Imaging prices at Memorial Hospital Gulfport
Gulfport, MS · every code in this section with a posted price and a Medicare benchmark.
386 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) | $9,718.45 | $13,883.50 | 7.9× |
| Abdomen 1 View (74018) | $566.74 | $809.63 | 7.4× |
| Abdomen 2 views (74019) | $696.50 | $995 | 7.5× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,813.32 | $2,590.46 | 5.1× |
| Acute venous thrombosis imaging, peptide Non-Facility (78456) | $1,463.32 | $2,090.45 | 1.3× |
| Adrenal Cortex & Medulla Img (78075) | $2,106.58 | $3,009.40 | 1.8× |
| Angio internal mammary (75756) | $3,304.88 | $4,721.25 | 1.2× |
| Angio pulmonary bilat (75743) | $5,875.66 | $8,393.80 | 2.1× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $3,755.96 | $5,365.65 | 1.3× |
| Angiography extremity bilateral rs&i (75716) | $3,322.91 | $4,747.02 | 1.2× |
| Angiography extremity unilateral rs&i (75710) | $3,304.88 | $4,721.25 | 1.2× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $4,652.06 | $6,645.80 | 1.7× |
| Ankle 2 views (73600) | $430.65 | $615.22 | 5.6× |
| Aortography thoracic serialography rs&i (75605) | $5,675.99 | $8,108.55 | 1.2× |
| Aortography thoracic w/o serialography rs&i (75600) | $3,304.88 | $4,721.25 | 1.2× |
| Artery X-Rays Abdomen (75726) | $5,705.13 | $8,150.19 | 1.2× |
| Artery X-Rays Adrenal Gland (75731) | $3,304.88 | $4,721.25 | 1.2× |
| Artery X-Rays Pelvis (75736) | $5,675.99 | $8,108.55 | 1.2× |
| Artery X-Rays Spine (75705) | $5,675.99 | $8,108.55 | 1.2× |
| Arthrogram ankle (73615) | $1,459.08 | $2,084.40 | 4.7× |
| Arthrogram hip (73525) | $816.59 | $1,166.55 | 2.6× |
| Arthrogram Wrist (73115) | $925.40 | $1,322 | 3.0× |
| Basic radiation dosimetry calculation (77300) range across 2 matching MRF lines |
$971.32–$974.33 | $1,387.60–$1,391.90 | varies |
| Bone age studies (77072) | $403.76 | $576.80 | 4.4× |
| Bone Imaging 3 Phase (78315) | $2,827.03 | $4,038.61 | 8.0× |
| Bone Imaging Limited Area (78300) | $1,926.23 | $2,751.75 | 5.5× |
| Bone Imaging Multiple Areas (78305) | $1,926.23 | $2,751.75 | 5.5× |
| Bone Imaging Whole Body (78306) | $2,566.03 | $3,665.76 | 7.3× |
| Bone marrow imaging limited area (78102) | $4,099.20 | $5,856 | 11.6× |
| Bone marrow imaging; multiple areas (78103) | $4,900 | $7,000 | 13.9× |
| Bone marrow imaging; whole body (78104) | $5,658 | $8,082.85 | 16.0× |
| Bone survey infant (77076) | $429.77 | $613.96 | 4.7× |
| Brachytx isodose complex (77318) | $4,385.26 | $6,264.65 | 13.2× |
| Brachytx isodose intermed (77317) | $3,319.96 | $4,742.80 | 10.0× |
| Brachytx Isodose Plan Simple (77316) | $2,349.62 | $3,356.60 | 7.1× |
| Brain Flow Imaging Only (78610) | $1,162.63 | $1,660.90 | 2.4× |
| Brain Image W/Flow < 4 Views (78601) | $772.72 | $1,103.88 | 2.2× |
| Brain imaging < 4 static views (78600) | $428.52 | $612.17 | 1.2× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $3,956.19 | $5,651.70 | 8.2× |
| Brain Imaging Minimum 4 Static Views (78605) | $772.72 | $1,103.88 | 1.6× |
| Cardiac Shunt Detection (78428) | $1,592.75 | $2,275.35 | 4.5× |
| Cat Scan Follow-Up Study (76380) | $1,203.09 | $1,718.70 | 15.6× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $2,395.44 | $3,422.05 | 5.0× |
| Cerebrospinal fluid flow, imaging (not including introduction of material); ventriculography Non-Facility (78635) | $772.72 | $1,103.88 | 1.6× |
| Cerebrospinal Fluid Scan (78630) | $4,142.88 | $5,918.40 | 8.6× |
| Chest 1 view (71045) | $647.50 | $925 | 8.4× |
| Chest 2 views (71046) | $665 | $950 | 8.6× |
| Chest 3 views (71047) | $682.50 | $975 | 8.9× |
| Chest 4 or more views (71048) | $713.09 | $1,018.70 | 7.7× |
| Clavicle complete (73000) | $411.43 | $587.76 | 5.3× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $2,943.22 | $4,204.60 | 31.8× |
| Continuing medical physics consltj pr wk (77336) | $1,295.07 | $1,850.10 | 10.9× |
| Contrast Exam Abdominl Aorta (75625) | $3,304.88 | $4,721.25 | 1.2× |
| Contrast X-Ray Bladder (74430) | $382.40 | $546.29 | 1.2× |
| Contrast X-Ray Of Elbow (73085) range across 4 matching MRF lines |
$1,057.70–$1,459.08 | $1,511–$2,084.40 | varies |
| Contrast X-Ray Of Knee Joint (73580) | $1,189.09 | $1,698.70 | 3.9× |
| Corpora cavernosography (74445) | $729.75 | $1,042.50 | 7.9× |
| CT abdomen and pelvis without and with contrast (74178) range across 3 matching MRF lines |
$7,046.51–$7,070 | $10,066.44–$10,100 | varies |
| CT abdomen and pelvis without contrast (74176) | $6,670.88 | $9,529.83 | 31.6× |
| CT abdomen w contrast (74160) | $3,037.50 | $4,339.29 | 19.6× |
| CT abdomen w wo contrast (74170) | $3,462.48 | $4,946.40 | 22.3× |
| CT abdomen w/o contrast (74150) | $2,940 | $4,200 | 31.8× |
| CT Angio Abdomen and Pelvis (74174) | $8,050.06 | $11,500.08 | 26.1× |
| CT Angio Chest (71275) | $4,481.68 | $6,402.40 | 28.9× |
| CT Angio Head (70496) | $3,913.74 | $5,591.06 | 25.2× |
| CT angio hrt w/3d image (75574) | $531.92 | $759.88 | 1.7× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $4,091.13 | $5,844.47 | 26.4× |
| CT Angio Neck (70498) | $3,727.81 | $5,325.44 | 24.0× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $2,865.94 | $4,094.20 | 18.5× |
| CT cervical spine w/ contrast (72126) | $4,620 | $6,600 | 15.0× |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$1,050–$4,604.04 | $1,500–$6,577.20 | varies |
| CT cervical spine w/wo cont (72127) | $4,690 | $6,700 | 30.2× |
| CT chest w contrast (71260) | $3,510.05 | $5,014.36 | 22.6× |
| CT chest w/wo contrast (71270) | $4,182.63 | $5,975.18 | 27.0× |
| CT head/brain with contrast (70460) | $3,552.50 | $5,075 | 22.9× |
| CT head/brain without and with contrast (70470) range across 3 matching MRF lines |
$3,552.50–$3,587.50 | $5,075–$5,125 | varies |
| CT heart contrast eval cardiac structure&morph (75572) | $506.42 | $723.45 | 1.6× |
| CT heart no contrast quant eval coronry calcium (75571) | $112.07 | $160.10 | 1.5× |
| CT hrt w/3d image congen (75573) | $489.86 | $699.80 | 1.6× |
| CT iac w contrast (70481) | $3,150 | $4,500 | 20.3× |
| CT l-spine w&w/o contrast (72133) | $4,628.14 | $6,611.63 | 29.8× |
| CT lower ext w/o (73700) range across 19 matching MRF lines |
$1,050–$2,966.12 | $1,500–$4,237.31 | varies |
| CT lower extremity w/contrast material (73701) | $3,150 | $4,500 | 20.3× |
| CT lumbar spine w contrast (72132) | $4,550 | $6,500 | 14.8× |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$1,050–$4,491.87 | $1,500–$6,416.95 | varies |
| CT maxillofacial w contrast (70487) | $3,850 | $5,500 | 24.8× |
| CT maxillofacial wo contrast (70486) | $1,869.03 | $2,670.04 | 20.2× |
| CT neck tissue combo (70492) | $4,060 | $5,800 | 26.2× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $3,335.85 | $4,765.50 | 21.5× |
| CT orbits w/o contrast (70480) | $2,836.84 | $4,052.63 | 30.7× |
| CT pelvis w&w/o contrast (72194) | $4,200 | $6,000 | 27.1× |
| CT pelvis w/o contrast (72192) | $3,960.61 | $5,658.02 | 42.9× |
| CT scan of leg combo (73702) | $3,220 | $4,600 | 20.8× |
| CT scans face/jaw combo (70488) | $3,920 | $5,600 | 25.3× |
| CT soft tissue neck w contrast (70491) | $4,009.11 | $5,727.30 | 25.9× |
| CT soft tissue neck w/o contrast (70490) | $3,660.43 | $5,229.19 | 39.6× |
| CT thoracic spine w contrast (72129) | $5,401.21 | $7,716.01 | 34.8× |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$1,050–$4,904.16 | $1,500–$7,005.94 | varies |
| CT thoracic spine w/wo cont (72130) | $5,744.41 | $8,206.30 | 37.0× |
| CT thorax w/o contrast (71250) range across 5 matching MRF lines |
$1,050–$3,486.54 | $1,500–$4,980.77 | varies |
| CT upper ext wo (73200) | $3,201.14 | $4,573.06 | 34.6× |
| CT upper extremity w/o & w/contrast material (73202) | $3,290 | $4,700 | 21.2× |
| CT upper extremity with contrast (73201) range across 14 matching MRF lines |
$2,865.94–$3,227 | $4,094.20–$4,610 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $4,078.49 | $5,826.42 | 26.3× |
| Cta Abdomen (74175) | $3,760.26 | $5,371.80 | 24.3× |
| CTA pelvis (72191) | $4,504.71 | $6,435.30 | 29.1× |
| Discography Cerv/Thor Spine (72285) | $2,662.10 | $3,803 | 1.5× |
| Diskography lumbar (72295) | $2,662.10 | $3,803 | 1.5× |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$70–$542.18 | $100–$774.54 | varies |
| Dxa bone density study (77085) range across 2 matching MRF lines |
$50.40–$604.03 | $72–$862.90 | varies |
| Dxa bone density study 1/>sites appendiclr skel (77081) range across 2 matching MRF lines |
$70–$203.14 | $100–$290.20 | varies |
| Echo exam of fetal heart (76825) | $668.96 | $955.65 | 1.4× |
| Echo Guide For Artery Repair (76936) | $2,149.87 | $3,071.24 | 11.3× |
| Esophageal Motility Study (78258) | $2,408.25 | $3,440.35 | 6.8× |
| Esophagram (74220) | $1,153.22 | $1,647.46 | 7.4× |
| Fetal Biophys Profile W/Nst (76818) | $2,048.59 | $2,926.56 | 22.2× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $2,051.55 | $2,930.78 | 22.2× |
| Fetal MRI w/placntl matrnl plvc img sing/1st ges (74712) | $5,781.58 | $8,259.40 | 27.4× |
| Fluoroscopy up to 1 hr (76000) range across 6 matching MRF lines |
$1,684.73–$1,918.74 | $2,406.75–$2,741.05 | varies |
| Follow-Up Angiography (75898) | $3,304.88 | $4,721.25 | 1.2× |
| Foot 2 views (73620) | $464.66 | $663.80 | 6.0× |
| Forearm 2 views (73090) | $440.02 | $628.60 | 5.7× |
| Gastric emptying imaging study (78264) range across 2 matching MRF lines |
$1,833.93–$1,871.61 | $2,619.90–$2,673.73 | varies |
| Gastric Emptyng Imag Std W/Sm Bwl Transit (78265) | $2,320.54 | $3,315.05 | 6.6× |
| Gastric Mucosa Imaging (78261) | $2,531.03 | $3,615.75 | 7.2× |
| Gastroesophageal Reflux Exam (78262) | $2,408.25 | $3,440.35 | 6.8× |
| Gated Heart Planar Single (78472) | $3,693.45 | $5,276.35 | 10.5× |
| Gated Heart, Multiple (78473) | $4,091.05 | $5,844.35 | 11.6× |
| Gstrc Emptng Imag Std W/Sm Bwl Col Trnst Mlt Day (78266) | $2,320.54 | $3,315.05 | 4.8× |
| Hand 2 views (73120) | $406 | $580 | 4.4× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77772) | $3,051.23 | $4,358.90 | 5.0× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) | $3,051.30 | $4,359 | 5.0× |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) | $3,345.58 | $4,779.40 | 5.4× |
| Heart Image (Pet) Multiple (78492) | $12,658.80 | $18,084 | 10.0× |
| Hepatobil Syst Image W/Drug (78227) | $2,782.79 | $3,975.42 | 5.8× |
| Hepatobiliary System Imaging (78226) | $2,625 | $3,750 | 7.4× |
| Ht Musc Image Planar Mult (78454) | $4,688.25 | $6,697.50 | 4.1× |
| Ht Muscle Image Spect Sing (78451) | $4,284 | $6,120 | 3.7× |
| Hysterosalpingogram (74740) | $502.60 | $718 | 2.4× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $1,374.12 | $1,963.03 | 17.9× |
| Infant hip ultrasound, limited static exam (76886) | $907.94 | $1,297.05 | 11.8× |
| K Flow/Funct Image Multiple (78709) | $3,505.78 | $5,008.26 | 7.3× |
| K Flow/Funct Image W/O Drug (78707) | $2,820.16 | $4,028.80 | 5.9× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $1,744.17 | $2,491.67 | 4.9× |
| Knee 3 Views (73562) | $645.37 | $921.95 | 8.4× |
| Leveen/Shunt Patency Exam (78291) | $2,568.20 | $3,668.85 | 7.3× |
| Liver & Spleen Imaging Static Only (78215) | $2,517.69 | $3,596.70 | 7.1× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $3,628.45 | $5,183.50 | 10.3× |
| Liver imaging static only (78201) | $2,177.49 | $3,110.70 | 4.5× |
| Liver imaging w/vascular flow (78202) | $2,177.49 | $3,110.70 | 4.5× |
| Lung Perf&Ventilat Diferentl (78598) | $6,396.46 | $9,137.80 | 13.3× |
| Lung perfusion differential (78597) | $3,050.92 | $4,358.45 | 8.6× |
| Lung Ventilat&Perfus Imaging (78582) | $6,083.45 | $8,690.64 | 12.7× |
| Lung Ventilation Imaging (78579) | $3,345.58 | $4,779.40 | 9.5× |
| Lymph System Imaging (78195) | $2,476.11 | $3,537.30 | 5.2× |
| Magnetic Image Jaw Joint (70336) | $4,154.22 | $5,934.60 | 19.7× |
| Mammary ductogram or galactogram multiple (77054) | $1,050.28 | $1,500.40 | 5.0× |
| Mammary ductogram or galactogram single (77053) | $700.63 | $1,000.90 | 3.3× |
| Meckels Divert Exam (78290) | $3,275.51 | $4,679.30 | 9.3× |
| Mlc imrt design & construction per imrt plan (77338) | $2,496.45 | $3,566.35 | 7.5× |
| Mra Head W/O & W/Contrast Material (70546) | $2,695 | $3,850 | 8.7× |
| MRA head w/o contrast (70544) | $2,348.78 | $3,355.40 | 11.1× |
| MRA head with contrast (70545) | $2,663.15 | $3,804.50 | 8.6× |
| MRA neck w contrast (70548) | $2,418.50 | $3,455 | 7.8× |
| Mra Neck W/O &W/Contrast Material (70549) | $2,614.50 | $3,735 | 8.5× |
| MRA neck w/o contrast (70547) | $2,223.20 | $3,176 | 10.5× |
| MRI abdomen w contrast (74182) range across 3 matching MRF lines |
$1,050–$5,264.01 | $1,500–$7,520.02 | varies |
| MRI abdomen w/o contrast (74181) range across 4 matching MRF lines |
$1,050–$6,511.13 | $1,500–$9,301.62 | varies |
| MRI any jt lower extrem w/contrast material (73722) | $4,620 | $6,600 | 6.7× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $4,690 | $6,700 | 15.2× |
| MRI any jt upper extremity w/contrast matrl (73222) | $4,697 | $6,710 | 6.8× |
| MRI Breast W/O Contrast Bilateral (77047) | $5,301.87 | $7,574.10 | 25.1× |
| MRI Breast Without Contrast Material Unilateral (77046) | $4,569.60 | $6,528 | 21.7× |
| MRI cervical spine w contrast (72142) range across 2 matching MRF lines |
$1,050–$4,830 | $1,500–$6,900 | varies |
| MRI cervical spine w/o cont (72141) range across 3 matching MRF lines |
$1,050–$4,816.55 | $1,500–$6,880.78 | varies |
| MRI chest w/o contrast (71550) range across 4 matching MRF lines |
$1,050–$4,569.25 | $1,500–$6,527.50 | varies |
| MRI chest with contrast (71551) range across 3 matching MRF lines |
$1,009.54–$4,620 | $1,442.20–$6,600 | varies |
| MRI chest wo w contrast (71552) range across 3 matching MRF lines |
$1,050–$4,690 | $1,500–$6,700 | varies |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 9 matching MRF lines |
$5,250–$6,306.16 | $7,500–$9,008.80 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $5,320 | $7,600 | 17.2× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $5,080.99 | $7,258.55 | 24.1× |
| MRI lumbar spine w contrast (72149) range across 2 matching MRF lines |
$1,050–$4,760 | $1,500–$6,800 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 3 matching MRF lines |
$1,050–$5,832.22 | $1,500–$8,331.74 | varies |
| MRI orbit face &/neck w/o contrast (70540) | $4,612.30 | $6,589 | 21.9× |
| MRI orbit face neck w contrast (70542) | $4,620 | $6,600 | 15.0× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $4,745.46 | $6,779.23 | 15.4× |
| MRI pelvis w contrast (72196) range across 4 matching MRF lines |
$1,050–$4,970 | $1,500–$7,100 | varies |
| MRI pelvis w/o & w contrast (72197) range across 5 matching MRF lines |
$1,050–$5,040 | $1,500–$7,200 | varies |
| MRI pelvis w/o contrast (72195) range across 7 matching MRF lines |
$1,050–$4,916.63 | $1,500–$7,023.76 | varies |
| MRI spectroscopy (76390) | $421.96 | $602.80 | 5.5× |
| MRI thoracic spine w/o contrast (72146) range across 4 matching MRF lines |
$1,050–$5,200.94 | $1,500–$7,429.91 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) | $4,410 | $6,300 | 14.3× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $4,357.61 | $6,225.16 | 20.7× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $4,574.50 | $6,535 | 14.8× |
| MRI, abdomen, combo (74183) range across 4 matching MRF lines |
$1,050–$5,285 | $1,500–$7,550 | varies |
| MRI, dorsal spine combo (72157) range across 4 matching MRF lines |
$1,050–$6,364.01 | $1,500–$9,091.44 | varies |
| MRI, dorsal spine contrast (72147) range across 2 matching MRF lines |
$1,050–$5,250 | $1,500–$7,500 | varies |
| MRI, joint upper extrem (73221) | $4,630.26 | $6,614.66 | 22.0× |
| MRI, joint upper extrem combo (73223) | $4,955.31 | $7,079.01 | 16.1× |
| MRI, lumbar spine combo (72158) range across 3 matching MRF lines |
$1,050–$5,791.42 | $1,500–$8,273.46 | varies |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $2,716.32 | $3,880.45 | 7.7× |
| Myocardial imaging, infarct avid, planar; with ejection fraction by first pass technique Non-Facility (78468) | $2,716.32 | $3,880.45 | 5.7× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $3,622.05 | $5,174.35 | 3.2× |
| Myocardial Spect Multiple Studies (78452) | $4,713.87 | $6,734.10 | 4.1× |
| N-invas est c ffr sw aly CTA (75580) | $1,031.21 | $1,473.15 | 1.4× |
| Neck soft tissue (70360) | $262.80 | $375.43 | 3.4× |
| Nm csf leak detection (78650) | $3,474.21 | $4,963.15 | 3.0× |
| Nm myocard infarct spect (78469) | $673.75 | $962.50 | 1.4× |
| Ntsty modul radthx pln dose-vol histos (77301) | $15,723.82 | $22,462.60 | 12.9× |
| Nuclear Rx Oral Admin (79005) | $4,187.98 | $5,982.83 | 20.3× |
| Ophthalmic Ultrasonic Foreign Body Localization (76529) | $555.59 | $793.70 | 7.2× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $3,092.46 | $4,417.80 | 6.4× |
| Parathyroid Planar Imaging (78070) | $2,673.97 | $3,819.95 | 7.6× |
| Parathyroid planar imaging w/wo subtraction (78071) | $3,736.64 | $5,338.05 | 10.6× |
| Pelvis 1 or 2 views (72170) | $520.46 | $743.51 | 5.6× |
| Peritoneogram Rs&I (74190) | $1,396.43 | $1,994.90 | 2.9× |
| Pet Image Skull-Thigh (78812) | $12,658.80 | $18,084 | 10.0× |
| PET image w/CT, full body (78816) | $9,172.24 | $13,103.20 | 7.3× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $9,211.12 | $13,158.74 | 7.3× |
| Pet Imaging Limited Area Chest Head/Neck (78811) | $12,778.12 | $18,254.45 | 11.2× |
| Pet Myocardial Sngl Study (78491) | $11,249.95 | $16,071.35 | 8.9× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $3,304.88 | $4,721.25 | 1.2× |
| Pulmonary Perfusion Imaging Particulate (78580) | $2,684.29 | $3,834.70 | 7.6× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $937.69 | $1,339.55 | 10.1× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $1,094.87 | $1,564.10 | 2.3× |
| Radex Ankle Complete Minimum 3 Views (73610) | $458.13 | $654.47 | 6.0× |
| Radex Calcaneus Minimum 2 Views (73650) | $403.76 | $576.80 | 5.2× |
| Radex elbow complete minimum 3 views (73080) | $446.31 | $637.59 | 5.8× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $541.52 | $773.60 | 5.9× |
| Radex fingr minimum 2 views (73140) | $292.43 | $417.76 | 3.8× |
| Radex foot complete minimum 3 views (73630) | $466.80 | $666.86 | 6.1× |
| Radex Hand Minimum 3 Views (73130) | $414.10 | $591.57 | 5.4× |
| Radex lower extremity infant minimum 2 views (73592) | $506.10 | $723 | 6.6× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $467.81 | $668.30 | 6.1× |
| Radex Ribs Unilateral 2 Views (71100) | $136.73 | $195.33 | 1.8× |
| Radex shoulder complete minimum 2 views (73030) | $488.25 | $697.50 | 6.3× |
| Radex Sinuses Paransl < 3 Views (70210) | $226.52 | $323.60 | 2.9× |
| Radex Spine 1 View Specify Level (72020) | $485.70 | $693.86 | 6.3× |
| Radex Sternum Minimum 2 Views (71120) | $403.76 | $576.80 | 5.2× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $526.89 | $752.70 | 6.8× |
| Radex Toe Minimum 2 Views (73660) | $310.14 | $443.06 | 4.0× |
| Radex upper extremity infant minimum 2 views (73092) | $403.76 | $576.80 | 4.4× |
| Radex Wrist Complete Minimum 3 Views (73110) | $427 | $610 | 5.6× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $2,692.98 | $3,847.12 | 29.1× |
| Radiation Delivery Stereotactic Cranial Linear (77372) range across 2 matching MRF lines |
$18,864.86–$19,921.37 | $26,949.80–$28,459.10 | varies |
| Radiation treatment delivery level 1 (77402) | $908.43 | $1,297.75 | 10.1× |
| Radiation treatment delivery level 2 (77407) | $1,202.74 | $1,718.20 | 3.5× |
| Radiation treatment delivery level 3 (77412) | $1,445.47 | $2,064.95 | 3.0× |
| Radiolog exam mandible compl minimum 4 views (70110) | $483.97 | $691.39 | 5.2× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $693.67 | $990.95 | 7.5× |
| Radiologic exam colon double contrast study (74280) | $1,564.36 | $2,234.80 | 10.1× |
| Radiologic exam colon single contrast study (74270) | $1,313.05 | $1,875.79 | 8.5× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $1,066.88 | $1,524.11 | 6.9× |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$623.80–$661.50 | $891.14–$945 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $675.70 | $965.28 | 7.3× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $1,612.71 | $2,303.87 | 10.4× |
| Radiologic exam upr gi trc double contrast study (74246) | $1,787.07 | $2,552.96 | 11.5× |
| Radiologic examination femur minimum 2 views (73552) | $505.25 | $721.79 | 6.6× |
| Radiologic examination knee 1/2 views (73560) | $623.80 | $891.14 | 8.1× |
| Radiologic Examination Osseous Survey Limited (77074) | $1,239.63 | $1,770.90 | 13.4× |
| Radiologic examination tibia & fibula 2 views (73590) | $462.81 | $661.15 | 6.0× |
| Radiopharm Dacryocystography (78660) | $863.03 | $1,232.90 | 2.4× |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77768) | $1,176 | $1,680 | 3.4× |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77767) | $1,554.53 | $2,220.75 | 4.6× |
| Renal Cyst Study (74470) | $1,116.99 | $1,595.70 | 2.3× |
| Ribs bilateral 3 views (71110) | $235.10 | $335.86 | 2.5× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $3,211.39 | $4,587.70 | 9.1× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $3,211.39 | $4,587.70 | 9.1× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $4,529.73 | $6,471.04 | 9.4× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $6,078.56 | $8,683.65 | 12.7× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $4,146.10 | $5,923 | 8.6× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $2,992.43 | $4,274.90 | 2.6× |
| Rp Therapy Intravenous Administration (79101) range across 5 matching MRF lines |
$1,390.41–$1,511.16 | $1,986.30–$2,158.80 | varies |
| Salivary Gland Imaging (78230) | $469.13 | $670.19 | 1.3× |
| Scapula (73010) | $403.76 | $576.80 | 4.4× |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 2 matching MRF lines |
$35.77–$39.34 | $51.10–$56.20 | varies |
| Shoulder 1 view (73020) | $411.84 | $588.34 | 5.4× |
| Shoulder Arthrography (73040) | $1,057.21 | $1,510.30 | 3.4× |
| Sialogram (70390) | $1,175.37 | $1,679.10 | 5.6× |
| Skull less than 4 views (70250) | $581.52 | $830.74 | 6.3× |
| Special dosimetry (77331) | $971.32 | $1,387.60 | 8.2× |
| Special Physics Consult (77370) | $1,455.62 | $2,079.45 | 12.3× |
| Special teletherapy port plan (77321) | $1,443.51 | $2,062.15 | 4.4× |
| Special treatment procedure (77470) | $3,628.73 | $5,183.90 | 7.4× |
| Spleen Imaging (78185) | $1,695.40 | $2,422 | 4.8× |
| Stereotactic Body Radiation Delivery (77373) range across 4 matching MRF lines |
$10,517.96–$15,019.48 | $15,025.65–$21,456.40 | varies |
| Sternoclavicular joints (71130) | $427.38 | $610.54 | 5.6× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $3,152.80 | $4,504 | 9.5× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $2,182.67 | $3,118.10 | 6.6× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $3,560.03 | $5,085.75 | 10.8× |
| Ther rad simulaj-aided field setting simple (77280) | $1,794.21 | $2,563.15 | 15.1× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $1,929.69 | $2,756.70 | 12.4× |
| Thoracic spine 2 views (72070) | $492.49 | $703.56 | 5.3× |
| Thoracic spine 3 views (72072) | $500.50 | $715 | 5.4× |
| Thoracolumbar 2 views (72080) | $467.81 | $668.30 | 6.1× |
| Thyroid carcinoma metastases imaging; with additional studies (eg, urinary recovery) Non-Facility (78016) | $554.67 | $792.38 | 1.6× |
| Thyroid Carcinoma Metastases Img Lmtd Area (78015) | $2,049.11 | $2,927.30 | 5.8× |
| Thyroid Imaging With Vascular Flow (78013) | $1,875.34 | $2,679.05 | 5.3× |
| Thyroid Met Imaging Body (78018) | $2,557.59 | $3,653.70 | 5.3× |
| Thyroid Uptake Measurement (78012) | $816.59 | $1,166.55 | 2.3× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $2,015.02 | $2,878.60 | 5.7× |
| Tx Devices Design & Construction Complex (77334) | $1,496.46 | $2,137.80 | 4.5× |
| Tx devices design & construction intermediate (77333) | $1,196.72 | $1,709.60 | 10.1× |
| Tx devices design & construction simple (77332) | $898.03 | $1,282.90 | 7.6× |
| Ultrasound Breast Limited (76642) range across 7 matching MRF lines |
$105–$728.78 | $150–$1,041.12 | varies |
| Ultrasound Elastography Parenchyma (76981) range across 14 matching MRF lines |
$120.99–$1,227.98 | $172.84–$1,754.25 | varies |
| Ultrasound Exam Aaa Screen (76706) | $810.32 | $1,157.60 | 8.8× |
| Ultrasound, abdomen limited (76705) | $1,086.91 | $1,552.73 | 11.8× |
| Umbilical-artery Doppler (OB) (76820) | $166.11 | $237.30 | 1.8× |
| Upper gi w/o kub (74240) | $1,149.09 | $1,641.55 | 7.4× |
| Ureteral Reflux Study (78740) | $1,090.92 | $1,558.45 | 3.1× |
| Urethrocystogram voiding (74455) | $666.37 | $951.96 | 3.2× |
| Urethrocystography retrograde (74450) | $1,240.09 | $1,771.55 | 5.9× |
| Us breast unilateral complete (76641) range across 6 matching MRF lines |
$111.66–$2,393.27 | $159.51–$3,418.95 | varies |
| Us chest (76604) | $1,155.58 | $1,650.83 | 12.5× |
| Us complete joint (76881) range across 4 matching MRF lines |
$829.92–$1,145.41 | $1,185.60–$1,636.30 | varies |
| Us exam, pelvic, limited (76857) | $445.24 | $636.06 | 4.8× |
| Us head (76506) | $1,692.62 | $2,418.03 | 18.3× |
| Us kidney transplant (76776) | $836.19 | $1,194.55 | 9.0× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $801.47 | $1,144.95 | 8.7× |
| Us ob detailed single fetus (76811) | $1,176.50 | $1,680.72 | 5.6× |
| Us ob limited 1 or more fetuses (76815) | $1,077.42 | $1,539.17 | 11.7× |
| Us ob transvaginal (76817) | $1,041.45 | $1,487.78 | 11.3× |
| Us pelvic non ob complete (76856) | $1,337.52 | $1,910.74 | 14.5× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 4 matching MRF lines |
$1,179.72–$1,584.98 | $1,685.32–$2,264.25 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $1,393.90 | $1,991.28 | 15.1× |
| Us retroperitoneal complete (76770) | $1,179.33 | $1,684.76 | 12.8× |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$525–$958.32 | $750–$1,369.03 | varies |
| Us scrotum and contents (76870) | $1,126.35 | $1,609.07 | 12.2× |
| Us spinal canal and contents (76800) | $1,070.27 | $1,528.95 | 11.6× |
| Us thyroid (76536) range across 4 matching MRF lines |
$897.99–$1,113.81 | $1,282.84–$1,591.15 | varies |
| Us transrectal (76872) | $401.63 | $573.75 | 4.3× |
| Vascular Flow Imaging (78445) | $1,342.74 | $1,918.20 | 3.8× |
| Vasogram (74440) | $729.75 | $1,042.50 | 3.5× |
| Vein X-Ray Chest (75827) | $3,153.05 | $4,504.35 | 2.3× |
| Vein X-Ray Spleen/Liver (75810) | $3,304.88 | $4,721.25 | 1.2× |
| Venogram Sinus/Jugular (75860) | $3,304.88 | $4,721.25 | 1.2× |
| Venography caval inferior serialography rs&i (75825) | $3,981.39 | $5,687.70 | 1.4× |
| Venography extremity bilateral rs&i (75822) | $1,715 | $2,450 | 1.2× |
| Venography extremity unilateral rs&i (75820) | $1,679.41 | $2,399.16 | 1.2× |
| Venography Renal Bilateral (75833) | $3,325 | $4,750 | 1.2× |
| Venography Renal Unilateral (75831) | $3,304.88 | $4,721.25 | 1.2× |
| Venous sampling by catheter (75893) | $5,675.99 | $8,108.55 | 1.2× |
| Venous thrombosis imaging (78457) | $2,054.78 | $2,935.40 | 4.3× |
| Venous Thrombosis Imaging Venogram Bilateral (78458) | $2,370.76 | $3,386.80 | 6.7× |
| Vertebral fracture assessment via dxa (77086) | $153.86 | $219.80 | 2.0× |
| Wrist 2 views (73100) | $422.56 | $603.65 | 5.5× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $403.76 | $576.80 | 5.2× |
| X-ray antegrade pyelogram tube (74425) | $397.11 | $567.30 | 1.3× |
| X-Ray Aorta Leg Arteries (75630) | $3,889 | $5,555.71 | 1.4× |
| X-Ray Bend Only L-S Spine (72120) | $687.59 | $982.27 | 7.4× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $447.89 | $639.84 | 5.8× |
| X-Ray Exam Breast Specimen (76098) | $757.61 | $1,082.30 | 1.6× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $591.92 | $845.60 | 7.7× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $1,575.56 | $2,250.80 | 17.0× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $2,166.92 | $3,095.60 | 23.4× |
| X-Ray Exam Hip Uni 1 View (73501) | $462.89 | $661.27 | 6.0× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $594.66 | $849.51 | 7.7× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $853.84 | $1,219.77 | 9.2× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $643.90 | $919.86 | 7.0× |
| X-Ray Exam L-S Spine Bending (72114) | $671.01 | $958.58 | 7.3× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $556.21 | $794.59 | 7.2× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $666.19 | $951.70 | 7.2× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $593.24 | $847.48 | 6.4× |
| X-ray eye for foreign body (70030) | $583.42 | $833.45 | 7.6× |
| X-ray humerus (73060) | $446.64 | $638.06 | 5.8× |
| X-ray IV pyelogram (ivp) (74400) | $1,691.62 | $2,416.60 | 10.9× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $421.96 | $602.80 | 5.5× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $403.76 | $576.80 | 5.2× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $583.63 | $833.76 | 6.3× |
| X-ray nose-rectum child f.b. (76010) | $277.48 | $396.40 | 3.6× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $663.41 | $947.73 | 7.2× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $467.81 | $668.30 | 5.1× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $403.76 | $576.80 | 4.4× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $420.27 | $600.38 | 5.5× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $478.58 | $683.69 | 6.2× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $736.17 | $1,051.67 | 8.0× |
| X-Ray Stress View (77071) | $557.27 | $796.10 | 7.2× |
| X-ray thoracic spine 4 vw (72074) | $575.32 | $821.89 | 6.2× |
| X-Ray Tmj Unilat (70328) | $526.89 | $752.70 | 6.8× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $1,048.55 | $1,497.93 | 3.4× |
| X-Rays Bone Length Studies (77073) | $929.60 | $1,328 | 10.1× |
| X-Rays Bone Survey Complete (77075) | $2,110.25 | $3,014.64 | 22.8× |
| Xr c-spine 4 or 5 views (72050) | $578.57 | $826.53 | 6.3× |
| Xr facial bones less than 3 views (70140) | $462.49 | $660.70 | 6.0× |
| Xr orbits complete 4 views (70200) | $403.76 | $576.80 | 4.4× |
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.