Views (71120) | $245.30 | $245.30 | 3.3× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $356.40 | $356.40 | 4.8× |
| Radex Toe Minimum 2 Views (73660) range across 20 matching MRF lines |
$183–$236.50 | $183–$236.50 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 4 matching MRF lines |
$224.40–$587.50 | $224.40–$587.50 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$279.40–$322.30 | $279.40–$322.30 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $542.50 | $542.50 | 6.0× |
| Radiation Delivery Stereotactic Cranial Linear (77372) likely a partial charge, not the full procedure |
$1,882.50 | $1,882.50 | 0.3× |
| Radiation treatment delivery level 1 (77402) | $283.80 | $283.80 | 3.2× |
| Radiation treatment delivery level 2 (77407) | $532 | $532 | 1.6× |
| Radiation treatment delivery level 3 (77412) | $531.30 | $531.30 | 1.1× |
| Radiolog exam mandible compl minimum 4 views (70110) | $429 | $429 | 4.8× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $459 | $459 | 5.1× |
| Radiologic exam colon double contrast study (74280) | $701.80 | $701.80 | 4.6× |
| Radiologic exam colon single contrast study (74270) | $500.50 | $500.50 | 3.3× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $1,251 | $1,251 | 8.3× |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$323.40–$436.70 | $323.40–$436.70 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $699 | $699 | 7.8× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $462 | $462 | 3.1× |
| Radiologic exam swallow function contrast study (74230) | $883 | $883 | 5.8× |
| Radiologic exam upr gi trc double contrast study (74246) | $671 | $671 | 4.4× |
| Radiologic examination femur 1 view (73551) range across 4 matching MRF lines |
$212–$508.80 | $212–$508.80 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$335.50–$370.70 | $335.50–$370.70 | varies |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$293.70–$500.40 | $293.70–$500.40 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $601.70 | $601.70 | 6.7× |
| Radiologic examination tibia & fibula 2 views (73590) range across 5 matching MRF lines |
$355.30–$566.40 | $355.30–$566.40 | varies |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77768) | $443.50 | $443.50 | 1.3× |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77767) | $443.50 | $443.50 | 1.3× |
| Ribs bilateral 3 views (71110) | $455.40 | $455.40 | 5.1× |
| Rp loclzj tum plnr 1 area single day imaging (78800) range across 2 matching MRF lines |
$664–$691 | $664–$691 | varies |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) range across 2 matching MRF lines |
$1,365.10–$1,993.50 | $1,365.10–$1,993.50 | varies |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) range across 2 matching MRF lines |
$2,034.50–$2,167.50 | $2,034.50–$2,167.50 | varies |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $1,572 | $1,572 | 3.4× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $1,023 | $1,023 | 2.2× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $2,294.50 | $2,294.50 | 2.1× |
| Rp Therapy Intravenous Administration (79101) | $1,042 | $1,042 | 5.2× |
| Scapula (73010) range across 3 matching MRF lines |
$294.80–$652 | $294.80–$652 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $55 | $55 | 2.4× |
| Shoulder 1 view (73020) range across 4 matching MRF lines |
$293.70–$454.50 | $293.70–$454.50 | varies |
| Shoulder Arthrography (73040) range across 3 matching MRF lines |
$427.90–$759 | $427.90–$759 | varies |
| Sialogram (70390) | $629 | $629 | 3.1× |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$429–$464.40 | $429–$464.40 | varies |
| Special dosimetry (77331) | $393.80 | $393.80 | 3.4× |
| Special Physics Consult (77370) | $910 | $910 | 7.9× |
| Special teletherapy port plan (77321) | $478.50 | $478.50 | 1.5× |
| Special treatment procedure (77470) range across 2 matching MRF lines |
$746.90–$928 | $746.90–$928 | varies |
| Stereotactic Body Radiation Delivery (77373) | $4,598 | $4,598 | 3.0× |
| Sternoclavicular joints (71130) | $293.70 | $293.70 | 3.9× |
| Superior sagittal sinus venogram (75870) | $2,406.50 | $2,406.50 | 0.9× |
| Surf radj ther orthvlt dlvr>150-500 kv per fxj (77438) | $312.72 | $312.72 | 3.6× |
| Surf radj ther supfc dlvr<=150 kv per fraction (77437) | $312.72 | $312.72 | 3.6× |
| Surf radj ther supfc/orthvlt treatment planning (77436) | $115.48 | $115.48 | 3.6× |
| Surface Applic Low Dose Rate Radionuclide Source (77789) | $220 | $220 | 2.5× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $344.30 | $344.30 | 1.1× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $344.30 | $344.30 | 1.1× |
| Temporomandble Jt Arthrography Rs&I (70332) | $1,432.50 | $1,432.50 | 7.0× |
| Testicular Imaging W/Flow (78761) | $1,352.50 | $1,352.50 | 3.9× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) range across 2 matching MRF lines |
$634.70–$1,358 | $634.70–$1,358 | varies |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $1,182 | $1,182 | 3.7× |
| Ther rad simulaj-aided field setting simple (77280) | $410.30 | $410.30 | 3.5× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $1,573.50 | $1,573.50 | 10.4× |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$625.50–$750.60 | $625.50–$750.60 | varies |
| Thoracic spine 3 views (72072) | $419.10 | $419.10 | 4.7× |
| Thoracolumbar 2 views (72080) | $133.50 | $133.50 | 1.8× |
| Thyroid Imaging With Vascular Flow (78013) | $734.80 | $734.80 | 2.1× |
| Thyroid Met Imaging Body (78018) | $986 | $986 | 2.1× |
| Thyroid Uptake Measurement (78012) | $610.50 | $610.50 | 1.8× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,188 | $1,188 | 3.4× |
| Tx Devices Design & Construction Complex (77334) | $1,006.50 | $1,006.50 | 3.1× |
| Tx devices design & construction intermediate (77333) | $390 | $390 | 3.4× |
| Tx devices design & construction simple (77332) | $709.50 | $709.50 | 6.1× |
| Ultrasound Breast Limited (76642) range across 4 matching MRF lines |
$367–$408.10 | $367–$408.10 | varies |
| Ultrasound Elastography Parenchyma (76981) | $250 | $250 | 2.8× |
| Ultrasound Exam Aaa Screen (76706) | $424.60 | $424.60 | 4.7× |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$335.50–$822 | $335.50–$822 | varies |
| Umbilical-artery Doppler (OB) (76820) | $169 | $169 | 1.9× |
| Unlisted Dx Radiographic Procedure (76499) | $304.50 | $304.50 | 4.1× |
| Unlisted fluoroscopic procedure (76496) | $820 | $820 | 10.9× |
| Unlisted magnetic resonance procedure (76498) | $827.50 | $827.50 | 11.0× |
| Unlisted Miscellaneous Px Dx Nuclear Medicine (78999) | $610.50 | $610.50 | 1.8× |
| Upper gi w/o kub (74240) range across 2 matching MRF lines |
$382.80–$580.80 | $382.80–$580.80 | varies |
| Urea Breath Test C-14 Isotopic Acquisj Analysis (78267) | $2,806 | $2,806 | 253.7× |
| Ureteral Reflux Study (78740) | $1,829 | $1,829 | 5.3× |
| Urethrocystogram voiding (74455) | $310.20 | $310.20 | 1.5× |
| Urethrocystography retrograde (74450) | $221.10 | $221.10 | 1.1× |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$367–$408.10 | $367–$408.10 | varies |
| Us chest (76604) range across 5 matching MRF lines |
$319–$386.50 | $319–$386.50 | varies |
| Us complete joint (76881) range across 2 matching MRF lines |
$1,217–$2,434 | $1,217–$2,434 | varies |
| Us exam, pelvic, limited (76857) range across 3 matching MRF lines |
$200–$457.50 | $200–$457.50 | varies |
| Us head (76506) | $490.50 | $490.50 | 5.4× |
| Us kidney transplant (76776) | $668.50 | $668.50 | 7.4× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 4 matching MRF lines |
$200–$1,217 | $200–$1,217 | varies |
| Us ob detailed single fetus (76811) | $346 | $346 | 1.7× |
| Us ob limited 1 or more fetuses (76815) range across 3 matching MRF lines |
$200–$386.50 | $200–$386.50 | varies |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$541.20–$871.50 | $541.20–$871.50 | varies |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$509.30–$591.50 | $509.30–$591.50 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$507.10–$649 | $507.10–$649 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 2 matching MRF lines |
$169–$212.30 | $169–$212.30 | varies |
| Us retroperitoneal complete (76770) | $462 | $462 | 5.1× |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$424.60–$724 | $424.60–$724 | varies |
| Us scrotum and contents (76870) | $368.50 | $368.50 | 4.1× |
| Us spinal canal and contents (76800) | $187.50 | $187.50 | 2.1× |
| Us thyroid (76536) | $408.10 | $408.10 | 4.5× |
| Us transrectal (76872) | $822.50 | $822.50 | 9.1× |
| Vasogram (74440) | $629 | $629 | 3.1× |
| Vein X-Ray Chest (75827) range across 2 matching MRF lines |
$1,976.70–$2,671.93 | $1,976.70–$2,671.93 | varies |
| Vein X-Ray Liver W/O Hemodyn (75887) | $2,406.50 | $2,406.50 | 0.9× |
| Vein X-Ray Skull Epidural (75872) | $4,990 | $4,990 | 9.2× |
| Vein X-Ray Spleen/Liver (75810) | $4,990 | $4,990 | 1.8× |
| Venogram Sinus/Jugular (75860) | $4,990 | $4,990 | 1.8× |
| Venography Adrenal Unilateral (75840) | $4,990 | $4,990 | 1.8× |
| Venography caval inferior serialography rs&i (75825) range across 3 matching MRF lines |
$1,976.70–$5,988 | $1,976.70–$5,988 | varies |
| Venography extremity bilateral rs&i (75822) range across 3 matching MRF lines |
$834.90–$2,590.80 | $834.90–$2,590.80 | varies |
| Venography extremity unilateral rs&i (75820) range across 6 matching MRF lines |
$689.70–$1,810.80 | $689.70–$1,810.80 | varies |
| Venography Renal Bilateral (75833) | $4,990 | $4,990 | 1.8× |
| Venography Renal Unilateral (75831) | $4,990 | $4,990 | 1.8× |
| Venous sampling by catheter (75893) | $4,990 | $4,990 | 1.0× |
| Venous Thrombosis Imaging Venogram Bilateral (78458) | $1,069 | $1,069 | 3.1× |
| Wrist 2 views (73100) range across 5 matching MRF lines |
$277.20–$603 | $277.20–$603 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $244.20 | $244.20 | 3.3× |
| X-ray antegrade pyelogram tube (74425) range across 8 matching MRF lines |
$335.50–$1,065.50 | $335.50–$1,065.50 | varies |
| X-Ray Aorta Leg Arteries (75630) range across 4 matching MRF lines |
$2,164.80–$5,988 | $2,164.80–$5,988 | varies |
| X-Ray Bend Only L-S Spine (72120) | $419.10 | $419.10 | 4.7× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 5 matching MRF lines |
$277.20–$517 | $277.20–$517 | varies |
| X-Ray Exam Breast Specimen (76098) | $946.80 | $946.80 | 2.0× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $519.50 | $519.50 | 6.9× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $334.40 | $334.40 | 3.7× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $542.50 | $542.50 | 6.0× |
| X-Ray Exam Hip Uni 1 View (73501) range across 4 matching MRF lines |
$580.50–$707.40 | $580.50–$707.40 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 5 matching MRF lines |
$323.40–$713 | $323.40–$713 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) | $984.50 | $984.50 | 10.9× |
| X-Ray Exam Hips Bi 2 Views (73521) | $541.50 | $541.50 | 6.0× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $431.20 | $431.20 | 4.8× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $998.50 | $998.50 | 11.1× |
| X-Ray Exam L-S Spine Bending (72114) | $453.20 | $453.20 | 5.0× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$388.30–$436.80 | $388.30–$436.80 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $429 | $429 | 4.8× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $411.40 | $411.40 | 4.6× |
| X-ray humerus (73060) range across 4 matching MRF lines |
$355.30–$498.30 | $355.30–$498.30 | varies |
| X-ray IV pyelogram (ivp) (74400) range across 2 matching MRF lines |
$776–$1,103.30 | $776–$1,103.30 | varies |
| X-ray IV pyelogram+tomography (74415) | $952.50 | $952.50 | 6.3× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $433 | $433 | 5.8× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $123 | $123 | 1.6× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$419.10–$477.60 | $419.10–$477.60 | varies |
| X-ray nose-rectum child f.b. (76010) | $154 | $154 | 2.1× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $484 | $484 | 5.4× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $334.40 | $334.40 | 3.7× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $384.50 | $384.50 | 4.3× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 3 matching MRF lines |
$233.20–$349 | $233.20–$349 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $356.40 | $356.40 | 4.8× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $438.50 | $438.50 | 4.9× |
| X-ray thoracic spine 4 vw (72074) | $185 | $185 | 2.1× |
| X-Ray Tmj Unilat (70328) | $289 | $289 | 3.9× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 3 matching MRF lines |
$792.50–$1,901.72 | $792.50–$1,901.72 | varies |
| X-Rays Bone Length Studies (77073) | $534 | $534 | 5.9× |
| X-Rays Bone Survey Complete (77075) | $655 | $655 | 7.3× |
| Xr c-spine 4 or 5 views (72050) | $413.60 | $413.60 | 4.6× |
| Xr facial bones less than 3 views (70140) | $357 | $357 | 4.8× |
| XR Mastoids < 3 Views Bilateral (70120) | $201 | $201 | 2.2× |
| Xr orbits complete 4 views (70200) | $310.20 | $310.20 | 3.4× |
| Xr Tomogram Single Plane (76100) | $904 | $904 | 10.0× |
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.