Imaging prices at Methodist Hospitals Inc
Gary, IN · every code in this section with a posted price and a Medicare benchmark.
387 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) range across 3 matching MRF lines |
$8,957.90–$11,760 | $12,797–$16,800 | varies |
| Abdomen 1 View (74018) | $535.50 | $765 | 5.8× |
| Abdomen 2 views (74019) | $535.50 | $765 | 4.8× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $772.80 | $1,104 | 1.8× |
| Acute venous thrombosis imaging, peptide Non-Facility (78456) | $1,250.90 | $1,787 | 0.9× |
| Adrenal Cortex & Medulla Img (78075) | $3,922.80 | $5,604 | 2.9× |
| Angio pulmonary bilat (75743) | $9,690.80 | $13,844 | 2.9× |
| Angiography extremity bilateral rs&i (75716) | $9,690.80 | $13,844 | 2.9× |
| Angiography extremity unilateral rs&i (75710) | $9,690.80 | $13,844 | 2.9× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $5,972.40 | $8,532 | 1.8× |
| Ankle 2 views (73600) range across 5 matching MRF lines |
$259–$388.50 | $370–$555 | varies |
| Aortography thoracic serialography rs&i (75605) | $9,690.80 | $13,844 | 1.6× |
| Artery X-Rays Abdomen (75726) | $9,690.80 | $13,844 | 1.6× |
| Artery X-Rays Pelvis (75736) | $9,690.80 | $13,844 | 1.6× |
| Artery X-Rays Spine (75705) | $17,777.90 | $25,397 | 3.0× |
| Arthrogram ankle (73615) | $550.90 | $787 | 1.5× |
| Arthrogram hip (73525) | $2,213.40 | $3,162 | 6.0× |
| Arthrogram Wrist (73115) | $1,285.90 | $1,837 | 3.5× |
| Basic radiation dosimetry calculation (77300) | $808.50 | $1,155 | 5.7× |
| Bone age studies (77072) | $543.90 | $777 | 4.9× |
| Bone Imaging 3 Phase (78315) | $2,589.30 | $3,699 | 6.1× |
| Bone Imaging Limited Area (78300) range across 2 matching MRF lines |
$1,147.30–$3,393.60 | $1,639–$4,848 | varies |
| Bone Imaging Whole Body (78306) range across 2 matching MRF lines |
$1,670.90–$3,216.50 | $2,387–$4,595 | varies |
| Bone marrow imaging limited area (78102) | $987 | $1,410 | 2.3× |
| Bone marrow imaging; whole body (78104) | $1,314.60 | $1,878 | 3.1× |
| Brachytx isodose complex (77318) | $2,184.70 | $3,121 | 5.5× |
| Brachytx isodose intermed (77317) | $2,184.70 | $3,121 | 5.5× |
| Brachytx Isodose Plan Simple (77316) | $1,512.70 | $2,161 | 3.8× |
| Brain Image W/Flow < 4 Views (78601) | $2,816.80 | $4,024 | 6.7× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $10,661.70 | $15,231 | 7.0× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $6,900.60 | $9,858 | 18.7× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $1,495.90 | $2,137 | 2.6× |
| Cerebrospinal Fluid Scan (78630) | $1,395.10 | $1,993 | 2.4× |
| Chest 1 view (71045) | $338.80 | $484 | 3.7× |
| Chest 2 views (71046) | $424.90 | $607 | 4.6× |
| Chest 3 views (71047) | $441 | $630 | 4.8× |
| Chest 4 or more views (71048) | $550.20 | $786 | 5.0× |
| Cisternography Positive Contrast Rs&I (70015) | $1,924.30 | $2,749 | 2.3× |
| Clavicle complete (73000) range across 3 matching MRF lines |
$471.10–$504.70 | $673–$721 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $190.40 | $272 | 1.7× |
| Continuing medical physics consltj pr wk (77336) range across 2 matching MRF lines |
$735.70–$844.90 | $1,051–$1,207 | varies |
| Contrast Exam Abdominl Aorta (75625) | $9,690.80 | $13,844 | 2.9× |
| Contrast X-Ray Bladder (74430) | $627.90 | $897 | 1.7× |
| Contrast X-Ray Of Elbow (73085) | $1,256.50 | $1,795 | 3.4× |
| Contrast X-Ray Of Knee Joint (73580) | $1,178.10 | $1,683 | 3.2× |
| CT abdomen and pelvis without and with contrast (74178) | $8,745.10 | $12,493 | 23.7× |
| CT abdomen and pelvis without contrast (74176) | $5,828.90 | $8,327 | 23.1× |
| CT abdomen w contrast (74160) | $3,529.40 | $5,042 | 19.0× |
| CT abdomen w wo contrast (74170) | $4,372.20 | $6,246 | 23.6× |
| CT abdomen w/o contrast (74150) | $2,916.20 | $4,166 | 26.4× |
| CT Angio Abdomen and Pelvis (74174) | $8,129.80 | $11,614 | 22.0× |
| CT Angio Chest (71275) | $3,922.80 | $5,604 | 21.1× |
| CT Angio Head (70496) | $4,158.70 | $5,941 | 22.4× |
| CT angio hrt w/3d image (75574) | $1,330 | $1,900 | 3.6× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 8 matching MRF lines |
$3,607.10–$3,967.60 | $5,153–$5,668 | varies |
| CT Angio Neck (70498) | $4,547.20 | $6,496 | 24.5× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 8 matching MRF lines |
$3,607.10–$3,967.60 | $5,153–$5,668 | varies |
| CT bone density (77078) | $725.90 | $1,037 | 7.9× |
| CT cervical spine w/ contrast (72126) | $3,451.70 | $4,931 | 9.4× |
| CT cervical spine w/o contrast (72125) | $2,745.40 | $3,922 | 24.8× |
| CT cervical spine w/wo cont (72127) | $4,076.80 | $5,824 | 22.0× |
| CT chest w contrast (71260) | $3,154.90 | $4,507 | 17.0× |
| CT chest w/wo contrast (71270) | $3,545.50 | $5,065 | 19.1× |
| CT colonography screening (74263) | $449.40 | $642 | 1.8× |
| CT colonogrphy dx image postprocess w/o contrast (74261) | $916.30 | $1,309 | 8.3× |
| CT head/brain with contrast (70460) | $2,667.70 | $3,811 | 14.4× |
| CT head/brain without and with contrast (70470) | $3,451.70 | $4,931 | 18.6× |
| CT heart contrast eval cardiac structure&morph (75572) | $1,303.40 | $1,862 | 3.5× |
| CT heart no contrast quant eval coronry calcium (75571) | $601.30 | $859 | 6.5× |
| CT hrt w/3d image congen (75573) | $1,204 | $1,720 | 3.3× |
| CT iac w contrast (70481) | $2,667.70 | $3,811 | 14.4× |
| CT l-spine w&w/o contrast (72133) | $4,312 | $6,160 | 23.2× |
| CT lower ext w/o (73700) range across 19 matching MRF lines |
$2,248.40–$2,361.10 | $3,212–$3,373 | varies |
| CT lower extremity w/contrast material (73701) range across 19 matching MRF lines |
$2,810.50–$2,951.90 | $4,015–$4,217 | varies |
| CT lumbar spine w contrast (72132) | $3,295.60 | $4,708 | 8.9× |
| CT lumbar spine w/o contrast (72131) | $2,981.30 | $4,259 | 27.0× |
| CT maxillofacial w contrast (70487) | $3,059 | $4,370 | 16.5× |
| CT maxillofacial wo contrast (70486) | $2,916.90 | $4,167 | 26.4× |
| CT neck tissue combo (70492) | $3,451.70 | $4,931 | 18.6× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $4,158.70 | $5,941 | 22.4× |
| CT orbits w/o contrast (70480) | $2,902.20 | $4,146 | 26.2× |
| CT pelvis w&w/o contrast (72194) | $4,372.20 | $6,246 | 23.6× |
| CT pelvis w/o contrast (72192) | $2,823.80 | $4,034 | 25.5× |
| CT scan of leg combo (73702) range across 18 matching MRF lines |
$3,365.60–$3,532.20 | $4,808–$5,046 | varies |
| CT scans face/jaw combo (70488) | $4,076.80 | $5,824 | 22.0× |
| CT soft tissue neck w contrast (70491) | $3,098.90 | $4,427 | 16.7× |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$2,511.60–$2,667.70 | $3,588–$3,811 | varies |
| CT thoracic spine w contrast (72129) | $3,216.50 | $4,595 | 17.3× |
| CT thoracic spine w/o contrast (72128) | $3,059 | $4,370 | 27.7× |
| CT thoracic spine w/wo cont (72130) | $3,451.70 | $4,931 | 18.6× |
| CT thorax w/o contrast (71250) range across 3 matching MRF lines |
$44.10–$2,511.60 | $63–$3,588 | varies |
| CT unlisted procedure (76497) | $168.70 | $241 | 1.8× |
| CT upper ext wo (73200) range across 19 matching MRF lines |
$2,248.40–$2,361.10 | $3,212–$3,373 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 20 matching MRF lines |
$3,369.10–$3,534.30 | $4,813–$5,049 | varies |
| CT upper extremity with contrast (73201) range across 19 matching MRF lines |
$2,810.50–$2,902.20 | $4,015–$4,146 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $3,930.50 | $5,615 | 21.2× |
| Cta Abdomen (74175) range across 3 matching MRF lines |
$4,372.20–$4,859.40 | $6,246–$6,942 | varies |
| CTA pelvis (72191) | $3,922.80 | $5,604 | 21.1× |
| Dilation ureters/urethra rs&i (74485) | $4,188.10 | $5,983 | 1.9× |
| Discography Cerv/Thor Spine (72285) | $7,056 | $10,080 | 3.4× |
| Diskography lumbar (72295) | $7,457.10 | $10,653 | 3.6× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) | $1,067.50 | $1,525 | 9.7× |
| Doppler Echo Fetal Spectral Display Complete (76827) range across 2 matching MRF lines |
$1,061.20–$1,065.40 | $1,516–$1,522 | varies |
| Doppler Fetal Mid Cerebral Artery (76821) | $450.10 | $643 | 4.1× |
| Dxa Bone Density Axial (77080) range across 3 matching MRF lines |
$85.40–$550.90 | $122–$787 | varies |
| Dxa bone density study (77085) | $318.50 | $455 | 2.9× |
| Echo exam of fetal heart (76825) | $2,511.60 | $3,588 | 4.3× |
| Echo exam uterus (76831) | $1,061.20 | $1,516 | 4.2× |
| Echo Guide For Artery Repair (76936) range across 3 matching MRF lines |
$714.70–$746.90 | $1,021–$1,067 | varies |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) | $1,913.80 | $2,734 | 7.6× |
| Esophageal Motility Study (78258) | $1,205.40 | $1,722 | 2.8× |
| Esophagram (74220) | $1,020.60 | $1,458 | 5.5× |
| Fetal Biophys Profile W/Nst (76818) | $1,226.40 | $1,752 | 11.1× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $786.10 | $1,123 | 7.1× |
| Fluoroscopy up to 1 hr (76000) range across 4 matching MRF lines |
$439.60–$1,285.90 | $628–$1,837 | varies |
| Follow-Up Angiography (75898) | $1,288 | $1,840 | 0.4× |
| Foot 2 views (73620) range across 5 matching MRF lines |
$550.90–$800.80 | $787–$1,144 | varies |
| Forearm 2 views (73090) range across 3 matching MRF lines |
$449.40–$452.20 | $642–$646 | varies |
| Gastric emptying imaging study (78264) | $2,823.80 | $4,034 | 6.7× |
| Gastroesophageal Reflux Exam (78262) | $1,282.40 | $1,832 | 3.0× |
| Gated Heart Planar Single (78472) | $2,290.40 | $3,272 | 5.4× |
| Gated Heart, Multiple (78473) | $2,704.10 | $3,863 | 6.4× |
| Hand 2 views (73120) range across 4 matching MRF lines |
$436.10–$599.90 | $623–$857 | varies |
| Hdr Rdncl Ntrstl/Icav Brchtx (77772) | $3,612 | $5,160 | 4.9× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) | $3,612 | $5,160 | 4.9× |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) | $3,612 | $5,160 | 4.9× |
| Heart Image (Pet) Multiple (78492) | $10,721.20 | $15,316 | 7.1× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $5,972.40 | $8,532 | 1.8× |
| Hepatobil Syst Image W/Drug (78227) | $3,292.80 | $4,704 | 5.7× |
| Hepatobiliary System Imaging (78226) | $3,059 | $4,370 | 7.2× |
| Ht Muscle Image Spect Sing (78451) range across 5 matching MRF lines |
$3,626.70–$5,096.70 | $5,181–$7,281 | varies |
| Hysterosalpingogram (74740) | $1,166.20 | $1,666 | 4.6× |
| Image fusion (77399) | $648.20 | $926 | 4.6× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $1,020.60 | $1,458 | 11.1× |
| Interstitial radiation source applic complex (77778) | $2,403.80 | $3,434 | 3.3× |
| Intracavitary Radiation Source Applic Complex (77763) | $1,342.60 | $1,918 | 1.8× |
| Intracavitary Radiation Source Applic Intermed (77762) | $1,404.20 | $2,006 | 2.4× |
| Intracavitary radiation source applic simple (77761) | $1,404.20 | $2,006 | 2.4× |
| Joint Survey Single View (77077) range across 4 matching MRF lines |
$318.50–$526.40 | $455–$752 | varies |
| K Flow/Funct Image Multiple (78709) | $1,568.70 | $2,241 | 2.7× |
| K Flow/Funct Image W/Drug (78708) | $1,568.70 | $2,241 | 2.7× |
| K Flow/Funct Image W/O Drug (78707) | $1,142.40 | $1,632 | 2.0× |
| Kidney Funcj Study Non-Img Radioisotopic Study (78725) | $1,232 | $1,760 | 2.9× |
| Knee 3 Views (73562) range across 6 matching MRF lines |
$595.70–$942.90 | $851–$1,347 | varies |
| Leveen/Shunt Patency Exam (78291) | $728 | $1,040 | 1.7× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $2,001.30 | $2,859 | 4.7× |
| Liver imaging w/vascular flow (78202) | $1,072.40 | $1,532 | 1.9× |
| Lung perfusion differential (78597) | $731.50 | $1,045 | 1.7× |
| Lung Ventilat&Perfus Imaging (78582) | $1,568.70 | $2,241 | 2.7× |
| Lymph System Imaging (78195) | $1,883.70 | $2,691 | 3.3× |
| Lymphangiography extremity only unilateral rs&i (75801) | $1,237.60 | $1,768 | 1.9× |
| Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) | $1,900.50 | $2,715 | 0.6× |
| Magnetic Image Jaw Joint (70336) | $3,976.70 | $5,681 | 15.8× |
| Mammary ductogram or galactogram multiple (77054) | $565.60 | $808 | 2.2× |
| Mammary ductogram or galactogram single (77053) | $938 | $1,340 | 3.7× |
| Meckels Divert Exam (78290) | $2,186.80 | $3,124 | 5.2× |
| Mlc imrt design & construction per imrt plan (77338) | $6,806.10 | $9,723 | 17.2× |
| Mr safety determination physician/other qhp (76016) | $164.50 | $235 | 1.8× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $46.20 | $66 | 1.5× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) | $170.80 | $244 | 1.7× |
| Mr safety implt pos&/immoblj (76019) | $110.60 | $158 | 1.8× |
| Mr safety med physics xm customization plng&mntr (76017) | $449.40 | $642 | 1.8× |
| Mra Head W/O & W/Contrast Material (70546) | $7,056 | $10,080 | 19.1× |
| MRA head w/o contrast (70544) | $3,922.80 | $5,604 | 15.5× |
| MRA head with contrast (70545) | $5,019 | $7,170 | 13.6× |
| MRA neck w contrast (70548) | $3,922.80 | $5,604 | 10.6× |
| Mra Neck W/O &W/Contrast Material (70549) | $6,743.10 | $9,633 | 18.3× |
| MRA neck w/o contrast (70547) | $3,216.50 | $4,595 | 12.7× |
| MRI abdomen w contrast (74182) range across 3 matching MRF lines |
$4,076.80–$4,090.10 | $5,824–$5,843 | varies |
| MRI abdomen w/o contrast (74181) | $3,451.70 | $4,931 | 13.7× |
| MRI any jt lower extrem w/contrast material (73722) range across 13 matching MRF lines |
$4,393.20–$4,858 | $6,276–$6,940 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 9 matching MRF lines |
$6,900.60–$7,287.70 | $9,858–$10,411 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 15 matching MRF lines |
$4,393.20–$4,857.30 | $6,276–$6,939 | varies |
| MRI Breast Without Contrast Material Unilateral (77046) | $3,513.30 | $5,019 | 13.9× |
| MRI cardiac w/o contrast (75557) range across 2 matching MRF lines |
$2,353.40–$3,451.70 | $3,362–$4,931 | varies |
| MRI cervical spine w contrast (72142) | $4,354.70 | $6,221 | 11.8× |
| MRI cervical spine w/o cont (72141) | $4,076.80 | $5,824 | 16.1× |
| MRI chest w/o contrast (71550) | $3,972.50 | $5,675 | 15.7× |
| MRI chest with contrast (71551) | $5,051.20 | $7,216 | 6.1× |
| MRI chest wo w contrast (71552) | $6,743.10 | $9,633 | 18.3× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 9 matching MRF lines |
$4,393.20–$4,857.30 | $6,276–$6,939 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 9 matching MRF lines |
$6,900.60–$7,287.70 | $9,858–$10,411 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 9 matching MRF lines |
$3,996.30–$4,171.30 | $5,709–$5,959 | varies |
| MRI lumbar spine w contrast (72149) | $4,234.30 | $6,049 | 11.5× |
| Mri Neck Spine W/O & W/Dye (72156) | $6,900.60 | $9,858 | 18.7× |
| MRI orbit face &/neck w/o contrast (70540) range across 4 matching MRF lines |
$3,961.30–$3,976.70 | $5,659–$5,681 | varies |
| MRI orbit face neck w contrast (70542) | $5,019 | $7,170 | 13.6× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $6,838.30 | $9,769 | 18.5× |
| MRI pelvis w contrast (72196) range across 3 matching MRF lines |
$1,586.90–$5,051.20 | $2,267–$7,216 | varies |
| MRI pelvis w/o & w contrast (72197) range across 4 matching MRF lines |
$1,586.90–$6,900.60 | $2,267–$9,858 | varies |
| MRI pelvis w/o contrast (72195) range across 4 matching MRF lines |
$1,586.90–$3,976.70 | $2,267–$5,681 | varies |
| MRI spectroscopy (76390) | $3,529.40 | $5,042 | 38.3× |
| MRI thoracic spine w/o contrast (72146) | $4,076.80 | $5,824 | 16.1× |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 12 matching MRF lines |
$4,857.30–$5,052.60 | $6,939–$7,218 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 12 matching MRF lines |
$3,819.20–$3,996.30 | $5,456–$5,709 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 12 matching MRF lines |
$6,900.60–$7,287.70 | $9,858–$10,411 | varies |
| MRI, abdomen, combo (74183) | $6,116.60 | $8,738 | 16.6× |
| MRI, dorsal spine combo (72157) | $6,900.60 | $9,858 | 18.7× |
| MRI, dorsal spine contrast (72147) | $4,393.20 | $6,276 | 11.9× |
| MRI, joint upper extrem (73221) | $3,996.30 | $5,709 | 15.8× |
| MRI, joint upper extrem combo (73223) range across 9 matching MRF lines |
$6,743.10–$7,287.70 | $9,633–$10,411 | varies |
| MRI, lumbar spine combo (72158) | $6,900.60 | $9,858 | 18.7× |
| Myelogram cervical (72240) | $3,765.30 | $5,379 | 4.5× |
| Myelogram Lumbar (72265) | $2,353.40 | $3,362 | 2.8× |
| Myelography thoracic (72255) | $1,491 | $2,130 | 1.8× |
| Myelograpy 2/more regions rs&i (72270) | $2,827.30 | $4,039 | 3.4× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $786.10 | $1,123 | 1.9× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) | $12,442.50 | $17,775 | 9.1× |
| Myocardial Spect Multiple Studies (78452) range across 19 matching MRF lines |
$5,096.70–$5,170.20 | $7,281–$7,386 | varies |
| Neck soft tissue (70360) | $436.10 | $623 | 4.7× |
| Nfs/Instlj Radioelmnt Sln 3 Mo Follow-Up Care (77750) | $2,051 | $2,930 | 5.0× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $799.40 | $1,142 | 1.9× |
| Nm csf leak detection (78650) | $2,719.50 | $3,885 | 2.0× |
| Nm red cell survival study (78130) | $1,983.10 | $2,833 | 4.7× |
| Ntsty modul radthx pln dose-vol histos (77301) | $6,979 | $9,970 | 4.8× |
| Nuclear Rx Oral Admin (79005) | $2,092.30 | $2,989 | 8.5× |
| Ob us nuchal meas 1 gest (76813) | $513.10 | $733 | 4.6× |
| Ophthalmic Ultrasonic Foreign Body Localization (76529) range across 3 matching MRF lines |
$516.60–$519.40 | $738–$742 | varies |
| Parathyroid Planar Imaging (78070) | $1,776.60 | $2,538 | 4.2× |
| Parathyroid planar imaging w/wo subtraction (78071) | $820.40 | $1,172 | 1.9× |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$495.60–$627.90 | $708–$897 | varies |
| Pet Image W/Ct Lmtd (78814) | $10,661.70 | $15,231 | 7.0× |
| PET image w/CT, full body (78816) | $10,661.70 | $15,231 | 7.0× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $10,661.70 | $15,231 | 7.0× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $6,210.40 | $8,872 | 1.9× |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,087.10 | $1,553 | 2.6× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $770 | $1,100 | 7.0× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $1,142.40 | $1,632 | 2.0× |
| Radex Ankle Complete Minimum 3 Views (73610) | $562.80 | $804 | 6.1× |
| Radex Calcaneus Minimum 2 Views (73650) | $513.10 | $733 | 5.6× |
| Radex elbow complete minimum 3 views (73080) | $608.30 | $869 | 6.6× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $724.50 | $1,035 | 6.6× |
| Radex fingr minimum 2 views (73140) | $177.10 | $253 | 1.9× |
| Radex foot complete minimum 3 views (73630) range across 6 matching MRF lines |
$768.60–$770 | $1,098–$1,100 | varies |
| Radex Hand Minimum 3 Views (73130) | $553 | $790 | 6.0× |
| Radex lower extremity infant minimum 2 views (73592) range across 3 matching MRF lines |
$227.50–$247.10 | $325–$353 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $627.90 | $897 | 5.7× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $550.90 | $787 | 6.0× |
| Radex shoulder complete minimum 2 views (73030) | $611.10 | $873 | 6.6× |
| Radex Spine 1 View Specify Level (72020) range across 4 matching MRF lines |
$350.70–$393.40 | $501–$562 | varies |
| Radex Sternum Minimum 2 Views (71120) | $566.30 | $809 | 6.2× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $604.80 | $864 | 6.6× |
| Radex upper extremity infant minimum 2 views (73092) range across 3 matching MRF lines |
$464.80–$471.10 | $664–$673 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 8 matching MRF lines |
$471.10–$540.40 | $673–$772 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $317.10 | $453 | 2.9× |
| Radiation Delivery Stereotactic Cranial Linear (77372) range across 2 matching MRF lines |
$28,397.60–$31,239.60 | $40,568–$44,628 | varies |
| Radiation treatment delivery level 1 (77402) | $768.60 | $1,098 | 7.1× |
| Radiation treatment delivery level 2 (77407) | $840.70 | $1,201 | 2.1× |
| Radiation treatment delivery level 3 (77412) | $978.60 | $1,398 | 1.7× |
| Radiolog exam mandible compl minimum 4 views (70110) | $863.80 | $1,234 | 7.8× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $535.50 | $765 | 4.8× |
| Radiologic exam colon double contrast study (74280) | $1,332.80 | $1,904 | 7.2× |
| Radiologic exam colon single contrast study (74270) | $984.90 | $1,407 | 5.3× |
| Radiologic exam knee complete 4/more views (73564) range across 8 matching MRF lines |
$660.10–$700 | $943–$1,000 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $786.10 | $1,123 | 7.1× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $984.90 | $1,407 | 5.3× |
| Radiologic exam swallow function contrast study (74230) | $550.90 | $787 | 3.0× |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$666.40–$700 | $952–$1,000 | varies |
| Radiologic examination femur 1 view (73551) | $193.20 | $276 | 2.1× |
| Radiologic examination femur minimum 2 views (73552) | $193.20 | $276 | 2.1× |
| Radiologic examination knee 1/2 views (73560) range across 7 matching MRF lines |
$448–$582.40 | $640–$832 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$495.60–$535.50 | $708–$765 | varies |
| Red Cell Volume Determination Spx 1 Sampling (78120) | $1,365 | $1,950 | 3.2× |
| Renal Cyst Study (74470) | $983.50 | $1,405 | 1.7× |
| Ribs bilateral 3 views (71110) | $800.80 | $1,144 | 7.2× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $1,177.40 | $1,682 | 2.8× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $1,670.90 | $2,387 | 4.0× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $4,116 | $5,880 | 7.2× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) range across 5 matching MRF lines |
$1,554–$3,110.80 | $2,220–$4,444 | varies |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 6 matching MRF lines |
$833–$4,961.60 | $1,190–$7,088 | varies |
| Rp Ther Radiolbld Monoclonal Antibody IV Infus (79403) | $2,667.70 | $3,811 | 10.8× |
| Rp Therapy Intravenous Administration (79101) | $1,545.60 | $2,208 | 6.3× |
| Scapula (73010) range across 3 matching MRF lines |
$513.10–$578.90 | $733–$827 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $127.40 | $182 | 5.4× |
| Sella turcica (70240) | $479.50 | $685 | 5.2× |
| Shoulder 1 view (73020) range across 6 matching MRF lines |
$357.70–$670.60 | $511–$958 | varies |
| Shoulder Arthrography (73040) | $1,117.20 | $1,596 | 3.0× |
| Sialogram (70390) | $809.90 | $1,157 | 3.2× |
| Skull less than 4 views (70250) range across 3 matching MRF lines |
$268.80–$550.90 | $384–$787 | varies |
| Special dosimetry (77331) | $707 | $1,010 | 5.0× |
| Special Physics Consult (77370) range across 2 matching MRF lines |
$961.10–$1,017.80 | $1,373–$1,454 | varies |
| Special teletherapy port plan (77321) | $1,099 | $1,570 | 2.8× |
| Special treatment procedure (77470) range across 3 matching MRF lines |
$1,659.70–$5,961.90 | $2,371–$8,517 | varies |
| Srs Multisource (77371) | $116,472.30 | $166,389 | 14.9× |
| Stereotactic Body Radiation Delivery (77373) range across 4 matching MRF lines |
$6,682.90–$7,700 | $9,547–$11,000 | varies |
| Sternoclavicular joints (71130) | $317.10 | $453 | 3.4× |
| Surface Applic Low Dose Rate Radionuclide Source (77789) | $436.80 | $624 | 4.0× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $1,512.70 | $2,161 | 3.8× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $1,512.70 | $2,161 | 3.8× |
| Testicular Imaging W/Flow (78761) | $2,417.80 | $3,454 | 5.7× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $2,823.80 | $4,034 | 7.1× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $2,118.90 | $3,027 | 5.3× |
| Ther rad simulaj-aided field setting simple (77280) range across 2 matching MRF lines |
$808.50–$1,681.40 | $1,155–$2,402 | varies |
| Thoracic spine 2 views (72070) | $404.60 | $578 | 3.7× |
| Thoracic spine 3 views (72072) | $707 | $1,010 | 6.4× |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$513.10–$559.30 | $733–$799 | varies |
| Thyroid Imaging With Vascular Flow (78013) | $700 | $1,000 | 1.7× |
| Thyroid Met Imaging Body (78018) | $1,883.70 | $2,691 | 3.3× |
| Thyroid Uptake Measurement (78012) | $483.70 | $691 | 1.1× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,424.50 | $2,035 | 3.4× |
| Tx Devices Design & Construction Complex (77334) range across 4 matching MRF lines |
$936.60–$1,899.80 | $1,338–$2,714 | varies |
| Tx devices design & construction intermediate (77333) | $1,127.70 | $1,611 | 7.9× |
| Tx devices design & construction simple (77332) | $816.20 | $1,166 | 5.7× |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$308.70–$614.60 | $441–$878 | varies |
| Ultrasound elastography first target lesion (76982) | $303.10 | $433 | 2.7× |
| Ultrasound Elastography Parenchyma (76981) | $303.10 | $433 | 2.7× |
| Ultrasound Exam Aaa Screen (76706) | $338.80 | $484 | 3.1× |
| Ultrasound, abdomen limited (76705) | $1,020.60 | $1,458 | 9.2× |
| Umbilical-artery Doppler (OB) (76820) | $449.40 | $642 | 4.1× |
| Unlisted Dx Radiographic Procedure (76499) | $52.50 | $75 | 0.6× |
| Unlisted magnetic resonance procedure (76498) | $1,670.90 | $2,387 | 18.1× |
| Unlisted Procedure Clinical Brachytherapy (77799) | $1,015 | $1,450 | 9.4× |
| Unlisted us procedure (76999) | $550.90 | $787 | 6.0× |
| Upper gi w/o kub (74240) | $670.60 | $958 | 3.6× |
| Ureteral Reflux Study (78740) | $774.90 | $1,107 | 1.8× |
| Urethrocystogram voiding (74455) | $833.70 | $1,191 | 3.3× |
| Urethrocystography retrograde (74450) | $1,256.50 | $1,795 | 5.0× |
| Us breast unilateral complete (76641) | $308.70 | $441 | 2.8× |
| Us chest (76604) | $1,099 | $1,570 | 9.9× |
| Us complete joint (76881) range across 3 matching MRF lines |
$863.80–$1,256.50 | $1,234–$1,795 | varies |
| Us exam, pelvic, limited (76857) | $746.90 | $1,067 | 6.8× |
| Us head (76506) | $238.70 | $341 | 2.2× |
| Us kidney transplant (76776) | $786.10 | $1,123 | 7.1× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $863.80 | $1,234 | 7.8× |
| Us ob detailed single fetus (76811) | $660.10 | $943 | 2.6× |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$393.40–$471.10 | $562–$673 | varies |
| Us ob transvaginal (76817) | $436.10 | $623 | 3.9× |
| Us pelvic non ob complete (76856) | $755.30 | $1,079 | 6.8× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $707 | $1,010 | 6.4× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $393.40 | $562 | 3.6× |
| Us retroperitoneal complete (76770) | $1,061.20 | $1,516 | 9.6× |
| Us retroperitoneal limited (76775) | $550.90 | $787 | 5.0× |
| Us scrotum and contents (76870) | $1,099 | $1,570 | 9.9× |
| Us spinal canal and contents (76800) | $519.40 | $742 | 4.7× |
| Us thyroid (76536) | $1,020.60 | $1,458 | 9.2× |
| Us transrectal (76872) | $1,332.80 | $1,904 | 12.0× |
| Vascular Flow Imaging (78445) | $1,000.30 | $1,429 | 2.4× |
| Vein X-Ray Chest (75827) | $2,342.90 | $3,347 | 1.4× |
| Vein X-Ray Liver W/O Hemodyn (75887) | $6,210.40 | $8,872 | 1.9× |
| Vein X-Ray Skull Epidural (75872) | $3,098.90 | $4,427 | 4.7× |
| Venogram Sinus/Jugular (75860) | $3,383.80 | $4,834 | 1.0× |
| Venography caval inferior serialography rs&i (75825) | $9,690.80 | $13,844 | 2.9× |
| Venography extremity bilateral rs&i (75822) | $3,382.40 | $4,832 | 2.0× |
| Venography extremity unilateral rs&i (75820) | $3,382.40 | $4,832 | 2.0× |
| Venography Renal Bilateral (75833) | $5,858.30 | $8,369 | 1.8× |
| Venography Renal Unilateral (75831) | $5,858.30 | $8,369 | 1.8× |
| Venous sampling by catheter (75893) | $9,690.80 | $13,844 | 1.6× |
| Venous Thrombosis Imaging Venogram Bilateral (78458) | $659.40 | $942 | 1.6× |
| Vertebral fracture assessment via dxa (77086) | $263.90 | $377 | 2.9× |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$347.20–$518 | $496–$740 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $611.80 | $874 | 6.6× |
| X-ray antegrade pyelogram tube (74425) | $1,178.10 | $1,683 | 3.2× |
| X-Ray Aorta Leg Arteries (75630) | $9,690.80 | $13,844 | 2.9× |
| X-Ray Bend Only L-S Spine (72120) | $675.50 | $965 | 6.1× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 6 matching MRF lines |
$295.40–$725.20 | $422–$1,036 | varies |
| X-Ray Exam Breast Specimen (76098) range across 2 matching MRF lines |
$1,099–$1,635.20 | $1,570–$2,336 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) | $193.20 | $276 | 2.1× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $359.80 | $514 | 3.3× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $317.10 | $453 | 2.9× |
| X-Ray Exam Hip Uni 1 View (73501) | $393.40 | $562 | 4.3× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $518 | $740 | 5.6× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $557.90 | $797 | 5.0× |
| X-Ray Exam Hips Bi 2 Views (73521) | $317.10 | $453 | 2.9× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $317.10 | $453 | 2.9× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $317.10 | $453 | 2.9× |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$1,061.20–$1,068.90 | $1,516–$1,527 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 3 matching MRF lines |
$539–$550.90 | $770–$787 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $1,099 | $1,570 | 9.9× |
| X-ray humerus (73060) range across 3 matching MRF lines |
$429.10–$467.60 | $613–$668 | varies |
| X-ray IV pyelogram (ivp) (74400) | $1,248.80 | $1,784 | 6.7× |
| X-ray IV pyelogram+tomography (74415) | $1,296.40 | $1,852 | 7.0× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $490.70 | $701 | 5.3× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $495.60 | $708 | 5.4× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $941.50 | $1,345 | 8.5× |
| X-ray nose-rectum child f.b. (76010) | $323.40 | $462 | 3.5× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $550.90 | $787 | 5.0× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $599.90 | $857 | 6.5× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $724.50 | $1,035 | 7.9× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $746.90 | $1,067 | 6.8× |
| X-ray thoracic spine 4 vw (72074) | $786.10 | $1,123 | 7.1× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $1,213.10 | $1,733 | 3.3× |
| X-Rays Bone Length Studies (77073) | $565.60 | $808 | 5.1× |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$709.80–$774.90 | $1,014–$1,107 | varies |
| Xr c-spine 4 or 5 views (72050) | $906.50 | $1,295 | 8.2× |
| Xr facial bones less than 3 views (70140) range across 2 matching MRF lines |
$542.50–$863.80 | $775–$1,234 | varies |
| Xr orbits complete 4 views (70200) | $724.50 | $1,035 | 6.6× |
| Xr Tomogram Single Plane (76100) | $799.40 | $1,142 | 7.2× |
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.