Imaging prices at Northwest Mississippi Regional Medical Center
Clarksdale, MS · every code in this section with a posted price and a Medicare benchmark.
262 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abdomen 1 View (74018) | $133.50 | $534 | 1.8× |
| Abdomen 2 views (74019) | $107.75 | $431 | 1.2× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $426.93 | $1,707.75 | 1.2× |
| Angio internal mammary (75756) | $2,499.81 | $9,999.25 | 0.9× |
| Angio pulmonary bilat (75743) | $2,033.68 | $8,134.75 | 0.7× |
| Angiography extremity bilateral rs&i (75716) | $2,037.25 | $8,149 | 0.7× |
| Angiography extremity unilateral rs&i (75710) | $2,477.56 | $9,910.25 | 0.9× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $2,033.68 | $8,134.75 | 0.7× |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$14.68–$146.50 | $58.75–$586 | varies |
| Aortography thoracic serialography rs&i (75605) | $2,033.68 | $8,134.75 | 0.4× |
| Artery X-Rays Abdomen (75726) | $4,229.25 | $16,917 | 0.9× |
| Arthrogram ankle (73615) | $430.06 | $1,720.25 | 1.4× |
| Arthrogram hip (73525) range across 2 matching MRF lines |
$430.06–$482.93 | $1,720.25–$1,931.75 | varies |
| Arthrogram Wrist (73115) range across 4 matching MRF lines |
$222.12–$237.93 | $888.50–$951.75 | varies |
| Bone age studies (77072) range across 4 matching MRF lines |
$7.43–$107.75 | $29.75–$431 | varies |
| Bone Imaging 3 Phase (78315) | $732.18 | $2,928.75 | 2.1× |
| Bone Imaging Limited Area (78300) | $671.31 | $2,685.25 | 1.9× |
| Bone Imaging Whole Body (78306) | $1,218.56 | $4,874.25 | 3.5× |
| Bone survey infant (77076) | $305.06 | $1,220.25 | 3.4× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $671.31 | $2,685.25 | 1.4× |
| Cat Scan Follow-Up Study (76380) | $518.25 | $2,073 | 6.8× |
| Chest 1 view (71045) | $118 | $472 | 1.6× |
| Chest 2 views (71046) | $165.81 | $663.25 | 2.2× |
| Clavicle complete (73000) range across 2 matching MRF lines |
$140.56–$281.12 | $562.25–$1,124.50 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $112.50 | $450 | 1.2× |
| Contrast Exam Abdominl Aorta (75625) | $2,132.62 | $8,530.50 | 0.8× |
| Contrast X-Ray Bladder (74430) | $431.06 | $1,724.25 | 1.4× |
| Contrast X-Ray Of Elbow (73085) | $430.06 | $1,720.25 | 1.4× |
| Contrast X-Ray Of Knee Joint (73580) range across 2 matching MRF lines |
$430.06–$482.93 | $1,720.25–$1,931.75 | varies |
| CT abdomen and pelvis without and with contrast (74178) | $918.56 | $3,674.25 | 3.0× |
| CT abdomen and pelvis without contrast (74176) | $613.68 | $2,454.75 | 3.0× |
| CT abdomen w contrast (74160) | $706.18 | $2,824.75 | 4.6× |
| CT abdomen w wo contrast (74170) | $376.93 | $1,507.75 | 2.5× |
| CT abdomen w/o contrast (74150) | $625.56 | $2,502.25 | 6.9× |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$278.25–$1,061 | $1,113–$4,244 | varies |
| CT Angio Chest (71275) | $1,333.12 | $5,332.50 | 8.7× |
| CT Angio Head (70496) | $1,038.93 | $4,155.75 | 6.8× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
$278.25–$649.87 | $1,113–$2,599.50 | varies |
| CT Angio Neck (70498) | $602.62 | $2,410.50 | 3.9× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 2 matching MRF lines |
$278.25–$557.37 | $1,113–$2,229.50 | varies |
| CT cervical spine w/ contrast (72126) | $447.87 | $1,791.50 | 1.5× |
| CT cervical spine w/o contrast (72125) | $1,036.87 | $4,147.50 | 11.4× |
| CT cervical spine w/wo cont (72127) range across 2 matching MRF lines |
$278.25–$637.68 | $1,113–$2,550.75 | varies |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$190–$841.25 | $760–$3,365 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$190–$1,018.18 | $760–$4,072.75 | varies |
| CT head/brain with contrast (70460) | $663.06 | $2,652.25 | 4.3× |
| CT head/brain without and with contrast (70470) | $818.68 | $3,274.75 | 5.4× |
| CT iac w contrast (70481) range across 3 matching MRF lines |
$237.93–$515.31 | $951.75–$2,061.25 | varies |
| CT l-spine w&w/o contrast (72133) | $694.43 | $2,777.75 | 4.5× |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$690.56–$847.12 | $2,762.25–$3,388.50 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$531.12–$811.12 | $2,124.50–$3,244.50 | varies |
| CT lumbar spine w contrast (72132) | $888.93 | $3,555.75 | 2.9× |
| CT lumbar spine w/o contrast (72131) | $702.68 | $2,810.75 | 7.7× |
| CT maxillofacial w contrast (70487) range across 3 matching MRF lines |
$278.25–$562.62 | $1,113–$2,250.50 | varies |
| CT maxillofacial wo contrast (70486) | $727.37 | $2,909.50 | 8.0× |
| CT neck tissue combo (70492) | $615.87 | $2,463.50 | 4.0× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 2 matching MRF lines |
$237.93–$765.31 | $951.75–$3,061.25 | varies |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$107.75–$647.62 | $431–$2,590.50 | varies |
| CT pelvis w&w/o contrast (72194) | $859 | $3,436 | 5.6× |
| CT pelvis w/o contrast (72192) | $625.56 | $2,502.25 | 6.9× |
| CT scan of leg combo (73702) range across 2 matching MRF lines |
$836–$1,559.75 | $3,344–$6,239 | varies |
| CT scans face/jaw combo (70488) | $777.56 | $3,110.25 | 5.1× |
| CT soft tissue neck w contrast (70491) | $639.37 | $2,557.50 | 4.2× |
| CT soft tissue neck w/o contrast (70490) | $391.31 | $1,565.25 | 4.3× |
| CT thoracic spine w contrast (72129) | $596 | $2,384 | 3.9× |
| CT thoracic spine w/o contrast (72128) | $729.50 | $2,918 | 8.0× |
| CT thoracic spine w/wo cont (72130) | $966.06 | $3,864.25 | 6.3× |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$112.50–$637.06 | $450–$2,548.25 | varies |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$361.62–$723.25 | $1,446.50–$2,893 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 2 matching MRF lines |
$471.56–$588.62 | $1,886.25–$2,354.50 | varies |
| CT upper extremity with contrast (73201) range across 4 matching MRF lines |
$278.25–$1,286.62 | $1,113–$5,146.50 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $602.62 | $2,410.50 | 3.9× |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$278.25–$805.06 | $1,113–$3,220.25 | varies |
| CTA pelvis (72191) | $890.31 | $3,561.25 | 5.8× |
| Dxa Bone Density Axial (77080) | $269.56 | $1,078.25 | 3.0× |
| Esophagram (74220) range across 2 matching MRF lines |
$237.31–$258.81 | $949.25–$1,035.25 | varies |
| Fetal Biophys Profile W/Nst (76818) range across 4 matching MRF lines |
$100–$317.43 | $400–$1,269.75 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 3 matching MRF lines |
$280.12–$310.06 | $1,120.50–$1,240.25 | varies |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$109.87–$121.62 | $439.50–$486.50 | varies |
| Follow-Up Angiography (75898) | $2,499.81 | $9,999.25 | 0.9× |
| Foot 2 views (73620) range across 3 matching MRF lines |
$70.62–$141.18 | $282.50–$564.75 | varies |
| Forearm 2 views (73090) range across 4 matching MRF lines |
$157.68–$312.25 | $630.75–$1,249 | varies |
| Gastric emptying imaging study (78264) | $1,777.31 | $7,109.25 | 5.1× |
| Gastroesophageal Reflux Exam (78262) | $329 | $1,316 | 0.9× |
| Gated Heart Planar Single (78472) | $645.81 | $2,583.25 | 1.9× |
| Gated Heart, Multiple (78473) | $816.18 | $3,264.75 | 2.3× |
| Hand 2 views (73120) range across 3 matching MRF lines |
$104.06–$176.50 | $416.25–$706 | varies |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $2,334.93 | $9,339.75 | 0.8× |
| Hepatobil Syst Image W/Drug (78227) | $682.75 | $2,731 | 1.4× |
| Hepatobiliary System Imaging (78226) | $447.68 | $1,790.75 | 1.3× |
| Ht Muscle Image Spect Sing (78451) range across 2 matching MRF lines |
$948.31 | $136–$3,793.25 | 0.8× |
| Hysterosalpingogram (74740) | $646.62 | $2,586.50 | 3.1× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $185.37 | $741.50 | 2.4× |
| K Flow/Funct Image W/Drug (78708) | $723.62 | $2,894.50 | 1.5× |
| K Flow/Funct Image W/O Drug (78707) | $374.25 | $1,497 | 0.8× |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$156.12–$312.25 | $624.50–$1,249 | varies |
| Liver & Spleen Imaging Static Only (78215) | $524.31 | $2,097.25 | 1.5× |
| Liver imaging static only (78201) | $430.12 | $1,720.50 | 0.9× |
| Lung Perf&Ventilat Diferentl (78598) | $376.93 | $1,507.75 | 0.8× |
| Lung perfusion differential (78597) range across 2 matching MRF lines |
$250.87–$329 | $1,003.50–$1,316 | varies |
| Lung Ventilat&Perfus Imaging (78582) | $1,181.25 | $4,725 | 2.5× |
| Lung Ventilation Imaging (78579) | $524.31 | $2,097.25 | 1.5× |
| Lymph System Imaging (78195) | $1,049.06 | $4,196.25 | 2.2× |
| Magnetic Image Jaw Joint (70336) range across 5 matching MRF lines |
$218.75–$966.81 | $875–$3,867.25 | varies |
| Mammary ductogram or galactogram multiple (77054) | $221.06 | $884.25 | 1.1× |
| Meckels Divert Exam (78290) | $657.37 | $2,629.50 | 1.9× |
| Mra Head W/O & W/Contrast Material (70546) | $1,136.31 | $4,545.25 | 3.7× |
| MRA head w/o contrast (70544) | $863.12 | $3,452.50 | 4.2× |
| MRA head with contrast (70545) | $887.75 | $3,551 | 2.9× |
| MRA neck w contrast (70548) | $887.75 | $3,551 | 2.9× |
| Mra Neck W/O &W/Contrast Material (70549) | $1,136.31 | $4,545.25 | 3.7× |
| MRA neck w/o contrast (70547) | $665.18 | $2,660.75 | 3.2× |
| MRI abdomen w contrast (74182) | $832.75 | $3,331 | 2.7× |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$218.75–$543.87 | $875–$2,175.50 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 18 matching MRF lines |
$689.75–$1,575.12 | $2,759–$6,300.50 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 15 matching MRF lines |
$701.43–$1,575.12 | $2,805.75–$6,300.50 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 14 matching MRF lines |
$523.62–$3,379.93 | $2,094.50–$13,519.75 | varies |
| MRI cervical spine w contrast (72142) | $718.25 | $2,873 | 2.4× |
| MRI cervical spine w/o cont (72141) | $665.18 | $2,660.75 | 3.2× |
| MRI chest w/o contrast (71550) | $552.43 | $2,209.75 | 2.7× |
| MRI chest with contrast (71551) | $642 | $2,568 | 0.9× |
| MRI chest wo w contrast (71552) | $625.50 | $2,502 | 2.1× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 12 matching MRF lines |
$820.87–$1,575.12 | $3,283.50–$6,300.50 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 12 matching MRF lines |
$631.12–$1,262.31 | $2,524.50–$5,049.25 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 13 matching MRF lines |
$237.18–$1,142.75 | $948.75–$4,571 | varies |
| MRI lumbar spine w contrast (72149) | $781.18 | $3,124.75 | 2.6× |
| Mri Neck Spine W/O & W/Dye (72156) | $854.12 | $3,416.50 | 2.8× |
| MRI orbit face &/neck w/o contrast (70540) | $653 | $2,612 | 3.1× |
| MRI orbit face neck w contrast (70542) | $855 | $3,420 | 2.8× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $1,018.18 | $4,072.75 | 3.4× |
| MRI pelvis w contrast (72196) | $704.87 | $2,819.50 | 2.3× |
| MRI pelvis w/o & w contrast (72197) | $479.18 | $1,916.75 | 1.6× |
| MRI pelvis w/o contrast (72195) | $543.87 | $2,175.50 | 2.6× |
| MRI thoracic spine w/o contrast (72146) | $573.81 | $2,295.25 | 2.8× |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 11 matching MRF lines |
$409.59–$855 | $1,638.36–$3,420 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 14 matching MRF lines |
$237.18–$1,142.75 | $948.75–$4,571 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 12 matching MRF lines |
$430.06–$966.81 | $1,720.25–$3,867.25 | varies |
| MRI, abdomen, combo (74183) | $1,018.18 | $4,072.75 | 3.4× |
| MRI, dorsal spine combo (72157) | $949.12 | $3,796.50 | 3.1× |
| MRI, dorsal spine contrast (72147) | $966.81 | $3,867.25 | 3.2× |
| MRI, joint upper extrem (73221) range across 11 matching MRF lines |
$523.62–$1,125.12 | $2,094.50–$4,500.50 | varies |
| MRI, joint upper extrem combo (73223) range across 15 matching MRF lines |
$447.87–$1,753.50 | $1,791.50–$7,014 | varies |
| MRI, lumbar spine combo (72158) | $914.31 | $3,657.25 | 3.0× |
| Myocardial Spect Multiple Studies (78452) range across 2 matching MRF lines |
$1,523.31 | $146–$6,093.25 | 1.4× |
| Neck soft tissue (70360) | $93.50 | $374 | 1.2× |
| Nuclear Rx Oral Admin (79005) | $779 | $3,116 | 3.8× |
| Parathyroid Planar Imaging (78070) | $1,309.43 | $5,237.75 | 3.8× |
| Pelvis 1 or 2 views (72170) | $165.81 | $663.25 | 1.8× |
| Pulmonary Perfusion Imaging Particulate (78580) | $419.43 | $1,677.75 | 1.2× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $221.06 | $884.25 | 0.5× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$193.31–$327.81 | $773.25–$1,311.25 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 4 matching MRF lines |
$132.43–$264.87 | $529.75–$1,059.50 | varies |
| Radex elbow complete minimum 3 views (73080) range across 4 matching MRF lines |
$203.68–$407.37 | $814.75–$1,629.50 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $184.12 | $736.50 | 2.0× |
| Radex fingr minimum 2 views (73140) range across 4 matching MRF lines |
$58.50–$82.68 | $234–$330.75 | varies |
| Radex foot complete minimum 3 views (73630) range across 4 matching MRF lines |
$167.18–$327.81 | $668.75–$1,311.25 | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$159.25–$312.25 | $637–$1,249 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $154.25 | $617 | 1.7× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $140.56 | $562.25 | 1.9× |
| Radex Ribs Unilateral 2 Views (71100) | $216.37 | $865.50 | 2.9× |
| Radex shoulder complete minimum 2 views (73030) range across 4 matching MRF lines |
$58.50–$327.81 | $234–$1,311.25 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $161.56 | $646.25 | 2.1× |
| Radex Spine 1 View Specify Level (72020) range across 2 matching MRF lines |
$126.50–$126.56 | $506–$506.25 | varies |
| Radex Sternum Minimum 2 Views (71120) | $156.12 | $624.50 | 2.1× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $405.31 | $1,621.25 | 5.3× |
| Radex Toe Minimum 2 Views (73660) range across 12 matching MRF lines |
$58.50–$107.75 | $234–$431 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$166.31–$282 | $665.25–$1,128 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $468.31 | $1,873.25 | 5.1× |
| Radiolog exam mandible compl minimum 4 views (70110) | $234.25 | $937 | 2.6× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $208.62 | $834.50 | 2.3× |
| Radiologic exam colon double contrast study (74280) | $552 | $2,208 | 3.6× |
| Radiologic exam colon single contrast study (74270) | $269.43 | $1,077.75 | 1.8× |
| Radiologic exam knee complete 4/more views (73564) range across 5 matching MRF lines |
$292.62–$585.31 | $1,170.50–$2,341.25 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $107.75 | $431 | 1.2× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $374.68 | $1,498.75 | 2.5× |
| Radiologic exam swallow function contrast study (74230) | $26.93 | $107.75 | 0.2× |
| Radiologic exam upr gi trc double contrast study (74246) | $306.81 | $1,227.25 | 2.0× |
| Radiologic examination femur minimum 2 views (73552) range across 4 matching MRF lines |
$156.12–$312.25 | $624.50–$1,249 | varies |
| Radiologic examination knee 1/2 views (73560) range across 4 matching MRF lines |
$124.06–$245.68 | $496.25–$982.75 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $107.75 | $431 | 1.2× |
| Radiologic examination tibia & fibula 2 views (73590) range across 4 matching MRF lines |
$110.37–$220.75 | $441.50–$883 | varies |
| Ribs bilateral 3 views (71110) | $298.12 | $1,192.50 | 3.3× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $329 | $1,316 | 0.9× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $1,491.56 | $5,966.25 | 3.2× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 6 matching MRF lines |
$426.56–$944.18 | $1,706.25–$3,776.75 | varies |
| Scapula (73010) range across 2 matching MRF lines |
$156.12–$312.25 | $624.50–$1,249 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $15.78 | $63.15 | 0.7× |
| Shoulder 1 view (73020) range across 4 matching MRF lines |
$58.50–$327.81 | $234–$1,311.25 | varies |
| Shoulder Arthrography (73040) range across 2 matching MRF lines |
$357.18–$430.06 | $1,428.75–$1,720.25 | varies |
| Sialogram (70390) | $221.06 | $884.25 | 1.1× |
| Skull less than 4 views (70250) | $253.37 | $1,013.50 | 2.8× |
| Sternoclavicular joints (71130) | $152.25 | $609 | 2.0× |
| Testicular Imaging W/Flow (78761) | $329 | $1,316 | 0.9× |
| Thoracic spine 3 views (72072) | $234.25 | $937 | 2.6× |
| Thyroid Imaging With Vascular Flow (78013) | $157.93 | $631.75 | 0.5× |
| Thyroid Met Imaging Body (78018) | $839.25 | $3,357 | 1.8× |
| Thyroid Uptake Measurement (78012) | $143.09 | $572.36 | 0.4× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $234.50 | $938 | 0.7× |
| Ultrasound Breast Limited (76642) | $328.62 | $1,314.50 | 4.3× |
| Ultrasound, abdomen limited (76705) range across 11 matching MRF lines |
$103.75–$369.56 | $415–$1,478.25 | varies |
| Unlisted us procedure (76999) | $102.87 | $411.50 | 1.4× |
| Upper gi w/o kub (74240) | $234.25 | $937 | 1.5× |
| Urethrocystogram voiding (74455) | $540.25 | $2,161 | 2.6× |
| Urethrocystography retrograde (74450) | $549.12 | $2,196.50 | 2.6× |
| Us breast unilateral complete (76641) | $328.62 | $1,314.50 | 3.6× |
| Us chest (76604) | $221.75 | $887 | 2.4× |
| Us complete joint (76881) | $107.75 | $431 | 1.2× |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$248.81–$343.56 | $995.25–$1,374.25 | varies |
| Us head (76506) | $153.12 | $612.50 | 1.7× |
| Us kidney transplant (76776) | $107.87 | $431.50 | 1.2× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $61.56 | $246.25 | 0.7× |
| Us ob limited 1 or more fetuses (76815) range across 3 matching MRF lines |
$284.50–$314.93 | $1,138–$1,259.75 | varies |
| Us ob transvaginal (76817) range across 4 matching MRF lines |
$60.50–$242.50 | $242–$970 | varies |
| Us pelvic non ob complete (76856) range across 3 matching MRF lines |
$107.75–$291.56 | $431–$1,166.25 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $497.93 | $1,991.75 | 5.5× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $72.81 | $291.25 | 0.8× |
| Us retroperitoneal complete (76770) range across 3 matching MRF lines |
$107.75–$314.56 | $431–$1,258.25 | varies |
| Us retroperitoneal limited (76775) range across 3 matching MRF lines |
$247.31–$247.43 | $989.25–$989.75 | varies |
| Us scrotum and contents (76870) | $265.68 | $1,062.75 | 2.9× |
| Us spinal canal and contents (76800) | $66.25 | $265 | 0.7× |
| Us thyroid (76536) range across 5 matching MRF lines |
$107.75–$277.62 | $431–$1,110.50 | varies |
| Us transrectal (76872) range across 2 matching MRF lines |
$77.20–$119.50 | $308.83–$478 | varies |
| Vein X-Ray Chest (75827) | $2,499.81 | $9,999.25 | 1.8× |
| Venogram Sinus/Jugular (75860) | $2,499.81 | $9,999.25 | 0.9× |
| Venography caval inferior serialography rs&i (75825) | $2,132.62 | $8,530.50 | 0.8× |
| Venography extremity bilateral rs&i (75822) range across 2 matching MRF lines |
$925.50–$1,055.81 | $3,702–$4,223.25 | varies |
| Venography extremity unilateral rs&i (75820) range across 2 matching MRF lines |
$652.68–$722.43 | $2,610.75–$2,889.75 | varies |
| Venous sampling by catheter (75893) | $2,128.87 | $8,515.50 | 0.4× |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$88.25–$147.31 | $353–$589.25 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $101.62 | $406.50 | 1.3× |
| X-ray antegrade pyelogram tube (74425) | $270.68 | $1,082.75 | 0.9× |
| X-Ray Aorta Leg Arteries (75630) | $2,132.62 | $8,530.50 | 0.8× |
| X-Ray Bend Only L-S Spine (72120) | $107.75 | $431 | 1.2× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 4 matching MRF lines |
$184.12–$312.25 | $736.50–$1,249 | varies |
| X-Ray Exam Breast Specimen (76098) | $276 | $1,104 | 0.6× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $234.12 | $936.50 | 3.1× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $234.12 | $936.50 | 2.6× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $468.31 | $1,873.25 | 5.1× |
| X-Ray Exam Hip Uni 1 View (73501) range across 4 matching MRF lines |
$88.62–$150.31 | $354.50–$601.25 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 5 matching MRF lines |
$58.50–$156.18 | $234–$624.75 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) | $234.43 | $937.75 | 2.6× |
| X-Ray Exam Hips Bi 2 Views (73521) | $18.31 | $73.25 | 0.2× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $183.25 | $733 | 2.0× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $366.43 | $1,465.75 | 4.0× |
| X-Ray Exam L-S Spine Bending (72114) | $107.75 | $431 | 1.2× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $331.50 | $1,326 | 4.4× |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 2 matching MRF lines |
$107.75–$340.62 | $431–$1,362.50 | varies |
| X-ray humerus (73060) range across 2 matching MRF lines |
$184.12–$312.25 | $736.50–$1,249 | varies |
| X-ray IV pyelogram (ivp) (74400) | $880.75 | $3,523 | 5.8× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $234.25 | $937 | 2.6× |
| X-ray nose-rectum child f.b. (76010) | $62.06 | $248.25 | 0.8× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $413.25 | $1,653 | 4.5× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$107.75–$141.43 | $431–$565.75 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $184.43 | $737.75 | 2.4× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $234.25 | $937 | 3.1× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $245.93 | $983.75 | 2.7× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $567.31 | $2,269.25 | 1.9× |
| X-Rays Bone Length Studies (77073) | $168.87 | $675.50 | 1.9× |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$107.75–$1,070.12 | $431–$4,280.50 | varies |
| Xr c-spine 4 or 5 views (72050) | $107.75 | $431 | 1.2× |
| Xr orbits complete 4 views (70200) | $140.56 | $562.25 | 1.5× |
| Xr Tomogram Single Plane (76100) | $194.06 | $776.25 | 2.1× |
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.