Imaging prices at NEA Baptist Memorial Hospital
Jonesboro, AR · every code in this section with a posted price and a Medicare benchmark.
374 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) | $477.47 | $2,513 | 0.4× |
| Abdomen 1 View (74018) | $109.82 | $578 | 1.3× |
| Abdomen 2 views (74019) | $88.54 | $466 | 0.9× |
| Acute Gastrointestinal Blood Loss Imaging (78278) range across 2 matching MRF lines |
$323–$424.27 | $1,700–$2,233 | varies |
| Angio internal mammary (75756) | $1,126.51 | $5,929 | 0.4× |
| Angio pulmonary bilat (75743) | $1,014.79 | $5,341 | 0.3× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $1,160.14 | $6,106 | 0.4× |
| Angiography extremity bilateral rs&i (75716) | $1,014.79 | $5,341 | 0.3× |
| Angiography extremity unilateral rs&i (75710) range across 2 matching MRF lines |
$812.06–$1,014.79 | $4,274–$5,341 | varies |
| Angiography pulmonary unilateral slctv rs&i (75741) | $1,498.15 | $7,885 | 0.5× |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$47.88–$65.74 | $252–$346 | varies |
| Aortography thoracic serialography rs&i (75605) likely a partial charge, not the full procedure |
$1,498.15 | $7,885 | 0.3× |
| Artery X-Rays Abdomen (75726) likely a partial charge, not the full procedure |
$1,242.98 | $6,542 | 0.2× |
| Artery X-Rays Adrenal Gland (75731) | $850.63 | $4,477 | 0.3× |
| Artery X-Rays Pelvis (75736) likely a partial charge, not the full procedure |
$1,160.14 | $6,106 | 0.2× |
| Artery X-Rays Spine (75705) likely a partial charge, not the full procedure |
$1,242.98 | $6,542 | 0.2× |
| Arthrogram ankle (73615) | $211.66 | $1,114 | 0.6× |
| Arthrogram hip (73525) | $196.65 | $1,035 | 0.6× |
| Arthrogram Wrist (73115) | $181.64 | $956 | 0.6× |
| Basic radiation dosimetry calculation (77300) | $53.39 | $281 | 0.4× |
| Bone age studies (77072) | $56.24 | $296 | 0.6× |
| Bone Imaging 3 Phase (78315) | $610.85 | $3,215 | 1.6× |
| Bone Imaging Limited Area (78300) | $392.16 | $2,064 | 1.0× |
| Bone Imaging Whole Body (78306) | $570.76 | $3,004 | 1.5× |
| Bone marrow imaging limited area (78102) | $300.39 | $1,581 | 0.8× |
| Bone survey infant (77076) | $70.30 | $370 | 0.7× |
| Brachytx isodose complex (77318) range across 2 matching MRF lines |
$124.26–$194.37 | $654–$1,023 | varies |
| Brachytx isodose intermed (77317) range across 2 matching MRF lines |
$124.26–$194.37 | $654–$1,023 | varies |
| Brachytx Isodose Plan Simple (77316) range across 2 matching MRF lines |
$68.02–$194.37 | $358–$1,023 | varies |
| Brain Flow Imaging Only (78610) | $296.78 | $1,562 | 0.6× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $2,080.69 | $10,951 | 1.6× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $813.39 | $4,281 | 2.5× |
| Cat Scan Follow-Up Study (76380) range across 7 matching MRF lines |
$61.56–$283.29 | $324–$1,491 | varies |
| Cerebrospinal Fluid Scan (78630) | $453.34 | $2,386 | 0.9× |
| Chest 1 view (71045) | $85.88 | $452 | 1.1× |
| Chest 2 views (71046) | $143.45 | $755 | 1.8× |
| Chest 3 views (71047) | $214.32 | $1,128 | 2.6× |
| Chest 4 or more views (71048) | $224.96 | $1,184 | 2.3× |
| Clavicle complete (73000) | $111.91 | $589 | 1.4× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $42.18 | $222 | 0.4× |
| Continuing medical physics consltj pr wk (77336) | $62.89 | $331 | 0.5× |
| Contrast Exam Abdominl Aorta (75625) | $1,014.79 | $5,341 | 0.3× |
| Contrast X-Ray Bladder (74430) | $216.60 | $1,140 | 0.7× |
| Contrast X-Ray Of Elbow (73085) | $185.63 | $977 | 0.6× |
| Contrast X-Ray Of Knee Joint (73580) | $400.52 | $2,108 | 1.2× |
| CT abdomen and pelvis without and with contrast (74178) | $1,832.36 | $9,644 | 5.6× |
| CT abdomen and pelvis without contrast (74176) | $1,196.24 | $6,296 | 5.3× |
| CT abdomen w contrast (74160) | $762.47 | $4,013 | 4.6× |
| CT abdomen w wo contrast (74170) | $916.56 | $4,824 | 5.6× |
| CT abdomen w/o contrast (74150) | $585.58 | $3,082 | 6.0× |
| CT Angio Abdomen and Pelvis (74174) | $1,934.58 | $10,182 | 5.9× |
| CT Angio Chest (71275) | $916.56 | $4,824 | 5.6× |
| CT Angio Head (70496) | $1,018.21 | $5,359 | 6.2× |
| CT angio hrt w/3d image (75574) | $895.09 | $4,711 | 2.7× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $705.47 | $3,713 | 4.3× |
| CT Angio Neck (70498) | $594.13 | $3,127 | 3.6× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $705.47 | $3,713 | 4.3× |
| CT cervical spine w/ contrast (72126) | $762.47 | $4,013 | 2.3× |
| CT cervical spine w/o contrast (72125) | $662.15 | $3,485 | 6.8× |
| CT cervical spine w/wo cont (72127) | $794.20 | $4,180 | 4.8× |
| CT chest w contrast (71260) | $762.47 | $4,013 | 4.6× |
| CT chest w/wo contrast (71270) | $916.56 | $4,824 | 5.6× |
| CT head/brain with contrast (70460) | $724.66 | $3,814 | 4.4× |
| CT head/brain without and with contrast (70470) | $839.42 | $4,418 | 5.1× |
| CT heart contrast eval cardiac structure&morph (75572) | $792.11 | $4,169 | 2.4× |
| CT heart no contrast quant eval coronry calcium (75571) | $51.11 | $269 | 0.6× |
| CT iac w contrast (70481) | $733.21 | $3,859 | 4.5× |
| CT l-spine w&w/o contrast (72133) | $916.56 | $4,824 | 5.6× |
| CT lower ext w/o (73700) | $610.85 | $3,215 | 6.2× |
| CT lower extremity w/contrast material (73701) | $762.47 | $4,013 | 4.6× |
| CT lumbar spine w contrast (72132) | $762.47 | $4,013 | 2.3× |
| CT lumbar spine w/o contrast (72131) | $662.15 | $3,485 | 6.8× |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$371.26–$610.66 | $1,954–$3,214 | varies |
| CT maxillofacial wo contrast (70486) range across 3 matching MRF lines |
$371.45–$610.85 | $1,955–$3,215 | varies |
| CT neck tissue combo (70492) | $839.04 | $4,416 | 5.1× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $881.22 | $4,638 | 5.4× |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$463.98–$587.29 | $2,442–$3,091 | varies |
| CT pelvis w&w/o contrast (72194) | $732.64 | $3,856 | 4.5× |
| CT pelvis w/o contrast (72192) | $610.85 | $3,215 | 6.2× |
| CT scan of leg combo (73702) | $872.48 | $4,592 | 5.3× |
| CT scans face/jaw combo (70488) | $732.64 | $3,856 | 4.5× |
| CT soft tissue neck w contrast (70491) | $762.47 | $4,013 | 4.6× |
| CT soft tissue neck w/o contrast (70490) | $427.50 | $2,250 | 4.4× |
| CT thoracic spine w contrast (72129) | $762.47 | $4,013 | 4.6× |
| CT thoracic spine w/o contrast (72128) | $693.31 | $3,649 | 7.1× |
| CT thoracic spine w/wo cont (72130) | $916.56 | $4,824 | 5.6× |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$62.51–$662.15 | $329–$3,485 | varies |
| CT upper ext wo (73200) | $366.32 | $1,928 | 3.7× |
| CT upper extremity w/o & w/contrast material (73202) | $872.48 | $4,592 | 5.3× |
| CT upper extremity with contrast (73201) | $762.47 | $4,013 | 2.3× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $738.72 | $3,888 | 4.5× |
| Cta Abdomen (74175) | $1,018.21 | $5,359 | 6.2× |
| CTA pelvis (72191) | $1,018.21 | $5,359 | 6.2× |
| Dilation ureters/urethra rs&i (74485) range across 2 matching MRF lines |
$538.84–$837.14 | $2,836–$4,406 | varies |
| Discography Cerv/Thor Spine (72285) | $790.02 | $4,158 | 0.4× |
| Diskography lumbar (72295) | $790.02 | $4,158 | 0.4× |
| Dxa Bone Density Axial (77080) | $35.91 | $189 | 0.4× |
| Dxa bone density study (77085) | $42.75 | $225 | 0.4× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $17.48 | $92 | 0.2× |
| Echo Guide For Artery Repair (76936) | $103.74 | $546 | 0.5× |
| Echograp Trans R Pros Study (76873) | $74.86 | $394 | 0.8× |
| Esophagram (74220) | $263.91 | $1,389 | 1.6× |
| Fetal Biophys Profile W/Nst (76818) | $73.15 | $385 | 0.7× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $70.30 | $370 | 0.7× |
| Fluoroscopy up to 1 hr (76000) | $64.60 | $340 | 0.3× |
| Follow-Up Angiography (75898) | $341.05 | $1,795 | 0.1× |
| Foot 2 views (73620) range across 2 matching MRF lines |
$44.65–$70.11 | $235–$369 | varies |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$36.29–$91.58 | $191–$482 | varies |
| Gastric emptying imaging study (78264) | $478.04 | $2,516 | 1.3× |
| Gastroesophageal Reflux Exam (78262) | $189.81 | $999 | 0.5× |
| Gated Heart Planar Single (78472) | $530.29 | $2,791 | 1.4× |
| Hand 2 views (73120) range across 2 matching MRF lines |
$38–$143.83 | $200–$757 | varies |
| Hdr Rdncl Ntrstl/Icav Brchtx (77772) | $1,784.10 | $9,390 | 2.7× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) | $2,048.96 | $10,784 | 3.1× |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) | $1,895.82 | $9,978 | 2.9× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $1,160.33 | $6,107 | 0.4× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $1,160.33 | $6,107 | 0.4× |
| Hepatobil Syst Image W/Drug (78227) | $529.91 | $2,789 | 1.0× |
| Hepatobiliary System Imaging (78226) | $416.86 | $2,194 | 1.1× |
| Ht Musc Image Planar Mult (78454) | $1,729.57 | $9,103 | 1.4× |
| Ht Muscle Image Spect Sing (78451) | $953.99 | $5,021 | 0.8× |
| Hysterosalpingogram (74740) | $103.36 | $544 | 0.5× |
| Image fusion (77399) | $45.22 | $238 | 0.4× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $85.12 | $448 | 1.0× |
| Infant hip ultrasound, limited static exam (76886) | $112.48 | $592 | 1.4× |
| Interstitial radiation source applic complex (77778) | $580.26 | $3,054 | 0.9× |
| Intracavitary Radiation Source Applic Complex (77763) | $199.12 | $1,048 | 0.3× |
| Intracavitary Radiation Source Applic Intermed (77762) | $199.12 | $1,048 | 0.4× |
| Intracavitary radiation source applic simple (77761) | $199.12 | $1,048 | 0.4× |
| K Flow/Funct Image Multiple (78709) | $606.67 | $3,193 | 1.2× |
| K Flow/Funct Image W/Drug (78708) | $361 | $1,900 | 0.7× |
| K Flow/Funct Image W/O Drug (78707) | $361 | $1,900 | 0.7× |
| Kidney Imaging Morphol (78700) | $264.86 | $1,394 | 0.7× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $437.38 | $2,302 | 1.2× |
| Knee 3 Views (73562) | $130.15 | $685 | 1.6× |
| Leveen/Shunt Patency Exam (78291) | $151.43 | $797 | 0.4× |
| Liver & Spleen Imaging Static Only (78215) | $301.72 | $1,588 | 0.8× |
| Liver imaging w/vascular flow (78202) | $457.14 | $2,406 | 0.9× |
| Lung perfusion differential (78597) | $397.48 | $2,092 | 1.1× |
| Lung Ventilat&Perfus Imaging (78582) | $457.71 | $2,409 | 0.9× |
| Lung Ventilation Imaging (78579) | $210.71 | $1,109 | 0.6× |
| Lymph System Imaging (78195) | $182.97 | $963 | 0.4× |
| Lymphangiography Extremity Only Bilateral Rs&I (75803) | $587.29 | $3,091 | 0.4× |
| Magnetic Image Jaw Joint (70336) | $752.40 | $3,960 | 3.4× |
| Mammary ductogram or galactogram multiple (77054) | $123.88 | $652 | 0.6× |
| Mammary ductogram or galactogram single (77053) | $105.83 | $557 | 0.5× |
| Meckels Divert Exam (78290) | $323 | $1,700 | 0.9× |
| Medical physics dose eval radiation expos w/rprt (76145) | $77.33 | $407 | 0.2× |
| Mlc imrt design & construction per imrt plan (77338) | $142.12 | $748 | 0.4× |
| Mra Head W/O & W/Contrast Material (70546) | $1,730.52 | $9,108 | 5.3× |
| MRA head w/o contrast (70544) | $1,018.21 | $5,359 | 4.6× |
| MRA head with contrast (70545) | $1,527.60 | $8,040 | 4.7× |
| MRA neck w contrast (70548) | $1,068.56 | $5,624 | 3.3× |
| Mra Neck W/O &W/Contrast Material (70549) | $1,730.52 | $9,108 | 5.3× |
| MRA neck w/o contrast (70547) | $814.15 | $4,285 | 3.6× |
| MRI abdomen w contrast (74182) | $1,527.60 | $8,040 | 4.7× |
| MRI abdomen w/o contrast (74181) | $1,018.21 | $5,359 | 4.6× |
| MRI any jt lower extrem w/contrast material (73722) | $1,527.60 | $8,040 | 2.1× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $1,730.52 | $9,108 | 5.3× |
| MRI any jt upper extremity w/contrast matrl (73222) | $1,527.60 | $8,040 | 2.1× |
| MRI Breast W/O Contrast Bilateral (77047) | $836.76 | $4,404 | 3.7× |
| MRI Breast Without Contrast Material Unilateral (77046) | $654.93 | $3,447 | 2.9× |
| MRI cardiac w/o contrast (75557) | $674.69 | $3,551 | 3.0× |
| MRI cervical spine w contrast (72142) | $1,527.60 | $8,040 | 4.7× |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$330.79–$1,018.21 | $1,741–$5,359 | varies |
| MRI chest w/o contrast (71550) | $1,018.21 | $5,359 | 4.6× |
| MRI chest with contrast (71551) | $1,527.60 | $8,040 | 2.1× |
| MRI chest wo w contrast (71552) | $1,730.52 | $9,108 | 5.3× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $1,527.60 | $8,040 | 4.7× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $1,730.52 | $9,108 | 5.3× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $1,018.21 | $5,359 | 4.6× |
| MRI lumbar spine w contrast (72149) | $1,527.60 | $8,040 | 4.7× |
| Mri Neck Spine W/O & W/Dye (72156) | $1,730.52 | $9,108 | 5.3× |
| MRI orbit face &/neck w/o contrast (70540) range across 2 matching MRF lines |
$585.77–$1,171.35 | $3,083–$6,165 | varies |
| MRI orbit face neck w contrast (70542) | $1,527.60 | $8,040 | 4.7× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 2 matching MRF lines |
$815.48–$1,730.52 | $4,292–$9,108 | varies |
| MRI pelvis w contrast (72196) | $1,527.60 | $8,040 | 4.7× |
| MRI pelvis w/o & w contrast (72197) | $1,730.52 | $9,108 | 5.3× |
| MRI pelvis w/o contrast (72195) | $1,018.21 | $5,359 | 4.6× |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$314.83–$1,018.21 | $1,657–$5,359 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) | $1,527.60 | $8,040 | 4.7× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $1,018.21 | $5,359 | 4.6× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $1,222.08 | $6,432 | 3.7× |
| MRI, abdomen, combo (74183) | $1,730.52 | $9,108 | 5.3× |
| MRI, dorsal spine combo (72157) | $1,730.52 | $9,108 | 5.3× |
| MRI, dorsal spine contrast (72147) | $1,527.60 | $8,040 | 4.7× |
| MRI, joint upper extrem (73221) | $1,018.21 | $5,359 | 4.6× |
| MRI, joint upper extrem combo (73223) | $1,644.45 | $8,655 | 5.0× |
| MRI, lumbar spine combo (72158) | $1,704.87 | $8,973 | 5.2× |
| Myelogram cervical (72240) | $364.61 | $1,919 | 0.5× |
| Myelogram Lumbar (72265) | $364.61 | $1,919 | 0.5× |
| Myelography thoracic (72255) | $364.61 | $1,919 | 0.5× |
| Myelograpy 2/more regions rs&i (72270) | $364.61 | $1,919 | 0.5× |
| Myocardial Spect Multiple Studies (78452) | $1,844.90 | $9,710 | 1.5× |
| Myocrd Img Pet Metab Eval Single Study Cncrnt CT (78429) | $907.44 | $4,776 | 0.7× |
| Myocrd img PET prfuj 1std rest/stress cncrnt CT (78430) | $907.44 | $4,776 | 0.7× |
| Myocrd Img Pet Prfuj Mlt Std Rst&Strs Cncrnt CT (78431) | $1,415.12 | $7,448 | 0.7× |
| Myocrd Img Pet Prfuj W/Metab 2rtracer Cncrnt CT (78433) | $1,729.57 | $9,103 | 0.8× |
| Myocrd Img Pet Prfuj W/Metab Dual Radiotracer (78432) | $1,729.57 | $9,103 | 1.2× |
| N-invas est c ffr sw aly CTA (75580) | $532.76 | $2,804 | 0.7× |
| Neck soft tissue (70360) | $73.53 | $387 | 0.9× |
| Nfs/Instlj Radioelmnt Sln 3 Mo Follow-Up Care (77750) | $87.02 | $458 | 0.2× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $95.19 | $501 | 0.3× |
| Ntsty modul radthx pln dose-vol histos (77301) | $811.30 | $4,270 | 0.6× |
| Nuclear Rx Intra-Arterial (79445) | $105.64 | $556 | 0.5× |
| Nuclear Rx Oral Admin (79005) | $118.56 | $624 | 0.5× |
| Optic foramina (70190) | $22.42 | $118 | 0.3× |
| Panoramic X-ray of jaws (70355) | $97.66 | $514 | 1.2× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $358.72 | $1,888 | 0.7× |
| Parathyroid Planar Imaging (78070) | $283.48 | $1,492 | 0.8× |
| Parathyroid planar imaging w/wo subtraction (78071) | $335.92 | $1,768 | 0.9× |
| Pelvis 1 or 2 views (72170) | $64.79 | $341 | 0.7× |
| Peritoneogram Rs&I (74190) | $203.49 | $1,071 | 0.4× |
| PET image w/CT, full body (78816) | $2,347.83 | $12,357 | 1.8× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $2,347.83 | $12,357 | 1.8× |
| Plasma Vol Radiopharm Vol Dilute Spx Mult Smples (78111) | $764.94 | $4,026 | 0.6× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $1,160.14 | $6,106 | 0.4× |
| Pulmonary Perfusion Imaging Particulate (78580) | $397.48 | $2,092 | 1.1× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $157.89 | $831 | 1.6× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $101.84 | $536 | 0.2× |
| Radex Ankle Complete Minimum 3 Views (73610) | $98.42 | $518 | 1.2× |
| Radex Calcaneus Minimum 2 Views (73650) | $95.95 | $505 | 1.2× |
| Radex elbow complete minimum 3 views (73080) | $103.74 | $546 | 1.3× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $163.40 | $860 | 1.7× |
| Radex fingr minimum 2 views (73140) | $90.06 | $474 | 1.1× |
| Radex foot complete minimum 3 views (73630) | $125.21 | $659 | 1.5× |
| Radex Hand Minimum 3 Views (73130) | $216.22 | $1,138 | 2.6× |
| Radex lower extremity infant minimum 2 views (73592) | $65.74 | $346 | 0.8× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $98.42 | $518 | 1.2× |
| Radex Ribs Unilateral 2 Views (71100) | $107.16 | $564 | 1.3× |
| Radex shoulder complete minimum 2 views (73030) | $100.51 | $529 | 1.2× |
| Radex Sinuses Paransl < 3 Views (70210) | $48.07 | $253 | 0.6× |
| Radex Spine 1 View Specify Level (72020) | $92.34 | $486 | 1.1× |
| Radex Sternum Minimum 2 Views (71120) | $100.51 | $529 | 1.2× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $83.22 | $438 | 1.0× |
| Radex Toe Minimum 2 Views (73660) | $92.72 | $488 | 1.1× |
| Radex upper extremity infant minimum 2 views (73092) | $90.06 | $474 | 0.9× |
| Radex Wrist Complete Minimum 3 Views (73110) | $106.02 | $558 | 1.3× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $138.32 | $728 | 1.4× |
| Radiation Delivery Stereotactic Cranial Linear (77372) unusually low: confirm this is the full procedure |
$3,024.80 | $15,920 | 0.4× |
| Radiation treatment delivery level 1 (77402) range across 2 matching MRF lines |
$44.65–$70.11 | $235–$369 | varies |
| Radiation treatment delivery level 2 (77407) range across 2 matching MRF lines |
$60.99–$95.57 | $321–$503 | varies |
| Radiation treatment delivery level 3 (77412) range across 2 matching MRF lines |
$68.78–$127.11 | $362–$669 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) | $142.12 | $748 | 1.4× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $198.55 | $1,045 | 2.0× |
| Radiologic exam colon double contrast study (74280) | $110.77 | $583 | 0.7× |
| Radiologic exam colon single contrast study (74270) | $110.77 | $583 | 0.7× |
| Radiologic exam knee complete 4/more views (73564) | $153.90 | $810 | 1.6× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $73.34 | $386 | 0.7× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $86.83 | $457 | 0.5× |
| Radiologic exam swallow function contrast study (74230) | $205.96 | $1,084 | 1.3× |
| Radiologic exam upr gi trc double contrast study (74246) | $241.87 | $1,273 | 1.5× |
| Radiologic examination femur 1 view (73551) | $44.84 | $236 | 0.5× |
| Radiologic examination femur minimum 2 views (73552) | $80.94 | $426 | 1.0× |
| Radiologic examination knee 1/2 views (73560) | $116.66 | $614 | 1.4× |
| Radiologic examination tibia & fibula 2 views (73590) | $137.56 | $724 | 1.7× |
| Red Cell Volume Determination Spx Mult Samplings (78121) | $286.71 | $1,509 | 0.6× |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77768) | $96.71 | $509 | 0.3× |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77767) | $96.71 | $509 | 0.3× |
| Ribs bilateral 3 views (71110) | $137.94 | $726 | 1.4× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $300.39 | $1,581 | 0.8× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $544.73 | $2,867 | 1.1× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $483.74 | $2,546 | 1.0× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $475.57 | $2,503 | 0.9× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $799.90 | $4,210 | 0.7× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $799.90 | $4,210 | 0.6× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $907.44 | $4,776 | 0.7× |
| Rp Therapy Intravenous Administration (79101) range across 2 matching MRF lines |
$114.95–$122.93 | $605–$647 | varies |
| Scapula (73010) range across 2 matching MRF lines |
$80.37–$110.20 | $423–$580 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $19.95 | $105 | 0.9× |
| Shoulder 1 view (73020) | $80.37 | $423 | 1.0× |
| Shoulder Arthrography (73040) | $266.76 | $1,404 | 0.8× |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$37.81–$126.73 | $199–$667 | varies |
| Special dosimetry (77331) | $53.39 | $281 | 0.4× |
| Special Physics Consult (77370) | $55.86 | $294 | 0.4× |
| Special teletherapy port plan (77321) | $142.12 | $748 | 0.4× |
| Special treatment procedure (77470) | $190 | $1,000 | 0.4× |
| Stereotactic Body Radiation Delivery (77373) | $881.60 | $4,640 | 0.5× |
| Superior sagittal sinus venogram (75870) | $316.73 | $1,667 | 0.1× |
| Surface Applic Low Dose Rate Radionuclide Source (77789) | $48.07 | $253 | 0.5× |
| Telethx isodose pln cplx w/basic dosimetry (77307) range across 2 matching MRF lines |
$124.26–$194.37 | $654–$1,023 | varies |
| Telethx isodose pln smpl w/dosimetry calculation (77306) range across 2 matching MRF lines |
$68.02–$106.59 | $358–$561 | varies |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $217.36 | $1,144 | 0.6× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $142.12 | $748 | 0.4× |
| Ther rad simulaj-aided field setting simple (77280) | $73.91 | $389 | 0.6× |
| Thoracic spine 2 views (72070) | $107.54 | $566 | 1.1× |
| Thoracic spine 3 views (72072) | $113.05 | $595 | 1.2× |
| Thoracolumbar 2 views (72080) | $103.36 | $544 | 1.3× |
| Thyroid Imaging With Vascular Flow (78013) | $293.55 | $1,545 | 0.8× |
| Thyroid Met Imaging Body (78018) | $358.72 | $1,888 | 0.7× |
| Thyroid Uptake Measurement (78012) | $253.27 | $1,333 | 0.7× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $364.99 | $1,921 | 1.0× |
| Tx Devices Design & Construction Complex (77334) | $97.85 | $515 | 0.3× |
| Tx devices design & construction intermediate (77333) | $97.85 | $515 | 0.8× |
| Tx devices design & construction simple (77332) | $97.85 | $515 | 0.8× |
| Ultrasound Breast Limited (76642) | $75.62 | $398 | 0.9× |
| Ultrasound Elastography Parenchyma (76981) | $74.67 | $393 | 0.8× |
| Ultrasound Exam Aaa Screen (76706) | $45.22 | $238 | 0.5× |
| Ultrasound trgt dynamic microbubble 1st lesion (76978) | $90.25 | $475 | 0.3× |
| Ultrasound, abdomen limited (76705) range across 4 matching MRF lines |
$99.75–$183.54 | $525–$966 | varies |
| Unlisted Dx Radiographic Procedure (76499) | $69.92 | $368 | 0.9× |
| Unlisted genitourinary px dx nuclear medicine (78799) | $132.62 | $698 | 0.4× |
| Unlisted magnetic resonance procedure (76498) range across 2 matching MRF lines |
$163.78–$314.83 | $862–$1,657 | varies |
| Unlisted Procedure Clinical Brachytherapy (77799) | $199.12 | $1,048 | 2.1× |
| Upper gi w/o kub (74240) | $237.88 | $1,252 | 1.4× |
| Urethrocystogram voiding (74455) | $175.56 | $924 | 0.8× |
| Urethrocystography retrograde (74450) | $169.10 | $890 | 0.8× |
| Us breast unilateral complete (76641) | $75.62 | $398 | 0.8× |
| Us chest (76604) | $75.62 | $398 | 0.8× |
| Us complete joint (76881) | $146.11 | $769 | 1.5× |
| Us exam, pelvic, limited (76857) range across 4 matching MRF lines |
$121.22–$143.45 | $638–$755 | varies |
| Us head (76506) | $185.63 | $977 | 1.9× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 4 matching MRF lines |
$84.36–$106.78 | $444–$562 | varies |
| Us ob detailed single fetus (76811) | $119.70 | $630 | 0.5× |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$50.35–$124.26 | $265–$654 | varies |
| Us ob transvaginal (76817) | $125.21 | $659 | 1.3× |
| Us pelvic non ob complete (76856) | $249.85 | $1,315 | 2.5× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $206.15 | $1,085 | 2.1× |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$101.46–$220.97 | $534–$1,163 | varies |
| Us retroperitoneal limited (76775) | $66.50 | $350 | 0.7× |
| Us scrotum and contents (76870) | $249.85 | $1,315 | 2.5× |
| Us spinal canal and contents (76800) | $77.14 | $406 | 0.8× |
| Us thyroid (76536) | $210.52 | $1,108 | 2.1× |
| Vein X-Ray Chest (75827) | $356.63 | $1,877 | 0.2× |
| Vein X-Ray Liver W/O Hemodyn (75887) | $347.51 | $1,829 | 0.1× |
| Venogram Sinus/Jugular (75860) | $1,126.51 | $5,929 | 0.4× |
| Venography caval inferior serialography rs&i (75825) | $1,498.15 | $7,885 | 0.5× |
| Venography extremity bilateral rs&i (75822) | $433.96 | $2,284 | 0.3× |
| Venography extremity unilateral rs&i (75820) | $400.52 | $2,108 | 0.3× |
| Venography Renal Bilateral (75833) | $1,160.14 | $6,106 | 0.4× |
| Venography Renal Unilateral (75831) | $1,160.14 | $6,106 | 0.4× |
| Venous sampling by catheter (75893) likely a partial charge, not the full procedure |
$1,241.46 | $6,534 | 0.2× |
| Vertebral fracture assessment via dxa (77086) | $30.78 | $162 | 0.4× |
| Wrist 2 views (73100) | $53.58 | $282 | 0.7× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $143.07 | $753 | 1.8× |
| X-ray antegrade pyelogram tube (74425) | $230.47 | $1,213 | 0.7× |
| X-Ray Aorta Leg Arteries (75630) | $1,014.79 | $5,341 | 0.3× |
| X-Ray Bend Only L-S Spine (72120) | $113.24 | $596 | 1.2× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$36.29–$62.51 | $191–$329 | varies |
| X-Ray Exam Breast Specimen (76098) range across 2 matching MRF lines |
$258.02–$287.85 | $1,358–$1,515 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) | $75.43 | $397 | 0.9× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $83.60 | $440 | 0.9× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $119.89 | $631 | 1.2× |
| X-Ray Exam Hip Uni 1 View (73501) | $49.97 | $263 | 0.6× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $97.66 | $514 | 1.2× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $108.11 | $569 | 1.1× |
| X-Ray Exam Hips Bi 2 Views (73521) | $94.62 | $498 | 1.0× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $108.11 | $569 | 1.1× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $125.21 | $659 | 1.3× |
| X-Ray Exam L-S Spine Bending (72114) | $214.13 | $1,127 | 2.2× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $118.56 | $624 | 1.5× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $244.34 | $1,286 | 2.5× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $190.95 | $1,005 | 1.9× |
| X-ray eye for foreign body (70030) | $31.54 | $166 | 0.4× |
| X-ray humerus (73060) range across 2 matching MRF lines |
$47.69–$100.51 | $251–$529 | varies |
| X-ray IV pyelogram (ivp) (74400) | $271.32 | $1,428 | 1.6× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $83.60 | $440 | 1.0× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $191.33 | $1,007 | 2.3× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $126.73 | $667 | 1.3× |
| X-ray nose-rectum child f.b. (76010) | $79.42 | $418 | 1.0× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $272.65 | $1,435 | 2.8× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $111.91 | $589 | 1.1× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $36.29 | $191 | 0.4× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $110.96 | $584 | 1.4× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $155.80 | $820 | 1.9× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $166.25 | $875 | 1.7× |
| X-ray thoracic spine 4 vw (72074) | $132.24 | $696 | 1.3× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $175.56 | $924 | 0.5× |
| X-Rays Bone Length Studies (77073) | $216.22 | $1,138 | 2.2× |
| X-Rays Bone Survey Complete (77075) | $79.99 | $421 | 0.8× |
| Xr c-spine 4 or 5 views (72050) | $185.63 | $977 | 1.9× |
| Xr facial bones less than 3 views (70140) | $73.53 | $387 | 0.9× |
| Xr orbits complete 4 views (70200) | $108.87 | $573 | 1.1× |
| Xr Tomogram Single Plane (76100) | $220.97 | $1,163 | 2.3× |
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.