Imaging prices at Mission Hospital
Asheville, NC · every code in this section with a posted price and a Medicare benchmark.
345 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) | $4,435.29 | $4,435.29 | 3.4× |
| Abdomen 1 View (74018) range across 4 matching MRF lines |
$318.81–$477.34 | $318.81–$477.34 | varies |
| Abdomen 2 views (74019) range across 3 matching MRF lines |
$361.82–$401.63 | $361.82–$401.63 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $3,174.10 | $3,174.10 | 8.3× |
| Angio internal mammary (75756) | $4,259.14 | $4,259.14 | 1.4× |
| Angio pulmonary bilat (75743) | $8,357.99 | $8,357.99 | 2.8× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $11,257.93 | $11,257.93 | 3.7× |
| Angiography extremity bilateral rs&i (75716) | $8,357.99 | $8,357.99 | 2.8× |
| Angiography extremity unilateral rs&i (75710) range across 3 matching MRF lines |
$7,738.88–$8,357.99 | $7,738.88–$8,357.99 | varies |
| Angiography pulmonary unilateral slctv rs&i (75741) | $6,423.93 | $6,423.93 | 2.1× |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$351.80–$435.07 | $351.80–$435.07 | varies |
| Aortography thoracic serialography rs&i (75605) | $7,216.57 | $7,216.57 | 1.4× |
| Artery X-Rays Abdomen (75726) | $17,385.32 | $17,385.32 | 3.3× |
| Artery X-Rays Adrenal Gland (75731) | $6,423.93 | $6,423.93 | 2.1× |
| Artery X-Rays Pelvis (75736) | $8,357.99 | $8,357.99 | 1.6× |
| Artery X-Rays Spine (75705) | $12,442.74 | $12,442.74 | 2.3× |
| Basic radiation dosimetry calculation (77300) range across 2 matching MRF lines |
$701.04–$736.29 | $701.04–$736.29 | varies |
| Bone age studies (77072) | $415.69 | $415.69 | 4.2× |
| Bone Imaging 3 Phase (78315) | $3,743.04 | $3,743.04 | 9.8× |
| Bone Imaging Limited Area (78300) | $2,781.30 | $2,781.30 | 7.3× |
| Bone Imaging Multiple Areas (78305) | $2,173.61 | $2,173.61 | 5.7× |
| Bone Imaging Whole Body (78306) | $3,232.22 | $3,232.22 | 8.5× |
| Bone marrow imaging; whole body (78104) | $1,516.59 | $1,516.59 | 4.0× |
| Bone survey infant (77076) | $764.46 | $764.46 | 7.6× |
| Brachytx isodose complex (77318) | $2,147.19 | $2,147.19 | 6.0× |
| Brachytx isodose intermed (77317) | $2,029.18 | $2,029.18 | 5.7× |
| Brachytx Isodose Plan Simple (77316) | $801.46 | $801.46 | 2.2× |
| Brain Image W/Flow < 4 Views (78601) | $5,162.75 | $5,162.75 | 13.5× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $10,980.77 | $10,980.77 | 8.0× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $7,944.06 | $7,944.06 | 23.8× |
| Cardiac MRI w/w/o contrast w/stress (75563) | $7,944.06 | $7,944.06 | 10.6× |
| Cat Scan Follow-Up Study (76380) range across 2 matching MRF lines |
$1,173.11–$1,266.95 | $1,173.11–$1,266.95 | varies |
| Cerebrospinal Fluid Scan (78630) | $3,182.91 | $3,182.91 | 6.1× |
| Chest 1 view (71045) range across 3 matching MRF lines |
$556.61–$556.62 | $556.61–$556.62 | varies |
| Chest 2 views (71046) | $655.25 | $655.25 | 7.9× |
| Chest 3 views (71047) | $597.11 | $597.11 | 7.2× |
| Chest 4 or more views (71048) | $702.81 | $702.81 | 7.0× |
| Cisternography Positive Contrast Rs&I (70015) | $2,554.08 | $2,554.08 | 3.4× |
| Clavicle complete (73000) | $435.07 | $435.07 | 5.2× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $463.24 | $463.24 | 4.6× |
| Continuing medical physics consltj pr wk (77336) | $739.80 | $739.80 | 5.8× |
| Contrast Exam Abdominl Aorta (75625) | $8,403.78 | $8,403.78 | 2.8× |
| Contrast X-Ray Bladder (74430) | $1,365.11 | $1,365.11 | 4.1× |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$7,653.42–$8,265.69 | $7,653.42–$8,265.69 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$7,709.77–$8,326.55 | $7,709.77–$8,326.55 | varies |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$4,570.92–$4,936.58 | $4,570.92–$4,936.58 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$5,578.46–$6,024.73 | $5,578.46–$6,024.73 | varies |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$3,824.05–$4,129.97 | $3,824.05–$4,129.97 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$12,307.12–$13,291.68 | $12,307.12–$13,291.68 | varies |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$6,203.76–$6,700.05 | $6,203.76–$6,700.05 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$6,203.76–$6,700.05 | $6,203.76–$6,700.05 | varies |
| CT angio hrt w/3d image (75574) | $5,004.21 | $5,004.21 | 15.0× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 4 matching MRF lines |
$5,331.86–$5,758.41 | $5,331.86–$5,758.41 | varies |
| CT Angio Neck (70498) range across 3 matching MRF lines |
$787.04–$6,454.64 | $787.04–$6,454.64 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 4 matching MRF lines |
$5,007.77–$5,408.38 | $5,007.77–$5,408.38 | varies |
| CT cervical spine w/ contrast (72126) range across 2 matching MRF lines |
$5,781.01–$6,243.49 | $5,781.01–$6,243.49 | varies |
| CT cervical spine w/o contrast (72125) range across 3 matching MRF lines |
$480.32–$4,609.39 | $480.32–$4,609.39 | varies |
| CT cervical spine w/wo cont (72127) range across 2 matching MRF lines |
$6,048.76–$6,532.65 | $6,048.76–$6,532.65 | varies |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$4,570.92–$4,936.58 | $4,570.92–$4,936.58 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$5,578.46–$6,024.73 | $5,578.46–$6,024.73 | varies |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$4,273.24–$4,615.09 | $4,273.24–$4,615.09 | varies |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$5,731.70–$6,190.24 | $5,731.70–$6,190.24 | varies |
| CT heart contrast eval cardiac structure&morph (75572) | $3,869.86 | $3,869.86 | 11.6× |
| CT heart no contrast quant eval coronry calcium (75571) range across 2 matching MRF lines |
$369.90–$399.49 | $369.90–$399.49 | varies |
| CT hrt w/3d image congen (75573) | $4,167.55 | $4,167.55 | 12.5× |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$5,289.58–$5,712.75 | $5,289.58–$5,712.75 | varies |
| CT l-spine w&w/o contrast (72133) range across 2 matching MRF lines |
$6,048.76–$6,532.65 | $6,048.76–$6,532.65 | varies |
| CT lower ext w/o (73700) range across 4 matching MRF lines |
$3,563.36–$3,848.43 | $3,563.36–$3,848.43 | varies |
| CT lower extremity w/contrast material (73701) range across 6 matching MRF lines |
$4,572.67–$5,060.22 | $4,572.67–$5,060.22 | varies |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$5,802.16–$6,266.32 | $5,802.16–$6,266.32 | varies |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$3,824.05–$4,129.97 | $3,824.05–$4,129.97 | varies |
| CT maxillofacial w contrast (70487) range across 3 matching MRF lines |
$4,245.38–$4,951.81 | $4,245.38–$4,951.81 | varies |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$3,959.69–$4,276.47 | $3,959.69–$4,276.47 | varies |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$5,578.46–$6,024.73 | $5,578.46–$6,024.73 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 2 matching MRF lines |
$5,448.10–$5,883.95 | $5,448.10–$5,883.95 | varies |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$4,570.92–$4,936.58 | $4,570.92–$4,936.58 | varies |
| CT pelvis w&w/o contrast (72194) range across 2 matching MRF lines |
$5,139.87–$5,551.06 | $5,139.87–$5,551.06 | varies |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$3,824.05–$4,129.97 | $3,824.05–$4,129.97 | varies |
| CT scan of leg combo (73702) range across 4 matching MRF lines |
$4,391.25–$4,742.54 | $4,391.25–$4,742.54 | varies |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
$5,125.77–$5,535.82 | $5,125.77–$5,535.82 | varies |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$4,570.92–$4,936.58 | $4,570.92–$4,936.58 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$3,824.05–$4,129.97 | $3,824.05–$4,129.97 | varies |
| CT thoracic spine w contrast (72129) range across 2 matching MRF lines |
$5,802.16–$6,266.32 | $5,802.16–$6,266.32 | varies |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$3,824.05–$4,129.97 | $3,824.05–$4,129.97 | varies |
| CT thoracic spine w/wo cont (72130) range across 2 matching MRF lines |
$6,048.76–$6,532.65 | $6,048.76–$6,532.65 | varies |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$3,824.05–$4,129.97 | $3,824.05–$4,129.97 | varies |
| CT upper ext wo (73200) range across 4 matching MRF lines |
$3,563.36–$3,848.43 | $3,563.36–$3,848.43 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 4 matching MRF lines |
$4,044.24–$4,367.78 | $4,044.24–$4,367.78 | varies |
| CT upper extremity with contrast (73201) range across 4 matching MRF lines |
$4,570.92–$4,936.58 | $4,570.92–$4,936.58 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$6,649.40–$7,181.34 | $6,649.40–$7,181.34 | varies |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$6,203.76–$6,700.05 | $6,203.76–$6,700.05 | varies |
| CTA pelvis (72191) range across 2 matching MRF lines |
$5,148.65–$5,560.54 | $5,148.65–$5,560.54 | varies |
| Dilation ureters/urethra rs&i (74485) | $2,968.02 | $2,968.02 | 1.5× |
| Diskography lumbar (72295) | $4,391.25 | $4,391.25 | 2.4× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $623.56 | $623.56 | 6.2× |
| Doppler Fetal Mid Cerebral Artery (76821) | $695.77 | $695.77 | 7.0× |
| Dxa Bone Density Axial (77080) | $283.60 | $283.60 | 2.8× |
| Echo exam of fetal heart (76825) | $812.02 | $812.02 | 1.6× |
| Echo Guide For Artery Repair (76936) | $1,565.91 | $1,565.91 | 7.6× |
| Esophagram (74220) | $863.09 | $863.09 | 5.1× |
| Fetal Biophys Profile W/Nst (76818) | $914.19 | $914.19 | 9.1× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $914.19 | $914.19 | 9.1× |
| Fluoroscopy up to 1 hr (76000) | $792.66 | $792.66 | 3.5× |
| Follow-Up Angiography (75898) | $2,702.05 | $2,702.05 | 0.9× |
| Foot 2 views (73620) | $435.07 | $435.07 | 5.2× |
| Forearm 2 views (73090) | $435.07 | $435.07 | 5.2× |
| Gastric emptying imaging study (78264) | $3,323.82 | $3,323.82 | 8.7× |
| Gated Heart Planar Single (78472) | $3,274.51 | $3,274.51 | 8.6× |
| Hand 2 views (73120) | $435.07 | $435.07 | 4.4× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77772) | $2,727.48 | $2,727.48 | 4.1× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) | $7,186.63 | $7,186.63 | 10.8× |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) | $6,681.10 | $6,681.10 | 10.0× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $4,097.09 | $4,097.09 | 1.4× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $4,259.14 | $4,259.14 | 1.4× |
| Hepatobil Syst Image W/Drug (78227) | $4,502.21 | $4,502.21 | 8.7× |
| Hepatobiliary System Imaging (78226) | $3,987.89 | $3,987.89 | 10.4× |
| Ht Muscle Image Spect Sing (78451) | $6,020.57 | $6,020.57 | 4.9× |
| Hysterosalpingogram (74740) | $1,083.28 | $1,083.28 | 4.7× |
| Image fusion (77399) | $1,125.61 | $1,125.61 | 8.8× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $320.58 | $320.58 | 3.9× |
| Infant hip ultrasound, limited static exam (76886) | $517.87 | $517.87 | 6.2× |
| Infusion Ivp (74410) range across 2 matching MRF lines |
$1,111.47–$1,254.15 | $1,111.47–$1,254.15 | varies |
| Interstitial radiation source applic complex (77778) | $5,081.72 | $5,081.72 | 7.6× |
| Intracavitary Radiation Source Applic Complex (77763) | $2,268.71 | $2,268.71 | 3.4× |
| Intracavitary Radiation Source Applic Intermed (77762) | $1,865.35 | $1,865.35 | 3.5× |
| Joint Survey Single View (77077) | $376.93 | $376.93 | 3.8× |
| K Flow/Funct Image W/Drug (78708) | $3,232.22 | $3,232.22 | 6.2× |
| K Flow/Funct Image W/O Drug (78707) | $2,691.47 | $2,691.47 | 5.2× |
| Knee 3 Views (73562) range across 4 matching MRF lines |
$583.02–$583.03 | $583.02–$583.03 | varies |
| Leveen/Shunt Patency Exam (78291) | $1,861.83 | $1,861.83 | 4.9× |
| Liver & Spleen Imaging Static Only (78215) | $3,130.07 | $3,130.07 | 8.2× |
| Lung Perf&Ventilat Diferentl (78598) | $2,851.76 | $2,851.76 | 5.5× |
| Lung Ventilat&Perfus Imaging (78582) | $3,521.09 | $3,521.09 | 6.8× |
| Lymph System Imaging (78195) | $2,497.71 | $2,497.71 | 4.8× |
| Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) | $11,257.93 | $11,257.93 | 3.7× |
| Magnetic Image Jaw Joint (70336) range across 3 matching MRF lines |
$2,594.83–$3,110.69 | $2,594.83–$3,110.69 | varies |
| Meckels Divert Exam (78290) | $2,474.80 | $2,474.80 | 6.5× |
| Mlc imrt design & construction per imrt plan (77338) | $4,174.59 | $4,174.59 | 11.7× |
| Mr safety determination physician/other qhp (76016) | $285.28 | $285.28 | 3.4× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $79.35 | $79.35 | 2.9× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) | $297.40 | $297.40 | 3.3× |
| Mr safety implt pos&/immoblj (76019) | $192.46 | $192.46 | 3.4× |
| Mr safety med physics xm customization plng&mntr (76017) | $783.17 | $783.17 | 3.4× |
| Mra Head W/O & W/Contrast Material (70546) | $5,849.72 | $5,849.72 | 17.5× |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$4,893.92–$5,432.25 | $4,893.92–$5,432.25 | varies |
| MRA head with contrast (70545) | $4,234.49 | $4,234.49 | 12.7× |
| MRA neck w contrast (70548) range across 2 matching MRF lines |
$5,384.28–$5,976.53 | $5,384.28–$5,976.53 | varies |
| Mra Neck W/O &W/Contrast Material (70549) range across 2 matching MRF lines |
$6,794.99–$7,542.43 | $6,794.99–$7,542.43 | varies |
| MRA neck w/o contrast (70547) | $4,600.85 | $4,600.85 | 20.2× |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$5,604.83–$6,221.37 | $5,604.83–$6,221.37 | varies |
| MRI any jt lower extrem w/contrast material (73722) | $6,283.02 | $6,283.02 | 8.4× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $8,146.61 | $8,146.61 | 24.4× |
| MRI any jt upper extremity w/contrast matrl (73222) | $5,980.05 | $5,980.05 | 8.0× |
| MRI cardiac w/o cont stress (75559) | $6,205.52 | $6,205.52 | 11.9× |
| MRI cardiac w/o contrast (75557) | $4,784.04 | $4,784.04 | 21.0× |
| MRI cervical spine w contrast (72142) | $6,283.02 | $6,283.02 | 18.8× |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$5,327.13–$5,913.12 | $5,327.13–$5,913.12 | varies |
| MRI chest w/o contrast (71550) range across 2 matching MRF lines |
$4,282.98–$4,754.10 | $4,282.98–$4,754.10 | varies |
| MRI chest wo w contrast (71552) range across 2 matching MRF lines |
$6,507.78–$7,223.63 | $6,507.78–$7,223.63 | varies |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $3,130.94 | $3,130.94 | 9.4× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $6,739.23 | $6,739.23 | 20.2× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $5,763.39 | $5,763.39 | 25.3× |
| MRI lumbar spine w contrast (72149) range across 2 matching MRF lines |
$5,660.38–$6,283.02 | $5,660.38–$6,283.02 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$6,401.45–$7,105.61 | $6,401.45–$7,105.61 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 2 matching MRF lines |
$3,297.52–$3,660.26 | $3,297.52–$3,660.26 | varies |
| MRI orbit face neck w contrast (70542) | $3,917.41 | $3,917.41 | 11.7× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $7,709.77 | $7,709.77 | 23.1× |
| MRI pelvis w contrast (72196) | $2,913.42 | $2,913.42 | 8.7× |
| MRI pelvis w/o & w contrast (72197) | $8,366.79 | $8,366.79 | 25.1× |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$4,832.05–$5,363.56 | $4,832.05–$5,363.56 | varies |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$5,327.13–$5,913.12 | $5,327.13–$5,913.12 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 5 matching MRF lines |
$3,973.78–$7,855.98 | $3,973.78–$7,855.98 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) | $5,738.74 | $5,738.74 | 17.2× |
| MRI, abdomen, combo (74183) | $8,453.10 | $8,453.10 | 25.3× |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$7,266.32–$8,065.60 | $7,266.32–$8,065.60 | varies |
| MRI, dorsal spine contrast (72147) range across 2 matching MRF lines |
$5,817.61–$6,283.02 | $5,817.61–$6,283.02 | varies |
| MRI, joint upper extrem (73221) | $5,497.42 | $5,497.42 | 24.1× |
| MRI, joint upper extrem combo (73223) | $7,169.03 | $7,169.03 | 21.5× |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$7,553.51–$8,384.40 | $7,553.51–$8,384.40 | varies |
| Myocardial Spect Multiple Studies (78452) | $8,583.45 | $8,583.45 | 6.9× |
| N-invas est c ffr sw aly CTA (75580) | $3,485.91 | $3,485.91 | 4.2× |
| Neck soft tissue (70360) | $435.07 | $435.07 | 5.2× |
| Nonvascular Shunt X-Ray (75809) | $480.32 | $480.32 | 4.8× |
| Ntsty modul radthx pln dose-vol histos (77301) | $16,650.81 | $16,650.81 | 12.6× |
| Nuclear Rx Intra-Arterial (79445) | $1,048.05 | $1,048.05 | 4.7× |
| Nuclear Rx Oral Admin (79005) | $2,497.71 | $2,497.71 | 11.2× |
| Ob us nuchal meas 1 gest (76813) | $366.54 | $366.54 | 3.7× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) range across 3 matching MRF lines |
$376.93–$753.90 | $376.93–$753.90 | varies |
| Panoramic X-ray of jaws (70355) | $382.23 | $382.23 | 4.6× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $3,920.95 | $3,920.95 | 7.6× |
| Parathyroid Planar Imaging (78070) | $2,497.71 | $2,497.71 | 6.5× |
| Pelvis 1 or 2 views (72170) | $651.73 | $651.73 | 6.5× |
| Peritoneogram Rs&I (74190) | $1,141.42 | $1,141.42 | 2.2× |
| Pet Image W/Ct Lmtd (78814) | $4,488.11 | $4,488.11 | 3.3× |
| PET image w/CT, full body (78816) | $12,712.25 | $12,712.25 | 9.3× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $10,964.89 | $10,964.89 | 8.0× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $4,340.16 | $4,340.16 | 1.4× |
| Pulmonary Perfusion Imaging Particulate (78580) | $2,534.71 | $2,534.71 | 6.6× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $810.27 | $810.27 | 8.1× |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 2 matching MRF lines |
$884.25–$938.84 | $884.25–$938.84 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$477.65–$530.19 | $477.65–$530.19 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$86.69–$435.07 | $86.69–$435.07 | varies |
| Radex elbow complete minimum 3 views (73080) | $595.36 | $595.36 | 7.2× |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$951.17–$951.18 | $951.17–$951.18 | varies |
| Radex fingr minimum 2 views (73140) | $435.07 | $435.07 | 5.2× |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$477.65–$530.19 | $477.65–$530.19 | varies |
| Radex Hand Minimum 3 Views (73130) | $530.19 | $530.19 | 6.4× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $524.91 | $524.91 | 6.3× |
| Radex Ribs Unilateral 2 Views (71100) | $630.59 | $630.59 | 7.6× |
| Radex shoulder complete minimum 2 views (73030) range across 6 matching MRF lines |
$460.20–$510.82 | $460.20–$510.82 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $469.86 | $469.86 | 5.6× |
| Radex Spine 1 View Specify Level (72020) | $479.11 | $479.11 | 5.8× |
| Radex Sternum Minimum 2 Views (71120) | $415.69 | $415.69 | 5.0× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$491.44–$491.45 | $491.44–$491.45 | varies |
| Radex Toe Minimum 2 Views (73660) | $435.07 | $435.07 | 5.2× |
| Radex Wrist Complete Minimum 3 Views (73110) | $634.12 | $634.12 | 7.6× |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $52,555.81 | $52,555.81 | 7.5× |
| Radiation treatment delivery level 1 (77402) | $1,199.53 | $1,199.53 | 12.3× |
| Radiation treatment delivery level 3 (77412) | $2,041.49 | $2,041.49 | 3.9× |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$792.64–$792.66 | $792.64–$792.66 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 2 matching MRF lines |
$477.33–$477.34 | $477.33–$477.34 | varies |
| Radiologic exam colon double contrast study (74280) | $1,683.93 | $1,683.93 | 10.0× |
| Radiologic exam colon single contrast study (74270) | $1,368.64 | $1,368.64 | 8.2× |
| Radiologic exam knee complete 4/more views (73564) range across 4 matching MRF lines |
$628.40–$1,395.06 | $628.40–$1,395.06 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $745.08 | $745.08 | 7.5× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $952.93 | $952.93 | 5.7× |
| Radiologic exam swallow function contrast study (74230) range across 2 matching MRF lines |
$833.14–$875.43 | $833.14–$875.43 | varies |
| Radiologic exam upr gi trc double contrast study (74246) | $1,123.79 | $1,123.79 | 6.7× |
| Radiologic examination femur minimum 2 views (73552) range across 4 matching MRF lines |
$477.33–$477.34 | $477.33–$477.34 | varies |
| Radiologic examination knee 1/2 views (73560) range across 6 matching MRF lines |
$430.05–$477.34 | $430.05–$477.34 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $685.20 | $685.20 | 6.9× |
| Radiologic examination tibia & fibula 2 views (73590) range across 4 matching MRF lines |
$374.50–$415.69 | $374.50–$415.69 | varies |
| Renal Cyst Study (74470) | $2,656.23 | $2,656.23 | 5.1× |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$820.82–$820.83 | $820.82–$820.83 | varies |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $1,844.21 | $1,844.21 | 4.8× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $5,617.20 | $5,617.20 | 10.8× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $3,397.81 | $3,397.81 | 6.5× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 2 matching MRF lines |
$3,492.91–$3,667.30 | $3,492.91–$3,667.30 | varies |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $6,055.75 | $6,055.75 | 4.9× |
| Rp Therapy Intravenous Administration (79101) | $2,286.33 | $2,286.33 | 10.3× |
| Scapula (73010) | $415.69 | $415.69 | 4.2× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $66.93 | $66.93 | 2.9× |
| Shoulder 1 view (73020) | $435.07 | $435.07 | 5.2× |
| Shoulder Arthrography (73040) | $1,286.82 | $1,286.82 | 3.9× |
| Skull less than 4 views (70250) | $457.97 | $457.97 | 4.6× |
| Special dosimetry (77331) | $1,224.19 | $1,224.19 | 9.5× |
| Special Physics Consult (77370) | $1,012.82 | $1,012.82 | 7.9× |
| Special treatment procedure (77470) | $5,053.55 | $5,053.55 | 9.6× |
| Stereotactic Body Radiation Delivery (77373) | $24,390.53 | $24,390.53 | 14.3× |
| Sternoclavicular joints (71130) range across 2 matching MRF lines |
$472.06–$472.07 | $472.06–$472.07 | varies |
| Superior sagittal sinus venogram (75870) | $1,232.99 | $1,232.99 | 0.4× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $1,641.65 | $1,641.65 | 4.6× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $910.66 | $910.66 | 2.5× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) range across 2 matching MRF lines |
$1,625.13–$3,258.65 | $1,625.13–$3,258.65 | varies |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $1,993.94 | $1,993.94 | 5.6× |
| Ther rad simulaj-aided field setting simple (77280) | $1,993.94 | $1,993.94 | 15.5× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $924.76 | $924.76 | 5.5× |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$431.62–$479.11 | $431.62–$479.11 | varies |
| Thoracic spine 3 views (72072) | $833.14 | $833.14 | 8.3× |
| Thoracolumbar 2 views (72080) | $479.11 | $479.11 | 5.8× |
| Thyroid Carcinoma Metastases Img Lmtd Area (78015) | $2,404.35 | $2,404.35 | 6.3× |
| Thyroid Imaging With Vascular Flow (78013) | $1,599.38 | $1,599.38 | 4.2× |
| Thyroid Met Imaging Body (78018) | $3,838.17 | $3,838.17 | 7.4× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,599.38 | $1,599.38 | 4.2× |
| Tx Devices Design & Construction Complex (77334) | $1,768.49 | $1,768.49 | 4.9× |
| Tx devices design & construction intermediate (77333) | $995.21 | $995.21 | 7.7× |
| Tx devices design & construction simple (77332) | $977.58 | $977.58 | 7.6× |
| Ultrasound Breast Limited (76642) range across 7 matching MRF lines |
$167.35–$1,306.97 | $167.35–$1,306.97 | varies |
| Ultrasound Exam Aaa Screen (76706) | $435.07 | $435.07 | 4.4× |
| Ultrasound, abdomen limited (76705) range across 3 matching MRF lines |
$160.29–$1,254.15 | $160.29–$1,254.15 | varies |
| Umbilical-artery Doppler (OB) (76820) | $1,028.68 | $1,028.68 | 10.3× |
| Unlisted fluoroscopic procedure (76496) | $542.48 | $542.48 | 6.5× |
| Upper gi w/o kub (74240) | $1,240.06 | $1,240.06 | 7.4× |
| Urea Breath Test C-14 Isotopic Acquisj Analysis (78267) | $931.80 | $931.80 | 84.2× |
| Ureteral Reflux Study (78740) | $2,404.35 | $2,404.35 | 6.3× |
| Urethrocystogram voiding (74455) | $1,592.33 | $1,592.33 | 7.0× |
| Urethrocystography retrograde (74450) | $1,224.19 | $1,224.19 | 5.4× |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$230.74–$463.24 | $230.74–$463.24 | varies |
| Us chest (76604) range across 3 matching MRF lines |
$125.66–$965.26 | $125.66–$965.26 | varies |
| Us exam, pelvic, limited (76857) range across 3 matching MRF lines |
$158.52–$741.56 | $158.52–$741.56 | varies |
| Us head (76506) | $1,352.78 | $1,352.78 | 13.5× |
| Us kidney transplant (76776) range across 2 matching MRF lines |
$1,072.71–$1,158.53 | $1,072.71–$1,158.53 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 4 matching MRF lines |
$129.62–$494.06 | $129.62–$494.06 | varies |
| Us ob detailed single fetus (76811) | $1,430.28 | $1,430.28 | 6.3× |
| Us ob limited 1 or more fetuses (76815) | $658.78 | $658.78 | 6.6× |
| Us ob transvaginal (76817) | $1,114.98 | $1,114.98 | 11.2× |
| Us pelvic non ob complete (76856) range across 3 matching MRF lines |
$177.91–$1,551.81 | $177.91–$1,551.81 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$611.22–$660.11 | $611.22–$660.11 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $894.81 | $894.81 | 9.0× |
| Us retroperitoneal complete (76770) range across 3 matching MRF lines |
$494.06–$1,493.34 | $494.06–$1,493.34 | varies |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$1,203.04–$1,299.28 | $1,203.04–$1,299.28 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$1,254.15–$1,354.48 | $1,254.15–$1,354.48 | varies |
| Us spinal canal and contents (76800) | $1,072.71 | $1,072.71 | 10.7× |
| Us thyroid (76536) range across 2 matching MRF lines |
$362.23–$1,243.56 | $362.23–$1,243.56 | varies |
| Vein X-Ray Chest (75827) | $2,700.26 | $2,700.26 | 1.8× |
| Vein X-Ray Liver W/O Hemodyn (75887) | $3,727.19 | $3,727.19 | 1.2× |
| Vein X-Ray Skull Epidural (75872) | $2,253.14 | $2,253.14 | 3.8× |
| Vein X-Ray Spleen/Liver (75810) | $8,357.99 | $8,357.99 | 2.8× |
| Venogram Sinus/Jugular (75860) range across 2 matching MRF lines |
$4,259.14–$12,614.15 | $4,259.14–$12,614.15 | varies |
| Venography Adrenal Unilateral (75840) | $11,932.69 | $11,932.69 | 4.0× |
| Venography caval inferior serialography rs&i (75825) | $6,423.93 | $6,423.93 | 2.1× |
| Venography extremity bilateral rs&i (75822) | $2,654.48 | $2,654.48 | 1.8× |
| Venography extremity unilateral rs&i (75820) | $2,071.44 | $2,071.44 | 1.4× |
| Venography Orbital Rs&I (75880) | $1,257.66 | $1,257.66 | 2.1× |
| Venography Renal Bilateral (75833) | $8,357.99 | $8,357.99 | 2.8× |
| Venography Renal Unilateral (75831) | $6,423.93 | $6,423.93 | 2.1× |
| Venous sampling by catheter (75893) | $7,216.57 | $7,216.57 | 1.4× |
| Wrist 2 views (73100) | $435.07 | $435.07 | 5.2× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$620.03–$620.04 | $620.03–$620.04 | varies |
| X-ray antegrade pyelogram tube (74425) | $1,305.21 | $1,305.21 | 3.9× |
| X-Ray Aorta Leg Arteries (75630) | $5,958.91 | $5,958.91 | 2.0× |
| X-Ray Bend Only L-S Spine (72120) | $834.92 | $834.92 | 8.4× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 4 matching MRF lines |
$477.33–$477.34 | $477.33–$477.34 | varies |
| X-Ray Exam Breast Specimen (76098) | $743.32 | $743.32 | 1.4× |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 3 matching MRF lines |
$863.08–$863.09 | $863.08–$863.09 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 3 matching MRF lines |
$752.13–$752.14 | $752.13–$752.14 | varies |
| X-Ray Exam Hip Uni 1 View (73501) | $1,109.69 | $1,109.69 | 13.3× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $1,109.69 | $1,109.69 | 13.3× |
| X-Ray Exam Hips Bi 2 Views (73521) | $118.85 | $118.85 | 1.2× |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 3 matching MRF lines |
$1,488.40–$1,488.41 | $1,488.40–$1,488.41 | varies |
| X-Ray Exam L-S Spine Bending (72114) | $896.57 | $896.57 | 9.0× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$885.47–$982.88 | $885.47–$982.88 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 3 matching MRF lines |
$1,321.07–$1,321.08 | $1,321.07–$1,321.08 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 5 matching MRF lines |
$665.58–$838.45 | $665.58–$838.45 | varies |
| X-ray eye for foreign body (70030) range across 3 matching MRF lines |
$151.68–$163.81 | $151.68–$163.81 | varies |
| X-ray humerus (73060) range across 4 matching MRF lines |
$351.80–$415.69 | $351.80–$415.69 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $436.83 | $436.83 | 5.3× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$584.79–$584.80 | $584.79–$584.80 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $479.11 | $479.11 | 4.8× |
| X-ray nose-rectum child f.b. (76010) range across 2 matching MRF lines |
$338.19–$338.20 | $338.19–$338.20 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $1,088.56 | $1,088.56 | 10.9× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $718.66 | $718.66 | 7.2× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) range across 2 matching MRF lines |
$602.40–$602.41 | $602.40–$602.41 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$374.50–$415.69 | $374.50–$415.69 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $912.42 | $912.42 | 11.0× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $965.26 | $965.26 | 9.7× |
| X-Ray Stress View (77071) | $153.24 | $153.24 | 1.8× |
| X-ray thoracic spine 4 vw (72074) range across 2 matching MRF lines |
$857.82–$857.83 | $857.82–$857.83 | varies |
| X-Ray Tmj Unilat (70328) | $121.54 | $121.54 | 1.5× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $1,837.18 | $1,837.18 | 5.5× |
| X-Rays Bone Length Studies (77073) range across 3 matching MRF lines |
$389.26–$722.89 | $389.26–$722.89 | varies |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$1,185.43–$1,185.44 | $1,185.43–$1,185.44 | varies |
| Xr c-spine 4 or 5 views (72050) | $1,150.23 | $1,150.23 | 11.5× |
| Xr facial bones less than 3 views (70140) | $456.21 | $456.21 | 5.5× |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$778.54–$778.55 | $778.54–$778.55 | 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.