Imaging prices at Mercy Medical Center - Cedar Rapids
Cedar Rapids, IA · every code in this section with a posted price and a Medicare benchmark.
368 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) | $6,060 | $10,100 | 4.5× |
| Abdomen 1 View (74018) range across 2 matching MRF lines |
$40.80–$126.60 | $68–$211 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $807.60 | $1,346 | 2.1× |
| Angio pulmonary bilat (75743) | $2,215.80 | $3,693 | 0.7× |
| Angiography extremity bilateral rs&i (75716) range across 2 matching MRF lines |
$178.20–$2,249.40 | $297–$3,749 | varies |
| Angiography extremity unilateral rs&i (75710) range across 3 matching MRF lines |
$157.80–$2,249.40 | $263–$3,749 | varies |
| Angiography pulmonary unilateral slctv rs&i (75741) | $1,740 | $2,900 | 0.6× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $1,455 | $2,425 | 0.5× |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$43.80–$155.40 | $73–$259 | varies |
| Aortography thoracic serialography rs&i (75605) unusually low: confirm this is the full procedure |
$2,139 | $3,565 | 0.4× |
| Aortography thoracic w/o serialography rs&i (75600) | $1,158 | $1,930 | 0.4× |
| Artery X-Rays Abdomen (75726) unusually low: confirm this is the full procedure |
$2,151 | $3,585 | 0.4× |
| Artery X-Rays Pelvis (75736) unusually low: confirm this is the full procedure |
$2,113.80 | $3,523 | 0.4× |
| Artery X-Rays Spine (75705) | $2,767.80 | $4,613 | 0.5× |
| Arthrogram ankle (73615) | $331.80 | $553 | 1.0× |
| Arthrogram hip (73525) | $331.80 | $553 | 1.0× |
| Arthrogram Wrist (73115) | $335.40 | $559 | 1.0× |
| Basic radiation dosimetry calculation (77300) | $296.40 | $494 | 2.3× |
| Bone age studies (77072) range across 2 matching MRF lines |
$22.80–$264 | $38–$440 | varies |
| Bone Imaging 3 Phase (78315) | $702 | $1,170 | 1.8× |
| Bone Imaging Limited Area (78300) | $702 | $1,170 | 1.8× |
| Bone Imaging Multiple Areas (78305) | $655.80 | $1,093 | 1.7× |
| Bone Imaging Whole Body (78306) | $747.60 | $1,246 | 1.9× |
| Bone marrow imaging limited area (78102) | $437.40 | $729 | 1.1× |
| Bone marrow imaging; whole body (78104) | $625.80 | $1,043 | 1.6× |
| Bone survey infant (77076) | $313.20 | $522 | 3.1× |
| Brachytx isodose complex (77318) | $1,375.20 | $2,292 | 3.8× |
| Brachytx isodose intermed (77317) | $1,055.40 | $1,759 | 2.9× |
| Brachytx Isodose Plan Simple (77316) range across 2 matching MRF lines |
$102.60–$813.60 | $171–$1,356 | varies |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $646.80 | $1,078 | 1.2× |
| Brain Imaging Minimum 4 Static Views (78605) | $531.60 | $886 | 1.0× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $3,826.80 | $6,378 | 2.8× |
| Cardiac MRI w/w/o contrast & further seq (75561) range across 2 matching MRF lines |
$262.80–$1,199.40 | $438–$1,999 | varies |
| Cardiac MRI w/w/o contrast w/stress (75563) range across 2 matching MRF lines |
$688.20–$886.20 | $1,147–$1,477 | varies |
| Cat Scan Follow-Up Study (76380) | $565.20 | $942 | 6.7× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $955.80 | $1,593 | 1.8× |
| Cerebrospinal Fluid Scan (78630) | $741 | $1,235 | 1.4× |
| Chest 1 view (71045) range across 2 matching MRF lines |
$22.20–$68.40 | $37–$114 | varies |
| Chest 2 views (71046) range across 2 matching MRF lines |
$45–$141.60 | $75–$236 | varies |
| Chest 3 views (71047) | $174 | $290 | 2.1× |
| Chest 4 or more views (71048) | $196.80 | $328 | 1.9× |
| Clavicle complete (73000) range across 2 matching MRF lines |
$53.40–$199.80 | $89–$333 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 2 matching MRF lines |
$318.60–$490.80 | $531–$818 | varies |
| Continuing medical physics consltj pr wk (77336) | $708.60 | $1,181 | 5.5× |
| Contrast Exam Abdominl Aorta (75625) range across 2 matching MRF lines |
$312.60–$2,249.40 | $521–$3,749 | varies |
| Contrast X-Ray Bladder (74430) range across 2 matching MRF lines |
$90.60–$405 | $151–$675 | varies |
| Contrast X-Ray Of Elbow (73085) | $357.60 | $596 | 1.1× |
| Contrast X-Ray Of Knee Joint (73580) | $345 | $575 | 1.0× |
| CT abdomen and pelvis without and with contrast (74178) | $2,661.60 | $4,436 | 7.9× |
| CT abdomen and pelvis without contrast (74176) | $1,476 | $2,460 | 6.4× |
| CT abdomen w contrast (74160) | $1,155.60 | $1,926 | 6.8× |
| CT abdomen w wo contrast (74170) | $1,459.80 | $2,433 | 8.6× |
| CT abdomen w/o contrast (74150) | $745.20 | $1,242 | 7.4× |
| CT Angio Abdomen and Pelvis (74174) | $3,875.40 | $6,459 | 11.5× |
| CT Angio Chest (71275) | $1,938 | $3,230 | 11.4× |
| CT Angio Head (70496) | $1,938 | $3,230 | 11.4× |
| CT angio hrt w/3d image (75574) range across 2 matching MRF lines |
$177–$1,270.80 | $295–$2,118 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $1,924.20 | $3,207 | 11.3× |
| CT Angio Neck (70498) | $1,938 | $3,230 | 11.4× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $1,810.80 | $3,018 | 10.7× |
| CT cervical spine w/ contrast (72126) | $1,530.60 | $2,551 | 4.5× |
| CT cervical spine w/o contrast (72125) | $1,244.40 | $2,074 | 12.3× |
| CT chest w contrast (71260) | $1,193.40 | $1,989 | 7.0× |
| CT chest w/wo contrast (71270) | $1,764.60 | $2,941 | 10.4× |
| CT Colonogrphy Dx Image Postprocess W/Contrast (74262) | $1,594.20 | $2,657 | 9.4× |
| CT colonogrphy dx image postprocess w/o contrast (74261) | $1,594.20 | $2,657 | 15.8× |
| CT head/brain with contrast (70460) | $1,362 | $2,270 | 8.0× |
| CT head/brain without and with contrast (70470) | $1,663.20 | $2,772 | 9.8× |
| CT heart contrast eval cardiac structure&morph (75572) | $1,263.60 | $2,106 | 3.7× |
| CT heart no contrast quant eval coronry calcium (75571) | $59.40 | $99 | 0.7× |
| CT hrt w/3d image congen (75573) | $588 | $980 | 1.7× |
| CT iac w contrast (70481) | $1,449 | $2,415 | 8.5× |
| CT l-spine w&w/o contrast (72133) | $1,558.80 | $2,598 | 9.2× |
| CT lower ext w/o (73700) | $1,221.60 | $2,036 | 12.1× |
| CT lower extremity w/contrast material (73701) | $1,383 | $2,305 | 8.2× |
| CT lumbar spine w contrast (72132) | $1,530.60 | $2,551 | 4.5× |
| CT lumbar spine w/o contrast (72131) | $1,244.40 | $2,074 | 12.3× |
| CT maxillofacial w contrast (70487) | $1,182 | $1,970 | 7.0× |
| CT maxillofacial wo contrast (70486) | $717.60 | $1,196 | 7.1× |
| CT neck tissue combo (70492) | $1,333.20 | $2,222 | 7.9× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,740 | $2,900 | 10.3× |
| CT orbits w/o contrast (70480) | $1,206.60 | $2,011 | 11.9× |
| CT pelvis w&w/o contrast (72194) | $2,092.20 | $3,487 | 12.3× |
| CT pelvis w/o contrast (72192) | $730.80 | $1,218 | 7.2× |
| CT scan of leg combo (73702) | $1,378.80 | $2,298 | 8.1× |
| CT scans face/jaw combo (70488) | $1,326 | $2,210 | 7.8× |
| CT soft tissue neck w contrast (70491) | $867 | $1,445 | 5.1× |
| CT soft tissue neck w/o contrast (70490) | $717.60 | $1,196 | 7.1× |
| CT thoracic spine w contrast (72129) | $1,530.60 | $2,551 | 9.0× |
| CT thoracic spine w/o contrast (72128) | $1,244.40 | $2,074 | 12.3× |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$318.60–$904.80 | $531–$1,508 | varies |
| CT upper ext wo (73200) | $1,299.60 | $2,166 | 12.9× |
| CT upper extremity w/o & w/contrast material (73202) | $1,378.80 | $2,298 | 8.1× |
| CT upper extremity with contrast (73201) | $1,383 | $2,305 | 4.1× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,761.60 | $2,936 | 10.4× |
| Cta Abdomen (74175) | $1,938 | $3,230 | 11.4× |
| CTA pelvis (72191) | $1,810.80 | $3,018 | 10.7× |
| Diskography lumbar (72295) | $1,866 | $3,110 | 1.0× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) | $89.40 | $149 | 0.9× |
| Doppler Echo Fetal Spectral Display Complete (76827) range across 2 matching MRF lines |
$138.60–$426 | $231–$710 | varies |
| Doppler Fetal Mid Cerebral Artery (76821) | $229.80 | $383 | 2.3× |
| Dxa Bone Density Axial (77080) | $289.80 | $483 | 2.9× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $144.60 | $241 | 1.7× |
| Echo exam of fetal heart (76825) range across 2 matching MRF lines |
$352.80–$1,144.20 | $588–$1,907 | varies |
| Echo exam uterus (76831) | $427.80 | $713 | 1.9× |
| Echo Guide For Artery Repair (76936) | $1,274.40 | $2,124 | 6.1× |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) | $227.40 | $379 | 1.0× |
| Echograp Trans R Pros Study (76873) range across 2 matching MRF lines |
$128.40–$441.60 | $214–$736 | varies |
| Esophagram (74220) | $303.60 | $506 | 1.8× |
| Fetal Biophys Profile W/Nst (76818) | $343.20 | $572 | 3.4× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $367.20 | $612 | 3.6× |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$115.20–$556.20 | $192–$927 | varies |
| Follow-Up Angiography (75898) | $823.80 | $1,373 | 0.3× |
| Foot 2 views (73620) range across 2 matching MRF lines |
$43.80–$155.40 | $73–$259 | varies |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$60.60–$202.80 | $101–$338 | varies |
| Gastric emptying imaging study (78264) | $669 | $1,115 | 1.7× |
| Gastroesophageal Reflux Exam (78262) | $625.80 | $1,043 | 1.6× |
| Gated Heart Planar Single (78472) range across 2 matching MRF lines |
$91.80–$882.60 | $153–$1,471 | varies |
| Hand 2 views (73120) range across 2 matching MRF lines |
$43.80–$219 | $73–$365 | varies |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) | $2,442.60 | $4,071 | 3.6× |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) | $2,442.60 | $4,071 | 3.6× |
| Heart first pass single,planar (78481) | $923.40 | $1,539 | 1.8× |
| Heart Image (Pet) Multiple (78492) | $3,759 | $6,265 | 2.7× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $2,384.40 | $3,974 | 0.8× |
| Hepatobil Syst Image W/Drug (78227) | $1,012.80 | $1,688 | 1.9× |
| Hepatobiliary System Imaging (78226) | $646.20 | $1,077 | 1.7× |
| Ht Muscle Image Spect Sing (78451) range across 2 matching MRF lines |
$93.60–$2,262.60 | $156–$3,771 | varies |
| Hysterosalpingogram (74740) | $303 | $505 | 1.3× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $376.80 | $628 | 4.5× |
| Infant hip ultrasound, limited static exam (76886) | $354 | $590 | 4.2× |
| Interstitial radiation source applic complex (77778) | $1,401.60 | $2,336 | 2.1× |
| K Flow/Funct Image Multiple (78709) | $1,189.20 | $1,982 | 2.3× |
| K Flow/Funct Image W/Drug (78708) | $1,017 | $1,695 | 1.9× |
| Kidney Imaging Morphol (78700) | $763.80 | $1,273 | 2.0× |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$52.80–$204.60 | $88–$341 | varies |
| Leveen/Shunt Patency Exam (78291) | $616.20 | $1,027 | 1.6× |
| Liver & Spleen Imaging Static Only (78215) | $471.60 | $786 | 1.2× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $471.60 | $786 | 1.2× |
| Liver imaging static only (78201) | $471.60 | $786 | 0.9× |
| Lung Perf&Ventilat Diferentl (78598) | $1,098.60 | $1,831 | 2.1× |
| Lung perfusion differential (78597) | $920.40 | $1,534 | 2.4× |
| Lung Ventilat&Perfus Imaging (78582) | $1,044.60 | $1,741 | 2.0× |
| Lung Ventilation Imaging (78579) | $684.60 | $1,141 | 1.8× |
| Lymph System Imaging (78195) | $652.80 | $1,088 | 1.2× |
| Magnetic Image Jaw Joint (70336) | $1,023 | $1,705 | 4.4× |
| Mammary ductogram or galactogram multiple (77054) | $283.20 | $472 | 1.2× |
| Mammary ductogram or galactogram single (77053) | $250.80 | $418 | 1.1× |
| Meckels Divert Exam (78290) | $568.80 | $948 | 1.5× |
| Mlc imrt design & construction per imrt plan (77338) | $1,525.20 | $2,542 | 4.2× |
| Mra Head W/O & W/Contrast Material (70546) | $2,112.60 | $3,521 | 6.3× |
| MRA head w/o contrast (70544) | $1,425.60 | $2,376 | 6.2× |
| MRA head with contrast (70545) | $1,797 | $2,995 | 5.3× |
| MRA neck w contrast (70548) | $1,689.60 | $2,816 | 5.0× |
| Mra Neck W/O &W/Contrast Material (70549) | $2,112.60 | $3,521 | 6.3× |
| MRA neck w/o contrast (70547) | $1,425.60 | $2,376 | 6.2× |
| MRI abdomen w contrast (74182) | $2,658.60 | $4,431 | 7.9× |
| MRI abdomen w/o contrast (74181) | $2,402.40 | $4,004 | 10.4× |
| MRI any jt lower extrem w/contrast material (73722) | $2,709.60 | $4,516 | 3.6× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $3,190.80 | $5,318 | 9.5× |
| MRI any jt upper extremity w/contrast matrl (73222) | $2,709.60 | $4,516 | 3.6× |
| MRI Breast W/O Contrast Bilateral (77047) | $649.20 | $1,082 | 2.8× |
| MRI Breast Without Contrast Material Unilateral (77046) | $649.20 | $1,082 | 2.8× |
| MRI cardiac w/o contrast (75557) range across 2 matching MRF lines |
$237.60–$657.60 | $396–$1,096 | varies |
| MRI cervical spine w contrast (72142) | $2,771.40 | $4,619 | 8.2× |
| MRI cervical spine w/o cont (72141) | $2,511.60 | $4,186 | 10.9× |
| MRI chest w/o contrast (71550) | $1,779.60 | $2,966 | 7.7× |
| MRI chest wo w contrast (71552) | $2,425.20 | $4,042 | 7.2× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $2,547 | $4,245 | 7.6× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $3,190.80 | $5,318 | 9.5× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $2,291.40 | $3,819 | 9.9× |
| MRI lumbar spine w contrast (72149) | $2,771.40 | $4,619 | 8.2× |
| Mri Neck Spine W/O & W/Dye (72156) | $3,260.40 | $5,434 | 9.7× |
| MRI orbit face &/neck w/o contrast (70540) | $2,182.80 | $3,638 | 9.5× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $3,216.60 | $5,361 | 9.5× |
| MRI pelvis w contrast (72196) | $2,634 | $4,390 | 7.8× |
| MRI pelvis w/o & w contrast (72197) | $3,120.60 | $5,201 | 9.3× |
| MRI pelvis w/o contrast (72195) | $2,402.40 | $4,004 | 10.4× |
| MRI spectroscopy (76390) | $1,676.40 | $2,794 | 19.9× |
| MRI thoracic spine w/o contrast (72146) | $2,511.60 | $4,186 | 10.9× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $2,547 | $4,245 | 7.6× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $2,291.40 | $3,819 | 9.9× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $3,190.80 | $5,318 | 9.5× |
| MRI, abdomen, combo (74183) | $3,334.20 | $5,557 | 9.9× |
| MRI, dorsal spine combo (72157) | $3,260.40 | $5,434 | 9.7× |
| MRI, dorsal spine contrast (72147) | $2,771.40 | $4,619 | 8.2× |
| MRI, joint upper extrem (73221) | $2,291.40 | $3,819 | 9.9× |
| MRI, joint upper extrem combo (73223) | $3,190.80 | $5,318 | 9.5× |
| MRI, lumbar spine combo (72158) | $3,260.40 | $5,434 | 9.7× |
| Myelogram cervical (72240) | $745.80 | $1,243 | 1.0× |
| Myelogram Lumbar (72265) | $745.80 | $1,243 | 1.0× |
| Myelography thoracic (72255) | $701.40 | $1,169 | 0.9× |
| Myelograpy 2/more regions rs&i (72270) | $874.20 | $1,457 | 1.2× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) | $3,706.80 | $6,178 | 3.0× |
| Myocardial Spect Multiple Studies (78452) range across 2 matching MRF lines |
$104.40–$2,125.80 | $174–$3,543 | varies |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$53.40–$153 | $89–$255 | varies |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $868.20 | $1,447 | 2.2× |
| Nm csf leak detection (78650) | $637.80 | $1,063 | 0.5× |
| Nonvascular Shunt X-Ray (75809) | $216 | $360 | 2.1× |
| Ntsty modul radthx pln dose-vol histos (77301) | $7,441.80 | $12,403 | 5.6× |
| Nuclear medicine study of endocrine organs (78099) | $762 | $1,270 | 2.0× |
| Nuclear Rx Intra-Arterial (79445) | $1,721.40 | $2,869 | 7.6× |
| Nuclear Rx Oral Admin (79005) | $543 | $905 | 2.4× |
| Panoramic X-ray of jaws (70355) | $192.60 | $321 | 2.3× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $1,259.40 | $2,099 | 2.4× |
| Parathyroid Planar Imaging (78070) | $1,023.60 | $1,706 | 2.6× |
| Parathyroid planar imaging w/wo subtraction (78071) | $1,252.20 | $2,087 | 3.2× |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$46.80–$70.80 | $78–$118 | varies |
| Pet Image W/Ct Lmtd (78814) | $3,779.40 | $6,299 | 2.7× |
| PET image w/CT, full body (78816) | $4,517.40 | $7,529 | 3.3× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $4,517.40 | $7,529 | 3.3× |
| Pet Myocardial Sngl Study (78491) | $3,759 | $6,265 | 2.7× |
| Pulmonary Perfusion Imaging Particulate (78580) | $577.80 | $963 | 1.5× |
| Quan&Charac C Atherosclerotc Plaq Asses Sev C Ds (75577) | $667.20 | $1,112 | 0.7× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$72.60–$322.20 | $121–$537 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) | $275.40 | $459 | 0.5× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$61.20–$160.20 | $102–$267 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$42–$178.20 | $70–$297 | varies |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$50.40–$215.40 | $84–$359 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$70.20–$249 | $117–$415 | varies |
| Radex fingr minimum 2 views (73140) range across 2 matching MRF lines |
$49.20–$204.60 | $82–$341 | varies |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$71.40–$150.60 | $119–$251 | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$76.80–$196.80 | $128–$328 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 2 matching MRF lines |
$43.80–$367.20 | $73–$612 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$61.80–$205.80 | $103–$343 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 2 matching MRF lines |
$76.80–$78 | $128–$130 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$56.40–$393.60 | $94–$656 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $54.60 | $91 | 0.6× |
| Radex Spine 1 View Specify Level (72020) range across 2 matching MRF lines |
$42.60–$205.80 | $71–$343 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$70.20–$192.60 | $117–$321 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$72.60–$305.40 | $121–$509 | varies |
| Radex Toe Minimum 2 Views (73660) range across 2 matching MRF lines |
$40.80–$163.80 | $68–$273 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 2 matching MRF lines |
$43.80–$367.20 | $73–$612 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$69–$227.40 | $115–$379 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $43.80 | $73 | 0.4× |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $9,692.40 | $16,154 | 1.4× |
| Radiation treatment delivery level 1 (77402) | $392.40 | $654 | 4.0× |
| Radiation treatment delivery level 2 (77407) | $435 | $725 | 1.2× |
| Radiation treatment delivery level 3 (77412) | $559.80 | $933 | 1.0× |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$60–$253.80 | $100–$423 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 2 matching MRF lines |
$255–$296.40 | $425–$494 | varies |
| Radiologic exam colon double contrast study (74280) | $434.40 | $724 | 2.6× |
| Radiologic exam colon single contrast study (74270) | $288.60 | $481 | 1.7× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $607.20 | $1,012 | 3.6× |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$60.60–$268.80 | $101–$448 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$54–$300.60 | $90–$501 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) | $336 | $560 | 2.0× |
| Radiologic exam swallow function contrast study (74230) | $309.60 | $516 | 1.8× |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$57–$436.20 | $95–$727 | varies |
| Radiologic examination femur 1 view (73551) | $88.20 | $147 | 1.0× |
| Radiologic examination femur minimum 2 views (73552) | $176.40 | $294 | 2.1× |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$70.80–$160.20 | $118–$267 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 2 matching MRF lines |
$65.40–$176.40 | $109–$294 | varies |
| Renal Cyst Study (74470) | $870 | $1,450 | 1.6× |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$70.80–$255 | $118–$425 | varies |
| Rp loclzj tum plnr 1 area single day imaging (78800) range across 2 matching MRF lines |
$292.20–$596.40 | $487–$994 | varies |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $613.80 | $1,023 | 1.6× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $1,237.20 | $2,062 | 2.4× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $817.80 | $1,363 | 1.6× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 6 matching MRF lines |
$91.20–$990 | $152–$1,650 | varies |
| Rp Therapy Intravenous Administration (79101) | $1,473.60 | $2,456 | 6.5× |
| Scapula (73010) range across 2 matching MRF lines |
$45.60–$202.80 | $76–$338 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $15.60 | $26 | 0.7× |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$40.20–$188.40 | $67–$314 | varies |
| Shoulder Arthrography (73040) | $355.20 | $592 | 1.1× |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$74.40–$225 | $124–$375 | varies |
| Special dosimetry (77331) | $205.20 | $342 | 1.6× |
| Special Physics Consult (77370) | $762 | $1,270 | 5.9× |
| Special teletherapy port plan (77321) | $875.40 | $1,459 | 2.4× |
| Special treatment procedure (77470) | $2,416.80 | $4,028 | 4.5× |
| Stereotactic Body Radiation Delivery (77373) | $2,515.80 | $4,193 | 1.5× |
| Sternoclavicular joints (71130) range across 2 matching MRF lines |
$62.40–$138 | $104–$230 | varies |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $1,473 | $2,455 | 4.1× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $195.60 | $326 | 0.5× |
| Testicular Imaging W/Flow (78761) | $531.60 | $886 | 1.4× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $1,539 | $2,565 | 4.3× |
| Ther rad simulaj-aided field setting simple (77280) | $759 | $1,265 | 5.8× |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$68.40–$232.20 | $114–$387 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$69–$253.20 | $115–$422 | varies |
| Thoracolumbar 2 views (72080) | $72 | $120 | 0.9× |
| Thyroid Carcinoma Metastases Img Lmtd Area (78015) | $573.60 | $956 | 1.5× |
| Thyroid Imaging With Vascular Flow (78013) | $391.80 | $653 | 1.0× |
| Thyroid Met Imaging Body (78018) | $785.40 | $1,309 | 1.5× |
| Thyroid Uptake Measurement (78012) | $762 | $1,270 | 2.0× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $421.80 | $703 | 1.1× |
| Tx Devices Design & Construction Complex (77334) | $772.20 | $1,287 | 2.1× |
| Tx devices design & construction intermediate (77333) | $170.40 | $284 | 1.3× |
| Tx devices design & construction simple (77332) | $344.40 | $574 | 2.7× |
| Ultrasound Breast Limited (76642) | $252.60 | $421 | 3.0× |
| Ultrasound elastography first target lesion (76982) | $197.40 | $329 | 2.0× |
| Ultrasound Elastography Parenchyma (76981) | $197.40 | $329 | 2.0× |
| Ultrasound Exam Aaa Screen (76706) range across 3 matching MRF lines |
$143.40–$366 | $239–$610 | varies |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$138.60–$386.40 | $231–$644 | varies |
| Umbilical-artery Doppler (OB) (76820) | $246.60 | $411 | 2.4× |
| Unlisted fluoroscopic procedure (76496) | $2,692.20 | $4,487 | 32.0× |
| Unlisted magnetic resonance procedure (76498) | $520.20 | $867 | 6.2× |
| Unlisted us procedure (76999) range across 2 matching MRF lines |
$75–$166.20 | $125–$277 | varies |
| Upper gi w/o kub (74240) | $394.20 | $657 | 2.3× |
| Ureteral Reflux Study (78740) | $481.20 | $802 | 1.2× |
| Urethrocystogram voiding (74455) | $405 | $675 | 1.8× |
| Urethrocystography retrograde (74450) | $337.80 | $563 | 1.5× |
| Us breast unilateral complete (76641) range across 2 matching MRF lines |
$105–$252.60 | $175–$421 | varies |
| Us chest (76604) range across 2 matching MRF lines |
$118.80–$508.20 | $198–$847 | varies |
| Us complete joint (76881) | $145.20 | $242 | 1.4× |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$115.20–$256.80 | $192–$428 | varies |
| Us head (76506) | $316.20 | $527 | 3.1× |
| Us kidney transplant (76776) | $395.40 | $659 | 3.9× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$89.40–$306 | $149–$510 | varies |
| Us ob detailed single fetus (76811) | $711 | $1,185 | 3.1× |
| Us ob limited 1 or more fetuses (76815) | $574.20 | $957 | 5.7× |
| Us ob transvaginal (76817) | $574.20 | $957 | 5.7× |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$64.20–$459 | $107–$765 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $574.20 | $957 | 5.7× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $340.20 | $567 | 3.4× |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$183.60–$531 | $306–$885 | varies |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$127.80–$386.40 | $213–$644 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$138.60–$323.40 | $231–$539 | varies |
| Us spinal canal and contents (76800) | $459 | $765 | 4.5× |
| Us thyroid (76536) range across 2 matching MRF lines |
$176.40–$327 | $294–$545 | varies |
| Us transrectal (76872) range across 2 matching MRF lines |
$174.60–$261 | $291–$435 | varies |
| Vascular Flow Imaging (78445) | $337.80 | $563 | 0.9× |
| Vein X-Ray Chest (75827) | $1,393.80 | $2,323 | 0.9× |
| Vein X-Ray Liver W/O Hemodyn (75887) | $2,692.20 | $4,487 | 0.9× |
| Venogram Sinus/Jugular (75860) | $1,721.40 | $2,869 | 0.6× |
| Venography Adrenal Unilateral (75840) | $1,310.40 | $2,184 | 0.4× |
| Venography caval inferior serialography rs&i (75825) range across 2 matching MRF lines |
$102.60–$1,386 | $171–$2,310 | varies |
| Venography extremity bilateral rs&i (75822) range across 2 matching MRF lines |
$121.80–$1,380.60 | $203–$2,301 | varies |
| Venography extremity unilateral rs&i (75820) range across 2 matching MRF lines |
$91.80–$811.20 | $153–$1,352 | varies |
| Venography Renal Bilateral (75833) | $1,732.20 | $2,887 | 0.6× |
| Venography Renal Unilateral (75831) | $1,310.40 | $2,184 | 0.4× |
| Venous sampling by catheter (75893) | $6,098.40 | $10,164 | 1.1× |
| Venous thrombosis imaging (78457) | $596.40 | $994 | 1.1× |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$45–$115.20 | $75–$192 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$52.80–$216.60 | $88–$361 | varies |
| X-ray antegrade pyelogram tube (74425) range across 2 matching MRF lines |
$337.80–$405 | $563–$675 | varies |
| X-Ray Aorta Leg Arteries (75630) range across 2 matching MRF lines |
$342.60–$2,249.40 | $571–$3,749 | varies |
| X-Ray Bend Only L-S Spine (72120) range across 2 matching MRF lines |
$73.80–$313.20 | $123–$522 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$44.40–$217.20 | $74–$362 | varies |
| X-Ray Exam Breast Specimen (76098) range across 2 matching MRF lines |
$55.20–$115.80 | $92–$193 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $251.40 | $419 | 2.5× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $251.40 | $419 | 2.5× |
| X-Ray Exam Hip Uni 1 View (73501) | $177.60 | $296 | 2.1× |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 2 matching MRF lines |
$190.20–$197.40 | $317–$329 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$70.20–$156.60 | $117–$261 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $255 | $425 | 2.5× |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$105–$413.40 | $175–$689 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$57–$240 | $95–$400 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$129.60–$396 | $216–$660 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 2 matching MRF lines |
$64.20–$126.60 | $107–$211 | varies |
| X-ray eye for foreign body (70030) | $188.40 | $314 | 2.2× |
| X-ray humerus (73060) range across 2 matching MRF lines |
$53.40–$183.60 | $89–$306 | varies |
| X-ray IV pyelogram (ivp) (74400) range across 2 matching MRF lines |
$40.20–$645 | $67–$1,075 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 2 matching MRF lines |
$63.60–$160.20 | $106–$267 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$52.20–$140.40 | $87–$234 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$60.60–$313.20 | $101–$522 | varies |
| X-ray nose-rectum child f.b. (76010) range across 2 matching MRF lines |
$50.40–$140.40 | $84–$234 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$82.20–$322.20 | $137–$537 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$64.20–$181.20 | $107–$302 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$53.40–$192.60 | $89–$321 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$78.60–$253.20 | $131–$422 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$93–$253.20 | $155–$422 | varies |
| X-ray thoracic spine 4 vw (72074) | $76.80 | $128 | 0.8× |
| X-Ray Tmj Unilat (70328) | $72 | $120 | 0.9× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 2 matching MRF lines |
$52.20–$570 | $87–$950 | varies |
| X-Rays Bone Length Studies (77073) | $176.40 | $294 | 1.7× |
| X-Rays Bone Survey Complete (77075) | $666.60 | $1,111 | 6.6× |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$81–$281.40 | $135–$469 | varies |
| Xr facial bones less than 3 views (70140) range across 2 matching MRF lines |
$51.60–$165 | $86–$275 | varies |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$72.60–$249 | $121–$415 | 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.