Imaging prices at Midland Memorial Hospital
Midland, TX · every code in this section with a posted price and a Medicare benchmark.
333 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) range across 4 matching MRF lines |
$466.50–$477.75 | $622–$637 | varies |
| Abdomen 2 views (74019) | $490.50 | $654 | 4.7× |
| Angio internal mammary (75756) range across 5 matching MRF lines |
$9,040.50–$11,116.50 | $12,054–$14,822 | varies |
| Angio pulmonary bilat (75743) | $11,116.50 | $14,822 | 3.5× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) range across 3 matching MRF lines |
$9,040.50–$9,584.25 | $12,054–$12,779 | varies |
| Angiography extremity bilateral rs&i (75716) | $9,492.75 | $12,657 | 3.0× |
| Angiography extremity unilateral rs&i (75710) | $9,492.75 | $12,657 | 3.0× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $9,584.25 | $12,779 | 3.0× |
| Ankle 2 views (73600) | $484.50 | $646 | 5.5× |
| Aortography thoracic serialography rs&i (75605) | $9,040.50 | $12,054 | 1.6× |
| Artery X-Rays Abdomen (75726) | $9,492.75 | $12,657 | 1.7× |
| Artery X-Rays Adrenal Gland (75731) range across 3 matching MRF lines |
$9,040.50–$9,584.25 | $12,054–$12,779 | varies |
| Artery X-Rays Pelvis (75736) | $9,040.50 | $12,054 | 1.6× |
| Artery X-Rays Spine (75705) | $9,492.75 | $12,657 | 1.7× |
| Arthrogram ankle (73615) range across 3 matching MRF lines |
$1,526.25–$1,564.50 | $2,035–$2,086 | varies |
| Arthrogram hip (73525) | $1,573.50 | $2,098 | 4.5× |
| Arthrogram Wrist (73115) range across 3 matching MRF lines |
$1,146–$1,174.50 | $1,528–$1,566 | varies |
| Basic radiation dosimetry calculation (77300) | $320.25 | $427 | 2.4× |
| Bone age studies (77072) | $662.25 | $883 | 6.3× |
| Bone Imaging 3 Phase (78315) | $3,038.25 | $4,051 | 7.6× |
| Bone Imaging Limited Area (78300) | $2,010 | $2,680 | 5.0× |
| Bone Imaging Whole Body (78306) | $2,552.25 | $3,403 | 6.4× |
| Bone marrow imaging limited area (78102) | $1,057.50 | $1,410 | 2.6× |
| Bone marrow imaging; whole body (78104) | $1,134.75 | $1,513 | 2.8× |
| Bone survey infant (77076) | $583.50 | $778 | 5.6× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $3,816.75 | $5,089 | 7.0× |
| Brain Imaging Pet Metabolic Evaluation (78608) range across 2 matching MRF lines |
$8,604–$8,819.25 | $11,472–$11,759 | varies |
| Cardiac MRI w/w/o contrast & further seq (75561) | $1,125 | $1,500 | 3.2× |
| Cardiac Shunt Detection (78428) range across 2 matching MRF lines |
$1,058.25–$1,086 | $1,411–$1,448 | varies |
| Cat Scan Follow-Up Study (76380) range across 3 matching MRF lines |
$1,056–$1,081.50 | $1,408–$1,442 | varies |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $1,134.75 | $1,513 | 2.1× |
| Cerebrospinal Fluid Scan (78630) | $2,492.25 | $3,323 | 4.6× |
| Chest 1 view (71045) range across 4 matching MRF lines |
$411–$420 | $548–$560 | varies |
| Chest 2 views (71046) range across 4 matching MRF lines |
$505.50–$517.50 | $674–$690 | varies |
| Chest 3 views (71047) | $618 | $824 | 7.1× |
| Chest 4 or more views (71048) | $671.25 | $895 | 6.4× |
| Cholecystography Oral Contrast (74290) | $450.75 | $601 | 2.6× |
| Clavicle complete (73000) | $493.50 | $658 | 5.6× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $261 | $348 | 2.5× |
| Contrast Exam Abdominl Aorta (75625) | $9,492.75 | $12,657 | 3.0× |
| Contrast X-Ray Bladder (74430) | $1,065 | $1,420 | 3.0× |
| Contrast X-Ray Of Elbow (73085) range across 6 matching MRF lines |
$1,619.25–$1,700.25 | $2,159–$2,267 | varies |
| Contrast X-Ray Of Knee Joint (73580) range across 5 matching MRF lines |
$1,769.25–$1,815 | $2,359–$2,420 | varies |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$9,631.50–$9,872.25 | $12,842–$13,163 | varies |
| CT abdomen and pelvis without contrast (74176) | $7,071.75 | $9,429 | 29.5× |
| CT abdomen w contrast (74160) | $3,518.25 | $4,691 | 20.0× |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$4,784.25–$4,903.50 | $6,379–$6,538 | varies |
| CT abdomen w/o contrast (74150) | $3,514.50 | $4,686 | 33.5× |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$11,630.25–$12,211.50 | $15,507–$16,282 | varies |
| CT Angio Chest (71275) range across 3 matching MRF lines |
$5,043–$5,295 | $6,724–$7,060 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$4,945.50–$5,193 | $6,594–$6,924 | varies |
| CT angio hrt w/3d image (75574) | $1,105.50 | $1,474 | 3.2× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $5,404.50 | $7,206 | 30.7× |
| CT Angio Neck (70498) | $5,193 | $6,924 | 29.5× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $5,199 | $6,932 | 29.5× |
| CT cervical spine w/ contrast (72126) | $4,112.25 | $5,483 | 11.7× |
| CT cervical spine w/o contrast (72125) | $3,558.75 | $4,745 | 33.9× |
| CT cervical spine w/wo cont (72127) | $4,968 | $6,624 | 28.2× |
| CT chest w contrast (71260) | $3,962.25 | $5,283 | 22.5× |
| CT chest w/wo contrast (71270) | $4,786.50 | $6,382 | 27.2× |
| CT head/brain with contrast (70460) | $3,558.75 | $4,745 | 20.2× |
| CT head/brain without and with contrast (70470) | $4,112.25 | $5,483 | 23.3× |
| CT heart contrast eval cardiac structure&morph (75572) | $1,105.50 | $1,474 | 3.2× |
| CT heart no contrast quant eval coronry calcium (75571) | $144 | $192 | 1.6× |
| CT hrt w/3d image congen (75573) | $1,282.50 | $1,710 | 3.7× |
| CT iac w contrast (70481) | $3,552.75 | $4,737 | 20.2× |
| CT l-spine w&w/o contrast (72133) | $4,611 | $6,148 | 26.2× |
| CT lower ext w/o (73700) | $3,131.25 | $4,175 | 29.8× |
| CT lower extremity w/contrast material (73701) | $3,500.25 | $4,667 | 19.9× |
| CT lumbar spine w contrast (72132) | $3,816 | $5,088 | 10.9× |
| CT lumbar spine w/o contrast (72131) | $3,303.75 | $4,405 | 31.5× |
| CT maxillofacial w contrast (70487) | $3,552.75 | $4,737 | 20.2× |
| CT maxillofacial wo contrast (70486) | $3,177 | $4,236 | 30.3× |
| CT neck tissue combo (70492) | $4,507.50 | $6,010 | 25.6× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $4,103.25 | $5,471 | 23.3× |
| CT orbits w/o contrast (70480) | $3,177 | $4,236 | 30.3× |
| CT pelvis w&w/o contrast (72194) | $4,968 | $6,624 | 28.2× |
| CT pelvis w/o contrast (72192) | $3,558.75 | $4,745 | 33.9× |
| CT scan of leg combo (73702) | $4,042.50 | $5,390 | 22.9× |
| CT scans face/jaw combo (70488) | $4,103.25 | $5,471 | 23.3× |
| CT soft tissue neck w contrast (70491) | $3,462 | $4,616 | 19.6× |
| CT soft tissue neck w/o contrast (70490) | $3,007.50 | $4,010 | 28.6× |
| CT thoracic spine w contrast (72129) | $3,558.75 | $4,745 | 20.2× |
| CT thoracic spine w/o contrast (72128) | $3,011.25 | $4,015 | 28.7× |
| CT thoracic spine w/wo cont (72130) | $4,112.25 | $5,483 | 23.3× |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$3,345.75–$3,429.75 | $4,461–$4,573 | varies |
| CT unlisted procedure (76497) | $862.50 | $1,150 | 9.9× |
| CT upper ext wo (73200) | $3,013.50 | $4,018 | 28.7× |
| CT upper extremity w/o & w/contrast material (73202) | $3,888.75 | $5,185 | 22.1× |
| CT upper extremity with contrast (73201) | $3,369 | $4,492 | 9.6× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $7,013.25 | $9,351 | 39.8× |
| Cta Abdomen (74175) | $5,427 | $7,236 | 30.8× |
| CTA pelvis (72191) | $5,103 | $6,804 | 29.0× |
| Dilation ureters/urethra rs&i (74485) range across 3 matching MRF lines |
$6,520.50–$6,683.25 | $8,694–$8,911 | varies |
| Discography Cerv/Thor Spine (72285) | $9,265.50 | $12,354 | 4.7× |
| Diskography lumbar (72295) | $9,265.50 | $12,354 | 4.7× |
| Dxa Bone Density Axial (77080) | $696 | $928 | 6.6× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $757.50 | $1,010 | 8.7× |
| Echo exam uterus (76831) | $764.25 | $1,019 | 3.2× |
| Esophagram (74220) | $906.75 | $1,209 | 5.1× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $1,027.50 | $1,370 | 9.8× |
| Fluoroscopy up to 1 hr (76000) | $702 | $936 | 2.9× |
| Follow-Up Angiography (75898) | $2,333.25 | $3,111 | 0.7× |
| Foot 2 views (73620) | $481.50 | $642 | 5.5× |
| Forearm 2 views (73090) | $493.50 | $658 | 5.6× |
| Gastric emptying imaging study (78264) | $2,497.50 | $3,330 | 6.2× |
| Gastric Mucosa Imaging (78261) | $1,022.25 | $1,363 | 2.5× |
| Gated Heart Planar Single (78472) | $2,626.50 | $3,502 | 6.5× |
| Hand 2 views (73120) | $473.25 | $631 | 4.5× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $9,040.50 | $12,054 | 2.9× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $9,584.25 | $12,779 | 3.0× |
| Hepatobil Syst Image W/Drug (78227) | $1,969.50 | $2,626 | 3.6× |
| Hepatobiliary System Imaging (78226) | $1,603.50 | $2,138 | 4.0× |
| Ht Muscle Image Spect Sing (78451) | $3,968.25 | $5,291 | 3.1× |
| Hysterosalpingogram (74740) | $6,683.25 | $8,911 | 27.9× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $1,027.50 | $1,370 | 11.8× |
| Infant hip ultrasound, limited static exam (76886) | $764.25 | $1,019 | 8.7× |
| Infusion Ivp (74410) | $1,428 | $1,904 | 8.1× |
| K Flow/Funct Image Multiple (78709) | $3,301.50 | $4,402 | 6.1× |
| K Flow/Funct Image W/Drug (78708) | $2,760 | $3,680 | 5.1× |
| K Flow/Funct Image W/O Drug (78707) | $2,330.25 | $3,107 | 4.3× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $2,137.50 | $2,850 | 5.3× |
| Knee 3 Views (73562) | $572.25 | $763 | 6.5× |
| Liver & Spleen Imaging Static Only (78215) | $2,463 | $3,284 | 6.1× |
| Lung Perf&Ventilat Diferentl (78598) | $1,580.25 | $2,107 | 2.9× |
| Lung perfusion differential (78597) | $1,134.75 | $1,513 | 2.8× |
| Lung Ventilat&Perfus Imaging (78582) | $1,726.50 | $2,302 | 3.2× |
| Lung Ventilation Imaging (78579) | $1,192.50 | $1,590 | 3.0× |
| Lymph System Imaging (78195) | $2,076 | $2,768 | 3.8× |
| Lymphangiography Extremity Only Bilateral Rs&I (75803) | $2,223 | $2,964 | 1.4× |
| Lymphangiography extremity only unilateral rs&i (75801) | $1,683 | $2,244 | 2.7× |
| Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) | $9,041.25 | $12,055 | 2.9× |
| Lymphangiography, pelvic/abdominal, unilateral (75805) | $2,223 | $2,964 | 0.7× |
| Magnetic Image Jaw Joint (70336) range across 3 matching MRF lines |
$513.75–$3,489 | $685–$4,652 | varies |
| Meckels Divert Exam (78290) | $2,405.25 | $3,207 | 6.0× |
| Mra Head W/O & W/Contrast Material (70546) | $5,820.75 | $7,761 | 16.6× |
| MRA head w/o contrast (70544) | $3,147.75 | $4,197 | 13.1× |
| MRA head with contrast (70545) | $4,046.25 | $5,395 | 11.5× |
| MRA neck w contrast (70548) | $4,046.25 | $5,395 | 11.5× |
| Mra Neck W/O &W/Contrast Material (70549) | $6,584.25 | $8,779 | 18.8× |
| MRA neck w/o contrast (70547) | $3,785.25 | $5,047 | 15.8× |
| MRI abdomen w contrast (74182) | $3,972.75 | $5,297 | 11.3× |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$3,412.50–$3,498 | $4,550–$4,664 | varies |
| MRI any jt lower extrem w/contrast material (73722) | $4,400.25 | $5,867 | 5.6× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $6,459.75 | $8,613 | 18.4× |
| MRI any jt upper extremity w/contrast matrl (73222) | $4,526.25 | $6,035 | 5.7× |
| MRI bone marrow blood supply (77084) | $739.50 | $986 | 3.1× |
| MRI Breast W/O Contrast Bilateral (77047) | $1,104 | $1,472 | 4.6× |
| MRI Breast Without Contrast Material Unilateral (77046) | $516 | $688 | 2.2× |
| MRI cardiac w/o contrast (75557) | $687.75 | $917 | 2.9× |
| MRI cervical spine w contrast (72142) | $4,144.50 | $5,526 | 11.8× |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$3,825.75–$3,921.75 | $5,101–$5,229 | varies |
| MRI chest w/o contrast (71550) | $2,661.75 | $3,549 | 11.1× |
| MRI chest with contrast (71551) | $3,612 | $4,816 | 4.6× |
| MRI chest wo w contrast (71552) | $6,804 | $9,072 | 19.4× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $4,281 | $5,708 | 12.2× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $6,456 | $8,608 | 18.4× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $3,918 | $5,224 | 16.3× |
| MRI lumbar spine w contrast (72149) | $4,611 | $6,148 | 13.2× |
| Mri Neck Spine W/O & W/Dye (72156) | $6,675 | $8,900 | 19.0× |
| MRI orbit face &/neck w/o contrast (70540) | $3,392.25 | $4,523 | 14.2× |
| MRI orbit face neck w contrast (70542) | $3,957.75 | $5,277 | 11.3× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $6,255.75 | $8,341 | 17.9× |
| MRI pelvis w contrast (72196) | $3,833.25 | $5,111 | 10.9× |
| MRI pelvis w/o & w contrast (72197) | $6,395.25 | $8,527 | 18.2× |
| MRI pelvis w/o contrast (72195) | $3,462 | $4,616 | 14.4× |
| MRI thoracic spine w/o contrast (72146) | $3,574.50 | $4,766 | 14.9× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $3,999.75 | $5,333 | 11.4× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $3,865.50 | $5,154 | 16.1× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $6,369 | $8,492 | 18.2× |
| MRI, abdomen, combo (74183) | $6,459 | $8,612 | 18.4× |
| MRI, dorsal spine combo (72157) | $6,610.50 | $8,814 | 18.9× |
| MRI, dorsal spine contrast (72147) | $4,009.50 | $5,346 | 11.4× |
| MRI, joint upper extrem (73221) | $3,865.50 | $5,154 | 16.1× |
| MRI, joint upper extrem combo (73223) | $6,369 | $8,492 | 18.2× |
| MRI, lumbar spine combo (72158) | $6,660 | $8,880 | 19.0× |
| Myelogram cervical (72240) | $3,065.25 | $4,087 | 3.9× |
| Myelogram Lumbar (72265) | $2,770.50 | $3,694 | 3.5× |
| Myelography thoracic (72255) | $2,333.25 | $3,111 | 3.0× |
| Myelograpy 2/more regions rs&i (72270) | $3,111.75 | $4,149 | 4.0× |
| Myocardial Spect Multiple Studies (78452) range across 2 matching MRF lines |
$1,806.75–$5,682 | $2,409–$7,576 | varies |
| N-invas est c ffr sw aly CTA (75580) | $2,471.25 | $3,295 | 2.9× |
| Neck soft tissue (70360) | $484.50 | $646 | 5.5× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $741.75 | $989 | 1.8× |
| Nonvascular Shunt X-Ray (75809) | $1,114.50 | $1,486 | 10.6× |
| Nuclear Rx Intra-Arterial (79445) range across 2 matching MRF lines |
$1,091.25–$1,118.25 | $1,455–$1,491 | varies |
| Nuclear Rx Oral Admin (79005) | $2,046 | $2,728 | 8.7× |
| Optic foramina (70190) | $267.75 | $357 | 3.1× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $1,211.25 | $1,615 | 2.2× |
| Parathyroid Planar Imaging (78070) | $1,211.25 | $1,615 | 3.0× |
| Parathyroid planar imaging w/wo subtraction (78071) | $1,211.25 | $1,615 | 3.0× |
| Pelvis 1 or 2 views (72170) | $488.25 | $651 | 4.6× |
| Peritoneogram Rs&I (74190) range across 2 matching MRF lines |
$1,170.75–$1,200.75 | $1,561–$1,601 | varies |
| Pet Image W/Ct Lmtd (78814) | $3,695.25 | $4,927 | 2.6× |
| PET image w/CT, full body (78816) | $9,060 | $12,080 | 6.3× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $9,060 | $12,080 | 6.3× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $9,040.50 | $12,054 | 2.9× |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,489.50 | $1,986 | 3.7× |
| Quan&Charac C Atherosclerotc Plaq Asses Sev C Ds (75577) | $1,319.25 | $1,759 | 1.4× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 4 matching MRF lines |
$708.75–$726 | $945–$968 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 4 matching MRF lines |
$1,261.50–$1,293.75 | $1,682–$1,725 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) | $517.50 | $690 | 5.9× |
| Radex Calcaneus Minimum 2 Views (73650) | $470.25 | $627 | 5.4× |
| Radex elbow complete minimum 3 views (73080) | $534.75 | $713 | 6.1× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $699 | $932 | 6.7× |
| Radex fingr minimum 2 views (73140) | $408.75 | $545 | 4.7× |
| Radex foot complete minimum 3 views (73630) | $492.75 | $657 | 5.6× |
| Radex Hand Minimum 3 Views (73130) | $507 | $676 | 5.8× |
| Radex lower extremity infant minimum 2 views (73592) | $696 | $928 | 8.0× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $705 | $940 | 6.7× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $484.50 | $646 | 5.5× |
| Radex Ribs Unilateral 2 Views (71100) | $441 | $588 | 5.0× |
| Radex shoulder complete minimum 2 views (73030) | $547.50 | $730 | 6.3× |
| Radex Sinuses Paransl < 3 Views (70210) | $336.75 | $449 | 3.9× |
| Radex Spine 1 View Specify Level (72020) | $382.50 | $510 | 4.4× |
| Radex Sternum Minimum 2 Views (71120) | $513 | $684 | 5.9× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $513.75 | $685 | 5.9× |
| Radex Toe Minimum 2 Views (73660) | $406.50 | $542 | 4.6× |
| Radex upper extremity infant minimum 2 views (73092) | $387 | $516 | 3.7× |
| Radex Wrist Complete Minimum 3 Views (73110) | $507 | $676 | 5.8× |
| Radiolog exam mandible compl minimum 4 views (70110) | $606.75 | $809 | 5.8× |
| Radiologic exam colon double contrast study (74280) | $1,647 | $2,196 | 9.3× |
| Radiologic exam colon single contrast study (74270) | $1,221 | $1,628 | 6.9× |
| Radiologic exam knee complete 4/more views (73564) | $575.25 | $767 | 5.5× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $531.75 | $709 | 5.1× |
| Radiologic exam swallow function contrast study (74230) | $489 | $652 | 2.8× |
| Radiologic exam upr gi trc double contrast study (74246) | $1,554.75 | $2,073 | 8.8× |
| Radiologic examination femur 1 view (73551) | $219.75 | $293 | 2.5× |
| Radiologic examination femur minimum 2 views (73552) | $219.75 | $293 | 2.5× |
| Radiologic examination knee 1/2 views (73560) | $551.25 | $735 | 6.3× |
| Radiologic Examination Osseous Survey Limited (77074) | $626.25 | $835 | 6.0× |
| Radiologic examination tibia & fibula 2 views (73590) | $513 | $684 | 5.9× |
| Renal Cyst Study (74470) range across 2 matching MRF lines |
$1,230.75–$1,261.50 | $1,641–$1,682 | varies |
| Ribs bilateral 3 views (71110) | $645.75 | $861 | 6.1× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $1,279.50 | $1,706 | 3.2× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $2,320.50 | $3,094 | 5.8× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $3,744.75 | $4,993 | 6.9× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $2,236.50 | $2,982 | 4.1× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 7 matching MRF lines |
$3,653.25–$3,816.75 | $4,871–$5,089 | varies |
| Rp Therapy Intravenous Administration (79101) | $2,046 | $2,728 | 8.7× |
| Scapula (73010) | $477.75 | $637 | 4.5× |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 3 matching MRF lines |
$79.50–$81 | $106–$108 | varies |
| Shoulder 1 view (73020) | $444 | $592 | 5.1× |
| Shoulder Arthrography (73040) range across 5 matching MRF lines |
$1,575–$1,654.50 | $2,100–$2,206 | varies |
| Skull less than 4 views (70250) | $601.50 | $802 | 5.7× |
| Spleen Imaging (78185) | $1,134.75 | $1,513 | 2.8× |
| Sternoclavicular joints (71130) | $500.25 | $667 | 5.7× |
| Superior sagittal sinus venogram (75870) | $2,627.25 | $3,503 | 0.8× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $673.50 | $898 | 3.8× |
| Thoracic spine 2 views (72070) | $582.75 | $777 | 5.5× |
| Thoracic spine 3 views (72072) | $639.75 | $853 | 6.1× |
| Thoracolumbar 2 views (72080) range across 3 matching MRF lines |
$587.25–$601.50 | $783–$802 | varies |
| Thyroid Carcinoma Metastases Img Lmtd Area (78015) | $2,128.50 | $2,838 | 5.3× |
| Thyroid Imaging With Vascular Flow (78013) | $1,192.50 | $1,590 | 3.0× |
| Thyroid Met Imaging Body (78018) | $2,535 | $3,380 | 4.6× |
| Thyroid Uptake Measurement (78012) | $1,192.50 | $1,590 | 3.0× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,192.50 | $1,590 | 3.0× |
| Ultrasound Breast Limited (76642) | $345.75 | $461 | 4.0× |
| Ultrasound elastography first target lesion (76982) | $292.50 | $390 | 2.8× |
| Ultrasound Elastography Parenchyma (76981) | $292.50 | $390 | 2.8× |
| Ultrasound Exam Aaa Screen (76706) | $505.50 | $674 | 4.8× |
| Ultrasound, abdomen limited (76705) | $981 | $1,308 | 9.3× |
| Unlisted Dx Radiographic Procedure (76499) | $312 | $416 | 3.6× |
| Unlisted fluoroscopic procedure (76496) | $419.25 | $559 | 4.8× |
| Unlisted magnetic resonance procedure (76498) | $2,374.50 | $3,166 | 27.2× |
| Unlisted us procedure (76999) | $582.75 | $777 | 6.7× |
| Upper gi w/o kub (74240) range across 5 matching MRF lines |
$871.50–$1,781.25 | $1,162–$2,375 | varies |
| Ureteral Reflux Study (78740) | $1,729.50 | $2,306 | 4.3× |
| Urethrocystogram voiding (74455) | $1,274.25 | $1,699 | 5.3× |
| Urethrocystography retrograde (74450) | $1,338 | $1,784 | 5.6× |
| Us breast unilateral complete (76641) range across 5 matching MRF lines |
$336.75–$691.50 | $449–$922 | varies |
| Us chest (76604) | $627 | $836 | 6.0× |
| Us exam, pelvic, limited (76857) | $555 | $740 | 5.3× |
| Us head (76506) | $1,053.75 | $1,405 | 10.0× |
| Us kidney transplant (76776) | $946.50 | $1,262 | 9.0× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $376.50 | $502 | 3.6× |
| Us ob limited 1 or more fetuses (76815) | $606.75 | $809 | 5.8× |
| Us ob transvaginal (76817) | $761.25 | $1,015 | 7.2× |
| Us pelvic non ob complete (76856) | $986.25 | $1,315 | 9.4× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $894.75 | $1,193 | 8.5× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $492 | $656 | 4.7× |
| Us retroperitoneal complete (76770) | $1,053.75 | $1,405 | 10.0× |
| Us scrotum and contents (76870) | $376.50 | $502 | 3.6× |
| Us spinal canal and contents (76800) | $1,053.75 | $1,405 | 10.0× |
| Us thyroid (76536) | $937.50 | $1,250 | 8.9× |
| Us transrectal (76872) | $852.75 | $1,137 | 8.1× |
| Vein X-Ray Chest (75827) | $3,048.75 | $4,065 | 1.9× |
| Vein X-Ray Liver W/O Hemodyn (75887) | $7,534.50 | $10,046 | 2.4× |
| Vein X-Ray Skull Epidural (75872) | $9,040.50 | $12,054 | 14.3× |
| Vein X-Ray Spleen/Liver (75810) | $9,040.50 | $12,054 | 2.9× |
| Venogram Sinus/Jugular (75860) | $9,040.50 | $12,054 | 2.9× |
| Venography Adrenal Unilateral (75840) | $9,040.50 | $12,054 | 2.9× |
| Venography caval inferior serialography rs&i (75825) | $9,492.75 | $12,657 | 3.0× |
| Venography extremity bilateral rs&i (75822) range across 3 matching MRF lines |
$2,748.75–$9,040.50 | $3,665–$12,054 | varies |
| Venography extremity unilateral rs&i (75820) | $2,627.25 | $3,503 | 1.7× |
| Venography Renal Bilateral (75833) | $9,584.25 | $12,779 | 3.0× |
| Venography Renal Unilateral (75831) | $9,584.25 | $12,779 | 3.0× |
| Venous sampling by catheter (75893) | $9,040.50 | $12,054 | 1.6× |
| Vertebral fracture assessment via dxa (77086) | $219 | $292 | 2.5× |
| Wrist 2 views (73100) | $437.25 | $583 | 5.0× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$609.75–$625.50 | $813–$834 | varies |
| X-ray antegrade pyelogram tube (74425) range across 3 matching MRF lines |
$1,236.75–$1,268.25 | $1,649–$1,691 | varies |
| X-Ray Aorta Leg Arteries (75630) | $9,492.75 | $12,657 | 3.0× |
| X-Ray Bend Only L-S Spine (72120) | $658.50 | $878 | 6.3× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $484.50 | $646 | 5.5× |
| X-Ray Exam Breast Specimen (76098) range across 3 matching MRF lines |
$1,683–$1,725 | $2,244–$2,300 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) | $219.75 | $293 | 2.5× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $362.25 | $483 | 3.4× |
| X-Ray Exam Hip Uni 1 View (73501) | $219.75 | $293 | 2.5× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $219.75 | $293 | 2.5× |
| X-Ray Exam L-S Spine Bending (72114) | $1,028.25 | $1,371 | 9.8× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $554.25 | $739 | 6.3× |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$959.25–$982.50 | $1,279–$1,310 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) | $579.75 | $773 | 5.5× |
| X-ray eye for foreign body (70030) range across 2 matching MRF lines |
$470.25–$482.25 | $627–$643 | varies |
| X-ray humerus (73060) | $534.75 | $713 | 6.1× |
| X-ray IV pyelogram+tomography (74415) | $1,702.50 | $2,270 | 9.7× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $566.25 | $755 | 6.5× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $600.75 | $801 | 5.7× |
| X-ray nose-rectum child f.b. (76010) | $690 | $920 | 7.9× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $726 | $968 | 6.9× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $438.75 | $585 | 4.2× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $461.25 | $615 | 5.3× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $666 | $888 | 7.6× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $854.25 | $1,139 | 8.1× |
| X-Ray Stress View (77071) | $362.25 | $483 | 4.1× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $1,572.75 | $2,097 | 4.5× |
| X-Rays Bone Length Studies (77073) | $404.25 | $539 | 3.8× |
| X-Rays Bone Survey Complete (77075) | $960.75 | $1,281 | 9.1× |
| Xr c-spine 4 or 5 views (72050) | $804 | $1,072 | 7.7× |
| Xr facial bones less than 3 views (70140) | $544.50 | $726 | 6.2× |
| XR Mastoids < 3 Views Bilateral (70120) | $461.25 | $615 | 4.4× |
| Xr orbits complete 4 views (70200) | $741.75 | $989 | 7.1× |
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.