Imaging prices at MedStar Washington Hospital Center
Washington, DC · every code in this section with a posted price and a Medicare benchmark.
476 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) | $4,347.88 | $6,689.04 | 2.7× |
| Abdomen 1 View (74018) | $319.14 | $490.98 | 3.1× |
| Abdomen 2 views (74019) | $418.11 | $643.24 | 3.4× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,931.59 | $2,971.67 | 4.1× |
| Adrenal Cortex & Medulla Img (78075) | $4,882.90 | $7,512.16 | 3.2× |
| Angio internal mammary (75756) | $4,402.98 | $6,773.82 | 1.2× |
| Angio pulmonary bilat (75743) | $4,402.98 | $6,773.82 | 1.2× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $4,402.98 | $6,773.82 | 1.2× |
| Angiography extremity bilateral rs&i (75716) | $4,402.98 | $6,773.82 | 1.2× |
| Angiography extremity unilateral rs&i (75710) | $4,402.98 | $6,773.82 | 1.2× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $4,402.98 | $6,773.82 | 1.2× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $4,402.98 | $6,773.82 | 1.2× |
| Ankle 2 views (73600) range across 4 matching MRF lines |
$205.93–$411.86 | $316.82–$633.63 | varies |
| Aortography thoracic serialography rs&i (75605) | $7,596.67 | $11,687.19 | 1.2× |
| Artery X-Rays Abdomen (75726) | $9,749.82 | $14,999.73 | 1.5× |
| Artery X-Rays Adrenal Gland (75731) | $4,402.98 | $6,773.82 | 1.2× |
| Artery X-Rays Pelvis (75736) | $7,596.67 | $11,687.19 | 1.2× |
| Artery X-Rays Spine (75705) | $9,749.82 | $14,999.73 | 1.5× |
| Arthrogram ankle (73615) | $690.64 | $1,062.52 | 1.7× |
| Arthrogram hip (73525) | $767.38 | $1,180.58 | 1.9× |
| Arthrogram Wrist (73115) | $690.64 | $1,062.52 | 1.7× |
| Basic radiation dosimetry calculation (77300) | $616.01 | $947.71 | 3.9× |
| Bone age studies (77072) | $390.23 | $600.36 | 3.2× |
| Bone Imaging 3 Phase (78315) | $1,907.44 | $2,934.52 | 4.0× |
| Bone Imaging Limited Area (78300) | $1,028.35 | $1,582.08 | 2.2× |
| Bone Imaging Multiple Areas (78305) | $1,204 | $1,852.31 | 2.5× |
| Bone Imaging Whole Body (78306) | $1,349.95 | $2,076.85 | 2.9× |
| Bone marrow imaging limited area (78102) | $1,286.86 | $1,979.78 | 2.7× |
| Bone marrow imaging; multiple areas (78103) | $1,286.86 | $1,979.78 | 2.7× |
| Bone marrow imaging; whole body (78104) | $1,371.23 | $2,109.59 | 2.9× |
| Bone survey infant (77076) | $407.30 | $626.61 | 3.3× |
| Brachytx isodose complex (77318) | $2,227.54 | $3,426.99 | 5.0× |
| Brachytx isodose intermed (77317) | $1,684.10 | $2,590.92 | 3.8× |
| Brachytx Isodose Plan Simple (77316) | $1,093.74 | $1,682.67 | 2.5× |
| Brain Flow Imaging Only (78610) | $932.07 | $1,433.96 | 1.5× |
| Brain Image W/Flow < 4 Views (78601) | $914.54 | $1,406.98 | 1.9× |
| Brain imaging < 4 static views (78600) | $1,054.45 | $1,622.23 | 2.2× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $1,922.81 | $2,958.17 | 3.0× |
| Brain Imaging Minimum 4 Static Views (78605) | $1,358.80 | $2,090.46 | 2.1× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $8,155.62 | $12,547.11 | 4.8× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $2,471.43 | $3,802.20 | 6.0× |
| Cardiac MRI w/w/o contrast w/stress (75563) | $2,868.22 | $4,412.64 | 3.1× |
| Cardiac Shunt Detection (78428) | $1,559.32 | $2,398.95 | 3.3× |
| Cardiovasc nucl exam unlisted (78499) | $1,054.45 | $1,622.23 | 2.2× |
| Cat Scan Follow-Up Study (76380) | $631.48 | $971.50 | 6.1× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $932.07 | $1,433.96 | 1.5× |
| Cerebrospinal Fluid Scan (78630) | $1,700.46 | $2,616.09 | 2.7× |
| Chest 1 view (71045) | $413.09 | $635.53 | 4.0× |
| Chest 2 views (71046) | $437.57 | $673.18 | 4.3× |
| Chest 3 views (71047) | $648.99 | $998.45 | 6.3× |
| Chest 4 or more views (71048) | $649.32 | $998.95 | 5.3× |
| Chg us nrv&acc strux 1 xtr compre w/img pr extremity (76883) | $244.16 | $375.63 | 2.0× |
| Cisternography Positive Contrast Rs&I (70015) | $1,814.05 | $2,790.84 | 2.0× |
| Clavicle complete (73000) range across 2 matching MRF lines |
$278.61–$557.22 | $428.63–$857.26 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $1,465.65 | $2,254.85 | 11.9× |
| Continuing medical physics consltj pr wk (77336) | $886.43 | $1,363.74 | 5.6× |
| Contrast Exam Abdominl Aorta (75625) | $4,402.98 | $6,773.82 | 1.2× |
| Contrast X-Ray Bladder (74430) | $1,204.07 | $1,852.42 | 2.9× |
| Contrast X-Ray Of Elbow (73085) | $767.38 | $1,180.58 | 1.9× |
| Contrast X-Ray Of Knee Joint (73580) | $690.64 | $1,062.52 | 1.7× |
| Contrast Xray Throat/Cerv Esopha (74210) | $375.16 | $577.17 | 1.8× |
| CT abdomen and pelvis without and with contrast (74178) | $2,598.26 | $3,997.32 | 6.3× |
| CT abdomen and pelvis without contrast (74176) | $1,698.63 | $2,613.28 | 6.0× |
| CT abdomen w contrast (74160) | $1,485.36 | $2,285.17 | 7.2× |
| CT abdomen w wo contrast (74170) | $1,871.58 | $2,879.35 | 9.0× |
| CT abdomen w/o contrast (74150) | $1,188.30 | $1,828.16 | 9.6× |
| CT Angio Abdomen and Pelvis (74174) | $2,722 | $4,187.69 | 6.6× |
| CT Angio Chest (71275) | $2,204.05 | $3,390.85 | 10.6× |
| CT Angio Head (70496) | $2,024.83 | $3,115.13 | 9.8× |
| CT angio hrt w/3d image (75574) | $1,319.16 | $2,029.48 | 3.2× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 4 matching MRF lines |
$1,414.02–$5,196.52 | $2,175.41–$7,994.64 | varies |
| CT Angio Neck (70498) | $1,780.19 | $2,738.75 | 8.6× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 3 matching MRF lines |
$1,476.94–$2,953.87 | $2,272.21–$4,544.42 | varies |
| CT bone density (77078) | $288.67 | $444.11 | 2.8× |
| CT Cere Prfuj Alys C+ W/O CT/Cta Same Anatomy (70473) | $1,377.03 | $2,118.51 | 6.6× |
| CT cervical spine w/ contrast (72126) | $1,895.52 | $2,916.18 | 4.6× |
| CT cervical spine w/o contrast (72125) | $1,712.13 | $2,634.04 | 13.9× |
| CT cervical spine w/wo cont (72127) | $2,465.08 | $3,792.43 | 11.9× |
| CT chest w contrast (71260) | $2,130.21 | $3,277.25 | 10.3× |
| CT chest w/wo contrast (71270) | $2,370.91 | $3,647.56 | 11.4× |
| CT colonography screening (74263) | $591.17 | $909.49 | 2.1× |
| CT Colonogrphy Dx Image Postprocess W/Contrast (74262) | $1,496.47 | $2,302.26 | 7.2× |
| CT colonogrphy dx image postprocess w/o contrast (74261) | $1,301.26 | $2,001.94 | 10.5× |
| CT head/brain with contrast (70460) | $1,257.43 | $1,934.51 | 6.1× |
| CT head/brain without and with contrast (70470) | $1,526.88 | $2,349.04 | 7.4× |
| CT heart contrast eval cardiac structure&morph (75572) | $1,207.65 | $1,857.92 | 2.9× |
| CT heart no contrast quant eval coronry calcium (75571) | $320.83 | $493.58 | 3.1× |
| CT hrt w/3d image congen (75573) | $1,516.56 | $2,333.17 | 3.7× |
| CT iac w contrast (70481) | $1,407.16 | $2,164.86 | 6.8× |
| CT l-spine w&w/o contrast (72133) | $2,341.84 | $3,602.83 | 11.3× |
| CT lower ext w/o (73700) range across 7 matching MRF lines |
$1,160.58–$2,321.15 | $1,785.50–$3,571 | varies |
| CT lower extremity w/contrast material (73701) range across 9 matching MRF lines |
$1,333.87–$2,667.74 | $2,052.11–$4,104.22 | varies |
| CT lumbar spine w contrast (72132) | $2,036.32 | $3,132.80 | 4.9× |
| CT lumbar spine w/o contrast (72131) | $1,777.91 | $2,735.25 | 14.4× |
| CT maxillofacial w contrast (70487) | $1,565.76 | $2,408.86 | 7.6× |
| CT maxillofacial wo contrast (70486) | $1,323.44 | $2,036.06 | 10.7× |
| CT neck tissue combo (70492) | $1,479.45 | $2,276.07 | 7.1× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,446.82 | $2,225.87 | 7.0× |
| CT orbits w/o contrast (70480) | $1,164.48 | $1,791.51 | 9.4× |
| CT pelvis w&w/o contrast (72194) | $2,523.99 | $3,883.06 | 12.2× |
| CT pelvis w/o contrast (72192) | $1,514.37 | $2,329.80 | 12.3× |
| CT scan of leg combo (73702) range across 3 matching MRF lines |
$1,415.13–$2,830.26 | $2,177.12–$4,354.24 | varies |
| CT scans face/jaw combo (70488) | $1,904.80 | $2,930.46 | 9.2× |
| CT soft tissue neck w contrast (70491) | $1,223.96 | $1,883.02 | 5.9× |
| CT soft tissue neck w/o contrast (70490) | $1,063.48 | $1,636.13 | 8.6× |
| CT thoracic spine w contrast (72129) | $1,862.18 | $2,864.89 | 9.0× |
| CT thoracic spine w/o contrast (72128) | $1,396.40 | $2,148.31 | 11.3× |
| CT thoracic spine w/wo cont (72130) | $2,066.23 | $3,178.82 | 10.0× |
| CT thorax w/o contrast (71250) | $1,465.65 | $2,254.85 | 11.9× |
| CT unlisted procedure (76497) | $1,655.02 | $2,546.18 | 16.1× |
| CT upper ext wo (73200) range across 5 matching MRF lines |
$1,304.31–$2,608.62 | $2,006.63–$4,013.26 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 3 matching MRF lines |
$1,783.80–$3,567.60 | $2,744.31–$5,488.62 | varies |
| CT upper extremity with contrast (73201) range across 3 matching MRF lines |
$1,485.71–$3,029.23 | $2,285.70–$4,660.36 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,892.77 | $2,911.95 | 9.1× |
| Cta Abdomen (74175) | $2,196.36 | $3,379.02 | 10.6× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) range across 3 matching MRF lines |
$1,154.56–$3,805.02 | $1,776.25–$5,853.88 | varies |
| CTA pelvis (72191) | $2,245.43 | $3,454.50 | 10.8× |
| Dacryocystography, nasolacrimal duct, radiological supervision and interpretation Non-Facility (70170) | $691.14 | $1,063.29 | 2.5× |
| Dilation ureters/urethra rs&i (74485) | $3,459.70 | $5,322.62 | 1.4× |
| Discography Cerv/Thor Spine (72285) | $4,088.44 | $6,289.91 | 1.8× |
| Diskography lumbar (72295) | $4,088.44 | $6,289.91 | 1.8× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) | $432.65 | $665.62 | 3.5× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $468.30 | $720.46 | 3.8× |
| Doppler Fetal Mid Cerebral Artery (76821) | $433.60 | $667.07 | 3.5× |
| Dxa Bone Density Axial (77080) | $548.50 | $843.85 | 4.4× |
| Dxa bone density study (77085) | $876.09 | $1,347.83 | 7.1× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $365.36 | $562.09 | 3.6× |
| Echo exam of fetal heart (76825) | $873.92 | $1,344.49 | 1.4× |
| Echo exam uterus (76831) | $1,130.47 | $1,739.18 | 4.0× |
| Echo Guide For Artery Repair (76936) | $852.59 | $1,311.68 | 3.3× |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) | $1,025.04 | $1,576.98 | 3.6× |
| Echograp Trans R Pros Study (76873) | $1,027.87 | $1,581.34 | 8.3× |
| Esophageal Motility Study (78258) | $906.01 | $1,393.86 | 1.9× |
| Esophagram (74220) | $844.89 | $1,299.83 | 4.1× |
| Fetal Biophys Profile W/Nst (76818) | $458.56 | $705.48 | 3.7× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $515.88 | $793.66 | 4.2× |
| Fetal MRI w/placntl matrnl plvc img sing/1st ges (74712) | $595.71 | $916.47 | 2.1× |
| Follow-Up Angiography (75898) | $5,551.86 | $8,541.33 | 1.5× |
| Foot 2 views (73620) range across 4 matching MRF lines |
$205.93–$411.86 | $316.82–$633.63 | varies |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$278.61–$557.22 | $428.63–$857.26 | varies |
| Gastric emptying imaging study (78264) | $1,916.22 | $2,948.03 | 4.1× |
| Gastric Emptyng Imag Std W/Sm Bwl Transit (78265) | $1,380.29 | $2,123.52 | 2.9× |
| Gastric Mucosa Imaging (78261) | $1,054.45 | $1,622.23 | 2.2× |
| Gastroesophageal Reflux Exam (78262) | $816.17 | $1,255.65 | 1.7× |
| Gated Heart Planar Single (78472) | $1,483.90 | $2,282.92 | 3.1× |
| Gstrc Emptng Imag Std W/Sm Bwl Col Trnst Mlt Day (78266) | $1,831.41 | $2,817.55 | 2.9× |
| Hand 2 views (73120) range across 4 matching MRF lines |
$278.61–$557.22 | $428.63–$857.26 | varies |
| Hdr Rdncl Ntrstl/Icav Brchtx (77772) | $3,611.04 | $5,555.45 | 4.4× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) | $3,611.04 | $5,555.45 | 4.4× |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) | $3,611.04 | $5,555.45 | 4.4× |
| Heart first pass single,planar (78481) | $1,530.44 | $2,354.53 | 2.4× |
| Heart Image (Pet) Multiple (78492) | $5,830.29 | $8,969.68 | 3.5× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $4,402.98 | $6,773.82 | 1.2× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $4,402.98 | $6,773.82 | 1.2× |
| Hepatobil Syst Image W/Drug (78227) | $2,603.21 | $4,004.94 | 4.1× |
| Hepatobiliary System Imaging (78226) | $1,896.47 | $2,917.65 | 4.0× |
| Ht Musc Image Planar Mult (78454) | $3,667.16 | $5,641.79 | 2.4× |
| Ht Muscle Image Spect Sing (78451) | $3,673.90 | $5,652.15 | 2.4× |
| Hysterosalpingogram (74740) | $1,112.71 | $1,711.86 | 3.9× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $422.27 | $649.65 | 4.1× |
| Infant hip ultrasound, limited static exam (76886) | $358.15 | $551 | 3.5× |
| Infusion Ivp (74410) | $501.49 | $771.53 | 2.4× |
| Interstitial radiation source applic complex (77778) | $3,763.75 | $5,790.38 | 4.6× |
| Intracavitary Radiation Source Applic Complex (77763) | $1,461.06 | $2,247.79 | 1.8× |
| Intracavitary Radiation Source Applic Intermed (77762) | $1,217.50 | $1,873.08 | 1.9× |
| Intracavitary radiation source applic simple (77761) | $1,057.65 | $1,627.16 | 1.6× |
| Intraop radiaj tx deliver xray single tx session (77424) | $38,202.77 | $58,773.49 | 4.4× |
| Joint Survey Single View (77077) | $201.38 | $309.81 | 1.6× |
| K Flow/Funct Image Multiple (78709) | $1,649.52 | $2,537.72 | 2.6× |
| K Flow/Funct Image W/Drug (78708) | $1,502.97 | $2,312.26 | 2.3× |
| K Flow/Funct Image W/O Drug (78707) | $1,762.57 | $2,711.64 | 2.7× |
| Kidney Funcj Study Non-Img Radioisotopic Study (78725) | $1,054.45 | $1,622.23 | 2.2× |
| Kidney Imaging Morphol (78700) | $1,275.76 | $1,962.71 | 2.7× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $1,354.80 | $2,084.31 | 2.9× |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$256.34–$512.69 | $394.37–$788.75 | varies |
| Labeled RBC Sequestration Differntl Organ/Tissue (78140) | $1,054.45 | $1,622.23 | 2.2× |
| Leveen/Shunt Patency Exam (78291) | $1,054.45 | $1,622.23 | 2.2× |
| Liver & Spleen Imaging Static Only (78215) | $1,026.19 | $1,578.76 | 2.2× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $1,054.45 | $1,622.23 | 2.2× |
| Liver imaging static only (78201) | $3,597.15 | $5,534.08 | 5.6× |
| Liver imaging w/vascular flow (78202) | $3,597.15 | $5,534.08 | 5.6× |
| Lung Perf&Ventilat Diferentl (78598) | $1,705.56 | $2,623.94 | 2.7× |
| Lung perfusion differential (78597) | $742.66 | $1,142.56 | 1.6× |
| Lung Ventilat&Perfus Imaging (78582) | $1,817.47 | $2,796.11 | 2.8× |
| Lung Ventilation Imaging (78579) | $1,044.80 | $1,607.39 | 2.2× |
| Lymph System Imaging (78195) | $1,918.41 | $2,951.40 | 3.0× |
| Lymphangiography Extremity Only Bilateral Rs&I (75803) | $3,045.13 | $4,684.81 | 1.6× |
| Lymphangiography extremity only unilateral rs&i (75801) | $1,726.36 | $2,655.94 | 2.3× |
| Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) | $5,852.86 | $9,004.40 | 1.6× |
| Lymphangiography, pelvic/abdominal, unilateral (75805) | $5,551.86 | $8,541.33 | 1.5× |
| Magnetic Image Jaw Joint (70336) | $1,777.54 | $2,734.67 | 6.3× |
| Mammary ductogram or galactogram multiple (77054) | $761.87 | $1,172.10 | 2.7× |
| Mammary ductogram or galactogram single (77053) | $718.38 | $1,105.20 | 2.5× |
| Meckels Divert Exam (78290) | $1,920.61 | $2,954.79 | 4.1× |
| Mlc imrt design & construction per imrt plan (77338) | $1,780.40 | $2,739.08 | 4.0× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $78.73 | $121.13 | 2.3× |
| Mra Head W/O & W/Contrast Material (70546) | $2,295.77 | $3,531.95 | 5.6× |
| MRA head w/o contrast (70544) | $1,450.12 | $2,230.95 | 5.1× |
| MRA head with contrast (70545) | $1,616.02 | $2,486.19 | 3.9× |
| MRA neck w contrast (70548) | $1,975.97 | $3,039.96 | 4.8× |
| Mra Neck W/O &W/Contrast Material (70549) | $2,776.61 | $4,271.70 | 6.7× |
| MRA neck w/o contrast (70547) | $1,481.97 | $2,279.96 | 5.3× |
| MRI abdomen w contrast (74182) | $1,935.97 | $2,978.41 | 4.7× |
| MRI abdomen w/o contrast (74181) | $1,683.39 | $2,589.83 | 6.0× |
| MRI any jt lower extrem w/contrast material (73722) range across 5 matching MRF lines |
$1,857.47–$3,714.95 | $2,857.65–$5,715.30 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 4 matching MRF lines |
$2,637.64–$5,275.27 | $4,057.90–$8,115.80 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 4 matching MRF lines |
$2,587.14–$5,174.29 | $3,980.22–$7,960.45 | varies |
| MRI brain functional w/o physician admnistration (70554) | $1,183.98 | $1,821.50 | 4.2× |
| MRI brain functional w/physician admnistration (70555) | $1,183.98 | $1,821.50 | 4.2× |
| MRI Breast W/O Contrast Bilateral (77047) | $1,559.62 | $2,399.41 | 5.5× |
| MRI Breast Without Contrast Material Unilateral (77046) | $1,559.62 | $2,399.41 | 5.5× |
| MRI cardiac w/o cont stress (75559) | $1,838.63 | $2,828.66 | 2.8× |
| MRI cardiac w/o contrast (75557) | $1,443.83 | $2,221.28 | 5.1× |
| MRI cervical spine w contrast (72142) | $2,755.79 | $4,239.67 | 6.7× |
| MRI cervical spine w/o cont (72141) | $2,396.86 | $3,687.48 | 8.5× |
| MRI chest w/o contrast (71550) | $2,380.81 | $3,662.79 | 8.4× |
| MRI chest with contrast (71551) | $2,677.02 | $4,118.49 | 2.9× |
| MRI chest wo w contrast (71552) | $3,165.86 | $4,870.56 | 7.7× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 4 matching MRF lines |
$1,822.02–$3,644.03 | $2,803.10–$5,606.20 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 4 matching MRF lines |
$2,150.77–$4,301.54 | $3,308.88–$6,617.76 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 4 matching MRF lines |
$1,584.35–$3,168.70 | $2,437.46–$4,874.92 | varies |
| MRI lumbar spine w contrast (72149) | $2,755.79 | $4,239.67 | 6.7× |
| Mri Neck Spine W/O & W/Dye (72156) | $3,855.74 | $5,931.91 | 9.4× |
| MRI orbit face &/neck w/o contrast (70540) | $1,903.27 | $2,928.10 | 6.8× |
| MRI orbit face neck w contrast (70542) | $2,093.59 | $3,220.90 | 5.1× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $2,294.40 | $3,529.84 | 5.6× |
| MRI pelvis w contrast (72196) | $2,856.35 | $4,394.39 | 6.9× |
| MRI pelvis w/o & w contrast (72197) | $4,213.52 | $6,482.34 | 10.2× |
| MRI pelvis w/o contrast (72195) | $2,380.81 | $3,662.79 | 8.4× |
| MRI spectroscopy (76390) | $2,545.43 | $3,916.05 | 24.8× |
| MRI thoracic spine w/o contrast (72146) | $2,396.86 | $3,687.48 | 8.5× |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 4 matching MRF lines |
$2,478.49–$4,956.98 | $3,813.06–$7,626.12 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 4 matching MRF lines |
$2,258.71–$4,517.42 | $3,474.94–$6,949.88 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 4 matching MRF lines |
$2,655.53–$5,311.06 | $4,085.43–$8,170.86 | varies |
| MRI, abdomen, combo (74183) | $2,723.14 | $4,189.45 | 6.6× |
| MRI, dorsal spine combo (72157) | $3,855.74 | $5,931.91 | 9.4× |
| MRI, dorsal spine contrast (72147) | $2,755.79 | $4,239.67 | 6.7× |
| MRI, joint upper extrem (73221) range across 4 matching MRF lines |
$2,207.83–$4,415.66 | $3,396.66–$6,793.32 | varies |
| MRI, joint upper extrem combo (73223) range across 4 matching MRF lines |
$2,728.88–$5,457.76 | $4,198.28–$8,396.56 | varies |
| MRI, lumbar spine combo (72158) | $3,855.74 | $5,931.91 | 9.4× |
| Myelogram cervical (72240) | $1,094.84 | $1,684.37 | 1.2× |
| Myelogram Lumbar (72265) | $1,094.16 | $1,683.33 | 1.2× |
| Myelography thoracic (72255) | $1,094.84 | $1,684.37 | 1.2× |
| Myelograpy 2/more regions rs&i (72270) | $1,094.16 | $1,683.33 | 1.2× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $1,415.56 | $2,177.78 | 3.0× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) | $3,525.22 | $5,423.41 | 2.3× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $3,667.16 | $5,641.79 | 2.4× |
| Myocardial Spect Multiple Studies (78452) | $4,075.25 | $6,269.61 | 2.7× |
| Myocrd Img Pet Metab Eval Single Study Cncrnt CT (78429) | $4,304.90 | $6,622.93 | 2.5× |
| Myocrd img PET prfuj 1std rest/stress cncrnt CT (78430) | $4,304.90 | $6,622.93 | 2.5× |
| Myocrd Img Pet Prfuj Mlt Std Rst&Strs Cncrnt CT (78431) | $6,713.92 | $10,329.10 | 2.6× |
| Myocrd Img Pet Prfuj W/Metab 2rtracer Cncrnt CT (78433) | $8,205.57 | $12,623.95 | 3.2× |
| Myocrd Img Pet Prfuj W/Metab Dual Radiotracer (78432) | $8,205.57 | $12,623.95 | 4.6× |
| N-invas est c ffr sw aly CTA (75580) | $3,062.71 | $4,711.86 | 3.0× |
| Neck soft tissue (70360) | $286.02 | $440.03 | 2.8× |
| Nfs/Instlj Radioelmnt Sln 3 Mo Follow-Up Care (77750) | $993.02 | $1,527.73 | 2.2× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $1,054.45 | $1,622.23 | 2.2× |
| Nm csf leak detection (78650) | $2,689.32 | $4,137.42 | 1.8× |
| Nm myocard infarct spect (78469) | $1,540.39 | $2,369.83 | 2.4× |
| Nm red cell survival study (78130) | $1,054.45 | $1,622.23 | 2.2× |
| Nm unlisted gi procedure (78299) | $1,063.43 | $1,636.05 | 2.3× |
| Nonvascular Shunt X-Ray (75809) | $671.74 | $1,033.45 | 5.4× |
| Ntsty modul radthx pln dose-vol histos (77301) | $9,411.59 | $14,479.37 | 5.8× |
| Nuclear Rx Intra-Arterial (79445) | $1,408.99 | $2,167.68 | 5.1× |
| Nuclear Rx Oral Admin (79005) | $1,117.02 | $1,718.49 | 4.1× |
| Ob us nuchal meas 1 gest (76813) | $361.60 | $556.30 | 2.9× |
| Oph bmtry us echograpy a-scan io lens pwr cal (76519) | $618.35 | $951.30 | 5.0× |
| Ophthalmic Ultrasonic Foreign Body Localization (76529) | $149.20 | $229.54 | 1.5× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) | $215.02 | $330.80 | 1.7× |
| Ophthalmic US Dx Corneal Pachymetry Uni/Bi (76514) | $72.92 | $112.19 | 2.1× |
| Ophthalmic us dx quantitative a-scan only (76511) | $229.87 | $353.64 | 1.9× |
| Optic foramina (70190) | $115.57 | $177.80 | 1.1× |
| Panoramic X-ray of jaws (70355) | $161.99 | $249.21 | 1.6× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $2,166.40 | $3,332.92 | 3.4× |
| Parathyroid Planar Imaging (78070) | $1,681.30 | $2,586.61 | 3.6× |
| Parathyroid planar imaging w/wo subtraction (78071) | $1,927.20 | $2,964.92 | 4.1× |
| Pelvis 1 or 2 views (72170) | $278.61 | $428.63 | 2.3× |
| Pet Image W/Ct Lmtd (78814) | $5,228.87 | $8,044.41 | 3.1× |
| PET image w/CT, full body (78816) | $7,904.44 | $12,160.68 | 4.7× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $6,847.74 | $10,534.98 | 4.1× |
| Pet Imaging Limited Area Chest Head/Neck (78811) | $2,521.87 | $3,879.80 | 1.6× |
| Pet Myocardial Sngl Study (78491) | $5,830.29 | $8,969.68 | 3.5× |
| PET whole body (78813) | $5,533.70 | $8,513.39 | 3.3× |
| Plasma Vol Radiopharm Vol Dilute Spx Mult Smples (78111) | $3,667.16 | $5,641.79 | 2.4× |
| Platelet survival study Non-Facility (78191) | $1,054.45 | $1,622.23 | 2.2× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $4,640.77 | $7,139.65 | 1.2× |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,334.80 | $2,053.54 | 2.8× |
| Quan&Charac C Atherosclerotc Plaq Asses Sev C Ds (75577) | $3,062.71 | $4,711.86 | 2.8× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $517.09 | $795.52 | 4.2× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $929.55 | $1,430.08 | 1.4× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 4 matching MRF lines |
$301.03–$602.09 | $463.13–$926.29 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$205.93–$411.86 | $316.82–$633.63 | varies |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$328.29–$656.58 | $505.06–$1,010.12 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $372.31 | $572.78 | 3.0× |
| Radex fingr minimum 2 views (73140) range across 2 matching MRF lines |
$217.02–$434.06 | $333.88–$667.79 | varies |
| Radex foot complete minimum 3 views (73630) range across 4 matching MRF lines |
$242.66–$485.29 | $373.32–$746.60 | varies |
| Radex Hand Minimum 3 Views (73130) range across 4 matching MRF lines |
$328.29–$656.58 | $505.06–$1,010.12 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 2 matching MRF lines |
$115.57–$231.14 | $177.80–$355.60 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) range across 2 matching MRF lines |
$142.17–$320.55 | $218.73–$493.15 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $217.60 | $334.77 | 2.1× |
| Radex Pharynx/Larx W/Fluor&/Magnification Tq (70370) | $160.51 | $246.94 | 1.6× |
| Radex Ribs Unilateral 2 Views (71100) | $296.91 | $456.78 | 2.9× |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$229.78–$459.56 | $353.50–$707.01 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $229.78 | $353.50 | 2.2× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $1,094.67 | $1,684.10 | 5.3× |
| Radex Spine 1 View Specify Level (72020) | $234.77 | $361.18 | 2.3× |
| Radex Sternum Minimum 2 Views (71120) | $278.61 | $428.63 | 2.7× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $342.67 | $527.19 | 3.3× |
| Radex Toe Minimum 2 Views (73660) | $205.93 | $316.82 | 2.0× |
| Radex upper extremity infant minimum 2 views (73092) range across 2 matching MRF lines |
$142.17–$284.35 | $218.73–$437.46 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 4 matching MRF lines |
$310.90–$621.76 | $478.30–$956.55 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $201.38 | $309.81 | 1.6× |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $14,208.55 | $21,859.30 | 1.6× |
| Radiation treatment delivery level 1 (77402) | $352.55 | $542.39 | 2.9× |
| Radiation treatment delivery level 2 (77407) | $1,332.75 | $2,050.38 | 2.9× |
| Radiation treatment delivery level 3 (77412) | $1,909.26 | $2,937.33 | 2.9× |
| Radiolog exam mandible compl minimum 4 views (70110) | $346.56 | $533.17 | 2.8× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $350.79 | $539.68 | 2.8× |
| Radiologic exam colon double contrast study (74280) | $1,354.34 | $2,083.60 | 6.5× |
| Radiologic exam colon single contrast study (74270) | $951.43 | $1,463.74 | 4.6× |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$301.03–$601.77 | $463.13–$925.80 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $407.30 | $626.61 | 3.3× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $1,216.38 | $1,871.36 | 5.9× |
| Radiologic exam swallow function contrast study (74230) | $960.49 | $1,477.68 | 4.6× |
| Radiologic exam teeth complete full mouth (70320) | $310.64 | $477.91 | 1.1× |
| Radiologic Exam Teeth Prtl Exam < Full Mouth (70310) | $310.64 | $477.91 | 1.1× |
| Radiologic exam upr gi trc double contrast study (74246) | $978.78 | $1,505.81 | 4.7× |
| Radiologic examination femur 1 view (73551) range across 4 matching MRF lines |
$115.57–$231.14 | $177.80–$355.60 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$115.57–$231.14 | $177.80–$355.60 | varies |
| Radiologic examination knee 1/2 views (73560) range across 4 matching MRF lines |
$193.82–$387.63 | $298.18–$596.36 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $310.90 | $478.30 | 2.5× |
| Radiologic examination tibia & fibula 2 views (73590) range across 4 matching MRF lines |
$205.93–$411.86 | $316.82–$633.63 | varies |
| Radiologic examination, teeth; single view Non-Facility (70300) | $119.10 | $183.23 | 1.2× |
| Radiopharm Dacryocystography (78660) | $911.72 | $1,402.65 | 1.9× |
| Red Cell Volume Determination Spx Mult Samplings (78121) | $1,358.80 | $2,090.46 | 2.1× |
| Renal Cyst Study (74470) | $1,262.86 | $1,942.86 | 2.0× |
| Ribs bilateral 3 views (71110) | $321.87 | $495.19 | 2.6× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $1,465.91 | $2,255.24 | 3.1× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $1,093.20 | $1,681.85 | 2.3× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $4,675.46 | $7,193.01 | 7.3× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $2,452.18 | $3,772.58 | 3.8× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $2,452.18 | $3,772.58 | 3.8× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $3,794.91 | $5,838.32 | 2.5× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $4,304.90 | $6,622.93 | 2.5× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $3,794.91 | $5,838.32 | 2.5× |
| Rp Ther Radiolbld Monoclonal Antibody IV Infus (79403) | $1,906.35 | $2,932.85 | 6.9× |
| Rp Therapy Intravenous Administration (79101) | $1,387.01 | $2,133.86 | 5.0× |
| Salivary Gland Function Study (78232) | $906.47 | $1,394.57 | 1.9× |
| Salivary Gland Imaging (78230) | $1,054.45 | $1,622.23 | 2.2× |
| Salivary Gland Imaging Serial Images (78231) | $824.38 | $1,268.28 | 1.7× |
| Scapula (73010) range across 2 matching MRF lines |
$278.61–$557.22 | $428.63–$857.26 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $153.56 | $236.25 | 6.6× |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$193.82–$387.63 | $298.18–$596.36 | varies |
| Shoulder Arthrography (73040) | $767.38 | $1,180.58 | 1.9× |
| Sialogram (70390) | $732 | $1,126.16 | 2.6× |
| Skull less than 4 views (70250) | $270.37 | $415.96 | 2.2× |
| Special dosimetry (77331) | $700.78 | $1,078.12 | 4.4× |
| Special Physics Consult (77370) | $886.43 | $1,363.74 | 5.6× |
| Special teletherapy port plan (77321) | $1,355.22 | $2,084.96 | 3.1× |
| Special treatment procedure (77470) | $1,583.56 | $2,436.25 | 2.4× |
| Spleen Imaging (78185) | $1,054.45 | $1,622.23 | 2.2× |
| Stereotactic Body Radiation Delivery (77373) | $12,561.80 | $19,325.84 | 5.9× |
| Sternoclavicular joints (71130) | $420.50 | $646.92 | 4.1× |
| Superior sagittal sinus venogram (75870) | $5,852.86 | $9,004.40 | 1.6× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $3,987.44 | $6,134.53 | 9.0× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $3,511.08 | $5,401.66 | 7.9× |
| Temporomandble Jt Arthrography Rs&I (70332) | $412.65 | $634.84 | 1.5× |
| Testicular Imaging W/Flow (78761) | $1,472.05 | $2,264.69 | 3.1× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $2,656.37 | $4,086.72 | 6.0× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $2,331.32 | $3,586.64 | 5.3× |
| Ther rad simulaj-aided field setting simple (77280) | $859.94 | $1,322.98 | 5.4× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $401.19 | $617.22 | 1.9× |
| Thoracic spine 2 views (72070) | $193.82 | $298.18 | 1.6× |
| Thoracic spine 3 views (72072) | $142.17 | $218.73 | 1.2× |
| Thoracolumbar 2 views (72080) | $278.61 | $428.63 | 2.7× |
| Thyroid Carcinoma Metastases Img Lmtd Area (78015) | $1,401.01 | $2,155.40 | 3.0× |
| Thyroid Imaging With Vascular Flow (78013) | $1,381.09 | $2,124.76 | 2.9× |
| Thyroid Met Imaging Body (78018) | $2,527.32 | $3,888.19 | 3.9× |
| Thyroid Uptake Measurement (78012) | $718.09 | $1,104.76 | 1.5× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,605.43 | $2,469.89 | 3.4× |
| Tx Devices Design & Construction Complex (77334) | $1,970.02 | $3,030.80 | 4.5× |
| Tx devices design & construction intermediate (77333) | $912.16 | $1,403.33 | 5.7× |
| Tx devices design & construction simple (77332) | $875.69 | $1,347.21 | 5.5× |
| Ultrasound Breast Limited (76642) range across 5 matching MRF lines |
$451.63–$920.84 | $694.82–$1,416.68 | varies |
| Ultrasound elastography first target lesion (76982) | $858.64 | $1,320.99 | 7.0× |
| Ultrasound Elastography Parenchyma (76981) | $858.64 | $1,320.99 | 7.0× |
| Ultrasound Exam Aaa Screen (76706) | $438.37 | $674.42 | 3.5× |
| Ultrasound trgt dynamic microbubble 1st lesion (76978) | $589.40 | $906.77 | 1.4× |
| Ultrasound, abdomen limited (76705) | $366.59 | $563.99 | 3.0× |
| Umbilical-artery Doppler (OB) (76820) | $288.57 | $443.95 | 2.3× |
| Unlisted Dx Radiographic Procedure (76499) | $744.65 | $1,145.61 | 7.2× |
| Unlisted fluoroscopic procedure (76496) | $161.23 | $248.04 | 1.6× |
| Unlisted magnetic resonance procedure (76498) range across 3 matching MRF lines |
$1,346.78–$2,651.06 | $2,071.97–$4,078.55 | varies |
| Unlisted us procedure (76999) | $115.57 | $177.80 | 1.1× |
| Upper gi w/o kub (74240) | $480.71 | $739.55 | 2.3× |
| Urea Breath Test C-14 Isotopic Acquisj Analysis (78267) | $521.14 | $801.76 | 47.1× |
| Ureteral Reflux Study (78740) | $1,054.45 | $1,622.23 | 2.2× |
| Urethrocystogram voiding (74455) | $1,203.51 | $1,851.55 | 4.3× |
| Urethrocystography retrograde (74450) | $569.24 | $875.75 | 2.0× |
| Us breast unilateral complete (76641) range across 5 matching MRF lines |
$451.63–$920.84 | $694.82–$1,416.68 | varies |
| Us chest (76604) | $399.15 | $614.07 | 3.2× |
| Us complete joint (76881) | $415.94 | $639.91 | 3.4× |
| Us exam, pelvic, limited (76857) | $396.55 | $610.08 | 3.2× |
| Us head (76506) | $426.29 | $655.83 | 3.5× |
| Us kidney transplant (76776) | $523.93 | $806.04 | 4.2× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $305.30 | $469.69 | 2.5× |
| Us ob detailed single fetus (76811) | $642.79 | $988.90 | 2.3× |
| Us ob limited 1 or more fetuses (76815) | $409.75 | $630.38 | 3.3× |
| Us ob transvaginal (76817) | $630.51 | $970.02 | 5.1× |
| Us pelvic non ob complete (76856) | $630.51 | $970.02 | 5.1× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $630.51 | $970.02 | 5.1× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $612.57 | $942.41 | 5.0× |
| Us retroperitoneal complete (76770) | $534.75 | $822.69 | 4.3× |
| Us retroperitoneal limited (76775) | $321.09 | $493.98 | 2.6× |
| Us scrotum and contents (76870) | $528.24 | $812.68 | 4.3× |
| Us spinal canal and contents (76800) | $507.59 | $780.90 | 4.1× |
| Us thyroid (76536) | $466.03 | $716.97 | 3.8× |
| Us transrectal (76872) | $714.98 | $1,099.97 | 5.8× |
| Vascular Flow Imaging (78445) | $1,054.45 | $1,622.23 | 2.2× |
| Vein X-Ray Chest (75827) | $2,254.38 | $3,468.27 | 1.2× |
| Vein X-Ray Liver W/O Hemodyn (75887) | $5,551.86 | $8,541.33 | 1.5× |
| Vein X-Ray Spleen/Liver (75810) | $4,402.98 | $6,773.82 | 1.2× |
| Venogram Sinus/Jugular (75860) | $4,402.98 | $6,773.82 | 1.2× |
| Venography Adrenal Unilateral (75840) | $4,402.98 | $6,773.82 | 1.2× |
| Venography caval inferior serialography rs&i (75825) | $4,402.98 | $6,773.82 | 1.2× |
| Venography extremity bilateral rs&i (75822) | $2,350.92 | $3,616.80 | 1.3× |
| Venography extremity unilateral rs&i (75820) | $2,350.92 | $3,616.80 | 1.3× |
| Venography Renal Bilateral (75833) | $4,402.98 | $6,773.82 | 1.2× |
| Venography Renal Unilateral (75831) | $4,402.98 | $6,773.82 | 1.2× |
| Venous sampling by catheter (75893) | $9,254.94 | $14,238.37 | 1.4× |
| Venous thrombosis imaging (78457) | $2,444.77 | $3,761.19 | 3.8× |
| Venous Thrombosis Imaging Venogram Bilateral (78458) | $1,130.98 | $1,739.97 | 2.4× |
| Wrist 2 views (73100) range across 4 matching MRF lines |
$278.61–$557.22 | $428.63–$857.26 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $251.55 | $387 | 2.4× |
| X-ray antegrade pyelogram tube (74425) | $2,593.87 | $3,990.57 | 6.3× |
| X-Ray Aorta Leg Arteries (75630) | $4,402.98 | $6,773.82 | 1.2× |
| X-Ray Bend Only L-S Spine (72120) | $504.40 | $776 | 4.1× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$278.61–$557.22 | $428.63–$857.26 | varies |
| X-Ray Exam Breast Specimen (76098) | $879.55 | $1,353.16 | 1.4× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $151.39 | $232.90 | 1.5× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $205.48 | $316.13 | 1.7× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $201.38 | $309.81 | 1.6× |
| X-Ray Exam Hip Uni 1 View (73501) | $115.57 | $177.80 | 1.1× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $134.39 | $206.76 | 1.3× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $201.38 | $309.81 | 1.6× |
| X-Ray Exam Hips Bi 2 Views (73521) | $177.57 | $273.19 | 1.4× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $177.57 | $273.19 | 1.4× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $338.53 | $520.82 | 2.7× |
| X-Ray Exam L-S Spine Bending (72114) | $515.55 | $793.16 | 4.2× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $340.33 | $523.58 | 3.3× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $588.80 | $905.84 | 4.8× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $302.07 | $464.72 | 2.4× |
| X-ray eye for foreign body (70030) | $418.11 | $643.24 | 4.1× |
| X-ray head for orthodontia (70350) | $205.08 | $315.50 | 2.0× |
| X-ray humerus (73060) | $278.61 | $428.63 | 2.7× |
| X-ray IV pyelogram+tomography (74415) | $501.49 | $771.53 | 2.4× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $301.03 | $463.13 | 2.9× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $144.20 | $221.85 | 1.4× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $407.30 | $626.61 | 3.3× |
| X-ray nose-rectum child f.b. (76010) | $589.12 | $906.34 | 5.7× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $342.67 | $527.19 | 2.8× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $298.22 | $458.80 | 2.4× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $277.55 | $427 | 2.2× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $399.52 | $614.65 | 3.9× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $297.06 | $457.02 | 2.9× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $372.31 | $572.78 | 3.0× |
| X-Ray Stress View (77071) | $115.57 | $177.80 | 1.1× |
| X-ray thoracic spine 4 vw (72074) | $321.53 | $494.66 | 2.6× |
| X-Ray Tmj Unilat (70328) | $205.82 | $316.64 | 2.0× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $729.64 | $1,122.53 | 1.8× |
| X-Rays Bone Length Studies (77073) | $401.72 | $618.03 | 3.3× |
| X-Rays Bone Survey Complete (77075) | $575.61 | $885.56 | 4.7× |
| Xr c-spine 4 or 5 views (72050) | $492.84 | $758.21 | 4.0× |
| Xr facial bones less than 3 views (70140) | $205.93 | $316.82 | 2.0× |
| XR Mastoids < 3 Views Bilateral (70120) range across 2 matching MRF lines |
$142.17–$320.55 | $218.73–$493.15 | varies |
| Xr orbits complete 4 views (70200) | $209.80 | $322.77 | 1.7× |
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.