Imaging prices at Memorial Hospital of Union County
Marysville, OH · every code in this section with a posted price and a Medicare benchmark.
259 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 |
$211.25–$232.05 | $325–$357 | varies |
| Abdomen 2 views (74019) | $268.45 | $413 | 2.7× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,820 | $2,800 | 4.7× |
| Angiography extremity bilateral rs&i (75716) | $4,825.60 | $7,424 | 1.6× |
| Angiography extremity unilateral rs&i (75710) | $3,501.55 | $5,387 | 1.2× |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$211.25–$217.10 | $325–$334 | varies |
| Aortography thoracic serialography rs&i (75605) | $4,903.60 | $7,544 | 0.9× |
| Arthrogram hip (73525) range across 2 matching MRF lines |
$653.90–$743.60 | $1,006–$1,144 | varies |
| Arthrogram Wrist (73115) | $737.75 | $1,135 | 2.2× |
| Bone age studies (77072) range across 2 matching MRF lines |
$292.50–$314.60 | $450–$484 | varies |
| Bone Imaging 3 Phase (78315) range across 2 matching MRF lines |
$1,751.75–$1,868.10 | $2,695–$2,874 | varies |
| Bone Imaging Limited Area (78300) range across 2 matching MRF lines |
$1,144–$1,223.30 | $1,760–$1,882 | varies |
| Bone Imaging Whole Body (78306) range across 2 matching MRF lines |
$1,610.70–$1,807 | $2,478–$2,780 | varies |
| Brain Imaging Pet Metabolic Evaluation (78608) | $4,603.95 | $7,083 | 3.3× |
| Cerebrospinal Fluid Scan (78630) | $1,004.25 | $1,545 | 1.9× |
| Chest 1 view (71045) | $211.25 | $325 | 2.5× |
| Chest 2 views (71046) range across 2 matching MRF lines |
$232.70–$260 | $358–$400 | varies |
| Chest 3 views (71047) | $280.80 | $432 | 3.3× |
| Chest 4 or more views (71048) | $325 | $500 | 3.2× |
| Clavicle complete (73000) range across 3 matching MRF lines |
$208–$312 | $320–$480 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 2 matching MRF lines |
$300.95–$341.25 | $463–$525 | varies |
| Contrast Exam Abdominl Aorta (75625) | $4,046.90 | $6,226 | 1.3× |
| Contrast X-Ray Bladder (74430) range across 2 matching MRF lines |
$923.65–$1,301.95 | $1,421–$2,003 | varies |
| Contrast X-Ray Of Knee Joint (73580) | $439.40 | $676 | 1.3× |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$1,576.25–$1,833 | $2,425–$2,820 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$1,332.50–$1,500.85 | $2,050–$2,309 | varies |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$812.50–$1,202.50 | $1,250–$1,850 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$926.25–$1,338.35 | $1,425–$2,059 | varies |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$666.25–$896.35 | $1,025–$1,379 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$1,690–$1,924.65 | $2,600–$2,961 | varies |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$1,170–$1,231.75 | $1,800–$1,895 | varies |
| CT Angio Head (70496) | $1,347.45 | $2,073 | 8.0× |
| CT angio hrt w/3d image (75574) range across 2 matching MRF lines |
$942.50–$1,061.45 | $1,450–$1,633 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
$1,040–$1,168.05 | $1,600–$1,797 | varies |
| CT Angio Neck (70498) | $1,338.35 | $2,059 | 7.9× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 2 matching MRF lines |
$1,040–$1,319.50 | $1,600–$2,030 | varies |
| CT cervical spine w/ contrast (72126) range across 2 matching MRF lines |
$975–$1,131 | $1,500–$1,740 | varies |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$924.30–$1,066 | $1,422–$1,640 | varies |
| CT cervical spine w/wo cont (72127) range across 2 matching MRF lines |
$1,040–$1,196 | $1,600–$1,840 | varies |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$1,223.95–$1,300 | $1,883–$2,000 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$910–$1,288.95 | $1,400–$1,983 | varies |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$910–$915.85 | $1,400–$1,409 | varies |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$975–$980.85 | $1,500–$1,509 | varies |
| CT heart contrast eval cardiac structure&morph (75572) | $865.80 | $1,332 | 2.6× |
| CT heart no contrast quant eval coronry calcium (75571) | $64.35 | $99 | 0.8× |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$812.50–$816.40 | $1,250–$1,256 | varies |
| CT l-spine w&w/o contrast (72133) range across 2 matching MRF lines |
$1,040–$1,063.40 | $1,600–$1,636 | varies |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$666.25–$758.55 | $1,025–$1,167 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$812.50–$1,014 | $1,250–$1,560 | varies |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$942.50–$998.40 | $1,450–$1,536 | varies |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$924.30–$933.40 | $1,422–$1,436 | varies |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$878.80–$1,000.35 | $1,352–$1,539 | varies |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$748.80–$761.15 | $1,152–$1,171 | varies |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$1,008.15–$1,108.90 | $1,551–$1,706 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 2 matching MRF lines |
$910–$1,085.50 | $1,400–$1,670 | varies |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$747.50–$751.40 | $1,150–$1,156 | varies |
| CT pelvis w&w/o contrast (72194) | $1,028.30 | $1,582 | 6.1× |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$747.50–$886.60 | $1,150–$1,364 | varies |
| CT scan of leg combo (73702) | $1,071.20 | $1,648 | 6.3× |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
$1,008.80–$1,095.25 | $1,552–$1,685 | varies |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$943.15–$1,037.40 | $1,451–$1,596 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$813.15–$865.15 | $1,251–$1,331 | varies |
| CT thoracic spine w contrast (72129) range across 2 matching MRF lines |
$975–$998.40 | $1,500–$1,536 | varies |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$924.30–$933.40 | $1,422–$1,436 | varies |
| CT thoracic spine w/wo cont (72130) range across 2 matching MRF lines |
$1,040–$1,063.40 | $1,600–$1,636 | varies |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$812.50–$866.45 | $1,250–$1,333 | varies |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$650–$904.80 | $1,000–$1,392 | varies |
| CT upper extremity w/o & w/contrast material (73202) | $1,191.45 | $1,833 | 7.0× |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$780–$1,126.45 | $1,200–$1,733 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,046.50 | $1,610 | 6.2× |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$1,150.50–$1,405.30 | $1,770–$2,162 | varies |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $2,177.50 | $3,350 | 6.5× |
| CTA pelvis (72191) range across 2 matching MRF lines |
$1,040–$1,080.95 | $1,600–$1,663 | varies |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$296.40–$341.25 | $456–$525 | varies |
| Dxa bone density study 1/>sites appendiclr skel (77081) range across 2 matching MRF lines |
$179.40–$202.15 | $276–$311 | varies |
| Esophagram (74220) range across 2 matching MRF lines |
$396.50–$461.50 | $610–$710 | varies |
| Fetal Biophys Profile W/Nst (76818) range across 2 matching MRF lines |
$349.70–$734.50 | $538–$1,130 | varies |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$442.65–$861.25 | $681–$1,325 | varies |
| Foot 2 views (73620) range across 4 matching MRF lines |
$218.40–$380.25 | $336–$585 | varies |
| Forearm 2 views (73090) range across 4 matching MRF lines |
$239.20–$394.55 | $368–$607 | varies |
| Gastric emptying imaging study (78264) range across 2 matching MRF lines |
$1,477.45–$1,542.45 | $2,273–$2,373 | varies |
| Gastroesophageal Reflux Exam (78262) | $635.70 | $978 | 1.6× |
| Gated Heart Planar Single (78472) range across 2 matching MRF lines |
$1,802.45–$1,943.50 | $2,773–$2,990 | varies |
| Hand 2 views (73120) range across 4 matching MRF lines |
$133.25–$379.60 | $205–$584 | varies |
| Hepatobil Syst Image W/Drug (78227) | $2,440.75 | $3,755 | 4.7× |
| Hepatobiliary System Imaging (78226) range across 2 matching MRF lines |
$1,666.60–$1,952.60 | $2,564–$3,004 | varies |
| Ht Muscle Image Spect Sing (78451) | $2,072.20 | $3,188 | 1.7× |
| Hysterosalpingogram (74740) range across 2 matching MRF lines |
$546.65–$604.50 | $841–$930 | varies |
| Joint Survey Single View (77077) | $214.50 | $330 | 2.1× |
| K Flow/Funct Image Multiple (78709) | $1,025.70 | $1,578 | 2.0× |
| K Flow/Funct Image W/Drug (78708) range across 2 matching MRF lines |
$1,215.50–$1,491.75 | $1,870–$2,295 | varies |
| K Flow/Funct Image W/O Drug (78707) | $985.40 | $1,516 | 1.9× |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$282.10–$526.50 | $434–$810 | varies |
| Liver & Spleen Imaging Static Only (78215) range across 2 matching MRF lines |
$641.55–$1,088.75 | $987–$1,675 | varies |
| Lung Ventilat&Perfus Imaging (78582) range across 2 matching MRF lines |
$1,122.55–$1,216.15 | $1,727–$1,871 | varies |
| Lymph System Imaging (78195) | $1,547 | $2,380 | 3.0× |
| Magnetic Image Jaw Joint (70336) | $1,148.55 | $1,767 | 5.0× |
| Meckels Divert Exam (78290) | $1,290.25 | $1,985 | 3.3× |
| Mra Head W/O & W/Contrast Material (70546) | $1,365 | $2,100 | 4.1× |
| MRA head w/o contrast (70544) | $1,430 | $2,200 | 6.2× |
| MRA head with contrast (70545) | $1,235 | $1,900 | 3.7× |
| MRA neck w contrast (70548) | $1,235 | $1,900 | 3.7× |
| Mra Neck W/O &W/Contrast Material (70549) | $1,365 | $2,100 | 4.1× |
| MRA neck w/o contrast (70547) range across 2 matching MRF lines |
$1,300–$1,430 | $2,000–$2,200 | varies |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$1,137.50–$1,363.70 | $1,750–$2,098 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 2 matching MRF lines |
$1,170–$1,344.85 | $1,800–$2,069 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$1,365–$1,495 | $2,100–$2,300 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 2 matching MRF lines |
$1,290.25–$1,568.45 | $1,985–$2,413 | varies |
| MRI Breast W/O Contrast Bilateral (77047) | $1,712.75 | $2,635 | 7.4× |
| MRI Breast Without Contrast Material Unilateral (77046) | $1,233.05 | $1,897 | 5.4× |
| MRI cervical spine w contrast (72142) | $1,250.60 | $1,924 | 3.7× |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$1,235–$1,300 | $1,900–$2,000 | varies |
| MRI chest w/o contrast (71550) range across 2 matching MRF lines |
$1,105–$1,137.50 | $1,700–$1,750 | varies |
| MRI chest wo w contrast (71552) range across 2 matching MRF lines |
$1,365–$1,643.20 | $2,100–$2,528 | varies |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $1,298.05 | $1,997 | 3.9× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 4 matching MRF lines |
$1,433.25–$2,611.70 | $2,205–$4,018 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 3 matching MRF lines |
$1,160.25–$1,740.38 | $1,785–$2,677.50 | varies |
| MRI lumbar spine w contrast (72149) | $1,418.95 | $2,183 | 4.2× |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$1,644.50–$1,683.50 | $2,530–$2,590 | varies |
| MRI orbit face &/neck w/o contrast (70540) | $1,105 | $1,700 | 4.8× |
| MRI orbit face neck w contrast (70542) | $1,157 | $1,780 | 3.4× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 2 matching MRF lines |
$1,560–$1,602.25 | $2,400–$2,465 | varies |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$1,430–$1,716 | $2,200–$2,640 | varies |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$1,138.15–$1,150.50 | $1,751–$1,770 | varies |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$1,235–$1,300 | $1,900–$2,000 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) | $1,498.25 | $2,305 | 4.5× |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 2 matching MRF lines |
$1,116.05–$1,357.20 | $1,717–$2,088 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 2 matching MRF lines |
$1,430–$1,654.90 | $2,200–$2,546 | varies |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$1,397.50–$1,881.75 | $2,150–$2,895 | varies |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$1,644.50–$1,683.50 | $2,530–$2,590 | varies |
| MRI, dorsal spine contrast (72147) range across 2 matching MRF lines |
$1,355.25–$1,418.95 | $2,085–$2,183 | varies |
| MRI, joint upper extrem (73221) range across 3 matching MRF lines |
$1,160.25–$1,740.38 | $1,785–$2,677.50 | varies |
| MRI, joint upper extrem combo (73223) range across 2 matching MRF lines |
$1,420.25–$1,673.75 | $2,185–$2,575 | varies |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$1,644.50–$1,683.50 | $2,530–$2,590 | varies |
| Myelogram cervical (72240) | $795.60 | $1,224 | 1.1× |
| Myelogram Lumbar (72265) | $843.70 | $1,298 | 1.1× |
| Myelography thoracic (72255) | $826.15 | $1,271 | 1.1× |
| Myelograpy 2/more regions rs&i (72270) | $1,027 | $1,580 | 1.4× |
| Myocardial Spect Multiple Studies (78452) range across 2 matching MRF lines |
$3,329.95–$3,595.15 | $5,123–$5,531 | varies |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$168.35–$176.15 | $259–$271 | varies |
| Parathyroid Planar Imaging (78070) range across 2 matching MRF lines |
$873.60–$1,338.35 | $1,344–$2,059 | varies |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$216.45–$233.35 | $333–$359 | varies |
| PET image w/CT, full body (78816) range across 2 matching MRF lines |
$6,303.05–$6,422.65 | $9,697–$9,881 | varies |
| PET imaging CT attenuation skull base mid-thigh (78815) range across 2 matching MRF lines |
$5,574.40–$5,717.40 | $8,576–$8,796 | varies |
| Pulmonary Perfusion Imaging Particulate (78580) | $924.30 | $1,422 | 2.4× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $363.35 | $559 | 3.6× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $358.80 | $552 | 0.7× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 5 matching MRF lines |
$269.75–$539.50 | $415–$830 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 4 matching MRF lines |
$233.35–$384.80 | $359–$592 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$280.15–$482.63 | $431–$742.50 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$324.35–$471.25 | $499–$725 | varies |
| Radex fingr minimum 2 views (73140) range across 3 matching MRF lines |
$263.90–$395.85 | $406–$609 | varies |
| Radex foot complete minimum 3 views (73630) range across 4 matching MRF lines |
$292.50–$663 | $450–$1,020 | varies |
| Radex Hand Minimum 3 Views (73130) range across 4 matching MRF lines |
$273–$484.58 | $420–$745.50 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 2 matching MRF lines |
$269.10–$328.90 | $414–$506 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $302.25 | $465 | 3.0× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$199.55–$404.95 | $307–$623 | varies |
| Radex Ribs Unilateral 2 Views (71100) | $258.05 | $397 | 3.1× |
| Radex shoulder complete minimum 2 views (73030) range across 4 matching MRF lines |
$299–$493.35 | $460–$759 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $201.50 | $310 | 2.4× |
| Radex Spine 1 View Specify Level (72020) | $205.40 | $316 | 2.4× |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$276.25–$276.90 | $425–$426 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $314.60 | $484 | 3.7× |
| Radex Toe Minimum 2 Views (73660) range across 4 matching MRF lines |
$210.60–$359.45 | $324–$553 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 2 matching MRF lines |
$227.50–$245.05 | $350–$377 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 4 matching MRF lines |
$234.65–$387.40 | $361–$596 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$304.20–$508.30 | $468–$782 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $285.35 | $439 | 2.8× |
| Radiologic exam colon double contrast study (74280) range across 2 matching MRF lines |
$703.30–$796.90 | $1,082–$1,226 | varies |
| Radiologic exam colon single contrast study (74270) | $557.70 | $858 | 3.3× |
| Radiologic Exam Esophagus Double Contrast Study (74221) range across 2 matching MRF lines |
$565.50–$598 | $870–$920 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 4 matching MRF lines |
$334.10–$551.20 | $514–$848 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$258.05–$299.65 | $397–$461 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 2 matching MRF lines |
$561.60–$1,093.95 | $864–$1,683 | varies |
| Radiologic exam swallow function contrast study (74230) range across 2 matching MRF lines |
$405.60–$545.35 | $624–$839 | varies |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$716.30–$845 | $1,102–$1,300 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 4 matching MRF lines |
$226.20–$373.10 | $348–$574 | varies |
| Radiologic examination knee 1/2 views (73560) range across 4 matching MRF lines |
$252.20–$416 | $388–$640 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $319.80 | $492 | 3.2× |
| Radiologic examination tibia & fibula 2 views (73590) range across 4 matching MRF lines |
$249.60–$423.80 | $384–$652 | varies |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$386.10–$399.75 | $594–$615 | varies |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $1,424.80 | $2,192 | 3.7× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $2,106.65 | $3,241 | 4.0× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 2 matching MRF lines |
$2,536.30–$2,629.25 | $3,902–$4,045 | varies |
| Scapula (73010) range across 2 matching MRF lines |
$265.85–$367.25 | $409–$565 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 2 matching MRF lines |
$36.40–$42.90 | $56–$66 | varies |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$189.15–$205.40 | $291–$316 | varies |
| Shoulder Arthrography (73040) | $614.25 | $945 | 1.8× |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$211.25–$232.05 | $325–$357 | varies |
| Sternoclavicular joints (71130) range across 2 matching MRF lines |
$312–$354.25 | $480–$545 | varies |
| Thoracic spine 2 views (72070) | $226.85 | $349 | 2.3× |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$257.40–$393.25 | $396–$605 | varies |
| Thoracolumbar 2 views (72080) | $203.45 | $313 | 2.4× |
| Thyroid Imaging With Vascular Flow (78013) | $546 | $840 | 1.4× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) range across 2 matching MRF lines |
$1,300–$1,463.15 | $2,000–$2,251 | varies |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$552.50–$828.75 | $850–$1,275 | varies |
| Ultrasound elastography first target lesion (76982) | $455 | $700 | 4.5× |
| Ultrasound Elastography Parenchyma (76981) | $339.30 | $522 | 3.4× |
| Ultrasound Exam Aaa Screen (76706) | $195.65 | $301 | 1.9× |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$429–$487.50 | $660–$750 | varies |
| Upper gi w/o kub (74240) range across 2 matching MRF lines |
$598–$765.70 | $920–$1,178 | varies |
| Urethrocystogram voiding (74455) | $585 | $900 | 2.5× |
| Urethrocystography retrograde (74450) range across 2 matching MRF lines |
$377–$539.50 | $580–$830 | varies |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$650–$1,072.50 | $1,000–$1,650 | varies |
| Us chest (76604) | $300.95 | $463 | 3.0× |
| Us complete joint (76881) | $473.20 | $728 | 4.7× |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$284.05–$291.85 | $437–$449 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$384.80–$577.20 | $592–$888 | varies |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$265.85–$390 | $409–$600 | varies |
| Us ob transvaginal (76817) | $393.90 | $606 | 3.9× |
| Us pelvic non ob complete (76856) | $344.50 | $530 | 3.4× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $383.50 | $590 | 3.8× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 2 matching MRF lines |
$260–$261.95 | $400–$403 | varies |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$533–$539.50 | $820–$830 | varies |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$471.25–$547.30 | $725–$842 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$487.50–$507.65 | $750–$781 | varies |
| Us thyroid (76536) range across 2 matching MRF lines |
$575.90–$645.45 | $886–$993 | varies |
| Vein X-Ray Chest (75827) | $1,015.30 | $1,562 | 0.7× |
| Venography caval inferior serialography rs&i (75825) | $2,847 | $4,380 | 0.9× |
| Venography extremity bilateral rs&i (75822) | $1,621.75 | $2,495 | 1.1× |
| Venography extremity unilateral rs&i (75820) | $1,143.35 | $1,759 | 0.8× |
| Venography Renal Bilateral (75833) | $3,206.45 | $4,933 | 1.1× |
| Venography Renal Unilateral (75831) | $2,897.70 | $4,458 | 1.0× |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$132.60–$172.90 | $204–$266 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $276.90 | $426 | 3.3× |
| X-ray antegrade pyelogram tube (74425) | $621.40 | $956 | 1.8× |
| X-Ray Aorta Leg Arteries (75630) range across 2 matching MRF lines |
$5,505.50–$9,504.95 | $8,470–$14,623 | varies |
| X-Ray Bend Only L-S Spine (72120) | $205.40 | $316 | 2.0× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$258.05–$435.50 | $397–$670 | varies |
| X-Ray Exam Breast Specimen (76098) range across 2 matching MRF lines |
$454.35–$628.55 | $699–$967 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 2 matching MRF lines |
$162.50–$256.10 | $250–$394 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $255.45 | $393 | 2.5× |
| X-Ray Exam Hip Uni 1 View (73501) | $242.45 | $373 | 2.9× |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 3 matching MRF lines |
$272.35–$577.20 | $419–$888 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 2 matching MRF lines |
$377.65–$629.85 | $581–$969 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$359.45–$402.35 | $553–$619 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$280.80–$339.95 | $432–$523 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $393.25 | $605 | 3.9× |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 2 matching MRF lines |
$377.65–$408.85 | $581–$629 | varies |
| X-ray eye for foreign body (70030) range across 2 matching MRF lines |
$202.80–$351 | $312–$540 | varies |
| X-ray humerus (73060) range across 4 matching MRF lines |
$256.75–$427.05 | $395–$657 | varies |
| X-ray IV pyelogram (ivp) (74400) | $679.90 | $1,046 | 4.0× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 2 matching MRF lines |
$198.25–$493.35 | $305–$759 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$213.20–$237.25 | $328–$365 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$265.85–$354.90 | $409–$546 | varies |
| X-ray nose-rectum child f.b. (76010) | $239.85 | $369 | 2.9× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$417.30–$456.30 | $642–$702 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$303.55–$371.80 | $467–$572 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$280.80–$295.10 | $432–$454 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$322.40–$466.70 | $496–$718 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$308.75–$335.40 | $475–$516 | varies |
| X-ray thoracic spine 4 vw (72074) range across 2 matching MRF lines |
$319.15–$393.25 | $491–$605 | varies |
| X-Ray Tmj Unilat (70328) range across 2 matching MRF lines |
$147.55–$180.70 | $227–$278 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $831.35 | $1,279 | 2.5× |
| X-Rays Bone Length Studies (77073) | $222.30 | $342 | 2.2× |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$549.90–$946.40 | $846–$1,456 | varies |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$388.05–$390.65 | $597–$601 | varies |
| XR Mastoids < 3 Views Bilateral (70120) | $252.20 | $388 | 2.5× |
| Xr orbits complete 4 views (70200) | $358.80 | $552 | 3.6× |
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.