Imaging prices at Newman Regional Health
Emporia, KS · every code in this section with a posted price and a Medicare benchmark.
263 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) | $125.60 | $157 | 1.6× |
| Abdomen 2 views (74019) | $231.20 | $289 | 2.4× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $685.60 | $857 | 1.9× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $3,170.40 | $3,963 | 1.1× |
| Angiography extremity bilateral rs&i (75716) | $4,557.60 | $5,697 | 1.6× |
| Angiography extremity unilateral rs&i (75710) | $4,557.60 | $5,697 | 1.6× |
| Ankle 2 views (73600) range across 5 matching MRF lines |
$16–$225.60 | $20–$282 | varies |
| Aortography thoracic serialography rs&i (75605) | $3,170.40 | $3,963 | 0.6× |
| Artery X-Rays Abdomen (75726) | $3,170.40 | $3,963 | 0.6× |
| Artery X-Rays Adrenal Gland (75731) | $3,170.40 | $3,963 | 1.1× |
| Artery X-Rays Pelvis (75736) | $3,170.40 | $3,963 | 0.6× |
| Arthrogram hip (73525) | $412.80 | $516 | 1.3× |
| Arthrogram Wrist (73115) | $335.20 | $419 | 1.0× |
| Bone age studies (77072) range across 3 matching MRF lines |
$16–$124 | $20–$155 | varies |
| Bone Imaging 3 Phase (78315) | $672.80 | $841 | 1.8× |
| Bone Imaging Limited Area (78300) | $435.20 | $544 | 1.2× |
| Bone Imaging Multiple Areas (78305) | $539.20 | $674 | 1.5× |
| Bone Imaging Whole Body (78306) | $571.20 | $714 | 1.6× |
| Bone survey infant (77076) | $155.20 | $194 | 1.6× |
| Cat Scan Follow-Up Study (76380) | $594.40 | $743 | 7.4× |
| Cerebrospinal Fluid Scan (78630) | $728 | $910 | 1.5× |
| Chest 1 view (71045) | $104.80 | $131 | 1.3× |
| Chest 2 views (71046) | $151.20 | $189 | 1.9× |
| Chest 3 views (71047) | $160.80 | $201 | 2.0× |
| Chest 4 or more views (71048) | $170.40 | $213 | 1.8× |
| Clavicle complete (73000) range across 5 matching MRF lines |
$16–$166.40 | $20–$208 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $160 | $200 | 1.7× |
| Contrast Exam Abdominl Aorta (75625) | $1,638.40 | $2,048 | 0.6× |
| Contrast X-Ray Of Knee Joint (73580) | $480.80 | $601 | 1.5× |
| CT abdomen and pelvis without and with contrast (74178) range across 3 matching MRF lines |
$199.20–$2,083.20 | $249–$2,604 | varies |
| CT abdomen and pelvis without contrast (74176) range across 3 matching MRF lines |
$180.80–$1,657.60 | $226–$2,072 | varies |
| CT abdomen w contrast (74160) range across 3 matching MRF lines |
$113.60–$1,027.20 | $142–$1,284 | varies |
| CT abdomen w wo contrast (74170) range across 3 matching MRF lines |
$121.60–$1,235.20 | $152–$1,544 | varies |
| CT abdomen w/o contrast (74150) range across 3 matching MRF lines |
$110.40–$824 | $138–$1,030 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 3 matching MRF lines |
$196–$2,284.80 | $245–$2,856 | varies |
| CT Angio Chest (71275) range across 3 matching MRF lines |
$128–$1,550.40 | $160–$1,938 | varies |
| CT Angio Head (70496) range across 3 matching MRF lines |
$133.60–$1,272 | $167–$1,590 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $1,260.80 | $1,576 | 7.8× |
| CT Angio Neck (70498) range across 3 matching MRF lines |
$133.60–$1,360 | $167–$1,700 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $1,260.80 | $1,576 | 7.8× |
| CT bone density (77078) | $708.80 | $886 | 8.9× |
| CT cervical spine w/ contrast (72126) | $934.40 | $1,168 | 2.9× |
| CT cervical spine w/o contrast (72125) range across 3 matching MRF lines |
$87.20–$876 | $109–$1,095 | varies |
| CT cervical spine w/wo cont (72127) | $992.80 | $1,241 | 6.2× |
| CT chest w contrast (71260) range across 3 matching MRF lines |
$101.60–$1,054.40 | $127–$1,318 | varies |
| CT chest w/wo contrast (71270) range across 3 matching MRF lines |
$109.60–$1,240.80 | $137–$1,551 | varies |
| CT head/brain with contrast (70460) range across 3 matching MRF lines |
$97.60–$879.20 | $122–$1,099 | varies |
| CT head/brain without and with contrast (70470) range across 3 matching MRF lines |
$113.60–$1,068.80 | $142–$1,336 | varies |
| CT heart no contrast quant eval coronry calcium (75571) | $200 | $250 | 2.5× |
| CT iac w contrast (70481) range across 3 matching MRF lines |
$104–$893.60 | $130–$1,117 | varies |
| CT l-spine w&w/o contrast (72133) | $992.80 | $1,241 | 6.2× |
| CT lower ext w/o (73700) range across 3 matching MRF lines |
$83.20–$752 | $104–$940 | varies |
| CT lower extremity w/contrast material (73701) range across 4 matching MRF lines |
$90.40–$840.80 | $113–$1,051 | varies |
| CT lumbar spine w contrast (72132) | $955.20 | $1,194 | 3.0× |
| CT lumbar spine w/o contrast (72131) range across 3 matching MRF lines |
$92–$888.80 | $115–$1,111 | varies |
| CT maxillofacial w contrast (70487) range across 3 matching MRF lines |
$100.80–$943.20 | $126–$1,179 | varies |
| CT maxillofacial wo contrast (70486) range across 3 matching MRF lines |
$90.40–$772 | $113–$965 | varies |
| CT neck tissue combo (70492) range across 3 matching MRF lines |
$116.80–$1,124.80 | $146–$1,406 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 3 matching MRF lines |
$110.40–$1,006.40 | $138–$1,258 | varies |
| CT orbits w/o contrast (70480) range across 3 matching MRF lines |
$99.20–$714.40 | $124–$893 | varies |
| CT pelvis w&w/o contrast (72194) range across 3 matching MRF lines |
$101.60–$1,203.20 | $127–$1,504 | varies |
| CT pelvis w/o contrast (72192) range across 3 matching MRF lines |
$93.60–$834.40 | $117–$1,043 | varies |
| CT scan of leg combo (73702) range across 4 matching MRF lines |
$95.20–$1,008.80 | $119–$1,261 | varies |
| CT scans face/jaw combo (70488) range across 3 matching MRF lines |
$105.60–$1,120.80 | $132–$1,401 | varies |
| CT soft tissue neck w contrast (70491) range across 3 matching MRF lines |
$108–$956 | $135–$1,195 | varies |
| CT soft tissue neck w/o contrast (70490) range across 3 matching MRF lines |
$99.20–$772 | $124–$965 | varies |
| CT thoracic spine w contrast (72129) | $784.80 | $981 | 4.9× |
| CT thoracic spine w/o contrast (72128) range across 3 matching MRF lines |
$86.40–$824.80 | $108–$1,031 | varies |
| CT thoracic spine w/wo cont (72130) | $864 | $1,080 | 5.4× |
| CT thorax w/o contrast (71250) range across 3 matching MRF lines |
$93.60–$844.80 | $117–$1,056 | varies |
| CT upper ext wo (73200) range across 5 matching MRF lines |
$60–$674.40 | $75–$843 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 4 matching MRF lines |
$96–$1,008.80 | $120–$1,261 | varies |
| CT upper extremity with contrast (73201) range across 4 matching MRF lines |
$90.40–$840.80 | $113–$1,051 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,543.20 | $1,929 | 9.6× |
| Cta Abdomen (74175) range across 3 matching MRF lines |
$144.80–$1,543.20 | $181–$1,929 | varies |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $2,632 | $3,290 | 8.2× |
| CTA pelvis (72191) | $1,504 | $1,880 | 9.3× |
| Dxa Bone Density Axial (77080) | $196.80 | $246 | 2.0× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $97.60 | $122 | 1.2× |
| Echo Guide For Artery Repair (76936) | $948 | $1,185 | 4.8× |
| Esophagram (74220) | $262.40 | $328 | 1.6× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 3 matching MRF lines |
$60–$141.60 | $75–$177 | varies |
| Fluoroscopy up to 1 hr (76000) range across 3 matching MRF lines |
$53.60–$224.80 | $67–$281 | varies |
| Foot 2 views (73620) range across 5 matching MRF lines |
$16–$180.80 | $20–$226 | varies |
| Forearm 2 views (73090) range across 5 matching MRF lines |
$16–$252.80 | $20–$316 | varies |
| Gastric emptying imaging study (78264) | $600.80 | $751 | 1.6× |
| Gated Heart Planar Single (78472) | $860 | $1,075 | 2.3× |
| Hand 2 views (73120) range across 5 matching MRF lines |
$16–$196.80 | $20–$246 | varies |
| Hepatobil Syst Image W/Drug (78227) | $671.20 | $839 | 1.3× |
| Hepatobiliary System Imaging (78226) | $596.80 | $746 | 1.6× |
| Ht Muscle Image Spect Sing (78451) | $975.20 | $1,219 | 0.8× |
| Hysterosalpingogram (74740) | $340 | $425 | 1.5× |
| Joint Survey Single View (77077) | $128 | $160 | 1.3× |
| K Flow/Funct Image Multiple (78709) | $746.40 | $933 | 1.5× |
| K Flow/Funct Image W/Drug (78708) | $707.20 | $884 | 1.4× |
| K Flow/Funct Image W/O Drug (78707) | $677.60 | $847 | 1.4× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $464 | $580 | 1.3× |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$20–$260 | $25–$325 | varies |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $420.80 | $526 | 1.1× |
| Liver imaging w/vascular flow (78202) | $420.80 | $526 | 0.8× |
| Lung Ventilat&Perfus Imaging (78582) | $756.80 | $946 | 1.5× |
| Lymph System Imaging (78195) | $1,550.40 | $1,938 | 3.1× |
| Magnetic Image Jaw Joint (70336) range across 3 matching MRF lines |
$116–$1,270.40 | $145–$1,588 | varies |
| Meckels Divert Exam (78290) | $441.60 | $552 | 1.2× |
| Mra Head W/O & W/Contrast Material (70546) | $1,512 | $1,890 | 4.7× |
| MRA head w/o contrast (70544) range across 3 matching MRF lines |
$93.60–$1,270.40 | $117–$1,588 | varies |
| MRA head with contrast (70545) | $1,391.20 | $1,739 | 4.3× |
| MRA neck w contrast (70548) | $1,391.20 | $1,739 | 4.3× |
| Mra Neck W/O &W/Contrast Material (70549) | $1,512 | $1,890 | 4.7× |
| MRA neck w/o contrast (70547) range across 3 matching MRF lines |
$93.60–$1,270.40 | $117–$1,588 | varies |
| MRI abdomen w contrast (74182) range across 3 matching MRF lines |
$136–$1,391.20 | $170–$1,739 | varies |
| MRI abdomen w/o contrast (74181) range across 3 matching MRF lines |
$115.20–$1,270.40 | $144–$1,588 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 4 matching MRF lines |
$127.20–$1,414.40 | $159–$1,768 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 4 matching MRF lines |
$165.60–$1,536.80 | $207–$1,921 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 3 matching MRF lines |
$127.20–$1,414.40 | $159–$1,768 | varies |
| MRI Breast W/O Contrast Bilateral (77047) | $1,270.40 | $1,588 | 5.8× |
| MRI Breast Without Contrast Material Unilateral (77046) | $1,270.40 | $1,588 | 5.8× |
| MRI cervical spine w contrast (72142) range across 3 matching MRF lines |
$148–$1,414.40 | $185–$1,768 | varies |
| MRI cervical spine w/o cont (72141) range across 3 matching MRF lines |
$136.80–$1,292 | $171–$1,615 | varies |
| MRI chest w/o contrast (71550) | $1,186.40 | $1,483 | 5.4× |
| MRI chest with contrast (71551) | $1,391.20 | $1,739 | 1.9× |
| MRI chest wo w contrast (71552) | $1,512 | $1,890 | 4.7× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 4 matching MRF lines |
$128.80–$1,414.40 | $161–$1,768 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 4 matching MRF lines |
$167.20–$1,536.80 | $209–$1,921 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 4 matching MRF lines |
$105.60–$1,292 | $132–$1,615 | varies |
| MRI lumbar spine w contrast (72149) range across 3 matching MRF lines |
$140.80–$1,414.40 | $176–$1,768 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 3 matching MRF lines |
$191.20–$1,536.80 | $239–$1,921 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 3 matching MRF lines |
$106.40–$1,270.40 | $133–$1,588 | varies |
| MRI orbit face neck w contrast (70542) range across 3 matching MRF lines |
$128–$1,391.20 | $160–$1,739 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 3 matching MRF lines |
$166.40–$1,512 | $208–$1,890 | varies |
| MRI pelvis w contrast (72196) range across 3 matching MRF lines |
$139.20–$1,391.20 | $174–$1,739 | varies |
| MRI pelvis w/o & w contrast (72197) range across 3 matching MRF lines |
$175.20–$1,512 | $219–$1,890 | varies |
| MRI pelvis w/o contrast (72195) range across 3 matching MRF lines |
$115.20–$1,270.40 | $144–$1,588 | varies |
| MRI thoracic spine w/o contrast (72146) range across 3 matching MRF lines |
$136.80–$1,270.40 | $171–$1,588 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 4 matching MRF lines |
$128–$1,414.40 | $160–$1,768 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 4 matching MRF lines |
$105.60–$1,292 | $132–$1,615 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 4 matching MRF lines |
$166.40–$1,536.80 | $208–$1,921 | varies |
| MRI, abdomen, combo (74183) range across 3 matching MRF lines |
$175.20–$1,512 | $219–$1,890 | varies |
| MRI, dorsal spine combo (72157) range across 3 matching MRF lines |
$191.20–$1,512 | $239–$1,890 | varies |
| MRI, dorsal spine contrast (72147) range across 3 matching MRF lines |
$147.20–$1,391.20 | $184–$1,739 | varies |
| MRI, joint upper extrem (73221) range across 4 matching MRF lines |
$121.60–$2,581.60 | $152–$3,227 | varies |
| MRI, joint upper extrem combo (73223) range across 4 matching MRF lines |
$165.60–$1,536.80 | $207–$1,921 | varies |
| MRI, lumbar spine combo (72158) range across 3 matching MRF lines |
$191.20–$1,536.80 | $239–$1,921 | varies |
| Myelography thoracic (72255) | $3,050.40 | $3,813 | 4.2× |
| Myocardial Spect Multiple Studies (78452) range across 3 matching MRF lines |
$136–$2,247.20 | $170–$2,809 | varies |
| Neck soft tissue (70360) | $121.60 | $152 | 1.5× |
| Nm csf leak detection (78650) | $728 | $910 | 0.6× |
| Nonvascular Shunt X-Ray (75809) | $156 | $195 | 1.6× |
| Parathyroid Planar Imaging (78070) | $373.60 | $467 | 1.0× |
| Parathyroid planar imaging w/wo subtraction (78071) | $462.40 | $578 | 1.3× |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$16–$172.80 | $20–$216 | varies |
| PET image w/CT, full body (78816) | $3,941.60 | $4,927 | 3.0× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $3,941.60 | $4,927 | 3.0× |
| Pulmonary Perfusion Imaging Particulate (78580) | $515.20 | $644 | 1.4× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $281.60 | $352 | 2.9× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $265.60 | $332 | 0.5× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$108.64–$274.40 | $135.80–$343 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 5 matching MRF lines |
$16–$225.60 | $20–$282 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$16–$196.80 | $20–$246 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $190.40 | $238 | 2.0× |
| Radex fingr minimum 2 views (73140) range across 3 matching MRF lines |
$16–$101.60 | $20–$127 | varies |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$16–$274.40 | $20–$343 | varies |
| Radex Hand Minimum 3 Views (73130) range across 5 matching MRF lines |
$16–$274.40 | $20–$343 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 5 matching MRF lines |
$16–$229.60 | $20–$287 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $162.40 | $203 | 2.0× |
| Radex Ribs Unilateral 2 Views (71100) | $190.40 | $238 | 2.4× |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$16–$290.40 | $20–$363 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $158.40 | $198 | 2.0× |
| Radex Spine 1 View Specify Level (72020) | $16 | $20 | 0.2× |
| Radex Sternum Minimum 2 Views (71120) | $130.40 | $163 | 1.6× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $146.40 | $183 | 1.8× |
| Radex Toe Minimum 2 Views (73660) range across 4 matching MRF lines |
$16–$101.60 | $20–$127 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 5 matching MRF lines |
$16–$198.40 | $20–$248 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$16–$190.40 | $20–$238 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $270.40 | $338 | 2.8× |
| Radiolog exam mandible compl minimum 4 views (70110) | $213.60 | $267 | 2.2× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $311.20 | $389 | 3.2× |
| Radiologic exam colon double contrast study (74280) | $1,090.40 | $1,363 | 6.8× |
| Radiologic exam colon single contrast study (74270) | $1,090.40 | $1,363 | 6.8× |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$21.60–$290.40 | $27–$363 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $14.40 | $18 | 0.1× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $278.40 | $348 | 1.7× |
| Radiologic exam swallow function contrast study (74230) | $296 | $370 | 1.8× |
| Radiologic exam upr gi trc double contrast study (74246) | $377.60 | $472 | 2.3× |
| Radiologic examination femur 1 view (73551) | $14.40 | $18 | 0.2× |
| Radiologic examination femur minimum 2 views (73552) range across 6 matching MRF lines |
$16–$290.40 | $20–$363 | varies |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$16–$188 | $20–$235 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$16–$180 | $20–$225 | varies |
| Ribs bilateral 3 views (71110) range across 4 matching MRF lines |
$190.40–$241.60 | $238–$302 | varies |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $473.60 | $592 | 1.3× |
| Scapula (73010) range across 5 matching MRF lines |
$16–$194.40 | $20–$243 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $77.60 | $97 | 3.3× |
| Shoulder 1 view (73020) range across 5 matching MRF lines |
$16–$176 | $20–$220 | varies |
| Shoulder Arthrography (73040) range across 4 matching MRF lines |
$335.20–$354.40 | $419–$443 | varies |
| Skull less than 4 views (70250) | $152 | $190 | 1.6× |
| Spleen Imaging (78185) | $339.20 | $424 | 0.9× |
| Sternoclavicular joints (71130) | $120.80 | $151 | 1.5× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $333.60 | $417 | 2.1× |
| Thoracic spine 2 views (72070) range across 3 matching MRF lines |
$16–$175.20 | $20–$219 | varies |
| Thoracic spine 3 views (72072) range across 3 matching MRF lines |
$16–$188.80 | $20–$236 | varies |
| Thoracolumbar 2 views (72080) | $208.80 | $261 | 2.6× |
| Thyroid Imaging With Vascular Flow (78013) | $272 | $340 | 0.7× |
| Thyroid Met Imaging Body (78018) | $366.40 | $458 | 0.7× |
| Thyroid Uptake Measurement (78012) | $272 | $340 | 0.7× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $504.80 | $631 | 1.4× |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$297.60–$520.80 | $372–$651 | varies |
| Ultrasound Exam Aaa Screen (76706) range across 3 matching MRF lines |
$41.60–$128 | $52–$160 | varies |
| Ultrasound, abdomen limited (76705) range across 3 matching MRF lines |
$47.20–$264 | $59–$330 | varies |
| Unlisted us procedure (76999) | $360.80 | $451 | 4.5× |
| Upper gi w/o kub (74240) | $358.40 | $448 | 2.2× |
| Urethrocystogram voiding (74455) | $328.80 | $411 | 1.5× |
| Urethrocystography retrograde (74450) | $235.20 | $294 | 1.1× |
| Us breast unilateral complete (76641) | $372 | $465 | 3.9× |
| Us chest (76604) range across 3 matching MRF lines |
$44.80–$372 | $56–$465 | varies |
| Us complete joint (76881) | $360.80 | $451 | 3.8× |
| Us exam, pelvic, limited (76857) range across 3 matching MRF lines |
$60–$112 | $75–$140 | varies |
| Us head (76506) | $520.80 | $651 | 5.4× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 4 matching MRF lines |
$38.40–$360.80 | $48–$451 | varies |
| Us ob limited 1 or more fetuses (76815) range across 3 matching MRF lines |
$60–$141.60 | $75–$177 | varies |
| Us ob transvaginal (76817) range across 3 matching MRF lines |
$60–$141.60 | $75–$177 | varies |
| Us pelvic non ob complete (76856) range across 3 matching MRF lines |
$60–$384 | $75–$480 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 3 matching MRF lines |
$60–$122.40 | $75–$153 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 3 matching MRF lines |
$60–$141.60 | $75–$177 | varies |
| Us retroperitoneal complete (76770) range across 3 matching MRF lines |
$58.40–$405.60 | $73–$507 | varies |
| Us scrotum and contents (76870) range across 3 matching MRF lines |
$52–$360.80 | $65–$451 | varies |
| Us spinal canal and contents (76800) | $128 | $160 | 1.3× |
| Us thyroid (76536) range across 3 matching MRF lines |
$49.60–$520.80 | $62–$651 | varies |
| Venography caval inferior serialography rs&i (75825) | $3,263.20 | $4,079 | 1.1× |
| Venography extremity unilateral rs&i (75820) | $781.60 | $977 | 0.5× |
| Wrist 2 views (73100) range across 6 matching MRF lines |
$14.40–$173.60 | $18–$217 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 3 matching MRF lines |
$14.40–$132 | $18–$165 | varies |
| X-ray antegrade pyelogram tube (74425) | $321.60 | $402 | 1.0× |
| X-Ray Aorta Leg Arteries (75630) | $4,557.60 | $5,697 | 1.6× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$16–$192.80 | $20–$241 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $160.80 | $201 | 1.7× |
| X-Ray Exam Hip Uni 1 View (73501) range across 5 matching MRF lines |
$14.40–$124 | $18–$155 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 6 matching MRF lines |
$14.40–$148.80 | $18–$186 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) range across 5 matching MRF lines |
$21.60–$324.80 | $27–$406 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$14.40–$395.20 | $18–$494 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 3 matching MRF lines |
$20–$416.80 | $25–$521 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) | $438.40 | $548 | 4.6× |
| X-Ray Exam L-S Spine Bending (72114) range across 3 matching MRF lines |
$21.60–$318.40 | $27–$398 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 3 matching MRF lines |
$16–$176.80 | $20–$221 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 3 matching MRF lines |
$23.20–$292 | $29–$365 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) | $231.20 | $289 | 2.4× |
| X-ray eye for foreign body (70030) | $120.80 | $151 | 1.5× |
| X-ray humerus (73060) range across 5 matching MRF lines |
$16–$200.80 | $20–$251 | varies |
| X-ray IV pyelogram (ivp) (74400) | $397.60 | $497 | 2.5× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $165.60 | $207 | 2.1× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 3 matching MRF lines |
$16–$110.40 | $20–$138 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 3 matching MRF lines |
$16–$206.40 | $20–$258 | varies |
| X-ray nose-rectum child f.b. (76010) | $96 | $120 | 1.2× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $270.40 | $338 | 2.8× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $152 | $190 | 1.6× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $178.40 | $223 | 2.2× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $229.60 | $287 | 2.9× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $244 | $305 | 2.5× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $354.40 | $443 | 1.1× |
| X-Rays Bone Length Studies (77073) range across 3 matching MRF lines |
$19.20–$201.60 | $24–$252 | varies |
| X-Rays Bone Survey Complete (77075) | $425.60 | $532 | 4.4× |
| Xr c-spine 4 or 5 views (72050) range across 3 matching MRF lines |
$22.40–$269.60 | $28–$337 | varies |
| Xr facial bones less than 3 views (70140) | $146.40 | $183 | 1.8× |
| Xr orbits complete 4 views (70200) | $158.40 | $198 | 1.6× |
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.