Imaging prices at Menorah Medical Center
Overland Park, KS · every code in this section with a posted price and a Medicare benchmark.
398 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) | $51,690.14 | $51,690.14 | 39.4× |
| Abdomen 1 View (74018) | $1,606.05 | $1,606.05 | 19.5× |
| Abdomen 2 views (74019) | $2,067.73 | $2,067.73 | 20.9× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $11,164.69 | $11,164.69 | 29.5× |
| Angio pulmonary bilat (75743) range across 2 matching MRF lines |
$4,343.40–$13,264.32 | $4,343.40–$13,264.32 | varies |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $17,678.35 | $17,678.35 | 5.9× |
| Angiography extremity bilateral rs&i (75716) range across 3 matching MRF lines |
$5,605.49–$13,726 | $5,605.49–$13,726 | varies |
| Angiography extremity unilateral rs&i (75710) range across 5 matching MRF lines |
$2,631.41–$4,264.93 | $2,631.41–$4,264.93 | varies |
| Angiography pulmonary unilateral slctv rs&i (75741) range across 3 matching MRF lines |
$2,801.44–$3,621.47 | $2,801.44–$3,621.47 | varies |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) range across 2 matching MRF lines |
$2,589.57–$3,357.28 | $2,589.57–$3,357.28 | varies |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$2,711.19–$5,419.77 | $2,711.19–$5,419.77 | varies |
| Aortography thoracic serialography rs&i (75605) range across 2 matching MRF lines |
$3,762.71–$5,316.45 | $3,762.71–$5,316.45 | varies |
| Artery X-Rays Abdomen (75726) range across 2 matching MRF lines |
$17,522.72–$17,678.35 | $17,522.72–$17,678.35 | varies |
| Artery X-Rays Adrenal Gland (75731) | $14,487.17 | $14,487.17 | 4.8× |
| Artery X-Rays Pelvis (75736) | $13,784.85 | $13,784.85 | 2.6× |
| Artery X-Rays Spine (75705) | $9,729.18 | $9,729.18 | 1.8× |
| Arthrogram ankle (73615) range across 4 matching MRF lines |
$2,231.21–$2,751.74 | $2,231.21–$2,751.74 | varies |
| Arthrogram hip (73525) range across 4 matching MRF lines |
$2,231.21–$2,751.74 | $2,231.21–$2,751.74 | varies |
| Arthrogram Wrist (73115) | $2,751.74 | $2,751.74 | 8.3× |
| Basic radiation dosimetry calculation (77300) | $5,448.09 | $5,448.09 | 42.8× |
| Bone age studies (77072) | $1,351.02 | $1,351.02 | 13.6× |
| Bone Imaging 3 Phase (78315) | $10,429.53 | $10,429.53 | 27.6× |
| Bone Imaging Limited Area (78300) | $2,919.53 | $2,919.53 | 7.7× |
| Bone Imaging Multiple Areas (78305) | $10,103.52 | $10,103.52 | 26.7× |
| Bone Imaging Whole Body (78306) | $8,605.49 | $8,605.49 | 22.7× |
| Bone marrow imaging limited area (78102) | $4,573.32 | $4,573.32 | 12.1× |
| Bone survey infant (77076) | $2,963.61 | $2,963.61 | 29.9× |
| Brachytx isodose complex (77318) | $15,478.54 | $15,478.54 | 43.7× |
| Brachytx isodose intermed (77317) | $11,788.06 | $11,788.06 | 33.3× |
| Brachytx Isodose Plan Simple (77316) | $6,911.46 | $6,911.46 | 19.5× |
| Brain Flow Imaging Only (78610) range across 2 matching MRF lines |
$8,542.13–$10,063.92 | $8,542.13–$10,063.92 | varies |
| Brain Imaging Minimum 4 Static Views (78605) | $10,875.65 | $10,875.65 | 21.2× |
| Brain Imaging Pet Metabolic Evaluation (78608) range across 2 matching MRF lines |
$32,568.22–$52,857.96 | $32,568.22–$52,857.96 | varies |
| Cardiac MRI w/w/o contrast & further seq (75561) | $16,294.17 | $16,294.17 | 49.3× |
| Cardiac MRI w/w/o contrast w/stress (75563) | $4,054.75 | $4,054.75 | 5.5× |
| Cat Scan Follow-Up Study (76380) range across 2 matching MRF lines |
$1,329.55–$1,374.90 | $1,329.55–$1,374.90 | varies |
| Cerebrospinal Fluid Scan (78630) | $8,589.65 | $8,589.65 | 16.7× |
| Chest 1 view (71045) | $1,284.31 | $1,284.31 | 15.6× |
| Chest 2 views (71046) | $1,507.96 | $1,507.96 | 18.3× |
| Chest 3 views (71047) | $1,651.83 | $1,651.83 | 20.0× |
| Chest 4 or more views (71048) | $2,327.99 | $2,327.99 | 23.5× |
| Clavicle complete (73000) range across 3 matching MRF lines |
$1,840.16–$3,679.01 | $1,840.16–$3,679.01 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $377.10 | $377.10 | 3.8× |
| Continuing medical physics consltj pr wk (77336) | $7,285.47 | $7,285.47 | 57.3× |
| Contrast Exam Abdominl Aorta (75625) range across 2 matching MRF lines |
$4,025.60–$5,181.74 | $4,025.60–$5,181.74 | varies |
| Contrast X-Ray Bladder (74430) range across 2 matching MRF lines |
$933.81–$3,958.89 | $933.81–$3,958.89 | varies |
| Contrast X-Ray Of Elbow (73085) | $2,751.74 | $2,751.74 | 8.3× |
| Contrast X-Ray Of Knee Joint (73580) | $3,542.99 | $3,542.99 | 10.7× |
| Contrast Xray Throat/Cerv Esopha (74210) | $2,590.88 | $2,590.88 | 15.6× |
| CT abdomen and pelvis without and with contrast (74178) | $12,400.10 | $12,400.10 | 37.5× |
| CT abdomen and pelvis without contrast (74176) | $12,400.10 | $12,400.10 | 54.9× |
| CT abdomen w contrast (74160) | $10,690.86 | $10,690.86 | 64.4× |
| CT abdomen w wo contrast (74170) | $11,337.49 | $11,337.49 | 68.3× |
| CT abdomen w/o contrast (74150) | $8,246.86 | $8,246.86 | 83.3× |
| CT Angio Abdomen and Pelvis (74174) | $5,420.59 | $5,420.59 | 16.4× |
| CT Angio Chest (71275) | $22,479.31 | $22,479.31 | 135.4× |
| CT Angio Head (70496) | $21,253.43 | $21,253.43 | 128.0× |
| CT angio hrt w/3d image (75574) | $2,397.35 | $2,397.35 | 7.3× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 3 matching MRF lines |
$20,816.72–$41,620.48 | $20,816.72–$41,620.48 | varies |
| CT Angio Neck (70498) | $22,895.29 | $22,895.29 | 137.9× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $11,001.87 | $11,001.87 | 66.3× |
| CT cervical spine w/ contrast (72126) | $11,822.15 | $11,822.15 | 35.8× |
| CT cervical spine w/o contrast (72125) | $11,384.15 | $11,384.15 | 115.0× |
| CT cervical spine w/wo cont (72127) | $13,265.74 | $13,265.74 | 79.9× |
| CT chest w contrast (71260) | $11,464.49 | $11,464.49 | 69.0× |
| CT chest w/wo contrast (71270) | $13,048.03 | $13,048.03 | 78.6× |
| CT colonography screening (74263) | $1,338.63 | $1,338.63 | 5.9× |
| CT Colonogrphy Dx Image Postprocess W/Contrast (74262) | $3,618.05 | $3,618.05 | 21.8× |
| CT colonogrphy dx image postprocess w/o contrast (74261) | $2,379.20 | $2,379.20 | 24.0× |
| CT head/brain with contrast (70460) | $10,690.86 | $10,690.86 | 64.4× |
| CT head/brain without and with contrast (70470) | $11,822.15 | $11,822.15 | 71.2× |
| CT heart contrast eval cardiac structure&morph (75572) | $2,397.35 | $2,397.35 | 7.3× |
| CT heart no contrast quant eval coronry calcium (75571) | $54.50 | $54.50 | 0.7× |
| CT hrt w/3d image congen (75573) | $2,397.35 | $2,397.35 | 7.3× |
| CT iac w contrast (70481) | $10,237.31 | $10,237.31 | 61.6× |
| CT l-spine w&w/o contrast (72133) | $11,531.87 | $11,531.87 | 69.4× |
| CT lower ext w/o (73700) range across 3 matching MRF lines |
$11,001.87–$21,981.70 | $11,001.87–$21,981.70 | varies |
| CT lower extremity w/contrast material (73701) range across 3 matching MRF lines |
$11,464.49–$22,930.28 | $11,464.49–$22,930.28 | varies |
| CT lumbar spine w contrast (72132) | $11,001.87 | $11,001.87 | 33.3× |
| CT lumbar spine w/o contrast (72131) | $11,003.16 | $11,003.16 | 111.2× |
| CT maxillofacial w contrast (70487) | $10,690.86 | $10,690.86 | 64.4× |
| CT maxillofacial wo contrast (70486) | $11,822.15 | $11,822.15 | 119.4× |
| CT neck tissue combo (70492) | $13,451.05 | $13,451.05 | 81.0× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $11,822.15 | $11,822.15 | 71.2× |
| CT orbits w/o contrast (70480) | $9,310.77 | $9,310.77 | 94.1× |
| CT pelvis w&w/o contrast (72194) | $12,365.11 | $12,365.11 | 74.5× |
| CT pelvis w/o contrast (72192) | $9,474.04 | $9,474.04 | 95.7× |
| CT scan of leg combo (73702) range across 3 matching MRF lines |
$11,377.67–$22,766.99 | $11,377.67–$22,766.99 | varies |
| CT scans face/jaw combo (70488) | $11,822.15 | $11,822.15 | 71.2× |
| CT soft tissue neck w contrast (70491) | $11,822.15 | $11,822.15 | 71.2× |
| CT soft tissue neck w/o contrast (70490) | $9,912.05 | $9,912.05 | 100.1× |
| CT thoracic spine w contrast (72129) | $11,001.87 | $11,001.87 | 66.3× |
| CT thoracic spine w/o contrast (72128) | $10,746.58 | $10,746.58 | 108.6× |
| CT thoracic spine w/wo cont (72130) | $11,337.49 | $11,337.49 | 68.3× |
| CT thorax w/o contrast (71250) | $9,564.76 | $9,564.76 | 96.6× |
| CT upper ext wo (73200) range across 3 matching MRF lines |
$11,001.87–$21,981.70 | $11,001.87–$21,981.70 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 3 matching MRF lines |
$11,377.67–$22,766.99 | $11,377.67–$22,766.99 | varies |
| CT upper extremity with contrast (73201) range across 3 matching MRF lines |
$11,464.49–$22,930.28 | $11,464.49–$22,930.28 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $20,762.30 | $20,762.30 | 125.0× |
| Cta Abdomen (74175) | $20,762.30 | $20,762.30 | 125.0× |
| CTA pelvis (72191) | $20,816.72 | $20,816.72 | 125.4× |
| Dilation ureters/urethra rs&i (74485) | $2,199.82 | $2,199.82 | 1.1× |
| Discography Cerv/Thor Spine (72285) range across 3 matching MRF lines |
$1,963.10–$2,228.59 | $1,963.10–$2,228.59 | varies |
| Diskography lumbar (72295) range across 3 matching MRF lines |
$1,963.10–$2,228.59 | $1,963.10–$2,228.59 | varies |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$2,623.56–$2,801.44 | $2,623.56–$2,801.44 | varies |
| Dxa bone density study (77085) range across 2 matching MRF lines |
$754.64–$805.64 | $754.64–$805.64 | varies |
| Dxa bone density study 1/>sites appendiclr skel (77081) range across 2 matching MRF lines |
$1,126.07–$1,203.23 | $1,126.07–$1,203.23 | varies |
| Echo exam uterus (76831) | $5,068.84 | $5,068.84 | 22.4× |
| Echo Guide For Artery Repair (76936) range across 2 matching MRF lines |
$5,280.69–$5,810.34 | $5,280.69–$5,810.34 | varies |
| Esophagram (74220) | $2,246.90 | $2,246.90 | 13.5× |
| Fetal Biophys Profile W/Nst (76818) | $2,374.88 | $2,374.88 | 24.0× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $2,374.88 | $2,374.88 | 24.0× |
| Fluoroscopy up to 1 hr (76000) range across 4 matching MRF lines |
$999.20–$2,330.61 | $999.20–$2,330.61 | varies |
| Follow-Up Angiography (75898) range across 2 matching MRF lines |
$1,362.79–$1,763 | $1,362.79–$1,763 | varies |
| Foot 2 views (73620) range across 3 matching MRF lines |
$2,182.82–$4,352.56 | $2,182.82–$4,352.56 | varies |
| Forearm 2 views (73090) range across 3 matching MRF lines |
$1,623.05–$3,269.65 | $1,623.05–$3,269.65 | varies |
| Gastric emptying imaging study (78264) range across 2 matching MRF lines |
$7,209.07–$8,542.13 | $7,209.07–$8,542.13 | varies |
| Gated Heart Planar Single (78472) range across 2 matching MRF lines |
$2,579.01–$4,189.23 | $2,579.01–$4,189.23 | varies |
| Hand 2 views (73120) range across 3 matching MRF lines |
$2,954.46–$3,369.05 | $2,954.46–$3,369.05 | varies |
| Hdr Rdncl Ntrstl/Icav Brchtx (77772) | $9,013.01 | $9,013.01 | 13.7× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) | $9,013.01 | $9,013.01 | 13.7× |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) | $9,013.01 | $9,013.01 | 13.7× |
| Heart Image (Pet) Multiple (78492) | $8,185.21 | $8,185.21 | 6.0× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $17,678.35 | $17,678.35 | 5.9× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $14,487.17 | $14,487.17 | 4.8× |
| Hepatobil Syst Image W/Drug (78227) | $10,622.23 | $10,622.23 | 20.7× |
| Hepatobiliary System Imaging (78226) | $8,191.05 | $8,191.05 | 21.6× |
| Ht Musc Image Planar Mult (78454) | $14,191.12 | $14,191.12 | 11.6× |
| Ht Muscle Image Spect Sing (78451) range across 2 matching MRF lines |
$3,727.28–$6,046.27 | $3,727.28–$6,046.27 | varies |
| Hysterosalpingogram (74740) | $2,853.75 | $2,853.75 | 12.6× |
| Interstitial radiation source applic complex (77778) | $8,990.88 | $8,990.88 | 13.6× |
| Intracavitary Radiation Source Applic Complex (77763) | $5,612.05 | $5,612.05 | 8.5× |
| Intracavitary Radiation Source Applic Intermed (77762) | $5,612.05 | $5,612.05 | 10.7× |
| Intracavitary radiation source applic simple (77761) | $5,612.05 | $5,612.05 | 10.7× |
| K Flow/Funct Image Multiple (78709) | $6,220.50 | $6,220.50 | 12.1× |
| K Flow/Funct Image W/Drug (78708) | $7,805.64 | $7,805.64 | 15.2× |
| K Flow/Funct Image W/O Drug (78707) | $6,491.07 | $6,491.07 | 12.6× |
| Kidney Imaging Morphol (78700) | $4,482.25 | $4,482.25 | 11.8× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $7,599.75 | $7,599.75 | 20.1× |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$2,256.06–$4,534.36 | $2,256.06–$4,534.36 | varies |
| Leveen/Shunt Patency Exam (78291) range across 2 matching MRF lines |
$2,155.33–$2,194.93 | $2,155.33–$2,194.93 | varies |
| Liver & Spleen Imaging Static Only (78215) | $7,581.27 | $7,581.27 | 20.0× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $6,857.98 | $6,857.98 | 18.1× |
| Liver imaging static only (78201) | $3,791.95 | $3,791.95 | 7.4× |
| Liver imaging w/vascular flow (78202) | $5,082.78 | $5,082.78 | 9.9× |
| Lung perfusion differential (78597) | $9,363.08 | $9,363.08 | 24.7× |
| Lung Ventilat&Perfus Imaging (78582) | $9,868.58 | $9,868.58 | 19.2× |
| Lung Ventilation Imaging (78579) | $16,943.04 | $16,943.04 | 44.8× |
| Lymph System Imaging (78195) | $6,228.42 | $6,228.42 | 12.1× |
| Lymphangiography extremity only unilateral rs&i (75801) | $3,017.23 | $3,017.23 | 5.1× |
| Magnetic Image Jaw Joint (70336) | $13,016.93 | $13,016.93 | 57.6× |
| Mammary ductogram or galactogram multiple (77054) | $5,346.54 | $5,346.54 | 23.7× |
| Mammary ductogram or galactogram single (77053) | $3,923.59 | $3,923.59 | 17.4× |
| Meckels Divert Exam (78290) | $5,858.85 | $5,858.85 | 15.5× |
| Mlc imrt design & construction per imrt plan (77338) | $2,895.36 | $2,895.36 | 8.2× |
| Mr safety determination physician/other qhp (76016) | $380.38 | $380.38 | 4.6× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $105.80 | $105.80 | 3.9× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) | $396.53 | $396.53 | 4.4× |
| Mr safety implt pos&/immoblj (76019) | $256.61 | $256.61 | 4.6× |
| Mr safety med physics xm customization plng&mntr (76017) | $1,044.23 | $1,044.23 | 4.6× |
| Mra Head W/O & W/Contrast Material (70546) | $5,068.12 | $5,068.12 | 15.3× |
| MRA head w/o contrast (70544) | $3,399.04 | $3,399.04 | 15.0× |
| MRA head with contrast (70545) | $4,232.28 | $4,232.28 | 12.8× |
| MRA neck w contrast (70548) | $4,232.28 | $4,232.28 | 12.8× |
| Mra Neck W/O &W/Contrast Material (70549) | $5,068.12 | $5,068.12 | 15.3× |
| MRA neck w/o contrast (70547) | $3,399.04 | $3,399.04 | 15.0× |
| MRI abdomen w contrast (74182) | $16,294.17 | $16,294.17 | 49.3× |
| MRI abdomen w/o contrast (74181) | $16,294.17 | $16,294.17 | 72.1× |
| MRI any jt lower extrem w/contrast material (73722) range across 3 matching MRF lines |
$16,294.17–$24,084.89 | $16,294.17–$24,084.89 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 3 matching MRF lines |
$19,524.75–$26,036.46 | $19,524.75–$26,036.46 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 3 matching MRF lines |
$16,294.17–$24,084.89 | $16,294.17–$24,084.89 | varies |
| MRI brain functional w/o physician admnistration (70554) | $832.69 | $832.69 | 3.7× |
| MRI Breast W/O Contrast Bilateral (77047) | $15,639.76 | $15,639.76 | 69.2× |
| MRI cardiac w/o cont stress (75559) | $13,016.93 | $13,016.93 | 25.2× |
| MRI cardiac w/o contrast (75557) | $1,352.88 | $1,352.88 | 6.0× |
| MRI cervical spine w contrast (72142) | $16,294.17 | $16,294.17 | 49.3× |
| MRI cervical spine w/o cont (72141) | $13,016.93 | $13,016.93 | 57.6× |
| MRI chest w/o contrast (71550) | $14,667.86 | $14,667.86 | 64.9× |
| MRI chest with contrast (71551) | $16,134.78 | $16,134.78 | 21.7× |
| MRI chest wo w contrast (71552) | $17,740.35 | $17,740.35 | 53.7× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 3 matching MRF lines |
$16,294.17–$24,084.89 | $16,294.17–$24,084.89 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $19,524.75 | $19,524.75 | 59.1× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 3 matching MRF lines |
$13,016.93–$19,524.75 | $13,016.93–$19,524.75 | varies |
| MRI lumbar spine w contrast (72149) | $16,294.17 | $16,294.17 | 49.3× |
| Mri Neck Spine W/O & W/Dye (72156) | $17,932.14 | $17,932.14 | 54.3× |
| MRI orbit face &/neck w/o contrast (70540) | $13,016.93 | $13,016.93 | 57.6× |
| MRI orbit face neck w contrast (70542) | $16,294.17 | $16,294.17 | 49.3× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $17,932.14 | $17,932.14 | 54.3× |
| MRI pelvis w contrast (72196) | $16,294.17 | $16,294.17 | 49.3× |
| MRI pelvis w/o & w contrast (72197) | $17,932.14 | $17,932.14 | 54.3× |
| MRI pelvis w/o contrast (72195) | $13,016.93 | $13,016.93 | 57.6× |
| MRI spectroscopy (76390) | $16,294.17 | $16,294.17 | 197.8× |
| MRI thoracic spine w/o contrast (72146) | $13,016.93 | $13,016.93 | 57.6× |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 3 matching MRF lines |
$16,294.17–$24,084.89 | $16,294.17–$24,084.89 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 3 matching MRF lines |
$13,016.93–$19,524.75 | $13,016.93–$19,524.75 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 3 matching MRF lines |
$19,524.75–$26,036.46 | $19,524.75–$26,036.46 | varies |
| MRI, abdomen, combo (74183) | $17,932.14 | $17,932.14 | 54.3× |
| MRI, dorsal spine combo (72157) | $17,932.14 | $17,932.14 | 54.3× |
| MRI, dorsal spine contrast (72147) | $16,294.17 | $16,294.17 | 49.3× |
| MRI, joint upper extrem (73221) range across 3 matching MRF lines |
$13,016.93–$19,524.75 | $13,016.93–$19,524.75 | varies |
| MRI, joint upper extrem combo (73223) range across 3 matching MRF lines |
$19,524.75–$26,036.46 | $19,524.75–$26,036.46 | varies |
| MRI, lumbar spine combo (72158) | $17,932.14 | $17,932.14 | 54.3× |
| Myelogram cervical (72240) | $1,963.10 | $1,963.10 | 2.6× |
| Myelogram Lumbar (72265) range across 2 matching MRF lines |
$1,963.10–$2,134.43 | $1,963.10–$2,134.43 | varies |
| Myelography thoracic (72255) | $1,963.10 | $1,963.10 | 2.6× |
| Myelograpy 2/more regions rs&i (72270) | $3,311.51 | $3,311.51 | 4.5× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $2,961.76 | $2,961.76 | 7.8× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) | $10,252.76 | $10,252.76 | 8.4× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $14,191.12 | $14,191.12 | 11.6× |
| Myocardial Spect Multiple Studies (78452) range across 2 matching MRF lines |
$5,444.42–$6,588.74 | $5,444.42–$6,588.74 | varies |
| Myocrd Img Pet Metab Eval Single Study Cncrnt CT (78429) | $8,185.21 | $8,185.21 | 6.0× |
| Myocrd img PET prfuj 1std rest/stress cncrnt CT (78430) | $8,185.21 | $8,185.21 | 6.0× |
| Myocrd Img Pet Prfuj Mlt Std Rst&Strs Cncrnt CT (78431) | $8,185.21 | $8,185.21 | 3.9× |
| Myocrd Img Pet Prfuj W/Metab 2rtracer Cncrnt CT (78433) | $15,025.08 | $15,025.08 | 7.2× |
| N-invas est c ffr sw aly CTA (75580) | $4,781.15 | $4,781.15 | 5.9× |
| Neck soft tissue (70360) | $1,840.16 | $1,840.16 | 22.3× |
| Nm csf leak detection (78650) | $5,316.39 | $5,316.39 | 4.3× |
| Nm myocard infarct spect (78469) | $9,301.05 | $9,301.05 | 18.1× |
| Nonvascular Shunt X-Ray (75809) range across 2 matching MRF lines |
$702.32–$763.80 | $702.32–$763.80 | varies |
| Ntsty modul radthx pln dose-vol histos (77301) | $30,673.29 | $30,673.29 | 23.4× |
| Nuclear Rx Intra-Arterial (79445) | $3,029.08 | $3,029.08 | 13.7× |
| Nuclear Rx Oral Admin (79005) range across 2 matching MRF lines |
$4,519.20–$13,979.94 | $4,519.20–$13,979.94 | varies |
| Optic foramina (70190) | $1,391.56 | $1,391.56 | 16.9× |
| Panoramic X-ray of jaws (70355) | $4,062.21 | $4,062.21 | 49.3× |
| Parathyroid Planar Imaging (78070) | $5,786.26 | $5,786.26 | 15.3× |
| Parathyroid planar imaging w/wo subtraction (78071) | $6,439.60 | $6,439.60 | 17.0× |
| Pelvis 1 or 2 views (72170) | $1,851.93 | $1,851.93 | 18.7× |
| Peritoneogram Rs&I (74190) | $1,974.08 | $1,974.08 | 3.8× |
| Pet Image W/Ct Lmtd (78814) range across 3 matching MRF lines |
$35,396.88–$57,444.24 | $35,396.88–$57,444.24 | varies |
| PET image w/CT, full body (78816) | $35,396.88 | $35,396.88 | 26.1× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $35,396.88 | $35,396.88 | 26.1× |
| Pet Imaging Limited Area Chest Head/Neck (78811) | $52,857.96 | $52,857.96 | 43.1× |
| Pet Myocardial Sngl Study (78491) | $8,185.21 | $8,185.21 | 6.0× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $6,209.72 | $6,209.72 | 2.1× |
| Pulmonary Perfusion Imaging Particulate (78580) | $7,067.84 | $7,067.84 | 18.7× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $3,447.52 | $3,447.52 | 34.8× |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 2 matching MRF lines |
$888.03–$3,335.04 | $888.03–$3,335.04 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$1,938.25–$3,868.65 | $1,938.25–$3,868.65 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$1,543.28–$3,089.17 | $1,543.28–$3,089.17 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$1,840.16–$3,689.48 | $1,840.16–$3,689.48 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$1,942.17–$2,078.19 | $1,942.17–$2,078.19 | varies |
| Radex fingr minimum 2 views (73140) | $1,449.11 | $1,449.11 | 17.6× |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$2,797.52–$5,613.34 | $2,797.52–$5,613.34 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$1,840.16–$3,679.01 | $1,840.16–$3,679.01 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 3 matching MRF lines |
$1,328.79–$2,662.80 | $1,328.79–$2,662.80 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $1,840.16 | $1,840.16 | 22.3× |
| Radex Ribs Unilateral 2 Views (71100) | $2,023.26 | $2,023.26 | 24.6× |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$1,840.16–$3,679.01 | $1,840.16–$3,679.01 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $1,328.79 | $1,328.79 | 16.1× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $2,750.43 | $2,750.43 | 16.6× |
| Radex Spine 1 View Specify Level (72020) range across 2 matching MRF lines |
$1,437.34–$2,067.73 | $1,437.34–$2,067.73 | varies |
| Radex Sternum Minimum 2 Views (71120) | $1,694.98 | $1,694.98 | 20.6× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $1,840.16 | $1,840.16 | 22.3× |
| Radex Toe Minimum 2 Views (73660) range across 3 matching MRF lines |
$1,543.28–$3,087.86 | $1,543.28–$3,087.86 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 3 matching MRF lines |
$1,328.79–$2,662.80 | $1,328.79–$2,662.80 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$1,623.05–$3,269.65 | $1,623.05–$3,269.65 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $3,069.55 | $3,069.55 | 31.0× |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $63,114.65 | $63,114.65 | 9.1× |
| Radiation treatment delivery level 1 (77402) | $5,284.62 | $5,284.62 | 54.7× |
| Radiation treatment delivery level 2 (77407) | $4,622.90 | $4,622.90 | 12.7× |
| Radiation treatment delivery level 3 (77412) | $5,930.65 | $5,930.65 | 11.3× |
| Radiolog exam mandible compl minimum 4 views (70110) | $2,078.19 | $2,078.19 | 21.0× |
| Radiologic exam colon double contrast study (74280) | $4,097.53 | $4,097.53 | 24.7× |
| Radiologic exam colon single contrast study (74270) | $3,540.37 | $3,540.37 | 21.3× |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$2,923.06–$5,819.98 | $2,923.06–$5,819.98 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $3,110.10 | $3,110.10 | 31.4× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $2,750.43 | $2,750.43 | 16.6× |
| Radiologic exam swallow function contrast study (74230) | $2,362 | $2,362 | 14.2× |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$485.21–$3,540.37 | $485.21–$3,540.37 | varies |
| Radiologic examination femur 1 view (73551) | $1,437.34 | $1,437.34 | 17.4× |
| Radiologic examination femur minimum 2 views (73552) range across 4 matching MRF lines |
$1,437.34–$3,679.01 | $1,437.34–$3,679.01 | varies |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$1,415.10–$2,872.06 | $1,415.10–$2,872.06 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $2,444.39 | $2,444.39 | 24.7× |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$1,840.16–$3,679.01 | $1,840.16–$3,679.01 | varies |
| Red Cell Volume Determination Spx Mult Samplings (78121) | $15,518.90 | $15,518.90 | 30.2× |
| Renal Cyst Study (74470) | $3,358.58 | $3,358.58 | 6.5× |
| Ribs bilateral 3 views (71110) | $3,561.30 | $3,561.30 | 36.0× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $9,363.08 | $9,363.08 | 24.7× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $2,011.31 | $2,011.31 | 5.3× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $12,419.88 | $12,419.88 | 24.2× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $13,653.95 | $13,653.95 | 26.6× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $8,107.89 | $8,107.89 | 6.6× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $9,199.42 | $9,199.42 | 6.8× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $8,107.89 | $8,107.89 | 6.6× |
| Rp Ther Radiolbld Monoclonal Antibody IV Infus (79403) | $4,586.52 | $4,586.52 | 20.8× |
| Rp Therapy Intravenous Administration (79101) | $11,960.56 | $11,960.56 | 54.1× |
| Scapula (73010) range across 3 matching MRF lines |
$1,840.16–$3,679.01 | $1,840.16–$3,679.01 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $78.46 | $78.46 | 3.4× |
| Shoulder 1 view (73020) range across 3 matching MRF lines |
$1,437.34–$2,872.06 | $1,437.34–$2,872.06 | varies |
| Shoulder Arthrography (73040) range across 4 matching MRF lines |
$3,542.99–$3,852.95 | $3,542.99–$3,852.95 | varies |
| Sialogram (70390) | $2,201.12 | $2,201.12 | 9.7× |
| Skull less than 4 views (70250) | $1,770.85 | $1,770.85 | 17.9× |
| Special dosimetry (77331) | $7,560.11 | $7,560.11 | 59.4× |
| Special Physics Consult (77370) | $9,812.05 | $9,812.05 | 77.1× |
| Special teletherapy port plan (77321) | $2,829.97 | $2,829.97 | 8.0× |
| Special treatment procedure (77470) | $5,826.03 | $5,826.03 | 11.1× |
| Spleen Imaging (78185) | $2,480.02 | $2,480.02 | 6.6× |
| Srs Multisource (77371) | $79,360.83 | $79,360.83 | 11.4× |
| Stereotactic Body Radiation Delivery (77373) | $63,346.13 | $63,346.13 | 37.4× |
| Sternoclavicular joints (71130) | $1,568.13 | $1,568.13 | 19.0× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $27,010.28 | $27,010.28 | 76.2× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $16,263.18 | $16,263.18 | 45.9× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $10,476.39 | $10,476.39 | 29.6× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $7,560.11 | $7,560.11 | 21.3× |
| Ther rad simulaj-aided field setting simple (77280) | $3,795.09 | $3,795.09 | 29.8× |
| Thoracic spine 2 views (72070) | $2,327.99 | $2,327.99 | 23.5× |
| Thoracic spine 3 views (72072) | $3,136.25 | $3,136.25 | 31.7× |
| Thoracolumbar 2 views (72080) | $2,327.99 | $2,327.99 | 28.3× |
| Thyroid Imaging With Vascular Flow (78013) | $2,093.30 | $2,093.30 | 5.5× |
| Thyroid Met Imaging Body (78018) | $6,062.11 | $6,062.11 | 11.8× |
| Thyroid Uptake Measurement (78012) | $2,435.14 | $2,435.14 | 6.4× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $2,435.14 | $2,435.14 | 6.4× |
| Tx Devices Design & Construction Complex (77334) | $8,508.23 | $8,508.23 | 24.0× |
| Tx devices design & construction intermediate (77333) range across 2 matching MRF lines |
$4,970.75–$8,508.23 | $4,970.75–$8,508.23 | varies |
| Tx devices design & construction simple (77332) | $3,209.22 | $3,209.22 | 25.2× |
| Ultrasound Breast Limited (76642) | $1,892.31 | $1,892.31 | 23.0× |
| Ultrasound Exam Aaa Screen (76706) | $678.73 | $678.73 | 6.9× |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$2,517.42–$2,735.81 | $2,517.42–$2,735.81 | varies |
| Umbilical-artery Doppler (OB) (76820) | $830.42 | $830.42 | 8.4× |
| Upper gi w/o kub (74240) | $3,540.37 | $3,540.37 | 21.3× |
| Urethrocystogram voiding (74455) | $1,192.77 | $1,192.77 | 5.3× |
| Urethrocystography retrograde (74450) | $1,351.02 | $1,351.02 | 6.0× |
| Us breast unilateral complete (76641) | $1,892.31 | $1,892.31 | 19.1× |
| Us chest (76604) | $2,083.24 | $2,083.24 | 21.0× |
| Us complete joint (76881) | $2,701.81 | $2,701.81 | 27.3× |
| Us exam, pelvic, limited (76857) | $3,056.22 | $3,056.22 | 30.9× |
| Us head (76506) | $3,176.53 | $3,176.53 | 32.1× |
| Us kidney transplant (76776) | $5,954.19 | $5,954.19 | 60.2× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $2,701.81 | $2,701.81 | 27.3× |
| Us ob detailed single fetus (76811) | $5,483.40 | $5,483.40 | 24.3× |
| Us ob limited 1 or more fetuses (76815) | $2,289.87 | $2,289.87 | 23.1× |
| Us ob transvaginal (76817) | $2,661.27 | $2,661.27 | 26.9× |
| Us pelvic non ob complete (76856) | $5,102.84 | $5,102.84 | 51.6× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $3,056.22 | $3,056.22 | 30.9× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $3,056.22 | $3,056.22 | 30.9× |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$2,517.42–$4,506.51 | $2,517.42–$4,506.51 | varies |
| Us retroperitoneal limited (76775) | $3,636.86 | $3,636.86 | 36.7× |
| Us scrotum and contents (76870) | $3,078.44 | $3,078.44 | 31.1× |
| Us spinal canal and contents (76800) | $2,595.89 | $2,595.89 | 26.2× |
| Us thyroid (76536) | $3,636.86 | $3,636.86 | 36.7× |
| Us transrectal (76872) | $4,506.51 | $4,506.51 | 45.5× |
| Vascular Flow Imaging (78445) | $10,503.44 | $10,503.44 | 27.8× |
| Vein X-Ray Chest (75827) | $12,861.50 | $12,861.50 | 8.6× |
| Vein X-Ray Liver W/O Hemodyn (75887) | $5,394.92 | $5,394.92 | 1.8× |
| Vein X-Ray Skull Epidural (75872) | $24,323.59 | $24,323.59 | 41.0× |
| Vein X-Ray Spleen/Liver (75810) | $5,609.41 | $5,609.41 | 1.9× |
| Venogram Sinus/Jugular (75860) range across 2 matching MRF lines |
$224.95–$1,323.55 | $224.95–$1,323.55 | varies |
| Venography Adrenal Unilateral (75840) | $14,487.17 | $14,487.17 | 4.8× |
| Venography caval inferior serialography rs&i (75825) range across 2 matching MRF lines |
$12,751.64–$12,861.50 | $12,751.64–$12,861.50 | varies |
| Venography extremity bilateral rs&i (75822) range across 2 matching MRF lines |
$4,794.62–$4,835.16 | $4,794.62–$4,835.16 | varies |
| Venography extremity unilateral rs&i (75820) range across 6 matching MRF lines |
$2,970.15–$4,017.75 | $2,970.15–$4,017.75 | varies |
| Venography Renal Bilateral (75833) | $17,678.35 | $17,678.35 | 5.9× |
| Venography Renal Unilateral (75831) range across 4 matching MRF lines |
$12,933.43–$14,487.17 | $12,933.43–$14,487.17 | varies |
| Venous sampling by catheter (75893) unusually low: confirm this is the full procedure |
$2,449.62 | $2,449.62 | 0.5× |
| Vertebral fracture assessment via dxa (77086) | $469.52 | $469.52 | 5.7× |
| Wrist 2 views (73100) range across 3 matching MRF lines |
$631.70–$4,866.54 | $631.70–$4,866.54 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $1,851.93 | $1,851.93 | 22.5× |
| X-ray antegrade pyelogram tube (74425) range across 2 matching MRF lines |
$1,226.77–$4,446.72 | $1,226.77–$4,446.72 | varies |
| X-Ray Aorta Leg Arteries (75630) range across 2 matching MRF lines |
$3,375.59–$4,343.40 | $3,375.59–$4,343.40 | varies |
| X-Ray Bend Only L-S Spine (72120) | $1,245.09 | $1,245.09 | 12.6× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$1,217.62–$2,444.39 | $1,217.62–$2,444.39 | varies |
| X-Ray Exam Breast Specimen (76098) range across 2 matching MRF lines |
$1,568.13–$2,120.04 | $1,568.13–$2,120.04 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) | $1,437.34 | $1,437.34 | 17.4× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $2,327.99 | $2,327.99 | 23.5× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $3,069.55 | $3,069.55 | 31.0× |
| X-Ray Exam Hip Uni 1 View (73501) | $1,217.62 | $1,217.62 | 14.8× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $1,437.34 | $1,437.34 | 17.4× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $1,437.34 | $1,437.34 | 14.5× |
| X-Ray Exam Hips Bi 2 Views (73521) | $1,752.53 | $1,752.53 | 17.7× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $1,980.10 | $1,980.10 | 20.0× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $1,980.10 | $1,980.10 | 20.0× |
| X-Ray Exam L-S Spine Bending (72114) | $7,613.05 | $7,613.05 | 76.9× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $2,225.98 | $2,225.98 | 27.0× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $4,352.56 | $4,352.56 | 44.0× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $2,246.90 | $2,246.90 | 22.7× |
| X-ray eye for foreign body (70030) range across 3 matching MRF lines |
$3,136.25–$6,285.57 | $3,136.25–$6,285.57 | varies |
| X-ray humerus (73060) range across 3 matching MRF lines |
$1,840.16–$3,679.01 | $1,840.16–$3,679.01 | varies |
| X-ray IV pyelogram (ivp) (74400) | $4,446.72 | $4,446.72 | 26.8× |
| X-ray IV pyelogram+tomography (74415) | $5,103.27 | $5,103.27 | 30.7× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $1,677.99 | $1,677.99 | 20.4× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $1,437.34 | $1,437.34 | 17.4× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $2,327.99 | $2,327.99 | 23.5× |
| X-ray nose-rectum child f.b. (76010) | $1,437.34 | $1,437.34 | 17.4× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $4,484.65 | $4,484.65 | 45.3× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $1,568.13 | $1,568.13 | 15.8× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $2,290.07 | $2,290.07 | 23.1× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $3,706.48 | $3,706.48 | 45.0× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $2,078.19 | $2,078.19 | 25.2× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $2,879.91 | $2,879.91 | 29.1× |
| X-ray thoracic spine 4 vw (72074) | $3,180.72 | $3,180.72 | 32.1× |
| X-Ray Tmj Unilat (70328) | $1,668.83 | $1,668.83 | 20.3× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $2,520.24 | $2,520.24 | 7.6× |
| X-Rays Bone Length Studies (77073) range across 2 matching MRF lines |
$950.82–$996.59 | $950.82–$996.59 | varies |
| X-Rays Bone Survey Complete (77075) | $3,520.77 | $3,520.77 | 35.6× |
| Xr c-spine 4 or 5 views (72050) | $2,963.61 | $2,963.61 | 29.9× |
| Xr facial bones less than 3 views (70140) | $1,449.11 | $1,449.11 | 17.6× |
| Xr orbits complete 4 views (70200) | $2,078.19 | $2,078.19 | 21.0× |
| Xr Tomogram Single Plane (76100) | $3,565.23 | $3,565.23 | 36.0× |
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.