Imaging prices at Mercy Hospital Jefferson
Festus, MO · every code in this section with a posted price and a Medicare benchmark.
342 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 |
$7,194.85–$44,367.05 | $11,069–$68,257 | varies |
| Abdomen 1 View (74018) | $296.40 | $456 | 3.4× |
| Abdomen 2 views (74019) | $318.50 | $490 | 3.0× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $587.60 | $904 | 1.5× |
| Angio internal mammary (75756) | $2,148.25 | $3,305 | 0.7× |
| Angio pulmonary bilat (75743) | $2,233.40 | $3,436 | 0.7× |
| Angiography extremity bilateral rs&i (75716) | $2,842.45 | $4,373 | 0.9× |
| Angiography extremity unilateral rs&i (75710) | $1,894.75 | $2,915 | 0.6× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $1,615.90 | $2,486 | 0.5× |
| Ankle 2 views (73600) range across 5 matching MRF lines |
$293.80–$455.65 | $452–$701 | varies |
| Aortography thoracic serialography rs&i (75605) unusually low: confirm this is the full procedure |
$2,284.10 | $3,514 | 0.4× |
| Aortography thoracic w/o serialography rs&i (75600) | $2,570.10 | $3,954 | 0.8× |
| Artery X-Rays Abdomen (75726) unusually low: confirm this is the full procedure |
$2,042.30 | $3,142 | 0.4× |
| Artery X-Rays Pelvis (75736) | $3,124.55 | $4,807 | 0.6× |
| Artery X-Rays Spine (75705) | $5,049.85 | $7,769 | 0.9× |
| Arthrogram ankle (73615) | $1,164.15 | $1,791 | 3.3× |
| Arthrogram hip (73525) range across 3 matching MRF lines |
$813.80–$865.80 | $1,252–$1,332 | varies |
| Arthrogram Wrist (73115) range across 2 matching MRF lines |
$646.10–$807.95 | $994–$1,243 | varies |
| Basic radiation dosimetry calculation (77300) range across 2 matching MRF lines |
$786.50–$59,087.07 | $1,210–$90,903.18 | varies |
| Bone age studies (77072) | $181.35 | $279 | 1.7× |
| Bone Imaging 3 Phase (78315) range across 2 matching MRF lines |
$807.30–$934.70 | $1,242–$1,438 | varies |
| Bone Imaging Limited Area (78300) range across 2 matching MRF lines |
$528.45–$3,481.40 | $813–$5,356 | varies |
| Bone Imaging Multiple Areas (78305) | $826.80 | $1,272 | 2.1× |
| Bone Imaging Whole Body (78306) range across 2 matching MRF lines |
$1,181.05–$6,572.80 | $1,817–$10,112 | varies |
| Bone survey infant (77076) | $224.90 | $346 | 2.1× |
| Brachytx isodose complex (77318) | $2,479.75 | $3,815 | 6.6× |
| Brachytx isodose intermed (77317) | $7,907.25 | $12,165 | 21.1× |
| Brachytx Isodose Plan Simple (77316) | $1,934.40 | $2,976 | 5.2× |
| Brain Flow Imaging Only (78610) | $1,550.90 | $2,386 | 2.9× |
| Brain Image W/Flow < 4 Views (78601) | $1,002.30 | $1,542 | 2.5× |
| Cerebrospinal Fluid Scan (78630) | $828.10 | $1,274 | 1.5× |
| Chest 1 view (71045) | $231.40 | $356 | 2.7× |
| Chest 2 views (71046) | $286.65 | $441 | 3.3× |
| Chest 3 views (71047) | $338 | $520 | 3.9× |
| Chest 4 or more views (71048) | $484.90 | $746 | 4.6× |
| Clavicle complete (73000) range across 3 matching MRF lines |
$188.50–$283.40 | $290–$436 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $1,444.95 | $2,223 | 13.8× |
| Continuing medical physics consltj pr wk (77336) range across 2 matching MRF lines |
$912.60–$45,984.25 | $1,404–$70,745 | varies |
| Contrast Exam Abdominl Aorta (75625) | $1,948.05 | $2,997 | 0.6× |
| Contrast X-Ray Bladder (74430) | $393.25 | $605 | 1.1× |
| Contrast X-Ray Of Elbow (73085) range across 3 matching MRF lines |
$873.60–$1,408.55 | $1,344–$2,167 | varies |
| Contrast X-Ray Of Knee Joint (73580) | $807.95 | $1,243 | 2.3× |
| CT abdomen and pelvis without and with contrast (74178) | $4,445.35 | $6,839 | 12.7× |
| CT abdomen and pelvis without contrast (74176) | $3,758.95 | $5,783 | 15.7× |
| CT abdomen w contrast (74160) | $1,275.95 | $1,963 | 7.3× |
| CT abdomen w wo contrast (74170) | $2,159.30 | $3,322 | 12.3× |
| CT abdomen w/o contrast (74150) | $1,069.90 | $1,646 | 10.2× |
| CT Angio Abdomen and Pelvis (74174) | $3,344.25 | $5,145 | 9.6× |
| CT Angio Chest (71275) | $2,000.70 | $3,078 | 11.4× |
| CT Angio Head (70496) | $1,707.55 | $2,627 | 9.7× |
| CT angio hrt w/3d image (75574) | $1,326.65 | $2,041 | 3.8× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 3 matching MRF lines |
$1,144.65–$1,717.30 | $1,761–$2,642 | varies |
| CT Angio Neck (70498) | $2,060.50 | $3,170 | 11.7× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 3 matching MRF lines |
$1,347.45–$2,290.60 | $2,073–$3,524 | varies |
| CT bone density (77078) | $369.20 | $568 | 4.2× |
| CT Cere Prfuj Alys C+ W/O CT/Cta Same Anatomy (70473) | $585 | $900 | 3.3× |
| CT cervical spine w/ contrast (72126) | $1,579.50 | $2,430 | 4.5× |
| CT cervical spine w/o contrast (72125) | $1,471.60 | $2,264 | 14.1× |
| CT cervical spine w/wo cont (72127) | $2,880.80 | $4,432 | 16.4× |
| CT chest w contrast (71260) | $1,621.10 | $2,494 | 9.2× |
| CT chest w/wo contrast (71270) | $1,303.90 | $2,006 | 7.4× |
| CT head/brain with contrast (70460) | $1,534 | $2,360 | 8.7× |
| CT head/brain without and with contrast (70470) | $1,542.45 | $2,373 | 8.8× |
| CT heart contrast eval cardiac structure&morph (75572) | $814.45 | $1,253 | 2.3× |
| CT heart no contrast quant eval coronry calcium (75571) | $84.50 | $130 | 1.0× |
| CT hrt w/3d image congen (75573) | $1,989.65 | $3,061 | 5.7× |
| CT iac w contrast (70481) | $1,099.15 | $1,691 | 6.3× |
| CT l-spine w&w/o contrast (72133) | $1,842.10 | $2,834 | 10.5× |
| CT lower ext w/o (73700) range across 3 matching MRF lines |
$965.90–$1,448.20 | $1,486–$2,228 | varies |
| CT lower extremity w/contrast material (73701) range across 3 matching MRF lines |
$999.70–$1,499.55 | $1,538–$2,307 | varies |
| CT lumbar spine w contrast (72132) | $1,574.30 | $2,422 | 4.5× |
| CT lumbar spine w/o contrast (72131) | $924.30 | $1,422 | 8.8× |
| CT maxillofacial w contrast (70487) | $1,749.15 | $2,691 | 10.0× |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$1,078.35–$1,729.65 | $1,659–$2,661 | varies |
| CT neck tissue combo (70492) | $1,708.85 | $2,629 | 9.7× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,582.10 | $2,434 | 9.0× |
| CT orbits w/o contrast (70480) | $866.45 | $1,333 | 8.3× |
| CT pelvis w&w/o contrast (72194) | $1,778.40 | $2,736 | 10.1× |
| CT pelvis w/o contrast (72192) | $1,106.95 | $1,703 | 10.6× |
| CT scan of leg combo (73702) range across 3 matching MRF lines |
$1,096.55–$1,864.20 | $1,687–$2,868 | varies |
| CT scans face/jaw combo (70488) | $2,135.25 | $3,285 | 12.2× |
| CT soft tissue neck w contrast (70491) | $1,275.95 | $1,963 | 7.3× |
| CT soft tissue neck w/o contrast (70490) | $754 | $1,160 | 7.2× |
| CT thoracic spine w contrast (72129) | $1,190.80 | $1,832 | 6.8× |
| CT thoracic spine w/o contrast (72128) | $1,062.75 | $1,635 | 10.1× |
| CT thoracic spine w/wo cont (72130) | $1,810.90 | $2,786 | 10.3× |
| CT thorax w/o contrast (71250) | $1,505.40 | $2,316 | 14.4× |
| CT upper ext wo (73200) range across 3 matching MRF lines |
$1,084.20–$1,806.35 | $1,668–$2,779 | varies |
| CT upper extremity w/o & w/contrast material (73202) | $1,735.50 | $2,670 | 9.9× |
| CT upper extremity with contrast (73201) range across 3 matching MRF lines |
$1,147.25–$1,950.65 | $1,765–$3,001 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,555.45 | $2,393 | 8.9× |
| Cta Abdomen (74175) | $1,332.50 | $2,050 | 7.6× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $2,060.50 | $3,170 | 5.9× |
| CTA pelvis (72191) | $1,606.15 | $2,471 | 9.1× |
| Dilation ureters/urethra rs&i (74485) range across 3 matching MRF lines |
$13,083.85–$19,626.10 | $20,129–$30,194 | varies |
| Doppler Fetal Mid Cerebral Artery (76821) | $305.50 | $470 | 2.9× |
| Dxa Bone Density Axial (77080) | $247.65 | $381 | 2.4× |
| Dxa bone density study (77085) | $429 | $660 | 4.1× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $169.65 | $261 | 1.9× |
| Echo Guide For Artery Repair (76936) | $479.70 | $738 | 2.2× |
| Echograp Trans R Pros Study (76873) | $741.65 | $1,141 | 7.1× |
| Esophagram (74220) | $410.80 | $632 | 2.3× |
| Fetal Biophys Profile W/Nst (76818) | $670.15 | $1,031 | 6.4× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $347.10 | $534 | 3.3× |
| Fetal MRI w/placntl matrnl plvc img sing/1st ges (74712) | $3,871.40 | $5,956 | 16.2× |
| Fluoroscopy up to 1 hr (76000) | $559.65 | $861 | 2.3× |
| Follow-Up Angiography (75898) | $1,262.30 | $1,942 | 0.4× |
| Foot 2 views (73620) range across 6 matching MRF lines |
$163.15–$334.10 | $251–$514 | varies |
| Forearm 2 views (73090) range across 5 matching MRF lines |
$202.80–$585 | $312–$900 | varies |
| Gastric emptying imaging study (78264) range across 2 matching MRF lines |
$1,008.15–$1,320.80 | $1,551–$2,032 | varies |
| Gastric Emptyng Imag Std W/Sm Bwl Transit (78265) | $1,574.30 | $2,422 | 3.9× |
| Gated Heart Planar Single (78472) range across 2 matching MRF lines |
$712.40–$1,081.60 | $1,096–$1,664 | varies |
| Gstrc Emptng Imag Std W/Sm Bwl Col Trnst Mlt Day (78266) | $4,936.75 | $7,595 | 9.1× |
| Hand 2 views (73120) range across 4 matching MRF lines |
$287.95–$432.90 | $443–$666 | varies |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $3,401.45 | $5,233 | 1.1× |
| Hepatobil Syst Image W/Drug (78227) range across 2 matching MRF lines |
$789.75–$1,091.10 | $1,215–$1,678.61 | varies |
| Hepatobiliary System Imaging (78226) range across 2 matching MRF lines |
$952.90–$1,112.15 | $1,466–$1,711 | varies |
| Ht Muscle Image Spect Sing (78451) range across 2 matching MRF lines |
$1,597.05–$2,252.90 | $2,457–$3,466 | varies |
| Hysterosalpingogram (74740) | $706.55 | $1,087 | 3.0× |
| Infant hip ultrasound, limited static exam (76886) | $352.30 | $542 | 4.0× |
| Interstitial radiation source applic complex (77778) | $6,855.55 | $10,547 | 9.8× |
| K Flow/Funct Image Multiple (78709) range across 2 matching MRF lines |
$1,304.55–$2,012.40 | $2,007–$3,096 | varies |
| K Flow/Funct Image W/Drug (78708) range across 2 matching MRF lines |
$813.80–$1,521.65 | $1,252–$2,341 | varies |
| K Flow/Funct Image W/O Drug (78707) range across 2 matching MRF lines |
$821.60–$1,508 | $1,264–$2,320 | varies |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$255.45–$383.50 | $393–$590 | varies |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $2,169.70 | $3,338 | 5.4× |
| Lung Perf&Ventilat Diferentl (78598) | $1,186.90 | $1,826 | 2.2× |
| Lung Ventilat&Perfus Imaging (78582) | $1,333.80 | $2,052 | 2.5× |
| Lymph System Imaging (78195) range across 2 matching MRF lines |
$1,082.90–$27,874.81 | $1,666–$42,884.32 | varies |
| Magnetic Image Jaw Joint (70336) | $1,201.20 | $1,848 | 5.0× |
| Magnetic Resonance Elastography (76391) | $1,617.20 | $2,488 | 6.8× |
| Mammary ductogram or galactogram single (77053) | $560.95 | $863 | 2.3× |
| Meckels Divert Exam (78290) | $835.90 | $1,286 | 2.1× |
| Mlc imrt design & construction per imrt plan (77338) range across 2 matching MRF lines |
$8,375.90–$63,425.05 | $12,886–$97,577 | varies |
| Mra Head W/O & W/Contrast Material (70546) | $2,173.60 | $3,344 | 6.2× |
| MRA head w/o contrast (70544) | $1,593.80 | $2,452 | 6.7× |
| MRA head with contrast (70545) | $1,696.50 | $2,610 | 4.9× |
| MRA neck w contrast (70548) | $1,387.75 | $2,135 | 4.0× |
| Mra Neck W/O &W/Contrast Material (70549) | $1,997.45 | $3,073 | 5.7× |
| MRA neck w/o contrast (70547) | $1,293.50 | $1,990 | 5.4× |
| MRI abdomen w/o contrast (74181) | — | $2,094 | — |
| MRI any jt lower extrem w/contrast material (73722) range across 3 matching MRF lines |
$1,641.90–$2,677.35 | $2,526–$4,119 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 3 matching MRF lines |
$1,732.90–$2,953.60 | $2,666–$4,544 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 3 matching MRF lines |
$1,895.40–$3,222.05 | $2,916–$4,957 | varies |
| MRI Breast W/O Contrast Bilateral (77047) | $1,959.75 | $3,015 | 8.2× |
| MRI Breast Without Contrast Material Unilateral (77046) | $1,306.50 | $2,010 | 5.5× |
| MRI cervical spine w contrast (72142) | $2,042.30 | $3,142 | 5.8× |
| MRI cervical spine w/o cont (72141) | $1,330.55 | $2,047 | 5.6× |
| MRI chest w/o contrast (71550) | $1,176.50 | $1,810 | 4.9× |
| MRI chest with contrast (71551) | $1,639.30 | $2,522 | 2.1× |
| MRI chest wo w contrast (71552) | $1,996.80 | $3,072 | 5.7× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $1,598.35 | $2,459 | 4.6× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 3 matching MRF lines |
$1,798.55–$2,397.85 | $2,767–$3,689 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 3 matching MRF lines |
$1,233.70–$1,849.90 | $1,898–$2,846 | varies |
| MRI lumbar spine w contrast (72149) | $1,983.15 | $3,051 | 5.7× |
| Mri Neck Spine W/O & W/Dye (72156) | $2,047.50 | $3,150 | 5.9× |
| MRI orbit face &/neck w/o contrast (70540) | $1,246.70 | $1,918 | 5.2× |
| MRI orbit face neck w contrast (70542) | $1,660.75 | $2,555 | 4.8× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $1,818.70 | $2,798 | 5.2× |
| MRI pelvis w contrast (72196) | $2,439.45 | $3,753 | 7.0× |
| MRI pelvis w/o & w contrast (72197) | $3,014.70 | $4,638 | 8.6× |
| MRI pelvis w/o contrast (72195) | $1,604.20 | $2,468 | 6.7× |
| MRI thoracic spine w/o contrast (72146) | $1,274 | $1,960 | 5.3× |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 3 matching MRF lines |
$1,553.50–$2,018.90 | $2,390–$3,106 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 3 matching MRF lines |
$1,190.15–$1,785.55 | $1,831–$2,747 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 3 matching MRF lines |
$1,672.45–$3,073.20 | $2,573–$4,728 | varies |
| MRI, dorsal spine combo (72157) | $2,541.50 | $3,910 | 7.3× |
| MRI, dorsal spine contrast (72147) | $2,322.45 | $3,573 | 6.6× |
| MRI, joint upper extrem (73221) range across 3 matching MRF lines |
$1,301.30–$1,951.95 | $2,002–$3,003 | varies |
| MRI, joint upper extrem combo (73223) range across 3 matching MRF lines |
$2,096.90–$3,564.60 | $3,226–$5,484 | varies |
| MRI, lumbar spine combo (72158) | $2,074.15 | $3,191 | 5.9× |
| Myelogram cervical (72240) | $2,397.85 | $3,689 | 3.1× |
| Myelogram Lumbar (72265) | $1,097.20 | $1,688 | 1.4× |
| Myelography thoracic (72255) | $2,078.70 | $3,198 | 2.6× |
| Myelograpy 2/more regions rs&i (72270) | $2,290.60 | $3,524 | 2.9× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $885.95 | $1,363 | 2.2× |
| Myocardial Spect Multiple Studies (78452) range across 2 matching MRF lines |
$1,875.90–$4,000.10 | $2,886–$6,154 | varies |
| Neck soft tissue (70360) | $177.45 | $273 | 2.0× |
| Nfs/Instlj Radioelmnt Sln 3 Mo Follow-Up Care (77750) | $1,176.50 | $1,810 | 3.0× |
| Nm myocard infarct spect (78469) range across 2 matching MRF lines |
$813.15–$928.20 | $1,251–$1,428 | varies |
| Nonvascular Shunt X-Ray (75809) | $370.50 | $570 | 3.5× |
| Ntsty modul radthx pln dose-vol histos (77301) range across 2 matching MRF lines |
$8,327.80–$63,425.05 | $12,812–$97,577 | varies |
| Nuclear Rx Oral Admin (79005) range across 2 matching MRF lines |
$681.85–$8,628.75 | $1,049–$13,275 | varies |
| Ob us nuchal meas 1 gest (76813) | $471.90 | $726 | 4.5× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) | $378.95 | $583 | 3.6× |
| Panoramic X-ray of jaws (70355) | $181.35 | $279 | 2.1× |
| Parathyroid imaging w/tomographic spect & CT (78072) range across 2 matching MRF lines |
$834.60–$1,233.05 | $1,284–$1,897 | varies |
| Parathyroid Planar Imaging (78070) | $778.70 | $1,198 | 1.9× |
| Parathyroid planar imaging w/wo subtraction (78071) range across 2 matching MRF lines |
$773.50–$1,171.95 | $1,190–$1,803 | varies |
| Pelvis 1 or 2 views (72170) | $221.65 | $341 | 2.1× |
| PET image w/CT, full body (78816) range across 2 matching MRF lines |
$2,797.60–$3,792.10 | $4,304–$5,834 | varies |
| PET imaging CT attenuation skull base mid-thigh (78815) range across 2 matching MRF lines |
$2,673.45–$3,667.95 | $4,113–$5,643 | varies |
| PET whole body (78813) | $3,507.40 | $5,396 | 2.4× |
| Pulmonary Perfusion Imaging Particulate (78580) | $818.35 | $1,259 | 2.0× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $278.20 | $428 | 2.7× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $478.40 | $736 | 0.9× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$310.05–$464.75 | $477–$715 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$157.30–$235.95 | $242–$363 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$456.30–$684.45 | $702–$1,053 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $239.20 | $368 | 2.3× |
| Radex fingr minimum 2 views (73140) range across 3 matching MRF lines |
$186.55–$279.50 | $287–$430 | varies |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$336.05–$504.40 | $517–$776 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$302.25–$453.70 | $465–$698 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 3 matching MRF lines |
$217.10–$326.30 | $334–$502 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $278.20 | $428 | 2.7× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $175.50 | $270 | 2.0× |
| Radex Ribs Unilateral 2 Views (71100) | $195.65 | $301 | 2.2× |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$327.60–$492.05 | $504–$757 | varies |
| Radex Spine 1 View Specify Level (72020) | $204.10 | $314 | 2.3× |
| Radex Sternum Minimum 2 Views (71120) | $193.05 | $297 | 2.2× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $362.05 | $557 | 4.2× |
| Radex Toe Minimum 2 Views (73660) range across 3 matching MRF lines |
$173.55–$261.30 | $267–$402 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 3 matching MRF lines |
$354.90–$533 | $546–$820 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$330.85–$497.90 | $509–$766 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $705.25 | $1,085 | 6.7× |
| Radiation treatment delivery level 1 (77402) range across 2 matching MRF lines |
$619.45–$22,257.30 | $953–$34,242 | varies |
| Radiation treatment delivery level 2 (77407) range across 2 matching MRF lines |
$3,043.30–$55,183.05 | $4,682–$84,897 | varies |
| Radiation treatment delivery level 3 (77412) range across 2 matching MRF lines |
$4,206.80–$31,723.25 | $6,472–$48,805 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) | $240.50 | $370 | 2.3× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $386.10 | $594 | 3.7× |
| Radiologic exam colon double contrast study (74280) | $530.40 | $816 | 3.0× |
| Radiologic exam colon single contrast study (74270) | $475.15 | $731 | 2.7× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $646.10 | $994 | 3.7× |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$280.80–$421.20 | $432–$648 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $278.85 | $429 | 2.7× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $401.70 | $618 | 2.3× |
| Radiologic exam swallow function contrast study (74230) | $383.50 | $590 | 2.2× |
| Radiologic exam upr gi trc double contrast study (74246) | $484.90 | $746 | 2.8× |
| Radiologic examination femur 1 view (73551) | $223.60 | $344 | 2.6× |
| Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines |
$248.95–$373.10 | $383–$574 | varies |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$229.45–$344.50 | $353–$530 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $471.90 | $726 | 4.5× |
| Radiologic examination tibia & fibula 2 views (73590) range across 6 matching MRF lines |
$263.25–$420.55 | $405–$647 | varies |
| Ribs bilateral 3 views (71110) | $238.55 | $367 | 2.3× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $1,698.45 | $2,613 | 4.2× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $1,675.70 | $2,578 | 3.1× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $2,309.45 | $3,553 | 4.2× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 2 matching MRF lines |
$1,028.30–$2,336.75 | $1,582–$3,595 | varies |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) range across 2 matching MRF lines |
$2,811.25–$3,446.95 | $4,325–$5,303 | varies |
| Rp Therapy Intravenous Administration (79101) | $885.95 | $1,363 | 3.8× |
| Scapula (73010) range across 3 matching MRF lines |
$187.20–$281.45 | $288–$433 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 3 matching MRF lines |
$77.35–$116.35 | $119–$179 | varies |
| Shoulder 1 view (73020) range across 3 matching MRF lines |
$227.50–$340.60 | $350–$524 | varies |
| Shoulder Arthrography (73040) | $488.80 | $752 | 1.4× |
| Skull less than 4 views (70250) | $218.40 | $336 | 2.1× |
| Special dosimetry (77331) | $594.10 | $914 | 4.4× |
| Special Physics Consult (77370) range across 2 matching MRF lines |
$1,349.40–$33,493.85 | $2,076–$51,529 | varies |
| Special teletherapy port plan (77321) | $1,058.20 | $1,628 | 2.8× |
| Special treatment procedure (77470) range across 2 matching MRF lines |
$2,860–$70,161.86 | $4,400–$107,941.32 | varies |
| Speech evaluation, complex (70371) | $477.10 | $734 | 2.0× |
| Spleen Imaging (78185) | $1,762.80 | $2,712 | 4.4× |
| Sternoclavicular joints (71130) | $259.35 | $399 | 3.0× |
| Telethx isodose pln cplx w/basic dosimetry (77307) range across 2 matching MRF lines |
$2,990–$31,723.25 | $4,600–$48,805 | varies |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $1,650.35 | $2,539 | 4.4× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) range across 2 matching MRF lines |
$2,990–$57,120.05 | $4,600–$87,877 | varies |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $1,604.20 | $2,468 | 4.3× |
| Ther rad simulaj-aided field setting simple (77280) range across 2 matching MRF lines |
$1,243.45–$56,245.80 | $1,913–$86,532 | varies |
| Thoracic spine 2 views (72070) | $206.70 | $318 | 2.0× |
| Thoracic spine 3 views (72072) | $250.90 | $386 | 2.4× |
| Thoracolumbar 2 views (72080) | $193.05 | $297 | 2.2× |
| Thyroid Imaging With Vascular Flow (78013) | $498.55 | $767 | 1.2× |
| Thyroid Met Imaging Body (78018) range across 2 matching MRF lines |
$1,202.50–$4,013.75 | $1,850–$6,175 | varies |
| Thyroid Uptake Measurement (78012) | $472.55 | $727 | 1.2× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) range across 2 matching MRF lines |
$713.05–$1,146.60 | $1,097–$1,764 | varies |
| Tx Devices Design & Construction Complex (77334) range across 2 matching MRF lines |
$1,653.60–$57,048.55 | $2,544–$87,767 | varies |
| Tx devices design & construction intermediate (77333) | $1,041.30 | $1,602 | 7.7× |
| Tx devices design & construction simple (77332) range across 2 matching MRF lines |
$725.40–$34,576.75 | $1,116–$53,195 | varies |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$527.80–$791.70 | $812–$1,218 | varies |
| Ultrasound elastography first target lesion (76982) | $708.50 | $1,090 | 6.8× |
| Ultrasound Elastography Parenchyma (76981) | $917.15 | $1,411 | 8.8× |
| Ultrasound Exam Aaa Screen (76706) | $204.75 | $315 | 2.0× |
| Ultrasound, abdomen limited (76705) | $513.50 | $790 | 4.9× |
| Umbilical-artery Doppler (OB) (76820) | $271.05 | $417 | 2.6× |
| Upper gi w/o kub (74240) | $506.35 | $779 | 2.9× |
| Urethrocystogram voiding (74455) | $687.05 | $1,057 | 2.9× |
| Urethrocystography retrograde (74450) | $648.70 | $998 | 2.7× |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$285.35–$428.35 | $439–$659 | varies |
| Us chest (76604) range across 2 matching MRF lines |
$319.15–$498.55 | $491–$767 | varies |
| Us complete joint (76881) range across 3 matching MRF lines |
$334.10–$500.50 | $514–$770 | varies |
| Us exam, pelvic, limited (76857) | $313.95 | $483 | 3.0× |
| Us kidney transplant (76776) | $436.15 | $671 | 4.2× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 3 matching MRF lines |
$364–$545.35 | $560–$839 | varies |
| Us ob detailed single fetus (76811) | $870.35 | $1,339 | 3.6× |
| Us ob limited 1 or more fetuses (76815) | $472.55 | $727 | 4.5× |
| Us ob transvaginal (76817) | $620.75 | $955 | 5.9× |
| Us pelvic non ob complete (76856) | $635.05 | $977 | 6.1× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $689 | $1,060 | 6.6× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $494 | $760 | 4.7× |
| Us retroperitoneal complete (76770) | $874.25 | $1,345 | 8.3× |
| Us retroperitoneal limited (76775) | $364.65 | $561 | 3.5× |
| Us scrotum and contents (76870) | $891.80 | $1,372 | 8.5× |
| Us thyroid (76536) range across 2 matching MRF lines |
$82.55–$636.35 | $127–$979 | varies |
| Vein X-Ray Chest (75827) | $1,309.10 | $2,014 | 0.8× |
| Venogram Sinus/Jugular (75860) | $2,190.50 | $3,370 | 0.7× |
| Venography caval inferior serialography rs&i (75825) | $2,017.60 | $3,104 | 0.6× |
| Venography extremity bilateral rs&i (75822) | $1,250.60 | $1,924 | 0.8× |
| Venography extremity unilateral rs&i (75820) | $833.95 | $1,283 | 0.5× |
| Venography Renal Unilateral (75831) range across 2 matching MRF lines |
$1,939.60–$2,424.50 | $2,984–$3,730 | varies |
| Venous sampling by catheter (75893) | $5,309.20 | $8,168 | 1.0× |
| Vertebral fracture assessment via dxa (77086) | $158.60 | $244 | 1.8× |
| Wrist 2 views (73100) range across 5 matching MRF lines |
$220.35–$376.35 | $339–$579 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $453.70 | $698 | 5.2× |
| X-ray antegrade pyelogram tube (74425) | $484.25 | $745 | 1.4× |
| X-Ray Aorta Leg Arteries (75630) | $2,783.30 | $4,282 | 0.9× |
| X-Ray Bend Only L-S Spine (72120) | $218.40 | $336 | 2.1× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 5 matching MRF lines |
$173.55–$261.30 | $267–$402 | varies |
| X-Ray Exam Breast Specimen (76098) range across 3 matching MRF lines |
$354.90–$533 | $546–$820 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) | $324.35 | $499 | 3.7× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $464.75 | $715 | 4.4× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $637.65 | $981 | 6.1× |
| X-Ray Exam Hip Uni 1 View (73501) | $169 | $260 | 1.9× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $319.80 | $492 | 3.7× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $430.30 | $662 | 4.1× |
| X-Ray Exam Hips Bi 2 Views (73521) | $415.35 | $639 | 4.0× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $439.40 | $676 | 4.2× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $450.45 | $693 | 4.3× |
| X-Ray Exam L-S Spine Bending (72114) | $585.65 | $901 | 5.6× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $329.55 | $507 | 3.8× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $468 | $720 | 4.5× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $229.45 | $353 | 2.2× |
| X-ray eye for foreign body (70030) | $160.55 | $247 | 1.8× |
| X-ray humerus (73060) range across 6 matching MRF lines |
$252.20–$397.80 | $388–$612 | varies |
| X-ray IV pyelogram (ivp) (74400) | $714.35 | $1,099 | 4.1× |
| X-ray IV pyelogram+tomography (74415) | $634.40 | $976 | 3.6× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $306.15 | $471 | 3.5× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $179.40 | $276 | 2.1× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $326.30 | $502 | 3.1× |
| X-ray nose-rectum child f.b. (76010) | $293.80 | $452 | 3.4× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $321.75 | $495 | 3.1× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $197.60 | $304 | 1.9× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $161.20 | $248 | 1.5× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $205.40 | $316 | 2.4× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $215.80 | $332 | 2.5× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $356.20 | $548 | 3.4× |
| X-ray thoracic spine 4 vw (72074) | $308.10 | $474 | 2.9× |
| X-Ray Tmj Unilat (70328) | $241.15 | $371 | 2.8× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $661.05 | $1,017 | 1.9× |
| X-Rays Bone Length Studies (77073) | $178.75 | $275 | 1.7× |
| X-Rays Bone Survey Complete (77075) | $434.20 | $668 | 4.1× |
| Xr c-spine 4 or 5 views (72050) | $451.10 | $694 | 4.3× |
| Xr facial bones less than 3 views (70140) | $278.20 | $428 | 3.2× |
| Xr orbits complete 4 views (70200) | $308.75 | $475 | 2.9× |
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.