Imaging prices at Northeast Georgia Medical Center Habersham
Demorest, GA · every code in this section with a posted price and a Medicare benchmark.
400 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) | $11,297.60 | $24,560 | 9.3× |
| Abdomen 1 View (74018) | $268.64 | $584 | 3.5× |
| Abdomen 2 views (74019) | $584.66 | $1,271 | 6.4× |
| Acute Gastrointestinal Blood Loss Imaging (78278) range across 2 matching MRF lines |
$1,511.10–$1,777.90 | $3,285–$3,865 | varies |
| Adrenal Cortex & Medulla Img (78075) range across 2 matching MRF lines |
$1,657.38–$1,949.48 | $3,603–$4,238 | varies |
| Angio pulmonary bilat (75743) | $2,581.98 | $5,613 | 0.9× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $3,748.08 | $8,148 | 1.4× |
| Angiography extremity bilateral rs&i (75716) | $2,946.30 | $6,405 | 1.1× |
| Angiography extremity unilateral rs&i (75710) | $2,440.76 | $5,306 | 0.9× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $2,221.80 | $4,830 | 0.8× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $1,653.24 | $3,594 | 0.6× |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$197.34–$231.38 | $429–$503 | varies |
| Aortography thoracic serialography rs&i (75605) | $3,122.48 | $6,788 | 0.6× |
| Aortography thoracic w/o serialography rs&i (75600) | $1,251.20 | $2,720 | 0.5× |
| Artery X-Rays Abdomen (75726) | $3,945.42 | $8,577 | 0.8× |
| Artery X-Rays Adrenal Gland (75731) | $1,551.58 | $3,373 | 0.6× |
| Artery X-Rays Pelvis (75736) | $2,646.84 | $5,754 | 0.5× |
| Artery X-Rays Spine (75705) | $1,015.68 | $2,208 | 0.2× |
| Arthrogram ankle (73615) range across 2 matching MRF lines |
$906.66–$1,067.20 | $1,971–$2,320 | varies |
| Arthrogram hip (73525) range across 2 matching MRF lines |
$399.28–$470.12 | $868–$1,022 | varies |
| Arthrogram Wrist (73115) range across 2 matching MRF lines |
$517.04–$608.58 | $1,124–$1,323 | varies |
| Basic radiation dosimetry calculation (77300) | $644.92 | $1,402 | 5.5× |
| Bone age studies (77072) range across 2 matching MRF lines |
$523.02–$614.56 | $1,137–$1,336 | varies |
| Bone Imaging 3 Phase (78315) range across 2 matching MRF lines |
$1,231.88–$1,448.54 | $2,678–$3,149 | varies |
| Bone Imaging Limited Area (78300) range across 2 matching MRF lines |
$711.16–$837.66 | $1,546–$1,821 | varies |
| Bone Imaging Whole Body (78306) range across 2 matching MRF lines |
$1,094.80–$1,288.46 | $2,380–$2,801 | varies |
| Bone marrow imaging limited area (78102) | $509.68 | $1,108 | 1.5× |
| Bone marrow imaging; multiple areas (78103) | $759.92 | $1,652 | 2.2× |
| Bone marrow imaging; whole body (78104) range across 2 matching MRF lines |
$857.44–$1,008.32 | $1,864–$2,192 | varies |
| Bone survey infant (77076) range across 2 matching MRF lines |
$173.88–$204.24 | $378–$444 | varies |
| Brachytx isodose complex (77318) | $6,467.14 | $14,059 | 19.7× |
| Brachytx isodose intermed (77317) | $1,602.64 | $3,484 | 4.9× |
| Brachytx Isodose Plan Simple (77316) | $1,393.34 | $3,029 | 4.2× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) range across 2 matching MRF lines |
$718.98–$846.40 | $1,563–$1,840 | varies |
| Brain Imaging Pet Metabolic Evaluation (78608) | $9,125.94 | $19,839 | 7.3× |
| Cardiac MRI w/w/o contrast & further seq (75561) range across 2 matching MRF lines |
$1,329.40–$1,563.08 | $2,890–$3,398 | varies |
| Cardiac MRI w/w/o contrast w/stress (75563) range across 2 matching MRF lines |
$1,631.16–$1,919.12 | $3,546–$4,172 | varies |
| Cat Scan Follow-Up Study (76380) range across 2 matching MRF lines |
$736.92–$866.64 | $1,602–$1,884 | varies |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) range across 2 matching MRF lines |
$710.70–$837.20 | $1,545–$1,820 | varies |
| Cerebrospinal Fluid Scan (78630) range across 2 matching MRF lines |
$1,672.56–$1,967.88 | $3,636–$4,278 | varies |
| Chest 1 view (71045) | $212.98 | $463 | 2.8× |
| Chest 2 views (71046) | $298.08 | $648 | 3.9× |
| Chest 3 views (71047) | $960.48 | $2,088 | 12.6× |
| Chest 4 or more views (71048) | $1,069.50 | $2,325 | 11.7× |
| Cineradiograpy/vidradiograpy xcpt where spec (76120) range across 2 matching MRF lines |
$678.04–$797.64 | $1,474–$1,734 | varies |
| Clavicle complete (73000) range across 2 matching MRF lines |
$271.86–$320.16 | $591–$696 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 2 matching MRF lines |
$78.66–$92.46 | $171–$201 | varies |
| Continuing medical physics consltj pr wk (77336) | $1,119.18 | $2,433 | 9.5× |
| Contrast Exam Abdominl Aorta (75625) | $3,748.08 | $8,148 | 1.4× |
| Contrast X-Ray Bladder (74430) range across 2 matching MRF lines |
$678.50–$798.10 | $1,475–$1,735 | varies |
| Contrast X-Ray Of Elbow (73085) range across 2 matching MRF lines |
$330.28–$388.70 | $718–$845 | varies |
| Contrast X-Ray Of Knee Joint (73580) range across 2 matching MRF lines |
$557.98–$656.42 | $1,213–$1,427 | varies |
| Contrast Xray Throat/Cerv Esopha (74210) range across 2 matching MRF lines |
$426.42–$500.94 | $927–$1,089 | varies |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$2,628.44–$3,092.12 | $5,714–$6,722 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$1,675.32–$1,971.10 | $3,642–$4,285 | varies |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$1,011.54–$1,189.10 | $2,199–$2,585 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$1,356.08–$1,595.28 | $2,948–$3,468 | varies |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$840.88–$990.38 | $1,828–$2,153 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$2,496.88–$2,937.56 | $5,428–$6,386 | varies |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$1,211.18–$1,425.08 | $2,633–$3,098 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$1,621.04–$1,906.70 | $3,524–$4,145 | varies |
| CT angio hrt w/3d image (75574) range across 2 matching MRF lines |
$967.38–$1,138.04 | $2,103–$2,474 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
$1,321.58–$1,554.80 | $2,873–$3,380 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$1,627.48–$1,914.98 | $3,538–$4,163 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 2 matching MRF lines |
$1,217.16–$1,432.90 | $2,646–$3,115 | varies |
| CT cervical spine w/ contrast (72126) range across 2 matching MRF lines |
$963.70–$1,133.90 | $2,095–$2,465 | varies |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$806.38–$949.90 | $1,753–$2,065 | varies |
| CT cervical spine w/wo cont (72127) range across 2 matching MRF lines |
$1,173.92–$1,381.38 | $2,552–$3,003 | varies |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$971.52–$1,142.64 | $2,112–$2,484 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$1,139.42–$1,340.90 | $2,477–$2,915 | varies |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$895.16–$1,053.40 | $1,946–$2,290 | varies |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$1,084.22–$1,276.04 | $2,357–$2,774 | varies |
| CT heart no contrast quant eval coronry calcium (75571) | $39.10 | $85 | 0.5× |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$1,222.22–$1,438.42 | $2,657–$3,127 | varies |
| CT l-spine w&w/o contrast (72133) range across 2 matching MRF lines |
$1,280.64–$1,507.42 | $2,784–$3,277 | varies |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$831.68–$978.42 | $1,808–$2,127 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$1,002.80–$1,179.90 | $2,180–$2,565 | varies |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$974.28–$1,146.32 | $2,118–$2,492 | varies |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$876.30–$1,030.86 | $1,905–$2,241 | varies |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$1,076.40–$1,266.38 | $2,340–$2,753 | varies |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$581.90–$684.94 | $1,265–$1,489 | varies |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$1,283.86–$1,510.64 | $2,791–$3,284 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 2 matching MRF lines |
$1,400.24–$1,647.26 | $3,044–$3,581 | varies |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$1,050.18–$1,236.02 | $2,283–$2,687 | varies |
| CT pelvis w&w/o contrast (72194) range across 2 matching MRF lines |
$1,271.90–$1,496.38 | $2,765–$3,253 | varies |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$834.44–$981.64 | $1,814–$2,134 | varies |
| CT scan of leg combo (73702) range across 2 matching MRF lines |
$1,278.80–$1,505.58 | $2,780–$3,273 | varies |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
$1,309.62–$1,540.54 | $2,847–$3,349 | varies |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$1,057.08–$1,243.84 | $2,298–$2,704 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$881.36–$1,036.38 | $1,916–$2,253 | varies |
| CT thoracic spine w contrast (72129) range across 2 matching MRF lines |
$976.12–$1,147.70 | $2,122–$2,495 | varies |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$876.76–$1,031.78 | $1,906–$2,243 | varies |
| CT thoracic spine w/wo cont (72130) range across 2 matching MRF lines |
$1,513.86–$1,780.66 | $3,291–$3,871 | varies |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$876.76–$1,031.78 | $1,906–$2,243 | varies |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$830.76–$977.50 | $1,806–$2,125 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 2 matching MRF lines |
$1,275.12–$1,500.06 | $2,772–$3,261 | varies |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$996.82–$1,172.54 | $2,167–$2,549 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$1,527.66–$1,798.14 | $3,321–$3,909 | varies |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$1,344.12–$1,581.48 | $2,922–$3,438 | varies |
| CTA pelvis (72191) range across 2 matching MRF lines |
$1,260.86–$1,483.50 | $2,741–$3,225 | varies |
| Dilation ureters/urethra rs&i (74485) | $970.14 | $2,109 | 0.5× |
| Discography Cerv/Thor Spine (72285) | $767.28 | $1,668 | 0.4× |
| Diskography lumbar (72295) | $1,828.04 | $3,974 | 1.1× |
| Doppler Echo Fetal Spectral Display Complete (76827) range across 2 matching MRF lines |
$211.14–$247.94 | $459–$539 | varies |
| Doppler Fetal Mid Cerebral Artery (76821) range across 2 matching MRF lines |
$265.42–$312.34 | $577–$679 | varies |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$466.90–$548.32 | $1,015–$1,192 | varies |
| Dxa bone density study 1/>sites appendiclr skel (77081) range across 2 matching MRF lines |
$222.18–$262.66 | $483–$571 | varies |
| Echo exam of fetal heart (76825) range across 3 matching MRF lines |
$1,447.16–$1,702 | $3,146–$3,700 | varies |
| Echo exam uterus (76831) range across 2 matching MRF lines |
$692.30–$814.20 | $1,505–$1,770 | varies |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) range across 2 matching MRF lines |
$856.06–$1,006.94 | $1,861–$2,189 | varies |
| Echograp Trans R Pros Study (76873) | $707.48 | $1,538 | 7.7× |
| Esophagram (74220) range across 2 matching MRF lines |
$464.14–$546.02 | $1,009–$1,187 | varies |
| Fetal Biophys Profile W/Nst (76818) range across 2 matching MRF lines |
$329.82–$388.24 | $717–$844 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 2 matching MRF lines |
$325.22–$383.18 | $707–$833 | varies |
| Fluoroscopy up to 1 hr (76000) range across 3 matching MRF lines |
$586.50–$690 | $1,275–$1,500 | varies |
| Follow-Up Angiography (75898) | $1,434.28 | $3,118 | 0.5× |
| Foot 2 views (73620) range across 2 matching MRF lines |
$197.34–$231.38 | $429–$503 | varies |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$272.32–$322 | $592–$700 | varies |
| Gastric emptying imaging study (78264) range across 2 matching MRF lines |
$1,597.58–$1,880.02 | $3,473–$4,087 | varies |
| Gated Heart Planar Single (78472) range across 2 matching MRF lines |
$2,283.44–$2,686.86 | $4,964–$5,841 | varies |
| Hand 2 views (73120) range across 2 matching MRF lines |
$197.34–$231.38 | $429–$503 | varies |
| Hdr Rdncl Ntrstl/Icav Brchtx (77772) | $11,391.90 | $24,765 | 18.7× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) | $10,217.06 | $22,211 | 16.7× |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) | $5,538.86 | $12,041 | 9.1× |
| Heart Image (Pet) Multiple (78492) | $3,164.80 | $6,880 | 2.5× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $1,045.58 | $2,273 | 0.4× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $592.94 | $1,289 | 0.2× |
| Hepatobil Syst Image W/Drug (78227) range across 2 matching MRF lines |
$2,177.64–$2,562.20 | $4,734–$5,570 | varies |
| Hepatobiliary System Imaging (78226) range across 2 matching MRF lines |
$2,177.64–$2,562.20 | $4,734–$5,570 | varies |
| Ht Muscle Image Spect Sing (78451) | $3,626.18 | $7,883 | 3.2× |
| Hysterosalpingogram (74740) | $1,558.02 | $3,387 | 7.5× |
| Infant hip ultrasound with hip movement (dynamic) (76885) range across 2 matching MRF lines |
$146.28–$171.58 | $318–$373 | varies |
| Infant hip ultrasound, limited static exam (76886) range across 2 matching MRF lines |
$107.64–$126.50 | $234–$275 | varies |
| Infusion Ivp (74410) range across 2 matching MRF lines |
$598.92–$704.72 | $1,302–$1,532 | varies |
| Interstitial radiation source applic complex (77778) | $2,035.04 | $4,424 | 3.3× |
| Intracavitary Radiation Source Applic Complex (77763) | $1,157.36 | $2,516 | 1.9× |
| Joint Survey Single View (77077) | $155.94 | $339 | 1.7× |
| K Flow/Funct Image Multiple (78709) range across 2 matching MRF lines |
$2,100.36–$2,471.58 | $4,566–$5,373 | varies |
| K Flow/Funct Image W/Drug (78708) range across 2 matching MRF lines |
$1,685.90–$1,982.60 | $3,665–$4,310 | varies |
| K Flow/Funct Image W/O Drug (78707) range across 2 matching MRF lines |
$1,532.26–$1,802.74 | $3,331–$3,919 | varies |
| Kidney Imaging Morphol (78700) range across 2 matching MRF lines |
$838.58–$986.70 | $1,823–$2,145 | varies |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) range across 2 matching MRF lines |
$838.58–$986.70 | $1,823–$2,145 | varies |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$280.60–$330.28 | $610–$718 | varies |
| Leveen/Shunt Patency Exam (78291) range across 2 matching MRF lines |
$523.48–$615.02 | $1,138–$1,337 | varies |
| Liver & Spleen Imaging Static Only (78215) | $2,324.38 | $5,053 | 6.6× |
| Liver & Spleen Imaging W/Vascular Flow (78216) range across 2 matching MRF lines |
$2,048.38–$2,409.48 | $4,453–$5,238 | varies |
| Liver imaging static only (78201) | $2,196.50 | $4,775 | 4.6× |
| Lung perfusion differential (78597) | $615.02 | $1,337 | 1.8× |
| Lung Ventilat&Perfus Imaging (78582) range across 2 matching MRF lines |
$2,950.44–$3,471.62 | $6,414–$7,547 | varies |
| Lung Ventilation Imaging (78579) range across 2 matching MRF lines |
$1,545.14–$1,817 | $3,359–$3,950 | varies |
| Lymph System Imaging (78195) range across 2 matching MRF lines |
$1,835.86–$2,160.16 | $3,991–$4,696 | varies |
| Magnetic Image Jaw Joint (70336) range across 2 matching MRF lines |
$843.64–$992.68 | $1,834–$2,158 | varies |
| Mammary ductogram or galactogram multiple (77054) range across 2 matching MRF lines |
$546.48–$643.54 | $1,188–$1,399 | varies |
| Mammary ductogram or galactogram single (77053) range across 2 matching MRF lines |
$546.48–$643.54 | $1,188–$1,399 | varies |
| Meckels Divert Exam (78290) range across 2 matching MRF lines |
$695.52–$817.88 | $1,512–$1,778 | varies |
| Mlc imrt design & construction per imrt plan (77338) | $1,094.34 | $2,379 | 3.3× |
| Mra Head W/O & W/Contrast Material (70546) range across 2 matching MRF lines |
$1,563.08–$1,839.08 | $3,398–$3,998 | varies |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$1,356.54–$1,595.74 | $2,949–$3,469 | varies |
| MRA head with contrast (70545) range across 2 matching MRF lines |
$1,478.90–$1,739.72 | $3,215–$3,782 | varies |
| MRA neck w contrast (70548) range across 2 matching MRF lines |
$1,412.20–$1,661.06 | $3,070–$3,611 | varies |
| Mra Neck W/O &W/Contrast Material (70549) range across 2 matching MRF lines |
$1,617.82–$1,903.94 | $3,517–$4,139 | varies |
| MRA neck w/o contrast (70547) range across 2 matching MRF lines |
$1,308.70–$1,539.62 | $2,845–$3,347 | varies |
| MRI abdomen w contrast (74182) range across 2 matching MRF lines |
$1,119.64–$1,316.98 | $2,434–$2,863 | varies |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$844.10–$993.14 | $1,835–$2,159 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 2 matching MRF lines |
$980.26–$1,153.22 | $2,131–$2,507 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$1,345.96–$1,583.32 | $2,926–$3,442 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 2 matching MRF lines |
$977.50–$1,150 | $2,125–$2,500 | varies |
| MRI Breast W/O Contrast Bilateral (77047) | $1,477.06 | $3,211 | 7.1× |
| MRI Breast Without Contrast Material Unilateral (77046) range across 2 matching MRF lines |
$1,360.22–$1,600.34 | $2,957–$3,479 | varies |
| MRI cardiac w/o cont stress (75559) range across 2 matching MRF lines |
$857.90–$1,009.24 | $1,865–$2,194 | varies |
| MRI cardiac w/o contrast (75557) range across 2 matching MRF lines |
$1,213.02–$1,427.38 | $2,637–$3,103 | varies |
| MRI cervical spine w contrast (72142) range across 2 matching MRF lines |
$1,174.84–$1,381.38 | $2,554–$3,003 | varies |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$899.30–$1,058.46 | $1,955–$2,301 | varies |
| MRI chest w/o contrast (71550) range across 2 matching MRF lines |
$526.70–$620.08 | $1,145–$1,348 | varies |
| MRI chest with contrast (71551) range across 2 matching MRF lines |
$643.54–$757.16 | $1,399–$1,646 | varies |
| MRI chest wo w contrast (71552) range across 2 matching MRF lines |
$718.06–$845.48 | $1,561–$1,838 | varies |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 2 matching MRF lines |
$1,296.74–$1,525.36 | $2,819–$3,316 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 2 matching MRF lines |
$1,409.44–$1,657.38 | $3,064–$3,603 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines |
$914.02–$1,075.94 | $1,987–$2,339 | varies |
| MRI lumbar spine w contrast (72149) range across 2 matching MRF lines |
$1,058.46–$1,244.76 | $2,301–$2,706 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$1,556.18–$1,831.26 | $3,383–$3,981 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 2 matching MRF lines |
$913.56–$1,074.56 | $1,986–$2,336 | varies |
| MRI orbit face neck w contrast (70542) range across 2 matching MRF lines |
$1,101.70–$1,296.28 | $2,395–$2,818 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 2 matching MRF lines |
$1,691.88–$1,990.88 | $3,678–$4,328 | varies |
| MRI pelvis w contrast (72196) range across 2 matching MRF lines |
$931.50–$1,095.72 | $2,025–$2,382 | varies |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$1,418.64–$1,668.42 | $3,084–$3,627 | varies |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$579.14–$680.80 | $1,259–$1,480 | varies |
| MRI spectroscopy (76390) range across 2 matching MRF lines |
$840.88–$989.46 | $1,828–$2,151 | varies |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$824.32–$970.60 | $1,792–$2,110 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 2 matching MRF lines |
$1,207.04–$1,419.56 | $2,624–$3,086 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 2 matching MRF lines |
$1,158.74–$1,363.90 | $2,519–$2,965 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 2 matching MRF lines |
$1,409.44–$1,657.84 | $3,064–$3,604 | varies |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$1,420.02–$1,669.80 | $3,087–$3,630 | varies |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$1,348.72–$1,587 | $2,932–$3,450 | varies |
| MRI, dorsal spine contrast (72147) range across 2 matching MRF lines |
$980.26–$1,153.22 | $2,131–$2,507 | varies |
| MRI, joint upper extrem (73221) range across 2 matching MRF lines |
$819.72–$965.08 | $1,782–$2,098 | varies |
| MRI, joint upper extrem combo (73223) range across 2 matching MRF lines |
$1,355.16–$1,595.28 | $2,946–$3,468 | varies |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$1,399.78–$1,646.80 | $3,043–$3,580 | varies |
| Myelogram cervical (72240) | $1,121.02 | $2,437 | 1.6× |
| Myelogram Lumbar (72265) | $1,251.66 | $2,721 | 1.8× |
| Myelograpy 2/more regions rs&i (72270) | $1,689.58 | $3,673 | 2.5× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) | $2,196.50 | $4,775 | 1.9× |
| Myocardial Spect Multiple Studies (78452) range across 2 matching MRF lines |
$4,030.06–$4,183.24 | $8,761–$9,094 | varies |
| Myocrd img PET prfuj 1std rest/stress cncrnt CT (78430) | $2,414.54 | $5,249 | 1.9× |
| Myocrd Img Pet Prfuj Mlt Std Rst&Strs Cncrnt CT (78431) range across 2 matching MRF lines |
$1,824.24–$3,671.26 | $3,965.74–$7,981 | varies |
| Myocrd Img Pet Prfuj W/Metab 2rtracer Cncrnt CT (78433) | $2,716.76 | $5,906 | 1.4× |
| N-invas est c ffr sw aly CTA (75580) | $2,059.88 | $4,478 | 2.7× |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$132.02–$155.02 | $287–$337 | varies |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) range across 2 matching MRF lines |
$529–$623.76 | $1,150–$1,356 | varies |
| Nm csf leak detection (78650) range across 2 matching MRF lines |
$752.10–$884.58 | $1,635–$1,923 | varies |
| Nonvascular Shunt X-Ray (75809) range across 4 matching MRF lines |
$938.40–$1,101.24 | $2,040–$2,394 | varies |
| Ntsty modul radthx pln dose-vol histos (77301) | $12,980.28 | $28,218 | 10.7× |
| Nuclear Rx Intra-Arterial (79445) | $413.08 | $898 | 2.0× |
| Nuclear Rx Oral Admin (79005) | $776.02 | $1,687 | 3.8× |
| Ob us nuchal meas 1 gest (76813) range across 2 matching MRF lines |
$214.36–$252.54 | $466–$549 | varies |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) | $177.56 | $386 | 1.9× |
| Optic foramina (70190) range across 2 matching MRF lines |
$143.52–$169.28 | $312–$368 | varies |
| Panoramic X-ray of jaws (70355) | $239.20 | $520 | 3.1× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $1,712.58 | $3,723 | 3.6× |
| Parathyroid Planar Imaging (78070) range across 2 matching MRF lines |
$1,281.56–$1,507.42 | $2,786–$3,277 | varies |
| Parathyroid planar imaging w/wo subtraction (78071) range across 2 matching MRF lines |
$1,455.90–$1,712.58 | $3,165–$3,723 | varies |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$288.88–$339.94 | $628–$739 | varies |
| Peritoneogram Rs&I (74190) | $438.84 | $954 | 0.9× |
| Pet Image W/Ct Lmtd (78814) | $2,219.96 | $4,826 | 1.8× |
| PET image w/CT, full body (78816) | $10,018.34 | $21,779 | 8.0× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $10,018.34 | $21,779 | 8.0× |
| Pet Myocardial Sngl Study (78491) | $2,538.28 | $5,518 | 2.0× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $2,348.30 | $5,105 | 0.8× |
| Pulmonary Perfusion Imaging Particulate (78580) range across 2 matching MRF lines |
$1,276.96–$1,502.82 | $2,776–$3,267 | varies |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$661.94–$778.32 | $1,439–$1,692 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 2 matching MRF lines |
$302.68–$356.50 | $658–$775 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$313.72–$369.38 | $682–$803 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$254.38–$298.08 | $553–$648 | varies |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$276–$324.76 | $600–$706 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$418.14–$492.20 | $909–$1,070 | varies |
| Radex fingr minimum 2 views (73140) range across 2 matching MRF lines |
$283.36–$334.42 | $616–$727 | varies |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$225.40–$264.50 | $490–$575 | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$303.60–$356.96 | $660–$776 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 2 matching MRF lines |
$249.78–$293.02 | $543–$637 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) range across 2 matching MRF lines |
$316.48–$371.68 | $688–$808 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$397.44–$467.36 | $864–$1,016 | varies |
| Radex Pharynx/Larx W/Fluor&/Magnification Tq (70370) range across 2 matching MRF lines |
$132.02–$155.02 | $287–$337 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 2 matching MRF lines |
$367.54–$431.94 | $799–$939 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$354.20–$416.76 | $770–$906 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$345.92–$407.56 | $752–$886 | varies |
| Radex Spine 1 View Specify Level (72020) range across 2 matching MRF lines |
$154.10–$180.78 | $335–$393 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$346.84–$408.94 | $754–$889 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$362.94–$425.96 | $789–$926 | varies |
| Radex Toe Minimum 2 Views (73660) range across 2 matching MRF lines |
$250.24–$293.94 | $544–$639 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 2 matching MRF lines |
$194.58–$228.62 | $423–$497 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$340.40–$400.20 | $740–$870 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) range across 2 matching MRF lines |
$422.28–$496.80 | $918–$1,080 | varies |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $14,110.96 | $30,676 | 2.2× |
| Radiation treatment delivery level 1 (77402) | $681.26 | $1,481 | 7.6× |
| Radiation treatment delivery level 2 (77407) | $829.84 | $1,804 | 2.5× |
| Radiation treatment delivery level 3 (77412) | $1,082.38 | $2,353 | 2.2× |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$404.34–$476.10 | $879–$1,035 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $717.14 | $1,559 | 7.8× |
| Radiologic exam colon double contrast study (74280) range across 2 matching MRF lines |
$1,474.30–$1,732.36 | $3,205–$3,766 | varies |
| Radiologic exam colon single contrast study (74270) range across 2 matching MRF lines |
$1,077.32–$1,267.30 | $2,342–$2,755 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$280.60–$330.28 | $610–$718 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$404.34–$476.10 | $879–$1,035 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 2 matching MRF lines |
$943.92–$1,110.44 | $2,052–$2,414 | varies |
| Radiologic exam swallow function contrast study (74230) range across 2 matching MRF lines |
$501.40–$590.64 | $1,090–$1,284 | varies |
| Radiologic exam teeth complete full mouth (70320) | $155.94 | $339 | 0.7× |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$572.24–$671.60 | $1,244–$1,460 | varies |
| Radiologic examination femur 1 view (73551) range across 2 matching MRF lines |
$116.84–$138 | $254–$300 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$346.84–$408.94 | $754–$889 | varies |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$197.34–$231.38 | $429–$503 | varies |
| Radiologic Examination Osseous Survey Limited (77074) range across 2 matching MRF lines |
$635.72–$749.34 | $1,382–$1,629 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 2 matching MRF lines |
$402.50–$473.80 | $875–$1,030 | varies |
| Radiologic examination, internal auditory meati, complete Non-Facility (70134) range across 2 matching MRF lines |
$111.32–$131.10 | $242–$285 | varies |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77768) | $518.42 | $1,127 | 1.5× |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77767) | $518.42 | $1,127 | 1.5× |
| Renal Cyst Study (74470) | $298.08 | $648 | 0.6× |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$437–$513.36 | $950–$1,116 | varies |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $644 | $1,400 | 1.8× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) range across 2 matching MRF lines |
$1,096.18–$1,289.84 | $2,383–$2,804 | varies |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) range across 2 matching MRF lines |
$1,096.18–$1,289.84 | $2,383–$2,804 | varies |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 2 matching MRF lines |
$1,226.36–$1,443.02 | $2,666–$3,137 | varies |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) range across 2 matching MRF lines |
$1,861.62–$2,190.52 | $4,047–$4,762 | varies |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $2,343.70 | $5,095 | 1.9× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $2,066.78 | $4,493 | 1.8× |
| Rp Therapy Intravenous Administration (79101) | $1,187.26 | $2,581 | 5.8× |
| Scapula (73010) range across 2 matching MRF lines |
$358.34–$422.28 | $779–$918 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 2 matching MRF lines |
$64.40–$75.44 | $140–$164 | varies |
| Sella turcica (70240) range across 2 matching MRF lines |
$144.44–$170.20 | $314–$370 | varies |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$168.82–$198.72 | $367–$432 | varies |
| Shoulder Arthrography (73040) range across 2 matching MRF lines |
$626.52–$736.92 | $1,362–$1,602 | varies |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$335.80–$395.14 | $730–$859 | varies |
| Special dosimetry (77331) | $372.14 | $809 | 3.2× |
| Special Physics Consult (77370) | $1,055.24 | $2,294 | 9.0× |
| Special teletherapy port plan (77321) | $1,749.38 | $3,803 | 5.3× |
| Special treatment procedure (77470) | $3,397.56 | $7,386 | 7.0× |
| Speech evaluation, complex (70371) range across 2 matching MRF lines |
$292.56–$345 | $636–$750 | varies |
| Stereotactic Body Radiation Delivery (77373) | $5,874.66 | $12,771 | 3.7× |
| Sternoclavicular joints (71130) range across 2 matching MRF lines |
$258.98–$304.52 | $563–$662 | varies |
| Superior sagittal sinus venogram (75870) | $2,212.60 | $4,810 | 0.8× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $6,187.92 | $13,452 | 18.9× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $1,382.76 | $3,006 | 4.2× |
| Testicular Imaging W/Flow (78761) range across 2 matching MRF lines |
$472.42–$555.22 | $1,027–$1,207 | varies |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $2,495.04 | $5,424 | 7.6× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $1,541.46 | $3,351 | 4.7× |
| Ther rad simulaj-aided field setting simple (77280) | $1,336.30 | $2,905 | 11.3× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) range across 2 matching MRF lines |
$250.70–$294.86 | $545–$641 | varies |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$664.24–$781.54 | $1,444–$1,699 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$738.76–$869.40 | $1,606–$1,890 | varies |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$441.60–$519.80 | $960–$1,130 | varies |
| Thyroid Imaging With Vascular Flow (78013) range across 2 matching MRF lines |
$1,572.28–$1,849.66 | $3,418–$4,021 | varies |
| Thyroid Met Imaging Body (78018) range across 2 matching MRF lines |
$2,098.52–$2,467.90 | $4,562–$5,365 | varies |
| Thyroid Uptake Measurement (78012) range across 2 matching MRF lines |
$333.04–$391.46 | $724–$851 | varies |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) range across 2 matching MRF lines |
$1,886.46–$2,219.50 | $4,101–$4,825 | varies |
| Tx Devices Design & Construction Complex (77334) | $1,495.46 | $3,251 | 4.6× |
| Tx devices design & construction intermediate (77333) | $492.20 | $1,070 | 4.2× |
| Tx devices design & construction simple (77332) | $444.82 | $967 | 3.8× |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$98.90–$116.38 | $215–$253 | varies |
| Ultrasound Exam Aaa Screen (76706) | $693.22 | $1,507 | 7.6× |
| Ultrasound trgt dynamic microbubble 1st lesion (76978) | $445.28 | $968 | 1.5× |
| Ultrasound, abdomen limited (76705) range across 4 matching MRF lines |
$770.96–$906.66 | $1,676–$1,971 | varies |
| Umbilical-artery Doppler (OB) (76820) range across 4 matching MRF lines |
$286.12–$336.26 | $622–$731 | varies |
| Unlisted Dx Radiographic Procedure (76499) | $525.78 | $1,143 | 6.9× |
| Unlisted Procedure Clinical Brachytherapy (77799) | $2,082.88 | $4,528 | 23.3× |
| Unlisted us procedure (76999) | $1,786.18 | $3,883 | 23.4× |
| Upper gi w/o kub (74240) range across 2 matching MRF lines |
$412.62–$485.30 | $897–$1,055 | varies |
| Urethrocystogram voiding (74455) range across 2 matching MRF lines |
$945.30–$1,111.36 | $2,055–$2,416 | varies |
| Urethrocystography retrograde (74450) range across 2 matching MRF lines |
$345.46–$405.72 | $751–$882 | varies |
| Us breast unilateral complete (76641) range across 2 matching MRF lines |
$179.86–$211.14 | $391–$459 | varies |
| Us chest (76604) range across 4 matching MRF lines |
$587.42–$690.46 | $1,277–$1,501 | varies |
| Us complete joint (76881) range across 2 matching MRF lines |
$194.58–$229.54 | $423–$499 | varies |
| Us exam, pelvic, limited (76857) range across 4 matching MRF lines |
$417.68–$491.74 | $908–$1,069 | varies |
| Us head (76506) range across 2 matching MRF lines |
$770.96–$906.66 | $1,676–$1,971 | varies |
| Us kidney transplant (76776) range across 2 matching MRF lines |
$354.66–$415.38 | $771–$903 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 3 matching MRF lines |
$194.58–$229.54 | $423–$499 | varies |
| Us ob detailed single fetus (76811) range across 2 matching MRF lines |
$742.90–$874 | $1,615–$1,900 | varies |
| Us ob limited 1 or more fetuses (76815) range across 3 matching MRF lines |
$437–$514.28 | $950–$1,118 | varies |
| Us ob transvaginal (76817) range across 3 matching MRF lines |
$899.30–$1,058.46 | $1,955–$2,301 | varies |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$1,027.18–$1,210.26 | $2,233–$2,631 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 3 matching MRF lines |
$630.66–$742.44 | $1,371–$1,614 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 2 matching MRF lines |
$210.68–$247.48 | $458–$538 | varies |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$899.30–$1,058.46 | $1,955–$2,301 | varies |
| Us retroperitoneal limited (76775) range across 4 matching MRF lines |
$636.64–$748.42 | $1,384–$1,627 | varies |
| Us scrotum and contents (76870) range across 3 matching MRF lines |
$770.96–$906.66 | $1,676–$1,971 | varies |
| Us spinal canal and contents (76800) range across 2 matching MRF lines |
$367.08–$432.86 | $798–$941 | varies |
| Us thyroid (76536) range across 2 matching MRF lines |
$612.72–$720.82 | $1,332–$1,567 | varies |
| Vasogram (74440) range across 2 matching MRF lines |
$480.24–$565.80 | $1,044–$1,230 | varies |
| Vein X-Ray Chest (75827) | $2,307.82 | $5,017 | 1.7× |
| Vein X-Ray Liver W/O Hemodyn (75887) | $707.02 | $1,537 | 0.3× |
| Venogram Sinus/Jugular (75860) | $1,075.94 | $2,339 | 0.4× |
| Venography Adrenal Unilateral (75840) | $971.52 | $2,112 | 0.4× |
| Venography caval inferior serialography rs&i (75825) | $3,035.08 | $6,598 | 1.1× |
| Venography extremity bilateral rs&i (75822) | $1,227.74 | $2,669 | 0.9× |
| Venography extremity unilateral rs&i (75820) | $914.94 | $1,989 | 0.7× |
| Venography Orbital Rs&I (75880) | $855.14 | $1,859 | 1.6× |
| Venography Renal Bilateral (75833) | $2,775.18 | $6,033 | 1.0× |
| Venography Renal Unilateral (75831) | $1,584.70 | $3,445 | 0.6× |
| Venous sampling by catheter (75893) | $1,900.72 | $4,132 | 0.4× |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$283.36–$334.42 | $616–$727 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$478.40–$563.50 | $1,040–$1,225 | varies |
| X-ray antegrade pyelogram tube (74425) range across 2 matching MRF lines |
$545.10–$640.78 | $1,185–$1,393 | varies |
| X-Ray Aorta Leg Arteries (75630) | $3,748.08 | $8,148 | 1.4× |
| X-Ray Bend Only L-S Spine (72120) range across 2 matching MRF lines |
$434.24–$510.60 | $944–$1,110 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$241.50–$282.90 | $525–$615 | varies |
| X-Ray Exam Breast Specimen (76098) range across 2 matching MRF lines |
$175.72–$206.08 | $382–$448 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 2 matching MRF lines |
$211.14–$248.40 | $459–$540 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$422.28–$496.80 | $918–$1,080 | varies |
| X-Ray Exam Entire Spi 4/5 Vw (72083) range across 2 matching MRF lines |
$422.28–$496.80 | $918–$1,080 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 2 matching MRF lines |
$168.82–$198.72 | $367–$432 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 2 matching MRF lines |
$225.40–$264.50 | $490–$575 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) range across 2 matching MRF lines |
$225.40–$264.50 | $490–$575 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$184.46–$217.12 | $401–$472 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 2 matching MRF lines |
$194.58–$228.62 | $423–$497 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) range across 2 matching MRF lines |
$369.38–$434.70 | $803–$945 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$809.14–$950.36 | $1,759–$2,066 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$225.40–$264.50 | $490–$575 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$688.62–$811.44 | $1,497–$1,764 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 2 matching MRF lines |
$441.60–$520.26 | $960–$1,131 | varies |
| X-ray eye for foreign body (70030) range across 2 matching MRF lines |
$482.08–$567.18 | $1,048–$1,233 | varies |
| X-ray humerus (73060) range across 2 matching MRF lines |
$303.14–$356.50 | $659–$775 | varies |
| X-ray IV pyelogram (ivp) (74400) range across 2 matching MRF lines |
$736.46–$866.64 | $1,601–$1,884 | varies |
| X-ray IV pyelogram+tomography (74415) range across 2 matching MRF lines |
$1,357.92–$1,597.58 | $2,952–$3,473 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 2 matching MRF lines |
$86.48–$101.66 | $188–$221 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$244.26–$288.88 | $531–$628 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$441.60–$520.26 | $960–$1,131 | varies |
| X-ray nose-rectum child f.b. (76010) range across 2 matching MRF lines |
$166.06–$195.04 | $361–$424 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$553.38–$650.90 | $1,203–$1,415 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$482.08–$567.64 | $1,048–$1,234 | varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) range across 2 matching MRF lines |
$385.48–$453.56 | $838–$986 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$326.14–$384.56 | $709–$836 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$502.32–$591.10 | $1,092–$1,285 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$523.02–$614.56 | $1,137–$1,336 | varies |
| X-ray thoracic spine 4 vw (72074) range across 2 matching MRF lines |
$811.44–$954.04 | $1,764–$2,074 | varies |
| X-Ray Tmj Unilat (70328) range across 2 matching MRF lines |
$98.44–$115.92 | $214–$252 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 2 matching MRF lines |
$467.82–$550.62 | $1,017–$1,197 | varies |
| X-Rays Bone Length Studies (77073) range across 2 matching MRF lines |
$266.80–$315.10 | $580–$685 | varies |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$679.42–$799.02 | $1,477–$1,737 | varies |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$564.88–$664.24 | $1,228–$1,444 | varies |
| Xr facial bones less than 3 views (70140) range across 2 matching MRF lines |
$309.58–$364.78 | $673–$793 | varies |
| XR Mastoids < 3 Views Bilateral (70120) range across 2 matching MRF lines |
$63.94–$75.44 | $139–$164 | varies |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$471.04–$553.84 | $1,024–$1,204 | varies |
| Xr Tomogram Single Plane (76100) range across 2 matching MRF lines |
$385.94–$454.48 | $839–$988 | varies |
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.