Imaging prices at Midwestern Region Med Center, Inc
Zion, IL · every code in this section with a posted price and a Medicare benchmark.
332 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) | $2,283.75 | $5,075 | 1.5× |
| Abdomen 1 View (74018) | $151.65 | $337 | 1.6× |
| Abdomen 2 views (74019) | $180.90 | $402 | 1.6× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $618.30 | $1,374 | 1.4× |
| Angio internal mammary (75756) | $1,199.25 | $2,665 | 0.4× |
| Angio pulmonary bilat (75743) | $725.40 | $1,612 | 0.2× |
| Angiography extremity bilateral rs&i (75716) | $3,038.85 | $6,753 | 0.9× |
| Angiography extremity unilateral rs&i (75710) | $1,552.05 | $3,449 | 0.5× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $4,482.45 | $9,961 | 1.3× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $1,290.60 | $2,868 | 0.4× |
| Ankle 2 views (73600) | $262.80 | $584 | 2.8× |
| Aortography thoracic serialography rs&i (75605) likely a partial charge, not the full procedure |
$1,491.30 | $3,314 | 0.2× |
| Artery X-Rays Abdomen (75726) likely a partial charge, not the full procedure |
$774.90 | $1,722 | 0.1× |
| Artery X-Rays Adrenal Gland (75731) | $4,148.55 | $9,219 | 1.2× |
| Artery X-Rays Pelvis (75736) likely a partial charge, not the full procedure |
$868.05 | $1,929 | 0.1× |
| Artery X-Rays Spine (75705) | $4,516.65 | $10,037 | 0.8× |
| Arthrogram hip (73525) | $481.05 | $1,069 | 1.3× |
| Basic radiation dosimetry calculation (77300) | $366.30 | $814 | 2.5× |
| Bone age studies (77072) | $86.85 | $193 | 0.8× |
| Bone Imaging 3 Phase (78315) | $1,352.70 | $3,006 | 3.1× |
| Bone Imaging Limited Area (78300) | $774 | $1,720 | 1.8× |
| Bone Imaging Whole Body (78306) | $900 | $2,000 | 2.1× |
| Bone survey infant (77076) | $212.40 | $472 | 1.9× |
| Brachytx isodose complex (77318) | $2,007.45 | $4,461 | 5.0× |
| Brachytx isodose intermed (77317) | $1,549.35 | $3,443 | 3.8× |
| Brachytx Isodose Plan Simple (77316) | $784.80 | $1,744 | 1.9× |
| Brain Flow Imaging Only (78610) | $569.70 | $1,266 | 1.0× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $553.05 | $1,229 | 0.9× |
| Cat Scan Follow-Up Study (76380) | $795.60 | $1,768 | 8.5× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $1,382.40 | $3,072 | 2.4× |
| Cerebrospinal fluid flow, imaging (not including introduction of material); ventriculography Non-Facility (78635) | $872.10 | $1,938 | 1.5× |
| Cerebrospinal Fluid Scan (78630) | $1,144.80 | $2,544 | 2.0× |
| Chest 1 view (71045) | $89.55 | $199 | 1.0× |
| Chest 2 views (71046) | $161.55 | $359 | 1.7× |
| Chest 3 views (71047) | $222.30 | $494 | 2.4× |
| Chest 4 or more views (71048) | $281.70 | $626 | 2.5× |
| Clavicle complete (73000) range across 3 matching MRF lines |
$273.60–$410.40 | $608–$912 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $76.05 | $169 | 0.7× |
| Continuing medical physics consltj pr wk (77336) | $675 | $1,500 | 4.7× |
| Contrast Exam Abdominl Aorta (75625) | $2,160 | $4,800 | 0.6× |
| Contrast X-Ray Bladder (74430) | $183.15 | $407 | 0.5× |
| CT abdomen and pelvis without and with contrast (74178) | $2,624.85 | $5,833 | 7.0× |
| CT abdomen and pelvis without contrast (74176) | $1,176.75 | $2,615 | 4.6× |
| CT abdomen w contrast (74160) | $1,734.30 | $3,854 | 9.2× |
| CT abdomen w wo contrast (74170) | $1,994.40 | $4,432 | 10.5× |
| CT abdomen w/o contrast (74150) | $934.65 | $2,077 | 8.3× |
| CT Angio Abdomen and Pelvis (74174) | $2,302.65 | $5,117 | 6.1× |
| CT Angio Chest (71275) | $1,713.15 | $3,807 | 9.0× |
| CT Angio Head (70496) | $1,684.35 | $3,743 | 8.9× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $3,079.80 | $6,844 | 16.3× |
| CT Angio Neck (70498) | $1,678.50 | $3,730 | 8.9× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $1,595.70 | $3,546 | 8.4× |
| CT cervical spine w/ contrast (72126) | $1,366.20 | $3,036 | 3.6× |
| CT cervical spine w/o contrast (72125) | $1,073.70 | $2,386 | 9.5× |
| CT cervical spine w/wo cont (72127) | $1,750.95 | $3,891 | 9.2× |
| CT chest w contrast (71260) | $1,393.20 | $3,096 | 7.4× |
| CT chest w/wo contrast (71270) | $1,972.80 | $4,384 | 10.4× |
| CT head/brain with contrast (70460) | $806.85 | $1,793 | 4.3× |
| CT head/brain without and with contrast (70470) | $1,047.60 | $2,328 | 5.5× |
| CT iac w contrast (70481) | $1,732.50 | $3,850 | 9.1× |
| CT l-spine w&w/o contrast (72133) | $1,434.60 | $3,188 | 7.6× |
| CT lower ext w/o (73700) range across 3 matching MRF lines |
$1,069.65–$1,604.70 | $2,377–$3,566 | varies |
| CT lower extremity w/contrast material (73701) range across 3 matching MRF lines |
$1,381.50–$2,072.25 | $3,070–$4,605 | varies |
| CT lumbar spine w contrast (72132) | $1,366.20 | $3,036 | 3.6× |
| CT lumbar spine w/o contrast (72131) | $1,062.45 | $2,361 | 9.4× |
| CT maxillofacial w contrast (70487) | $911.70 | $2,026 | 4.8× |
| CT maxillofacial wo contrast (70486) | $870.30 | $1,934 | 7.7× |
| CT neck tissue combo (70492) | $1,458.45 | $3,241 | 7.7× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,594.35 | $3,543 | 8.4× |
| CT orbits w/o contrast (70480) | $1,307.25 | $2,905 | 11.6× |
| CT pelvis w&w/o contrast (72194) | $1,824.75 | $4,055 | 9.6× |
| CT pelvis w/o contrast (72192) | $949.05 | $2,109 | 8.4× |
| CT scan of leg combo (73702) | $1,760.85 | $3,913 | 9.3× |
| CT scans face/jaw combo (70488) | $1,152 | $2,560 | 6.1× |
| CT soft tissue neck w contrast (70491) | $1,389.15 | $3,087 | 7.3× |
| CT soft tissue neck w/o contrast (70490) | $850.95 | $1,891 | 7.5× |
| CT thoracic spine w contrast (72129) | $1,372.50 | $3,050 | 7.2× |
| CT thoracic spine w/o contrast (72128) | $1,067.85 | $2,373 | 9.5× |
| CT thoracic spine w/wo cont (72130) | $1,705.05 | $3,789 | 9.0× |
| CT thorax w/o contrast (71250) | $1,084.95 | $2,411 | 9.6× |
| CT upper ext wo (73200) | $1,059.30 | $2,354 | 9.4× |
| CT upper extremity w/o & w/contrast material (73202) | $1,464.75 | $3,255 | 7.7× |
| CT upper extremity with contrast (73201) range across 3 matching MRF lines |
$1,345.95–$2,018.25 | $2,991–$4,485 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $2,265.30 | $5,034 | 12.0× |
| Cta Abdomen (74175) | $1,788.75 | $3,975 | 9.4× |
| CTA pelvis (72191) | $1,502.10 | $3,338 | 7.9× |
| Dilation ureters/urethra rs&i (74485) | $1,246.95 | $2,771 | 0.6× |
| Diskography lumbar (72295) | $2,376 | $5,280 | 1.1× |
| Dxa Bone Density Axial (77080) | $333 | $740 | 3.0× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $111.60 | $248 | 1.2× |
| Echograp Trans R Pros Study (76873) | $658.80 | $1,464 | 5.8× |
| Esophagram (74220) | $408.60 | $908 | 2.2× |
| Fluoroscopy up to 1 hr (76000) | $323.10 | $718 | 1.3× |
| Follow-Up Angiography (75898) | $942.75 | $2,095 | 0.3× |
| Foot 2 views (73620) range across 3 matching MRF lines |
$154.35–$231.75 | $343–$515 | varies |
| Forearm 2 views (73090) range across 3 matching MRF lines |
$196.65–$295.20 | $437–$656 | varies |
| Gastric emptying imaging study (78264) | $631.80 | $1,404 | 1.5× |
| Gated Heart Planar Single (78472) | $1,090.80 | $2,424 | 2.5× |
| Hand 2 views (73120) range across 3 matching MRF lines |
$129.60–$194.85 | $288–$433 | varies |
| Hdr Rdncl Ntrstl/Icav Brchtx (77772) | $3,881.70 | $8,626 | 5.2× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) | $3,411.45 | $7,581 | 4.5× |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) | $2,301.75 | $5,115 | 3.1× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $1,921.05 | $4,269 | 0.6× |
| Hepatobil Syst Image W/Drug (78227) | $2,475 | $5,500 | 4.2× |
| Hepatobiliary System Imaging (78226) | $900 | $2,000 | 2.1× |
| Ht Musc Image Planar Mult (78454) | $1,698.30 | $3,774 | 1.2× |
| Ht Muscle Image Spect Sing (78451) | $1,698.30 | $3,774 | 1.2× |
| Hyperthermia external generated superficial (77600) | $3,007.35 | $6,683 | 7.2× |
| Hyperthermia generated by interstitial probe(s); 5 or fewer interstitial applicators Non-Facility (77610) | $799.65 | $1,777 | 1.3× |
| Hyperthermia generated by interstitial probe(s); more than 5 interstitial applicators Non-Facility (77615) | $1,135.35 | $2,523 | 1.9× |
| Hyperthermia, externally generated; deep (ie, heating to depths greater than 4 cm) Non-Facility (77605) | $2,538.90 | $5,642 | 3.4× |
| Interstitial radiation source applic complex (77778) | $3,867.30 | $8,594 | 5.1× |
| Intraop radiaj tx deliver electrons sngl tx sess (77425) | $9,678.15 | $21,507 | 1.2× |
| Intraop radiaj tx deliver xray single tx session (77424) | $12,073.95 | $26,831 | 1.5× |
| K Flow/Funct Image W/Drug (78708) | $1,016.10 | $2,258 | 1.7× |
| K Flow/Funct Image W/O Drug (78707) | $706.95 | $1,571 | 1.2× |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$226.35–$339.75 | $503–$755 | varies |
| Liver & Spleen Imaging Static Only (78215) | $1,080.90 | $2,402 | 2.5× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $638.55 | $1,419 | 1.5× |
| Liver imaging static only (78201) | $936.45 | $2,081 | 1.6× |
| Liver imaging w/vascular flow (78202) | $947.25 | $2,105 | 1.6× |
| Lung perfusion differential (78597) | $1,690.20 | $3,756 | 3.9× |
| Lung Ventilat&Perfus Imaging (78582) | $1,445.40 | $3,212 | 2.5× |
| Lung Ventilation Imaging (78579) | $515.25 | $1,145 | 1.2× |
| Lymph System Imaging (78195) range across 2 matching MRF lines |
$997.65–$1,980 | $2,217–$4,400 | varies |
| Magnetic Image Jaw Joint (70336) | $1,527.30 | $3,394 | 5.9× |
| Mammary ductogram or galactogram multiple (77054) | $453.60 | $1,008 | 1.8× |
| Mammary ductogram or galactogram single (77053) | $377.55 | $839 | 1.5× |
| Meckels Divert Exam (78290) | $767.25 | $1,705 | 1.8× |
| Mlc imrt design & construction per imrt plan (77338) | $2,434.95 | $5,411 | 6.0× |
| Mr safety determination physician/other qhp (76016) | $124.65 | $277 | 1.3× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $34.65 | $77 | 1.1× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) | $130.05 | $289 | 1.3× |
| Mr safety implt pos&/immoblj (76019) | $84.15 | $187 | 1.3× |
| Mr safety med physics xm customization plng&mntr (76017) | $326.25 | $725 | 1.3× |
| Mra Head W/O & W/Contrast Material (70546) | $1,592.55 | $3,539 | 4.2× |
| MRA head w/o contrast (70544) | $2,196.90 | $4,882 | 8.5× |
| MRA head with contrast (70545) | $2,636.55 | $5,859 | 7.0× |
| MRA neck w contrast (70548) | $2,650.05 | $5,889 | 7.0× |
| Mra Neck W/O &W/Contrast Material (70549) | $3,180.15 | $7,067 | 8.4× |
| MRA neck w/o contrast (70547) | $2,208.60 | $4,908 | 8.6× |
| MRI abdomen w contrast (74182) | $2,745 | $6,100 | 7.3× |
| MRI abdomen w/o contrast (74181) | $1,728.45 | $3,841 | 6.7× |
| MRI any jt lower extrem w/contrast material (73722) | $2,700 | $6,000 | 3.2× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 3 matching MRF lines |
$2,996.55–$4,495.05 | $6,659–$9,989 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 3 matching MRF lines |
$1,782.90–$2,430.45 | $3,962–$5,401 | varies |
| MRI bone marrow blood supply (77084) | $1,817.55 | $4,039 | 7.1× |
| MRI Breast W/O Contrast Bilateral (77047) | $3,242.70 | $7,206 | 12.6× |
| MRI Breast Without Contrast Material Unilateral (77046) | $68.58 | $152.39 | 0.3× |
| MRI cervical spine w contrast (72142) | $1,944.90 | $4,322 | 5.2× |
| MRI cervical spine w/o cont (72141) | $1,800 | $4,000 | 7.0× |
| MRI chest w/o contrast (71550) | $1,449 | $3,220 | 5.6× |
| MRI chest wo w contrast (71552) | $1,800 | $4,000 | 4.8× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 3 matching MRF lines |
$1,800.90–$2,700.45 | $4,002–$6,001 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 3 matching MRF lines |
$2,628.90–$3,943.80 | $5,842–$8,764 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 3 matching MRF lines |
$1,757.25–$2,635.65 | $3,905–$5,857 | varies |
| MRI lumbar spine w contrast (72149) | $2,710.35 | $6,023 | 7.2× |
| Mri Neck Spine W/O & W/Dye (72156) | $2,763.90 | $6,142 | 7.3× |
| MRI orbit face &/neck w/o contrast (70540) | $1,861.20 | $4,136 | 7.2× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $2,430 | $5,400 | 6.5× |
| MRI pelvis w contrast (72196) | $1,900.35 | $4,223 | 5.0× |
| MRI pelvis w/o & w contrast (72197) | $2,587.50 | $5,750 | 6.9× |
| MRI pelvis w/o contrast (72195) | $1,596.60 | $3,548 | 6.2× |
| MRI spectroscopy (76390) | $1,888.20 | $4,196 | 20.1× |
| MRI thoracic spine w/o contrast (72146) | $1,565.55 | $3,479 | 6.1× |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 3 matching MRF lines |
$1,805.40–$2,708.10 | $4,012–$6,018 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 3 matching MRF lines |
$4,077–$6,115.50 | $9,060–$13,590 | varies |
| MRI, abdomen, combo (74183) | $3,295.80 | $7,324 | 8.8× |
| MRI, dorsal spine combo (72157) | $2,188.35 | $4,863 | 5.8× |
| MRI, dorsal spine contrast (72147) | $1,689.75 | $3,755 | 4.5× |
| MRI, joint upper extrem (73221) range across 3 matching MRF lines |
$1,755–$2,590.65 | $3,900–$5,757 | varies |
| MRI, joint upper extrem combo (73223) range across 3 matching MRF lines |
$3,772.35–$5,658.30 | $8,383–$12,574 | varies |
| MRI, lumbar spine combo (72158) | $2,753.10 | $6,118 | 7.3× |
| Myelogram cervical (72240) | $961.20 | $2,136 | 1.1× |
| Myelogram Lumbar (72265) | $988.65 | $2,197 | 1.2× |
| Myelography thoracic (72255) | $882.45 | $1,961 | 1.0× |
| Myelograpy 2/more regions rs&i (72270) | $1,157.85 | $2,573 | 1.4× |
| Myocardial Spect Multiple Studies (78452) | $1,698.30 | $3,774 | 1.2× |
| Neck soft tissue (70360) | $204.30 | $454 | 2.2× |
| Nonvascular Shunt X-Ray (75809) | $490.95 | $1,091 | 4.4× |
| Ntsty modul radthx pln dose-vol histos (77301) | $13,086.90 | $29,082 | 8.8× |
| Nuclear Rx Intra-Arterial (79445) | $497.70 | $1,106 | 2.0× |
| Nuclear Rx Oral Admin (79005) | $1,132.65 | $2,517 | 4.5× |
| Parathyroid Planar Imaging (78070) | $851.85 | $1,893 | 2.0× |
| Pelvis 1 or 2 views (72170) | $190.80 | $424 | 1.7× |
| Perineogram (74775) | $327.15 | $727 | 1.3× |
| Peritoneogram Rs&I (74190) | $485.55 | $1,079 | 0.8× |
| Pet Image Skull-Thigh (78812) | $3,545.10 | $7,878 | 2.3× |
| Pet Image W/Ct Lmtd (78814) | $5,194.35 | $11,543 | 3.4× |
| PET image w/CT, full body (78816) | $5,194.35 | $11,543 | 3.4× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $5,194.35 | $11,543 | 3.4× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $2,552.85 | $5,673 | 0.7× |
| Pulmonary Perfusion Imaging Particulate (78580) | $518.40 | $1,152 | 1.2× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $235.80 | $524 | 2.1× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $238.50 | $530 | 0.4× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$189–$283.50 | $420–$630 | varies |
| Radex Calcaneus Minimum 2 Views (73650) | $267.75 | $595 | 2.8× |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$187.65–$281.25 | $417–$625 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $193.50 | $430 | 1.7× |
| Radex fingr minimum 2 views (73140) range across 3 matching MRF lines |
$171.45–$257.40 | $381–$572 | varies |
| Radex foot complete minimum 3 views (73630) | $174.60 | $388 | 1.9× |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$190.80–$286.20 | $424–$636 | varies |
| Radex lower extremity infant minimum 2 views (73592) | $117.45 | $261 | 1.3× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $144.90 | $322 | 1.3× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $200.25 | $445 | 2.1× |
| Radex Ribs Unilateral 2 Views (71100) | $181.80 | $404 | 1.9× |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$208.35–$292.50 | $463–$650 | varies |
| Radex Spine 1 View Specify Level (72020) | $157.95 | $351 | 1.7× |
| Radex Sternum Minimum 2 Views (71120) | $192.60 | $428 | 2.1× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $319.95 | $711 | 3.4× |
| Radex Toe Minimum 2 Views (73660) | $173.25 | $385 | 1.8× |
| Radex upper extremity infant minimum 2 views (73092) range across 3 matching MRF lines |
$117.45–$176.85 | $261–$393 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$196.65–$295.20 | $437–$656 | varies |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $9,099 | $20,220 | 1.1× |
| Radiation treatment delivery level 1 (77402) | $404.10 | $898 | 3.7× |
| Radiation treatment delivery level 2 (77407) | $506.70 | $1,126 | 1.2× |
| Radiation treatment delivery level 3 (77412) | $2,258.55 | $5,019 | 3.8× |
| Radiolog exam mandible compl minimum 4 views (70110) | $336.60 | $748 | 3.0× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $278.55 | $619 | 2.5× |
| Radiologic exam colon double contrast study (74280) | $545.85 | $1,213 | 2.9× |
| Radiologic exam colon single contrast study (74270) | $575.10 | $1,278 | 3.0× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $244.35 | $543 | 1.3× |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$249.30–$373.95 | $554–$831 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $292.50 | $650 | 2.6× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $494.10 | $1,098 | 2.6× |
| Radiologic exam swallow function contrast study (74230) | $845.10 | $1,878 | 4.5× |
| Radiologic exam upr gi trc double contrast study (74246) | $347.85 | $773 | 1.8× |
| Radiologic examination femur 1 view (73551) | $189.90 | $422 | 2.0× |
| Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines |
$194.85–$292.50 | $433–$650 | varies |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$189–$283.50 | $420–$630 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $512.55 | $1,139 | 4.5× |
| Radiologic examination tibia & fibula 2 views (73590) | $168.75 | $375 | 1.8× |
| Ribs bilateral 3 views (71110) | $207.90 | $462 | 1.8× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $474.75 | $1,055 | 1.1× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $567 | $1,260 | 1.3× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $2,196.90 | $4,882 | 3.7× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $1,527.75 | $3,395 | 2.6× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $2,062.35 | $4,583 | 3.5× |
| Rp Ther Radiolbld Monoclonal Antibody IV Infus (79403) | $986.85 | $2,193 | 3.9× |
| Rp Therapy Intravenous Administration (79101) | $405 | $900 | 1.6× |
| Scapula (73010) range across 3 matching MRF lines |
$204.75–$307.35 | $455–$683 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 3 matching MRF lines |
$10.86–$151.65 | $24.12–$337 | varies |
| Shoulder 1 view (73020) | $137.25 | $305 | 1.5× |
| Shoulder Arthrography (73040) range across 3 matching MRF lines |
$707.85–$1,062 | $1,573–$2,360 | varies |
| Skull less than 4 views (70250) | $216.90 | $482 | 1.9× |
| Special dosimetry (77331) | $162.90 | $362 | 1.1× |
| Special Physics Consult (77370) | $1,062.45 | $2,361 | 7.3× |
| Special teletherapy port plan (77321) | $645.75 | $1,435 | 1.6× |
| Special treatment procedure (77470) | $329.40 | $732 | 0.6× |
| Stereotactic Body Radiation Delivery (77373) | $11,572.65 | $25,717 | 6.0× |
| Sternoclavicular joints (71130) | $192.15 | $427 | 2.0× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $1,182.60 | $2,628 | 2.9× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $1,081.35 | $2,403 | 2.7× |
| Testicular Imaging W/Flow (78761) | $517.95 | $1,151 | 1.2× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $3,690.45 | $8,201 | 9.1× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $2,250 | $5,000 | 5.6× |
| Ther rad simulaj-aided field setting simple (77280) | $2,025.90 | $4,502 | 14.0× |
| Thoracic spine 2 views (72070) | $187.65 | $417 | 1.7× |
| Thoracic spine 3 views (72072) | $196.65 | $437 | 1.7× |
| Thoracolumbar 2 views (72080) | $184.95 | $411 | 2.0× |
| Thyroid carcinoma metastases imaging; with additional studies (eg, urinary recovery) Non-Facility (78016) | $631.35 | $1,403 | 1.5× |
| Thyroid Carcinoma Metastases Img Lmtd Area (78015) | $626.85 | $1,393 | 1.5× |
| Thyroid Imaging With Vascular Flow (78013) | $616.05 | $1,369 | 1.4× |
| Thyroid Met Imaging Body (78018) | $1,240.20 | $2,756 | 2.1× |
| Thyroid Uptake Measurement (78012) | $1,269.45 | $2,821 | 2.9× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $623.25 | $1,385 | 1.4× |
| Tx Devices Design & Construction Complex (77334) | $729.45 | $1,621 | 1.8× |
| Tx devices design & construction intermediate (77333) | $449.55 | $999 | 3.1× |
| Tx devices design & construction simple (77332) | $293.85 | $653 | 2.0× |
| Ultrasound Breast Limited (76642) range across 5 matching MRF lines |
$24.12–$451.35 | $53.59–$1,003 | varies |
| Ultrasound elastography first target lesion (76982) | $150.75 | $335 | 1.3× |
| Ultrasound Exam Aaa Screen (76706) | $551.25 | $1,225 | 4.9× |
| Ultrasound, abdomen limited (76705) | $519.75 | $1,155 | 4.6× |
| Unlisted Dx Radiographic Procedure (76499) | $667.35 | $1,483 | 7.1× |
| Unlisted fluoroscopic procedure (76496) | $443.25 | $985 | 4.7× |
| Unlisted magnetic resonance procedure (76498) | $2,024.55 | $4,499 | 21.5× |
| Upper gi w/o kub (74240) | $445.05 | $989 | 2.4× |
| Urethrocystogram voiding (74455) | $413.10 | $918 | 1.6× |
| Urethrocystography retrograde (74450) | $436.95 | $971 | 1.7× |
| Us breast unilateral complete (76641) range across 5 matching MRF lines |
$31.05–$591.30 | $69–$1,314 | varies |
| Us chest (76604) | $517.50 | $1,150 | 4.6× |
| Us complete joint (76881) | $582.75 | $1,295 | 5.2× |
| Us exam, pelvic, limited (76857) range across 3 matching MRF lines |
$248.85–$321.75 | $553–$715 | varies |
| Us kidney transplant (76776) | $614.70 | $1,366 | 5.4× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $276.75 | $615 | 2.5× |
| Us ob limited 1 or more fetuses (76815) | $350.55 | $779 | 3.1× |
| Us ob transvaginal (76817) | $265.05 | $589 | 2.3× |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$545.40–$787.50 | $1,212–$1,750 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $281.70 | $626 | 2.5× |
| Us retroperitoneal complete (76770) | $636.75 | $1,415 | 5.6× |
| Us retroperitoneal limited (76775) | $307.35 | $683 | 2.7× |
| Us scrotum and contents (76870) | $377.10 | $838 | 3.3× |
| Us thyroid (76536) | $737.10 | $1,638 | 6.5× |
| Us transrectal (76872) | $429.75 | $955 | 3.8× |
| Vein X-Ray Chest (75827) | $1,769.85 | $3,933 | 1.0× |
| Vein X-Ray Liver W/O Hemodyn (75887) | $2,133 | $4,740 | 0.6× |
| Venogram Sinus/Jugular (75860) | $1,853.10 | $4,118 | 0.5× |
| Venography caval inferior serialography rs&i (75825) | $2,265.30 | $5,034 | 0.7× |
| Venography extremity bilateral rs&i (75822) | $765 | $1,700 | 0.5× |
| Venography extremity unilateral rs&i (75820) | $667.35 | $1,483 | 0.4× |
| Venography Renal Bilateral (75833) | $6,411.60 | $14,248 | 1.9× |
| Venography Renal Unilateral (75831) | $2,182.95 | $4,851 | 0.6× |
| Venous sampling by catheter (75893) | $6,793.20 | $15,096 | 1.1× |
| Wrist 2 views (73100) range across 3 matching MRF lines |
$167.85–$188.55 | $373–$419 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $175.05 | $389 | 1.9× |
| X-ray antegrade pyelogram tube (74425) | $411.30 | $914 | 1.1× |
| X-Ray Exam Breast Specimen (76098) range across 2 matching MRF lines |
$75.60–$277.20 | $168–$616 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $232.20 | $516 | 2.1× |
| X-Ray Exam Hip Uni 1 View (73501) | $141.75 | $315 | 1.5× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $136.80 | $304 | 1.5× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $231.30 | $514 | 2.0× |
| X-Ray Exam Hips Bi 2 Views (73521) | $218.25 | $485 | 1.9× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $279.45 | $621 | 2.5× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $410.40 | $912 | 3.6× |
| X-Ray Exam L-S Spine Bending (72114) | $358.20 | $796 | 3.2× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $181.80 | $404 | 1.9× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $351.45 | $781 | 3.1× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $202.50 | $450 | 1.8× |
| X-ray eye for foreign body (70030) | $161.55 | $359 | 1.7× |
| X-ray humerus (73060) | $170.55 | $379 | 1.8× |
| X-ray IV pyelogram (ivp) (74400) | $801 | $1,780 | 4.2× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $224.10 | $498 | 2.4× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $196.65 | $437 | 1.7× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $432.45 | $961 | 3.8× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $193.50 | $430 | 1.7× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $251.10 | $558 | 2.7× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $323.10 | $718 | 3.4× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $303.30 | $674 | 2.7× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $705.60 | $1,568 | 1.9× |
| X-Rays Bone Survey Complete (77075) | $589.95 | $1,311 | 5.2× |
| Xr c-spine 4 or 5 views (72050) | $307.35 | $683 | 2.7× |
| Xr orbits complete 4 views (70200) | $267.75 | $595 | 2.4× |
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.