Imaging prices at Memorial Healthcare
Owosso, MI · every code in this section with a posted price and a Medicare benchmark.
313 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abdomen 1 View (74018) range across 2 matching MRF lines |
$60.80–$369.60 | $76–$462 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$108–$568.80 | $135–$711 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,204.80 | $1,506 | 3.0× |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$96–$445.60 | $120–$557 | varies |
| Arthrogram ankle (73615) range across 4 matching MRF lines |
$342.40–$1,053.60 | $428–$1,317 | varies |
| Arthrogram hip (73525) range across 4 matching MRF lines |
$360–$1,449.60 | $450–$1,812 | varies |
| Arthrogram Wrist (73115) | $1,315.20 | $1,644 | 3.8× |
| Bone age studies (77072) | $730.40 | $913 | 7.0× |
| Bone Imaging 3 Phase (78315) | $3,213.60 | $4,017 | 8.1× |
| Bone Imaging Limited Area (78300) | $3,320 | $4,150 | 8.3× |
| Bone Imaging Multiple Areas (78305) | $3,213.60 | $4,017 | 8.1× |
| Bone Imaging Whole Body (78306) | $2,248.80 | $2,811 | 5.6× |
| Bone marrow imaging limited area (78102) | $592 | $740 | 1.5× |
| Bone survey infant (77076) | $1,328.80 | $1,661 | 12.8× |
| Brain Flow Imaging Only (78610) | $1,244.80 | $1,556 | 2.3× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $2,143.20 | $2,679 | 4.0× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $7,685.60 | $9,607 | 5.4× |
| Cat Scan Follow-Up Study (76380) | $1,870.40 | $2,338 | 21.6× |
| Cerebrospinal Fluid Scan (78630) | $3,185.60 | $3,982 | 5.9× |
| Chest 1 view (71045) range across 2 matching MRF lines |
$80–$383.20 | $100–$479 | varies |
| Chest 2 views (71046) range across 2 matching MRF lines |
$80–$462.40 | $100–$578 | varies |
| Chest 3 views (71047) | $640 | $800 | 7.4× |
| Chest 4 or more views (71048) | $670.40 | $838 | 6.4× |
| Cholecystography Oral Contrast (74290) | $642.40 | $803 | 3.7× |
| Clavicle complete (73000) range across 3 matching MRF lines |
$80–$737.60 | $100–$922 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $405.60 | $507 | 3.9× |
| Contrast X-Ray Bladder (74430) range across 2 matching MRF lines |
$66.40–$1,010.40 | $83–$1,263 | varies |
| Contrast X-Ray Of Elbow (73085) | $1,053.60 | $1,317 | 3.0× |
| Contrast X-Ray Of Knee Joint (73580) | $1,177.60 | $1,472 | 3.4× |
| CT abdomen and pelvis without and with contrast (74178) | $7,314.40 | $9,143 | 21.0× |
| CT abdomen and pelvis without contrast (74176) | $5,128.80 | $6,411 | 21.6× |
| CT abdomen w contrast (74160) | $3,091.20 | $3,864 | 17.7× |
| CT abdomen w wo contrast (74170) | $3,808.80 | $4,761 | 21.8× |
| CT abdomen w/o contrast (74150) | $2,703.20 | $3,379 | 25.9× |
| CT Angio Abdomen and Pelvis (74174) | $6,144 | $7,680 | 17.7× |
| CT Angio Chest (71275) | $4,477.60 | $5,597 | 25.6× |
| CT Angio Head (70496) | $4,417.60 | $5,522 | 25.3× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $3,397.60 | $4,247 | 19.4× |
| CT Angio Neck (70498) | $3,328 | $4,160 | 19.0× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $3,192 | $3,990 | 18.3× |
| CT Cere Prfuj Alys C+ W/O CT/Cta Same Anatomy (70473) | $324.80 | $406 | 1.9× |
| CT cervical spine w/ contrast (72126) | $3,112 | $3,890 | 9.0× |
| CT cervical spine w/o contrast (72125) | $2,963.20 | $3,704 | 28.4× |
| CT cervical spine w/wo cont (72127) | $3,267.20 | $4,084 | 18.7× |
| CT chest w contrast (71260) | $2,792 | $3,490 | 16.0× |
| CT chest w/wo contrast (71270) | $3,030.40 | $3,788 | 17.3× |
| CT head/brain with contrast (70460) | $2,923.20 | $3,654 | 16.7× |
| CT head/brain without and with contrast (70470) | $3,476 | $4,345 | 19.9× |
| CT iac w contrast (70481) | $2,680.80 | $3,351 | 15.3× |
| CT l-spine w&w/o contrast (72133) | $3,267.20 | $4,084 | 18.7× |
| CT lower ext w/o (73700) | $2,602.40 | $3,253 | 25.0× |
| CT lower extremity w/contrast material (73701) | $2,732 | $3,415 | 15.6× |
| CT lumbar spine w contrast (72132) | $3,112 | $3,890 | 9.0× |
| CT lumbar spine w/o contrast (72131) | $2,963.20 | $3,704 | 28.4× |
| CT maxillofacial w contrast (70487) | $2,680.80 | $3,351 | 15.3× |
| CT maxillofacial wo contrast (70486) | $2,552.80 | $3,191 | 24.5× |
| CT neck tissue combo (70492) | $2,814.40 | $3,518 | 16.1× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $2,814.40 | $3,518 | 16.1× |
| CT orbits w/o contrast (70480) | $2,552.80 | $3,191 | 24.5× |
| CT pelvis w&w/o contrast (72194) | $2,744 | $3,430 | 15.7× |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$232.80–$2,684 | $291–$3,355 | varies |
| CT scan of leg combo (73702) | $2,868.80 | $3,586 | 16.4× |
| CT scans face/jaw combo (70488) | $2,814.40 | $3,518 | 16.1× |
| CT soft tissue neck w contrast (70491) | $2,984 | $3,730 | 17.1× |
| CT soft tissue neck w/o contrast (70490) | $2,552.80 | $3,191 | 24.5× |
| CT thoracic spine w contrast (72129) | $3,112 | $3,890 | 17.8× |
| CT thoracic spine w/o contrast (72128) | $2,963.20 | $3,704 | 28.4× |
| CT thoracic spine w/wo cont (72130) | $3,267.20 | $4,084 | 18.7× |
| CT thorax w/o contrast (71250) | $2,470.40 | $3,088 | 23.7× |
| CT upper ext wo (73200) | $2,552.80 | $3,191 | 24.5× |
| CT upper extremity w/o & w/contrast material (73202) | $2,814.40 | $3,518 | 16.1× |
| CT upper extremity with contrast (73201) | $2,680.80 | $3,351 | 7.7× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $5,552 | $6,940 | 31.8× |
| Cta Abdomen (74175) | $4,446.40 | $5,558 | 25.4× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $645.60 | $807 | 1.9× |
| CTA pelvis (72191) | $4,013.60 | $5,017 | 23.0× |
| Discography Cerv/Thor Spine (72285) range across 2 matching MRF lines |
$3,654.40–$4,942.40 | $4,568–$6,178 | varies |
| Diskography lumbar (72295) range across 2 matching MRF lines |
$3,654.40–$4,942.40 | $4,568–$6,178 | varies |
| Dxa Bone Density Axial (77080) | $702.40 | $878 | 6.7× |
| Dxa bone density study (77085) | $702.40 | $878 | 6.7× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $149.60 | $187 | 1.7× |
| Echo exam uterus (76831) range across 2 matching MRF lines |
$183.20–$514.40 | $229–$643 | varies |
| Esophagram (74220) | $656 | $820 | 3.8× |
| Fetal Biophys Profile W/Nst (76818) range across 2 matching MRF lines |
$99.20–$2,472.80 | $124–$3,091 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 5 matching MRF lines |
$57.60–$1,874.40 | $72–$2,343 | varies |
| Fluoroscopy up to 1 hr (76000) range across 3 matching MRF lines |
$24.80–$548.80 | $31–$686 | varies |
| Foot 2 views (73620) range across 4 matching MRF lines |
$76.80–$445.60 | $96–$557 | varies |
| Forearm 2 views (73090) range across 3 matching MRF lines |
$60.80–$564 | $76–$705 | varies |
| Gastric emptying imaging study (78264) | $1,619.20 | $2,024 | 4.1× |
| Gastroesophageal Reflux Exam (78262) | $1,810.40 | $2,263 | 4.5× |
| Gated Heart Planar Single (78472) | $2,492.80 | $3,116 | 6.3× |
| Hand 2 views (73120) range across 3 matching MRF lines |
$110.40–$420.80 | $138–$526 | varies |
| Heart Image (Pet) Multiple (78492) | $4,914.40 | $6,143 | 3.4× |
| Hepatobil Syst Image W/Drug (78227) | $2,684.80 | $3,356 | 5.0× |
| Hepatobiliary System Imaging (78226) | $2,684.80 | $3,356 | 6.7× |
| Ht Muscle Image Spect Sing (78451) | $2,845.60 | $3,557 | 2.2× |
| Hysterosalpingogram (74740) range across 2 matching MRF lines |
$28.80–$1,696 | $36–$2,120 | varies |
| Infant hip ultrasound, limited static exam (76886) | $546.40 | $683 | 6.3× |
| K Flow/Funct Image Multiple (78709) | $1,242.40 | $1,553 | 2.3× |
| K Flow/Funct Image W/Drug (78708) | $2,159.20 | $2,699 | 4.0× |
| K Flow/Funct Image W/O Drug (78707) | $2,159.20 | $2,699 | 4.0× |
| Kidney Imaging Morphol (78700) | $1,560 | $1,950 | 3.9× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $1,044 | $1,305 | 2.6× |
| Knee 3 Views (73562) range across 5 matching MRF lines |
$96–$470.40 | $120–$588 | varies |
| Leveen/Shunt Patency Exam (78291) | $1,392.80 | $1,741 | 3.5× |
| Liver & Spleen Imaging Static Only (78215) | $1,548 | $1,935 | 3.9× |
| Lung perfusion differential (78597) | $908 | $1,135 | 2.3× |
| Lung Ventilat&Perfus Imaging (78582) | $3,815.20 | $4,769 | 7.1× |
| Lymph System Imaging (78195) | $1,920.80 | $2,401 | 3.6× |
| Magnetic Image Jaw Joint (70336) | $3,141.60 | $3,927 | 13.2× |
| Magnetic Resonance Elastography (76391) | $461.60 | $577 | 1.9× |
| Mammary ductogram or galactogram multiple (77054) | $1,732 | $2,165 | 7.3× |
| Mammary ductogram or galactogram single (77053) | $867.20 | $1,084 | 3.6× |
| Meckels Divert Exam (78290) | $1,386.40 | $1,733 | 3.5× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $53.60 | $67 | 1.9× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) | $176 | $220 | 1.9× |
| Mra Head W/O & W/Contrast Material (70546) | $4,934.40 | $6,168 | 14.2× |
| MRA head w/o contrast (70544) | $3,631.20 | $4,539 | 15.3× |
| MRA head with contrast (70545) | $3,987.20 | $4,984 | 11.5× |
| MRA neck w contrast (70548) | $4,606.40 | $5,758 | 13.3× |
| Mra Neck W/O &W/Contrast Material (70549) | $4,934.40 | $6,168 | 14.2× |
| MRA neck w/o contrast (70547) | $3,993.60 | $4,992 | 16.8× |
| MRI abdomen w contrast (74182) | $4,186.40 | $5,233 | 12.0× |
| MRI abdomen w/o contrast (74181) | $3,631.20 | $4,539 | 15.3× |
| MRI any jt lower extrem w/contrast material (73722) range across 3 matching MRF lines |
$3,812.80–$5,717.60 | $4,766–$7,147 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 3 matching MRF lines |
$4,003.20–$6,004 | $5,004–$7,505 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) | $4,604 | $5,755 | 5.9× |
| MRI bone marrow blood supply (77084) | $3,456 | $4,320 | 14.5× |
| MRI Breast W/O Contrast Bilateral (77047) | $3,560.80 | $4,451 | 15.0× |
| MRI Breast Without Contrast Material Unilateral (77046) | $3,172.80 | $3,966 | 13.3× |
| MRI cervical spine w contrast (72142) | $4,186.40 | $5,233 | 12.0× |
| MRI cervical spine w/o cont (72141) | $3,631.20 | $4,539 | 15.3× |
| MRI chest w/o contrast (71550) | $3,631.20 | $4,539 | 15.3× |
| MRI chest with contrast (71551) | $4,606.40 | $5,758 | 5.9× |
| MRI chest wo w contrast (71552) | $4,934.40 | $6,168 | 14.2× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $4,606.40 | $5,758 | 13.3× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $4,934.40 | $6,168 | 14.2× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $3,631.20 | $4,539 | 15.3× |
| MRI lumbar spine w contrast (72149) | $4,186.40 | $5,233 | 12.0× |
| Mri Neck Spine W/O & W/Dye (72156) | $4,934.40 | $6,168 | 14.2× |
| MRI orbit face &/neck w/o contrast (70540) | $3,993.60 | $4,992 | 16.8× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $5,428 | $6,785 | 15.6× |
| MRI pelvis w contrast (72196) | $4,606.40 | $5,758 | 13.3× |
| MRI pelvis w/o & w contrast (72197) | $4,934.40 | $6,168 | 14.2× |
| MRI pelvis w/o contrast (72195) | $3,631.20 | $4,539 | 15.3× |
| MRI thoracic spine w/o contrast (72146) | $3,631.20 | $4,539 | 15.3× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $4,606.40 | $5,758 | 13.3× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $3,631.20 | $4,539 | 15.3× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $4,934.40 | $6,168 | 14.2× |
| MRI, abdomen, combo (74183) | $4,934.40 | $6,168 | 14.2× |
| MRI, dorsal spine combo (72157) | $4,934.40 | $6,168 | 14.2× |
| MRI, dorsal spine contrast (72147) | $4,186.40 | $5,233 | 12.0× |
| MRI, joint upper extrem (73221) | $3,631.20 | $4,539 | 15.3× |
| MRI, joint upper extrem combo (73223) | $4,934.40 | $6,168 | 14.2× |
| MRI, lumbar spine combo (72158) | $5,043.20 | $6,304 | 14.5× |
| Myelogram cervical (72240) | $5,347.20 | $6,684 | 6.8× |
| Myelogram Lumbar (72265) | $4,752.80 | $5,941 | 6.1× |
| Myelography thoracic (72255) | $3,928 | $4,910 | 5.0× |
| Myelograpy 2/more regions rs&i (72270) | $6,151.20 | $7,689 | 7.9× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) | $6,300 | $7,875 | 4.9× |
| Myocardial Spect Multiple Studies (78452) | $6,863.20 | $8,579 | 5.3× |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$60.80–$487.20 | $76–$609 | varies |
| Nuclear Rx Oral Admin (79005) | $2,406.40 | $3,008 | 10.4× |
| Ob us nuchal meas 1 gest (76813) | $671.20 | $839 | 6.4× |
| Oph bmtry us echograpy a-scan io lens pwr cal (76519) | $106.40 | $133 | 1.0× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) range across 2 matching MRF lines |
$75.20–$1,415.20 | $94–$1,769 | varies |
| Ophthalmic US Dx Corneal Pachymetry Uni/Bi (76514) | $17.60 | $22 | 0.6× |
| Optic foramina (70190) range across 2 matching MRF lines |
$60.80–$196.80 | $76–$246 | varies |
| Panoramic X-ray of jaws (70355) | $479.20 | $599 | 5.5× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $1,176.80 | $1,471 | 2.2× |
| Parathyroid Planar Imaging (78070) | $1,017.60 | $1,272 | 2.6× |
| Parathyroid planar imaging w/wo subtraction (78071) | $1,176.80 | $1,471 | 3.0× |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$110.40–$564 | $138–$705 | varies |
| Pet Image W/Ct Lmtd (78814) | $3,052 | $3,815 | 2.1× |
| PET image w/CT, full body (78816) | $8,088 | $10,110 | 5.7× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $7,809.60 | $9,762 | 5.5× |
| Pet Myocardial Sngl Study (78491) | $4,914.40 | $6,143 | 3.4× |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,359.20 | $1,699 | 3.4× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$108–$700 | $135–$875 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) | $1,364 | $1,705 | 2.5× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 4 matching MRF lines |
$96–$576.80 | $120–$721 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$60.80–$688.80 | $76–$861 | varies |
| Radex elbow complete minimum 3 views (73080) range across 5 matching MRF lines |
$79.20–$503.20 | $99–$629 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$108–$788 | $135–$985 | varies |
| Radex fingr minimum 2 views (73140) range across 3 matching MRF lines |
$60.80–$504 | $76–$630 | varies |
| Radex foot complete minimum 3 views (73630) range across 4 matching MRF lines |
$76.80–$514.40 | $96–$643 | varies |
| Radex Hand Minimum 3 Views (73130) range across 5 matching MRF lines |
$79.20–$581.60 | $99–$727 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 3 matching MRF lines |
$96–$328 | $120–$410 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) range across 2 matching MRF lines |
$108–$742.40 | $135–$928 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $492.80 | $616 | 5.7× |
| Radex Ribs Unilateral 2 Views (71100) range across 3 matching MRF lines |
$60.80–$458.40 | $76–$573 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 5 matching MRF lines |
$96–$616.80 | $120–$771 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $479.20 | $599 | 5.5× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $2,075.20 | $2,594 | 11.9× |
| Radex Spine 1 View Specify Level (72020) range across 2 matching MRF lines |
$81.60–$562.40 | $102–$703 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$60.80–$470.40 | $76–$588 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $716.80 | $896 | 8.3× |
| Radex Toe Minimum 2 Views (73660) range across 3 matching MRF lines |
$60.80–$445.60 | $76–$557 | varies |
| Radex upper extremity infant minimum 2 views (73092) | $328 | $410 | 3.1× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 6 matching MRF lines |
$79.20–$844.80 | $99–$1,056 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $108.80 | $136 | 1.0× |
| Radiolog exam mandible compl minimum 4 views (70110) | $732 | $915 | 7.0× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $568.80 | $711 | 5.5× |
| Radiologic exam colon double contrast study (74280) | $1,805.60 | $2,257 | 10.3× |
| Radiologic exam colon single contrast study (74270) | $1,132 | $1,415 | 6.5× |
| Radiologic exam knee complete 4/more views (73564) range across 5 matching MRF lines |
$110.40–$775.20 | $138–$969 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$110.40–$564 | $138–$705 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) | $734.40 | $918 | 4.2× |
| Radiologic exam swallow function contrast study (74230) | $1,073.60 | $1,342 | 6.1× |
| Radiologic Exam Teeth Prtl Exam < Full Mouth (70310) | $680 | $850 | 2.9× |
| Radiologic exam upr gi trc double contrast study (74246) | $1,005.60 | $1,257 | 5.8× |
| Radiologic examination femur 1 view (73551) range across 3 matching MRF lines |
$76.80–$692.80 | $96–$866 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines |
$76.80–$692.80 | $96–$866 | varies |
| Radiologic examination knee 1/2 views (73560) range across 5 matching MRF lines |
$79.20–$470.40 | $99–$588 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 4 matching MRF lines |
$79.20–$576.80 | $99–$721 | varies |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$108–$696.80 | $135–$871 | varies |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $1,527.20 | $1,909 | 3.8× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $1,218.40 | $1,523 | 3.1× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $2,118.40 | $2,648 | 3.9× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $2,380.80 | $2,976 | 4.4× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $3,692.80 | $4,616 | 6.8× |
| Rp Therapy Intravenous Administration (79101) | $1,183.20 | $1,479 | 5.1× |
| Salivary Gland Function Study (78232) | $517.60 | $647 | 1.3× |
| Scapula (73010) range across 3 matching MRF lines |
$108–$739.20 | $135–$924 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $67.20 | $84 | 2.9× |
| Shoulder 1 view (73020) range across 3 matching MRF lines |
$80–$295.20 | $100–$369 | varies |
| Shoulder Arthrography (73040) | $1,952 | $2,440 | 5.6× |
| Sialogram (70390) | $954.40 | $1,193 | 4.0× |
| Skull less than 4 views (70250) | $620 | $775 | 6.0× |
| Speech evaluation, complex (70371) | $303.20 | $379 | 1.3× |
| Sternoclavicular joints (71130) | $232.80 | $291 | 2.7× |
| Testicular Imaging W/Flow (78761) | $3,755.20 | $4,694 | 9.4× |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$110.40–$716.80 | $138–$896 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$99.20–$932 | $124–$1,165 | varies |
| Thoracolumbar 2 views (72080) | $60.80 | $76 | 0.7× |
| Thyroid Carcinoma Metastases Img Lmtd Area (78015) | $896 | $1,120 | 2.2× |
| Thyroid Imaging With Vascular Flow (78013) | $896 | $1,120 | 2.2× |
| Thyroid Met Imaging Body (78018) | $896.80 | $1,121 | 1.7× |
| Thyroid Uptake Measurement (78012) | $753.60 | $942 | 1.9× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,520 | $1,900 | 3.8× |
| Ultrasound Breast Limited (76642) range across 5 matching MRF lines |
$1,109.60–$2,220 | $1,387–$2,775 | varies |
| Ultrasound elastography first target lesion (76982) | $200.80 | $251 | 1.9× |
| Ultrasound Elastography Parenchyma (76981) | $200.80 | $251 | 1.9× |
| Ultrasound Exam Aaa Screen (76706) | $1,413.60 | $1,767 | 13.6× |
| Ultrasound, abdomen limited (76705) range across 4 matching MRF lines |
$108–$1,415.20 | $135–$1,769 | varies |
| Umbilical-artery Doppler (OB) (76820) range across 2 matching MRF lines |
$33.60–$1,874.40 | $42–$2,343 | varies |
| Unlisted magnetic resonance procedure (76498) | $94.40 | $118 | 1.1× |
| Upper gi w/o kub (74240) | $1,005.60 | $1,257 | 5.8× |
| Ureteral Reflux Study (78740) | $888 | $1,110 | 2.2× |
| Urethrocystogram voiding (74455) | $1,224 | $1,530 | 5.1× |
| Urethrocystography retrograde (74450) range across 2 matching MRF lines |
$25.60–$1,372.80 | $32–$1,716 | varies |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$1,067.20–$2,133.60 | $1,334–$2,667 | varies |
| Us chest (76604) range across 3 matching MRF lines |
$92–$1,412.80 | $115–$1,766 | varies |
| Us complete joint (76881) | $1,270.40 | $1,588 | 12.2× |
| Us exam, pelvic, limited (76857) range across 3 matching MRF lines |
$145.60–$1,460.80 | $182–$1,826 | varies |
| Us head (76506) | $1,529.60 | $1,912 | 14.7× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 6 matching MRF lines |
$101.60–$1,258.40 | $127–$1,573 | varies |
| Us ob detailed single fetus (76811) range across 2 matching MRF lines |
$448.80–$461.60 | $561–$577 | varies |
| Us ob limited 1 or more fetuses (76815) range across 4 matching MRF lines |
$127.20–$1,441.60 | $159–$1,802 | varies |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$101.60–$1,214.40 | $127–$1,518 | varies |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$112.80–$1,764.80 | $141–$2,206 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$109.60–$1,698.40 | $137–$2,123 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 4 matching MRF lines |
$124.80–$1,441.60 | $156–$1,802 | varies |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$96–$1,413.60 | $120–$1,767 | varies |
| Us retroperitoneal limited (76775) range across 4 matching MRF lines |
$43.20–$1,413.60 | $54–$1,767 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$110.40–$2,160.80 | $138–$2,701 | varies |
| Us spinal canal and contents (76800) | $1,240.80 | $1,551 | 11.9× |
| Us thyroid (76536) range across 4 matching MRF lines |
$111.20–$1,771.20 | $139–$2,214 | varies |
| Us transrectal (76872) range across 2 matching MRF lines |
$149.60–$1,617.60 | $187–$2,022 | varies |
| Venography Renal Bilateral (75833) | $4,474.40 | $5,593 | 1.4× |
| Venography Renal Unilateral (75831) | $4,474.40 | $5,593 | 1.4× |
| Venous sampling by catheter (75893) | $5,924.80 | $7,406 | 1.1× |
| Vertebral fracture assessment via dxa (77086) | $149.60 | $187 | 1.7× |
| Wrist 2 views (73100) range across 3 matching MRF lines |
$60.80–$445.60 | $76–$557 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$96–$788 | $120–$985 | varies |
| X-ray antegrade pyelogram tube (74425) | $812 | $1,015 | 2.3× |
| X-Ray Bend Only L-S Spine (72120) range across 2 matching MRF lines |
$99.20–$1,097.60 | $124–$1,372 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$60.80–$396.80 | $76–$496 | varies |
| X-Ray Exam Breast Specimen (76098) | $846.40 | $1,058 | 1.6× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $76.80 | $96 | 0.9× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$108.80–$1,003.20 | $136–$1,254 | varies |
| X-Ray Exam Entire Spi 4/5 Vw (72083) range across 2 matching MRF lines |
$103.20–$1,589.60 | $129–$1,987 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 3 matching MRF lines |
$78.40–$489.60 | $98–$612 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 4 matching MRF lines |
$79.20–$489.60 | $99–$612 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) range across 3 matching MRF lines |
$110.40–$489.60 | $138–$612 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$110.40–$692.80 | $138–$866 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 2 matching MRF lines |
$110.40–$535.20 | $138–$669 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) | $219.20 | $274 | 2.1× |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$108.80–$1,316.80 | $136–$1,646 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$96–$666.40 | $120–$833 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$111.20–$944 | $139–$1,180 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 3 matching MRF lines |
$108–$770.40 | $135–$963 | varies |
| X-ray eye for foreign body (70030) | $516 | $645 | 6.0× |
| X-ray humerus (73060) range across 3 matching MRF lines |
$60.80–$564 | $76–$705 | varies |
| X-ray IV pyelogram (ivp) (74400) | $1,574.40 | $1,968 | 9.0× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $323.20 | $404 | 3.7× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$76.80–$372 | $96–$465 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$110.40–$568.80 | $138–$711 | varies |
| X-ray nose-rectum child f.b. (76010) | $378.40 | $473 | 4.4× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$108–$1,344.80 | $135–$1,681 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$106.40–$546.40 | $133–$683 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$60.80–$641.60 | $76–$802 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $780.80 | $976 | 9.0× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $866.40 | $1,083 | 8.3× |
| X-Ray Stress View (77071) | $82.40 | $103 | 1.0× |
| X-ray thoracic spine 4 vw (72074) range across 3 matching MRF lines |
$112.80–$252 | $141–$315 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 2 matching MRF lines |
$28–$1,647.20 | $35–$2,059 | varies |
| X-Rays Bone Length Studies (77073) | $730.40 | $913 | 7.0× |
| X-Rays Bone Survey Complete (77075) | $2,055.20 | $2,569 | 19.7× |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$110.40–$808 | $138–$1,010 | varies |
| Xr facial bones less than 3 views (70140) range across 2 matching MRF lines |
$60.80–$363.20 | $76–$454 | varies |
| Xr orbits complete 4 views (70200) | $723.20 | $904 | 6.9× |
| Xr Tomogram Single Plane (76100) | $902.40 | $1,128 | 8.7× |
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.