Imaging prices at Mercy Hospital South
St. Louis, MO · every code in this section with a posted price and a Medicare benchmark.
379 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 3-D radiotherapy plan dose-volume histograms (77295) range across 2 matching MRF lines |
$7,801.95–$52,618.15 | $12,003–$80,951 | varies |
| Abdomen 1 View (74018) | $218.40 | $336 | 2.5× |
| Abdomen 2 views (74019) | $302.90 | $466 | 2.9× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $400.40 | $616 | 1.0× |
| Angio internal mammary (75756) | $2,363.40 | $3,636 | 0.7× |
| Angio pulmonary bilat (75743) | $2,518.10 | $3,874 | 0.8× |
| Angiography extremity bilateral rs&i (75716) | $2,641.60 | $4,064 | 0.8× |
| Angiography extremity unilateral rs&i (75710) | $1,760.85 | $2,709 | 0.6× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $1,678.95 | $2,583 | 0.5× |
| Ankle 2 views (73600) range across 6 matching MRF lines |
$120.25–$163.15 | $185–$251 | varies |
| Aortography thoracic serialography rs&i (75605) | $3,736.85 | $5,749 | 0.7× |
| Artery X-Rays Abdomen (75726) unusually low: confirm this is the full procedure |
$2,263.95 | $3,483 | 0.4× |
| Artery X-Rays Pelvis (75736) unusually low: confirm this is the full procedure |
$2,253.55 | $3,467 | 0.4× |
| Artery X-Rays Spine (75705) | $3,081.65 | $4,741 | 0.6× |
| Arthrogram hip (73525) range across 3 matching MRF lines |
$745.55–$1,043.90 | $1,147–$1,606 | varies |
| Arthrogram Wrist (73115) range across 3 matching MRF lines |
$472.55–$709.15 | $727–$1,091 | varies |
| Basic radiation dosimetry calculation (77300) range across 2 matching MRF lines |
$966.55–$61,617.40 | $1,487–$94,796 | varies |
| Bone age studies (77072) | $151.45 | $233 | 1.4× |
| Bone Imaging 3 Phase (78315) range across 2 matching MRF lines |
$757.90–$806 | $1,166–$1,240 | varies |
| Bone Imaging Limited Area (78300) range across 2 matching MRF lines |
$564.20–$3,619.85 | $868–$5,569 | varies |
| Bone Imaging Multiple Areas (78305) range across 2 matching MRF lines |
$1,300–$2,215.85 | $2,000–$3,409 | varies |
| Bone Imaging Whole Body (78306) range across 2 matching MRF lines |
$720.85–$776.10 | $1,109–$1,194 | varies |
| Bone survey infant (77076) | $328.90 | $506 | 3.1× |
| Brachytx isodose complex (77318) | $2,479.75 | $3,815 | 6.6× |
| Brachytx isodose intermed (77317) | $2,372.50 | $3,650 | 6.3× |
| Brachytx Isodose Plan Simple (77316) range across 2 matching MRF lines |
$1,773.20–$13,035.10 | $2,728–$20,054 | varies |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $593.45 | $913 | 1.1× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $3,675.75 | $5,655 | 2.6× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $555.75 | $855 | 1.6× |
| Cat Scan Follow-Up Study (76380) | $642.85 | $989 | 7.4× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $825.50 | $1,270 | 1.5× |
| Cerebrospinal Fluid Scan (78630) range across 2 matching MRF lines |
$887.25–$5,590.65 | $1,365–$8,601 | varies |
| Chest 1 view (71045) | $182.65 | $281 | 2.1× |
| Chest 2 views (71046) | $260 | $400 | 3.0× |
| Chest 3 views (71047) | $264.55 | $407 | 3.0× |
| Chest 4 or more views (71048) | $278.20 | $428 | 2.7× |
| Clavicle complete (73000) range across 3 matching MRF lines |
$221.65–$332.80 | $341–$512 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $1,173.90 | $1,806 | 11.2× |
| Continuing medical physics consltj pr wk (77336) range across 2 matching MRF lines |
$978.90–$56,055.62 | $1,506–$86,239.41 | varies |
| Contrast Exam Abdominl Aorta (75625) | $2,143.05 | $3,297 | 0.7× |
| Contrast X-Ray Bladder (74430) | $304.20 | $468 | 0.9× |
| Contrast X-Ray Of Elbow (73085) range across 3 matching MRF lines |
$666.90–$1,001 | $1,026–$1,540 | varies |
| Contrast X-Ray Of Knee Joint (73580) | $587.60 | $904 | 1.7× |
| CT abdomen and pelvis without and with contrast (74178) | $2,499.90 | $3,846 | 7.2× |
| CT abdomen and pelvis without contrast (74176) | $1,823.90 | $2,806 | 7.6× |
| CT abdomen w contrast (74160) | $937.95 | $1,443 | 5.3× |
| CT abdomen w wo contrast (74170) | $1,119.95 | $1,723 | 6.4× |
| CT abdomen w/o contrast (74150) | $902.85 | $1,389 | 8.6× |
| CT Angio Abdomen and Pelvis (74174) | $2,417.35 | $3,719 | 6.9× |
| CT Angio Chest (71275) | $1,134.25 | $1,745 | 6.5× |
| CT Angio Head (70496) | $1,015.30 | $1,562 | 5.8× |
| CT angio hrt w/3d image (75574) | $928.85 | $1,429 | 2.7× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 3 matching MRF lines |
$830.70–$1,246.70 | $1,278–$1,918 | varies |
| CT Angio Neck (70498) | $1,015.30 | $1,562 | 5.8× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 3 matching MRF lines |
$906.10–$1,359.80 | $1,394–$2,092 | varies |
| CT bone density (77078) | $369.20 | $568 | 4.2× |
| CT Cere Prfuj Alys C+ W/O CT/Cta Same Anatomy (70473) | $585 | $900 | 3.3× |
| CT cervical spine w/ contrast (72126) | $1,100.45 | $1,693 | 3.1× |
| CT cervical spine w/o contrast (72125) | $962.65 | $1,481 | 9.2× |
| CT cervical spine w/wo cont (72127) | $1,729.65 | $2,661 | 9.8× |
| CT chest w contrast (71260) | $950.95 | $1,463 | 5.4× |
| CT chest w/wo contrast (71270) | $1,045.85 | $1,609 | 6.0× |
| CT head/brain with contrast (70460) | $898.30 | $1,382 | 5.1× |
| CT head/brain without and with contrast (70470) | $1,547 | $2,380 | 8.8× |
| CT heart contrast eval cardiac structure&morph (75572) | $638.30 | $982 | 1.8× |
| CT heart no contrast quant eval coronry calcium (75571) | $84.50 | $130 | 1.0× |
| CT iac w contrast (70481) | $560.30 | $862 | 3.2× |
| CT l-spine w&w/o contrast (72133) | $1,403.35 | $2,159 | 8.0× |
| CT lower ext w/o (73700) range across 3 matching MRF lines |
$1,061.45–$1,676.35 | $1,633–$2,579 | varies |
| CT lower extremity w/contrast material (73701) range across 3 matching MRF lines |
$1,126.45–$1,774.50 | $1,733–$2,730 | varies |
| CT lumbar spine w contrast (72132) | $1,079.65 | $1,661 | 3.1× |
| CT lumbar spine w/o contrast (72131) | $812.50 | $1,250 | 7.8× |
| CT maxillofacial w contrast (70487) | $948.35 | $1,459 | 5.4× |
| CT maxillofacial wo contrast (70486) | $878.80 | $1,352 | 8.4× |
| CT neck tissue combo (70492) | $936 | $1,440 | 5.3× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $742.95 | $1,143 | 4.2× |
| CT orbits w/o contrast (70480) | $531.70 | $818 | 5.1× |
| CT pelvis w&w/o contrast (72194) | $1,008.80 | $1,552 | 5.7× |
| CT pelvis w/o contrast (72192) | $703.95 | $1,083 | 6.7× |
| CT scan of leg combo (73702) | $1,780.35 | $2,739 | 10.1× |
| CT scans face/jaw combo (70488) | $1,260.35 | $1,939 | 7.2× |
| CT soft tissue neck w contrast (70491) | $926.90 | $1,426 | 5.3× |
| CT soft tissue neck w/o contrast (70490) | $780.65 | $1,201 | 7.5× |
| CT thoracic spine w contrast (72129) | $789.10 | $1,214 | 4.5× |
| CT thoracic spine w/o contrast (72128) | $722.15 | $1,111 | 6.9× |
| CT thoracic spine w/wo cont (72130) | $2,354.30 | $3,622 | 13.4× |
| CT thorax w/o contrast (71250) | $694.85 | $1,069 | 6.6× |
| CT unlisted procedure (76497) | $546 | $840 | 6.3× |
| CT upper ext wo (73200) range across 3 matching MRF lines |
$716.30–$1,074.45 | $1,102–$1,653 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 3 matching MRF lines |
$1,307.15–$2,172.30 | $2,011–$3,342 | varies |
| CT upper extremity with contrast (73201) range across 3 matching MRF lines |
$874.25–$1,311.70 | $1,345–$2,018 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,463.80 | $2,252 | 8.3× |
| Cta Abdomen (74175) | $871.65 | $1,341 | 5.0× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $2,134.60 | $3,284 | 6.1× |
| CTA pelvis (72191) | $772.85 | $1,189 | 4.4× |
| Dilation ureters/urethra rs&i (74485) | $13,179.40 | $20,276 | 6.3× |
| Discography Cerv/Thor Spine (72285) | $3,654.30 | $5,622 | 1.9× |
| Diskography lumbar (72295) | $2,143.70 | $3,298 | 1.1× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) | $208 | $320 | 2.0× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $266.50 | $410 | 2.5× |
| Doppler Fetal Mid Cerebral Artery (76821) | $133.25 | $205 | 1.3× |
| Dxa Bone Density Axial (77080) | $201.50 | $310 | 1.9× |
| Dxa bone density study (77085) | $277.55 | $427 | 2.7× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $83.85 | $129 | 1.0× |
| Echo exam of fetal heart (76825) | $647.40 | $996 | 1.2× |
| Echo exam uterus (76831) | $435.50 | $670 | 1.8× |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) | $995.80 | $1,532 | 4.2× |
| Echograp Trans R Pros Study (76873) | $859.95 | $1,323 | 8.2× |
| Esophagram (74220) | $273.65 | $421 | 1.6× |
| Fetal Biophys Profile W/Nst (76818) | $330.20 | $508 | 3.2× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $133.25 | $205 | 1.3× |
| Fluoroscopy up to 1 hr (76000) | $335.40 | $516 | 1.4× |
| Follow-Up Angiography (75898) | $822.90 | $1,266 | 0.3× |
| Foot 2 views (73620) range across 6 matching MRF lines |
$113.10–$237.90 | $174–$366 | varies |
| Forearm 2 views (73090) range across 6 matching MRF lines |
$152.10–$282.75 | $234–$435 | varies |
| Gastric emptying imaging study (78264) range across 2 matching MRF lines |
$488.15–$800.80 | $751–$1,232 | varies |
| Gated Heart Planar Single (78472) range across 2 matching MRF lines |
$790.40–$1,021.15 | $1,216–$1,571 | varies |
| Gated Heart, Multiple (78473) | $2,117.05 | $3,257 | 5.3× |
| Hand 2 views (73120) range across 6 matching MRF lines |
$131.30–$233.35 | $202–$359 | varies |
| Hdr Rdncl Ntrstl/Icav Brchtx (77772) | $6,559.15 | $10,091 | 9.4× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) | $5,567.25 | $8,565 | 8.0× |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) | $4,263.35 | $6,559 | 6.1× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $2,228.20 | $3,428 | 0.7× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $3,623.10 | $5,574 | 1.1× |
| Hepatobil Syst Image W/Drug (78227) range across 2 matching MRF lines |
$679.25–$777.40 | $1,045–$1,196 | varies |
| Hepatobiliary System Imaging (78226) range across 2 matching MRF lines |
$611–$709.15 | $940–$1,091 | varies |
| Ht Musc Image Planar Mult (78454) | $5,718.05 | $8,797 | 4.4× |
| Ht Muscle Image Spect Sing (78451) range across 2 matching MRF lines |
$2,856.10–$7,951.62 | $4,394–$12,233.26 | varies |
| Hysterosalpingogram (74740) | $469.30 | $722 | 2.0× |
| Interstitial radiation source applic complex (77778) | $8,710 | $13,400 | 12.5× |
| Intracavitary Radiation Source Applic Complex (77763) | $5,444.40 | $8,376 | 7.8× |
| Intracavitary Radiation Source Applic Intermed (77762) | $18,852.60 | $29,004 | 34.1× |
| Intracavitary radiation source applic simple (77761) | $8,036.60 | $12,364 | 14.5× |
| Joint Survey Single View (77077) | $356.20 | $548 | 3.4× |
| K Flow/Funct Image Multiple (78709) range across 2 matching MRF lines |
$1,304.55–$1,980.29 | $2,007–$3,046.60 | varies |
| K Flow/Funct Image W/Drug (78708) range across 2 matching MRF lines |
$865.15–$1,540.89 | $1,331–$2,370.60 | varies |
| K Flow/Funct Image W/O Drug (78707) range across 2 matching MRF lines |
$831.35–$1,490.45 | $1,279–$2,293 | varies |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$189.15–$284.05 | $291–$437 | varies |
| Liver & Spleen Imaging Static Only (78215) | $876.85 | $1,349 | 2.2× |
| Lung Perf&Ventilat Diferentl (78598) range across 2 matching MRF lines |
$1,033.50–$1,825.85 | $1,590–$2,809 | varies |
| Lung perfusion differential (78597) | $1,327.30 | $2,042 | 3.3× |
| Lung Ventilat&Perfus Imaging (78582) range across 2 matching MRF lines |
$551.20–$1,343.55 | $848–$2,067 | varies |
| Lymph System Imaging (78195) range across 2 matching MRF lines |
$522.60–$18,372.91 | $804–$28,266.01 | varies |
| Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) | $2,444.65 | $3,761 | 0.8× |
| Lymphangiography, pelvic/abdominal, unilateral (75805) | $1,645.15 | $2,531 | 0.5× |
| Magnetic Image Jaw Joint (70336) | $1,164.80 | $1,792 | 4.9× |
| Magnetic Resonance Elastography (76391) | $1,703.65 | $2,621 | 7.1× |
| Meckels Divert Exam (78290) range across 2 matching MRF lines |
$1,180.40–$1,226.55 | $1,816–$1,887 | varies |
| Mlc imrt design & construction per imrt plan (77338) range across 2 matching MRF lines |
$8,212.10–$67,213.90 | $12,634–$103,406 | varies |
| Mra Head W/O & W/Contrast Material (70546) | $1,847.30 | $2,842 | 5.3× |
| MRA head w/o contrast (70544) | $1,534.65 | $2,361 | 6.4× |
| MRA head with contrast (70545) | $1,626.30 | $2,502 | 4.7× |
| MRA neck w contrast (70548) | $1,100.45 | $1,693 | 3.1× |
| Mra Neck W/O &W/Contrast Material (70549) | $1,149.85 | $1,769 | 3.3× |
| MRA neck w/o contrast (70547) | $1,000.35 | $1,539 | 4.2× |
| MRI abdomen w contrast (74182) | $1,451.45 | $2,233 | 4.2× |
| MRI abdomen w/o contrast (74181) | $1,171.95 | $1,803 | 4.9× |
| MRI any jt lower extrem w/contrast material (73722) range across 3 matching MRF lines |
$1,465.10–$2,197.65 | $2,254–$3,381 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 3 matching MRF lines |
$1,697.80–$3,498.30 | $2,612–$5,382 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 3 matching MRF lines |
$1,545.70–$2,782 | $2,378–$4,280 | varies |
| MRI bone marrow blood supply (77084) | $1,211.60 | $1,864 | 5.1× |
| MRI Breast W/O Contrast Bilateral (77047) | $3,368.30 | $5,182 | 14.1× |
| MRI Breast Without Contrast Material Unilateral (77046) | $1,453.40 | $2,236 | 6.1× |
| MRI cardiac w/o contrast (75557) | $494 | $760 | 2.1× |
| MRI cervical spine w contrast (72142) | $1,582.10 | $2,434 | 4.5× |
| MRI cervical spine w/o cont (72141) | $1,496.30 | $2,302 | 6.3× |
| MRI chest w/o contrast (71550) | $1,379.95 | $2,123 | 5.8× |
| MRI chest with contrast (71551) | $1,479.40 | $2,276 | 1.9× |
| MRI chest wo w contrast (71552) | $1,502.80 | $2,312 | 4.3× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $1,379.30 | $2,122 | 3.9× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 3 matching MRF lines |
$1,516.45–$2,274.35 | $2,333–$3,499 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 3 matching MRF lines |
$1,282.45–$1,924.65 | $1,973–$2,961 | varies |
| MRI lumbar spine w contrast (72149) | $1,738.10 | $2,674 | 5.0× |
| Mri Neck Spine W/O & W/Dye (72156) | $2,679.30 | $4,122 | 7.7× |
| MRI orbit face &/neck w/o contrast (70540) | $1,004.90 | $1,546 | 4.2× |
| MRI orbit face neck w contrast (70542) | $1,467.70 | $2,258 | 4.2× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $2,026.70 | $3,118 | 5.8× |
| MRI pelvis w contrast (72196) | $2,159.30 | $3,322 | 6.2× |
| MRI pelvis w/o & w contrast (72197) | $2,608.45 | $4,013 | 7.5× |
| MRI pelvis w/o contrast (72195) | $2,087.15 | $3,211 | 8.7× |
| MRI spectroscopy (76390) | $1,431.30 | $2,202 | 16.4× |
| MRI thoracic spine w/o contrast (72146) | $1,690 | $2,600 | 7.1× |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 3 matching MRF lines |
$1,195.35–$2,221.05 | $1,839–$3,417 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 3 matching MRF lines |
$1,075.10–$2,056.60 | $1,654–$3,164 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 3 matching MRF lines |
$1,356.55–$2,774.85 | $2,087–$4,269 | varies |
| MRI, abdomen, combo (74183) | $1,880.45 | $2,893 | 5.4× |
| MRI, dorsal spine combo (72157) | $2,365.35 | $3,639 | 6.8× |
| MRI, dorsal spine contrast (72147) | $1,940.25 | $2,985 | 5.6× |
| MRI, joint upper extrem (73221) range across 3 matching MRF lines |
$1,487.85–$2,626.65 | $2,289–$4,041 | varies |
| MRI, joint upper extrem combo (73223) range across 3 matching MRF lines |
$1,639.30–$3,075.15 | $2,522–$4,731 | varies |
| MRI, lumbar spine combo (72158) | $2,980.25 | $4,585 | 8.5× |
| Myelogram cervical (72240) | $2,809.95 | $4,323 | 3.6× |
| Myelogram Lumbar (72265) | $1,213.55 | $1,867 | 1.5× |
| Myelography thoracic (72255) | $2,689.70 | $4,138 | 3.4× |
| Myelograpy 2/more regions rs&i (72270) | $2,277.60 | $3,504 | 2.9× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) | $3,268.20 | $5,028 | 2.5× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $2,898.35 | $4,459 | 2.2× |
| Myocardial Spect Multiple Studies (78452) range across 2 matching MRF lines |
$1,846–$4,332.57 | $2,840–$6,665.50 | varies |
| Neck soft tissue (70360) | $144.30 | $222 | 1.7× |
| Nfs/Instlj Radioelmnt Sln 3 Mo Follow-Up Care (77750) | $1,176.50 | $1,810 | 3.0× |
| Nm myocard infarct spect (78469) range across 2 matching MRF lines |
$813.15–$911.95 | $1,251–$1,403 | varies |
| Ntsty modul radthx pln dose-vol histos (77301) range across 2 matching MRF lines |
$11,706.50–$68,326.70 | $18,010–$105,118 | varies |
| Nuclear Rx Intra-Arterial (79445) | $569.40 | $876 | 2.4× |
| Nuclear Rx Oral Admin (79005) range across 2 matching MRF lines |
$302.90–$12,021.10 | $466–$18,494 | varies |
| Ob us nuchal meas 1 gest (76813) | $364.65 | $561 | 3.5× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) | $242.45 | $373 | 2.3× |
| Panoramic X-ray of jaws (70355) | $194.35 | $299 | 2.2× |
| Parathyroid imaging w/tomographic spect & CT (78072) range across 2 matching MRF lines |
$744.90–$1,129.70 | $1,146–$1,738 | varies |
| Parathyroid Planar Imaging (78070) | $695.50 | $1,070 | 1.7× |
| Parathyroid planar imaging w/wo subtraction (78071) range across 2 matching MRF lines |
$751.40–$1,136.20 | $1,156–$1,748 | varies |
| Pelvis 1 or 2 views (72170) | $186.55 | $287 | 1.8× |
| Peritoneogram Rs&I (74190) | $1,124.50 | $1,730 | 2.1× |
| Pet Image W/Ct Lmtd (78814) range across 2 matching MRF lines |
$4,082.65–$12,112.75 | $6,281–$18,635 | varies |
| PET image w/CT, full body (78816) range across 2 matching MRF lines |
$2,385.50–$3,149.25 | $3,670–$4,845 | varies |
| PET imaging CT attenuation skull base mid-thigh (78815) range across 2 matching MRF lines |
$2,814.50–$3,578.25 | $4,330–$5,505 | varies |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $4,285.45 | $6,593 | 1.4× |
| Pulmonary Perfusion Imaging Particulate (78580) | $482.30 | $742 | 1.2× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $430.30 | $662 | 4.1× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $703.30 | $1,082 | 1.3× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$174.20–$261.95 | $268–$403 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$100.10–$149.50 | $154–$230 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$211.90–$317.20 | $326–$488 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $198.90 | $306 | 1.9× |
| Radex fingr minimum 2 views (73140) range across 3 matching MRF lines |
$193.70–$290.55 | $298–$447 | varies |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$209.30–$313.95 | $322–$483 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$172.25–$258.70 | $265–$398 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 3 matching MRF lines |
$195–$351 | $300–$540 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $227.50 | $350 | 2.2× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $126.10 | $194 | 1.4× |
| Radex Ribs Unilateral 2 Views (71100) | $260.65 | $401 | 3.0× |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$169–$253.50 | $260–$390 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $126.75 | $195 | 1.5× |
| Radex Spine 1 View Specify Level (72020) | $139.75 | $215 | 1.6× |
| Radex Sternum Minimum 2 Views (71120) | $120.90 | $186 | 1.4× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $199.55 | $307 | 2.3× |
| Radex Toe Minimum 2 Views (73660) range across 3 matching MRF lines |
$98.80–$148.20 | $152–$228 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 5 matching MRF lines |
$126.10–$185.90 | $194–$286 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$170.30–$248.95 | $262–$383 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $521.95 | $803 | 5.0× |
| Radiation Delivery Stereotactic Cranial Linear (77372) range across 2 matching MRF lines |
$19,140.55–$53,212.76 | $29,447–$81,865.78 | varies |
| Radiation treatment delivery level 1 (77402) range across 2 matching MRF lines |
$629.85–$27,498.47 | $969–$42,305.34 | varies |
| Radiation treatment delivery level 2 (77407) range across 2 matching MRF lines |
$3,583.45–$60,630.05 | $5,513–$93,277 | varies |
| Radiation treatment delivery level 3 (77412) range across 2 matching MRF lines |
$4,182.75–$35,191 | $6,435–$54,140 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) | $154.05 | $237 | 1.5× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $297.70 | $458 | 2.8× |
| Radiologic exam colon double contrast study (74280) | $438.10 | $674 | 2.5× |
| Radiologic exam colon single contrast study (74270) | $360.10 | $554 | 2.0× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $568.10 | $874 | 3.2× |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$278.20–$417.95 | $428–$643 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $180.05 | $277 | 1.7× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $393.90 | $606 | 2.2× |
| Radiologic exam swallow function contrast study (74230) | $416.65 | $641 | 2.4× |
| Radiologic exam upr gi trc double contrast study (74246) | $321.75 | $495 | 1.8× |
| Radiologic examination femur 1 view (73551) range across 3 matching MRF lines |
$70.85–$105.95 | $109–$163 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines |
$88.40–$132.60 | $136–$204 | varies |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$116.35–$173.55 | $179–$267 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $495.30 | $762 | 4.7× |
| Radiologic examination tibia & fibula 2 views (73590) range across 6 matching MRF lines |
$180.05–$396.50 | $277–$610 | varies |
| Radiologic examination, internal auditory meati, complete Non-Facility (70134) | $813.80 | $1,252 | 1.5× |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77768) | $3,575 | $5,500 | 9.3× |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77767) | $2,026.05 | $3,117 | 5.2× |
| Ribs bilateral 3 views (71110) | $163.80 | $252 | 1.6× |
| Rp loclzj tum plnr 1 area single day imaging (78800) range across 2 matching MRF lines |
$587.60–$3,085.55 | $904–$4,747 | varies |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $1,868.10 | $2,874 | 4.7× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $1,706.90 | $2,626 | 3.1× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $1,770.60 | $2,724 | 3.3× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 2 matching MRF lines |
$1,088.75–$5,908.50 | $1,675–$9,090 | varies |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) range across 2 matching MRF lines |
$2,664.35–$2,756 | $4,099–$4,240 | varies |
| Rp Therapy Intravenous Administration (79101) range across 2 matching MRF lines |
$347.75–$106,057.25 | $535–$163,165 | varies |
| Scapula (73010) range across 3 matching MRF lines |
$124.80–$187.20 | $192–$288 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 3 matching MRF lines |
$78.65–$117.65 | $121–$181 | varies |
| Sella turcica (70240) | $222.95 | $343 | 2.6× |
| Shoulder 1 view (73020) range across 3 matching MRF lines |
$89.70–$133.90 | $138–$206 | varies |
| Shoulder Arthrography (73040) range across 3 matching MRF lines |
$509.60–$764.40 | $784–$1,176 | varies |
| Sialogram (70390) | $506.35 | $779 | 2.1× |
| Skull less than 4 views (70250) | $162.50 | $250 | 1.6× |
| Special dosimetry (77331) range across 2 matching MRF lines |
$388.05–$74,120.15 | $597–$114,031 | varies |
| Special Physics Consult (77370) range across 2 matching MRF lines |
$1,540.50–$129,078.30 | $2,370–$198,582 | varies |
| Special teletherapy port plan (77321) | $900.90 | $1,386 | 2.4× |
| Special treatment procedure (77470) range across 2 matching MRF lines |
$3,138.20–$95,387.88 | $4,828–$146,750.58 | varies |
| Stereotactic Body Radiation Delivery (77373) range across 2 matching MRF lines |
$21,685.95–$129,455.30 | $33,363–$199,162 | varies |
| Sternoclavicular joints (71130) | $157.30 | $242 | 1.8× |
| Surface Applic Low Dose Rate Radionuclide Source (77789) | $1,093.30 | $1,682 | 10.7× |
| Telethx isodose pln cplx w/basic dosimetry (77307) range across 2 matching MRF lines |
$3,906.50–$59,022.60 | $6,010–$90,804 | varies |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $1,904.50 | $2,930 | 5.1× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) range across 2 matching MRF lines |
$3,065.40–$60,347.35 | $4,716–$92,842.07 | varies |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $1,604.20 | $2,468 | 4.3× |
| Ther rad simulaj-aided field setting simple (77280) range across 2 matching MRF lines |
$1,219.40–$57,616.65 | $1,876–$88,641 | varies |
| Thoracic spine 2 views (72070) | $132.60 | $204 | 1.3× |
| Thoracic spine 3 views (72072) | $210.60 | $324 | 2.0× |
| Thoracolumbar 2 views (72080) | $135.85 | $209 | 1.6× |
| Thyroid Imaging With Vascular Flow (78013) | $548.60 | $844 | 1.4× |
| Thyroid Met Imaging Body (78018) range across 2 matching MRF lines |
$564.85–$1,458.60 | $869–$2,244 | varies |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) range across 2 matching MRF lines |
$393.90–$570.70 | $606–$878 | varies |
| Tx Devices Design & Construction Complex (77334) range across 2 matching MRF lines |
$1,786.85–$59,307.30 | $2,749–$91,242 | varies |
| Tx devices design & construction intermediate (77333) | $1,041.30 | $1,602 | 7.7× |
| Tx devices design & construction simple (77332) range across 2 matching MRF lines |
$737.75–$46,553.65 | $1,135–$71,621 | varies |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$519.35–$778.05 | $799–$1,197 | varies |
| Ultrasound elastography first target lesion (76982) | $708.50 | $1,090 | 6.8× |
| Ultrasound Elastography Parenchyma (76981) | $313.30 | $482 | 3.0× |
| Ultrasound Exam Aaa Screen (76706) | $206.70 | $318 | 2.0× |
| Ultrasound, abdomen limited (76705) | $477.75 | $735 | 4.6× |
| Umbilical-artery Doppler (OB) (76820) | $136.50 | $210 | 1.3× |
| Unlisted Procedure Clinical Brachytherapy (77799) | $3,792.10 | $5,834 | 37.1× |
| Unlisted us procedure (76999) | $355.55 | $547 | 4.1× |
| Upper gi w/o kub (74240) | $330.20 | $508 | 1.9× |
| Urethrocystogram voiding (74455) | $333.45 | $513 | 1.4× |
| Urethrocystography retrograde (74450) | $379.60 | $584 | 1.6× |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$539.50–$809.90 | $830–$1,246 | varies |
| Us chest (76604) | $705.90 | $1,086 | 6.7× |
| Us complete joint (76881) range across 3 matching MRF lines |
$622.70–$1,038.05 | $958–$1,597 | varies |
| Us exam, pelvic, limited (76857) | $308.10 | $474 | 2.9× |
| Us head (76506) | $339.30 | $522 | 3.2× |
| Us kidney transplant (76776) | $492.05 | $757 | 4.7× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 3 matching MRF lines |
$318.50–$477.75 | $490–$735 | varies |
| Us ob detailed single fetus (76811) | $843.05 | $1,297 | 3.5× |
| Us ob limited 1 or more fetuses (76815) | $200.20 | $308 | 1.9× |
| Us ob transvaginal (76817) | $544.70 | $838 | 5.2× |
| Us pelvic non ob complete (76856) | $689 | $1,060 | 6.6× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $689 | $1,060 | 6.6× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $412.10 | $634 | 3.9× |
| Us retroperitoneal complete (76770) | $566.15 | $871 | 5.4× |
| Us retroperitoneal limited (76775) | $456.30 | $702 | 4.4× |
| Us scrotum and contents (76870) | $524.55 | $807 | 5.0× |
| Us thyroid (76536) | $540.80 | $832 | 5.2× |
| Vein X-Ray Chest (75827) | $1,231.10 | $1,894 | 0.8× |
| Vein X-Ray Liver W/O Hemodyn (75887) | $2,347.15 | $3,611 | 0.7× |
| Vein X-Ray Spleen/Liver (75810) | $13,742.95 | $21,143 | 4.3× |
| Venogram Sinus/Jugular (75860) | $1,758.25 | $2,705 | 0.6× |
| Venography caval inferior serialography rs&i (75825) | $2,113.80 | $3,252 | 0.7× |
| Venography extremity bilateral rs&i (75822) | $1,392.95 | $2,143 | 0.9× |
| Venography extremity unilateral rs&i (75820) | $928.85 | $1,429 | 0.6× |
| Venography Renal Bilateral (75833) | $3,713.45 | $5,713 | 1.2× |
| Venography Renal Unilateral (75831) | $2,002.65 | $3,081 | 0.6× |
| Vertebral fracture assessment via dxa (77086) | $169.65 | $261 | 1.9× |
| Wrist 2 views (73100) range across 6 matching MRF lines |
$94.25–$251.55 | $145–$387 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $249.60 | $384 | 2.9× |
| X-ray antegrade pyelogram tube (74425) | $696.80 | $1,072 | 2.0× |
| X-Ray Aorta Leg Arteries (75630) | $2,401.10 | $3,694 | 0.8× |
| X-Ray Bend Only L-S Spine (72120) | $149.50 | $230 | 1.4× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 6 matching MRF lines |
$175.50–$299 | $270–$460 | varies |
| X-Ray Exam Breast Specimen (76098) range across 3 matching MRF lines |
$286.65–$430.30 | $441–$662 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) | $63.70 | $98 | 0.7× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $191.10 | $294 | 1.8× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $432.25 | $665 | 4.1× |
| X-Ray Exam Hip Uni 1 View (73501) | $66.95 | $103 | 0.8× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $89.05 | $137 | 1.0× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $305.50 | $470 | 2.9× |
| X-Ray Exam Hips Bi 2 Views (73521) | $163.15 | $251 | 1.6× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $172.25 | $265 | 1.6× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $308.75 | $475 | 2.9× |
| X-Ray Exam L-S Spine Bending (72114) | $321.10 | $494 | 3.1× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $273 | $420 | 3.1× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $633.10 | $974 | 6.0× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $143 | $220 | 1.4× |
| X-ray eye for foreign body (70030) range across 3 matching MRF lines |
$107.25–$161.85 | $165–$249 | varies |
| X-ray humerus (73060) range across 6 matching MRF lines |
$152.10–$258.70 | $234–$398 | varies |
| X-ray IV pyelogram (ivp) (74400) | $439.40 | $676 | 2.5× |
| X-ray IV pyelogram+tomography (74415) | $380.90 | $586 | 2.2× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $168.35 | $259 | 1.9× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $163.15 | $251 | 1.9× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $196.30 | $302 | 1.9× |
| X-ray nose-rectum child f.b. (76010) | $108.55 | $167 | 1.2× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $211.25 | $325 | 2.0× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $174.20 | $268 | 1.7× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $137.15 | $211 | 1.3× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $174.20 | $268 | 2.0× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $176.15 | $271 | 2.0× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $167.70 | $258 | 1.6× |
| X-ray thoracic spine 4 vw (72074) | $255.45 | $393 | 2.4× |
| X-Ray Tmj Unilat (70328) | $132.60 | $204 | 1.5× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $585 | $900 | 1.7× |
| X-Rays Bone Length Studies (77073) | $163.80 | $252 | 1.6× |
| X-Rays Bone Survey Complete (77075) | $282.75 | $435 | 2.7× |
| Xr c-spine 4 or 5 views (72050) | $316.55 | $487 | 3.0× |
| Xr facial bones less than 3 views (70140) | $109.20 | $168 | 1.3× |
| XR Mastoids < 3 Views Bilateral (70120) | $382.20 | $588 | 3.7× |
| Xr orbits complete 4 views (70200) | $209.30 | $322 | 2.0× |
| 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.