Imaging prices at Murray-Calloway County Hospital
Murray, KY · every code in this section with a posted price and a Medicare benchmark.
312 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) | $10,701.60 | $16,464 | 8.2× |
| Abdomen 1 View (74018) | $325.65 | $501 | 4.0× |
| Abdomen 2 views (74019) | $470.60 | $724 | 4.8× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,288.30 | $1,982 | 3.4× |
| Adrenal Cortex & Medulla Img (78075) | $1,957.15 | $3,011 | 1.6× |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$429.65–$644.15 | $661–$991 | varies |
| Artery X-Rays Abdomen (75726) | $7,767.50 | $11,950 | 1.5× |
| Arthrogram ankle (73615) | $570.05 | $877 | 1.7× |
| Arthrogram hip (73525) | $1,186.90 | $1,826 | 3.6× |
| Arthrogram Wrist (73115) | $570.05 | $877 | 1.7× |
| Basic radiation dosimetry calculation (77300) | $1,061.45 | $1,633 | 8.4× |
| Bone age studies (77072) | $239.85 | $369 | 2.4× |
| Bone Imaging 3 Phase (78315) | $2,225.60 | $3,424 | 5.9× |
| Bone Imaging Limited Area (78300) | $1,288.30 | $1,982 | 3.4× |
| Bone Imaging Multiple Areas (78305) | $1,311.70 | $2,018 | 3.5× |
| Bone Imaging Whole Body (78306) | $2,122.90 | $3,266 | 5.7× |
| Bone survey infant (77076) | $240.50 | $370 | 2.5× |
| Brachytx isodose complex (77318) | $1,273.35 | $1,959 | 3.6× |
| Brachytx isodose intermed (77317) | $889.20 | $1,368 | 2.5× |
| Brachytx Isodose Plan Simple (77316) | $609.70 | $938 | 1.7× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $3,186.95 | $4,903 | 9.7× |
| Cat Scan Follow-Up Study (76380) | $1,202.50 | $1,850 | 14.7× |
| Chest 1 view (71045) | $286.65 | $441 | 3.5× |
| Chest 2 views (71046) | $313.95 | $483 | 3.8× |
| Chest 3 views (71047) | $364 | $560 | 4.5× |
| Chest 4 or more views (71048) | $497.25 | $765 | 5.1× |
| Clavicle complete (73000) range across 2 matching MRF lines |
$457.60–$685.75 | $704–$1,055 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $540.15 | $831 | 5.5× |
| Continuing medical physics consltj pr wk (77336) | $959.40 | $1,476 | 7.6× |
| Contrast Exam Abdominl Aorta (75625) | $7,813.65 | $12,021 | 2.6× |
| Contrast X-Ray Of Elbow (73085) | $570.05 | $877 | 1.7× |
| Contrast X-Ray Of Knee Joint (73580) | $592.80 | $912 | 1.8× |
| Corpora cavernosography (74445) | $510.25 | $785 | 5.2× |
| CT abdomen and pelvis without and with contrast (74178) | $6,241.30 | $9,602 | 19.1× |
| CT abdomen and pelvis without contrast (74176) | $3,607.50 | $5,550 | 16.1× |
| CT abdomen w contrast (74160) | $2,236.65 | $3,441 | 13.6× |
| CT abdomen w wo contrast (74170) | $2,739.75 | $4,215 | 16.6× |
| CT abdomen w/o contrast (74150) | $1,900.60 | $2,924 | 19.4× |
| CT Angio Abdomen and Pelvis (74174) | $4,085.25 | $6,285 | 12.5× |
| CT Angio Chest (71275) | $2,709.20 | $4,168 | 16.5× |
| CT Angio Head (70496) | $2,263.95 | $3,483 | 13.8× |
| CT angio hrt w/3d image (75574) | $2,642.90 | $4,066 | 8.1× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $4,577.30 | $7,042 | 27.8× |
| CT Angio Neck (70498) | $2,331.55 | $3,587 | 14.2× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 2 matching MRF lines |
$3,632.85–$5,448.95 | $5,589–$8,383 | varies |
| CT cervical spine w/ contrast (72126) | $2,536.30 | $3,902 | 7.7× |
| CT cervical spine w/o contrast (72125) | $2,139.80 | $3,292 | 21.8× |
| CT cervical spine w/wo cont (72127) | $3,056.30 | $4,702 | 18.6× |
| CT chest w contrast (71260) | $2,228.20 | $3,428 | 13.5× |
| CT chest w/wo contrast (71270) | $2,847.65 | $4,381 | 17.3× |
| CT head/brain with contrast (70460) | $2,559.70 | $3,938 | 15.6× |
| CT head/brain without and with contrast (70470) | $2,808 | $4,320 | 17.1× |
| CT heart no contrast quant eval coronry calcium (75571) | $67.60 | $104 | 0.8× |
| CT iac w contrast (70481) | $2,029.95 | $3,123 | 12.3× |
| CT l-spine w&w/o contrast (72133) | $3,325.40 | $5,116 | 20.2× |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$1,971.45–$2,956.85 | $3,033–$4,549 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$2,111.20–$3,166.80 | $3,248–$4,872 | varies |
| CT lumbar spine w contrast (72132) | $3,007.55 | $4,627 | 9.2× |
| CT lumbar spine w/o contrast (72131) | $2,287.35 | $3,519 | 23.3× |
| CT maxillofacial w contrast (70487) | $2,119 | $3,260 | 12.9× |
| CT maxillofacial wo contrast (70486) | $1,810.90 | $2,786 | 18.5× |
| CT neck tissue combo (70492) | $2,441.40 | $3,756 | 14.8× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $2,492.10 | $3,834 | 15.1× |
| CT orbits w/o contrast (70480) | $1,795.30 | $2,762 | 18.3× |
| CT pelvis w&w/o contrast (72194) | $2,515.50 | $3,870 | 15.3× |
| CT pelvis w/o contrast (72192) | $1,891.50 | $2,910 | 19.3× |
| CT scan of leg combo (73702) range across 2 matching MRF lines |
$2,600–$3,900 | $4,000–$6,000 | varies |
| CT scans face/jaw combo (70488) | $2,564.25 | $3,945 | 15.6× |
| CT soft tissue neck w contrast (70491) | $2,171.65 | $3,341 | 13.2× |
| CT soft tissue neck w/o contrast (70490) | $1,906.45 | $2,933 | 19.4× |
| CT thoracic spine w contrast (72129) | $2,351.05 | $3,617 | 14.3× |
| CT thoracic spine w/o contrast (72128) | $2,069.60 | $3,184 | 21.1× |
| CT thoracic spine w/wo cont (72130) | $2,631.20 | $4,048 | 16.0× |
| CT thorax w/o contrast (71250) | $1,588.60 | $2,444 | 16.2× |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$1,745.25–$2,616.90 | $2,685–$4,026 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 2 matching MRF lines |
$2,428.40–$3,643.25 | $3,736–$5,605 | varies |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$1,979.90–$2,969.20 | $3,046–$4,568 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $3,250 | $5,000 | 19.7× |
| Cta Abdomen (74175) | $2,737.80 | $4,212 | 16.6× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $2,263.95 | $3,483 | 6.9× |
| CTA pelvis (72191) | $2,784.60 | $4,284 | 16.9× |
| Dxa Bone Density Axial (77080) | $443.30 | $682 | 4.5× |
| Dxa bone density study (77085) | $351.65 | $541 | 3.6× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $505.70 | $778 | 6.2× |
| Echo exam uterus (76831) | $474.50 | $730 | 2.1× |
| Echograp Trans R Pros Study (76873) | $652.60 | $1,004 | 6.7× |
| Esophagram (74220) | $740.35 | $1,139 | 4.5× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $556.40 | $856 | 5.7× |
| Fluoroscopy up to 1 hr (76000) | $536.25 | $825 | 2.4× |
| Foot 2 views (73620) range across 2 matching MRF lines |
$378.30–$566.80 | $582–$872 | varies |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$459.55–$688.35 | $707–$1,059 | varies |
| Gastric emptying imaging study (78264) | $1,937 | $2,980 | 5.2× |
| Gated Heart Planar Single (78472) | $1,960.40 | $3,016 | 5.2× |
| Hand 2 views (73120) range across 2 matching MRF lines |
$449.80–$674.70 | $692–$1,038 | varies |
| Hepatobil Syst Image W/Drug (78227) | $2,523.30 | $3,882 | 5.0× |
| Hepatobiliary System Imaging (78226) | $2,380.30 | $3,662 | 6.3× |
| Ht Muscle Image Spect Sing (78451) | $3,412.50 | $5,250 | 2.8× |
| Hysterosalpingogram (74740) | $1,010.10 | $1,554 | 4.5× |
| Infant hip ultrasound, limited static exam (76886) | $286.65 | $441 | 3.5× |
| Interstitial radiation source applic complex (77778) | $3,037.45 | $4,673 | 4.6× |
| Intracavitary Radiation Source Applic Complex (77763) | $803.40 | $1,236 | 1.2× |
| Intracavitary Radiation Source Applic Intermed (77762) | $658.45 | $1,013 | 1.3× |
| Intracavitary radiation source applic simple (77761) | $367.90 | $566 | 0.7× |
| Joint Survey Single View (77077) | $161.85 | $249 | 1.7× |
| K Flow/Funct Image Multiple (78709) | $1,337.70 | $2,058 | 2.6× |
| K Flow/Funct Image W/Drug (78708) | $2,156.05 | $3,317 | 4.2× |
| K Flow/Funct Image W/O Drug (78707) | $1,408.55 | $2,167 | 2.8× |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$445.25–$666.90 | $685–$1,026 | varies |
| Liver & Spleen Imaging Static Only (78215) | $1,564.55 | $2,407 | 4.2× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $843.05 | $1,297 | 2.2× |
| Liver imaging static only (78201) | $804.05 | $1,237 | 1.6× |
| Liver imaging w/vascular flow (78202) | $897 | $1,380 | 1.8× |
| Lymph System Imaging (78195) | $1,868.10 | $2,874 | 3.7× |
| Magnetic Image Jaw Joint (70336) | $2,798.25 | $4,305 | 12.5× |
| Meckels Divert Exam (78290) | $549.25 | $845 | 1.5× |
| Mlc imrt design & construction per imrt plan (77338) | $5,392.40 | $8,296 | 15.3× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $17.55 | $27 | 0.6× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) | $181.35 | $279 | 2.0× |
| Mr safety implt pos&/immoblj (76019) | $144.95 | $223 | 2.6× |
| Mra Head W/O & W/Contrast Material (70546) | $3,460.60 | $5,324 | 10.6× |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$2,262–$2,353 | $3,480–$3,620 | varies |
| MRA head with contrast (70545) | $2,674.75 | $4,115 | 8.2× |
| MRA neck w contrast (70548) range across 2 matching MRF lines |
$2,314–$2,406.95 | $3,560–$3,703 | varies |
| Mra Neck W/O &W/Contrast Material (70549) | $3,001.05 | $4,617 | 9.2× |
| MRA neck w/o contrast (70547) | $2,199.60 | $3,384 | 9.8× |
| MRI abdomen w contrast (74182) | $2,372.50 | $3,650 | 7.2× |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$2,316.60–$2,435.55 | $3,564–$3,747 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 2 matching MRF lines |
$2,521.35–$3,781.05 | $3,879–$5,817 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$2,957.50–$3,357.25 | $4,550–$5,165 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) | $2,770.95 | $4,263 | 3.8× |
| MRI cardiac w/o contrast (75557) | $2,535 | $3,900 | 11.3× |
| MRI cervical spine w contrast (72142) | $2,886 | $4,440 | 8.8× |
| MRI cervical spine w/o cont (72141) | $2,609.75 | $4,015 | 11.7× |
| MRI chest w/o contrast (71550) | $1,831.70 | $2,818 | 8.2× |
| MRI chest with contrast (71551) | $2,048.15 | $3,151 | 2.8× |
| MRI chest wo w contrast (71552) | $2,509 | $3,860 | 7.7× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $2,494.05 | $3,837 | 7.6× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $2,803.45 | $4,313 | 8.6× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $2,363.40 | $3,636 | 10.6× |
| MRI lumbar spine w contrast (72149) | $2,906.15 | $4,471 | 8.9× |
| Mri Neck Spine W/O & W/Dye (72156) | $3,643.25 | $5,605 | 11.1× |
| MRI orbit face &/neck w/o contrast (70540) | $2,424.50 | $3,730 | 10.8× |
| MRI orbit face neck w contrast (70542) | $2,575.30 | $3,962 | 7.9× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $2,958.80 | $4,552 | 9.0× |
| MRI pelvis w contrast (72196) | $2,431.65 | $3,741 | 7.4× |
| MRI pelvis w/o & w contrast (72197) | $2,933.45 | $4,513 | 9.0× |
| MRI pelvis w/o contrast (72195) | $2,256.80 | $3,472 | 10.1× |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$2,470–$2,568.80 | $3,800–$3,952 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) | $2,471.30 | $3,802 | 7.5× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $2,346.50 | $3,610 | 10.5× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $2,673.45 | $4,113 | 8.2× |
| MRI, abdomen, combo (74183) | $2,979.60 | $4,584 | 9.1× |
| MRI, dorsal spine combo (72157) range across 3 matching MRF lines |
$3,290.30–$3,643.25 | $5,062–$5,605 | varies |
| MRI, dorsal spine contrast (72147) | $2,852.85 | $4,389 | 8.7× |
| MRI, joint upper extrem (73221) | $2,515.50 | $3,870 | 11.2× |
| MRI, joint upper extrem combo (73223) | $3,062.80 | $4,712 | 9.4× |
| MRI, lumbar spine combo (72158) | $3,415.10 | $5,254 | 10.4× |
| Myocardial Spect Multiple Studies (78452) | $6,231.55 | $9,587 | 5.1× |
| N-invas est c ffr sw aly CTA (75580) | $2,535 | $3,900 | 3.1× |
| Neck soft tissue (70360) | $386.75 | $595 | 4.7× |
| Nfs/Instlj Radioelmnt Sln 3 Mo Follow-Up Care (77750) | $477.10 | $734 | 1.3× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $339.30 | $522 | 0.9× |
| Ntsty modul radthx pln dose-vol histos (77301) | $14,846 | $22,840 | 11.4× |
| Nuclear Rx Intra-Arterial (79445) | $613.60 | $944 | 2.8× |
| Nuclear Rx Oral Admin (79005) | $1,377.35 | $2,119 | 6.3× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $1,541.80 | $2,372 | 3.0× |
| Parathyroid Planar Imaging (78070) | $1,334.45 | $2,053 | 3.6× |
| Pelvis 1 or 2 views (72170) | $456.30 | $702 | 4.7× |
| PET image w/CT, full body (78816) | $6,438.90 | $9,906 | 4.8× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $6,368.05 | $9,797 | 4.7× |
| Proton trmt simple w/comp (77522) | $1,840.15 | $2,831 | 1.6× |
| Proton tx delivery intermediate (77523) | $2,651.35 | $4,079 | 2.3× |
| Proton tx delivery simple w/o compensation (77520) | $1,752.40 | $2,696 | 3.4× |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,272.70 | $1,958 | 3.4× |
| Quan&Charac C Atherosclerotc Plaq Asses Sev C Ds (75577) | $3,331.25 | $5,125 | 3.8× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $635.05 | $977 | 6.5× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $670.80 | $1,032 | 1.3× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$522.60–$784.55 | $804–$1,207 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$443.95–$664.95 | $683–$1,023 | varies |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$570.05–$854.75 | $877–$1,315 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $615.55 | $947 | 6.3× |
| Radex fingr minimum 2 views (73140) range across 2 matching MRF lines |
$382.85–$383.50 | $589–$590 | varies |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$445.25–$666.90 | $685–$1,026 | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$469.30–$703.30 | $722–$1,082 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 2 matching MRF lines |
$125.45–$187.85 | $193–$289 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $206.05 | $317 | 2.1× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $479.70 | $738 | 5.9× |
| Radex Ribs Unilateral 2 Views (71100) | $399.10 | $614 | 4.9× |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$175.50–$767 | $270–$1,180 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $328.90 | $506 | 4.0× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $479.05 | $737 | 2.9× |
| Radex Spine 1 View Specify Level (72020) | $356.85 | $549 | 4.4× |
| Radex Sternum Minimum 2 Views (71120) | $512.20 | $788 | 6.3× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $384.80 | $592 | 4.7× |
| Radex Toe Minimum 2 Views (73660) | $382.20 | $588 | 4.7× |
| Radex upper extremity infant minimum 2 views (73092) range across 2 matching MRF lines |
$161.20–$241.15 | $248–$371 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$495.95–$742.95 | $763–$1,143 | varies |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $16,256.50 | $25,010 | 2.4× |
| Radiation treatment delivery level 1 (77402) | $564.85 | $869 | 5.9× |
| Radiation treatment delivery level 2 (77407) | $911.30 | $1,402 | 2.5× |
| Radiation treatment delivery level 3 (77412) | $1,747.85 | $2,689 | 3.4× |
| Radiolog exam mandible compl minimum 4 views (70110) | $664.30 | $1,022 | 6.8× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $513.50 | $790 | 5.2× |
| Radiologic exam colon double contrast study (74280) | $1,212.90 | $1,866 | 7.4× |
| Radiologic exam colon single contrast study (74270) | $932.10 | $1,434 | 5.7× |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$555.75–$833.95 | $855–$1,283 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $534.95 | $823 | 5.5× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $874.90 | $1,346 | 5.3× |
| Radiologic exam swallow function contrast study (74230) | $808.60 | $1,244 | 4.9× |
| Radiologic exam upr gi trc double contrast study (74246) | $842.40 | $1,296 | 5.1× |
| Radiologic examination femur 1 view (73551) range across 2 matching MRF lines |
$227.50–$341.90 | $350–$526 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$404.30–$607.10 | $622–$934 | varies |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$367.90–$551.85 | $566–$849 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 2 matching MRF lines |
$525.85–$787.80 | $809–$1,212 | varies |
| Radiopharmaceutical therapy, by intracavitary administration Non-Facility (79200) | $855.40 | $1,316 | 3.9× |
| Ribs bilateral 3 views (71110) | $672.75 | $1,035 | 6.9× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $1,506.70 | $2,318 | 4.0× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $1,007.50 | $1,550 | 2.7× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $2,938 | $4,520 | 5.8× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $875.55 | $1,347 | 1.7× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $1,265.55 | $1,947 | 0.9× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $1,773.20 | $2,728 | 1.5× |
| Rp Therapy Intravenous Administration (79101) | $1,480.70 | $2,278 | 6.8× |
| Scapula (73010) | $626.60 | $964 | 6.4× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $81.25 | $125 | 3.5× |
| Shoulder 1 view (73020) | $358.80 | $552 | 4.4× |
| Shoulder Arthrography (73040) | $1,131 | $1,740 | 3.5× |
| Skull less than 4 views (70250) | $577.20 | $888 | 5.9× |
| Special dosimetry (77331) | $536.90 | $826 | 4.3× |
| Special Physics Consult (77370) | $733.85 | $1,129 | 5.8× |
| Special teletherapy port plan (77321) | $1,498.25 | $2,305 | 4.3× |
| Special treatment procedure (77470) | $5,272.80 | $8,112 | 10.2× |
| Stereotactic Body Radiation Delivery (77373) | $6,707.35 | $10,319 | 4.0× |
| Sternoclavicular joints (71130) | $289.25 | $445 | 3.5× |
| Surface Applic Low Dose Rate Radionuclide Source (77789) | $658.45 | $1,013 | 6.9× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $1,259.70 | $1,938 | 3.6× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $562.25 | $865 | 1.6× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $3,152.50 | $4,850 | 9.0× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $1,863.55 | $2,867 | 5.3× |
| Ther rad simulaj-aided field setting simple (77280) | $1,602.25 | $2,465 | 12.7× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $343.85 | $529 | 2.1× |
| Thoracic spine 2 views (72070) | $549.25 | $845 | 5.6× |
| Thoracic spine 3 views (72072) | $580.45 | $893 | 5.9× |
| Thyroid Carcinoma Metastases Img Lmtd Area (78015) | $864.50 | $1,330 | 2.3× |
| Thyroid Imaging With Vascular Flow (78013) | $477.75 | $735 | 1.3× |
| Thyroid Met Imaging Body (78018) | $2,106 | $3,240 | 4.1× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,701.05 | $2,617 | 4.5× |
| Tx Devices Design & Construction Complex (77334) | $2,295.80 | $3,532 | 6.5× |
| Tx devices design & construction intermediate (77333) | $958.75 | $1,475 | 7.6× |
| Tx devices design & construction simple (77332) | $692.90 | $1,066 | 5.5× |
| Ultrasound Breast Limited (76642) | $479.70 | $738 | 5.9× |
| Ultrasound Exam Aaa Screen (76706) | $497.25 | $765 | 5.1× |
| Ultrasound, abdomen limited (76705) | $746.85 | $1,149 | 7.6× |
| Umbilical-artery Doppler (OB) (76820) | $336.05 | $517 | 3.4× |
| Upper gi w/o kub (74240) | $936 | $1,440 | 5.7× |
| Urethrocystogram voiding (74455) | $781.30 | $1,202 | 3.5× |
| Urethrocystography retrograde (74450) | $618.15 | $951 | 2.8× |
| Us breast unilateral complete (76641) | $529.10 | $814 | 5.4× |
| Us chest (76604) | $477.10 | $734 | 4.9× |
| Us exam, pelvic, limited (76857) | $601.90 | $926 | 6.1× |
| Us head (76506) | $416 | $640 | 4.2× |
| Us kidney transplant (76776) | $619.45 | $953 | 6.3× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 3 matching MRF lines |
$454.35–$630.50 | $699–$970 | varies |
| Us ob detailed single fetus (76811) | $664.95 | $1,023 | 3.0× |
| Us ob limited 1 or more fetuses (76815) | $670.15 | $1,031 | 6.8× |
| Us ob transvaginal (76817) | $690.30 | $1,062 | 7.0× |
| Us pelvic non ob complete (76856) | $771.55 | $1,187 | 7.9× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $791.05 | $1,217 | 8.1× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $408.85 | $629 | 4.2× |
| Us retroperitoneal complete (76770) | $908.05 | $1,397 | 9.3× |
| Us retroperitoneal limited (76775) | $839.80 | $1,292 | 8.6× |
| Us scrotum and contents (76870) | $750.10 | $1,154 | 7.6× |
| Us spinal canal and contents (76800) | $184.60 | $284 | 1.9× |
| Us thyroid (76536) | $780.65 | $1,201 | 8.0× |
| Us transrectal (76872) | $1,431.95 | $2,203 | 14.6× |
| Vertebral fracture assessment via dxa (77086) | $235.95 | $363 | 2.9× |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$420.55–$631.15 | $647–$971 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $365.95 | $563 | 4.5× |
| X-Ray Aorta Leg Arteries (75630) | $4,727.45 | $7,273 | 1.6× |
| X-Ray Bend Only L-S Spine (72120) | $519.35 | $799 | 5.3× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$378.30–$566.80 | $582–$872 | varies |
| X-Ray Exam Breast Specimen (76098) | $1,487.20 | $2,288 | 2.9× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $388.05 | $597 | 4.8× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $810.55 | $1,247 | 8.3× |
| X-Ray Exam Hip Uni 1 View (73501) | $258.05 | $397 | 3.2× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $336.05 | $517 | 4.1× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $529.10 | $814 | 5.4× |
| X-Ray Exam Hips Bi 2 Views (73521) | $605.15 | $931 | 6.2× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $843.70 | $1,298 | 8.6× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $1,016.60 | $1,564 | 10.4× |
| X-Ray Exam L-S Spine Bending (72114) | $920.40 | $1,416 | 9.4× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $538.85 | $829 | 6.6× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $822.25 | $1,265 | 8.4× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $536.90 | $826 | 5.5× |
| X-ray humerus (73060) range across 2 matching MRF lines |
$465.40–$697.45 | $716–$1,073 | varies |
| X-ray IV pyelogram (ivp) (74400) | $805.35 | $1,239 | 4.9× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $520.65 | $801 | 6.4× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $339.30 | $522 | 4.2× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $599.95 | $923 | 6.1× |
| X-ray nose-rectum child f.b. (76010) | $113.10 | $174 | 1.4× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $696.15 | $1,071 | 7.1× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $585.65 | $901 | 6.0× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $428.35 | $659 | 5.2× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $594.10 | $914 | 7.3× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $779.35 | $1,199 | 7.9× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $1,649.70 | $2,538 | 5.0× |
| X-Rays Bone Length Studies (77073) range across 2 matching MRF lines |
$243.75–$257.40 | $375–$396 | varies |
| X-Rays Bone Survey Complete (77075) | $820.30 | $1,262 | 8.4× |
| Xr c-spine 4 or 5 views (72050) | $741 | $1,140 | 7.6× |
| Xr facial bones less than 3 views (70140) | $432.90 | $666 | 5.3× |
| XR Mastoids < 3 Views Bilateral (70120) | $158.60 | $244 | 1.6× |
| Xr orbits complete 4 views (70200) | $449.80 | $692 | 4.6× |
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.