Imaging prices at Mary Greeley Medical Center
Ames, IA · every code in this section with a posted price and a Medicare benchmark.
348 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) | $5,334.94 | $7,113.25 | 4.0× |
| Abdomen 1 View (74018) | $342.94 | $457.25 | 4.1× |
| Abdomen 2 views (74019) | $363.75 | $485 | 3.6× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,133.63 | $1,511.50 | 2.9× |
| Angio internal mammary (75756) | $2,946.56 | $3,928.75 | 1.0× |
| Angio pulmonary bilat (75743) | $4,754.63 | $6,339.50 | 1.6× |
| Angiography extremity bilateral rs&i (75716) | $5,306.81 | $7,075.75 | 1.7× |
| Angiography extremity unilateral rs&i (75710) | $4,385.44 | $5,847.25 | 1.4× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $4,143.38 | $5,524.50 | 1.4× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $2,003.63 | $2,671.50 | 0.7× |
| Aortography thoracic serialography rs&i (75605) | $4,897.31 | $6,529.75 | 0.9× |
| Aortography thoracic w/o serialography rs&i (75600) | $6,001.88 | $8,002.50 | 2.0× |
| Artery X-Rays Abdomen (75726) | $5,476.13 | $7,301.50 | 1.0× |
| Artery X-Rays Pelvis (75736) | $5,024.25 | $6,699 | 0.9× |
| Artery X-Rays Spine (75705) | $5,630.81 | $7,507.75 | 1.1× |
| Arthrogram ankle (73615) | $466.69 | $622.25 | 1.4× |
| Arthrogram hip (73525) | $683.44 | $911.25 | 2.0× |
| Arthrogram Wrist (73115) | $435.75 | $581 | 1.3× |
| Basic radiation dosimetry calculation (77300) | $699.94 | $933.25 | 5.4× |
| Bone age studies (77072) | $138.75 | $185 | 1.4× |
| Bone Imaging 3 Phase (78315) | $1,821.38 | $2,428.50 | 4.7× |
| Bone Imaging Limited Area (78300) | $1,402.50 | $1,870 | 3.6× |
| Bone Imaging Multiple Areas (78305) | $1,080.75 | $1,441 | 2.8× |
| Bone Imaging Whole Body (78306) | $1,821.38 | $2,428.50 | 4.7× |
| Bone marrow imaging limited area (78102) | $426.38 | $568.50 | 1.1× |
| Bone survey infant (77076) | $440.06 | $586.75 | 4.4× |
| Brachytx isodose complex (77318) | $1,860.19 | $2,480.25 | 5.2× |
| Brachytx isodose intermed (77317) | $1,383 | $1,844 | 3.8× |
| Brachytx Isodose Plan Simple (77316) | $1,292.81 | $1,723.75 | 3.6× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $1,119.56 | $1,492.75 | 2.1× |
| Brain Imaging Minimum 4 Static Views (78605) | $1,228.13 | $1,637.50 | 2.4× |
| Cardiac Shunt Detection (78428) | $1,006.31 | $1,341.75 | 2.6× |
| Cat Scan Follow-Up Study (76380) | $831.19 | $1,108.25 | 9.9× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $984.38 | $1,312.50 | 1.9× |
| Cerebrospinal Fluid Scan (78630) | $1,577.63 | $2,103.50 | 3.0× |
| Chest 1 view (71045) | $242.25 | $323 | 2.9× |
| Chest 2 views (71046) | $290.81 | $387.75 | 3.5× |
| Chest 3 views (71047) | $338.63 | $451.50 | 4.0× |
| Chest 4 or more views (71048) | $387.19 | $516.25 | 3.8× |
| Clavicle complete (73000) range across 3 matching MRF lines |
$282.94–$466.69 | $377.25–$622.25 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $1,800.75 | $2,401 | 17.9× |
| Continuing medical physics consltj pr wk (77336) | $483.56 | $644.75 | 3.7× |
| Contrast Exam Abdominl Aorta (75625) | $4,455.56 | $5,940.75 | 1.5× |
| Contrast X-Ray Bladder (74430) | $481.69 | $642.25 | 1.4× |
| Contrast X-Ray Of Knee Joint (73580) | $389.06 | $518.75 | 1.2× |
| CT abdomen and pelvis without and with contrast (74178) | $4,531.31 | $6,041.75 | 13.5× |
| CT abdomen and pelvis without contrast (74176) | $3,138.94 | $4,185.25 | 13.7× |
| CT abdomen w contrast (74160) | $2,276.06 | $3,034.75 | 13.5× |
| CT abdomen w wo contrast (74170) | $2,424.19 | $3,232.25 | 14.4× |
| CT abdomen w/o contrast (74150) | $1,819.88 | $2,426.50 | 18.1× |
| CT Angio Abdomen and Pelvis (74174) | $2,709 | $3,612 | 8.1× |
| CT Angio Chest (71275) | $2,758.50 | $3,678 | 16.3× |
| CT Angio Head (70496) | $2,049.19 | $2,732.25 | 12.1× |
| CT angio hrt w/3d image (75574) | $1,810.50 | $2,414 | 5.4× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $1,984.13 | $2,645.50 | 11.8× |
| CT Angio Neck (70498) | $2,050.69 | $2,734.25 | 12.2× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $2,191.69 | $2,922.25 | 13.0× |
| CT cervical spine w/ contrast (72126) | $2,476.31 | $3,301.75 | 7.4× |
| CT cervical spine w/o contrast (72125) | $1,921.31 | $2,561.75 | 19.1× |
| CT cervical spine w/wo cont (72127) | $3,493.88 | $4,658.50 | 20.7× |
| CT chest w contrast (71260) | $2,149.50 | $2,866 | 12.7× |
| CT chest w/wo contrast (71270) | $2,399.06 | $3,198.75 | 14.2× |
| CT colonography screening (74263) | $1,248.19 | $1,664.25 | 5.4× |
| CT Colonogrphy Dx Image Postprocess W/Contrast (74262) | $1,420.88 | $1,894.50 | 8.4× |
| CT colonogrphy dx image postprocess w/o contrast (74261) | $1,323.75 | $1,765 | 13.2× |
| CT head/brain with contrast (70460) | $1,697.63 | $2,263.50 | 10.1× |
| CT head/brain without and with contrast (70470) | $2,149.13 | $2,865.50 | 12.7× |
| CT heart no contrast quant eval coronry calcium (75571) | $225 | $300 | 2.7× |
| CT iac w contrast (70481) | $1,989.19 | $2,652.25 | 11.8× |
| CT l-spine w&w/o contrast (72133) | $2,528.44 | $3,371.25 | 15.0× |
| CT lower ext w/o (73700) | $928.69 | $1,238.25 | 9.2× |
| CT lower extremity w/contrast material (73701) range across 3 matching MRF lines |
$1,503.94–$3,130.31 | $2,005.25–$4,173.75 | varies |
| CT lumbar spine w contrast (72132) | $1,782.56 | $2,376.75 | 5.3× |
| CT lumbar spine w/o contrast (72131) | $1,196.44 | $1,595.25 | 11.9× |
| CT maxillofacial w contrast (70487) | $1,734.75 | $2,313 | 10.3× |
| CT maxillofacial wo contrast (70486) | $1,545.94 | $2,061.25 | 15.4× |
| CT neck tissue combo (70492) | $2,023.69 | $2,698.25 | 12.0× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $2,337.56 | $3,116.75 | 13.9× |
| CT orbits w/o contrast (70480) | $1,784.25 | $2,379 | 17.7× |
| CT pelvis w&w/o contrast (72194) | $2,170.69 | $2,894.25 | 12.9× |
| CT pelvis w/o contrast (72192) | $1,292.44 | $1,723.25 | 12.8× |
| CT scan of leg combo (73702) | $1,925.63 | $2,567.50 | 11.4× |
| CT scans face/jaw combo (70488) | $2,367.75 | $3,157 | 14.0× |
| CT soft tissue neck w contrast (70491) | $1,713.75 | $2,285 | 10.2× |
| CT soft tissue neck w/o contrast (70490) | $1,539.38 | $2,052.50 | 15.3× |
| CT thoracic spine w contrast (72129) | $1,993.50 | $2,658 | 11.8× |
| CT thoracic spine w/o contrast (72128) | $1,196.44 | $1,595.25 | 11.9× |
| CT thoracic spine w/wo cont (72130) | $2,696.44 | $3,595.25 | 16.0× |
| CT thorax w/o contrast (71250) | $1,800.75 | $2,401 | 17.9× |
| CT unlisted procedure (76497) | $761.81 | $1,015.75 | 9.1× |
| CT upper ext wo (73200) | $1,182.75 | $1,577 | 11.8× |
| CT upper extremity w/o & w/contrast material (73202) | $1,915.13 | $2,553.50 | 11.3× |
| CT upper extremity with contrast (73201) | $1,495.88 | $1,994.50 | 4.5× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $3,560.63 | $4,747.50 | 21.1× |
| Cta Abdomen (74175) | $2,709 | $3,612 | 16.1× |
| CTA pelvis (72191) | $1,756.31 | $2,341.75 | 10.4× |
| Dilation ureters/urethra rs&i (74485) | $2,103.56 | $2,804.75 | 1.0× |
| Doppler Fetal Mid Cerebral Artery (76821) | $375 | $500 | 3.7× |
| Echo Guide For Artery Repair (76936) | $1,038.94 | $1,385.25 | 5.0× |
| Esophagram (74220) | $353.44 | $471.25 | 2.1× |
| Fetal Biophys Profile W/Nst (76818) | $669.38 | $892.50 | 6.7× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $612.94 | $817.25 | 6.1× |
| Fluoroscopy up to 1 hr (76000) | $273.94 | $365.25 | 1.2× |
| Follow-Up Angiography (75898) | $1,944 | $2,592 | 0.6× |
| Foot 2 views (73620) | $247.69 | $330.25 | 3.0× |
| Forearm 2 views (73090) range across 3 matching MRF lines |
$314.25–$533.81 | $419–$711.75 | varies |
| Gastric emptying imaging study (78264) | $1,358.63 | $1,811.50 | 3.5× |
| Gastroesophageal Reflux Exam (78262) | $1,601.63 | $2,135.50 | 4.2× |
| Gated Heart Planar Single (78472) | $874.31 | $1,165.75 | 2.3× |
| Gated Heart, Multiple (78473) | $1,674.56 | $2,232.75 | 4.4× |
| Hand 2 views (73120) range across 3 matching MRF lines |
$282.19–$479.63 | $376.25–$639.50 | varies |
| Hdr Rdncl Ntrstl/Icav Brchtx (77772) | $10,077.38 | $13,436.50 | 15.0× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) | $5,389.13 | $7,185.50 | 8.0× |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) | $3,750.56 | $5,000.75 | 5.6× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $4,095.19 | $5,460.25 | 1.3× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $3,526.88 | $4,702.50 | 1.2× |
| Hepatobil Syst Image W/Drug (78227) | $1,804.50 | $2,406 | 3.5× |
| Hepatobiliary System Imaging (78226) | $1,488.75 | $1,985 | 3.9× |
| Ht Muscle Image Spect Sing (78451) | $2,172.56 | $2,896.75 | 1.7× |
| Hysterosalpingogram (74740) | $1,735.31 | $2,313.75 | 7.6× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $432.94 | $577.25 | 5.2× |
| Joint Survey Single View (77077) | $247.69 | $330.25 | 2.5× |
| K Flow/Funct Image W/Drug (78708) | $1,750.13 | $2,333.50 | 3.4× |
| K Flow/Funct Image W/O Drug (78707) | $1,593.38 | $2,124.50 | 3.1× |
| Kidney Imaging Morphol (78700) | $1,297.88 | $1,730.50 | 3.4× |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$351.94–$598.31 | $469.25–$797.75 | varies |
| Leveen/Shunt Patency Exam (78291) | $984.38 | $1,312.50 | 2.6× |
| Liver & Spleen Imaging Static Only (78215) | $1,509.19 | $2,012.25 | 3.9× |
| Lung Ventilat&Perfus Imaging (78582) | $1,968.75 | $2,625 | 3.8× |
| Lung Ventilation Imaging (78579) | $919.31 | $1,225.75 | 2.4× |
| Lymph System Imaging (78195) | $909.56 | $1,212.75 | 1.7× |
| Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) | $3,019.88 | $4,026.50 | 1.0× |
| Magnetic Image Jaw Joint (70336) | $2,163.19 | $2,884.25 | 9.4× |
| Meckels Divert Exam (78290) | $1,004.06 | $1,338.75 | 2.6× |
| Medical physics dose eval radiation expos w/rprt (76145) | $585.38 | $780.50 | 1.6× |
| Mlc imrt design & construction per imrt plan (77338) | $3,741.19 | $4,988.25 | 10.4× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $29.06 | $38.75 | 1.0× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) | $108.19 | $144.25 | 1.2× |
| Mra Head W/O & W/Contrast Material (70546) | $3,070.31 | $4,093.75 | 9.1× |
| MRA head w/o contrast (70544) | $1,707 | $2,276 | 7.4× |
| MRA head with contrast (70545) | $1,707 | $2,276 | 5.1× |
| MRA neck w contrast (70548) | $1,568.25 | $2,091 | 4.7× |
| Mra Neck W/O &W/Contrast Material (70549) | $3,070.31 | $4,093.75 | 9.1× |
| MRA neck w/o contrast (70547) | $1,568.25 | $2,091 | 6.8× |
| MRI abdomen w contrast (74182) | $3,199.31 | $4,265.75 | 9.5× |
| MRI abdomen w/o contrast (74181) | $2,399.81 | $3,199.75 | 10.5× |
| MRI any jt lower extrem w/contrast material (73722) range across 3 matching MRF lines |
$2,490–$4,233 | $3,320–$5,644 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $3,045.56 | $4,060.75 | 9.1× |
| MRI any jt upper extremity w/contrast matrl (73222) range across 3 matching MRF lines |
$2,405.81–$4,089.56 | $3,207.75–$5,452.75 | varies |
| MRI Breast W/O Contrast Bilateral (77047) | $5,033.63 | $6,711.50 | 21.9× |
| MRI Breast Without Contrast Material Unilateral (77046) | $2,961 | $3,948 | 12.9× |
| MRI cervical spine w contrast (72142) | $3,230.63 | $4,307.50 | 9.6× |
| MRI cervical spine w/o cont (72141) | $2,693.44 | $3,591.25 | 11.7× |
| MRI chest w/o contrast (71550) | $2,855.25 | $3,807 | 12.4× |
| MRI chest with contrast (71551) | $3,463.31 | $4,617.75 | 4.6× |
| MRI chest wo w contrast (71552) | $4,245.56 | $5,660.75 | 12.6× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 3 matching MRF lines |
$2,547.19–$4,330.31 | $3,396.25–$5,773.75 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 3 matching MRF lines |
$3,060.94–$5,203.69 | $4,081.25–$6,938.25 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 3 matching MRF lines |
$2,217.19–$3,769.13 | $2,956.25–$5,025.50 | varies |
| MRI lumbar spine w contrast (72149) | $3,348.19 | $4,464.25 | 10.0× |
| Mri Neck Spine W/O & W/Dye (72156) | $4,004.63 | $5,339.50 | 11.9× |
| MRI orbit face &/neck w/o contrast (70540) | $2,944.13 | $3,925.50 | 12.8× |
| MRI orbit face neck w contrast (70542) | $3,245.81 | $4,327.75 | 9.7× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $3,642.56 | $4,856.75 | 10.9× |
| MRI pelvis w contrast (72196) | $2,459.06 | $3,278.75 | 7.3× |
| MRI pelvis w/o & w contrast (72197) | $3,702.38 | $4,936.50 | 11.0× |
| MRI pelvis w/o contrast (72195) | $2,298.75 | $3,065 | 10.0× |
| MRI spectroscopy (76390) | $1,663.88 | $2,218.50 | 19.9× |
| MRI thoracic spine w/o contrast (72146) | $2,604 | $3,472 | 11.3× |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 3 matching MRF lines |
$2,526.38–$4,294.50 | $3,368.50–$5,726 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 3 matching MRF lines |
$2,223.56–$3,780.38 | $2,964.75–$5,040.50 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 3 matching MRF lines |
$2,986.50–$5,077.13 | $3,982–$6,769.50 | varies |
| MRI, abdomen, combo (74183) | $4,428.19 | $5,904.25 | 13.2× |
| MRI, dorsal spine combo (72157) | $3,871.31 | $5,161.75 | 11.5× |
| MRI, dorsal spine contrast (72147) | $3,395.63 | $4,527.50 | 10.1× |
| MRI, joint upper extrem (73221) range across 3 matching MRF lines |
$2,326.50–$3,954.75 | $3,102–$5,273 | varies |
| MRI, joint upper extrem combo (73223) range across 3 matching MRF lines |
$3,182.81–$5,411.06 | $4,243.75–$7,214.75 | varies |
| MRI, lumbar spine combo (72158) | $3,809.44 | $5,079.25 | 11.3× |
| Myelogram cervical (72240) | $1,577.25 | $2,103 | 2.1× |
| Myelogram Lumbar (72265) | $1,577.25 | $2,103 | 2.1× |
| Myelography thoracic (72255) | $1,577.25 | $2,103 | 2.1× |
| Myelograpy 2/more regions rs&i (72270) | $1,577.25 | $2,103 | 2.1× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $1,125.94 | $1,501.25 | 2.9× |
| Myocardial imaging, infarct avid, planar; with ejection fraction by first pass technique Non-Facility (78468) | $1,006.31 | $1,341.75 | 1.9× |
| Myocardial Spect Multiple Studies (78452) | $3,803.06 | $5,070.75 | 3.1× |
| Neck soft tissue (70360) | $250.88 | $334.50 | 3.0× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $445.50 | $594 | 1.2× |
| Nm csf leak detection (78650) | $1,209.38 | $1,612.50 | 1.0× |
| Nonvascular Shunt X-Ray (75809) | $436.13 | $581.50 | 4.3× |
| Ntsty modul radthx pln dose-vol histos (77301) | $6,225.75 | $8,301 | 4.7× |
| Nuclear Rx Intra-Arterial (79445) | $927.94 | $1,237.25 | 4.1× |
| Nuclear Rx Oral Admin (79005) | $1,013.81 | $1,351.75 | 4.5× |
| Panoramic X-ray of jaws (70355) | $251.63 | $335.50 | 3.0× |
| Parathyroid Planar Imaging (78070) | $1,559.63 | $2,079.50 | 4.1× |
| Pelvis 1 or 2 views (72170) | $274.31 | $365.75 | 2.7× |
| Peritoneogram Rs&I (74190) | $861 | $1,148 | 1.6× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $3,830.63 | $5,107.50 | 1.3× |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,089 | $1,452 | 2.8× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $645.38 | $860.50 | 1.2× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$280.13–$475.69 | $373.50–$634.25 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$237.94–$404.06 | $317.25–$538.75 | varies |
| Radex elbow complete minimum 3 views (73080) | $391.13 | $521.50 | 4.7× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $355.13 | $473.50 | 3.5× |
| Radex fingr minimum 2 views (73140) range across 11 matching MRF lines |
$249.56–$424.31 | $332.75–$565.75 | varies |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$297–$504.38 | $396–$672.50 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$292.31–$497.63 | $389.75–$663.50 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 3 matching MRF lines |
$255.94–$435 | $341.25–$580 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $326.44 | $435.25 | 3.2× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $405.19 | $540.25 | 4.8× |
| Radex Ribs Unilateral 2 Views (71100) | $204.94 | $273.25 | 2.4× |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$291.19–$494.63 | $388.25–$659.50 | varies |
| Radex Spine 1 View Specify Level (72020) | $324.56 | $432.75 | 3.9× |
| Radex Sternum Minimum 2 Views (71120) | $160.31 | $213.75 | 1.9× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $293.44 | $391.25 | 3.5× |
| Radex Toe Minimum 2 Views (73660) | $210 | $280 | 2.5× |
| Radex upper extremity infant minimum 2 views (73092) range across 3 matching MRF lines |
$252.75–$428.63 | $337–$571.50 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$312.38–$530.63 | $416.50–$707.50 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $895.50 | $1,194 | 8.9× |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $12,086.25 | $16,115 | 1.7× |
| Radiation treatment delivery level 1 (77402) | $433.50 | $578 | 4.4× |
| Radiation treatment delivery level 2 (77407) | $571.69 | $762.25 | 1.5× |
| Radiation treatment delivery level 3 (77412) | $609.75 | $813 | 1.1× |
| Radiolog exam mandible compl minimum 4 views (70110) | $494.06 | $658.75 | 4.9× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $384.38 | $512.50 | 3.8× |
| Radiologic exam colon double contrast study (74280) | $992.63 | $1,323.50 | 5.9× |
| Radiologic exam colon single contrast study (74270) | $483.56 | $644.75 | 2.9× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $353.44 | $471.25 | 2.1× |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$405.94–$690.56 | $541.25–$920.75 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $342.56 | $456.75 | 3.4× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $677.25 | $903 | 4.0× |
| Radiologic exam swallow function contrast study (74230) | $372.75 | $497 | 2.2× |
| Radiologic exam upr gi trc double contrast study (74246) | $786.19 | $1,048.25 | 4.7× |
| Radiologic examination femur 1 view (73551) range across 3 matching MRF lines |
$208.50–$354.19 | $278–$472.25 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines |
$347.63–$590.63 | $463.50–$787.50 | varies |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$327.94–$556.88 | $437.25–$742.50 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $505.88 | $674.50 | 5.0× |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$305.25–$518.06 | $407–$690.75 | varies |
| Radiopharmaceutical therapy, by intracavitary administration Non-Facility (79200) | $984.38 | $1,312.50 | 4.4× |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77768) | $2,616.94 | $3,489.25 | 7.1× |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77767) | $1,658.44 | $2,211.25 | 4.5× |
| Ribs bilateral 3 views (71110) | $474.94 | $633.25 | 4.7× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $1,069.88 | $1,426.50 | 2.8× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $1,518.19 | $2,024.25 | 3.9× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $2,313.19 | $3,084.25 | 4.4× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $1,518.56 | $2,024.75 | 2.9× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $1,845.38 | $2,460.50 | 3.5× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $1,845.38 | $2,460.50 | 1.5× |
| Rp Ther Radiolbld Monoclonal Antibody IV Infus (79403) | $2,546.44 | $3,395.25 | 11.3× |
| Rp Therapy Intravenous Administration (79101) | $845.25 | $1,127 | 3.8× |
| Salivary Gland Imaging (78230) | $1,297.88 | $1,730.50 | 3.4× |
| Scapula (73010) | $282.19 | $376.25 | 2.8× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $67.88 | $90.50 | 2.9× |
| Shoulder 1 view (73020) | $318.19 | $424.25 | 3.8× |
| Shoulder Arthrography (73040) | $717.19 | $956.25 | 2.1× |
| Skull less than 4 views (70250) | $154.88 | $206.50 | 1.5× |
| Special dosimetry (77331) | $284.44 | $379.25 | 2.2× |
| Special Physics Consult (77370) | $850.31 | $1,133.75 | 6.6× |
| Special teletherapy port plan (77321) | $1,085.06 | $1,446.75 | 3.0× |
| Special treatment procedure (77470) | $2,386.88 | $3,182.50 | 4.5× |
| Stereotactic Body Radiation Delivery (77373) | $8,373.19 | $11,164.25 | 4.9× |
| Sternoclavicular joints (71130) | $154.31 | $205.75 | 1.8× |
| Surface Applic Low Dose Rate Radionuclide Source (77789) | $282.56 | $376.75 | 2.9× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $1,860.19 | $2,480.25 | 5.2× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $1,131.38 | $1,508.50 | 3.1× |
| Testicular Imaging W/Flow (78761) | $866.44 | $1,155.25 | 2.3× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $1,650.19 | $2,200.25 | 4.6× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $1,308.94 | $1,745.25 | 3.6× |
| Ther rad simulaj-aided field setting simple (77280) | $1,050.56 | $1,400.75 | 8.1× |
| Thoracic spine 2 views (72070) | $618.75 | $825 | 6.2× |
| Thoracic spine 3 views (72072) | $362.44 | $483.25 | 3.6× |
| Thoracolumbar 2 views (72080) | $417 | $556 | 5.0× |
| Thyroid Imaging With Vascular Flow (78013) | $1,015.31 | $1,353.75 | 2.6× |
| Thyroid Met Imaging Body (78018) | $1,740.38 | $2,320.50 | 3.3× |
| Thyroid Uptake Measurement (78012) | $611.63 | $815.50 | 1.6× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,027.13 | $1,369.50 | 2.7× |
| Tx Devices Design & Construction Complex (77334) | $1,012.69 | $1,350.25 | 2.8× |
| Tx devices design & construction intermediate (77333) | $891.19 | $1,188.25 | 6.9× |
| Tx devices design & construction simple (77332) | $793.88 | $1,058.50 | 6.1× |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$258.56–$439.69 | $344.75–$586.25 | varies |
| Ultrasound, abdomen limited (76705) | $621.56 | $828.75 | 6.2× |
| Umbilical-artery Doppler (OB) (76820) | $399.38 | $532.50 | 4.0× |
| Unlisted fluoroscopic procedure (76496) | $451.50 | $602 | 5.4× |
| Unlisted magnetic resonance procedure (76498) | $1,748.63 | $2,331.50 | 20.9× |
| Upper gi w/o kub (74240) | $676.69 | $902.25 | 4.0× |
| Ureteral Reflux Study (78740) | $980.44 | $1,307.25 | 2.5× |
| Urethrocystogram voiding (74455) | $492.19 | $656.25 | 2.1× |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$518.06–$880.88 | $690.75–$1,174.50 | varies |
| Us chest (76604) | $471.38 | $628.50 | 4.7× |
| Us exam, pelvic, limited (76857) | $477 | $636 | 4.7× |
| Us head (76506) | $537.56 | $716.75 | 5.3× |
| Us kidney transplant (76776) | $979.69 | $1,306.25 | 9.7× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$428.25–$728.06 | $571–$970.75 | varies |
| Us ob limited 1 or more fetuses (76815) | $486 | $648 | 4.8× |
| Us ob transvaginal (76817) | $658.69 | $878.25 | 6.5× |
| Us pelvic non ob complete (76856) | $675.94 | $901.25 | 6.7× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $596.81 | $795.75 | 5.9× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $440.81 | $587.75 | 4.4× |
| Us retroperitoneal complete (76770) | $721.13 | $961.50 | 7.2× |
| Us retroperitoneal limited (76775) | $561.56 | $748.75 | 5.6× |
| Us scrotum and contents (76870) | $540.75 | $721 | 5.4× |
| Us spinal canal and contents (76800) | $527.81 | $703.75 | 5.2× |
| Us thyroid (76536) | $581.06 | $774.75 | 5.8× |
| Vascular Flow Imaging (78445) | $880.13 | $1,173.50 | 2.3× |
| Vein X-Ray Chest (75827) | $2,182.69 | $2,910.25 | 1.4× |
| Vein X-Ray Liver W/O Hemodyn (75887) | $2,319.56 | $3,092.75 | 0.8× |
| Vein X-Ray Spleen/Liver (75810) | $2,003.63 | $2,671.50 | 0.7× |
| Venogram Sinus/Jugular (75860) | $3,515.44 | $4,687.25 | 1.2× |
| Venography Adrenal Unilateral (75840) | $3,404.63 | $4,539.50 | 1.1× |
| Venography caval inferior serialography rs&i (75825) | $3,856.88 | $5,142.50 | 1.3× |
| Venography extremity bilateral rs&i (75822) | $1,960.50 | $2,614 | 1.3× |
| Venography extremity unilateral rs&i (75820) | $1,545.56 | $2,060.75 | 1.0× |
| Venography Renal Bilateral (75833) | $3,659.81 | $4,879.75 | 1.2× |
| Venography Renal Unilateral (75831) | $3,992.06 | $5,322.75 | 1.3× |
| Venous sampling by catheter (75893) | $5,430.19 | $7,240.25 | 1.0× |
| Venous Thrombosis Imaging Venogram Bilateral (78458) | $1,286.44 | $1,715.25 | 3.3× |
| Wrist 2 views (73100) | $513.38 | $684.50 | 6.1× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $177.19 | $236.25 | 2.1× |
| X-ray antegrade pyelogram tube (74425) | $574.88 | $766.50 | 1.7× |
| X-Ray Aorta Leg Arteries (75630) | $4,929.75 | $6,573 | 1.6× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$318.56–$541.88 | $424.75–$722.50 | varies |
| X-Ray Exam Breast Specimen (76098) | $574.88 | $766.50 | 1.1× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $447.94 | $597.25 | 5.3× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $447.94 | $597.25 | 4.5× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $895.50 | $1,194 | 8.9× |
| X-Ray Exam Hip Uni 1 View (73501) | $274.31 | $365.75 | 3.3× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $291.19 | $388.25 | 3.5× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $494.63 | $659.50 | 4.9× |
| X-Ray Exam Hips Bi 2 Views (73521) | $507 | $676 | 5.0× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $538.50 | $718 | 5.4× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $915.38 | $1,220.50 | 9.1× |
| X-Ray Exam L-S Spine Bending (72114) | $645.38 | $860.50 | 6.4× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $374.25 | $499 | 4.5× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $574.13 | $765.50 | 5.7× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $288 | $384 | 2.9× |
| X-ray eye for foreign body (70030) | $251.63 | $335.50 | 3.0× |
| X-ray humerus (73060) range across 3 matching MRF lines |
$244.50–$415.31 | $326–$553.75 | varies |
| X-ray IV pyelogram (ivp) (74400) | $683.06 | $910.75 | 4.0× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $341.63 | $455.50 | 4.1× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $388.69 | $518.25 | 3.9× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $512.25 | $683 | 5.1× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $208.13 | $277.50 | 2.1× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $289.69 | $386.25 | 3.5× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $354.56 | $472.75 | 4.2× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $308.44 | $411.25 | 3.1× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $719.81 | $959.75 | 2.1× |
| X-Rays Bone Survey Complete (77075) | $569.81 | $759.75 | 5.7× |
| Xr c-spine 4 or 5 views (72050) | $469.50 | $626 | 4.7× |
| Xr orbits complete 4 views (70200) | $408 | $544 | 4.1× |
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.