Imaging prices at Mercy Hospital Joplin
Joplin, MO · every code in this section with a posted price and a Medicare benchmark.
382 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 |
$5,268.25–$45,206.20 | $8,105–$69,548 | varies |
| Abdomen 1 View (74018) | $335.40 | $516 | 3.8× |
| Abdomen 2 views (74019) | $401.70 | $618 | 3.8× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $726.70 | $1,118 | 1.8× |
| Angio pulmonary bilat (75743) | $2,176.85 | $3,349 | 0.7× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $6,385.60 | $9,824 | 2.0× |
| Angiography extremity bilateral rs&i (75716) | $1,814.15 | $2,791 | 0.6× |
| Angiography extremity unilateral rs&i (75710) | $2,399.80 | $3,692 | 0.8× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $2,020.20 | $3,108 | 0.6× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $4,894.50 | $7,530 | 1.5× |
| Ankle 2 views (73600) range across 6 matching MRF lines |
$136.50–$523.25 | $210–$805 | varies |
| Aortography thoracic serialography rs&i (75605) | $3,443.70 | $5,298 | 0.6× |
| Aortography thoracic w/o serialography rs&i (75600) | $4,746.30 | $7,302 | 1.5× |
| Artery X-Rays Abdomen (75726) unusually low: confirm this is the full procedure |
$2,227.55 | $3,427 | 0.4× |
| Artery X-Rays Adrenal Gland (75731) | $5,101.20 | $7,848 | 1.6× |
| Artery X-Rays Pelvis (75736) | $4,670.25 | $7,185 | 0.8× |
| Arthrogram hip (73525) range across 2 matching MRF lines |
$1,021.80–$1,076.40 | $1,572–$1,656 | varies |
| Arthrogram Wrist (73115) | $1,359.80 | $2,092 | 3.9× |
| Basic radiation dosimetry calculation (77300) range across 2 matching MRF lines |
$568.10–$38,675.05 | $874–$59,500.08 | varies |
| Bone age studies (77072) | $141.05 | $217 | 1.3× |
| Bone Imaging 3 Phase (78315) range across 2 matching MRF lines |
$1,741.35–$1,944.15 | $2,679–$2,991 | varies |
| Bone Imaging Limited Area (78300) range across 2 matching MRF lines |
$1,006.20–$1,201.85 | $1,548–$1,849 | varies |
| Bone Imaging Whole Body (78306) range across 2 matching MRF lines |
$1,797.90–$2,046.85 | $2,766–$3,149 | varies |
| Bone survey infant (77076) | $121.55 | $187 | 1.2× |
| Brachytx isodose complex (77318) | $3,701.75 | $5,695 | 9.9× |
| Brachytx isodose intermed (77317) | $2,380.30 | $3,662 | 6.3× |
| Brachytx Isodose Plan Simple (77316) | $2,083.90 | $3,206 | 5.6× |
| Brain Flow Imaging Only (78610) | $1,582.10 | $2,434 | 2.9× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $661.70 | $1,018 | 1.2× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $5,036.20 | $7,748 | 3.5× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $2,912 | $4,480 | 8.3× |
| Cardiac MRI w/w/o contrast w/stress (75563) | $2,799.55 | $4,307 | 3.6× |
| Cat Scan Follow-Up Study (76380) | $553.80 | $852 | 6.4× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $1,114.75 | $1,715 | 2.0× |
| Cerebrospinal Fluid Scan (78630) | $1,147.25 | $1,765 | 2.1× |
| Chest 1 view (71045) | $302.90 | $466 | 3.5× |
| Chest 2 views (71046) | $397.80 | $612 | 4.6× |
| Chest 3 views (71047) | $434.85 | $669 | 5.0× |
| Chest 4 or more views (71048) | $566.80 | $872 | 5.4× |
| Clavicle complete (73000) range across 3 matching MRF lines |
$276.25–$414.70 | $425–$638 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $435.50 | $670 | 4.2× |
| Continuing medical physics consltj pr wk (77336) range across 2 matching MRF lines |
$672.75–$34,122.40 | $1,035–$52,496 | varies |
| Contrast Exam Abdominl Aorta (75625) | $1,824.55 | $2,807 | 0.6× |
| Contrast X-Ray Bladder (74430) | $388.70 | $598 | 1.1× |
| Contrast X-Ray Of Elbow (73085) | $1,202.50 | $1,850 | 3.4× |
| Contrast X-Ray Of Knee Joint (73580) | $1,329.90 | $2,046 | 3.8× |
| Corpora cavernosography (74445) | $514.15 | $791 | 4.9× |
| CT abdomen and pelvis without and with contrast (74178) | $3,795.35 | $5,839 | 10.9× |
| CT abdomen and pelvis without contrast (74176) | $3,290.95 | $5,063 | 13.8× |
| CT abdomen w contrast (74160) | $2,106.65 | $3,241 | 12.0× |
| CT abdomen w wo contrast (74170) | $1,982.50 | $3,050 | 11.3× |
| CT abdomen w/o contrast (74150) | $1,344.85 | $2,069 | 12.8× |
| CT Angio Abdomen and Pelvis (74174) | $3,305.90 | $5,086 | 9.5× |
| CT Angio Chest (71275) | $1,984.45 | $3,053 | 11.3× |
| CT Angio Head (70496) | $2,513.55 | $3,867 | 14.3× |
| CT angio hrt w/3d image (75574) | $1,419.60 | $2,184 | 4.1× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 3 matching MRF lines |
$1,174.55–$1,762.15 | $1,807–$2,711 | varies |
| CT Angio Neck (70498) | $1,931.80 | $2,972 | 11.0× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 3 matching MRF lines |
$1,133.60–$1,700.40 | $1,744–$2,616 | varies |
| CT Cere Prfuj Alys C+ W/O CT/Cta Same Anatomy (70473) | $687.70 | $1,058 | 3.9× |
| CT cervical spine w/ contrast (72126) | $2,210.65 | $3,401 | 6.3× |
| CT cervical spine w/o contrast (72125) | $2,039.70 | $3,138 | 19.5× |
| CT cervical spine w/wo cont (72127) | $2,600 | $4,000 | 14.8× |
| CT chest w contrast (71260) | $1,688.70 | $2,598 | 9.6× |
| CT chest w/wo contrast (71270) | $1,892.80 | $2,912 | 10.8× |
| CT head/brain with contrast (70460) | $1,863.55 | $2,867 | 10.6× |
| CT head/brain without and with contrast (70470) | $2,091.70 | $3,218 | 11.9× |
| CT heart contrast eval cardiac structure&morph (75572) | $815.10 | $1,254 | 2.3× |
| CT heart no contrast quant eval coronry calcium (75571) | $65 | $100 | 0.7× |
| CT hrt w/3d image congen (75573) | $1,989.65 | $3,061 | 5.7× |
| CT iac w contrast (70481) | $1,056.90 | $1,626 | 6.0× |
| CT l-spine w&w/o contrast (72133) | $2,174.25 | $3,345 | 12.4× |
| CT lower ext w/o (73700) range across 3 matching MRF lines |
$1,745.90–$2,481.05 | $2,686–$3,817 | varies |
| CT lower extremity w/contrast material (73701) range across 3 matching MRF lines |
$1,779.05–$2,668.90 | $2,737–$4,106 | varies |
| CT lumbar spine w contrast (72132) | $1,962.35 | $3,019 | 5.6× |
| CT lumbar spine w/o contrast (72131) | $1,828.45 | $2,813 | 17.5× |
| CT maxillofacial w contrast (70487) | $2,016.95 | $3,103 | 11.5× |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$628.55–$1,829.75 | $967–$2,815 | varies |
| CT neck tissue combo (70492) | $2,019.55 | $3,107 | 11.5× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,906.45 | $2,933 | 10.9× |
| CT orbits w/o contrast (70480) | $979.55 | $1,507 | 9.4× |
| CT pelvis w&w/o contrast (72194) | $2,136.55 | $3,287 | 12.2× |
| CT pelvis w/o contrast (72192) | $1,846 | $2,840 | 17.6× |
| CT scan of leg combo (73702) | $1,857.70 | $2,858 | 10.6× |
| CT scans face/jaw combo (70488) | $2,179.45 | $3,353 | 12.4× |
| CT soft tissue neck w contrast (70491) | $1,846.65 | $2,841 | 10.5× |
| CT soft tissue neck w/o contrast (70490) | $953.55 | $1,467 | 9.1× |
| CT thoracic spine w contrast (72129) | $2,131.35 | $3,279 | 12.1× |
| CT thoracic spine w/o contrast (72128) | $2,011.10 | $3,094 | 19.2× |
| CT thoracic spine w/wo cont (72130) | $2,644.85 | $4,069 | 15.1× |
| CT thorax w/o contrast (71250) | $1,430 | $2,200 | 13.7× |
| CT upper ext wo (73200) range across 3 matching MRF lines |
$889.85–$1,335.10 | $1,369–$2,054 | varies |
| CT upper extremity w/o & w/contrast material (73202) | $1,311.70 | $2,018 | 7.5× |
| CT upper extremity with contrast (73201) | $993.85 | $1,529 | 2.8× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,712.10 | $2,634 | 9.7× |
| Cta Abdomen (74175) | $1,337.70 | $2,058 | 7.6× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $2,819.70 | $4,338 | 8.1× |
| CTA pelvis (72191) | $1,979.90 | $3,046 | 11.3× |
| Dilation ureters/urethra rs&i (74485) | $13,179.40 | $20,276 | 6.3× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) | $424.45 | $653 | 4.1× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $846.30 | $1,302 | 8.1× |
| Doppler Fetal Mid Cerebral Artery (76821) | $198.90 | $306 | 1.9× |
| Dxa Bone Density Axial (77080) | $464.10 | $714 | 4.4× |
| Dxa bone density study (77085) | $590.20 | $908 | 5.6× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $184.60 | $284 | 2.1× |
| Echo exam of fetal heart (76825) | $982.15 | $1,511 | 1.8× |
| Echo exam uterus (76831) | $591.50 | $910 | 2.5× |
| Echo Guide For Artery Repair (76936) | $815.10 | $1,254 | 3.8× |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) | $842.40 | $1,296 | 3.5× |
| Echograp Trans R Pros Study (76873) | $683.80 | $1,052 | 6.5× |
| Esophagram (74220) | $395.20 | $608 | 2.2× |
| Fetal Biophys Profile W/Nst (76818) | $611.65 | $941 | 5.8× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $504.40 | $776 | 4.8× |
| Fluoroscopy up to 1 hr (76000) | $488.15 | $751 | 2.0× |
| Follow-Up Angiography (75898) | $1,747.85 | $2,689 | 0.6× |
| Foot 2 views (73620) range across 6 matching MRF lines |
$198.25–$329.55 | $305–$507 | varies |
| Forearm 2 views (73090) range across 5 matching MRF lines |
$229.45–$475.80 | $353–$732 | varies |
| Gastric emptying imaging study (78264) range across 2 matching MRF lines |
$1,455.35–$1,704.95 | $2,239–$2,623 | varies |
| Gastrointestinal Protein Loss (78282) | $387.40 | $596 | 1.0× |
| Gated Heart Planar Single (78472) range across 2 matching MRF lines |
$854.75–$1,261.65 | $1,315–$1,941 | varies |
| Gated Heart, Multiple (78473) | $2,445.30 | $3,762 | 6.1× |
| Hand 2 views (73120) range across 6 matching MRF lines |
$128.05–$221 | $197–$340 | varies |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $2,100.15 | $3,231 | 0.7× |
| Hepatobil Syst Image W/Drug (78227) range across 2 matching MRF lines |
$2,015–$2,604.15 | $3,100–$4,006.39 | varies |
| Hepatobiliary System Imaging (78226) range across 2 matching MRF lines |
$1,853.15–$2,412.21 | $2,851–$3,711.10 | varies |
| Ht Muscle Image Spect Sing (78451) range across 2 matching MRF lines |
$1,340.30–$4,260.75 | $2,062–$6,555 | varies |
| Hysterosalpingogram (74740) | $609.70 | $938 | 2.6× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $427.05 | $657 | 4.9× |
| Infant hip ultrasound, limited static exam (76886) | $313.30 | $482 | 3.6× |
| Infusion Ivp (74410) | $976.30 | $1,502 | 5.6× |
| Interstitial radiation source applic complex (77778) | $12,721.80 | $19,572 | 18.2× |
| Intracavitary Radiation Source Applic Complex (77763) | $4,949.75 | $7,615 | 7.1× |
| Intracavitary Radiation Source Applic Intermed (77762) | $17,138.55 | $26,367 | 31.0× |
| Intracavitary radiation source applic simple (77761) | $7,306 | $11,240 | 13.2× |
| K Flow/Funct Image W/Drug (78708) range across 2 matching MRF lines |
$997.10–$2,012.40 | $1,534–$3,096 | varies |
| K Flow/Funct Image W/O Drug (78707) | $1,504.75 | $2,315 | 2.8× |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$315.25–$472.55 | $485–$727 | varies |
| Liver & Spleen Imaging Static Only (78215) | $917.80 | $1,412 | 2.3× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $2,045.55 | $3,147 | 5.1× |
| Liver imaging static only (78201) | $1,069.90 | $1,646 | 2.0× |
| Liver imaging w/vascular flow (78202) | $2,022.15 | $3,111 | 3.7× |
| Lung perfusion differential (78597) | $1,501.50 | $2,310 | 3.7× |
| Lung Ventilat&Perfus Imaging (78582) | $816.40 | $1,256 | 1.5× |
| Lymph System Imaging (78195) range across 2 matching MRF lines |
$1,189.50–$17,792.77 | $1,830–$27,373.50 | varies |
| Magnetic Image Jaw Joint (70336) | $2,516.15 | $3,871 | 10.5× |
| Magnetic Resonance Elastography (76391) | $1,138.15 | $1,751 | 4.8× |
| Meckels Divert Exam (78290) | $1,021.80 | $1,572 | 2.6× |
| Medical physics dose eval radiation expos w/rprt (76145) | $663 | $1,020 | 1.8× |
| Mlc imrt design & construction per imrt plan (77338) range across 2 matching MRF lines |
$1,914.25–$41,968.84 | $2,945–$64,567.45 | varies |
| Mra Head W/O & W/Contrast Material (70546) | $2,608.45 | $4,013 | 7.5× |
| MRA head w/o contrast (70544) | $2,028 | $3,120 | 8.5× |
| MRA head with contrast (70545) | $2,289.95 | $3,523 | 6.6× |
| MRA neck w contrast (70548) | $1,450.80 | $2,232 | 4.2× |
| Mra Neck W/O &W/Contrast Material (70549) | $2,130.05 | $3,277 | 6.1× |
| MRA neck w/o contrast (70547) | $895.05 | $1,377 | 3.7× |
| MRI abdomen w contrast (74182) | $1,739.40 | $2,676 | 5.0× |
| MRI abdomen w/o contrast (74181) | $1,283.10 | $1,974 | 5.4× |
| MRI any jt lower extrem w/contrast material (73722) | $1,831.05 | $2,817 | 2.3× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 3 matching MRF lines |
$2,226.90–$3,339.70 | $3,426–$5,138 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) | $2,349.10 | $3,614 | 3.0× |
| MRI bone marrow blood supply (77084) | $1,383.20 | $2,128 | 5.8× |
| MRI Breast W/O Contrast Bilateral (77047) | $1,994.85 | $3,069 | 8.3× |
| MRI Breast Without Contrast Material Unilateral (77046) | $1,701.70 | $2,618 | 7.1× |
| MRI cardiac w/o contrast (75557) | $2,222.35 | $3,419 | 9.3× |
| MRI cervical spine w contrast (72142) | $2,713.75 | $4,175 | 7.8× |
| MRI cervical spine w/o cont (72141) | $2,560.35 | $3,939 | 10.7× |
| MRI chest w/o contrast (71550) | $1,123.85 | $1,729 | 4.7× |
| MRI chest wo w contrast (71552) | $1,801.80 | $2,772 | 5.2× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $1,706.90 | $2,626 | 4.9× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 3 matching MRF lines |
$2,385.50–$3,578.25 | $3,670–$5,505 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 3 matching MRF lines |
$1,356.55–$2,035.15 | $2,087–$3,131 | varies |
| MRI lumbar spine w contrast (72149) | $2,600 | $4,000 | 7.4× |
| Mri Neck Spine W/O & W/Dye (72156) | $3,143.40 | $4,836 | 9.0× |
| MRI orbit face &/neck w/o contrast (70540) | $1,511.90 | $2,326 | 6.3× |
| MRI orbit face neck w contrast (70542) | $1,714.05 | $2,637 | 4.9× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 2 matching MRF lines |
$2,631.20–$3,073.85 | $4,048–$4,729 | varies |
| MRI pelvis w contrast (72196) | $2,056.60 | $3,164 | 5.9× |
| MRI pelvis w/o & w contrast (72197) | $2,204.15 | $3,391 | 6.3× |
| MRI pelvis w/o contrast (72195) | $1,327.95 | $2,043 | 5.6× |
| MRI spectroscopy (76390) | $2,471.30 | $3,802 | 28.4× |
| MRI thoracic spine w/o contrast (72146) | $2,371.85 | $3,649 | 9.9× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $1,922.05 | $2,957 | 5.5× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $1,160.25 | $1,785 | 4.9× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $2,325.70 | $3,578 | 6.7× |
| MRI, abdomen, combo (74183) | $3,340.35 | $5,139 | 9.6× |
| MRI, dorsal spine combo (72157) | $2,737.80 | $4,212 | 7.8× |
| MRI, dorsal spine contrast (72147) | $2,527.20 | $3,888 | 7.2× |
| MRI, joint upper extrem (73221) range across 3 matching MRF lines |
$2,216.50–$3,324.75 | $3,410–$5,115 | varies |
| MRI, joint upper extrem combo (73223) | $2,603.90 | $4,006 | 7.5× |
| MRI, lumbar spine combo (72158) | $2,971.80 | $4,572 | 8.5× |
| Myelogram cervical (72240) | $2,554.50 | $3,930 | 3.3× |
| Myelogram Lumbar (72265) | $2,572.70 | $3,958 | 3.3× |
| Myelography thoracic (72255) | $2,187.90 | $3,366 | 2.8× |
| Myelograpy 2/more regions rs&i (72270) | $2,070.25 | $3,185 | 2.6× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $906.10 | $1,394 | 2.3× |
| Myocardial Spect Multiple Studies (78452) range across 2 matching MRF lines |
$2,893.80–$4,569.50 | $4,452–$7,030 | varies |
| N-invas est c ffr sw aly CTA (75580) | $2,997.80 | $4,612 | 3.5× |
| Neck soft tissue (70360) | $320.45 | $493 | 3.7× |
| Nfs/Instlj Radioelmnt Sln 3 Mo Follow-Up Care (77750) | $1,006.85 | $1,549 | 2.6× |
| Nm myocard infarct spect (78469) | $783.25 | $1,205 | 1.4× |
| Nonvascular Shunt X-Ray (75809) | $1,066 | $1,640 | 10.2× |
| Ntsty modul radthx pln dose-vol histos (77301) range across 2 matching MRF lines |
$6,739.20–$39,545.34 | $10,368–$60,838.99 | varies |
| Nuclear Rx Oral Admin (79005) range across 2 matching MRF lines |
$1,077.70–$3,146.65 | $1,658–$4,841 | varies |
| Ob us nuchal meas 1 gest (76813) | $414.70 | $638 | 4.0× |
| Oph bmtry us echograpy a-scan io lens pwr cal (76519) range across 2 matching MRF lines |
$52–$107.90 | $80–$166 | varies |
| Oph us dx ant sgm us immersion b-scan/hr biom (76513) range across 2 matching MRF lines |
$62.40–$107.90 | $96–$166 | varies |
| Oph US Dx B-Scan&Quan a-Scan Sm Pt Enctr (76510) range across 2 matching MRF lines |
$92.95–$181.35 | $143–$279 | varies |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) range across 2 matching MRF lines |
$37.05–$373.75 | $57–$575 | varies |
| Ophthalmic US Dx Corneal Pachymetry Uni/Bi (76514) range across 2 matching MRF lines |
$11.05–$29.25 | $17–$45 | varies |
| Optic foramina (70190) | $318.50 | $490 | 3.7× |
| Panoramic X-ray of jaws (70355) | $531.70 | $818 | 6.1× |
| Parathyroid Planar Imaging (78070) range across 2 matching MRF lines |
$791.70–$1,094.60 | $1,218–$1,684 | varies |
| Parathyroid planar imaging w/wo subtraction (78071) range across 2 matching MRF lines |
$926.90–$1,229.80 | $1,426–$1,892 | varies |
| Pelvis 1 or 2 views (72170) | $250.90 | $386 | 2.4× |
| Pet Image W/Ct Lmtd (78814) | $4,509.70 | $6,938 | 3.1× |
| PET image w/CT, full body (78816) range across 2 matching MRF lines |
$3,237.65–$4,551.30 | $4,981–$7,002 | varies |
| PET imaging CT attenuation skull base mid-thigh (78815) range across 2 matching MRF lines |
$4,594.20–$5,907.85 | $7,068–$9,089 | varies |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $3,896.10 | $5,994 | 1.2× |
| Pulmonary Perfusion Imaging Particulate (78580) range across 2 matching MRF lines |
$570.70–$1,242.15 | $878–$1,911 | varies |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $390.65 | $601 | 3.7× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $707.85 | $1,089 | 1.3× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$384.80–$577.20 | $592–$888 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$227.50–$340.60 | $350–$524 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$267.15–$401.05 | $411–$617 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $338.65 | $521 | 3.2× |
| Radex fingr minimum 2 views (73140) range across 3 matching MRF lines |
$280.80–$421.85 | $432–$649 | varies |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$266.50–$400.40 | $410–$616 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$217.10–$325 | $334–$500 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 3 matching MRF lines |
$130–$195 | $200–$300 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $250.25 | $385 | 2.4× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $248.95 | $383 | 2.9× |
| Radex Ribs Unilateral 2 Views (71100) | $265.20 | $408 | 3.0× |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$297.70–$445.25 | $458–$685 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $294.45 | $453 | 3.4× |
| Radex Spine 1 View Specify Level (72020) | $187.85 | $289 | 2.2× |
| Radex Sternum Minimum 2 Views (71120) | $176.80 | $272 | 2.0× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $213.85 | $329 | 2.5× |
| Radex Toe Minimum 2 Views (73660) range across 3 matching MRF lines |
$144.30–$216.45 | $222–$333 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 3 matching MRF lines |
$515.45–$773.50 | $793–$1,190 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$280.15–$420.55 | $431–$647 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $677.30 | $1,042 | 6.5× |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $13,773.50 | $21,190 | 1.9× |
| Radiation treatment delivery level 1 (77402) range across 2 matching MRF lines |
$310.05–$11,431.39 | $477–$17,586.75 | varies |
| Radiation treatment delivery level 2 (77407) range across 2 matching MRF lines |
$1,827.15–$30,351.75 | $2,811–$46,695 | varies |
| Radiation treatment delivery level 3 (77412) range across 2 matching MRF lines |
$3,379.35–$20,367.75 | $5,199–$31,335 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) | $358.80 | $552 | 3.4× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $627.90 | $966 | 6.0× |
| Radiologic exam colon double contrast study (74280) | $602.55 | $927 | 3.4× |
| Radiologic exam colon single contrast study (74270) | $424.45 | $653 | 2.4× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $610.35 | $939 | 3.5× |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$417.30–$626.60 | $642–$964 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $324.35 | $499 | 3.1× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $527.80 | $812 | 3.0× |
| Radiologic exam swallow function contrast study (74230) | $578.50 | $890 | 3.3× |
| Radiologic exam teeth complete full mouth (70320) | $463.45 | $713 | 1.9× |
| Radiologic Exam Teeth Prtl Exam < Full Mouth (70310) | $538.20 | $828 | 2.3× |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$505.70–$900.25 | $778–$1,385 | varies |
| Radiologic examination femur 1 view (73551) | $256.75 | $395 | 2.9× |
| Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines |
$284.05–$426.40 | $437–$656 | varies |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$277.55–$416 | $427–$640 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $335.40 | $516 | 3.2× |
| Radiologic Examination Salivary Gland Calculus (70380) | $175.50 | $270 | 2.0× |
| Radiologic examination tibia & fibula 2 views (73590) range across 5 matching MRF lines |
$213.20–$364 | $328–$560 | varies |
| Radiologic examination, teeth; single view Non-Facility (70300) | $184.60 | $284 | 2.1× |
| Ribs bilateral 3 views (71110) | $231.40 | $356 | 2.2× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $482.95 | $743 | 1.2× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $646.75 | $995 | 1.6× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) range across 2 matching MRF lines |
$1,957.80–$3,813.55 | $3,012–$5,867 | varies |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $1,168.05 | $1,797 | 2.1× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $1,496.95 | $2,303 | 2.8× |
| Rp Therapy Intravenous Administration (79101) range across 2 matching MRF lines |
$718.90–$81,431.35 | $1,106–$125,279 | varies |
| Scapula (73010) | $192.40 | $296 | 1.8× |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 3 matching MRF lines |
$59.80–$89.70 | $92–$138 | varies |
| Shoulder 1 view (73020) range across 3 matching MRF lines |
$198.25–$296.40 | $305–$456 | varies |
| Shoulder Arthrography (73040) | $1,113.45 | $1,713 | 3.2× |
| Sialogram (70390) | $642.20 | $988 | 2.7× |
| Skull less than 4 views (70250) | $258.70 | $398 | 2.5× |
| Special dosimetry (77331) | $492.70 | $758 | 3.7× |
| Special Physics Consult (77370) range across 2 matching MRF lines |
$1,057.55–$47,491.40 | $1,627–$73,063.70 | varies |
| Special teletherapy port plan (77321) | $1,828.45 | $2,813 | 4.9× |
| Special treatment procedure (77470) range across 2 matching MRF lines |
$2,239.90–$47,552.71 | $3,446–$73,158.02 | varies |
| Stereotactic Body Radiation Delivery (77373) range across 2 matching MRF lines |
$9,768.20–$56,674.80 | $15,028–$87,192 | varies |
| Sternoclavicular joints (71130) | $352.30 | $542 | 4.0× |
| Telethx isodose pln cplx w/basic dosimetry (77307) range across 2 matching MRF lines |
$1,933.10–$45,439.71 | $2,974–$69,907.24 | varies |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $1,731.60 | $2,664 | 4.6× |
| Testicular Imaging W/Flow (78761) | $815.10 | $1,254 | 2.0× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) range across 2 matching MRF lines |
$1,806.35–$38,675.05 | $2,779–$59,500.08 | varies |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $894.40 | $1,376 | 2.4× |
| Ther rad simulaj-aided field setting simple (77280) range across 2 matching MRF lines |
$926.25–$37,689.60 | $1,425–$57,984 | varies |
| Thoracic spine 2 views (72070) | $189.80 | $292 | 1.8× |
| Thoracic spine 3 views (72072) | $309.40 | $476 | 3.0× |
| Thoracolumbar 2 views (72080) | $127.40 | $196 | 1.5× |
| Thyroid Imaging With Vascular Flow (78013) | $521.30 | $802 | 1.3× |
| Thyroid Met Imaging Body (78018) | $746.20 | $1,148 | 1.4× |
| Thyroid Uptake Measurement (78012) | $565.50 | $870 | 1.4× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) range across 2 matching MRF lines |
$631.80–$1,188.20 | $972–$1,828 | varies |
| Tx Devices Design & Construction Complex (77334) range across 2 matching MRF lines |
$1,435.85–$37,876.60 | $2,209–$58,271.70 | varies |
| Tx devices design & construction intermediate (77333) | $768.30 | $1,182 | 5.7× |
| Tx devices design & construction simple (77332) | $680.55 | $1,047 | 5.1× |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$252.20–$378.30 | $388–$582 | varies |
| Ultrasound elastography first target lesion (76982) | $544.70 | $838 | 5.2× |
| Ultrasound Elastography Parenchyma (76981) | $388.70 | $598 | 3.7× |
| Ultrasound Exam Aaa Screen (76706) | $483.60 | $744 | 4.6× |
| Ultrasound, abdomen limited (76705) | $486.20 | $748 | 4.6× |
| Umbilical-artery Doppler (OB) (76820) | $414.70 | $638 | 4.0× |
| Unlisted magnetic resonance procedure (76498) | $1,077.05 | $1,657 | 12.4× |
| Unlisted Procedure Clinical Brachytherapy (77799) | $3,370.90 | $5,186 | 33.0× |
| Unlisted respiratory px dx nuclear medicine (78599) | $1,088.10 | $1,674 | 2.7× |
| Upper gi w/o kub (74240) | $363.35 | $559 | 2.1× |
| Ureteral Reflux Study (78740) | $831.35 | $1,279 | 2.1× |
| Urethrocystogram voiding (74455) | $410.15 | $631 | 1.7× |
| Urethrocystography retrograde (74450) | $587.60 | $904 | 2.5× |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$274.30–$412.10 | $422–$634 | varies |
| Us chest (76604) | $263.90 | $406 | 2.5× |
| Us complete joint (76881) range across 3 matching MRF lines |
$317.85–$476.45 | $489–$733 | varies |
| Us exam, pelvic, limited (76857) | $248.30 | $382 | 2.4× |
| Us head (76506) | $366.60 | $564 | 3.5× |
| Us kidney transplant (76776) | $658.45 | $1,013 | 6.3× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 3 matching MRF lines |
$471.25–$706.55 | $725–$1,087 | varies |
| Us ob detailed single fetus (76811) | $843.05 | $1,297 | 3.5× |
| Us ob limited 1 or more fetuses (76815) | $406.90 | $626 | 3.9× |
| Us ob transvaginal (76817) | $483.60 | $744 | 4.6× |
| Us pelvic non ob complete (76856) | $701.35 | $1,079 | 6.7× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $623.35 | $959 | 6.0× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $343.20 | $528 | 3.3× |
| Us retroperitoneal complete (76770) | $359.45 | $553 | 3.4× |
| Us retroperitoneal limited (76775) | $544.70 | $838 | 5.2× |
| Us scrotum and contents (76870) | $722.15 | $1,111 | 6.9× |
| Us spinal canal and contents (76800) | $347.75 | $535 | 3.3× |
| Us thyroid (76536) range across 2 matching MRF lines |
$42.90–$659.10 | $66–$1,014 | varies |
| Us transrectal (76872) | $552.50 | $850 | 5.3× |
| Vein X-Ray Chest (75827) | $1,779.70 | $2,738 | 1.1× |
| Venogram Sinus/Jugular (75860) | $2,372.50 | $3,650 | 0.8× |
| Venography caval inferior serialography rs&i (75825) | $1,834.95 | $2,823 | 0.6× |
| Venography extremity bilateral rs&i (75822) | $984.75 | $1,515 | 0.6× |
| Venography extremity unilateral rs&i (75820) | $911.95 | $1,403 | 0.6× |
| Venography Renal Bilateral (75833) | $7,118.80 | $10,952 | 2.3× |
| Venography Renal Unilateral (75831) | $3,595.80 | $5,532 | 1.1× |
| Venous thrombosis imaging (78457) | $1,137.50 | $1,750 | 2.1× |
| Venous Thrombosis Imaging Venogram Bilateral (78458) | $1,117.35 | $1,719 | 2.8× |
| Wrist 2 views (73100) range across 5 matching MRF lines |
$207.35–$321.75 | $319–$495 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $330.85 | $509 | 3.8× |
| X-ray antegrade pyelogram tube (74425) | $320.45 | $493 | 0.9× |
| X-Ray Aorta Leg Arteries (75630) | $2,028 | $3,120 | 0.6× |
| X-Ray Bend Only L-S Spine (72120) | $386.75 | $595 | 3.7× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 5 matching MRF lines |
$185.90–$300.30 | $286–$462 | varies |
| X-Ray Exam Breast Specimen (76098) range across 3 matching MRF lines |
$342.55–$514.15 | $527–$791 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) | $247.65 | $381 | 2.8× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $436.80 | $672 | 4.2× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $541.45 | $833 | 5.2× |
| X-Ray Exam Hip Uni 1 View (73501) | $219.05 | $337 | 2.5× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $270.40 | $416 | 3.1× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $525.20 | $808 | 5.0× |
| X-Ray Exam Hips Bi 2 Views (73521) | $358.15 | $551 | 3.4× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $427.70 | $658 | 4.1× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $607.10 | $934 | 5.8× |
| X-Ray Exam L-S Spine Bending (72114) | $357.50 | $550 | 3.4× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $274.30 | $422 | 3.1× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $377 | $580 | 3.6× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $324.35 | $499 | 3.1× |
| X-ray eye for foreign body (70030) range across 3 matching MRF lines |
$217.10–$419.25 | $334–$645 | varies |
| X-ray humerus (73060) range across 5 matching MRF lines |
$220.35–$355.55 | $339–$547 | varies |
| X-ray IV pyelogram (ivp) (74400) | $1,110.85 | $1,709 | 6.3× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $154.70 | $238 | 1.8× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $148.85 | $229 | 1.7× |
| 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) | $118.30 | $182 | 1.4× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $347.75 | $535 | 3.3× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $204.75 | $315 | 2.0× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $204.75 | $315 | 2.3× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $308.75 | $475 | 3.5× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $384.80 | $592 | 3.7× |
| X-ray thoracic spine 4 vw (72074) | $449.80 | $692 | 4.3× |
| X-Ray Tmj Unilat (70328) | $129.35 | $199 | 1.5× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $969.80 | $1,492 | 2.8× |
| X-Rays Bone Length Studies (77073) | $270.40 | $416 | 2.6× |
| X-Rays Bone Survey Complete (77075) | $410.15 | $631 | 3.9× |
| Xr c-spine 4 or 5 views (72050) | $576.55 | $887 | 5.5× |
| Xr facial bones less than 3 views (70140) | $188.50 | $290 | 2.2× |
| XR Mastoids < 3 Views Bilateral (70120) | $330.20 | $508 | 3.2× |
| Xr orbits complete 4 views (70200) | $278.85 | $429 | 2.7× |
| Xr Tomogram Single Plane (76100) | $1,240.20 | $1,908 | 11.8× |
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.