Imaging prices at Mercy Medical Center
Roseburg, OR · every code in this section with a posted price and a Medicare benchmark.
367 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) | $1,092.66 | $2,049 | 0.7× |
| Abdomen 1 View (74018) | $194.65 | $365 | 2.0× |
| Abdomen 2 views (74019) | $299.70 | $562 | 2.6× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $930.55 | $1,745 | 2.1× |
| Angio internal mammary (75756) | $1,742.70 | $3,268 | 0.5× |
| Angio pulmonary bilat (75743) | $3,116.38 | $5,844 | 0.9× |
| Angiography extremity bilateral rs&i (75716) | $1,817.36 | $3,408 | 0.5× |
| Angiography extremity unilateral rs&i (75710) | $1,636.05 | $3,068 | 0.5× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $2,866.82 | $5,376 | 0.8× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $1,558.73 | $2,923 | 0.4× |
| Ankle 2 views (73600) | $210.64 | $395 | 2.2× |
| Aortography thoracic serialography rs&i (75605) unusually low: confirm this is the full procedure |
$1,903.75 | $3,570 | 0.3× |
| Artery X-Rays Abdomen (75726) unusually low: confirm this is the full procedure |
$2,243.97 | $4,208 | 0.4× |
| Artery X-Rays Pelvis (75736) likely a partial charge, not the full procedure |
$1,853.62 | $3,476 | 0.3× |
| Artery X-Rays Spine (75705) | $4,672.97 | $8,763 | 0.8× |
| Arthrogram hip (73525) | $487.41 | $914 | 1.3× |
| Arthrogram Wrist (73115) | $487.41 | $914 | 1.3× |
| Basic radiation dosimetry calculation (77300) | $107.72 | $202 | 0.7× |
| Bone age studies (77072) | $178.11 | $334 | 1.5× |
| Bone Imaging 3 Phase (78315) | $445.81 | $836 | 1.0× |
| Bone Imaging Limited Area (78300) | $557.26 | $1,045 | 1.3× |
| Bone Imaging Multiple Areas (78305) | $779.63 | $1,462 | 1.8× |
| Bone Imaging Whole Body (78306) | $1,012.67 | $1,899 | 2.3× |
| Bone marrow imaging; whole body (78104) | $1,060.13 | $1,988 | 2.4× |
| Bone survey infant (77076) | $219.71 | $412 | 1.9× |
| Brachytx isodose complex (77318) | $661.78 | $1,241 | 1.6× |
| Brachytx isodose intermed (77317) | $542.33 | $1,017 | 1.3× |
| Brachytx Isodose Plan Simple (77316) range across 2 matching MRF lines |
$213.84–$319.43 | $401–$599 | varies |
| Brain Flow Imaging Only (78610) | $479.41 | $899 | 0.8× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $778.03 | $1,459 | 1.3× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $2,264.23 | $4,246 | 5.8× |
| Cat Scan Follow-Up Study (76380) range across 5 matching MRF lines |
$386.09–$1,076.13 | $724–$2,018 | varies |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $703.38 | $1,319 | 1.2× |
| Cerebrospinal Fluid Scan (78630) | $1,111.32 | $2,084 | 1.8× |
| Chest 1 view (71045) | $195.18 | $366 | 2.0× |
| Chest 2 views (71046) | $253.84 | $476 | 2.6× |
| Chest 3 views (71047) | $266.64 | $500 | 2.8× |
| Chest 4 or more views (71048) | $284.77 | $534 | 2.5× |
| Clavicle complete (73000) | $189.31 | $355 | 2.0× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $410.62 | $770 | 3.5× |
| Continuing medical physics consltj pr wk (77336) | $121.06 | $227 | 0.8× |
| Contrast Exam Abdominl Aorta (75625) | $2,399.68 | $4,500 | 0.7× |
| Contrast X-Ray Bladder (74430) | $303.43 | $569 | 0.8× |
| Contrast X-Ray Of Elbow (73085) | $487.41 | $914 | 1.3× |
| Contrast X-Ray Of Knee Joint (73580) | $413.28 | $775 | 1.1× |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$2,896.68–$3,883.75 | $5,432–$7,283 | varies |
| CT abdomen and pelvis without contrast (74176) | $2,929.21 | $5,493 | 11.0× |
| CT abdomen w contrast (74160) | $1,350.22 | $2,532 | 6.9× |
| CT abdomen w wo contrast (74170) | $1,500.60 | $2,814 | 7.7× |
| CT abdomen w/o contrast (74150) | $1,140.65 | $2,139 | 9.8× |
| CT Angio Abdomen and Pelvis (74174) | $2,942.01 | $5,517 | 7.6× |
| CT Angio Chest (71275) | $1,804.56 | $3,384 | 9.3× |
| CT Angio Head (70496) | $1,825.36 | $3,423 | 9.4× |
| CT angio hrt w/3d image (75574) | $2,506.87 | $4,701 | 6.5× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $2,149.58 | $4,031 | 11.0× |
| CT Angio Neck (70498) | $1,785.36 | $3,348 | 9.2× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $2,066.93 | $3,876 | 10.6× |
| CT cervical spine w/ contrast (72126) | $1,451.01 | $2,721 | 3.7× |
| CT cervical spine w/o contrast (72125) | $1,307.03 | $2,451 | 11.2× |
| CT cervical spine w/wo cont (72127) | $1,581.66 | $2,966 | 8.1× |
| CT chest w contrast (71260) | $1,577.93 | $2,959 | 8.1× |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$1,598.19–$1,814.69 | $2,997–$3,403 | varies |
| CT head/brain with contrast (70460) | $1,319.83 | $2,475 | 6.8× |
| CT head/brain without and with contrast (70470) | $1,592.32 | $2,986 | 8.2× |
| CT heart contrast eval cardiac structure&morph (75572) range across 2 matching MRF lines |
$1,320.36–$2,506.87 | $2,476–$4,701 | varies |
| CT heart no contrast quant eval coronry calcium (75571) range across 2 matching MRF lines |
$75.19–$752.44 | $141–$1,411 | varies |
| CT hrt w/3d image congen (75573) range across 2 matching MRF lines |
$1,373.69–$2,506.87 | $2,576–$4,701 | varies |
| CT iac w contrast (70481) | $1,345.42 | $2,523 | 6.9× |
| CT l-spine w&w/o contrast (72133) | $1,342.76 | $2,518 | 6.9× |
| CT lower ext w/o (73700) | $958.28 | $1,797 | 8.2× |
| CT lower extremity w/contrast material (73701) | $1,035.07 | $1,941 | 5.3× |
| CT lumbar spine w contrast (72132) | $1,231.84 | $2,310 | 3.2× |
| CT lumbar spine w/o contrast (72131) | $1,109.72 | $2,081 | 9.5× |
| CT maxillofacial w contrast (70487) | $1,425.95 | $2,674 | 7.3× |
| CT maxillofacial wo contrast (70486) | $1,332.63 | $2,499 | 11.5× |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$1,483.54–$1,830.16 | $2,782–$3,432 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,487.80 | $2,790 | 7.6× |
| CT orbits w/o contrast (70480) | $1,293.70 | $2,426 | 11.1× |
| CT pelvis w&w/o contrast (72194) | $1,152.38 | $2,161 | 5.9× |
| CT pelvis w/o contrast (72192) | $1,067.06 | $2,001 | 9.2× |
| CT scan of leg combo (73702) | $1,992.80 | $3,737 | 10.2× |
| CT scans face/jaw combo (70488) | $1,532.60 | $2,874 | 7.9× |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$1,372.62–$1,577.93 | $2,574–$2,959 | varies |
| CT soft tissue neck w/o contrast (70490) | $1,262.23 | $2,367 | 10.9× |
| CT thoracic spine w contrast (72129) | $1,451.01 | $2,721 | 7.4× |
| CT thoracic spine w/o contrast (72128) | $1,307.03 | $2,451 | 11.2× |
| CT thoracic spine w/wo cont (72130) | $1,581.66 | $2,966 | 8.1× |
| CT thorax w/o contrast (71250) | $1,404.62 | $2,634 | 12.1× |
| CT unlisted procedure (76497) | $167.98 | $315 | 1.7× |
| CT upper ext wo (73200) | $1,093.72 | $2,051 | 9.4× |
| CT upper extremity w/o & w/contrast material (73202) | $1,519.80 | $2,850 | 7.8× |
| CT upper extremity with contrast (73201) | $1,279.30 | $2,399 | 3.3× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,487.80 | $2,790 | 7.6× |
| Cta Abdomen (74175) | $1,617.92 | $3,034 | 8.3× |
| CTA pelvis (72191) | $1,398.22 | $2,622 | 7.2× |
| Doppler Fetal Mid Cerebral Artery (76821) | $270.37 | $507 | 2.3× |
| Dxa Bone Density Axial (77080) | $332.76 | $624 | 2.9× |
| Dxa bone density study (77085) | $242.64 | $455 | 2.1× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $176.51 | $331 | 1.8× |
| Echo exam of fetal heart (76825) | $340.76 | $639 | 0.6× |
| Echo exam uterus (76831) | $513.54 | $963 | 1.9× |
| Echo Guide For Artery Repair (76936) | $552.46 | $1,036 | 2.3× |
| Esophagram (74220) | $341.83 | $641 | 1.8× |
| Fetal Biophys Profile W/Nst (76818) | $389.82 | $731 | 3.4× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $295.43 | $554 | 2.5× |
| Fluoroscopy up to 1 hr (76000) | $541.80 | $1,016 | 2.0× |
| Follow-Up Angiography (75898) | $571.13 | $1,071 | 0.2× |
| Foot 2 views (73620) range across 2 matching MRF lines |
$216.51–$325.83 | $406–$611 | varies |
| Forearm 2 views (73090) | $214.38 | $402 | 2.2× |
| Gastric emptying imaging study (78264) | $1,056.93 | $1,982 | 2.4× |
| Gastroesophageal Reflux Exam (78262) | $323.16 | $606 | 0.7× |
| Gated Heart Planar Single (78472) | $1,076.13 | $2,018 | 2.4× |
| Hand 2 views (73120) | $259.70 | $487 | 2.2× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $2,763.37 | $5,182 | 0.8× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $1,659.51 | $3,112 | 0.5× |
| Hepatobil Syst Image W/Drug (78227) | $1,374.22 | $2,577 | 2.3× |
| Hepatobiliary System Imaging (78226) | $1,305.43 | $2,448 | 2.9× |
| Ht Muscle Image Spect Sing (78451) | $1,191.31 | $2,234 | 0.8× |
| Hysterosalpingogram (74740) | $499.67 | $937 | 1.9× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $324.76 | $609 | 3.4× |
| Infusion Ivp (74410) | $369.02 | $692 | 1.9× |
| Interstitial radiation source applic complex (77778) | $567.93 | $1,065 | 0.7× |
| Intracavitary Radiation Source Applic Complex (77763) | $567.93 | $1,065 | 0.7× |
| Intracavitary Radiation Source Applic Intermed (77762) | $433.55 | $813 | 0.7× |
| Intracavitary radiation source applic simple (77761) | $412.75 | $774 | 0.7× |
| Joint Survey Single View (77077) | $182.38 | $342 | 1.6× |
| K Flow/Funct Image W/Drug (78708) | $795.63 | $1,492 | 1.3× |
| K Flow/Funct Image W/O Drug (78707) | $596.72 | $1,119 | 1.0× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $596.72 | $1,119 | 1.3× |
| Labeled RBC Sequestration Differntl Organ/Tissue (78140) | $853.76 | $1,601 | 1.9× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $772.17 | $1,448 | 1.7× |
| Lung Perf&Ventilat Diferentl (78598) | $1,328.89 | $2,492 | 2.2× |
| Lung perfusion differential (78597) | $677.25 | $1,270 | 1.5× |
| Lung Ventilat&Perfus Imaging (78582) | $1,277.70 | $2,396 | 2.1× |
| Lymph System Imaging (78195) | $645.78 | $1,211 | 1.1× |
| Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) | $1,742.70 | $3,268 | 0.5× |
| Lymphangiography, pelvic/abdominal, unilateral (75805) | $961.48 | $1,803 | 0.3× |
| Magnetic Image Jaw Joint (70336) | $1,481.41 | $2,778 | 5.6× |
| Mammary ductogram or galactogram single (77053) | $263.97 | $495 | 1.0× |
| Meckels Divert Exam (78290) | $854.82 | $1,603 | 1.9× |
| Mr safety determination physician/other qhp (76016) range across 2 matching MRF lines |
$135.99–$137.59 | $255–$258 | varies |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $38.40 | $72 | 1.2× |
| Mra Head W/O & W/Contrast Material (70546) | $2,531.93 | $4,748 | 6.5× |
| MRA head w/o contrast (70544) | $1,782.70 | $3,343 | 6.7× |
| MRA head with contrast (70545) | $1,925.08 | $3,610 | 5.0× |
| MRA neck w contrast (70548) | $1,944.81 | $3,647 | 5.0× |
| Mra Neck W/O &W/Contrast Material (70549) | $2,526.06 | $4,737 | 6.5× |
| MRA neck w/o contrast (70547) | $1,793.36 | $3,363 | 6.8× |
| MRI abdomen w contrast (74182) | $2,212.51 | $4,149 | 5.7× |
| MRI abdomen w/o contrast (74181) | $1,953.87 | $3,664 | 7.4× |
| MRI any jt lower extrem w/contrast material (73722) | $2,099.46 | $3,937 | 2.4× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $2,745.77 | $5,149 | 7.1× |
| MRI any jt upper extremity w/contrast matrl (73222) | $2,099.46 | $3,937 | 2.4× |
| MRI bone marrow blood supply (77084) | $1,044.66 | $1,959 | 3.9× |
| MRI Breast W/O Contrast Bilateral (77047) range across 2 matching MRF lines |
$825.49–$866.55 | $1,548–$1,625 | varies |
| MRI Breast Without Contrast Material Unilateral (77046) range across 2 matching MRF lines |
$620.19–$650.58 | $1,163–$1,220 | varies |
| MRI cardiac w/o contrast (75557) | $1,782.70 | $3,343 | 6.7× |
| MRI cervical spine w contrast (72142) | $2,507.40 | $4,702 | 6.5× |
| MRI cervical spine w/o cont (72141) | $1,989.60 | $3,731 | 7.5× |
| MRI chest w/o contrast (71550) | $1,368.89 | $2,567 | 5.2× |
| MRI chest with contrast (71551) | $1,827.49 | $3,427 | 2.1× |
| MRI chest wo w contrast (71552) | $2,428.48 | $4,554 | 6.3× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $2,195.44 | $4,117 | 5.7× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $2,551.66 | $4,785 | 6.6× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $1,876.55 | $3,519 | 7.1× |
| MRI lumbar spine w contrast (72149) | $2,507.40 | $4,702 | 6.5× |
| Mri Neck Spine W/O & W/Dye (72156) | $3,024.66 | $5,672 | 7.8× |
| MRI orbit face &/neck w/o contrast (70540) | $1,852.56 | $3,474 | 7.0× |
| MRI orbit face neck w contrast (70542) | $1,945.34 | $3,648 | 5.0× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $2,315.43 | $4,342 | 6.0× |
| MRI pelvis w contrast (72196) | $1,894.68 | $3,553 | 4.9× |
| MRI pelvis w/o & w contrast (72197) | $2,526.06 | $4,737 | 6.5× |
| MRI pelvis w/o contrast (72195) | $1,717.64 | $3,221 | 6.5× |
| MRI spectroscopy (76390) | $1,044.66 | $1,959 | 10.8× |
| MRI thoracic spine w/o contrast (72146) | $1,989.60 | $3,731 | 7.5× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $1,769.37 | $3,318 | 4.6× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $1,522.47 | $2,855 | 5.7× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $2,057.33 | $3,858 | 5.3× |
| MRI, abdomen, combo (74183) | $2,873.75 | $5,389 | 7.4× |
| MRI, dorsal spine combo (72157) | $3,024.66 | $5,672 | 7.8× |
| MRI, dorsal spine contrast (72147) | $2,507.40 | $4,702 | 6.5× |
| MRI, joint upper extrem (73221) | $1,794.43 | $3,365 | 6.8× |
| MRI, joint upper extrem combo (73223) | $2,745.77 | $5,149 | 7.1× |
| MRI, lumbar spine combo (72158) | $3,024.66 | $5,672 | 7.8× |
| Myelogram cervical (72240) | $810.56 | $1,520 | 0.9× |
| Myelogram Lumbar (72265) | $708.71 | $1,329 | 0.8× |
| Myelography thoracic (72255) | $652.72 | $1,224 | 0.7× |
| Myelograpy 2/more regions rs&i (72270) | $770.57 | $1,445 | 0.9× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $626.59 | $1,175 | 1.4× |
| Myocardial Spect Multiple Studies (78452) | $2,382.62 | $4,468 | 1.7× |
| Neck soft tissue (70360) | $181.31 | $340 | 1.9× |
| Nfs/Instlj Radioelmnt Sln 3 Mo Follow-Up Care (77750) | $161.05 | $302 | 0.4× |
| Nm csf leak detection (78650) | $1,158.25 | $2,172 | 0.8× |
| Nm myocard infarct spect (78469) | $695.91 | $1,305 | 1.2× |
| Nm unlisted gi procedure (78299) | $788.17 | $1,478 | 1.8× |
| Nonvascular Shunt X-Ray (75809) | $376.49 | $706 | 3.2× |
| Nuclear Rx Oral Admin (79005) | $1,020.13 | $1,913 | 3.9× |
| Optic foramina (70190) | $136.52 | $256 | 1.4× |
| Parathyroid Planar Imaging (78070) | $884.69 | $1,659 | 2.0× |
| Parathyroid planar imaging w/wo subtraction (78071) | $1,774.70 | $3,328 | 4.0× |
| Pelvis 1 or 2 views (72170) | $261.30 | $490 | 2.2× |
| Peritoneogram Rs&I (74190) | $522.60 | $980 | 0.9× |
| Pet Image Skull-Thigh (78812) | $3,866.15 | $7,250 | 2.4× |
| Pet Image W/Ct Lmtd (78814) | $3,551.53 | $6,660 | 2.2× |
| PET image w/CT, full body (78816) | $4,058.66 | $7,611 | 2.6× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $3,902.95 | $7,319 | 2.5× |
| Pet Imaging Limited Area Chest Head/Neck (78811) | $3,511 | $6,584 | 2.4× |
| PET whole body (78813) | $4,037.86 | $7,572 | 2.5× |
| Pulmonary Perfusion Imaging Particulate (78580) | $945.48 | $1,773 | 2.1× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $374.35 | $702 | 3.2× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $349.29 | $655 | 0.6× |
| Radex Ankle Complete Minimum 3 Views (73610) | $239.44 | $449 | 2.5× |
| Radex Calcaneus Minimum 2 Views (73650) | $199.44 | $374 | 2.1× |
| Radex elbow complete minimum 3 views (73080) | $233.04 | $437 | 2.4× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $310.90 | $583 | 2.7× |
| Radex fingr minimum 2 views (73140) | $217.04 | $407 | 2.2× |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$232.51–$348.76 | $436–$654 | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$279.43–$326.89 | $524–$613 | varies |
| Radex lower extremity infant minimum 2 views (73592) | $172.78 | $324 | 1.8× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $214.91 | $403 | 1.8× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $199.44 | $374 | 2.1× |
| Radex Pharynx/Larx W/Fluor&/Magnification Tq (70370) | $174.38 | $327 | 1.8× |
| Radex Ribs Unilateral 2 Views (71100) | $255.97 | $480 | 2.6× |
| Radex shoulder complete minimum 2 views (73030) | $214.38 | $402 | 2.2× |
| Radex Sinuses Paransl < 3 Views (70210) | $186.65 | $350 | 1.9× |
| Radex Spine 1 View Specify Level (72020) range across 2 matching MRF lines |
$201.58–$225.04 | $378–$422 | varies |
| Radex Sternum Minimum 2 Views (71120) | $199.44 | $374 | 2.1× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $244.24 | $458 | 2.5× |
| Radex Toe Minimum 2 Views (73660) | $185.05 | $347 | 1.9× |
| Radex upper extremity infant minimum 2 views (73092) | $190.38 | $357 | 1.6× |
| Radex Wrist Complete Minimum 3 Views (73110) | $232.51 | $436 | 2.4× |
| Radiation treatment delivery level 3 (77412) | $387.69 | $727 | 0.6× |
| Radiolog exam mandible compl minimum 4 views (70110) | $348.22 | $653 | 3.0× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $318.36 | $597 | 2.7× |
| Radiologic exam colon double contrast study (74280) | $687.38 | $1,289 | 3.5× |
| Radiologic exam colon single contrast study (74270) | $421.81 | $791 | 2.2× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $270.37 | $507 | 1.4× |
| Radiologic exam knee complete 4/more views (73564) | $364.76 | $684 | 3.1× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $407.95 | $765 | 3.5× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $411.68 | $772 | 2.1× |
| Radiologic exam swallow function contrast study (74230) | $292.23 | $548 | 1.5× |
| Radiologic exam upr gi trc double contrast study (74246) | $613.79 | $1,151 | 3.1× |
| Radiologic examination femur 1 view (73551) | $179.71 | $337 | 1.9× |
| Radiologic examination femur minimum 2 views (73552) | $358.89 | $673 | 3.7× |
| Radiologic Examination Osseous Survey Limited (77074) | $127.45 | $239 | 1.1× |
| Radiologic examination tibia & fibula 2 views (73590) | $253.30 | $475 | 2.6× |
| Radiologic examination, internal auditory meati, complete Non-Facility (70134) | $148.78 | $279 | 0.2× |
| Ribs bilateral 3 views (71110) | $311.96 | $585 | 2.7× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $266.64 | $500 | 0.6× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $405.28 | $760 | 0.9× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $1,596.59 | $2,994 | 2.6× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) range across 2 matching MRF lines |
$1,341.69–$1,596.59 | $2,516–$2,994 | varies |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 2 matching MRF lines |
$636.72–$682.58 | $1,194–$1,280 | varies |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $1,173.71 | $2,201 | 0.8× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $1,173.71 | $2,201 | 0.8× |
| Rp Therapy Intravenous Administration (79101) | $264.50 | $496 | 1.0× |
| Scapula (73010) | $208.51 | $391 | 1.8× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $66.66 | $125 | 2.9× |
| Sella turcica (70240) | $185.58 | $348 | 1.9× |
| Shoulder 1 view (73020) | $167.45 | $314 | 1.7× |
| Shoulder Arthrography (73040) | $487.41 | $914 | 1.3× |
| Sialogram (70390) | $214.91 | $403 | 0.8× |
| Skull less than 4 views (70250) | $250.10 | $469 | 2.2× |
| Special dosimetry (77331) | $107.72 | $202 | 0.7× |
| Special Physics Consult (77370) | $238.91 | $448 | 1.6× |
| Special teletherapy port plan (77321) | $238.91 | $448 | 0.6× |
| Special treatment procedure (77470) | $439.41 | $824 | 0.7× |
| Spleen Imaging (78185) | $772.17 | $1,448 | 1.7× |
| Sternoclavicular joints (71130) | $177.58 | $333 | 1.8× |
| Surface Applic Low Dose Rate Radionuclide Source (77789) | $104.52 | $196 | 0.9× |
| Tbs technical calculation only (77091) | $142.92 | $268 | 1.5× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $343.96 | $645 | 0.8× |
| Testicular Imaging W/Flow (78761) | $711.91 | $1,335 | 1.6× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $257.57 | $483 | 0.6× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $239.97 | $450 | 0.6× |
| Ther rad simulaj-aided field setting simple (77280) | $139.72 | $262 | 0.9× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $561 | $1,052 | 2.9× |
| Thoracic spine 2 views (72070) | $234.64 | $440 | 2.0× |
| Thoracic spine 3 views (72072) | $328.49 | $616 | 2.8× |
| Thoracolumbar 2 views (72080) | $235.17 | $441 | 2.4× |
| Thyroid Imaging With Vascular Flow (78013) | $588.73 | $1,104 | 1.3× |
| Thyroid Met Imaging Body (78018) | $1,079.86 | $2,025 | 1.8× |
| Thyroid Uptake Measurement (78012) | $345.03 | $647 | 0.8× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $774.30 | $1,452 | 1.7× |
| Tx Devices Design & Construction Complex (77334) | $360.49 | $676 | 0.9× |
| Tx devices design & construction intermediate (77333) | $186.65 | $350 | 1.2× |
| Tx devices design & construction simple (77332) | $186.65 | $350 | 1.2× |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$263.44–$395.15 | $494–$741 | varies |
| Ultrasound elastography first target lesion (76982) | $267.17 | $501 | 2.3× |
| Ultrasound Elastography Parenchyma (76981) | $267.17 | $501 | 2.3× |
| Ultrasound Exam Aaa Screen (76706) | $188.78 | $354 | 1.6× |
| Ultrasound, abdomen limited (76705) | $433.01 | $812 | 3.7× |
| Umbilical-artery Doppler (OB) (76820) | $243.17 | $456 | 2.1× |
| Unlisted hematopoietic, reticuloendothelial and lymphatic procedure, diagnostic nuclear medicine (78199) | $645.78 | $1,211 | 1.5× |
| Upper gi w/o kub (74240) | $559.93 | $1,050 | 2.9× |
| Ureteral Reflux Study (78740) | $323.16 | $606 | 0.7× |
| Urethrocystogram voiding (74455) | $387.69 | $727 | 1.5× |
| Urethrocystography retrograde (74450) | $356.22 | $668 | 1.3× |
| Us breast unilateral complete (76641) | $263.44 | $494 | 2.3× |
| Us chest (76604) | $280.50 | $526 | 2.4× |
| Us complete joint (76881) | $735.37 | $1,379 | 6.3× |
| Us exam, pelvic, limited (76857) | $299.16 | $561 | 2.6× |
| Us head (76506) | $321.56 | $603 | 2.8× |
| Us kidney transplant (76776) | $291.17 | $546 | 2.5× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $668.18 | $1,253 | 5.7× |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$222.38–$243.17 | $417–$456 | varies |
| Us ob transvaginal (76817) | $264.50 | $496 | 2.3× |
| Us pelvic non ob complete (76856) | $433.01 | $812 | 3.7× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $356.22 | $668 | 3.1× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $325.29 | $610 | 2.8× |
| Us retroperitoneal complete (76770) | $500.74 | $939 | 4.3× |
| Us retroperitoneal limited (76775) | $300.23 | $563 | 2.6× |
| Us scrotum and contents (76870) | $431.95 | $810 | 3.7× |
| Us spinal canal and contents (76800) | $167.98 | $315 | 1.4× |
| Us thyroid (76536) | $397.28 | $745 | 3.4× |
| Us transrectal (76872) | $238.91 | $448 | 2.1× |
| Vein X-Ray Chest (75827) | $1,649.92 | $3,094 | 0.9× |
| Vein X-Ray Liver W/O Hemodyn (75887) | $1,408.88 | $2,642 | 0.4× |
| Venogram Sinus/Jugular (75860) | $1,742.70 | $3,268 | 0.5× |
| Venography caval inferior serialography rs&i (75825) | $2,062.13 | $3,867 | 0.6× |
| Venography extremity bilateral rs&i (75822) range across 2 matching MRF lines |
$667.65–$1,223.31 | $1,252–$2,294 | varies |
| Venography extremity unilateral rs&i (75820) | $855.36 | $1,604 | 0.5× |
| Venography Renal Bilateral (75833) | $1,742.70 | $3,268 | 0.5× |
| Venography Renal Unilateral (75831) | $1,742.70 | $3,268 | 0.5× |
| Venous sampling by catheter (75893) unusually low: confirm this is the full procedure |
$3,032.13 | $5,686 | 0.5× |
| Venous Thrombosis Imaging Venogram Bilateral (78458) | $643.65 | $1,207 | 1.4× |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$216.51–$323.16 | $406–$606 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $246.91 | $463 | 2.6× |
| X-ray antegrade pyelogram tube (74425) | $316.76 | $594 | 0.8× |
| X-Ray Aorta Leg Arteries (75630) | $1,751.77 | $3,285 | 0.5× |
| X-Ray Bend Only L-S Spine (72120) | $457.01 | $857 | 3.9× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $214.38 | $402 | 2.2× |
| X-Ray Exam Breast Specimen (76098) | $332.23 | $623 | 0.5× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $189.31 | $355 | 2.0× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $214.91 | $403 | 1.8× |
| X-Ray Exam Hip Uni 1 View (73501) | $182.38 | $342 | 1.9× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $359.96 | $675 | 3.7× |
| X-Ray Exam Hip Uni 4/> Views (73503) range across 2 matching MRF lines |
$616.99–$651.65 | $1,157–$1,222 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) | $306.63 | $575 | 2.6× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $583.93 | $1,095 | 5.0× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $639.92 | $1,200 | 5.5× |
| X-Ray Exam L-S Spine Bending (72114) | $508.20 | $953 | 4.4× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $260.77 | $489 | 2.7× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $451.14 | $846 | 3.9× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $350.89 | $658 | 3.0× |
| X-ray eye for foreign body (70030) | $65.06 | $122 | 0.7× |
| X-ray humerus (73060) range across 2 matching MRF lines |
$179.71–$204.24 | $337–$383 | varies |
| X-ray IV pyelogram+tomography (74415) | $534.33 | $1,002 | 2.7× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $254.37 | $477 | 2.6× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $148.78 | $279 | 1.5× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $270.37 | $507 | 2.3× |
| X-ray nose-rectum child f.b. (76010) | $156.78 | $294 | 1.6× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $420.75 | $789 | 3.6× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $214.38 | $402 | 1.8× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $154.65 | $290 | 1.3× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $169.58 | $318 | 1.8× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $295.97 | $555 | 3.1× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $342.36 | $642 | 2.9× |
| X-Ray Stress View (77071) | $121.59 | $228 | 1.3× |
| X-Ray Tmj Unilat (70328) | $180.25 | $338 | 1.9× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $404.22 | $758 | 1.0× |
| X-Rays Bone Length Studies (77073) | $261.30 | $490 | 2.2× |
| X-Rays Bone Survey Complete (77075) | $489.01 | $917 | 4.2× |
| Xr c-spine 4 or 5 views (72050) | $310.36 | $582 | 2.7× |
| Xr facial bones less than 3 views (70140) | $214.91 | $403 | 2.2× |
| XR Mastoids < 3 Views Bilateral (70120) | $205.84 | $386 | 1.8× |
| Xr orbits complete 4 views (70200) | $319.96 | $600 | 2.8× |
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.