Imaging prices at North Shore Medical Center

Miami, FL · every code in this section with a posted price and a Medicare benchmark.

369 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
3-D radiotherapy plan dose-volume histograms (77295) $20,418.97 $20,418.97 14.1×
Abdomen 1 View (74018) $1,579.41 $1,579.41 17.4×
Abdomen 2 views (74019) $3,264.55 $3,264.55 29.9×
Acute Gastrointestinal Blood Loss Imaging (78278) $3,499.99 $3,499.99 8.4×
Angio internal mammary (75756) $7,806.58 $7,806.58 2.4×
Angio pulmonary bilat (75743) $8,130.31 $8,130.31 2.5×
Angiography extremity bilateral rs&i (75716) $15,855.14 $15,855.14 4.8×
Angiography extremity unilateral rs&i (75710) $4,601.98 $4,601.98 1.4×
Angiography pulmonary unilateral slctv rs&i (75741) $26,412.88 $26,412.88 8.0×
Angrph pulmonary nonslctv cath/ven njx rs&i (75746) $9,275.90 $9,275.90 2.8×
Ankle 2 views (73600)
range across 3 matching MRF lines
$1,377.76–$2,066.64 $1,377.76–$2,066.64 varies
Aortography thoracic serialography rs&i (75605) $29,340.62 $29,340.62 5.0×
Artery X-Rays Abdomen (75726) $6,014.62 $6,014.62 1.0×
Artery X-Rays Pelvis (75736) $29,340.62 $29,340.62 5.0×
Artery X-Rays Spine (75705) $29,340.62 $29,340.62 5.0×
Arthrogram hip (73525)
range across 3 matching MRF lines
$2,477.57–$3,716.36 $2,477.57–$3,716.36 varies
Basic radiation dosimetry calculation (77300) $2,845.99 $2,845.99 20.3×
Bone age studies (77072) $632.20 $632.20 5.8×
Bone Imaging 3 Phase (78315) $7,159.12 $7,159.12 17.1×
Bone Imaging Limited Area (78300) $5,689.80 $5,689.80 13.6×
Bone Imaging Whole Body (78306) $6,811.41 $6,811.41 16.3×
Bone marrow imaging limited area (78102) $5,908.89 $5,908.89 14.2×
Bone marrow imaging; multiple areas (78103) $11,717.50 $11,717.50 28.1×
Bone survey infant (77076) $1,209.90 $1,209.90 11.1×
Brachytx isodose complex (77318) $10,459.64 $10,459.64 26.8×
Brachytx isodose intermed (77317) $8,970.70 $8,970.70 22.9×
Brachytx Isodose Plan Simple (77316) $6,900.79 $6,900.79 17.6×
Brain Flow Imaging Only (78610) $1,529.27 $1,529.27 2.7×
Brain Image W/Flow < 4 Views (78601) $1,401.74 $1,401.74 3.4×
Brain Imaging Min 4 Static Views W Vascular Flow (78606) $2,502.64 $2,502.64 4.4×
Cardiac MRI w/w/o contrast & further seq (75561) $5,391.14 $5,391.14 14.8×
Cardiac MRI w/w/o contrast w/stress (75563) $5,439.10 $5,439.10 6.6×
Cat Scan Follow-Up Study (76380) $1,883.52 $1,883.52 20.7×
Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) $2,623.63 $2,623.63 4.6×
Cerebrospinal Fluid Scan (78630) $1,711.30 $1,711.30 3.0×
Chest 1 view (71045) $1,396.29 $1,396.29 15.4×
Chest 2 views (71046) $2,705.38 $2,705.38 29.8×
Chest 3 views (71047) $3,841.16 $3,841.16 42.3×
Chest 4 or more views (71048) $573.34 $573.34 5.3×
Clavicle complete (73000)
range across 3 matching MRF lines
$967.92–$1,451.88 $967.92–$1,451.88 varies
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $1,591.40 $1,591.40 14.6×
Continuing medical physics consltj pr wk (77336) $2,575.67 $2,575.67 18.4×
Contrast Exam Abdominl Aorta (75625) $7,907.95 $7,907.95 2.4×
Contrast X-Ray Bladder (74430) $1,439.89 $1,439.89 4.0×
Contrast X-Ray Of Knee Joint (73580)
range across 3 matching MRF lines
$2,045.93–$3,068.90 $2,045.93–$3,068.90 varies
CT abdomen and pelvis without and with contrast (74178) $18,223.07 $18,223.07 50.0×
CT abdomen and pelvis without contrast (74176) $16,191.81 $16,191.81 65.0×
CT abdomen w contrast (74160) $8,534.33 $8,534.33 46.6×
CT abdomen w wo contrast (74170) $11,461.62 $11,461.62 62.6×
CT abdomen w/o contrast (74150) $6,851.03 $6,851.03 62.8×
CT Angio Abdomen and Pelvis (74174) $5,820.45 $5,820.45 16.0×
CT Angio Chest (71275) $8,828 $8,828 48.2×
CT Angio Head (70496) $6,118.78 $6,118.78 33.4×
CT angio hrt w/3d image (75574) $4,620.51 $4,620.51 12.7×
Ct Angio Lwr Extr W/O&W/Dye (73706)
range across 3 matching MRF lines
$6,991.26–$7,482.53 $6,991.26–$7,482.53 varies
CT Angio Neck (70498) $6,782.25 $6,782.25 37.0×
Ct Angio Upr Extrm W/O&W/Dye (73206)
range across 2 matching MRF lines
$6,871.04–$8,696.02 $6,871.04–$8,696.02 varies
CT cervical spine w/ contrast (72126) $7,667.06 $7,667.06 21.0×
CT cervical spine w/o contrast (72125) $8,908.59 $8,908.59 81.6×
CT cervical spine w/wo cont (72127) $14,706.28 $14,706.28 80.3×
CT chest w contrast (71260) $9,061.58 $9,061.58 49.5×
CT chest w/wo contrast (71270) $7,768.43 $7,768.43 42.4×
CT head/brain with contrast (70460) $9,374 $9,374 51.2×
CT head/brain without and with contrast (70470) $11,690.56 $11,690.56 63.8×
CT heart contrast eval cardiac structure&morph (75572) $3,238.39 $3,238.39 8.9×
CT heart no contrast quant eval coronry calcium (75571) $2,203.98 $2,203.98 24.3×
CT hrt w/3d image congen (75573) $3,833.53 $3,833.53 10.5×
CT iac w contrast (70481) $8,873.37 $8,873.37 48.4×
CT l-spine w&w/o contrast (72133) $11,222.64 $11,222.64 61.3×
CT lower ext w/o (73700)
range across 3 matching MRF lines
$5,774.17–$8,661.25 $5,774.17–$8,661.25 varies
CT lower extremity w/contrast material (73701)
range across 3 matching MRF lines
$4,718.61–$8,299.26 $4,718.61–$8,299.26 varies
CT lumbar spine w contrast (72132) $6,777.88 $6,777.88 18.6×
CT lumbar spine w/o contrast (72131) $8,125.30 $8,125.30 74.4×
CT maxillofacial w contrast (70487) $8,274.33 $8,274.33 45.2×
CT maxillofacial wo contrast (70486) $8,200.16 $8,200.16 75.1×
CT neck tissue combo (70492) $9,896.91 $9,896.91 54.0×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $14,227.40 $14,227.40 77.7×
CT orbits w/o contrast (70480) $8,605.15 $8,605.15 78.8×
CT pelvis w&w/o contrast (72194) $17,023.62 $17,023.62 92.9×
CT pelvis w/o contrast (72192) $7,633.43 $7,633.43 69.9×
CT scan of leg combo (73702)
range across 3 matching MRF lines
$7,571.86–$16,237.19 $7,571.86–$16,237.19 varies
CT scans face/jaw combo (70488) $13,672.96 $13,672.96 74.6×
CT soft tissue neck w contrast (70491) $9,277.18 $9,277.18 50.6×
CT soft tissue neck w/o contrast (70490) $8,103.70 $8,103.70 74.2×
CT thoracic spine w contrast (72129) $10,751.76 $10,751.76 58.7×
CT thoracic spine w/o contrast (72128) $7,432.08 $7,432.08 68.1×
CT thoracic spine w/wo cont (72130) $13,154.12 $13,154.12 71.8×
CT thorax w/o contrast (71250) $6,306.61 $6,306.61 57.8×
CT upper ext wo (73200)
range across 3 matching MRF lines
$6,268.74–$12,545.36 $6,268.74–$12,545.36 varies
CT upper extremity w/o & w/contrast material (73202)
range across 3 matching MRF lines
$10,740.86–$16,111.29 $10,740.86–$16,111.29 varies
CT upper extremity with contrast (73201)
range across 3 matching MRF lines
$4,857.59–$8,158.88 $4,857.59–$8,158.88 varies
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $7,807.14 $7,807.14 42.6×
Cta Abdomen (74175) $7,861.85 $7,861.85 42.9×
CTA pelvis (72191) $10,721.24 $10,721.24 58.5×
Dilation ureters/urethra rs&i (74485) $3,184.98 $3,184.98 1.5×
Doppler Fetal Mid Cerebral Artery (76821) $348.71 $348.71 3.2×
Dxa Bone Density Axial (77080)
range across 2 matching MRF lines
$907.97–$1,145.59 $907.97–$1,145.59 varies
Dxa bone density study 1/>sites appendiclr skel (77081) $728.12 $728.12 8.0×
Echo exam uterus (76831) $2,245.40 $2,245.40 9.0×
Echo Guide For Artery Repair (76936)
range across 2 matching MRF lines
$1,141.23–$1,225.16 $1,141.23–$1,225.16 varies
Echograp Trans R Pros Study (76873) $2,641.07 $2,641.07 24.2×
Esophagram (74220) $2,196.35 $2,196.35 12.0×
Fetal Biophys Profile W/Nst (76818) $2,196.35 $2,196.35 20.1×
Fetal Biophysical Profile W/O Non-Stress Testing (76819) $1,335.25 $1,335.25 12.2×
Fluoroscopy up to 1 hr (76000)
range across 3 matching MRF lines
$2,056.83–$2,517.90 $2,056.83–$2,517.90 varies
Follow-Up Angiography (75898)
range across 2 matching MRF lines
$1,421.36–$1,506.38 $1,421.36–$1,506.38 varies
Foot 2 views (73620)
range across 3 matching MRF lines
$1,056.21–$1,584.32 $1,056.21–$1,584.32 varies
Forearm 2 views (73090)
range across 3 matching MRF lines
$1,348.33–$2,022.50 $1,348.33–$2,022.50 varies
Gastric emptying imaging study (78264) $8,139.03 $8,139.03 19.5×
Gastroesophageal Reflux Exam (78262) $3,462.93 $3,462.93 8.3×
Gated Heart Planar Single (78472) $5,615.68 $5,615.68 13.5×
Gated Heart, Multiple (78473) $9,199.60 $9,199.60 22.0×
Hand 2 views (73120)
range across 3 matching MRF lines
$990.81–$1,486.22 $990.81–$1,486.22 varies
Hdr Rdncl Ntrstl/Icav Brchtx (77772) $18,878.80 $18,878.80 26.0×
Hdr Rdncl Ntrstl/Icav Brchtx (77771) $17,810.60 $17,810.60 24.5×
Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) $19,235.23 $19,235.23 26.4×
Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) $19,351.86 $19,351.86 5.9×
Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) $7,897.05 $7,897.05 2.4×
Hepatobil Syst Image W/Drug (78227) $5,737.76 $5,737.76 10.1×
Hepatobiliary System Imaging (78226) $5,791.17 $5,791.17 13.9×
Ht Musc Image Planar Mult (78454) $20,000.41 $20,000.41 14.8×
Ht Muscle Image Spect Sing (78451) $8,559.77 $8,559.77 6.3×
Hysterosalpingogram (74740) $3,828.08 $3,828.08 15.4×
Infant hip ultrasound with hip movement (dynamic) (76885) $2,202.89 $2,202.89 24.2×
Interstitial radiation source applic complex (77778) $9,329.31 $9,329.31 12.8×
Intracavitary Radiation Source Applic Intermed (77762) $1,850.82 $1,850.82 3.2×
K Flow/Funct Image Multiple (78709) $4,425.40 $4,425.40 7.8×
K Flow/Funct Image W/Drug (78708) $6,178.12 $6,178.12 10.9×
K Flow/Funct Image W/O Drug (78707) $3,649.32 $3,649.32 6.4×
Kidney Funcj Study Non-Img Radioisotopic Study (78725) $5,344.27 $5,344.27 12.8×
Kidney Imaging Morphoogy W/Vascular Flow (78701) $4,333.84 $4,333.84 10.4×
Knee 3 Views (73562)
range across 3 matching MRF lines
$1,497.66–$2,246.49 $1,497.66–$2,246.49 varies
Leveen/Shunt Patency Exam (78291) $2,623.63 $2,623.63 6.3×
Liver & Spleen Imaging Static Only (78215) $3,938.17 $3,938.17 9.4×
Liver & Spleen Imaging W/Vascular Flow (78216) $4,802.54 $4,802.54 11.5×
Liver imaging static only (78201) $3,182.80 $3,182.80 5.6×
Liver imaging w/vascular flow (78202) $3,823.72 $3,823.72 6.7×
Lung Perf&Ventilat Diferentl (78598) $3,932.72 $3,932.72 6.9×
Lung perfusion differential (78597) $3,897.84 $3,897.84 9.3×
Lung Ventilat&Perfus Imaging (78582) $8,464.94 $8,464.94 14.9×
Lung Ventilation Imaging (78579) $3,844.43 $3,844.43 9.2×
Lymph System Imaging (78195) $3,466.20 $3,466.20 6.1×
Magnetic Image Jaw Joint (70336) $4,399.24 $4,399.24 17.7×
Mammary ductogram or galactogram multiple (77054) $1,883.52 $1,883.52 7.6×
Mammary ductogram or galactogram single (77053) $1,745.09 $1,745.09 7.0×
Meckels Divert Exam (78290) $2,522.26 $2,522.26 6.0×
Mlc imrt design & construction per imrt plan (77338) $10,401.87 $10,401.87 26.6×
Mra Head W/O & W/Contrast Material (70546) $8,747.25 $8,747.25 24.0×
MRA head w/o contrast (70544) $9,385.99 $9,385.99 37.7×
MRA head with contrast (70545) $8,608.82 $8,608.82 23.6×
MRA neck w contrast (70548) $7,899.23 $7,899.23 21.7×
Mra Neck W/O &W/Contrast Material (70549) $4,192.14 $4,192.14 11.5×
MRA neck w/o contrast (70547) $5,285.41 $5,285.41 21.2×
MRI abdomen w contrast (74182) $9,728.25 $9,728.25 26.7×
MRI abdomen w/o contrast (74181) $9,924.45 $9,924.45 39.8×
MRI any jt lower extrem w/contrast material (73722)
range across 3 matching MRF lines
$8,903.12–$13,354.68 $8,903.12–$13,354.68 varies
MRI any jt lower extrem w/o & w/contrast matrl (73723)
range across 3 matching MRF lines
$14,662.68–$21,994.02 $14,662.68–$21,994.02 varies
MRI any jt upper extremity w/contrast matrl (73222)
range across 3 matching MRF lines
$10,733.23–$16,099.85 $10,733.23–$16,099.85 varies
MRI Breast W/O Contrast Bilateral (77047) $8,564.13 $8,564.13 34.4×
MRI Breast Without Contrast Material Unilateral (77046) $5,851.12 $5,851.12 23.5×
MRI cardiac w/o cont stress (75559) $4,120.20 $4,120.20 7.2×
MRI cardiac w/o contrast (75557) $4,195.41 $4,195.41 16.8×
MRI cervical spine w contrast (72142) $12,398.75 $12,398.75 34.0×
MRI cervical spine w/o cont (72141) $11,612.86 $11,612.86 46.6×
MRI chest w/o contrast (71550) $7,283.38 $7,283.38 29.2×
MRI chest wo w contrast (71552) $6,168.31 $6,168.31 16.9×
MRI lower extrem oth/thn jt w/contrast matrl (73719)
range across 3 matching MRF lines
$6,535.64–$9,803.46 $6,535.64–$9,803.46 varies
MRI lower extrem oth/thn jt w/o & w/contr matr (73720)
range across 3 matching MRF lines
$10,808.44–$16,212.66 $10,808.44–$16,212.66 varies
MRI lower extrem oth/thn jt w/o contr matrl (73718)
range across 3 matching MRF lines
$9,658.49–$14,487.74 $9,658.49–$14,487.74 varies
MRI lumbar spine w contrast (72149) $9,624.70 $9,624.70 26.4×
Mri Neck Spine W/O & W/Dye (72156) $15,256.73 $15,256.73 41.9×
MRI orbit face &/neck w/o contrast (70540) $8,403.90 $8,403.90 33.7×
MRI orbit face neck w contrast (70542) $6,387.40 $6,387.40 17.5×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $7,832.74 $7,832.74 21.5×
MRI pelvis w contrast (72196) $11,996.54 $11,996.54 32.9×
MRI pelvis w/o & w contrast (72197) $10,398.60 $10,398.60 28.5×
MRI pelvis w/o contrast (72195) $8,584.84 $8,584.84 34.5×
MRI spectroscopy (76390) $4,580.18 $4,580.18 50.4×
MRI thoracic spine w/o contrast (72146) $8,977.24 $8,977.24 36.0×
MRI upper extremity oth than jt w/contr matrl (73219)
range across 3 matching MRF lines
$11,463.53–$17,195.30 $11,463.53–$17,195.30 varies
MRI upper extremity oth than jt w/o contr matrl (73218)
range across 3 matching MRF lines
$7,673.60–$11,510.40 $7,673.60–$11,510.40 varies
Mri Uppr Extremity W/O&W/Dye (73220)
range across 3 matching MRF lines
$10,189.32–$15,283.98 $10,189.32–$15,283.98 varies
MRI, abdomen, combo (74183) $13,206.44 $13,206.44 36.2×
MRI, dorsal spine combo (72157) $14,560.22 $14,560.22 40.0×
MRI, dorsal spine contrast (72147) $10,232.92 $10,232.92 28.1×
MRI, joint upper extrem (73221)
range across 3 matching MRF lines
$11,096.20–$16,644.30 $11,096.20–$16,644.30 varies
MRI, joint upper extrem combo (73223)
range across 3 matching MRF lines
$12,186.20–$18,279.30 $12,186.20–$18,279.30 varies
MRI, lumbar spine combo (72158) $12,968.82 $12,968.82 35.6×
Myelogram cervical (72240) $4,017.74 $4,017.74 4.9×
Myelogram Lumbar (72265) $2,246.49 $2,246.49 2.7×
Myelography thoracic (72255) $3,788.84 $3,788.84 4.6×
Myelograpy 2/more regions rs&i (72270) $4,714.25 $4,714.25 5.8×
Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) $3,166.45 $3,166.45 7.6×
Myocardial Perfusion Planar 1 Study Rest/Stress (78453) $9,856.87 $9,856.87 7.3×
Myocardial Spect Multiple Studies (78452) $19,073.91 $19,073.91 14.1×
Neck soft tissue (70360) $1,899.87 $1,899.87 20.9×
Nm myocard infarct spect (78469) $3,254.74 $3,254.74 5.7×
Nonvascular Shunt X-Ray (75809)
range across 2 matching MRF lines
$968–$1,055.12 $968–$1,055.12 varies
Ntsty modul radthx pln dose-vol histos (77301) $38,615.43 $38,615.43 26.7×
Nuclear Rx Intra-Arterial (79445) $2,060.10 $2,060.10 8.5×
Nuclear Rx Oral Admin (79005) $3,736.52 $3,736.52 15.3×
Parathyroid Planar Imaging (78070) $4,869.03 $4,869.03 11.7×
Parathyroid planar imaging w/wo subtraction (78071) $6,075.66 $6,075.66 14.6×
Pelvis 1 or 2 views (72170) $1,482.40 $1,482.40 13.6×
Peritoneogram Rs&I (74190) $816.41 $816.41 1.4×
Pulmonary Perfusion Imaging Particulate (78580) $3,407.34 $3,407.34 8.2×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $5,054.33 $5,054.33 46.3×
Radex abscess/fistula/sinus tract rs&i (76080)
range across 3 matching MRF lines
$2,881.96–$3,371.37 $2,881.96–$3,371.37 varies
Radex Ankle Complete Minimum 3 Views (73610)
range across 3 matching MRF lines
$2,033.94–$3,050.91 $2,033.94–$3,050.91 varies
Radex Calcaneus Minimum 2 Views (73650)
range across 3 matching MRF lines
$1,034.41–$1,551.62 $1,034.41–$1,551.62 varies
Radex elbow complete minimum 3 views (73080)
range across 3 matching MRF lines
$2,008.87–$3,013.31 $2,008.87–$3,013.31 varies
Radex Facial Bones Complete Minimum 3 Views (70150) $1,398.47 $1,398.47 12.8×
Radex fingr minimum 2 views (73140)
range across 3 matching MRF lines
$1,726.56–$2,589.84 $1,726.56–$2,589.84 varies
Radex foot complete minimum 3 views (73630)
range across 3 matching MRF lines
$2,169.10–$3,253.65 $2,169.10–$3,253.65 varies
Radex Hand Minimum 3 Views (73130)
range across 3 matching MRF lines
$1,932.57–$2,898.86 $1,932.57–$2,898.86 varies
Radex lower extremity infant minimum 2 views (73592)
range across 3 matching MRF lines
$1,655.71–$2,483.57 $1,655.71–$2,483.57 varies
Radex Nasal Bones Complete Minimum 3 Views (70160) $978.82 $978.82 10.8×
Radex Ribs Unilateral 2 Views (71100) $2,604.01 $2,604.01 28.7×
Radex shoulder complete minimum 2 views (73030)
range across 3 matching MRF lines
$2,209.43–$3,314.15 $2,209.43–$3,314.15 varies
Radex Sinuses Paransl < 3 Views (70210) $259.08 $259.08 2.9×
Radex sm int w/mlt srl imges via enteroclss tube (74251) $572.13 $572.13 3.1×
Radex Spine 1 View Specify Level (72020) $759.73 $759.73 8.4×
Radex Sternum Minimum 2 Views (71120) $1,436.62 $1,436.62 15.8×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $2,003.42 $2,003.42 22.0×
Radex Toe Minimum 2 Views (73660)
range across 3 matching MRF lines
$1,381.03–$2,071.55 $1,381.03–$2,071.55 varies
Radex upper extremity infant minimum 2 views (73092)
range across 3 matching MRF lines
$1,401.74–$2,102.61 $1,401.74–$2,102.61 varies
Radex Wrist Complete Minimum 3 Views (73110)
range across 3 matching MRF lines
$2,213.79–$3,320.69 $2,213.79–$3,320.69 varies
Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) $13,434.25 $13,434.25 123.1×
Radiation Delivery Stereotactic Cranial Linear (77372) $75,229.62 $75,229.62 9.8×
Radiation treatment delivery level 1 (77402) $1,620.83 $1,620.83 15.2×
Radiation treatment delivery level 2 (77407) $2,227.96 $2,227.96 5.5×
Radiation treatment delivery level 3 (77412) $4,104.94 $4,104.94 7.1×
Radiolog exam mandible compl minimum 4 views (70110) $1,540.17 $1,540.17 14.1×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $4,012.29 $4,012.29 36.8×
Radiologic exam colon double contrast study (74280) $2,587.66 $2,587.66 14.1×
Radiologic exam colon single contrast study (74270) $2,748.98 $2,748.98 15.0×
Radiologic Exam Esophagus Double Contrast Study (74221) $2,196.35 $2,196.35 12.0×
Radiologic exam knee complete 4/more views (73564)
range across 3 matching MRF lines
$2,922.29–$4,383.44 $2,922.29–$4,383.44 varies
Radiologic exam pelvis compl minimum 3 views (72190) $417.47 $417.47 3.8×
Radiologic Exam Small Int Single Contrast Study (74250) $1,842.10 $1,842.10 10.1×
Radiologic exam swallow function contrast study (74230) $1,218.62 $1,218.62 6.7×
Radiologic exam upr gi trc double contrast study (74246) $3,832.44 $3,832.44 20.9×
Radiologic examination femur 1 view (73551)
range across 3 matching MRF lines
$688.88–$1,033.32 $688.88–$1,033.32 varies
Radiologic examination femur minimum 2 views (73552)
range across 3 matching MRF lines
$1,725.47–$2,588.21 $1,725.47–$2,588.21 varies
Radiologic examination knee 1/2 views (73560)
range across 3 matching MRF lines
$1,132.51–$1,698.77 $1,132.51–$1,698.77 varies
Radiologic Examination Osseous Survey Limited (77074) $1,698.22 $1,698.22 15.6×
Radiologic examination tibia & fibula 2 views (73590)
range across 3 matching MRF lines
$2,112.42–$3,168.63 $2,112.42–$3,168.63 varies
Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77768) $1,752.72 $1,752.72 4.4×
Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77767) $1,621.92 $1,621.92 4.0×
Renal Cyst Study (74470) $644.28 $644.28 1.1×
Ribs bilateral 3 views (71110) $2,861.25 $2,861.25 26.2×
Rp loclzj tum plnr 1 area single day imaging (78800) $2,980.06 $2,980.06 7.1×
Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) $3,735.43 $3,735.43 8.9×
Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) $4,790.55 $4,790.55 8.4×
Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) $7,192.91 $7,192.91 12.7×
Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) $5,942.68 $5,942.68 10.5×
Rp loclzj tum spect 2 area/sep acquisj img (78831) $5,942.68 $5,942.68 4.4×
Rp Therapy Intravenous Administration (79101) $2,513.54 $2,513.54 10.3×
Scapula (73010)
range across 3 matching MRF lines
$1,086.73–$1,630.10 $1,086.73–$1,630.10 varies
Screening Digital Breast Tomosynthesis Bi (77063) $172.22 $172.22 7.4×
Shoulder 1 view (73020)
range across 3 matching MRF lines
$1,013.70–$1,520.55 $1,013.70–$1,520.55 varies
Shoulder Arthrography (73040)
range across 3 matching MRF lines
$3,747.42–$5,621.13 $3,747.42–$5,621.13 varies
Skull less than 4 views (70250) $945.03 $945.03 8.7×
Special dosimetry (77331) $2,206.16 $2,206.16 15.7×
Special Physics Consult (77370) $3,575.20 $3,575.20 25.5×
Special teletherapy port plan (77321) $4,205.22 $4,205.22 10.8×
Special treatment procedure (77470) $7,379.30 $7,379.30 12.8×
Stereotactic Body Radiation Delivery (77373) $16,832.87 $16,832.87 9.0×
Sternoclavicular joints (71130) $665.99 $665.99 7.3×
Superior sagittal sinus venogram (75870) $9,169.07 $9,169.07 2.8×
Telethx isodose pln cplx w/basic dosimetry (77307) $7,965.72 $7,965.72 20.4×
Telethx isodose pln smpl w/dosimetry calculation (77306) $10,178.42 $10,178.42 26.0×
Testicular Imaging W/Flow (78761) $3,037.83 $3,037.83 7.3×
Ther Rad Simulaj-Aided Field Setting Complex (77290) $5,200.39 $5,200.39 13.3×
Ther Rad Simulaj-Aided Field Setting Intermed (77285) $3,398.62 $3,398.62 8.7×
Ther rad simulaj-aided field setting simple (77280) $3,315.78 $3,315.78 23.6×
Thoracic spine 2 views (72070) $2,241.04 $2,241.04 20.5×
Thoracic spine 3 views (72072) $2,292.27 $2,292.27 21.0×
Thoracolumbar 2 views (72080) $1,847.55 $1,847.55 20.3×
Thyroid Imaging With Vascular Flow (78013) $3,142.47 $3,142.47 7.5×
Thyroid Met Imaging Body (78018) $2,654.15 $2,654.15 4.7×
Thyroid Uptake Measurement (78012) $1,870.44 $1,870.44 4.5×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $6,147.60 $6,147.60 14.7×
Tx Devices Design & Construction Complex (77334) $2,931.01 $2,931.01 7.5×
Tx devices design & construction intermediate (77333) $2,089.53 $2,089.53 14.9×
Tx devices design & construction simple (77332) $1,252.41 $1,252.41 8.9×
Ultrasound Breast Limited (76642)
range across 3 matching MRF lines
$1,492.21–$2,238.32 $1,492.21–$2,238.32 varies
Ultrasound elastography first target lesion (76982) $535.19 $535.19 4.9×
Ultrasound Elastography Parenchyma (76981) $772.33 $772.33 7.1×
Ultrasound Exam Aaa Screen (76706) $1,159.76 $1,159.76 10.6×
Ultrasound, abdomen limited (76705) $3,093.42 $3,093.42 28.3×
Umbilical-artery Doppler (OB) (76820) $1,193.55 $1,193.55 10.9×
Unlisted Procedure Clinical Brachytherapy (77799) $4,143.09 $4,143.09 38.9×
Upper gi w/o kub (74240)
range across 2 matching MRF lines
$552.13–$634.23 $552.13–$634.23 varies
Urea Breath Test C-14 Isotopic Acquisj Analysis (78267) $661.63 $661.63 59.8×
Urea breath test c-14 isotopic analysis (78268) $661.63 $661.63 7.0×
Urethrocystogram voiding (74455) $3,670.03 $3,670.03 14.7×
Urethrocystography retrograde (74450) $2,450.32 $2,450.32 9.8×
Us breast unilateral complete (76641)
range across 6 matching MRF lines
$1,716.75–$2,701.02 $1,716.75–$2,701.02 varies
Us chest (76604) $1,727.65 $1,727.65 15.8×
Us exam, pelvic, limited (76857) $779.35 $779.35 7.1×
Us head (76506) $1,444.25 $1,444.25 13.2×
Us kidney transplant (76776) $1,742.91 $1,742.91 16.0×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) $2,550.60 $2,550.60 23.4×
Us ob detailed single fetus (76811) $1,982.71 $1,982.71 8.0×
Us ob limited 1 or more fetuses (76815) $954.84 $954.84 8.7×
Us ob transvaginal (76817) $2,120.05 $2,120.05 19.4×
Us pelvic non ob complete (76856) $3,937.08 $3,937.08 36.1×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $1,461.69 $1,461.69 13.4×
Us preg uterus real time f/u trnsabdl per fetus (76816) $1,329.80 $1,329.80 12.2×
Us retroperitoneal complete (76770) $13,151.94 $13,151.94 120.5×
Us retroperitoneal limited (76775) $2,782.77 $2,782.77 25.5×
Us scrotum and contents (76870) $3,001.86 $3,001.86 27.5×
Us spinal canal and contents (76800) $1,189.19 $1,189.19 10.9×
Us thyroid (76536) $3,176.26 $3,176.26 29.1×
Us transrectal (76872) $2,586.57 $2,586.57 23.7×
Vascular Flow Imaging (78445) $6,400.48 $6,400.48 15.3×
Vein X-Ray Chest (75827)
range across 2 matching MRF lines
$3,594.82–$3,662.40 $3,594.82–$3,662.40 varies
Venogram Sinus/Jugular (75860)
range across 2 matching MRF lines
$4,507.15–$5,640.75 $4,507.15–$5,640.75 varies
Venography caval inferior serialography rs&i (75825) $15,508.52 $15,508.52 4.7×
Venography extremity bilateral rs&i (75822)
range across 2 matching MRF lines
$2,593.11–$3,308.15 $2,593.11–$3,308.15 varies
Venography extremity unilateral rs&i (75820) $1,391.93 $1,391.93 0.8×
Venography Renal Bilateral (75833) $10,652.57 $10,652.57 3.2×
Venography Renal Unilateral (75831)
range across 2 matching MRF lines
$9,932.08–$10,530.49 $9,932.08–$10,530.49 varies
Venous sampling by catheter (75893) $28,736.76 $28,736.76 4.9×
Wrist 2 views (73100)
range across 3 matching MRF lines
$1,314.54–$1,971.81 $1,314.54–$1,971.81 varies
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $805.51 $805.51 8.9×
X-ray antegrade pyelogram tube (74425)
range across 3 matching MRF lines
$1,753.81–$2,174.55 $1,753.81–$2,174.55 varies
X-Ray Aorta Leg Arteries (75630) $10,374.62 $10,374.62 3.1×
X-Ray Bend Only L-S Spine (72120) $1,830.11 $1,830.11 16.8×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070)
range across 3 matching MRF lines
$972.28–$1,458.42 $972.28–$1,458.42 varies
X-Ray Exam Breast Specimen (76098)
range across 2 matching MRF lines
$736.84–$1,090 $736.84–$1,090 varies
X-Ray Exam Entire Spi 1 Vw (72081) $1,859.54 $1,859.54 20.5×
X-Ray Exam Entire Spi 2/3 Vw (72082) $2,718.46 $2,718.46 24.9×
X-Ray Exam Entire Spi 4/5 Vw (72083) $9,492.81 $9,492.81 87.0×
X-Ray Exam Hip Uni 1 View (73501) $1,536.90 $1,536.90 16.9×
X-Ray Exam Hip Uni 2-3 Views (73502) $2,339.14 $2,339.14 25.7×
X-Ray Exam Hip Uni 4/> Views (73503) $3,666.76 $3,666.76 33.6×
X-Ray Exam Hips Bi 2 Views (73521) $1,443.16 $1,443.16 13.2×
X-Ray Exam Hips Bi 3-4 Views (73522) $1,678.60 $1,678.60 15.4×
X-Ray Exam Hips Bi 5/> Views (73523) $3,098.87 $3,098.87 28.4×
X-Ray Exam L-S Spine Bending (72114) $234.35 $234.35 2.1×
X-Ray Exam Neck Spine 2-3 Vw (72040) $1,883.52 $1,883.52 20.7×
X-Ray Exam Neck Spine 6/>Vws (72052) $2,529.89 $2,529.89 23.2×
X-Ray Exam Unilat Ribs/Chest (71101) $2,177.82 $2,177.82 19.9×
X-ray eye for foreign body (70030)
range across 3 matching MRF lines
$736.84–$1,105.26 $736.84–$1,105.26 varies
X-ray humerus (73060) $2,164.74 $2,164.74 23.8×
X-ray IV pyelogram (ivp) (74400) $3,098.87 $3,098.87 16.9×
X-ray IV pyelogram+tomography (74415) $2,153.84 $2,153.84 11.8×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $384.77 $384.77 4.2×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $1,042.04 $1,042.04 11.5×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $2,156.02 $2,156.02 19.7×
X-ray nose-rectum child f.b. (76010) $1,069.29 $1,069.29 11.8×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $2,040.48 $2,040.48 18.7×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $1,620.83 $1,620.83 14.8×
X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) $1,321.08 $1,321.08 12.1×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $1,056.21 $1,056.21 11.6×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $1,510.74 $1,510.74 16.6×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $1,224.07 $1,224.07 11.2×
X-Ray Stress View (77071) $247.74 $247.74 2.7×
X-ray thoracic spine 4 vw (72074) $2,375.11 $2,375.11 21.8×
X-Ray Tmj Unilat (70328) $359.08 $359.08 4.0×
X-Ray Urinary Tract Exam With Contrast Material (74420) $2,744.62 $2,744.62 7.5×
X-Rays Bone Length Studies (77073) $1,166.30 $1,166.30 10.7×
X-Rays Bone Survey Complete (77075) $1,957.64 $1,957.64 17.9×
Xr c-spine 4 or 5 views (72050) $4,631.41 $4,631.41 42.4×
Xr facial bones less than 3 views (70140) $259.08 $259.08 2.9×
Xr orbits complete 4 views (70200) $1,243.69 $1,243.69 11.4×
Xr Tomogram Single Plane (76100) $2,588.75 $2,588.75 23.7×

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.