Imaging prices at McCullough-Hyde Memorial Hospital
Oxford, OH · every code in this section with a posted price and a Medicare benchmark.
412 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) | $7,016.09 | $9,354.79 | 5.2× |
| Abdomen 1 View (74018) | $263.83 | $351.78 | 3.1× |
| Abdomen 2 views (74019) | $355.14 | $473.52 | 3.5× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,226.43 | $1,635.24 | 3.1× |
| Angio internal mammary (75756) | $2,074.90 | $2,766.54 | 0.7× |
| Angio pulmonary bilat (75743) | $2,257.10 | $3,009.47 | 0.7× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $2,074.90 | $2,766.54 | 0.7× |
| Angiography extremity bilateral rs&i (75716) | $2,735.84 | $3,647.78 | 0.9× |
| Angiography extremity unilateral rs&i (75710) | $2,735.84 | $3,647.78 | 0.9× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $2,074.90 | $2,766.54 | 0.7× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $2,074.90 | $2,766.54 | 0.7× |
| Ankle 2 views (73600) | $277.83 | $370.44 | 3.3× |
| Aortography thoracic serialography rs&i (75605) | $3,780.10 | $5,040.13 | 0.7× |
| Aortography thoracic w/o serialography rs&i (75600) | $2,469.32 | $3,292.43 | 0.8× |
| Artery X-Rays Abdomen (75726) | $3,780.10 | $5,040.13 | 0.7× |
| Artery X-Rays Adrenal Gland (75731) | $2,074.90 | $2,766.54 | 0.7× |
| Artery X-Rays Pelvis (75736) | $3,780.10 | $5,040.13 | 0.7× |
| Artery X-Rays Spine (75705) unusually low: confirm this is the full procedure |
$1,886.14 | $2,514.86 | 0.3× |
| Arthrogram ankle (73615) | $678.98 | $905.31 | 2.0× |
| Arthrogram hip (73525) | $678.98 | $905.31 | 2.0× |
| Arthrogram Wrist (73115) | $678.98 | $905.31 | 2.0× |
| Basic radiation dosimetry calculation (77300) | $738.48 | $984.64 | 5.6× |
| Bone age studies (77072) | $402.75 | $537 | 4.0× |
| Bone Imaging 3 Phase (78315) | $1,310.66 | $1,747.55 | 3.4× |
| Bone Imaging Limited Area (78300) | $1,256.94 | $1,675.92 | 3.2× |
| Bone Imaging Multiple Areas (78305) | $1,256.94 | $1,675.92 | 3.2× |
| Bone Imaging Whole Body (78306) | $1,504.04 | $2,005.39 | 3.9× |
| Bone marrow imaging limited area (78102) | $1,256.94 | $1,675.92 | 3.2× |
| Bone marrow imaging; multiple areas (78103) | $1,504.04 | $2,005.39 | 3.9× |
| Bone marrow imaging; whole body (78104) | $1,504.04 | $2,005.39 | 3.9× |
| Bone survey infant (77076) | $158.90 | $211.87 | 1.6× |
| Brain Flow Imaging Only (78610) | $1,034.89 | $1,379.85 | 2.0× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $6,236.10 | $8,314.80 | 4.5× |
| Card Bl Pool Gated Spect Rest Wal Motn Ejct Frct (78494) | $4,136.23 | $5,514.98 | 10.6× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $494.70 | $659.60 | 1.5× |
| Cardiac MRI w/w/o contrast w/stress (75563) | $524.80 | $699.73 | 0.7× |
| Cardiac Shunt Detection (78428) | $413.57 | $551.43 | 1.1× |
| Cat Scan Follow-Up Study (76380) | $302.99 | $403.99 | 3.6× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $991.16 | $1,321.54 | 1.9× |
| Cerebrospinal Fluid Scan (78630) | $1,920.66 | $2,560.88 | 3.6× |
| Chest 1 view (71045) | $131.07 | $174.76 | 1.5× |
| Chest 2 views (71046) | $232.06 | $309.41 | 2.7× |
| Chest 3 views (71047) | $431.87 | $575.83 | 5.1× |
| Chest 4 or more views (71048) | $469.48 | $625.97 | 4.6× |
| Cholecystography Oral Contrast (74290) | $400.75 | $534.33 | 2.3× |
| Clavicle complete (73000) | $277.83 | $370.44 | 3.3× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $195 | $260 | 1.9× |
| Continuing medical physics consltj pr wk (77336) | $747.08 | $996.11 | 5.7× |
| Contrast Exam Abdominl Aorta (75625) | $3,032.77 | $4,043.70 | 1.0× |
| Contrast X-Ray Bladder (74430) | $539.15 | $718.87 | 1.6× |
| Contrast X-Ray Of Elbow (73085) | $678.98 | $905.31 | 2.0× |
| Contrast X-Ray Of Knee Joint (73580) | $617.40 | $823.20 | 1.8× |
| CT abdomen and pelvis without and with contrast (74178) | $605.98 | $807.98 | 1.8× |
| CT abdomen and pelvis without contrast (74176) | $605.98 | $807.98 | 2.6× |
| CT abdomen w contrast (74160) | $302.99 | $403.99 | 1.8× |
| CT abdomen w wo contrast (74170) | $302.99 | $403.99 | 1.8× |
| CT abdomen w/o contrast (74150) | $302.99 | $403.99 | 3.0× |
| CT Angio Abdomen and Pelvis (74174) | $605.98 | $807.98 | 1.8× |
| CT Angio Chest (71275) | $302.99 | $403.99 | 1.8× |
| CT Angio Head (70496) | $302.99 | $403.99 | 1.8× |
| CT angio hrt w/3d image (75574) | $302.99 | $403.99 | 0.9× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $302.99 | $403.99 | 1.8× |
| CT Angio Neck (70498) | $302.99 | $403.99 | 1.8× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $302.99 | $403.99 | 1.8× |
| CT Cere Prfuj Alys C+ W/O CT/Cta Same Anatomy (70473) | $302.99 | $403.99 | 1.8× |
| CT cervical spine w/ contrast (72126) | $302.99 | $403.99 | 0.9× |
| CT cervical spine w/o contrast (72125) | $302.99 | $403.99 | 3.0× |
| CT cervical spine w/wo cont (72127) | $302.99 | $403.99 | 1.8× |
| CT chest w contrast (71260) | $302.99 | $403.99 | 1.8× |
| CT chest w/wo contrast (71270) | $302.99 | $403.99 | 1.8× |
| CT colonography screening (74263) | $302.99 | $403.99 | 1.3× |
| CT Colonogrphy Dx Image Postprocess W/Contrast (74262) | $302.99 | $403.99 | 1.8× |
| CT colonogrphy dx image postprocess w/o contrast (74261) | $302.99 | $403.99 | 3.0× |
| CT head/brain with contrast (70460) | $302.99 | $403.99 | 1.8× |
| CT head/brain without and with contrast (70470) | $302.99 | $403.99 | 1.8× |
| CT heart contrast eval cardiac structure&morph (75572) | $302.99 | $403.99 | 0.9× |
| CT heart no contrast quant eval coronry calcium (75571) | $302.99 | $403.99 | 3.6× |
| CT hrt w/3d image congen (75573) | $302.99 | $403.99 | 0.9× |
| CT iac w contrast (70481) | $302.99 | $403.99 | 1.8× |
| CT l-spine w&w/o contrast (72133) | $302.99 | $403.99 | 1.8× |
| CT lower ext w/o (73700) | $302.99 | $403.99 | 3.0× |
| CT lower extremity w/contrast material (73701) | $302.99 | $403.99 | 1.8× |
| CT lumbar spine w contrast (72132) | $302.99 | $403.99 | 0.9× |
| CT lumbar spine w/o contrast (72131) | $302.99 | $403.99 | 3.0× |
| CT maxillofacial w contrast (70487) | $302.99 | $403.99 | 1.8× |
| CT maxillofacial wo contrast (70486) | $302.99 | $403.99 | 3.0× |
| CT neck tissue combo (70492) | $302.99 | $403.99 | 1.8× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $302.99 | $403.99 | 1.8× |
| CT orbits w/o contrast (70480) | $302.99 | $403.99 | 3.0× |
| CT pelvis w&w/o contrast (72194) | $302.99 | $403.99 | 1.8× |
| CT pelvis w/o contrast (72192) | $302.99 | $403.99 | 3.0× |
| CT scan of leg combo (73702) | $302.99 | $403.99 | 1.8× |
| CT scans face/jaw combo (70488) | $302.99 | $403.99 | 1.8× |
| CT soft tissue neck w contrast (70491) | $302.99 | $403.99 | 1.8× |
| CT soft tissue neck w/o contrast (70490) | $302.99 | $403.99 | 3.0× |
| CT thoracic spine w contrast (72129) | $302.99 | $403.99 | 1.8× |
| CT thoracic spine w/o contrast (72128) | $302.99 | $403.99 | 3.0× |
| CT thoracic spine w/wo cont (72130) | $302.99 | $403.99 | 1.8× |
| CT thorax w/o contrast (71250) | $302.99 | $403.99 | 3.0× |
| CT unlisted procedure (76497) | $302.99 | $403.99 | 3.6× |
| CT upper ext wo (73200) | $302.99 | $403.99 | 3.0× |
| CT upper extremity w/o & w/contrast material (73202) | $302.99 | $403.99 | 1.8× |
| CT upper extremity with contrast (73201) | $302.99 | $403.99 | 0.9× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $302.99 | $403.99 | 1.8× |
| Cta Abdomen (74175) | $302.99 | $403.99 | 1.8× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $605.98 | $807.98 | 1.8× |
| CTA pelvis (72191) | $302.99 | $403.99 | 1.8× |
| Diskography lumbar (72295) | $3,020.89 | $4,027.85 | 1.6× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) range across 2 matching MRF lines |
$405.83–$639.38 | $541.11–$852.50 | varies |
| Doppler Echo Fetal Spectral Display Complete (76827) range across 2 matching MRF lines |
$405.83–$639.38 | $541.11–$852.50 | varies |
| Doppler Fetal Mid Cerebral Artery (76821) | $690.11 | $920.15 | 6.8× |
| Dxa Bone Density Axial (77080) | $458.72 | $611.62 | 4.5× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $195 | $260 | 2.3× |
| Echo exam of fetal heart (76825) | $1,031.25 | $1,375 | 1.9× |
| Echo exam uterus (76831) | $1,004.49 | $1,339.32 | 4.3× |
| Echo Guide For Artery Repair (76936) | $874.96 | $1,166.62 | 4.2× |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) | $866.25 | $1,155 | 3.7× |
| Echograp Trans R Pros Study (76873) | $516.04 | $688.05 | 5.1× |
| Esophagram (74220) | $815.48 | $1,087.31 | 4.8× |
| Fetal Biophys Profile W/Nst (76818) range across 2 matching MRF lines |
$746.25–$932.50 | $995–$1,243.33 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 2 matching MRF lines |
$539.01–$543.61 | $718.68–$724.81 | varies |
| Fetal MRI w/placntl matrnl plvc img sing/1st ges (74712) | $1,425 | $1,900 | 6.1× |
| Fluoroscopy up to 1 hr (76000) | $642.59 | $856.79 | 2.8× |
| Follow-Up Angiography (75898) | $758.40 | $1,011.20 | 0.2× |
| Foot 2 views (73620) | $277.83 | $370.44 | 3.3× |
| Forearm 2 views (73090) | $277.83 | $370.44 | 3.3× |
| Gastric emptying imaging study (78264) | $1,226.43 | $1,635.24 | 3.1× |
| Gated Heart Planar Single (78472) | $1,051.75 | $1,402.33 | 2.7× |
| Gated Heart, Multiple (78473) | $2,069.77 | $2,759.70 | 5.3× |
| Hand 2 views (73120) | $277.83 | $370.44 | 2.7× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77772) | $9,433.62 | $12,578.16 | 13.9× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) | $7,948.06 | $10,597.41 | 11.7× |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) | $6,130.35 | $8,173.80 | 9.0× |
| Heart first pass single,planar (78481) | $1,342.90 | $1,790.53 | 2.5× |
| Heart Image (Pet) Multiple (78492) | $3,008.35 | $4,011.13 | 2.2× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $2,463.95 | $3,285.27 | 0.8× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $2,463.95 | $3,285.27 | 0.8× |
| Hepatobil Syst Image W/Drug (78227) | $1,761.88 | $2,349.18 | 3.3× |
| Hepatobiliary System Imaging (78226) | $1,761.88 | $2,349.18 | 4.5× |
| Ht Musc Image Planar Mult (78454) | $4,794.34 | $6,392.46 | 3.8× |
| Ht Muscle Image Spect Sing (78451) | $4,136.23 | $5,514.98 | 3.3× |
| Hysterosalpingogram (74740) | $707.55 | $943.40 | 3.0× |
| Interstitial radiation source applic complex (77778) | $4,366.53 | $5,822.04 | 6.4× |
| K Flow/Funct Image Multiple (78709) | $1,856.75 | $2,475.67 | 3.5× |
| K Flow/Funct Image W/Drug (78708) | $1,038.87 | $1,385.16 | 2.0× |
| K Flow/Funct Image W/O Drug (78707) | $1,095.80 | $1,461.06 | 2.1× |
| Kidney Imaging Morphol (78700) | $818.49 | $1,091.32 | 2.1× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $837.55 | $1,116.73 | 2.1× |
| Knee 3 Views (73562) | $352.78 | $470.37 | 4.2× |
| Leveen/Shunt Patency Exam (78291) | $1,046.38 | $1,395.18 | 2.7× |
| Liver & Spleen Imaging Static Only (78215) | $1,001.26 | $1,335.02 | 2.6× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $1,264.73 | $1,686.31 | 3.2× |
| Lung Perf&Ventilat Diferentl (78598) | $3,383.85 | $4,511.80 | 6.4× |
| Lung perfusion differential (78597) | $1,694.16 | $2,258.88 | 4.3× |
| Lung Ventilat&Perfus Imaging (78582) | $1,332.16 | $1,776.21 | 2.5× |
| Lung Ventilation Imaging (78579) | $1,332.16 | $1,776.21 | 3.4× |
| Lymph System Imaging (78195) range across 2 matching MRF lines |
$775.66–$1,055.25 | $1,034.22–$1,407 | varies |
| Magnetic Image Jaw Joint (70336) | $494.70 | $659.60 | 2.1× |
| Mammary ductogram or galactogram multiple (77054) | $708.17 | $944.23 | 3.0× |
| Mammary ductogram or galactogram single (77053) | $485.46 | $647.28 | 2.1× |
| Meckels Divert Exam (78290) | $995.90 | $1,327.86 | 2.6× |
| Mlc imrt design & construction per imrt plan (77338) | $2,211.14 | $2,948.19 | 6.1× |
| Mr safety determination physician/other qhp (76016) | $68.62 | $91.50 | 0.8× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $19.09 | $25.45 | 0.7× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) | $71.54 | $95.38 | 0.8× |
| Mr safety implt pos&/immoblj (76019) | $46.29 | $61.72 | 0.8× |
| Mr safety med physics xm customization plng&mntr (76017) | $188.39 | $251.19 | 0.8× |
| Mra Head W/O & W/Contrast Material (70546) | $494.70 | $659.60 | 1.5× |
| MRA head w/o contrast (70544) | $494.70 | $659.60 | 2.1× |
| MRA head with contrast (70545) | $494.70 | $659.60 | 1.5× |
| MRA neck w contrast (70548) | $494.70 | $659.60 | 1.5× |
| Mra Neck W/O &W/Contrast Material (70549) | $494.70 | $659.60 | 1.5× |
| MRA neck w/o contrast (70547) | $494.70 | $659.60 | 2.1× |
| MRI abdomen w contrast (74182) | $494.70 | $659.60 | 1.5× |
| MRI abdomen w/o contrast (74181) | $494.70 | $659.60 | 2.1× |
| MRI any jt lower extrem w/contrast material (73722) | $524.80 | $699.73 | 0.7× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $494.70 | $659.60 | 1.5× |
| MRI any jt upper extremity w/contrast matrl (73222) | $524.80 | $699.73 | 0.7× |
| MRI bone marrow blood supply (77084) | $494.70 | $659.60 | 2.1× |
| MRI brain functional w/o physician admnistration (70554) | $494.70 | $659.60 | 2.1× |
| MRI Breast W/O Contrast Bilateral (77047) | $494.70 | $659.60 | 2.1× |
| MRI Breast Without Contrast Material Unilateral (77046) | $494.70 | $659.60 | 2.1× |
| MRI cardiac w/o cont stress (75559) | $494.70 | $659.60 | 0.9× |
| MRI cardiac w/o contrast (75557) | $494.70 | $659.60 | 2.1× |
| MRI cervical spine w contrast (72142) | $494.70 | $659.60 | 1.5× |
| MRI cervical spine w/o cont (72141) | $494.70 | $659.60 | 2.1× |
| MRI chest w/o contrast (71550) | $494.70 | $659.60 | 2.1× |
| MRI chest with contrast (71551) | $524.80 | $699.73 | 0.7× |
| MRI chest wo w contrast (71552) | $494.70 | $659.60 | 1.5× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $494.70 | $659.60 | 1.5× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $494.70 | $659.60 | 1.5× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $494.70 | $659.60 | 2.1× |
| MRI lumbar spine w contrast (72149) | $435 | $580 | 1.3× |
| Mri Neck Spine W/O & W/Dye (72156) | $494.70 | $659.60 | 1.5× |
| MRI orbit face &/neck w/o contrast (70540) | $494.70 | $659.60 | 2.1× |
| MRI orbit face neck w contrast (70542) | $494.70 | $659.60 | 1.5× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $494.70 | $659.60 | 1.5× |
| MRI pelvis w contrast (72196) | $494.70 | $659.60 | 1.5× |
| MRI pelvis w/o & w contrast (72197) | $494.70 | $659.60 | 1.5× |
| MRI pelvis w/o contrast (72195) | $494.70 | $659.60 | 2.1× |
| MRI spectroscopy (76390) | $494.70 | $659.60 | 5.8× |
| MRI thoracic spine w/o contrast (72146) | $494.70 | $659.60 | 2.1× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $494.70 | $659.60 | 1.5× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $494.70 | $659.60 | 2.1× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $494.70 | $659.60 | 1.5× |
| MRI, abdomen, combo (74183) | $494.70 | $659.60 | 1.5× |
| MRI, dorsal spine combo (72157) | $494.70 | $659.60 | 1.5× |
| MRI, dorsal spine contrast (72147) | $494.70 | $659.60 | 1.5× |
| MRI, joint upper extrem (73221) | $494.70 | $659.60 | 2.1× |
| MRI, joint upper extrem combo (73223) | $494.70 | $659.60 | 1.5× |
| MRI, lumbar spine combo (72158) | $494.70 | $659.60 | 1.5× |
| Myelogram cervical (72240) | $1,406.57 | $1,875.43 | 1.8× |
| Myelogram Lumbar (72265) | $695.56 | $927.42 | 0.9× |
| Myelography thoracic (72255) | $1,213.17 | $1,617.56 | 1.6× |
| Myelograpy 2/more regions rs&i (72270) | $1,892.04 | $2,522.72 | 2.5× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $4,181.03 | $5,574.71 | 3.3× |
| Myocardial Spect Multiple Studies (78452) | $4,136.23 | $5,514.98 | 3.3× |
| Myocrd img PET prfuj 1std rest/stress cncrnt CT (78430) | $3,008.35 | $4,011.13 | 2.2× |
| Myocrd Img Pet Prfuj Mlt Std Rst&Strs Cncrnt CT (78431) | $4,641.66 | $6,188.88 | 2.2× |
| N-invas est c ffr sw aly CTA (75580) | $3,658.50 | $4,878 | 4.4× |
| Neck soft tissue (70360) | $338.79 | $451.72 | 4.0× |
| Nm csf leak detection (78650) | $1,061.84 | $1,415.79 | 0.8× |
| Nm myocard infarct spect (78469) | $2,468.93 | $3,291.90 | 4.7× |
| Ntsty modul radthx pln dose-vol histos (77301) | $6,589.34 | $8,785.79 | 4.9× |
| Nuclear Rx Intra-Arterial (79445) | $310.80 | $414.40 | 1.4× |
| Nuclear Rx Oral Admin (79005) range across 3 matching MRF lines |
$1,381.22–$2,279.97 | $1,841.62–$3,039.96 | varies |
| Ob us nuchal meas 1 gest (76813) | $631.12 | $841.50 | 6.2× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) | $367.41 | $489.88 | 3.6× |
| Panoramic X-ray of jaws (70355) | $411.22 | $548.30 | 4.8× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $2,550 | $3,400 | 4.8× |
| Parathyroid Planar Imaging (78070) | $2,051.94 | $2,735.92 | 5.3× |
| Parathyroid planar imaging w/wo subtraction (78071) | $398.25 | $531 | 1.0× |
| Pelvis 1 or 2 views (72170) | $258.84 | $345.12 | 2.5× |
| Pet Image W/Ct Lmtd (78814) | $4,397.25 | $5,863 | 3.2× |
| PET image w/CT, full body (78816) | $6,236.10 | $8,314.80 | 4.5× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $6,236.10 | $8,314.80 | 4.5× |
| Pet Imaging Limited Area Chest Head/Neck (78811) | $1,579.05 | $2,105.40 | 1.3× |
| Pet Myocardial Sngl Study (78491) | $3,816.66 | $5,088.88 | 2.7× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $2,463.95 | $3,285.27 | 0.8× |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,332.16 | $1,776.21 | 3.4× |
| Quan&Charac C Atherosclerotc Plaq Asses Sev C Ds (75577) | $2,039.36 | $2,719.15 | 2.2× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $422.73 | $563.64 | 4.1× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $490.69 | $654.25 | 0.9× |
| Radex Ankle Complete Minimum 3 Views (73610) | $276.02 | $368.03 | 3.3× |
| Radex Calcaneus Minimum 2 Views (73650) | $276.83 | $369.10 | 3.3× |
| Radex elbow complete minimum 3 views (73080) | $276.02 | $368.03 | 3.3× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $498.68 | $664.91 | 4.9× |
| Radex fingr minimum 2 views (73140) | $277.83 | $370.44 | 3.3× |
| Radex foot complete minimum 3 views (73630) | $276.02 | $368.03 | 3.3× |
| Radex Hand Minimum 3 Views (73130) | $276.02 | $368.03 | 3.3× |
| Radex lower extremity infant minimum 2 views (73592) | $131.92 | $175.89 | 1.6× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $549.66 | $732.88 | 5.4× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $312.80 | $417.07 | 3.7× |
| Radex Ribs Unilateral 2 Views (71100) | $407.74 | $543.66 | 4.8× |
| Radex shoulder complete minimum 2 views (73030) | $444.71 | $592.95 | 5.2× |
| Radex Sinuses Paransl < 3 Views (70210) | $212.86 | $283.81 | 2.5× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $754.08 | $1,005.44 | 4.4× |
| Radex Spine 1 View Specify Level (72020) | $204.87 | $273.16 | 2.4× |
| Radex Sternum Minimum 2 Views (71120) | $486.69 | $648.92 | 5.7× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $533.66 | $711.54 | 6.3× |
| Radex Toe Minimum 2 Views (73660) | $277.83 | $370.44 | 3.3× |
| Radex upper extremity infant minimum 2 views (73092) | $176.06 | $234.74 | 1.7× |
| Radex Wrist Complete Minimum 3 Views (73110) | $276.02 | $368.03 | 3.3× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $866.69 | $1,155.59 | 8.5× |
| Radiation treatment delivery level 1 (77402) | $1,178.13 | $1,570.84 | 11.8× |
| Radiation treatment delivery level 2 (77407) | $2,504.32 | $3,339.09 | 6.7× |
| Radiation treatment delivery level 3 (77412) | $2,504.32 | $3,339.09 | 4.7× |
| Radiolog exam mandible compl minimum 4 views (70110) | $502.69 | $670.25 | 4.9× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $355.14 | $473.52 | 3.5× |
| Radiologic exam colon double contrast study (74280) | $1,069.31 | $1,425.75 | 6.3× |
| Radiologic exam colon single contrast study (74270) range across 3 matching MRF lines |
$203.17–$582.62 | $270.89–$776.83 | varies |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $761.78 | $1,015.71 | 4.5× |
| Radiologic exam knee complete 4/more views (73564) | $483.69 | $644.92 | 4.7× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $359.47 | $479.29 | 3.5× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $510.22 | $680.29 | 3.0× |
| Radiologic exam swallow function contrast study (74230) | $157.90 | $210.54 | 0.9× |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$815.48–$948.72 | $1,087.31–$1,264.96 | varies |
| Radiologic examination femur 1 view (73551) | $134.79 | $179.72 | 1.6× |
| Radiologic examination femur minimum 2 views (73552) | $269.58 | $359.44 | 3.2× |
| Radiologic examination knee 1/2 views (73560) | $233.84 | $311.79 | 2.8× |
| Radiologic Examination Osseous Survey Limited (77074) | $371.17 | $494.90 | 3.6× |
| Radiologic Examination Salivary Gland Calculus (70380) | $217.82 | $290.43 | 2.6× |
| Radiologic examination tibia & fibula 2 views (73590) | $277.83 | $370.44 | 3.3× |
| Radiologic examination, internal auditory meati, complete Non-Facility (70134) | $356.45 | $475.27 | 0.7× |
| Radiopharm Dacryocystography (78660) | $640.22 | $853.63 | 1.6× |
| Renal Cyst Study (74470) | $737.12 | $982.83 | 1.4× |
| Ribs bilateral 3 views (71110) | $433.35 | $577.80 | 4.3× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $1,174.16 | $1,565.55 | 3.0× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) range across 2 matching MRF lines |
$1,174.16–$1,587.65 | $1,565.55–$2,116.87 | varies |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $2,461.09 | $3,281.45 | 4.7× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $2,461.09 | $3,281.45 | 4.7× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $3,863.84 | $5,151.79 | 7.3× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $3,863.84 | $5,151.79 | 3.1× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $2,812.50 | $3,750 | 2.0× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $2,407.50 | $3,210 | 1.9× |
| Rp Ther Radiolbld Monoclonal Antibody IV Infus (79403) | $600.64 | $800.86 | 2.6× |
| Rp Therapy Intravenous Administration (79101) | $2,889.44 | $3,852.58 | 12.7× |
| Salivary Gland Imaging Serial Images (78231) | $984.44 | $1,312.59 | 2.5× |
| Scapula (73010) | $431.72 | $575.63 | 4.2× |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 2 matching MRF lines |
$159.75–$170.20 | $213–$226.94 | varies |
| Sella turcica (70240) | $181.89 | $242.52 | 2.1× |
| Shoulder 1 view (73020) | $235.85 | $314.47 | 2.8× |
| Shoulder Arthrography (73040) | $617.40 | $823.20 | 1.8× |
| Sialogram (70390) | $539.19 | $718.92 | 2.3× |
| Skull less than 4 views (70250) | $416.74 | $555.65 | 4.1× |
| Special dosimetry (77331) | $1,155.56 | $1,540.75 | 8.8× |
| Special Physics Consult (77370) | $763.20 | $1,017.60 | 5.8× |
| Special teletherapy port plan (77321) | $1,938.10 | $2,584.14 | 5.3× |
| Special treatment procedure (77470) | $2,026.25 | $2,701.67 | 3.8× |
| Spleen Imaging (78185) | $890.25 | $1,187 | 2.3× |
| Stereotactic Body Radiation Delivery (77373) | $2,506.76 | $3,342.34 | 1.4× |
| Sternoclavicular joints (71130) | $361.76 | $482.35 | 4.3× |
| Superior sagittal sinus venogram (75870) | $1,063.57 | $1,418.09 | 0.3× |
| Tbs technical calculation only (77091) | $69.89 | $93.19 | 0.8× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $1,336.82 | $1,782.43 | 3.7× |
| Temporomandble Jt Arthrography Rs&I (70332) | $678.98 | $905.31 | 2.9× |
| Testicular Imaging W/Flow (78761) | $1,287.16 | $1,716.22 | 3.3× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $3,625.46 | $4,833.94 | 9.9× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $1,616.69 | $2,155.59 | 4.4× |
| Ther rad simulaj-aided field setting simple (77280) | $1,094.28 | $1,459.04 | 8.4× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $598.62 | $798.16 | 3.5× |
| Thoracic spine 2 views (72070) | $221.87 | $295.83 | 2.2× |
| Thoracic spine 3 views (72072) | $419.73 | $559.64 | 4.1× |
| Thoracolumbar 2 views (72080) | $220.82 | $294.42 | 2.6× |
| Thyroid Carcinoma Metastases Img Lmtd Area (78015) | $1,001.24 | $1,334.99 | 2.6× |
| Thyroid Imaging With Vascular Flow (78013) | $499.55 | $666.07 | 1.3× |
| Thyroid Met Imaging Body (78018) | $2,525 | $3,366.66 | 4.8× |
| Thyroid Uptake Measurement (78012) | $1,001.24 | $1,334.99 | 2.6× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $2,073.44 | $2,764.59 | 5.3× |
| Tx Devices Design & Construction Complex (77334) | $1,852.12 | $2,469.49 | 5.1× |
| Tx devices design & construction intermediate (77333) | $720.20 | $960.27 | 5.5× |
| Tx devices design & construction simple (77332) | $451.48 | $601.97 | 3.4× |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$793.22–$815.41 | $1,057.63–$1,087.21 | varies |
| Ultrasound Exam Aaa Screen (76706) | $335.19 | $446.92 | 3.3× |
| Ultrasound, abdomen limited (76705) | $1,106.55 | $1,475.40 | 10.9× |
| Umbilical-artery Doppler (OB) (76820) | $623.12 | $830.82 | 6.1× |
| Unlisted magnetic resonance procedure (76498) | $494.70 | $659.60 | 5.8× |
| Unlisted us procedure (76999) | $184.86 | $246.48 | 2.2× |
| Upper gi w/o kub (74240) | $948.72 | $1,264.96 | 5.6× |
| Urethrocystogram voiding (74455) | $905.42 | $1,207.23 | 3.9× |
| Urethrocystography retrograde (74450) | $481.70 | $642.27 | 2.1× |
| Us breast unilateral complete (76641) range across 2 matching MRF lines |
$300–$360 | $400–$480 | varies |
| Us chest (76604) | $536.08 | $714.77 | 5.3× |
| Us complete joint (76881) | $415.76 | $554.35 | 4.1× |
| Us exam, pelvic, limited (76857) | $367.41 | $489.88 | 3.6× |
| Us head (76506) | $596.24 | $794.99 | 5.9× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $414.69 | $552.92 | 4.1× |
| Us ob detailed single fetus (76811) | $866.25 | $1,155 | 3.7× |
| Us ob limited 1 or more fetuses (76815) | $385.69 | $514.25 | 3.8× |
| Us ob transvaginal (76817) | $1,138.77 | $1,518.36 | 11.2× |
| Us pelvic non ob complete (76856) | $1,213.99 | $1,618.65 | 11.9× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $1,028.12 | $1,370.82 | 10.1× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 2 matching MRF lines |
$795.85–$1,139.85 | $1,061.13–$1,519.80 | varies |
| Us retroperitoneal complete (76770) | $1,018.73 | $1,358.31 | 10.0× |
| Us retroperitoneal limited (76775) | $1,004.49 | $1,339.32 | 9.9× |
| Us scrotum and contents (76870) | $587.65 | $783.53 | 5.8× |
| Us spinal canal and contents (76800) | $941.97 | $1,255.96 | 9.2× |
| Us thyroid (76536) | $1,192.49 | $1,589.99 | 11.7× |
| Us transrectal (76872) | $544.54 | $726.06 | 5.3× |
| Vascular Flow Imaging (78445) | $1,123.46 | $1,497.94 | 2.9× |
| Vein X-Ray Chest (75827) | $1,868.86 | $2,491.81 | 1.2× |
| Vein X-Ray Liver W/O Hemodyn (75887) | $1,914.50 | $2,552.67 | 0.6× |
| Vein X-Ray Spleen/Liver (75810) | $2,074.90 | $2,766.54 | 0.7× |
| Venogram Sinus/Jugular (75860) | $2,074.90 | $2,766.54 | 0.7× |
| Venography Adrenal Unilateral (75840) | $2,074.90 | $2,766.54 | 0.7× |
| Venography caval inferior serialography rs&i (75825) | $2,074.90 | $2,766.54 | 0.7× |
| Venography extremity bilateral rs&i (75822) | $1,273.72 | $1,698.30 | 0.8× |
| Venography extremity unilateral rs&i (75820) | $1,108.42 | $1,477.89 | 0.7× |
| Venography Renal Bilateral (75833) | $2,408.45 | $3,211.26 | 0.8× |
| Venography Renal Unilateral (75831) | $2,074.90 | $2,766.54 | 0.7× |
| Venous sampling by catheter (75893) | $3,780.10 | $5,040.13 | 0.7× |
| Wrist 2 views (73100) | $277.83 | $370.44 | 3.3× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $277.83 | $370.44 | 3.3× |
| X-ray antegrade pyelogram tube (74425) | $523.56 | $698.08 | 1.5× |
| X-Ray Aorta Leg Arteries (75630) | $3,032.77 | $4,043.70 | 1.0× |
| X-Ray Bend Only L-S Spine (72120) | $449.32 | $599.09 | 4.4× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $277.83 | $370.44 | 3.3× |
| X-Ray Exam Breast Specimen (76098) | $493.68 | $658.24 | 0.9× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $188.62 | $251.49 | 2.2× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $433.35 | $577.80 | 4.3× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $669.80 | $893.06 | 6.6× |
| X-Ray Exam Hip Uni 1 View (73501) | $321.10 | $428.14 | 3.8× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $468.31 | $624.42 | 5.5× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $541.92 | $722.56 | 5.3× |
| X-Ray Exam Hips Bi 2 Views (73521) | $326.62 | $435.49 | 3.2× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $526.05 | $701.40 | 5.2× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $657.56 | $876.75 | 6.5× |
| X-Ray Exam L-S Spine Bending (72114) | $753.51 | $1,004.68 | 7.4× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $442.72 | $590.30 | 5.2× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $738.53 | $984.70 | 7.2× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $470.70 | $627.60 | 4.6× |
| X-ray eye for foreign body (70030) | $142.70 | $190.26 | 1.7× |
| X-ray humerus (73060) | $292.82 | $390.42 | 3.5× |
| X-ray IV pyelogram (ivp) (74400) | $922.41 | $1,229.88 | 5.4× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $331.79 | $442.39 | 3.9× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $441.73 | $588.97 | 4.3× |
| X-ray nose-rectum child f.b. (76010) | $369.76 | $493.01 | 4.4× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $433.35 | $577.80 | 4.3× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $410.74 | $547.65 | 4.0× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $220.85 | $294.47 | 2.2× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $277.83 | $370.44 | 3.3× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $498.68 | $664.91 | 5.9× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $464.70 | $619.60 | 4.6× |
| X-Ray Stress View (77071) | $361.76 | $482.35 | 4.3× |
| X-ray thoracic spine 4 vw (72074) | $445.78 | $594.38 | 4.4× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $481.70 | $642.27 | 1.4× |
| X-Rays Bone Length Studies (77073) | $113.93 | $151.91 | 1.1× |
| X-Rays Bone Survey Complete (77075) | $261.83 | $349.10 | 2.6× |
| Xr c-spine 4 or 5 views (72050) | $594.62 | $792.83 | 5.8× |
| Xr facial bones less than 3 views (70140) | $322.09 | $429.46 | 3.8× |
| XR Mastoids < 3 Views Bilateral (70120) | $165.08 | $220.11 | 1.6× |
| Xr orbits complete 4 views (70200) | $498.68 | $664.91 | 4.9× |
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.