Imaging prices at Mount Auburn Hospital

Cambridge, MA · every code in this section with a posted price and a Medicare benchmark.

410 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
3-D radiotherapy plan dose-volume histograms (77295) $6,500 $6,500 3.9×
Abdomen 1 View (74018) $388 $388 3.7×
Abdomen 2 views (74019) $649 $649 5.2×
Acute Gastrointestinal Blood Loss Imaging (78278) $1,149 $1,149 2.4×
Acute venous thrombosis imaging, peptide Non-Facility (78456) $3,479 $3,479 2.2×
Angio internal mammary (75756) $8,074 $8,074 2.1×
Angio pulmonary bilat (75743) $9,095 $9,095 2.4×
Angiography Adrenal Bilateral Slctv Rs&I (75733) $9,095 $9,095 2.4×
Angiography extremity bilateral rs&i (75716) $9,095 $9,095 2.4×
Angiography extremity unilateral rs&i (75710) $9,095 $9,095 2.4×
Angiography pulmonary unilateral slctv rs&i (75741) $9,095 $9,095 2.4×
Angrph pulmonary nonslctv cath/ven njx rs&i (75746) $4,121 $4,121 1.1×
Ankle 2 views (73600) $649 $649 6.2×
Aortography thoracic serialography rs&i (75605) $14,533 $14,533 2.2×
Artery X-Rays Abdomen (75726) $14,032 $14,032 2.1×
Artery X-Rays Adrenal Gland (75731) $9,095 $9,095 2.4×
Artery X-Rays Pelvis (75736) $14,533 $14,533 2.2×
Artery X-Rays Spine (75705) $14,032 $14,032 2.1×
Arthrogram ankle (73615) $2,309 $2,309 5.5×
Arthrogram hip (73525) $1,803 $1,803 4.3×
Arthrogram Wrist (73115) $1,549 $1,549 3.7×
Basic radiation dosimetry calculation (77300) $598 $598 3.7×
Bone age studies (77072) $570 $570 4.5×
Bone Imaging 3 Phase (78315) $1,171 $1,171 2.4×
Bone Imaging Limited Area (78300) $1,171 $1,171 2.4×
Bone Imaging Multiple Areas (78305) $1,171 $1,171 2.4×
Bone Imaging Whole Body (78306) $1,171 $1,171 2.4×
Bone marrow imaging limited area (78102) $1,254 $1,254 2.6×
Bone marrow imaging; whole body (78104) $1,254 $1,254 2.6×
Bone survey infant (77076) $763 $763 6.1×
Brachytx isodose complex (77318) $2,009 $2,009 4.5×
Brachytx isodose intermed (77317) $2,009 $2,009 4.5×
Brachytx Isodose Plan Simple (77316) $1,015 $1,015 2.3×
Brain Flow Imaging Only (78610) $1,658 $1,658 2.5×
Brain Imaging Min 4 Static Views W Vascular Flow (78606) $2,032 $2,032 3.1×
Brain Imaging Pet Metabolic Evaluation (78608) $6,835 $6,835 4.0×
Card Bl Pool Gated Spect Rest Wal Motn Ejct Frct (78494) $1,424 $1,424 3.0×
Cardiac MRI w/w/o contrast & further seq (75561) $4,269 $4,269 10.2×
Cardiac Shunt Detection (78428) $1,340 $1,340 2.8×
Cat Scan Follow-Up Study (76380) $550 $550 5.3×
Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) $1,658 $1,658 2.5×
Cerebrospinal Fluid Scan (78630) $2,032 $2,032 3.1×
Chest 1 view (71045) $320 $320 3.1×
Chest 2 views (71046) $357 $357 3.4×
Chest 3 views (71047) $357 $357 3.4×
Chest 4 or more views (71048) $521 $521 4.2×
Cholecystography Oral Contrast (74290) $659 $659 3.1×
Clavicle complete (73000) $527 $527 5.1×
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $693 $693 5.5×
Continuing medical physics consltj pr wk (77336) $721 $721 4.5×
Contrast Exam Abdominl Aorta (75625) $9,095 $9,095 2.4×
Contrast X-Ray Bladder (74430) $1,525 $1,525 3.6×
Contrast X-Ray Of Elbow (73085) $1,803 $1,803 4.3×
Contrast X-Ray Of Knee Joint (73580) $2,309 $2,309 5.5×
Contrast Xray Throat/Cerv Esopha (74210) $706 $706 3.4×
Corpora cavernosography (74445) $1,525 $1,525 12.2×
CT abdomen and pelvis without and with contrast (74178) $2,432 $2,432 5.8×
CT abdomen and pelvis without contrast (74176) $1,714 $1,714 6.0×
CT abdomen w contrast (74160) $1,905 $1,905 9.1×
CT abdomen w wo contrast (74170) $2,096 $2,096 10.0×
CT abdomen w/o contrast (74150) $967 $967 7.7×
CT Angio Abdomen and Pelvis (74174) $2,915 $2,915 7.0×
CT Angio Chest (71275) $2,153 $2,153 10.2×
CT Angio Head (70496) $3,187 $3,187 15.2×
CT angio hrt w/3d image (75574) $1,658 $1,658 4.0×
Ct Angio Lwr Extr W/O&W/Dye (73706) $2,183 $2,183 10.4×
CT Angio Neck (70498) $3,187 $3,187 15.2×
Ct Angio Upr Extrm W/O&W/Dye (73206) $1,814 $1,814 8.6×
CT cervical spine w/ contrast (72126) $2,781 $2,781 6.7×
CT cervical spine w/o contrast (72125) $1,412 $1,412 11.3×
CT cervical spine w/wo cont (72127) $3,060 $3,060 14.6×
CT chest w contrast (71260) $1,905 $1,905 9.1×
CT chest w/wo contrast (71270) $2,096 $2,096 10.0×
CT colonography screening (74263) $2,966 $2,966 10.4×
CT Colonogrphy Dx Image Postprocess W/Contrast (74262) $1,832 $1,832 8.7×
CT colonogrphy dx image postprocess w/o contrast (74261) $950 $950 7.6×
CT head/brain with contrast (70460) $2,716 $2,716 12.9×
CT head/brain without and with contrast (70470) $3,025 $3,025 14.4×
CT heart contrast eval cardiac structure&morph (75572) $1,170 $1,170 2.8×
CT heart no contrast quant eval coronry calcium (75571)
range across 2 matching MRF lines		 $233–$275 $233–$275 varies
CT hrt w/3d image congen (75573) $1,552 $1,552 3.7×
CT iac w contrast (70481) $2,207 $2,207 10.5×
CT l-spine w&w/o contrast (72133) $2,096 $2,096 10.0×
CT lower ext w/o (73700) $950 $950 7.6×
CT lower extremity w/contrast material (73701) $1,905 $1,905 9.1×
CT lumbar spine w contrast (72132) $1,905 $1,905 4.6×
CT lumbar spine w/o contrast (72131) $967 $967 7.7×
CT maxillofacial w contrast (70487) $2,716 $2,716 12.9×
CT maxillofacial wo contrast (70486) $1,387 $1,387 11.1×
CT neck tissue combo (70492) $3,060 $3,060 14.6×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $2,116 $2,116 10.1×
CT orbits w/o contrast (70480) $1,387 $1,387 11.1×
CT pelvis w&w/o contrast (72194) $2,096 $2,096 10.0×
CT pelvis w/o contrast (72192) $950 $950 7.6×
CT scan of leg combo (73702) $2,096 $2,096 10.0×
CT scans face/jaw combo (70488) $3,025 $3,025 14.4×
CT soft tissue neck w contrast (70491) $2,781 $2,781 13.2×
CT soft tissue neck w/o contrast (70490) $1,387 $1,387 11.1×
CT thoracic spine w contrast (72129) $1,905 $1,905 9.1×
CT thoracic spine w/o contrast (72128) $967 $967 7.7×
CT thoracic spine w/wo cont (72130) $2,096 $2,096 10.0×
CT thorax w/o contrast (71250) $950 $950 7.6×
CT upper ext wo (73200) $950 $950 7.6×
CT upper extremity w/o & w/contrast material (73202) $2,096 $2,096 10.0×
CT upper extremity with contrast (73201) $1,905 $1,905 4.6×
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $2,013 $2,013 9.6×
Cta Abdomen (74175) $2,070 $2,070 9.8×
CTA pelvis (72191) $2,183 $2,183 10.4×
Dacryocystography, nasolacrimal duct, radiological supervision and interpretation Non-Facility (70170) $1,936 $1,936 6.8×
Dilation ureters/urethra rs&i (74485) $10,642 $10,642 4.2×
Discography Cerv/Thor Spine (72285) $10,988 $10,988 4.7×
Diskography lumbar (72295) $10,988 $10,988 4.7×
Doppler Fetal Mid Cerebral Artery (76821) $392 $392 3.1×
Dxa Bone Density Axial (77080) $663 $663 5.3×
Dxa bone density study (77085) $494 $494 3.9×
Dxa bone density study 1/>sites appendiclr skel (77081) $303 $303 2.9×
Echo exam uterus (76831) $1,292 $1,292 4.5×
Echo Guide For Artery Repair (76936) $761 $761 2.9×
Echograp Trans R Pros Study (76873) $925 $925 7.4×
Esophagram (74220) $659 $659 3.1×
Fetal Biophys Profile W/Nst (76818) $799 $799 6.4×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $722 $722 5.8×
Fluoroscopy up to 1 hr (76000) $730 $730 2.6×
Follow-Up Angiography (75898) $3,714 $3,714 1.0×
Foot 2 views (73620) $529 $529 5.1×
Forearm 2 views (73090) $649 $649 6.2×
Gastric emptying imaging study (78264) $1,149 $1,149 2.4×
Gastroesophageal Reflux Exam (78262) $1,149 $1,149 2.4×
Gated Heart Planar Single (78472) $1,424 $1,424 3.0×
Hand 2 views (73120) $853 $853 6.8×
Hdr Rdncl Ntrstl/Icav Brchtx (77772) $4,017 $4,017 4.8×
Hdr Rdncl Ntrstl/Icav Brchtx (77771) $3,442 $3,442 4.1×
Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) $3,779 $3,779 4.5×
Heart first pass single,planar (78481) $1,755 $1,755 2.7×
Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) $9,095 $9,095 2.4×
Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) $9,095 $9,095 2.4×
Hepatobil Syst Image W/Drug (78227) $1,486 $1,486 2.3×
Hepatobiliary System Imaging (78226) $1,486 $1,486 3.1×
Ht Musc Image Planar Mult (78454) $4,288 $4,288 2.8×
Ht Muscle Image Spect Sing (78451) $4,288 $4,288 2.8×
Hysterosalpingogram (74740) $1,858 $1,858 6.5×
Infant hip ultrasound with hip movement (dynamic) (76885) $607 $607 5.8×
Infant hip ultrasound, limited static exam (76886) $579 $579 5.6×
Infusion Ivp (74410) $1,525 $1,525 7.3×
Interstitial radiation source applic complex (77778) $5,583 $5,583 6.7×
Joint Survey Single View (77077) $493 $493 3.9×
K Flow/Funct Image Multiple (78709) $1,755 $1,755 2.7×
K Flow/Funct Image W/Drug (78708) $1,490 $1,490 2.3×
K Flow/Funct Image W/O Drug (78707) $1,490 $1,490 2.3×
Kidney Imaging Morphol (78700) $1,490 $1,490 3.1×
Kidney Imaging Morphoogy W/Vascular Flow (78701) $1,490 $1,490 3.1×
Knee 3 Views (73562) $570 $570 5.5×
Leveen/Shunt Patency Exam (78291) $1,149 $1,149 2.4×
Liver & Spleen Imaging Static Only (78215) $1,329 $1,329 2.8×
Liver & Spleen Imaging W/Vascular Flow (78216) $1,329 $1,329 2.8×
Liver imaging static only (78201) $2,973 $2,973 4.6×
Liver imaging w/vascular flow (78202) $2,973 $2,973 4.6×
Lung Perf&Ventilat Diferentl (78598) $1,587 $1,587 2.4×
Lung Ventilat&Perfus Imaging (78582) $1,684 $1,684 2.6×
Lung Ventilation Imaging (78579) $1,346 $1,346 2.8×
Lymph System Imaging (78195) $1,691 $1,691 2.6×
Lymphangiography Extremity Only Bilateral Rs&I (75803) $2,296 $2,296 1.2×
Magnetic Image Jaw Joint (70336) $4,222 $4,222 14.8×
Mammary ductogram or galactogram multiple (77054) $1,779 $1,779 6.2×
Mammary ductogram or galactogram single (77053) $1,598 $1,598 5.6×
Meckels Divert Exam (78290) $1,149 $1,149 2.4×
Mlc imrt design & construction per imrt plan (77338) $2,030 $2,030 4.5×
Mr safety determination physician/other qhp (76016) $273 $273 2.6×
Mr safety implant&/fb assmt clin staf 1st 15 min (76014) $73 $73 2.1×
Mr safety implt electronics prepj supvj phys/qhp (76018) $337 $337 3.0×
Mr safety med physics xm customization plng&mntr (76017) $861 $861 3.0×
Mra Head W/O & W/Contrast Material (70546) $4,429 $4,429 10.6×
MRA head w/o contrast (70544) $2,648 $2,648 9.3×
MRA head with contrast (70545) $3,431 $3,431 8.2×
MRA neck w contrast (70548) $3,431 $3,431 8.2×
Mra Neck W/O &W/Contrast Material (70549) $4,429 $4,429 10.6×
MRA neck w/o contrast (70547) $2,648 $2,648 9.3×
MRI abdomen w contrast (74182) $4,046 $4,046 9.7×
MRI abdomen w/o contrast (74181)
range across 2 matching MRF lines		 $1,079–$2,741 $1,079–$2,741 varies
MRI any jt lower extrem w/contrast material (73722) $4,052 $4,052 4.3×
MRI any jt lower extrem w/o & w/contrast matrl (73723) $4,586 $4,586 11.0×
MRI any jt upper extremity w/contrast matrl (73222) $4,052 $4,052 4.3×
MRI bone marrow blood supply (77084) $2,807 $2,807 9.8×
MRI Breast W/O Contrast Bilateral (77047) $5,738 $5,738 20.1×
MRI Breast Without Contrast Material Unilateral (77046) $4,654 $4,654 16.3×
MRI cardiac w/o contrast (75557) $2,741 $2,741 9.6×
MRI cervical spine w contrast (72142) $3,908 $3,908 9.3×
MRI cervical spine w/o cont (72141) $2,648 $2,648 9.3×
MRI chest w/o contrast (71550) $2,741 $2,741 9.6×
MRI chest with contrast (71551) $4,062 $4,062 4.3×
MRI chest wo w contrast (71552) $4,694 $4,694 11.2×
MRI lower extrem oth/thn jt w/contrast matrl (73719) $3,967 $3,967 9.5×
MRI lower extrem oth/thn jt w/o & w/contr matr (73720) $7,062 $7,062 16.9×
MRI lower extrem oth/thn jt w/o contr matrl (73718) $4,222 $4,222 14.8×
MRI lumbar spine w contrast (72149) $4,046 $4,046 9.7×
Mri Neck Spine W/O & W/Dye (72156) $4,533 $4,533 10.8×
MRI orbit face &/neck w/o contrast (70540) $2,648 $2,648 9.3×
MRI orbit face neck w contrast (70542) $3,908 $3,908 9.3×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $4,533 $4,533 10.8×
MRI pelvis w contrast (72196) $3,553 $3,553 8.5×
MRI pelvis w/o & w contrast (72197) $4,694 $4,694 11.2×
MRI pelvis w/o contrast (72195) $2,741 $2,741 9.6×
MRI spectroscopy (76390) $3,374 $3,374 32.4×
MRI thoracic spine w/o contrast (72146) $2,741 $2,741 9.6×
MRI upper extremity oth than jt w/contr matrl (73219) $4,052 $4,052 9.7×
MRI upper extremity oth than jt w/o contr matrl (73218) $2,741 $2,741 9.6×
Mri Uppr Extremity W/O&W/Dye (73220) $4,586 $4,586 11.0×
MRI, abdomen, combo (74183)
range across 2 matching MRF lines		 $4,587–$4,694 $4,587–$4,694 varies
MRI, dorsal spine combo (72157) $4,694 $4,694 11.2×
MRI, dorsal spine contrast (72147) $3,967 $3,967 9.5×
MRI, joint upper extrem (73221) $2,741 $2,741 9.6×
MRI, joint upper extrem combo (73223) $4,694 $4,694 11.2×
MRI, lumbar spine combo (72158) $4,694 $4,694 11.2×
Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) $1,424 $1,424 3.0×
Myocardial Perfusion Planar 1 Study Rest/Stress (78453) $4,288 $4,288 2.8×
Myocardial Spect Multiple Studies (78452) $4,288 $4,288 2.8×
N-invas est c ffr sw aly CTA (75580) $3,625 $3,625 3.5×
Neck soft tissue (70360) $440 $440 4.2×
Ntsty modul radthx pln dose-vol histos (77301) $7,592 $7,592 4.6×
Nuclear Rx Intra-Arterial (79445) $902 $902 3.2×
Nuclear Rx Oral Admin (79005) $1,297 $1,297 4.6×
Ob us nuchal meas 1 gest (76813) $613 $613 4.9×
Optic foramina (70190) $411 $411 3.9×
Panoramic X-ray of jaws (70355) $303 $303 2.9×
Parathyroid Planar Imaging (78070) $1,346 $1,346 2.8×
Parathyroid planar imaging w/wo subtraction (78071) $2,296 $2,296 4.8×
Pelvis 1 or 2 views (72170) $493 $493 3.9×
Peritoneogram Rs&I (74190) $3,730 $3,730 5.7×
Pet Image W/Ct Lmtd (78814) $6,378 $6,378 3.7×
PET image w/CT, full body (78816) $7,628 $7,628 4.5×
PET imaging CT attenuation skull base mid-thigh (78815) $7,628 $7,628 4.5×
Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) $9,095 $9,095 2.4×
Pulmonary Perfusion Imaging Particulate (78580) $1,346 $1,346 2.8×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $659 $659 5.3×
Radex abscess/fistula/sinus tract rs&i (76080) $2,386 $2,386 3.6×
Radex Ankle Complete Minimum 3 Views (73610) $649 $649 6.2×
Radex Calcaneus Minimum 2 Views (73650) $527 $527 5.1×
Radex elbow complete minimum 3 views (73080) $649 $649 6.2×
Radex Facial Bones Complete Minimum 3 Views (70150) $547 $547 4.4×
Radex fingr minimum 2 views (73140) $450 $450 4.3×
Radex foot complete minimum 3 views (73630) $527 $527 5.1×
Radex Hand Minimum 3 Views (73130) $649 $649 6.2×
Radex lower extremity infant minimum 2 views (73592) $447 $447 4.3×
Radex Mastoids Compl Minimum 3 Views PR Side (70130) $411 $411 3.3×
Radex Nasal Bones Complete Minimum 3 Views (70160) $335 $335 3.2×
Radex Pharynx/Larx W/Fluor&/Magnification Tq (70370) $930 $930 8.9×
Radex Ribs Unilateral 2 Views (71100) $305 $305 2.9×
Radex shoulder complete minimum 2 views (73030) $527 $527 5.1×
Radex Sinuses Paransl < 3 Views (70210) $345 $345 3.3×
Radex sm int w/mlt srl imges via enteroclss tube (74251) $1,280 $1,280 6.1×
Radex Spine 1 View Specify Level (72020) $305 $305 2.9×
Radex Sternum Minimum 2 Views (71120) $347 $347 3.3×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $411 $411 3.9×
Radex Toe Minimum 2 Views (73660) $450 $450 4.3×
Radex upper extremity infant minimum 2 views (73092) $493 $493 3.9×
Radex Wrist Complete Minimum 3 Views (73110) $527 $527 5.1×
Radiation Delivery Stereotactic Cranial Linear (77372) $34,631 $34,631 3.9×
Radiation treatment delivery level 1 (77402) $686 $686 5.6×
Radiation treatment delivery level 2 (77407) $1,049 $1,049 2.3×
Radiation treatment delivery level 3 (77412) $1,117 $1,117 1.7×
Radiolog exam mandible compl minimum 4 views (70110) $475 $475 3.8×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $649 $649 5.2×
Radiologic exam colon double contrast study (74280) $1,280 $1,280 6.1×
Radiologic exam colon single contrast study (74270) $853 $853 4.1×
Radiologic Exam Esophagus Double Contrast Study (74221) $659 $659 3.1×
Radiologic exam knee complete 4/more views (73564) $570 $570 4.5×
Radiologic exam pelvis compl minimum 3 views (72190) $350 $350 2.8×
Radiologic Exam Small Int Single Contrast Study (74250) $739 $739 3.5×
Radiologic exam swallow function contrast study (74230) $853 $853 4.1×
Radiologic exam upr gi trc double contrast study (74246) $853 $853 4.1×
Radiologic examination femur 1 view (73551) $527 $527 5.1×
Radiologic examination femur minimum 2 views (73552) $527 $527 5.1×
Radiologic examination knee 1/2 views (73560) $447 $447 4.3×
Radiologic Examination Osseous Survey Limited (77074) $662 $662 5.3×
Radiologic Examination Salivary Gland Calculus (70380) $522 $522 5.0×
Radiologic examination tibia & fibula 2 views (73590) $527 $527 5.1×
Radiologic examination, internal auditory meati, complete Non-Facility (70134) $818 $818 1.2×
Renal Cyst Study (74470) $3,730 $3,730 5.7×
Ribs bilateral 3 views (71110) $547 $547 4.4×
Rp loclzj tum plnr 1 area single day imaging (78800) $1,343 $1,343 2.8×
Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) $1,811 $1,811 3.8×
Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) $4,254 $4,254 6.5×
Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) $3,467 $3,467 5.3×
Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) $3,021 $3,021 4.6×
Rp loclzj tum spect 2 area/sep acquisj img (78831) $5,807 $5,807 3.7×
Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) $5,321 $5,321 3.4×
Rp Ther Radiolbld Monoclonal Antibody IV Infus (79403) $1,445 $1,445 5.2×
Rp Therapy Intravenous Administration (79101) $1,297 $1,297 4.6×
Salivary Gland Imaging (78230) $1,149 $1,149 2.4×
Salivary Gland Imaging Serial Images (78231) $1,149 $1,149 2.4×
Scapula (73010) $378 $378 3.0×
Screening Digital Breast Tomosynthesis Bi (77063) $152 $152 6.5×
Sella turcica (70240) $330 $330 3.2×
Shoulder 1 view (73020) $325 $325 3.1×
Shoulder Arthrography (73040) $1,468 $1,468 3.5×
Sialogram (70390) $1,858 $1,858 6.5×
Skull less than 4 views (70250) $379 $379 3.0×
Special dosimetry (77331) $673 $673 4.2×
Special Physics Consult (77370) $835 $835 5.2×
Special teletherapy port plan (77321) $1,735 $1,735 3.9×
Special treatment procedure (77470) $3,485 $3,485 5.3×
Spleen Imaging (78185) $1,254 $1,254 2.6×
Stereotactic Body Radiation Delivery (77373) $14,049 $14,049 6.6×
Sternoclavicular joints (71130) $347 $347 3.3×
Superior sagittal sinus venogram (75870) $2,432 $2,432 0.6×
Telethx isodose pln cplx w/basic dosimetry (77307) $1,649 $1,649 3.7×
Telethx isodose pln smpl w/dosimetry calculation (77306) $1,067 $1,067 2.4×
Testicular Imaging W/Flow (78761) $1,490 $1,490 3.1×
Ther Rad Simulaj-Aided Field Setting Complex (77290) $1,883 $1,883 4.2×
Ther Rad Simulaj-Aided Field Setting Intermed (77285) $1,542 $1,542 3.4×
Ther rad simulaj-aided field setting simple (77280) $835 $835 5.2×
Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) $805 $805 3.8×
Thoracic spine 2 views (72070) $493 $493 3.9×
Thoracic spine 3 views (72072) $547 $547 4.4×
Thoracolumbar 2 views (72080) $330 $330 3.2×
Thyroid Imaging With Vascular Flow (78013) $1,266 $1,266 2.6×
Thyroid Met Imaging Body (78018) $1,343 $1,343 2.1×
Thyroid Uptake Measurement (78012) $1,105 $1,105 2.3×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $1,346 $1,346 2.8×
Tx Devices Design & Construction Complex (77334) $1,637 $1,637 3.6×
Tx devices design & construction intermediate (77333) $1,127 $1,127 7.0×
Tx devices design & construction simple (77332) $1,127 $1,127 7.0×
Ultrasound Breast Limited (76642) $868 $868 8.3×
Ultrasound elastography first target lesion (76982) $678 $678 5.4×
Ultrasound Elastography Parenchyma (76981) $678 $678 5.4×
Ultrasound Exam Aaa Screen (76706) $732 $732 5.8×
Ultrasound, abdomen limited (76705) $708 $708 5.7×
Umbilical-artery Doppler (OB) (76820) $390 $390 3.1×
Unlisted Dx Radiographic Procedure (76499) $265 $265 2.5×
Unlisted magnetic resonance procedure (76498)
range across 2 matching MRF lines		 $399–$673 $399–$673 varies
Upper gi w/o kub (74240) $853 $853 4.1×
Urea Breath Test C-14 Isotopic Acquisj Analysis (78267) $50 $50 4.5×
Urea breath test c-14 isotopic analysis (78268) $435 $435 4.6×
Ureteral Reflux Study (78740) $1,517 $1,517 3.2×
Urethrocystogram voiding (74455) $1,525 $1,525 5.3×
Urethrocystography retrograde (74450) $1,525 $1,525 5.3×
Us breast unilateral complete (76641) $868 $868 6.9×
Us chest (76604) $621 $621 5.0×
Us complete joint (76881) $739 $739 5.9×
Us exam, pelvic, limited (76857) $507 $507 4.0×
Us head (76506) $684 $684 5.5×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $448 $448 3.6×
Us ob detailed single fetus (76811) $1,099 $1,099 3.8×
Us ob limited 1 or more fetuses (76815) $621 $621 5.0×
Us ob transvaginal (76817) $746 $746 6.0×
Us pelvic non ob complete (76856) $782 $782 6.2×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $753 $753 6.0×
Us preg uterus real time f/u trnsabdl per fetus (76816) $464 $464 3.7×
Us retroperitoneal complete (76770) $708 $708 5.7×
Us retroperitoneal limited (76775) $739 $739 5.9×
Us scrotum and contents (76870) $684 $684 5.5×
Us spinal canal and contents (76800) $627 $627 5.0×
Us thyroid (76536) $684 $684 5.5×
Us transrectal (76872) $684 $684 5.5×
Vascular Flow Imaging (78445) $1,222 $1,222 2.6×
Vein X-Ray Chest (75827) $3,763 $3,763 2.0×
Vein X-Ray Liver W/O Hemodyn (75887) $5,264 $5,264 1.4×
Vein X-Ray Skull Epidural (75872) $3,763 $3,763 5.0×
Venogram Sinus/Jugular (75860) $8,074 $8,074 2.1×
Venography caval inferior serialography rs&i (75825) $9,095 $9,095 2.4×
Venography extremity bilateral rs&i (75822) $3,368 $3,368 1.8×
Venography extremity unilateral rs&i (75820) $3,019 $3,019 1.6×
Venography Orbital Rs&I (75880) $3,763 $3,763 5.0×
Venography Renal Bilateral (75833) $9,095 $9,095 2.4×
Venography Renal Unilateral (75831) $9,095 $9,095 2.4×
Venous sampling by catheter (75893) $14,533 $14,533 2.2×
Vertebral fracture assessment via dxa (77086) $206 $206 2.0×
Wrist 2 views (73100) $500 $500 4.8×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $305 $305 2.9×
X-ray antegrade pyelogram tube (74425) $2,201 $2,201 5.3×
X-Ray Aorta Leg Arteries (75630) $9,095 $9,095 2.4×
X-Ray Bend Only L-S Spine (72120) $406 $406 3.2×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) $447 $447 4.3×
X-Ray Exam Breast Specimen (76098) $1,813 $1,813 2.8×
X-Ray Exam Entire Spi 1 Vw (72081) $290 $290 2.8×
X-Ray Exam Entire Spi 2/3 Vw (72082) $550 $550 4.4×
X-Ray Exam Hip Uni 1 View (73501) $263 $263 2.5×
X-Ray Exam Hip Uni 2-3 Views (73502) $527 $527 5.1×
X-Ray Exam Hip Uni 4/> Views (73503) $550 $550 4.4×
X-Ray Exam Hips Bi 2 Views (73521) $550 $550 4.4×
X-Ray Exam Hips Bi 3-4 Views (73522) $550 $550 4.4×
X-Ray Exam Hips Bi 5/> Views (73523) $989 $989 7.9×
X-Ray Exam L-S Spine Bending (72114) $635 $635 5.1×
X-Ray Exam Neck Spine 2-3 Vw (72040) $320 $320 3.1×
X-Ray Exam Neck Spine 6/>Vws (72052) $662 $662 5.3×
X-Ray Exam Unilat Ribs/Chest (71101) $424 $424 3.4×
X-ray eye for foreign body (70030) $514 $514 4.9×
X-ray humerus (73060) $305 $305 2.9×
X-ray IV pyelogram (ivp) (74400) $1,525 $1,525 7.3×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $411 $411 3.9×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $305 $305 2.9×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $361 $361 2.9×
X-ray nose-rectum child f.b. (76010) $389 $389 3.7×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $582 $582 4.6×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $493 $493 3.9×
X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) $455 $455 3.6×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $330 $330 3.2×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $411 $411 3.9×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $586 $586 4.7×
X-Ray Stress View (77071) $263 $263 2.5×
X-ray thoracic spine 4 vw (72074) $570 $570 4.5×
X-Ray Tmj Unilat (70328) $330 $330 3.2×
X-Ray Urinary Tract Exam With Contrast Material (74420) $2,726 $2,726 6.5×
X-Rays Bone Length Studies (77073) $330 $330 2.6×
X-Rays Bone Survey Complete (77075) $662 $662 5.3×
Xr c-spine 4 or 5 views (72050) $578 $578 4.6×
Xr facial bones less than 3 views (70140) $330 $330 3.2×
XR Mastoids < 3 Views Bilateral (70120) $411 $411 3.3×
Xr orbits complete 4 views (70200) $411 $411 3.3×
Xr Tomogram Single Plane (76100) $706 $706 5.6×

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.