Imaging prices at MercyOne Waterloo Medical Center
Waterloo, IA · every code in this section with a posted price and a Medicare benchmark.
274 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) | $7,255.95 | $11,163 | 5.5× |
| Abdomen 1 View (74018) | $602 | — | 7.2× |
| Abdomen 2 views (74019) | $143.65 | $221 | 1.4× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $919.75 | $1,415 | 2.4× |
| Angiography extremity unilateral rs&i (75710) | $5,174 | $7,960 | 1.7× |
| Ankle 2 views (73600) | $1,102 | — | 13.2× |
| Arthrogram hip (73525) range across 3 matching MRF lines |
$1,322.75–$1,983.80 | $2,035–$3,052 | varies |
| Arthrogram Wrist (73115) range across 3 matching MRF lines |
$665.60–$998.40 | $1,024–$1,536 | varies |
| Basic radiation dosimetry calculation (77300) | $767.65 | $1,181 | 5.9× |
| Bone age studies (77072) | $299 | $460 | 3.0× |
| Bone Imaging 3 Phase (78315) | $1,708.85 | $2,629 | 4.4× |
| Bone Imaging Whole Body (78306) | $1,708.85 | $2,629 | 4.4× |
| Bone marrow imaging limited area (78102) | $688.35 | $1,059 | 1.8× |
| Bone survey infant (77076) | $258.05 | $397 | 2.6× |
| Brain Image W/Flow < 4 Views (78601) | $1,226.55 | $1,887 | 3.2× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $2,720.90 | $4,186 | 2.0× |
| Chest 1 view (71045) range across 2 matching MRF lines |
$8,989.80–$31,253.01 | — | varies |
| Chest 2 views (71046) range across 2 matching MRF lines |
$677–$52,999.68 | — | varies |
| Cineradiograpy/vidradiograpy xcpt where spec (76120) | $187.85 | $289 | 1.9× |
| Clavicle complete (73000) range across 6 matching MRF lines |
$183.30–$275.60 | $282–$424 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $1,969 | — | 19.6× |
| Continuing medical physics consltj pr wk (77336) | $70,766 | — | 547.7× |
| Contrast Exam Abdominl Aorta (75625) range across 2 matching MRF lines |
$19,044.20–$28,804.50 | — | varies |
| Contrast X-Ray Bladder (74430) | $59.15 | $91 | 0.2× |
| CT abdomen and pelvis without and with contrast (74178) | $3,669.25 | $5,645 | 10.9× |
| CT abdomen and pelvis without contrast (74176) | $5,026 | — | 21.9× |
| CT abdomen w contrast (74160) | $1,914.25 | $2,945 | 11.4× |
| CT abdomen w wo contrast (74170) | $2,164.50 | $3,330 | 12.8× |
| CT abdomen w/o contrast (74150) | $865.80 | $1,332 | 8.6× |
| CT Angio Abdomen and Pelvis (74174) | $3,553.55 | $5,467 | 10.6× |
| CT Angio Chest (71275) | $2,375.75 | $3,655 | 14.1× |
| CT Angio Head (70496) | $1,914.25 | $2,945 | 11.4× |
| CT angio hrt w/3d image (75574) | $1,914.25 | $2,945 | 5.7× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 3 matching MRF lines |
$1,914.25–$2,871.70 | $2,945–$4,418 | varies |
| CT Angio Neck (70498) | $1,914.25 | $2,945 | 11.4× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $1,914.25 | $2,945 | 11.4× |
| CT cervical spine w/ contrast (72126) | $3,010.15 | $4,631 | 9.0× |
| CT cervical spine w/o contrast (72125) | $1,609.40 | $2,476 | 16.0× |
| CT chest w contrast (71260) | $3,292.90 | $5,066 | 19.5× |
| CT chest w/wo contrast (71270) | $3,527.55 | $5,427 | 20.9× |
| CT head/brain with contrast (70460) | $1,788.15 | $2,751 | 10.6× |
| CT head/brain without and with contrast (70470) | $1,914.25 | $2,945 | 11.4× |
| CT heart contrast eval cardiac structure&morph (75572) | $1,788.15 | $2,751 | 5.3× |
| CT heart no contrast quant eval coronry calcium (75571) | $102.70 | $158 | 1.2× |
| CT iac w contrast (70481) | $1,788.15 | $2,751 | 10.6× |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$2,476–$5,046 | — | varies |
| CT lower extremity w/contrast material (73701) range across 3 matching MRF lines |
$1,914.25–$2,871.70 | $2,945–$4,418 | varies |
| CT lumbar spine w contrast (72132) | $1,923.35 | $2,959 | 5.7× |
| CT lumbar spine w/o contrast (72131) | $1,609.40 | $2,476 | 16.0× |
| CT maxillofacial w contrast (70487) | $1,788.15 | $2,751 | 10.6× |
| CT maxillofacial wo contrast (70486) | $1,609.40 | $2,476 | 16.0× |
| CT orbits w/o contrast (70480) | $2,476 | — | 24.6× |
| CT pelvis w&w/o contrast (72194) | $3,553.55 | $5,467 | 21.1× |
| CT pelvis w/o contrast (72192) | $865.80 | $1,332 | 8.6× |
| CT scans face/jaw combo (70488) | $1,300 | $2,000 | 7.7× |
| CT soft tissue neck w contrast (70491) | $1,788.15 | $2,751 | 10.6× |
| CT soft tissue neck w/o contrast (70490) | $865.80 | $1,332 | 8.6× |
| CT thoracic spine w contrast (72129) | $3,553.55 | $5,467 | 21.1× |
| CT thoracic spine w/o contrast (72128) | $1,609.40 | $2,476 | 16.0× |
| CT thorax w/o contrast (71250) | $1,593 | — | 15.9× |
| CT upper ext wo (73200) range across 3 matching MRF lines |
$865.80–$1,298.70 | $1,332–$1,998 | varies |
| CT upper extremity with contrast (73201) range across 3 matching MRF lines |
$1,142.70–$1,714.05 | $1,758–$2,637 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $2,223.65 | $3,421 | 13.2× |
| Cta Abdomen (74175) | $1,914.25 | $2,945 | 11.4× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $1,914.25 | $2,945 | 5.7× |
| CTA pelvis (72191) | $1,950 | $3,000 | 11.6× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) | $281.45 | $433 | 2.8× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $309.40 | $476 | 3.1× |
| Doppler Fetal Mid Cerebral Artery (76821) | $471.25 | $725 | 4.7× |
| Dxa Bone Density Axial (77080) | $356.85 | $549 | 3.6× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $273 | $420 | 3.3× |
| Echo exam of fetal heart (76825) | $674.70 | $1,038 | 1.3× |
| Echo exam uterus (76831) | $1,501.50 | $2,310 | 6.5× |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) | $568.75 | $875 | 2.5× |
| Esophagram (74220) | $665.60 | $1,024 | 3.9× |
| Fetal Biophys Profile W/Nst (76818) | $187.20 | $288 | 1.9× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $1,960 | — | 19.5× |
| Fluoroscopy up to 1 hr (76000) | $1,748 | — | 7.6× |
| Foot 2 views (73620) range across 2 matching MRF lines |
$30,564.29–$65,602.57 | — | varies |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$578–$714 | — | varies |
| Gastric emptying imaging study (78264) | $982.15 | $1,511 | 2.6× |
| Gated Heart Planar Single (78472) | $919.75 | $1,415 | 2.4× |
| Hand 2 views (73120) range across 6 matching MRF lines |
$319.15–$479.05 | $491–$737 | varies |
| Hepatobil Syst Image W/Drug (78227) | $1,193.40 | $1,836 | 2.3× |
| Hepatobiliary System Imaging (78226) | $919.75 | $1,415 | 2.4× |
| Ht Muscle Image Spect Sing (78451) | $3,168.75 | $4,875 | 2.5× |
| Hysterosalpingogram (74740) | $1,136.20 | $1,748 | 5.0× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $475.80 | $732 | 5.7× |
| K Flow/Funct Image W/Drug (78708) | $2,216.50 | $3,410 | 4.2× |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$373–$824 | — | varies |
| Liver & Spleen Imaging Static Only (78215) | $749.45 | $1,153 | 2.0× |
| Lung Perf&Ventilat Diferentl (78598) | $1,296.10 | $1,994 | 2.5× |
| Lung perfusion differential (78597) | $919.75 | $1,415 | 2.4× |
| Lung Ventilat&Perfus Imaging (78582) | $1,445.60 | $2,224 | 2.8× |
| Lymph System Imaging (78195) | $43,173.40 | — | 82.7× |
| Mlc imrt design & construction per imrt plan (77338) | $58,718 | — | 163.1× |
| Mra Head W/O & W/Contrast Material (70546) | $9,912.90 | — | 29.6× |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$8,148.90–$10,540.95 | — | varies |
| Mra Neck W/O &W/Contrast Material (70549) | $3,307.20 | $5,088 | 9.9× |
| MRA neck w/o contrast (70547) | $3,125.20 | $4,808 | 13.6× |
| MRI abdomen w contrast (74182) | $2,051.40 | $3,156 | 6.1× |
| MRI abdomen w/o contrast (74181) | $1,682.85 | $2,589 | 7.3× |
| MRI any jt lower extrem w/contrast material (73722) range across 6 matching MRF lines |
$5,928.65–$8,892.97 | $9,121–$13,681.50 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 3 matching MRF lines |
$6,139.25–$9,209.20 | $9,445–$14,168 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 3 matching MRF lines |
$4,876.30–$7,314.45 | $7,502–$11,253 | varies |
| MRI cervical spine w contrast (72142) | $3,307.20 | $5,088 | 9.9× |
| MRI cervical spine w/o cont (72141) | $3,125.20 | $4,808 | 13.6× |
| MRI chest w/o contrast (71550) | $1,621.10 | $2,494 | 7.1× |
| MRI chest wo w contrast (71552) | $3,399.50 | $5,230 | 10.1× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 3 matching MRF lines |
$3,576.30–$5,364.45 | $5,502–$8,253 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 3 matching MRF lines |
$3,125.20–$4,687.80 | $4,808–$7,212 | varies |
| MRI lumbar spine w contrast (72149) | $3,151.85 | $4,849 | 9.4× |
| Mri Neck Spine W/O & W/Dye (72156) | $3,416.40 | $5,256 | 10.2× |
| MRI orbit face &/neck w/o contrast (70540) | $2,171 | $3,340 | 9.5× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $3,576.30 | $5,502 | 10.7× |
| MRI pelvis w/o & w contrast (72197) | $3,416.40 | $5,256 | 10.2× |
| MRI pelvis w/o contrast (72195) | $1,799.20 | $2,768 | 7.8× |
| MRI thoracic spine w/o contrast (72146) | $3,125.20 | $4,808 | 13.6× |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 3 matching MRF lines |
$3,125.20–$4,687.80 | $4,808–$7,212 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 3 matching MRF lines |
$3,788.85–$5,683.60 | $5,829–$8,744 | varies |
| MRI, abdomen, combo (74183) | $5,174 | $7,960 | 15.4× |
| MRI, dorsal spine combo (72157) | $6,139.25 | $9,445 | 18.3× |
| MRI, dorsal spine contrast (72147) | $3,149.90 | $4,846 | 9.4× |
| MRI, joint upper extrem (73221) | $4,808 | — | 21.0× |
| MRI, joint upper extrem combo (73223) range across 3 matching MRF lines |
$7,247.50–$10,871.25 | $11,150–$16,725 | varies |
| MRI, lumbar spine combo (72158) | $3,307.20 | $5,088 | 9.9× |
| Myocardial Spect Multiple Studies (78452) | $3,735.55 | $5,747 | 3.0× |
| N-invas est c ffr sw aly CTA (75580) | $1,881.10 | $2,894 | 2.3× |
| Neck soft tissue (70360) | $163.80 | $252 | 2.0× |
| Nonvascular Shunt X-Ray (75809) | $354.25 | $545 | 3.5× |
| Ntsty modul radthx pln dose-vol histos (77301) | $7,255.95 | $11,163 | 5.5× |
| Nuclear Rx Oral Admin (79005) | $1,166.10 | $1,794 | 5.2× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $1,385.80 | $2,132 | 2.7× |
| Parathyroid Planar Imaging (78070) | $919.75 | $1,415 | 2.4× |
| Pelvis 1 or 2 views (72170) range across 3 matching MRF lines |
$694–$4,075 | — | varies |
| Pet Image W/Ct Lmtd (78814) | $2,722.20 | $4,188 | 2.0× |
| PET image w/CT, full body (78816) range across 2 matching MRF lines |
$2,720.90–$5,053.10 | $4,186–$7,774 | varies |
| PET imaging CT attenuation skull base mid-thigh (78815) | $2,720.90 | $4,186 | 2.0× |
| Pulmonary Perfusion Imaging Particulate (78580) | $919.75 | $1,415 | 2.4× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $180.05 | $277 | 1.8× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $791.70 | $1,218 | 1.5× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$512–$579 | — | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 6 matching MRF lines |
$256.10–$384.15 | $394–$591 | varies |
| Radex elbow complete minimum 3 views (73080) | $561 | — | 6.7× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $471.90 | $726 | 4.7× |
| Radex fingr minimum 2 views (73140) range across 2 matching MRF lines |
$353–$418 | — | varies |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$746–$1,005 | — | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$501–$1,012 | — | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 3 matching MRF lines |
$219.05–$328.90 | $337–$506 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $303.55 | $467 | 3.6× |
| Radex Ribs Unilateral 2 Views (71100) range across 2 matching MRF lines |
$193.05–$202.80 | $297–$312 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$518–$1,289 | — | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $81.90 | $126 | 1.0× |
| Radex Spine 1 View Specify Level (72020) | $163.80 | $252 | 2.0× |
| Radex Sternum Minimum 2 Views (71120) | $163.80 | $252 | 2.0× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $229.45 | $353 | 2.7× |
| Radex Toe Minimum 2 Views (73660) range across 3 matching MRF lines |
$214.50–$321.75 | $330–$495 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 3 matching MRF lines |
$301.60–$452.40 | $464–$696 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$579–$670 | — | varies |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $16,198 | $24,920 | 2.3× |
| Radiation treatment delivery level 1 (77402) | $3,193.45 | $4,913 | 32.6× |
| Radiation treatment delivery level 2 (77407) | $3,289.65 | $5,061 | 8.9× |
| Radiation treatment delivery level 3 (77412) | $3,385.85 | $5,209 | 6.4× |
| Radiolog exam mandible compl minimum 4 views (70110) | $301.60 | $464 | 3.0× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $559.65 | $861 | 5.6× |
| Radiologic exam colon double contrast study (74280) | $665.60 | $1,024 | 3.9× |
| Radiologic exam colon single contrast study (74270) | $665.60 | $1,024 | 3.9× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $312 | $480 | 1.9× |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$786–$1,897 | — | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $187.20 | $288 | 1.9× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $324.35 | $499 | 1.9× |
| Radiologic exam swallow function contrast study (74230) | $301.60 | $464 | 1.8× |
| Radiologic exam teeth complete full mouth (70320) | $657.80 | $1,012 | 2.9× |
| Radiologic Exam Teeth Prtl Exam < Full Mouth (70310) | $493.35 | $759 | 2.2× |
| Radiologic exam upr gi trc double contrast study (74246) | $665.60 | $1,024 | 3.9× |
| Radiologic examination femur minimum 2 views (73552) range across 6 matching MRF lines |
$195–$292.50 | $300–$450 | varies |
| Radiologic examination knee 1/2 views (73560) range across 6 matching MRF lines |
$226.20–$339.30 | $348–$522 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 6 matching MRF lines |
$250.25–$376.35 | $385–$579 | varies |
| Ribs bilateral 3 views (71110) | $377 | $580 | 3.8× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $14,398.15 | — | 37.5× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $1,940.25 | $2,985 | 3.7× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $2,227.55 | $3,427 | 4.3× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $2,689.05 | $4,137 | 2.2× |
| Rp Therapy Intravenous Administration (79101) | $628.55 | $967 | 2.8× |
| Scapula (73010) range across 6 matching MRF lines |
$332.15–$498.55 | $511–$767 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 3 matching MRF lines |
$57.20–$85.80 | $88–$132 | varies |
| Shoulder 1 view (73020) | $39,950.70 | — | 477.5× |
| Shoulder Arthrography (73040) range across 3 matching MRF lines |
$1,530.75–$2,296.45 | $2,355–$3,533 | varies |
| Skull less than 4 views (70250) | $559.65 | $861 | 5.6× |
| Special dosimetry (77331) | $393.25 | $605 | 3.0× |
| Special teletherapy port plan (77321) | $1,974.70 | $3,038 | 5.5× |
| Special treatment procedure (77470) | $82,721 | — | 155.7× |
| Stereotactic Body Radiation Delivery (77373) | $10,256.35 | $15,779 | 6.0× |
| Sternoclavicular joints (71130) | $163.80 | $252 | 2.0× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $1,975.35 | $3,039 | 5.5× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $1,975.35 | $3,039 | 5.5× |
| Ther rad simulaj-aided field setting simple (77280) | $767.65 | $1,181 | 5.9× |
| Thoracic spine 2 views (72070) | $233.35 | $359 | 2.3× |
| Thoracic spine 3 views (72072) | $1,382 | — | 13.8× |
| Thoracolumbar 2 views (72080) | $148.20 | $228 | 1.8× |
| Thyroid Imaging With Vascular Flow (78013) | $783.90 | $1,206 | 2.0× |
| Thyroid Met Imaging Body (78018) | $1,193.40 | $1,836 | 2.3× |
| Thyroid Uptake Measurement (78012) | $471.25 | $725 | 1.2× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,708.85 | $2,629 | 4.4× |
| Tx Devices Design & Construction Complex (77334) | $1,975.35 | $3,039 | 5.5× |
| Tx devices design & construction intermediate (77333) | $767.65 | $1,181 | 5.9× |
| Tx devices design & construction simple (77332) | $41,617 | — | 322.1× |
| Ultrasound Breast Limited (76642) range across 6 matching MRF lines |
$475.80–$713.70 | $732–$1,098 | varies |
| Ultrasound Elastography Parenchyma (76981) | $475.80 | $732 | 4.7× |
| Ultrasound Exam Aaa Screen (76706) | $725 | — | 7.2× |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$725–$1,784 | — | varies |
| Umbilical-artery Doppler (OB) (76820) | $471.25 | $725 | 4.7× |
| Unlisted Dx Radiographic Procedure (76499) | $39 | $60 | 0.5× |
| Upper gi w/o kub (74240) | $1,093.95 | $1,683 | 6.5× |
| Urethrocystogram voiding (74455) | $612.30 | $942 | 2.7× |
| Urethrocystography retrograde (74450) | $612.30 | $942 | 2.7× |
| Us breast unilateral complete (76641) range across 6 matching MRF lines |
$861.90–$1,292.85 | $1,326–$1,989 | varies |
| Us chest (76604) | $703.95 | $1,083 | 7.0× |
| Us exam, pelvic, limited (76857) | $2,309 | — | 23.0× |
| Us head (76506) | $471.25 | $725 | 4.7× |
| Us kidney transplant (76776) | $813.80 | $1,252 | 8.1× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $2,071 | — | 20.6× |
| Us ob detailed single fetus (76811) | $874.90 | $1,346 | 3.8× |
| Us ob limited 1 or more fetuses (76815) | $1,623 | — | 16.1× |
| Us ob transvaginal (76817) | $874.90 | $1,346 | 8.7× |
| Us pelvic non ob complete (76856) | $874.90 | $1,346 | 8.7× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $874.90 | $1,346 | 8.7× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $2,096 | — | 20.9× |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$823–$2,623 | — | varies |
| Us retroperitoneal limited (76775) | $2,120 | — | 21.1× |
| Us scrotum and contents (76870) | $874.90 | $1,346 | 8.7× |
| Us spinal canal and contents (76800) | $471.25 | $725 | 4.7× |
| Us thyroid (76536) | $471.25 | $725 | 4.7× |
| Us transrectal (76872) | $421.20 | $648 | 4.2× |
| Vein X-Ray Chest (75827) | $5,456.90 | — | 3.6× |
| Venography caval inferior serialography rs&i (75825) | $3,900 | $6,000 | 1.3× |
| Venography extremity unilateral rs&i (75820) | $1,613.95 | $2,483 | 1.1× |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$329–$1,386 | — | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $163.80 | $252 | 2.0× |
| X-ray antegrade pyelogram tube (74425) | $292.50 | $450 | 0.9× |
| X-Ray Aorta Leg Arteries (75630) | $5,214.95 | $8,023 | 1.7× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $631 | — | 7.5× |
| X-Ray Exam Breast Specimen (76098) | $40,641.65 | — | 77.4× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $163.15 | $251 | 2.0× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $187.85 | $289 | 1.9× |
| X-Ray Exam Hip Uni 1 View (73501) | $159.25 | $245 | 1.9× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $560 | — | 6.7× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $81.25 | $125 | 0.8× |
| X-Ray Exam Hips Bi 2 Views (73521) | $450.45 | $693 | 4.5× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $82.55 | $127 | 0.8× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $80.60 | $124 | 0.8× |
| X-Ray Exam L-S Spine Bending (72114) | $559.65 | $861 | 5.6× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $128.70 | $198 | 1.5× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $140.40 | $216 | 1.4× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $486.85 | $749 | 4.8× |
| X-ray eye for foreign body (70030) range across 6 matching MRF lines |
$303.55–$455.65 | $467–$701 | varies |
| X-ray humerus (73060) | $130.65 | $201 | 1.6× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $66.30 | $102 | 0.8× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$805–$946 | — | varies |
| X-ray nose-rectum child f.b. (76010) | $163.80 | $252 | 2.0× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $559.65 | $861 | 5.6× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $199.55 | $307 | 2.0× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $68.25 | $105 | 0.7× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $248.30 | $382 | 3.0× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $163.80 | $252 | 2.0× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $301.60 | $464 | 3.0× |
| X-ray thoracic spine 4 vw (72074) | $423.80 | $652 | 4.2× |
| X-Ray Tmj Unilat (70328) | $155.35 | $239 | 1.9× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $1,513.85 | $2,329 | 4.5× |
| X-Rays Bone Length Studies (77073) | $186.55 | $287 | 1.9× |
| X-Rays Bone Survey Complete (77075) | $323.05 | $497 | 3.2× |
| Xr c-spine 4 or 5 views (72050) | $406.25 | $625 | 4.0× |
| Xr facial bones less than 3 views (70140) | $163.80 | $252 | 2.0× |
| Xr orbits complete 4 views (70200) | $559.65 | $861 | 5.6× |
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.