Imaging prices at Montrose Regional Health
Montrose, CO · every code in this section with a posted price and a Medicare benchmark.
290 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) | $7,676.25 | $10,235 | 5.3× |
| Abdomen 1 View (74018) range across 5 matching MRF lines |
$23.25–$208.50 | $31–$278 | varies |
| Abdomen 2 views (74019) range across 3 matching MRF lines |
$28.50–$339.75 | $38–$453 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,477.50 | $1,970 | 3.5× |
| Angiography extremity bilateral rs&i (75716) | $439.50 | $586 | 0.1× |
| Angiography extremity unilateral rs&i (75710) range across 2 matching MRF lines |
$402.75–$6,681 | $537–$8,908 | varies |
| Ankle 2 views (73600) range across 4 matching MRF lines |
$21.75–$390 | $29–$520 | varies |
| Aortography thoracic serialography rs&i (75605) | $9,528.75 | $12,705 | 1.6× |
| Artery X-Rays Abdomen (75726) | $9,528.75 | $12,705 | 1.6× |
| Basic radiation dosimetry calculation (77300) | $804.75 | $1,073 | 5.7× |
| Bone age studies (77072) range across 3 matching MRF lines |
$24–$287.25 | $32–$383 | varies |
| Bone Imaging 3 Phase (78315) range across 3 matching MRF lines |
$123–$1,323 | $164–$1,764 | varies |
| Bone Imaging Limited Area (78300) | $552.75 | $737 | 1.3× |
| Bone Imaging Multiple Areas (78305) | $672 | $896 | 1.6× |
| Bone Imaging Whole Body (78306) range across 2 matching MRF lines |
$103.50–$1,203.75 | $138–$1,605 | varies |
| Bone survey infant (77076) range across 3 matching MRF lines |
$86.25–$350.25 | $115–$467 | varies |
| Brain Flow Imaging Only (78610) range across 2 matching MRF lines |
$1,326–$1,989.75 | $1,768–$2,653 | varies |
| Cat Scan Follow-Up Study (76380) range across 2 matching MRF lines |
$119.25–$1,347 | $159–$1,796 | varies |
| Chest 1 view (71045) range across 5 matching MRF lines |
$22.50–$190.50 | $30–$254 | varies |
| Chest 2 views (71046) range across 5 matching MRF lines |
$27–$231.75 | $36–$309 | varies |
| Chest 3 views (71047) range across 2 matching MRF lines |
$237–$356.25 | $316–$475 | varies |
| Chest 4 or more views (71048) range across 2 matching MRF lines |
$321.75–$482.25 | $429–$643 | varies |
| Cineradiograpy/vidradiograpy xcpt where spec (76120) | $315 | $420 | 2.9× |
| Cisternography Positive Contrast Rs&I (70015) range across 3 matching MRF lines |
$146.25–$440.25 | $195–$587 | varies |
| Clavicle complete (73000) range across 5 matching MRF lines |
$21.75–$390 | $29–$520 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 5 matching MRF lines |
$132–$327.75 | $176–$437 | varies |
| Continuing medical physics consltj pr wk (77336) | $624.75 | $833 | 4.4× |
| Contrast Exam Abdominl Aorta (75625) | $338.25 | $451 | 0.1× |
| Contrast X-Ray Bladder (74430) range across 3 matching MRF lines |
$39.75–$840.75 | $53–$1,121 | varies |
| CT abdomen and pelvis without and with contrast (74178) range across 5 matching MRF lines |
$247.50–$3,323.25 | $330–$4,431 | varies |
| CT abdomen and pelvis without contrast (74176) range across 5 matching MRF lines |
$213–$1,323 | $284–$1,764 | varies |
| CT abdomen w contrast (74160) range across 3 matching MRF lines |
$156–$1,656.75 | $208–$2,209 | varies |
| CT abdomen w wo contrast (74170) range across 3 matching MRF lines |
$171–$1,867.50 | $228–$2,490 | varies |
| CT abdomen w/o contrast (74150) range across 3 matching MRF lines |
$146.25–$1,297.50 | $195–$1,730 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 3 matching MRF lines |
$268.50–$2,082 | $358–$2,776 | varies |
| CT Angio Chest (71275) range across 5 matching MRF lines |
$222.75–$2,110.50 | $297–$2,814 | varies |
| CT Angio Head (70496) range across 5 matching MRF lines |
$213.75–$2,070.75 | $285–$2,761 | varies |
| CT angio hrt w/3d image (75574) | $1,992.75 | $2,657 | 5.4× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
$2,235.75–$3,169.50 | $2,981–$4,226 | varies |
| CT Angio Neck (70498) range across 5 matching MRF lines |
$213.75–$1,727.25 | $285–$2,303 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 6 matching MRF lines |
$219.75–$2,562.75 | $293–$3,417 | varies |
| CT cervical spine w/ contrast (72126) range across 3 matching MRF lines |
$149.25–$1,566.75 | $199–$2,089 | varies |
| CT cervical spine w/o contrast (72125) range across 5 matching MRF lines |
$123.75–$1,493.25 | $165–$1,991 | varies |
| CT cervical spine w/wo cont (72127) range across 2 matching MRF lines |
$1,215.75–$1,823.25 | $1,621–$2,431 | varies |
| CT chest w contrast (71260) range across 4 matching MRF lines |
$143.25–$1,727.25 | $191–$2,303 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$1,374–$2,003.25 | $1,832–$2,671 | varies |
| CT head/brain with contrast (70460) range across 3 matching MRF lines |
$138.75–$1,527.75 | $185–$2,037 | varies |
| CT head/brain without and with contrast (70470) range across 3 matching MRF lines |
$156–$1,694.25 | $208–$2,259 | varies |
| CT heart no contrast quant eval coronry calcium (75571) range across 5 matching MRF lines |
$71.25–$544.50 | $95–$726 | varies |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$945–$1,379.25 | $1,260–$1,839 | varies |
| CT l-spine w&w/o contrast (72133) range across 2 matching MRF lines |
$1,551.75–$2,328 | $2,069–$3,104 | varies |
| CT lower ext w/o (73700) range across 6 matching MRF lines |
$123.75–$2,052 | $165–$2,736 | varies |
| CT lower extremity w/contrast material (73701) range across 4 matching MRF lines |
$142.50–$2,637 | $190–$3,516 | varies |
| CT lumbar spine w contrast (72132) range across 3 matching MRF lines |
$149.25–$1,774.50 | $199–$2,366 | varies |
| CT lumbar spine w/o contrast (72131) range across 6 matching MRF lines |
$123.75–$1,455.75 | $165–$1,941 | varies |
| CT maxillofacial w contrast (70487) range across 3 matching MRF lines |
$138.75–$1,110 | $185–$1,480 | varies |
| CT maxillofacial wo contrast (70486) range across 5 matching MRF lines |
$105.75–$1,097.25 | $141–$1,463 | varies |
| CT neck tissue combo (70492) range across 3 matching MRF lines |
$197.25–$1,667.25 | $263–$2,223 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 3 matching MRF lines |
$155.25–$1,649.25 | $207–$2,199 | varies |
| CT orbits w/o contrast (70480) range across 3 matching MRF lines |
$157.50–$1,014.75 | $210–$1,353 | varies |
| CT pelvis w&w/o contrast (72194) range across 3 matching MRF lines |
$149.25–$1,908.75 | $199–$2,545 | varies |
| CT pelvis w/o contrast (72192) range across 3 matching MRF lines |
$132.75–$1,269.75 | $177–$1,693 | varies |
| CT scan of leg combo (73702) range across 3 matching MRF lines |
$1,289.25–$3,249 | $1,719–$4,332 | varies |
| CT scans face/jaw combo (70488) range across 3 matching MRF lines |
$156–$1,124.25 | $208–$1,499 | varies |
| CT soft tissue neck w contrast (70491) range across 3 matching MRF lines |
$169.50–$1,643.25 | $226–$2,191 | varies |
| CT soft tissue neck w/o contrast (70490) range across 3 matching MRF lines |
$157.50–$1,411.50 | $210–$1,882 | varies |
| CT thoracic spine w contrast (72129) range across 3 matching MRF lines |
$149.25–$1,677.75 | $199–$2,237 | varies |
| CT thoracic spine w/o contrast (72128) range across 3 matching MRF lines |
$123.75–$1,455.75 | $165–$1,941 | varies |
| CT thoracic spine w/wo cont (72130) | $3,163.50 | $4,218 | 17.1× |
| CT thorax w/o contrast (71250) range across 5 matching MRF lines |
$132–$1,299.75 | $176–$1,733 | varies |
| CT upper ext wo (73200) range across 4 matching MRF lines |
$123.75–$2,043.75 | $165–$2,725 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 3 matching MRF lines |
$1,233–$2,384.25 | $1,644–$3,179 | varies |
| CT upper extremity with contrast (73201) range across 4 matching MRF lines |
$142.50–$2,043.75 | $190–$2,725 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 5 matching MRF lines |
$291.75–$1,758.75 | $389–$2,345 | varies |
| Cta Abdomen (74175) range across 5 matching MRF lines |
$221.25–$1,554.75 | $295–$2,073 | varies |
| CTA pelvis (72191) range across 2 matching MRF lines |
$889.50–$1,334.25 | $1,186–$1,779 | varies |
| Dilation ureters/urethra rs&i (74485) | $4,063.50 | $5,418 | 1.8× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) range across 2 matching MRF lines |
$72–$454.50 | $96–$606 | varies |
| Doppler Fetal Mid Cerebral Artery (76821) range across 4 matching MRF lines |
$89.25–$447 | $119–$596 | varies |
| Dxa Bone Density Axial (77080) range across 4 matching MRF lines |
$24.75–$448.50 | $33–$598 | varies |
| Dxa bone density study 1/>sites appendiclr skel (77081) range across 2 matching MRF lines |
$24.75–$255 | $33–$340 | varies |
| Echo exam uterus (76831) range across 3 matching MRF lines |
$93–$323.25 | $124–$431 | varies |
| Echo Guide For Artery Repair (76936) | $591.75 | $789 | 2.6× |
| Esophagram (74220) range across 3 matching MRF lines |
$74.25–$591 | $99–$788 | varies |
| Fetal Biophys Profile W/Nst (76818) range across 5 matching MRF lines |
$134.25–$453 | $179–$604 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 4 matching MRF lines |
$98.25–$366.75 | $131–$489 | varies |
| Fluoroscopy up to 1 hr (76000) range across 5 matching MRF lines |
$40.50–$639 | $54–$852 | varies |
| Foot 2 views (73620) range across 4 matching MRF lines |
$20.25–$390 | $27–$520 | varies |
| Forearm 2 views (73090) range across 6 matching MRF lines |
$20.25–$390 | $27–$520 | varies |
| Gastric emptying imaging study (78264) range across 2 matching MRF lines |
$95.25–$1,170.75 | $127–$1,561 | varies |
| Gated Heart Planar Single (78472) | $1,455.75 | $1,941 | 3.5× |
| Gated Heart, Multiple (78473) | $2,093.25 | $2,791 | 5.0× |
| Hand 2 views (73120) range across 4 matching MRF lines |
$21.75–$515.25 | $29–$687 | varies |
| Hepatobil Syst Image W/Drug (78227) range across 2 matching MRF lines |
$109.50–$1,680.75 | $146–$2,241 | varies |
| Hepatobiliary System Imaging (78226) | $1,374 | $1,832 | 3.3× |
| Ht Muscle Image Spect Sing (78451) | $3,018.75 | $4,025 | 2.2× |
| Hysterosalpingogram (74740) range across 3 matching MRF lines |
$249.75–$642.75 | $333–$857 | varies |
| Image fusion (77399) | $368.25 | $491 | 2.6× |
| K Flow/Funct Image W/Drug (78708) range across 2 matching MRF lines |
$129.75–$1,885.50 | $173–$2,514 | varies |
| K Flow/Funct Image W/O Drug (78707) range across 2 matching MRF lines |
$115.50–$1,947 | $154–$2,596 | varies |
| Knee 3 Views (73562) range across 8 matching MRF lines |
$24.75–$426.75 | $33–$569 | varies |
| Liver & Spleen Imaging Static Only (78215) | $2,047.50 | $2,730 | 4.9× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $1,959.75 | $2,613 | 4.6× |
| Liver imaging w/vascular flow (78202) | $1,520.25 | $2,027 | 2.7× |
| Lung Perf&Ventilat Diferentl (78598) | $2,512.50 | $3,350 | 4.4× |
| Lung perfusion differential (78597) range across 3 matching MRF lines |
$88.50–$1,833.75 | $118–$2,445 | varies |
| Lung Ventilat&Perfus Imaging (78582) range across 2 matching MRF lines |
$462–$1,687.50 | $616–$2,250 | varies |
| Lymph System Imaging (78195) range across 2 matching MRF lines |
$1,539–$2,166 | $2,052–$2,888 | varies |
| Magnetic Image Jaw Joint (70336) range across 2 matching MRF lines |
$1,003.50–$1,505.25 | $1,338–$2,007 | varies |
| Magnetic resonance (eg, proton) imaging, brain (including brain stem andskull base), during open intracranial procedure… (70559) | $2,354.25 | $3,139 | 12.7× |
| Mlc imrt design & construction per imrt plan (77338) | $1,695.75 | $2,261 | 4.3× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) range across 2 matching MRF lines |
$78.75–$112.50 | $105–$150 | varies |
| Mr safety implt electronics prepj supvj phys/qhp (76018) range across 2 matching MRF lines |
$183.75–$262.50 | $245–$350 | varies |
| Mra Head W/O & W/Contrast Material (70546) range across 3 matching MRF lines |
$180.75–$2,288.25 | $241–$3,051 | varies |
| MRA head w/o contrast (70544) range across 5 matching MRF lines |
$147–$1,838.25 | $196–$2,451 | varies |
| MRA head with contrast (70545) range across 2 matching MRF lines |
$1,375.50–$2,063.25 | $1,834–$2,751 | varies |
| MRA neck w contrast (70548) range across 2 matching MRF lines |
$1,039.50–$1,559.25 | $1,386–$2,079 | varies |
| Mra Neck W/O &W/Contrast Material (70549) range across 5 matching MRF lines |
$183.75–$2,217.75 | $245–$2,957 | varies |
| MRA neck w/o contrast (70547) range across 2 matching MRF lines |
$894–$1,341 | $1,192–$1,788 | varies |
| MRI abdomen w contrast (74182) range across 2 matching MRF lines |
$1,152–$1,727.25 | $1,536–$2,303 | varies |
| MRI abdomen w/o contrast (74181) range across 3 matching MRF lines |
$177.75–$1,564.50 | $237–$2,086 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 4 matching MRF lines |
$201–$3,503.25 | $268–$4,671 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 4 matching MRF lines |
$264.75–$4,635 | $353–$6,180 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 4 matching MRF lines |
$201–$3,612 | $268–$4,816 | varies |
| MRI cervical spine w contrast (72142) range across 2 matching MRF lines |
$1,365.75–$2,055 | $1,821–$2,740 | varies |
| MRI cervical spine w/o cont (72141) range across 5 matching MRF lines |
$181.50–$2,031 | $242–$2,708 | varies |
| MRI chest w/o contrast (71550) range across 2 matching MRF lines |
$1,013.25–$1,520.25 | $1,351–$2,027 | varies |
| MRI chest with contrast (71551) range across 2 matching MRF lines |
$1,047–$1,571.25 | $1,396–$2,095 | varies |
| MRI chest wo w contrast (71552) range across 2 matching MRF lines |
$1,450.50–$2,175.75 | $1,934–$2,901 | varies |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 2 matching MRF lines |
$1,488.75–$2,233.50 | $1,985–$2,978 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 3 matching MRF lines |
$264.75–$2,628.75 | $353–$3,505 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 3 matching MRF lines |
$165.75–$1,838.25 | $221–$2,451 | varies |
| MRI lumbar spine w contrast (72149) range across 2 matching MRF lines |
$1,488–$2,232 | $1,984–$2,976 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 5 matching MRF lines |
$281.25–$2,703 | $375–$3,604 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 5 matching MRF lines |
$165–$1,764 | $220–$2,352 | varies |
| MRI orbit face neck w contrast (70542) range across 5 matching MRF lines |
$198.75–$1,806 | $265–$2,408 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 5 matching MRF lines |
$263.25–$2,628.75 | $351–$3,505 | varies |
| MRI pelvis w contrast (72196) range across 2 matching MRF lines |
$1,553.25–$2,330.25 | $2,071–$3,107 | varies |
| MRI pelvis w/o & w contrast (72197) range across 3 matching MRF lines |
$270.75–$2,628.75 | $361–$3,505 | varies |
| MRI pelvis w/o contrast (72195) range across 3 matching MRF lines |
$178.50–$2,031 | $238–$2,708 | varies |
| MRI thoracic spine w/o contrast (72146) range across 5 matching MRF lines |
$181.50–$2,031 | $242–$2,708 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 2 matching MRF lines |
$1,016.25–$1,772.25 | $1,355–$2,363 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 6 matching MRF lines |
$168–$2,679.75 | $224–$3,573 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 3 matching MRF lines |
$265.50–$2,175.75 | $354–$2,901 | varies |
| MRI, abdomen, combo (74183) range across 3 matching MRF lines |
$270.75–$2,217.75 | $361–$2,957 | varies |
| MRI, dorsal spine combo (72157) range across 5 matching MRF lines |
$281.25–$3,674.25 | $375–$4,899 | varies |
| MRI, dorsal spine contrast (72147) range across 2 matching MRF lines |
$1,370.25–$2,055 | $1,827–$2,740 | varies |
| MRI, joint upper extrem (73221) range across 6 matching MRF lines |
$168.75–$3,240.75 | $225–$4,321 | varies |
| MRI, joint upper extrem combo (73223) range across 3 matching MRF lines |
$265.50–$2,217.75 | $354–$2,957 | varies |
| MRI, lumbar spine combo (72158) range across 5 matching MRF lines |
$281.25–$2,679 | $375–$3,572 | varies |
| Myocardial Spect Multiple Studies (78452) range across 5 matching MRF lines |
$199.50–$3,419.25 | $266–$4,559 | varies |
| N-invas est c ffr sw aly CTA (75580) | $2,571.75 | $3,429 | 2.8× |
| Neck soft tissue (70360) range across 5 matching MRF lines |
$23.25–$190.50 | $31–$254 | varies |
| Nonvascular Shunt X-Ray (75809) | $62.25 | $83 | 0.6× |
| Ntsty modul radthx pln dose-vol histos (77301) | $5,961 | $7,948 | 4.1× |
| Ob us nuchal meas 1 gest (76813) range across 2 matching MRF lines |
$162–$165 | $216–$220 | varies |
| Parathyroid Planar Imaging (78070) | $97.50 | $130 | 0.2× |
| Parathyroid planar imaging w/wo subtraction (78071) | $2,197.50 | $2,930 | 5.2× |
| Pelvis 1 or 2 views (72170) range across 3 matching MRF lines |
$22.50–$291.75 | $30–$389 | varies |
| PET image w/CT, full body (78816) range across 3 matching MRF lines |
$296.25–$6,678 | $395–$8,904 | varies |
| PET imaging CT attenuation skull base mid-thigh (78815) range across 3 matching MRF lines |
$292.50–$6,450 | $390–$8,600 | varies |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,153.50 | $1,538 | 2.7× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 3 matching MRF lines |
$39.75–$496.50 | $53–$662 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) | $795.75 | $1,061 | 1.4× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 6 matching MRF lines |
$22.50–$428.25 | $30–$571 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 6 matching MRF lines |
$20.25–$390 | $27–$520 | varies |
| Radex elbow complete minimum 3 views (73080) range across 6 matching MRF lines |
$22.50–$427.50 | $30–$570 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 5 matching MRF lines |
$33–$291.75 | $44–$389 | varies |
| Radex fingr minimum 2 views (73140) range across 4 matching MRF lines |
$18–$390 | $24–$520 | varies |
| Radex foot complete minimum 3 views (73630) range across 6 matching MRF lines |
$21–$426.75 | $28–$569 | varies |
| Radex Hand Minimum 3 Views (73130) range across 4 matching MRF lines |
$105–$649.50 | $140–$866 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 3 matching MRF lines |
$191.25–$573.75 | $255–$765 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 5 matching MRF lines |
$22.50–$248.25 | $30–$331 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 7 matching MRF lines |
$24–$427.50 | $32–$570 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$150–$225.75 | $200–$301 | varies |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $644.25 | $859 | 3.5× |
| Radex Spine 1 View Specify Level (72020) range across 2 matching MRF lines |
$130.50–$195.75 | $174–$261 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 3 matching MRF lines |
$24.75–$250.50 | $33–$334 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 5 matching MRF lines |
$14.25–$337.50 | $19–$450 | varies |
| Radex Toe Minimum 2 Views (73660) range across 5 matching MRF lines |
$17.25–$308.25 | $23–$411 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 2 matching MRF lines |
$177–$265.50 | $236–$354 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 7 matching MRF lines |
$23.25–$427.50 | $31–$570 | varies |
| Radiation treatment delivery level 1 (77402) | $375 | $500 | 3.5× |
| Radiation treatment delivery level 2 (77407) | $429.75 | $573 | 1.1× |
| Radiation treatment delivery level 3 (77412) | $1,236 | $1,648 | 2.1× |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$194.25–$291.75 | $259–$389 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 2 matching MRF lines |
$253.50–$381 | $338–$508 | varies |
| Radiologic exam colon double contrast study (74280) range across 2 matching MRF lines |
$564.75–$847.50 | $753–$1,130 | varies |
| Radiologic exam colon single contrast study (74270) range across 3 matching MRF lines |
$127.50–$642.75 | $170–$857 | varies |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $85.50 | $114 | 0.5× |
| Radiologic exam knee complete 4/more views (73564) range across 8 matching MRF lines |
$29.25–$513.75 | $39–$685 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 3 matching MRF lines |
$33–$329.25 | $44–$439 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 2 matching MRF lines |
$354–$526.50 | $472–$702 | varies |
| Radiologic exam swallow function contrast study (74230) range across 5 matching MRF lines |
$66–$375 | $88–$500 | varies |
| Radiologic exam upr gi trc double contrast study (74246) range across 3 matching MRF lines |
$111–$687 | $148–$916 | varies |
| Radiologic examination femur 1 view (73551) | $21.75 | $29 | 0.2× |
| Radiologic examination femur minimum 2 views (73552) range across 4 matching MRF lines |
$23.25–$367.50 | $31–$490 | varies |
| Radiologic examination knee 1/2 views (73560) range across 6 matching MRF lines |
$21.75–$375 | $29–$500 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 4 matching MRF lines |
$20.25–$390 | $27–$520 | varies |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $642 | $856 | 1.5× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $665.25 | $887 | 1.6× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 2 matching MRF lines |
$930–$2,747.25 | $1,240–$3,663 | varies |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $1,728 | $2,304 | 1.3× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $2,195.25 | $2,927 | 1.5× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $1,165.50 | $1,554 | 0.9× |
| Scapula (73010) range across 3 matching MRF lines |
$190.50–$513.75 | $254–$685 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 5 matching MRF lines |
$45–$139.50 | $60–$186 | varies |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$152.25–$226.50 | $203–$302 | varies |
| Shoulder Arthrography (73040) range across 4 matching MRF lines |
$71.25–$1,687.50 | $95–$2,250 | varies |
| Skull less than 4 views (70250) range across 5 matching MRF lines |
$23.25–$291.75 | $31–$389 | varies |
| Special dosimetry (77331) | $534.75 | $713 | 3.8× |
| Special teletherapy port plan (77321) | $1,647.75 | $2,197 | 4.2× |
| Special treatment procedure (77470) | $2,532 | $3,376 | 4.3× |
| Stereotactic Body Radiation Delivery (77373) | $13,776.75 | $18,369 | 7.3× |
| Sternoclavicular joints (71130) range across 2 matching MRF lines |
$173.25–$260.25 | $231–$347 | varies |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $2,142 | $2,856 | 5.4× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $2,204.25 | $2,939 | 5.6× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $1,946.25 | $2,595 | 4.9× |
| Ther rad simulaj-aided field setting simple (77280) | $969.75 | $1,293 | 6.8× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $482.25 | $643 | 2.6× |
| Thoracic spine 2 views (72070) range across 3 matching MRF lines |
$26.25–$319.50 | $35–$426 | varies |
| Thoracic spine 3 views (72072) range across 3 matching MRF lines |
$27.75–$375.75 | $37–$501 | varies |
| Thoracolumbar 2 views (72080) range across 3 matching MRF lines |
$27–$326.25 | $36–$435 | varies |
| Thyroid Uptake Measurement (78012) | $902.25 | $1,203 | 2.1× |
| Tx Devices Design & Construction Complex (77334) | $1,647.75 | $2,197 | 4.2× |
| Tx devices design & construction intermediate (77333) | $942 | $1,256 | 6.6× |
| Tx devices design & construction simple (77332) | $624.75 | $833 | 4.4× |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$84–$228.75 | $112–$305 | varies |
| Ultrasound Exam Aaa Screen (76706) range across 5 matching MRF lines |
$68.25–$384.75 | $91–$513 | varies |
| Ultrasound, abdomen limited (76705) range across 5 matching MRF lines |
$72.75–$476.25 | $97–$635 | varies |
| Umbilical-artery Doppler (OB) (76820) range across 5 matching MRF lines |
$58.50–$345 | $78–$460 | varies |
| Unlisted magnetic resonance procedure (76498) | $533.25 | $711 | 5.8× |
| Upper gi w/o kub (74240) range across 3 matching MRF lines |
$101.25–$590.25 | $135–$787 | varies |
| Urethrocystogram voiding (74455) range across 2 matching MRF lines |
$529.50–$794.25 | $706–$1,059 | varies |
| Urethrocystography retrograde (74450) range across 2 matching MRF lines |
$474–$711.75 | $632–$949 | varies |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$300.75–$534 | $401–$712 | varies |
| Us chest (76604) range across 5 matching MRF lines |
$73.50–$442.50 | $98–$590 | varies |
| Us complete joint (76881) range across 4 matching MRF lines |
$30.75–$347.25 | $41–$463 | varies |
| Us exam, pelvic, limited (76857) range across 5 matching MRF lines |
$63–$300.75 | $84–$401 | varies |
| Us head (76506) | $238.50 | $318 | 2.2× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 5 matching MRF lines |
$63–$455.25 | $84–$607 | varies |
| Us ob detailed single fetus (76811) range across 3 matching MRF lines |
$242.25–$497.25 | $323–$663 | varies |
| Us ob limited 1 or more fetuses (76815) range across 5 matching MRF lines |
$81.75–$304.50 | $109–$406 | varies |
| Us ob transvaginal (76817) range across 5 matching MRF lines |
$94.50–$380.25 | $126–$507 | varies |
| Us pelvic non ob complete (76856) range across 5 matching MRF lines |
$86.25–$485.25 | $115–$647 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 5 matching MRF lines |
$123.75–$396.75 | $165–$529 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 5 matching MRF lines |
$108.75–$306 | $145–$408 | varies |
| Us retroperitoneal complete (76770) range across 3 matching MRF lines |
$90.75–$533.25 | $121–$711 | varies |
| Us retroperitoneal limited (76775) range across 3 matching MRF lines |
$72–$444.75 | $96–$593 | varies |
| Us scrotum and contents (76870) range across 5 matching MRF lines |
$79.50–$485.25 | $106–$647 | varies |
| Us thyroid (76536) range across 6 matching MRF lines |
$70.50–$549 | $94–$732 | varies |
| Us transrectal (76872) range across 2 matching MRF lines |
$332.25–$450 | $443–$600 | varies |
| Venography caval inferior serialography rs&i (75825) | $7,855.50 | $10,474 | 2.4× |
| Venography extremity unilateral rs&i (75820) range across 2 matching MRF lines |
$292.50–$2,220.75 | $390–$2,961 | varies |
| Wrist 2 views (73100) range across 4 matching MRF lines |
$22.50–$390 | $30–$520 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$183–$275.25 | $244–$367 | varies |
| X-ray antegrade pyelogram tube (74425) | $794.25 | $1,059 | 2.2× |
| X-Ray Aorta Leg Arteries (75630) range across 2 matching MRF lines |
$420–$7,042.50 | $560–$9,390 | varies |
| X-Ray Bend Only L-S Spine (72120) range across 2 matching MRF lines |
$310.50–$366 | $414–$488 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 5 matching MRF lines |
$21.75–$390 | $29–$520 | varies |
| X-Ray Exam Breast Specimen (76098) range across 3 matching MRF lines |
$39–$979.50 | $52–$1,306 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 2 matching MRF lines |
$194.25–$291.75 | $259–$389 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 3 matching MRF lines |
$39.75–$305.25 | $53–$407 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 4 matching MRF lines |
$24–$240 | $32–$320 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 7 matching MRF lines |
$28.50–$567.75 | $38–$757 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) range across 2 matching MRF lines |
$333.75–$501 | $445–$668 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 5 matching MRF lines |
$28.50–$321 | $38–$428 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 3 matching MRF lines |
$33.75–$422.25 | $45–$563 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) range across 3 matching MRF lines |
$39–$564.75 | $52–$753 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 3 matching MRF lines |
$38.25–$605.25 | $51–$807 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 3 matching MRF lines |
$26.25–$247.50 | $35–$330 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 3 matching MRF lines |
$35.25–$537 | $47–$716 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 3 matching MRF lines |
$33.75–$361.50 | $45–$482 | varies |
| X-ray eye for foreign body (70030) range across 5 matching MRF lines |
$23.25–$234.75 | $31–$313 | varies |
| X-ray humerus (73060) range across 6 matching MRF lines |
$21.75–$324 | $29–$432 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 2 matching MRF lines |
$147.75–$222.75 | $197–$297 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 5 matching MRF lines |
$28.50–$314.25 | $38–$419 | varies |
| X-ray nose-rectum child f.b. (76010) range across 3 matching MRF lines |
$22.50–$201.75 | $30–$269 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 3 matching MRF lines |
$39.75–$456.75 | $53–$609 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 3 matching MRF lines |
$27.75–$328.50 | $37–$438 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 3 matching MRF lines |
$22.50–$308.25 | $30–$411 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$192.75–$289.50 | $257–$386 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 5 matching MRF lines |
$35.25–$413.25 | $47–$551 | varies |
| X-ray thoracic spine 4 vw (72074) range across 3 matching MRF lines |
$30–$499.50 | $40–$666 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $223.50 | $298 | 0.6× |
| X-Rays Bone Length Studies (77073) range across 3 matching MRF lines |
$34.50–$383.25 | $46–$511 | varies |
| X-Rays Bone Survey Complete (77075) range across 3 matching MRF lines |
$68.25–$645.75 | $91–$861 | varies |
| Xr c-spine 4 or 5 views (72050) range across 3 matching MRF lines |
$34.50–$424.50 | $46–$566 | varies |
| Xr facial bones less than 3 views (70140) range across 2 matching MRF lines |
$147.75–$222.75 | $197–$297 | varies |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$128.25–$193.50 | $171–$258 | 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.