Imaging prices at Monroe County Hospital
Monroeville, AL · every code in this section with a posted price and a Medicare benchmark.
253 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 2 matching MRF lines |
$18.31–$65.20 | $45.77–$163 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$28.57–$79.20 | $71.43–$198 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) range across 2 matching MRF lines |
$227.12–$661.20 | $567.80–$1,653 | varies |
| Ankle 2 views (73600) range across 12 matching MRF lines |
$21.34–$69 | $53.36–$172.50 | varies |
| Arthrogram Wrist (73115) | $192.60 | $481.50 | 0.6× |
| Bone age studies (77072) range across 2 matching MRF lines |
$18.35–$24.40 | $45.87–$61 | varies |
| Bone Imaging 3 Phase (78315) range across 2 matching MRF lines |
$226.68–$497.20 | $566.70–$1,243 | varies |
| Bone Imaging Limited Area (78300) range across 2 matching MRF lines |
$120.84–$396.60 | $302.10–$991.50 | varies |
| Bone Imaging Multiple Areas (78305) range across 2 matching MRF lines |
$155.16–$648 | $387.90–$1,620 | varies |
| Bone Imaging Whole Body (78306) range across 2 matching MRF lines |
$168.08–$658.20 | $420.20–$1,645.50 | varies |
| Bone marrow imaging limited area (78102) | $282.60 | $706.50 | 0.8× |
| Bone marrow imaging; multiple areas (78103) | $344.60 | $861.50 | 1.0× |
| Bone marrow imaging; whole body (78104) | $320.60 | $801.50 | 0.9× |
| Bone survey infant (77076) range across 2 matching MRF lines |
$43–$73.88 | $107.50–$184.70 | varies |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $398.20 | $995.50 | 0.9× |
| Cat Scan Follow-Up Study (76380) | $193.60 | $484 | 2.6× |
| Chest 1 view (71045) range across 4 matching MRF lines |
$17.72–$76 | $44.30–$190 | varies |
| Chest 2 views (71046) range across 2 matching MRF lines |
$21.78–$66 | $54.45–$165 | varies |
| Chest 3 views (71047) range across 2 matching MRF lines |
$26.85–$121.20 | $67.13–$303 | varies |
| Chest 4 or more views (71048) | $95.40 | $238.50 | 1.1× |
| Cholecystography Oral Contrast (74290) | $60.40 | $151 | 0.4× |
| Clavicle complete (73000) range across 10 matching MRF lines |
$19.98–$100.40 | $49.95–$251 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $83.80 | $209.50 | 0.9× |
| Contrast X-Ray Bladder (74430) range across 2 matching MRF lines |
$29.28–$156.80 | $73.20–$392 | varies |
| Contrast X-Ray Of Knee Joint (73580) range across 3 matching MRF lines |
$138.20–$207.30 | $345.50–$518.25 | varies |
| Contrast Xray Throat/Cerv Esopha (74210) | $135 | $337.50 | 0.9× |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$254.80–$1,064 | $637–$2,660 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$163–$828 | $407.50–$2,070 | varies |
| CT abdomen w contrast (74160) range across 6 matching MRF lines |
$165.36–$621.20 | $413.40–$1,553 | varies |
| CT abdomen w wo contrast (74170) range across 8 matching MRF lines |
$186.52–$709 | $466.30–$1,772.50 | varies |
| CT abdomen w/o contrast (74150) range across 8 matching MRF lines |
$118.24–$552 | $295.60–$1,380 | varies |
| CT Angio Abdomen and Pelvis (74174) | $551.20 | $1,378 | 1.8× |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$152–$414.80 | $380–$1,037 | varies |
| CT Angio Head (70496) | $418.80 | $1,047 | 2.8× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $414 | $1,035 | 2.7× |
| CT Angio Neck (70498) | $418.40 | $1,046 | 2.8× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $373.20 | $933 | 2.5× |
| CT cervical spine w/ contrast (72126) range across 2 matching MRF lines |
$162.44–$696.40 | $406.10–$1,741 | varies |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$123.64–$709 | $309.10–$1,772.50 | varies |
| CT cervical spine w/wo cont (72127) | $708.80 | $1,772 | 4.7× |
| CT chest w contrast (71260) range across 6 matching MRF lines |
$163.68–$621.20 | $409.20–$1,553 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$192.88–$709 | $482.20–$1,772.50 | varies |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$123.12–$621.20 | $307.80–$1,553 | varies |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$143.56–$709 | $358.90–$1,772.50 | varies |
| CT iac w contrast (70481) range across 10 matching MRF lines |
$182.22–$621.20 | $455.55–$1,553 | varies |
| CT l-spine w&w/o contrast (72133) | $736.40 | $1,841 | 4.9× |
| CT lower ext w/o (73700) range across 5 matching MRF lines |
$119.48–$502 | $298.70–$1,255 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$159.28–$584.80 | $398.20–$1,462 | varies |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$162.44–$696.40 | $406.10–$1,741 | varies |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$119.48–$709 | $298.70–$1,772.50 | varies |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$126.80–$432.20 | $317–$1,080.50 | varies |
| CT maxillofacial wo contrast (70486) range across 4 matching MRF lines |
$102.72–$621.20 | $256.80–$1,553 | varies |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$196.64–$621.40 | $491.60–$1,553.50 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 10 matching MRF lines |
$182.22–$709 | $455.55–$1,772.50 | varies |
| CT orbits w/o contrast (70480) range across 13 matching MRF lines |
$112.08–$552 | $280.20–$1,380 | varies |
| CT pelvis w&w/o contrast (72194) range across 2 matching MRF lines |
$180–$709 | $450–$1,772.50 | varies |
| CT pelvis w/o contrast (72192) range across 4 matching MRF lines |
$113.40–$552 | $283.50–$1,380 | varies |
| CT scan of leg combo (73702) range across 4 matching MRF lines |
$187.40–$403.60 | $468.50–$1,009 | varies |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
$151.12–$507.20 | $377.80–$1,268 | varies |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$131–$502 | $327.50–$1,255 | varies |
| CT soft tissue neck w/o contrast (70490) range across 4 matching MRF lines |
$135.96–$502 | $339.90–$1,255 | varies |
| CT thoracic spine w contrast (72129) range across 2 matching MRF lines |
$162.84–$720 | $407.10–$1,800 | varies |
| CT thoracic spine w/o contrast (72128) range across 6 matching MRF lines |
$119.48–$709 | $298.70–$1,772.50 | varies |
| CT thoracic spine w/wo cont (72130) range across 3 matching MRF lines |
$119.48–$720 | $298.70–$1,800 | varies |
| CT thorax w/o contrast (71250) range across 4 matching MRF lines |
$120.72–$552 | $301.80–$1,380 | varies |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$119.48–$502 | $298.70–$1,255 | varies |
| CT upper extremity w/o & w/contrast material (73202) | $403.60 | $1,009 | 2.7× |
| CT upper extremity with contrast (73201) | $321.40 | $803.50 | 1.1× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $454.40 | $1,136 | 3.0× |
| Cta Abdomen (74175) | $427.20 | $1,068 | 2.8× |
| CTA pelvis (72191) | $422 | $1,055 | 2.8× |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$28.72–$180 | $71.81–$450 | varies |
| Esophagram (74220) range across 2 matching MRF lines |
$62.44–$127.60 | $156.10–$319 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 2 matching MRF lines |
$72.72–$109.20 | $181.80–$273 | varies |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$30.91–$116.40 | $77.27–$291 | varies |
| Foot 2 views (73620) range across 12 matching MRF lines |
$18.81–$63 | $47.03–$157.50 | varies |
| Forearm 2 views (73090) range across 12 matching MRF lines |
$19–$75.60 | $47.51–$189 | varies |
| Gastric emptying imaging study (78264) range across 2 matching MRF lines |
$187.56–$626 | $468.90–$1,565 | varies |
| Gated Heart Planar Single (78472) | $399.40 | $998.50 | 1.2× |
| Hand 2 views (73120) range across 12 matching MRF lines |
$19.20–$54.20 | $48–$135.50 | varies |
| Hepatobil Syst Image W/Drug (78227) range across 2 matching MRF lines |
$254.48–$570 | $636.20–$1,425 | varies |
| Hepatobiliary System Imaging (78226) range across 2 matching MRF lines |
$209.64–$552.80 | $524.10–$1,382 | varies |
| Hysterosalpingogram (74740) range across 2 matching MRF lines |
$52.40–$185 | $131–$462.50 | varies |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $125.20 | $313 | 1.7× |
| Infant hip ultrasound, limited static exam (76886) | $125.20 | $313 | 1.7× |
| Infusion Ivp (74410) range across 2 matching MRF lines |
$73.88–$353.40 | $184.70–$883.50 | varies |
| K Flow/Funct Image W/Drug (78708) range across 2 matching MRF lines |
$421.20 | $33.50–$1,053 | 0.9× |
| K Flow/Funct Image W/O Drug (78707) range across 4 matching MRF lines |
$159.72–$374.80 | $399.30–$937 | varies |
| Knee 3 Views (73562) range across 10 matching MRF lines |
$25.14–$84.80 | $62.84–$212 | varies |
| Liver & Spleen Imaging Static Only (78215) range across 2 matching MRF lines |
$124.20–$344.60 | $310.50–$861.50 | varies |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $344.60 | $861.50 | 1.0× |
| Liver imaging static only (78201) range across 2 matching MRF lines |
$119.28–$344.60 | $298.20–$861.50 | varies |
| Liver imaging w/vascular flow (78202) | $344.60 | $861.50 | 0.7× |
| Lymph System Imaging (78195) range across 2 matching MRF lines |
$236.92–$274.60 | $592.30–$686.50 | varies |
| Magnetic Image Jaw Joint (70336) | $638.80 | $1,597 | 3.1× |
| Meckels Divert Exam (78290) | $251.60 | $629 | 0.7× |
| Mra Head W/O & W/Contrast Material (70546) range across 4 matching MRF lines |
$351.56–$1,273.80 | $878.90–$3,184.50 | varies |
| MRA head w/o contrast (70544) range across 4 matching MRF lines |
$218.60–$652.80 | $546.50–$1,632 | varies |
| MRA head with contrast (70545) range across 4 matching MRF lines |
$248.44–$715 | $621.10–$1,787.50 | varies |
| MRA neck w contrast (70548) range across 2 matching MRF lines |
$262.88–$650.80 | $657.20–$1,627 | varies |
| MRA neck w/o contrast (70547) range across 2 matching MRF lines |
$218.60–$910.60 | $546.50–$2,276.50 | varies |
| MRI abdomen w contrast (74182) range across 2 matching MRF lines |
$301.32–$805.20 | $753.30–$2,013 | varies |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$227–$644.20 | $567.50–$1,610.50 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 2 matching MRF lines |
$258.60–$633.20 | $646.50–$1,583 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$323.40–$1,170.40 | $808.50–$2,926 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 4 matching MRF lines |
$256.68–$731.60 | $641.70–$1,829 | varies |
| MRI cervical spine w contrast (72142) range across 2 matching MRF lines |
$232.44–$854.56 | $581.10–$2,136.40 | varies |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$167.88–$560.46 | $419.70–$1,401.15 | varies |
| MRI chest w/o contrast (71550) | $635.80 | $1,589.50 | 3.1× |
| MRI chest with contrast (71551) | $661.20 | $1,653 | 1.0× |
| MRI chest wo w contrast (71552) | $1,415 | $3,537.50 | 4.7× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 2 matching MRF lines |
$270.72–$769.60 | $676.80–$1,924 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 4 matching MRF lines |
$340.96–$1,734.20 | $852.40–$4,335.50 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 6 matching MRF lines |
$227.16–$902.10 | $567.90–$2,255.25 | varies |
| MRI lumbar spine w contrast (72149) range across 2 matching MRF lines |
$230.32–$853.92 | $575.80–$2,134.80 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$277.68–$1,189.20 | $694.20–$2,973 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 2 matching MRF lines |
$226.76–$617.40 | $566.90–$1,543.50 | varies |
| MRI orbit face neck w contrast (70542) range across 2 matching MRF lines |
$269.56–$769.60 | $673.90–$1,924 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 2 matching MRF lines |
$334.92–$1,421 | $837.30–$3,552.50 | varies |
| MRI pelvis w contrast (72196) range across 2 matching MRF lines |
$278.32–$1,011 | $695.80–$2,527.50 | varies |
| MRI pelvis w/o & w contrast (72197) range across 4 matching MRF lines |
$346.04–$1,426.40 | $865.10–$3,566 | varies |
| MRI pelvis w/o contrast (72195) range across 4 matching MRF lines |
$233.84–$632.60 | $584.60–$1,581.50 | varies |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$167.88–$600 | $419.70–$1,500 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 2 matching MRF lines |
$271.12–$660.40 | $677.80–$1,651 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 4 matching MRF lines |
$227.16–$601.40 | $567.90–$1,503.50 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 2 matching MRF lines |
$276.68–$1,422.80 | $691.70–$3,557 | varies |
| MRI, abdomen, combo (74183) range across 4 matching MRF lines |
$346.44–$1,426.40 | $866.10–$3,566 | varies |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$278.08–$1,189.20 | $695.20–$2,973 | varies |
| MRI, dorsal spine contrast (72147) range across 2 matching MRF lines |
$230.32–$549.80 | $575.80–$1,374.50 | varies |
| MRI, joint upper extrem (73221) range across 4 matching MRF lines |
$131–$615.40 | $327.50–$1,538.50 | varies |
| MRI, joint upper extrem combo (73223) range across 2 matching MRF lines |
$322.44–$1,170 | $806.10–$2,925 | varies |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$277.28–$1,189.20 | $693.20–$2,973 | varies |
| Myelogram cervical (72240) | $351.20 | $878 | 0.5× |
| Myelography thoracic (72255) | $243.20 | $608 | 0.4× |
| Myelograpy 2/more regions rs&i (72270) | $546 | $1,365 | 0.8× |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$20.41–$65.60 | $51.03–$164 | varies |
| Parathyroid Planar Imaging (78070) range across 2 matching MRF lines |
$193.60–$501.60 | $484–$1,254 | varies |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$22.56–$65.60 | $56.39–$164 | varies |
| Perineogram (74775) | $88 | $220 | 0.4× |
| Pet Image W/Ct Lmtd (78814) | $3,400 | $8,500 | 2.8× |
| PET image w/CT, full body (78816) | $3,400 | $8,500 | 2.8× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $3,400 | $8,500 | 2.8× |
| Pulmonary Perfusion Imaging Particulate (78580) range across 2 matching MRF lines |
$157.32–$282.60 | $393.30–$706.50 | varies |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$34.04–$120.80 | $85.10–$302 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) | $109 | $272.50 | 0.2× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 10 matching MRF lines |
$22.16–$71.40 | $55.41–$178.50 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 10 matching MRF lines |
$19.40–$60.40 | $48.50–$151 | varies |
| Radex elbow complete minimum 3 views (73080) range across 10 matching MRF lines |
$22.16–$86.20 | $55.41–$215.50 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$30.72–$98 | $76.79–$245 | varies |
| Radex fingr minimum 2 views (73140) range across 10 matching MRF lines |
$21.23–$54 | $53.07–$135 | varies |
| Radex foot complete minimum 3 views (73630) range across 10 matching MRF lines |
$18.81–$75.60 | $47.03–$189 | varies |
| Radex Hand Minimum 3 Views (73130) range across 10 matching MRF lines |
$21.76–$70.80 | $54.39–$177 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 6 matching MRF lines |
$19.98–$39.90 | $49.95–$99.75 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) range across 2 matching MRF lines |
$40.16–$44.20 | $100.40–$110.50 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$22.94–$79.60 | $57.36–$199 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 6 matching MRF lines |
$24.70–$85.20 | $61.76–$213 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 13 matching MRF lines |
$21.43–$74.40 | $53.58–$186 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 4 matching MRF lines |
$21.38–$46.60 | $53.46–$116.50 | varies |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $210 | $525 | 1.4× |
| Radex Spine 1 View Specify Level (72020) range across 4 matching MRF lines |
$30–$82.60 | $75–$206.50 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$22.28–$93.60 | $55.71–$234 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$33.37–$118.80 | $83.42–$297 | varies |
| Radex Toe Minimum 2 Views (73660) range across 8 matching MRF lines |
$19.28–$58 | $48.20–$145 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 8 matching MRF lines |
$19.59–$51.30 | $48.98–$128.25 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 10 matching MRF lines |
$24.50–$72.40 | $61.26–$181 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $153.60 | $384 | 1.7× |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$28.33–$107.40 | $70.83–$268.50 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $93.20 | $233 | 1.0× |
| Radiologic exam colon double contrast study (74280) | $223 | $557.50 | 1.5× |
| Radiologic exam colon single contrast study (74270) range across 2 matching MRF lines |
$95.12–$165.80 | $237.80–$414.50 | varies |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $161.20 | $403 | 1.1× |
| Radiologic exam knee complete 4/more views (73564) range across 10 matching MRF lines |
$28.22–$95.40 | $70.55–$238.50 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 2 matching MRF lines |
$71.08–$193.20 | $177.70–$483 | varies |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$90.80–$198.60 | $227–$496.50 | varies |
| Radiologic examination femur 1 view (73551) | $72.60 | $181.50 | 1.0× |
| Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines |
$82.60–$100 | $206.50–$250 | varies |
| Radiologic examination knee 1/2 views (73560) range across 10 matching MRF lines |
$21.93–$66.80 | $54.83–$167 | varies |
| Radiologic Examination Osseous Survey Limited (77074) range across 2 matching MRF lines |
$48.96–$141.40 | $122.40–$353.50 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 13 matching MRF lines |
$20.56–$77 | $51.41–$192.50 | varies |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$28.80–$113.40 | $72–$283.50 | varies |
| Rp loclzj tum plnr 1 area single day imaging (78800) range across 2 matching MRF lines |
$127.64–$229.60 | $319.10–$574 | varies |
| Salivary Gland Imaging (78230) | $147.80 | $369.50 | 0.4× |
| Scapula (73010) range across 8 matching MRF lines |
$21.78–$79.40 | $54.45–$198.50 | varies |
| Sella turcica (70240) | $32.60 | $81.50 | 0.4× |
| Shoulder 1 view (73020) range across 10 matching MRF lines |
$17.02–$62.20 | $42.54–$155.50 | varies |
| Shoulder Arthrography (73040) range across 2 matching MRF lines |
$71.36–$179.40 | $178.40–$448.50 | varies |
| Sialogram (70390) | $156.40 | $391 | 0.8× |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$27.32–$68.20 | $68.30–$170.50 | varies |
| Spleen Imaging (78185) | $344.60 | $861.50 | 1.0× |
| Sternoclavicular joints (71130) range across 4 matching MRF lines |
$26.46–$90.40 | $66.15–$226 | varies |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $113.20 | $283 | 0.7× |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$25.29–$62.20 | $63.23–$155.50 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$25.49–$92.60 | $63.72–$231.50 | varies |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$27.59–$30 | $68.97–$75 | varies |
| Thyroid Imaging With Vascular Flow (78013) range across 2 matching MRF lines |
$118.40–$257.60 | $296–$644 | varies |
| Thyroid Uptake Measurement (78012) range across 3 matching MRF lines |
$50.40–$650.80 | $126–$1,627 | varies |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) range across 2 matching MRF lines |
$150.96–$650.80 | $377.40–$1,627 | varies |
| Ultrasound Breast Limited (76642) range across 4 matching MRF lines |
$48–$223.43 | $120–$558.57 | varies |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
$81.20–$110.20 | $203–$275.50 | varies |
| Ultrasound, abdomen limited (76705) range across 11 matching MRF lines |
$68–$127.20 | $170–$318 | varies |
| Unlisted us procedure (76999) range across 5 matching MRF lines |
$57.32–$162.20 | $143.30–$405.50 | varies |
| Upper gi w/o kub (74240) range across 4 matching MRF lines |
$83–$138.40 | $207.50–$346 | varies |
| Urethrocystogram voiding (74455) range across 2 matching MRF lines |
$54.56–$229.80 | $136.40–$574.50 | varies |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$115.20–$119.60 | $288–$299 | varies |
| Us chest (76604) range across 5 matching MRF lines |
$48–$120 | $120–$300 | varies |
| Us complete joint (76881) range across 4 matching MRF lines |
$82.24–$139.60 | $205.60–$349 | varies |
| Us exam, pelvic, limited (76857) range across 4 matching MRF lines |
$68–$162.20 | $170–$405.50 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 5 matching MRF lines |
$34.66–$223.43 | $86.66–$558.57 | varies |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$66.28–$112 | $165.70–$280 | varies |
| Us ob transvaginal (76817) | $178.40 | $446 | 2.0× |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$81.44–$169.60 | $203.60–$424 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$98.36–$156 | $245.90–$390 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 2 matching MRF lines |
$78.20–$89.76 | $195.50–$224.40 | varies |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$84.96–$171.60 | $212.40–$429 | varies |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$75.68–$127.20 | $189.20–$318 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$57.32–$162.20 | $143.30–$405.50 | varies |
| Us thyroid (76536) range across 4 matching MRF lines |
$81.16–$135.80 | $202.90–$339.50 | varies |
| Venography extremity bilateral rs&i (75822) | $434.20 | $1,085.50 | 0.3× |
| Venography extremity unilateral rs&i (75820) | $321.60 | $804 | 0.2× |
| Wrist 2 views (73100) range across 12 matching MRF lines |
$20.76–$64 | $51.90–$160 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$25.60–$113.80 | $64.01–$284.50 | varies |
| X-Ray Bend Only L-S Spine (72120) | $88.40 | $221 | 1.0× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 11 matching MRF lines |
$19.56–$63.80 | $48.89–$159.50 | varies |
| X-Ray Exam Breast Specimen (76098) range across 2 matching MRF lines |
$13.96–$49.60 | $34.89–$124 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) | $100 | $250 | 1.3× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $157.60 | $394 | 1.7× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $153.60 | $384 | 1.7× |
| X-Ray Exam Hip Uni 1 View (73501) | $76.20 | $190.50 | 1.0× |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 5 matching MRF lines |
$19.59–$84 | $48.98–$210 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) range across 4 matching MRF lines |
$19.59–$92 | $48.98–$230 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) | $115.80 | $289.50 | 1.3× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $80.40 | $201 | 0.9× |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$44–$144.60 | $110–$361.50 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$24.90–$72.60 | $62.25–$181.50 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$41.56–$150 | $103.90–$375 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 6 matching MRF lines |
$27.98–$104.80 | $69.96–$262 | varies |
| X-ray humerus (73060) range across 11 matching MRF lines |
$20.76–$73.20 | $51.90–$183 | varies |
| X-ray IV pyelogram (ivp) (74400) | $185.80 | $464.50 | 1.2× |
| X-ray IV pyelogram+tomography (74415) | $223.60 | $559 | 1.5× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 2 matching MRF lines |
$23.38–$53.80 | $58.44–$134.50 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 4 matching MRF lines |
$24.67–$80 | $61.67–$200 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $88.40 | $221 | 1.0× |
| X-ray nose-rectum child f.b. (76010) range across 2 matching MRF lines |
$19.67–$30.20 | $49.17–$75.50 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$35.98–$164.40 | $89.96–$411 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$18.09–$99.40 | $45.23–$248.50 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 6 matching MRF lines |
$20.60–$75.60 | $51.50–$189 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$28.14–$115.80 | $70.35–$289.50 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$35.48–$94.20 | $88.70–$235.50 | varies |
| X-Ray Stress View (77071) range across 2 matching MRF lines |
$26.52–$67.80 | $66.30–$169.50 | varies |
| X-Rays Bone Length Studies (77073) | $121.60 | $304 | 1.3× |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$34–$93 | $84.99–$232.50 | varies |
| Xr facial bones less than 3 views (70140) range across 4 matching MRF lines |
$22.44–$36.20 | $56.10–$90.50 | varies |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$31.57–$105.60 | $78.93–$264 | 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.