Imaging prices at Mercy Hospital Pittsburg, Inc
Pittsburg, KS · every code in this section with a posted price and a Medicare benchmark.
262 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 |
$3,492.45–$7,381.40 | $5,373–$11,356 | varies |
| Abdomen 1 View (74018) | $328.90 | $506 | 4.1× |
| Abdomen 2 views (74019) | $440.05 | $677 | 4.5× |
| Acute Gastrointestinal Blood Loss Imaging (78278) range across 2 matching MRF lines |
$1,626.30–$1,894.75 | $2,502–$2,915 | varies |
| Angiography extremity bilateral rs&i (75716) | $3,284.45 | $5,053 | 1.1× |
| Angiography extremity unilateral rs&i (75710) | $4,523.35 | $6,959 | 1.5× |
| Ankle 2 views (73600) range across 6 matching MRF lines |
$276.25–$414.05 | $425–$637 | varies |
| Arthrogram hip (73525) range across 3 matching MRF lines |
$908.05–$1,543.75 | $1,397–$2,375 | varies |
| Arthrogram Wrist (73115) range across 3 matching MRF lines |
$908.05–$1,543.75 | $1,397–$2,375 | varies |
| Basic radiation dosimetry calculation (77300) range across 2 matching MRF lines |
$365.30–$4,680 | $562–$7,200 | varies |
| Bone age studies (77072) | $248.95 | $383 | 2.6× |
| Bone Imaging 3 Phase (78315) range across 2 matching MRF lines |
$2,020.85–$2,869.10 | $3,109–$4,414 | varies |
| Bone Imaging Limited Area (78300) | $1,321.45 | $2,033 | 3.5× |
| Bone Imaging Whole Body (78306) range across 2 matching MRF lines |
$2,078.05–$2,926.30 | $3,197–$4,502 | varies |
| Bone survey infant (77076) | $413.40 | $636 | 4.2× |
| Brachytx isodose complex (77318) | $828.10 | $1,274 | 2.4× |
| Brachytx isodose intermed (77317) | $1,279.85 | $1,969 | 3.7× |
| Brachytx Isodose Plan Simple (77316) | $1,106.30 | $1,702 | 3.2× |
| Brain Imaging Pet Metabolic Evaluation (78608) range across 2 matching MRF lines |
$5,036.20–$6,302.40 | $7,748–$9,696 | varies |
| Chest 1 view (71045) | $305.50 | $470 | 3.8× |
| Chest 2 views (71046) | $336.70 | $518 | 4.2× |
| Chest 3 views (71047) | $358.15 | $551 | 4.4× |
| Chest 4 or more views (71048) | $386.10 | $594 | 4.0× |
| Clavicle complete (73000) range across 3 matching MRF lines |
$276.25–$414.05 | $425–$637 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $356.20 | $548 | 3.7× |
| Continuing medical physics consltj pr wk (77336) range across 2 matching MRF lines |
$353.60–$9,160.45 | $544–$14,093 | varies |
| Contrast Exam Abdominl Aorta (75625) | $2,791.10 | $4,294 | 0.9× |
| Contrast X-Ray Bladder (74430) | $908.05 | $1,397 | 2.8× |
| Contrast X-Ray Of Elbow (73085) range across 3 matching MRF lines |
$908.05–$1,359.80 | $1,397–$2,092 | varies |
| Contrast X-Ray Of Knee Joint (73580) range across 3 matching MRF lines |
$908.05–$962 | $1,397–$1,480 | varies |
| CT abdomen and pelvis without and with contrast (74178) | $3,472.30 | $5,342 | 10.7× |
| CT abdomen and pelvis without contrast (74176) | $2,868.45 | $4,413 | 12.9× |
| CT abdomen w contrast (74160) | $1,931.80 | $2,972 | 11.8× |
| CT abdomen w wo contrast (74170) | $2,223 | $3,420 | 13.6× |
| CT abdomen w/o contrast (74150) | $1,714.70 | $2,638 | 17.6× |
| CT Angio Abdomen and Pelvis (74174) | $5,671.90 | $8,726 | 17.5× |
| CT Angio Chest (71275) | $2,625.35 | $4,039 | 16.1× |
| CT Angio Head (70496) | $2,899.65 | $4,461 | 17.8× |
| CT angio hrt w/3d image (75574) | $2,016.95 | $3,103 | 6.2× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 3 matching MRF lines |
$2,100.80–$2,269.15 | $3,232–$3,491 | varies |
| CT Angio Neck (70498) | $2,562.30 | $3,942 | 15.7× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 3 matching MRF lines |
$2,185.95–$3,716.05 | $3,363–$5,717 | varies |
| CT Cere Prfuj Alys C+ W/O CT/Cta Same Anatomy (70473) | $858 | $1,320 | 5.3× |
| CT cervical spine w/ contrast (72126) | $1,981.85 | $3,049 | 6.1× |
| CT cervical spine w/o contrast (72125) | $1,835.60 | $2,824 | 18.9× |
| CT chest w contrast (71260) | $1,981.85 | $3,049 | 12.1× |
| CT chest w/wo contrast (71270) | $2,416.05 | $3,717 | 14.8× |
| CT head/brain with contrast (70460) | $1,807.65 | $2,781 | 11.1× |
| CT head/brain without and with contrast (70470) | $2,029.95 | $3,123 | 12.4× |
| CT heart contrast eval cardiac structure&morph (75572) | $2,689.05 | $4,137 | 8.3× |
| CT heart no contrast quant eval coronry calcium (75571) | $65 | $100 | 0.8× |
| CT hrt w/3d image congen (75573) | $1,344.85 | $2,069 | 4.1× |
| CT iac w contrast (70481) | $1,639.95 | $2,523 | 10.0× |
| CT l-spine w&w/o contrast (72133) | $1,892.15 | $2,911 | 11.6× |
| CT lower ext w/o (73700) range across 3 matching MRF lines |
$1,643.20–$1,981.85 | $2,528–$3,049 | varies |
| CT lower extremity w/contrast material (73701) range across 3 matching MRF lines |
$1,756.30–$1,896.05 | $2,702–$2,917 | varies |
| CT lumbar spine w contrast (72132) | $1,627.60 | $2,504 | 5.0× |
| CT lumbar spine w/o contrast (72131) | $1,436.50 | $2,210 | 14.8× |
| CT maxillofacial w contrast (70487) | $2,102.75 | $3,235 | 12.9× |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$1,786.20–$1,934.40 | $2,748–$2,976 | varies |
| CT neck tissue combo (70492) | $2,208.05 | $3,397 | 13.5× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,849.90 | $2,846 | 11.3× |
| CT orbits w/o contrast (70480) | $2,052.05 | $3,157 | 21.1× |
| CT pelvis w&w/o contrast (72194) | $1,853.15 | $2,851 | 11.3× |
| CT pelvis w/o contrast (72192) | $1,675.70 | $2,578 | 17.2× |
| CT scan of leg combo (73702) | $1,892.15 | $2,911 | 11.6× |
| CT scans face/jaw combo (70488) | $2,358.20 | $3,628 | 14.4× |
| CT soft tissue neck w contrast (70491) | $1,947.40 | $2,996 | 11.9× |
| CT soft tissue neck w/o contrast (70490) | $1,667.25 | $2,565 | 17.1× |
| CT thoracic spine w contrast (72129) | $1,807.65 | $2,781 | 11.1× |
| CT thoracic spine w/o contrast (72128) | $1,436.50 | $2,210 | 14.8× |
| CT thorax w/o contrast (71250) | $1,835.60 | $2,824 | 18.9× |
| CT upper ext wo (73200) range across 3 matching MRF lines |
$1,286.35–$1,551.55 | $1,979–$2,387 | varies |
| CT upper extremity w/o & w/contrast material (73202) | $1,892.15 | $2,911 | 11.6× |
| CT upper extremity with contrast (73201) range across 3 matching MRF lines |
$1,764.75–$1,942.85 | $2,715–$2,989 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $2,425.80 | $3,732 | 14.9× |
| Cta Abdomen (74175) | $2,625.35 | $4,039 | 16.1× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $2,899.65 | $4,461 | 8.9× |
| Dxa Bone Density Axial (77080) | $473.85 | $729 | 4.9× |
| Echograp Trans R Pros Study (76873) | $381.55 | $587 | 3.9× |
| Esophagram (74220) | $495.95 | $763 | 3.0× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $644.80 | $992 | 6.6× |
| Fluoroscopy up to 1 hr (76000) | $235.30 | $362 | 1.1× |
| Foot 2 views (73620) range across 6 matching MRF lines |
$273.65–$408.20 | $421–$628 | varies |
| Forearm 2 views (73090) range across 6 matching MRF lines |
$273.65–$297.70 | $421–$458 | varies |
| Gastric emptying imaging study (78264) range across 2 matching MRF lines |
$1,217.45–$1,350.05 | $1,873–$2,077 | varies |
| Gated Heart Planar Single (78472) range across 2 matching MRF lines |
$2,322.45–$2,590.90 | $3,573–$3,986 | varies |
| Hand 2 views (73120) range across 6 matching MRF lines |
$230.75–$345.80 | $355–$532 | varies |
| Hepatobil Syst Image W/Drug (78227) | $2,194.40 | $3,376 | 4.3× |
| Hepatobiliary System Imaging (78226) range across 2 matching MRF lines |
$2,194.40–$2,373.80 | $3,376–$3,652 | varies |
| Ht Muscle Image Spect Sing (78451) | $2,146.30 | $3,302 | 1.8× |
| Hysterosalpingogram (74740) | $908.05 | $1,397 | 4.1× |
| Infusion Ivp (74410) | $715 | $1,100 | 4.4× |
| Interstitial radiation source applic complex (77778) | $3,213.60 | $4,944 | 5.0× |
| K Flow/Funct Image W/Drug (78708) range across 2 matching MRF lines |
$1,797.90–$2,569.45 | $2,766–$3,953 | varies |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$277.55–$517.40 | $427–$796 | varies |
| Lung Ventilat&Perfus Imaging (78582) | $1,504.10 | $2,314 | 3.0× |
| Lymph System Imaging (78195) range across 2 matching MRF lines |
$2,642.90–$22,314.68 | $4,066–$34,330.28 | varies |
| Magnetic Image Jaw Joint (70336) | $1,955.20 | $3,008 | 8.8× |
| Mlc imrt design & construction per imrt plan (77338) range across 2 matching MRF lines |
$1,628.90–$4,680 | $2,506–$7,200 | varies |
| Mra Head W/O & W/Contrast Material (70546) | $1,862.25 | $2,865 | 5.7× |
| MRA head w/o contrast (70544) | $1,490.45 | $2,293 | 6.7× |
| MRA head with contrast (70545) | $1,676.35 | $2,579 | 5.2× |
| MRA neck w contrast (70548) | $2,048.80 | $3,152 | 6.3× |
| Mra Neck W/O &W/Contrast Material (70549) | $1,862.25 | $2,865 | 5.7× |
| MRA neck w/o contrast (70547) | $1,490.45 | $2,293 | 6.7× |
| MRI abdomen w contrast (74182) | $1,676.35 | $2,579 | 5.2× |
| MRI abdomen w/o contrast (74181) | $2,122.25 | $3,265 | 9.6× |
| MRI any jt lower extrem w/contrast material (73722) range across 3 matching MRF lines |
$1,945.45–$3,443.70 | $2,993–$5,298 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 3 matching MRF lines |
$2,141.75–$3,641.30 | $3,295–$5,602 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 3 matching MRF lines |
$2,122.25–$3,608.15 | $3,265–$5,551 | varies |
| MRI Breast W/O Contrast Bilateral (77047) | $2,321.80 | $3,572 | 10.4× |
| MRI cervical spine w contrast (72142) | $2,905.50 | $4,470 | 8.9× |
| MRI cervical spine w/o cont (72141) | $2,811.25 | $4,325 | 12.7× |
| MRI chest w/o contrast (71550) | $1,945.45 | $2,993 | 8.8× |
| MRI chest with contrast (71551) | $2,152.15 | $3,311 | 2.9× |
| MRI chest wo w contrast (71552) | $3,969.55 | $6,107 | 12.2× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 3 matching MRF lines |
$2,011.75–$3,420.30 | $3,095–$5,262 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 3 matching MRF lines |
$2,663.05–$4,527.25 | $4,097–$6,965 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 3 matching MRF lines |
$1,857.70–$3,158.35 | $2,858–$4,859 | varies |
| MRI lumbar spine w contrast (72149) | $2,905.50 | $4,470 | 8.9× |
| Mri Neck Spine W/O & W/Dye (72156) | $3,177.20 | $4,888 | 9.8× |
| MRI orbit face &/neck w/o contrast (70540) | $1,887.60 | $2,904 | 8.5× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $2,236 | $3,440 | 6.9× |
| MRI pelvis w contrast (72196) | $1,844.05 | $2,837 | 5.7× |
| MRI pelvis w/o & w contrast (72197) | $2,458.30 | $3,782 | 7.6× |
| MRI pelvis w/o contrast (72195) | $1,945.45 | $2,993 | 8.8× |
| MRI thoracic spine w/o contrast (72146) | $2,811.25 | $4,325 | 12.7× |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 3 matching MRF lines |
$1,769.30–$3,007.55 | $2,722–$4,627 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 3 matching MRF lines |
$1,592.50–$2,707.25 | $2,450–$4,165 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 3 matching MRF lines |
$2,420.60–$4,115.15 | $3,724–$6,331 | varies |
| MRI, abdomen, combo (74183) | $2,420.60 | $3,724 | 7.5× |
| MRI, dorsal spine combo (72157) | $3,177.20 | $4,888 | 9.8× |
| MRI, dorsal spine contrast (72147) | $2,905.50 | $4,470 | 8.9× |
| MRI, joint upper extrem (73221) range across 3 matching MRF lines |
$1,782.30–$3,029.65 | $2,742–$4,661 | varies |
| MRI, joint upper extrem combo (73223) range across 3 matching MRF lines |
$2,253.55–$3,831.10 | $3,467–$5,894 | varies |
| MRI, lumbar spine combo (72158) | $3,177.20 | $4,888 | 9.8× |
| Myelogram cervical (72240) | $2,527.85 | $3,889 | 3.5× |
| Myelogram Lumbar (72265) | $2,326.35 | $3,579 | 3.2× |
| Myelography thoracic (72255) | $2,396.55 | $3,687 | 3.3× |
| Myelograpy 2/more regions rs&i (72270) | $2,326.35 | $3,579 | 3.2× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) | $4,191.85 | $6,449 | 3.5× |
| Myocardial Spect Multiple Studies (78452) range across 2 matching MRF lines |
$3,053.05–$3,921.45 | $4,697–$6,033 | varies |
| Neck soft tissue (70360) | $217.10 | $334 | 2.7× |
| Ntsty modul radthx pln dose-vol histos (77301) range across 2 matching MRF lines |
$2,320.50–$4,680 | $3,570–$7,200 | varies |
| Nuclear Rx Oral Admin (79005) range across 2 matching MRF lines |
$1,025.70–$4,340.70 | $1,578–$6,678 | varies |
| Parathyroid imaging w/tomographic spect & CT (78072) | $750.75 | $1,155 | 1.5× |
| Parathyroid Planar Imaging (78070) range across 2 matching MRF lines |
$1,088.10–$1,665.30 | $1,674–$2,562 | varies |
| Pelvis 1 or 2 views (72170) | $211.90 | $326 | 2.2× |
| PET image w/CT, full body (78816) range across 2 matching MRF lines |
$4,170.40–$5,436.60 | $6,416–$8,364 | varies |
| PET imaging CT attenuation skull base mid-thigh (78815) range across 2 matching MRF lines |
$3,962.40–$5,228.60 | $6,096–$8,044 | varies |
| Pulmonary Perfusion Imaging Particulate (78580) range across 2 matching MRF lines |
$881.40–$1,392.95 | $1,356–$2,143 | varies |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $548.60 | $844 | 5.6× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $908.05 | $1,397 | 1.8× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$297.70–$444.60 | $458–$684 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$276.25–$414.05 | $425–$637 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$297.70–$395.85 | $458–$609 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $329.55 | $507 | 3.4× |
| Radex fingr minimum 2 views (73140) range across 3 matching MRF lines |
$220.35–$304.20 | $339–$468 | varies |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$329.55–$493.35 | $507–$759 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$329.55–$386.10 | $507–$594 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $329.55 | $507 | 4.1× |
| Radex Ribs Unilateral 2 Views (71100) | $237.90 | $366 | 2.9× |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$329.55–$493.35 | $507–$759 | varies |
| Radex Spine 1 View Specify Level (72020) | $276.25 | $425 | 3.4× |
| Radex Sternum Minimum 2 Views (71120) | $304.20 | $468 | 3.8× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $329.55 | $507 | 4.1× |
| Radex Toe Minimum 2 Views (73660) range across 3 matching MRF lines |
$276.25–$469.95 | $425–$723 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$329.55–$386.10 | $507–$594 | varies |
| Radiation Delivery Stereotactic Cranial Linear (77372) range across 2 matching MRF lines |
$13,455–$14,370.20 | $20,700–$22,108 | varies |
| Radiation treatment delivery level 1 (77402) range across 2 matching MRF lines |
$307.45–$12,413.05 | $473–$19,097 | varies |
| Radiation treatment delivery level 2 (77407) range across 2 matching MRF lines |
$1,450.15–$7,753.85 | $2,231–$11,929 | varies |
| Radiation treatment delivery level 3 (77412) range across 2 matching MRF lines |
$1,628.25–$5,621.85 | $2,505–$8,649 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) | $289.90 | $446 | 3.0× |
| Radiologic exam colon double contrast study (74280) | $904.80 | $1,392 | 5.5× |
| Radiologic exam colon single contrast study (74270) | $904.80 | $1,392 | 5.5× |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$308.10–$493.35 | $474–$759 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) | $824.20 | $1,268 | 5.0× |
| Radiologic exam swallow function contrast study (74230) | $770.25 | $1,185 | 4.7× |
| Radiologic exam upr gi trc double contrast study (74246) | $908.05 | $1,397 | 5.6× |
| Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines |
$304.20–$526.50 | $468–$810 | varies |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$220.35–$493.35 | $339–$759 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $413.40 | $636 | 4.2× |
| Radiologic examination tibia & fibula 2 views (73590) range across 6 matching MRF lines |
$248.95–$373.10 | $383–$574 | varies |
| Ribs bilateral 3 views (71110) | $273.65 | $421 | 2.8× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $2,194.40 | $3,376 | 4.3× |
| Scapula (73010) range across 3 matching MRF lines |
$228.15–$454.35 | $351–$699 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $73.45 | $113 | 3.1× |
| Shoulder 1 view (73020) range across 3 matching MRF lines |
$276.25–$414.05 | $425–$637 | varies |
| Shoulder Arthrography (73040) range across 3 matching MRF lines |
$908.05–$1,359.80 | $1,397–$2,092 | varies |
| Skull less than 4 views (70250) | $264.55 | $407 | 2.7× |
| Special dosimetry (77331) | $588.25 | $905 | 4.7× |
| Special Physics Consult (77370) range across 2 matching MRF lines |
$915.20–$14,370.20 | $1,408–$22,108 | varies |
| Special treatment procedure (77470) | $1,491.10 | $2,294 | 2.9× |
| Stereotactic Body Radiation Delivery (77373) | $13,455 | $20,700 | 8.1× |
| Sternoclavicular joints (71130) | $304.20 | $468 | 3.8× |
| Telethx isodose pln cplx w/basic dosimetry (77307) range across 2 matching MRF lines |
$1,077.70–$22,692.15 | $1,658–$34,911 | varies |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $674.05 | $1,037 | 1.9× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) range across 2 matching MRF lines |
$1,175.20–$1,984.45 | $1,808–$3,053 | varies |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $942.50 | $1,450 | 2.7× |
| Ther rad simulaj-aided field setting simple (77280) range across 2 matching MRF lines |
$1,093.30–$2,543.45 | $1,682–$3,913 | varies |
| Thoracic spine 2 views (72070) | $366.60 | $564 | 3.8× |
| Thoracic spine 3 views (72072) | $395.20 | $608 | 4.1× |
| Thoracolumbar 2 views (72080) | $393.90 | $606 | 4.9× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) range across 2 matching MRF lines |
$1,121.90–$1,394.25 | $1,726–$2,145 | varies |
| Tx Devices Design & Construction Complex (77334) range across 2 matching MRF lines |
$809.25–$1,278.39 | $1,245–$1,966.76 | varies |
| Tx devices design & construction intermediate (77333) | $716.95 | $1,103 | 5.7× |
| Tx devices design & construction simple (77332) range across 2 matching MRF lines |
$578.50–$30,027.40 | $890–$46,196 | varies |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$349.05–$697.45 | $537–$1,073 | varies |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
$83.20–$483.60 | $128–$744 | varies |
| Ultrasound, abdomen limited (76705) | $471.90 | $726 | 4.8× |
| Upper gi w/o kub (74240) | $757.25 | $1,165 | 4.6× |
| Urethrocystogram voiding (74455) | $715 | $1,100 | 3.2× |
| Urethrocystography retrograde (74450) | $907.40 | $1,396 | 4.1× |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$349.05–$697.45 | $537–$1,073 | varies |
| Us chest (76604) | $323.05 | $497 | 3.3× |
| Us complete joint (76881) range across 3 matching MRF lines |
$258.70–$440.05 | $398–$677 | varies |
| Us exam, pelvic, limited (76857) | $330.85 | $509 | 3.4× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 6 matching MRF lines |
$24.70–$769.60 | $38–$1,184 | varies |
| Us ob limited 1 or more fetuses (76815) | $434.20 | $668 | 4.5× |
| Us ob transvaginal (76817) | $571.35 | $879 | 5.9× |
| Us pelvic non ob complete (76856) | $498.55 | $767 | 5.1× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $542.75 | $835 | 5.6× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $479.70 | $738 | 4.9× |
| Us retroperitoneal complete (76770) | $553.80 | $852 | 5.7× |
| Us retroperitoneal limited (76775) | $323.05 | $497 | 3.3× |
| Us scrotum and contents (76870) | $548.60 | $844 | 5.6× |
| Us spinal canal and contents (76800) | $377.65 | $581 | 3.9× |
| Us thyroid (76536) | $572.65 | $881 | 5.9× |
| Venography extremity unilateral rs&i (75820) | $1,389.05 | $2,137 | 0.9× |
| Wrist 2 views (73100) | $220.35 | $339 | 2.7× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $329.55 | $507 | 4.1× |
| X-Ray Aorta Leg Arteries (75630) | $2,639 | $4,060 | 0.9× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 6 matching MRF lines |
$276.25–$440.70 | $425–$678 | varies |
| X-Ray Exam Breast Specimen (76098) range across 3 matching MRF lines |
$484.90–$824.20 | $746–$1,268 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) | $276.25 | $425 | 3.4× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $276.25 | $425 | 2.8× |
| X-Ray Exam Hip Uni 1 View (73501) | $220.35 | $339 | 2.7× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $304.20 | $468 | 3.8× |
| X-Ray Exam Hips Bi 2 Views (73521) | $526.50 | $810 | 5.4× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $526.50 | $810 | 5.4× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $526.50 | $810 | 5.4× |
| X-Ray Exam L-S Spine Bending (72114) | $495.95 | $763 | 5.1× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $395.20 | $608 | 4.9× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $495.95 | $763 | 5.1× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $264.55 | $407 | 2.7× |
| X-ray eye for foreign body (70030) range across 3 matching MRF lines |
$108.55–$216.45 | $167–$333 | varies |
| X-ray humerus (73060) range across 6 matching MRF lines |
$304.20–$454.35 | $468–$699 | varies |
| X-ray IV pyelogram+tomography (74415) | $681.20 | $1,048 | 4.2× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $248.30 | $382 | 3.1× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $311.35 | $479 | 3.8× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $440.05 | $677 | 4.5× |
| X-ray nose-rectum child f.b. (76010) | $206.70 | $318 | 2.6× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $351.65 | $541 | 3.6× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $329.55 | $507 | 3.4× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $329.55 | $507 | 4.1× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $440.70 | $678 | 5.4× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $384.80 | $592 | 4.0× |
| X-Rays Bone Survey Complete (77075) | $900.25 | $1,385 | 9.2× |
| Xr c-spine 4 or 5 views (72050) | $521.95 | $803 | 5.4× |
| Xr facial bones less than 3 views (70140) | $276.25 | $425 | 3.4× |
| Xr orbits complete 4 views (70200) | $289.90 | $446 | 3.0× |
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.