Imaging prices at Mille Lacs Health System
Onamia, MN · every code in this section with a posted price and a Medicare benchmark.
242 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 3 matching MRF lines |
$37.80–$308.70 | $54–$441 | varies |
| Abdomen 2 views (74019) range across 3 matching MRF lines |
$47.60–$371 | $68–$530 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) range across 2 matching MRF lines |
$114.80–$1,869 | $164–$2,670 | varies |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$32.20–$317.10 | $46–$453 | varies |
| Arthrogram hip (73525) range across 3 matching MRF lines |
$67.90–$767.90 | $97–$1,097 | varies |
| Arthrogram Wrist (73115) range across 3 matching MRF lines |
$65.10–$783.30 | $93–$1,119 | varies |
| Bone age studies (77072) range across 3 matching MRF lines |
$23.10–$585.90 | $33–$837 | varies |
| Bone Imaging 3 Phase (78315) range across 3 matching MRF lines |
$116.90–$2,033.50 | $167–$2,905 | varies |
| Bone Imaging Limited Area (78300) range across 2 matching MRF lines |
$72.80–$1,869 | $104–$2,670 | varies |
| Bone Imaging Multiple Areas (78305) range across 2 matching MRF lines |
$95.20–$1,869 | $136–$2,670 | varies |
| Bone Imaging Whole Body (78306) range across 3 matching MRF lines |
$171.50–$1,869 | $245–$2,670 | varies |
| Cat Scan Follow-Up Study (76380) | $872.20 | $1,246 | 9.6× |
| Chest 1 view (71045) range across 3 matching MRF lines |
$37.80–$326.20 | $54–$466 | varies |
| Chest 2 views (71046) range across 3 matching MRF lines |
$43.40–$357 | $62–$510 | varies |
| Chest 3 views (71047) range across 3 matching MRF lines |
$47.60–$387.10 | $68–$553 | varies |
| Clavicle complete (73000) range across 3 matching MRF lines |
$32.20–$326.90 | $46–$467 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 3 matching MRF lines |
$203–$1,796.90 | $290–$2,567 | varies |
| Contrast X-Ray Bladder (74430) range across 2 matching MRF lines |
$40.60–$520.80 | $58–$744 | varies |
| Contrast X-Ray Of Knee Joint (73580) range across 3 matching MRF lines |
$65.10–$767.90 | $93–$1,097 | varies |
| CT abdomen and pelvis without and with contrast (74178) range across 4 matching MRF lines |
$399–$5,161.10 | $570–$7,373 | varies |
| CT abdomen and pelvis without contrast (74176) range across 3 matching MRF lines |
$345.80–$3,620.40 | $494–$5,172 | varies |
| CT abdomen w contrast (74160) range across 3 matching MRF lines |
$255.50–$2,522.10 | $365–$3,603 | varies |
| CT abdomen w wo contrast (74170) range across 3 matching MRF lines |
$280–$2,594.90 | $400–$3,707 | varies |
| CT abdomen w/o contrast (74150) range across 3 matching MRF lines |
$238.70–$1,843.10 | $341–$2,633 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 3 matching MRF lines |
$399–$5,161.10 | $570–$7,373 | varies |
| CT Angio Chest (71275) range across 3 matching MRF lines |
$362.60–$2,903.60 | $518–$4,148 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$203.70–$1,988 | $291–$2,840 | varies |
| CT Angio Neck (70498) range across 3 matching MRF lines |
$203.70–$2,041.90 | $291–$2,917 | varies |
| CT cervical spine w/ contrast (72126) range across 3 matching MRF lines |
$242.20–$2,305.80 | $346–$3,294 | varies |
| CT cervical spine w/o contrast (72125) range across 3 matching MRF lines |
$215.60–$2,116.10 | $308–$3,023 | varies |
| CT cervical spine w/wo cont (72127) range across 3 matching MRF lines |
$264.60–$2,566.90 | $378–$3,667 | varies |
| CT chest w contrast (71260) range across 3 matching MRF lines |
$248.50–$2,181.20 | $355–$3,116 | varies |
| CT chest w/wo contrast (71270) range across 3 matching MRF lines |
$275.80–$2,678.90 | $394–$3,827 | varies |
| CT head/brain with contrast (70460) range across 3 matching MRF lines |
$208.60–$1,990.80 | $298–$2,844 | varies |
| CT head/brain without and with contrast (70470) range across 3 matching MRF lines |
$255.50–$2,135 | $365–$3,050 | varies |
| CT iac w contrast (70481) range across 3 matching MRF lines |
$160.30–$1,992.90 | $229–$2,847 | varies |
| CT lower ext w/o (73700) range across 3 matching MRF lines |
$199.50–$1,707.30 | $285–$2,439 | varies |
| CT lower extremity w/contrast material (73701) range across 3 matching MRF lines |
$231–$1,893.50 | $330–$2,705 | varies |
| CT lumbar spine w contrast (72132) range across 3 matching MRF lines |
$242.20–$2,023.70 | $346–$2,891 | varies |
| CT lumbar spine w/o contrast (72131) range across 3 matching MRF lines |
$199.50–$1,946 | $285–$2,780 | varies |
| CT maxillofacial w contrast (70487) range across 3 matching MRF lines |
$224–$2,191.70 | $320–$3,131 | varies |
| CT maxillofacial wo contrast (70486) range across 4 matching MRF lines |
$171.50–$1,766.80 | $245–$2,524 | varies |
| CT neck tissue combo (70492) range across 3 matching MRF lines |
$323.40–$2,107 | $462–$3,010 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 3 matching MRF lines |
$291.90–$2,107 | $417–$3,010 | varies |
| CT orbits w/o contrast (70480) range across 3 matching MRF lines |
$255.50–$1,582.70 | $365–$2,261 | varies |
| CT pelvis w&w/o contrast (72194) range across 3 matching MRF lines |
$242.20–$2,566.90 | $346–$3,667 | varies |
| CT pelvis w/o contrast (72192) range across 3 matching MRF lines |
$219.10–$1,777.30 | $313–$2,539 | varies |
| CT scan of leg combo (73702) range across 3 matching MRF lines |
$242.20–$2,305.80 | $346–$3,294 | varies |
| CT soft tissue neck w contrast (70491) range across 3 matching MRF lines |
$275.80–$1,990.80 | $394–$2,844 | varies |
| CT soft tissue neck w/o contrast (70490) range across 3 matching MRF lines |
$260.40–$1,805.30 | $372–$2,579 | varies |
| CT thoracic spine w contrast (72129) range across 3 matching MRF lines |
$242.20–$2,305.80 | $346–$3,294 | varies |
| CT thoracic spine w/o contrast (72128) range across 3 matching MRF lines |
$199.50–$2,116.10 | $285–$3,023 | varies |
| CT thorax w/o contrast (71250) range across 3 matching MRF lines |
$231–$1,796.90 | $330–$2,567 | varies |
| CT upper ext wo (73200) range across 3 matching MRF lines |
$199.50–$1,527.40 | $285–$2,182 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 3 matching MRF lines |
$242.20–$2,023.70 | $346–$2,891 | varies |
| CT upper extremity with contrast (73201) range across 3 matching MRF lines |
$232.40–$1,684.90 | $332–$2,407 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 3 matching MRF lines |
$45.50–$2,533.30 | $65–$3,619 | varies |
| Cta Abdomen (74175) range across 3 matching MRF lines |
$208.60–$3,223.50 | $298–$4,605 | varies |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) range across 2 matching MRF lines |
$245–$3,850 | $350–$5,500 | varies |
| Dilation ureters/urethra rs&i (74485) range across 3 matching MRF lines |
$60.20–$539.70 | $86–$771 | varies |
| Dxa Bone Density Axial (77080) range across 3 matching MRF lines |
$40.60–$680.40 | $58–$972 | varies |
| Dxa bone density study 1/>sites appendiclr skel (77081) range across 3 matching MRF lines |
$40.60–$292.60 | $58–$418 | varies |
| Esophagram (74220) range across 3 matching MRF lines |
$91.70–$452.90 | $131–$647 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 3 matching MRF lines |
$90.30–$479.50 | $129–$685 | varies |
| Fluoroscopy up to 1 hr (76000) range across 5 matching MRF lines |
$21–$308.70 | $30–$441 | varies |
| Foot 2 views (73620) range across 3 matching MRF lines |
$31.50–$351.40 | $45–$502 | varies |
| Forearm 2 views (73090) range across 3 matching MRF lines |
$32.20–$319.20 | $46–$456 | varies |
| Gastric emptying imaging study (78264) range across 2 matching MRF lines |
$90.30–$1,528.10 | $129–$2,183 | varies |
| Gastroesophageal Reflux Exam (78262) range across 2 matching MRF lines |
$76.30–$2,129.40 | $109–$3,042 | varies |
| Gated Heart Planar Single (78472) range across 2 matching MRF lines |
$112.70–$1,361.50 | $161–$1,945 | varies |
| Hand 2 views (73120) range across 3 matching MRF lines |
$32.20–$308.70 | $46–$441 | varies |
| Hepatobil Syst Image W/Drug (78227) range across 3 matching MRF lines |
$179.90–$2,143.40 | $257–$3,062 | varies |
| Hepatobiliary System Imaging (78226) range across 2 matching MRF lines |
$86.10–$1,572.20 | $123–$2,246 | varies |
| Ht Muscle Image Spect Sing (78451) range across 3 matching MRF lines |
$158.20–$2,146.20 | $226–$3,066 | varies |
| Hysterosalpingogram (74740) | $802.20 | $1,146 | 3.2× |
| Infant hip ultrasound with hip movement (dynamic) (76885) range across 3 matching MRF lines |
$86.10–$431.90 | $123–$617 | varies |
| K Flow/Funct Image W/O Drug (78707) range across 2 matching MRF lines |
$107.10–$2,553.60 | $153–$3,648 | varies |
| Kidney Imaging Morphol (78700) range across 2 matching MRF lines |
$52.50–$1,605.80 | $75–$2,294 | varies |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) range across 4 matching MRF lines |
$56–$1,964.90 | $80–$2,807 | varies |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$40.60–$371 | $58–$530 | varies |
| Lung Ventilat&Perfus Imaging (78582) range across 2 matching MRF lines |
$123.20–$1,178.80 | $176–$1,684 | varies |
| Lung Ventilation Imaging (78579) range across 2 matching MRF lines |
$56–$1,178.80 | $80–$1,684 | varies |
| Magnetic Image Jaw Joint (70336) range across 3 matching MRF lines |
$171.50–$3,175.90 | $245–$4,537 | varies |
| Mammary ductogram or galactogram single (77053) | $709.80 | $1,014 | 2.8× |
| Meckels Divert Exam (78290) range across 2 matching MRF lines |
$76.30–$1,869 | $109–$2,670 | varies |
| Mr safety determination physician/other qhp (76016) | $103.60 | $148 | 1.1× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $21.70 | $31 | 0.7× |
| Mra Head W/O & W/Contrast Material (70546) range across 3 matching MRF lines |
$208.60–$5,240.90 | $298–$7,487 | varies |
| MRA head w/o contrast (70544) range across 3 matching MRF lines |
$141.40–$2,801.40 | $202–$4,002 | varies |
| MRA head with contrast (70545) range across 3 matching MRF lines |
$171.50–$3,175.90 | $245–$4,537 | varies |
| MRA neck w contrast (70548) range across 3 matching MRF lines |
$175–$3,519.60 | $250–$5,028 | varies |
| Mra Neck W/O &W/Contrast Material (70549) range across 3 matching MRF lines |
$358.40–$4,595.50 | $512–$6,565 | varies |
| MRA neck w/o contrast (70547) range across 3 matching MRF lines |
$141.40–$3,091.90 | $202–$4,417 | varies |
| MRI abdomen w contrast (74182) | $3,544.80 | $5,064 | 9.7× |
| MRI abdomen w/o contrast (74181) range across 3 matching MRF lines |
$291.90–$2,872.10 | $417–$4,103 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 3 matching MRF lines |
$270.90–$3,544.80 | $387–$5,064 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 3 matching MRF lines |
$249.20–$5,240.90 | $356–$7,487 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 3 matching MRF lines |
$326.90–$3,110.10 | $467–$4,443 | varies |
| MRI cervical spine w contrast (72142) range across 3 matching MRF lines |
$208.60–$3,091.90 | $298–$4,417 | varies |
| MRI cervical spine w/o cont (72141) range across 3 matching MRF lines |
$206.50–$2,851.10 | $295–$4,073 | varies |
| MRI chest w/o contrast (71550) range across 3 matching MRF lines |
$168.70–$3,175.90 | $241–$4,537 | varies |
| MRI chest with contrast (71551) | $3,110.10 | $4,443 | 3.8× |
| MRI chest wo w contrast (71552) range across 3 matching MRF lines |
$263.20–$3,850 | $376–$5,500 | varies |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 3 matching MRF lines |
$270.90–$3,110.10 | $387–$4,443 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 3 matching MRF lines |
$426.30–$3,850 | $609–$5,500 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 3 matching MRF lines |
$188.30–$2,872.10 | $269–$4,103 | varies |
| MRI lumbar spine w contrast (72149) range across 3 matching MRF lines |
$296.10–$3,091.90 | $423–$4,417 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 3 matching MRF lines |
$291.90–$4,595.50 | $417–$6,565 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 3 matching MRF lines |
$267.40–$2,872.10 | $382–$4,103 | varies |
| MRI orbit face neck w contrast (70542) range across 3 matching MRF lines |
$187.60–$3,110.10 | $268–$4,443 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 3 matching MRF lines |
$426.30–$4,595.50 | $609–$6,565 | varies |
| MRI pelvis w contrast (72196) range across 3 matching MRF lines |
$296.10–$3,110.10 | $423–$4,443 | varies |
| MRI pelvis w/o & w contrast (72197) range across 3 matching MRF lines |
$439.60–$4,595.50 | $628–$6,565 | varies |
| MRI pelvis w/o contrast (72195) range across 3 matching MRF lines |
$168.70–$2,872.10 | $241–$4,103 | varies |
| MRI thoracic spine w/o contrast (72146) range across 3 matching MRF lines |
$264.60–$2,621.50 | $378–$3,745 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 3 matching MRF lines |
$188.30–$3,110.10 | $269–$4,443 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 3 matching MRF lines |
$270.90–$3,119.90 | $387–$4,457 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 3 matching MRF lines |
$429.80–$3,850 | $614–$5,500 | varies |
| MRI, abdomen, combo (74183) range across 3 matching MRF lines |
$439.60–$4,390.40 | $628–$6,272 | varies |
| MRI, dorsal spine combo (72157) range across 3 matching MRF lines |
$296.10–$4,595.50 | $423–$6,565 | varies |
| MRI, dorsal spine contrast (72147) range across 3 matching MRF lines |
$207.20–$3,091.90 | $296–$4,417 | varies |
| MRI, joint upper extrem (73221) range across 3 matching MRF lines |
$270.90–$3,276.70 | $387–$4,681 | varies |
| MRI, joint upper extrem combo (73223) range across 3 matching MRF lines |
$251.30–$4,595.50 | $359–$6,565 | varies |
| MRI, lumbar spine combo (72158) range across 3 matching MRF lines |
$455–$4,595.50 | $650–$6,565 | varies |
| Myelogram Lumbar (72265) | $444.50 | $635 | 0.5× |
| Myocardial Spect Multiple Studies (78452) range across 2 matching MRF lines |
$184.80–$4,293.10 | $264–$6,133 | varies |
| Neck soft tissue (70360) range across 3 matching MRF lines |
$32.20–$371 | $46–$530 | varies |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) range across 2 matching MRF lines |
$235.90–$401.10 | $337–$573 | varies |
| Parathyroid Planar Imaging (78070) range across 2 matching MRF lines |
$90.30–$613.20 | $129–$876 | varies |
| Parathyroid planar imaging w/wo subtraction (78071) range across 2 matching MRF lines |
$137.90–$809.90 | $197–$1,157 | varies |
| Pelvis 1 or 2 views (72170) range across 3 matching MRF lines |
$37.80–$351.40 | $54–$502 | varies |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $84.70 | $121 | 0.8× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$37.80–$371 | $54–$530 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$32.20–$221.90 | $46–$317 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$37.80–$371 | $54–$530 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 3 matching MRF lines |
$56–$382.20 | $80–$546 | varies |
| Radex fingr minimum 2 views (73140) range across 3 matching MRF lines |
$27.30–$267.40 | $39–$382 | varies |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$32.20–$371 | $46–$530 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$37.80–$357.70 | $54–$511 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 3 matching MRF lines |
$18.20–$221.90 | $26–$317 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) range across 3 matching MRF lines |
$39.90–$506.10 | $57–$723 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 3 matching MRF lines |
$36.40–$275.80 | $52–$394 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 3 matching MRF lines |
$43.40–$336 | $62–$480 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$40.60–$351.40 | $58–$502 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 4 matching MRF lines |
$36.40–$281.40 | $52–$402 | varies |
| Radex Spine 1 View Specify Level (72020) range across 3 matching MRF lines |
$18.20–$237.30 | $26–$339 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 3 matching MRF lines |
$23.10–$331.80 | $33–$474 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 3 matching MRF lines |
$27.30–$380.10 | $39–$543 | varies |
| Radex Toe Minimum 2 Views (73660) range across 3 matching MRF lines |
$27.30–$246.40 | $39–$352 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 3 matching MRF lines |
$18.20–$252 | $26–$360 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$42–$371 | $60–$530 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) range across 3 matching MRF lines |
$85.40–$604.80 | $122–$864 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) range across 3 matching MRF lines |
$53.20–$364 | $76–$520 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 3 matching MRF lines |
$63.70–$396.20 | $91–$566 | varies |
| Radiologic exam colon double contrast study (74280) range across 3 matching MRF lines |
$141.40–$765.10 | $202–$1,093 | varies |
| Radiologic exam colon single contrast study (74270) range across 3 matching MRF lines |
$91.70–$593.60 | $131–$848 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$47.60–$434.70 | $68–$621 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 3 matching MRF lines |
$42–$382.20 | $60–$546 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 3 matching MRF lines |
$56–$517.30 | $80–$739 | varies |
| Radiologic exam swallow function contrast study (74230) range across 3 matching MRF lines |
$74.20–$597.80 | $106–$854 | varies |
| Radiologic exam upr gi trc double contrast study (74246) | $107.10 | $153 | 0.6× |
| Radiologic examination femur 1 view (73551) range across 3 matching MRF lines |
$18.20–$294 | $26–$420 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines |
$40.60–$330.40 | $58–$472 | varies |
| Radiologic examination knee 1/2 views (73560) range across 4 matching MRF lines |
$32.20–$351.40 | $46–$502 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $970.20 | $1,386 | 8.9× |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$32.20–$351.40 | $46–$502 | varies |
| Ribs bilateral 3 views (71110) range across 3 matching MRF lines |
$40.60–$430.50 | $58–$615 | varies |
| Rp loclzj tum plnr 1 area single day imaging (78800) range across 2 matching MRF lines |
$76.30–$2,477.30 | $109–$3,539 | varies |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $78.40 | $112 | 0.1× |
| Scapula (73010) range across 3 matching MRF lines |
$21–$281.40 | $30–$402 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 3 matching MRF lines |
$56–$74.20 | $80–$106 | varies |
| Shoulder 1 view (73020) range across 3 matching MRF lines |
$32.20–$247.80 | $46–$354 | varies |
| Shoulder Arthrography (73040) range across 3 matching MRF lines |
$63.70–$783.30 | $91–$1,119 | varies |
| Skull less than 4 views (70250) range across 5 matching MRF lines |
$28.70–$319.20 | $41–$456 | varies |
| Tbs technical calculation only (77091) | $66.50 | $95 | 0.7× |
| Thoracic spine 2 views (72070) range across 3 matching MRF lines |
$43.40–$310.10 | $62–$443 | varies |
| Thoracic spine 3 views (72072) range across 3 matching MRF lines |
$43.40–$410.90 | $62–$587 | varies |
| Thoracolumbar 2 views (72080) range across 3 matching MRF lines |
$45.50–$349.30 | $65–$499 | varies |
| Thyroid Imaging With Vascular Flow (78013) range across 2 matching MRF lines |
$42–$1,988.70 | $60–$2,841 | varies |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) range across 2 matching MRF lines |
$58.80–$487.90 | $84–$697 | varies |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$136.50–$406 | $195–$580 | varies |
| Ultrasound Elastography Parenchyma (76981) range across 3 matching MRF lines |
$88.90–$508.90 | $127–$727 | varies |
| Ultrasound, abdomen limited (76705) range across 7 matching MRF lines |
$86.10–$616 | $123–$880 | varies |
| Umbilical-artery Doppler (OB) (76820) range across 3 matching MRF lines |
$63.70–$418.60 | $91–$598 | varies |
| Unlisted magnetic resonance procedure (76498) | $2,816.80 | $4,024 | 30.9× |
| Unlisted us procedure (76999) | $555.80 | $794 | 6.1× |
| Upper gi w/o kub (74240) | $140 | $200 | 0.8× |
| Ureteral Reflux Study (78740) range across 2 matching MRF lines |
$65.10–$730.80 | $93–$1,044 | varies |
| Urethrocystogram voiding (74455) range across 3 matching MRF lines |
$40.60–$781.20 | $58–$1,116 | varies |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$86.10–$539 | $123–$770 | varies |
| Us chest (76604) range across 6 matching MRF lines |
$70–$732.20 | $100–$1,046 | varies |
| Us complete joint (76881) range across 3 matching MRF lines |
$74.20–$368.90 | $106–$527 | varies |
| Us exam, pelvic, limited (76857) range across 7 matching MRF lines |
$56–$522.90 | $80–$747 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 5 matching MRF lines |
$88.20–$291.90 | $126–$417 | varies |
| Us ob limited 1 or more fetuses (76815) range across 5 matching MRF lines |
$95.90–$642.60 | $137–$918 | varies |
| Us ob transvaginal (76817) range across 3 matching MRF lines |
$152.60–$989.10 | $218–$1,413 | varies |
| Us pelvic non ob complete (76856) range across 3 matching MRF lines |
$136.50–$732.20 | $195–$1,046 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 4 matching MRF lines |
$199.50–$797.30 | $285–$1,139 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 3 matching MRF lines |
$112.70–$431.90 | $161–$617 | varies |
| Us retroperitoneal complete (76770) range across 3 matching MRF lines |
$146.30–$825.30 | $209–$1,179 | varies |
| Us retroperitoneal limited (76775) range across 6 matching MRF lines |
$83.30–$642.60 | $119–$918 | varies |
| Us scrotum and contents (76870) range across 6 matching MRF lines |
$88.20–$458.50 | $126–$655 | varies |
| Us thyroid (76536) range across 3 matching MRF lines |
$112.70–$614.60 | $161–$878 | varies |
| Us transrectal (76872) range across 2 matching MRF lines |
$78.40–$450.80 | $112–$644 | varies |
| Venography extremity bilateral rs&i (75822) range across 3 matching MRF lines |
$145.60–$1,201.90 | $208–$1,717 | varies |
| Venography extremity unilateral rs&i (75820) | $938 | $1,340 | 0.6× |
| Wrist 2 views (73100) range across 3 matching MRF lines |
$37.80–$319.90 | $54–$457 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 3 matching MRF lines |
$25.20–$275.80 | $36–$394 | varies |
| X-ray antegrade pyelogram tube (74425) range across 3 matching MRF lines |
$72.10–$310.10 | $103–$443 | varies |
| X-Ray Bend Only L-S Spine (72120) range across 2 matching MRF lines |
$48.30–$268.10 | $69–$383 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$32.20–$275.80 | $46–$394 | varies |
| X-Ray Exam Breast Specimen (76098) range across 3 matching MRF lines |
$59.50–$133 | $85–$190 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 3 matching MRF lines |
$53.20–$294 | $76–$420 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 3 matching MRF lines |
$64.40–$360.50 | $92–$515 | varies |
| X-Ray Exam Entire Spi 4/5 Vw (72083) range across 3 matching MRF lines |
$73.50–$517.30 | $105–$739 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 3 matching MRF lines |
$40.60–$198.10 | $58–$283 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 4 matching MRF lines |
$43.40–$490 | $62–$700 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) | $396.20 | $566 | 3.6× |
| X-Ray Exam Hips Bi 2 Views (73521) range across 4 matching MRF lines |
$47.60–$436.10 | $68–$623 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $456.40 | $652 | 4.2× |
| X-Ray Exam L-S Spine Bending (72114) range across 3 matching MRF lines |
$52.50–$578.20 | $75–$826 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 3 matching MRF lines |
$43.40–$371 | $62–$530 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 3 matching MRF lines |
$53.90–$491.40 | $77–$702 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 3 matching MRF lines |
$36.40–$430.50 | $52–$615 | varies |
| X-ray eye for foreign body (70030) range across 3 matching MRF lines |
$38.50–$234.50 | $55–$335 | varies |
| X-ray humerus (73060) range across 3 matching MRF lines |
$32.20–$275.80 | $46–$394 | varies |
| X-ray IV pyelogram (ivp) (74400) | $763.70 | $1,091 | 4.2× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 3 matching MRF lines |
$21–$266.70 | $30–$381 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 3 matching MRF lines |
$43.40–$382.20 | $62–$546 | varies |
| X-ray nose-rectum child f.b. (76010) range across 3 matching MRF lines |
$34.30–$302.40 | $49–$432 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 3 matching MRF lines |
$47.60–$613.90 | $68–$877 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 3 matching MRF lines |
$23.10–$289.80 | $33–$414 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 3 matching MRF lines |
$37.80–$289.80 | $54–$414 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 3 matching MRF lines |
$28.70–$319.20 | $41–$456 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 3 matching MRF lines |
$72.10–$407.40 | $103–$582 | varies |
| X-Ray Stress View (77071) | $112.70 | $161 | 1.2× |
| X-ray thoracic spine 4 vw (72074) range across 3 matching MRF lines |
$25.20–$511 | $36–$730 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 3 matching MRF lines |
$72.10–$472.50 | $103–$675 | varies |
| X-Rays Bone Length Studies (77073) range across 3 matching MRF lines |
$56–$585.90 | $80–$837 | varies |
| X-Rays Bone Survey Complete (77075) range across 3 matching MRF lines |
$63.70–$847 | $91–$1,210 | varies |
| Xr c-spine 4 or 5 views (72050) range across 3 matching MRF lines |
$47.60–$433.30 | $68–$619 | varies |
| Xr orbits complete 4 views (70200) range across 3 matching MRF lines |
$36.40–$357 | $52–$510 | varies |
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.