Imaging prices at New England Baptist Hospital

Boston, MA · every code in this section with a posted price and a Medicare benchmark.

393 codes. Prices are the hospital's own posted facility charges.

Compare against other hospitals interactively →

ProcedurePosted cashPosted gross× Medicare
3-D radiotherapy plan dose-volume histograms (77295) $5,477 $5,477 3.3×
Abdomen 1 View (74018)
range across 2 matching MRF lines
$301–$413 $301–$413 varies
Abdomen 2 views (74019)
range across 2 matching MRF lines
$339–$518 $339–$518 varies
Acute Gastrointestinal Blood Loss Imaging (78278)
range across 2 matching MRF lines
$1,576–$1,932 $1,576–$1,932 varies
Angio pulmonary bilat (75743) $8,911 $8,911 2.4×
Angiography Adrenal Bilateral Slctv Rs&I (75733) $8,911 $8,911 2.4×
Angiography extremity bilateral rs&i (75716)
range across 2 matching MRF lines
$8,632–$8,911 $8,632–$8,911 varies
Angiography extremity unilateral rs&i (75710)
range across 2 matching MRF lines
$8,911–$9,774 $8,911–$9,774 varies
Angiography pulmonary unilateral slctv rs&i (75741) $8,911 $8,911 2.4×
Angrph pulmonary nonslctv cath/ven njx rs&i (75746) $4,710 $4,710 1.2×
Ankle 2 views (73600)
range across 2 matching MRF lines
$319–$342 $319–$342 varies
Aortography thoracic serialography rs&i (75605) $8,911 $8,911 1.3×
Artery X-Rays Abdomen (75726)
range across 2 matching MRF lines
$3,255–$14,639 $3,255–$14,639 varies
Artery X-Rays Adrenal Gland (75731) $8,911 $8,911 2.4×
Artery X-Rays Pelvis (75736)
range across 2 matching MRF lines
$2,990–$8,911 $2,990–$8,911 varies
Artery X-Rays Spine (75705) $14,639 $14,639 2.2×
Arthrogram ankle (73615)
range across 2 matching MRF lines
$1,625–$1,797 $1,625–$1,797 varies
Arthrogram hip (73525)
range across 2 matching MRF lines
$1,149–$1,797 $1,149–$1,797 varies
Arthrogram Wrist (73115)
range across 2 matching MRF lines
$1,482–$1,672 $1,482–$1,672 varies
Basic radiation dosimetry calculation (77300) $575 $575 3.6×
Bone age studies (77072)
range across 2 matching MRF lines
$364–$420 $364–$420 varies
Bone Imaging 3 Phase (78315)
range across 2 matching MRF lines
$1,567–$2,285 $1,567–$2,285 varies
Bone Imaging Limited Area (78300)
range across 2 matching MRF lines
$1,505–$2,145 $1,505–$2,145 varies
Bone Imaging Multiple Areas (78305)
range across 2 matching MRF lines
$1,505–$2,981 $1,505–$2,981 varies
Bone Imaging Whole Body (78306)
range across 2 matching MRF lines
$1,505–$2,285 $1,505–$2,285 varies
Bone marrow imaging limited area (78102) $1,382 $1,382 2.9×
Bone marrow imaging; whole body (78104) $1,593 $1,593 3.3×
Bone survey infant (77076)
range across 2 matching MRF lines
$330–$497 $330–$497 varies
Brachytx isodose complex (77318) $1,161 $1,161 2.6×
Brain Flow Imaging Only (78610) $2,475 $2,475 3.8×
Card Bl Pool Gated Spect Rest Wal Motn Ejct Frct (78494)
range across 2 matching MRF lines
$1,389–$2,370 $1,389–$2,370 varies
Cardiac MRI w/w/o contrast w/stress (75563)
range across 2 matching MRF lines
$2,453–$2,730 $2,453–$2,730 varies
Cardiac Shunt Detection (78428)
range across 2 matching MRF lines
$1,164–$1,767 $1,164–$1,767 varies
Cat Scan Follow-Up Study (76380) $1,086 $1,086 10.4×
Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) $2,313 $2,313 3.6×
Cerebrospinal Fluid Scan (78630) $2,475 $2,475 3.8×
Chest 1 view (71045)
range across 2 matching MRF lines
$275–$291 $275–$291 varies
Chest 2 views (71046)
range across 2 matching MRF lines
$191–$459 $191–$459 varies
Chest 3 views (71047)
range across 2 matching MRF lines
$189–$731 $189–$731 varies
Chest 4 or more views (71048)
range across 2 matching MRF lines
$203–$347 $203–$347 varies
Cholecystography Oral Contrast (74290) $701 $701 3.3×
Clavicle complete (73000)
range across 2 matching MRF lines
$319–$347 $319–$347 varies
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271)
range across 2 matching MRF lines
$266–$1,831 $266–$1,831 varies
Continuing medical physics consltj pr wk (77336) $1,152 $1,152 7.2×
Contrast Exam Abdominl Aorta (75625) $8,911 $8,911 2.4×
Contrast X-Ray Bladder (74430)
range across 2 matching MRF lines
$608–$1,639 $608–$1,639 varies
Contrast X-Ray Of Elbow (73085)
range across 2 matching MRF lines
$1,149–$1,797 $1,149–$1,797 varies
Contrast X-Ray Of Knee Joint (73580)
range across 2 matching MRF lines
$1,625–$1,797 $1,625–$1,797 varies
Contrast Xray Throat/Cerv Esopha (74210)
range across 2 matching MRF lines
$727–$950 $727–$950 varies
CT abdomen and pelvis without and with contrast (74178)
range across 2 matching MRF lines
$2,369–$4,283 $2,369–$4,283 varies
CT abdomen and pelvis without contrast (74176)
range across 2 matching MRF lines
$1,439–$2,125 $1,439–$2,125 varies
CT abdomen w contrast (74160)
range across 2 matching MRF lines
$2,083–$3,514 $2,083–$3,514 varies
CT abdomen w wo contrast (74170)
range across 2 matching MRF lines
$2,542–$4,025 $2,542–$4,025 varies
CT abdomen w/o contrast (74150)
range across 2 matching MRF lines
$1,450–$1,835 $1,450–$1,835 varies
CT Angio Abdomen and Pelvis (74174)
range across 2 matching MRF lines
$2,208–$3,332 $2,208–$3,332 varies
CT Angio Chest (71275)
range across 2 matching MRF lines
$1,396–$2,208 $1,396–$2,208 varies
CT Angio Head (70496)
range across 2 matching MRF lines
$966–$2,769 $966–$2,769 varies
CT angio hrt w/3d image (75574) $2,498 $2,498 6.0×
Ct Angio Lwr Extr W/O&W/Dye (73706)
range across 2 matching MRF lines
$2,001–$2,886 $2,001–$2,886 varies
CT Angio Neck (70498)
range across 2 matching MRF lines
$966–$2,575 $966–$2,575 varies
Ct Angio Upr Extrm W/O&W/Dye (73206)
range across 2 matching MRF lines
$1,851–$2,083 $1,851–$2,083 varies
CT cervical spine w/ contrast (72126)
range across 2 matching MRF lines
$2,319–$2,483 $2,319–$2,483 varies
CT cervical spine w/o contrast (72125)
range across 2 matching MRF lines
$693–$2,076 $693–$2,076 varies
CT cervical spine w/wo cont (72127)
range across 2 matching MRF lines
$2,573–$3,460 $2,573–$3,460 varies
CT chest w contrast (71260)
range across 2 matching MRF lines
$2,190–$3,662 $2,190–$3,662 varies
CT chest w/wo contrast (71270)
range across 2 matching MRF lines
$2,298–$4,191 $2,298–$4,191 varies
CT colonography screening (74263)
range across 2 matching MRF lines
$3,072–$3,999 $3,072–$3,999 varies
CT colonogrphy dx image postprocess w/o contrast (74261) $1,334 $1,334 10.6×
CT head/brain with contrast (70460)
range across 2 matching MRF lines
$1,991–$2,789 $1,991–$2,789 varies
CT head/brain without and with contrast (70470)
range across 2 matching MRF lines
$2,483–$3,466 $2,483–$3,466 varies
CT heart contrast eval cardiac structure&morph (75572)
range across 2 matching MRF lines
$1,108–$1,212 $1,108–$1,212 varies
CT heart no contrast quant eval coronry calcium (75571)
range across 2 matching MRF lines
$275–$359 $275–$359 varies
CT iac w contrast (70481) $1,991 $1,991 9.5×
CT l-spine w&w/o contrast (72133)
range across 2 matching MRF lines
$2,797–$3,202 $2,797–$3,202 varies
CT lower ext w/o (73700)
range across 2 matching MRF lines
$718–$1,540 $718–$1,540 varies
CT lower extremity w/contrast material (73701)
range across 2 matching MRF lines
$1,572–$1,831 $1,572–$1,831 varies
CT lumbar spine w contrast (72132)
range across 2 matching MRF lines
$2,190–$2,196 $2,190–$2,196 varies
CT lumbar spine w/o contrast (72131)
range across 2 matching MRF lines
$718–$1,831 $718–$1,831 varies
CT maxillofacial w contrast (70487)
range across 2 matching MRF lines
$1,991–$2,837 $1,991–$2,837 varies
CT maxillofacial wo contrast (70486)
range across 2 matching MRF lines
$1,659–$2,674 $1,659–$2,674 varies
CT neck tissue combo (70492)
range across 2 matching MRF lines
$2,483–$3,690 $2,483–$3,690 varies
Ct Orbit/Ear/Fossa W/O&W/Dye (70482)
range across 2 matching MRF lines
$611–$2,483 $611–$2,483 varies
CT orbits w/o contrast (70480) $1,659 $1,659 13.2×
CT pelvis w&w/o contrast (72194)
range across 2 matching MRF lines
$2,542–$4,191 $2,542–$4,191 varies
CT pelvis w/o contrast (72192)
range across 2 matching MRF lines
$718–$1,835 $718–$1,835 varies
CT scan of leg combo (73702)
range across 2 matching MRF lines
$2,299–$2,867 $2,299–$2,867 varies
CT scans face/jaw combo (70488) $2,483 $2,483 11.8×
CT soft tissue neck w contrast (70491)
range across 2 matching MRF lines
$1,991–$3,215 $1,991–$3,215 varies
CT soft tissue neck w/o contrast (70490)
range across 2 matching MRF lines
$1,659–$2,674 $1,659–$2,674 varies
CT thoracic spine w contrast (72129)
range across 2 matching MRF lines
$2,190–$2,401 $2,190–$2,401 varies
CT thoracic spine w/o contrast (72128)
range across 2 matching MRF lines
$593–$1,831 $593–$1,831 varies
CT thoracic spine w/wo cont (72130)
range across 2 matching MRF lines
$1,984–$2,736 $1,984–$2,736 varies
CT thorax w/o contrast (71250)
range across 2 matching MRF lines
$718–$1,831 $718–$1,831 varies
CT upper ext wo (73200)
range across 2 matching MRF lines
$718–$1,540 $718–$1,540 varies
CT upper extremity w/o & w/contrast material (73202)
range across 2 matching MRF lines
$590–$2,299 $590–$2,299 varies
CT upper extremity with contrast (73201)
range across 2 matching MRF lines
$1,831–$1,910 $1,831–$1,910 varies
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635)
range across 2 matching MRF lines
$2,367–$2,542 $2,367–$2,542 varies
Cta Abdomen (74175)
range across 2 matching MRF lines
$1,654–$2,365 $1,654–$2,365 varies
CTA pelvis (72191)
range across 2 matching MRF lines
$1,626–$2,562 $1,626–$2,562 varies
Dilation ureters/urethra rs&i (74485) $7,470 $7,470 3.0×
Diskography lumbar (72295) $12,203 $12,203 5.2×
Doppler Fetal Mid Cerebral Artery (76821) $1,213 $1,213 9.7×
Dxa Bone Density Axial (77080)
range across 2 matching MRF lines
$553–$1,040 $553–$1,040 varies
Dxa bone density study (77085)
range across 2 matching MRF lines
$330–$351 $330–$351 varies
Dxa bone density study 1/>sites appendiclr skel (77081)
range across 2 matching MRF lines
$269–$507 $269–$507 varies
Echo exam uterus (76831)
range across 2 matching MRF lines
$887–$921 $887–$921 varies
Echo Guide For Artery Repair (76936)
range across 2 matching MRF lines
$934–$1,734 $934–$1,734 varies
Echograp Trans R Pros Study (76873)
range across 2 matching MRF lines
$330–$396 $330–$396 varies
Esophagram (74220)
range across 2 matching MRF lines
$436–$644 $436–$644 varies
Fetal Biophys Profile W/Nst (76818)
range across 2 matching MRF lines
$624–$1,014 $624–$1,014 varies
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $693 $693 5.5×
Fluoroscopy up to 1 hr (76000)
range across 2 matching MRF lines
$538–$818 $538–$818 varies
Follow-Up Angiography (75898)
range across 2 matching MRF lines
$1,979–$3,438 $1,979–$3,438 varies
Foot 2 views (73620)
range across 2 matching MRF lines
$319–$347 $319–$347 varies
Forearm 2 views (73090)
range across 2 matching MRF lines
$319–$464 $319–$464 varies
Gastric emptying imaging study (78264)
range across 2 matching MRF lines
$1,505–$3,650 $1,505–$3,650 varies
Gastroesophageal Reflux Exam (78262)
range across 2 matching MRF lines
$1,505–$2,856 $1,505–$2,856 varies
Gated Heart Planar Single (78472)
range across 2 matching MRF lines
$1,812–$3,083 $1,812–$3,083 varies
Gated Heart, Multiple (78473)
range across 2 matching MRF lines
$2,707–$3,360 $2,707–$3,360 varies
Hand 2 views (73120)
range across 2 matching MRF lines
$364–$416 $364–$416 varies
Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) $8,911 $8,911 2.4×
Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) $8,209 $8,209 2.2×
Hepatobil Syst Image W/Drug (78227)
range across 2 matching MRF lines
$2,122–$2,197 $2,122–$2,197 varies
Hepatobiliary System Imaging (78226)
range across 2 matching MRF lines
$2,122–$2,197 $2,122–$2,197 varies
Ht Musc Image Planar Mult (78454) $5,298 $5,298 3.4×
Ht Muscle Image Spect Sing (78451)
range across 2 matching MRF lines
$5,298–$7,743 $5,298–$7,743 varies
Hysterosalpingogram (74740)
range across 2 matching MRF lines
$793–$1,870 $793–$1,870 varies
Infant hip ultrasound with hip movement (dynamic) (76885) $373 $373 3.6×
Infant hip ultrasound, limited static exam (76886) $1,019 $1,019 9.8×
Infusion Ivp (74410) $1,639 $1,639 7.8×
Interstitial radiation source applic complex (77778) $5,756 $5,756 6.9×
Joint Survey Single View (77077) $523 $523 4.2×
K Flow/Funct Image Multiple (78709) $2,122 $2,122 3.3×
K Flow/Funct Image W/Drug (78708)
range across 2 matching MRF lines
$2,122–$3,360 $2,122–$3,360 varies
K Flow/Funct Image W/O Drug (78707)
range across 2 matching MRF lines
$2,122–$2,741 $2,122–$2,741 varies
Kidney Imaging Morphol (78700)
range across 2 matching MRF lines
$1,247–$2,122 $1,247–$2,122 varies
Kidney Imaging Morphoogy W/Vascular Flow (78701)
range across 2 matching MRF lines
$1,411–$2,122 $1,411–$2,122 varies
Knee 3 Views (73562)
range across 2 matching MRF lines
$312–$341 $312–$341 varies
Liver & Spleen Imaging Static Only (78215)
range across 2 matching MRF lines
$1,767–$2,741 $1,767–$2,741 varies
Liver & Spleen Imaging W/Vascular Flow (78216)
range across 2 matching MRF lines
$1,767–$3,910 $1,767–$3,910 varies
Liver imaging static only (78201) $1,779 $1,779 2.7×
Liver imaging w/vascular flow (78202) $1,995 $1,995 3.1×
Lung Perf&Ventilat Diferentl (78598) $2,323 $2,323 3.6×
Lung perfusion differential (78597) $1,362 $1,362 2.8×
Lung Ventilat&Perfus Imaging (78582)
range across 2 matching MRF lines
$2,122–$2,657 $2,122–$2,657 varies
Lung Ventilation Imaging (78579)
range across 2 matching MRF lines
$1,362–$1,779 $1,362–$1,779 varies
Lymph System Imaging (78195)
range across 2 matching MRF lines
$1,593–$1,932 $1,593–$1,932 varies
Magnetic Image Jaw Joint (70336)
range across 2 matching MRF lines
$750–$2,651 $750–$2,651 varies
Magnetic Resonance Elastography (76391) $8,268 $8,268 28.9×
Mammary ductogram or galactogram multiple (77054) $1,170 $1,170 4.1×
Mammary ductogram or galactogram single (77053) $1,426 $1,426 5.0×
Meckels Divert Exam (78290)
range across 2 matching MRF lines
$1,164–$1,505 $1,164–$1,505 varies
Mlc imrt design & construction per imrt plan (77338) $1,569 $1,569 3.5×
Mr safety determination physician/other qhp (76016) $273 $273 2.6×
Mr safety implant&/fb assmt clin staf 1st 15 min (76014) $76 $76 2.2×
Mr safety implt electronics prepj supvj phys/qhp (76018)
range across 2 matching MRF lines
$285–$327 $285–$327 varies
Mr safety implt pos&/immoblj (76019) $184 $184 2.6×
Mr safety med physics xm customization plng&mntr (76017) $750 $750 2.6×
Mra Head W/O & W/Contrast Material (70546)
range across 2 matching MRF lines
$4,830–$5,260 $4,830–$5,260 varies
MRA head w/o contrast (70544)
range across 2 matching MRF lines
$2,792–$3,321 $2,792–$3,321 varies
MRA head with contrast (70545)
range across 2 matching MRF lines
$3,601–$3,991 $3,601–$3,991 varies
MRA neck w contrast (70548)
range across 2 matching MRF lines
$3,991–$4,289 $3,991–$4,289 varies
Mra Neck W/O &W/Contrast Material (70549)
range across 2 matching MRF lines
$2,508–$4,782 $2,508–$4,782 varies
MRA neck w/o contrast (70547)
range across 2 matching MRF lines
$2,792–$3,321 $2,792–$3,321 varies
MRI abdomen w contrast (74182)
range across 2 matching MRF lines
$3,476–$3,696 $3,476–$3,696 varies
MRI abdomen w/o contrast (74181)
range across 4 matching MRF lines
$2,651–$2,893 $2,651–$2,893 varies
MRI any jt lower extrem w/contrast material (73722)
range across 2 matching MRF lines
$3,696–$6,490 $3,696–$6,490 varies
MRI any jt lower extrem w/o & w/contrast matrl (73723)
range across 2 matching MRF lines
$2,893–$4,531 $2,893–$4,531 varies
MRI any jt upper extremity w/contrast matrl (73222)
range across 2 matching MRF lines
$3,535–$7,371 $3,535–$7,371 varies
MRI Breast W/O Contrast Bilateral (77047) $1,924 $1,924 6.7×
MRI Breast Without Contrast Material Unilateral (77046) $1,749 $1,749 6.1×
MRI cervical spine w contrast (72142)
range across 2 matching MRF lines
$3,543–$5,419 $3,543–$5,419 varies
MRI cervical spine w/o cont (72141)
range across 2 matching MRF lines
$1,522–$3,447 $1,522–$3,447 varies
MRI chest w/o contrast (71550)
range across 2 matching MRF lines
$2,651–$2,893 $2,651–$2,893 varies
MRI chest with contrast (71551)
range across 2 matching MRF lines
$4,493–$5,214 $4,493–$5,214 varies
MRI chest wo w contrast (71552)
range across 2 matching MRF lines
$4,499–$5,557 $4,499–$5,557 varies
MRI lower extrem oth/thn jt w/contrast matrl (73719)
range across 2 matching MRF lines
$1,167–$2,549 $1,167–$2,549 varies
MRI lower extrem oth/thn jt w/o & w/contr matr (73720)
range across 2 matching MRF lines
$2,758–$2,893 $2,758–$2,893 varies
MRI lower extrem oth/thn jt w/o contr matrl (73718)
range across 2 matching MRF lines
$1,326–$2,127 $1,326–$2,127 varies
MRI lumbar spine w contrast (72149)
range across 2 matching MRF lines
$4,138–$4,199 $4,138–$4,199 varies
Mri Neck Spine W/O & W/Dye (72156)
range across 2 matching MRF lines
$2,508–$4,057 $2,508–$4,057 varies
MRI orbit face &/neck w/o contrast (70540)
range across 2 matching MRF lines
$750–$3,447 $750–$3,447 varies
MRI orbit face neck w contrast (70542) $4,494 $4,494 10.7×
Mri Orbt/Fac/Nck W/O &W/Dye (70543)
range across 2 matching MRF lines
$4,981–$6,130 $4,981–$6,130 varies
MRI pelvis w contrast (72196)
range across 2 matching MRF lines
$2,651–$3,855 $2,651–$3,855 varies
MRI pelvis w/o & w contrast (72197)
range across 2 matching MRF lines
$3,375–$4,726 $3,375–$4,726 varies
MRI pelvis w/o contrast (72195)
range across 2 matching MRF lines
$1,326–$2,132 $1,326–$2,132 varies
MRI thoracic spine w/o contrast (72146)
range across 2 matching MRF lines
$1,326–$2,941 $1,326–$2,941 varies
MRI upper extremity oth than jt w/contr matrl (73219)
range across 2 matching MRF lines
$1,167–$2,549 $1,167–$2,549 varies
MRI upper extremity oth than jt w/o contr matrl (73218)
range across 2 matching MRF lines
$2,127–$2,893 $2,127–$2,893 varies
Mri Uppr Extremity W/O&W/Dye (73220)
range across 2 matching MRF lines
$2,758–$2,893 $2,758–$2,893 varies
MRI, abdomen, combo (74183)
range across 4 matching MRF lines
$1,167–$4,701 $1,167–$4,701 varies
MRI, dorsal spine combo (72157)
range across 2 matching MRF lines
$2,184–$5,040 $2,184–$5,040 varies
MRI, dorsal spine contrast (72147)
range across 2 matching MRF lines
$4,094–$4,557 $4,094–$4,557 varies
MRI, joint upper extrem (73221)
range across 2 matching MRF lines
$1,092–$2,651 $1,092–$2,651 varies
MRI, joint upper extrem combo (73223)
range across 2 matching MRF lines
$2,893–$4,479 $2,893–$4,479 varies
MRI, lumbar spine combo (72158)
range across 2 matching MRF lines
$1,949–$4,964 $1,949–$4,964 varies
Myelogram cervical (72240)
range across 2 matching MRF lines
$2,167–$2,301 $2,167–$2,301 varies
Myelogram Lumbar (72265)
range across 2 matching MRF lines
$2,167–$2,340 $2,167–$2,340 varies
Myelography thoracic (72255)
range across 2 matching MRF lines
$2,167–$2,230 $2,167–$2,230 varies
Myelograpy 2/more regions rs&i (72270)
range across 2 matching MRF lines
$2,136–$2,167 $2,136–$2,167 varies
Myocardial Imaging Infarct Avid Planar Qual/Quan (78466)
range across 2 matching MRF lines
$1,767–$3,182 $1,767–$3,182 varies
Myocardial imaging, infarct avid, planar; with ejection fraction by first pass technique Non-Facility (78468) $1,767 $1,767 2.7×
Myocardial Perfusion Planar 1 Study Rest/Stress (78453) $4,969 $4,969 3.2×
Myocardial Spect Multiple Studies (78452)
range across 2 matching MRF lines
$5,298–$7,874 $5,298–$7,874 varies
N-invas est c ffr sw aly CTA (75580) $3,625 $3,625 3.5×
Neck soft tissue (70360)
range across 2 matching MRF lines
$249–$360 $249–$360 varies
Njx Rp Loclzj Non-Img Probe Study Intravenous (78808)
range across 2 matching MRF lines
$1,247–$1,438 $1,247–$1,438 varies
Nm myocard infarct spect (78469)
range across 2 matching MRF lines
$2,579–$3,372 $2,579–$3,372 varies
Nonvascular Shunt X-Ray (75809) $742 $742 5.9×
Ntsty modul radthx pln dose-vol histos (77301)
range across 2 matching MRF lines
$4,249–$4,949 $4,249–$4,949 varies
Nuclear Rx Intra-Arterial (79445)
range across 2 matching MRF lines
$1,098–$1,635 $1,098–$1,635 varies
Nuclear Rx Oral Admin (79005) $1,980 $1,980 7.1×
Ob us nuchal meas 1 gest (76813) $776 $776 6.2×
Ophthalmic ultrasound dx b-scan w/wo a-scan (76512)
range across 2 matching MRF lines
$330–$414 $330–$414 varies
Ophthalmic US Dx Corneal Pachymetry Uni/Bi (76514)
range across 2 matching MRF lines
$76–$79 $76–$79 varies
Optic foramina (70190)
range across 2 matching MRF lines
$355–$569 $355–$569 varies
Parathyroid imaging w/tomographic spect & CT (78072) $1,957 $1,957 3.0×
Parathyroid Planar Imaging (78070)
range across 2 matching MRF lines
$1,415–$1,599 $1,415–$1,599 varies
Parathyroid planar imaging w/wo subtraction (78071) $1,509 $1,509 3.1×
Pelvis 1 or 2 views (72170)
range across 2 matching MRF lines
$409–$416 $409–$416 varies
Perineogram (74775) $1,311 $1,311 4.6×
Peritoneogram Rs&I (74190) $4,438 $4,438 6.8×
Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) $10,970 $10,970 2.9×
Pulmonary Perfusion Imaging Particulate (78580)
range across 2 matching MRF lines
$1,185–$1,451 $1,185–$1,451 varies
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022)
range across 2 matching MRF lines
$330–$634 $330–$634 varies
Radex abscess/fistula/sinus tract rs&i (76080)
range across 2 matching MRF lines
$673–$2,105 $673–$2,105 varies
Radex Ankle Complete Minimum 3 Views (73610)
range across 2 matching MRF lines
$319–$368 $319–$368 varies
Radex Calcaneus Minimum 2 Views (73650)
range across 2 matching MRF lines
$319–$351 $319–$351 varies
Radex elbow complete minimum 3 views (73080)
range across 2 matching MRF lines
$319–$442 $319–$442 varies
Radex Facial Bones Complete Minimum 3 Views (70150)
range across 2 matching MRF lines
$386–$419 $386–$419 varies
Radex fingr minimum 2 views (73140)
range across 2 matching MRF lines
$284–$319 $284–$319 varies
Radex foot complete minimum 3 views (73630)
range across 2 matching MRF lines
$319–$408 $319–$408 varies
Radex Hand Minimum 3 Views (73130)
range across 2 matching MRF lines
$241–$442 $241–$442 varies
Radex lower extremity infant minimum 2 views (73592) $312 $312 3.0×
Radex Mastoids Compl Minimum 3 Views PR Side (70130)
range across 2 matching MRF lines
$262–$623 $262–$623 varies
Radex Nasal Bones Complete Minimum 3 Views (70160)
range across 2 matching MRF lines
$341–$395 $341–$395 varies
Radex Ribs Unilateral 2 Views (71100)
range across 2 matching MRF lines
$296–$357 $296–$357 varies
Radex shoulder complete minimum 2 views (73030)
range across 2 matching MRF lines
$319–$423 $319–$423 varies
Radex Sinuses Paransl < 3 Views (70210)
range across 2 matching MRF lines
$296–$357 $296–$357 varies
Radex sm int w/mlt srl imges via enteroclss tube (74251) $1,116 $1,116 5.3×
Radex Spine 1 View Specify Level (72020)
range across 2 matching MRF lines
$276–$279 $276–$279 varies
Radex Sternum Minimum 2 Views (71120)
range across 2 matching MRF lines
$319–$537 $319–$537 varies
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330)
range across 2 matching MRF lines
$375–$511 $375–$511 varies
Radex Toe Minimum 2 Views (73660)
range across 2 matching MRF lines
$295–$319 $295–$319 varies
Radex upper extremity infant minimum 2 views (73092) $452 $452 3.6×
Radex Wrist Complete Minimum 3 Views (73110)
range across 2 matching MRF lines
$398–$408 $398–$408 varies
Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084)
range across 2 matching MRF lines
$994–$1,086 $994–$1,086 varies
Radiation treatment delivery level 1 (77402)
range across 2 matching MRF lines
$390–$434 $390–$434 varies
Radiation treatment delivery level 2 (77407) $937 $937 2.0×
Radiation treatment delivery level 3 (77412)
range across 2 matching MRF lines
$817–$1,272 $817–$1,272 varies
Radiolog exam mandible compl minimum 4 views (70110)
range across 2 matching MRF lines
$452–$515 $452–$515 varies
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021)
range across 2 matching MRF lines
$330–$518 $330–$518 varies
Radiologic exam colon double contrast study (74280) $1,116 $1,116 5.3×
Radiologic exam colon single contrast study (74270) $936 $936 4.5×
Radiologic Exam Esophagus Double Contrast Study (74221)
range across 2 matching MRF lines
$553–$668 $553–$668 varies
Radiologic exam knee complete 4/more views (73564)
range across 2 matching MRF lines
$387–$469 $387–$469 varies
Radiologic exam pelvis compl minimum 3 views (72190)
range across 2 matching MRF lines
$409–$497 $409–$497 varies
Radiologic Exam Small Int Single Contrast Study (74250)
range across 2 matching MRF lines
$608–$858 $608–$858 varies
Radiologic exam swallow function contrast study (74230) $641 $641 3.0×
Radiologic exam upr gi trc double contrast study (74246)
range across 2 matching MRF lines
$553–$936 $553–$936 varies
Radiologic examination femur 1 view (73551)
range across 2 matching MRF lines
$276–$298 $276–$298 varies
Radiologic examination femur minimum 2 views (73552)
range across 2 matching MRF lines
$364–$464 $364–$464 varies
Radiologic examination knee 1/2 views (73560)
range across 2 matching MRF lines
$319–$346 $319–$346 varies
Radiologic Examination Osseous Survey Limited (77074)
range across 2 matching MRF lines
$497–$647 $497–$647 varies
Radiologic Examination Salivary Gland Calculus (70380) $797 $797 7.6×
Radiologic examination tibia & fibula 2 views (73590)
range across 2 matching MRF lines
$319–$423 $319–$423 varies
Radiologic examination, internal auditory meati, complete Non-Facility (70134) $350 $350 0.5×
Renal Cyst Study (74470) $4,438 $4,438 6.8×
Ribs bilateral 3 views (71110)
range across 2 matching MRF lines
$423–$452 $423–$452 varies
Rp loclzj tum plnr 1 area single day imaging (78800) $3,533 $3,533 7.4×
Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801)
range across 2 matching MRF lines
$3,311–$4,684 $3,311–$4,684 varies
Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) $12,399 $12,399 19.1×
Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802)
range across 2 matching MRF lines
$3,270–$8,318 $3,270–$8,318 varies
Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803)
range across 2 matching MRF lines
$3,637–$10,280 $3,637–$10,280 varies
Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830)
range across 2 matching MRF lines
$4,053–$9,591 $4,053–$9,591 varies
Rp Therapy Intravenous Administration (79101) $1,635 $1,635 5.8×
Salivary Gland Imaging (78230) $2,130 $2,130 4.4×
Salivary Gland Imaging Serial Images (78231) $2,236 $2,236 4.7×
Scapula (73010)
range across 2 matching MRF lines
$319–$369 $319–$369 varies
Screening Digital Breast Tomosynthesis Bi (77063)
range across 2 matching MRF lines
$63–$112 $63–$112 varies
Sella turcica (70240) $276 $276 2.6×
Shoulder 1 view (73020)
range across 2 matching MRF lines
$301–$319 $301–$319 varies
Shoulder Arthrography (73040)
range across 2 matching MRF lines
$1,149–$1,797 $1,149–$1,797 varies
Sialogram (70390) $1,870 $1,870 6.5×
Skull less than 4 views (70250)
range across 2 matching MRF lines
$346–$386 $346–$386 varies
Special Physics Consult (77370)
range across 2 matching MRF lines
$941–$1,359 $941–$1,359 varies
Special treatment procedure (77470) $3,757 $3,757 5.7×
Sternoclavicular joints (71130)
range across 2 matching MRF lines
$276–$546 $276–$546 varies
Testicular Imaging W/Flow (78761)
range across 2 matching MRF lines
$2,122–$2,572 $2,122–$2,572 varies
Ther Rad Simulaj-Aided Field Setting Complex (77290) $2,445 $2,445 5.4×
Ther rad simulaj-aided field setting simple (77280) $1,098 $1,098 6.8×
Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) $715 $715 3.4×
Thoracic spine 2 views (72070)
range across 2 matching MRF lines
$369–$648 $369–$648 varies
Thoracic spine 3 views (72072)
range across 2 matching MRF lines
$390–$854 $390–$854 varies
Thoracolumbar 2 views (72080)
range across 2 matching MRF lines
$269–$409 $269–$409 varies
Thyroid Imaging With Vascular Flow (78013) $1,105 $1,105 2.3×
Thyroid Met Imaging Body (78018)
range across 2 matching MRF lines
$1,767–$7,664 $1,767–$7,664 varies
Thyroid Uptake Measurement (78012) $3,966 $3,966 8.3×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $1,505 $1,505 3.1×
Tx Devices Design & Construction Complex (77334) $1,565 $1,565 3.5×
Tx devices design & construction simple (77332) $601 $601 3.7×
Ultrasound Breast Limited (76642) $556 $556 5.3×
Ultrasound elastography first target lesion (76982) $461 $461 3.7×
Ultrasound Elastography Parenchyma (76981) $461 $461 3.7×
Ultrasound Exam Aaa Screen (76706)
range across 2 matching MRF lines
$331–$896 $331–$896 varies
Ultrasound trgt dynamic microbubble 1st lesion (76978) $830 $830 2.0×
Ultrasound, abdomen limited (76705)
range across 2 matching MRF lines
$693–$790 $693–$790 varies
Umbilical-artery Doppler (OB) (76820) $595 $595 4.7×
Unlisted Dx Radiographic Procedure (76499) $225 $225 2.2×
Unlisted magnetic resonance procedure (76498)
range across 2 matching MRF lines
$313–$314 $313–$314 varies
Unlisted Miscellaneous Px Dx Nuclear Medicine (78999) $1,298 $1,298 2.7×
Unlisted us procedure (76999)
range across 2 matching MRF lines
$273–$314 $273–$314 varies
Upper gi w/o kub (74240) $936 $936 4.5×
Urea Breath Test C-14 Isotopic Acquisj Analysis (78267)
range across 2 matching MRF lines
$246–$666 $246–$666 varies
Urea breath test c-14 isotopic analysis (78268)
range across 2 matching MRF lines
$625–$2,513 $625–$2,513 varies
Ureteral Reflux Study (78740)
range across 2 matching MRF lines
$2,122–$3,077 $2,122–$3,077 varies
Urethrocystogram voiding (74455)
range across 2 matching MRF lines
$758–$1,639 $758–$1,639 varies
Urethrocystography retrograde (74450)
range across 2 matching MRF lines
$574–$1,639 $574–$1,639 varies
Us breast unilateral complete (76641)
range across 2 matching MRF lines
$556–$728 $556–$728 varies
Us chest (76604)
range across 2 matching MRF lines
$650–$853 $650–$853 varies
Us complete joint (76881)
range across 2 matching MRF lines
$591–$650 $591–$650 varies
Us exam, pelvic, limited (76857)
range across 2 matching MRF lines
$579–$620 $579–$620 varies
Us head (76506) $650 $650 5.2×
Us kidney transplant (76776) $693 $693 5.5×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882)
range across 2 matching MRF lines
$331–$464 $331–$464 varies
Us ob detailed single fetus (76811)
range across 2 matching MRF lines
$750–$1,290 $750–$1,290 varies
Us ob limited 1 or more fetuses (76815)
range across 2 matching MRF lines
$558–$650 $558–$650 varies
Us ob transvaginal (76817) $668 $668 5.3×
Us pelvic non ob complete (76856)
range across 2 matching MRF lines
$812–$1,456 $812–$1,456 varies
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801)
range across 2 matching MRF lines
$330–$738 $330–$738 varies
Us preg uterus real time f/u trnsabdl per fetus (76816) $507 $507 4.0×
Us retroperitoneal complete (76770)
range across 2 matching MRF lines
$484–$693 $484–$693 varies
Us retroperitoneal limited (76775)
range across 2 matching MRF lines
$325–$693 $325–$693 varies
Us scrotum and contents (76870)
range across 2 matching MRF lines
$740–$1,443 $740–$1,443 varies
Us spinal canal and contents (76800) $507 $507 4.0×
Us thyroid (76536)
range across 2 matching MRF lines
$673–$1,351 $673–$1,351 varies
Us transrectal (76872)
range across 2 matching MRF lines
$330–$509 $330–$509 varies
Vascular Flow Imaging (78445)
range across 2 matching MRF lines
$1,505–$2,572 $1,505–$2,572 varies
Vasogram (74440) $1,639 $1,639 5.7×
Vein X-Ray Chest (75827)
range across 2 matching MRF lines
$4,710–$4,823 $4,710–$4,823 varies
Vein X-Ray Spleen/Liver (75810) $8,911 $8,911 2.4×
Venogram Sinus/Jugular (75860)
range across 2 matching MRF lines
$2,691–$4,710 $2,691–$4,710 varies
Venography caval inferior serialography rs&i (75825) $8,911 $8,911 2.4×
Venography extremity bilateral rs&i (75822)
range across 2 matching MRF lines
$1,351–$4,020 $1,351–$4,020 varies
Venography extremity unilateral rs&i (75820)
range across 2 matching MRF lines
$3,058–$4,823 $3,058–$4,823 varies
Venography Renal Bilateral (75833) $8,911 $8,911 2.4×
Venography Renal Unilateral (75831) $8,911 $8,911 2.4×
Venous sampling by catheter (75893) $8,911 $8,911 1.3×
Vertebral fracture assessment via dxa (77086)
range across 2 matching MRF lines
$273–$309 $273–$309 varies
Wrist 2 views (73100) $319 $319 3.1×
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050)
range across 2 matching MRF lines
$319–$361 $319–$361 varies
X-ray antegrade pyelogram tube (74425) $1,870 $1,870 4.5×
X-Ray Aorta Leg Arteries (75630) $8,911 $8,911 2.4×
X-Ray Bend Only L-S Spine (72120)
range across 2 matching MRF lines
$452–$469 $452–$469 varies
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070)
range across 2 matching MRF lines
$319–$357 $319–$357 varies
X-Ray Exam Breast Specimen (76098)
range across 2 matching MRF lines
$390–$1,494 $390–$1,494 varies
X-Ray Exam Entire Spi 1 Vw (72081)
range across 2 matching MRF lines
$264–$687 $264–$687 varies
X-Ray Exam Entire Spi 2/3 Vw (72082)
range across 2 matching MRF lines
$501–$1,086 $501–$1,086 varies
X-Ray Exam Entire Spi 4/5 Vw (72083)
range across 2 matching MRF lines
$929–$1,086 $929–$1,086 varies
X-Ray Exam Hip Uni 1 View (73501)
range across 2 matching MRF lines
$261–$364 $261–$364 varies
X-Ray Exam Hip Uni 2-3 Views (73502)
range across 2 matching MRF lines
$364–$442 $364–$442 varies
X-Ray Exam Hip Uni 4/> Views (73503)
range across 2 matching MRF lines
$364–$607 $364–$607 varies
X-Ray Exam Hips Bi 2 Views (73521)
range across 2 matching MRF lines
$364–$593 $364–$593 varies
X-Ray Exam Hips Bi 3-4 Views (73522)
range across 2 matching MRF lines
$523–$722 $523–$722 varies
X-Ray Exam Hips Bi 5/> Views (73523)
range across 2 matching MRF lines
$702–$1,086 $702–$1,086 varies
X-Ray Exam L-S Spine Bending (72114)
range across 2 matching MRF lines
$829–$1,162 $829–$1,162 varies
X-Ray Exam Neck Spine 2-3 Vw (72040)
range across 2 matching MRF lines
$341–$402 $341–$402 varies
X-Ray Exam Neck Spine 6/>Vws (72052)
range across 2 matching MRF lines
$681–$803 $681–$803 varies
X-Ray Exam Unilat Ribs/Chest (71101)
range across 2 matching MRF lines
$452–$497 $452–$497 varies
X-ray eye for foreign body (70030)
range across 2 matching MRF lines
$273–$357 $273–$357 varies
X-ray humerus (73060)
range across 2 matching MRF lines
$319–$342 $319–$342 varies
X-ray IV pyelogram (ivp) (74400)
range across 2 matching MRF lines
$565–$1,639 $565–$1,639 varies
X-ray IV pyelogram+tomography (74415) $1,639 $1,639 7.8×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100)
range across 2 matching MRF lines
$360–$570 $360–$570 varies
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565)
range across 2 matching MRF lines
$319–$459 $319–$459 varies
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100)
range across 2 matching MRF lines
$395–$469 $395–$469 varies
X-ray nose-rectum child f.b. (76010) $587 $587 5.6×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111)
range across 2 matching MRF lines
$480–$569 $480–$569 varies
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202)
range across 2 matching MRF lines
$364–$373 $364–$373 varies
X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200)
range across 2 matching MRF lines
$319–$509 $319–$509 varies
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220)
range across 2 matching MRF lines
$293–$351 $293–$351 varies
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220)
range across 2 matching MRF lines
$301–$592 $301–$592 varies
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260)
range across 2 matching MRF lines
$481–$631 $481–$631 varies
X-Ray Stress View (77071) $267 $267 2.6×
X-ray thoracic spine 4 vw (72074)
range across 2 matching MRF lines
$398–$593 $398–$593 varies
X-Ray Urinary Tract Exam With Contrast Material (74420)
range across 2 matching MRF lines
$1,272–$1,870 $1,272–$1,870 varies
X-Rays Bone Length Studies (77073)
range across 2 matching MRF lines
$301–$364 $301–$364 varies
X-Rays Bone Survey Complete (77075)
range across 2 matching MRF lines
$545–$1,215 $545–$1,215 varies
Xr c-spine 4 or 5 views (72050)
range across 2 matching MRF lines
$452–$546 $452–$546 varies
Xr facial bones less than 3 views (70140)
range across 2 matching MRF lines
$269–$276 $269–$276 varies
XR Mastoids < 3 Views Bilateral (70120) $388 $388 3.1×
Xr orbits complete 4 views (70200)
range across 2 matching MRF lines
$390–$464 $390–$464 varies

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.