Imaging prices at Mercy Hospital Durango
Durango, CO · every code in this section with a posted price and a Medicare benchmark.
368 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) | $6,629.02 | $16,572.55 | 4.5× |
| Abdomen 1 View (74018) | $235.05 | $587.61 | 2.6× |
| Abdomen 2 views (74019) | $225.01 | $562.51 | 2.0× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $719.82 | $1,799.53 | 1.7× |
| Angio pulmonary bilat (75743) | $2,563.76 | $6,409.39 | 0.8× |
| Angiography extremity bilateral rs&i (75716) | $4,590.14 | $11,475.34 | 1.4× |
| Angiography extremity unilateral rs&i (75710) | $2,295.08 | $5,737.69 | 0.7× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $1,608.06 | $4,020.15 | 0.5× |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$245.81–$319.55 | $614.51–$798.86 | varies |
| Aortography thoracic serialography rs&i (75605) unusually low: confirm this is the full procedure |
$2,795.64 | $6,989.10 | 0.5× |
| Artery X-Rays Abdomen (75726) unusually low: confirm this is the full procedure |
$2,795.64 | $6,989.10 | 0.5× |
| Arthrogram hip (73525) range across 2 matching MRF lines |
$574.21–$746.49 | $1,435.52–$1,866.22 | varies |
| Basic radiation dosimetry calculation (77300) | $287.06 | $717.64 | 2.0× |
| Bone age studies (77072) | $189.93 | $474.81 | 1.7× |
| Bone Imaging 3 Phase (78315) | $973.17 | $2,432.91 | 2.3× |
| Bone Imaging Limited Area (78300) | $753.78 | $1,884.44 | 1.8× |
| Bone Imaging Multiple Areas (78305) | $733.81 | $1,834.52 | 1.7× |
| Bone Imaging Whole Body (78306) | $853.97 | $2,134.92 | 2.0× |
| Bone survey infant (77076) | $316.57 | $791.42 | 2.9× |
| Brachytx isodose complex (77318) | $984.04 | $2,460.08 | 2.5× |
| Brachytx isodose intermed (77317) | $774.04 | $1,935.08 | 2.0× |
| Brachytx Isodose Plan Simple (77316) | $487 | $1,217.48 | 1.2× |
| Brain Image W/Flow < 4 Views (78601) | $545.67 | $1,364.16 | 1.3× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $660.17 | $1,650.42 | 1.2× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $4,169.52 | $10,423.80 | 2.8× |
| Card Bl Pool Gated Spect Rest Wal Motn Ejct Frct (78494) | $921.92 | $2,304.78 | 2.2× |
| Cardiovasc nucl exam unlisted (78499) | $694.93 | $1,737.32 | 1.6× |
| Cat Scan Follow-Up Study (76380) | $1,696.22 | $4,240.53 | 18.5× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $666.70 | $1,666.73 | 1.2× |
| Cerebrospinal Fluid Scan (78630) | $712.30 | $1,780.73 | 1.2× |
| Chest 1 view (71045) | $255.78 | $639.43 | 2.8× |
| Chest 2 views (71046) range across 2 matching MRF lines |
$134.83–$301.99 | $337.07–$754.97 | varies |
| Chest 3 views (71047) | $266.32 | $665.79 | 2.9× |
| Chest 4 or more views (71048) | $337.15 | $842.86 | 3.1× |
| Cineradiograpy/vidradiograpy xcpt where spec (76120) | $199.05 | $497.62 | 1.8× |
| Clavicle complete (73000) range across 2 matching MRF lines |
$245.81–$318 | $614.51–$795 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $266.46 | $666.13 | 2.4× |
| Continuing medical physics consltj pr wk (77336) | $586.41 | $1,466.01 | 4.1× |
| Contrast Exam Abdominl Aorta (75625) | $2,563.76 | $6,409.39 | 0.8× |
| Contrast X-Ray Bladder (74430) | $797.26 | $1,993.14 | 2.2× |
| CT abdomen and pelvis without and with contrast (74178) | $2,732.50 | $6,831.25 | 7.4× |
| CT abdomen and pelvis without contrast (74176) | $1,639.51 | $4,098.76 | 6.5× |
| CT abdomen w contrast (74160) | $2,494.08 | $6,235.18 | 13.5× |
| CT abdomen w wo contrast (74170) | $2,595.89 | $6,489.71 | 14.0× |
| CT abdomen w/o contrast (74150) | $1,592.14 | $3,980.33 | 14.4× |
| CT Angio Abdomen and Pelvis (74174) | $5,913.57 | $14,783.92 | 16.1× |
| CT Angio Chest (71275) | $2,956.79 | $7,391.97 | 16.0× |
| CT Angio Head (70496) | $2,075.24 | $5,188.08 | 11.2× |
| CT angio hrt w/3d image (75574) | $2,338.10 | $5,845.23 | 6.4× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
$2,956.79–$3,843.82 | $7,391.97–$9,609.55 | varies |
| CT Angio Neck (70498) | $2,075.24 | $5,188.08 | 11.2× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $2,956.79 | $7,391.97 | 16.0× |
| CT cervical spine w/ contrast (72126) | $2,580.42 | $6,451.04 | 7.0× |
| CT cervical spine w/o contrast (72125) | $1,696.22 | $4,240.53 | 15.4× |
| CT cervical spine w/wo cont (72127) | $2,896.21 | $7,240.52 | 15.7× |
| CT chest w contrast (71260) | $2,580.42 | $6,451.04 | 13.9× |
| CT chest w/wo contrast (71270) | $2,078.69 | $5,196.72 | 11.2× |
| CT head/brain with contrast (70460) | $1,811.08 | $4,527.70 | 9.8× |
| CT head/brain without and with contrast (70470) | $2,032.72 | $5,081.78 | 11.0× |
| CT heart contrast eval cardiac structure&morph (75572) | $1,281.62 | $3,204.03 | 3.5× |
| CT heart no contrast quant eval coronry calcium (75571) | $515.01 | $1,287.52 | 5.6× |
| CT iac w contrast (70481) | $1,811.08 | $4,527.70 | 9.8× |
| CT l-spine w&w/o contrast (72133) | $2,896.21 | $7,240.52 | 15.7× |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$1,696.22–$2,205.08 | $4,240.53–$5,512.69 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$2,176.47–$2,580.42 | $5,441.17–$6,451.04 | varies |
| CT lumbar spine w contrast (72132) | $2,580.42 | $6,451.04 | 7.0× |
| CT lumbar spine w/o contrast (72131) | $1,696.22 | $4,240.53 | 15.4× |
| CT maxillofacial w contrast (70487) | $1,811.08 | $4,527.70 | 9.8× |
| CT maxillofacial wo contrast (70486) | $1,190.50 | $2,976.25 | 10.8× |
| CT neck tissue combo (70492) | $2,032.72 | $5,081.78 | 11.0× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 2 matching MRF lines |
$1,183.78–$2,032.72 | $2,959.44–$5,081.78 | varies |
| CT orbits w/o contrast (70480) | $1,190.50 | $2,976.25 | 10.8× |
| CT pelvis w&w/o contrast (72194) | $2,896.21 | $7,240.52 | 15.7× |
| CT pelvis w/o contrast (72192) | $1,613.23 | $4,033.07 | 14.6× |
| CT scan of leg combo (73702) | $3,449.70 | $8,624.23 | 18.6× |
| CT scans face/jaw combo (70488) | $1,458.63 | $3,646.57 | 7.9× |
| CT soft tissue neck w contrast (70491) | $1,811.08 | $4,527.70 | 9.8× |
| CT soft tissue neck w/o contrast (70490) | $1,190.50 | $2,976.25 | 10.8× |
| CT thoracic spine w contrast (72129) | $2,723.48 | $6,808.68 | 14.7× |
| CT thoracic spine w/o contrast (72128) | $1,696.22 | $4,240.53 | 15.4× |
| CT thoracic spine w/wo cont (72130) | $2,896.21 | $7,240.52 | 15.7× |
| CT thorax w/o contrast (71250) | $1,696.22 | $4,240.53 | 15.4× |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$1,696.22–$2,205.08 | $4,240.53–$5,512.69 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 2 matching MRF lines |
$2,784.82–$3,620.27 | $6,962.05–$9,050.66 | varies |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$2,580.42–$3,354.55 | $6,451.04–$8,386.36 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $2,956.79 | $7,391.97 | 16.0× |
| Cta Abdomen (74175) | $2,956.79 | $7,391.97 | 16.0× |
| CTA pelvis (72191) | $2,956.79 | $7,391.97 | 16.0× |
| Dilation ureters/urethra rs&i (74485) | $1,343.20 | $3,358 | 0.6× |
| Diskography lumbar (72295) | $1,071.71 | $2,679.26 | 0.5× |
| Doppler Fetal Mid Cerebral Artery (76821) | $400.90 | $1,002.25 | 3.6× |
| Dxa Bone Density Axial (77080) | $411.73 | $1,029.31 | 3.7× |
| Dxa bone density study (77085) | $495.58 | $1,238.94 | 4.5× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $344.53 | $861.31 | 3.8× |
| Echo exam uterus (76831) | $605.80 | $1,514.48 | 2.4× |
| Echo Guide For Artery Repair (76936) | $763.14 | $1,907.84 | 3.4× |
| Echograp Trans R Pros Study (76873) | $261.47 | $653.67 | 2.4× |
| Esophagram (74220) | $508.44 | $1,271.10 | 2.7× |
| Fetal Biophys Profile W/Nst (76818) | $185.56 | $463.89 | 1.7× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $607.09 | $1,517.71 | 5.5× |
| Fluoroscopy up to 1 hr (76000) | $262.28 | $655.70 | 1.0× |
| Follow-Up Angiography (75898) | $976.83 | $2,442.06 | 0.3× |
| Foot 2 views (73620) range across 2 matching MRF lines |
$245.81–$319.55 | $614.51–$798.86 | varies |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$245.81–$319.55 | $614.51–$798.86 | varies |
| Gastric emptying imaging study (78264) | $698.50 | $1,746.23 | 1.7× |
| Gastric Emptyng Imag Std W/Sm Bwl Transit (78265) | $838.19 | $2,095.46 | 2.0× |
| Gated Heart Planar Single (78472) | $1,199.11 | $2,997.76 | 2.8× |
| Gstrc Emptng Imag Std W/Sm Bwl Col Trnst Mlt Day (78266) | $1,047.74 | $2,619.33 | 1.8× |
| Hand 2 views (73120) range across 2 matching MRF lines |
$245.81–$319.55 | $614.51–$798.86 | varies |
| Hdr Rdncl Ntrstl/Icav Brchtx (77772) | $2,341.10 | $5,852.75 | 3.2× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) | $1,387.57 | $3,468.91 | 1.9× |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) | $1,014.08 | $2,535.18 | 1.4× |
| Hepatobil Syst Image W/Drug (78227) | $1,056.55 | $2,641.37 | 1.8× |
| Hepatobiliary System Imaging (78226) | $960.49 | $2,401.22 | 2.3× |
| Ht Muscle Image Spect Sing (78451) | $2,402.15 | $6,005.37 | 1.8× |
| Hysterosalpingogram (74740) | $555.49 | $1,388.71 | 2.2× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $545.22 | $1,363.03 | 5.9× |
| Interstitial radiation source applic complex (77778) | $877.08 | $2,192.70 | 1.2× |
| Joint Survey Single View (77077) | $165.85 | $414.61 | 1.5× |
| K Flow/Funct Image W/Drug (78708) | $963.38 | $2,408.44 | 1.7× |
| K Flow/Funct Image W/O Drug (78707) | $1,090.06 | $2,725.13 | 1.9× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $583.32 | $1,458.28 | 1.4× |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$245.81–$319.55 | $614.51–$798.86 | varies |
| Liver & Spleen Imaging Static Only (78215) | $648.40 | $1,620.98 | 1.5× |
| Lung Perf&Ventilat Diferentl (78598) | $1,166.53 | $2,916.32 | 2.0× |
| Lung perfusion differential (78597) | $1,030.76 | $2,576.88 | 2.4× |
| Lung Ventilat&Perfus Imaging (78582) | $1,030.76 | $2,576.88 | 1.8× |
| Lung Ventilation Imaging (78579) | $729.25 | $1,823.12 | 1.7× |
| Lymph System Imaging (78195) | $698.50 | $1,746.23 | 1.2× |
| Magnetic Image Jaw Joint (70336) range across 2 matching MRF lines |
$2,731.42–$5,462.83 | $6,828.53–$13,657.06 | varies |
| Mammary ductogram or galactogram multiple (77054) | $593.71 | $1,484.26 | 2.4× |
| Mammary ductogram or galactogram single (77053) | $516.37 | $1,290.91 | 2.1× |
| Meckels Divert Exam (78290) | $698.50 | $1,746.23 | 1.7× |
| Medical physics dose eval radiation expos w/rprt (76145) | $474.12 | $1,185.28 | 1.2× |
| Mlc imrt design & construction per imrt plan (77338) | $1,628.51 | $4,071.26 | 4.1× |
| Mr safety determination physician/other qhp (76016) | $551.20 | $1,378 | 6.0× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $551.20 | $1,378 | 18.1× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) | $551.20 | $1,378 | 5.5× |
| Mr safety implt pos&/immoblj (76019) | $551.20 | $1,378 | 8.9× |
| Mr safety med physics xm customization plng&mntr (76017) | $551.20 | $1,378 | 2.2× |
| Mra Head W/O & W/Contrast Material (70546) | $3,682.49 | $9,206.22 | 10.0× |
| MRA head w/o contrast (70544) | $2,927.40 | $7,318.50 | 11.6× |
| MRA head with contrast (70545) | $2,591.40 | $6,478.48 | 7.0× |
| MRA neck w contrast (70548) | $3,250.65 | $8,126.62 | 8.8× |
| Mra Neck W/O &W/Contrast Material (70549) | $3,578.74 | $8,946.83 | 9.7× |
| MRA neck w/o contrast (70547) | $1,853.34 | $4,633.33 | 7.4× |
| MRI abdomen w contrast (74182) | $3,033.02 | $7,582.53 | 8.2× |
| MRI abdomen w/o contrast (74181) | $2,731.42 | $6,828.53 | 10.9× |
| MRI any jt lower extrem w/contrast material (73722) range across 2 matching MRF lines |
$3,033.02–$6,066.04 | $7,582.53–$15,165.08 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$3,339.14–$6,678.27 | $8,347.84–$16,695.66 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 2 matching MRF lines |
$3,033.02–$6,066.04 | $7,582.53–$15,165.08 | varies |
| MRI Breast W/O Contrast Bilateral (77047) | $2,390.83 | $5,977.07 | 9.5× |
| MRI cardiac w/o contrast (75557) | $2,177.48 | $5,443.68 | 8.7× |
| MRI cervical spine w contrast (72142) | $2,702.68 | $6,756.70 | 7.3× |
| MRI cervical spine w/o cont (72141) | $2,731.42 | $6,828.53 | 10.9× |
| MRI chest w/o contrast (71550) | $2,731.42 | $6,828.53 | 10.9× |
| MRI chest with contrast (71551) | $3,033.02 | $7,582.53 | 3.7× |
| MRI chest wo w contrast (71552) | $3,339.14 | $8,347.84 | 9.1× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 2 matching MRF lines |
$3,033.02–$6,066.04 | $7,582.53–$15,165.08 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 2 matching MRF lines |
$3,265.52–$6,678.27 | $8,163.78–$16,695.66 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines |
$2,731.42–$5,462.83 | $6,828.53–$13,657.06 | varies |
| MRI lumbar spine w contrast (72149) | $3,033.02 | $7,582.53 | 8.2× |
| Mri Neck Spine W/O & W/Dye (72156) | $3,339.14 | $8,347.84 | 9.1× |
| MRI orbit face &/neck w/o contrast (70540) | $2,518.24 | $6,295.59 | 10.0× |
| MRI orbit face neck w contrast (70542) | $2,591.40 | $6,478.48 | 7.0× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $2,906.84 | $7,267.10 | 7.9× |
| MRI pelvis w contrast (72196) | $3,033.02 | $7,582.53 | 8.2× |
| MRI pelvis w/o & w contrast (72197) | $3,339.14 | $8,347.84 | 9.1× |
| MRI pelvis w/o contrast (72195) | $2,731.42 | $6,828.53 | 10.9× |
| MRI thoracic spine w/o contrast (72146) | $2,731.42 | $6,828.53 | 10.9× |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 2 matching MRF lines |
$714.88–$6,066.04 | $1,787.19–$15,165.08 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 2 matching MRF lines |
$2,731.42–$5,462.83 | $6,828.53–$13,657.06 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 2 matching MRF lines |
$3,265.52–$6,678.27 | $8,163.78–$16,695.66 | varies |
| MRI, abdomen, combo (74183) | $3,339.14 | $8,347.84 | 9.1× |
| MRI, dorsal spine combo (72157) | $3,339.14 | $8,347.84 | 9.1× |
| MRI, dorsal spine contrast (72147) | $2,417.91 | $6,044.77 | 6.6× |
| MRI, joint upper extrem (73221) range across 2 matching MRF lines |
$1,875.53–$5,462.83 | $4,688.81–$13,657.06 | varies |
| MRI, joint upper extrem combo (73223) range across 2 matching MRF lines |
$3,339.14–$6,678.27 | $8,347.84–$16,695.66 | varies |
| MRI, lumbar spine combo (72158) | $3,339.14 | $8,347.84 | 9.1× |
| Musculoskeletal Nuclear Exam (78399) | $694.93 | $1,737.32 | 1.6× |
| Myelogram cervical (72240) | $759.30 | $1,898.24 | 0.9× |
| Myelogram Lumbar (72265) | $759.30 | $1,898.24 | 0.9× |
| Myelography thoracic (72255) | $759.30 | $1,898.24 | 0.9× |
| Myelograpy 2/more regions rs&i (72270) | $843.24 | $2,108.10 | 1.0× |
| Myocardial Spect Multiple Studies (78452) | $2,115.62 | $5,289.03 | 1.5× |
| N-invas est c ffr sw aly CTA (75580) | $6,757.89 | $16,894.71 | 7.5× |
| Neck soft tissue (70360) | $297.28 | $743.20 | 3.2× |
| Nervous system nuclear exam (78699) | $694.93 | $1,737.32 | 1.6× |
| Nm csf leak detection (78650) | $712.30 | $1,780.73 | 0.5× |
| Nm unlisted gi procedure (78299) | $694.93 | $1,737.32 | 1.6× |
| Nonvascular Shunt X-Ray (75809) | $514.79 | $1,286.96 | 4.7× |
| Ntsty modul radthx pln dose-vol histos (77301) | $5,471.87 | $13,679.67 | 3.7× |
| Nuclear Rx Oral Admin (79005) | $1,235.28 | $3,088.19 | 5.0× |
| Ob us nuchal meas 1 gest (76813) | $381.53 | $953.81 | 3.5× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) range across 2 matching MRF lines |
$523.61–$1,047.21 | $1,309.02–$2,618.01 | varies |
| Parathyroid imaging w/tomographic spect & CT (78072) | $1,949.34 | $4,873.33 | 3.4× |
| Parathyroid Planar Imaging (78070) | $553.96 | $1,384.88 | 1.3× |
| Parathyroid planar imaging w/wo subtraction (78071) | $2,136.22 | $5,340.54 | 5.1× |
| Pelvis 1 or 2 views (72170) | $245.81 | $614.51 | 2.2× |
| Peritoneogram Rs&I (74190) | $565.74 | $1,414.34 | 1.0× |
| PET image w/CT, full body (78816) | $5,273.84 | $13,184.59 | 3.5× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $4,928.82 | $12,322.05 | 3.3× |
| Pulmonary Perfusion Imaging Particulate (78580) | $644.37 | $1,610.92 | 1.5× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $414.33 | $1,035.81 | 3.8× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $511.68 | $1,279.19 | 0.9× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$245.81–$319.55 | $614.51–$798.86 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$245.81–$319.55 | $614.51–$798.86 | varies |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$245.81–$319.55 | $614.51–$798.86 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $245.81 | $614.51 | 2.2× |
| Radex fingr minimum 2 views (73140) range across 4 matching MRF lines |
$236.35–$319.55 | $590.87–$798.86 | varies |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$245.81–$319.55 | $614.51–$798.86 | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$245.81–$319.55 | $614.51–$798.86 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 2 matching MRF lines |
$319.55–$362.07 | $798.86–$905.17 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $245.81 | $614.51 | 2.2× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $245.81 | $614.51 | 2.7× |
| Radex Ribs Unilateral 2 Views (71100) range across 2 matching MRF lines |
$245.81–$342.69 | $614.51–$856.72 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$245.81–$319.55 | $614.51–$798.86 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $245.81 | $614.51 | 2.7× |
| Radex Spine 1 View Specify Level (72020) | $245.81 | $614.51 | 2.7× |
| Radex Sternum Minimum 2 Views (71120) | $230.04 | $575.10 | 2.5× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $223.46 | $558.65 | 2.4× |
| Radex Toe Minimum 2 Views (73660) range across 2 matching MRF lines |
$245.81–$319.55 | $614.51–$798.86 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 2 matching MRF lines |
$244.63–$319.55 | $611.56–$798.86 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$245.81–$319.55 | $614.51–$798.86 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $484.96 | $1,212.39 | 4.4× |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $11,065.01 | $27,662.51 | 1.4× |
| Radiation treatment delivery level 1 (77402) | $361.32 | $903.29 | 3.4× |
| Radiation treatment delivery level 2 (77407) | $475.94 | $1,189.83 | 1.2× |
| Radiation treatment delivery level 3 (77412) | $551.68 | $1,379.19 | 0.9× |
| Radiolog exam mandible compl minimum 4 views (70110) | $432.62 | $1,081.54 | 3.9× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $235.05 | $587.61 | 2.1× |
| Radiologic exam colon double contrast study (74280) | $743.20 | $1,857.98 | 4.0× |
| Radiologic exam colon single contrast study (74270) | $508.44 | $1,271.10 | 2.7× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $485.04 | $1,212.59 | 2.6× |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$384.34–$432.62 | $960.85–$1,081.54 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $245.81 | $614.51 | 2.2× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $629.94 | $1,574.83 | 3.4× |
| Radiologic exam swallow function contrast study (74230) | $508.44 | $1,271.10 | 2.7× |
| Radiologic exam upr gi trc double contrast study (74246) | $508.44 | $1,271.10 | 2.7× |
| Radiologic examination femur 1 view (73551) range across 2 matching MRF lines |
$174.50–$204.84 | $436.23–$512.09 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$228.46–$297 | $571.13–$742.48 | varies |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$245.81–$278.57 | $614.51–$696.41 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $316.57 | $791.42 | 2.9× |
| Radiologic examination tibia & fibula 2 views (73590) range across 2 matching MRF lines |
$245.81–$319.55 | $614.51–$798.86 | varies |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77768) | $1,387.57 | $3,468.91 | 3.4× |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77767) | $1,014.08 | $2,535.18 | 2.5× |
| Renal Cyst Study (74470) | $799.43 | $1,998.57 | 1.4× |
| Ribs bilateral 3 views (71110) | $368.72 | $921.78 | 3.3× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $850.74 | $2,126.84 | 2.0× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $1,122.98 | $2,807.44 | 2.7× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $1,814.46 | $4,536.14 | 3.2× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $1,805.19 | $4,512.97 | 3.2× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $1,148.50 | $2,871.24 | 2.0× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $1,516.02 | $3,790.04 | 1.1× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $1,667.62 | $4,169.04 | 1.1× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $1,263.34 | $3,158.35 | 0.9× |
| Rp Therapy Intravenous Administration (79101) | $769.53 | $1,923.81 | 3.1× |
| Scapula (73010) range across 2 matching MRF lines |
$245.81–$319.55 | $614.51–$798.86 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $16 | $40 | 0.7× |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$182.66–$204.84 | $456.63–$512.09 | varies |
| Shoulder Arthrography (73040) range across 2 matching MRF lines |
$574.21–$746.49 | $1,435.52–$1,866.22 | varies |
| Sialogram (70390) | $799.43 | $1,998.57 | 3.2× |
| Skull less than 4 views (70250) | $245.81 | $614.51 | 2.2× |
| Special dosimetry (77331) | $112.72 | $281.80 | 0.8× |
| Special Physics Consult (77370) | $636.35 | $1,590.87 | 4.5× |
| Special teletherapy port plan (77321) | $877.44 | $2,193.58 | 2.2× |
| Special treatment procedure (77470) | $1,949.06 | $4,872.64 | 3.3× |
| Stereotactic Body Radiation Delivery (77373) | $11,065.01 | $27,662.51 | 5.9× |
| Sternoclavicular joints (71130) | $245.81 | $614.51 | 2.7× |
| Surface Applic Low Dose Rate Radionuclide Source (77789) | $104.82 | $262.03 | 1.0× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $524.97 | $1,312.42 | 1.3× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $336.28 | $840.70 | 0.9× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $2,296.44 | $5,741.10 | 5.8× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $1,979.23 | $4,948.06 | 5.0× |
| Ther rad simulaj-aided field setting simple (77280) | $1,195.12 | $2,987.78 | 8.4× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $204.83 | $512.07 | 1.1× |
| Thoracic spine 2 views (72070) | $245.81 | $614.51 | 2.2× |
| Thoracic spine 3 views (72072) | $245.81 | $614.51 | 2.2× |
| Thoracolumbar 2 views (72080) | $245.81 | $614.51 | 2.7× |
| Thyroid Imaging With Vascular Flow (78013) | $697.20 | $1,742.99 | 1.7× |
| Thyroid Met Imaging Body (78018) | $1,218.82 | $3,047.04 | 2.1× |
| Thyroid Uptake Measurement (78012) | $305.26 | $763.15 | 0.7× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $782.04 | $1,955.08 | 1.9× |
| Tx Devices Design & Construction Complex (77334) | $733.84 | $1,834.59 | 1.9× |
| Tx devices design & construction intermediate (77333) | $407.70 | $1,019.23 | 2.9× |
| Tx devices design & construction simple (77332) | $265.83 | $664.57 | 1.9× |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$290.79–$1,021.48 | $726.97–$2,553.69 | varies |
| Ultrasound elastography first target lesion (76982) | $140.68 | $351.68 | 1.3× |
| Ultrasound Exam Aaa Screen (76706) | $238.16 | $595.38 | 2.2× |
| Ultrasound, abdomen limited (76705) | $606.92 | $1,517.30 | 5.5× |
| Umbilical-artery Doppler (OB) (76820) | $400.90 | $1,002.25 | 3.6× |
| Unlisted Dx Radiographic Procedure (76499) range across 2 matching MRF lines |
$51.12–$4,110.98 | $127.78–$10,277.45 | varies |
| Unlisted genitourinary px dx nuclear medicine (78799) | $694.93 | $1,737.32 | 1.6× |
| Unlisted hematopoietic, reticuloendothelial and lymphatic procedure, diagnostic nuclear medicine (78199) | $694.93 | $1,737.32 | 1.6× |
| Unlisted Miscellaneous Px Dx Nuclear Medicine (78999) | $694.93 | $1,737.32 | 1.6× |
| Unlisted Procedure Clinical Brachytherapy (77799) | $1,608.76 | $4,021.90 | 14.9× |
| Unlisted respiratory px dx nuclear medicine (78599) | $694.93 | $1,737.32 | 1.6× |
| Unlisted us procedure (76999) | $467.90 | $1,169.73 | 5.1× |
| Upper gi w/o kub (74240) | $457.60 | $1,143.98 | 2.5× |
| Ureteral Reflux Study (78740) | $600.22 | $1,500.55 | 1.4× |
| Urethrocystogram voiding (74455) | $797.26 | $1,993.14 | 3.2× |
| Urethrocystography retrograde (74450) | $797.26 | $1,993.14 | 3.2× |
| Us breast unilateral complete (76641) range across 2 matching MRF lines |
$290.79–$581.58 | $726.97–$1,453.94 | varies |
| Us chest (76604) | $605.80 | $1,514.48 | 5.5× |
| Us exam, pelvic, limited (76857) | $376.37 | $940.91 | 3.4× |
| Us head (76506) | $605.80 | $1,514.48 | 5.5× |
| Us kidney transplant (76776) | $607.09 | $1,517.71 | 5.5× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$393.12–$702.01 | $982.78–$1,755.02 | varies |
| Us ob detailed single fetus (76811) | $577.06 | $1,442.64 | 2.3× |
| Us ob limited 1 or more fetuses (76815) | $376.37 | $940.91 | 3.4× |
| Us ob transvaginal (76817) | $511.33 | $1,278.32 | 4.6× |
| Us pelvic non ob complete (76856) | $790.10 | $1,975.25 | 7.2× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $376.37 | $940.91 | 3.4× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $376.37 | $940.91 | 3.4× |
| Us retroperitoneal complete (76770) | $698.61 | $1,746.52 | 6.3× |
| Us retroperitoneal limited (76775) | $607.09 | $1,517.71 | 5.5× |
| Us scrotum and contents (76870) | $607.09 | $1,517.71 | 5.5× |
| Us spinal canal and contents (76800) | $576.15 | $1,440.37 | 5.2× |
| Us thyroid (76536) | $757.89 | $1,894.71 | 6.9× |
| Us transrectal (76872) | $1,280.30 | $3,200.73 | 11.6× |
| Vein X-Ray Chest (75827) | $1,400.11 | $3,500.26 | 0.8× |
| Venography caval inferior serialography rs&i (75825) | $1,681.68 | $4,204.19 | 0.5× |
| Venography extremity bilateral rs&i (75822) | $902.72 | $2,256.79 | 0.5× |
| Venography extremity unilateral rs&i (75820) | $849.74 | $2,124.33 | 0.5× |
| Venography Renal Bilateral (75833) | $1,608.06 | $4,020.15 | 0.5× |
| Vertebral fracture assessment via dxa (77086) | $177.91 | $444.77 | 1.9× |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$245.81–$319.55 | $614.51–$798.86 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $487.62 | $1,219.05 | 5.3× |
| X-ray antegrade pyelogram tube (74425) | $750.75 | $1,876.86 | 2.0× |
| X-Ray Aorta Leg Arteries (75630) | $2,563.76 | $6,409.39 | 0.8× |
| X-Ray Bend Only L-S Spine (72120) | $385.56 | $963.89 | 3.5× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$238.75–$245.81 | $596.87–$614.51 | varies |
| X-Ray Exam Breast Specimen (76098) | $467.90 | $1,169.73 | 0.8× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $204.84 | $512.09 | 2.2× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $245.81 | $614.51 | 2.2× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $341.44 | $853.60 | 3.1× |
| X-Ray Exam Hip Uni 1 View (73501) | $245.81 | $614.51 | 2.7× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $307.27 | $768.17 | 3.3× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $360.52 | $901.29 | 3.3× |
| X-Ray Exam Hips Bi 2 Views (73521) | $471.72 | $1,179.29 | 4.3× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $335.08 | $837.68 | 3.0× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $679.27 | $1,698.17 | 6.2× |
| X-Ray Exam L-S Spine Bending (72114) | $425.65 | $1,064.11 | 3.9× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $310.62 | $776.53 | 3.4× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $377.98 | $944.94 | 3.4× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $245.81 | $614.51 | 2.2× |
| X-ray eye for foreign body (70030) range across 2 matching MRF lines |
$249.67–$322.06 | $624.16–$805.13 | varies |
| X-ray humerus (73060) range across 2 matching MRF lines |
$245.81–$342.69 | $614.51–$856.72 | varies |
| X-ray IV pyelogram (ivp) (74400) | $797.26 | $1,993.14 | 4.3× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $245.81 | $614.51 | 2.7× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $368.72 | $921.78 | 4.0× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $342.32 | $855.80 | 3.1× |
| X-ray nose-rectum child f.b. (76010) | $247.73 | $619.32 | 2.7× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $540.77 | $1,351.92 | 4.9× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $245.81 | $614.51 | 2.2× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $245.81 | $614.51 | 2.2× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $245.81 | $614.51 | 2.7× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $245.81 | $614.51 | 2.7× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $432.62 | $1,081.54 | 3.9× |
| X-Ray Stress View (77071) | $165.85 | $414.61 | 1.8× |
| X-ray thoracic spine 4 vw (72074) | $411.48 | $1,028.70 | 3.7× |
| X-Ray Tmj Unilat (70328) | $162.24 | $405.59 | 1.8× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $797.26 | $1,993.14 | 2.2× |
| X-Rays Bone Length Studies (77073) | $165.85 | $414.61 | 1.5× |
| X-Rays Bone Survey Complete (77075) | $443.03 | $1,107.56 | 4.0× |
| Xr c-spine 4 or 5 views (72050) | $360.52 | $901.29 | 3.3× |
| Xr facial bones less than 3 views (70140) | $227.62 | $569.04 | 2.5× |
| Xr orbits complete 4 views (70200) | $369.90 | $924.74 | 3.4× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.