Imaging prices at Monadnock Community Hospital
Peterborough, NH · every code in this section with a posted price and a Medicare benchmark.
266 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) | $320.12 | $533.54 | 3.4× |
| Abdomen 2 views (74019) | $375.74 | $626.24 | 3.4× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,070.99 | $1,784.99 | 2.5× |
| Ankle 2 views (73600) range across 5 matching MRF lines |
$50.40–$130.40 | $84–$217.33 | varies |
| Arthrogram ankle (73615) | $474.62 | $791.04 | 1.3× |
| Arthrogram hip (73525) | $520.36 | $867.26 | 1.4× |
| Arthrogram Wrist (73115) | $574.12 | $956.87 | 1.5× |
| Bone age studies (77072) | $249.05 | $415.09 | 2.2× |
| Bone Imaging 3 Phase (78315) | $1,284.20 | $2,140.34 | 3.0× |
| Bone Imaging Limited Area (78300) | $830.59 | $1,384.32 | 1.9× |
| Bone Imaging Multiple Areas (78305) | $878.18 | $1,463.63 | 2.1× |
| Bone Imaging Whole Body (78306) | $1,195.83 | $1,993.05 | 2.8× |
| Bone marrow imaging; whole body (78104) | $766.94 | $1,278.23 | 1.8× |
| Bone survey infant (77076) | $178.60 | $297.67 | 1.6× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $2,401.55 | $4,002.58 | 1.6× |
| Cat Scan Follow-Up Study (76380) | $1,314.49 | $2,190.81 | 14.1× |
| Chest 1 view (71045) | $307.20 | $512 | 3.3× |
| Chest 2 views (71046) | $477 | $795 | 5.1× |
| Chest 3 views (71047) | $532.20 | $887 | 5.7× |
| Chest 4 or more views (71048) | $587.40 | $979 | 5.3× |
| Clavicle complete (73000) range across 5 matching MRF lines |
$47.40–$238.55 | $79–$397.58 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $1,593.20 | $2,655.34 | 14.3× |
| Contrast X-Ray Bladder (74430) | $697.10 | $1,161.84 | 1.9× |
| Contrast X-Ray Of Elbow (73085) | $574.12 | $956.87 | 1.5× |
| Contrast X-Ray Of Knee Joint (73580) | $574.12 | $956.87 | 1.5× |
| CT abdomen and pelvis without and with contrast (74178) | $5,741.45 | $9,569.08 | 15.4× |
| CT abdomen and pelvis without contrast (74176) | $2,911.40 | $4,852.33 | 11.4× |
| CT abdomen w contrast (74160) | $1,674.39 | $2,790.65 | 8.9× |
| CT abdomen w wo contrast (74170) | $3,296.64 | $5,494.40 | 17.6× |
| CT abdomen w/o contrast (74150) | $1,318.81 | $2,198.02 | 11.8× |
| CT Angio Abdomen and Pelvis (74174) | $3,846.43 | $6,410.72 | 10.3× |
| CT Angio Chest (71275) | $1,982.15 | $3,303.59 | 10.6× |
| CT Angio Head (70496) range across 2 matching MRF lines |
$1,975.97–$3,951.95 | $3,293.29–$6,586.58 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
$1,975.97–$1,982.15 | $3,293.29–$3,303.59 | varies |
| CT Angio Neck (70498) | $1,975.97 | $3,293.29 | 10.6× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 2 matching MRF lines |
$1,975.97–$1,982.15 | $3,293.29–$3,303.59 | varies |
| CT cervical spine w/ contrast (72126) | $2,236.77 | $3,727.95 | 6.0× |
| CT cervical spine w/o contrast (72125) | $2,019.62 | $3,366.04 | 18.1× |
| CT cervical spine w/wo cont (72127) | $2,958.59 | $4,930.99 | 15.8× |
| CT chest w contrast (71260) | $1,663.27 | $2,772.11 | 8.9× |
| CT chest w/wo contrast (71270) | $2,496.95 | $4,161.58 | 13.3× |
| CT head/brain with contrast (70460) | $1,594.05 | $2,656.75 | 8.5× |
| CT head/brain without and with contrast (70470) | $2,039.63 | $3,399.38 | 10.9× |
| CT heart no contrast quant eval coronry calcium (75571) | $150 | $250 | 1.6× |
| CT iac w contrast (70481) | $1,312.24 | $2,187.07 | 7.0× |
| CT l-spine w&w/o contrast (72133) | $3,432.60 | $5,721 | 18.3× |
| CT lower ext w/o (73700) range across 6 matching MRF lines |
$2,019.01–$3,029.44 | $3,365.01–$5,049.06 | varies |
| CT lower extremity w/contrast material (73701) range across 3 matching MRF lines |
$2,159.52–$3,211.36 | $3,599.20–$5,352.26 | varies |
| CT lumbar spine w contrast (72132) | $3,056.86 | $5,094.76 | 8.2× |
| CT lumbar spine w/o contrast (72131) | $2,183.39 | $3,638.99 | 19.6× |
| CT maxillofacial w contrast (70487) | $1,768.33 | $2,947.21 | 9.4× |
| CT maxillofacial wo contrast (70486) | $1,679.11 | $2,798.51 | 15.0× |
| CT neck tissue combo (70492) | $2,202.16 | $3,670.27 | 11.8× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $2,278.79 | $3,797.99 | 12.2× |
| CT orbits w/o contrast (70480) | $1,224.26 | $2,040.43 | 11.0× |
| CT pelvis w&w/o contrast (72194) | $2,496.95 | $4,161.58 | 13.3× |
| CT pelvis w/o contrast (72192) | $1,593.20 | $2,655.34 | 14.3× |
| CT scan of leg combo (73702) range across 3 matching MRF lines |
$2,255.31–$3,352.88 | $3,758.85–$5,588.13 | varies |
| CT scans face/jaw combo (70488) | $2,278.79 | $3,797.99 | 12.2× |
| CT soft tissue neck w contrast (70491) | $2,082.89 | $3,471.48 | 11.1× |
| CT soft tissue neck w/o contrast (70490) | $1,511.63 | $2,519.38 | 13.5× |
| CT thoracic spine w contrast (72129) | $2,778.14 | $4,630.23 | 14.8× |
| CT thoracic spine w/o contrast (72128) | $1,981.93 | $3,303.21 | 17.8× |
| CT thoracic spine w/wo cont (72130) | $3,124.84 | $5,208.06 | 16.7× |
| CT thorax w/o contrast (71250) | $1,593.20 | $2,655.34 | 14.3× |
| CT upper ext wo (73200) | $2,002.94 | $3,338.23 | 17.9× |
| CT upper extremity w/o & w/contrast material (73202) | $2,152.72 | $3,587.87 | 11.5× |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$2,071.15–$2,077.33 | $3,451.91–$3,462.21 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $2,461.10 | $4,101.84 | 13.1× |
| Cta Abdomen (74175) | $1,982.15 | $3,303.59 | 10.6× |
| CTA pelvis (72191) | $1,982.15 | $3,303.59 | 10.6× |
| Dxa Bone Density Axial (77080) | $422.09 | $703.49 | 3.8× |
| Echo exam uterus (76831) | $576.59 | $960.99 | 2.3× |
| Echograp Trans R Pros Study (76873) | $179.22 | $298.70 | 1.6× |
| Esophageal Motility Study (78258) | $409.73 | $682.89 | 1.0× |
| Esophagram (74220) | $630.98 | $1,051.63 | 3.4× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $531.48 | $885.80 | 4.8× |
| Fluoroscopy up to 1 hr (76000) | $487.60 | $812.67 | 1.9× |
| Foot 2 views (73620) range across 5 matching MRF lines |
$44.40–$217.54 | $74–$362.56 | varies |
| Forearm 2 views (73090) range across 5 matching MRF lines |
$43.80–$278.10 | $73–$463.50 | varies |
| Gastric emptying imaging study (78264) | $1,570.96 | $2,618.26 | 3.7× |
| Gastroesophageal Reflux Exam (78262) | $546.31 | $910.52 | 1.3× |
| Gated Heart Planar Single (78472) | $886.21 | $1,477.02 | 2.1× |
| Hand 2 views (73120) range across 5 matching MRF lines |
$17.40–$229.90 | $29–$383.16 | varies |
| Heart first pass single,planar (78481) | $773.12 | $1,288.53 | 1.3× |
| Hepatobil Syst Image W/Drug (78227) | $1,231.18 | $2,051.96 | 2.1× |
| Hepatobiliary System Imaging (78226) range across 2 matching MRF lines |
$939.36–$1,231.06 | $1,565.60–$2,051.76 | varies |
| Ht Muscle Image Spect Sing (78451) | $2,493.63 | $4,156.05 | 1.8× |
| Hysterosalpingogram (74740) | $550.02 | $916.70 | 2.2× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $540.75 | $901.25 | 5.8× |
| Joint Survey Single View (77077) | $242.26 | $403.76 | 2.2× |
| K Flow/Funct Image W/Drug (78708) | $1,452.30 | $2,420.50 | 2.5× |
| K Flow/Funct Image W/O Drug (78707) range across 2 matching MRF lines |
$861.49–$1,323.14 | $1,435.82–$2,205.23 | varies |
| Kidney Imaging Morphol (78700) | $582.77 | $971.29 | 1.4× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $633.45 | $1,055.75 | 1.5× |
| Knee 3 Views (73562) range across 7 matching MRF lines |
$60.60–$749.63 | $101–$1,249.39 | varies |
| Liver & Spleen Imaging Static Only (78215) | $530.86 | $884.77 | 1.2× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $645.19 | $1,075.32 | 1.5× |
| Lung Ventilat&Perfus Imaging (78582) | $2,751.95 | $4,586.59 | 4.7× |
| Lung Ventilation Imaging (78579) | $660.64 | $1,101.07 | 1.5× |
| Lymph System Imaging (78195) | $817 | $1,361.66 | 1.4× |
| Magnetic Image Jaw Joint (70336) | $2,216.77 | $3,694.61 | 8.7× |
| Meckels Divert Exam (78290) | $554.96 | $924.94 | 1.3× |
| Mra Head W/O & W/Contrast Material (70546) | $2,062.27 | $3,437.11 | 5.5× |
| MRA head w/o contrast (70544) | $1,750.18 | $2,916.96 | 6.9× |
| MRA head with contrast (70545) | $1,766.24 | $2,943.74 | 4.7× |
| MRA neck w contrast (70548) | $2,062.27 | $3,437.11 | 5.5× |
| Mra Neck W/O &W/Contrast Material (70549) | $2,157.44 | $3,595.73 | 5.8× |
| MRA neck w/o contrast (70547) | $1,943.61 | $3,239.35 | 7.6× |
| MRI abdomen w contrast (74182) | $1,989.96 | $3,316.60 | 5.3× |
| MRI abdomen w/o contrast (74181) | $1,766.86 | $2,944.77 | 6.9× |
| MRI any jt lower extrem w/contrast material (73722) | $2,431.21 | $4,052.02 | 2.9× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $4,041.72 | $6,736.20 | 10.8× |
| MRI any jt upper extremity w/contrast matrl (73222) | $2,455.93 | $4,093.22 | 2.9× |
| MRI cervical spine w contrast (72142) | $2,950.33 | $4,917.22 | 7.9× |
| MRI cervical spine w/o cont (72141) | $2,462.11 | $4,103.52 | 9.7× |
| MRI chest w/o contrast (71550) | $1,865.12 | $3,108.54 | 7.3× |
| MRI chest with contrast (71551) | $2,231.60 | $3,719.33 | 2.7× |
| MRI chest wo w contrast (71552) | $3,923.68 | $6,539.47 | 10.5× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $2,209.97 | $3,683.28 | 5.9× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $3,885.37 | $6,475.61 | 10.4× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $2,025.80 | $3,376.34 | 8.0× |
| MRI lumbar spine w contrast (72149) | $2,700.66 | $4,501.10 | 7.2× |
| Mri Neck Spine W/O & W/Dye (72156) | $4,265.44 | $7,109.06 | 11.5× |
| MRI orbit face &/neck w/o contrast (70540) | $1,697.65 | $2,829.41 | 6.7× |
| MRI orbit face neck w contrast (70542) | $2,488.07 | $4,146.78 | 6.7× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $4,416.23 | $7,360.38 | 11.9× |
| MRI pelvis w contrast (72196) | $2,251.37 | $3,752.29 | 6.0× |
| MRI pelvis w/o & w contrast (72197) | $4,315.49 | $7,192.49 | 11.6× |
| MRI pelvis w/o contrast (72195) | $1,865.12 | $3,108.54 | 7.3× |
| MRI thoracic spine w/o contrast (72146) | $2,014.06 | $3,356.77 | 7.9× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $2,455.93 | $4,093.22 | 6.6× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $1,674.16 | $2,790.27 | 6.6× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $4,162.85 | $6,938.08 | 11.2× |
| MRI, abdomen, combo (74183) | $3,885.37 | $6,475.61 | 10.4× |
| MRI, dorsal spine combo (72157) | $3,553.50 | $5,922.50 | 9.5× |
| MRI, dorsal spine contrast (72147) | $2,491.78 | $4,152.96 | 6.7× |
| MRI, joint upper extrem (73221) | $2,216.77 | $3,694.61 | 8.7× |
| MRI, joint upper extrem combo (73223) | $4,315.49 | $7,192.49 | 11.6× |
| MRI, lumbar spine combo (72158) | $4,747.48 | $7,912.46 | 12.7× |
| Myelogram cervical (72240) | $995.60 | $1,659.33 | 1.2× |
| Myelogram Lumbar (72265) | $1,205.10 | $2,008.50 | 1.4× |
| Myelography thoracic (72255) | $995.60 | $1,659.33 | 1.2× |
| Myelograpy 2/more regions rs&i (72270) | $1,636.46 | $2,727.44 | 2.0× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $519.12 | $865.20 | 1.2× |
| Myocardial Spect Multiple Studies (78452) range across 2 matching MRF lines |
$133.80–$2,772.35 | $223–$4,620.58 | varies |
| Neck soft tissue (70360) | $208.88 | $348.14 | 2.2× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $483.28 | $805.46 | 1.1× |
| Nm myocard infarct spect (78469) | $681.04 | $1,135.06 | 1.2× |
| Optic foramina (70190) | $264.50 | $440.84 | 2.8× |
| Parathyroid Planar Imaging (78070) | $464.74 | $774.56 | 1.1× |
| Parathyroid planar imaging w/wo subtraction (78071) | $1,047.51 | $1,745.85 | 2.5× |
| Pelvis 1 or 2 views (72170) range across 3 matching MRF lines |
$54–$217.54 | $90–$362.56 | varies |
| Pulmonary Perfusion Imaging Particulate (78580) | $601.93 | $1,003.22 | 1.4× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $405.41 | $675.68 | 3.6× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $169.95 | $283.25 | 0.3× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 5 matching MRF lines |
$53.40–$228.66 | $89–$381.10 | varies |
| Radex Calcaneus Minimum 2 Views (73650) | $237.31 | $395.52 | 2.6× |
| Radex elbow complete minimum 3 views (73080) range across 5 matching MRF lines |
$53.40–$253.38 | $89–$422.30 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $354.73 | $591.22 | 3.2× |
| Radex fingr minimum 2 views (73140) range across 5 matching MRF lines |
$54.60–$208.27 | $91–$347.11 | varies |
| Radex foot complete minimum 3 views (73630) range across 5 matching MRF lines |
$49.80–$314.56 | $83–$524.27 | varies |
| Radex Hand Minimum 3 Views (73130) range across 5 matching MRF lines |
$54–$292.93 | $90–$488.22 | varies |
| Radex lower extremity infant minimum 2 views (73592) | $292.93 | $488.22 | 3.2× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $309 | $515 | 3.3× |
| Radex Ribs Unilateral 2 Views (71100) range across 3 matching MRF lines |
$56.40–$307.15 | $94–$511.91 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 5 matching MRF lines |
$49.80–$448.67 | $83–$747.78 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $265.74 | $442.90 | 2.9× |
| Radex Spine 1 View Specify Level (72020) | $250.91 | $418.18 | 2.7× |
| Radex Sternum Minimum 2 Views (71120) | $278.10 | $463.50 | 3.0× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $525.92 | $876.53 | 5.7× |
| Radex Toe Minimum 2 Views (73660) range across 5 matching MRF lines |
$48–$208.27 | $80–$347.11 | varies |
| Radex upper extremity infant minimum 2 views (73092) | $238.55 | $397.58 | 2.1× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 5 matching MRF lines |
$59.40–$220.63 | $99–$367.71 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) | $354.73 | $591.22 | 3.2× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $375.74 | $626.24 | 3.4× |
| Radiologic exam colon double contrast study (74280) | $929.47 | $1,549.12 | 5.0× |
| Radiologic exam colon single contrast study (74270) | $589.57 | $982.62 | 3.1× |
| Radiologic exam knee complete 4/more views (73564) range across 5 matching MRF lines |
$67.20–$417.77 | $112–$696.28 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$64.20–$269.45 | $107–$449.08 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) | $526.54 | $877.56 | 2.8× |
| Radiologic exam swallow function contrast study (74230) | $389.96 | $649.93 | 2.1× |
| Radiologic exam upr gi trc double contrast study (74246) | $788.57 | $1,314.28 | 4.2× |
| Radiologic examination femur minimum 2 views (73552) range across 5 matching MRF lines |
$55.80–$285.52 | $93–$475.86 | varies |
| Radiologic examination knee 1/2 views (73560) range across 5 matching MRF lines |
$52.80–$241.64 | $88–$402.73 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $566.09 | $943.48 | 5.1× |
| Radiologic examination tibia & fibula 2 views (73590) range across 5 matching MRF lines |
$48.60–$313.94 | $81–$523.24 | varies |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $543.84 | $906.40 | 1.3× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $645.19 | $1,075.32 | 1.5× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $978.29 | $1,630.49 | 1.7× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $994.36 | $1,657.27 | 1.7× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 3 matching MRF lines |
$1,315.10–$2,635.15 | $2,191.84–$4,391.92 | varies |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $2,271.15 | $3,785.25 | 1.6× |
| Scapula (73010) range across 5 matching MRF lines |
$51.60–$278.10 | $86–$463.50 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $48 | $80 | 2.1× |
| Sella turcica (70240) | $211.97 | $353.29 | 2.3× |
| Shoulder 1 view (73020) range across 5 matching MRF lines |
$39–$177.98 | $65–$296.64 | varies |
| Shoulder Arthrography (73040) | $574.12 | $956.87 | 1.5× |
| Sialogram (70390) | $634.07 | $1,056.78 | 2.5× |
| Skull less than 4 views (70250) | $196.52 | $327.54 | 1.8× |
| Sternoclavicular joints (71130) | $262.65 | $437.75 | 2.8× |
| Testicular Imaging W/Flow (78761) | $519.12 | $865.20 | 1.2× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $766.32 | $1,277.20 | 4.1× |
| Thoracic spine 2 views (72070) range across 3 matching MRF lines |
$57.60–$330.63 | $96–$551.05 | varies |
| Thoracolumbar 2 views (72080) range across 3 matching MRF lines |
$57–$133.49 | $95–$222.48 | varies |
| Thyroid Imaging With Vascular Flow (78013) | $920.20 | $1,533.67 | 2.2× |
| Thyroid Met Imaging Body (78018) | $813.91 | $1,356.51 | 1.4× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,219.93 | $2,033.22 | 2.9× |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$201.47–$280.57 | $335.78–$467.62 | varies |
| Ultrasound Exam Aaa Screen (76706) | $499.96 | $833.27 | 4.5× |
| Ultrasound, abdomen limited (76705) | $499.96 | $833.27 | 4.5× |
| Umbilical-artery Doppler (OB) (76820) | $234.84 | $391.40 | 2.1× |
| Unlisted us procedure (76999) | $554.35 | $923.91 | 6.0× |
| Upper gi w/o kub (74240) | $585.86 | $976.44 | 3.1× |
| Urethrocystogram voiding (74455) | $503.05 | $838.42 | 2.0× |
| Us breast unilateral complete (76641) | $280.57 | $467.62 | 2.5× |
| Us chest (76604) | $302.20 | $503.67 | 2.7× |
| Us complete joint (76881) | $307.76 | $512.94 | 2.8× |
| Us exam, pelvic, limited (76857) | $302.20 | $503.67 | 2.7× |
| Us head (76506) | $554.35 | $923.91 | 5.0× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 6 matching MRF lines |
$75.60–$199.61 | $126–$332.69 | varies |
| Us ob limited 1 or more fetuses (76815) | $364.62 | $607.70 | 3.3× |
| Us ob transvaginal (76817) | $642.72 | $1,071.20 | 5.8× |
| Us pelvic non ob complete (76856) | $639.63 | $1,066.05 | 5.7× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $642.72 | $1,071.20 | 5.8× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $420.86 | $701.43 | 3.8× |
| Us retroperitoneal complete (76770) | $710.70 | $1,184.50 | 6.4× |
| Us retroperitoneal limited (76775) | $499.96 | $833.27 | 4.5× |
| Us scrotum and contents (76870) | $302.20 | $503.67 | 2.7× |
| Us spinal canal and contents (76800) | $313.94 | $523.24 | 2.8× |
| Us thyroid (76536) range across 2 matching MRF lines |
$302.20–$670.53 | $503.67–$1,117.55 | varies |
| Us transrectal (76872) | $621.09 | $1,035.15 | 5.6× |
| Vascular Flow Imaging (78445) | $530.86 | $884.77 | 1.2× |
| Wrist 2 views (73100) range across 5 matching MRF lines |
$53.40–$169.33 | $89–$282.22 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $465.97 | $776.62 | 5.0× |
| X-Ray Bend Only L-S Spine (72120) range across 3 matching MRF lines |
$73.20–$333.10 | $122–$555.17 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 5 matching MRF lines |
$46.20–$193.43 | $77–$322.39 | varies |
| X-Ray Exam Breast Specimen (76098) | $418.80 | $698 | 0.7× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $223.72 | $372.86 | 2.4× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $370.18 | $616.97 | 3.3× |
| X-Ray Exam Hip Uni 1 View (73501) range across 7 matching MRF lines |
$51–$374.51 | $85–$624.18 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 5 matching MRF lines |
$70.20–$412.21 | $117–$687.01 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) | $432.60 | $721 | 3.9× |
| X-Ray Exam Hips Bi 2 Views (73521) range across 3 matching MRF lines |
$63.60–$449.90 | $106–$749.84 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 3 matching MRF lines |
$39–$446.81 | $65–$744.69 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 3 matching MRF lines |
$56.40–$210.12 | $94–$350.20 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $618 | $1,030 | 5.5× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $342.99 | $571.65 | 3.1× |
| X-ray humerus (73060) range across 5 matching MRF lines |
$49.20–$288.61 | $82–$481.01 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $187.25 | $312.09 | 2.0× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 4 matching MRF lines |
$60.60–$357.20 | $101–$595.34 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 3 matching MRF lines |
$59.40–$216.92 | $99–$361.53 | varies |
| X-ray nose-rectum child f.b. (76010) | $245.96 | $409.94 | 2.6× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $459.79 | $766.32 | 4.1× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $294.17 | $490.28 | 2.6× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $113.09 | $188.49 | 1.0× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 3 matching MRF lines |
$48–$210.12 | $80–$350.20 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $380.07 | $633.45 | 4.1× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $217.54 | $362.56 | 1.9× |
| X-Ray Stress View (77071) | $94.55 | $157.59 | 1.0× |
| X-Ray Tmj Unilat (70328) | $362.77 | $604.61 | 3.9× |
| X-Rays Bone Length Studies (77073) | $379.45 | $632.42 | 3.4× |
| X-Rays Bone Survey Complete (77075) | $566.09 | $943.48 | 5.1× |
| Xr c-spine 4 or 5 views (72050) range across 3 matching MRF lines |
$76.80–$431.98 | $128–$719.97 | varies |
| Xr facial bones less than 3 views (70140) | $228.66 | $381.10 | 2.5× |
| Xr orbits complete 4 views (70200) | $330.01 | $550.02 | 3.0× |
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.