Imaging prices at Mercy Hospital Northwest Arkansas
Rogers, AR · every code in this section with a posted price and a Medicare benchmark.
374 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abdomen 1 View (74018) | $317.20 | $488 | 3.9× |
| Abdomen 2 views (74019) | $400.40 | $616 | 4.1× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $982.80 | $1,512 | 2.6× |
| Adrenal Cortex & Medulla Img (78075) | $1,573.65 | $2,421 | 1.3× |
| Angio internal mammary (75756) | $2,016.30 | $3,102 | 0.7× |
| Angio pulmonary bilat (75743) | $3,350.10 | $5,154 | 1.1× |
| Angiography extremity bilateral rs&i (75716) | $2,824.25 | $4,345 | 1.0× |
| Angiography extremity unilateral rs&i (75710) | $2,547.35 | $3,919 | 0.9× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $2,317.25 | $3,565 | 0.8× |
| Ankle 2 views (73600) range across 4 matching MRF lines |
$206.70–$375.70 | $318–$578 | varies |
| Aortography thoracic serialography rs&i (75605) | $2,917.85 | $4,489 | 0.6× |
| Artery X-Rays Abdomen (75726) | $3,073.20 | $4,728 | 0.6× |
| Artery X-Rays Pelvis (75736) | $3,482.70 | $5,358 | 0.7× |
| Artery X-Rays Spine (75705) | $3,054.35 | $4,699 | 0.6× |
| Arthrogram ankle (73615) range across 3 matching MRF lines |
$674.70–$903.50 | $1,038–$1,390 | varies |
| Arthrogram hip (73525) range across 3 matching MRF lines |
$560.95–$756.60 | $863–$1,164 | varies |
| Arthrogram Wrist (73115) range across 3 matching MRF lines |
$434.20–$609.70 | $668–$938 | varies |
| Basic radiation dosimetry calculation (77300) | $548.60 | $844 | 4.4× |
| Bone age studies (77072) | $168.35 | $259 | 1.7× |
| Bone Imaging 3 Phase (78315) range across 2 matching MRF lines |
$1,641.25–$1,714.70 | $2,525–$2,638 | varies |
| Bone Imaging Limited Area (78300) range across 2 matching MRF lines |
$891.15–$964.60 | $1,371–$1,484 | varies |
| Bone Imaging Multiple Areas (78305) | $1,152.45 | $1,773 | 3.1× |
| Bone Imaging Whole Body (78306) range across 2 matching MRF lines |
$1,524.25–$1,597.70 | $2,345–$2,458 | varies |
| Bone marrow imaging limited area (78102) | $655.85 | $1,009 | 1.8× |
| Bone marrow imaging; multiple areas (78103) | $813.15 | $1,251 | 2.2× |
| Bone marrow imaging; whole body (78104) | $846.30 | $1,302 | 2.3× |
| Bone survey infant (77076) | $331.50 | $510 | 3.4× |
| Brain Flow Imaging Only (78610) | $794.30 | $1,222 | 1.6× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $1,214.20 | $1,868 | 2.4× |
| Brain Imaging Minimum 4 Static Views (78605) | $880.75 | $1,355 | 1.7× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $1,848.60 | $2,844 | 5.7× |
| Cat Scan Follow-Up Study (76380) | $664.30 | $1,022 | 8.2× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $811.85 | $1,249 | 1.6× |
| Cerebrospinal Fluid Scan (78630) | $1,408.55 | $2,167 | 2.8× |
| Chest 1 view (71045) | $239.20 | $368 | 2.9× |
| Chest 2 views (71046) | $295.10 | $454 | 3.6× |
| Chest 3 views (71047) | $341.90 | $526 | 4.2× |
| Chest 4 or more views (71048) | $389.35 | $599 | 4.0× |
| Cineradiograpy/vidradiograpy xcpt where spec (76120) | $458.90 | $706 | 4.7× |
| Clavicle complete (73000) range across 3 matching MRF lines |
$217.75–$326.95 | $335–$503 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $432.25 | $665 | 4.4× |
| Contrast Exam Abdominl Aorta (75625) | $1,972.75 | $3,035 | 0.7× |
| Contrast X-Ray Bladder (74430) | $529.10 | $814 | 1.6× |
| Contrast X-Ray Of Elbow (73085) | $518.70 | $798 | 1.6× |
| Contrast X-Ray Of Knee Joint (73580) range across 3 matching MRF lines |
$521.30–$633.10 | $802–$974 | varies |
| Contrast Xray Throat/Cerv Esopha (74210) | $389.35 | $599 | 2.4× |
| CT abdomen and pelvis without and with contrast (74178) | $4,730.05 | $7,277 | 14.5× |
| CT abdomen and pelvis without contrast (74176) | $3,369.60 | $5,184 | 15.1× |
| CT abdomen w contrast (74160) | $1,925.95 | $2,963 | 11.8× |
| CT abdomen w wo contrast (74170) | $2,221.05 | $3,417 | 13.6× |
| CT abdomen w/o contrast (74150) | $1,526.20 | $2,348 | 15.6× |
| CT Angio Abdomen and Pelvis (74174) | $4,192.50 | $6,450 | 12.9× |
| CT Angio Chest (71275) | $2,373.15 | $3,651 | 14.5× |
| CT Angio Head (70496) | $2,234.05 | $3,437 | 13.6× |
| CT angio hrt w/3d image (75574) | $2,149.55 | $3,307 | 6.6× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 3 matching MRF lines |
$2,162.55–$3,243.50 | $3,327–$4,990 | varies |
| CT Angio Neck (70498) | $2,248.35 | $3,459 | 13.7× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 3 matching MRF lines |
$1,927.90–$2,891.85 | $2,966–$4,449 | varies |
| CT bone density (77078) | $315.90 | $486 | 3.9× |
| CT Cere Prfuj Alys C+ W/O CT/Cta Same Anatomy (70473) | $911.30 | $1,402 | 5.6× |
| CT cervical spine w/ contrast (72126) | $1,433.90 | $2,206 | 4.4× |
| CT cervical spine w/o contrast (72125) | $1,428.70 | $2,198 | 14.6× |
| CT cervical spine w/wo cont (72127) | $1,515.80 | $2,332 | 9.3× |
| CT chest w contrast (71260) | $2,091.70 | $3,218 | 12.8× |
| CT chest w/wo contrast (71270) | $2,318.55 | $3,567 | 14.2× |
| CT colonography screening (74263) | $637.65 | $981 | 2.9× |
| CT Colonogrphy Dx Image Postprocess W/Contrast (74262) | $1,539.85 | $2,369 | 9.4× |
| CT colonogrphy dx image postprocess w/o contrast (74261) | $1,373.45 | $2,113 | 14.1× |
| CT head/brain with contrast (70460) | $1,936.35 | $2,979 | 11.8× |
| CT head/brain without and with contrast (70470) | $2,325.70 | $3,578 | 14.2× |
| CT heart contrast eval cardiac structure&morph (75572) | $1,327.30 | $2,042 | 4.1× |
| CT heart no contrast quant eval coronry calcium (75571) | $32.50 | $50 | 0.4× |
| CT hrt w/3d image congen (75573) | $1,113.45 | $1,713 | 3.4× |
| CT iac w contrast (70481) | $1,495 | $2,300 | 9.1× |
| CT l-spine w&w/o contrast (72133) | $1,755 | $2,700 | 10.7× |
| CT lower ext w/o (73700) range across 3 matching MRF lines |
$1,593.15–$2,306.85 | $2,451–$3,549 | varies |
| CT lower extremity w/contrast material (73701) range across 3 matching MRF lines |
$1,691.30–$2,447.90 | $2,602–$3,766 | varies |
| CT lumbar spine w contrast (72132) | $1,666.60 | $2,564 | 5.1× |
| CT lumbar spine w/o contrast (72131) | $1,496.30 | $2,302 | 15.3× |
| CT maxillofacial w contrast (70487) | $1,422.20 | $2,188 | 8.7× |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$1,086.15–$1,296.75 | $1,671–$1,995 | varies |
| CT neck tissue combo (70492) | $2,070.90 | $3,186 | 12.6× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,708.85 | $2,629 | 10.4× |
| CT orbits w/o contrast (70480) | $1,452.10 | $2,234 | 14.9× |
| CT pelvis w&w/o contrast (72194) | $1,730.95 | $2,663 | 10.6× |
| CT pelvis w/o contrast (72192) | $1,396.20 | $2,148 | 14.3× |
| CT scan of leg combo (73702) range across 3 matching MRF lines |
$2,021.50–$2,933.45 | $3,110–$4,513 | varies |
| CT scans face/jaw combo (70488) | $1,740.05 | $2,677 | 10.6× |
| CT soft tissue neck w contrast (70491) | $1,994.85 | $3,069 | 12.2× |
| CT soft tissue neck w/o contrast (70490) | $1,539.85 | $2,369 | 15.8× |
| CT thoracic spine w contrast (72129) | $1,893.45 | $2,913 | 11.6× |
| CT thoracic spine w/o contrast (72128) | $1,933.10 | $2,974 | 19.8× |
| CT thoracic spine w/wo cont (72130) | $1,925.95 | $2,963 | 11.8× |
| CT thorax w/o contrast (71250) | $1,690 | $2,600 | 17.3× |
| CT upper ext wo (73200) range across 3 matching MRF lines |
$1,708.20–$2,096.90 | $2,628–$3,226 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 3 matching MRF lines |
$1,844.05–$2,625.35 | $2,837–$4,039 | varies |
| CT upper extremity with contrast (73201) range across 3 matching MRF lines |
$1,808.95–$2,263.30 | $2,783–$3,482 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $2,044.25 | $3,145 | 12.5× |
| Cta Abdomen (74175) | $1,840.15 | $2,831 | 11.2× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $2,819.70 | $4,338 | 8.7× |
| CTA pelvis (72191) | $1,568.45 | $2,413 | 9.6× |
| Dacryocystography, nasolacrimal duct, radiological supervision and interpretation Non-Facility (70170) | $447.85 | $689 | 2.0× |
| Dilation ureters/urethra rs&i (74485) | $1,576.90 | $2,426 | 0.8× |
| Discography Cerv/Thor Spine (72285) | $1,950 | $3,000 | 1.1× |
| Diskography lumbar (72295) | $1,950 | $3,000 | 1.1× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $313.30 | $482 | 3.2× |
| Dxa Bone Density Axial (77080) | $313.30 | $482 | 3.2× |
| Dxa bone density study (77085) | $306.80 | $472 | 3.1× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $185.90 | $286 | 2.3× |
| Echo exam uterus (76831) | $385.45 | $593 | 1.7× |
| Echo Guide For Artery Repair (76936) | $633.75 | $975 | 3.1× |
| Echograp Trans R Pros Study (76873) | $561.60 | $864 | 5.8× |
| Esophagram (74220) | $623.35 | $959 | 3.8× |
| Fetal Biophys Profile W/Nst (76818) | $571.35 | $879 | 5.9× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $423.80 | $652 | 4.3× |
| Fluoroscopy up to 1 hr (76000) | $449.80 | $692 | 2.0× |
| Follow-Up Angiography (75898) | $1,170 | $1,800 | 0.4× |
| Foot 2 views (73620) range across 6 matching MRF lines |
$58.50–$250.90 | $90–$386 | varies |
| Forearm 2 views (73090) range across 5 matching MRF lines |
$213.85–$360.10 | $329–$554 | varies |
| Gastric emptying imaging study (78264) range across 2 matching MRF lines |
$1,277.90–$1,508.65 | $1,966–$2,321 | varies |
| Gastric Emptyng Imag Std W/Sm Bwl Transit (78265) | $1,289.60 | $1,984 | 3.5× |
| Gastroesophageal Reflux Exam (78262) | $1,072.50 | $1,650 | 2.9× |
| Gated Heart Planar Single (78472) | $1,582.75 | $2,435 | 4.2× |
| Gated Heart, Multiple (78473) | $1,644.50 | $2,530 | 4.4× |
| Gstrc Emptng Imag Std W/Sm Bwl Col Trnst Mlt Day (78266) | $1,708.85 | $2,629 | 3.4× |
| Hand 2 views (73120) range across 6 matching MRF lines |
$70.85–$283.40 | $109–$436 | varies |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $2,891.20 | $4,448 | 1.0× |
| Hepatobil Syst Image W/Drug (78227) range across 2 matching MRF lines |
$1,284.40–$1,646.27 | $1,976–$2,532.73 | varies |
| Hepatobiliary System Imaging (78226) range across 2 matching MRF lines |
$1,570.40–$1,753.05 | $2,416–$2,697 | varies |
| Ht Musc Image Planar Mult (78454) | $2,269.15 | $3,491 | 1.9× |
| Ht Muscle Image Spect Sing (78451) range across 2 matching MRF lines |
$1,884.35–$2,333.50 | $2,899–$3,590 | varies |
| Hysterosalpingogram (74740) | $603.20 | $928 | 2.7× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $340.60 | $524 | 4.2× |
| Infant hip ultrasound, limited static exam (76886) | $352.30 | $542 | 4.3× |
| Interstitial radiation source applic complex (77778) | $2,772.25 | $4,265 | 4.3× |
| Joint Survey Single View (77077) | $241.15 | $371 | 2.5× |
| K Flow/Funct Image Multiple (78709) range across 2 matching MRF lines |
$1,569.10–$1,680.02 | $2,414–$2,584.65 | varies |
| K Flow/Funct Image W/Drug (78708) range across 2 matching MRF lines |
$1,453.40–$1,561.95 | $2,236–$2,403 | varies |
| K Flow/Funct Image W/O Drug (78707) range across 2 matching MRF lines |
$1,103.05–$1,211.60 | $1,697–$1,864 | varies |
| Kidney Imaging Morphol (78700) | $852.80 | $1,312 | 2.3× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $941.20 | $1,448 | 2.5× |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$265.85–$398.45 | $409–$613 | varies |
| Liver & Spleen Imaging Static Only (78215) | $1,069.90 | $1,646 | 2.9× |
| Liver imaging static only (78201) | $934.70 | $1,438 | 1.8× |
| Liver imaging w/vascular flow (78202) | $924.30 | $1,422 | 1.8× |
| Lung Perf&Ventilat Diferentl (78598) | $1,046.50 | $1,610 | 2.1× |
| Lung perfusion differential (78597) range across 2 matching MRF lines |
$1,262.30–$3,301.02 | $1,942–$5,078.50 | varies |
| Lung Ventilat&Perfus Imaging (78582) | $1,460.55 | $2,247 | 2.9× |
| Lung Ventilation Imaging (78579) | $842.40 | $1,296 | 2.3× |
| Lymph System Imaging (78195) range across 2 matching MRF lines |
$1,049.75–$15,982.52 | $1,615–$24,588.49 | varies |
| Magnetic Image Jaw Joint (70336) | $1,578.20 | $2,428 | 7.1× |
| Mammary ductogram or galactogram multiple (77054) range across 3 matching MRF lines |
$458.25–$668.85 | $705–$1,029 | varies |
| Mammary ductogram or galactogram single (77053) range across 3 matching MRF lines |
$443.30–$577.85 | $682–$889 | varies |
| Meckels Divert Exam (78290) | $807.30 | $1,242 | 2.2× |
| Mra Head W/O & W/Contrast Material (70546) | $1,954.55 | $3,007 | 6.0× |
| MRA head w/o contrast (70544) | $1,242.80 | $1,912 | 5.6× |
| MRA head with contrast (70545) | $1,573.65 | $2,421 | 4.8× |
| MRA neck w contrast (70548) | $1,669.20 | $2,568 | 5.1× |
| Mra Neck W/O &W/Contrast Material (70549) | $1,985.75 | $3,055 | 6.1× |
| MRA neck w/o contrast (70547) | $1,402.05 | $2,157 | 6.3× |
| MRI abdomen w/o contrast (74181) | $2,590.25 | $3,985 | 11.6× |
| MRI any jt lower extrem w/contrast material (73722) range across 3 matching MRF lines |
$2,347.80–$2,971.15 | $3,612–$4,571 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 3 matching MRF lines |
$2,414.10–$3,423.55 | $3,714–$5,267 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) | $2,081.95 | $3,203 | 2.8× |
| MRI bone marrow blood supply (77084) | $1,097.85 | $1,689 | 4.9× |
| MRI Breast W/O Contrast Bilateral (77047) | $2,405 | $3,700 | 10.8× |
| MRI Breast Without Contrast Material Unilateral (77046) | $1,842.75 | $2,835 | 8.3× |
| MRI cardiac w/o contrast (75557) | $1,519.05 | $2,337 | 6.8× |
| MRI cervical spine w contrast (72142) | $2,163.20 | $3,328 | 6.6× |
| MRI cervical spine w/o cont (72141) | $1,859.65 | $2,861 | 8.4× |
| MRI chest w/o contrast (71550) | $1,287 | $1,980 | 5.8× |
| MRI chest wo w contrast (71552) | $2,852.20 | $4,388 | 8.8× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 3 matching MRF lines |
$2,184.65–$3,194.75 | $3,361–$4,915 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 3 matching MRF lines |
$2,481.05–$3,411.85 | $3,817–$5,249 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 3 matching MRF lines |
$2,096.90–$3,146 | $3,226–$4,840 | varies |
| MRI lumbar spine w contrast (72149) | $2,005.90 | $3,086 | 6.2× |
| Mri Neck Spine W/O & W/Dye (72156) | $3,473.60 | $5,344 | 10.7× |
| MRI orbit face &/neck w/o contrast (70540) | $1,431.95 | $2,203 | 6.4× |
| MRI orbit face neck w contrast (70542) | $1,729.65 | $2,661 | 5.3× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $2,580.50 | $3,970 | 7.9× |
| MRI pelvis w contrast (72196) | $2,247.05 | $3,457 | 6.9× |
| MRI pelvis w/o & w contrast (72197) | $2,461.55 | $3,787 | 7.6× |
| MRI pelvis w/o contrast (72195) | $1,773.20 | $2,728 | 8.0× |
| MRI thoracic spine w/o contrast (72146) | $2,523.95 | $3,883 | 11.3× |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 3 matching MRF lines |
$1,374.10–$2,507.70 | $2,114–$3,858 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 3 matching MRF lines |
$2,112.50–$2,766.40 | $3,250–$4,256 | varies |
| MRI, abdomen, combo (74183) | $3,133.65 | $4,821 | 9.6× |
| MRI, dorsal spine combo (72157) | $3,552.25 | $5,465 | 10.9× |
| MRI, dorsal spine contrast (72147) | $2,704 | $4,160 | 8.3× |
| MRI, joint upper extrem (73221) range across 3 matching MRF lines |
$1,665.30–$2,498.60 | $2,562–$3,844 | varies |
| MRI, joint upper extrem combo (73223) range across 3 matching MRF lines |
$2,993.25–$3,324.10 | $4,605–$5,114 | varies |
| MRI, lumbar spine combo (72158) | $3,459.95 | $5,323 | 10.6× |
| Myelogram cervical (72240) | $1,159.60 | $1,784 | 1.6× |
| Myelogram Lumbar (72265) | $1,232.40 | $1,896 | 1.7× |
| Myelography thoracic (72255) | $1,022.45 | $1,573 | 1.4× |
| Myelograpy 2/more regions rs&i (72270) | $1,197.30 | $1,842 | 1.6× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $817.05 | $1,257 | 2.2× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $2,396.55 | $3,687 | 2.0× |
| Myocardial Spect Multiple Studies (78452) range across 2 matching MRF lines |
$2,855.45–$4,829.43 | $4,393–$7,429.90 | varies |
| Myocrd Img Pet Metab Eval Single Study Cncrnt CT (78429) | $4,577.95 | $7,043 | 3.4× |
| Myocrd img PET prfuj 1std rest/stress cncrnt CT (78430) | $3,363.75 | $5,175 | 2.5× |
| Myocrd Img Pet Prfuj Mlt Std Rst&Strs Cncrnt CT (78431) | $3,701.75 | $5,695 | 1.8× |
| Myocrd Img Pet Prfuj W/Metab 2rtracer Cncrnt CT (78433) | $7,019.35 | $10,799 | 3.4× |
| Myocrd Img Pet Prfuj W/Metab Dual Radiotracer (78432) | $5,291 | $8,140 | 3.7× |
| N-invas est c ffr sw aly CTA (75580) | $2,961.40 | $4,556 | 3.7× |
| Neck soft tissue (70360) | $276.90 | $426 | 3.4× |
| Nm myocard infarct spect (78469) range across 2 matching MRF lines |
$734.50–$861.25 | $1,130–$1,325 | varies |
| Nuclear medicine study of endocrine organs (78099) range across 2 matching MRF lines |
$702–$12,302.43 | $1,080–$18,926.81 | varies |
| Nuclear Rx Intra-Arterial (79445) | $532.35 | $819 | 2.4× |
| Nuclear Rx Oral Admin (79005) range across 2 matching MRF lines |
$1,002.95–$2,141.10 | $1,543–$3,294 | varies |
| Ob us nuchal meas 1 gest (76813) | $341.25 | $525 | 3.5× |
| Panoramic X-ray of jaws (70355) | $258.05 | $397 | 3.2× |
| Parathyroid imaging w/tomographic spect & CT (78072) range across 2 matching MRF lines |
$995.80–$1,450.80 | $1,532–$2,232 | varies |
| Parathyroid Planar Imaging (78070) range across 2 matching MRF lines |
$946.40–$1,401.40 | $1,456–$2,156 | varies |
| Parathyroid planar imaging w/wo subtraction (78071) | $1,402.70 | $2,158 | 3.8× |
| Pelvis 1 or 2 views (72170) | $276.25 | $425 | 2.8× |
| PET image w/CT, full body (78816) | $4,700.15 | $7,231 | 3.5× |
| PET imaging CT attenuation skull base mid-thigh (78815) range across 2 matching MRF lines |
$3,997.50–$5,292.95 | $6,150–$8,143 | varies |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $2,644.20 | $4,068 | 0.9× |
| Pulmonary Perfusion Imaging Particulate (78580) range across 2 matching MRF lines |
$1,222.65–$1,626.95 | $1,881–$2,503 | varies |
| Quan&Charac C Atherosclerotc Plaq Asses Sev C Ds (75577) | $1,852.50 | $2,850 | 2.1× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $562.90 | $866 | 5.8× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $514.15 | $791 | 1.0× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$281.45–$422.50 | $433–$650 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$208–$311.35 | $320–$479 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$243.10–$337.35 | $374–$519 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $306.15 | $471 | 3.1× |
| Radex fingr minimum 2 views (73140) | $183.30 | $282 | 2.3× |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$265.20–$398.45 | $408–$613 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$245.05–$367.25 | $377–$565 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 3 matching MRF lines |
$172.25–$258.05 | $265–$397 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $259.35 | $399 | 2.7× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $248.30 | $382 | 3.1× |
| Radex Pharynx/Larx W/Fluor&/Magnification Tq (70370) | $270.40 | $416 | 3.3× |
| Radex Ribs Unilateral 2 Views (71100) | $239.85 | $369 | 3.0× |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$257.40–$386.10 | $396–$594 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $221.65 | $341 | 2.7× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $791.70 | $1,218 | 4.8× |
| Radex Spine 1 View Specify Level (72020) | $228.80 | $352 | 2.8× |
| Radex Sternum Minimum 2 Views (71120) | $230.10 | $354 | 2.8× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $230.75 | $355 | 2.8× |
| Radex Toe Minimum 2 Views (73660) range across 3 matching MRF lines |
$247.65–$371.80 | $381–$572 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 3 matching MRF lines |
$147.55–$221.65 | $227–$341 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$265.20–$397.80 | $408–$612 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $711.10 | $1,094 | 7.3× |
| Radiolog exam mandible compl minimum 4 views (70110) | $332.80 | $512 | 3.4× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $449.15 | $691 | 4.6× |
| Radiologic exam colon double contrast study (74280) | $798.20 | $1,228 | 4.9× |
| Radiologic exam colon single contrast study (74270) | $830.70 | $1,278 | 5.1× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $1,003.60 | $1,544 | 6.1× |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$332.15–$498.55 | $511–$767 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $285.35 | $439 | 2.9× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $564.85 | $869 | 3.5× |
| Radiologic exam swallow function contrast study (74230) | $583.05 | $897 | 3.6× |
| Radiologic exam teeth complete full mouth (70320) | $176.15 | $271 | 0.8× |
| Radiologic Exam Teeth Prtl Exam < Full Mouth (70310) | $176.15 | $271 | 0.8× |
| Radiologic exam upr gi trc double contrast study (74246) | $601.90 | $926 | 3.7× |
| Radiologic examination femur 1 view (73551) | $168.35 | $259 | 2.1× |
| Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines |
$326.30–$489.45 | $502–$753 | varies |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$230.75–$345.80 | $355–$532 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$339.30–$508.95 | $522–$783 | varies |
| Radiologic examination, teeth; single view Non-Facility (70300) | $89.70 | $138 | 1.1× |
| Radiopharm Dacryocystography (78660) | $644.80 | $992 | 1.7× |
| Radiopharmaceutical therapy, by interstitial radioactive colloid administration Facility (79300) | $372.45 | $573 | 1.7× |
| Ribs bilateral 3 views (71110) | $362.70 | $558 | 3.7× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $748.80 | $1,152 | 2.0× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $1,067.95 | $1,643 | 2.9× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $2,174.25 | $3,345 | 4.3× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $1,739.40 | $2,676 | 3.4× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 2 matching MRF lines |
$1,454.05–$1,527.50 | $2,237–$2,350 | varies |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $2,681.25 | $4,125 | 2.2× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) range across 2 matching MRF lines |
$4,195.75–$4,269.20 | $6,455–$6,568 | varies |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) range across 2 matching MRF lines |
$3,531.45–$3,604.90 | $5,433–$5,546 | varies |
| Rp Therapy Intravenous Administration (79101) | $658.45 | $1,013 | 3.0× |
| Scapula (73010) range across 3 matching MRF lines |
$237.90–$338.65 | $366–$521 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $64.35 | $99 | 2.8× |
| Shoulder 1 view (73020) range across 3 matching MRF lines |
$206.05–$352.30 | $317–$542 | varies |
| Shoulder Arthrography (73040) range across 3 matching MRF lines |
$626.60–$793 | $964–$1,220 | varies |
| Sialogram (70390) | $579.15 | $891 | 2.6× |
| Skull less than 4 views (70250) | $349.05 | $537 | 3.6× |
| Speech evaluation, complex (70371) | $568.10 | $874 | 2.6× |
| Spleen Imaging (78185) | $579.80 | $892 | 1.6× |
| Sternoclavicular joints (71130) | $237.90 | $366 | 2.9× |
| Temporomandble Jt Arthrography Rs&I (70332) | $463.45 | $713 | 2.1× |
| Testicular Imaging W/Flow (78761) | $755.95 | $1,163 | 2.0× |
| Thoracic spine 2 views (72070) | $257.40 | $396 | 2.6× |
| Thoracic spine 3 views (72072) | $297.05 | $457 | 3.0× |
| Thoracolumbar 2 views (72080) | $245.70 | $378 | 3.0× |
| Thyroid Carcinoma Metastases Img Lmtd Area (78015) | $741.65 | $1,141 | 2.0× |
| Thyroid Imaging With Vascular Flow (78013) | $698.75 | $1,075 | 1.9× |
| Thyroid Met Imaging Body (78018) | $1,817.40 | $2,796 | 3.6× |
| Thyroid Uptake Measurement (78012) | $579.80 | $892 | 1.6× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) range across 2 matching MRF lines |
$997.75–$1,339 | $1,535–$2,060 | varies |
| Tx devices design & construction simple (77332) | $494.65 | $761 | 3.9× |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$264.55–$397.15 | $407–$611 | varies |
| Ultrasound Elastography Parenchyma (76981) | $252.85 | $389 | 2.6× |
| Ultrasound Exam Aaa Screen (76706) | $276.90 | $426 | 2.8× |
| Ultrasound, abdomen limited (76705) | $601.90 | $926 | 6.2× |
| Umbilical-artery Doppler (OB) (76820) | $280.15 | $431 | 2.9× |
| Unlisted us procedure (76999) | $131.95 | $203 | 1.6× |
| Upper gi w/o kub (74240) | $597.35 | $919 | 3.6× |
| Ureteral Reflux Study (78740) | $778.70 | $1,198 | 2.1× |
| Urethrocystogram voiding (74455) | $708.50 | $1,090 | 3.2× |
| Urethrocystography retrograde (74450) | $623.35 | $959 | 2.8× |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$351–$526.50 | $540–$810 | varies |
| Us chest (76604) | $457.60 | $704 | 4.7× |
| Us complete joint (76881) range across 3 matching MRF lines |
$424.45–$636.35 | $653–$979 | varies |
| Us exam, pelvic, limited (76857) | $274.95 | $423 | 2.8× |
| Us head (76506) | $491.40 | $756 | 5.0× |
| Us kidney transplant (76776) | $453.05 | $697 | 4.6× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 3 matching MRF lines |
$525.20–$787.80 | $808–$1,212 | varies |
| Us ob detailed single fetus (76811) | $629.20 | $968 | 2.8× |
| Us ob limited 1 or more fetuses (76815) | $351 | $540 | 3.6× |
| Us ob transvaginal (76817) | $350.35 | $539 | 3.6× |
| Us pelvic non ob complete (76856) | $506.35 | $779 | 5.2× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $408.85 | $629 | 4.2× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $277.55 | $427 | 2.8× |
| Us retroperitoneal complete (76770) | $686.40 | $1,056 | 7.0× |
| Us retroperitoneal limited (76775) | $501.15 | $771 | 5.1× |
| Us scrotum and contents (76870) | $629.85 | $969 | 6.5× |
| Us spinal canal and contents (76800) | $329.55 | $507 | 3.4× |
| Us thyroid (76536) | $450.45 | $693 | 4.6× |
| Vascular Flow Imaging (78445) | $650 | $1,000 | 1.7× |
| Vein X-Ray Chest (75827) | $1,457.95 | $2,243 | 1.0× |
| Venogram Sinus/Jugular (75860) | $2,143.70 | $3,298 | 0.7× |
| Venography caval inferior serialography rs&i (75825) | $2,187.90 | $3,366 | 0.7× |
| Venography extremity bilateral rs&i (75822) | $1,381.25 | $2,125 | 0.9× |
| Venography extremity unilateral rs&i (75820) | $1,062.75 | $1,635 | 0.7× |
| Venography Renal Unilateral (75831) | $1,838.20 | $2,828 | 0.6× |
| Venous thrombosis imaging (78457) | $840.45 | $1,293 | 1.7× |
| Venous Thrombosis Imaging Venogram Bilateral (78458) | $787.15 | $1,211 | 2.1× |
| Wrist 2 views (73100) range across 3 matching MRF lines |
$232.05–$348.40 | $357–$536 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $180.70 | $278 | 2.2× |
| X-ray antegrade pyelogram tube (74425) | $697.45 | $1,073 | 2.1× |
| X-Ray Aorta Leg Arteries (75630) | $3,473.60 | $5,344 | 1.2× |
| X-Ray Bend Only L-S Spine (72120) | $364 | $560 | 3.7× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 6 matching MRF lines |
$117–$306.80 | $180–$472 | varies |
| X-Ray Exam Breast Specimen (76098) range across 3 matching MRF lines |
$332.15–$498.55 | $511–$767 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) | $227.50 | $350 | 2.8× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $419.90 | $646 | 4.3× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $560.95 | $863 | 5.7× |
| X-Ray Exam Hip Uni 1 View (73501) | $192.40 | $296 | 2.4× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $294.45 | $453 | 3.6× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $371.80 | $572 | 3.8× |
| X-Ray Exam Hips Bi 2 Views (73521) | $241.15 | $371 | 2.5× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $364.65 | $561 | 3.7× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $381.55 | $587 | 3.9× |
| X-Ray Exam L-S Spine Bending (72114) | $411.45 | $633 | 4.2× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$58.50–$269.10 | $90–$414 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $397.80 | $612 | 4.1× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $314.60 | $484 | 3.2× |
| X-ray eye for foreign body (70030) | $243.75 | $375 | 3.0× |
| X-ray humerus (73060) range across 4 matching MRF lines |
$295.75–$485.55 | $455–$747 | varies |
| X-ray IV pyelogram (ivp) (74400) | $768.95 | $1,183 | 4.7× |
| X-ray IV pyelogram+tomography (74415) | $1,065.35 | $1,639 | 6.5× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $174.85 | $269 | 2.2× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $160.55 | $247 | 2.0× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $276.25 | $425 | 2.8× |
| X-ray nose-rectum child f.b. (76010) | $193.05 | $297 | 2.4× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $331.50 | $510 | 3.4× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $261.95 | $403 | 2.7× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $247 | $380 | 2.5× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $254.80 | $392 | 3.1× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $276.90 | $426 | 3.4× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $362.70 | $558 | 3.7× |
| X-ray thoracic spine 4 vw (72074) | $313.95 | $483 | 3.2× |
| X-Ray Tmj Unilat (70328) | $156.65 | $241 | 1.9× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $1,030.25 | $1,585 | 3.2× |
| X-Rays Bone Length Studies (77073) | $176.80 | $272 | 1.8× |
| X-Rays Bone Survey Complete (77075) | $451.10 | $694 | 4.6× |
| Xr c-spine 4 or 5 views (72050) | $374.40 | $576 | 3.8× |
| Xr facial bones less than 3 views (70140) | $175.50 | $270 | 2.2× |
| Xr orbits complete 4 views (70200) | $278.20 | $428 | 2.9× |
| Xr Tomogram Single Plane (76100) | $606.45 | $933 | 6.2× |
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.