Imaging prices at MetroWest Medical Center
Framingham, MA · every code in this section with a posted price and a Medicare benchmark.
391 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) | $11,901.75 | $15,869 | 7.2× |
| Abdomen 1 View (74018) | $675 | $900 | 6.5× |
| Abdomen 2 views (74019) | $648 | $864 | 5.2× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $4,017.75 | $5,357 | 8.4× |
| Adrenal Cortex & Medulla Img (78075) | $4,864.50 | $6,486 | 3.1× |
| Angio internal mammary (75756) | $6,134.25 | $8,179 | 1.6× |
| Angio pulmonary bilat (75743) | $9,063.75 | $12,085 | 2.4× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $17,713.50 | $23,618 | 4.7× |
| Angiography extremity bilateral rs&i (75716) range across 2 matching MRF lines |
$8,898.75–$9,109.50 | $11,865–$12,146 | varies |
| Angiography extremity unilateral rs&i (75710) | $8,898.75 | $11,865 | 2.4× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $17,713.50 | $23,618 | 4.7× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $7,720.50 | $10,294 | 2.0× |
| Ankle 2 views (73600) | $922.50 | $1,230 | 8.8× |
| Aortography thoracic serialography rs&i (75605) | $12,647.25 | $16,863 | 1.9× |
| Aortography thoracic w/o serialography rs&i (75600) | $9,063.75 | $12,085 | 2.4× |
| Artery X-Rays Abdomen (75726) range across 2 matching MRF lines |
$14,123.25–$14,862.75 | $18,831–$19,817 | varies |
| Artery X-Rays Adrenal Gland (75731) | $9,063.75 | $12,085 | 2.4× |
| Artery X-Rays Pelvis (75736) range across 2 matching MRF lines |
$8,456.25–$10,509.75 | $11,275–$14,013 | varies |
| Artery X-Rays Spine (75705) | $12,364.50 | $16,486 | 1.9× |
| Arthrogram ankle (73615) | $3,107.25 | $4,143 | 7.4× |
| Arthrogram hip (73525) | $2,736 | $3,648 | 6.5× |
| Arthrogram Wrist (73115) | $3,107.25 | $4,143 | 7.4× |
| Basic radiation dosimetry calculation (77300) | $1,001.25 | $1,335 | 6.2× |
| Bone age studies (77072) | $906.75 | $1,209 | 7.2× |
| Bone Imaging 3 Phase (78315) | $4,329.75 | $5,773 | 9.0× |
| Bone Imaging Limited Area (78300) | $2,054.25 | $2,739 | 4.3× |
| Bone Imaging Multiple Areas (78305) | $3,300 | $4,400 | 6.9× |
| Bone Imaging Whole Body (78306) | $3,698.25 | $4,931 | 7.7× |
| Bone marrow imaging; whole body (78104) | $2,076.75 | $2,769 | 4.3× |
| Bone survey infant (77076) | $860.25 | $1,147 | 6.9× |
| Brachytx isodose complex (77318) | $3,167.25 | $4,223 | 7.1× |
| Brachytx isodose intermed (77317) | $4,323.75 | $5,765 | 9.6× |
| Brachytx Isodose Plan Simple (77316) | $1,554 | $2,072 | 3.5× |
| Brain Flow Imaging Only (78610) | $2,649.75 | $3,533 | 4.1× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $4,178.25 | $5,571 | 6.4× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $6,522 | $8,696 | 15.6× |
| Cat Scan Follow-Up Study (76380) | $3,026.25 | $4,035 | 29.0× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $2,161.50 | $2,882 | 3.3× |
| Cerebrospinal Fluid Scan (78630) | $2,814 | $3,752 | 4.3× |
| Chest 1 view (71045) | $432 | $576 | 4.1× |
| Chest 2 views (71046) | $789.75 | $1,053 | 7.6× |
| Chest 3 views (71047) | $775.50 | $1,034 | 7.4× |
| Chest 4 or more views (71048) | $574.50 | $766 | 4.6× |
| Cholecystography Oral Contrast (74290) | $864 | $1,152 | 4.1× |
| Clavicle complete (73000) | $714.75 | $953 | 6.9× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $1,788 | $2,384 | 14.3× |
| Continuing medical physics consltj pr wk (77336) | $1,626.75 | $2,169 | 10.1× |
| Contrast Exam Abdominl Aorta (75625) range across 2 matching MRF lines |
$9,693.75–$9,956.25 | $12,925–$13,275 | varies |
| Contrast X-Ray Bladder (74430) range across 2 matching MRF lines |
$1,054.50–$1,233.75 | $1,406–$1,645 | varies |
| Contrast X-Ray Of Elbow (73085) | $3,107.25 | $4,143 | 7.4× |
| Contrast X-Ray Of Knee Joint (73580) | $2,280.75 | $3,041 | 5.5× |
| CT abdomen and pelvis without and with contrast (74178) | $11,358 | $15,144 | 27.2× |
| CT abdomen and pelvis without contrast (74176) | $7,003.50 | $9,338 | 24.5× |
| CT abdomen w contrast (74160) | $4,488.75 | $5,985 | 21.4× |
| CT abdomen w wo contrast (74170) | $4,696.50 | $6,262 | 22.3× |
| CT abdomen w/o contrast (74150) | $4,404 | $5,872 | 35.2× |
| CT Angio Abdomen and Pelvis (74174) range across 3 matching MRF lines |
$886.50–$6,672.75 | $1,182–$8,897 | varies |
| CT Angio Chest (71275) | $4,226.25 | $5,635 | 20.1× |
| CT Angio Head (70496) range across 3 matching MRF lines |
$3,529.50–$3,825.75 | $4,706–$5,101 | varies |
| CT angio hrt w/3d image (75574) | $2,239.50 | $2,986 | 5.4× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 3 matching MRF lines |
$2,578.50–$3,706.50 | $3,438–$4,942 | varies |
| CT Angio Neck (70498) range across 3 matching MRF lines |
$434.25–$4,226.25 | $579–$5,635 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 3 matching MRF lines |
$2,788.50–$4,414.50 | $3,718–$5,886 | varies |
| CT cervical spine w/ contrast (72126) | $3,367.50 | $4,490 | 8.1× |
| CT cervical spine w/o contrast (72125) | $4,434.75 | $5,913 | 35.4× |
| CT cervical spine w/wo cont (72127) | $7,481.25 | $9,975 | 35.6× |
| CT chest w contrast (71260) | $4,396.50 | $5,862 | 20.9× |
| CT chest w/wo contrast (71270) | $3,368.25 | $4,491 | 16.0× |
| CT head/brain with contrast (70460) | $4,768.50 | $6,358 | 22.7× |
| CT head/brain without and with contrast (70470) | $5,342.25 | $7,123 | 25.4× |
| CT heart contrast eval cardiac structure&morph (75572) | $2,463.75 | $3,285 | 5.9× |
| CT heart no contrast quant eval coronry calcium (75571) | $109.50 | $146 | 1.0× |
| CT hrt w/3d image congen (75573) | $2,441.25 | $3,255 | 5.8× |
| CT iac w contrast (70481) | $3,754.50 | $5,006 | 17.9× |
| CT l-spine w&w/o contrast (72133) | $6,093 | $8,124 | 29.0× |
| CT lower ext w/o (73700) | $4,621.50 | $6,162 | 36.9× |
| CT lower extremity w/contrast material (73701) | $3,033.75 | $4,045 | 14.4× |
| CT lumbar spine w contrast (72132) | $2,761.50 | $3,682 | 6.6× |
| CT lumbar spine w/o contrast (72131) | $3,504.75 | $4,673 | 28.0× |
| CT maxillofacial w contrast (70487) range across 4 matching MRF lines |
$434.25–$6,000 | $579–$8,000 | varies |
| CT maxillofacial wo contrast (70486) range across 4 matching MRF lines |
$256.50–$3,885 | $342–$5,180 | varies |
| CT neck tissue combo (70492) | $3,267.75 | $4,357 | 15.5× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $7,763.25 | $10,351 | 36.9× |
| CT orbits w/o contrast (70480) | $5,579.25 | $7,439 | 44.5× |
| CT pelvis w&w/o contrast (72194) | $3,453 | $4,604 | 16.4× |
| CT pelvis w/o contrast (72192) | $1,686 | $2,248 | 13.5× |
| CT scan of leg combo (73702) | $3,397.50 | $4,530 | 16.2× |
| CT scans face/jaw combo (70488) | $4,167 | $5,556 | 19.8× |
| CT soft tissue neck w contrast (70491) | $4,201.50 | $5,602 | 20.0× |
| CT soft tissue neck w/o contrast (70490) | $2,692.50 | $3,590 | 21.5× |
| CT thoracic spine w contrast (72129) | $4,140.75 | $5,521 | 19.7× |
| CT thoracic spine w/o contrast (72128) | $4,151.25 | $5,535 | 33.1× |
| CT thoracic spine w/wo cont (72130) | $4,458 | $5,944 | 21.2× |
| CT thorax w/o contrast (71250) | $3,633 | $4,844 | 29.0× |
| CT unlisted procedure (76497) | $2,562.75 | $3,417 | 24.6× |
| CT upper ext wo (73200) | $4,705.50 | $6,274 | 37.6× |
| CT upper extremity w/o & w/contrast material (73202) | $4,414.50 | $5,886 | 21.0× |
| CT upper extremity with contrast (73201) | $3,328.50 | $4,438 | 8.0× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 3 matching MRF lines |
$434.25–$3,154.50 | $579–$4,206 | varies |
| Cta Abdomen (74175) range across 3 matching MRF lines |
$2,640–$3,898.50 | $3,520–$5,198 | varies |
| CTA pelvis (72191) | $1,618.50 | $2,158 | 7.7× |
| Dacryocystography, nasolacrimal duct, radiological supervision and interpretation Non-Facility (70170) | $3,066 | $4,088 | 10.7× |
| Dilation ureters/urethra rs&i (74485) | $4,193.25 | $5,591 | 1.7× |
| Discography Cerv/Thor Spine (72285) | $1,624.50 | $2,166 | 0.7× |
| Diskography lumbar (72295) | $10,802.25 | $14,403 | 4.6× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) | $1,086 | $1,448 | 8.7× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $1,641.75 | $2,189 | 13.1× |
| Doppler Fetal Mid Cerebral Artery (76821) | $703.50 | $938 | 5.6× |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$1,692–$2,277.75 | $2,256–$3,037 | varies |
| Dxa bone density study (77085) | $1,307.25 | $1,743 | 10.4× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $412.50 | $550 | 4.0× |
| Echo exam uterus (76831) | $2,016.75 | $2,689 | 7.1× |
| Echograp Trans R Pros Study (76873) | $1,263 | $1,684 | 10.1× |
| Esophagram (74220) | $1,134 | $1,512 | 5.4× |
| Fetal Biophys Profile W/Nst (76818) | $1,556.25 | $2,075 | 12.4× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $783.75 | $1,045 | 6.3× |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$416.25–$1,001.25 | $555–$1,335 | varies |
| Follow-Up Angiography (75898) range across 2 matching MRF lines |
$4,083.75–$6,569.25 | $5,445–$8,759 | varies |
| Foot 2 views (73620) | $836.25 | $1,115 | 8.0× |
| Forearm 2 views (73090) | $1,201.50 | $1,602 | 11.5× |
| Gastric emptying imaging study (78264) | $3,502.50 | $4,670 | 7.3× |
| Gastric Emptyng Imag Std W/Sm Bwl Transit (78265) | $4,359.75 | $5,813 | 9.1× |
| Gastroesophageal Reflux Exam (78262) | $1,725 | $2,300 | 3.6× |
| Gated Heart Planar Single (78472) | $4,261.50 | $5,682 | 8.9× |
| Gated Heart, Multiple (78473) | $3,829.50 | $5,106 | 8.0× |
| Gstrc Emptng Imag Std W/Sm Bwl Col Trnst Mlt Day (78266) | $5,784 | $7,712 | 8.9× |
| Hand 2 views (73120) | $852 | $1,136 | 6.8× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $7,166.25 | $9,555 | 1.9× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $17,713.50 | $23,618 | 4.7× |
| Hepatobil Syst Image W/Drug (78227) | $3,569.25 | $4,759 | 5.5× |
| Hepatobiliary System Imaging (78226) | $1,692.75 | $2,257 | 3.5× |
| Ht Musc Image Planar Mult (78454) | $5,746.50 | $7,662 | 3.7× |
| Ht Muscle Image Spect Sing (78451) | $3,803.25 | $5,071 | 2.5× |
| Hysterosalpingogram (74740) | $3,377.25 | $4,503 | 11.8× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $1,642.50 | $2,190 | 15.7× |
| Interstitial radiation source applic complex (77778) | $3,671.25 | $4,895 | 4.4× |
| Joint Survey Single View (77077) | $1,190.25 | $1,587 | 9.5× |
| K Flow/Funct Image Multiple (78709) | $1,578.75 | $2,105 | 2.4× |
| K Flow/Funct Image W/Drug (78708) | $2,772 | $3,696 | 4.3× |
| K Flow/Funct Image W/O Drug (78707) | $2,606.25 | $3,475 | 4.0× |
| Kidney Imaging Morphol (78700) | $1,623.75 | $2,165 | 3.4× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $1,862.25 | $2,483 | 3.9× |
| Knee 3 Views (73562) | $1,169.25 | $1,559 | 11.2× |
| Leveen/Shunt Patency Exam (78291) | $1,404.75 | $1,873 | 2.9× |
| Liver & Spleen Imaging Static Only (78215) | $2,350.50 | $3,134 | 4.9× |
| Liver imaging static only (78201) | $4,363.50 | $5,818 | 6.7× |
| Lung Perf&Ventilat Diferentl (78598) | $2,134.50 | $2,846 | 3.3× |
| Lung perfusion differential (78597) | $1,797 | $2,396 | 3.8× |
| Lung Ventilat&Perfus Imaging (78582) | $3,078 | $4,104 | 4.7× |
| Lung Ventilation Imaging (78579) | $2,052.75 | $2,737 | 4.3× |
| Lymph System Imaging (78195) | $4,007.25 | $5,343 | 6.2× |
| Lymphangiography, pelvic/abdominal, unilateral (75805) | $3,066 | $4,088 | 0.8× |
| Magnetic Image Jaw Joint (70336) | $6,764.25 | $9,019 | 23.7× |
| Mammary ductogram or galactogram multiple (77054) range across 2 matching MRF lines |
$1,391.25–$1,516.50 | $1,855–$2,022 | varies |
| Mammary ductogram or galactogram single (77053) range across 2 matching MRF lines |
$1,762.50–$1,921.50 | $2,350–$2,562 | varies |
| Meckels Divert Exam (78290) | $2,324.25 | $3,099 | 4.9× |
| Mlc imrt design & construction per imrt plan (77338) | $2,022 | $2,696 | 4.5× |
| Mr safety determination physician/other qhp (76016) | $61.50 | $82 | 0.6× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $9.75 | $13 | 0.3× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) | $97.50 | $130 | 0.9× |
| Mr safety implt pos&/immoblj (76019) | $128.25 | $171 | 1.8× |
| Mr safety med physics xm customization plng&mntr (76017) | $192.75 | $257 | 0.7× |
| Mra Head W/O & W/Contrast Material (70546) | $5,442 | $7,256 | 13.0× |
| MRA head w/o contrast (70544) | $4,308.75 | $5,745 | 15.1× |
| MRA head with contrast (70545) | $5,178 | $6,904 | 12.4× |
| MRA neck w contrast (70548) | $4,130.25 | $5,507 | 9.9× |
| Mra Neck W/O &W/Contrast Material (70549) | $7,341 | $9,788 | 17.6× |
| MRA neck w/o contrast (70547) | $4,413 | $5,884 | 15.4× |
| MRI abdomen w contrast (74182) | $13,468.50 | $17,958 | 32.2× |
| MRI abdomen w/o contrast (74181) | $5,713.50 | $7,618 | 20.0× |
| MRI any jt lower extrem w/contrast material (73722) | $9,813.75 | $13,085 | 10.4× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $5,734.50 | $7,646 | 13.7× |
| MRI any jt upper extremity w/contrast matrl (73222) | $8,964 | $11,952 | 9.5× |
| MRI Breast W/O Contrast Bilateral (77047) | $11,914.50 | $15,886 | 41.7× |
| MRI Breast Without Contrast Material Unilateral (77046) | $11,128.50 | $14,838 | 38.9× |
| MRI cervical spine w contrast (72142) | $13,128.75 | $17,505 | 31.4× |
| MRI cervical spine w/o cont (72141) | $8,215.50 | $10,954 | 28.7× |
| MRI chest w/o contrast (71550) | $6,756 | $9,008 | 23.6× |
| MRI chest with contrast (71551) | $7,295.25 | $9,727 | 7.8× |
| MRI chest wo w contrast (71552) | $7,704.75 | $10,273 | 18.4× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $8,682 | $11,576 | 20.8× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $4,748.25 | $6,331 | 11.4× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $3,564.75 | $4,753 | 12.5× |
| MRI lumbar spine w contrast (72149) | $6,565.50 | $8,754 | 15.7× |
| Mri Neck Spine W/O & W/Dye (72156) | $14,243.25 | $18,991 | 34.1× |
| MRI orbit face &/neck w/o contrast (70540) | $5,731.50 | $7,642 | 20.0× |
| MRI orbit face neck w contrast (70542) | $10,899.75 | $14,533 | 26.1× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $6,824.25 | $9,099 | 16.3× |
| MRI pelvis w contrast (72196) | $12,446.25 | $16,595 | 29.8× |
| MRI pelvis w/o & w contrast (72197) | $8,641.50 | $11,522 | 20.7× |
| MRI pelvis w/o contrast (72195) | $3,803.25 | $5,071 | 13.3× |
| MRI thoracic spine w/o contrast (72146) | $3,516.75 | $4,689 | 12.3× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $9,918.75 | $13,225 | 23.7× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $6,113.25 | $8,151 | 21.4× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $6,035.25 | $8,047 | 14.4× |
| MRI, abdomen, combo (74183) | $8,641.50 | $11,522 | 20.7× |
| MRI, dorsal spine combo (72157) | $9,566.25 | $12,755 | 22.9× |
| MRI, dorsal spine contrast (72147) | $7,418.25 | $9,891 | 17.7× |
| MRI, joint upper extrem (73221) | $5,295 | $7,060 | 18.5× |
| MRI, joint upper extrem combo (73223) | $6,066 | $8,088 | 14.5× |
| MRI, lumbar spine combo (72158) | $5,889 | $7,852 | 14.1× |
| Myelogram cervical (72240) | $1,899.75 | $2,533 | 2.0× |
| Myelogram Lumbar (72265) | $1,859.25 | $2,479 | 2.0× |
| Myelography thoracic (72255) | $2,589.75 | $3,453 | 2.8× |
| Myelograpy 2/more regions rs&i (72270) | $5,813.25 | $7,751 | 6.2× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $4,672.50 | $6,230 | 9.8× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $4,488 | $5,984 | 2.9× |
| Myocardial Spect Multiple Studies (78452) | $8,012.25 | $10,683 | 5.2× |
| Neck soft tissue (70360) | $913.50 | $1,218 | 8.8× |
| Nm csf leak detection (78650) | $2,109.75 | $2,813 | 1.4× |
| Nonvascular Shunt X-Ray (75809) | $1,514.25 | $2,019 | 12.1× |
| Ntsty modul radthx pln dose-vol histos (77301) | $8,451 | $11,268 | 5.1× |
| Nuclear Rx Oral Admin (79005) | $1,328.25 | $1,771 | 4.7× |
| Ob us nuchal meas 1 gest (76813) | $1,597.50 | $2,130 | 12.8× |
| Optic foramina (70190) | $691.50 | $922 | 6.6× |
| Parathyroid Planar Imaging (78070) | $2,027.25 | $2,703 | 4.2× |
| Parathyroid planar imaging w/wo subtraction (78071) | $3,390.75 | $4,521 | 7.1× |
| Pelvis 1 or 2 views (72170) | $747 | $996 | 6.0× |
| Peritoneogram Rs&I (74190) | $3,066 | $4,088 | 4.7× |
| PET image w/CT, full body (78816) | $8,995.50 | $11,994 | 5.2× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $8,530.50 | $11,374 | 5.0× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $7,166.25 | $9,555 | 1.9× |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,768.50 | $2,358 | 3.7× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $1,137 | $1,516 | 9.1× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $1,080.75 | $1,441 | 1.7× |
| Radex Ankle Complete Minimum 3 Views (73610) | $1,323 | $1,764 | 12.7× |
| Radex Calcaneus Minimum 2 Views (73650) | $574.50 | $766 | 5.5× |
| Radex elbow complete minimum 3 views (73080) | $1,323 | $1,764 | 12.7× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $970.50 | $1,294 | 7.7× |
| Radex fingr minimum 2 views (73140) | $1,125.75 | $1,501 | 10.8× |
| Radex foot complete minimum 3 views (73630) | $1,201.50 | $1,602 | 11.5× |
| Radex Hand Minimum 3 Views (73130) | $1,353.75 | $1,805 | 13.0× |
| Radex lower extremity infant minimum 2 views (73592) | $650.25 | $867 | 6.2× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $1,066.50 | $1,422 | 8.5× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $726 | $968 | 7.0× |
| Radex Ribs Unilateral 2 Views (71100) | $900.75 | $1,201 | 8.6× |
| Radex shoulder complete minimum 2 views (73030) | $1,228.50 | $1,638 | 11.8× |
| Radex Sinuses Paransl < 3 Views (70210) | $556.50 | $742 | 5.3× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $1,668 | $2,224 | 7.9× |
| Radex Spine 1 View Specify Level (72020) | $616.50 | $822 | 5.9× |
| Radex Sternum Minimum 2 Views (71120) | $852.75 | $1,137 | 8.2× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $938.25 | $1,251 | 9.0× |
| Radex Toe Minimum 2 Views (73660) | $834 | $1,112 | 8.0× |
| Radex upper extremity infant minimum 2 views (73092) | $474.75 | $633 | 3.8× |
| Radex Wrist Complete Minimum 3 Views (73110) | $1,458.75 | $1,945 | 14.0× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $1,419 | $1,892 | 11.3× |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $25,784.25 | $34,379 | 2.9× |
| Radiation treatment delivery level 1 (77402) | $963.75 | $1,285 | 7.9× |
| Radiation treatment delivery level 2 (77407) | $1,190.25 | $1,587 | 2.6× |
| Radiation treatment delivery level 3 (77412) | $2,760 | $3,680 | 4.2× |
| Radiolog exam mandible compl minimum 4 views (70110) | $1,546.50 | $2,062 | 12.3× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $648 | $864 | 5.2× |
| Radiologic exam colon double contrast study (74280) | $1,293 | $1,724 | 6.2× |
| Radiologic exam colon single contrast study (74270) | $1,329 | $1,772 | 6.3× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $118.50 | $158 | 0.6× |
| Radiologic exam knee complete 4/more views (73564) | $703.50 | $938 | 5.6× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $809.25 | $1,079 | 6.5× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $1,916.25 | $2,555 | 9.1× |
| Radiologic exam swallow function contrast study (74230) | $1,350.75 | $1,801 | 6.4× |
| Radiologic exam upr gi trc double contrast study (74246) | $1,654.50 | $2,206 | 7.9× |
| Radiologic examination femur 1 view (73551) | $460.50 | $614 | 4.4× |
| Radiologic examination femur minimum 2 views (73552) | $887.25 | $1,183 | 8.5× |
| Radiologic examination knee 1/2 views (73560) | $797.25 | $1,063 | 7.6× |
| Radiologic Examination Osseous Survey Limited (77074) | $1,233 | $1,644 | 9.8× |
| Radiologic examination tibia & fibula 2 views (73590) | $1,163.25 | $1,551 | 11.2× |
| Renal Cyst Study (74470) | $6,202.50 | $8,270 | 9.5× |
| Ribs bilateral 3 views (71110) | $978 | $1,304 | 7.8× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $2,553 | $3,404 | 5.3× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $2,913.75 | $3,885 | 6.1× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $4,381.50 | $5,842 | 6.7× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $9,162.75 | $12,217 | 14.1× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $4,626 | $6,168 | 7.1× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $3,936 | $5,248 | 2.5× |
| Rp Therapy Intravenous Administration (79101) | $1,743 | $2,324 | 6.2× |
| Scapula (73010) | $632.25 | $843 | 5.0× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $717.75 | $957 | 30.7× |
| Sella turcica (70240) | $606.75 | $809 | 5.8× |
| Shoulder 1 view (73020) | $463.50 | $618 | 4.4× |
| Shoulder Arthrography (73040) | $2,280.75 | $3,041 | 5.5× |
| Sialogram (70390) | $1,981.50 | $2,642 | 6.9× |
| Skull less than 4 views (70250) | $873 | $1,164 | 7.0× |
| Special dosimetry (77331) | $396 | $528 | 2.5× |
| Special Physics Consult (77370) | $1,122.75 | $1,497 | 7.0× |
| Special teletherapy port plan (77321) | $1,295.25 | $1,727 | 2.9× |
| Special treatment procedure (77470) | $2,736 | $3,648 | 4.1× |
| Spleen Imaging (78185) | $1,869.75 | $2,493 | 3.9× |
| Stereotactic Body Radiation Delivery (77373) | $5,703 | $7,604 | 2.7× |
| Sternoclavicular joints (71130) | $783.75 | $1,045 | 7.5× |
| Superior sagittal sinus venogram (75870) | $6,514.50 | $8,686 | 1.7× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $1,231.50 | $1,642 | 2.7× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $1,554 | $2,072 | 3.5× |
| Testicular Imaging W/Flow (78761) | $2,049.75 | $2,733 | 4.3× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $7,641 | $10,188 | 17.0× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $4,002.75 | $5,337 | 8.9× |
| Ther rad simulaj-aided field setting simple (77280) | $1,722 | $2,296 | 10.7× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $3,711 | $4,948 | 17.7× |
| Thoracic spine 2 views (72070) | $970.50 | $1,294 | 7.7× |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$426.75–$699 | $569–$932 | varies |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$577.50–$696 | $770–$928 | varies |
| Thyroid Imaging With Vascular Flow (78013) | $1,266 | $1,688 | 2.6× |
| Thyroid Met Imaging Body (78018) | $1,942.50 | $2,590 | 3.0× |
| Thyroid Uptake Measurement (78012) | $975.75 | $1,301 | 2.0× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $2,265 | $3,020 | 4.7× |
| Tx Devices Design & Construction Complex (77334) | $1,906.50 | $2,542 | 4.2× |
| Tx devices design & construction intermediate (77333) | $1,240.50 | $1,654 | 7.7× |
| Tx devices design & construction simple (77332) | $1,126.50 | $1,502 | 7.0× |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$651.75–$1,225.50 | $869–$1,634 | varies |
| Ultrasound Exam Aaa Screen (76706) | $1,144.50 | $1,526 | 9.1× |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$717.75–$1,118.25 | $957–$1,491 | varies |
| Umbilical-artery Doppler (OB) (76820) | $996.75 | $1,329 | 8.0× |
| Unlisted magnetic resonance procedure (76498) | $4,152 | $5,536 | 39.8× |
| Upper gi w/o kub (74240) | $840.75 | $1,121 | 4.0× |
| Ureteral Reflux Study (78740) | $1,311.75 | $1,749 | 2.7× |
| Urethrocystogram voiding (74455) | $1,059 | $1,412 | 3.7× |
| Urethrocystography retrograde (74450) | $2,270.25 | $3,027 | 7.9× |
| Us breast unilateral complete (76641) range across 2 matching MRF lines |
$810–$981 | $1,080–$1,308 | varies |
| Us chest (76604) | $650.25 | $867 | 5.2× |
| Us complete joint (76881) | $827.25 | $1,103 | 6.6× |
| Us exam, pelvic, limited (76857) | $1,086 | $1,448 | 8.7× |
| Us head (76506) range across 2 matching MRF lines |
$618.75–$1,226.25 | $825–$1,635 | varies |
| Us kidney transplant (76776) | $1,116.75 | $1,489 | 8.9× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $458.25 | $611 | 3.7× |
| Us ob detailed single fetus (76811) | $1,503.75 | $2,005 | 5.3× |
| Us ob limited 1 or more fetuses (76815) | $1,313.25 | $1,751 | 10.5× |
| Us ob transvaginal (76817) | $1,346.25 | $1,795 | 10.7× |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$1,218–$1,887 | $1,624–$2,516 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $1,105.50 | $1,474 | 8.8× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 2 matching MRF lines |
$548.25–$846.75 | $731–$1,129 | varies |
| Us retroperitoneal complete (76770) | $1,833 | $2,444 | 14.6× |
| Us retroperitoneal limited (76775) | $1,833 | $2,444 | 14.6× |
| Us scrotum and contents (76870) | $2,442 | $3,256 | 19.5× |
| Us spinal canal and contents (76800) | $1,515 | $2,020 | 12.1× |
| Us thyroid (76536) | $1,988.25 | $2,651 | 15.9× |
| Us transrectal (76872) | $1,229.25 | $1,639 | 9.8× |
| Vascular Flow Imaging (78445) | $2,518.50 | $3,358 | 5.3× |
| Vein X-Ray Chest (75827) range across 2 matching MRF lines |
$5,066.25–$5,856.75 | $6,755–$7,809 | varies |
| Vein X-Ray Liver W/O Hemodyn (75887) | $6,900.75 | $9,201 | 1.8× |
| Vein X-Ray Skull Epidural (75872) | $2,783.25 | $3,711 | 3.7× |
| Vein X-Ray Spleen/Liver (75810) | $17,713.50 | $23,618 | 4.7× |
| Venogram Sinus/Jugular (75860) | $6,514.50 | $8,686 | 1.7× |
| Venography Adrenal Unilateral (75840) | $17,713.50 | $23,618 | 4.7× |
| Venography caval inferior serialography rs&i (75825) range across 2 matching MRF lines |
$7,578.75–$15,011.25 | $10,105–$20,015 | varies |
| Venography extremity bilateral rs&i (75822) range across 2 matching MRF lines |
$3,368.25–$4,788.75 | $4,491–$6,385 | varies |
| Venography extremity unilateral rs&i (75820) range across 2 matching MRF lines |
$3,516–$4,051.50 | $4,688–$5,402 | varies |
| Venography Renal Bilateral (75833) | $17,713.50 | $23,618 | 4.7× |
| Venography Renal Unilateral (75831) | $16,401.75 | $21,869 | 4.3× |
| Venous sampling by catheter (75893) | $9,184.50 | $12,246 | 1.4× |
| Venous thrombosis imaging (78457) | $2,004 | $2,672 | 3.1× |
| Vertebral fracture assessment via dxa (77086) | $815.25 | $1,087 | 7.8× |
| Wrist 2 views (73100) | $735 | $980 | 7.0× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $924.75 | $1,233 | 8.9× |
| X-ray antegrade pyelogram tube (74425) | $1,782.75 | $2,377 | 4.3× |
| X-Ray Aorta Leg Arteries (75630) | $5,679.75 | $7,573 | 1.5× |
| X-Ray Bend Only L-S Spine (72120) | $350.25 | $467 | 2.8× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $562.50 | $750 | 5.4× |
| X-Ray Exam Breast Specimen (76098) | $3,326.25 | $4,435 | 5.1× |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 2 matching MRF lines |
$499.50–$648 | $666–$864 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $733.50 | $978 | 5.9× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $1,419 | $1,892 | 11.3× |
| X-Ray Exam Hip Uni 1 View (73501) range across 2 matching MRF lines |
$460.50–$525 | $614–$700 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 4 matching MRF lines |
$492.75–$963 | $657–$1,284 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) | $733.50 | $978 | 5.9× |
| X-Ray Exam Hips Bi 2 Views (73521) | $996 | $1,328 | 7.9× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $970.50 | $1,294 | 7.7× |
| X-Ray Exam Hips Bi 5/> Views (73523) range across 2 matching MRF lines |
$975–$1,986.75 | $1,300–$2,649 | varies |
| X-Ray Exam L-S Spine Bending (72114) | $1,532.25 | $2,043 | 12.2× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 3 matching MRF lines |
$598.50–$827.25 | $798–$1,103 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $1,380 | $1,840 | 11.0× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $1,775.25 | $2,367 | 14.2× |
| X-ray eye for foreign body (70030) range across 2 matching MRF lines |
$390.75–$514.50 | $521–$686 | varies |
| X-ray humerus (73060) | $729 | $972 | 7.0× |
| X-ray IV pyelogram (ivp) (74400) | $2,616 | $3,488 | 12.4× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $501 | $668 | 4.8× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $468.75 | $625 | 4.5× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 3 matching MRF lines |
$102–$891 | $136–$1,188 | varies |
| X-ray nose-rectum child f.b. (76010) | $789.75 | $1,053 | 7.6× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $1,357.50 | $1,810 | 10.8× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $774 | $1,032 | 6.2× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $825 | $1,100 | 6.6× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $789.75 | $1,053 | 7.6× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $1,050 | $1,400 | 10.1× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $1,082.25 | $1,443 | 8.6× |
| X-Ray Stress View (77071) | $827.25 | $1,103 | 7.9× |
| X-Ray Tmj Unilat (70328) | $512.25 | $683 | 4.9× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $2,412.75 | $3,217 | 5.8× |
| X-Rays Bone Length Studies (77073) | $520.50 | $694 | 4.2× |
| X-Rays Bone Survey Complete (77075) | $1,204.50 | $1,606 | 9.6× |
| Xr c-spine 4 or 5 views (72050) | $2,262.75 | $3,017 | 18.1× |
| Xr facial bones less than 3 views (70140) | $589.50 | $786 | 5.7× |
| XR Mastoids < 3 Views Bilateral (70120) | $857.25 | $1,143 | 6.8× |
| Xr orbits complete 4 views (70200) | $1,001.25 | $1,335 | 8.0× |
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.