Imaging prices at Munising Memorial Hospital
Munising, MI · every code in this section with a posted price and a Medicare benchmark.
313 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abdomen 1 View (74018) range across 2 matching MRF lines |
$76–$462 | $76–$462 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$135–$711 | $135–$711 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,506 | $1,506 | 3.8× |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$120–$557 | $120–$557 | varies |
| Arthrogram ankle (73615) range across 4 matching MRF lines |
$428–$1,317 | $428–$1,317 | varies |
| Arthrogram hip (73525) range across 4 matching MRF lines |
$450–$1,812 | $450–$1,812 | varies |
| Arthrogram Wrist (73115) | $1,644 | $1,644 | 4.7× |
| Bone age studies (77072) | $913 | $913 | 8.8× |
| Bone Imaging 3 Phase (78315) | $4,017 | $4,017 | 10.1× |
| Bone Imaging Limited Area (78300) | $4,150 | $4,150 | 10.4× |
| Bone Imaging Multiple Areas (78305) | $4,017 | $4,017 | 10.1× |
| Bone Imaging Whole Body (78306) | $2,811 | $2,811 | 7.1× |
| Bone marrow imaging limited area (78102) | $740 | $740 | 1.9× |
| Bone survey infant (77076) | $1,661 | $1,661 | 15.9× |
| Brain Flow Imaging Only (78610) | $1,556 | $1,556 | 2.9× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $2,679 | $2,679 | 5.0× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $9,607 | $9,607 | 6.7× |
| Cat Scan Follow-Up Study (76380) | $2,338 | $2,338 | 27.0× |
| Cerebrospinal Fluid Scan (78630) | $3,982 | $3,982 | 7.4× |
| Chest 1 view (71045) range across 2 matching MRF lines |
$100–$479 | $100–$479 | varies |
| Chest 2 views (71046) range across 2 matching MRF lines |
$100–$578 | $100–$578 | varies |
| Chest 3 views (71047) | $800 | $800 | 9.2× |
| Chest 4 or more views (71048) | $838 | $838 | 8.0× |
| Cholecystography Oral Contrast (74290) | $803 | $803 | 4.6× |
| Clavicle complete (73000) range across 3 matching MRF lines |
$100–$922 | $100–$922 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $507 | $507 | 4.9× |
| Contrast X-Ray Bladder (74430) range across 2 matching MRF lines |
$83–$1,263 | $83–$1,263 | varies |
| Contrast X-Ray Of Elbow (73085) | $1,317 | $1,317 | 3.8× |
| Contrast X-Ray Of Knee Joint (73580) | $1,472 | $1,472 | 4.2× |
| CT abdomen and pelvis without and with contrast (74178) | $9,143 | $9,143 | 26.3× |
| CT abdomen and pelvis without contrast (74176) | $6,411 | $6,411 | 27.0× |
| CT abdomen w contrast (74160) | $3,864 | $3,864 | 22.1× |
| CT abdomen w wo contrast (74170) | $4,761 | $4,761 | 27.2× |
| CT abdomen w/o contrast (74150) | $3,379 | $3,379 | 32.4× |
| CT Angio Abdomen and Pelvis (74174) | $7,680 | $7,680 | 22.1× |
| CT Angio Chest (71275) | $5,597 | $5,597 | 32.0× |
| CT Angio Head (70496) | $5,522 | $5,522 | 31.6× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $4,247 | $4,247 | 24.3× |
| CT Angio Neck (70498) | $4,160 | $4,160 | 23.8× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $3,990 | $3,990 | 22.8× |
| CT Cere Prfuj Alys C+ W/O CT/Cta Same Anatomy (70473) | $406 | $406 | 2.3× |
| CT cervical spine w/ contrast (72126) | $3,890 | $3,890 | 11.2× |
| CT cervical spine w/o contrast (72125) | $3,704 | $3,704 | 35.6× |
| CT cervical spine w/wo cont (72127) | $4,084 | $4,084 | 23.4× |
| CT chest w contrast (71260) | $3,490 | $3,490 | 20.0× |
| CT chest w/wo contrast (71270) | $3,788 | $3,788 | 21.7× |
| CT head/brain with contrast (70460) | $3,654 | $3,654 | 20.9× |
| CT head/brain without and with contrast (70470) | $4,345 | $4,345 | 24.9× |
| CT iac w contrast (70481) | $3,351 | $3,351 | 19.2× |
| CT l-spine w&w/o contrast (72133) | $4,084 | $4,084 | 23.4× |
| CT lower ext w/o (73700) | $3,253 | $3,253 | 31.2× |
| CT lower extremity w/contrast material (73701) | $3,415 | $3,415 | 19.5× |
| CT lumbar spine w contrast (72132) | $3,890 | $3,890 | 11.2× |
| CT lumbar spine w/o contrast (72131) | $3,704 | $3,704 | 35.6× |
| CT maxillofacial w contrast (70487) | $3,351 | $3,351 | 19.2× |
| CT maxillofacial wo contrast (70486) | $3,191 | $3,191 | 30.6× |
| CT neck tissue combo (70492) | $3,518 | $3,518 | 20.1× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $3,518 | $3,518 | 20.1× |
| CT orbits w/o contrast (70480) | $3,191 | $3,191 | 30.6× |
| CT pelvis w&w/o contrast (72194) | $3,430 | $3,430 | 19.6× |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$291–$3,355 | $291–$3,355 | varies |
| CT scan of leg combo (73702) | $3,586 | $3,586 | 20.5× |
| CT scans face/jaw combo (70488) | $3,518 | $3,518 | 20.1× |
| CT soft tissue neck w contrast (70491) | $3,730 | $3,730 | 21.3× |
| CT soft tissue neck w/o contrast (70490) | $3,191 | $3,191 | 30.6× |
| CT thoracic spine w contrast (72129) | $3,890 | $3,890 | 22.3× |
| CT thoracic spine w/o contrast (72128) | $3,704 | $3,704 | 35.6× |
| CT thoracic spine w/wo cont (72130) | $4,084 | $4,084 | 23.4× |
| CT thorax w/o contrast (71250) | $3,088 | $3,088 | 29.6× |
| CT upper ext wo (73200) | $3,191 | $3,191 | 30.6× |
| CT upper extremity w/o & w/contrast material (73202) | $3,518 | $3,518 | 20.1× |
| CT upper extremity with contrast (73201) | $3,351 | $3,351 | 9.6× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $6,940 | $6,940 | 39.7× |
| Cta Abdomen (74175) | $5,558 | $5,558 | 31.8× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $807 | $807 | 2.3× |
| CTA pelvis (72191) | $5,017 | $5,017 | 28.7× |
| Discography Cerv/Thor Spine (72285) range across 2 matching MRF lines |
$4,568–$6,178 | $4,568–$6,178 | varies |
| Diskography lumbar (72295) range across 2 matching MRF lines |
$4,568–$6,178 | $4,568–$6,178 | varies |
| Dxa Bone Density Axial (77080) | $878 | $878 | 8.4× |
| Dxa bone density study (77085) | $878 | $878 | 8.4× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $187 | $187 | 2.2× |
| Echo exam uterus (76831) range across 2 matching MRF lines |
$229–$643 | $229–$643 | varies |
| Esophagram (74220) | $820 | $820 | 4.7× |
| Fetal Biophys Profile W/Nst (76818) range across 2 matching MRF lines |
$124–$3,091 | $124–$3,091 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 5 matching MRF lines |
$72–$2,343 | $72–$2,343 | varies |
| Fluoroscopy up to 1 hr (76000) range across 3 matching MRF lines |
$31–$686 | $31–$686 | varies |
| Foot 2 views (73620) range across 4 matching MRF lines |
$96–$557 | $96–$557 | varies |
| Forearm 2 views (73090) range across 3 matching MRF lines |
$76–$705 | $76–$705 | varies |
| Gastric emptying imaging study (78264) | $2,024 | $2,024 | 5.1× |
| Gastroesophageal Reflux Exam (78262) | $2,263 | $2,263 | 5.7× |
| Gated Heart Planar Single (78472) | $3,116 | $3,116 | 7.8× |
| Hand 2 views (73120) range across 3 matching MRF lines |
$138–$526 | $138–$526 | varies |
| Heart Image (Pet) Multiple (78492) | $6,143 | $6,143 | 4.3× |
| Hepatobil Syst Image W/Drug (78227) | $3,356 | $3,356 | 6.2× |
| Hepatobiliary System Imaging (78226) | $3,356 | $3,356 | 8.4× |
| Ht Muscle Image Spect Sing (78451) | $3,557 | $3,557 | 2.8× |
| Hysterosalpingogram (74740) range across 2 matching MRF lines |
$36–$2,120 | $36–$2,120 | varies |
| Infant hip ultrasound, limited static exam (76886) | $683 | $683 | 7.9× |
| K Flow/Funct Image Multiple (78709) | $1,553 | $1,553 | 2.9× |
| K Flow/Funct Image W/Drug (78708) | $2,699 | $2,699 | 5.0× |
| K Flow/Funct Image W/O Drug (78707) | $2,699 | $2,699 | 5.0× |
| Kidney Imaging Morphol (78700) | $1,950 | $1,950 | 4.9× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $1,305 | $1,305 | 3.3× |
| Knee 3 Views (73562) range across 5 matching MRF lines |
$120–$588 | $120–$588 | varies |
| Leveen/Shunt Patency Exam (78291) | $1,741 | $1,741 | 4.4× |
| Liver & Spleen Imaging Static Only (78215) | $1,935 | $1,935 | 4.9× |
| Lung perfusion differential (78597) | $1,135 | $1,135 | 2.8× |
| Lung Ventilat&Perfus Imaging (78582) | $4,769 | $4,769 | 8.8× |
| Lymph System Imaging (78195) | $2,401 | $2,401 | 4.4× |
| Magnetic Image Jaw Joint (70336) | $3,927 | $3,927 | 16.5× |
| Magnetic Resonance Elastography (76391) | $577 | $577 | 2.4× |
| Mammary ductogram or galactogram multiple (77054) | $2,165 | $2,165 | 9.1× |
| Mammary ductogram or galactogram single (77053) | $1,084 | $1,084 | 4.6× |
| Meckels Divert Exam (78290) | $1,733 | $1,733 | 4.4× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $67 | $67 | 2.3× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) | $220 | $220 | 2.3× |
| Mra Head W/O & W/Contrast Material (70546) | $6,168 | $6,168 | 17.7× |
| MRA head w/o contrast (70544) | $4,539 | $4,539 | 19.1× |
| MRA head with contrast (70545) | $4,984 | $4,984 | 14.3× |
| MRA neck w contrast (70548) | $5,758 | $5,758 | 16.6× |
| Mra Neck W/O &W/Contrast Material (70549) | $6,168 | $6,168 | 17.7× |
| MRA neck w/o contrast (70547) | $4,992 | $4,992 | 21.0× |
| MRI abdomen w contrast (74182) | $5,233 | $5,233 | 15.1× |
| MRI abdomen w/o contrast (74181) | $4,539 | $4,539 | 19.1× |
| MRI any jt lower extrem w/contrast material (73722) range across 3 matching MRF lines |
$4,766–$7,147 | $4,766–$7,147 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 3 matching MRF lines |
$5,004–$7,505 | $5,004–$7,505 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) | $5,755 | $5,755 | 7.4× |
| MRI bone marrow blood supply (77084) | $4,320 | $4,320 | 18.2× |
| MRI Breast W/O Contrast Bilateral (77047) | $4,451 | $4,451 | 18.7× |
| MRI Breast Without Contrast Material Unilateral (77046) | $3,966 | $3,966 | 16.7× |
| MRI cervical spine w contrast (72142) | $5,233 | $5,233 | 15.1× |
| MRI cervical spine w/o cont (72141) | $4,539 | $4,539 | 19.1× |
| MRI chest w/o contrast (71550) | $4,539 | $4,539 | 19.1× |
| MRI chest with contrast (71551) | $5,758 | $5,758 | 7.4× |
| MRI chest wo w contrast (71552) | $6,168 | $6,168 | 17.7× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $5,758 | $5,758 | 16.6× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $6,168 | $6,168 | 17.7× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $4,539 | $4,539 | 19.1× |
| MRI lumbar spine w contrast (72149) | $5,233 | $5,233 | 15.1× |
| Mri Neck Spine W/O & W/Dye (72156) | $6,168 | $6,168 | 17.7× |
| MRI orbit face &/neck w/o contrast (70540) | $4,992 | $4,992 | 21.0× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $6,785 | $6,785 | 19.5× |
| MRI pelvis w contrast (72196) | $5,758 | $5,758 | 16.6× |
| MRI pelvis w/o & w contrast (72197) | $6,168 | $6,168 | 17.7× |
| MRI pelvis w/o contrast (72195) | $4,539 | $4,539 | 19.1× |
| MRI thoracic spine w/o contrast (72146) | $4,539 | $4,539 | 19.1× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $5,758 | $5,758 | 16.6× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $4,539 | $4,539 | 19.1× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $6,168 | $6,168 | 17.7× |
| MRI, abdomen, combo (74183) | $6,168 | $6,168 | 17.7× |
| MRI, dorsal spine combo (72157) | $6,168 | $6,168 | 17.7× |
| MRI, dorsal spine contrast (72147) | $5,233 | $5,233 | 15.1× |
| MRI, joint upper extrem (73221) | $4,539 | $4,539 | 19.1× |
| MRI, joint upper extrem combo (73223) | $6,168 | $6,168 | 17.7× |
| MRI, lumbar spine combo (72158) | $6,304 | $6,304 | 18.1× |
| Myelogram cervical (72240) | $6,684 | $6,684 | 8.6× |
| Myelogram Lumbar (72265) | $5,941 | $5,941 | 7.6× |
| Myelography thoracic (72255) | $4,910 | $4,910 | 6.3× |
| Myelograpy 2/more regions rs&i (72270) | $7,689 | $7,689 | 9.8× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) | $7,875 | $7,875 | 6.1× |
| Myocardial Spect Multiple Studies (78452) | $8,579 | $8,579 | 6.7× |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$76–$609 | $76–$609 | varies |
| Nuclear Rx Oral Admin (79005) | $3,008 | $3,008 | 12.9× |
| Ob us nuchal meas 1 gest (76813) | $839 | $839 | 8.1× |
| Oph bmtry us echograpy a-scan io lens pwr cal (76519) | $133 | $133 | 1.3× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) range across 2 matching MRF lines |
$94–$1,769 | $94–$1,769 | varies |
| Ophthalmic US Dx Corneal Pachymetry Uni/Bi (76514) | $22 | $22 | 0.8× |
| Optic foramina (70190) range across 2 matching MRF lines |
$76–$246 | $76–$246 | varies |
| Panoramic X-ray of jaws (70355) | $599 | $599 | 6.9× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $1,471 | $1,471 | 2.7× |
| Parathyroid Planar Imaging (78070) | $1,272 | $1,272 | 3.2× |
| Parathyroid planar imaging w/wo subtraction (78071) | $1,471 | $1,471 | 3.7× |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$138–$705 | $138–$705 | varies |
| Pet Image W/Ct Lmtd (78814) | $3,815 | $3,815 | 2.7× |
| PET image w/CT, full body (78816) | $10,110 | $10,110 | 7.1× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $9,762 | $9,762 | 6.9× |
| Pet Myocardial Sngl Study (78491) | $6,143 | $6,143 | 4.3× |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,699 | $1,699 | 4.3× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$135–$875 | $135–$875 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) | $1,705 | $1,705 | 3.1× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 4 matching MRF lines |
$120–$721 | $120–$721 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$76–$861 | $76–$861 | varies |
| Radex elbow complete minimum 3 views (73080) range across 5 matching MRF lines |
$99–$629 | $99–$629 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$135–$985 | $135–$985 | varies |
| Radex fingr minimum 2 views (73140) range across 3 matching MRF lines |
$76–$630 | $76–$630 | varies |
| Radex foot complete minimum 3 views (73630) range across 4 matching MRF lines |
$96–$643 | $96–$643 | varies |
| Radex Hand Minimum 3 Views (73130) range across 5 matching MRF lines |
$99–$727 | $99–$727 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 3 matching MRF lines |
$120–$410 | $120–$410 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) range across 2 matching MRF lines |
$135–$928 | $135–$928 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $616 | $616 | 7.1× |
| Radex Ribs Unilateral 2 Views (71100) range across 3 matching MRF lines |
$76–$573 | $76–$573 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 5 matching MRF lines |
$120–$771 | $120–$771 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $599 | $599 | 6.9× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $2,594 | $2,594 | 14.8× |
| Radex Spine 1 View Specify Level (72020) range across 2 matching MRF lines |
$102–$703 | $102–$703 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$76–$588 | $76–$588 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $896 | $896 | 10.3× |
| Radex Toe Minimum 2 Views (73660) range across 3 matching MRF lines |
$76–$557 | $76–$557 | varies |
| Radex upper extremity infant minimum 2 views (73092) | $410 | $410 | 3.9× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 6 matching MRF lines |
$99–$1,056 | $99–$1,056 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $136 | $136 | 1.3× |
| Radiolog exam mandible compl minimum 4 views (70110) | $915 | $915 | 8.8× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $711 | $711 | 6.8× |
| Radiologic exam colon double contrast study (74280) | $2,257 | $2,257 | 12.9× |
| Radiologic exam colon single contrast study (74270) | $1,415 | $1,415 | 8.1× |
| Radiologic exam knee complete 4/more views (73564) range across 5 matching MRF lines |
$138–$969 | $138–$969 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$138–$705 | $138–$705 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) | $918 | $918 | 5.3× |
| Radiologic exam swallow function contrast study (74230) | $1,342 | $1,342 | 7.7× |
| Radiologic Exam Teeth Prtl Exam < Full Mouth (70310) | $850 | $850 | 3.6× |
| Radiologic exam upr gi trc double contrast study (74246) | $1,257 | $1,257 | 7.2× |
| Radiologic examination femur 1 view (73551) range across 3 matching MRF lines |
$96–$866 | $96–$866 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines |
$96–$866 | $96–$866 | varies |
| Radiologic examination knee 1/2 views (73560) range across 5 matching MRF lines |
$99–$588 | $99–$588 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 4 matching MRF lines |
$99–$721 | $99–$721 | varies |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$135–$871 | $135–$871 | varies |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $1,909 | $1,909 | 4.8× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $1,523 | $1,523 | 3.8× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $2,648 | $2,648 | 4.9× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $2,976 | $2,976 | 5.5× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $4,616 | $4,616 | 8.5× |
| Rp Therapy Intravenous Administration (79101) | $1,479 | $1,479 | 6.4× |
| Salivary Gland Function Study (78232) | $647 | $647 | 1.6× |
| Scapula (73010) range across 3 matching MRF lines |
$135–$924 | $135–$924 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $84 | $84 | 3.6× |
| Shoulder 1 view (73020) range across 3 matching MRF lines |
$100–$369 | $100–$369 | varies |
| Shoulder Arthrography (73040) | $2,440 | $2,440 | 7.0× |
| Sialogram (70390) | $1,193 | $1,193 | 5.0× |
| Skull less than 4 views (70250) | $775 | $775 | 7.4× |
| Speech evaluation, complex (70371) | $379 | $379 | 1.6× |
| Sternoclavicular joints (71130) | $291 | $291 | 3.4× |
| Testicular Imaging W/Flow (78761) | $4,694 | $4,694 | 11.8× |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$138–$896 | $138–$896 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$124–$1,165 | $124–$1,165 | varies |
| Thoracolumbar 2 views (72080) | $76 | $76 | 0.9× |
| Thyroid Carcinoma Metastases Img Lmtd Area (78015) | $1,120 | $1,120 | 2.8× |
| Thyroid Imaging With Vascular Flow (78013) | $1,120 | $1,120 | 2.8× |
| Thyroid Met Imaging Body (78018) | $1,121 | $1,121 | 2.1× |
| Thyroid Uptake Measurement (78012) | $942 | $942 | 2.4× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,900 | $1,900 | 4.8× |
| Ultrasound Breast Limited (76642) range across 5 matching MRF lines |
$1,387–$2,775 | $1,387–$2,775 | varies |
| Ultrasound elastography first target lesion (76982) | $251 | $251 | 2.4× |
| Ultrasound Elastography Parenchyma (76981) | $251 | $251 | 2.4× |
| Ultrasound Exam Aaa Screen (76706) | $1,767 | $1,767 | 17.0× |
| Ultrasound, abdomen limited (76705) range across 4 matching MRF lines |
$135–$1,769 | $135–$1,769 | varies |
| Umbilical-artery Doppler (OB) (76820) range across 2 matching MRF lines |
$42–$2,343 | $42–$2,343 | varies |
| Unlisted magnetic resonance procedure (76498) | $118 | $118 | 1.4× |
| Upper gi w/o kub (74240) | $1,257 | $1,257 | 7.2× |
| Ureteral Reflux Study (78740) | $1,110 | $1,110 | 2.8× |
| Urethrocystogram voiding (74455) | $1,530 | $1,530 | 6.4× |
| Urethrocystography retrograde (74450) range across 2 matching MRF lines |
$32–$1,716 | $32–$1,716 | varies |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$1,334–$2,667 | $1,334–$2,667 | varies |
| Us chest (76604) range across 3 matching MRF lines |
$115–$1,766 | $115–$1,766 | varies |
| Us complete joint (76881) | $1,588 | $1,588 | 15.2× |
| Us exam, pelvic, limited (76857) range across 3 matching MRF lines |
$182–$1,826 | $182–$1,826 | varies |
| Us head (76506) | $1,912 | $1,912 | 18.4× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 6 matching MRF lines |
$127–$1,573 | $127–$1,573 | varies |
| Us ob detailed single fetus (76811) range across 2 matching MRF lines |
$561–$577 | $561–$577 | varies |
| Us ob limited 1 or more fetuses (76815) range across 4 matching MRF lines |
$159–$1,802 | $159–$1,802 | varies |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$127–$1,518 | $127–$1,518 | varies |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$141–$2,206 | $141–$2,206 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$137–$2,123 | $137–$2,123 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 4 matching MRF lines |
$156–$1,802 | $156–$1,802 | varies |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$120–$1,767 | $120–$1,767 | varies |
| Us retroperitoneal limited (76775) range across 4 matching MRF lines |
$54–$1,767 | $54–$1,767 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$138–$2,701 | $138–$2,701 | varies |
| Us spinal canal and contents (76800) | $1,551 | $1,551 | 14.9× |
| Us thyroid (76536) range across 4 matching MRF lines |
$139–$2,214 | $139–$2,214 | varies |
| Us transrectal (76872) range across 2 matching MRF lines |
$187–$2,022 | $187–$2,022 | varies |
| Venography Renal Bilateral (75833) | $5,593 | $5,593 | 1.8× |
| Venography Renal Unilateral (75831) | $5,593 | $5,593 | 1.8× |
| Venous sampling by catheter (75893) | $7,406 | $7,406 | 1.3× |
| Vertebral fracture assessment via dxa (77086) | $187 | $187 | 2.2× |
| Wrist 2 views (73100) range across 3 matching MRF lines |
$76–$557 | $76–$557 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$120–$985 | $120–$985 | varies |
| X-ray antegrade pyelogram tube (74425) | $1,015 | $1,015 | 2.9× |
| X-Ray Bend Only L-S Spine (72120) range across 2 matching MRF lines |
$124–$1,372 | $124–$1,372 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$76–$496 | $76–$496 | varies |
| X-Ray Exam Breast Specimen (76098) | $1,058 | $1,058 | 1.9× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $96 | $96 | 1.1× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$136–$1,254 | $136–$1,254 | varies |
| X-Ray Exam Entire Spi 4/5 Vw (72083) range across 2 matching MRF lines |
$129–$1,987 | $129–$1,987 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 3 matching MRF lines |
$98–$612 | $98–$612 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 4 matching MRF lines |
$99–$612 | $99–$612 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) range across 3 matching MRF lines |
$138–$612 | $138–$612 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$138–$866 | $138–$866 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 2 matching MRF lines |
$138–$669 | $138–$669 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) | $274 | $274 | 2.6× |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$136–$1,646 | $136–$1,646 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$120–$833 | $120–$833 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$139–$1,180 | $139–$1,180 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 3 matching MRF lines |
$135–$963 | $135–$963 | varies |
| X-ray eye for foreign body (70030) | $645 | $645 | 7.4× |
| X-ray humerus (73060) range across 3 matching MRF lines |
$76–$705 | $76–$705 | varies |
| X-ray IV pyelogram (ivp) (74400) | $1,968 | $1,968 | 11.3× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $404 | $404 | 4.7× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$96–$465 | $96–$465 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$138–$711 | $138–$711 | varies |
| X-ray nose-rectum child f.b. (76010) | $473 | $473 | 5.5× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$135–$1,681 | $135–$1,681 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$133–$683 | $133–$683 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$76–$802 | $76–$802 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $976 | $976 | 11.3× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $1,083 | $1,083 | 10.4× |
| X-Ray Stress View (77071) | $103 | $103 | 1.2× |
| X-ray thoracic spine 4 vw (72074) range across 3 matching MRF lines |
$141–$315 | $141–$315 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 2 matching MRF lines |
$35–$2,059 | $35–$2,059 | varies |
| X-Rays Bone Length Studies (77073) | $913 | $913 | 8.8× |
| X-Rays Bone Survey Complete (77075) | $2,569 | $2,569 | 24.7× |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$138–$1,010 | $138–$1,010 | varies |
| Xr facial bones less than 3 views (70140) range across 2 matching MRF lines |
$76–$454 | $76–$454 | varies |
| Xr orbits complete 4 views (70200) | $904 | $904 | 8.7× |
| Xr Tomogram Single Plane (76100) | $1,128 | $1,128 | 10.8× |
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.