Imaging prices at Methodist Healthcare Memphis Hospitals

Memphis, TN · every code in this section with a posted price and a Medicare benchmark.

416 codes. Prices are the hospital's own posted facility charges.

Compare against other hospitals interactively →

ProcedurePosted cashPosted gross× Medicare
3-D radiotherapy plan dose-volume histograms (77295) $1,619.64 $7,362 1.3×
Abdomen 1 View (74018) $96.36 $438 1.2×
Abdomen 2 views (74019) $177.32 $806 1.8×
Acute Gastrointestinal Blood Loss Imaging (78278) $608.74 $2,767 1.6×
Angio internal mammary (75756) $1,410.42 $6,411 0.5×
Angio pulmonary bilat (75743) $2,356.86 $10,713 0.8×
Angiography extremity bilateral rs&i (75716) $2,356.86 $10,713 0.8×
Angiography extremity unilateral rs&i (75710) $2,356.86 $10,713 0.8×
Angiography pulmonary unilateral slctv rs&i (75741) $1,343.54 $6,107 0.5×
Angrph pulmonary nonslctv cath/ven njx rs&i (75746) $1,343.54 $6,107 0.5×
Ankle 2 views (73600) $121 $550 1.5×
Aortography thoracic serialography rs&i (75605)
unusually low: confirm this is the full procedure		 $2,356.86 $10,713 0.5×
Aortography thoracic w/o serialography rs&i (75600) $2,356.86 $10,713 0.8×
Artery X-Rays Abdomen (75726)
unusually low: confirm this is the full procedure		 $2,356.86 $10,713 0.5×
Artery X-Rays Adrenal Gland (75731) $1,914.66 $8,703 0.7×
Artery X-Rays Pelvis (75736)
unusually low: confirm this is the full procedure		 $2,356.86 $10,713 0.5×
Artery X-Rays Spine (75705)
likely a partial charge, not the full procedure		 $1,343.54 $6,107 0.3×
Arthrogram hip (73525) $450.78 $2,049 1.4×
Arthrogram Wrist (73115) $450.78 $2,049 1.4×
Basic radiation dosimetry calculation (77300) $181.72 $826 1.5×
Bone age studies (77072) $211.20 $960 2.2×
Bone Imaging 3 Phase (78315) $728.86 $3,313 2.0×
Bone Imaging Limited Area (78300) $608.74 $2,767 1.6×
Bone Imaging Multiple Areas (78305) $608.74 $2,767 1.6×
Bone Imaging Whole Body (78306) $625.02 $2,841 1.7×
Bone marrow imaging limited area (78102) $609.40 $2,770 1.6×
Bone marrow imaging; multiple areas (78103) $609.40 $2,770 1.6×
Bone marrow imaging; whole body (78104) $609.40 $2,770 1.6×
Bone survey infant (77076) $211.20 $960 2.2×
Brachytx isodose complex (77318) $416.02 $1,891 1.2×
Brachytx isodose intermed (77317) $416.02 $1,891 1.2×
Brachytx Isodose Plan Simple (77316) $226.60 $1,030 0.7×
Brain Image W/Flow < 4 Views (78601) $608.74 $2,767 1.6×
Brain Imaging Min 4 Static Views W Vascular Flow (78606) $728.86 $3,313 1.4×
Brain Imaging Minimum 4 Static Views (78605) $356.84 $1,622 0.7×
Brain Imaging Pet Metabolic Evaluation (78608) $1,150.82 $5,231 0.9×
Card Bl Pool Gated Spect Rest Wal Motn Ejct Frct (78494) $293.26 $1,333 0.8×
Cardiac MRI w/w/o contrast & further seq (75561) $1,500.40 $6,820 4.6×
Cat Scan Follow-Up Study (76380) $342.98 $1,559 4.3×
Cerebrospinal Fluid Scan (78630) $728.86 $3,313 1.4×
Chest 1 view (71045) $96.36 $438 1.2×
Chest 2 views (71046) $96.36 $438 1.2×
Chest 3 views (71047) $96.36 $438 1.2×
Chest 4 or more views (71048) $177.32 $806 1.8×
Cholecystography Oral Contrast (74290) $110.22 $501 0.7×
Cisternography Positive Contrast Rs&I (70015) $1,185.14 $5,387 1.6×
Clavicle complete (73000) $121 $550 1.5×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $191.18 $869 2.0×
Continuing medical physics consltj pr wk (77336) $181.72 $826 1.5×
Contrast Exam Abdominl Aorta (75625) $2,356.86 $10,713 0.8×
Contrast X-Ray Bladder (74430) $408.10 $1,855 1.3×
Contrast X-Ray Of Elbow (73085) $450.78 $2,049 1.4×
Contrast Xray Throat/Cerv Esopha (74210) $105.82 $481 0.7×
CT abdomen and pelvis without and with contrast (74178) $2,268.64 $10,312 7.0×
CT abdomen and pelvis without contrast (74176) $1,408.44 $6,402 6.4×
CT abdomen w contrast (74160) $975.04 $4,432 6.0×
CT abdomen w wo contrast (74170) $1,134.76 $5,158 7.0×
CT abdomen w/o contrast (74150) $704.44 $3,202 7.3×
CT Angio Abdomen and Pelvis (74174) $1,239.04 $5,632 3.8×
CT Angio Chest (71275) $1,134.76 $5,158 7.0×
CT Angio Head (70496) $1,134.76 $5,158 7.0×
CT angio hrt w/3d image (75574) $707.23 $3,214.67 2.2×
Ct Angio Lwr Extr W/O&W/Dye (73706)
range across 2 matching MRF lines		 $1,134.76–$2,269.08 $5,158–$10,314 varies
CT Angio Neck (70498) $1,134.76 $5,158 7.0×
Ct Angio Upr Extrm W/O&W/Dye (73206) $1,134.76 $5,158 7.0×
CT bone density (77078) $54.56 $248 0.7×
CT cervical spine w/ contrast (72126) $975.04 $4,432 3.0×
CT cervical spine w/o contrast (72125) $704.44 $3,202 7.3×
CT cervical spine w/wo cont (72127) $1,134.76 $5,158 7.0×
CT chest w contrast (71260) $2,939.97 $13,363.50 18.1×
CT chest w/wo contrast (71270) $1,134.76 $5,158 7.0×
CT head/brain with contrast (70460) $975.04 $4,432 6.0×
CT head/brain without and with contrast (70470) $1,134.76 $5,158 7.0×
CT heart contrast eval cardiac structure&morph (75572) $677.82 $3,081 2.1×
CT heart no contrast quant eval coronry calcium (75571) $21.78 $99 0.3×
CT hrt w/3d image congen (75573) $112.64 $512 0.3×
CT iac w contrast (70481) $975.04 $4,432 6.0×
CT l-spine w&w/o contrast (72133) $1,134.76 $5,158 7.0×
CT lower ext w/o (73700) $704.44 $3,202 7.3×
CT lower extremity w/contrast material (73701) $975.04 $4,432 6.0×
CT lumbar spine w contrast (72132) $975.04 $4,432 3.0×
CT lumbar spine w/o contrast (72131) $704.44 $3,202 7.3×
CT maxillofacial w contrast (70487) $975.04 $4,432 6.0×
CT maxillofacial wo contrast (70486) $704.44 $3,202 7.3×
CT neck tissue combo (70492) $1,134.76 $5,158 7.0×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $1,134.76 $5,158 7.0×
CT orbits w/o contrast (70480) $704.44 $3,202 7.3×
CT pelvis w&w/o contrast (72194) $1,134.76 $5,158 7.0×
CT pelvis w/o contrast (72192) $704.44 $3,202 7.3×
CT scan of leg combo (73702) $1,134.76 $5,158 7.0×
CT scans face/jaw combo (70488) $1,134.76 $5,158 7.0×
CT soft tissue neck w contrast (70491) $975.04 $4,432 6.0×
CT soft tissue neck w/o contrast (70490) $704.44 $3,202 7.3×
CT thoracic spine w contrast (72129) $975.04 $4,432 6.0×
CT thoracic spine w/o contrast (72128) $704.44 $3,202 7.3×
CT thoracic spine w/wo cont (72130) $1,134.76 $5,158 7.0×
CT thorax w/o contrast (71250) $704.44 $3,202 7.3×
CT unlisted procedure (76497) $211.20 $960 2.6×
CT upper ext wo (73200)
range across 2 matching MRF lines		 $704.44–$1,409.10 $3,202–$6,405 varies
CT upper extremity w/o & w/contrast material (73202) $1,134.76 $5,158 7.0×
CT upper extremity with contrast (73201) $975.04 $4,432 3.0×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $1,134.76 $5,158 7.0×
Cta Abdomen (74175) $1,134.76 $5,158 7.0×
CTA pelvis (72191) $1,134.76 $5,158 7.0×
Dilation ureters/urethra rs&i (74485) $588.94 $2,677 0.3×
Discography Cerv/Thor Spine (72285) $1,159.62 $5,271 0.6×
Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) $361.46 $1,643 3.7×
Doppler Echo Fetal Spectral Display Complete (76827) $669.02 $3,041 6.9×
Doppler Fetal Mid Cerebral Artery (76821) $311.96 $1,418 3.2×
Dxa Bone Density Axial (77080) $254.32 $1,156 2.6×
Dxa bone density study (77085) $79.20 $360 0.8×
Dxa bone density study 1/>sites appendiclr skel (77081) $86.68 $394 1.1×
Echo exam of fetal heart (76825) $669.02 $3,041 1.3×
Echo exam uterus (76831) $267.74 $1,217 1.2×
Echo Guide For Artery Repair (76936) $374.88 $1,704 1.9×
Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) $361.46 $1,643 1.6×
Echograp Trans R Pros Study (76873) $267.74 $1,217 2.8×
Esophagram (74220) $258.72 $1,176 1.6×
Fetal Biophys Profile W/Nst (76818) $267.74 $1,217 2.8×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $267.74 $1,217 2.8×
Fetal MRI w/placntl matrnl plvc img sing/1st ges (74712) $464.20 $2,110 2.1×
Fluoroscopy up to 1 hr (76000) $238.26 $1,083 1.1×
Follow-Up Angiography (75898) $647.68 $2,944 0.2×
Foot 2 views (73620) $121 $550 1.5×
Forearm 2 views (73090)
range across 2 matching MRF lines		 $121–$241.78 $550–$1,099 varies
Gastric emptying imaging study (78264) $630.74 $2,867 1.7×
Gastroesophageal Reflux Exam (78262) $608.74 $2,767 1.6×
Gated Heart Planar Single (78472) $939.40 $4,270 2.5×
Gated Heart, Multiple (78473) $939.40 $4,270 2.5×
GI Endoscopic US S&I (76975) $150.48 $684 0.7×
Hand 2 views (73120) $121 $550 1.2×
Hdr Rdncl Ntrstl/Icav Brchtx (77772) $430.76 $1,958 0.7×
Hdr Rdncl Ntrstl/Icav Brchtx (77771) $3,967.26 $18,033 6.1×
Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) $3,967.26 $18,033 6.1×
Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) $1,343.54 $6,107 0.5×
Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) $1,343.54 $6,107 0.5×
Hepatobil Syst Image W/Drug (78227) $625.90 $2,845 1.2×
Hepatobiliary System Imaging (78226) $644.60 $2,930 1.7×
Ht Muscle Image Spect Sing (78451)
range across 4 matching MRF lines		 $1,879.02–$1,933.80 $8,541–$8,790 varies
Hysterosalpingogram (74740) $647.68 $2,944 2.9×
Image fusion (77399) $181.72 $826 1.5×
Infant hip ultrasound with hip movement (dynamic) (76885) $267.74 $1,217 3.3×
Infant hip ultrasound, limited static exam (76886) $267.74 $1,217 3.3×
Interstitial radiation source applic complex (77778) $573.76 $2,608 0.9×
Intracavitary Radiation Source Applic Complex (77763) $353.54 $1,607 0.5×
Intracavitary Radiation Source Applic Intermed (77762) $353.54 $1,607 0.7×
Intracavitary radiation source applic simple (77761) $430.76 $1,958 0.8×
Joint Survey Single View (77077) $110.44 $502 1.1×
K Flow/Funct Image Multiple (78709) $728.86 $3,313 1.4×
K Flow/Funct Image W/Drug (78708) $728.86 $3,313 1.4×
K Flow/Funct Image W/O Drug (78707) $728.86 $3,313 1.4×
Kidney Funcj Study Non-Img Radioisotopic Study (78725) $608.74 $2,767 1.6×
Kidney Imaging Morphol (78700) $243.98 $1,109 0.7×
Knee 3 Views (73562) $121 $550 1.5×
Labeled RBC Sequestration Differntl Organ/Tissue (78140) $247.72 $1,126 0.7×
Leveen/Shunt Patency Exam (78291) $608.74 $2,767 1.6×
Liver & Spleen Imaging Static Only (78215) $608.74 $2,767 1.6×
Lung Perf&Ventilat Diferentl (78598) $432.52 $1,966 0.9×
Lung perfusion differential (78597) $432.52 $1,966 1.2×
Lung Ventilat&Perfus Imaging (78582) $689.26 $3,133 1.4×
Lymph System Imaging (78195) $608.74 $2,767 1.2×
Lymphangiography extremity only unilateral rs&i (75801) $415.36 $1,888 0.7×
Lymphangiography, pelvic/abdominal, unilateral (75805) $673.64 $3,062 0.2×
Magnetic Image Jaw Joint (70336) $1,169.74 $5,317 5.3×
Magnetic resonance (eg, proton) imaging, brain (including brain stem andskull base), during open intracranial procedure… (70559) $1,858.78 $8,449 11.4×
Magnetic Resonance Elastography (76391) $193.60 $880 0.9×
Meckels Divert Exam (78290) $608.74 $2,767 1.6×
Mlc imrt design & construction per imrt plan (77338) $245.96 $1,118 0.7×
Mr safety determination physician/other qhp (76016) $53.02 $241 0.7×
Mr safety implant&/fb assmt clin staf 1st 15 min (76014) $14.74 $67 0.6×
Mr safety implt electronics prepj supvj phys/qhp (76018) $55.22 $251 0.6×
Mr safety implt pos&/immoblj (76019) $35.86 $163 0.7×
Mr safety med physics xm customization plng&mntr (76017) $145.64 $662 0.7×
Mra Head W/O & W/Contrast Material (70546) $1,858.78 $8,449 5.8×
MRA head w/o contrast (70544) $1,364.44 $6,202 6.2×
MRA head with contrast (70545) $1,551.44 $7,052 4.8×
MRA neck w contrast (70548) $1,551.44 $7,052 4.8×
Mra Neck W/O &W/Contrast Material (70549) $1,858.78 $8,449 5.8×
MRA neck w/o contrast (70547) $1,364.44 $6,202 6.2×
MRI abdomen w contrast (74182) $1,551.44 $7,052 4.8×
MRI abdomen w/o contrast (74181) $1,364.44 $6,202 6.2×
MRI any jt lower extrem w/contrast material (73722) $1,551.88 $7,054 2.1×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $1,858.78 $8,449 5.8×
MRI any jt upper extremity w/contrast matrl (73222) $1,551.88 $7,054 2.1×
MRI bone marrow blood supply (77084) $147.18 $669 0.7×
MRI brain functional w/o physician admnistration (70554) $1,108.80 $5,040 5.0×
MRI brain functional w/physician admnistration (70555) $1,164.68 $5,294 5.3×
MRI Breast W/O Contrast Bilateral (77047) $1,364.44 $6,202 6.2×
MRI cardiac w/o contrast (75557) $981.20 $4,460 4.4×
MRI cervical spine w contrast (72142) $1,551.44 $7,052 4.8×
MRI cervical spine w/o cont (72141) $1,364.44 $6,202 6.2×
MRI chest w/o contrast (71550) $1,364.44 $6,202 6.2×
MRI chest with contrast (71551) $1,551.44 $7,052 2.1×
MRI chest wo w contrast (71552) $1,858.78 $8,449 5.8×
MRI lower extrem oth/thn jt w/contrast matrl (73719) $1,551.88 $7,054 4.8×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $1,858.78 $8,449 5.8×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $1,364.22 $6,201 6.2×
MRI lumbar spine w contrast (72149) $1,551.44 $7,052 4.8×
Mri Neck Spine W/O & W/Dye (72156) $1,858.78 $8,449 5.8×
MRI orbit face &/neck w/o contrast (70540) $1,364.44 $6,202 6.2×
MRI orbit face neck w contrast (70542) $1,551.44 $7,052 4.8×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $1,858.78 $8,449 5.8×
MRI pelvis w contrast (72196) $1,551.44 $7,052 4.8×
MRI pelvis w/o & w contrast (72197) $1,858.78 $8,449 5.8×
MRI pelvis w/o contrast (72195) $1,364.44 $6,202 6.2×
MRI spectroscopy (76390) $1,170.62 $5,321 14.5×
MRI thoracic spine w/o contrast (72146) $1,364.44 $6,202 6.2×
MRI upper extremity oth than jt w/contr matrl (73219) $1,551.88 $7,054 4.8×
MRI upper extremity oth than jt w/o contr matrl (73218) $1,364.22 $6,201 6.2×
Mri Uppr Extremity W/O&W/Dye (73220) $1,858.78 $8,449 5.8×
MRI, abdomen, combo (74183) $1,858.78 $8,449 5.8×
MRI, dorsal spine combo (72157) $1,858.78 $8,449 5.8×
MRI, dorsal spine contrast (72147) $1,551.44 $7,052 4.8×
MRI, joint upper extrem (73221) $1,364.22 $6,201 6.2×
MRI, joint upper extrem combo (73223) $1,858.78 $8,449 5.8×
MRI, lumbar spine combo (72158) $1,858.78 $8,449 5.8×
Myelogram cervical (72240) $911.68 $4,144 1.3×
Myelogram Lumbar (72265) $542.96 $2,468 0.7×
Myelography thoracic (72255) $542.96 $2,468 0.7×
Myelograpy 2/more regions rs&i (72270) $911.68 $4,144 1.3×
Myocardial Spect Multiple Studies (78452) $1,933.80 $8,790 1.6×
Myocrd Img Pet Metab Eval Single Study Cncrnt CT (78429) $1,150.82 $5,231 0.9×
Myocrd img PET prfuj 1std rest/stress cncrnt CT (78430) $1,150.82 $5,231 0.9×
Myocrd Img Pet Prfuj Mlt Std Rst&Strs Cncrnt CT (78431) $1,489.62 $6,771 0.7×
Myocrd Img Pet Prfuj W/Metab 2rtracer Cncrnt CT (78433) $1,291.18 $5,869 0.6×
N-invas est c ffr sw aly CTA (75580) $588.06 $2,673 0.7×
Neck soft tissue (70360) $121 $550 1.5×
Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) $85.80 $390 0.2×
Nm myocard infarct spect (78469) $728.86 $3,313 1.4×
Nonvascular Shunt X-Ray (75809) $279.84 $1,272 2.9×
Ntsty modul radthx pln dose-vol histos (77301) $1,908.06 $8,673 1.5×
Nuclear Rx Intra-Arterial (79445) $871.64 $3,962 4.0×
Nuclear Rx Oral Admin (79005) $871.64 $3,962 4.0×
Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) $82.28 $374 0.8×
Panoramic X-ray of jaws (70355) $121 $550 1.5×
Parathyroid imaging w/tomographic spect & CT (78072) $466.62 $2,121 0.9×
Parathyroid Planar Imaging (78070) $608.74 $2,767 1.6×
Parathyroid planar imaging w/wo subtraction (78071) $466.62 $2,121 1.3×
Pelvis 1 or 2 views (72170) $121 $550 1.2×
Perineogram (74775) $408.10 $1,855 1.8×
Peritoneogram Rs&I (74190) $383.90 $1,745 0.8×
Pet Image Skull-Thigh (78812) $1,150.82 $5,231 0.9×
Pet Image W/Ct Lmtd (78814) $1,150.82 $5,231 0.9×
PET image w/CT, full body (78816) $1,150.82 $5,231 0.9×
PET imaging CT attenuation skull base mid-thigh (78815) $1,150.82 $5,231 0.9×
Pet Imaging Limited Area Chest Head/Neck (78811) $1,014.42 $4,611 0.8×
Plasma Vol Radiopharm Vol Dilute Spx Mult Smples (78111) $951.94 $4,327 0.8×
Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) $1,343.54 $6,107 0.5×
Pulmonary Perfusion Imaging Particulate (78580) $608.74 $2,767 1.6×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $211.20 $960 2.2×
Radex abscess/fistula/sinus tract rs&i (76080) $279.84 $1,272 0.6×
Radex Ankle Complete Minimum 3 Views (73610) $121 $550 1.5×
Radex Calcaneus Minimum 2 Views (73650) $121 $550 1.5×
Radex elbow complete minimum 3 views (73080) $121 $550 1.5×
Radex Facial Bones Complete Minimum 3 Views (70150) $121 $550 1.2×
Radex fingr minimum 2 views (73140) $121 $550 1.5×
Radex foot complete minimum 3 views (73630)
range across 2 matching MRF lines		 $121–$241.78 $550–$1,099 varies
Radex Hand Minimum 3 Views (73130)
range across 2 matching MRF lines		 $121–$241.78 $550–$1,099 varies
Radex lower extremity infant minimum 2 views (73592) $420.86 $1,913 5.2×
Radex Mastoids Compl Minimum 3 Views PR Side (70130) $121 $550 1.2×
Radex Nasal Bones Complete Minimum 3 Views (70160) $121 $550 1.5×
Radex Pharynx/Larx W/Fluor&/Magnification Tq (70370) $54.56 $248 0.7×
Radex Ribs Unilateral 2 Views (71100) $121 $550 1.5×
Radex shoulder complete minimum 2 views (73030) $121 $550 1.5×
Radex Sinuses Paransl < 3 Views (70210) $121 $550 1.5×
Radex sm int w/mlt srl imges via enteroclss tube (74251) $392.70 $1,785 2.4×
Radex Spine 1 View Specify Level (72020) $121 $550 1.5×
Radex Sternum Minimum 2 Views (71120) $121 $550 1.5×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $53.02 $241 0.7×
Radex Toe Minimum 2 Views (73660) $121 $550 1.5×
Radex upper extremity infant minimum 2 views (73092) $241.78 $1,099 2.5×
Radex Wrist Complete Minimum 3 Views (73110) $121 $550 1.5×
Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) $326.04 $1,482 3.4×
Radiation treatment delivery level 1 (77402) $230.78 $1,049 2.4×
Radiation treatment delivery level 2 (77407) $230.78 $1,049 0.6×
Radiation treatment delivery level 3 (77412) $230.78 $1,049 0.5×
Radiolog exam mandible compl minimum 4 views (70110) $121 $550 1.2×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $177.32 $806 1.8×
Radiologic exam colon double contrast study (74280) $374.22 $1,701 2.3×
Radiologic exam colon single contrast study (74270) $258.72 $1,176 1.6×
Radiologic Exam Esophagus Double Contrast Study (74221) $246.18 $1,119 1.5×
Radiologic exam knee complete 4/more views (73564) $121 $550 1.2×
Radiologic exam pelvis compl minimum 3 views (72190) $121 $550 1.2×
Radiologic Exam Small Int Single Contrast Study (74250) $258.72 $1,176 1.6×
Radiologic exam swallow function contrast study (74230) $258.72 $1,176 1.6×
Radiologic exam upr gi trc double contrast study (74246) $258.72 $1,176 1.6×
Radiologic examination femur 1 view (73551) $103.40 $470 1.3×
Radiologic examination femur minimum 2 views (73552) $103.40 $470 1.3×
Radiologic examination knee 1/2 views (73560)
range across 2 matching MRF lines		 $121–$241.78 $550–$1,099 varies
Radiologic examination tibia & fibula 2 views (73590) $121 $550 1.5×
Radiologic examination, internal auditory meati, complete Non-Facility (70134) $331.32 $1,506 0.7×
Red Cell Volume Determination Spx Mult Samplings (78121) $356.84 $1,622 0.7×
Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77768) $177.54 $807 0.5×
Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77767) $177.54 $807 0.5×
Ribs bilateral 3 views (71110) $121 $550 1.2×
Rp loclzj tum plnr 1 area single day imaging (78800) $608.74 $2,767 1.6×
Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) $728.86 $3,313 2.0×
Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) $1,459.70 $6,635 2.9×
Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) $728.86 $3,313 1.4×
Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) $728.86 $3,313 1.4×
Rp loclzj tum spect 2 area/sep acquisj img (78831) $1,014.42 $4,611 0.8×
Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) $1,150.82 $5,231 0.9×
Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) $1,014.42 $4,611 0.8×
Rp Therapy Intravenous Administration (79101) $871.64 $3,962 4.0×
Salivary Gland Imaging Serial Images (78231) $608.74 $2,767 1.6×
Scapula (73010) $121 $550 1.2×
Screening Digital Breast Tomosynthesis Bi (77063) $40.04 $182 1.7×
Shoulder 1 view (73020) $121 $550 1.5×
Shoulder Arthrography (73040) $450.78 $2,049 1.4×
Skull less than 4 views (70250) $121 $550 1.2×
Special dosimetry (77331) $181.72 $826 1.5×
Special Physics Consult (77370) $416.02 $1,891 3.3×
Special teletherapy port plan (77321) $416.02 $1,891 1.2×
Special treatment procedure (77470) $560.78 $2,549 1.1×
Stereotactic Body Radiation Delivery (77373) $2,018.50 $9,175 1.2×
Sternoclavicular joints (71130) $121 $550 1.5×
Superior sagittal sinus venogram (75870) $707.52 $3,216 0.2×
Surface Applic Low Dose Rate Radionuclide Source (77789) $72.16 $328 0.8×
Telethx isodose pln cplx w/basic dosimetry (77307) $416.02 $1,891 1.2×
Telethx isodose pln smpl w/dosimetry calculation (77306) $181.72 $826 0.5×
Temporomandble Jt Arthrography Rs&I (70332) $147.18 $669 0.7×
Ther Rad Simulaj-Aided Field Setting Complex (77290) $416.02 $1,891 1.2×
Ther rad simulaj-aided field setting simple (77280) $181.72 $826 1.5×
Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) $258.72 $1,176 1.6×
Thoracic spine 2 views (72070) $121 $550 1.2×
Thoracic spine 3 views (72072) $121 $550 1.2×
Thoracolumbar 2 views (72080) $121 $550 1.5×
Thyroid Met Imaging Body (78018) $728.42 $3,311 1.4×
Thyroid Uptake Measurement (78012) $137.72 $626 0.4×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $280.50 $1,275 0.8×
Tx Devices Design & Construction Complex (77334) $334.40 $1,520 1.0×
Tx devices design & construction intermediate (77333) $334.40 $1,520 2.7×
Tx devices design & construction simple (77332) $334.40 $1,520 2.7×
Ultrasound Breast Limited (76642)
range across 4 matching MRF lines		 $163.46–$326.92 $743–$1,486 varies
Ultrasound elastography first target lesion (76982) $66 $300 0.7×
Ultrasound Elastography Parenchyma (76981) $94.38 $429 1.0×
Ultrasound Exam Aaa Screen (76706) $182.38 $829 1.9×
Ultrasound trgt dynamic microbubble 1st lesion (76978) $169.40 $770 0.5×
Ultrasound, abdomen limited (76705) $267.74 $1,217 2.8×
Umbilical-artery Doppler (OB) (76820) $311.96 $1,418 3.2×
Unlisted Dx Radiographic Procedure (76499) $87.12 $396 1.1×
Unlisted Procedure Clinical Brachytherapy (77799) $3,967.26 $18,033 42.0×
Upper gi w/o kub (74240) $258.72 $1,176 1.6×
Urethrocystogram voiding (74455) $428.56 $1,948 1.9×
Urethrocystography retrograde (74450) $408.10 $1,855 1.8×
Us breast unilateral complete (76641)
range across 2 matching MRF lines		 $163.46–$326.70 $743–$1,485 varies
Us chest (76604) $267.74 $1,217 2.8×
Us complete joint (76881) $267.74 $1,217 2.8×
Us exam, pelvic, limited (76857) $163.46 $743 1.7×
Us head (76506) $267.74 $1,217 2.8×
Us kidney transplant (76776) $267.74 $1,217 2.8×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882)
range across 2 matching MRF lines		 $155.32–$295.68 $706–$1,344 varies
Us ob detailed single fetus (76811) $432.96 $1,968 2.0×
Us ob limited 1 or more fetuses (76815) $163.46 $743 1.7×
Us ob transvaginal (76817) $163.46 $743 1.7×
Us pelvic non ob complete (76856) $267.74 $1,217 2.8×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $172.26 $783 1.8×
Us preg uterus real time f/u trnsabdl per fetus (76816) $163.46 $743 1.7×
Us retroperitoneal complete (76770) $267.74 $1,217 2.8×
Us retroperitoneal limited (76775) $267.74 $1,217 2.8×
Us scrotum and contents (76870) $267.74 $1,217 2.8×
Us spinal canal and contents (76800) $267.74 $1,217 2.8×
Us thyroid (76536) $267.74 $1,217 2.8×
Vasogram (74440) $408.10 $1,855 1.8×
Vein X-Ray Chest (75827) $1,343.54 $6,107 0.9×
Vein X-Ray Liver W/O Hemodyn (75887) $1,449.36 $6,588 0.5×
Venogram Sinus/Jugular (75860) $707.52 $3,216 0.2×
Venography Adrenal Unilateral (75840) $707.52 $3,216 0.2×
Venography caval inferior serialography rs&i (75825) $1,343.54 $6,107 0.5×
Venography extremity bilateral rs&i (75822) $752.62 $3,421 0.5×
Venography extremity unilateral rs&i (75820) $752.62 $3,421 0.5×
Venography Renal Bilateral (75833) $707.52 $3,216 0.2×
Venography Renal Unilateral (75831) $707.52 $3,216 0.2×
Venous sampling by catheter (75893)
range across 3 matching MRF lines		 $904.64–$1,085.92 $4,112–$4,936 varies
Wrist 2 views (73100) $121 $550 1.5×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $121 $550 1.5×
X-ray antegrade pyelogram tube (74425) $408.10 $1,855 1.3×
X-Ray Aorta Leg Arteries (75630) $2,356.86 $10,713 0.8×
X-Ray Bend Only L-S Spine (72120) $121 $550 1.2×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $121 $550 1.5×
X-Ray Exam Breast Specimen (76098) $352 $1,600 0.7×
X-Ray Exam Entire Spi 1 Vw (72081) $103.40 $470 1.3×
X-Ray Exam Entire Spi 2/3 Vw (72082) $171.16 $778 1.8×
X-Ray Exam Entire Spi 4/5 Vw (72083) $326.04 $1,482 3.4×
X-Ray Exam Hip Uni 1 View (73501) $103.40 $470 1.3×
X-Ray Exam Hip Uni 2-3 Views (73502) $103.40 $470 1.3×
X-Ray Exam Hip Uni 4/> Views (73503) $177.32 $806 1.8×
X-Ray Exam Hips Bi 2 Views (73521) $177.32 $806 1.8×
X-Ray Exam Hips Bi 3-4 Views (73522) $177.32 $806 1.8×
X-Ray Exam Hips Bi 5/> Views (73523) $177.32 $806 1.8×
X-Ray Exam L-S Spine Bending (72114) $211.20 $960 2.2×
X-Ray Exam Neck Spine 2-3 Vw (72040) $121 $550 1.5×
X-Ray Exam Neck Spine 6/>Vws (72052) $211.20 $960 2.2×
X-Ray Exam Unilat Ribs/Chest (71101) $121 $550 1.2×
X-ray eye for foreign body (70030) $54.56 $248 0.7×
X-ray humerus (73060) $121 $550 1.5×
X-ray IV pyelogram (ivp) (74400) $408.10 $1,855 2.5×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $121 $550 1.5×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $121 $550 1.5×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $121 $550 1.2×
X-ray nose-rectum child f.b. (76010) $121 $550 1.5×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $211.20 $960 2.2×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $121 $550 1.2×
X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) $121 $550 1.2×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $121 $550 1.5×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $121 $550 1.5×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $211.20 $960 2.2×
X-ray thoracic spine 4 vw (72074) $121 $550 1.2×
X-Ray Tmj Unilat (70328) $121 $550 1.5×
X-Ray Urinary Tract Exam With Contrast Material (74420) $408.10 $1,855 1.3×
X-Rays Bone Length Studies (77073) $121 $550 1.2×
X-Rays Bone Survey Complete (77075) $211.20 $960 2.2×
Xr c-spine 4 or 5 views (72050) $211.20 $960 2.2×
Xr facial bones less than 3 views (70140) $121 $550 1.5×
Xr myelogram posterior fossa (70010) $231 $1,050 0.7×
Xr orbits complete 4 views (70200) $121 $550 1.2×

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.