Imaging prices at Mississippi Baptist Medical Center
Jackson, MS · every code in this section with a posted price and a Medicare benchmark.
350 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) | $1,641.57 | $7,817 | 1.3× |
| Abdomen 1 View (74018) | $109.83 | $523 | 1.4× |
| Abdomen 2 views (74019) | $164.22 | $782 | 1.7× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $784.98 | $3,738 | 2.2× |
| Angio pulmonary bilat (75743) | $2,060.31 | $9,811 | 0.7× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $1,719.48 | $8,188 | 0.6× |
| Angiography extremity bilateral rs&i (75716) | $2,060.31 | $9,811 | 0.7× |
| Angiography extremity unilateral rs&i (75710) range across 2 matching MRF lines |
$1,928.64–$2,060.31 | $9,184–$9,811 | varies |
| Angiography pulmonary unilateral slctv rs&i (75741) | $1,719.48 | $8,188 | 0.6× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $1,084.65 | $5,165 | 0.4× |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$41.37–$70.14 | $197–$334 | varies |
| Aortography thoracic serialography rs&i (75605) unusually low: confirm this is the full procedure |
$2,060.31 | $9,811 | 0.4× |
| Artery X-Rays Abdomen (75726) unusually low: confirm this is the full procedure |
$1,928.64 | $9,184 | 0.4× |
| Artery X-Rays Pelvis (75736) unusually low: confirm this is the full procedure |
$2,142.63 | $10,203 | 0.4× |
| Artery X-Rays Spine (75705) unusually low: confirm this is the full procedure |
$2,060.31 | $9,811 | 0.4× |
| Arthrogram hip (73525) | $287.70 | $1,370 | 0.9× |
| Arthrogram Wrist (73115) | $276.57 | $1,317 | 0.9× |
| Basic radiation dosimetry calculation (77300) | $199.50 | $950 | 1.6× |
| Bone age studies (77072) | $123.27 | $587 | 1.3× |
| Bone Imaging 3 Phase (78315) | $682.50 | $3,250 | 1.9× |
| Bone Imaging Limited Area (78300) | $330.96 | $1,576 | 0.9× |
| Bone Imaging Whole Body (78306) | $648.69 | $3,089 | 1.8× |
| Bone marrow imaging limited area (78102) | $320.46 | $1,526 | 0.9× |
| Bone survey infant (77076) | $259.77 | $1,237 | 2.8× |
| Brachytx isodose complex (77318) | $830.97 | $3,957 | 2.5× |
| Brachytx isodose intermed (77317) | $616.56 | $2,936 | 1.8× |
| Brachytx Isodose Plan Simple (77316) | $598.29 | $2,849 | 1.8× |
| Brain Flow Imaging Only (78610) | $246.54 | $1,174 | 0.5× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $470.19 | $2,239 | 1.0× |
| Cardiac Shunt Detection (78428) | $142.38 | $678 | 0.4× |
| Cat Scan Follow-Up Study (76380) range across 5 matching MRF lines |
$262.92–$313.11 | $1,252–$1,491 | varies |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $311.22 | $1,482 | 0.6× |
| Cerebrospinal Fluid Scan (78630) | $622.02 | $2,962 | 1.3× |
| Chest 1 view (71045) | $179.97 | $857 | 2.3× |
| Chest 2 views (71046) | $208.32 | $992 | 2.7× |
| Chest 3 views (71047) | $99.54 | $474 | 1.3× |
| Chest 4 or more views (71048) | $212.73 | $1,013 | 2.3× |
| Clavicle complete (73000) | $102.27 | $487 | 1.3× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $46.62 | $222 | 0.5× |
| Continuing medical physics consltj pr wk (77336) | $215.25 | $1,025 | 1.8× |
| Contrast Exam Abdominl Aorta (75625) | $1,909.95 | $9,095 | 0.7× |
| Contrast X-Ray Bladder (74430) | $187.53 | $893 | 0.6× |
| Contrast X-Ray Of Elbow (73085) | $276.57 | $1,317 | 0.9× |
| Contrast X-Ray Of Knee Joint (73580) | $276.57 | $1,317 | 0.9× |
| CT abdomen and pelvis without and with contrast (74178) | $1,877.19 | $8,939 | 6.0× |
| CT abdomen and pelvis without contrast (74176) | $1,467.06 | $6,986 | 6.8× |
| CT abdomen w contrast (74160) | $784.98 | $3,738 | 5.0× |
| CT abdomen w wo contrast (74170) | $921.06 | $4,386 | 5.8× |
| CT abdomen w/o contrast (74150) | $716.52 | $3,412 | 7.6× |
| CT Angio Abdomen and Pelvis (74174) | $1,842.12 | $8,772 | 5.8× |
| CT Angio Chest (71275) | $852.81 | $4,061 | 5.4× |
| CT Angio Head (70496) | $795.69 | $3,789 | 5.0× |
| CT angio hrt w/3d image (75574) | $921.06 | $4,386 | 2.9× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
$700.98–$852.81 | $3,338–$4,061 | varies |
| CT Angio Neck (70498) | $831.18 | $3,958 | 5.2× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $761.46 | $3,626 | 4.8× |
| CT cervical spine w/ contrast (72126) | $545.79 | $2,599 | 1.7× |
| CT cervical spine w/o contrast (72125) | $545.79 | $2,599 | 5.8× |
| CT cervical spine w/wo cont (72127) | $590.31 | $2,811 | 3.7× |
| CT chest w contrast (71260) | $784.98 | $3,738 | 5.0× |
| CT chest w/wo contrast (71270) | $921.06 | $4,386 | 5.8× |
| CT head/brain with contrast (70460) | $614.04 | $2,924 | 3.9× |
| CT head/brain without and with contrast (70470) | $867.72 | $4,132 | 5.5× |
| CT heart contrast eval cardiac structure&morph (75572) | $885.57 | $4,217 | 2.8× |
| CT heart no contrast quant eval coronry calcium (75571) | $56.49 | $269 | 0.7× |
| CT iac w contrast (70481) | $650.58 | $3,098 | 4.1× |
| CT l-spine w&w/o contrast (72133) | $648.69 | $3,089 | 4.1× |
| CT lower ext w/o (73700) | $670.11 | $3,191 | 7.1× |
| CT lower extremity w/contrast material (73701) | $731.22 | $3,482 | 4.6× |
| CT lumbar spine w contrast (72132) | $716.52 | $3,412 | 2.3× |
| CT lumbar spine w/o contrast (72131) | $682.50 | $3,250 | 7.2× |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$350.49–$443.31 | $1,669–$2,111 | varies |
| CT maxillofacial wo contrast (70486) | $470.19 | $2,239 | 5.0× |
| CT neck tissue combo (70492) | $795.69 | $3,789 | 5.0× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,063.65 | $5,065 | 6.7× |
| CT orbits w/o contrast (70480) | $470.19 | $2,239 | 5.0× |
| CT pelvis w&w/o contrast (72194) | $989.52 | $4,712 | 6.2× |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$613.41–$784.98 | $2,921–$3,738 | varies |
| CT scan of leg combo (73702) | $818.79 | $3,899 | 5.2× |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
$485.52–$614.04 | $2,312–$2,924 | varies |
| CT soft tissue neck w contrast (70491) | $831.18 | $3,958 | 5.2× |
| CT soft tissue neck w/o contrast (70490) | $722.82 | $3,442 | 7.7× |
| CT thoracic spine w contrast (72129) | $648.69 | $3,089 | 4.1× |
| CT thoracic spine w/o contrast (72128) | $750.54 | $3,574 | 8.0× |
| CT thoracic spine w/wo cont (72130) | $754.74 | $3,594 | 4.8× |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$34.44–$682.50 | $164–$3,250 | varies |
| CT upper ext wo (73200) | $750.54 | $3,574 | 8.0× |
| CT upper extremity w/o & w/contrast material (73202) | $787.29 | $3,749 | 5.0× |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$601.02–$731.22 | $2,862–$3,482 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $989.52 | $4,712 | 6.2× |
| Cta Abdomen (74175) | $989.52 | $4,712 | 6.2× |
| CTA pelvis (72191) | $820.05 | $3,905 | 5.2× |
| Dilation ureters/urethra rs&i (74485) | $1,251.60 | $5,960 | 0.7× |
| Doppler Fetal Mid Cerebral Artery (76821) | $118.44 | $564 | 1.3× |
| Dxa Bone Density Axial (77080) | $238.77 | $1,137 | 2.5× |
| Dxa bone density study (77085) | $238.77 | $1,137 | 2.5× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $85.26 | $406 | 1.1× |
| Echo Guide For Artery Repair (76936) | $203.28 | $968 | 1.0× |
| Esophagram (74220) | $200.97 | $957 | 1.3× |
| Fetal Biophys Profile W/Nst (76818) | $154.14 | $734 | 1.6× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $131.25 | $625 | 1.4× |
| Fluoroscopy up to 1 hr (76000) | $122.22 | $582 | 0.6× |
| Foot 2 views (73620) | $129.78 | $618 | 1.7× |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$40.11–$112.77 | $191–$537 | varies |
| Gastric emptying imaging study (78264) range across 2 matching MRF lines |
$518.49–$682.50 | $2,469–$3,250 | varies |
| Gated Heart Planar Single (78472) | $1,069.11 | $5,091 | 3.0× |
| Hand 2 views (73120) range across 2 matching MRF lines |
$42–$123.27 | $200–$587 | varies |
| Hdr Rdncl Ntrstl/Icav Brchtx (77772) | $2,816.73 | $13,413 | 4.5× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) | $2,195.34 | $10,454 | 3.5× |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) | $1,416.24 | $6,744 | 2.3× |
| Heart Image (Pet) Multiple (78492) | $2,680.02 | $12,762 | 2.1× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $1,928.64 | $9,184 | 0.7× |
| Hepatobil Syst Image W/Drug (78227) | $716.52 | $3,412 | 1.5× |
| Hepatobiliary System Imaging (78226) | $545.79 | $2,599 | 1.5× |
| Ht Muscle Image Spect Sing (78451) | $1,057.56 | $5,036 | 0.9× |
| Hysterosalpingogram (74740) | $241.08 | $1,148 | 1.1× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $184.38 | $878 | 2.3× |
| Infant hip ultrasound, limited static exam (76886) | $153.93 | $733 | 2.0× |
| Interstitial radiation source applic complex (77778) | $824.04 | $3,924 | 1.3× |
| Joint Survey Single View (77077) | $51.03 | $243 | 0.5× |
| K Flow/Funct Image Multiple (78709) | $590.31 | $2,811 | 1.2× |
| K Flow/Funct Image W/Drug (78708) | $852.81 | $4,061 | 1.7× |
| K Flow/Funct Image W/O Drug (78707) | $784.98 | $3,738 | 1.6× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $360.78 | $1,718 | 1.0× |
| Knee 3 Views (73562) | $115.71 | $551 | 1.5× |
| Liver & Spleen Imaging Static Only (78215) | $511.77 | $2,437 | 1.4× |
| Lung Perf&Ventilat Diferentl (78598) | $839.58 | $3,998 | 1.7× |
| Lung perfusion differential (78597) | $439.32 | $2,092 | 1.2× |
| Lung Ventilat&Perfus Imaging (78582) | $839.58 | $3,998 | 1.7× |
| Lung Ventilation Imaging (78579) | $327.39 | $1,559 | 0.9× |
| Lymph System Imaging (78195) | $443.10 | $2,110 | 0.9× |
| Magnetic Image Jaw Joint (70336) | $511.77 | $2,437 | 2.4× |
| Meckels Divert Exam (78290) | $511.77 | $2,437 | 1.4× |
| Mlc imrt design & construction per imrt plan (77338) | $611.94 | $2,914 | 1.8× |
| Mra Head W/O & W/Contrast Material (70546) | $1,330.77 | $6,337 | 4.2× |
| MRA head w/o contrast (70544) | $682.50 | $3,250 | 3.2× |
| MRA head with contrast (70545) | $924.84 | $4,404 | 2.9× |
| MRA neck w contrast (70548) | $924.84 | $4,404 | 2.9× |
| Mra Neck W/O &W/Contrast Material (70549) | $1,267.98 | $6,038 | 4.0× |
| MRA neck w/o contrast (70547) | $682.50 | $3,250 | 3.2× |
| MRI abdomen w contrast (74182) | $1,228.29 | $5,849 | 3.9× |
| MRI abdomen w/o contrast (74181) | $1,535.10 | $7,310 | 7.1× |
| MRI any jt lower extrem w/contrast material (73722) | $1,414.56 | $6,736 | 2.0× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $2,046.87 | $9,747 | 6.5× |
| MRI any jt upper extremity w/contrast matrl (73222) | $1,645.35 | $7,835 | 2.3× |
| MRI Breast W/O Contrast Bilateral (77047) | $924.84 | $4,404 | 4.3× |
| MRI Breast Without Contrast Material Unilateral (77046) | $723.87 | $3,447 | 3.4× |
| MRI cervical spine w contrast (72142) | $1,364.79 | $6,499 | 4.3× |
| MRI cervical spine w/o cont (72141) | $1,342.74 | $6,394 | 6.2× |
| MRI chest w/o contrast (71550) | $1,312.29 | $6,249 | 6.1× |
| MRI chest with contrast (71551) | $857.85 | $4,085 | 1.2× |
| MRI chest wo w contrast (71552) | $1,978.62 | $9,422 | 6.3× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $1,410.57 | $6,717 | 4.5× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $2,012.85 | $9,585 | 6.4× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $1,364.79 | $6,499 | 6.3× |
| MRI lumbar spine w contrast (72149) | $1,535.10 | $7,310 | 4.9× |
| Mri Neck Spine W/O & W/Dye (72156) | $2,046.87 | $9,747 | 6.5× |
| MRI orbit face &/neck w/o contrast (70540) | $443.31 | $2,111 | 2.1× |
| MRI orbit face neck w contrast (70542) | $1,501.08 | $7,148 | 4.8× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 2 matching MRF lines |
$901.32–$1,296.33 | $4,292–$6,173 | varies |
| MRI pelvis w contrast (72196) | $1,126.02 | $5,362 | 3.6× |
| MRI pelvis w/o & w contrast (72197) | $2,046.87 | $9,747 | 6.5× |
| MRI pelvis w/o contrast (72195) | $1,364.79 | $6,499 | 6.3× |
| MRI spectroscopy (76390) | $524.79 | $2,499 | 6.7× |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$347.97–$944.58 | $1,657–$4,498 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) | $998.76 | $4,756 | 3.2× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $1,218.21 | $5,801 | 5.7× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $1,886.01 | $8,981 | 6.0× |
| MRI, abdomen, combo (74183) | $2,354.52 | $11,212 | 7.5× |
| MRI, dorsal spine combo (72157) | $2,012.85 | $9,585 | 6.4× |
| MRI, dorsal spine contrast (72147) | $1,364.79 | $6,499 | 4.3× |
| MRI, joint upper extrem (73221) | $1,218.21 | $5,801 | 5.7× |
| MRI, joint upper extrem combo (73223) | $2,006.34 | $9,554 | 6.4× |
| MRI, lumbar spine combo (72158) | $2,046.87 | $9,747 | 6.5× |
| Myelogram cervical (72240) | $486.57 | $2,317 | 0.7× |
| Myelogram Lumbar (72265) | $455.49 | $2,169 | 0.6× |
| Myelography thoracic (72255) | $467.88 | $2,228 | 0.7× |
| Myelograpy 2/more regions rs&i (72270) | $506.10 | $2,410 | 0.7× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) | $2,639.49 | $12,569 | 2.3× |
| Myocardial Spect Multiple Studies (78452) | $1,194.06 | $5,686 | 1.0× |
| Myocrd Img Pet Metab Eval Single Study Cncrnt CT (78429) | $988.68 | $4,708 | 0.8× |
| Myocrd img PET prfuj 1std rest/stress cncrnt CT (78430) | $988.68 | $4,708 | 0.8× |
| Myocrd Img Pet Prfuj Mlt Std Rst&Strs Cncrnt CT (78431) | $1,541.82 | $7,342 | 0.8× |
| Myocrd Img Pet Prfuj W/Metab 2rtracer Cncrnt CT (78433) | $1,884.54 | $8,974 | 0.9× |
| Myocrd Img Pet Prfuj W/Metab Dual Radiotracer (78432) | $1,884.54 | $8,974 | 1.4× |
| N-invas est c ffr sw aly CTA (75580) | $588.84 | $2,804 | 0.8× |
| Neck soft tissue (70360) | $85.26 | $406 | 1.1× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $250.11 | $1,191 | 0.7× |
| Nonvascular Shunt X-Ray (75809) | $271.74 | $1,294 | 2.9× |
| Ntsty modul radthx pln dose-vol histos (77301) | $1,769.67 | $8,427 | 1.4× |
| Nuclear Rx Oral Admin (79005) range across 2 matching MRF lines |
$137.55–$863.31 | $655–$4,111 | varies |
| Ob us nuchal meas 1 gest (76813) | $133.98 | $638 | 1.4× |
| Optic foramina (70190) | $52.71 | $251 | 0.7× |
| Parathyroid Planar Imaging (78070) | $784.98 | $3,738 | 2.2× |
| Parathyroid planar imaging w/wo subtraction (78071) | $784.98 | $3,738 | 2.2× |
| Pelvis 1 or 2 views (72170) | $191.31 | $911 | 2.0× |
| PET image w/CT, full body (78816) | $2,286.06 | $10,886 | 1.8× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $1,945.23 | $9,263 | 1.5× |
| Pet Myocardial Sngl Study (78491) | $2,320.29 | $11,049 | 1.8× |
| Pulmonary Perfusion Imaging Particulate (78580) | $511.77 | $2,437 | 1.4× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $375.27 | $1,787 | 4.0× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $241.08 | $1,148 | 0.5× |
| Radex Ankle Complete Minimum 3 Views (73610) | $95.76 | $456 | 1.2× |
| Radex Calcaneus Minimum 2 Views (73650) | $87.78 | $418 | 1.1× |
| Radex elbow complete minimum 3 views (73080) | $81.48 | $388 | 1.0× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $143.01 | $681 | 1.5× |
| Radex fingr minimum 2 views (73140) | $102.27 | $487 | 1.3× |
| Radex foot complete minimum 3 views (73630) | $95.76 | $456 | 1.2× |
| Radex Hand Minimum 3 Views (73130) | $98.28 | $468 | 1.3× |
| Radex lower extremity infant minimum 2 views (73592) | $67.41 | $321 | 0.9× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $109.41 | $521 | 1.2× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $95.76 | $456 | 1.2× |
| Radex Ribs Unilateral 2 Views (71100) | $149.94 | $714 | 1.9× |
| Radex shoulder complete minimum 2 views (73030) | $194.25 | $925 | 2.5× |
| Radex Sinuses Paransl < 3 Views (70210) | $71.82 | $342 | 0.9× |
| Radex Spine 1 View Specify Level (72020) range across 3 matching MRF lines |
$43.68–$180.60 | $208–$860 | varies |
| Radex Sternum Minimum 2 Views (71120) | $95.76 | $456 | 1.2× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $91.98 | $438 | 1.2× |
| Radex Toe Minimum 2 Views (73660) | $88.62 | $422 | 1.1× |
| Radex upper extremity infant minimum 2 views (73092) | $59.43 | $283 | 0.6× |
| Radex Wrist Complete Minimum 3 Views (73110) | $88.62 | $422 | 1.1× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $152.88 | $728 | 1.6× |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $3,766.14 | $17,934 | 0.6× |
| Radiation treatment delivery level 1 (77402) range across 2 matching MRF lines |
$198.03–$250.53 | $943–$1,193 | varies |
| Radiation treatment delivery level 3 (77412) range across 2 matching MRF lines |
$432.39–$547.05 | $2,059–$2,605 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) | $137.55 | $655 | 1.5× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $214.83 | $1,023 | 2.3× |
| Radiologic exam colon double contrast study (74280) | $375.27 | $1,787 | 2.4× |
| Radiologic exam colon single contrast study (74270) | $266.28 | $1,268 | 1.7× |
| Radiologic exam knee complete 4/more views (73564) | $128.10 | $610 | 1.4× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $133.14 | $634 | 1.4× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $184.38 | $878 | 1.2× |
| Radiologic exam swallow function contrast study (74230) | $198.24 | $944 | 1.3× |
| Radiologic exam upr gi trc double contrast study (74246) | $392.07 | $1,867 | 2.5× |
| Radiologic examination femur 1 view (73551) | $85.26 | $406 | 1.1× |
| Radiologic examination femur minimum 2 views (73552) | $88.62 | $422 | 1.1× |
| Radiologic examination knee 1/2 views (73560) | $123.27 | $587 | 1.6× |
| Radiologic Examination Osseous Survey Limited (77074) | $149.94 | $714 | 1.6× |
| Radiologic examination tibia & fibula 2 views (73590) | $123.27 | $587 | 1.6× |
| Renal Cyst Study (74470) | $219.66 | $1,046 | 0.4× |
| Ribs bilateral 3 views (71110) | $149.94 | $714 | 1.6× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $294.63 | $1,403 | 0.8× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $2,388.33 | $11,373 | 4.9× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $989.52 | $4,712 | 2.0× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $1,126.02 | $5,362 | 2.3× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $871.50 | $4,150 | 0.7× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $871.50 | $4,150 | 0.7× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $988.68 | $4,708 | 0.8× |
| Scapula (73010) range across 2 matching MRF lines |
$72.66–$91.98 | $346–$438 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $22.05 | $105 | 0.9× |
| Shoulder 1 view (73020) | $102.27 | $487 | 1.3× |
| Shoulder Arthrography (73040) | $276.57 | $1,317 | 0.9× |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$41.79–$85.26 | $199–$406 | varies |
| Special dosimetry (77331) | $312.06 | $1,486 | 2.6× |
| Special Physics Consult (77370) | $483 | $2,300 | 4.0× |
| Special teletherapy port plan (77321) | $433.23 | $2,063 | 1.3× |
| Special treatment procedure (77470) | $1,126.44 | $5,364 | 2.3× |
| Stereotactic Body Radiation Delivery (77373) | $3,250.59 | $15,479 | 2.0× |
| Sternoclavicular joints (71130) | $72.03 | $343 | 0.9× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $547.05 | $2,605 | 1.6× |
| Testicular Imaging W/Flow (78761) | $313.53 | $1,493 | 0.9× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $450.66 | $2,146 | 1.3× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $231.63 | $1,103 | 0.7× |
| Ther rad simulaj-aided field setting simple (77280) | $195.09 | $929 | 1.6× |
| Thoracic spine 2 views (72070) | $133.14 | $634 | 1.4× |
| Thoracic spine 3 views (72072) | $111.51 | $531 | 1.2× |
| Thoracolumbar 2 views (72080) | $95.76 | $456 | 1.2× |
| Thyroid Imaging With Vascular Flow (78013) | $320.46 | $1,526 | 0.9× |
| Thyroid Met Imaging Body (78018) | $613.83 | $2,923 | 1.3× |
| Thyroid Uptake Measurement (78012) | $223.23 | $1,063 | 0.6× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $409.50 | $1,950 | 1.1× |
| Tx Devices Design & Construction Complex (77334) | $611.94 | $2,914 | 1.8× |
| Tx devices design & construction intermediate (77333) | $353.85 | $1,685 | 2.9× |
| Tx devices design & construction simple (77332) | $166.95 | $795 | 1.4× |
| Ultrasound Breast Limited (76642) | $204.54 | $974 | 2.6× |
| Ultrasound Exam Aaa Screen (76706) | $84 | $400 | 0.9× |
| Ultrasound, abdomen limited (76705) | $187.53 | $893 | 2.0× |
| Umbilical-artery Doppler (OB) (76820) | $118.44 | $564 | 1.3× |
| Unlisted Dx Radiographic Procedure (76499) | $56.28 | $268 | 0.7× |
| Unlisted magnetic resonance procedure (76498) | $347.97 | $1,657 | 4.4× |
| Upper gi w/o kub (74240) | $392.28 | $1,868 | 2.5× |
| Urethrocystogram voiding (74455) | $187.53 | $893 | 0.9× |
| Urethrocystography retrograde (74450) | $239.82 | $1,142 | 1.1× |
| Us breast unilateral complete (76641) | $204.54 | $974 | 2.2× |
| Us chest (76604) | $143.01 | $681 | 1.5× |
| Us complete joint (76881) | $177.24 | $844 | 1.9× |
| Us exam, pelvic, limited (76857) range across 4 matching MRF lines |
$133.98–$221.97 | $638–$1,057 | varies |
| Us head (76506) | $164.22 | $782 | 1.7× |
| Us kidney transplant (76776) | $262.92 | $1,252 | 2.8× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 3 matching MRF lines |
$117.60–$184.38 | $560–$878 | varies |
| Us ob detailed single fetus (76811) | $427.56 | $2,036 | 2.0× |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$158.34–$228.69 | $754–$1,089 | varies |
| Us ob transvaginal (76817) | $149.31 | $711 | 1.6× |
| Us pelvic non ob complete (76856) | $269.22 | $1,282 | 2.9× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $154.77 | $737 | 1.6× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $94.92 | $452 | 1.0× |
| Us retroperitoneal complete (76770) | $261.24 | $1,244 | 2.8× |
| Us retroperitoneal limited (76775) | $164.22 | $782 | 1.7× |
| Us scrotum and contents (76870) | $170.94 | $814 | 1.8× |
| Us spinal canal and contents (76800) | $136.50 | $650 | 1.4× |
| Us thyroid (76536) | $170.94 | $814 | 1.8× |
| Us transrectal (76872) | $375.27 | $1,787 | 4.0× |
| Vein X-Ray Chest (75827) | $677.88 | $3,228 | 0.5× |
| Vein X-Ray Liver W/O Hemodyn (75887) | $1,104.60 | $5,260 | 0.4× |
| Venogram Sinus/Jugular (75860) | $583.59 | $2,779 | 0.2× |
| Venography caval inferior serialography rs&i (75825) | $1,928.64 | $9,184 | 0.7× |
| Venography extremity bilateral rs&i (75822) | $651.84 | $3,104 | 0.5× |
| Venography extremity unilateral rs&i (75820) | $651.84 | $3,104 | 0.5× |
| Venography Renal Unilateral (75831) | $2,122.26 | $10,106 | 0.7× |
| Venous sampling by catheter (75893) unusually low: confirm this is the full procedure |
$1,836.66 | $8,746 | 0.4× |
| Venous Thrombosis Imaging Venogram Bilateral (78458) | $145.11 | $691 | 0.4× |
| Wrist 2 views (73100) | $123.27 | $587 | 1.6× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $102.48 | $488 | 1.3× |
| X-ray antegrade pyelogram tube (74425) range across 4 matching MRF lines |
$337.05–$426.30 | $1,605–$2,030 | varies |
| X-Ray Aorta Leg Arteries (75630) range across 2 matching MRF lines |
$1,451.52–$2,060.31 | $6,912–$9,811 | varies |
| X-Ray Bend Only L-S Spine (72120) | $118.44 | $564 | 1.3× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$40.11–$123.27 | $191–$587 | varies |
| X-Ray Exam Breast Specimen (76098) | $409.71 | $1,951 | 0.8× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $83.37 | $397 | 1.1× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $72.24 | $344 | 0.8× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $137.55 | $655 | 1.5× |
| X-Ray Exam Hip Uni 1 View (73501) | $69.09 | $329 | 0.9× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $82.74 | $394 | 1.1× |
| X-Ray Exam Hips Bi 2 Views (73521) | $137.55 | $655 | 1.5× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $142.80 | $680 | 1.5× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $219.45 | $1,045 | 2.3× |
| X-Ray Exam L-S Spine Bending (72114) | $225.33 | $1,073 | 2.4× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $129.78 | $618 | 1.7× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $160.02 | $762 | 1.7× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $149.94 | $714 | 1.6× |
| X-ray humerus (73060) range across 2 matching MRF lines |
$55.23–$123.27 | $263–$587 | varies |
| X-ray IV pyelogram (ivp) (74400) | $239.82 | $1,142 | 1.5× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $45.78 | $218 | 0.6× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $62.16 | $296 | 0.8× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $173.88 | $828 | 1.8× |
| X-ray nose-rectum child f.b. (76010) | $92.40 | $440 | 1.2× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $149.94 | $714 | 1.6× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $133.14 | $634 | 1.4× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $133.14 | $634 | 1.4× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $149.94 | $714 | 1.9× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $123.27 | $587 | 1.6× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $143.01 | $681 | 1.5× |
| X-ray thoracic spine 4 vw (72074) | $117.18 | $558 | 1.2× |
| X-Ray Tmj Unilat (70328) | $36.33 | $173 | 0.5× |
| X-Rays Bone Length Studies (77073) | $78.12 | $372 | 0.8× |
| X-Rays Bone Survey Complete (77075) | $259.77 | $1,237 | 2.8× |
| Xr c-spine 4 or 5 views (72050) | $146.79 | $699 | 1.6× |
| Xr facial bones less than 3 views (70140) | $84.42 | $402 | 1.1× |
| XR Mastoids < 3 Views Bilateral (70120) | $255.99 | $1,219 | 2.7× |
| Xr orbits complete 4 views (70200) | $137.55 | $655 | 1.5× |
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.