Imaging prices at Mercy Hospital Perry
Perryville, MO · every code in this section with a posted price and a Medicare benchmark.
246 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) range across 2 matching MRF lines |
$61.75–$200.85 | $95–$309 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$74.10–$284.70 | $114–$438 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) range across 2 matching MRF lines |
$184.60–$1,006.85 | $284–$1,549 | varies |
| Ankle 2 views (73600) range across 12 matching MRF lines |
$34.45–$188.50 | $53–$290 | varies |
| Arthrogram hip (73525) range across 6 matching MRF lines |
$101.40–$696.80 | $156–$1,072 | varies |
| Bone age studies (77072) range across 2 matching MRF lines |
$75.40–$267.80 | $116–$412 | varies |
| Bone Imaging 3 Phase (78315) range across 3 matching MRF lines |
$191.10–$1,650.35 | $294–$2,539 | varies |
| Bone Imaging Limited Area (78300) range across 2 matching MRF lines |
$116.35–$950.95 | $179–$1,463 | varies |
| Bone Imaging Multiple Areas (78305) range across 2 matching MRF lines |
$155.35–$1,197.30 | $239–$1,842 | varies |
| Bone Imaging Whole Body (78306) range across 3 matching MRF lines |
$160.55–$5,237.84 | $247–$8,058.22 | varies |
| Bone survey infant (77076) range across 2 matching MRF lines |
$111.15–$391.30 | $171–$602 | varies |
| Brain Image W/Flow < 4 Views (78601) range across 2 matching MRF lines |
$197.60–$986.70 | $304–$1,518 | varies |
| Cat Scan Follow-Up Study (76380) range across 2 matching MRF lines |
$135.20–$675.35 | $208–$1,039 | varies |
| Chest 1 view (71045) range across 2 matching MRF lines |
$51.35–$160.55 | $79–$247 | varies |
| Chest 2 views (71046) range across 2 matching MRF lines |
$69.55–$200.85 | $107–$309 | varies |
| Chest 3 views (71047) range across 2 matching MRF lines |
$50.05–$263.25 | $77–$405 | varies |
| Chest 4 or more views (71048) range across 2 matching MRF lines |
$57.20–$315.25 | $88–$485 | varies |
| Cholecystography Oral Contrast (74290) range across 2 matching MRF lines |
$37.70–$134.55 | $58–$207 | varies |
| Clavicle complete (73000) range across 6 matching MRF lines |
$66.30–$357.50 | $102–$550 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 2 matching MRF lines |
$216.45–$1,292.85 | $333–$1,989 | varies |
| Contrast X-Ray Bladder (74430) range across 2 matching MRF lines |
$60.45–$650.65 | $93–$1,001 | varies |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$488.15–$3,792.75 | $751–$5,835 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$425.75–$2,499.90 | $655–$3,846 | varies |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$239.20–$1,897.35 | $368–$2,919 | varies |
| CT abdomen w wo contrast (74170) range across 4 matching MRF lines |
$261.30–$2,307.50 | $402–$3,550 | varies |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$222.30–$1,460.55 | $342–$2,247 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$427.05–$3,167.45 | $657–$4,873 | varies |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$360.10–$2,282.80 | $554–$3,512 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$329.55–$1,948.05 | $507–$2,997 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 6 matching MRF lines |
$358.80–$2,603.25 | $552–$4,005 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$330.20–$1,948.05 | $508–$2,997 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 6 matching MRF lines |
$341.25–$1,319.50 | $525–$2,030 | varies |
| CT cervical spine w/ contrast (72126) range across 2 matching MRF lines |
$225.55–$1,482 | $347–$2,280 | varies |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$217.10–$1,575.60 | $334–$2,424 | varies |
| CT cervical spine w/wo cont (72127) range across 2 matching MRF lines |
$237.25–$2,535.65 | $365–$3,901 | varies |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$231.40–$1,845.35 | $356–$2,839 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$258.05–$1,920.10 | $397–$2,954 | varies |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$210.60–$1,498.25 | $324–$2,305 | varies |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$238.55–$1,862.90 | $367–$2,866 | varies |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$258.05–$1,613.30 | $397–$2,482 | varies |
| CT l-spine w&w/o contrast (72133) range across 2 matching MRF lines |
$238.55–$1,990.95 | $367–$3,063 | varies |
| CT lower ext w/o (73700) range across 6 matching MRF lines |
$204.10–$1,241.50 | $314–$1,910 | varies |
| CT lower extremity w/contrast material (73701) range across 6 matching MRF lines |
$218.40–$1,495.65 | $336–$2,301 | varies |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$228.15–$2,127.45 | $351–$3,273 | varies |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$216.45–$1,608.75 | $333–$2,475 | varies |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$243.75–$1,647.75 | $375–$2,535 | varies |
| CT maxillofacial wo contrast (70486) range across 4 matching MRF lines |
$212.55–$1,385.80 | $327–$2,132 | varies |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$271.05–$1,955.85 | $417–$3,009 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 2 matching MRF lines |
$271.05–$1,951.95 | $417–$3,003 | varies |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$239.20–$1,430 | $368–$2,200 | varies |
| CT pelvis w&w/o contrast (72194) range across 2 matching MRF lines |
$225.55–$2,109.25 | $347–$3,245 | varies |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$204.75–$1,528.15 | $315–$2,351 | varies |
| CT scan of leg combo (73702) range across 6 matching MRF lines |
$228.15–$1,686.75 | $351–$2,595 | varies |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
$263.25–$2,159.30 | $405–$3,322 | varies |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$258.05–$1,737.45 | $397–$2,673 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$240.50–$1,426.75 | $370–$2,195 | varies |
| CT thoracic spine w contrast (72129) range across 2 matching MRF lines |
$228.15–$2,081.30 | $351–$3,202 | varies |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$216.45–$1,638.65 | $333–$2,521 | varies |
| CT thoracic spine w/wo cont (72130) range across 2 matching MRF lines |
$238.55–$1,533.35 | $367–$2,359 | varies |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$216.45–$1,537.90 | $333–$2,366 | varies |
| CT upper ext wo (73200) range across 6 matching MRF lines |
$204.10–$1,288.30 | $314–$1,982 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 6 matching MRF lines |
$225.55–$1,801.80 | $347–$2,772 | varies |
| CT upper extremity with contrast (73201) range across 6 matching MRF lines |
$216.45–$1,487.20 | $333–$2,288 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$455.65–$2,631.85 | $701–$4,049 | varies |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$356.20–$2,324.40 | $548–$3,576 | varies |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) range across 2 matching MRF lines |
$876.85–$1,948.05 | $1,349–$2,997 | varies |
| CTA pelvis (72191) range across 2 matching MRF lines |
$338.65–$1,385.15 | $521–$2,131 | varies |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$37.70–$342.55 | $58–$527 | varies |
| Dxa bone density study (77085) range across 2 matching MRF lines |
$86.45–$430.95 | $133–$663 | varies |
| Dxa bone density study 1/>sites appendiclr skel (77081) range across 2 matching MRF lines |
$39–$310.05 | $60–$477 | varies |
| Esophagram (74220) range across 2 matching MRF lines |
$85.15–$423.15 | $131–$651 | varies |
| Fetal Biophys Profile W/Nst (76818) range across 2 matching MRF lines |
$111.80–$560.30 | $172–$862 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 2 matching MRF lines |
$124.80–$421.20 | $192–$648 | varies |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$143–$534.30 | $220–$822 | varies |
| Foot 2 views (73620) range across 6 matching MRF lines |
$52–$213.85 | $80–$329 | varies |
| Forearm 2 views (73090) range across 12 matching MRF lines |
$31.20–$348.40 | $48–$536 | varies |
| Gastric emptying imaging study (78264) range across 3 matching MRF lines |
$145.60–$1,410.50 | $224–$2,170 | varies |
| Gated Heart Planar Single (78472) range across 2 matching MRF lines |
$152.10–$902.20 | $234–$1,388 | varies |
| Hand 2 views (73120) range across 12 matching MRF lines |
$26.65–$326.95 | $41–$503 | varies |
| Hepatobil Syst Image W/Drug (78227) range across 3 matching MRF lines |
$176.15–$2,182.26 | $271–$3,357.33 | varies |
| Hepatobiliary System Imaging (78226) range across 3 matching MRF lines |
$141.70–$2,032.48 | $218–$3,126.90 | varies |
| Ht Muscle Image Spect Sing (78451) range across 2 matching MRF lines |
$237.90–$2,011.75 | $366–$3,095 | varies |
| Infant hip ultrasound with hip movement (dynamic) (76885) range across 2 matching MRF lines |
$552.50–$650 | $850–$1,000 | varies |
| K Flow/Funct Image Multiple (78709) range across 2 matching MRF lines |
$263.25–$1,331.20 | $405–$2,048 | varies |
| K Flow/Funct Image W/Drug (78708) range across 3 matching MRF lines |
$225.55–$2,457 | $347–$3,780 | varies |
| K Flow/Funct Image W/O Drug (78707) range across 2 matching MRF lines |
$179.40–$1,424.80 | $276–$2,192 | varies |
| Knee 3 Views (73562) range across 6 matching MRF lines |
$80.60–$381.55 | $124–$587 | varies |
| Liver & Spleen Imaging Static Only (78215) range across 2 matching MRF lines |
$222.95–$1,116.05 | $343–$1,717 | varies |
| Liver imaging static only (78201) range across 2 matching MRF lines |
$190.45–$951.60 | $293–$1,464 | varies |
| Liver imaging w/vascular flow (78202) range across 2 matching MRF lines |
$199.55–$997.10 | $307–$1,534 | varies |
| Lung Ventilat&Perfus Imaging (78582) range across 2 matching MRF lines |
$204.75–$1,539.85 | $315–$2,369 | varies |
| Lung Ventilation Imaging (78579) range across 2 matching MRF lines |
$178.75–$894.40 | $275–$1,376 | varies |
| Magnetic Image Jaw Joint (70336) range across 2 matching MRF lines |
$262.60–$1,613.30 | $404–$2,482 | varies |
| Meckels Divert Exam (78290) range across 2 matching MRF lines |
$128.05–$964.60 | $197–$1,484 | varies |
| Mra Head W/O & W/Contrast Material (70546) range across 2 matching MRF lines |
$323.05–$2,356.90 | $497–$3,626 | varies |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$213.85–$1,671.15 | $329–$2,571 | varies |
| MRA neck w contrast (70548) range across 2 matching MRF lines |
$213.85–$2,341.30 | $329–$3,602 | varies |
| Mra Neck W/O &W/Contrast Material (70549) range across 2 matching MRF lines |
$562.90–$2,815.80 | $866–$4,332 | varies |
| MRA neck w/o contrast (70547) range across 2 matching MRF lines |
$213.85–$1,838.85 | $329–$2,829 | varies |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$259.35–$2,025.40 | $399–$3,116 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 6 matching MRF lines |
$289.90–$2,264.60 | $446–$3,484 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 6 matching MRF lines |
$382.20–$2,547.35 | $588–$3,919 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 6 matching MRF lines |
$288.60–$2,378.35 | $444–$3,659 | varies |
| MRI cervical spine w contrast (72142) range across 2 matching MRF lines |
$341.25–$2,518.10 | $525–$3,874 | varies |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$284.05–$1,944.80 | $437–$2,992 | varies |
| MRI chest w/o contrast (71550) range across 2 matching MRF lines |
$258.70–$1,865.50 | $398–$2,870 | varies |
| MRI chest wo w contrast (71552) range across 2 matching MRF lines |
$403.65–$2,974.40 | $621–$4,576 | varies |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 6 matching MRF lines |
$288.60–$332.15 | $444–$511 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 6 matching MRF lines |
$382.20–$2,512.25 | $588–$3,865 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 6 matching MRF lines |
$239.20–$2,460.90 | $368–$3,786 | varies |
| MRI lumbar spine w contrast (72149) range across 2 matching MRF lines |
$317.20–$2,575.30 | $488–$3,962 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$455.65–$2,423.20 | $701–$3,728 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 2 matching MRF lines |
$239.20–$1,950.65 | $368–$3,001 | varies |
| MRI orbit face neck w contrast (70542) range across 2 matching MRF lines |
$288.60–$2,285.40 | $444–$3,516 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 3 matching MRF lines |
$314.60–$2,735.20 | $484–$4,208 | varies |
| MRI pelvis w contrast (72196) range across 2 matching MRF lines |
$381.55–$2,226.25 | $587–$3,425 | varies |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$402.35–$2,527.20 | $619–$3,888 | varies |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$258.70–$1,824.55 | $398–$2,807 | varies |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$285.35–$1,938.30 | $439–$2,982 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 6 matching MRF lines |
$238.55–$1,864.20 | $367–$2,868 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 6 matching MRF lines |
$382.20–$2,292.55 | $588–$3,527 | varies |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$402.35–$2,812.55 | $619–$4,327 | varies |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$456.30–$2,423.20 | $702–$3,728 | varies |
| MRI, dorsal spine contrast (72147) range across 2 matching MRF lines |
$341.90–$2,855.45 | $526–$4,393 | varies |
| MRI, joint upper extrem (73221) range across 6 matching MRF lines |
$239.20–$2,004.60 | $368–$3,084 | varies |
| MRI, joint upper extrem combo (73223) range across 6 matching MRF lines |
$381.55–$2,770.30 | $587–$4,262 | varies |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$419.25–$2,423.20 | $645–$3,728 | varies |
| Myelogram Lumbar (72265) range across 2 matching MRF lines |
$155.35–$1,080.30 | $239–$1,662 | varies |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) range across 2 matching MRF lines |
$326.30–$1,631.50 | $502–$2,510 | varies |
| Myocardial Spect Multiple Studies (78452) range across 3 matching MRF lines |
$285.35–$3,973.12 | $439–$6,112.50 | varies |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$81.25–$221 | $125–$340 | varies |
| Parathyroid Planar Imaging (78070) range across 3 matching MRF lines |
$133.90–$1,197.95 | $206–$1,843 | varies |
| Parathyroid planar imaging w/wo subtraction (78071) range across 3 matching MRF lines |
$208–$1,795.95 | $320–$2,763 | varies |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$68.90–$207.35 | $106–$319 | varies |
| Pulmonary Perfusion Imaging Particulate (78580) range across 2 matching MRF lines |
$141.70–$760.50 | $218–$1,170 | varies |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$102.70–$360.75 | $158–$555 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 2 matching MRF lines |
$101.40–$523.90 | $156–$806 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 6 matching MRF lines |
$92.95–$447.85 | $143–$689 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 6 matching MRF lines |
$61.10–$306.80 | $94–$472 | varies |
| Radex elbow complete minimum 3 views (73080) range across 6 matching MRF lines |
$73.45–$426.40 | $113–$656 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$135.20–$303.55 | $208–$467 | varies |
| Radex fingr minimum 2 views (73140) range across 6 matching MRF lines |
$63.70–$199.55 | $98–$307 | varies |
| Radex foot complete minimum 3 views (73630) range across 6 matching MRF lines |
$63.70–$380.90 | $98–$586 | varies |
| Radex Hand Minimum 3 Views (73130) range across 6 matching MRF lines |
$76.05–$358.15 | $117–$551 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 6 matching MRF lines |
$90.35–$328.25 | $139–$505 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) range across 2 matching MRF lines |
$113.10–$251.55 | $174–$387 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$91–$250.90 | $140–$386 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 4 matching MRF lines |
$71.50–$228.15 | $110–$351 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 6 matching MRF lines |
$98.80–$362.70 | $152–$558 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$62.40–$195.65 | $96–$301 | varies |
| Radex Spine 1 View Specify Level (72020) range across 2 matching MRF lines |
$35.10–$174.85 | $54–$269 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$107.90–$261.30 | $166–$402 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$276.25–$325.65 | $425–$501 | varies |
| Radex Toe Minimum 2 Views (73660) range across 6 matching MRF lines |
$60.45–$193.05 | $93–$297 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 10 matching MRF lines |
$31.85–$170.95 | $49–$263 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 6 matching MRF lines |
$74.75–$349.70 | $115–$538 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) range across 2 matching MRF lines |
$125.45–$625.95 | $193–$963 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$90.35–$336.70 | $139–$518 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 2 matching MRF lines |
$41.60–$375.70 | $64–$578 | varies |
| Radiologic exam colon double contrast study (74280) range across 2 matching MRF lines |
$184.60–$852.80 | $284–$1,312 | varies |
| Radiologic exam colon single contrast study (74270) range across 2 matching MRF lines |
$131.30–$748.80 | $202–$1,152 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 6 matching MRF lines |
$94.90–$468 | $146–$720 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$114.40–$309.40 | $176–$476 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 2 matching MRF lines |
$87.10–$566.15 | $134–$871 | varies |
| Radiologic exam swallow function contrast study (74230) range across 2 matching MRF lines |
$98.80–$419.25 | $152–$645 | varies |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$131.30–$646.75 | $202–$995 | varies |
| Radiologic examination femur 1 view (73551) range across 4 matching MRF lines |
$62.40–$191.10 | $96–$294 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 6 matching MRF lines |
$70.85–$383.50 | $109–$590 | varies |
| Radiologic examination knee 1/2 views (73560) range across 6 matching MRF lines |
$65.65–$319.80 | $101–$492 | varies |
| Radiologic Examination Osseous Survey Limited (77074) range across 2 matching MRF lines |
$72.15–$393.90 | $111–$606 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 12 matching MRF lines |
$9.10–$408.20 | $14–$628 | varies |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$136.50–$344.50 | $210–$530 | varies |
| Scapula (73010) range across 6 matching MRF lines |
$93.60–$272.35 | $144–$419 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 6 matching MRF lines |
$66.95–$96.20 | $103–$148 | varies |
| Shoulder 1 view (73020) range across 6 matching MRF lines |
$81.25–$181.35 | $125–$279 | varies |
| Shoulder Arthrography (73040) range across 6 matching MRF lines |
$99.45–$756.60 | $153–$1,164 | varies |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$116.35–$228.15 | $179–$351 | varies |
| Sternoclavicular joints (71130) range across 2 matching MRF lines |
$123.50–$250.25 | $190–$385 | varies |
| Tbs technical calculation only (77091) | $248.30 | $382 | 2.8× |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$76.05–$254.15 | $117–$391 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$64.35–$321.75 | $99–$495 | varies |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$59.80–$296.40 | $92–$456 | varies |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) range across 3 matching MRF lines |
$91.65–$856.05 | $141–$1,317 | varies |
| Ultrasound Breast Limited (76642) range across 6 matching MRF lines |
$99.45–$485.55 | $153–$747 | varies |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
$136.50–$283.40 | $210–$436 | varies |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$199.55–$479.05 | $307–$737 | varies |
| Umbilical-artery Doppler (OB) (76820) range across 2 matching MRF lines |
$62.40–$311.35 | $96–$479 | varies |
| Upper gi w/o kub (74240) range across 2 matching MRF lines |
$117–$584.35 | $180–$899 | varies |
| Urethrocystogram voiding (74455) range across 2 matching MRF lines |
$63.05–$681.85 | $97–$1,049 | varies |
| Urethrocystography retrograde (74450) range across 2 matching MRF lines |
$63.05–$347.10 | $97–$534 | varies |
| Us breast unilateral complete (76641) range across 6 matching MRF lines |
$99.45–$614.90 | $153–$946 | varies |
| Us chest (76604) range across 4 matching MRF lines |
$101.40–$439.40 | $156–$676 | varies |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$163.80–$423.15 | $252–$651 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 6 matching MRF lines |
$107.25–$598.65 | $165–$921 | varies |
| Us ob detailed single fetus (76811) range across 2 matching MRF lines |
$148.20–$738.40 | $228–$1,136 | varies |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$187.85–$348.40 | $289–$536 | varies |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$217.75–$399.75 | $335–$615 | varies |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$235.95–$630.50 | $363–$970 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$261.30–$510.90 | $402–$786 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 2 matching MRF lines |
$156–$362.05 | $240–$557 | varies |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$137.80–$659.75 | $212–$1,015 | varies |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$113.75–$469.30 | $175–$722 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$118.95–$563.55 | $183–$867 | varies |
| Us spinal canal and contents (76800) range across 2 matching MRF lines |
$199.55–$403 | $307–$620 | varies |
| Us thyroid (76536) range across 2 matching MRF lines |
$101.40–$548.60 | $156–$844 | varies |
| Us transrectal (76872) range across 2 matching MRF lines |
$247.65–$484.25 | $381–$745 | varies |
| Wrist 2 views (73100) range across 12 matching MRF lines |
$26.65–$297.70 | $41–$458 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$80.60–$248.95 | $124–$383 | varies |
| X-Ray Bend Only L-S Spine (72120) range across 2 matching MRF lines |
$112.45–$203.45 | $173–$313 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 12 matching MRF lines |
$36.40–$209.30 | $56–$322 | varies |
| X-Ray Exam Breast Specimen (76098) range across 4 matching MRF lines |
$31.85–$210.60 | $49–$324 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 2 matching MRF lines |
$53.30–$271.05 | $82–$417 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$63.70–$318.50 | $98–$490 | varies |
| X-Ray Exam Entire Spi 4/5 Vw (72083) range across 2 matching MRF lines |
$93.60–$468.65 | $144–$721 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 4 matching MRF lines |
$32.50–$176.15 | $50–$271 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 4 matching MRF lines |
$98.15–$230.75 | $151–$355 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) range across 4 matching MRF lines |
$52.65–$263.25 | $81–$405 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$109.85–$319.15 | $169–$491 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 2 matching MRF lines |
$81.90–$407.55 | $126–$627 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) range across 2 matching MRF lines |
$96.20–$481.65 | $148–$741 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$157.30–$564.20 | $242–$868 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$76.70–$300.30 | $118–$462 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$141.05–$476.45 | $217–$733 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 4 matching MRF lines |
$87.10–$265.85 | $134–$409 | varies |
| X-ray eye for foreign body (70030) range across 6 matching MRF lines |
$70.20–$222.95 | $108–$343 | varies |
| X-ray humerus (73060) range across 12 matching MRF lines |
$35.10–$243.75 | $54–$375 | varies |
| X-ray IV pyelogram+tomography (74415) range across 2 matching MRF lines |
$170.95–$852.80 | $263–$1,312 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 2 matching MRF lines |
$48.75–$245.05 | $75–$377 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$76.05–$237.90 | $117–$366 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$81.25–$267.80 | $125–$412 | varies |
| X-ray nose-rectum child f.b. (76010) range across 2 matching MRF lines |
$44.20–$220.35 | $68–$339 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$141.05–$404.95 | $217–$623 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$52.65–$265.85 | $81–$409 | varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $92.30 | $142 | 0.9× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$68.90–$254.80 | $106–$392 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$133.25–$329.55 | $205–$507 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$164.45–$365.95 | $253–$563 | varies |
| X-ray thoracic spine 4 vw (72074) range across 2 matching MRF lines |
$101.40–$360.75 | $156–$555 | varies |
| X-Ray Tmj Unilat (70328) | $93.60 | $144 | 1.1× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 2 matching MRF lines |
$250.25–$917.15 | $385–$1,411 | varies |
| X-Rays Bone Length Studies (77073) range across 2 matching MRF lines |
$51.35–$310.70 | $79–$478 | varies |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$85.80–$690.30 | $132–$1,062 | varies |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$112.45–$401.70 | $173–$618 | varies |
| Xr facial bones less than 3 views (70140) range across 2 matching MRF lines |
$40.95–$204.75 | $63–$315 | varies |
| XR Mastoids < 3 Views Bilateral (70120) range across 2 matching MRF lines |
$91–$195.65 | $140–$301 | varies |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$139.10–$338.65 | $214–$521 | varies |
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.