Imaging prices at Nevada Regional Medical Center
Nevada, MO · every code in this section with a posted price and a Medicare benchmark.
240 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 |
$136.80–$150.30 | $304–$334 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$165.15–$181.80 | $367–$404 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $972.90 | $2,162 | 2.4× |
| Ankle 2 views (73600) range across 4 matching MRF lines |
$136.80–$150.30 | $304–$334 | varies |
| Arthrogram hip (73525) | $634.95 | $1,411 | 1.8× |
| Bone age studies (77072) | $181.80 | $404 | 1.7× |
| Bone Imaging 3 Phase (78315) range across 2 matching MRF lines |
$884.25–$972.90 | $1,965–$2,162 | varies |
| Bone Imaging Limited Area (78300) range across 2 matching MRF lines |
$884.25–$972.90 | $1,965–$2,162 | varies |
| Bone Imaging Whole Body (78306) range across 2 matching MRF lines |
$884.25–$972.90 | $1,965–$2,162 | varies |
| Bone survey infant (77076) range across 2 matching MRF lines |
$165.15–$181.80 | $367–$404 | varies |
| Brain Imaging Minimum 4 Static Views (78605) | $1,274.85 | $2,833 | 2.3× |
| Cat Scan Follow-Up Study (76380) | $214.20 | $476 | 2.5× |
| Chest 1 view (71045) range across 3 matching MRF lines |
$136.80–$150.30 | $304–$334 | varies |
| Chest 2 views (71046) range across 2 matching MRF lines |
$165.15–$181.80 | $367–$404 | varies |
| Chest 3 views (71047) range across 3 matching MRF lines |
$165.15–$181.80 | $367–$404 | varies |
| Chest 4 or more views (71048) | $181.80 | $404 | 1.7× |
| Cholecystography Oral Contrast (74290) | $303.30 | $674 | 1.7× |
| Clavicle complete (73000) range across 4 matching MRF lines |
$136.80–$150.30 | $304–$334 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 2 matching MRF lines |
$235.80–$259.20 | $524–$576 | varies |
| Contrast X-Ray Bladder (74430) | $634.95 | $1,411 | 1.8× |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$824.85–$907.20 | $1,833–$2,016 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$525.60–$578.25 | $1,168–$1,285 | varies |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$394.20–$433.80 | $876–$964 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$394.20–$433.80 | $876–$964 | varies |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$235.80–$259.20 | $524–$576 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$824.85–$907.20 | $1,833–$2,016 | varies |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$394.20–$433.80 | $876–$964 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$394.20–$433.80 | $876–$964 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$394.20–$433.80 | $876–$964 | varies |
| CT cervical spine w/ contrast (72126) range across 2 matching MRF lines |
$824.85–$907.20 | $1,833–$2,016 | varies |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$235.80–$259.20 | $524–$576 | varies |
| CT cervical spine w/wo cont (72127) range across 2 matching MRF lines |
$394.20–$433.80 | $876–$964 | varies |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$394.20–$433.80 | $876–$964 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$394.20–$433.80 | $876–$964 | varies |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$394.20–$433.80 | $876–$964 | varies |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$394.20–$433.80 | $876–$964 | varies |
| CT iac w contrast (70481) | $433.80 | $964 | 2.5× |
| CT l-spine w&w/o contrast (72133) range across 2 matching MRF lines |
$394.20–$433.80 | $876–$964 | varies |
| CT lower ext w/o (73700) range across 4 matching MRF lines |
$235.80–$259.20 | $524–$576 | varies |
| CT lower extremity w/contrast material (73701) range across 4 matching MRF lines |
$394.20–$433.80 | $876–$964 | varies |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$824.85–$907.20 | $1,833–$2,016 | varies |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$235.80–$259.20 | $524–$576 | varies |
| CT maxillofacial w contrast (70487) range across 3 matching MRF lines |
$394.20–$433.80 | $876–$964 | varies |
| CT maxillofacial wo contrast (70486) range across 4 matching MRF lines |
$235.80–$259.20 | $524–$576 | varies |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$394.20–$433.80 | $876–$964 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 2 matching MRF lines |
$394.20–$433.80 | $876–$964 | varies |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$235.80–$259.20 | $524–$576 | varies |
| CT pelvis w&w/o contrast (72194) | $433.80 | $964 | 2.5× |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$235.80–$259.20 | $524–$576 | varies |
| CT scan of leg combo (73702) range across 4 matching MRF lines |
$394.20–$433.80 | $876–$964 | varies |
| CT scans face/jaw combo (70488) range across 4 matching MRF lines |
$394.20–$433.80 | $876–$964 | varies |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$394.20–$433.80 | $876–$964 | varies |
| CT soft tissue neck w/o contrast (70490) range across 5 matching MRF lines |
$235.80–$433.80 | $524–$964 | varies |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$235.80–$259.20 | $524–$576 | varies |
| CT thoracic spine w/wo cont (72130) | $433.80 | $964 | 2.5× |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$235.80–$259.20 | $524–$576 | varies |
| CT upper ext wo (73200) range across 4 matching MRF lines |
$235.80–$259.20 | $524–$576 | varies |
| CT upper extremity w/o & w/contrast material (73202) | $433.80 | $964 | 2.5× |
| CT upper extremity with contrast (73201) range across 4 matching MRF lines |
$824.85–$907.20 | $1,833–$2,016 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$394.20–$433.80 | $876–$964 | varies |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$394.20–$433.80 | $876–$964 | varies |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$165.15–$181.80 | $367–$404 | varies |
| Dxa bone density study 1/>sites appendiclr skel (77081) range across 2 matching MRF lines |
$136.80–$150.30 | $304–$334 | varies |
| Esophagram (74220) range across 2 matching MRF lines |
$275.85–$303.30 | $613–$674 | varies |
| Fetal Biophys Profile W/Nst (76818) | $259.20 | $576 | 2.5× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 2 matching MRF lines |
$235.80–$259.20 | $524–$576 | varies |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$368.10–$405 | $818–$900 | varies |
| Foot 2 views (73620) range across 4 matching MRF lines |
$136.80–$150.30 | $304–$334 | varies |
| Forearm 2 views (73090) range across 4 matching MRF lines |
$136.80–$150.30 | $304–$334 | varies |
| Gastric emptying imaging study (78264) range across 2 matching MRF lines |
$884.25–$972.90 | $1,965–$2,162 | varies |
| Gastric Mucosa Imaging (78261) | $972.90 | $2,162 | 2.4× |
| Gated Heart Planar Single (78472) | $972.90 | $2,162 | 2.4× |
| Hand 2 views (73120) range across 4 matching MRF lines |
$165.15–$181.80 | $367–$404 | varies |
| Hepatobil Syst Image W/Drug (78227) range across 2 matching MRF lines |
$1,158.75–$1,274.85 | $2,575–$2,833 | varies |
| Hepatobiliary System Imaging (78226) range across 3 matching MRF lines |
$884.25–$972.90 | $1,965–$2,162 | varies |
| Ht Muscle Image Spect Sing (78451) | $3,044.25 | $6,765 | 2.3× |
| Hysterosalpingogram (74740) range across 2 matching MRF lines |
$368.10–$405 | $818–$900 | varies |
| Infusion Ivp (74410) range across 2 matching MRF lines |
$303.30–$433.80 | $674–$964 | varies |
| K Flow/Funct Image W/Drug (78708) | $1,274.85 | $2,833 | 2.3× |
| K Flow/Funct Image W/O Drug (78707) | $1,274.85 | $2,833 | 2.3× |
| Knee 3 Views (73562) range across 4 matching MRF lines |
$136.80–$150.30 | $304–$334 | varies |
| Liver & Spleen Imaging Static Only (78215) | $972.90 | $2,162 | 2.4× |
| Lung Ventilat&Perfus Imaging (78582) range across 2 matching MRF lines |
$1,274.85–$1,724.85 | $2,833–$3,833 | varies |
| Lung Ventilation Imaging (78579) | $972.90 | $2,162 | 2.4× |
| Lymph System Imaging (78195) range across 2 matching MRF lines |
$1,075.95–$1,158.75 | $2,391–$2,575 | varies |
| Magnetic Image Jaw Joint (70336) | $578.25 | $1,285 | 2.4× |
| Meckels Divert Exam (78290) range across 2 matching MRF lines |
$884.25–$972.90 | $1,965–$2,162 | varies |
| Mra Head W/O & W/Contrast Material (70546) | $1,030.95 | $2,291 | 3.0× |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$525.60–$578.25 | $1,168–$1,285 | varies |
| MRA head with contrast (70545) range across 2 matching MRF lines |
$824.85–$907.20 | $1,833–$2,016 | varies |
| MRA neck w contrast (70548) | $907.20 | $2,016 | 2.6× |
| Mra Neck W/O &W/Contrast Material (70549) | $1,030.95 | $2,291 | 3.0× |
| MRA neck w/o contrast (70547) range across 2 matching MRF lines |
$525.60–$578.25 | $1,168–$1,285 | varies |
| MRI abdomen w contrast (74182) | $907.20 | $2,016 | 2.6× |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$525.60–$578.25 | $1,168–$1,285 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 3 matching MRF lines |
$824.85–$907.20 | $1,833–$2,016 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 4 matching MRF lines |
$937.35–$1,030.95 | $2,083–$2,291 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 4 matching MRF lines |
$824.85–$907.20 | $1,833–$2,016 | varies |
| MRI bone marrow blood supply (77084) | $578.25 | $1,285 | 2.4× |
| MRI cervical spine w contrast (72142) | $907.20 | $2,016 | 2.6× |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$525.60–$578.25 | $1,168–$1,285 | varies |
| MRI chest w/o contrast (71550) | $578.25 | $1,285 | 2.4× |
| MRI chest with contrast (71551) | $907.20 | $2,016 | 1.2× |
| MRI chest wo w contrast (71552) | $1,030.95 | $2,291 | 3.0× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $907.20 | $2,016 | 2.6× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 4 matching MRF lines |
$937.35–$1,030.95 | $2,083–$2,291 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 4 matching MRF lines |
$525.60–$578.25 | $1,168–$1,285 | varies |
| MRI lumbar spine w contrast (72149) | $907.20 | $2,016 | 2.6× |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$937.35–$1,030.95 | $2,083–$2,291 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 2 matching MRF lines |
$525.60–$578.25 | $1,168–$1,285 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 2 matching MRF lines |
$937.35–$1,030.95 | $2,083–$2,291 | varies |
| MRI pelvis w contrast (72196) | $907.20 | $2,016 | 2.6× |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$937.35–$1,030.95 | $2,083–$2,291 | varies |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$525.60–$578.25 | $1,168–$1,285 | varies |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$525.60–$578.25 | $1,168–$1,285 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) | $907.20 | $2,016 | 2.6× |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 4 matching MRF lines |
$525.60–$578.25 | $1,168–$1,285 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 4 matching MRF lines |
$937.35–$1,030.95 | $2,083–$2,291 | varies |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$937.35–$1,030.95 | $2,083–$2,291 | varies |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$937.35–$1,030.95 | $2,083–$2,291 | varies |
| MRI, dorsal spine contrast (72147) | $907.20 | $2,016 | 2.6× |
| MRI, joint upper extrem (73221) range across 4 matching MRF lines |
$525.60–$578.25 | $1,168–$1,285 | varies |
| MRI, joint upper extrem combo (73223) range across 4 matching MRF lines |
$937.35–$1,030.95 | $2,083–$2,291 | varies |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$937.35–$1,030.95 | $2,083–$2,291 | varies |
| Myelogram cervical (72240) | $1,322.10 | $2,938 | 1.7× |
| Myelogram Lumbar (72265) | $1,322.10 | $2,938 | 1.7× |
| Myelograpy 2/more regions rs&i (72270) | $588.60 | $1,308 | 0.7× |
| Myocardial Spect Multiple Studies (78452) range across 2 matching MRF lines |
$2,049.30–$3,044.25 | $4,554–$6,765 | varies |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$136.80–$150.30 | $304–$334 | varies |
| Parathyroid Planar Imaging (78070) range across 2 matching MRF lines |
$884.25–$972.90 | $1,965–$2,162 | varies |
| Parathyroid planar imaging w/wo subtraction (78071) | $972.90 | $2,162 | 2.4× |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$165.15–$181.80 | $367–$404 | varies |
| Pulmonary Perfusion Imaging Particulate (78580) | $972.90 | $2,162 | 2.4× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$165.15–$181.80 | $367–$404 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 2 matching MRF lines |
$828–$910.80 | $1,840–$2,024 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 4 matching MRF lines |
$165.15–$181.80 | $367–$404 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 4 matching MRF lines |
$136.80–$150.30 | $304–$334 | varies |
| Radex elbow complete minimum 3 views (73080) range across 4 matching MRF lines |
$136.80–$150.30 | $304–$334 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$165.15–$181.80 | $367–$404 | varies |
| Radex fingr minimum 2 views (73140) range across 4 matching MRF lines |
$136.80–$150.30 | $304–$334 | varies |
| Radex foot complete minimum 3 views (73630) range across 4 matching MRF lines |
$165.15–$181.80 | $367–$404 | varies |
| Radex Hand Minimum 3 Views (73130) range across 4 matching MRF lines |
$165.15–$181.80 | $367–$404 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 4 matching MRF lines |
$136.80–$150.30 | $304–$334 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$136.80–$150.30 | $304–$334 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 4 matching MRF lines |
$136.80–$150.30 | $304–$334 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 4 matching MRF lines |
$136.80–$150.30 | $304–$334 | varies |
| Radex Spine 1 View Specify Level (72020) range across 6 matching MRF lines |
$136.80–$150.30 | $304–$334 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$136.80–$150.30 | $304–$334 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $150.30 | $334 | 1.7× |
| Radex Toe Minimum 2 Views (73660) range across 4 matching MRF lines |
$136.80–$150.30 | $304–$334 | varies |
| Radex upper extremity infant minimum 2 views (73092) | $181.80 | $404 | 1.7× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 4 matching MRF lines |
$136.80–$150.30 | $304–$334 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) range across 2 matching MRF lines |
$165.15–$181.80 | $367–$404 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$165.15–$181.80 | $367–$404 | varies |
| Radiologic exam colon double contrast study (74280) | $303.30 | $674 | 1.7× |
| Radiologic exam colon single contrast study (74270) range across 2 matching MRF lines |
$275.85–$303.30 | $613–$674 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 4 matching MRF lines |
$165.15–$181.80 | $367–$404 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$165.15–$181.80 | $367–$404 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) | $303.30 | $674 | 1.7× |
| Radiologic exam swallow function contrast study (74230) range across 2 matching MRF lines |
$275.85–$303.30 | $613–$674 | varies |
| Radiologic examination femur 1 view (73551) range across 4 matching MRF lines |
$136.80–$150.30 | $304–$334 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 4 matching MRF lines |
$136.80–$150.30 | $304–$334 | varies |
| Radiologic examination knee 1/2 views (73560) range across 4 matching MRF lines |
$136.80–$150.30 | $304–$334 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 4 matching MRF lines |
$136.80–$150.30 | $304–$334 | varies |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$165.15–$181.80 | $367–$404 | varies |
| Scapula (73010) range across 4 matching MRF lines |
$165.15–$181.80 | $367–$404 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 3 matching MRF lines |
$50.85–$81 | $113–$180 | varies |
| Sella turcica (70240) | $150.30 | $334 | 1.7× |
| Shoulder 1 view (73020) range across 4 matching MRF lines |
$136.80–$150.30 | $304–$334 | varies |
| Shoulder Arthrography (73040) | $634.95 | $1,411 | 1.8× |
| Sialogram (70390) | $405 | $900 | 1.7× |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$165.15–$181.80 | $367–$404 | varies |
| Sternoclavicular joints (71130) | $150.30 | $334 | 1.7× |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$165.15–$181.80 | $367–$404 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$165.15–$181.80 | $367–$404 | varies |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$136.80–$150.30 | $304–$334 | varies |
| Thyroid Imaging With Vascular Flow (78013) | $689.40 | $1,532 | 1.7× |
| Thyroid Uptake Measurement (78012) range across 2 matching MRF lines |
$884.25–$972.90 | $1,965–$2,162 | varies |
| Ultrasound Breast Limited (76642) range across 4 matching MRF lines |
$194.85–$214.20 | $433–$476 | varies |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
$253.80–$279 | $564–$620 | varies |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$235.80–$259.20 | $524–$576 | varies |
| Unlisted us procedure (76999) range across 2 matching MRF lines |
$194.85–$214.20 | $433–$476 | varies |
| Upper gi w/o kub (74240) range across 2 matching MRF lines |
$275.85–$303.30 | $613–$674 | varies |
| Urethrocystogram voiding (74455) | $405 | $900 | 1.7× |
| Urethrocystography retrograde (74450) | $405 | $900 | 1.7× |
| Us breast unilateral complete (76641) range across 6 matching MRF lines |
$235.80–$259.20 | $524–$576 | varies |
| Us chest (76604) range across 2 matching MRF lines |
$235.80–$259.20 | $524–$576 | varies |
| Us complete joint (76881) range across 2 matching MRF lines |
$235.80–$259.20 | $524–$576 | varies |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$235.80–$259.20 | $524–$576 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 4 matching MRF lines |
$235.80–$259.20 | $524–$576 | varies |
| Us ob detailed single fetus (76811) | $525.60 | $1,168 | 2.2× |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$235.80–$259.20 | $524–$576 | varies |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$235.80–$400.95 | $524–$891 | varies |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$235.80–$259.20 | $524–$576 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$235.80–$259.20 | $524–$576 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 2 matching MRF lines |
$235.80–$328.95 | $524–$731 | varies |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$235.80–$259.20 | $524–$576 | varies |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$235.80–$259.20 | $524–$576 | varies |
| Us scrotum and contents (76870) range across 3 matching MRF lines |
$235.80–$259.20 | $524–$576 | varies |
| Us thyroid (76536) range across 2 matching MRF lines |
$235.80–$259.20 | $524–$576 | varies |
| Us transrectal (76872) range across 2 matching MRF lines |
$235.80–$259.20 | $524–$576 | varies |
| Vertebral fracture assessment via dxa (77086) | $150.30 | $334 | 1.7× |
| Wrist 2 views (73100) range across 4 matching MRF lines |
$136.80–$150.30 | $304–$334 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $150.30 | $334 | 1.7× |
| X-ray antegrade pyelogram tube (74425) | $634.95 | $1,411 | 1.8× |
| X-Ray Bend Only L-S Spine (72120) range across 2 matching MRF lines |
$165.15–$181.80 | $367–$404 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 4 matching MRF lines |
$136.80–$150.30 | $304–$334 | varies |
| X-Ray Exam Breast Specimen (76098) range across 2 matching MRF lines |
$828–$910.80 | $1,840–$2,024 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 2 matching MRF lines |
$136.80–$150.30 | $304–$334 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$165.15–$181.80 | $367–$404 | varies |
| X-Ray Exam Entire Spi 4/5 Vw (72083) range across 2 matching MRF lines |
$165.15–$181.80 | $367–$404 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 4 matching MRF lines |
$136.80–$150.30 | $304–$334 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 8 matching MRF lines |
$136.80–$226.35 | $304–$503 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$165.15–$181.80 | $367–$404 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$165.15–$181.80 | $367–$404 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$136.80–$150.30 | $304–$334 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$165.15–$181.80 | $367–$404 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 4 matching MRF lines |
$165.15–$181.80 | $367–$404 | varies |
| X-ray eye for foreign body (70030) range across 2 matching MRF lines |
$136.80–$169.65 | $304–$377 | varies |
| X-ray humerus (73060) range across 4 matching MRF lines |
$136.80–$150.30 | $304–$334 | varies |
| X-ray IV pyelogram (ivp) (74400) | $303.30 | $674 | 1.7× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 2 matching MRF lines |
$136.80–$150.30 | $304–$334 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$165.15–$181.80 | $367–$404 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$165.15–$243.45 | $367–$541 | varies |
| X-ray nose-rectum child f.b. (76010) range across 2 matching MRF lines |
$136.80–$150.30 | $304–$334 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$165.15–$181.80 | $367–$404 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$165.15–$181.80 | $367–$404 | varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) range across 2 matching MRF lines |
$165.15–$181.80 | $367–$404 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$136.80–$150.30 | $304–$334 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$136.80–$150.30 | $304–$334 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$165.15–$181.80 | $367–$404 | varies |
| X-Ray Stress View (77071) | $150.30 | $334 | 1.7× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $634.95 | $1,411 | 1.8× |
| X-Rays Bone Length Studies (77073) | $181.80 | $404 | 1.7× |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$165.15–$181.80 | $367–$404 | varies |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$165.15–$181.80 | $367–$404 | varies |
| Xr facial bones less than 3 views (70140) range across 2 matching MRF lines |
$136.80–$150.30 | $304–$334 | varies |
| XR Mastoids < 3 Views Bilateral (70120) | $181.80 | $404 | 1.7× |
| Xr orbits complete 4 views (70200) | $181.80 | $404 | 1.7× |
| Xr Tomogram Single Plane (76100) | $181.80 | $404 | 1.7× |
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.