Imaging prices at Morris Hospital & Healthcare Centers
Morris, IL · every code in this section with a posted price and a Medicare benchmark.
357 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) | $3,302.72 | $13,727 | 2.2× |
| Abdomen 1 View (74018) | $169.62 | $705 | 1.8× |
| Abdomen 2 views (74019) | $211.49 | $879 | 1.9× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $656.60 | $2,729 | 1.5× |
| Angiography extremity bilateral rs&i (75716) range across 2 matching MRF lines |
$2,717.10 | $329–$11,293 | 0.8× |
| Angiography extremity unilateral rs&i (75710) | $2,006.12 | $8,338 | 0.6× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $557.23 | $2,316 | 0.2× |
| Ankle 2 views (73600) range across 4 matching MRF lines |
$5.05–$217.02 | $21–$902 | varies |
| Aortography thoracic serialography rs&i (75605) unusually low: confirm this is the full procedure |
$2,338.63 | $9,720 | 0.4× |
| Aortography thoracic w/o serialography rs&i (75600) | $683.79 | $2,842 | 0.2× |
| Artery X-Rays Abdomen (75726) unusually low: confirm this is the full procedure |
$2,289.31 | $9,515 | 0.4× |
| Artery X-Rays Pelvis (75736) likely a partial charge, not the full procedure |
$1,439.75 | $5,984 | 0.2× |
| Arthrogram ankle (73615) range across 4 matching MRF lines |
$16.36–$307.97 | $68–$1,280 | varies |
| Arthrogram hip (73525) range across 4 matching MRF lines |
$35.13–$793.74 | $73–$3,299 | varies |
| Arthrogram Wrist (73115) range across 4 matching MRF lines |
$33.68–$766.31 | $70–$3,185 | varies |
| Basic radiation dosimetry calculation (77300) | $303.16 | $1,260 | 2.1× |
| Bone age studies (77072) | $85.17 | $354 | 0.8× |
| Bone Imaging 3 Phase (78315) | $935.45 | $3,888 | 2.2× |
| Bone Imaging Limited Area (78300) | $545.44 | $2,267 | 1.3× |
| Bone Imaging Multiple Areas (78305) | $338.04 | $1,405 | 0.8× |
| Bone Imaging Whole Body (78306) | $876.02 | $3,641 | 2.0× |
| Bone marrow imaging limited area (78102) | $460.99 | $1,916 | 1.1× |
| Bone survey infant (77076) | $76.99 | $320 | 0.7× |
| Brachytx isodose complex (77318) | $476.63 | $1,981 | 1.2× |
| Brachytx isodose intermed (77317) | $236.51 | $983 | 0.6× |
| Brachytx Isodose Plan Simple (77316) | $169.38 | $704 | 0.4× |
| Brain Flow Imaging Only (78610) | $117.89 | $490 | 0.2× |
| Brain Image W/Flow < 4 Views (78601) | $285.59 | $1,187 | 0.7× |
| Card Bl Pool Gated Spect Rest Wal Motn Ejct Frct (78494) | $30.80 | $128 | 0.1× |
| Cat Scan Follow-Up Study (76380) | $408.54 | $1,698 | 4.4× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $323.61 | $1,345 | 0.6× |
| Cerebrospinal Fluid Scan (78630) | $880.60 | $3,660 | 1.5× |
| Chest 1 view (71045) | $170.10 | $707 | 1.8× |
| Chest 2 views (71046) range across 2 matching MRF lines |
$203.55–$265.38 | $846–$1,103 | varies |
| Chest 3 views (71047) | $256.24 | $1,065 | 2.7× |
| Chest 4 or more views (71048) | $249.74 | $1,038 | 2.2× |
| Cholecystography Oral Contrast (74290) | $52.21 | $217 | 0.3× |
| Clavicle complete (73000) range across 4 matching MRF lines |
$5.05–$258.16 | $21–$1,073 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $204.99 | $852 | 1.8× |
| Continuing medical physics consltj pr wk (77336) | $381.11 | $1,584 | 2.6× |
| Contrast Exam Abdominl Aorta (75625) | $2,676.19 | $11,123 | 0.8× |
| Contrast X-Ray Bladder (74430) | $462.19 | $1,921 | 1.2× |
| Contrast X-Ray Of Elbow (73085) range across 4 matching MRF lines |
$34.17–$357.29 | $71–$1,485 | varies |
| Contrast X-Ray Of Knee Joint (73580) range across 4 matching MRF lines |
$34.17–$700.87 | $71–$2,913 | varies |
| CT abdomen and pelvis without and with contrast (74178) | $2,525.58 | $10,497 | 6.8× |
| CT abdomen and pelvis without contrast (74176) | $1,876.68 | $7,800 | 7.3× |
| CT abdomen w contrast (74160) | $1,117.35 | $4,644 | 5.9× |
| CT abdomen w wo contrast (74170) | $1,344.47 | $5,588 | 7.2× |
| CT abdomen w/o contrast (74150) | $862.79 | $3,586 | 7.7× |
| CT Angio Abdomen and Pelvis (74174) | $1,824.47 | $7,583 | 4.9× |
| CT Angio Chest (71275) | $1,176.05 | $4,888 | 6.3× |
| CT Angio Head (70496) | $1,080.29 | $4,490 | 5.7× |
| CT angio hrt w/3d image (75574) | $1,100.50 | $4,574 | 2.9× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $996.32 | $4,141 | 5.3× |
| CT Angio Neck (70498) | $1,138.76 | $4,733 | 6.1× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $935.93 | $3,890 | 5.0× |
| CT cervical spine w/ contrast (72126) | $1,163.06 | $4,834 | 3.1× |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$877.23–$999.21 | $3,646–$4,153 | varies |
| CT cervical spine w/wo cont (72127) | $1,293.23 | $5,375 | 6.9× |
| CT chest w contrast (71260) | $1,098.34 | $4,565 | 5.8× |
| CT chest w/wo contrast (71270) | $1,247.51 | $5,185 | 6.6× |
| CT head/brain with contrast (70460) | $1,164.02 | $4,838 | 6.2× |
| CT head/brain without and with contrast (70470) | $1,209.50 | $5,027 | 6.4× |
| CT heart contrast eval cardiac structure&morph (75572) | $879.15 | $3,654 | 2.4× |
| CT heart no contrast quant eval coronry calcium (75571) | $77.47 | $322 | 0.8× |
| CT hrt w/3d image congen (75573) | $468.93 | $1,949 | 1.3× |
| CT iac w contrast (70481) | $1,042.28 | $4,332 | 5.5× |
| CT l-spine w&w/o contrast (72133) | $1,345.92 | $5,594 | 7.2× |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$836.09–$1,254.25 | $3,475–$5,213 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$1,031.93–$1,548.02 | $4,289–$6,434 | varies |
| CT lumbar spine w contrast (72132) | $1,161.14 | $4,826 | 3.1× |
| CT lumbar spine w/o contrast (72131) | $957.11 | $3,978 | 8.5× |
| CT maxillofacial w contrast (70487) | $962.64 | $4,001 | 5.1× |
| CT maxillofacial wo contrast (70486) | $802.88 | $3,337 | 7.2× |
| CT neck tissue combo (70492) | $1,298.04 | $5,395 | 6.9× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,191.69 | $4,953 | 6.3× |
| CT orbits w/o contrast (70480) | $953.98 | $3,965 | 8.5× |
| CT pelvis w&w/o contrast (72194) | $1,292.98 | $5,374 | 6.9× |
| CT pelvis w/o contrast (72192) | $769.92 | $3,200 | 6.9× |
| CT scan of leg combo (73702) range across 2 matching MRF lines |
$1,291.06–$1,936.59 | $5,366–$8,049 | varies |
| CT scans face/jaw combo (70488) | $1,202.76 | $4,999 | 6.4× |
| CT soft tissue neck w contrast (70491) | $1,102.91 | $4,584 | 5.9× |
| CT soft tissue neck w/o contrast (70490) | $827.66 | $3,440 | 7.4× |
| CT thoracic spine w contrast (72129) | $1,134.91 | $4,717 | 6.0× |
| CT thoracic spine w/o contrast (72128) | $957.83 | $3,981 | 8.5× |
| CT thoracic spine w/wo cont (72130) | $1,299.72 | $5,402 | 6.9× |
| CT thorax w/o contrast (71250) | $769.92 | $3,200 | 6.9× |
| CT unlisted procedure (76497) | $1,212.62 | $5,040 | 13.0× |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$804.33–$1,206.61 | $3,343–$5,015 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 2 matching MRF lines |
$1,487.15–$2,230.84 | $6,181–$9,272 | varies |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$1,048.78–$1,573.28 | $4,359–$6,539 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$246.37–$1,005.23 | $1,024–$4,178 | varies |
| Cta Abdomen (74175) | $1,214.31 | $5,047 | 6.5× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $1,080.29 | $4,490 | 2.9× |
| CTA pelvis (72191) | $979.72 | $4,072 | 5.2× |
| Dacryocystography, nasolacrimal duct, radiological supervision and interpretation Non-Facility (70170) | $116.45 | $484 | 0.5× |
| Dilation ureters/urethra rs&i (74485) range across 2 matching MRF lines |
$329.86–$450.40 | $1,371–$1,872 | varies |
| Discography Cerv/Thor Spine (72285) range across 2 matching MRF lines |
$34.41–$422.49 | $143–$1,756 | varies |
| Diskography lumbar (72295) range across 2 matching MRF lines |
$991.27 | $104–$4,120 | 0.5× |
| Dxa Bone Density Axial (77080) | $269.71 | $1,121 | 2.4× |
| Dxa bone density study (77085) | $242.77 | $1,009 | 2.2× |
| Echo exam uterus (76831) range across 2 matching MRF lines |
$70.01–$243.49 | $291–$1,012 | varies |
| Echo Guide For Artery Repair (76936) | $56.78 | $236 | 0.2× |
| Echograp Trans R Pros Study (76873) | $803.12 | $3,338 | 7.2× |
| Esophagram (74220) | $308.45 | $1,282 | 1.6× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $393.14 | $1,634 | 3.5× |
| Fluoroscopy up to 1 hr (76000) range across 3 matching MRF lines |
$317.83–$321.68 | $20–$1,337 | varies |
| Foot 2 views (73620) range across 4 matching MRF lines |
$4.57–$245.17 | $19–$1,019 | varies |
| Forearm 2 views (73090) range across 4 matching MRF lines |
$4.81–$258.16 | $20–$1,073 | varies |
| Gastric emptying imaging study (78264) | $830.55 | $3,452 | 1.9× |
| Gastroesophageal Reflux Exam (78262) | $266.58 | $1,108 | 0.6× |
| Gated Heart Planar Single (78472) range across 2 matching MRF lines |
$25.50–$1,130.34 | $106–$4,698 | varies |
| Gated Heart, Multiple (78473) | $38.26 | $159 | 0.1× |
| Hand 2 views (73120) range across 4 matching MRF lines |
$10.11–$258.16 | $21–$1,073 | varies |
| Hdr Rdncl Ntrstl/Icav Brchtx (77772) | $1,491.72 | $6,200 | 2.0× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) | $1,274.70 | $5,298 | 1.7× |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) | $1,226.82 | $5,099 | 1.6× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $1,017.74 | $4,230 | 0.3× |
| Hepatobil Syst Image W/Drug (78227) | $1,130.34 | $4,698 | 1.9× |
| Hepatobiliary System Imaging (78226) | $733.35 | $3,048 | 1.7× |
| Ht Musc Image Planar Mult (78454) | $797.83 | $3,316 | 0.6× |
| Ht Muscle Image Spect Sing (78451) range across 2 matching MRF lines |
$1,383.93 | $149–$5,752 | 1.0× |
| Hysterosalpingogram (74740) range across 2 matching MRF lines |
$50.53–$482.64 | $210–$2,006 | varies |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $99.61 | $414 | 1.1× |
| Interstitial radiation source applic complex (77778) | $1,800.89 | $7,485 | 2.4× |
| Joint Survey Single View (77077) range across 3 matching MRF lines |
$10.11–$134.25 | $42–$558 | varies |
| K Flow/Funct Image W/Drug (78708) | $825.74 | $3,432 | 1.4× |
| K Flow/Funct Image W/O Drug (78707) | $842.58 | $3,502 | 1.4× |
| Knee 3 Views (73562) range across 4 matching MRF lines |
$5.77–$316.87 | $24–$1,317 | varies |
| Liver & Spleen Imaging Static Only (78215) | $521.38 | $2,167 | 1.2× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $574.31 | $2,387 | 1.3× |
| Lung Perf&Ventilat Diferentl (78598) | $953.26 | $3,962 | 1.6× |
| Lung perfusion differential (78597) | $710.25 | $2,952 | 1.7× |
| Lung Ventilat&Perfus Imaging (78582) | $951.33 | $3,954 | 1.6× |
| Lymph System Imaging (78195) | $923.66 | $3,839 | 1.6× |
| Magnetic Image Jaw Joint (70336) | $2,032.35 | $8,447 | 7.9× |
| Mammary ductogram or galactogram multiple (77054) range across 2 matching MRF lines |
$221.11–$331.79 | $919–$1,379 | varies |
| Mammary ductogram or galactogram single (77053) range across 2 matching MRF lines |
$283.67–$425.62 | $1,179–$1,769 | varies |
| Meckels Divert Exam (78290) | $591.64 | $2,459 | 1.4× |
| Mlc imrt design & construction per imrt plan (77338) | $1,242.22 | $5,163 | 3.1× |
| Mra Head W/O & W/Contrast Material (70546) | $1,787.66 | $7,430 | 4.8× |
| MRA head w/o contrast (70544) | $1,242.70 | $5,165 | 4.9× |
| MRA head with contrast (70545) | $1,434.70 | $5,963 | 3.8× |
| MRA neck w contrast (70548) | $1,323.30 | $5,500 | 3.5× |
| Mra Neck W/O &W/Contrast Material (70549) | $1,571.84 | $6,533 | 4.2× |
| MRA neck w/o contrast (70547) | $1,178.94 | $4,900 | 4.6× |
| MRI abdomen w contrast (74182) | $1,647.63 | $6,848 | 4.4× |
| MRI abdomen w/o contrast (74181) | $1,226.34 | $5,097 | 4.8× |
| MRI any jt lower extrem w/contrast material (73722) range across 2 matching MRF lines |
$1,508.56–$2,262.84 | $6,270–$9,405 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$1,706.82–$2,560.22 | $7,094–$10,641 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 2 matching MRF lines |
$1,498.70–$2,248.17 | $6,229–$9,344 | varies |
| MRI Breast W/O Contrast Bilateral (77047) | $1,165.47 | $4,844 | 4.6× |
| MRI Breast Without Contrast Material Unilateral (77046) | $523.79 | $2,177 | 2.0× |
| MRI cervical spine w contrast (72142) | $1,577.13 | $6,555 | 4.2× |
| MRI cervical spine w/o cont (72141) | $1,279.27 | $5,317 | 5.0× |
| MRI chest w/o contrast (71550) | $1,197.71 | $4,978 | 4.7× |
| MRI chest with contrast (71551) | $1,347.36 | $5,600 | 1.6× |
| MRI chest wo w contrast (71552) | $1,648.59 | $6,852 | 4.4× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 2 matching MRF lines |
$1,252.56–$1,878.85 | $5,206–$7,809 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 2 matching MRF lines |
$1,504.95–$2,257.55 | $6,255–$9,383 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines |
$1,151.75–$1,727.75 | $4,787–$7,181 | varies |
| MRI lumbar spine w contrast (72149) | $1,451.54 | $6,033 | 3.9× |
| Mri Neck Spine W/O & W/Dye (72156) | $1,803.54 | $7,496 | 4.8× |
| MRI orbit face &/neck w/o contrast (70540) | $1,223.93 | $5,087 | 4.8× |
| MRI orbit face neck w contrast (70542) | $1,432.29 | $5,953 | 3.8× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $1,841.31 | $7,653 | 4.9× |
| MRI pelvis w contrast (72196) | $1,651.48 | $6,864 | 4.4× |
| MRI pelvis w/o & w contrast (72197) | $1,934.42 | $8,040 | 5.2× |
| MRI pelvis w/o contrast (72195) | $1,154.64 | $4,799 | 4.5× |
| MRI thoracic spine w/o contrast (72146) | $1,212.62 | $5,040 | 4.7× |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 2 matching MRF lines |
$1,287.21–$1,930.82 | $5,350–$8,025 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 2 matching MRF lines |
$1,183.99–$1,776.11 | $4,921–$7,382 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 2 matching MRF lines |
$1,537.92–$2,306.87 | $6,392–$9,588 | varies |
| MRI, abdomen, combo (74183) | $1,800.65 | $7,484 | 4.8× |
| MRI, dorsal spine combo (72157) | $1,803.54 | $7,496 | 4.8× |
| MRI, dorsal spine contrast (72147) | $1,666.88 | $6,928 | 4.5× |
| MRI, joint upper extrem (73221) range across 2 matching MRF lines |
$1,118.07–$1,677.22 | $4,647–$6,971 | varies |
| MRI, joint upper extrem combo (73223) range across 2 matching MRF lines |
$2,126.18–$3,189.39 | $8,837–$13,256 | varies |
| MRI, lumbar spine combo (72158) | $1,713.07 | $7,120 | 4.6× |
| Myelogram cervical (72240) range across 2 matching MRF lines |
$886.37 | $112–$3,684 | 1.1× |
| Myelogram Lumbar (72265) range across 2 matching MRF lines |
$785.56 | $100–$3,265 | 0.9× |
| Myelography thoracic (72255) range across 2 matching MRF lines |
$640 | $119–$2,660 | 0.8× |
| Myelograpy 2/more regions rs&i (72270) range across 2 matching MRF lines |
$868.57 | $164–$3,610 | 1.0× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) range across 2 matching MRF lines |
$18.77–$285.59 | $78–$1,187 | varies |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $425.14 | $1,767 | 0.3× |
| Myocardial Spect Multiple Studies (78452) range across 2 matching MRF lines |
$2,172.62 | $204–$9,030 | 1.6× |
| Neck soft tissue (70360) | $156.15 | $649 | 1.7× |
| Nfs/Instlj Radioelmnt Sln 3 Mo Follow-Up Care (77750) | $161.44 | $671 | 0.4× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $275.25 | $1,144 | 0.6× |
| Nm myocard infarct spect (78469) | $318.31 | $1,323 | 0.5× |
| Ntsty modul radthx pln dose-vol histos (77301) | $3,561.36 | $14,802 | 2.4× |
| Nuclear Rx Oral Admin (79005) | $744.66 | $3,095 | 3.0× |
| Optic foramina (70190) range across 2 matching MRF lines |
$203.79–$244.45 | $847–$1,016 | varies |
| Parathyroid imaging w/tomographic spect & CT (78072) | $828.15 | $3,442 | 1.4× |
| Parathyroid Planar Imaging (78070) | $838.97 | $3,487 | 2.0× |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$177.08 | $22–$736 | 1.6× |
| Peritoneogram Rs&I (74190) | $156.63 | $651 | 0.3× |
| Pulmonary Perfusion Imaging Particulate (78580) | $556.27 | $2,312 | 1.3× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $264.18 | $1,098 | 2.4× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $320.96 | $1,334 | 0.5× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 4 matching MRF lines |
$5.29–$290.64 | $22–$1,208 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 4 matching MRF lines |
$4.81–$229.29 | $20–$953 | varies |
| Radex elbow complete minimum 3 views (73080) range across 4 matching MRF lines |
$5.29–$304.36 | $22–$1,265 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $277.89 | $1,155 | 2.5× |
| Radex fingr minimum 2 views (73140) range across 2 matching MRF lines |
$150.86 | $18–$627 | 1.6× |
| Radex foot complete minimum 3 views (73630) range across 4 matching MRF lines |
$5.05–$297.86 | $21–$1,238 | varies |
| Radex Hand Minimum 3 Views (73130) range across 4 matching MRF lines |
$5.29–$295.22 | $22–$1,227 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 4 matching MRF lines |
$4.81–$69.29 | $20–$288 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $128 | $532 | 1.1× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $192.72 | $801 | 2.1× |
| Radex Ribs Unilateral 2 Views (71100) range across 2 matching MRF lines |
$6.74–$196.33 | $28–$816 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 4 matching MRF lines |
$5.77–$316.63 | $24–$1,316 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $135.46 | $563 | 1.5× |
| Radex Spine 1 View Specify Level (72020) range across 2 matching MRF lines |
$4.81–$140.75 | $20–$585 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$6.02–$171.79 | $25–$714 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $233.14 | $969 | 2.5× |
| Radex Toe Minimum 2 Views (73660) range across 2 matching MRF lines |
$150.38 | $17–$625 | 1.6× |
| Radex upper extremity infant minimum 2 views (73092) range across 4 matching MRF lines |
$4.81–$79.88 | $20–$332 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 4 matching MRF lines |
$5.29–$294.25 | $22–$1,223 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) range across 2 matching MRF lines |
$12.27–$249.74 | $51–$1,038 | varies |
| Radiation treatment delivery level 1 (77402) | $247.10 | $1,027 | 2.3× |
| Radiation treatment delivery level 2 (77407) | $279.10 | $1,160 | 0.7× |
| Radiation treatment delivery level 3 (77412) | $533.89 | $2,219 | 0.9× |
| Radiolog exam mandible compl minimum 4 views (70110) | $294.01 | $1,222 | 2.6× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $241.32 | $1,003 | 2.2× |
| Radiologic exam colon double contrast study (74280) | $522.58 | $2,172 | 2.8× |
| Radiologic exam colon single contrast study (74270) | $402.28 | $1,672 | 2.1× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $313.26 | $1,302 | 1.7× |
| Radiologic exam knee complete 4/more views (73564) range across 4 matching MRF lines |
$6.74–$374.61 | $28–$1,557 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$7.46–$242.04 | $31–$1,006 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) | $293.53 | $1,220 | 1.6× |
| Radiologic exam swallow function contrast study (74230) | $306.28 | $1,273 | 1.6× |
| Radiologic exam upr gi trc double contrast study (74246) | $466.76 | $1,940 | 2.5× |
| Radiologic examination femur 1 view (73551) range across 2 matching MRF lines |
$5.05–$148.21 | $21–$616 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 4 matching MRF lines |
$5.53–$275.49 | $23–$1,145 | varies |
| Radiologic examination knee 1/2 views (73560) range across 4 matching MRF lines |
$5.05–$266.34 | $21–$1,107 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $229.53 | $954 | 2.0× |
| Radiologic Examination Salivary Gland Calculus (70380) | $32.96 | $137 | 0.4× |
| Radiologic examination tibia & fibula 2 views (73590) range across 4 matching MRF lines |
$4.81–$230.98 | $20–$960 | varies |
| Radiopharm Dacryocystography (78660) | $187.19 | $778 | 0.4× |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$8.66–$337.32 | $36–$1,402 | varies |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $653.95 | $2,718 | 1.5× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $549.29 | $2,283 | 1.3× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $1,474.64 | $6,129 | 2.5× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $1,302.85 | $5,415 | 2.2× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $1,026.88 | $4,268 | 1.8× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $1,463.33 | $6,082 | 1.1× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $1,627.42 | $6,764 | 1.1× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $1,345.92 | $5,594 | 1.0× |
| Rp Therapy Intravenous Administration (79101) | $354.40 | $1,473 | 1.4× |
| Scapula (73010) range across 4 matching MRF lines |
$5.53–$282.95 | $23–$1,176 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $55.82 | $232 | 2.4× |
| Sella turcica (70240) | $38.98 | $162 | 0.4× |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$4.57–$129.44 | $19–$538 | varies |
| Shoulder Arthrography (73040) range across 4 matching MRF lines |
$33.20–$891.42 | $69–$3,705 | varies |
| Sialogram (70390) | $109.95 | $457 | 0.4× |
| Skull less than 4 views (70250) | $187.67 | $780 | 1.7× |
| Special dosimetry (77331) | $318.80 | $1,325 | 2.2× |
| Special Physics Consult (77370) | $405.65 | $1,686 | 2.8× |
| Special teletherapy port plan (77321) | $547.85 | $2,277 | 1.4× |
| Special treatment procedure (77470) | $1,202.76 | $4,999 | 2.0× |
| Sternoclavicular joints (71130) range across 2 matching MRF lines |
$6.50–$192.72 | $27–$801 | varies |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $837.29 | $3,480 | 2.1× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $374.13 | $1,555 | 0.9× |
| Testicular Imaging W/Flow (78761) | $180.69 | $751 | 0.4× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $1,180.38 | $4,906 | 2.9× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $784.60 | $3,261 | 2.0× |
| Ther rad simulaj-aided field setting simple (77280) | $588.75 | $2,447 | 4.1× |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$6.02–$241.08 | $25–$1,002 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$6.74–$265.62 | $28–$1,104 | varies |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$6.50–$217.02 | $27–$902 | varies |
| Thyroid Carcinoma Metastases Img Lmtd Area (78015) | $231.70 | $963 | 0.5× |
| Thyroid Imaging With Vascular Flow (78013) | $348.87 | $1,450 | 0.8× |
| Thyroid Met Imaging Body (78018) | $908.02 | $3,774 | 1.6× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $609.20 | $2,532 | 1.4× |
| Tx Devices Design & Construction Complex (77334) | $630.61 | $2,621 | 1.6× |
| Tx devices design & construction intermediate (77333) | $413.59 | $1,719 | 2.9× |
| Tx devices design & construction simple (77332) | $291.85 | $1,213 | 2.0× |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$223.52–$335.40 | $929–$1,394 | varies |
| Ultrasound Exam Aaa Screen (76706) | $259.37 | $1,078 | 2.3× |
| Ultrasound, abdomen limited (76705) | $492.03 | $2,045 | 4.4× |
| Umbilical-artery Doppler (OB) (76820) | $403.73 | $1,678 | 3.6× |
| Upper gi w/o kub (74240) | $354.40 | $1,473 | 1.9× |
| Ureteral Reflux Study (78740) | $169.86 | $706 | 0.4× |
| Urethrocystogram voiding (74455) | $416.96 | $1,733 | 1.6× |
| Urethrocystography retrograde (74450) | $326.73 | $1,358 | 1.3× |
| Us breast unilateral complete (76641) range across 2 matching MRF lines |
$298.83–$448.24 | $1,242–$1,863 | varies |
| Us chest (76604) | $311.82 | $1,296 | 2.8× |
| Us complete joint (76881) | $360.42 | $1,498 | 3.2× |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$37.53–$327.46 | $156–$1,361 | varies |
| Us head (76506) | $174.19 | $724 | 1.6× |
| Us kidney transplant (76776) | $374.85 | $1,558 | 3.3× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$258.89–$327.46 | $1,076–$1,361 | varies |
| Us ob detailed single fetus (76811) | $432.36 | $1,797 | 1.7× |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$152.54–$272.36 | $634–$1,132 | varies |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$58.23–$353.92 | $242–$1,471 | varies |
| Us pelvic non ob complete (76856) | $503.82 | $2,094 | 4.5× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$73.86–$400.12 | $307–$1,663 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 2 matching MRF lines |
$145.56–$291.13 | $605–$1,210 | varies |
| Us retroperitoneal complete (76770) | $461.23 | $1,917 | 4.1× |
| Us retroperitoneal limited (76775) | $398.91 | $1,658 | 3.6× |
| Us scrotum and contents (76870) | $430.43 | $1,789 | 3.8× |
| Us spinal canal and contents (76800) | $133.05 | $553 | 1.2× |
| Us thyroid (76536) | $453.53 | $1,885 | 4.0× |
| Us transrectal (76872) | $437.17 | $1,817 | 3.9× |
| Vein X-Ray Chest (75827) | $700.15 | $2,910 | 0.4× |
| Venography caval inferior serialography rs&i (75825) | $1,491.96 | $6,201 | 0.4× |
| Venography extremity bilateral rs&i (75822) range across 2 matching MRF lines |
$966.01 | $177–$4,015 | 0.6× |
| Venography extremity unilateral rs&i (75820) range across 2 matching MRF lines |
$721.32 | $81–$2,998 | 0.4× |
| Venography Renal Bilateral (75833) | $683.79 | $2,842 | 0.2× |
| Venography Renal Unilateral (75831) | $301.95 | $1,255 | 0.1× |
| Vertebral fracture assessment via dxa (77086) | $52.69 | $219 | 0.6× |
| Wrist 2 views (73100) range across 4 matching MRF lines |
$5.05–$222.07 | $21–$923 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$5.77–$198.01 | $24–$823 | varies |
| X-ray antegrade pyelogram tube (74425) | $450.16 | $1,871 | 1.2× |
| X-Ray Aorta Leg Arteries (75630) range across 2 matching MRF lines |
$2,722.15 | $236–$11,314 | 0.8× |
| X-Ray Bend Only L-S Spine (72120) range across 2 matching MRF lines |
$6.74–$238.92 | $28–$993 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 4 matching MRF lines |
$5.05–$232.90 | $21–$968 | varies |
| X-Ray Exam Breast Specimen (76098) | $302.67 | $1,258 | 0.5× |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 2 matching MRF lines |
$7.70–$166.01 | $32–$690 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$9.14–$233.38 | $38–$970 | varies |
| X-Ray Exam Entire Spi 4/5 Vw (72083) range across 2 matching MRF lines |
$10.59–$186.47 | $44–$775 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 2 matching MRF lines |
$5.77–$123.43 | $24–$513 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 2 matching MRF lines |
$6.74–$197.77 | $28–$822 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) | $8.18 | $34 | 0.1× |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$6.74–$338.28 | $28–$1,406 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $8.66 | $36 | 0.1× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $9.14 | $38 | 0.1× |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$8.90–$379.91 | $37–$1,579 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$6.74–$216.78 | $28–$901 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$8.66–$340.93 | $36–$1,417 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 2 matching MRF lines |
$7.94–$249.98 | $33–$1,039 | varies |
| X-ray eye for foreign body (70030) | $176.36 | $733 | 1.9× |
| X-ray humerus (73060) range across 4 matching MRF lines |
$5.05–$261.05 | $21–$1,085 | varies |
| X-ray IV pyelogram (ivp) (74400) | $535.82 | $2,227 | 2.9× |
| X-ray IV pyelogram+tomography (74415) | $522.10 | $2,170 | 2.8× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $117.65 | $489 | 1.3× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$5.29–$210.28 | $22–$874 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$6.74–$229.77 | $28–$955 | varies |
| X-ray nose-rectum child f.b. (76010) | $38.50 | $160 | 0.4× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$9.38–$338.28 | $39–$1,406 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$6.74–$221.59 | $28–$921 | varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) range across 2 matching MRF lines |
$137.62 | $21–$572 | 1.2× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$5.29–$243.97 | $22–$1,014 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $234.10 | $973 | 2.5× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $276.69 | $1,150 | 2.5× |
| X-Ray Stress View (77071) range across 3 matching MRF lines |
$31.76–$82.53 | $132–$343 | varies |
| X-ray thoracic spine 4 vw (72074) range across 2 matching MRF lines |
$7.22–$294.01 | $30–$1,222 | varies |
| X-Ray Tmj Unilat (70328) | $70.50 | $293 | 0.8× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $475.19 | $1,975 | 1.3× |
| X-Rays Bone Length Studies (77073) range across 3 matching MRF lines |
$8.18–$181.17 | $34–$753 | varies |
| X-Rays Bone Survey Complete (77075) | $388.81 | $1,616 | 3.5× |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$8.18–$299.55 | $34–$1,245 | varies |
| Xr facial bones less than 3 views (70140) | $187.67 | $780 | 2.0× |
| XR Mastoids < 3 Views Bilateral (70120) | $55.10 | $229 | 0.5× |
| Xr orbits complete 4 views (70200) | $258.40 | $1,074 | 2.3× |
| Xr Tomogram Single Plane (76100) | $327.94 | $1,363 | 2.9× |
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.