Imaging prices at Niagara Falls Memorial Medical Center
Niagara Falls, NY · every code in this section with a posted price and a Medicare benchmark.
378 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 |
$104.73–$124.94 | $149.61–$178.49 | varies |
| Abdomen 2 views (74019) | $124.94 | $178.49 | 1.0× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $591.22 | $844.60 | 1.2× |
| Angio internal mammary (75756) | $1,062.29 | $1,517.56 | 0.3× |
| Angio pulmonary bilat (75743) | $1,600.99 | $2,287.13 | 0.4× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $1,062.29 | $1,517.56 | 0.3× |
| Angiography extremity bilateral rs&i (75716) range across 2 matching MRF lines |
$458.85–$2,667.46 | $655.50–$3,810.65 | varies |
| Angiography extremity unilateral rs&i (75710) range across 2 matching MRF lines |
$513.80–$2,597.46 | $734–$3,710.65 | varies |
| Angiography pulmonary unilateral slctv rs&i (75741) | $708.97 | $1,012.82 | 0.2× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $1,062.29 | $1,517.56 | 0.3× |
| Ankle 2 views (73600) | $104.73 | $149.61 | 1.0× |
| Aortography thoracic serialography rs&i (75605) likely a partial charge, not the full procedure |
$1,600.99 | $2,287.13 | 0.2× |
| Aortography thoracic w/o serialography rs&i (75600) | $1,105.87 | $1,579.81 | 0.3× |
| Artery X-Rays Abdomen (75726) likely a partial charge, not the full procedure |
$1,600.99 | $2,287.13 | 0.2× |
| Artery X-Rays Adrenal Gland (75731) | $1,062.29 | $1,517.56 | 0.3× |
| Artery X-Rays Pelvis (75736) likely a partial charge, not the full procedure |
$1,062.29 | $1,517.56 | 0.2× |
| Artery X-Rays Spine (75705) likely a partial charge, not the full procedure |
$965.72 | $1,379.60 | 0.1× |
| Arthrogram ankle (73615) range across 2 matching MRF lines |
$104.73–$396.70 | $149.61–$566.72 | varies |
| Arthrogram hip (73525) | $619.62 | $885.17 | 1.4× |
| Arthrogram Wrist (73115) | $619.62 | $885.17 | 1.4× |
| Bone age studies (77072) | $104.73 | $149.61 | 0.8× |
| Bone Imaging 3 Phase (78315) | $591.51 | $845.02 | 1.2× |
| Bone Imaging Limited Area (78300) | $591.51 | $845.02 | 1.2× |
| Bone Imaging Multiple Areas (78305) | $591.51 | $845.02 | 1.2× |
| Bone Imaging Whole Body (78306) | $591.51 | $845.02 | 1.2× |
| Bone survey infant (77076) | $165.96 | $237.09 | 1.3× |
| Brain Flow Imaging Only (78610) | $973.60 | $1,390.85 | 1.4× |
| Brain Image W/Flow < 4 Views (78601) | $973.60 | $1,390.85 | 2.0× |
| Brain imaging < 4 static views (78600) | $297.06 | $424.37 | 0.6× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $973.60 | $1,390.85 | 1.4× |
| Brain Imaging Minimum 4 Static Views (78605) | $973.60 | $1,390.85 | 1.4× |
| Card Bl Pool Gated Spect Rest Wal Motn Ejct Frct (78494) | $372.32 | $531.88 | 0.7× |
| Cat Scan Follow-Up Study (76380) | $145.28 | $207.54 | 1.3× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $973.60 | $1,390.85 | 1.4× |
| Cerebrospinal Fluid Scan (78630) | $973.60 | $1,390.85 | 1.4× |
| Chest 1 view (71045) | $104.73 | $149.61 | 1.0× |
| Chest 2 views (71046) | $104.73 | $149.61 | 1.0× |
| Chest 3 views (71047) | $65.35 | $93.35 | 0.6× |
| Chest 4 or more views (71048) | $165.96 | $237.09 | 1.3× |
| Cholecystography Oral Contrast (74290) | $185.96 | $265.65 | 0.8× |
| Cineradiograpy/vidradiograpy xcpt where spec (76120) | $286.08 | $408.68 | 2.2× |
| Cisternography Positive Contrast Rs&I (70015) | $1,090.87 | $1,558.39 | 1.1× |
| Clavicle complete (73000) | $104.73 | $149.61 | 1.0× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $216.42 | $309.17 | 1.7× |
| Contrast Exam Abdominl Aorta (75625) range across 2 matching MRF lines |
$513.80–$2,934.20 | $734–$4,191.72 | varies |
| Contrast X-Ray Bladder (74430) | $470.38 | $671.97 | 1.1× |
| Contrast X-Ray Of Elbow (73085) | $619.62 | $885.17 | 1.4× |
| Contrast X-Ray Of Knee Joint (73580) | $619.62 | $885.17 | 1.4× |
| Contrast Xray Throat/Cerv Esopha (74210) range across 2 matching MRF lines |
$140.28–$185.96 | $200.40–$265.65 | varies |
| Corpora cavernosography (74445) | $470.38 | $671.97 | 3.6× |
| CT abdomen and pelvis without and with contrast (74178) | $712.38 | $1,017.69 | 1.6× |
| CT abdomen and pelvis without contrast (74176) | $441.51 | $630.73 | 1.5× |
| CT abdomen w contrast (74160) | $454.68 | $649.54 | 2.1× |
| CT abdomen w wo contrast (74170) | $512.01 | $731.44 | 2.3× |
| CT abdomen w/o contrast (74150) | $230.93 | $329.90 | 1.8× |
| CT Angio Abdomen and Pelvis (74174) | $712.38 | $1,017.69 | 1.6× |
| CT Angio Chest (71275) | $85.38 | $121.97 | 0.4× |
| CT Angio Head (70496) range across 3 matching MRF lines |
$177.48–$1,386 | $253.54–$1,980 | varies |
| CT angio hrt w/3d image (75574) | $404.89 | $578.41 | 0.9× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $533.13 | $761.61 | 2.4× |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$533.13–$1,386 | $761.61–$1,980 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $533.13 | $761.61 | 2.4× |
| CT bone density (77078) | $164.63 | $235.19 | 1.5× |
| CT cervical spine w/ contrast (72126) | $454.68 | $649.54 | 1.0× |
| CT cervical spine w/o contrast (72125) | $230.93 | $329.90 | 1.8× |
| CT cervical spine w/wo cont (72127) | $512.01 | $731.44 | 2.3× |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$454.68–$553.99 | $649.54–$791.41 | varies |
| CT chest w/wo contrast (71270) | $511.15 | $730.22 | 2.3× |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$444.13–$454.68 | $634.47–$649.54 | varies |
| CT head/brain without and with contrast (70470) | $512.01 | $731.44 | 2.3× |
| CT heart contrast eval cardiac structure&morph (75572) | $405.39 | $579.13 | 0.9× |
| CT heart no contrast quant eval coronry calcium (75571) | $52.43 | $74.90 | 0.5× |
| CT hrt w/3d image congen (75573) | $405.39 | $579.13 | 0.9× |
| CT iac w contrast (70481) | $454.68 | $649.54 | 2.1× |
| CT l-spine w&w/o contrast (72133) | $512.01 | $731.44 | 2.3× |
| CT lower ext w/o (73700) | $230.93 | $329.90 | 1.8× |
| CT lower extremity w/contrast material (73701) | $454.68 | $649.54 | 2.1× |
| CT lumbar spine w contrast (72132) | $454.68 | $649.54 | 1.0× |
| CT lumbar spine w/o contrast (72131) | $230.93 | $329.90 | 1.8× |
| CT maxillofacial w contrast (70487) | $454.68 | $649.54 | 2.1× |
| CT maxillofacial wo contrast (70486) | $230.93 | $329.90 | 1.8× |
| CT neck tissue combo (70492) | $512.01 | $731.44 | 2.3× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $512.01 | $731.44 | 2.3× |
| CT orbits w/o contrast (70480) | $230.93 | $329.90 | 1.8× |
| CT pelvis w&w/o contrast (72194) | $512.01 | $731.44 | 2.3× |
| CT pelvis w/o contrast (72192) | $230.93 | $329.90 | 1.8× |
| CT scan of leg combo (73702) | $512.01 | $731.44 | 2.3× |
| CT scans face/jaw combo (70488) | $512.01 | $731.44 | 2.3× |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$444.13–$454.68 | $634.47–$649.54 | varies |
| CT soft tissue neck w/o contrast (70490) | $230.93 | $329.90 | 1.8× |
| CT thoracic spine w contrast (72129) range across 2 matching MRF lines |
$454.68–$909.36 | $649.54–$1,299.08 | varies |
| CT thoracic spine w/o contrast (72128) | $230.93 | $329.90 | 1.8× |
| CT thoracic spine w/wo cont (72130) | $512.01 | $731.44 | 2.3× |
| CT thorax w/o contrast (71250) | $230.93 | $329.90 | 1.8× |
| CT upper ext wo (73200) | $230.93 | $329.90 | 1.8× |
| CT upper extremity w/o & w/contrast material (73202) | $512.01 | $731.44 | 2.3× |
| CT upper extremity with contrast (73201) | $454.68 | $649.54 | 1.0× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $544.85 | $778.36 | 2.5× |
| Cta Abdomen (74175) | $533.13 | $761.61 | 2.4× |
| CTA pelvis (72191) | $533.13 | $761.61 | 2.4× |
| Dilation ureters/urethra rs&i (74485) | $2,199.97 | $3,142.81 | 0.8× |
| Discography Cerv/Thor Spine (72285) | $5,041.62 | $7,202.32 | 2.1× |
| Diskography lumbar (72295) range across 2 matching MRF lines |
$4,583.29–$5,041.62 | $6,547.56–$7,202.32 | varies |
| Dxa Bone Density Axial (77080) | $164.63 | $235.19 | 1.3× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $93.51 | $133.58 | 0.9× |
| Echo exam uterus (76831) | $191.57 | $273.67 | 0.6× |
| Echo Guide For Artery Repair (76936) | $239.32 | $341.88 | 0.9× |
| Echograp Trans R Pros Study (76873) | $147.57 | $210.82 | 1.1× |
| Esophagram (74220) | $185.96 | $265.65 | 0.8× |
| Fetal Biophys Profile W/Nst (76818) range across 3 matching MRF lines |
$47.75–$245.72 | $68.22–$351.03 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 4 matching MRF lines |
$136.23–$222.50 | $194.62–$317.86 | varies |
| Fluoroscopy up to 1 hr (76000) | $286.08 | $408.68 | 1.0× |
| Follow-Up Angiography (75898) | $332.38 | $474.83 | 0.1× |
| Foot 2 views (73620) | $104.73 | $149.61 | 1.0× |
| Forearm 2 views (73090) | $104.73 | $149.61 | 1.0× |
| Gastric emptying imaging study (78264) | $591.22 | $844.60 | 1.2× |
| Gastric Mucosa Imaging (78261) | $591.22 | $844.60 | 1.2× |
| Gastroesophageal Reflux Exam (78262) | $591.22 | $844.60 | 1.2× |
| Gated Heart Planar Single (78472) | $699.55 | $999.35 | 1.4× |
| Gated Heart, Multiple (78473) | $699.55 | $999.35 | 1.4× |
| Hand 2 views (73120) | $104.73 | $149.61 | 0.8× |
| Heart first pass single,planar (78481) | $699.55 | $999.35 | 1.0× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $1,062.29 | $1,517.56 | 0.3× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $4,704.60 | $6,720.85 | 1.2× |
| Hepatobil Syst Image W/Drug (78227) | $680.32 | $971.88 | 1.0× |
| Hepatobiliary System Imaging (78226) | $680.32 | $971.88 | 1.4× |
| Ht Musc Image Planar Mult (78454) | $2,106.52 | $3,009.31 | 1.3× |
| Ht Muscle Image Spect Sing (78451) | $2,106.52 | $3,009.31 | 1.3× |
| Hysterosalpingogram (74740) range across 2 matching MRF lines |
$244.43–$580.50 | $349.18–$829.29 | varies |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $110.76 | $158.23 | 1.0× |
| Infusion Ivp (74410) | $470.38 | $671.97 | 2.1× |
| Interstitial radiation source applic complex (77778) range across 2 matching MRF lines |
$8,236.03–$9,698.77 | $11,765.75–$13,855.38 | varies |
| Joint Survey Single View (77077) | $104.73 | $149.61 | 0.8× |
| K Flow/Funct Image Multiple (78709) | $760.63 | $1,086.62 | 1.1× |
| K Flow/Funct Image W/Drug (78708) | $761.47 | $1,087.82 | 1.1× |
| K Flow/Funct Image W/O Drug (78707) | $761.47 | $1,087.82 | 1.1× |
| Kidney Imaging Morphol (78700) | $761.47 | $1,087.82 | 1.5× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $761.47 | $1,087.82 | 1.5× |
| Knee 3 Views (73562) | $104.73 | $149.61 | 1.0× |
| Labeled RBC Sequestration Differntl Organ/Tissue (78140) | $1,033.42 | $1,476.32 | 2.1× |
| Liver & Spleen Imaging Static Only (78215) | $680.32 | $971.88 | 1.4× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $680.32 | $971.88 | 1.4× |
| Liver imaging static only (78201) | $680.32 | $971.88 | 1.0× |
| Liver imaging w/vascular flow (78202) | $680.32 | $971.88 | 1.0× |
| Lung Perf&Ventilat Diferentl (78598) | $786.77 | $1,123.96 | 1.2× |
| Lung perfusion differential (78597) | $558.78 | $798.26 | 1.1× |
| Lung Ventilat&Perfus Imaging (78582) | $786.77 | $1,123.96 | 1.2× |
| Lung Ventilation Imaging (78579) | $558.78 | $798.26 | 1.1× |
| Lymph System Imaging (78195) | $632.42 | $903.45 | 0.9× |
| Lymphangiography Extremity Only Bilateral Rs&I (75803) | $476.29 | $680.42 | 0.2× |
| Lymphangiography extremity only unilateral rs&i (75801) | $476.29 | $680.42 | 0.6× |
| Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) | $535.31 | $764.73 | 0.1× |
| Lymphangiography, pelvic/abdominal, unilateral (75805) | $535.31 | $764.73 | 0.1× |
| Magnetic Image Jaw Joint (70336) | $305.84 | $436.91 | 1.0× |
| Mammary ductogram or galactogram multiple (77054) | $580.50 | $829.29 | 1.9× |
| Mammary ductogram or galactogram single (77053) range across 2 matching MRF lines |
$579.73–$580.50 | $828.19–$829.29 | varies |
| Meckels Divert Exam (78290) | $591.22 | $844.60 | 1.2× |
| Mra Head W/O & W/Contrast Material (70546) | $900.07 | $1,285.82 | 2.1× |
| MRA head w/o contrast (70544) | $538.27 | $768.96 | 1.8× |
| MRA head with contrast (70545) | $778.78 | $1,112.54 | 1.8× |
| MRA neck w contrast (70548) | $778.78 | $1,112.54 | 1.8× |
| Mra Neck W/O &W/Contrast Material (70549) | $900.07 | $1,285.82 | 2.1× |
| MRA neck w/o contrast (70547) | $538.27 | $768.96 | 1.8× |
| MRI abdomen w contrast (74182) | $778.78 | $1,112.54 | 1.8× |
| MRI abdomen w/o contrast (74181) | $538.27 | $768.96 | 1.8× |
| MRI any jt lower extrem w/contrast material (73722) range across 2 matching MRF lines |
$778.78–$980.80 | $1,112.54–$1,401.14 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $900.07 | $1,285.82 | 2.1× |
| MRI any jt upper extremity w/contrast matrl (73222) | $778.78 | $1,112.54 | 0.8× |
| MRI bone marrow blood supply (77084) | $538.27 | $768.96 | 1.8× |
| MRI cervical spine w contrast (72142) | $778.78 | $1,112.54 | 1.8× |
| MRI cervical spine w/o cont (72141) | $538.27 | $768.96 | 1.8× |
| MRI chest w/o contrast (71550) | $533.13 | $761.61 | 1.8× |
| MRI chest with contrast (71551) | $538.27 | $768.96 | 0.6× |
| MRI chest wo w contrast (71552) | $778.78 | $1,112.54 | 1.8× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $778.78 | $1,112.54 | 1.8× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $900.07 | $1,285.82 | 2.1× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $538.27 | $768.96 | 1.8× |
| MRI lumbar spine w contrast (72149) | $778.78 | $1,112.54 | 1.8× |
| Mri Neck Spine W/O & W/Dye (72156) | $900.07 | $1,285.82 | 2.1× |
| MRI orbit face &/neck w/o contrast (70540) | $538.27 | $768.96 | 1.8× |
| MRI orbit face neck w contrast (70542) | $778.78 | $1,112.54 | 1.8× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $900.07 | $1,285.82 | 2.1× |
| MRI pelvis w contrast (72196) | $778.78 | $1,112.54 | 1.8× |
| MRI pelvis w/o & w contrast (72197) | $900.07 | $1,285.82 | 2.1× |
| MRI pelvis w/o contrast (72195) | $534.94 | $764.20 | 1.8× |
| MRI thoracic spine w/o contrast (72146) | $538.27 | $768.96 | 1.8× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $778.78 | $1,112.54 | 1.8× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $538.27 | $768.96 | 1.8× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $900.07 | $1,285.82 | 2.1× |
| MRI, abdomen, combo (74183) | $900.07 | $1,285.82 | 2.1× |
| MRI, dorsal spine combo (72157) | $900.07 | $1,285.82 | 2.1× |
| MRI, dorsal spine contrast (72147) | $778.78 | $1,112.54 | 1.8× |
| MRI, joint upper extrem (73221) | $538.27 | $768.96 | 1.8× |
| MRI, joint upper extrem combo (73223) | $900.07 | $1,285.82 | 2.1× |
| MRI, lumbar spine combo (72158) | $900.07 | $1,285.82 | 2.1× |
| Myelogram cervical (72240) | $1,090.87 | $1,558.39 | 1.1× |
| Myelogram Lumbar (72265) | $1,090.87 | $1,558.39 | 1.1× |
| Myelography thoracic (72255) | $1,090.87 | $1,558.39 | 1.1× |
| Myelograpy 2/more regions rs&i (72270) | $1,090.87 | $1,558.39 | 1.1× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $2,106.52 | $3,009.31 | 1.3× |
| Myocardial Spect Multiple Studies (78452) | $2,106.52 | $3,009.31 | 1.3× |
| Neck soft tissue (70360) | $104.73 | $149.61 | 1.0× |
| Nfs/Instlj Radioelmnt Sln 3 Mo Follow-Up Care (77750) | $354.21 | $506.01 | 0.7× |
| Nm csf leak detection (78650) | $973.60 | $1,390.85 | 0.6× |
| Nm myocard infarct spect (78469) | $699.55 | $999.35 | 1.0× |
| Nonvascular Shunt X-Ray (75809) range across 2 matching MRF lines |
$83.83–$158.23 | $119.75–$226.04 | varies |
| Nuclear Rx Intra-Arterial (79445) | $1,068.84 | $1,526.91 | 3.7× |
| Nuclear Rx Oral Admin (79005) | $467.11 | $667.30 | 1.6× |
| Ob us nuchal meas 1 gest (76813) | $245.72 | $351.03 | 1.9× |
| Optic foramina (70190) | $104.73 | $149.61 | 1.0× |
| Parathyroid Planar Imaging (78070) | $523.96 | $748.51 | 1.0× |
| Pelvis 1 or 2 views (72170) | $104.73 | $149.61 | 0.8× |
| Peritoneogram Rs&I (74190) | $1,348.86 | $1,926.94 | 2.0× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $1,062.29 | $1,517.56 | 0.3× |
| Pulmonary Perfusion Imaging Particulate (78580) | $558.78 | $798.26 | 1.1× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$104.73–$165.96 | $149.61–$237.09 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 2 matching MRF lines |
$228.17–$580.50 | $325.96–$829.29 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) | $104.73 | $149.61 | 1.0× |
| Radex Calcaneus Minimum 2 Views (73650) | $104.73 | $149.61 | 1.0× |
| Radex elbow complete minimum 3 views (73080) | $104.73 | $149.61 | 1.0× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $165.96 | $237.09 | 1.3× |
| Radex fingr minimum 2 views (73140) | $104.73 | $149.61 | 1.0× |
| Radex foot complete minimum 3 views (73630) | $104.73 | $149.61 | 1.0× |
| Radex Hand Minimum 3 Views (73130) | $104.73 | $149.61 | 1.0× |
| Radex lower extremity infant minimum 2 views (73592) | $104.73 | $149.61 | 1.0× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $104.73 | $149.61 | 0.8× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $104.73 | $149.61 | 1.0× |
| Radex Pharynx/Larx W/Fluor&/Magnification Tq (70370) | $286.08 | $408.68 | 2.6× |
| Radex Ribs Unilateral 2 Views (71100) | $104.73 | $149.61 | 1.0× |
| Radex shoulder complete minimum 2 views (73030) | $104.73 | $149.61 | 1.0× |
| Radex Sinuses Paransl < 3 Views (70210) | $104.73 | $149.61 | 1.0× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $251.04 | $358.63 | 1.1× |
| Radex Spine 1 View Specify Level (72020) | $104.73 | $149.61 | 1.0× |
| Radex Sternum Minimum 2 Views (71120) | $104.73 | $149.61 | 1.0× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $104.73 | $149.61 | 1.0× |
| Radex Toe Minimum 2 Views (73660) | $104.73 | $149.61 | 1.0× |
| Radex upper extremity infant minimum 2 views (73092) | $165.96 | $237.09 | 1.3× |
| Radex Wrist Complete Minimum 3 Views (73110) | $104.73 | $149.61 | 1.0× |
| Radiolog exam mandible compl minimum 4 views (70110) | $165.96 | $237.09 | 1.3× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $124.94 | $178.49 | 1.0× |
| Radiologic exam colon double contrast study (74280) | $276.14 | $394.49 | 1.3× |
| Radiologic exam colon single contrast study (74270) | $276.14 | $394.49 | 1.3× |
| Radiologic exam knee complete 4/more views (73564) | $104.73 | $149.61 | 0.8× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $104.73 | $149.61 | 0.8× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $185.96 | $265.65 | 0.8× |
| Radiologic exam swallow function contrast study (74230) | $185.96 | $265.65 | 0.8× |
| Radiologic exam upr gi trc double contrast study (74246) range across 3 matching MRF lines |
$251.06–$276.16 | $358.65–$394.52 | varies |
| Radiologic examination femur 1 view (73551) | $61.83 | $88.33 | 0.6× |
| Radiologic examination femur minimum 2 views (73552) | $63.81 | $91.15 | 0.6× |
| Radiologic examination knee 1/2 views (73560) | $104.73 | $149.61 | 1.0× |
| Radiologic Examination Osseous Survey Limited (77074) | $165.96 | $237.09 | 1.3× |
| Radiologic Examination Salivary Gland Calculus (70380) | $104.73 | $149.61 | 1.0× |
| Radiologic examination tibia & fibula 2 views (73590) | $104.73 | $149.61 | 1.0× |
| Radiologic examination, internal auditory meati, complete Non-Facility (70134) | $104.73 | $149.61 | 0.2× |
| Red Cell Volume Determination Spx 1 Sampling (78120) | $1,033.42 | $1,476.32 | 2.1× |
| Renal Cyst Study (74470) | $1,348.86 | $1,926.94 | 2.0× |
| Ribs bilateral 3 views (71110) | $165.96 | $237.09 | 1.3× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $698.94 | $998.49 | 1.4× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $1,199.63 | $1,713.76 | 1.8× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $1,210.72 | $1,729.60 | 1.8× |
| Rp Therapy Intravenous Administration (79101) | $1,603.74 | $2,291.06 | 5.5× |
| Salivary Gland Function Study (78232) | $258.56 | $369.37 | 0.5× |
| Salivary Gland Imaging (78230) | $591.22 | $844.60 | 1.2× |
| Salivary Gland Imaging Serial Images (78231) | $591.22 | $844.60 | 1.2× |
| Scapula (73010) | $104.73 | $149.61 | 0.8× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $24.63 | $35.19 | 1.1× |
| Sella turcica (70240) | $104.73 | $149.61 | 1.0× |
| Shoulder 1 view (73020) | $104.73 | $149.61 | 1.0× |
| Shoulder Arthrography (73040) | $619.62 | $885.17 | 1.4× |
| Sialogram (70390) range across 2 matching MRF lines |
$244.43–$580.50 | $349.18–$829.29 | varies |
| Skull less than 4 views (70250) | $104.73 | $149.61 | 0.8× |
| Special Physics Consult (77370) | $304.32 | $434.74 | 1.8× |
| Special treatment procedure (77470) | $754.54 | $1,077.91 | 1.1× |
| Speech evaluation, complex (70371) | $349.43 | $499.19 | 1.2× |
| Spleen Imaging (78185) | $632.42 | $903.45 | 1.3× |
| Sternoclavicular joints (71130) | $104.73 | $149.61 | 1.0× |
| Superior sagittal sinus venogram (75870) | $580.50 | $829.29 | 0.1× |
| Temporomandble Jt Arthrography Rs&I (70332) | $619.62 | $885.17 | 2.1× |
| Testicular Imaging W/Flow (78761) | $761.47 | $1,087.82 | 1.5× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $568.56 | $812.23 | 1.2× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $276.14 | $394.49 | 1.3× |
| Thoracic spine 2 views (72070) | $104.73 | $149.61 | 0.8× |
| Thoracic spine 3 views (72072) | $165.96 | $237.09 | 1.3× |
| Thoracolumbar 2 views (72080) | $104.73 | $149.61 | 1.0× |
| Thyroid carcinoma metastases imaging; with additional studies (eg, urinary recovery) Non-Facility (78016) | $698.94 | $998.49 | 1.4× |
| Thyroid Carcinoma Metastases Img Lmtd Area (78015) | $698.94 | $998.49 | 1.4× |
| Thyroid Imaging With Vascular Flow (78013) | $334.89 | $478.41 | 0.7× |
| Thyroid Met Imaging Body (78018) | $698.94 | $998.49 | 1.0× |
| Thyroid Uptake Measurement (78012) | $256.35 | $366.22 | 0.5× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $523.96 | $748.51 | 1.0× |
| Tx devices design & construction simple (77332) | $389.84 | $556.91 | 2.3× |
| Ultrasound Breast Limited (76642) | $92.60 | $132.29 | 0.9× |
| Ultrasound Exam Aaa Screen (76706) | $104.74 | $149.63 | 0.8× |
| Ultrasound, abdomen limited (76705) | $245.72 | $351.03 | 1.9× |
| Umbilical-artery Doppler (OB) (76820) range across 3 matching MRF lines |
$92.63–$108.41 | $132.33–$154.87 | varies |
| Unlisted Miscellaneous Px Dx Nuclear Medicine (78999) | $294.22 | $420.31 | 0.6× |
| Unlisted us procedure (76999) | $103.49 | $147.84 | 1.0× |
| Upper gi w/o kub (74240) range across 2 matching MRF lines |
$251.04–$276.16 | $358.63–$394.52 | varies |
| Ureteral Reflux Study (78740) | $761.47 | $1,087.82 | 1.5× |
| Urethrocystogram voiding (74455) range across 2 matching MRF lines |
$106.80–$470.38 | $152.57–$671.97 | varies |
| Urethrocystography retrograde (74450) | $470.38 | $671.97 | 1.6× |
| Us breast unilateral complete (76641) range across 2 matching MRF lines |
$92.60–$185.20 | $132.29–$264.57 | varies |
| Us chest (76604) | $245.72 | $351.03 | 1.9× |
| Us complete joint (76881) | $245.72 | $351.03 | 1.9× |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$92.63–$93.40 | $132.33–$133.43 | varies |
| Us head (76506) | $245.72 | $351.03 | 1.9× |
| Us kidney transplant (76776) | $245.72 | $351.03 | 1.9× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $164.44 | $234.91 | 1.3× |
| Us ob detailed single fetus (76811) | $348.47 | $497.82 | 1.2× |
| Us ob limited 1 or more fetuses (76815) | $136.23 | $194.62 | 1.0× |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$136.23–$252.25 | $194.62–$360.36 | varies |
| Us pelvic non ob complete (76856) range across 3 matching MRF lines |
$136.23–$145.47 | $194.62–$207.81 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$223.38–$245.72 | $319.12–$351.03 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 4 matching MRF lines |
$84.97–$137.17 | $121.39–$195.96 | varies |
| Us retroperitoneal complete (76770) | $245.72 | $351.03 | 1.9× |
| Us retroperitoneal limited (76775) | $145.47 | $207.81 | 1.1× |
| Us scrotum and contents (76870) | $245.72 | $351.03 | 1.9× |
| Us spinal canal and contents (76800) | $144.35 | $206.21 | 1.1× |
| Us thyroid (76536) | $245.72 | $351.03 | 1.9× |
| Us transrectal (76872) | $245.72 | $351.03 | 1.9× |
| Vascular Flow Imaging (78445) | $580.50 | $829.29 | 1.2× |
| Vasogram (74440) | $470.38 | $671.97 | 1.6× |
| Vein X-Ray Chest (75827) | $1,510.02 | $2,157.17 | 0.8× |
| Vein X-Ray Liver W/O Hemodyn (75887) | $1,510.02 | $2,157.17 | 0.4× |
| Vein X-Ray Skull Epidural (75872) | $1,510.02 | $2,157.17 | 1.9× |
| Vein X-Ray Spleen/Liver (75810) | $4,704.60 | $6,720.85 | 1.2× |
| Venogram Sinus/Jugular (75860) | $1,510.02 | $2,157.17 | 0.4× |
| Venography Adrenal Unilateral (75840) | $4,704.60 | $6,720.85 | 1.2× |
| Venography caval inferior serialography rs&i (75825) | $4,704.60 | $6,720.85 | 1.2× |
| Venography extremity bilateral rs&i (75822) | $1,348.86 | $1,926.94 | 0.7× |
| Venography extremity unilateral rs&i (75820) range across 3 matching MRF lines |
$770.70–$1,510.02 | $1,101–$2,157.17 | varies |
| Venography Orbital Rs&I (75880) | $1,510.02 | $2,157.17 | 1.9× |
| Venography Renal Bilateral (75833) | $4,704.60 | $6,720.85 | 1.2× |
| Venography Renal Unilateral (75831) | $4,704.60 | $6,720.85 | 1.2× |
| Venous sampling by catheter (75893) range across 2 matching MRF lines |
$4,487.51–$4,704.60 | $6,410.73–$6,720.85 | varies |
| Venous thrombosis imaging (78457) | $580.50 | $829.29 | 0.9× |
| Venous Thrombosis Imaging Venogram Bilateral (78458) | $580.50 | $829.29 | 1.2× |
| Wrist 2 views (73100) | $104.73 | $149.61 | 1.0× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $104.73 | $149.61 | 1.0× |
| X-ray antegrade pyelogram tube (74425) | $470.38 | $671.97 | 1.1× |
| X-Ray Aorta Leg Arteries (75630) | $1,600.99 | $2,287.13 | 0.4× |
| X-Ray Bend Only L-S Spine (72120) | $165.96 | $237.09 | 1.3× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $104.73 | $149.61 | 1.0× |
| X-Ray Exam Breast Specimen (76098) | $580.50 | $829.29 | 0.9× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $106.32 | $151.88 | 1.0× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$165.96–$285.65 | $237.09–$408.07 | varies |
| X-Ray Exam Hip Uni 1 View (73501) | $104.73 | $149.61 | 1.0× |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 2 matching MRF lines |
$61.77–$104.73 | $88.24–$149.61 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) | $165.96 | $237.09 | 1.3× |
| X-Ray Exam L-S Spine Bending (72114) | $165.96 | $237.09 | 1.3× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $104.73 | $149.61 | 1.0× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $165.96 | $237.09 | 1.3× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $165.96 | $237.09 | 1.3× |
| X-ray eye for foreign body (70030) | $104.73 | $149.61 | 1.0× |
| X-ray humerus (73060) | $104.73 | $149.61 | 1.0× |
| X-ray IV pyelogram (ivp) (74400) | $470.38 | $671.97 | 2.1× |
| X-ray IV pyelogram+tomography (74415) | $470.38 | $671.97 | 2.1× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $104.73 | $149.61 | 1.0× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $104.73 | $149.61 | 1.0× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $104.73 | $149.61 | 0.8× |
| X-ray nose-rectum child f.b. (76010) | $104.73 | $149.61 | 1.0× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $165.96 | $237.09 | 1.3× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $61.77 | $88.24 | 0.5× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $104.73 | $149.61 | 0.8× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $104.73 | $149.61 | 1.0× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $104.73 | $149.61 | 1.0× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $165.96 | $237.09 | 1.3× |
| X-ray thoracic spine 4 vw (72074) | $104.73 | $149.61 | 0.8× |
| X-Ray Tmj Unilat (70328) | $104.73 | $149.61 | 1.0× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $470.38 | $671.97 | 1.1× |
| X-Rays Bone Length Studies (77073) | $104.73 | $149.61 | 0.8× |
| X-Rays Bone Survey Complete (77075) | $165.96 | $237.09 | 1.3× |
| Xr c-spine 4 or 5 views (72050) | $165.96 | $237.09 | 1.3× |
| Xr facial bones less than 3 views (70140) | $104.73 | $149.61 | 1.0× |
| XR Mastoids < 3 Views Bilateral (70120) | $104.73 | $149.61 | 0.8× |
| Xr myelogram posterior fossa (70010) | $1,090.87 | $1,558.39 | 2.5× |
| Xr orbits complete 4 views (70200) | $104.73 | $149.61 | 0.8× |
| Xr Tomogram Single Plane (76100) | $165.96 | $237.09 | 1.3× |
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.