Imaging prices at North Memorial Health - Robbinsdale Hospital
Robbinsdale, MN · every code in this section with a posted price and a Medicare benchmark.
292 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) | $1,827.64 | $3,468 | 1.3× |
| Abdomen 1 View (74018) | $140.71 | $267 | 1.5× |
| Abdomen 2 views (74019) | $138.07 | $262 | 1.3× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,012.89 | $1,922 | 2.4× |
| Angio pulmonary bilat (75743) | $3,107.19 | $5,896 | 0.9× |
| Angiography extremity bilateral rs&i (75716) | $3,069.77 | $5,825 | 0.9× |
| Angiography extremity unilateral rs&i (75710) | $3,100.87 | $5,884 | 0.9× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $3,165.16 | $6,006 | 1.0× |
| Ankle 2 views (73600) | $150.19 | $285 | 1.6× |
| Aortography thoracic serialography rs&i (75605) | $4,057.37 | $7,699 | 0.7× |
| Artery X-Rays Abdomen (75726) range across 2 matching MRF lines |
$4,544.32–$9,088.64 | $8,623–$17,246 | varies |
| Artery X-Rays Pelvis (75736) range across 2 matching MRF lines |
$5,226.79–$10,453.57 | $9,918–$19,836 | varies |
| Artery X-Rays Spine (75705) | $4,803.08 | $9,114 | 0.8× |
| Arthrogram hip (73525) | $476.41 | $904 | 1.3× |
| Arthrogram Wrist (73115) | $342.02 | $649 | 0.9× |
| Basic radiation dosimetry calculation (77300) | $173.91 | $330 | 1.2× |
| Bone age studies (77072) | $120.16 | $228 | 1.1× |
| Bone Imaging 3 Phase (78315) | $697.75 | $1,324 | 1.7× |
| Bone Imaging Whole Body (78306) | $583.39 | $1,107 | 1.4× |
| Bone survey infant (77076) | $140.18 | $266 | 1.3× |
| Brain Image W/Flow < 4 Views (78601) | $688.26 | $1,306 | 1.6× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $1,059.80 | $2,011 | 2.9× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $682.99 | $1,296 | 1.2× |
| Cerebrospinal Fluid Scan (78630) | $1,039.77 | $1,973 | 1.8× |
| Chest 1 view (71045) | $148.61 | $282 | 1.6× |
| Chest 2 views (71046) | $142.82 | $271 | 1.6× |
| Chest 3 views (71047) | $142.29 | $270 | 1.6× |
| Clavicle complete (73000) | $177.60 | $337 | 1.9× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $158.63 | $301 | 1.4× |
| Continuing medical physics consltj pr wk (77336) | $313.04 | $594 | 2.2× |
| Contrast Exam Abdominl Aorta (75625) | $3,069.77 | $5,825 | 0.9× |
| Contrast X-Ray Bladder (74430) | $368.90 | $700 | 1.0× |
| CT abdomen and pelvis without and with contrast (74178) | $649.26 | $1,232 | 1.8× |
| CT abdomen and pelvis without contrast (74176) | $488.53 | $927 | 2.0× |
| CT abdomen w contrast (74160) | $680.88 | $1,292 | 3.7× |
| CT abdomen w wo contrast (74170) | $649.26 | $1,232 | 3.5× |
| CT abdomen w/o contrast (74150) | $483.26 | $917 | 4.4× |
| CT Angio Abdomen and Pelvis (74174) | $656.11 | $1,245 | 1.8× |
| CT Angio Chest (71275) | $727.26 | $1,380 | 4.0× |
| CT Angio Head (70496) | $668.76 | $1,269 | 3.6× |
| CT angio hrt w/3d image (75574) | $656.11 | $1,245 | 1.8× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
$746.76–$1,493.52 | $1,417–$2,834 | varies |
| CT Angio Neck (70498) | $727.26 | $1,380 | 4.0× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $706.71 | $1,341 | 3.8× |
| CT cervical spine w/ contrast (72126) | $591.82 | $1,123 | 1.6× |
| CT cervical spine w/o contrast (72125) | $555.98 | $1,055 | 5.1× |
| CT cervical spine w/wo cont (72127) | $649.26 | $1,232 | 3.5× |
| CT chest w contrast (71260) | $598.14 | $1,135 | 3.3× |
| CT chest w/wo contrast (71270) | $727.26 | $1,380 | 4.0× |
| CT head/brain with contrast (70460) | $662.97 | $1,258 | 3.6× |
| CT head/brain without and with contrast (70470) | $656.11 | $1,245 | 3.6× |
| CT heart contrast eval cardiac structure&morph (75572) | $649.26 | $1,232 | 1.8× |
| CT heart no contrast quant eval coronry calcium (75571) range across 2 matching MRF lines |
$52.17–$243.47 | $99–$462 | varies |
| CT hrt w/3d image congen (75573) | $296.17 | $562 | 0.8× |
| CT iac w contrast (70481) | $609.21 | $1,156 | 3.3× |
| CT l-spine w&w/o contrast (72133) | $649.26 | $1,232 | 3.5× |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$555.98–$1,111.97 | $1,055–$2,110 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$644.52–$1,289.04 | $1,223–$2,446 | varies |
| CT lumbar spine w contrast (72132) | $591.82 | $1,123 | 1.6× |
| CT lumbar spine w/o contrast (72131) | $498.01 | $945 | 4.5× |
| CT maxillofacial w contrast (70487) | $615.54 | $1,168 | 3.4× |
| CT maxillofacial wo contrast (70486) | $564.94 | $1,072 | 5.2× |
| CT neck tissue combo (70492) | $649.26 | $1,232 | 3.5× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $649.26 | $1,232 | 3.5× |
| CT orbits w/o contrast (70480) | $509.61 | $967 | 4.7× |
| CT pelvis w&w/o contrast (72194) | $211.33 | $401 | 1.2× |
| CT pelvis w/o contrast (72192) | $498.01 | $945 | 4.5× |
| CT scan of leg combo (73702) | $649.26 | $1,232 | 3.5× |
| CT scans face/jaw combo (70488) | $649.26 | $1,232 | 3.5× |
| CT soft tissue neck w contrast (70491) | $615.54 | $1,168 | 3.4× |
| CT soft tissue neck w/o contrast (70490) | $549.13 | $1,042 | 5.0× |
| CT thoracic spine w contrast (72129) | $591.82 | $1,123 | 3.2× |
| CT thoracic spine w/o contrast (72128) | $555.98 | $1,055 | 5.1× |
| CT thoracic spine w/wo cont (72130) | $649.26 | $1,232 | 3.5× |
| CT thorax w/o contrast (71250) | $488.53 | $927 | 4.5× |
| CT unlisted procedure (76497) | $108.56 | $206 | 1.2× |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$555.98–$1,111.97 | $1,055–$2,110 | varies |
| CT upper extremity w/o & w/contrast material (73202) | $649.26 | $1,232 | 3.5× |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$598.14–$1,196.29 | $1,135–$2,270 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $706.71 | $1,341 | 3.8× |
| Cta Abdomen (74175) | $746.76 | $1,417 | 4.1× |
| CTA pelvis (72191) | $746.76 | $1,417 | 4.1× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $147.03 | $279 | 1.3× |
| Doppler Fetal Mid Cerebral Artery (76821) | $156.52 | $297 | 1.4× |
| Echo exam of fetal heart (76825) | $699.33 | $1,327 | 1.2× |
| Echo Guide For Artery Repair (76936) | $387.34 | $735 | 1.7× |
| Esophagram (74220) | $259.81 | $493 | 1.4× |
| Fetal Biophys Profile W/Nst (76818) | $393.14 | $746 | 3.6× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $221.34 | $420 | 2.0× |
| Fluoroscopy up to 1 hr (76000) | $366.26 | $695 | 1.5× |
| Follow-Up Angiography (75898) | $2,675.58 | $5,077 | 0.8× |
| Foot 2 views (73620) range across 2 matching MRF lines |
$163.37–$326.74 | $310–$620 | varies |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$145.98–$291.96 | $277–$554 | varies |
| Gastric emptying imaging study (78264) | $1,132 | $2,148 | 2.7× |
| Gastroesophageal Reflux Exam (78262) | $880.62 | $1,671 | 2.1× |
| Gated Heart Planar Single (78472) | $742.54 | $1,409 | 1.8× |
| Hand 2 views (73120) | $131.75 | $250 | 1.2× |
| Hepatobil Syst Image W/Drug (78227) | $998.66 | $1,895 | 1.8× |
| Hepatobiliary System Imaging (78226) | $816.32 | $1,549 | 1.9× |
| Ht Muscle Image Spect Sing (78451) | $1,646.35 | $3,124 | 1.2× |
| Hysterosalpingogram (74740) | $502.76 | $954 | 2.0× |
| K Flow/Funct Image W/Drug (78708) | $708.81 | $1,345 | 1.2× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $598.67 | $1,136 | 1.4× |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$210.80–$421.60 | $400–$800 | varies |
| Liver & Spleen Imaging Static Only (78215) | $602.36 | $1,143 | 1.4× |
| Lung perfusion differential (78597) | $578.12 | $1,097 | 1.4× |
| Lung Ventilat&Perfus Imaging (78582) | $702.49 | $1,333 | 1.2× |
| Lung Ventilation Imaging (78579) | $529.63 | $1,005 | 1.3× |
| Lymph System Imaging (78195) | $828.44 | $1,572 | 1.5× |
| Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) | $3,671.61 | $6,967 | 1.1× |
| Magnetic Image Jaw Joint (70336) | $719.88 | $1,366 | 2.9× |
| Meckels Divert Exam (78290) | $655.06 | $1,243 | 1.6× |
| Mlc imrt design & construction per imrt plan (77338) | $482.20 | $915 | 1.2× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $32.67 | $62 | 1.1× |
| Mra Head W/O & W/Contrast Material (70546) | $351.51 | $667 | 1.0× |
| MRA head w/o contrast (70544) | $727.26 | $1,380 | 2.9× |
| MRA head with contrast (70545) | $933.84 | $1,772 | 2.6× |
| MRA neck w contrast (70548) | $933.84 | $1,772 | 2.6× |
| Mra Neck W/O &W/Contrast Material (70549) | $1,040.82 | $1,975 | 2.8× |
| MRA neck w/o contrast (70547) | $719.88 | $1,366 | 2.9× |
| MRI abdomen w/o contrast (74181) | $741.49 | $1,407 | 3.0× |
| MRI any jt lower extrem w/contrast material (73722) | $1,074.03 | $2,038 | 1.3× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$1,121.46–$2,242.91 | $2,128–$4,256 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) | $933.84 | $1,772 | 1.1× |
| MRI Breast W/O Contrast Bilateral (77047) | $719.88 | $1,366 | 2.9× |
| MRI Breast Without Contrast Material Unilateral (77046) | $310.93 | $590 | 1.2× |
| MRI cardiac w/o contrast (75557) | $719.88 | $1,366 | 2.9× |
| MRI cervical spine w contrast (72142) | $933.84 | $1,772 | 2.6× |
| MRI cervical spine w/o cont (72141) | $827.92 | $1,571 | 3.3× |
| MRI chest w/o contrast (71550) | $719.88 | $1,366 | 2.9× |
| MRI chest wo w contrast (71552) | $1,030.28 | $1,955 | 2.8× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $1,030.28 | $1,955 | 2.8× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines |
$741.49–$1,482.98 | $1,407–$2,814 | varies |
| MRI lumbar spine w contrast (72149) | $933.84 | $1,772 | 2.6× |
| Mri Neck Spine W/O & W/Dye (72156) | $1,030.28 | $1,955 | 2.8× |
| MRI orbit face &/neck w/o contrast (70540) | $719.88 | $1,366 | 2.9× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $1,030.28 | $1,955 | 2.8× |
| MRI pelvis w contrast (72196) | $933.84 | $1,772 | 2.6× |
| MRI pelvis w/o & w contrast (72197) | $1,030.28 | $1,955 | 2.8× |
| MRI pelvis w/o contrast (72195) | $727.26 | $1,380 | 2.9× |
| MRI spectroscopy (76390) | $1,130.41 | $2,145 | 12.4× |
| MRI thoracic spine w/o contrast (72146) | $741.49 | $1,407 | 3.0× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $719.88 | $1,366 | 2.9× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $1,030.28 | $1,955 | 2.8× |
| MRI, abdomen, combo (74183) | $1,040.82 | $1,975 | 2.8× |
| MRI, dorsal spine combo (72157) | $1,040.82 | $1,975 | 2.8× |
| MRI, dorsal spine contrast (72147) | $933.84 | $1,772 | 2.6× |
| MRI, joint upper extrem (73221) range across 2 matching MRF lines |
$741.49–$1,482.98 | $1,407–$2,814 | varies |
| MRI, joint upper extrem combo (73223) | $1,030.28 | $1,955 | 2.8× |
| MRI, lumbar spine combo (72158) | $1,040.82 | $1,975 | 2.8× |
| Myocardial Spect Multiple Studies (78452) | $1,845.55 | $3,502 | 1.4× |
| N-invas est c ffr sw aly CTA (75580) | $1,339.63 | $2,542 | 1.5× |
| Neck soft tissue (70360) | $158.10 | $300 | 1.7× |
| Ntsty modul radthx pln dose-vol histos (77301) | $1,808.66 | $3,432 | 1.2× |
| Nuclear Rx Intra-Arterial (79445) | $603.41 | $1,145 | 2.5× |
| Nuclear Rx Oral Admin (79005) | $613.95 | $1,165 | 2.5× |
| Ob us nuchal meas 1 gest (76813) | $182.87 | $347 | 1.7× |
| Ophthalmic Ultrasonic Foreign Body Localization (76529) | $119.10 | $226 | 1.3× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) | $156.52 | $297 | 1.4× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $717.25 | $1,361 | 1.3× |
| Parathyroid Planar Imaging (78070) | $874.82 | $1,660 | 2.1× |
| Parathyroid planar imaging w/wo subtraction (78071) | $535.43 | $1,016 | 1.3× |
| Pelvis 1 or 2 views (72170) | $152.83 | $290 | 1.4× |
| Peritoneogram Rs&I (74190) | $518.57 | $984 | 0.9× |
| Pet Image W/Ct Lmtd (78814) | $2,039.49 | $3,870 | 1.4× |
| PET image w/CT, full body (78816) | $2,605.49 | $4,944 | 1.7× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $2,335.14 | $4,431 | 1.6× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $3,069.77 | $5,825 | 0.9× |
| Pulmonary Perfusion Imaging Particulate (78580) | $529.63 | $1,005 | 1.3× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $148.09 | $281 | 1.4× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $523.84 | $994 | 0.9× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$154.94–$309.88 | $294–$588 | varies |
| Radex Calcaneus Minimum 2 Views (73650) | $134.38 | $255 | 1.5× |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$167.06–$334.12 | $317–$634 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $161.26 | $306 | 1.5× |
| Radex fingr minimum 2 views (73140) | $141.76 | $269 | 1.6× |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$154.41–$308.82 | $293–$586 | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$152.30–$304.61 | $289–$578 | varies |
| Radex lower extremity infant minimum 2 views (73592) | $113.30 | $215 | 1.2× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $204.48 | $388 | 2.2× |
| Radex Ribs Unilateral 2 Views (71100) | $168.64 | $320 | 1.9× |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$176.02–$352.04 | $334–$668 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $128.59 | $244 | 1.4× |
| Radex Spine 1 View Specify Level (72020) | $210.80 | $400 | 2.3× |
| Radex Sternum Minimum 2 Views (71120) | $143.87 | $273 | 1.6× |
| Radex Toe Minimum 2 Views (73660) range across 2 matching MRF lines |
$137.55–$275.09 | $261–$522 | varies |
| Radex upper extremity infant minimum 2 views (73092) | $119.10 | $226 | 1.1× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$166.53–$333.06 | $316–$632 | varies |
| Radiation treatment delivery level 1 (77402) | $150.19 | $285 | 1.4× |
| Radiation treatment delivery level 3 (77412) | $300.39 | $570 | 0.5× |
| Radiolog exam mandible compl minimum 4 views (70110) | $178.13 | $338 | 1.6× |
| Radiologic exam colon double contrast study (74280) | $389.45 | $739 | 2.1× |
| Radiologic exam colon single contrast study (74270) | $280.89 | $533 | 1.5× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $261.39 | $496 | 1.4× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $193.94 | $368 | 1.8× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $283 | $537 | 1.5× |
| Radiologic exam swallow function contrast study (74230) | $242.42 | $460 | 1.3× |
| Radiologic exam upr gi trc double contrast study (74246) | $268.77 | $510 | 1.5× |
| Radiologic examination femur 1 view (73551) | $113.83 | $216 | 1.2× |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$134.38–$268.77 | $255–$510 | varies |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$188.14–$376.28 | $357–$714 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $287.21 | $545 | 2.6× |
| Radiologic examination tibia & fibula 2 views (73590) range across 2 matching MRF lines |
$150.19–$300.39 | $285–$570 | varies |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $528.05 | $1,002 | 1.3× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $1,926.71 | $3,656 | 3.4× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $1,431.33 | $2,716 | 2.5× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $1,845.55 | $3,502 | 3.2× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $1,739.63 | $3,301 | 1.3× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $1,943.58 | $3,688 | 1.3× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $1,802.87 | $3,421 | 1.3× |
| Scapula (73010) | $162.32 | $308 | 1.5× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $51.12 | $97 | 2.2× |
| Shoulder 1 view (73020) | $164.42 | $312 | 1.8× |
| Shoulder Arthrography (73040) | $426.87 | $810 | 1.2× |
| Sialogram (70390) | $231.88 | $440 | 0.9× |
| Skull less than 4 views (70250) | $160.73 | $305 | 1.5× |
| Stereotactic Body Radiation Delivery (77373) | $2,409.44 | $4,572 | 1.3× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $482.20 | $915 | 1.2× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $482.20 | $915 | 1.2× |
| Thoracic spine 2 views (72070) | $188.67 | $358 | 1.7× |
| Thoracic spine 3 views (72072) | $188.67 | $358 | 1.7× |
| Thoracolumbar 2 views (72080) | $160.21 | $304 | 1.8× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $593.40 | $1,126 | 1.4× |
| Tx Devices Design & Construction Complex (77334) | $482.20 | $915 | 1.2× |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$181.29–$362.58 | $344–$688 | varies |
| Ultrasound Elastography Parenchyma (76981) | $139.65 | $265 | 1.3× |
| Ultrasound Exam Aaa Screen (76706) | $172.33 | $327 | 1.6× |
| Ultrasound, abdomen limited (76705) | $225.03 | $427 | 2.1× |
| Umbilical-artery Doppler (OB) (76820) | $154.94 | $294 | 1.4× |
| Unlisted fluoroscopic procedure (76496) | $328.32 | $623 | 3.6× |
| Unlisted magnetic resonance procedure (76498) | $118.57 | $225 | 1.3× |
| Upper gi w/o kub (74240) | $225.56 | $428 | 1.2× |
| Urethrocystogram voiding (74455) | $315.15 | $598 | 1.3× |
| Urethrocystography retrograde (74450) | $264.03 | $501 | 1.1× |
| Us breast unilateral complete (76641) | $244 | $463 | 2.2× |
| Us chest (76604) | $258.23 | $490 | 2.4× |
| Us complete joint (76881) | $339.91 | $645 | 3.1× |
| Us exam, pelvic, limited (76857) | $249.80 | $474 | 2.3× |
| Us head (76506) | $265.08 | $503 | 2.4× |
| Us kidney transplant (76776) | $281.42 | $534 | 2.6× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $339.91 | $645 | 3.1× |
| Us ob detailed single fetus (76811) | $359.41 | $682 | 1.4× |
| Us ob limited 1 or more fetuses (76815) | $246.11 | $467 | 2.2× |
| Us ob transvaginal (76817) | $244.53 | $464 | 2.2× |
| Us pelvic non ob complete (76856) | $235.04 | $446 | 2.1× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $287.74 | $546 | 2.6× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $167.06 | $317 | 1.5× |
| Us retroperitoneal complete (76770) | $226.61 | $430 | 2.1× |
| Us retroperitoneal limited (76775) | $280.36 | $532 | 2.6× |
| Us scrotum and contents (76870) | $254.01 | $482 | 2.3× |
| Us spinal canal and contents (76800) | $278.78 | $529 | 2.5× |
| Us thyroid (76536) | $259.28 | $492 | 2.4× |
| Us transrectal (76872) | $187.61 | $356 | 1.7× |
| Vein X-Ray Chest (75827) | $1,484.03 | $2,816 | 0.9× |
| Vein X-Ray Liver W/O Hemodyn (75887) | $2,328.29 | $4,418 | 0.7× |
| Venogram Sinus/Jugular (75860) | $3,405.47 | $6,462 | 1.0× |
| Venography caval inferior serialography rs&i (75825) | $3,151.99 | $5,981 | 1.0× |
| Venography extremity bilateral rs&i (75822) | $1,769.14 | $3,357 | 1.1× |
| Venography extremity unilateral rs&i (75820) | $1,367.04 | $2,594 | 0.8× |
| Venography Renal Unilateral (75831) | $2,784.14 | $5,283 | 0.8× |
| Wrist 2 views (73100) | $157.05 | $298 | 1.7× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $136.49 | $259 | 1.5× |
| X-ray antegrade pyelogram tube (74425) | $398.41 | $756 | 1.1× |
| X-Ray Aorta Leg Arteries (75630) | $3,069.77 | $5,825 | 0.9× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $169.17 | $321 | 1.9× |
| X-Ray Exam Breast Specimen (76098) | $533.85 | $1,013 | 0.9× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $117.52 | $223 | 1.3× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $147.03 | $279 | 1.3× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $145.45 | $276 | 1.3× |
| X-Ray Exam Hip Uni 1 View (73501) | $97.49 | $185 | 1.1× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $172.86 | $328 | 1.9× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $133.33 | $253 | 1.2× |
| X-Ray Exam Hips Bi 2 Views (73521) | $137.55 | $261 | 1.3× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $242.95 | $461 | 2.2× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $190.77 | $362 | 2.1× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $434.25 | $824 | 4.0× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $180.23 | $342 | 1.6× |
| X-ray humerus (73060) range across 2 matching MRF lines |
$162.84–$325.69 | $309–$618 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $190.77 | $362 | 1.7× |
| X-ray nose-rectum child f.b. (76010) | $115.94 | $220 | 1.3× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $257.70 | $489 | 2.4× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $177.60 | $337 | 1.6× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $131.22 | $249 | 1.4× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $148.09 | $281 | 1.6× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $249.27 | $473 | 2.3× |
| X-Ray Stress View (77071) | $120.68 | $229 | 1.3× |
| X-ray thoracic spine 4 vw (72074) | $138.07 | $262 | 1.3× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $485.37 | $921 | 1.3× |
| X-Rays Bone Length Studies (77073) | $212.38 | $403 | 1.9× |
| X-Rays Bone Survey Complete (77075) | $266.13 | $505 | 2.4× |
| Xr c-spine 4 or 5 views (72050) | $206.58 | $392 | 1.9× |
| Xr orbits complete 4 views (70200) | $173.91 | $330 | 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.