Imaging prices at Memorial Medical Center
Las Cruces, NM · every code in this section with a posted price and a Medicare benchmark.
388 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) range across 2 matching MRF lines |
$10,000.79–$10,700.85 | $16,667.99–$17,834.75 | varies |
| Abdomen 1 View (74018) range across 4 matching MRF lines |
$389.46–$628.48 | $649.10–$1,047.47 | varies |
| Abdomen 2 views (74019) range across 3 matching MRF lines |
$200.14–$449.89 | $333.56–$749.81 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) range across 2 matching MRF lines |
$2,618.56–$2,801.86 | $4,364.27–$4,669.77 | varies |
| Adrenal Cortex & Medulla Img (78075) range across 2 matching MRF lines |
$2,434.64–$2,605.07 | $4,057.74–$4,341.78 | varies |
| Angio internal mammary (75756) range across 2 matching MRF lines |
$594.13–$635.72 | $990.22–$1,059.54 | varies |
| Angio pulmonary bilat (75743) range across 3 matching MRF lines |
$5,449.40–$5,952.62 | $9,082.34–$9,921.04 | varies |
| Angiography extremity bilateral rs&i (75716) range across 3 matching MRF lines |
$5,877.07–$6,419.78 | $9,795.12–$10,699.64 | varies |
| Angiography extremity unilateral rs&i (75710) range across 5 matching MRF lines |
$3,869.96–$6,341.12 | $6,449.93–$10,568.54 | varies |
| Angiography pulmonary unilateral slctv rs&i (75741) range across 2 matching MRF lines |
$1,960.42–$2,097.65 | $3,267.36–$3,496.08 | varies |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) range across 2 matching MRF lines |
$6,631.93–$7,096.17 | $11,053.22–$11,826.95 | varies |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$416.86–$658.36 | $694.76–$1,097.27 | varies |
| Aortography thoracic serialography rs&i (75605) range across 2 matching MRF lines |
$2,952.64–$3,159.32 | $4,921.06–$5,265.53 | varies |
| Artery X-Rays Abdomen (75726) range across 3 matching MRF lines |
$5,800.76–$6,206.81 | $9,667.93–$10,344.69 | varies |
| Artery X-Rays Adrenal Gland (75731) range across 2 matching MRF lines |
$3,973.37–$4,251.50 | $6,622.28–$7,085.84 | varies |
| Artery X-Rays Pelvis (75736) range across 3 matching MRF lines |
$5,058.45–$7,413.82 | $8,430.75–$12,356.36 | varies |
| Artery X-Rays Spine (75705) range across 2 matching MRF lines |
$3,154.19–$3,374.98 | $5,256.98–$5,624.97 | varies |
| Arthrogram ankle (73615) range across 3 matching MRF lines |
$367.63–$595.05 | $612.72–$991.75 | varies |
| Arthrogram hip (73525) range across 4 matching MRF lines |
$405.63–$753.98 | $676.05–$1,256.64 | varies |
| Arthrogram Wrist (73115) range across 3 matching MRF lines |
$452.17–$741.68 | $753.62–$1,236.13 | varies |
| Basic radiation dosimetry calculation (77300) range across 2 matching MRF lines |
$515.39–$551.47 | $858.98–$919.11 | varies |
| Bone age studies (77072) range across 3 matching MRF lines |
$335.29–$604.90 | $558.82–$1,008.16 | varies |
| Bone Imaging 3 Phase (78315) range across 3 matching MRF lines |
$980.96–$2,738.11 | $1,634.94–$4,563.51 | varies |
| Bone Imaging Limited Area (78300) range across 3 matching MRF lines |
$989.29–$1,814.87 | $1,648.82–$3,024.78 | varies |
| Bone Imaging Multiple Areas (78305) range across 3 matching MRF lines |
$1,055.71–$3,266.24 | $1,759.52–$5,443.74 | varies |
| Bone Imaging Whole Body (78306) range across 3 matching MRF lines |
$989.29–$2,792.32 | $1,648.82–$4,653.86 | varies |
| Brachytx isodose complex (77318) range across 2 matching MRF lines |
$3,356.14–$3,591.07 | $5,593.56–$5,985.11 | varies |
| Brachytx isodose intermed (77317) range across 2 matching MRF lines |
$1,471.39–$1,574.38 | $2,452.31–$2,623.97 | varies |
| Brachytx Isodose Plan Simple (77316) range across 2 matching MRF lines |
$1,033.16–$1,105.48 | $1,721.93–$1,842.47 | varies |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) range across 2 matching MRF lines |
$1,848.16–$1,977.53 | $3,080.26–$3,295.88 | varies |
| Brain Imaging Pet Metabolic Evaluation (78608) range across 2 matching MRF lines |
$4,259.11–$4,557.25 | $7,098.51–$7,595.41 | varies |
| Cardiac MRI w/w/o contrast & further seq (75561) range across 3 matching MRF lines |
$2,385.38–$5,006.02 | $3,975.64–$8,343.36 | varies |
| Cardiac MRI w/w/o contrast w/stress (75563) range across 3 matching MRF lines |
$1,430.56–$3,005.51 | $2,384.27–$5,009.19 | varies |
| Cat Scan Follow-Up Study (76380) range across 3 matching MRF lines |
$527.52–$1,121.53 | $879.20–$1,869.22 | varies |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) range across 2 matching MRF lines |
$661.10–$707.38 | $1,101.83–$1,178.96 | varies |
| Cerebrospinal Fluid Scan (78630) range across 2 matching MRF lines |
$2,326.25–$2,489.09 | $3,877.09–$4,148.49 | varies |
| Chest 1 view (71045) range across 6 matching MRF lines |
$209.23–$771.58 | $348.72–$1,285.96 | varies |
| Chest 2 views (71046) range across 5 matching MRF lines |
$209.23–$818.19 | $348.72–$1,363.65 | varies |
| Chest 3 views (71047) range across 3 matching MRF lines |
$569.90–$922.01 | $949.83–$1,536.69 | varies |
| Chest 4 or more views (71048) range across 3 matching MRF lines |
$874.39–$1,383.30 | $1,457.32–$2,305.50 | varies |
| Cineradiograpy/vidradiograpy xcpt where spec (76120) range across 2 matching MRF lines |
$555.13–$593.98 | $925.21–$989.97 | varies |
| Clavicle complete (73000) range across 3 matching MRF lines |
$486.43–$787.69 | $810.71–$1,312.82 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 3 matching MRF lines |
$3,481.31–$3,802.79 | $5,802.19–$6,337.98 | varies |
| Continuing medical physics consltj pr wk (77336) | $1,176.52 | $1,960.87 | 8.8× |
| Contrast Exam Abdominl Aorta (75625) range across 3 matching MRF lines |
$4,064.03–$4,439.32 | $6,773.38–$7,398.86 | varies |
| Contrast X-Ray Bladder (74430) range across 4 matching MRF lines |
$659.26–$1,080.94 | $1,098.77–$1,801.56 | varies |
| Contrast X-Ray Of Elbow (73085) range across 3 matching MRF lines |
$423.81–$684.94 | $706.35–$1,141.57 | varies |
| Contrast X-Ray Of Knee Joint (73580) range across 4 matching MRF lines |
$699.16–$1,209.89 | $1,165.26–$2,016.48 | varies |
| CT abdomen and pelvis without and with contrast (74178) range across 4 matching MRF lines |
$4,125.91–$11,590.84 | $6,876.52–$19,318.07 | varies |
| CT abdomen and pelvis without contrast (74176) range across 4 matching MRF lines |
$4,356.12–$9,786.53 | $7,260.20–$16,310.88 | varies |
| CT abdomen w contrast (74160) range across 4 matching MRF lines |
$2,566.72–$5,768 | $4,277.86–$9,613.34 | varies |
| CT abdomen w wo contrast (74170) range across 3 matching MRF lines |
$3,123.44–$7,018.06 | $5,205.73–$11,696.77 | varies |
| CT abdomen w/o contrast (74150) range across 5 matching MRF lines |
$1,936.60–$4,441.96 | $3,227.66–$7,403.26 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 3 matching MRF lines |
$2,100.90–$4,651.16 | $3,501.50–$7,751.94 | varies |
| CT Angio Chest (71275) range across 4 matching MRF lines |
$1,177.69–$5,301.54 | $1,962.81–$8,835.90 | varies |
| CT Angio Head (70496) range across 3 matching MRF lines |
$1,823.77–$3,968.60 | $3,039.61–$6,614.34 | varies |
| CT angio hrt w/3d image (75574) range across 3 matching MRF lines |
$3,316.06–$5,776.95 | $5,526.76–$9,628.25 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 3 matching MRF lines |
$2,312.46–$4,855.93 | $3,854.10–$8,093.21 | varies |
| CT Angio Neck (70498) range across 4 matching MRF lines |
$1,662.03–$3,954.01 | $2,770.05–$6,590.02 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 4 matching MRF lines |
$3,811.06–$8,003.09 | $6,351.77–$13,338.48 | varies |
| CT bone density (77078) range across 3 matching MRF lines |
$572.65–$1,200.14 | $954.42–$2,000.24 | varies |
| CT cervical spine w/ contrast (72126) range across 3 matching MRF lines |
$2,637.61–$5,424.50 | $4,396.01–$9,040.83 | varies |
| CT cervical spine w/o contrast (72125) range across 4 matching MRF lines |
$2,186.72–$4,914.90 | $3,644.54–$8,191.50 | varies |
| CT cervical spine w/wo cont (72127) range across 3 matching MRF lines |
$2,420.16–$5,436.82 | $4,033.60–$9,061.37 | varies |
| CT chest w contrast (71260) range across 5 matching MRF lines |
$2,087.03–$4,786.57 | $3,478.39–$7,977.61 | varies |
| CT chest w/wo contrast (71270) range across 4 matching MRF lines |
$2,277.91–$4,884.17 | $3,796.52–$8,140.28 | varies |
| CT head/brain with contrast (70460) range across 3 matching MRF lines |
$1,788.80–$3,937.40 | $2,981.34–$6,562.34 | varies |
| CT head/brain without and with contrast (70470) range across 4 matching MRF lines |
$1,827.91–$4,195.31 | $3,046.52–$6,992.18 | varies |
| CT heart contrast eval cardiac structure&morph (75572) range across 3 matching MRF lines |
$2,821.55–$5,925.53 | $4,702.58–$9,875.88 | varies |
| CT heart no contrast quant eval coronry calcium (75571) range across 3 matching MRF lines |
$245.34–$1,440.38 | $408.90–$2,400.63 | varies |
| CT hrt w/3d image congen (75573) range across 3 matching MRF lines |
$3,215.12–$6,753.94 | $5,358.54–$11,256.56 | varies |
| CT iac w contrast (70481) range across 5 matching MRF lines |
$1,362.83–$3,127.35 | $2,271.38–$5,212.25 | varies |
| CT l-spine w&w/o contrast (72133) range across 3 matching MRF lines |
$2,599.18–$5,840.16 | $4,331.97–$9,733.60 | varies |
| CT lower ext w/o (73700) range across 4 matching MRF lines |
$1,650.05–$3,706.02 | $2,750.08–$6,176.70 | varies |
| CT lower extremity w/contrast material (73701) range across 3 matching MRF lines |
$1,897.29–$4,175.92 | $3,162.15–$6,959.87 | varies |
| CT lumbar spine w contrast (72132) range across 3 matching MRF lines |
$2,704.58–$5,737.15 | $4,507.63–$9,561.92 | varies |
| CT lumbar spine w/o contrast (72131) range across 4 matching MRF lines |
$2,341.67–$5,155.43 | $3,902.78–$8,592.39 | varies |
| CT maxillofacial w contrast (70487) range across 5 matching MRF lines |
$1,622.42–$3,719.12 | $2,704.03–$6,198.54 | varies |
| CT maxillofacial wo contrast (70486) range across 5 matching MRF lines |
$1,299.95–$2,982.18 | $2,166.59–$4,970.30 | varies |
| CT neck tissue combo (70492) range across 4 matching MRF lines |
$1,799.71–$4,044.08 | $2,999.52–$6,740.14 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 3 matching MRF lines |
$1,651.50–$3,712.97 | $2,752.50–$6,188.28 | varies |
| CT orbits w/o contrast (70480) range across 6 matching MRF lines |
$1,224.86–$2,808.44 | $2,041.43–$4,680.73 | varies |
| CT pelvis w&w/o contrast (72194) range across 3 matching MRF lines |
$2,717.95–$5,705.56 | $4,529.91–$9,509.26 | varies |
| CT pelvis w/o contrast (72192) range across 4 matching MRF lines |
$2,325.57–$4,882.61 | $3,875.95–$8,137.69 | varies |
| CT scan of leg combo (73702) range across 3 matching MRF lines |
$2,687.52–$6,036.39 | $4,479.20–$10,060.65 | varies |
| CT scans face/jaw combo (70488) range across 4 matching MRF lines |
$2,037.66–$4,676.12 | $3,396.10–$7,793.54 | varies |
| CT soft tissue neck w contrast (70491) range across 4 matching MRF lines |
$1,619.59–$3,640.03 | $2,699.32–$6,066.72 | varies |
| CT soft tissue neck w/o contrast (70490) range across 4 matching MRF lines |
$1,322.17–$2,926.72 | $2,203.61–$4,877.86 | varies |
| CT thoracic spine w contrast (72129) range across 3 matching MRF lines |
$2,206.07–$4,855 | $3,676.79–$8,091.66 | varies |
| CT thoracic spine w/o contrast (72128) range across 3 matching MRF lines |
$2,095.42–$4,613.51 | $3,492.37–$7,689.19 | varies |
| CT thoracic spine w/wo cont (72130) range across 3 matching MRF lines |
$2,474.07–$5,195.64 | $4,123.45–$8,659.40 | varies |
| CT thorax w/o contrast (71250) range across 5 matching MRF lines |
$1,710.90–$3,924.62 | $2,851.50–$6,541.04 | varies |
| CT unlisted procedure (76497) range across 2 matching MRF lines |
$229.42–$245.48 | $382.36–$409.13 | varies |
| CT upper ext wo (73200) range across 5 matching MRF lines |
$1,531.86–$3,440.77 | $2,553.10–$5,734.62 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 4 matching MRF lines |
$2,089.87–$4,791.38 | $3,483.12–$7,985.63 | varies |
| CT upper extremity with contrast (73201) range across 4 matching MRF lines |
$2,055.04–$4,617.16 | $3,425.07–$7,695.26 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 5 matching MRF lines |
$2,440.85–$6,261.92 | $4,068.08–$10,436.53 | varies |
| Cta Abdomen (74175) range across 3 matching MRF lines |
$2,133.51–$4,791.38 | $3,555.85–$7,985.63 | varies |
| CTA pelvis (72191) range across 3 matching MRF lines |
$2,149.89–$4,514.26 | $3,583.15–$7,523.77 | varies |
| Dilation ureters/urethra rs&i (74485) range across 3 matching MRF lines |
$784.49–$1,669.55 | $1,307.48–$2,782.59 | varies |
| Discography Cerv/Thor Spine (72285) range across 3 matching MRF lines |
$1,301.94–$2,132.98 | $2,169.90–$3,554.97 | varies |
| Diskography lumbar (72295) range across 3 matching MRF lines |
$1,647.09–$2,699.66 | $2,745.15–$4,499.44 | varies |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$659.45–$705.61 | $1,099.08–$1,176.02 | varies |
| Dxa bone density study 1/>sites appendiclr skel (77081) range across 2 matching MRF lines |
$102.88–$110.08 | $171.47–$183.47 | varies |
| Echo exam uterus (76831) range across 3 matching MRF lines |
$826.43–$902.75 | $1,377.39–$1,504.58 | varies |
| Echo Guide For Artery Repair (76936) range across 2 matching MRF lines |
$745.67–$797.86 | $1,242.78–$1,329.77 | varies |
| Echograp Trans R Pros Study (76873) range across 3 matching MRF lines |
$497.11–$566.70 | $828.52–$944.50 | varies |
| Esophagram (74220) range across 3 matching MRF lines |
$615.46–$1,139.03 | $1,025.77–$1,898.38 | varies |
| Fetal Biophys Profile W/Nst (76818) range across 3 matching MRF lines |
$844.96–$1,273.21 | $1,408.26–$2,122.01 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 4 matching MRF lines |
$844.96–$1,383.81 | $1,408.26–$2,306.35 | varies |
| Fluoroscopy up to 1 hr (76000) range across 4 matching MRF lines |
$900.61–$1,475.32 | $1,501.02–$2,458.86 | varies |
| Follow-Up Angiography (75898) range across 2 matching MRF lines |
$1,753.88–$1,876.66 | $2,923.14–$3,127.76 | varies |
| Foot 2 views (73620) range across 3 matching MRF lines |
$355.31–$564.01 | $592.19–$940.02 | varies |
| Forearm 2 views (73090) range across 4 matching MRF lines |
$538.33–$868.55 | $897.22–$1,447.59 | varies |
| Gastric emptying imaging study (78264) range across 3 matching MRF lines |
$2,072.78–$2,264.18 | $3,454.63–$3,773.64 | varies |
| Gastroesophageal Reflux Exam (78262) range across 2 matching MRF lines |
$1,293.58–$1,384.13 | $2,155.96–$2,306.88 | varies |
| Gated Heart Planar Single (78472) range across 2 matching MRF lines |
$2,169.08–$2,320.92 | $3,615.14–$3,868.20 | varies |
| Hand 2 views (73120) range across 4 matching MRF lines |
$430.23–$697.25 | $717.05–$1,162.09 | varies |
| Hdr Rdncl Ntrstl/Icav Brchtx (77772) range across 2 matching MRF lines |
$7,775.19–$8,319.46 | $12,958.65–$13,865.76 | varies |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) range across 2 matching MRF lines |
$6,218.85–$6,654.17 | $10,364.75–$11,090.28 | varies |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) range across 2 matching MRF lines |
$5,549.70–$5,938.18 | $9,249.50–$9,896.97 | varies |
| Heart Image (Pet) Multiple (78492) range across 2 matching MRF lines |
$4,660.23–$4,986.44 | $7,767.05–$8,310.74 | varies |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) range across 2 matching MRF lines |
$2,464.53–$2,637.05 | $4,107.55–$4,395.08 | varies |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) range across 2 matching MRF lines |
$8,633.65–$9,238.01 | $14,389.42–$15,396.68 | varies |
| Hepatobil Syst Image W/Drug (78227) range across 3 matching MRF lines |
$596.42–$1,065.19 | $994.04–$1,775.32 | varies |
| Hepatobiliary System Imaging (78226) range across 3 matching MRF lines |
$596.42–$1,746.83 | $994.04–$2,911.38 | varies |
| Ht Musc Image Planar Mult (78454) range across 2 matching MRF lines |
$11,833.03–$12,661.34 | $19,721.71–$21,102.23 | varies |
| Ht Muscle Image Spect Sing (78451) range across 2 matching MRF lines |
$3,834.24–$4,102.64 | $6,390.40–$6,837.73 | varies |
| Hysterosalpingogram (74740) range across 3 matching MRF lines |
$776.53–$1,473.71 | $1,294.21–$2,456.19 | varies |
| Infant hip ultrasound with hip movement (dynamic) (76885) range across 3 matching MRF lines |
$668.32–$1,046.68 | $1,113.86–$1,744.47 | varies |
| Infant hip ultrasound, limited static exam (76886) range across 3 matching MRF lines |
$786.62–$1,209.89 | $1,311.04–$2,016.48 | varies |
| Interstitial radiation source applic complex (77778) range across 2 matching MRF lines |
$5,002.53–$5,352.71 | $8,337.55–$8,921.18 | varies |
| Intracavitary Radiation Source Applic Complex (77763) range across 2 matching MRF lines |
$4,416.04–$4,725.16 | $7,360.06–$7,875.26 | varies |
| Intracavitary Radiation Source Applic Intermed (77762) range across 2 matching MRF lines |
$2,946.52–$3,152.78 | $4,910.87–$5,254.63 | varies |
| Intracavitary radiation source applic simple (77761) range across 2 matching MRF lines |
$2,063.50–$2,207.95 | $3,439.17–$3,679.91 | varies |
| K Flow/Funct Image W/Drug (78708) range across 2 matching MRF lines |
$2,744.78–$2,936.91 | $4,574.63–$4,894.85 | varies |
| K Flow/Funct Image W/O Drug (78707) range across 2 matching MRF lines |
$1,795.60–$1,921.29 | $2,992.66–$3,202.15 | varies |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) range across 2 matching MRF lines |
$1,787.63–$1,912.76 | $2,979.38–$3,187.94 | varies |
| Knee 3 Views (73562) range across 4 matching MRF lines |
$448.73–$777.35 | $747.88–$1,295.59 | varies |
| Liver & Spleen Imaging Static Only (78215) range across 2 matching MRF lines |
$1,638.43–$1,753.12 | $2,730.71–$2,921.86 | varies |
| Liver & Spleen Imaging W/Vascular Flow (78216) range across 2 matching MRF lines |
$1,606.98–$1,719.47 | $2,678.30–$2,865.78 | varies |
| Lung Perf&Ventilat Diferentl (78598) range across 2 matching MRF lines |
$472–$505.04 | $786.67–$841.74 | varies |
| Lung perfusion differential (78597) range across 2 matching MRF lines |
$304.51–$325.82 | $507.51–$543.04 | varies |
| Lung Ventilat&Perfus Imaging (78582) range across 3 matching MRF lines |
$588.28–$642.60 | $980.46–$1,071 | varies |
| Lung Ventilation Imaging (78579) range across 2 matching MRF lines |
$386.15–$413.18 | $643.59–$688.64 | varies |
| Lymph System Imaging (78195) range across 3 matching MRF lines |
$2,863.61–$4,527.59 | $4,772.69–$7,545.99 | varies |
| Magnetic Image Jaw Joint (70336) range across 3 matching MRF lines |
$1,803.02–$3,786.31 | $3,005.04–$6,310.51 | varies |
| Mammary ductogram or galactogram multiple (77054) range across 3 matching MRF lines |
$883.19–$1,032.24 | $1,471.99–$1,720.40 | varies |
| Mammary ductogram or galactogram single (77053) range across 2 matching MRF lines |
$964.71–$1,032.24 | $1,607.85–$1,720.40 | varies |
| Meckels Divert Exam (78290) range across 2 matching MRF lines |
$3,428.85–$3,668.87 | $5,714.75–$6,114.78 | varies |
| Mlc imrt design & construction per imrt plan (77338) range across 2 matching MRF lines |
$2,433.73–$2,604.08 | $4,056.21–$4,340.14 | varies |
| Mra Head W/O & W/Contrast Material (70546) range across 3 matching MRF lines |
$1,991.41–$4,183.63 | $3,319.01–$6,972.71 | varies |
| MRA head w/o contrast (70544) range across 4 matching MRF lines |
$1,821.67–$3,824.55 | $3,036.11–$6,374.25 | varies |
| MRA head with contrast (70545) range across 3 matching MRF lines |
$1,886.71–$3,960.35 | $3,144.51–$6,600.58 | varies |
| MRA neck w contrast (70548) range across 3 matching MRF lines |
$2,052.12–$4,309.85 | $3,420.20–$7,183.09 | varies |
| Mra Neck W/O &W/Contrast Material (70549) range across 3 matching MRF lines |
$2,029.66–$4,261.09 | $3,382.76–$7,101.81 | varies |
| MRA neck w/o contrast (70547) range across 3 matching MRF lines |
$1,895.98–$4,260.14 | $3,159.97–$7,100.23 | varies |
| MRI abdomen w contrast (74182) range across 3 matching MRF lines |
$2,599.58–$5,456.89 | $4,332.63–$9,094.82 | varies |
| MRI abdomen w/o contrast (74181) range across 3 matching MRF lines |
$2,256.29–$4,642.76 | $3,760.48–$7,737.93 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 4 matching MRF lines |
$3,092.79–$6,630.70 | $5,154.65–$11,051.16 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 5 matching MRF lines |
$3,203.03–$6,866.41 | $5,338.39–$11,444.01 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 4 matching MRF lines |
$2,767.78–$6,217.59 | $4,612.96–$10,362.65 | varies |
| MRI bone marrow blood supply (77084) range across 3 matching MRF lines |
$1,978.02–$4,153.03 | $3,296.70–$6,921.72 | varies |
| MRI Breast W/O Contrast Bilateral (77047) range across 3 matching MRF lines |
$2,164.99–$5,559.20 | $3,608.31–$9,265.34 | varies |
| MRI Breast Without Contrast Material Unilateral (77046) range across 3 matching MRF lines |
$661.73–$5,235.51 | $1,102.88–$8,725.85 | varies |
| MRI cardiac w/o contrast (75557) range across 3 matching MRF lines |
$2,300.28–$4,831.02 | $3,833.80–$8,051.70 | varies |
| MRI cervical spine w contrast (72142) range across 3 matching MRF lines |
$3,219.23–$6,757.87 | $5,365.39–$11,263.11 | varies |
| MRI cervical spine w/o cont (72141) range across 3 matching MRF lines |
$2,213.06–$4,969.66 | $3,688.44–$8,282.76 | varies |
| MRI chest w/o contrast (71550) range across 3 matching MRF lines |
$1,748.52–$3,670.60 | $2,914.20–$6,117.66 | varies |
| MRI chest with contrast (71551) range across 3 matching MRF lines |
$3,181–$6,680.90 | $5,301.66–$11,134.84 | varies |
| MRI chest wo w contrast (71552) range across 3 matching MRF lines |
$3,203.03–$6,866.41 | $5,338.39–$11,444.01 | varies |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 3 matching MRF lines |
$2,451.36–$5,149.46 | $4,085.60–$8,582.43 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 3 matching MRF lines |
$2,883.96–$6,349.40 | $4,806.60–$10,582.34 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 3 matching MRF lines |
$2,146.10–$4,822.59 | $3,576.83–$8,037.65 | varies |
| MRI lumbar spine w contrast (72149) range across 3 matching MRF lines |
$2,819.52–$5,921.15 | $4,699.20–$9,868.58 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 3 matching MRF lines |
$3,483.59–$7,314.22 | $5,805.98–$12,190.36 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 3 matching MRF lines |
$1,830.75–$3,843.67 | $3,051.25–$6,406.12 | varies |
| MRI orbit face neck w contrast (70542) range across 3 matching MRF lines |
$2,004.32–$4,205.14 | $3,340.53–$7,008.57 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 4 matching MRF lines |
$2,617.15–$5,610.84 | $4,361.91–$9,351.40 | varies |
| MRI pelvis w contrast (72196) range across 3 matching MRF lines |
$3,167.60–$6,654.12 | $5,279.34–$11,090.20 | varies |
| MRI pelvis w/o & w contrast (72197) range across 3 matching MRF lines |
$3,030.86–$6,232.79 | $5,051.43–$10,387.99 | varies |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$2,276.65–$4,469.01 | $3,794.41–$7,448.35 | varies |
| MRI thoracic spine w/o contrast (72146) range across 3 matching MRF lines |
$2,218.31–$4,986.52 | $3,697.19–$8,310.86 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 3 matching MRF lines |
$2,111.89–$4,434.17 | $3,519.82–$7,390.28 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 4 matching MRF lines |
$1,886.09–$4,326.11 | $3,143.49–$7,210.18 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 4 matching MRF lines |
$2,037.18–$4,577.13 | $3,395.30–$7,628.55 | varies |
| MRI, abdomen, combo (74183) range across 3 matching MRF lines |
$2,783.67–$5,725.57 | $4,639.45–$9,542.61 | varies |
| MRI, dorsal spine combo (72157) range across 3 matching MRF lines |
$3,324.35–$6,982.61 | $5,540.58–$11,637.69 | varies |
| MRI, dorsal spine contrast (72147) range across 3 matching MRF lines |
$2,778.88–$5,836.04 | $4,631.46–$9,726.74 | varies |
| MRI, joint upper extrem (73221) range across 3 matching MRF lines |
$1,970.57–$4,427.32 | $3,284.28–$7,378.86 | varies |
| MRI, joint upper extrem combo (73223) range across 3 matching MRF lines |
$3,065.76–$6,437.52 | $5,109.60–$10,729.20 | varies |
| MRI, lumbar spine combo (72158) range across 3 matching MRF lines |
$3,358.54–$7,052.87 | $5,597.56–$11,754.78 | varies |
| Myelogram cervical (72240) range across 3 matching MRF lines |
$2,094.99–$3,432.24 | $3,491.65–$5,720.40 | varies |
| Myelogram Lumbar (72265) range across 3 matching MRF lines |
$1,982.60–$3,247.61 | $3,304.34–$5,412.69 | varies |
| Myelography thoracic (72255) range across 3 matching MRF lines |
$1,770.70–$2,900.32 | $2,951.17–$4,833.86 | varies |
| Myelograpy 2/more regions rs&i (72270) range across 3 matching MRF lines |
$2,540.72–$4,161.61 | $4,234.54–$6,936.01 | varies |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) range across 2 matching MRF lines |
$1,964.04–$2,101.52 | $3,273.40–$3,502.54 | varies |
| Myocardial Imaging Pet Metabolic Evaluation (78459) range across 2 matching MRF lines |
$4,431.45–$4,741.65 | $7,385.75–$7,902.75 | varies |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) range across 2 matching MRF lines |
$5,916.52–$6,330.67 | $9,860.86–$10,551.12 | varies |
| Myocardial Spect Multiple Studies (78452) range across 3 matching MRF lines |
$4,727.86–$5,164.45 | $7,879.77–$8,607.41 | varies |
| Neck soft tissue (70360) range across 3 matching MRF lines |
$408.33–$658.36 | $680.55–$1,097.27 | varies |
| Nfs/Instlj Radioelmnt Sln 3 Mo Follow-Up Care (77750) range across 2 matching MRF lines |
$1,791.85–$1,917.28 | $2,986.41–$3,195.46 | varies |
| Nm csf leak detection (78650) range across 2 matching MRF lines |
$1,461.53–$1,563.83 | $2,435.88–$2,606.39 | varies |
| Nonvascular Shunt X-Ray (75809) range across 3 matching MRF lines |
$535.65–$876.52 | $892.75–$1,460.87 | varies |
| Ntsty modul radthx pln dose-vol histos (77301) range across 2 matching MRF lines |
$8,983.75–$9,612.61 | $14,972.92–$16,021.02 | varies |
| Nuclear Rx Oral Admin (79005) range across 3 matching MRF lines |
$2,230.54–$2,386.67 | $3,717.56–$3,977.79 | varies |
| Parathyroid Planar Imaging (78070) range across 3 matching MRF lines |
$1,693.15–$1,849.51 | $2,821.92–$3,082.51 | varies |
| Pelvis 1 or 2 views (72170) range across 3 matching MRF lines |
$539.40–$853.87 | $899–$1,423.11 | varies |
| Peritoneogram Rs&I (74190) range across 2 matching MRF lines |
$1,352.98–$1,447.69 | $2,254.96–$2,412.81 | varies |
| Pet Image Skull-Thigh (78812) range across 2 matching MRF lines |
$5,095.60–$5,452.30 | $8,492.67–$9,087.16 | varies |
| Pet Image W/Ct Lmtd (78814) range across 3 matching MRF lines |
$5,358.67–$5,733.77 | $8,931.11–$9,556.29 | varies |
| PET image w/CT, full body (78816) range across 3 matching MRF lines |
$5,452.30–$5,889.22 | $9,087.16–$9,815.36 | varies |
| PET imaging CT attenuation skull base mid-thigh (78815) range across 3 matching MRF lines |
$5,452.30–$6,234.30 | $9,087.16–$10,390.50 | varies |
| Pet Imaging Limited Area Chest Head/Neck (78811) range across 2 matching MRF lines |
$5,095.60–$5,452.30 | $8,492.67–$9,087.16 | varies |
| Pet Myocardial Sngl Study (78491) range across 3 matching MRF lines |
$4,660.23–$4,986.44 | $7,767.05–$8,310.74 | varies |
| PET whole body (78813) range across 2 matching MRF lines |
$5,095.60–$5,452.30 | $8,492.67–$9,087.16 | varies |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) range across 2 matching MRF lines |
$4,306.94–$4,608.43 | $7,178.23–$7,680.71 | varies |
| Pulmonary Perfusion Imaging Particulate (78580) range across 2 matching MRF lines |
$2,477.81–$2,651.26 | $4,129.68–$4,418.76 | varies |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 3 matching MRF lines |
$679.07–$1,098.05 | $1,131.78–$1,830.09 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 3 matching MRF lines |
$816.05–$1,336.18 | $1,360.09–$2,226.97 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$553.07–$953.99 | $921.79–$1,589.99 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 4 matching MRF lines |
$425.11–$699.40 | $708.51–$1,165.67 | varies |
| Radex elbow complete minimum 3 views (73080) range across 4 matching MRF lines |
$518.21–$874.62 | $863.68–$1,457.70 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 4 matching MRF lines |
$806.96–$1,306.22 | $1,344.93–$2,177.04 | varies |
| Radex fingr minimum 2 views (73140) range across 4 matching MRF lines |
$420.09–$726.16 | $700.15–$1,210.27 | varies |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$524.17–$905.25 | $873.62–$1,508.75 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$509.49–$822.95 | $849.15–$1,371.59 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 3 matching MRF lines |
$317.57–$549.57 | $529.29–$915.95 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) range across 3 matching MRF lines |
$599.33–$965.88 | $998.89–$1,609.80 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 4 matching MRF lines |
$433.98–$699.40 | $723.30–$1,165.67 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 3 matching MRF lines |
$548.50–$865.93 | $914.17–$1,443.22 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 4 matching MRF lines |
$569.24–$1,003.88 | $948.74–$1,673.14 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 3 matching MRF lines |
$512.62–$885.63 | $854.36–$1,476.05 | varies |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) range across 3 matching MRF lines |
$713.32–$1,151.57 | $1,188.86–$1,919.28 | varies |
| Radex Spine 1 View Specify Level (72020) range across 3 matching MRF lines |
$445.21–$717.59 | $742.02–$1,195.98 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 3 matching MRF lines |
$552.10–$952.94 | $920.16–$1,588.24 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 3 matching MRF lines |
$523.34–$826.61 | $872.24–$1,377.69 | varies |
| Radex Toe Minimum 2 Views (73660) range across 3 matching MRF lines |
$435.04–$701 | $725.07–$1,168.33 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 4 matching MRF lines |
$383.14–$618.60 | $638.57–$1,031 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 5 matching MRF lines |
$551.12–$971.25 | $918.54–$1,618.75 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) range across 2 matching MRF lines |
$239.06–$255.79 | $398.43–$426.32 | varies |
| Radiation Delivery Stereotactic Cranial Linear (77372) unusually low: confirm this is the full procedure |
$3,155.33 | $5,258.88 | 0.4× |
| Radiation treatment delivery level 1 (77402) | $1,068.35 | $1,780.58 | 10.6× |
| Radiation treatment delivery level 2 (77407) | $1,455.91 | $2,426.52 | 3.8× |
| Radiation treatment delivery level 3 (77412) | $1,546.54 | $2,577.56 | 2.8× |
| Radiolog exam mandible compl minimum 4 views (70110) range across 3 matching MRF lines |
$714.91–$1,155.32 | $1,191.51–$1,925.53 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 3 matching MRF lines |
$200.14–$449.89 | $333.56–$749.81 | varies |
| Radiologic exam colon double contrast study (74280) range across 3 matching MRF lines |
$1,224.89–$1,979.92 | $2,041.49–$3,299.87 | varies |
| Radiologic exam colon single contrast study (74270) range across 3 matching MRF lines |
$956.78–$1,547.02 | $1,594.64–$2,578.37 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$652.07–$1,076.12 | $1,086.79–$1,793.53 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 3 matching MRF lines |
$950.37–$1,641.70 | $1,583.95–$2,736.17 | varies |
| Radiologic exam swallow function contrast study (74230) range across 3 matching MRF lines |
$617.53–$977.05 | $1,029.21–$1,628.42 | varies |
| Radiologic Exam Teeth Prtl Exam < Full Mouth (70310) range across 3 matching MRF lines |
$371.38–$599.33 | $618.96–$998.89 | varies |
| Radiologic exam upr gi trc double contrast study (74246) range across 5 matching MRF lines |
$527.39–$1,610.77 | $878.98–$2,684.61 | varies |
| Radiologic examination femur 1 view (73551) range across 3 matching MRF lines |
$65.24–$80.81 | $108.73–$134.68 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 5 matching MRF lines |
$65.24–$228.67 | $108.73–$381.11 | varies |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$477.33–$756.38 | $795.55–$1,260.63 | varies |
| Radiologic Examination Salivary Gland Calculus (70380) range across 3 matching MRF lines |
$337.66–$545.82 | $562.77–$909.70 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$592.85–$957.14 | $988.08–$1,595.23 | varies |
| Renal Cyst Study (74470) range across 2 matching MRF lines |
$566.62–$606.29 | $944.37–$1,010.48 | varies |
| Ribs bilateral 3 views (71110) range across 3 matching MRF lines |
$668.32–$1,100.20 | $1,113.86–$1,833.67 | varies |
| Rp loclzj tum plnr 1 area single day imaging (78800) range across 3 matching MRF lines |
$1,055.71–$2,057.85 | $1,759.52–$3,429.75 | varies |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) range across 2 matching MRF lines |
$986.65–$1,055.71 | $1,644.41–$1,759.52 | varies |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) range across 3 matching MRF lines |
$2,286.77–$3,649.07 | $3,811.28–$6,081.79 | varies |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 12 matching MRF lines |
$1,647.68–$4,759.79 | $2,746.14–$7,932.99 | varies |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) range across 2 matching MRF lines |
$3,410.35–$3,649.07 | $5,683.92–$6,081.79 | varies |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) range across 2 matching MRF lines |
$3,868.83–$4,139.65 | $6,448.05–$6,899.41 | varies |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) range across 2 matching MRF lines |
$3,410.35–$3,649.07 | $5,683.92–$6,081.79 | varies |
| Rp Therapy Intravenous Administration (79101) range across 3 matching MRF lines |
$1,906.33–$2,039.78 | $3,177.22–$3,399.63 | varies |
| Scapula (73010) range across 4 matching MRF lines |
$421.77–$723.47 | $702.95–$1,205.79 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 2 matching MRF lines |
$375.80–$402.11 | $626.34–$670.18 | varies |
| Sella turcica (70240) range across 3 matching MRF lines |
$397.60–$641.60 | $662.66–$1,069.34 | varies |
| Shoulder 1 view (73020) range across 4 matching MRF lines |
$460.73–$855.79 | $767.89–$1,426.32 | varies |
| Shoulder Arthrography (73040) range across 3 matching MRF lines |
$1,127.22–$2,017.92 | $1,878.70–$3,363.20 | varies |
| Sialogram (70390) range across 3 matching MRF lines |
$633.04–$1,020.47 | $1,055.07–$1,700.79 | varies |
| Skull less than 4 views (70250) range across 4 matching MRF lines |
$575.02–$951.44 | $958.36–$1,585.73 | varies |
| Special dosimetry (77331) range across 2 matching MRF lines |
$712.22–$762.08 | $1,187.04–$1,270.13 | varies |
| Special Physics Consult (77370) | $2,122.11 | $3,536.85 | 15.9× |
| Special teletherapy port plan (77321) range across 2 matching MRF lines |
$2,048.42–$2,191.81 | $3,414.04–$3,653.02 | varies |
| Special treatment procedure (77470) range across 2 matching MRF lines |
$3,412.45–$3,651.32 | $5,687.42–$6,085.54 | varies |
| Speech evaluation, complex (70371) range across 3 matching MRF lines |
$458.60–$741.68 | $764.33–$1,236.13 | varies |
| Stereotactic Body Radiation Delivery (77373) | $6,256.45 | $10,427.42 | 3.5× |
| Sternoclavicular joints (71130) range across 3 matching MRF lines |
$277.19–$447.36 | $461.99–$745.60 | varies |
| Surface Applic Low Dose Rate Radionuclide Source (77789) range across 2 matching MRF lines |
$327.97–$350.92 | $546.61–$584.87 | varies |
| Telethx isodose pln cplx w/basic dosimetry (77307) range across 2 matching MRF lines |
$2,414.26–$2,583.25 | $4,023.76–$4,305.42 | varies |
| Telethx isodose pln smpl w/dosimetry calculation (77306) range across 2 matching MRF lines |
$808.43–$865.02 | $1,347.38–$1,441.70 | varies |
| Temporomandble Jt Arthrography Rs&I (70332) range across 3 matching MRF lines |
$649.09–$1,049.36 | $1,081.82–$1,748.94 | varies |
| Testicular Imaging W/Flow (78761) range across 2 matching MRF lines |
$1,691.90–$1,810.34 | $2,819.84–$3,017.23 | varies |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) range across 2 matching MRF lines |
$4,027.07–$4,308.97 | $6,711.79–$7,181.62 | varies |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) range across 2 matching MRF lines |
$2,432.29–$2,602.55 | $4,053.82–$4,337.59 | varies |
| Ther rad simulaj-aided field setting simple (77280) range across 3 matching MRF lines |
$2,250.01–$2,457.97 | $3,750.02–$4,096.61 | varies |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) range across 3 matching MRF lines |
$911.84–$1,473.71 | $1,519.73–$2,456.19 | varies |
| Thoracic spine 2 views (72070) range across 3 matching MRF lines |
$595.05–$941.93 | $991.75–$1,569.89 | varies |
| Thoracic spine 3 views (72072) range across 3 matching MRF lines |
$641.74–$1,110.72 | $1,069.57–$1,851.20 | varies |
| Thyroid carcinoma metastases imaging; with additional studies (eg, urinary recovery) Non-Facility (78016) range across 2 matching MRF lines |
$986.65–$1,055.71 | $1,644.41–$1,759.52 | varies |
| Thyroid Carcinoma Metastases Img Lmtd Area (78015) range across 2 matching MRF lines |
$2,538.34–$2,716.02 | $4,230.56–$4,526.70 | varies |
| Thyroid Imaging With Vascular Flow (78013) range across 2 matching MRF lines |
$1,048.18–$1,121.56 | $1,746.97–$1,869.26 | varies |
| Thyroid Met Imaging Body (78018) range across 3 matching MRF lines |
$3,633.73–$4,891.51 | $6,056.22–$8,152.52 | varies |
| Thyroid Uptake Measurement (78012) range across 2 matching MRF lines |
$719.74–$770.12 | $1,199.56–$1,283.53 | varies |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) range across 3 matching MRF lines |
$1,905.04–$2,080.96 | $3,175.06–$3,468.26 | varies |
| Tx Devices Design & Construction Complex (77334) range across 2 matching MRF lines |
$1,283.31–$1,373.14 | $2,138.85–$2,288.57 | varies |
| Tx devices design & construction intermediate (77333) range across 2 matching MRF lines |
$1,327.81–$1,420.75 | $2,213.01–$2,367.92 | varies |
| Tx devices design & construction simple (77332) range across 2 matching MRF lines |
$948.70–$1,015.11 | $1,581.17–$1,691.85 | varies |
| Ultrasound Breast Limited (76642) range across 5 matching MRF lines |
$593.25–$997.46 | $988.75–$1,662.43 | varies |
| Ultrasound Elastography Parenchyma (76981) range across 3 matching MRF lines |
$861.25–$940.78 | $1,435.41–$1,567.97 | varies |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
$338.07–$361.73 | $563.45–$602.89 | varies |
| Ultrasound, abdomen limited (76705) range across 5 matching MRF lines |
$957.23–$1,608.56 | $1,595.38–$2,680.94 | varies |
| Unlisted Dx Radiographic Procedure (76499) range across 3 matching MRF lines |
$477.33–$1,480.13 | $795.55–$2,466.89 | varies |
| Unlisted Procedure Clinical Brachytherapy (77799) range across 2 matching MRF lines |
$3,534.42–$3,781.83 | $5,890.70–$6,303.05 | varies |
| Upper gi w/o kub (74240) range across 5 matching MRF lines |
$546.14–$1,534.72 | $910.24–$2,557.86 | varies |
| Urea Breath Test C-14 Isotopic Acquisj Analysis (78267) | $643.27 | $1,072.12 | 58.2× |
| Ureteral Reflux Study (78740) range across 2 matching MRF lines |
$1,079.62–$1,155.19 | $1,799.36–$1,925.32 | varies |
| Urethrocystogram voiding (74455) range across 3 matching MRF lines |
$796.73–$1,330.84 | $1,327.89–$2,218.07 | varies |
| Urethrocystography retrograde (74450) range across 3 matching MRF lines |
$532.97–$874.39 | $888.29–$1,457.32 | varies |
| Us breast unilateral complete (76641) range across 4 matching MRF lines |
$593.25–$997.46 | $988.75–$1,662.43 | varies |
| Us chest (76604) range across 4 matching MRF lines |
$491.81–$861.55 | $819.69–$1,435.91 | varies |
| Us complete joint (76881) range across 4 matching MRF lines |
$672.61–$1,130.71 | $1,121.01–$1,884.51 | varies |
| Us exam, pelvic, limited (76857) range across 4 matching MRF lines |
$628.03–$1,055.78 | $1,046.72–$1,759.64 | varies |
| Us head (76506) range across 3 matching MRF lines |
$591.84–$909.70 | $986.40–$1,516.17 | varies |
| Us kidney transplant (76776) range across 3 matching MRF lines |
$907.03–$1,395.58 | $1,511.72–$2,325.97 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 5 matching MRF lines |
$313.20–$658.20 | $522–$1,097 | varies |
| Us ob detailed single fetus (76811) range across 3 matching MRF lines |
$999.71–$1,647.09 | $1,666.19–$2,745.15 | varies |
| Us ob limited 1 or more fetuses (76815) range across 4 matching MRF lines |
$823.55–$1,350.10 | $1,372.59–$2,250.17 | varies |
| Us ob transvaginal (76817) range across 3 matching MRF lines |
$603.08–$925.21 | $1,005.14–$1,542.02 | varies |
| Us pelvic non ob complete (76856) range across 4 matching MRF lines |
$917.05–$1,540.60 | $1,528.42–$2,567.67 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 3 matching MRF lines |
$946.13–$1,456.15 | $1,576.88–$2,426.92 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 3 matching MRF lines |
$529.22–$813.38 | $882.04–$1,355.63 | varies |
| Us retroperitoneal complete (76770) range across 4 matching MRF lines |
$930.29–$1,564.67 | $1,550.48–$2,607.79 | varies |
| Us retroperitoneal limited (76775) range across 3 matching MRF lines |
$797.86–$1,227.56 | $1,329.77–$2,045.94 | varies |
| Us scrotum and contents (76870) range across 3 matching MRF lines |
$901.87–$1,484.45 | $1,503.11–$2,474.09 | varies |
| Us spinal canal and contents (76800) range across 3 matching MRF lines |
$834.76–$1,403.07 | $1,391.26–$2,338.45 | varies |
| Us thyroid (76536) range across 3 matching MRF lines |
$710.82–$1,274.27 | $1,184.70–$2,123.78 | varies |
| Us transrectal (76872) range across 4 matching MRF lines |
$223.68–$1,248.97 | $372.80–$2,081.61 | varies |
| Vein X-Ray Chest (75827) range across 2 matching MRF lines |
$3,371.23–$3,607.21 | $5,618.71–$6,012.02 | varies |
| Vein X-Ray Liver W/O Hemodyn (75887) range across 2 matching MRF lines |
$3,879.83–$4,151.42 | $6,466.39–$6,919.04 | varies |
| Vein X-Ray Skull Epidural (75872) range across 2 matching MRF lines |
$1,645.36–$1,760.54 | $2,742.27–$2,934.23 | varies |
| Vein X-Ray Spleen/Liver (75810) range across 2 matching MRF lines |
$1,946.93–$2,083.21 | $3,244.88–$3,472.02 | varies |
| Venogram Sinus/Jugular (75860) range across 2 matching MRF lines |
$2,653.07–$2,838.79 | $4,421.79–$4,731.32 | varies |
| Venography Adrenal Unilateral (75840) range across 2 matching MRF lines |
$2,583.06–$2,763.88 | $4,305.10–$4,606.46 | varies |
| Venography caval inferior serialography rs&i (75825) range across 3 matching MRF lines |
$4,696.16–$7,408.88 | $7,826.94–$12,348.13 | varies |
| Venography extremity bilateral rs&i (75822) range across 4 matching MRF lines |
$1,587.16–$2,623.78 | $2,645.26–$4,372.96 | varies |
| Venography extremity unilateral rs&i (75820) range across 6 matching MRF lines |
$1,353.31–$5,438.37 | $2,255.51–$9,063.95 | varies |
| Venography Renal Bilateral (75833) range across 3 matching MRF lines |
$5,099.60–$5,456.57 | $8,499.34–$9,094.29 | varies |
| Venography Renal Unilateral (75831) range across 2 matching MRF lines |
$4,402.94–$4,711.15 | $7,338.24–$7,851.92 | varies |
| Venous sampling by catheter (75893) range across 3 matching MRF lines |
$3,656.29–$4,021.93 | $6,093.82–$6,703.22 | varies |
| Vertebral fracture assessment via dxa (77086) range across 2 matching MRF lines |
$208.70–$223.31 | $347.84–$372.19 | varies |
| Wrist 2 views (73100) range across 3 matching MRF lines |
$483.74–$764.77 | $806.23–$1,274.62 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 3 matching MRF lines |
$384.22–$619.66 | $640.36–$1,032.77 | varies |
| X-ray antegrade pyelogram tube (74425) range across 3 matching MRF lines |
$1,001.74–$1,641.21 | $1,669.56–$2,735.35 | varies |
| X-Ray Aorta Leg Arteries (75630) range across 3 matching MRF lines |
$5,499.92–$7,419.84 | $9,166.54–$12,366.40 | varies |
| X-Ray Bend Only L-S Spine (72120) range across 3 matching MRF lines |
$628.76–$1,015.11 | $1,047.93–$1,691.85 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$425.95–$673.03 | $709.92–$1,121.71 | varies |
| X-Ray Exam Breast Specimen (76098) range across 4 matching MRF lines |
$221.01–$1,381.98 | $368.35–$2,303.30 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 3 matching MRF lines |
$80.81–$279.10 | $134.68–$465.16 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 4 matching MRF lines |
$133.78–$875.45 | $222.97–$1,459.08 | varies |
| X-Ray Exam Entire Spi 4/5 Vw (72083) range across 3 matching MRF lines |
$127.91–$255.79 | $213.18–$426.32 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 6 matching MRF lines |
$65.24–$628.76 | $108.73–$1,047.93 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 6 matching MRF lines |
$65.24–$279.10 | $108.73–$465.16 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) range across 3 matching MRF lines |
$108.04–$133.78 | $180.07–$222.97 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 3 matching MRF lines |
$133.78–$383.11 | $222.97–$638.51 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 2 matching MRF lines |
$125.03–$133.78 | $208.38–$222.97 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) range across 2 matching MRF lines |
$239.06–$255.79 | $398.43–$426.32 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 3 matching MRF lines |
$839.73–$1,355.51 | $1,399.55–$2,259.18 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 3 matching MRF lines |
$563.36–$973.38 | $938.93–$1,622.30 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 3 matching MRF lines |
$742.66–$1,308.36 | $1,237.76–$2,180.60 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 3 matching MRF lines |
$541.81–$955.72 | $903.01–$1,592.87 | varies |
| X-ray eye for foreign body (70030) range across 3 matching MRF lines |
$242.95–$391.71 | $404.91–$652.85 | varies |
| X-ray humerus (73060) range across 4 matching MRF lines |
$469.10–$808.03 | $781.84–$1,346.71 | varies |
| X-ray IV pyelogram (ivp) (74400) range across 3 matching MRF lines |
$1,495.11–$2,673.44 | $2,491.85–$4,455.74 | varies |
| X-ray IV pyelogram+tomography (74415) range across 3 matching MRF lines |
$1,216.31–$1,964.95 | $2,027.19–$3,274.92 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 3 matching MRF lines |
$640–$1,034.38 | $1,066.67–$1,723.96 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 3 matching MRF lines |
$290.57–$501.94 | $484.28–$836.57 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 3 matching MRF lines |
$624.82–$1,008.50 | $1,041.37–$1,680.84 | varies |
| X-ray nose-rectum child f.b. (76010) range across 3 matching MRF lines |
$290.58–$468.76 | $484.30–$781.27 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 3 matching MRF lines |
$648.40–$1,100.20 | $1,080.67–$1,833.67 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 3 matching MRF lines |
$387.63–$718.67 | $646.05–$1,197.78 | varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) range across 3 matching MRF lines |
$449.50–$727.75 | $749.16–$1,212.92 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 3 matching MRF lines |
$459.17–$741.71 | $765.29–$1,236.18 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 3 matching MRF lines |
$647.62–$1,118.58 | $1,079.37–$1,864.30 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 3 matching MRF lines |
$761.17–$1,314.24 | $1,268.62–$2,190.40 | varies |
| X-Ray Tmj Unilat (70328) range across 3 matching MRF lines |
$179.80–$290.58 | $299.67–$484.30 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 3 matching MRF lines |
$1,116.25–$1,803.34 | $1,860.41–$3,005.57 | varies |
| X-Rays Bone Length Studies (77073) range across 3 matching MRF lines |
$695.16–$1,202.41 | $1,158.60–$2,004.02 | varies |
| X-Rays Bone Survey Complete (77075) range across 3 matching MRF lines |
$1,072.91–$1,698.31 | $1,788.18–$2,830.51 | varies |
| Xr c-spine 4 or 5 views (72050) range across 3 matching MRF lines |
$814.04–$1,314.62 | $1,356.73–$2,191.04 | varies |
| Xr facial bones less than 3 views (70140) range across 2 matching MRF lines |
$124.03–$132.71 | $206.71–$221.18 | varies |
| XR Mastoids < 3 Views Bilateral (70120) range across 3 matching MRF lines |
$563.48–$909.70 | $939.13–$1,516.17 | varies |
| Xr orbits complete 4 views (70200) range across 3 matching MRF lines |
$663.64–$1,146.22 | $1,106.07–$1,910.37 | varies |
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.