Imaging prices at Merit Health River Region
Vicksburg, MS · every code in this section with a posted price and a Medicare benchmark.
297 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abdomen 1 View (74018) | $172.62 | $959 | 2.2× |
| Abdomen 2 views (74019) | $191.70 | $1,065 | 2.1× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $725.04 | $4,028 | 2.0× |
| Acute venous thrombosis imaging, peptide Non-Facility (78456) | $925.38 | $5,141 | 0.8× |
| Angio pulmonary bilat (75743) | $2,787.30 | $15,485 | 1.0× |
| Angiography extremity bilateral rs&i (75716) | $2,787.30 | $15,485 | 1.0× |
| Angiography extremity unilateral rs&i (75710) | $3,226.86 | $17,927 | 1.2× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $2,787.30 | $15,485 | 1.0× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $894.78 | $4,971 | 0.3× |
| Ankle 2 views (73600) range across 4 matching MRF lines |
$142.92–$286.56 | $794–$1,592 | varies |
| Aortography thoracic serialography rs&i (75605) | $2,787.30 | $15,485 | 0.6× |
| Artery X-Rays Abdomen (75726) | $5,652 | $31,400 | 1.1× |
| Artery X-Rays Pelvis (75736) | $2,787.30 | $15,485 | 0.6× |
| Artery X-Rays Spine (75705) | $5,652 | $31,400 | 1.1× |
| Arthrogram ankle (73615) | $404.82 | $2,249 | 1.3× |
| Arthrogram hip (73525) range across 4 matching MRF lines |
$425.34–$850.14 | $2,363–$4,723 | varies |
| Arthrogram Wrist (73115) range across 2 matching MRF lines |
$456.12–$911.52 | $2,534–$5,064 | varies |
| Bone age studies (77072) | $142.92 | $794 | 1.5× |
| Bone Imaging 3 Phase (78315) | $1,413.90 | $7,855 | 4.0× |
| Bone Imaging Limited Area (78300) | $789.12 | $4,384 | 2.2× |
| Bone Imaging Multiple Areas (78305) | $660.42 | $3,669 | 1.9× |
| Bone Imaging Whole Body (78306) | $1,111.50 | $6,175 | 3.1× |
| Bone marrow imaging limited area (78102) | $981.36 | $5,452 | 2.8× |
| Bone survey infant (77076) | $136.80 | $760 | 1.5× |
| Brain Image W/Flow < 4 Views (78601) | $671.22 | $3,729 | 1.9× |
| Cat Scan Follow-Up Study (76380) | $163.26 | $907 | 2.1× |
| Cerebrospinal Fluid Scan (78630) | $2,326.32 | $12,924 | 4.8× |
| Chest 1 view (71045) | $159.30 | $885 | 2.1× |
| Chest 2 views (71046) | $182.16 | $1,012 | 2.4× |
| Chest 4 or more views (71048) | $224.46 | $1,247 | 2.4× |
| Clavicle complete (73000) range across 4 matching MRF lines |
$142.92–$286.56 | $794–$1,592 | varies |
| Contrast Exam Abdominl Aorta (75625) | $2,787.30 | $15,485 | 1.0× |
| Contrast X-Ray Bladder (74430) | $323.46 | $1,797 | 1.0× |
| Contrast X-Ray Of Elbow (73085) range across 2 matching MRF lines |
$425.34–$850.14 | $2,363–$4,723 | varies |
| Contrast X-Ray Of Knee Joint (73580) range across 2 matching MRF lines |
$425.34–$850.14 | $2,363–$4,723 | varies |
| CT abdomen and pelvis without and with contrast (74178) | $2,794.86 | $15,527 | 9.0× |
| CT abdomen and pelvis without contrast (74176) | $2,329.56 | $12,942 | 11.0× |
| CT abdomen w contrast (74160) | $1,407.06 | $7,817 | 9.0× |
| CT abdomen w wo contrast (74170) | $1,622.34 | $9,013 | 10.4× |
| CT abdomen w/o contrast (74150) | $1,407.06 | $7,817 | 15.2× |
| CT Angio Abdomen and Pelvis (74174) | $2,765.88 | $15,366 | 8.9× |
| CT Angio Chest (71275) | $1,622.34 | $9,013 | 10.4× |
| CT Angio Head (70496) | $1,584.36 | $8,802 | 10.2× |
| CT angio hrt w/3d image (75574) | $1,407.06 | $7,817 | 4.5× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
$1,584.36–$3,166.56 | $8,802–$17,592 | varies |
| CT Angio Neck (70498) | $1,349.64 | $7,498 | 8.7× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 2 matching MRF lines |
$1,265.40–$2,530.98 | $7,030–$14,061 | varies |
| CT cervical spine w/ contrast (72126) | $1,214.10 | $6,745 | 3.9× |
| CT cervical spine w/o contrast (72125) | $1,214.10 | $6,745 | 13.1× |
| CT cervical spine w/wo cont (72127) | $1,214.10 | $6,745 | 7.8× |
| CT chest w contrast (71260) | $1,407.06 | $7,817 | 9.0× |
| CT chest w/wo contrast (71270) | $1,622.34 | $9,013 | 10.4× |
| CT head/brain with contrast (70460) | $1,365.30 | $7,585 | 8.8× |
| CT head/brain without and with contrast (70470) | $1,584.36 | $8,802 | 10.2× |
| CT heart contrast eval cardiac structure&morph (75572) | $1,407.06 | $7,817 | 4.5× |
| CT heart no contrast quant eval coronry calcium (75571) | $113.40 | $630 | 1.5× |
| CT hrt w/3d image congen (75573) | $1,407.06 | $7,817 | 4.5× |
| CT iac w contrast (70481) | $704.88 | $3,916 | 4.5× |
| CT l-spine w&w/o contrast (72133) | $1,431.90 | $7,955 | 9.2× |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$1,128.60–$2,257.02 | $6,270–$12,539 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$1,128.60–$2,257.02 | $6,270–$12,539 | varies |
| CT lumbar spine w contrast (72132) | $1,214.10 | $6,745 | 3.9× |
| CT lumbar spine w/o contrast (72131) | $1,431.90 | $7,955 | 15.4× |
| CT maxillofacial w contrast (70487) | $1,129.68 | $6,276 | 7.3× |
| CT maxillofacial wo contrast (70486) | $1,129.68 | $6,276 | 12.2× |
| CT neck tissue combo (70492) | $1,349.64 | $7,498 | 8.7× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $894.78 | $4,971 | 5.7× |
| CT orbits w/o contrast (70480) | $675.36 | $3,752 | 7.3× |
| CT pelvis w&w/o contrast (72194) | $1,171.26 | $6,507 | 7.5× |
| CT pelvis w/o contrast (72192) | $924.12 | $5,134 | 10.0× |
| CT scan of leg combo (73702) range across 2 matching MRF lines |
$1,348.74–$2,696.76 | $7,493–$14,982 | varies |
| CT scans face/jaw combo (70488) | $1,349.64 | $7,498 | 8.7× |
| CT soft tissue neck w contrast (70491) | $1,129.68 | $6,276 | 7.3× |
| CT soft tissue neck w/o contrast (70490) | $1,129.68 | $6,276 | 12.2× |
| CT thoracic spine w contrast (72129) | $1,300.50 | $7,225 | 8.3× |
| CT thoracic spine w/o contrast (72128) | $1,300.50 | $7,225 | 14.0× |
| CT thoracic spine w/wo cont (72130) | $1,300.50 | $7,225 | 8.3× |
| CT thorax w/o contrast (71250) | $1,407.06 | $7,817 | 15.2× |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$1,045.98–$2,092.68 | $5,811–$11,626 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 2 matching MRF lines |
$1,265.40–$2,530.98 | $7,030–$14,061 | varies |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$1,045.98–$2,092.68 | $5,811–$11,626 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $2,765.88 | $15,366 | 17.8× |
| Cta Abdomen (74175) | $1,622.34 | $9,013 | 10.4× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $2,934 | $16,300 | 9.5× |
| CTA pelvis (72191) | $1,141.92 | $6,344 | 7.3× |
| Dilation ureters/urethra rs&i (74485) | $1,508.94 | $8,383 | 0.8× |
| Dxa Bone Density Axial (77080) | $403.02 | $2,239 | 4.3× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $403.02 | $2,239 | 5.2× |
| Echo Guide For Artery Repair (76936) | $959.04 | $5,328 | 5.0× |
| Echograp Trans R Pros Study (76873) | $394.02 | $2,189 | 4.2× |
| Esophagram (74220) | $323.46 | $1,797 | 2.1× |
| Fetal Biophys Profile W/Nst (76818) | $650.34 | $3,613 | 7.0× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $650.34 | $3,613 | 7.0× |
| Fluoroscopy up to 1 hr (76000) | $197.10 | $1,095 | 0.9× |
| Follow-Up Angiography (75898) | $1,035.72 | $5,754 | 0.4× |
| Foot 2 views (73620) range across 4 matching MRF lines |
$114.30–$228.42 | $635–$1,269 | varies |
| Forearm 2 views (73090) range across 4 matching MRF lines |
$142.92–$286.56 | $794–$1,592 | varies |
| Gastric emptying imaging study (78264) | $1,007.10 | $5,595 | 2.8× |
| Gastroesophageal Reflux Exam (78262) | $1,066.50 | $5,925 | 3.0× |
| Gated Heart Planar Single (78472) | $835.56 | $4,642 | 2.4× |
| Hand 2 views (73120) range across 4 matching MRF lines |
$142.92–$286.56 | $794–$1,592 | varies |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $3,226.86 | $17,927 | 1.2× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $3,226.86 | $17,927 | 1.2× |
| Hepatobil Syst Image W/Drug (78227) | $911.52 | $5,064 | 1.9× |
| Hepatobiliary System Imaging (78226) | $911.52 | $5,064 | 2.6× |
| Ht Muscle Image Spect Sing (78451) | $1,445.04 | $8,028 | 1.3× |
| Hysterosalpingogram (74740) | $398.70 | $2,215 | 1.9× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $267.48 | $1,486 | 3.5× |
| Infant hip ultrasound, limited static exam (76886) | $267.48 | $1,486 | 3.5× |
| Interstitial radiation source applic complex (77778) | $9,717.30 | $53,985 | 15.7× |
| K Flow/Funct Image W/Drug (78708) | $1,111.50 | $6,175 | 2.3× |
| K Flow/Funct Image W/O Drug (78707) | $1,106.28 | $6,146 | 2.3× |
| Knee 3 Views (73562) range across 4 matching MRF lines |
$157.50–$313.02 | $875–$1,739 | varies |
| Liver & Spleen Imaging Static Only (78215) | $744.30 | $4,135 | 2.1× |
| Lung Perf&Ventilat Diferentl (78598) | $1,352.70 | $7,515 | 2.8× |
| Lung perfusion differential (78597) | $747 | $4,150 | 2.1× |
| Lung Ventilat&Perfus Imaging (78582) | $1,352.70 | $7,515 | 2.8× |
| Lung Ventilation Imaging (78579) | $747 | $4,150 | 2.1× |
| Lymph System Imaging (78195) | $959.40 | $5,330 | 2.0× |
| Magnetic Image Jaw Joint (70336) | $1,031.76 | $5,732 | 4.9× |
| Mammary ductogram or galactogram multiple (77054) | $398.70 | $2,215 | 1.9× |
| Mammary ductogram or galactogram single (77053) | $398.70 | $2,215 | 1.9× |
| Meckels Divert Exam (78290) | $807.48 | $4,486 | 2.3× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $9 | $50 | 0.4× |
| Mra Head W/O & W/Contrast Material (70546) | $1,443.78 | $8,021 | 4.7× |
| MRA head w/o contrast (70544) | $1,102.68 | $6,126 | 5.2× |
| MRA head with contrast (70545) | $1,130.04 | $6,278 | 3.6× |
| MRA neck w contrast (70548) | $1,130.04 | $6,278 | 3.6× |
| Mra Neck W/O &W/Contrast Material (70549) | $1,443.78 | $8,021 | 4.7× |
| MRA neck w/o contrast (70547) | $1,031.76 | $5,732 | 4.9× |
| MRI abdomen w contrast (74182) | $1,237.86 | $6,877 | 4.0× |
| MRI abdomen w/o contrast (74181) | $1,031.76 | $5,732 | 4.9× |
| MRI any jt lower extrem w/contrast material (73722) range across 2 matching MRF lines |
$1,130.04–$2,260.98 | $6,278–$12,561 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$1,443.78–$2,887.02 | $8,021–$16,039 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) | $1,130.04 | $6,278 | 1.6× |
| MRI Breast W/O Contrast Bilateral (77047) | $159.84 | $888 | 0.8× |
| MRI Breast Without Contrast Material Unilateral (77046) | $159.84 | $888 | 0.8× |
| MRI cervical spine w contrast (72142) | $1,130.04 | $6,278 | 3.6× |
| MRI cervical spine w/o cont (72141) | $1,584.36 | $8,802 | 7.5× |
| MRI chest w/o contrast (71550) | $1,031.76 | $5,732 | 4.9× |
| MRI chest with contrast (71551) | $1,130.04 | $6,278 | 1.6× |
| MRI chest wo w contrast (71552) | $1,443.78 | $8,021 | 4.7× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 2 matching MRF lines |
$1,130.04–$2,260.98 | $6,278–$12,561 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 2 matching MRF lines |
$1,443.78–$2,887.02 | $8,021–$16,039 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines |
$1,417.50–$2,835.54 | $7,875–$15,753 | varies |
| MRI lumbar spine w contrast (72149) | $1,130.04 | $6,278 | 3.6× |
| Mri Neck Spine W/O & W/Dye (72156) | $1,443.78 | $8,021 | 4.7× |
| MRI orbit face &/neck w/o contrast (70540) | $1,031.76 | $5,732 | 4.9× |
| MRI orbit face neck w contrast (70542) | $1,130.04 | $6,278 | 3.6× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $1,443.78 | $8,021 | 4.7× |
| MRI pelvis w contrast (72196) | $1,130.04 | $6,278 | 3.6× |
| MRI pelvis w/o & w contrast (72197) | $1,443.78 | $8,021 | 4.7× |
| MRI pelvis w/o contrast (72195) | $1,031.76 | $5,732 | 4.9× |
| MRI thoracic spine w/o contrast (72146) | $1,584.36 | $8,802 | 7.5× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $1,130.04 | $6,278 | 3.6× |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 2 matching MRF lines |
$1,031.76–$2,063.52 | $5,732–$11,464 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) | $1,443.78 | $8,021 | 4.7× |
| MRI, abdomen, combo (74183) | $1,443.78 | $8,021 | 4.7× |
| MRI, dorsal spine combo (72157) | $1,443.78 | $8,021 | 4.7× |
| MRI, dorsal spine contrast (72147) | $1,130.04 | $6,278 | 3.6× |
| MRI, joint upper extrem (73221) range across 2 matching MRF lines |
$1,353.96–$2,707.74 | $7,522–$15,043 | varies |
| MRI, joint upper extrem combo (73223) range across 2 matching MRF lines |
$1,443.78–$2,887.02 | $8,021–$16,039 | varies |
| MRI, lumbar spine combo (72158) | $2,971.62 | $16,509 | 9.6× |
| Myocardial Spect Multiple Studies (78452) | $3,149.46 | $17,497 | 2.7× |
| Neck soft tissue (70360) | $102.78 | $571 | 1.3× |
| Nonvascular Shunt X-Ray (75809) | $114.48 | $636 | 1.2× |
| Nuclear Rx Oral Admin (79005) | $945.90 | $5,255 | 4.6× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $925.38 | $5,141 | 1.9× |
| Parathyroid Planar Imaging (78070) | $548.28 | $3,046 | 1.5× |
| Parathyroid planar imaging w/wo subtraction (78071) | $925.38 | $5,141 | 2.6× |
| Pelvis 1 or 2 views (72170) | $158.04 | $878 | 1.7× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $3,226.86 | $17,927 | 1.2× |
| Pulmonary Perfusion Imaging Particulate (78580) | $747 | $4,150 | 2.1× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $351 | $1,950 | 3.8× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $434.16 | $2,412 | 0.9× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 4 matching MRF lines |
$142.92–$286.56 | $794–$1,592 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 4 matching MRF lines |
$142.92–$286.56 | $794–$1,592 | varies |
| Radex elbow complete minimum 3 views (73080) range across 4 matching MRF lines |
$158.04–$315.72 | $878–$1,754 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $222.48 | $1,236 | 2.4× |
| Radex fingr minimum 2 views (73140) range across 4 matching MRF lines |
$108–$144 | $600–$800 | varies |
| Radex foot complete minimum 3 views (73630) range across 4 matching MRF lines |
$142.92–$286.56 | $794–$1,592 | varies |
| Radex Hand Minimum 3 Views (73130) range across 4 matching MRF lines |
$158.04–$315.72 | $878–$1,754 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 4 matching MRF lines |
$118.26–$235.62 | $657–$1,309 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $159.30 | $885 | 2.1× |
| Radex Ribs Unilateral 2 Views (71100) | $72.90 | $405 | 0.9× |
| Radex shoulder complete minimum 2 views (73030) range across 4 matching MRF lines |
$172.62–$343.26 | $959–$1,907 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $75.96 | $422 | 1.0× |
| Radex Spine 1 View Specify Level (72020) | $189.36 | $1,052 | 2.4× |
| Radex Sternum Minimum 2 Views (71120) | $138.24 | $768 | 1.8× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $230.58 | $1,281 | 3.0× |
| Radex Toe Minimum 2 Views (73660) range across 4 matching MRF lines |
$114.30–$144 | $635–$800 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 4 matching MRF lines |
$114.48–$228.42 | $636–$1,269 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 4 matching MRF lines |
$157.50–$313.02 | $875–$1,739 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $392.94 | $2,183 | 4.2× |
| Radiolog exam mandible compl minimum 4 views (70110) | $131.58 | $731 | 1.4× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $191.70 | $1,065 | 2.1× |
| Radiologic exam colon double contrast study (74280) | $383.04 | $2,128 | 2.5× |
| Radiologic exam colon single contrast study (74270) | $353.16 | $1,962 | 2.3× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $150.12 | $834 | 1.0× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $189.36 | $1,052 | 2.0× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $225.54 | $1,253 | 1.4× |
| Radiologic exam swallow function contrast study (74230) | $415.08 | $2,306 | 2.7× |
| Radiologic exam upr gi trc double contrast study (74246) | $365.04 | $2,028 | 2.3× |
| Radiologic examination femur 1 view (73551) | $142.92 | $794 | 1.8× |
| Radiologic examination femur minimum 2 views (73552) range across 4 matching MRF lines |
$142.92–$286.56 | $794–$1,592 | varies |
| Radiologic examination knee 1/2 views (73560) range across 4 matching MRF lines |
$142.92–$286.56 | $794–$1,592 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $145.44 | $808 | 1.6× |
| Radiologic examination tibia & fibula 2 views (73590) range across 4 matching MRF lines |
$142.92–$286.56 | $794–$1,592 | varies |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $839.34 | $4,663 | 2.4× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $842.94 | $4,683 | 2.4× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $2,326.32 | $12,924 | 4.8× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $908.10 | $5,045 | 1.9× |
| Scapula (73010) range across 4 matching MRF lines |
$142.92–$286.56 | $794–$1,592 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $23.76 | $132 | 1.0× |
| Shoulder 1 view (73020) range across 4 matching MRF lines |
$142.92–$286.56 | $794–$1,592 | varies |
| Shoulder Arthrography (73040) range across 4 matching MRF lines |
$425.34–$850.14 | $2,363–$4,723 | varies |
| Skull less than 4 views (70250) | $163.26 | $907 | 1.8× |
| Sternoclavicular joints (71130) | $131.58 | $731 | 1.7× |
| Testicular Imaging W/Flow (78761) | $867.06 | $4,817 | 2.4× |
| Thoracic spine 2 views (72070) | $189.36 | $1,052 | 2.0× |
| Thoracolumbar 2 views (72080) | $189.36 | $1,052 | 2.4× |
| Thyroid Imaging With Vascular Flow (78013) | $603.18 | $3,351 | 1.7× |
| Thyroid Met Imaging Body (78018) | $1,057.86 | $5,877 | 2.2× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $446.04 | $2,478 | 1.3× |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$377.46–$755.82 | $2,097–$4,199 | varies |
| Ultrasound Exam Aaa Screen (76706) | $146.70 | $815 | 1.6× |
| Ultrasound, abdomen limited (76705) | $367.74 | $2,043 | 4.0× |
| Umbilical-artery Doppler (OB) (76820) | $100.62 | $559 | 1.1× |
| Unlisted Dx Radiographic Procedure (76499) | $72.90 | $405 | 0.9× |
| Unlisted fluoroscopic procedure (76496) | $63.36 | $352 | 0.8× |
| Unlisted us procedure (76999) | $113.76 | $632 | 1.5× |
| Upper gi w/o kub (74240) | $150.12 | $834 | 1.0× |
| Urethrocystogram voiding (74455) | $323.46 | $1,797 | 1.5× |
| Urethrocystography retrograde (74450) | $323.46 | $1,797 | 1.5× |
| Us breast unilateral complete (76641) range across 2 matching MRF lines |
$377.46–$755.82 | $2,097–$4,199 | varies |
| Us chest (76604) | $437.22 | $2,429 | 4.7× |
| Us complete joint (76881) range across 2 matching MRF lines |
$293.04–$585.72 | $1,628–$3,254 | varies |
| Us exam, pelvic, limited (76857) | $400.86 | $2,227 | 4.3× |
| Us head (76506) | $425.52 | $2,364 | 4.6× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$281.16–$562.14 | $1,562–$3,123 | varies |
| Us ob detailed single fetus (76811) | $964.08 | $5,356 | 4.5× |
| Us ob limited 1 or more fetuses (76815) | $208.44 | $1,158 | 2.2× |
| Us ob transvaginal (76817) | $498.78 | $2,771 | 5.4× |
| Us pelvic non ob complete (76856) | $593.46 | $3,297 | 6.4× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $564.12 | $3,134 | 6.1× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $361.08 | $2,006 | 3.9× |
| Us retroperitoneal complete (76770) | $437.22 | $2,429 | 4.7× |
| Us retroperitoneal limited (76775) | $437.22 | $2,429 | 4.7× |
| Us scrotum and contents (76870) | $648.36 | $3,602 | 7.0× |
| Us spinal canal and contents (76800) | $161.10 | $895 | 1.7× |
| Us thyroid (76536) | $564.12 | $3,134 | 6.1× |
| Vein X-Ray Chest (75827) | $1,035.72 | $5,754 | 0.7× |
| Vein X-Ray Liver W/O Hemodyn (75887) | $1,035.72 | $5,754 | 0.4× |
| Venogram Sinus/Jugular (75860) | $1,035.72 | $5,754 | 0.4× |
| Venography Adrenal Unilateral (75840) | $3,226.86 | $17,927 | 1.2× |
| Venography caval inferior serialography rs&i (75825) | $3,226.86 | $17,927 | 1.2× |
| Venography extremity bilateral rs&i (75822) | $942.66 | $5,237 | 0.7× |
| Venography extremity unilateral rs&i (75820) | $1,035.72 | $5,754 | 0.7× |
| Venography Renal Bilateral (75833) | $3,226.86 | $17,927 | 1.2× |
| Venography Renal Unilateral (75831) | $3,226.86 | $17,927 | 1.2× |
| Vertebral fracture assessment via dxa (77086) | $72.90 | $405 | 0.9× |
| Wrist 2 views (73100) range across 4 matching MRF lines |
$142.92–$286.56 | $794–$1,592 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $142.92 | $794 | 1.8× |
| X-ray antegrade pyelogram tube (74425) | $323.46 | $1,797 | 1.0× |
| X-Ray Aorta Leg Arteries (75630) | $2,787.30 | $15,485 | 1.0× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 4 matching MRF lines |
$142.92–$286.56 | $794–$1,592 | varies |
| X-Ray Exam Breast Specimen (76098) | $502.74 | $2,793 | 1.0× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $196.38 | $1,091 | 2.5× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $196.38 | $1,091 | 2.1× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $392.94 | $2,183 | 4.2× |
| X-Ray Exam Hip Uni 1 View (73501) | $113.76 | $632 | 1.5× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $180.18 | $1,001 | 2.3× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $270.36 | $1,502 | 2.9× |
| X-Ray Exam Hips Bi 2 Views (73521) | $180.18 | $1,001 | 1.9× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $180.18 | $1,001 | 1.9× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $360.54 | $2,003 | 3.9× |
| X-Ray Exam L-S Spine Bending (72114) | $194.04 | $1,078 | 2.1× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $217.62 | $1,209 | 2.8× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $229.32 | $1,274 | 2.5× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $182.16 | $1,012 | 2.0× |
| X-ray eye for foreign body (70030) range across 4 matching MRF lines |
$72.90–$144 | $405–$800 | varies |
| X-ray humerus (73060) range across 4 matching MRF lines |
$142.92–$286.56 | $794–$1,592 | varies |
| X-ray IV pyelogram (ivp) (74400) | $331.02 | $1,839 | 2.1× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $142.92 | $794 | 1.8× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $189.36 | $1,052 | 2.0× |
| X-ray nose-rectum child f.b. (76010) | $172.62 | $959 | 2.2× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $224.46 | $1,247 | 2.4× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $189.36 | $1,052 | 2.0× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $72.90 | $405 | 0.8× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $149.04 | $828 | 1.9× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $182.70 | $1,015 | 2.4× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $192.42 | $1,069 | 2.1× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $323.46 | $1,797 | 1.0× |
| X-Rays Bone Length Studies (77073) range across 2 matching MRF lines |
$128.52–$493.74 | $714–$2,743 | varies |
| X-Rays Bone Survey Complete (77075) | $165.24 | $918 | 1.8× |
| Xr c-spine 4 or 5 views (72050) | $238.32 | $1,324 | 2.6× |
| Xr facial bones less than 3 views (70140) | $72.90 | $405 | 0.9× |
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.