Imaging prices at Mount Carmel Dublin Hospital
Dublin, OH · every code in this section with a posted price and a Medicare benchmark.
346 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) | $6,743.42 | — | 80.4× |
| Abdomen 2 views (74019) | $278.85 | $429 | 2.8× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $900.25 | $1,385 | 2.3× |
| Angio internal mammary (75756) | $2,587 | $3,980 | 0.8× |
| Angio pulmonary bilat (75743) | $4,272.45 | $6,573 | 1.4× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $2,587 | $3,980 | 0.8× |
| Angiography extremity bilateral rs&i (75716) | $2,965.30 | $4,562 | 1.0× |
| Angiography extremity unilateral rs&i (75710) | $2,898.35 | $4,459 | 1.0× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $3,810.95 | $5,863 | 1.3× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $3,152.50 | $4,850 | 1.0× |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$285.35–$428.35 | $439–$659 | varies |
| Aortography thoracic serialography rs&i (75605) | $4,151.55 | $6,387 | 0.8× |
| Artery X-Rays Abdomen (75726) | $4,848.35 | $7,459 | 0.9× |
| Artery X-Rays Adrenal Gland (75731) | $2,377.05 | $3,657 | 0.8× |
| Artery X-Rays Pelvis (75736) | $6,017.70 | $9,258 | 1.1× |
| Arthrogram ankle (73615) range across 3 matching MRF lines |
$596.70–$895.05 | $918–$1,377 | varies |
| Arthrogram hip (73525) range across 3 matching MRF lines |
$753.35–$1,130.35 | $1,159–$1,739 | varies |
| Arthrogram Wrist (73115) range across 3 matching MRF lines |
$659.75–$989.95 | $1,015–$1,523 | varies |
| Bone Imaging 3 Phase (78315) | $1,784.25 | $2,745 | 4.6× |
| Bone Imaging Limited Area (78300) | $821.60 | $1,264 | 2.1× |
| Bone Imaging Multiple Areas (78305) | $1,085.50 | $1,670 | 2.8× |
| Bone Imaging Whole Body (78306) | $1,600.95 | $2,463 | 4.2× |
| Bone marrow imaging limited area (78102) | $752.70 | $1,158 | 2.0× |
| Bone marrow imaging; multiple areas (78103) | $993.85 | $1,529 | 2.6× |
| Bone survey infant (77076) | $454.35 | $699 | 4.5× |
| Brachytx isodose complex (77318) | $1,731.60 | $2,664 | 4.8× |
| Brain Flow Imaging Only (78610) | $497.90 | $766 | 1.0× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $1,758.25 | $2,705 | 3.4× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $5,841.55 | $8,987 | 4.2× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $1,151.15 | $1,771 | 3.4× |
| Cardiac MRI w/w/o contrast w/stress (75563) | $1,275.95 | $1,963 | 1.7× |
| Cat Scan Follow-Up Study (76380) | $796.25 | $1,225 | 9.5× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $939.25 | $1,445 | 1.8× |
| Cerebrospinal Fluid Scan (78630) | $1,130.35 | $1,739 | 2.2× |
| Chest 1 view (71045) | $8,072.54 | — | 96.2× |
| Chest 2 views (71046) | $442 | $680 | 5.3× |
| Chest 3 views (71047) | $476.45 | $733 | 5.7× |
| Chest 4 or more views (71048) | $607.10 | $934 | 6.0× |
| Chg us nrv&acc strux 1 xtr compre w/img pr extremity (76883) | $462.80 | $712 | 4.6× |
| Clavicle complete (73000) range across 6 matching MRF lines |
$198.90–$298.35 | $306–$459 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $538.20 | $828 | 5.3× |
| Contrast Exam Abdominl Aorta (75625) | $2,898.35 | $4,459 | 1.0× |
| Contrast X-Ray Bladder (74430) | $575.90 | $886 | 1.7× |
| Contrast X-Ray Of Elbow (73085) range across 3 matching MRF lines |
$440.05–$660.40 | $677–$1,016 | varies |
| Contrast X-Ray Of Knee Joint (73580) range across 3 matching MRF lines |
$637.65–$956.80 | $981–$1,472 | varies |
| CT abdomen and pelvis without and with contrast (74178) | $2,334.80 | $3,592 | 6.9× |
| CT abdomen and pelvis without contrast (74176) | $1,851.20 | $2,848 | 8.0× |
| CT abdomen w contrast (74160) | $1,040.65 | $1,601 | 6.2× |
| CT abdomen w wo contrast (74170) | $1,170 | $1,800 | 6.9× |
| CT abdomen w/o contrast (74150) | $623.35 | $959 | 6.2× |
| CT Angio Abdomen and Pelvis (74174) | $2,451.80 | $3,772 | 7.3× |
| CT Angio Chest (71275) | $1,587.30 | $2,442 | 9.4× |
| CT Angio Head (70496) | $1,556.10 | $2,394 | 9.2× |
| CT angio hrt w/3d image (75574) | $774.15 | $1,191 | 2.3× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 3 matching MRF lines |
$1,335.75–$2,003.95 | $2,055–$3,083 | varies |
| CT Angio Neck (70498) | $2,562.30 | $3,942 | 15.1× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $1,452.10 | $2,234 | 8.6× |
| CT cervical spine w/ contrast (72126) | $1,507.35 | $2,319 | 4.5× |
| CT cervical spine w/o contrast (72125) | $1,467.70 | $2,258 | 14.6× |
| CT cervical spine w/wo cont (72127) | $1,582.75 | $2,435 | 9.4× |
| CT chest w contrast (71260) | $1,418.30 | $2,182 | 8.4× |
| CT chest w/wo contrast (71270) | $1,511.90 | $2,326 | 8.9× |
| CT head/brain with contrast (70460) | $1,004.90 | $1,546 | 5.9× |
| CT head/brain without and with contrast (70470) | $1,055.60 | $1,624 | 6.2× |
| CT heart contrast eval cardiac structure&morph (75572) | $588.25 | $905 | 1.7× |
| CT heart no contrast quant eval coronry calcium (75571) | $366.60 | $564 | 4.4× |
| CT iac w contrast (70481) | $956.15 | $1,471 | 5.7× |
| CT l-spine w&w/o contrast (72133) | $1,456 | $2,240 | 8.6× |
| CT lower ext w/o (73700) range across 3 matching MRF lines |
$650.65–$976.30 | $1,001–$1,502 | varies |
| CT lower extremity w/contrast material (73701) range across 3 matching MRF lines |
$923–$1,384.50 | $1,420–$2,130 | varies |
| CT lumbar spine w contrast (72132) | $1,387.10 | $2,134 | 4.1× |
| CT lumbar spine w/o contrast (72131) | $1,321.45 | $2,033 | 13.1× |
| CT maxillofacial w contrast (70487) | $949 | $1,460 | 5.6× |
| CT maxillofacial wo contrast (70486) | $887.90 | $1,366 | 8.8× |
| CT neck tissue combo (70492) | $1,723.80 | $2,652 | 10.2× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,069.25 | $1,645 | 6.3× |
| CT orbits w/o contrast (70480) | $691.60 | $1,064 | 6.9× |
| CT pelvis w&w/o contrast (72194) | $1,255.80 | $1,932 | 7.4× |
| CT pelvis w/o contrast (72192) | $788.45 | $1,213 | 7.8× |
| CT scan of leg combo (73702) range across 3 matching MRF lines |
$1,136.85–$1,705.60 | $1,749–$2,624 | varies |
| CT scans face/jaw combo (70488) | $1,008.80 | $1,552 | 6.0× |
| CT soft tissue neck w contrast (70491) | $1,485.25 | $2,285 | 8.8× |
| CT soft tissue neck w/o contrast (70490) | $710.45 | $1,093 | 7.0× |
| CT thoracic spine w contrast (72129) | $1,140.75 | $1,755 | 6.7× |
| CT thoracic spine w/o contrast (72128) | $864.50 | $1,330 | 8.6× |
| CT thoracic spine w/wo cont (72130) | $1,251.25 | $1,925 | 7.4× |
| CT thorax w/o contrast (71250) | $1,018.55 | $1,567 | 10.1× |
| CT upper ext wo (73200) range across 3 matching MRF lines |
$779.35–$1,169.35 | $1,199–$1,799 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 3 matching MRF lines |
$1,129.70–$1,694.55 | $1,738–$2,607 | varies |
| CT upper extremity with contrast (73201) range across 3 matching MRF lines |
$1,100.45–$1,651 | $1,693–$2,540 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $757.25 | $1,165 | 4.5× |
| Cta Abdomen (74175) | $1,228.50 | $1,890 | 7.3× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $4,118.40 | $6,336 | 12.2× |
| CTA pelvis (72191) | $1,315.60 | $2,024 | 7.8× |
| Dilation ureters/urethra rs&i (74485) | $2,525.25 | $3,885 | 1.3× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) | $169 | $260 | 1.7× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $349.70 | $538 | 3.5× |
| Doppler Fetal Mid Cerebral Artery (76821) | $172.25 | $265 | 1.7× |
| Dxa Bone Density Axial (77080) | $206.70 | $318 | 2.1× |
| Dxa bone density study (77085) | $233.35 | $359 | 2.3× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $157.95 | $243 | 1.9× |
| Echo exam of fetal heart (76825) | $764.40 | $1,176 | 1.5× |
| Echo exam uterus (76831) | $424.45 | $653 | 1.8× |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) | $494 | $760 | 2.1× |
| Echograp Trans R Pros Study (76873) | $184.60 | $284 | 1.8× |
| Esophagram (74220) | $285.35 | $439 | 1.7× |
| Fetal Biophys Profile W/Nst (76818) | $286.65 | $441 | 2.8× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $222.95 | $343 | 2.2× |
| Fluoroscopy up to 1 hr (76000) | $337.35 | $519 | 1.5× |
| Follow-Up Angiography (75898) | $2,544.75 | $3,915 | 0.8× |
| Foot 2 views (73620) | $399.10 | — | 4.8× |
| Forearm 2 views (73090) range across 3 matching MRF lines |
$198.90–$298.35 | $306–$459 | varies |
| Gastric emptying imaging study (78264) | $1,737.45 | $2,673 | 4.5× |
| Gated Heart Planar Single (78472) | $1,280.50 | $1,970 | 3.3× |
| Gated Heart, Multiple (78473) | $1,127.10 | $1,734 | 2.9× |
| Hand 2 views (73120) range across 6 matching MRF lines |
$186.55–$280.15 | $287–$431 | varies |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) | $3,974.10 | $6,114 | 5.9× |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) | $3,784.30 | $5,822 | 5.6× |
| Heart Image (Pet) Multiple (78492) | $3,385.20 | $5,208 | 2.5× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $3,350.10 | $5,154 | 1.1× |
| Hepatobil Syst Image W/Drug (78227) | $2,531.10 | $3,894 | 4.8× |
| Hepatobiliary System Imaging (78226) | $2,462.85 | $3,789 | 6.4× |
| Ht Musc Image Planar Mult (78454) | $2,309.45 | $3,553 | 1.9× |
| Ht Muscle Image Spect Sing (78451) | $1,989 | $3,060 | 1.6× |
| Hysterosalpingogram (74740) | $676 | $1,040 | 2.9× |
| K Flow/Funct Image Multiple (78709) | $1,274 | $1,960 | 2.4× |
| K Flow/Funct Image W/Drug (78708) | $1,191.45 | $1,833 | 2.3× |
| K Flow/Funct Image W/O Drug (78707) | $995.80 | $1,532 | 1.9× |
| Knee 3 Views (73562) range across 6 matching MRF lines |
$224.90–$337.35 | $346–$519 | varies |
| Leveen/Shunt Patency Exam (78291) | $993.85 | $1,529 | 2.6× |
| Liver & Spleen Imaging Static Only (78215) | $1,392.95 | $2,143 | 3.6× |
| Lung Perf&Ventilat Diferentl (78598) | $971.75 | $1,495 | 1.9× |
| Lung perfusion differential (78597) | $540.80 | $832 | 1.4× |
| Lung Ventilat&Perfus Imaging (78582) | $1,411.80 | $2,172 | 2.7× |
| Lymph System Imaging (78195) | $1,136.20 | $1,748 | 2.2× |
| Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) | $3,291.60 | $5,064 | 1.1× |
| Magnetic Image Jaw Joint (70336) | $1,134.25 | $1,745 | 4.9× |
| Magnetic Resonance Elastography (76391) | $824.20 | $1,268 | 3.6× |
| Mammary ductogram or galactogram single (77053) | $306.80 | $472 | 1.3× |
| Meckels Divert Exam (78290) | $938.60 | $1,444 | 2.4× |
| Mr safety determination physician/other qhp (76016) | $65.65 | $101 | 0.8× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $16.25 | $25 | 0.6× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) | $115.70 | $178 | 1.3× |
| Mr safety implt pos&/immoblj (76019) | $176.15 | $271 | 3.1× |
| Mr safety med physics xm customization plng&mntr (76017) | $274.95 | $423 | 1.2× |
| Mra Head W/O & W/Contrast Material (70546) | $1,704.95 | $2,623 | 5.1× |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$2,471.30–$12,110.47 | — | varies |
| MRA head with contrast (70545) | $1,092.65 | $1,681 | 3.2× |
| MRA neck w contrast (70548) | $1,085.50 | $1,670 | 3.2× |
| Mra Neck W/O &W/Contrast Material (70549) | $1,363.05 | $2,097 | 4.1× |
| MRA neck w/o contrast (70547) | $999.70 | $1,538 | 4.3× |
| MRI abdomen w contrast (74182) | $2,072.85 | $3,189 | 6.2× |
| MRI abdomen w/o contrast (74181) | $1,966.25 | $3,025 | 8.5× |
| MRI any jt lower extrem w/contrast material (73722) range across 3 matching MRF lines |
$2,111.20–$3,166.80 | $3,248–$4,872 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 3 matching MRF lines |
$2,391.35–$3,587.35 | $3,679–$5,519 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 3 matching MRF lines |
$1,383.20–$2,074.80 | $2,128–$3,192 | varies |
| MRI Breast W/O Contrast Bilateral (77047) | $1,792.70 | $2,758 | 7.8× |
| MRI Breast Without Contrast Material Unilateral (77046) | $1,405.95 | $2,163 | 6.1× |
| MRI cardiac w/o contrast (75557) | $980.20 | $1,508 | 4.3× |
| MRI cervical spine w contrast (72142) | $1,660.10 | $2,554 | 4.9× |
| MRI cervical spine w/o cont (72141) | $1,127.10 | $1,734 | 4.9× |
| MRI chest w/o contrast (71550) | $1,347.45 | $2,073 | 5.9× |
| MRI chest wo w contrast (71552) | $1,521.65 | $2,341 | 4.5× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 3 matching MRF lines |
$1,929.20–$2,893.80 | $2,968–$4,452 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 3 matching MRF lines |
$1,344.20–$2,016.30 | $2,068–$3,102 | varies |
| MRI lumbar spine w contrast (72149) | $1,407.25 | $2,165 | 4.2× |
| Mri Neck Spine W/O & W/Dye (72156) | $2,179.45 | $3,353 | 6.5× |
| MRI orbit face &/neck w/o contrast (70540) | $1,263.60 | $1,944 | 5.5× |
| MRI orbit face neck w contrast (70542) | $1,338.35 | $2,059 | 4.0× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $1,905.15 | $2,931 | 5.7× |
| MRI pelvis w contrast (72196) | $1,514.50 | $2,330 | 4.5× |
| MRI pelvis w/o & w contrast (72197) | $1,795.95 | $2,763 | 5.3× |
| MRI pelvis w/o contrast (72195) | $1,227.85 | $1,889 | 5.3× |
| MRI spectroscopy (76390) | $640.90 | $986 | 7.6× |
| MRI thoracic spine w/o contrast (72146) | $1,075.10 | $1,654 | 4.7× |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 3 matching MRF lines |
$1,125.80–$1,688.70 | $1,732–$2,598 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 3 matching MRF lines |
$1,457.95–$2,187.25 | $2,243–$3,365 | varies |
| MRI, abdomen, combo (74183) | $2,648.75 | $4,075 | 7.9× |
| MRI, dorsal spine combo (72157) | $2,008.50 | $3,090 | 6.0× |
| MRI, dorsal spine contrast (72147) | $1,407.25 | $2,165 | 4.2× |
| MRI, joint upper extrem (73221) range across 3 matching MRF lines |
$1,213.55–$1,820.65 | $1,867–$2,801 | varies |
| MRI, joint upper extrem combo (73223) range across 3 matching MRF lines |
$1,439.75–$2,159.95 | $2,215–$3,323 | varies |
| MRI, lumbar spine combo (72158) | $2,335.45 | $3,593 | 6.9× |
| Myelogram cervical (72240) | $874.90 | $1,346 | 1.2× |
| Myelogram Lumbar (72265) | $874.25 | $1,345 | 1.2× |
| Myelography thoracic (72255) | $928.20 | $1,428 | 1.2× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $1,840.15 | $2,831 | 1.5× |
| Myocardial Spect Multiple Studies (78452) | $2,581.80 | $3,972 | 2.1× |
| Neck soft tissue (70360) | $187.85 | $289 | 2.2× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $607.10 | $934 | 1.6× |
| Nonvascular Shunt X-Ray (75809) | $486.85 | $749 | 4.8× |
| Nuclear Rx Intra-Arterial (79445) | $804.70 | $1,238 | 3.6× |
| Nuclear Rx Oral Admin (79005) | $676.65 | $1,041 | 3.0× |
| Ob us nuchal meas 1 gest (76813) | $186.55 | $287 | 1.9× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) | $291.85 | $449 | 2.9× |
| Panoramic X-ray of jaws (70355) | $152.10 | $234 | 1.8× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $1,754.35 | $2,699 | 3.4× |
| Parathyroid Planar Imaging (78070) | $1,250.60 | $1,924 | 3.2× |
| Parathyroid planar imaging w/wo subtraction (78071) | $1,489.15 | $2,291 | 3.9× |
| Pelvis 1 or 2 views (72170) | $73,484.12 | — | 728.9× |
| Perineogram (74775) | $525.20 | $808 | 2.3× |
| Pet Image W/Ct Lmtd (78814) | $3,548.35 | $5,459 | 2.6× |
| PET image w/CT, full body (78816) | $4,395.95 | $6,763 | 3.2× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $4,274.40 | $6,576 | 3.1× |
| Pet Myocardial Sngl Study (78491) | $1,900.60 | $2,924 | 1.4× |
| Pulmonary Perfusion Imaging Particulate (78580) | $846.95 | $1,303 | 2.2× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $314.60 | $484 | 3.1× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $555.10 | $854 | 1.1× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 6 matching MRF lines |
$319.15–$479.05 | $491–$737 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$180.05–$270.40 | $277–$416 | varies |
| Radex elbow complete minimum 3 views (73080) range across 6 matching MRF lines |
$241.80–$362.70 | $372–$558 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $256.10 | $394 | 2.5× |
| Radex fingr minimum 2 views (73140) range across 6 matching MRF lines |
$202.80–$304.20 | $312–$468 | varies |
| Radex foot complete minimum 3 views (73630) range across 9 matching MRF lines |
$280.15–$420.55 | $431–$647 | varies |
| Radex Hand Minimum 3 Views (73130) range across 6 matching MRF lines |
$239.85–$360.10 | $369–$554 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 3 matching MRF lines |
$228.15–$342.55 | $351–$527 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) range across 3 matching MRF lines |
$341.90–$512.85 | $526–$789 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $235.95 | $363 | 2.8× |
| Radex Ribs Unilateral 2 Views (71100) | $198.90 | $306 | 2.4× |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$387.40–$727.35 | — | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $152.75 | $235 | 1.8× |
| Radex Spine 1 View Specify Level (72020) | $184.60 | $284 | 2.2× |
| Radex Sternum Minimum 2 Views (71120) | $198.90 | $306 | 2.4× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $380.90 | $586 | 4.5× |
| Radex Toe Minimum 2 Views (73660) range across 6 matching MRF lines |
$185.90–$278.85 | $286–$429 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 3 matching MRF lines |
$228.15–$342.55 | $351–$527 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 6 matching MRF lines |
$228.15–$342.55 | $351–$527 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $323.05 | $497 | 3.2× |
| Radiolog exam mandible compl minimum 4 views (70110) | $294.45 | $453 | 2.9× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $292.50 | $450 | 2.9× |
| Radiologic exam colon double contrast study (74280) | $503.10 | $774 | 3.0× |
| Radiologic exam colon single contrast study (74270) | $425.75 | $655 | 2.5× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $473.85 | $729 | 2.8× |
| Radiologic exam knee complete 4/more views (73564) range across 6 matching MRF lines |
$308.10–$462.15 | $474–$711 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $320.45 | $493 | 3.2× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $382.85 | $589 | 2.3× |
| Radiologic exam swallow function contrast study (74230) | $243.75 | $375 | 1.4× |
| Radiologic exam upr gi trc double contrast study (74246) | $490.75 | $755 | 2.9× |
| Radiologic examination femur 1 view (73551) range across 3 matching MRF lines |
$178.10–$267.15 | $274–$411 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines |
$223.60–$335.40 | $344–$516 | varies |
| Radiologic examination knee 1/2 views (73560) range across 6 matching MRF lines |
$187.20–$280.80 | $288–$432 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $270.40 | $416 | 2.7× |
| Radiologic examination tibia & fibula 2 views (73590) | $213.20 | — | 2.5× |
| Renal Cyst Study (74470) | $566.15 | $871 | 1.1× |
| Ribs bilateral 3 views (71110) | $323.05 | $497 | 3.2× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $1,006.20 | $1,548 | 2.6× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $1,074.45 | $1,653 | 2.8× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $3,004.30 | $4,622 | 5.7× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $1,500.85 | $2,309 | 2.9× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $1,677.65 | $2,581 | 3.2× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $2,815.15 | $4,331 | 2.3× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $3,099.20 | $4,768 | 2.2× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $2,438.15 | $3,751 | 2.0× |
| Rp Therapy Intravenous Administration (79101) | $782.60 | $1,204 | 3.5× |
| Scapula (73010) range across 3 matching MRF lines |
$198.90–$298.35 | $306–$459 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 3 matching MRF lines |
$37.70–$56.55 | $58–$87 | varies |
| Sella turcica (70240) | $264.55 | $407 | 3.2× |
| Shoulder 1 view (73020) range across 3 matching MRF lines |
$221–$331.50 | $340–$510 | varies |
| Shoulder Arthrography (73040) range across 3 matching MRF lines |
$653.25–$980.20 | $1,005–$1,508 | varies |
| Skull less than 4 views (70250) | $237.90 | $366 | 2.4× |
| Sternoclavicular joints (71130) | $250.25 | $385 | 3.0× |
| Superior sagittal sinus venogram (75870) | $2,700.75 | $4,155 | 0.9× |
| Thoracic spine 2 views (72070) | $215.15 | $331 | 2.1× |
| Thoracic spine 3 views (72072) | $246.35 | $379 | 2.4× |
| Thoracolumbar 2 views (72080) | $206.05 | $317 | 2.5× |
| Thyroid Imaging With Vascular Flow (78013) | $1,103.70 | $1,698 | 2.9× |
| Thyroid Met Imaging Body (78018) | $1,693.90 | $2,606 | 3.2× |
| Thyroid Uptake Measurement (78012) | $633.75 | $975 | 1.6× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,342.90 | $2,066 | 3.5× |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$551.20–$826.80 | $848–$1,272 | varies |
| Ultrasound elastography first target lesion (76982) | $310.70 | $478 | 3.1× |
| Ultrasound Elastography Parenchyma (76981) | $362.70 | $558 | 3.6× |
| Ultrasound Exam Aaa Screen (76706) | $162.50 | $250 | 1.6× |
| Ultrasound, abdomen limited (76705) | $555.75 | $855 | 5.5× |
| Umbilical-artery Doppler (OB) (76820) | $235.30 | $362 | 2.3× |
| Unlisted magnetic resonance procedure (76498) | $146.90 | $226 | 1.8× |
| Upper gi w/o kub (74240) | $449.80 | $692 | 2.7× |
| Urethrocystogram voiding (74455) | $635.70 | $978 | 2.8× |
| Urethrocystography retrograde (74450) | $494 | $760 | 2.1× |
| Us breast unilateral complete (76641) range across 6 matching MRF lines |
$85.80–$86.45 | $132–$133 | varies |
| Us chest (76604) | $290.55 | $447 | 2.9× |
| Us complete joint (76881) | $501.80 | $772 | 5.0× |
| Us exam, pelvic, limited (76857) | $219.05 | $337 | 2.2× |
| Us head (76506) | $239.85 | $369 | 2.4× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $385.45 | $593 | 3.8× |
| Us ob detailed single fetus (76811) | $631.15 | $971 | 2.7× |
| Us ob limited 1 or more fetuses (76815) | $288.60 | $444 | 2.9× |
| Us ob transvaginal (76817) | $337.35 | $519 | 3.3× |
| Us pelvic non ob complete (76856) | $854.10 | — | 8.5× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $392.60 | $604 | 3.9× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $533.65 | $821 | 5.3× |
| Us retroperitoneal complete (76770) | $1,040.65 | $1,601 | 10.3× |
| Us retroperitoneal limited (76775) | $452.40 | $696 | 4.5× |
| Us scrotum and contents (76870) | $439.40 | $676 | 4.4× |
| Us spinal canal and contents (76800) | $347.10 | $534 | 3.4× |
| Us thyroid (76536) | $588.90 | $906 | 5.8× |
| Us transrectal (76872) | $613.60 | $944 | 6.1× |
| Vein X-Ray Chest (75827) | $3,084.25 | $4,745 | 2.0× |
| Vein X-Ray Liver W/O Hemodyn (75887) | $2,463.50 | $3,790 | 0.8× |
| Venogram Sinus/Jugular (75860) | $2,655.25 | $4,085 | 0.9× |
| Venography caval inferior serialography rs&i (75825) | $2,904.85 | $4,469 | 1.0× |
| Venography extremity bilateral rs&i (75822) | $1,723.80 | $2,652 | 1.1× |
| Venography extremity unilateral rs&i (75820) | $1,025.70 | $1,578 | 0.7× |
| Venography Renal Unilateral (75831) | $3,005.60 | $4,624 | 1.0× |
| Venous sampling by catheter (75893) | $3,879.85 | $5,969 | 0.7× |
| Vertebral fracture assessment via dxa (77086) | $96.85 | $149 | 1.2× |
| Wrist 2 views (73100) range across 3 matching MRF lines |
$210.60–$315.90 | $324–$486 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $199.55 | $307 | 2.4× |
| X-ray antegrade pyelogram tube (74425) | $492.70 | $758 | 1.5× |
| X-Ray Aorta Leg Arteries (75630) | $3,646.50 | $5,610 | 1.2× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 6 matching MRF lines |
$213.20–$319.80 | $328–$492 | varies |
| X-Ray Exam Breast Specimen (76098) | $426.40 | $656 | 0.8× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $194.35 | $299 | 2.3× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $269.75 | $415 | 2.7× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $363.35 | $559 | 3.6× |
| X-Ray Exam Hip Uni 1 View (73501) | $172.25 | $265 | 2.1× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $495.95 | — | 5.9× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $251.55 | $387 | 2.5× |
| X-Ray Exam Hips Bi 2 Views (73521) | $220.35 | $339 | 2.2× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $308.75 | $475 | 3.1× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $324.35 | $499 | 3.2× |
| X-Ray Exam L-S Spine Bending (72114) | $479.05 | $737 | 4.8× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $58,637.68 | — | 698.8× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $328.90 | $506 | 3.3× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $293.15 | $451 | 2.9× |
| X-ray eye for foreign body (70030) range across 6 matching MRF lines |
$313.95–$471.25 | $483–$725 | varies |
| X-ray humerus (73060) | $48,619.49 | — | 579.4× |
| X-ray IV pyelogram (ivp) (74400) | $728.65 | $1,121 | 4.3× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $273 | $420 | 3.3× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $754.65 | — | 7.5× |
| X-ray nose-rectum child f.b. (76010) | $141.70 | $218 | 1.7× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $414.05 | $637 | 4.1× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $209.95 | $323 | 2.1× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $172.25 | $265 | 1.7× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $204.75 | $315 | 2.4× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $270.40 | $416 | 3.2× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $302.90 | $466 | 3.0× |
| X-ray thoracic spine 4 vw (72074) | $286.65 | $441 | 2.8× |
| X-Ray Tmj Unilat (70328) | $132.60 | $204 | 1.6× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $956.15 | $1,471 | 2.8× |
| X-Rays Bone Length Studies (77073) | $224.90 | $346 | 2.2× |
| X-Rays Bone Survey Complete (77075) | $440.70 | $678 | 4.4× |
| Xr c-spine 4 or 5 views (72050) | $316.55 | $487 | 3.1× |
| Xr facial bones less than 3 views (70140) | $141.70 | $218 | 1.7× |
| XR Mastoids < 3 Views Bilateral (70120) range across 3 matching MRF lines |
$213.20–$319.80 | $328–$492 | varies |
| Xr orbits complete 4 views (70200) | $493.35 | $759 | 4.9× |
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.