Imaging prices at Mercy Hospital Washington
Washington, MO · every code in this section with a posted price and a Medicare benchmark.
361 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 |
$8,496.15–$53,890.20 | $13,071–$82,908 | varies |
| Abdomen 1 View (74018) | $289.90 | $446 | 3.3× |
| Abdomen 2 views (74019) | $365.95 | $563 | 3.5× |
| Acute Gastrointestinal Blood Loss Imaging (78278) range across 2 matching MRF lines |
$810.55–$1,093.95 | $1,247–$1,683 | varies |
| Angio internal mammary (75756) | $2,363.40 | $3,636 | 0.7× |
| Angio pulmonary bilat (75743) | $2,686.45 | $4,133 | 0.8× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $3,545.10 | $5,454 | 1.1× |
| Angiography extremity bilateral rs&i (75716) | $4,898.40 | $7,536 | 1.5× |
| Angiography extremity unilateral rs&i (75710) | $3,265.60 | $5,024 | 1.0× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $1,791.40 | $2,756 | 0.6× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $5,383.95 | $8,283 | 1.7× |
| Ankle 2 views (73600) range across 6 matching MRF lines |
$170.95–$300.30 | $263–$462 | varies |
| Aortography thoracic serialography rs&i (75605) | $5,752.50 | $8,850 | 1.0× |
| Aortography thoracic w/o serialography rs&i (75600) | $2,826.85 | $4,349 | 0.9× |
| Artery X-Rays Abdomen (75726) | $2,808 | $4,320 | 0.5× |
| Artery X-Rays Adrenal Gland (75731) | $2,917.85 | $4,489 | 0.9× |
| Artery X-Rays Pelvis (75736) | $5,677.75 | $8,735 | 1.0× |
| Artery X-Rays Spine (75705) | $5,554.90 | $8,546 | 1.0× |
| Arthrogram hip (73525) range across 3 matching MRF lines |
$1,142.70–$1,453.40 | $1,758–$2,236 | varies |
| Arthrogram Wrist (73115) range across 3 matching MRF lines |
$857.35–$1,087.45 | $1,319–$1,673 | varies |
| Basic radiation dosimetry calculation (77300) range across 2 matching MRF lines |
$1,077.05–$66,924 | $1,657–$102,960 | varies |
| Bone age studies (77072) | $165.10 | $254 | 1.6× |
| Bone Imaging 3 Phase (78315) range across 2 matching MRF lines |
$911.95–$1,032.20 | $1,403–$1,588 | varies |
| Bone Imaging Limited Area (78300) range across 2 matching MRF lines |
$528.45–$6,050.20 | $813–$9,308 | varies |
| Bone Imaging Multiple Areas (78305) | $702.65 | $1,081 | 1.8× |
| Bone Imaging Whole Body (78306) range across 2 matching MRF lines |
$773.50–$3,380.97 | $1,190–$5,201.50 | varies |
| Bone marrow imaging limited area (78102) | $514.80 | $792 | 1.3× |
| Bone survey infant (77076) | $410.80 | $632 | 3.9× |
| Brachytx isodose complex (77318) | $2,133.30 | $3,282 | 5.7× |
| Brachytx isodose intermed (77317) | $7,760.35 | $11,939 | 20.7× |
| Brachytx Isodose Plan Simple (77316) | $1,898 | $2,920 | 5.1× |
| Brain Image W/Flow < 4 Views (78601) | $1,857.70 | $2,858 | 4.6× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $674.70 | $1,038 | 1.2× |
| Cat Scan Follow-Up Study (76380) | $408.85 | $629 | 4.7× |
| Cerebrospinal Fluid Scan (78630) | $1,012.05 | $1,557 | 1.9× |
| Chest 1 view (71045) | $224.25 | $345 | 2.6× |
| Chest 2 views (71046) | $282.10 | $434 | 3.2× |
| Chest 3 views (71047) | $303.55 | $467 | 3.5× |
| Chest 4 or more views (71048) | $343.85 | $529 | 3.3× |
| Chg us nrv&acc strux 1 xtr compre w/img pr extremity (76883) | $585 | $900 | 5.6× |
| Cineradiograpy/vidradiograpy xcpt where spec (76120) | $327.60 | $504 | 3.1× |
| Cisternography Positive Contrast Rs&I (70015) | $776.10 | $1,194 | 1.0× |
| Clavicle complete (73000) range across 3 matching MRF lines |
$169.65–$254.15 | $261–$391 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $1,110.85 | $1,709 | 10.6× |
| Continuing medical physics consltj pr wk (77336) range across 2 matching MRF lines |
$1,067.30–$49,518.30 | $1,642–$76,182 | varies |
| Contrast Exam Abdominl Aorta (75625) | $3,213.60 | $4,944 | 1.0× |
| Contrast X-Ray Bladder (74430) | $495.30 | $762 | 1.4× |
| Contrast X-Ray Of Elbow (73085) | $960.70 | $1,478 | 2.7× |
| Contrast X-Ray Of Knee Joint (73580) | $987.35 | $1,519 | 2.8× |
| CT abdomen and pelvis without and with contrast (74178) | $3,914.95 | $6,023 | 11.2× |
| CT abdomen and pelvis without contrast (74176) | $2,327.65 | $3,581 | 9.7× |
| CT abdomen w contrast (74160) | $1,069.90 | $1,646 | 6.1× |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$1,275.95–$1,457.30 | $1,963–$2,242 | varies |
| CT abdomen w/o contrast (74150) | $853.45 | $1,313 | 8.2× |
| CT Angio Abdomen and Pelvis (74174) | $2,140.45 | $3,293 | 6.1× |
| CT Angio Chest (71275) | $1,613.30 | $2,482 | 9.2× |
| CT Angio Head (70496) | $1,366.30 | $2,102 | 7.8× |
| CT angio hrt w/3d image (75574) | $1,270.10 | $1,954 | 3.6× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 3 matching MRF lines |
$1,123.85–$1,685.45 | $1,729–$2,593 | varies |
| CT Angio Neck (70498) | $1,318.85 | $2,029 | 7.5× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 3 matching MRF lines |
$1,449.50–$2,174.25 | $2,230–$3,345 | varies |
| CT Cere Prfuj Alys C+ W/O CT/Cta Same Anatomy (70473) | $913.90 | $1,406 | 5.2× |
| CT cervical spine w/ contrast (72126) | $1,756.95 | $2,703 | 5.0× |
| CT cervical spine w/o contrast (72125) | $1,725.75 | $2,655 | 16.5× |
| CT cervical spine w/wo cont (72127) | $2,206.10 | $3,394 | 12.6× |
| CT chest w contrast (71260) | $1,364.35 | $2,099 | 7.8× |
| CT chest w/wo contrast (71270) | $1,480.70 | $2,278 | 8.4× |
| CT head/brain with contrast (70460) | $1,222.65 | $1,881 | 7.0× |
| CT head/brain without and with contrast (70470) | $1,542.45 | $2,373 | 8.8× |
| CT heart no contrast quant eval coronry calcium (75571) | $84.50 | $130 | 1.0× |
| CT iac w contrast (70481) | $1,049.10 | $1,614 | 6.0× |
| CT l-spine w&w/o contrast (72133) | $1,441.70 | $2,218 | 8.2× |
| CT lower ext w/o (73700) range across 3 matching MRF lines |
$1,196.65–$1,795.30 | $1,841–$2,762 | varies |
| CT lower extremity w/contrast material (73701) range across 3 matching MRF lines |
$982.80–$1,474.20 | $1,512–$2,268 | varies |
| CT lumbar spine w contrast (72132) | $1,358.50 | $2,090 | 3.9× |
| CT lumbar spine w/o contrast (72131) | $924.30 | $1,422 | 8.8× |
| CT maxillofacial w contrast (70487) | $1,066 | $1,640 | 6.1× |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$862.55–$971.10 | $1,327–$1,494 | varies |
| CT neck tissue combo (70492) | $1,632.80 | $2,512 | 9.3× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,509.95 | $2,323 | 8.6× |
| CT orbits w/o contrast (70480) | $826.80 | $1,272 | 7.9× |
| CT pelvis w&w/o contrast (72194) | $1,673.10 | $2,574 | 9.5× |
| CT pelvis w/o contrast (72192) | $1,248.65 | $1,921 | 11.9× |
| CT scan of leg combo (73702) | $1,370.85 | $2,109 | 7.8× |
| CT scans face/jaw combo (70488) | $1,552.85 | $2,389 | 8.8× |
| CT soft tissue neck w contrast (70491) | $1,353.30 | $2,082 | 7.7× |
| CT soft tissue neck w/o contrast (70490) | $1,114.10 | $1,714 | 10.6× |
| CT thoracic spine w contrast (72129) | $1,194.70 | $1,838 | 6.8× |
| CT thoracic spine w/o contrast (72128) | $1,066.65 | $1,641 | 10.2× |
| CT thoracic spine w/wo cont (72130) | $1,817.40 | $2,796 | 10.3× |
| CT thorax w/o contrast (71250) | $1,036.10 | $1,594 | 9.9× |
| CT upper ext wo (73200) range across 3 matching MRF lines |
$1,004.90–$1,586.65 | $1,546–$2,441 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 3 matching MRF lines |
$2,355.60–$3,784.95 | $3,624–$5,823 | varies |
| CT upper extremity with contrast (73201) range across 3 matching MRF lines |
$1,017.25–$1,629.55 | $1,565–$2,507 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,244.10 | $1,914 | 7.1× |
| Cta Abdomen (74175) | $1,332.50 | $2,050 | 7.6× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $1,366.30 | $2,102 | 3.9× |
| CTA pelvis (72191) | $1,831.70 | $2,818 | 10.4× |
| Dilation ureters/urethra rs&i (74485) range across 4 matching MRF lines |
$1,810.90–$13,179.40 | $2,786–$20,276 | varies |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) | $546 | $840 | 5.2× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $579.80 | $892 | 5.5× |
| Doppler Fetal Mid Cerebral Artery (76821) | $202.15 | $311 | 1.9× |
| Dxa Bone Density Axial (77080) | $224.90 | $346 | 2.1× |
| Dxa bone density study (77085) | $260 | $400 | 2.5× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $146.90 | $226 | 1.7× |
| Echo exam of fetal heart (76825) | $1,550.25 | $2,385 | 2.8× |
| Echo exam uterus (76831) | $538.85 | $829 | 2.3× |
| Echo Guide For Artery Repair (76936) | $791.05 | $1,217 | 3.7× |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) | $995.80 | $1,532 | 4.2× |
| Esophagram (74220) | $283.40 | $436 | 1.6× |
| Fetal Biophys Profile W/Nst (76818) | $429 | $660 | 4.1× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $453.70 | $698 | 4.3× |
| Fluoroscopy up to 1 hr (76000) | $615.55 | $947 | 2.6× |
| Follow-Up Angiography (75898) | $1,999.40 | $3,076 | 0.6× |
| Foot 2 views (73620) range across 6 matching MRF lines |
$145.60–$250.90 | $224–$386 | varies |
| Forearm 2 views (73090) range across 5 matching MRF lines |
$147.55–$350.35 | $227–$539 | varies |
| Gastric emptying imaging study (78264) range across 2 matching MRF lines |
$1,235.65–$1,548.30 | $1,901–$2,382 | varies |
| Gastric Mucosa Imaging (78261) | $1,462.50 | $2,250 | 3.7× |
| Gated Heart Planar Single (78472) range across 2 matching MRF lines |
$712.40–$995.80 | $1,096–$1,532 | varies |
| Hand 2 views (73120) range across 6 matching MRF lines |
$178.75–$271.05 | $275–$417 | varies |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $3,379.35 | $5,199 | 1.1× |
| 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 |
$1,421.55–$1,580.80 | $2,187–$2,432 | varies |
| Hepatobiliary System Imaging (78226) range across 2 matching MRF lines |
$952.90–$1,112.15 | $1,466–$1,711 | varies |
| Ht Musc Image Planar Mult (78454) | $5,198.05 | $7,997 | 4.0× |
| Ht Muscle Image Spect Sing (78451) range across 2 matching MRF lines |
$1,277.90–$1,602.25 | $1,966–$2,465 | varies |
| Hysterosalpingogram (74740) | $386.75 | $595 | 1.6× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $616.85 | $949 | 7.1× |
| Infant hip ultrasound, limited static exam (76886) | $387.40 | $596 | 4.4× |
| Infusion Ivp (74410) | $1,355.90 | $2,086 | 7.7× |
| Joint Survey Single View (77077) | $332.15 | $511 | 3.2× |
| K Flow/Funct Image Multiple (78709) range across 2 matching MRF lines |
$1,083.55–$1,733.55 | $1,667–$2,667 | varies |
| K Flow/Funct Image W/Drug (78708) range across 2 matching MRF lines |
$852.15–$1,525.55 | $1,311–$2,347 | varies |
| K Flow/Funct Image W/O Drug (78707) range across 2 matching MRF lines |
$821.60–$1,472.90 | $1,264–$2,266 | varies |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$379.60–$569.40 | $584–$876 | varies |
| Liver & Spleen Imaging Static Only (78215) | $1,212.90 | $1,866 | 3.0× |
| Liver imaging static only (78201) | $3,450.20 | $5,308 | 6.3× |
| Lung Perf&Ventilat Diferentl (78598) | $1,186.90 | $1,826 | 2.2× |
| Lung perfusion differential (78597) | $1,200.55 | $1,847 | 3.0× |
| Lung Ventilat&Perfus Imaging (78582) range across 2 matching MRF lines |
$828.75–$1,432.60 | $1,275–$2,204 | varies |
| Lung Ventilation Imaging (78579) | $935.35 | $1,439 | 2.3× |
| Lymph System Imaging (78195) range across 2 matching MRF lines |
$692.90–$11,844.94 | $1,066–$18,222.99 | varies |
| Magnetic Image Jaw Joint (70336) | $1,201.20 | $1,848 | 5.0× |
| Meckels Divert Exam (78290) | $835.90 | $1,286 | 2.1× |
| Mlc imrt design & construction per imrt plan (77338) range across 2 matching MRF lines |
$8,016.45–$73,518.90 | $12,333–$113,106 | varies |
| Mra Head W/O & W/Contrast Material (70546) | $1,738.75 | $2,675 | 5.0× |
| MRA head w/o contrast (70544) | $1,211.60 | $1,864 | 5.1× |
| MRA head with contrast (70545) | $1,650.35 | $2,539 | 4.7× |
| MRA neck w contrast (70548) | $1,303.25 | $2,005 | 3.7× |
| Mra Neck W/O &W/Contrast Material (70549) | $1,597.70 | $2,458 | 4.6× |
| MRA neck w/o contrast (70547) | $1,293.50 | $1,990 | 5.4× |
| MRI abdomen w contrast (74182) | $1,690 | $2,600 | 4.8× |
| MRI abdomen w/o contrast (74181) | $1,361.10 | $2,094 | 5.7× |
| MRI any jt lower extrem w/contrast material (73722) range across 3 matching MRF lines |
$1,686.10–$2,529.15 | $2,594–$3,891 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 3 matching MRF lines |
$1,732.90–$2,598.70 | $2,666–$3,998 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) | $2,116.40 | $3,256 | 2.7× |
| MRI Breast W/O Contrast Bilateral (77047) | $1,959.75 | $3,015 | 8.2× |
| MRI Breast Without Contrast Material Unilateral (77046) | $1,306.50 | $2,010 | 5.5× |
| MRI cervical spine w contrast (72142) | $1,881.75 | $2,895 | 5.4× |
| MRI cervical spine w/o cont (72141) | $1,820 | $2,800 | 7.6× |
| MRI chest w/o contrast (71550) | $1,516.45 | $2,333 | 6.3× |
| MRI chest with contrast (71551) | $1,639.30 | $2,522 | 2.1× |
| MRI chest wo w contrast (71552) | $1,996.80 | $3,072 | 5.7× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 3 matching MRF lines |
$1,511.90–$2,267.85 | $2,326–$3,489 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 3 matching MRF lines |
$1,649.05–$2,473.90 | $2,537–$3,806 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 3 matching MRF lines |
$1,374.10–$2,061.15 | $2,114–$3,171 | varies |
| MRI lumbar spine w contrast (72149) | $1,975.35 | $3,039 | 5.7× |
| Mri Neck Spine W/O & W/Dye (72156) | $2,047.50 | $3,150 | 5.9× |
| MRI orbit face &/neck w/o contrast (70540) | $1,246.70 | $1,918 | 5.2× |
| MRI orbit face neck w contrast (70542) | $1,844.70 | $2,838 | 5.3× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $1,818.70 | $2,798 | 5.2× |
| MRI pelvis w contrast (72196) | $2,439.45 | $3,753 | 7.0× |
| MRI pelvis w/o & w contrast (72197) | $1,899.95 | $2,923 | 5.4× |
| MRI pelvis w/o contrast (72195) | $1,264.25 | $1,945 | 5.3× |
| MRI thoracic spine w/o contrast (72146) | $1,274 | $1,960 | 5.3× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $1,553.50 | $2,390 | 4.4× |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 3 matching MRF lines |
$1,176.50–$3,062.15 | $1,810–$4,711 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 3 matching MRF lines |
$1,567.15–$3,762.20 | $2,411–$5,788 | varies |
| MRI, abdomen, combo (74183) | $2,055.30 | $3,162 | 5.9× |
| MRI, dorsal spine combo (72157) | $1,963 | $3,020 | 5.6× |
| MRI, dorsal spine contrast (72147) | $1,806.35 | $2,779 | 5.2× |
| MRI, joint upper extrem (73221) range across 3 matching MRF lines |
$1,834.30–$4,209.40 | $2,822–$6,476 | varies |
| MRI, joint upper extrem combo (73223) range across 3 matching MRF lines |
$2,464.80–$4,076.80 | $3,792–$6,272 | varies |
| MRI, lumbar spine combo (72158) | $2,074.15 | $3,191 | 5.9× |
| Myelogram cervical (72240) | $2,068.95 | $3,183 | 2.6× |
| Myelogram Lumbar (72265) | $1,420.25 | $2,185 | 1.8× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) | $2,971.15 | $4,571 | 2.3× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $1,528.15 | $2,351 | 1.2× |
| Myocardial Spect Multiple Studies (78452) range across 2 matching MRF lines |
$2,814.50–$5,278.65 | $4,330–$8,121 | varies |
| Myocrd Img Pet Prfuj W/Metab Dual Radiotracer (78432) | $10,286.90 | $15,826 | 6.8× |
| Neck soft tissue (70360) | $267.15 | $411 | 3.1× |
| Nfs/Instlj Radioelmnt Sln 3 Mo Follow-Up Care (77750) | $1,154.40 | $1,776 | 3.0× |
| Nm myocard infarct spect (78469) range across 2 matching MRF lines |
$813.15–$965.90 | $1,251–$1,486 | varies |
| Nonvascular Shunt X-Ray (75809) | $463.45 | $713 | 4.4× |
| Ntsty modul radthx pln dose-vol histos (77301) range across 2 matching MRF lines |
$12,420.85–$73,518.90 | $19,109–$113,106 | varies |
| Nuclear Rx Oral Admin (79005) range across 2 matching MRF lines |
$852.15–$15,176.25 | $1,311–$23,348.08 | varies |
| Ob us nuchal meas 1 gest (76813) | $419.25 | $645 | 4.0× |
| Panoramic X-ray of jaws (70355) | $219.70 | $338 | 2.5× |
| Parathyroid imaging w/tomographic spect & CT (78072) range across 2 matching MRF lines |
$1,043.25–$1,337.05 | $1,605–$2,057 | varies |
| Parathyroid Planar Imaging (78070) | $973.05 | $1,497 | 2.4× |
| Parathyroid planar imaging w/wo subtraction (78071) range across 2 matching MRF lines |
$966.55–$1,260.35 | $1,487–$1,939 | varies |
| Pelvis 1 or 2 views (72170) | $193.05 | $297 | 1.8× |
| Peritoneogram Rs&I (74190) | $359.45 | $553 | 0.7× |
| Pet Image W/Ct Lmtd (78814) | $5,172.05 | $7,957 | 3.6× |
| PET image w/CT, full body (78816) range across 2 matching MRF lines |
$2,797.60–$3,784.95 | $4,304–$5,823 | varies |
| PET imaging CT attenuation skull base mid-thigh (78815) range across 2 matching MRF lines |
$3,877.25–$4,864.60 | $5,965–$7,484 | varies |
| Pulmonary Perfusion Imaging Particulate (78580) | $741.65 | $1,141 | 1.9× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $280.15 | $431 | 2.7× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $481.65 | $741 | 0.9× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$326.30–$490.10 | $502–$754 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$141.05–$211.25 | $217–$325 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$346.45–$519.35 | $533–$799 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $217.75 | $335 | 2.1× |
| Radex fingr minimum 2 views (73140) range across 3 matching MRF lines |
$202.80–$304.85 | $312–$469 | varies |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$322.40–$483.60 | $496–$744 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$323.05–$484.90 | $497–$746 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 3 matching MRF lines |
$296.40–$444.60 | $456–$684 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $198.25 | $305 | 1.9× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $159.25 | $245 | 1.8× |
| Radex Ribs Unilateral 2 Views (71100) | $178.10 | $274 | 2.0× |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$281.45–$421.85 | $433–$649 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $122.20 | $188 | 1.4× |
| Radex Spine 1 View Specify Level (72020) | $148.20 | $228 | 1.7× |
| Radex Sternum Minimum 2 Views (71120) | $175.50 | $270 | 2.0× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $208 | $320 | 2.4× |
| Radex Toe Minimum 2 Views (73660) range across 3 matching MRF lines |
$128.05–$191.75 | $197–$295 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 3 matching MRF lines |
$222.95–$349.05 | $343–$537 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$276.90–$415.35 | $426–$639 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $640.90 | $986 | 6.1× |
| Radiation treatment delivery level 1 (77402) range across 2 matching MRF lines |
$542.75–$5,944.08 | $835–$9,144.74 | varies |
| Radiation treatment delivery level 2 (77407) range across 2 matching MRF lines |
$3,859.70–$53,596.40 | $5,938–$82,456 | varies |
| Radiation treatment delivery level 3 (77412) range across 2 matching MRF lines |
$4,826.25–$26,908.05 | $7,425–$41,397 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) | $218.40 | $336 | 2.1× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $341.25 | $525 | 3.3× |
| Radiologic exam colon double contrast study (74280) | $534.30 | $822 | 3.0× |
| Radiologic exam colon single contrast study (74270) | $478.40 | $736 | 2.7× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $710.45 | $1,093 | 4.0× |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$432.25–$647.40 | $665–$996 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $209.95 | $323 | 2.0× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $442 | $680 | 2.5× |
| Radiologic exam swallow function contrast study (74230) | $386.10 | $594 | 2.2× |
| Radiologic exam upr gi trc double contrast study (74246) | $383.50 | $590 | 2.2× |
| Radiologic examination femur 1 view (73551) range across 2 matching MRF lines |
$128.70–$143 | $198–$220 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines |
$152.10–$227.50 | $234–$350 | varies |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$227.50–$340.60 | $350–$524 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $357.50 | $550 | 3.4× |
| Radiologic examination tibia & fibula 2 views (73590) range across 5 matching MRF lines |
$233.35–$361.40 | $359–$556 | varies |
| Radiologic examination, teeth; single view Non-Facility (70300) | $180.05 | $277 | 2.1× |
| Ribs bilateral 3 views (71110) | $217.10 | $334 | 2.1× |
| Rp loclzj tum plnr 1 area single day imaging (78800) range across 2 matching MRF lines |
$551.20–$6,050.20 | $848–$9,308 | varies |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $1,044.55 | $1,607 | 2.6× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $2,011.10 | $3,094 | 3.7× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) range across 2 matching MRF lines |
$1,409.85–$7,153.90 | $2,169–$11,006 | varies |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 2 matching MRF lines |
$1,028.30–$1,377.35 | $1,582–$2,119 | varies |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $2,988.70 | $4,598 | 2.3× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) range across 2 matching MRF lines |
$3,767.40–$10,473.80 | $5,796–$16,113.54 | varies |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $2,811.25 | $4,325 | 2.2× |
| Rp Therapy Intravenous Administration (79101) | $651.95 | $1,003 | 2.8× |
| Scapula (73010) range across 3 matching MRF lines |
$170.30–$256.10 | $262–$394 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 3 matching MRF lines |
$65–$98.15 | $100–$151 | varies |
| Shoulder 1 view (73020) range across 3 matching MRF lines |
$131.30–$197.60 | $202–$304 | varies |
| Shoulder Arthrography (73040) range across 3 matching MRF lines |
$1,074.45–$1,651.65 | $1,653–$2,541 | varies |
| Skull less than 4 views (70250) | $198.25 | $305 | 1.9× |
| Special dosimetry (77331) | $539.50 | $830 | 4.0× |
| Special Physics Consult (77370) range across 2 matching MRF lines |
$830.70–$18,723.90 | $1,278–$28,806 | varies |
| Special teletherapy port plan (77321) | $1,038.70 | $1,598 | 2.8× |
| Special treatment procedure (77470) range across 2 matching MRF lines |
$2,694.90–$61,748.70 | $4,146–$94,998 | varies |
| Sternoclavicular joints (71130) | $209.30 | $322 | 2.4× |
| Telethx isodose pln cplx w/basic dosimetry (77307) range across 2 matching MRF lines |
$3,957.20–$44,308.55 | $6,088–$68,167 | varies |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $1,619.80 | $2,492 | 4.3× |
| Temporomandble Jt Arthrography Rs&I (70332) | $383.50 | $590 | 1.6× |
| Testicular Imaging W/Flow (78761) | $815.10 | $1,254 | 2.0× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) range across 2 matching MRF lines |
$3,409.90–$58,043.48 | $5,246–$89,297.66 | varies |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $1,574.95 | $2,423 | 4.2× |
| Ther rad simulaj-aided field setting simple (77280) range across 2 matching MRF lines |
$1,418.30–$54,401.10 | $2,182–$83,694 | varies |
| Thoracic spine 2 views (72070) | $280.80 | $432 | 2.7× |
| Thoracic spine 3 views (72072) | $340.60 | $524 | 3.3× |
| Thoracolumbar 2 views (72080) | $175.50 | $270 | 2.0× |
| Thyroid Imaging With Vascular Flow (78013) | $498.55 | $767 | 1.2× |
| Thyroid Met Imaging Body (78018) | $962 | $1,480 | 1.8× |
| Thyroid Uptake Measurement (78012) | $472.55 | $727 | 1.2× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) range across 2 matching MRF lines |
$713.05–$922.35 | $1,097–$1,419 | varies |
| Tx Devices Design & Construction Complex (77334) range across 2 matching MRF lines |
$1,849.25–$54,912 | $2,845–$84,480 | varies |
| Tx devices design & construction intermediate (77333) | $907.40 | $1,396 | 6.7× |
| Tx devices design & construction simple (77332) range across 2 matching MRF lines |
$850.20–$79,982.50 | $1,308–$123,050 | varies |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$349.05–$522.60 | $537–$804 | varies |
| Ultrasound Exam Aaa Screen (76706) | $256.75 | $395 | 2.5× |
| Ultrasound, abdomen limited (76705) | $796.90 | $1,226 | 7.6× |
| Umbilical-artery Doppler (OB) (76820) | $238.55 | $367 | 2.3× |
| Unlisted us procedure (76999) | $362.70 | $558 | 4.2× |
| Upper gi w/o kub (74240) | $562.25 | $865 | 3.2× |
| Urethrocystogram voiding (74455) | $879.45 | $1,353 | 3.7× |
| Urethrocystography retrograde (74450) | $696.15 | $1,071 | 2.9× |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$362.70–$543.40 | $558–$836 | varies |
| Us chest (76604) | $399.10 | $614 | 3.8× |
| Us complete joint (76881) range across 3 matching MRF lines |
$417.30–$626.60 | $642–$964 | varies |
| Us exam, pelvic, limited (76857) | $403 | $620 | 3.8× |
| Us kidney transplant (76776) | $672.75 | $1,035 | 6.4× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 3 matching MRF lines |
$241.80–$363.35 | $372–$559 | varies |
| Us ob detailed single fetus (76811) range across 2 matching MRF lines |
$579.80–$971.75 | $892–$1,495 | varies |
| Us ob limited 1 or more fetuses (76815) | $461.50 | $710 | 4.4× |
| Us ob transvaginal (76817) | $499.20 | $768 | 4.8× |
| Us pelvic non ob complete (76856) | $762.45 | $1,173 | 7.3× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $856.05 | $1,317 | 8.2× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $429 | $660 | 4.1× |
| Us retroperitoneal complete (76770) | $559 | $860 | 5.3× |
| Us retroperitoneal limited (76775) | $364.65 | $561 | 3.5× |
| Us scrotum and contents (76870) | $725.40 | $1,116 | 6.9× |
| Us spinal canal and contents (76800) | $824.20 | $1,268 | 7.9× |
| Us thyroid (76536) | $636.35 | $979 | 6.1× |
| Us transrectal (76872) | $1,175.20 | $1,808 | 11.2× |
| Vein X-Ray Chest (75827) | $1,439.75 | $2,215 | 0.9× |
| Venography caval inferior serialography rs&i (75825) | $2,219.10 | $3,414 | 0.7× |
| Venography extremity bilateral rs&i (75822) | $2,379.65 | $3,661 | 1.5× |
| Venography extremity unilateral rs&i (75820) | $1,301.30 | $2,002 | 0.8× |
| Venography Renal Bilateral (75833) | $3,713.45 | $5,713 | 1.2× |
| Venography Renal Unilateral (75831) | $2,883.40 | $4,436 | 0.9× |
| Venous sampling by catheter (75893) | $5,840.25 | $8,985 | 1.0× |
| Vertebral fracture assessment via dxa (77086) | $174.20 | $268 | 2.0× |
| Wrist 2 views (73100) range across 6 matching MRF lines |
$238.55–$383.50 | $367–$590 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $183.95 | $283 | 2.1× |
| X-ray antegrade pyelogram tube (74425) range across 4 matching MRF lines |
$458.25–$687.70 | $705–$1,058 | varies |
| X-Ray Aorta Leg Arteries (75630) | $2,964 | $4,560 | 0.9× |
| X-Ray Bend Only L-S Spine (72120) | $198.25 | $305 | 1.9× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 5 matching MRF lines |
$178.75–$297.05 | $275–$457 | varies |
| X-Ray Exam Breast Specimen (76098) range across 3 matching MRF lines |
$276.90–$414.70 | $426–$638 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) | $196.30 | $302 | 2.3× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $289.90 | $446 | 2.8× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $579.80 | $892 | 5.5× |
| X-Ray Exam Hip Uni 1 View (73501) | $136.50 | $210 | 1.6× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $175.50 | $270 | 2.0× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $391.30 | $602 | 3.7× |
| X-Ray Exam Hips Bi 2 Views (73521) | $244.40 | $376 | 2.3× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $280.15 | $431 | 2.7× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $348.40 | $536 | 3.3× |
| X-Ray Exam L-S Spine Bending (72114) | $340.60 | $524 | 3.3× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $325 | $500 | 3.7× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $531.70 | $818 | 5.1× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $312.65 | $481 | 3.0× |
| X-ray eye for foreign body (70030) range across 3 matching MRF lines |
$157.95–$237.25 | $243–$365 | varies |
| X-ray humerus (73060) range across 6 matching MRF lines |
$195–$356.85 | $300–$549 | varies |
| X-ray IV pyelogram (ivp) (74400) | $719.55 | $1,107 | 4.1× |
| X-ray IV pyelogram+tomography (74415) | $638.95 | $983 | 3.6× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $243.10 | $374 | 2.8× |
| 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) | $223.60 | $344 | 2.1× |
| X-ray nose-rectum child f.b. (76010) | $173.55 | $267 | 2.0× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $292.50 | $450 | 2.8× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $180.05 | $277 | 1.7× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $146.25 | $225 | 1.4× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $187.20 | $288 | 2.1× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $196.30 | $302 | 2.3× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $258.70 | $398 | 2.5× |
| X-ray thoracic spine 4 vw (72074) | $419.25 | $645 | 4.0× |
| X-Ray Tmj Unilat (70328) | $138.45 | $213 | 1.6× |
| X-Rays Bone Length Studies (77073) | $162.50 | $250 | 1.6× |
| X-Rays Bone Survey Complete (77075) | $394.55 | $607 | 3.8× |
| Xr c-spine 4 or 5 views (72050) | $451.75 | $695 | 4.3× |
| Xr facial bones less than 3 views (70140) | $149.50 | $230 | 1.7× |
| XR Mastoids < 3 Views Bilateral (70120) | $382.20 | $588 | 3.7× |
| Xr orbits complete 4 views (70200) | $224.90 | $346 | 2.1× |
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.