Imaging prices at NKC Health
North Kansas City, MO · every code in this section with a posted price and a Medicare benchmark.
279 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 3-D radiotherapy plan dose-volume histograms (77295) | $3,443.46 | $11,874 | 2.5× |
| Abdomen 1 View (74018) | $119.48 | $412 | 1.4× |
| Abdomen 2 views (74019) | $149.06 | $514 | 1.4× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $984.55 | $3,395 | 2.5× |
| Adrenal Cortex & Medulla Img (78075) | $744.43 | $2,567 | 0.6× |
| Ankle 2 views (73600) range across 6 matching MRF lines |
$91.64–$229.10 | $316–$790 | varies |
| Basic radiation dosimetry calculation (77300) | $358.44 | $1,236 | 2.7× |
| Bone age studies (77072) | $116.87 | $403 | 1.1× |
| Bone Imaging 3 Phase (78315) | $984.55 | $3,395 | 2.5× |
| Bone Imaging Whole Body (78306) | $984.55 | $3,395 | 2.5× |
| Bone marrow imaging; whole body (78104) | $744.43 | $2,567 | 1.9× |
| Bone survey infant (77076) | $140.65 | $485 | 1.3× |
| Brain Image W/Flow < 4 Views (78601) | $984.55 | $3,395 | 2.5× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $2,888.98 | $9,962 | 2.0× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $730.22 | $2,518 | 2.1× |
| Cardiac Shunt Detection (78428) | $984.55 | $3,395 | 2.5× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $984.55 | $3,395 | 1.8× |
| Cerebrospinal Fluid Scan (78630) | $856.08 | $2,952 | 1.6× |
| Chest 1 view (71045) | $102.37 | $353 | 1.2× |
| Chest 2 views (71046) | $123.54 | $426 | 1.4× |
| Chest 4 or more views (71048) | $154.57 | $533 | 1.5× |
| Clavicle complete (73000) | $127.89 | $441 | 1.5× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $434.71 | $1,499 | 4.2× |
| Continuing medical physics consltj pr wk (77336) | $396.72 | $1,368 | 2.9× |
| CT abdomen and pelvis without and with contrast (74178) | $1,240.91 | $4,279 | 3.6× |
| CT abdomen and pelvis without contrast (74176) | $910.31 | $3,139 | 3.8× |
| CT abdomen w contrast (74160) | $537.66 | $1,854 | 3.1× |
| CT abdomen w wo contrast (74170) | $620.60 | $2,140 | 3.5× |
| CT abdomen w/o contrast (74150) | $454.72 | $1,568 | 4.3× |
| CT Angio Abdomen and Pelvis (74174) | $1,240.91 | $4,279 | 3.6× |
| CT Angio Chest (71275) | $620.60 | $2,140 | 3.5× |
| CT Angio Head (70496) | $620.60 | $2,140 | 3.5× |
| CT angio hrt w/3d image (75574) | $620.60 | $2,140 | 1.8× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $620.60 | $2,140 | 3.5× |
| CT Angio Neck (70498) | $620.60 | $2,140 | 3.5× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $620.60 | $2,140 | 3.5× |
| CT cervical spine w/ contrast (72126) | $537.66 | $1,854 | 1.5× |
| CT cervical spine w/o contrast (72125) | $454.72 | $1,568 | 4.3× |
| CT cervical spine w/wo cont (72127) | $620.60 | $2,140 | 3.5× |
| CT chest w contrast (71260) | $537.66 | $1,854 | 3.1× |
| CT chest w/wo contrast (71270) | $620.60 | $2,140 | 3.5× |
| CT Colonogrphy Dx Image Postprocess W/Contrast (74262) | $537.66 | $1,854 | 3.1× |
| CT colonogrphy dx image postprocess w/o contrast (74261) | $454.72 | $1,568 | 4.3× |
| CT head/brain with contrast (70460) | $537.66 | $1,854 | 3.1× |
| CT head/brain without and with contrast (70470) | $620.60 | $2,140 | 3.5× |
| CT heart contrast eval cardiac structure&morph (75572) | $537.66 | $1,854 | 1.5× |
| CT heart no contrast quant eval coronry calcium (75571) | $433.26 | $1,494 | 5.0× |
| CT iac w contrast (70481) | $537.66 | $1,854 | 3.1× |
| CT l-spine w&w/o contrast (72133) | $620.60 | $2,140 | 3.5× |
| CT lower ext w/o (73700) range across 19 matching MRF lines |
$454.72–$909.44 | $1,568–$3,136 | varies |
| CT lower extremity w/contrast material (73701) | $537.66 | $1,854 | 3.1× |
| CT lumbar spine w contrast (72132) | $537.66 | $1,854 | 1.5× |
| CT lumbar spine w/o contrast (72131) | $454.72 | $1,568 | 4.3× |
| CT maxillofacial w contrast (70487) | $537.66 | $1,854 | 3.1× |
| CT maxillofacial wo contrast (70486) | $454.72 | $1,568 | 4.3× |
| CT neck tissue combo (70492) | $620.60 | $2,140 | 3.5× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $620.60 | $2,140 | 3.5× |
| CT orbits w/o contrast (70480) | $454.72 | $1,568 | 4.3× |
| CT pelvis w&w/o contrast (72194) | $620.60 | $2,140 | 3.5× |
| CT pelvis w/o contrast (72192) range across 8 matching MRF lines |
$454.72–$909.44 | $1,568–$3,136 | varies |
| CT scan of leg combo (73702) | $620.60 | $2,140 | 3.5× |
| CT scans face/jaw combo (70488) | $620.60 | $2,140 | 3.5× |
| CT soft tissue neck w contrast (70491) | $537.66 | $1,854 | 3.1× |
| CT soft tissue neck w/o contrast (70490) | $454.72 | $1,568 | 4.3× |
| CT thoracic spine w contrast (72129) | $537.66 | $1,854 | 3.1× |
| CT thoracic spine w/o contrast (72128) | $454.72 | $1,568 | 4.3× |
| CT thoracic spine w/wo cont (72130) | $620.60 | $2,140 | 3.5× |
| CT thorax w/o contrast (71250) range across 5 matching MRF lines |
$454.72–$545.78 | $1,568–$1,882 | varies |
| CT upper ext wo (73200) range across 5 matching MRF lines |
$454.72–$909.44 | $1,568–$3,136 | varies |
| CT upper extremity w/o & w/contrast material (73202) | $620.60 | $2,140 | 3.5× |
| CT upper extremity with contrast (73201) range across 4 matching MRF lines |
$537.66–$1,075.32 | $1,854–$3,708 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $620.60 | $2,140 | 3.5× |
| Cta Abdomen (74175) | $620.60 | $2,140 | 3.5× |
| CTA pelvis (72191) | $620.60 | $2,140 | 3.5× |
| Doppler Fetal Mid Cerebral Artery (76821) | $140.36 | $484 | 1.3× |
| Dxa Bone Density Axial (77080) | $191.69 | $661 | 1.8× |
| Echo Guide For Artery Repair (76936) | $342.20 | $1,180 | 1.6× |
| Esophagram (74220) | $215.18 | $742 | 1.2× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $432.39 | $1,491 | 4.1× |
| Fluoroscopy up to 1 hr (76000) | $87 | $300 | 0.4× |
| Foot 2 views (73620) range across 5 matching MRF lines |
$88.45–$221.56 | $305–$764 | varies |
| Forearm 2 views (73090) range across 5 matching MRF lines |
$98.60–$247.08 | $340–$852 | varies |
| Gastric emptying imaging study (78264) | $984.55 | $3,395 | 2.5× |
| Gastroesophageal Reflux Exam (78262) | $744.43 | $2,567 | 1.9× |
| Gated Heart Planar Single (78472) | $1,073.87 | $3,703 | 2.7× |
| Hand 2 views (73120) range across 5 matching MRF lines |
$84.97–$212.86 | $293–$734 | varies |
| Hepatobil Syst Image W/Drug (78227) | $984.55 | $3,395 | 1.8× |
| Hepatobiliary System Imaging (78226) | $984.55 | $3,395 | 2.5× |
| Ht Muscle Image Spect Sing (78451) | $1,234.82 | $4,258 | 1.0× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $112.52 | $388 | 1.3× |
| Infant hip ultrasound, limited static exam (76886) | $112.52 | $388 | 1.3× |
| K Flow/Funct Image W/Drug (78708) | $984.55 | $3,395 | 1.8× |
| K Flow/Funct Image W/O Drug (78707) | $984.55 | $3,395 | 1.8× |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$134.56–$269.12 | $464–$928 | varies |
| Leveen/Shunt Patency Exam (78291) | $533.31 | $1,839 | 1.3× |
| Liver & Spleen Imaging Static Only (78215) | $744.43 | $2,567 | 1.9× |
| Lung perfusion differential (78597) | $984.55 | $3,395 | 2.5× |
| Lung Ventilat&Perfus Imaging (78582) | $984.55 | $3,395 | 1.8× |
| Lung Ventilation Imaging (78579) | $744.43 | $2,567 | 1.9× |
| Lymph System Imaging (78195) | $1,296.30 | $4,470 | 2.4× |
| Magnetic Image Jaw Joint (70336) | $681.50 | $2,350 | 2.9× |
| Meckels Divert Exam (78290) | $984.55 | $3,395 | 2.5× |
| Mlc imrt design & construction per imrt plan (77338) | $957.29 | $3,301 | 2.6× |
| Mra Head W/O & W/Contrast Material (70546) | $730.22 | $2,518 | 2.1× |
| MRA head w/o contrast (70544) | $681.50 | $2,350 | 2.9× |
| MRA head with contrast (70545) | $697.16 | $2,404 | 2.0× |
| MRA neck w contrast (70548) | $697.16 | $2,404 | 2.0× |
| Mra Neck W/O &W/Contrast Material (70549) | $730.22 | $2,518 | 2.1× |
| MRA neck w/o contrast (70547) | $681.50 | $2,350 | 2.9× |
| MRI abdomen w contrast (74182) | $697.16 | $2,404 | 2.0× |
| MRI abdomen w/o contrast (74181) | $681.50 | $2,350 | 2.9× |
| MRI any jt lower extrem w/contrast material (73722) range across 5 matching MRF lines |
$697.16–$1,394.32 | $2,404–$4,808 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 5 matching MRF lines |
$730.22–$1,460.44 | $2,518–$5,036 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 4 matching MRF lines |
$697.16–$1,394.32 | $2,404–$4,808 | varies |
| MRI Breast W/O Contrast Bilateral (77047) | $1,363 | $4,700 | 5.7× |
| MRI Breast Without Contrast Material Unilateral (77046) | $681.50 | $2,350 | 2.9× |
| MRI cardiac w/o contrast (75557) | $681.50 | $2,350 | 2.9× |
| MRI cervical spine w contrast (72142) | $697.16 | $2,404 | 2.0× |
| MRI cervical spine w/o cont (72141) | $681.50 | $2,350 | 2.9× |
| MRI chest w/o contrast (71550) | $681.50 | $2,350 | 2.9× |
| MRI chest with contrast (71551) | $697.16 | $2,404 | 0.9× |
| MRI chest wo w contrast (71552) | $730.22 | $2,518 | 2.1× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $697.16 | $2,404 | 2.0× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 3 matching MRF lines |
$730.22–$1,460.44 | $2,518–$5,036 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 4 matching MRF lines |
$681.50–$1,363 | $2,350–$4,700 | varies |
| MRI lumbar spine w contrast (72149) | $697.16 | $2,404 | 2.0× |
| Mri Neck Spine W/O & W/Dye (72156) | $730.22 | $2,518 | 2.1× |
| MRI orbit face &/neck w/o contrast (70540) | $681.50 | $2,350 | 2.9× |
| MRI orbit face neck w contrast (70542) | $697.16 | $2,404 | 2.0× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $730.22 | $2,518 | 2.1× |
| MRI pelvis w contrast (72196) | $697.16 | $2,404 | 2.0× |
| MRI pelvis w/o & w contrast (72197) range across 3 matching MRF lines |
$681.50–$730.22 | $2,350–$2,518 | varies |
| MRI pelvis w/o contrast (72195) | $681.50 | $2,350 | 2.9× |
| MRI thoracic spine w/o contrast (72146) | $681.50 | $2,350 | 2.9× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $697.16 | $2,404 | 2.0× |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 3 matching MRF lines |
$681.50–$1,363 | $2,350–$4,700 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) | $730.22 | $2,518 | 2.1× |
| MRI, abdomen, combo (74183) | $730.22 | $2,518 | 2.1× |
| MRI, dorsal spine combo (72157) | $730.22 | $2,518 | 2.1× |
| MRI, dorsal spine contrast (72147) | $697.16 | $2,404 | 2.0× |
| MRI, joint upper extrem (73221) range across 3 matching MRF lines |
$681.50–$1,363 | $2,350–$4,700 | varies |
| MRI, joint upper extrem combo (73223) | $730.22 | $2,518 | 2.1× |
| MRI, lumbar spine combo (72158) | $730.22 | $2,518 | 2.1× |
| Myocardial Spect Multiple Studies (78452) | $1,234.82 | $4,258 | 1.0× |
| Myocrd Img Pet Metab Eval Single Study Cncrnt CT (78429) | $3,061.82 | $10,558 | 2.1× |
| Myocrd img PET prfuj 1std rest/stress cncrnt CT (78430) | $4,049.27 | $13,963 | 2.8× |
| Myocrd Img Pet Prfuj Mlt Std Rst&Strs Cncrnt CT (78431) | $4,334.92 | $14,948 | 2.0× |
| Myocrd Img Pet Prfuj W/Metab 2rtracer Cncrnt CT (78433) | $4,049.27 | $13,963 | 1.8× |
| Neck soft tissue (70360) | $113.97 | $393 | 1.3× |
| Ntsty modul radthx pln dose-vol histos (77301) range across 2 matching MRF lines |
$3,816.11–$6,753.52 | $13,159–$23,288 | varies |
| Nuclear Rx Oral Admin (79005) | $984.55 | $3,395 | 4.2× |
| Parathyroid Planar Imaging (78070) | $984.55 | $3,395 | 2.5× |
| Pelvis 1 or 2 views (72170) | $123.54 | $426 | 1.2× |
| Pet Image W/Ct Lmtd (78814) | $2,888.98 | $9,962 | 2.0× |
| PET image w/CT, full body (78816) | $3,819.88 | $13,172 | 2.7× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $3,819.88 | $13,172 | 2.7× |
| Pulmonary Perfusion Imaging Particulate (78580) | $984.55 | $3,395 | 2.5× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $191.69 | $661 | 1.8× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$136.30–$272.60 | $470–$940 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 5 matching MRF lines |
$88.45–$221.56 | $305–$764 | varies |
| Radex elbow complete minimum 3 views (73080) | $128.47 | $443 | 1.5× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $200.68 | $692 | 1.9× |
| Radex fingr minimum 2 views (73140) range across 5 matching MRF lines |
$81.49–$204.16 | $281–$704 | varies |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$136.30–$272.60 | $470–$940 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$131.66–$263.32 | $454–$908 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 5 matching MRF lines |
$78.59–$196.62 | $271–$678 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $136.30 | $470 | 1.6× |
| Radex Ribs Unilateral 2 Views (71100) | $127.89 | $441 | 1.5× |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$140.65–$281.30 | $485–$970 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $116.87 | $403 | 1.3× |
| Radex Spine 1 View Specify Level (72020) | $116.87 | $403 | 1.3× |
| Radex Sternum Minimum 2 Views (71120) | $131.66 | $454 | 1.5× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $161.24 | $556 | 1.8× |
| Radex Toe Minimum 2 Views (73660) range across 6 matching MRF lines |
$78.59–$196.04 | $271–$676 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 3 matching MRF lines |
$81.49–$102.08 | $281–$352 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$131.66–$263.32 | $454–$908 | varies |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $6,219.92 | $21,448 | 0.8× |
| Radiation treatment delivery level 1 (77402) | $264.77 | $913 | 2.6× |
| Radiation treatment delivery level 3 (77412) | $727.90 | $2,510 | 1.3× |
| Radiolog exam mandible compl minimum 4 views (70110) | $170.52 | $588 | 1.6× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $157.18 | $542 | 1.5× |
| Radiologic exam colon double contrast study (74280) | $446.89 | $1,541 | 2.5× |
| Radiologic exam colon single contrast study (74270) | $446.89 | $1,541 | 2.5× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $220.98 | $762 | 1.3× |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$162.40–$324.80 | $560–$1,120 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $157.18 | $542 | 1.5× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $340.46 | $1,174 | 1.9× |
| Radiologic exam swallow function contrast study (74230) | $298.70 | $1,030 | 1.7× |
| Radiologic exam upr gi trc double contrast study (74246) | $425.14 | $1,466 | 2.4× |
| Radiologic examination femur 1 view (73551) | $106.43 | $367 | 1.2× |
| Radiologic examination femur minimum 2 views (73552) range across 3 matching MRF lines |
$133.98–$267.96 | $462–$924 | varies |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$117.74–$235.48 | $406–$812 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $165.88 | $572 | 1.6× |
| Radiologic examination tibia & fibula 2 views (73590) range across 5 matching MRF lines |
$103.53–$259.26 | $357–$894 | varies |
| Red Cell Volume Determination Spx Mult Samplings (78121) | $980.20 | $3,380 | 1.8× |
| Ribs bilateral 3 views (71110) | $153.41 | $529 | 1.5× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $933.80 | $3,220 | 2.3× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $1,224.96 | $4,224 | 2.3× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $1,127.23 | $3,887 | 2.1× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $1,408.82 | $4,858 | 2.6× |
| Rp Therapy Intravenous Administration (79101) | $744.43 | $2,567 | 3.2× |
| Salivary Gland Imaging Serial Images (78231) | $533.31 | $1,839 | 1.3× |
| Scapula (73010) | $136.30 | $470 | 1.3× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $23.20 | $80 | 1.0× |
| Shoulder 1 view (73020) | $110.78 | $382 | 1.3× |
| Skull less than 4 views (70250) | $149.06 | $514 | 1.4× |
| Special Physics Consult (77370) | $635.68 | $2,192 | 4.7× |
| Special teletherapy port plan (77321) | $450.95 | $1,555 | 1.2× |
| Special treatment procedure (77470) | $1,589.78 | $5,482 | 2.9× |
| Stereotactic Body Radiation Delivery (77373) | $2,539.82 | $8,758 | 1.4× |
| Sternoclavicular joints (71130) | $110.78 | $382 | 1.3× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $727.90 | $2,510 | 1.9× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $345.10 | $1,190 | 0.9× |
| Testicular Imaging W/Flow (78761) | $744.43 | $2,567 | 1.9× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $1,740.58 | $6,002 | 4.6× |
| Ther rad simulaj-aided field setting simple (77280) | $1,104.90 | $3,810 | 8.2× |
| Thoracic spine 2 views (72070) | $149.06 | $514 | 1.4× |
| Thoracic spine 3 views (72072) | $174 | $600 | 1.7× |
| Thoracolumbar 2 views (72080) | $149.06 | $514 | 1.7× |
| Thyroid Imaging With Vascular Flow (78013) | $984.55 | $3,395 | 2.5× |
| Thyroid Met Imaging Body (78018) | $984.55 | $3,395 | 1.8× |
| Thyroid Uptake Measurement (78012) | $533.31 | $1,839 | 1.3× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $984.55 | $3,395 | 2.5× |
| Tx Devices Design & Construction Complex (77334) | $727.90 | $2,510 | 1.9× |
| Tx devices design & construction intermediate (77333) | $491.26 | $1,694 | 3.6× |
| Tx devices design & construction simple (77332) | $396.72 | $1,368 | 2.9× |
| Ultrasound Breast Limited (76642) range across 9 matching MRF lines |
$193.14–$386.28 | $666–$1,332 | varies |
| Ultrasound Exam Aaa Screen (76706) | $185.31 | $639 | 1.8× |
| Ultrasound, abdomen limited (76705) | $400.78 | $1,382 | 3.8× |
| Umbilical-artery Doppler (OB) (76820) range across 4 matching MRF lines |
$185.31–$308.56 | $639–$1,064 | varies |
| Upper gi w/o kub (74240) | $459.07 | $1,583 | 2.6× |
| Ureteral Reflux Study (78740) | $744.43 | $2,567 | 1.9× |
| Us breast unilateral complete (76641) range across 11 matching MRF lines |
$258.39–$516.78 | $891–$1,782 | varies |
| Us chest (76604) | $278.69 | $961 | 2.7× |
| Us complete joint (76881) range across 6 matching MRF lines |
$356.41–$712.82 | $1,229–$2,458 | varies |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$307.98–$308.56 | $1,062–$1,064 | varies |
| Us head (76506) | $293.19 | $1,011 | 2.8× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 7 matching MRF lines |
$247.08–$494.16 | $852–$1,704 | varies |
| Us ob detailed single fetus (76811) | $399.91 | $1,379 | 1.7× |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$308.56–$432.39 | $1,064–$1,491 | varies |
| Us ob transvaginal (76817) | $432.39 | $1,491 | 4.1× |
| Us pelvic non ob complete (76856) | $307.98 | $1,062 | 2.9× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 6 matching MRF lines |
$308.56–$432.39 | $1,064–$1,491 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $247.08 | $852 | 2.4× |
| Us retroperitoneal complete (76770) | $549.55 | $1,895 | 5.2× |
| Us retroperitoneal limited (76775) | $400.78 | $1,382 | 3.8× |
| Us scrotum and contents (76870) | $340.46 | $1,174 | 3.3× |
| Us thyroid (76536) | $370.62 | $1,278 | 3.5× |
| Wrist 2 views (73100) range across 4 matching MRF lines |
$88.45–$110.78 | $305–$382 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $124.99 | $431 | 1.4× |
| X-Ray Bend Only L-S Spine (72120) | $165.88 | $572 | 1.6× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 5 matching MRF lines |
$88.45–$221.56 | $305–$764 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) | $127.89 | $441 | 1.5× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $127.89 | $441 | 1.2× |
| X-Ray Exam Hip Uni 1 View (73501) | $98.02 | $338 | 1.1× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $114.55 | $395 | 1.3× |
| X-Ray Exam Hips Bi 2 Views (73521) | $229.10 | $790 | 2.2× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $352.64 | $1,216 | 3.4× |
| X-Ray Exam L-S Spine Bending (72114) | $255.20 | $880 | 2.4× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $195.46 | $674 | 2.2× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $238.09 | $821 | 2.3× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $165.88 | $572 | 1.6× |
| X-ray eye for foreign body (70030) | $90.77 | $313 | 1.0× |
| X-ray humerus (73060) | $127.89 | $441 | 1.5× |
| X-ray IV pyelogram (ivp) (74400) | $426.30 | $1,470 | 2.4× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $119.77 | $413 | 1.4× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $117.74 | $406 | 1.4× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $165.88 | $572 | 1.6× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $221.27 | $763 | 2.1× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $136.30 | $470 | 1.3× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $106.43 | $367 | 1.0× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $136.30 | $470 | 1.6× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $191.69 | $661 | 2.2× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $212.57 | $733 | 2.0× |
| X-Rays Bone Length Studies (77073) | $149.06 | $514 | 1.4× |
| X-Rays Bone Survey Complete (77075) | $212.57 | $733 | 2.0× |
| Xr c-spine 4 or 5 views (72050) | $238.09 | $821 | 2.3× |
| Xr facial bones less than 3 views (70140) | $137.17 | $473 | 1.6× |
| Xr orbits complete 4 views (70200) | $161.24 | $556 | 1.5× |
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.