Imaging prices at North Mississippi Medical Center-Hamilton
Hamilton, AL · every code in this section with a posted price and a Medicare benchmark.
296 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) | $2,170.64 | $5,048 | 1.7× |
| Abdomen 1 View (74018) | $142.33 | $331 | 1.8× |
| Abdomen 2 views (74019) | $211.99 | $493 | 2.3× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $962.34 | $2,238 | 2.7× |
| Angiography extremity bilateral rs&i (75716) | $4,506.40 | $10,480 | 1.6× |
| Angiography extremity unilateral rs&i (75710) | $4,217.44 | $9,808 | 1.5× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $4,217.44 | $9,808 | 1.5× |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$178.02–$267.03 | $414–$621 | varies |
| Artery X-Rays Abdomen (75726) | $4,217.44 | $9,808 | 0.8× |
| Artery X-Rays Pelvis (75736) | $4,217.44 | $9,808 | 0.8× |
| Arthrogram ankle (73615) | $564.16 | $1,312 | 1.8× |
| Arthrogram hip (73525) | $537.93 | $1,251 | 1.7× |
| Arthrogram Wrist (73115) | $604.15 | $1,405 | 1.9× |
| Basic radiation dosimetry calculation (77300) | $397.32 | $924 | 3.3× |
| Bone age studies (77072) | $187.48 | $436 | 2.0× |
| Bone Imaging 3 Phase (78315) | $1,007.49 | $2,343 | 2.8× |
| Bone Imaging Limited Area (78300) | $1,016.52 | $2,364 | 2.8× |
| Bone Imaging Whole Body (78306) | $1,122.73 | $2,611 | 3.1× |
| Bone survey infant (77076) | $218.01 | $507 | 2.3× |
| Brain Image W/Flow < 4 Views (78601) | $1,004.05 | $2,335 | 2.8× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $5,506.15 | $12,805 | 4.3× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $1,827.50 | $4,250 | 5.8× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $985.13 | $2,291 | 2.0× |
| Cerebrospinal Fluid Scan (78630) | $985.13 | $2,291 | 2.0× |
| Chest 1 view (71045) range across 2 matching MRF lines |
$117.82–$186.19 | $274–$433 | varies |
| Chest 2 views (71046) range across 3 matching MRF lines |
$155.66–$279.93 | $362–$651 | varies |
| Chest 3 views (71047) | $86 | $200 | 1.1× |
| Chest 4 or more views (71048) | $164.26 | $382 | 1.8× |
| Clavicle complete (73000) | $146.20 | $340 | 1.9× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 2 matching MRF lines |
$42.57–$762.39 | $99–$1,773 | varies |
| Continuing medical physics consltj pr wk (77336) | $351.31 | $817 | 2.9× |
| Contrast Exam Abdominl Aorta (75625) | $4,217.44 | $9,808 | 1.5× |
| Contrast X-Ray Bladder (74430) | $463.54 | $1,078 | 1.5× |
| Contrast X-Ray Of Elbow (73085) | $612.32 | $1,424 | 2.0× |
| Contrast X-Ray Of Knee Joint (73580) | $598.56 | $1,392 | 1.9× |
| CT abdomen and pelvis without and with contrast (74178) | $2,568.39 | $5,973 | 8.2× |
| CT abdomen and pelvis without contrast (74176) | $2,017.13 | $4,691 | 9.4× |
| CT abdomen w contrast (74160) | $1,179.92 | $2,744 | 7.5× |
| CT abdomen w wo contrast (74170) | $1,332.14 | $3,098 | 8.5× |
| CT abdomen w/o contrast (74150) | $987.28 | $2,296 | 10.5× |
| CT Angio Abdomen and Pelvis (74174) | $2,900.78 | $6,746 | 9.3× |
| CT Angio Chest (71275) | $1,670.55 | $3,885 | 10.6× |
| CT Angio Head (70496) | $1,348.91 | $3,137 | 8.6× |
| CT angio hrt w/3d image (75574) | $1,819.33 | $4,231 | 5.8× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $1,109.40 | $2,580 | 7.1× |
| CT Angio Neck (70498) | $1,348.91 | $3,137 | 8.6× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $1,655.50 | $3,850 | 10.5× |
| CT cervical spine w/ contrast (72126) | $1,321.82 | $3,074 | 4.2× |
| CT cervical spine w/o contrast (72125) | $1,314.08 | $3,056 | 14.0× |
| CT cervical spine w/wo cont (72127) | $1,688.61 | $3,927 | 10.7× |
| CT chest w contrast (71260) | $1,248.72 | $2,904 | 7.9× |
| CT chest w/wo contrast (71270) | $1,589.28 | $3,696 | 10.1× |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$985.13–$1,103.38 | $2,291–$2,566 | varies |
| CT head/brain without and with contrast (70470) | $1,376.86 | $3,202 | 8.8× |
| CT heart no contrast quant eval coronry calcium (75571) | $168.13 | $391 | 2.2× |
| CT hrt w/3d image congen (75573) | $1,653.78 | $3,846 | 5.3× |
| CT iac w contrast (70481) | $960.62 | $2,234 | 6.1× |
| CT l-spine w&w/o contrast (72133) | $1,535.10 | $3,570 | 9.8× |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$1,237.11–$1,855.67 | $2,877–$4,315.50 | varies |
| CT lower extremity w/contrast material (73701) | $1,248.72 | $2,904 | 7.9× |
| CT lumbar spine w contrast (72132) | $1,176.91 | $2,737 | 3.8× |
| CT lumbar spine w/o contrast (72131) | $1,158.85 | $2,695 | 12.4× |
| CT maxillofacial w contrast (70487) | $573.19 | $1,333 | 3.6× |
| CT maxillofacial wo contrast (70486) | $509.98 | $1,186 | 5.4× |
| CT neck tissue combo (70492) | $1,495.97 | $3,479 | 9.5× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,152.83 | $2,681 | 7.3× |
| CT orbits w/o contrast (70480) | $770.13 | $1,791 | 8.2× |
| CT pelvis w&w/o contrast (72194) | $1,581.54 | $3,678 | 10.1× |
| CT pelvis w/o contrast (72192) | $1,237.11 | $2,877 | 13.2× |
| CT scan of leg combo (73702) | $1,579.82 | $3,674 | 10.0× |
| CT scans face/jaw combo (70488) | $903.86 | $2,102 | 5.7× |
| CT soft tissue neck w contrast (70491) | $1,136.92 | $2,644 | 7.2× |
| CT soft tissue neck w/o contrast (70490) | $1,124.45 | $2,615 | 12.0× |
| CT thoracic spine w contrast (72129) | $1,201.85 | $2,795 | 7.6× |
| CT thoracic spine w/o contrast (72128) | $1,194.54 | $2,778 | 12.7× |
| CT thoracic spine w/wo cont (72130) | $1,535.10 | $3,570 | 9.8× |
| CT thorax w/o contrast (71250) | $1,237.11 | $2,877 | 13.2× |
| CT upper ext wo (73200) | $1,182.50 | $2,750 | 12.6× |
| CT upper extremity w/o & w/contrast material (73202) range across 2 matching MRF lines |
$1,778.05–$1,855.45 | $4,135–$4,315 | varies |
| CT upper extremity with contrast (73201) | $1,277.10 | $2,970 | 4.1× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,664.10 | $3,870 | 10.6× |
| Cta Abdomen (74175) | $1,664.10 | $3,870 | 10.6× |
| CTA pelvis (72191) | $1,277.10 | $2,970 | 8.1× |
| Dilation ureters/urethra rs&i (74485) | $1,343.75 | $3,125 | 0.7× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) | $283.80 | $660 | 3.0× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $330.67 | $769 | 3.5× |
| Doppler Fetal Mid Cerebral Artery (76821) | $239.51 | $557 | 2.6× |
| Dxa Bone Density Axial (77080) | $230.48 | $536 | 2.5× |
| Dxa bone density study (77085) | $138.46 | $322 | 1.5× |
| Echo exam of fetal heart (76825) | $847.53 | $1,971 | 1.7× |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) | $537.50 | $1,250 | 2.5× |
| Esophagram (74220) | $285.95 | $665 | 1.8× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 3 matching MRF lines |
$407.21–$411.08 | $947–$956 | varies |
| Fluoroscopy up to 1 hr (76000) range across 4 matching MRF lines |
$219.73–$285.52 | $511–$664 | varies |
| Follow-Up Angiography (75898) | $736.16 | $1,712 | 0.3× |
| Foot 2 views (73620) range across 2 matching MRF lines |
$145.77–$218.66 | $339–$508.50 | varies |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$169.85–$254.78 | $395–$592.50 | varies |
| Gastric emptying imaging study (78264) | $827.32 | $1,924 | 2.3× |
| Hand 2 views (73120) range across 2 matching MRF lines |
$224.46–$336.69 | $522–$783 | varies |
| Hepatobil Syst Image W/Drug (78227) | $1,100.80 | $2,560 | 2.3× |
| Hepatobiliary System Imaging (78226) | $1,100.80 | $2,560 | 3.1× |
| Ht Muscle Image Spect Sing (78451) | $1,096.07 | $2,549 | 0.9× |
| Hysterosalpingogram (74740) | $564.16 | $1,312 | 2.6× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $118.25 | $275 | 1.5× |
| Interstitial radiation source applic complex (77778) | $1,538.97 | $3,579 | 2.5× |
| Joint Survey Single View (77077) | $107.50 | $250 | 1.1× |
| K Flow/Funct Image W/Drug (78708) | $1,100.37 | $2,559 | 2.3× |
| K Flow/Funct Image W/O Drug (78707) | $949.87 | $2,209 | 2.0× |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$152.65–$228.98 | $355–$532.50 | varies |
| Liver & Spleen Imaging Static Only (78215) | $946.86 | $2,202 | 2.6× |
| Lung Perf&Ventilat Diferentl (78598) | $626.94 | $1,458 | 1.3× |
| Lung Ventilat&Perfus Imaging (78582) | $1,328.27 | $3,089 | 2.7× |
| Lymph System Imaging (78195) | $923.64 | $2,148 | 1.9× |
| Magnetic Image Jaw Joint (70336) | $1,417.71 | $3,297 | 6.6× |
| Meckels Divert Exam (78290) | $985.13 | $2,291 | 2.7× |
| Mlc imrt design & construction per imrt plan (77338) | $642.85 | $1,495 | 1.9× |
| Mra Head W/O & W/Contrast Material (70546) | $1,835.67 | $4,269 | 5.9× |
| MRA head w/o contrast (70544) | $1,569.50 | $3,650 | 7.3× |
| MRA neck w contrast (70548) | $1,536.82 | $3,574 | 4.9× |
| Mra Neck W/O &W/Contrast Material (70549) | $2,107.86 | $4,902 | 6.7× |
| MRA neck w/o contrast (70547) | $1,526.07 | $3,549 | 7.1× |
| MRI abdomen w contrast (74182) | $1,430.18 | $3,326 | 4.6× |
| MRI abdomen w/o contrast (74181) | $1,389.76 | $3,232 | 6.5× |
| MRI any jt lower extrem w/contrast material (73722) | $1,652.49 | $3,843 | 2.4× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $2,273.41 | $5,287 | 7.3× |
| MRI any jt upper extremity w/contrast matrl (73222) | $1,609.06 | $3,742 | 2.3× |
| MRI Breast W/O Contrast Bilateral (77047) | $1,557.89 | $3,623 | 7.3× |
| MRI Breast Without Contrast Material Unilateral (77046) | $1,353.64 | $3,148 | 6.3× |
| MRI cardiac w/o contrast (75557) | $1,259.47 | $2,929 | 5.9× |
| MRI cervical spine w contrast (72142) | $1,474.04 | $3,428 | 4.7× |
| MRI cervical spine w/o cont (72141) | $1,443.08 | $3,356 | 6.7× |
| MRI chest w/o contrast (71550) | $322.50 | $750 | 1.5× |
| MRI chest wo w contrast (71552) | $2,047.23 | $4,761 | 6.5× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $1,570.79 | $3,653 | 5.0× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 2 matching MRF lines |
$2,224.39–$3,336.59 | $5,173–$7,759.50 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $1,494.25 | $3,475 | 7.0× |
| MRI lumbar spine w contrast (72149) | $1,475.33 | $3,431 | 4.7× |
| Mri Neck Spine W/O & W/Dye (72156) | $2,107.43 | $4,901 | 6.7× |
| MRI orbit face &/neck w/o contrast (70540) | $1,519.19 | $3,533 | 7.1× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $2,086.79 | $4,853 | 6.7× |
| MRI pelvis w/o & w contrast (72197) | $2,088.94 | $4,858 | 6.7× |
| MRI pelvis w/o contrast (72195) | $1,498.98 | $3,486 | 7.0× |
| MRI thoracic spine w/o contrast (72146) | $1,417.71 | $3,297 | 6.6× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $1,621.96 | $3,772 | 5.2× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $1,455.98 | $3,386 | 6.8× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $2,189.13 | $5,091 | 7.0× |
| MRI, abdomen, combo (74183) | $1,928.55 | $4,485 | 6.2× |
| MRI, dorsal spine combo (72157) | $2,107.43 | $4,901 | 6.7× |
| MRI, dorsal spine contrast (72147) | $1,480.49 | $3,443 | 4.7× |
| MRI, joint upper extrem (73221) | $1,530.37 | $3,559 | 7.2× |
| MRI, joint upper extrem combo (73223) | $2,235.14 | $5,198 | 7.1× |
| MRI, lumbar spine combo (72158) | $2,158.17 | $5,019 | 6.9× |
| Myocardial Spect Multiple Studies (78452) | $1,974.13 | $4,591 | 1.7× |
| Neck soft tissue (70360) | $107.93 | $251 | 1.4× |
| Nonvascular Shunt X-Ray (75809) | $129.43 | $301 | 1.4× |
| Ntsty modul radthx pln dose-vol histos (77301) | $2,626.01 | $6,107 | 2.1× |
| Nuclear Rx Intra-Arterial (79445) | $394.31 | $917 | 1.9× |
| Nuclear Rx Oral Admin (79005) | $258 | $600 | 1.2× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) | $141.90 | $330 | 1.5× |
| Ophthalmic us dx quantitative a-scan only (76511) | $141.90 | $330 | 1.5× |
| Parathyroid Planar Imaging (78070) | $635.11 | $1,477 | 1.8× |
| Parathyroid planar imaging w/wo subtraction (78071) | $851.40 | $1,980 | 2.4× |
| Pelvis 1 or 2 views (72170) | $169.42 | $394 | 1.8× |
| Peritoneogram Rs&I (74190) | $483.75 | $1,125 | 1.0× |
| Pet Image W/Ct Lmtd (78814) | $4,622.07 | $10,749 | 3.6× |
| PET image w/CT, full body (78816) | $4,587.24 | $10,668 | 3.6× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $4,472.43 | $10,401 | 3.5× |
| Plasma Vol Radiopharm Vol Dilute Spx Mult Smples (78111) | $1,609.92 | $3,744 | 1.4× |
| Pulmonary Perfusion Imaging Particulate (78580) | $852.26 | $1,982 | 2.4× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $211.99 | $493 | 2.3× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $409.79 | $953 | 0.8× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$236.93–$355.40 | $551–$826.50 | varies |
| Radex Calcaneus Minimum 2 Views (73650) | $219.95 | $511.50 | 2.8× |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$155.66–$233.49 | $362–$543 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $195.22 | $454 | 2.1× |
| Radex fingr minimum 2 views (73140) | $135.02 | $314 | 1.7× |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$152.65–$228.98 | $355–$532.50 | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$155.66–$233.49 | $362–$543 | varies |
| Radex lower extremity infant minimum 2 views (73592) | $233.49 | $543 | 3.0× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $174.15 | $405 | 2.2× |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$188.77–$283.16 | $439–$658.50 | varies |
| Radex Spine 1 View Specify Level (72020) | $121.69 | $283 | 1.6× |
| Radex Sternum Minimum 2 Views (71120) | $150.07 | $349 | 1.9× |
| Radex Toe Minimum 2 Views (73660) | $129 | $300 | 1.7× |
| Radex upper extremity infant minimum 2 views (73092) | $155.66 | $362 | 1.7× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$152.65–$228.98 | $355–$532.50 | varies |
| Radiation Delivery Stereotactic Cranial Linear (77372) unusually low: confirm this is the full procedure |
$2,335.76 | $5,432 | 0.4× |
| Radiation treatment delivery level 3 (77412) | $502.24 | $1,168 | 1.0× |
| Radiolog exam mandible compl minimum 4 views (70110) | $194.79 | $453 | 2.1× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $172 | $400 | 1.8× |
| Radiologic exam colon double contrast study (74280) | $340.56 | $792 | 2.2× |
| Radiologic exam colon single contrast study (74270) | $293.26 | $682 | 1.9× |
| Radiologic exam knee complete 4/more views (73564) | $359.91 | $837 | 3.8× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $175.87 | $409 | 1.9× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $295.84 | $688 | 1.9× |
| Radiologic exam swallow function contrast study (74230) | $201.24 | $468 | 1.3× |
| Radiologic exam teeth complete full mouth (70320) | $175.44 | $408 | 0.8× |
| Radiologic exam upr gi trc double contrast study (74246) | $285.95 | $665 | 1.8× |
| Radiologic examination femur 1 view (73551) | $87.72 | $204 | 1.1× |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$176.73–$265.10 | $411–$616.50 | varies |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$145.77–$218.66 | $339–$508.50 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $230.48 | $536 | 2.5× |
| Radiologic examination tibia & fibula 2 views (73590) range across 2 matching MRF lines |
$178.02–$267.03 | $414–$621 | varies |
| Red Cell Volume Determination Spx Mult Samplings (78121) | $611.46 | $1,422 | 1.3× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $1,197.98 | $2,786 | 3.3× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $1,059.52 | $2,464 | 3.0× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $1,560.47 | $3,629 | 3.2× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $1,122.73 | $2,611 | 2.3× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $1,337.30 | $3,110 | 1.2× |
| Rp Therapy Intravenous Administration (79101) | $753.36 | $1,752 | 3.6× |
| Scapula (73010) | $191.78 | $446 | 2.0× |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 2 matching MRF lines |
$40.42–$55.04 | $94–$128 | varies |
| Shoulder 1 view (73020) | $181.03 | $421 | 2.3× |
| Shoulder Arthrography (73040) | $635.54 | $1,478 | 2.0× |
| Skull less than 4 views (70250) | $226.61 | $527 | 2.4× |
| Special dosimetry (77331) | $241.23 | $561 | 2.0× |
| Special Physics Consult (77370) | $540.08 | $1,256 | 4.5× |
| Special treatment procedure (77470) range across 2 matching MRF lines |
$532.34–$808.83 | $1,238–$1,881 | varies |
| Stereotactic Body Radiation Delivery (77373) | $2,335.76 | $5,432 | 1.5× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $1,080.59 | $2,513 | 3.2× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) range across 3 matching MRF lines |
$515.14–$642.85 | $1,198–$1,495 | varies |
| Ther rad simulaj-aided field setting simple (77280) | $285.52 | $664 | 2.4× |
| Thoracic spine 2 views (72070) | $121.26 | $282 | 1.3× |
| Thoracic spine 3 views (72072) | $201.67 | $469 | 2.2× |
| Thoracolumbar 2 views (72080) | $66.65 | $155 | 0.9× |
| Thyroid Imaging With Vascular Flow (78013) | $689.29 | $1,603 | 1.9× |
| Thyroid Met Imaging Body (78018) | $1,059.52 | $2,464 | 2.2× |
| Thyroid Uptake Measurement (78012) | $458.38 | $1,066 | 1.3× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $786.90 | $1,830 | 2.2× |
| Tx Devices Design & Construction Complex (77334) range across 4 matching MRF lines |
$411.94–$642.85 | $958–$1,495 | varies |
| Tx devices design & construction simple (77332) | $424.84 | $988 | 3.5× |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$138.89–$208.34 | $323–$484.50 | varies |
| Ultrasound Elastography Parenchyma (76981) | $93.74 | $218 | 1.0× |
| Ultrasound Exam Aaa Screen (76706) | $361.20 | $840 | 3.9× |
| Ultrasound, abdomen limited (76705) range across 4 matching MRF lines |
$163.40–$332.39 | $380–$773 | varies |
| Umbilical-artery Doppler (OB) (76820) | $194.79 | $453 | 2.1× |
| Unlisted us procedure (76999) | $443.76 | $1,032 | 5.7× |
| Upper gi w/o kub (74240) | $285.95 | $665 | 1.8× |
| Urethrocystogram voiding (74455) | $380.98 | $886 | 1.8× |
| Urethrocystography retrograde (74450) | $371.95 | $865 | 1.7× |
| Us breast unilateral complete (76641) range across 2 matching MRF lines |
$214.14–$321.21 | $498–$747 | varies |
| Us chest (76604) | $122.55 | $285 | 1.3× |
| Us exam, pelvic, limited (76857) | $355.18 | $826 | 3.8× |
| Us head (76506) | $339.70 | $790 | 3.6× |
| Us kidney transplant (76776) | $334.54 | $778 | 3.6× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $221.88 | $516 | 2.4× |
| Us ob detailed single fetus (76811) | $363.35 | $845 | 1.7× |
| Us ob limited 1 or more fetuses (76815) | $368.08 | $856 | 3.9× |
| Us ob transvaginal (76817) | $202.53 | $471 | 2.2× |
| Us pelvic non ob complete (76856) | $471.71 | $1,097 | 5.0× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $298.85 | $695 | 3.2× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $273.48 | $636 | 2.9× |
| Us retroperitoneal complete (76770) | $361.20 | $840 | 3.9× |
| Us retroperitoneal limited (76775) | $361.20 | $840 | 3.9× |
| Us scrotum and contents (76870) | $158.67 | $369 | 1.7× |
| Us spinal canal and contents (76800) | $339.70 | $790 | 3.6× |
| Us thyroid (76536) range across 2 matching MRF lines |
$380.12–$439.89 | $884–$1,023 | varies |
| Us transrectal (76872) | $214.14 | $498 | 2.3× |
| Vein X-Ray Chest (75827) | $1,933.71 | $4,497 | 1.4× |
| Venography caval inferior serialography rs&i (75825) | $4,217.44 | $9,808 | 1.5× |
| Venography extremity bilateral rs&i (75822) | $2,571.40 | $5,980 | 1.8× |
| Venography extremity unilateral rs&i (75820) | $1,004.48 | $2,336 | 0.7× |
| Venography Renal Unilateral (75831) | $4,217.44 | $9,808 | 1.5× |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$178.02–$267.03 | $414–$621 | varies |
| X-ray antegrade pyelogram tube (74425) range across 2 matching MRF lines |
$327.23–$371.95 | $761–$865 | varies |
| X-Ray Aorta Leg Arteries (75630) | $4,217.44 | $9,808 | 1.5× |
| X-Ray Bend Only L-S Spine (72120) | $144.91 | $337 | 1.5× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$146.63–$219.95 | $341–$511.50 | varies |
| X-Ray Exam Breast Specimen (76098) | $257.14 | $598 | 0.5× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $87.72 | $204 | 1.1× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $173.29 | $403 | 1.8× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $172 | $400 | 1.8× |
| X-Ray Exam Hip Uni 1 View (73501) | $70.09 | $163 | 0.9× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $97.61 | $227 | 1.3× |
| X-Ray Exam Hips Bi 2 Views (73521) | $144.91 | $337 | 1.5× |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 2 matching MRF lines |
$154.80–$232.20 | $360–$540 | varies |
| X-Ray Exam L-S Spine Bending (72114) | $356.04 | $828 | 3.8× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 3 matching MRF lines |
$144.91–$152.22 | $337–$354 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $279.07 | $649 | 3.0× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $198.23 | $461 | 2.1× |
| X-ray humerus (73060) | $150.93 | $351 | 1.9× |
| X-ray IV pyelogram (ivp) (74400) | $368.51 | $857 | 2.3× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $194.79 | $453 | 2.5× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $84.28 | $196 | 1.1× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $201.67 | $469 | 2.2× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$211.99–$317.99 | $493–$739.50 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $170.28 | $396 | 1.8× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 4 matching MRF lines |
$263.16–$273.91 | $612–$637 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $194.36 | $452 | 2.5× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $273.05 | $635 | 2.9× |
| X-Ray Tmj Unilat (70328) | $205.54 | $478 | 2.6× |
| X-Rays Bone Length Studies (77073) | $161.68 | $376 | 1.7× |
| X-Rays Bone Survey Complete (77075) | $283.37 | $659 | 3.0× |
| Xr c-spine 4 or 5 views (72050) | $230.05 | $535 | 2.5× |
| Xr facial bones less than 3 views (70140) | $248.97 | $579 | 3.2× |
| Xr orbits complete 4 views (70200) | $167.27 | $389 | 1.8× |
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.