Imaging prices at McLaren Port Huron
Port Huron, MI · every code in this section with a posted price and a Medicare benchmark.
396 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) | $2,155.20 | $4,310.40 | 1.6× |
| Abdomen 1 View (74018) | $13.10 | $26.10 | 0.2× |
| Abdomen 2 views (74019) | $15.20 | $30.40 | 0.1× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $56.90 | $113.70 | 0.1× |
| Adrenal Cortex & Medulla Img (78075) | $43 | $85.90 | 0.0× |
| Angio pulmonary bilat (75743) | $266.20 | $532.40 | 0.1× |
| Angiography extremity bilateral rs&i (75716) range across 3 matching MRF lines |
$783.60 | $164.20–$1,567.10 | 0.2× |
| Angiography extremity unilateral rs&i (75710) | $802.70 | $1,605.40 | 0.3× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $1,779.40 | $3,558.80 | 0.6× |
| Ankle 2 views (73600) | $12.30 | $24.50 | 0.1× |
| Aortography thoracic serialography rs&i (75605) likely a partial charge, not the full procedure |
$62 | $124 | 0.0× |
| Aortography thoracic w/o serialography rs&i (75600) | $27.60 | $55.20 | 0.0× |
| Artery X-Rays Abdomen (75726) likely a partial charge, not the full procedure |
$1,655.45 | $3,310.90 | 0.3× |
| Artery X-Rays Pelvis (75736) likely a partial charge, not the full procedure |
$223.20 | $446.30 | 0.0× |
| Artery X-Rays Spine (75705) likely a partial charge, not the full procedure |
$321.60 | $643.20 | 0.1× |
| Arthrogram ankle (73615) | $29.80 | $59.60 | 0.1× |
| Arthrogram hip (73525) | $37.70 | $75.40 | 0.1× |
| Arthrogram Wrist (73115) | $30.70 | $61.30 | 0.1× |
| Basic radiation dosimetry calculation (77300) | $259.65 | $519.30 | 1.9× |
| Bone age studies (77072) | $13.70 | $27.40 | 0.1× |
| Bone Imaging 3 Phase (78315) | $65 | $130 | 0.2× |
| Bone Imaging Limited Area (78300) | $41.10 | $82.10 | 0.1× |
| Bone Imaging Multiple Areas (78305) | $53.30 | $106.60 | 0.1× |
| Bone Imaging Whole Body (78306) | $53.30 | $106.60 | 0.1× |
| Bone marrow imaging limited area (78102) | $31.10 | $62.10 | 0.1× |
| Bone marrow imaging; multiple areas (78103) | $41.30 | $82.60 | 0.1× |
| Bone marrow imaging; whole body (78104) | $44.60 | $89.10 | 0.1× |
| Bone survey infant (77076) | $37.90 | $75.80 | 0.4× |
| Brain Flow Imaging Only (78610) | $17.70 | $35.30 | 0.0× |
| Brain Image W/Flow < 4 Views (78601) | $29.10 | $58.20 | 0.1× |
| Brain imaging < 4 static views (78600) | $26.20 | $52.40 | 0.1× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $36.50 | $72.90 | 0.1× |
| Brain Imaging Minimum 4 Static Views (78605) | $31.10 | $62.10 | 0.1× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $77.70 | $155.30 | 0.1× |
| Cardiac blood pool imaging, first pass technique; multiple studies, resting and with stress (exercise and/or… (78483) | $83.10 | $166.20 | 0.2× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $138.10 | $276.20 | 0.4× |
| Cardiac MRI w/w/o contrast w/stress (75563) | $159.60 | $319.10 | 0.2× |
| Cat Scan Follow-Up Study (76380) | $55.70 | $111.40 | 0.6× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $32.40 | $64.70 | 0.1× |
| Cerebrospinal fluid flow, imaging (not including introduction of material); ventriculography Non-Facility (78635) | $36.50 | $72.90 | 0.1× |
| Cerebrospinal Fluid Scan (78630) | $39.30 | $78.60 | 0.1× |
| Chest 1 view (71045) | $12.30 | $24.50 | 0.1× |
| Chest 2 views (71046) | $13.70 | $27.40 | 0.2× |
| Chest 3 views (71047) | $16.50 | $32.90 | 0.2× |
| Chest 4 or more views (71048) | $20.50 | $41 | 0.2× |
| Clavicle complete (73000) | $13.10 | $26.10 | 0.2× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $102 | $203.90 | 1.0× |
| Continuing medical physics consltj pr wk (77336) | $169.55 | $339.10 | 1.3× |
| Contrast Exam Abdominl Aorta (75625) | $308 | $615.90 | 0.1× |
| Contrast X-Ray Bladder (74430) | $18.40 | $36.80 | 0.1× |
| Contrast X-Ray Of Elbow (73085) | $31.80 | $63.60 | 0.1× |
| Contrast X-Ray Of Knee Joint (73580) | $38.30 | $76.50 | 0.1× |
| Contrast Xray Throat/Cerv Esopha (74210) | $30.20 | $60.30 | 0.2× |
| CT abdomen and pelvis without and with contrast (74178) | $128.70 | $257.40 | 0.4× |
| CT abdomen and pelvis without contrast (74176) | $110.90 | $221.70 | 0.5× |
| CT abdomen w contrast (74160) | $82.10 | $164.20 | 0.5× |
| CT abdomen w wo contrast (74170) | $88.90 | $177.80 | 0.5× |
| CT abdomen w/o contrast (74150) | $77.30 | $154.60 | 0.7× |
| CT Angio Abdomen and Pelvis (74174) | $140.30 | $280.60 | 0.4× |
| CT Angio Chest (71275) | $123.20 | $246.40 | 0.7× |
| CT Angio Head (70496) | $112.90 | $225.70 | 0.6× |
| CT angio hrt w/3d image (75574) | $128.20 | $256.40 | 0.4× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $121.20 | $242.30 | 0.7× |
| CT Angio Neck (70498) | $112.30 | $224.50 | 0.6× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $115 | $230 | 0.7× |
| CT cervical spine w/ contrast (72126) | $69.70 | $139.40 | 0.2× |
| CT cervical spine w/o contrast (72125) | $68.50 | $137 | 0.7× |
| CT cervical spine w/wo cont (72127) | $82.10 | $164.20 | 0.5× |
| CT chest w contrast (71260) | $79.40 | $158.70 | 0.5× |
| CT chest w/wo contrast (71270) | $88.90 | $177.80 | 0.5× |
| CT colonography screening (74263) | $124.40 | $248.70 | 0.5× |
| CT colonogrphy dx image postprocess w/o contrast (74261) | $130.20 | $260.30 | 1.2× |
| CT head/brain with contrast (70460) | $88.90 | $177.80 | 0.5× |
| CT head/brain without and with contrast (70470) | $82.10 | $164.20 | 0.5× |
| CT heart contrast eval cardiac structure&morph (75572) | $94.10 | $188.20 | 0.3× |
| CT heart no contrast quant eval coronry calcium (75571) | $29 | $58 | 0.3× |
| CT hrt w/3d image congen (75573) | $137.40 | $274.80 | 0.4× |
| CT iac w contrast (70481) | $88.90 | $177.80 | 0.5× |
| CT l-spine w&w/o contrast (72133) | $68.60 | $137.10 | 0.4× |
| CT lower ext w/o (73700) | $67.10 | $134.20 | 0.6× |
| CT lower extremity w/contrast material (73701) | $75.20 | $150.40 | 0.4× |
| CT lumbar spine w contrast (72132) | $78.80 | $157.50 | 0.2× |
| CT lumbar spine w/o contrast (72131) | $65 | $130 | 0.6× |
| CT maxillofacial w contrast (70487) | $82.80 | $165.60 | 0.5× |
| CT maxillofacial wo contrast (70486) | $72.60 | $145.20 | 0.7× |
| CT neck tissue combo (70492) | $92.40 | $184.80 | 0.5× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $92.40 | $184.80 | 0.5× |
| CT orbits w/o contrast (70480) | $82.80 | $165.60 | 0.8× |
| CT pelvis w&w/o contrast (72194) | $78.80 | $157.50 | 0.5× |
| CT pelvis w/o contrast (72192) | $69.10 | $138.10 | 0.7× |
| CT scan of leg combo (73702) | $78.80 | $157.50 | 0.5× |
| CT scans face/jaw combo (70488) | $92.40 | $184.80 | 0.5× |
| CT soft tissue neck w contrast (70491) | $88.90 | $177.80 | 0.5× |
| CT soft tissue neck w/o contrast (70490) | $82.10 | $164.20 | 0.8× |
| CT thoracic spine w contrast (72129) | $109.50 | $219 | 0.6× |
| CT thoracic spine w/o contrast (72128) | $65 | $130 | 0.6× |
| CT thoracic spine w/wo cont (72130) | $68.90 | $137.70 | 0.4× |
| CT thorax w/o contrast (71250) | $65 | $130 | 0.6× |
| CT unlisted procedure (76497) | $47.30 | $94.60 | 0.5× |
| CT upper ext wo (73200) | $67.10 | $134.20 | 0.6× |
| CT upper extremity w/o & w/contrast material (73202) range across 4 matching MRF lines |
$66.20–$329 | $132.40–$657.90 | varies |
| CT upper extremity with contrast (73201) | $78.40 | $156.80 | 0.2× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $150.60 | $301.10 | 0.9× |
| Cta Abdomen (74175) | $121.80 | $243.60 | 0.7× |
| CTA pelvis (72191) | $116.30 | $232.60 | 0.7× |
| Discography Cerv/Thor Spine (72285) | $59.60 | $119.20 | 0.0× |
| Diskography lumbar (72295) range across 3 matching MRF lines |
$43.10–$50 | $86.20–$100 | varies |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) | $30.30 | $60.50 | 0.3× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $31 | $62 | 0.3× |
| Doppler Fetal Mid Cerebral Artery (76821) | $37.60 | $75.10 | 0.4× |
| Dxa Bone Density Axial (77080) | $13.70 | $27.40 | 0.1× |
| Dxa bone density study (77085) range across 2 matching MRF lines |
$13.80–$24 | $27.50–$47.90 | varies |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $15.10 | $30.20 | 0.2× |
| Echo exam of fetal heart (76825) | $67.70 | $135.40 | 0.1× |
| Echo exam uterus (76831) range across 2 matching MRF lines |
$30.10–$46.60 | $60.20–$93.10 | varies |
| Echo Guide For Artery Repair (76936) | $114.20 | $228.30 | 0.5× |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) | $44.40 | $88.80 | 0.2× |
| Echograp Trans R Pros Study (76873) | $88.60 | $177.20 | 0.9× |
| Esophageal Motility Study (78258) | $43 | $85.90 | 0.1× |
| Esophagram (74220) | $100 | $199.90 | 0.6× |
| Fetal Biophys Profile W/Nst (76818) | $103.40 | $206.80 | 1.0× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 9 matching MRF lines |
$31.50–$35.60 | $62.90–$71.10 | varies |
| Fluoroscopy up to 1 hr (76000) | $14.40 | $28.70 | 0.1× |
| Follow-Up Angiography (75898) range across 2 matching MRF lines |
$101.80–$869.20 | $203.60–$1,738.40 | varies |
| Foot 2 views (73620) | $12.30 | $24.50 | 0.1× |
| Forearm 2 views (73090) | $12.30 | $24.50 | 0.1× |
| Gastric emptying imaging study (78264) | $51.40 | $102.80 | 0.1× |
| Gastric Emptyng Imag Std W/Sm Bwl Transit (78265) | $56.50 | $112.90 | 0.1× |
| Gastric Mucosa Imaging (78261) | $39.30 | $78.60 | 0.1× |
| Gastroesophageal Reflux Exam (78262) | $38.40 | $76.80 | 0.1× |
| Gated Heart Planar Single (78472) | $53.60 | $107.20 | 0.1× |
| Gated Heart, Multiple (78473) | $82.70 | $165.40 | 0.2× |
| Gstrc Emptng Imag Std W/Sm Bwl Col Trnst Mlt Day (78266) | $62.20 | $124.40 | 0.1× |
| Hand 2 views (73120) | $12.30 | $24.50 | 0.1× |
| Heart first pass single,planar (78481) | $55.70 | $111.40 | 0.1× |
| Heart Image (Pet) Multiple (78492) | $94.10 | $188.20 | 0.1× |
| Hepatobil Syst Image W/Drug (78227) | $58.20 | $116.30 | 0.1× |
| Hepatobiliary System Imaging (78226) | $30.80 | $61.60 | 0.1× |
| Ht Musc Image Planar Mult (78454) | $77.70 | $155.40 | 0.1× |
| Ht Muscle Image Spect Sing (78451) | $86.20 | $172.40 | 0.1× |
| Hysterosalpingogram (74740) | $24.70 | $49.30 | 0.1× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $40.20 | $80.40 | 0.5× |
| Infant hip ultrasound, limited static exam (76886) | $33.70 | $67.40 | 0.4× |
| Infusion Ivp (74410) | $24.50 | $48.90 | 0.1× |
| Joint Survey Single View (77077) | $22.60 | $45.10 | 0.2× |
| K Flow/Funct Image Multiple (78709) | $79.80 | $159.60 | 0.1× |
| K Flow/Funct Image W/Drug (78708) | $78.80 | $157.50 | 0.1× |
| K Flow/Funct Image W/O Drug (78707) | $60.30 | $120.50 | 0.1× |
| Kidney Funcj Study Non-Img Radioisotopic Study (78725) | $21.30 | $42.60 | 0.1× |
| Kidney Imaging Morphol (78700) | $25.80 | $51.60 | 0.1× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $27.50 | $54.90 | 0.1× |
| Knee 3 Views (73562) | $15.10 | $30.20 | 0.2× |
| Labeled RBC Sequestration Differntl Organ/Tissue (78140) | $35.50 | $71 | 0.1× |
| Leveen/Shunt Patency Exam (78291) | $50 | $99.90 | 0.1× |
| Liver & Spleen Imaging Static Only (78215) | $28.30 | $56.50 | 0.1× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $32 | $64 | 0.1× |
| Liver imaging static only (78201) | $24.60 | $49.10 | 0.0× |
| Liver imaging w/vascular flow (78202) | $27.50 | $54.90 | 0.1× |
| Lung Perf&Ventilat Diferentl (78598) | $48.30 | $96.60 | 0.1× |
| Lung perfusion differential (78597) | $41.30 | $82.60 | 0.1× |
| Lung Ventilat&Perfus Imaging (78582) | $61.90 | $123.70 | 0.1× |
| Lung Ventilation Imaging (78579) | $27.80 | $55.60 | 0.1× |
| Lymph System Imaging (78195) | $68.80 | $137.50 | 0.1× |
| Magnetic Image Jaw Joint (70336) | $95.90 | $191.70 | 0.4× |
| Mammary ductogram or galactogram multiple (77054) | $20.60 | $41.20 | 0.1× |
| Mammary ductogram or galactogram single (77053) | $16.70 | $33.30 | 0.1× |
| Meckels Divert Exam (78290) | $39.30 | $78.60 | 0.1× |
| Mlc imrt design & construction per imrt plan (77338) range across 2 matching MRF lines |
$612.25–$52,994.02 | $1,224.50–$105,988.04 | varies |
| Mra Head W/O & W/Contrast Material (70546) | $80.70 | $161.40 | 0.2× |
| MRA head w/o contrast (70544) | $72.50 | $145 | 0.3× |
| MRA head with contrast (70545) | $65 | $130 | 0.2× |
| MRA neck w contrast (70548) | $76.60 | $153.20 | 0.2× |
| Mra Neck W/O &W/Contrast Material (70549) | $116.30 | $232.60 | 0.3× |
| MRA neck w/o contrast (70547) | $76.60 | $153.20 | 0.3× |
| MRI abdomen w contrast (74182) | $102.60 | $205.20 | 0.3× |
| MRI abdomen w/o contrast (74181) | $93.80 | $187.50 | 0.4× |
| MRI any jt lower extrem w/contrast material (73722) | $106.10 | $212.20 | 0.1× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $138.20 | $276.40 | 0.4× |
| MRI any jt upper extremity w/contrast matrl (73222) | $106.10 | $212.20 | 0.1× |
| MRI brain functional w/physician admnistration (70555) | $136.60 | $273.20 | 0.6× |
| MRI Breast W/O Contrast Bilateral (77047) | $86.90 | $173.70 | 0.4× |
| MRI Breast Without Contrast Material Unilateral (77046) | $78.90 | $157.70 | 0.3× |
| MRI cardiac w/o cont stress (75559) | $154.20 | $308.40 | 0.3× |
| MRI cardiac w/o contrast (75557) | $125.60 | $251.10 | 0.5× |
| MRI cervical spine w contrast (72142) | $115 | $230 | 0.3× |
| MRI cervical spine w/o cont (72141) | $95.90 | $191.70 | 0.4× |
| MRI chest w/o contrast (71550) | $79.60 | $159.10 | 0.3× |
| MRI chest with contrast (71551) | $93.80 | $187.50 | 0.1× |
| MRI chest wo w contrast (71552) | $140.30 | $280.60 | 0.4× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $106.10 | $212.20 | 0.3× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $138.20 | $276.40 | 0.4× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $87.60 | $175.20 | 0.4× |
| MRI lumbar spine w contrast (72149) | $116.30 | $232.60 | 0.3× |
| Mri Neck Spine W/O & W/Dye (72156) | $147.20 | $294.30 | 0.4× |
| MRI orbit face &/neck w/o contrast (70540) | $88.90 | $177.80 | 0.4× |
| MRI orbit face neck w contrast (70542) | $91.90 | $183.80 | 0.3× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $136.90 | $273.70 | 0.4× |
| MRI pelvis w contrast (72196) | $670.70 | $1,341.30 | 1.9× |
| MRI pelvis w/o & w contrast (72197) | $143.60 | $287.20 | 0.4× |
| MRI pelvis w/o contrast (72195) | $95.90 | $191.70 | 0.4× |
| MRI spectroscopy (76390) | $76.50 | $153 | 0.9× |
| MRI thoracic spine w/o contrast (72146) | $95.90 | $191.70 | 0.4× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $88.80 | $177.50 | 0.3× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $86.90 | $173.80 | 0.4× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $138.20 | $276.40 | 0.4× |
| MRI, abdomen, combo (74183) | $145.10 | $290.10 | 0.4× |
| MRI, dorsal spine combo (72157) | $147.20 | $294.30 | 0.4× |
| MRI, dorsal spine contrast (72147) | $96.80 | $193.60 | 0.3× |
| MRI, joint upper extrem (73221) | $90.30 | $180.60 | 0.4× |
| MRI, joint upper extrem combo (73223) | $138.20 | $276.40 | 0.4× |
| MRI, lumbar spine combo (72158) | $147.80 | $295.60 | 0.4× |
| Myelogram cervical (72240) | $165.60 | $331.10 | 0.2× |
| Myelogram Lumbar (72265) | $54.60 | $109.20 | 0.1× |
| Myelography thoracic (72255) | $498.90 | $997.70 | 0.6× |
| Myelograpy 2/more regions rs&i (72270) | $54.70 | $109.40 | 0.1× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $40.90 | $81.80 | 0.1× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) | $82.30 | $164.60 | 0.1× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $57.70 | $115.30 | 0.0× |
| Myocardial Spect Multiple Studies (78452) | $100.60 | $201.20 | 0.1× |
| N-invas est c ffr sw aly CTA (75580) | $35.40 | $70.70 | 0.0× |
| Neck soft tissue (70360) | $10.90 | $21.80 | 0.1× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $43.70 | $87.30 | 0.1× |
| Nm csf leak detection (78650) | $34.90 | $69.70 | 0.0× |
| Nm myocard infarct spect (78469) | $55.40 | $110.80 | 0.1× |
| Nonvascular Shunt X-Ray (75809) range across 2 matching MRF lines |
$24.40–$25.30 | $48.70–$50.60 | varies |
| Ntsty modul radthx pln dose-vol histos (77301) | $2,952 | $5,904 | 2.1× |
| Nuclear Rx Intra-Arterial (79445) | $134.20 | $268.30 | 0.6× |
| Nuclear Rx Oral Admin (79005) | $111.50 | $223 | 0.5× |
| Ob us nuchal meas 1 gest (76813) | $48.60 | $97.20 | 0.5× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) | $29.40 | $58.80 | 0.3× |
| Panoramic X-ray of jaws (70355) | $13.30 | $26.50 | 0.2× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $89.20 | $178.40 | 0.2× |
| Parathyroid Planar Imaging (78070) | $51.40 | $102.80 | 0.1× |
| Parathyroid planar imaging w/wo subtraction (78071) | $68.40 | $136.80 | 0.2× |
| Pelvis 1 or 2 views (72170) | $6.90 | $13.80 | 0.1× |
| Pet Image W/Ct Lmtd (78814) | $106.50 | $213 | 0.1× |
| PET image w/CT, full body (78816) | $136.60 | $273.20 | 0.1× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $136.10 | $272.10 | 0.1× |
| Pet Myocardial Sngl Study (78491) | $80.10 | $160.10 | 0.1× |
| Pulmonary Perfusion Imaging Particulate (78580) | $42.60 | $85.10 | 0.1× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $21.90 | $43.80 | 0.2× |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 3 matching MRF lines |
$121.80–$121.90 | $243.60–$243.70 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) | $13.10 | $26.10 | 0.2× |
| Radex Calcaneus Minimum 2 Views (73650) | $12.30 | $24.50 | 0.1× |
| Radex elbow complete minimum 3 views (73080) | $13.10 | $26.10 | 0.2× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $16.50 | $32.90 | 0.2× |
| Radex fingr minimum 2 views (73140) | $10.90 | $21.80 | 0.1× |
| Radex foot complete minimum 3 views (73630) | $12.30 | $24.50 | 0.1× |
| Radex Hand Minimum 3 Views (73130) | $12.30 | $24.50 | 0.1× |
| Radex lower extremity infant minimum 2 views (73592) | $12.30 | $24.50 | 0.1× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $13.70 | $27.40 | 0.1× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $10.90 | $21.80 | 0.1× |
| Radex Ribs Unilateral 2 Views (71100) | $15.10 | $30.20 | 0.2× |
| Radex shoulder complete minimum 2 views (73030) | $13.70 | $27.40 | 0.2× |
| Radex Sinuses Paransl < 3 Views (70210) | $10.90 | $21.80 | 0.1× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $59.60 | $119.20 | 0.3× |
| Radex Spine 1 View Specify Level (72020) | $10.30 | $20.60 | 0.1× |
| Radex Sternum Minimum 2 Views (71120) | $220.40 | $440.80 | 2.5× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $16.50 | $32.90 | 0.2× |
| Radex Toe Minimum 2 Views (73660) | $10.30 | $20.60 | 0.1× |
| Radex upper extremity infant minimum 2 views (73092) | $12.30 | $24.50 | 0.1× |
| Radex Wrist Complete Minimum 3 Views (73110) | $13.10 | $26.10 | 0.2× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $30.80 | $61.60 | 0.3× |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $11,280.40 | $22,560.80 | 1.5× |
| Radiation treatment delivery level 3 (77412) | $553.55 | $1,107.10 | 1.0× |
| Radiolog exam mandible compl minimum 4 views (70110) | $16.50 | $32.90 | 0.2× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $17.80 | $35.50 | 0.2× |
| Radiologic exam colon double contrast study (74280) | $70.80 | $141.50 | 0.4× |
| Radiologic exam colon single contrast study (74270) | $39.30 | $78.50 | 0.2× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $37.90 | $75.80 | 0.2× |
| Radiologic exam knee complete 4/more views (73564) | $17.10 | $34.20 | 0.2× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $17.10 | $34.20 | 0.2× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $27.20 | $54.40 | 0.2× |
| Radiologic exam swallow function contrast study (74230) | $30.40 | $60.70 | 0.2× |
| Radiologic exam upr gi trc double contrast study (74246) | $51.50 | $102.90 | 0.3× |
| Radiologic examination femur 1 view (73551) | $13.70 | $27.40 | 0.2× |
| Radiologic examination femur minimum 2 views (73552) | $17.10 | $34.20 | 0.2× |
| Radiologic examination knee 1/2 views (73560) | $13.70 | $27.40 | 0.2× |
| Radiologic Examination Osseous Survey Limited (77074) | $30.10 | $60.20 | 0.3× |
| Radiologic examination tibia & fibula 2 views (73590) | $13.10 | $26.10 | 0.2× |
| Renal Cyst Study (74470) | $25.30 | $50.60 | 0.0× |
| Ribs bilateral 3 views (71110) | $17.10 | $34.20 | 0.2× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $39.30 | $78.60 | 0.1× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $46.70 | $93.40 | 0.1× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $60.60 | $121.10 | 0.1× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $48.70 | $97.30 | 0.1× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $74 | $148 | 0.1× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $95.30 | $190.50 | 0.1× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $84.10 | $168.10 | 0.1× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $64.70 | $129.40 | 0.1× |
| Rp Ther Radiolbld Monoclonal Antibody IV Infus (79403) | $128.10 | $256.20 | 0.6× |
| Rp Therapy Intravenous Administration (79101) | $111.70 | $223.30 | 0.5× |
| Scapula (73010) | $13.70 | $27.40 | 0.1× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $24 | $47.90 | 1.0× |
| Shoulder 1 view (73020) | $10.30 | $20.60 | 0.1× |
| Shoulder Arthrography (73040) | $37.70 | $75.40 | 0.1× |
| Sialogram (70390) | $9.20 | $18.40 | 0.0× |
| Skull less than 4 views (70250) | $17.10 | $34.20 | 0.2× |
| Special Physics Consult (77370) | $264.05 | $528.10 | 2.0× |
| Special teletherapy port plan (77321) | $529.20 | $1,058.40 | 1.4× |
| Special treatment procedure (77470) | $913.65 | $1,827.30 | 1.7× |
| Spleen Imaging (78185) | $23.30 | $46.60 | 0.1× |
| Stereotactic Body Radiation Delivery (77373) | $5,836.75 | $11,673.50 | 3.3× |
| Sternoclavicular joints (71130) | $14.40 | $28.70 | 0.2× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $732.40 | $1,464.80 | 2.0× |
| Testicular Imaging W/Flow (78761) | $41.80 | $83.50 | 0.1× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $788.90 | $1,577.80 | 2.1× |
| Ther rad simulaj-aided field setting simple (77280) range across 2 matching MRF lines |
$442.05–$12,066.20 | $884.10–$24,132.40 | varies |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $78.20 | $156.30 | 0.4× |
| Thoracic spine 2 views (72070) | $13.70 | $27.40 | 0.1× |
| Thoracic spine 3 views (72072) | $13.70 | $27.40 | 0.1× |
| Thoracolumbar 2 views (72080) | $17.10 | $34.20 | 0.2× |
| Thyroid carcinoma metastases imaging; with additional studies (eg, urinary recovery) Non-Facility (78016) | $40.10 | $80.10 | 0.1× |
| Thyroid Carcinoma Metastases Img Lmtd Area (78015) | $38.40 | $76.80 | 0.1× |
| Thyroid Imaging With Vascular Flow (78013) | $21.30 | $42.60 | 0.1× |
| Thyroid Met Imaging Body (78018) | $48.30 | $96.60 | 0.1× |
| Thyroid Uptake Measurement (78012) | — | $26.10 | — |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $32.80 | $65.60 | 0.1× |
| Tx Devices Design & Construction Complex (77334) | $428.60 | $857.20 | 1.1× |
| Tx devices design & construction simple (77332) range across 2 matching MRF lines |
$301.80–$8,124.50 | $603.60–$16,249 | varies |
| Ultrasound Breast Limited (76642) | $41.10 | $82.10 | 0.5× |
| Ultrasound Elastography Parenchyma (76981) | $30.20 | $60.30 | 0.3× |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
$30.90–$32.40 | $61.80–$64.70 | varies |
| Ultrasound, abdomen limited (76705) range across 4 matching MRF lines |
$36.30–$38.30 | $72.60–$76.50 | varies |
| Umbilical-artery Doppler (OB) (76820) | $27.20 | $54.30 | 0.3× |
| Upper gi w/o kub (74240) | $39.80 | $79.60 | 0.2× |
| Ureteral Reflux Study (78740) | $32 | $64 | 0.1× |
| Urethrocystogram voiding (74455) | $19 | $37.90 | 0.1× |
| Urethrocystography retrograde (74450) | $17.70 | $35.30 | 0.1× |
| Us breast unilateral complete (76641) | $44.50 | $88.90 | 0.4× |
| Us chest (76604) range across 2 matching MRF lines |
$35.50–$157.40 | $71–$314.70 | varies |
| Us complete joint (76881) range across 11 matching MRF lines |
$26.10–$41.10 | $52.10–$82.10 | varies |
| Us exam, pelvic, limited (76857) | $26.20 | $52.40 | 0.3× |
| Us head (76506) | $34.90 | $69.70 | 0.3× |
| Us kidney transplant (76776) | $41.80 | $83.50 | 0.4× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $31.90 | $63.80 | 0.3× |
| Us ob detailed single fetus (76811) | $101.40 | $202.80 | 0.4× |
| Us ob limited 1 or more fetuses (76815) | $36.50 | $72.90 | 0.4× |
| Us ob transvaginal (76817) | $44.70 | $89.30 | 0.4× |
| Us pelvic non ob complete (76856) | $30.20 | $60.40 | 0.3× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $58.20 | $116.40 | 0.6× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $39.20 | $78.30 | 0.4× |
| Us retroperitoneal complete (76770) | $47.90 | $95.70 | 0.5× |
| Us retroperitoneal limited (76775) range across 4 matching MRF lines |
$23.30–$37.70 | $46.60–$75.40 | varies |
| Us scrotum and contents (76870) | $27.40 | $54.70 | 0.3× |
| Us spinal canal and contents (76800) | $66.10 | $132.10 | 0.6× |
| Us thyroid (76536) | $36.90 | $73.70 | 0.4× |
| Us transrectal (76872) | $43.40 | $86.80 | 0.4× |
| Vascular Flow Imaging (78445) | $28.30 | $56.50 | 0.1× |
| Vein X-Ray Chest (75827) | $60.60 | $121.10 | 0.0× |
| Venography caval inferior serialography rs&i (75825) | $1,779.40 | $3,558.80 | 0.6× |
| Venography extremity bilateral rs&i (75822) | $282.60 | $565.20 | 0.2× |
| Venography extremity unilateral rs&i (75820) | $223.70 | $447.40 | 0.1× |
| Venography Renal Unilateral (75831) | $217.60 | $435.20 | 0.1× |
| Vertebral fracture assessment via dxa (77086) range across 2 matching MRF lines |
$7.90–$17.10 | $15.70–$34.20 | varies |
| Wrist 2 views (73100) | $13.10 | $26.10 | 0.2× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $15.10 | $30.20 | 0.2× |
| X-ray antegrade pyelogram tube (74425) | $79.40 | $158.70 | 0.2× |
| X-Ray Aorta Leg Arteries (75630) | $101.40 | $202.70 | 0.0× |
| X-Ray Bend Only L-S Spine (72120) | $17.10 | $34.20 | 0.2× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $12.30 | $24.50 | 0.1× |
| X-Ray Exam Breast Specimen (76098) | $47.90 | $95.80 | 0.1× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $20.50 | $41 | 0.2× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $24 | $47.90 | 0.2× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $27.40 | $54.70 | 0.3× |
| X-Ray Exam Hip Uni 1 View (73501) | $13.10 | $26.10 | 0.2× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $16.50 | $32.90 | 0.2× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $19.90 | $39.70 | 0.2× |
| X-Ray Exam Hips Bi 2 Views (73521) | $19.20 | $38.40 | 0.2× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $22.60 | $45.10 | 0.2× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $26 | $51.90 | 0.2× |
| X-Ray Exam L-S Spine Bending (72114) | $24 | $47.90 | 0.2× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $17.10 | $34.20 | 0.2× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $24.70 | $49.30 | 0.2× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $17.10 | $34.20 | 0.2× |
| X-ray eye for foreign body (70030) | $10.90 | $21.80 | 0.1× |
| X-ray humerus (73060) | $11.70 | $23.30 | 0.1× |
| X-ray IV pyelogram (ivp) (74400) | $28.50 | $56.90 | 0.2× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $11.70 | $23.30 | 0.1× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $13.70 | $27.40 | 0.2× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $17.10 | $34.20 | 0.2× |
| X-ray nose-rectum child f.b. (76010) | $13.10 | $26.10 | 0.2× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $20.50 | $41 | 0.2× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $13.70 | $27.40 | 0.1× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $13.10 | $26.10 | 0.1× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $13.10 | $26.10 | 0.2× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $17.10 | $34.20 | 0.2× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $21.90 | $43.80 | 0.2× |
| X-Ray Stress View (77071) | $56.60 | $113.20 | 0.7× |
| X-ray thoracic spine 4 vw (72074) | $13.70 | $27.40 | 0.1× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 3 matching MRF lines |
$24–$375 | $47.90–$750 | varies |
| X-Rays Bone Length Studies (77073) | $20.50 | $41 | 0.2× |
| X-Rays Bone Survey Complete (77075) | $35.50 | $71 | 0.3× |
| Xr c-spine 4 or 5 views (72050) | $20.50 | $41 | 0.2× |
| Xr facial bones less than 3 views (70140) | $13.70 | $27.40 | 0.2× |
| Xr orbits complete 4 views (70200) | $17.80 | $35.60 | 0.2× |
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.