Imaging prices at Northwestern Medicine Mchenry Hospital
Mchenry, IL · every code in this section with a posted price and a Medicare benchmark.
401 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) range across 2 matching MRF lines |
$7,492.10–$23,829.40 | $10,703–$34,042 | varies |
| Abdomen 1 View (74018) | $396.90 | $567 | 4.3× |
| Abdomen 2 views (74019) | $519.40 | $742 | 4.6× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,464.40 | $2,092 | 3.4× |
| Adrenal Cortex & Medulla Img (78075) | $3,778.60 | $5,398 | 2.7× |
| Angio internal mammary (75756) | $1,988 | $2,840 | 0.6× |
| Angio pulmonary bilat (75743) | $7,009.10 | $10,013 | 2.1× |
| Angiography extremity bilateral rs&i (75716) | $4,183.20 | $5,976 | 1.2× |
| Angiography extremity unilateral rs&i (75710) | $6,422.50 | $9,175 | 1.9× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $6,675.20 | $9,536 | 2.0× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $2,020.90 | $2,887 | 0.6× |
| Ankle 2 views (73600) | $386.40 | $552 | 4.1× |
| Aortography thoracic serialography rs&i (75605) | $6,809.60 | $9,728 | 1.1× |
| Aortography thoracic w/o serialography rs&i (75600) | $3,616.90 | $5,167 | 1.1× |
| Artery X-Rays Abdomen (75726) | $3,462.20 | $4,946 | 0.6× |
| Artery X-Rays Adrenal Gland (75731) | $2,905 | $4,150 | 0.9× |
| Artery X-Rays Pelvis (75736) | $4,306.40 | $6,152 | 0.7× |
| Artery X-Rays Spine (75705) | $5,770.10 | $8,243 | 1.0× |
| Arthrogram ankle (73615) | $1,136.80 | $1,624 | 3.0× |
| Arthrogram hip (73525) | $1,407.70 | $2,011 | 3.8× |
| Arthrogram Wrist (73115) | $1,440.60 | $2,058 | 3.9× |
| Basic radiation dosimetry calculation (77300) range across 2 matching MRF lines |
$725.20–$33,775 | $1,036–$48,250 | varies |
| Bone age studies (77072) | $462 | $660 | 4.1× |
| Bone Imaging 3 Phase (78315) | $2,602.60 | $3,718 | 6.1× |
| Bone Imaging Whole Body (78306) | $2,202.20 | $3,146 | 5.1× |
| Bone survey infant (77076) | $1,250.20 | $1,786 | 11.2× |
| Brachytx isodose complex (77318) | $4,649.40 | $6,642 | 11.6× |
| Brachytx isodose intermed (77317) | $4,071.20 | $5,816 | 10.1× |
| Brachytx Isodose Plan Simple (77316) | $3,780.70 | $5,401 | 9.4× |
| Brain Flow Imaging Only (78610) | $1,180.90 | $1,687 | 2.0× |
| Brain Image W/Flow < 4 Views (78601) | $2,256.80 | $3,224 | 5.3× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $2,521.40 | $3,602 | 4.3× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $5,833.80 | $8,334 | 3.8× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $4,342.10 | $6,203 | 11.6× |
| Cardiac MRI w/w/o contrast w/stress (75563) | $4,594.80 | $6,564 | 5.5× |
| Cardiac Shunt Detection (78428) | $2,124.50 | $3,035 | 5.0× |
| Cat Scan Follow-Up Study (76380) | $1,053.50 | $1,505 | 11.3× |
| Chest 1 view (71045) | $537.60 | $768 | 5.8× |
| Chest 2 views (71046) | $674.10 | $963 | 7.2× |
| Chest 3 views (71047) | $900.20 | $1,286 | 9.7× |
| Chest 4 or more views (71048) | $966 | $1,380 | 8.6× |
| Chg us nrv&acc strux 1 xtr compre w/img pr extremity (76883) | $245.70 | $351 | 2.2× |
| Cineradiograpy/vidradiograpy xcpt where spec (76120) | $440.30 | $629 | 3.9× |
| Clavicle complete (73000) | $547.40 | $782 | 5.9× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $781.20 | $1,116 | 7.0× |
| Continuing medical physics consltj pr wk (77336) range across 2 matching MRF lines |
$803.60–$43,056.30 | $1,148–$61,509 | varies |
| Contrast Exam Abdominl Aorta (75625) | $4,842.60 | $6,918 | 1.4× |
| Contrast X-Ray Bladder (74430) | $921.20 | $1,316 | 2.5× |
| Contrast X-Ray Of Elbow (73085) | $765.80 | $1,094 | 2.0× |
| Contrast X-Ray Of Knee Joint (73580) | $2,560.60 | $3,658 | 6.8× |
| CT abdomen and pelvis without and with contrast (74178) | $7,105.70 | $10,151 | 19.0× |
| CT abdomen and pelvis without contrast (74176) | $4,802 | $6,860 | 18.8× |
| CT abdomen w contrast (74160) | $3,201.10 | $4,573 | 17.0× |
| CT abdomen w wo contrast (74170) | $3,658.90 | $5,227 | 19.5× |
| CT abdomen w/o contrast (74150) | $2,576 | $3,680 | 23.0× |
| CT Angio Abdomen and Pelvis (74174) | $5,420.10 | $7,743 | 14.5× |
| CT Angio Chest (71275) | $3,502.80 | $5,004 | 18.6× |
| CT Angio Head (70496) | $3,656.10 | $5,223 | 19.5× |
| CT angio hrt w/3d image (75574) | $3,641.40 | $5,202 | 9.7× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $3,359.30 | $4,799 | 17.9× |
| CT Angio Neck (70498) | $3,808 | $5,440 | 20.3× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $3,026.10 | $4,323 | 16.1× |
| CT Cere Prfuj Alys C+ W/O CT/Cta Same Anatomy (70473) | $2,937.20 | $4,196 | 15.6× |
| CT cervical spine w/ contrast (72126) | $3,497.20 | $4,996 | 9.4× |
| CT cervical spine w/o contrast (72125) | $3,168.20 | $4,526 | 28.3× |
| CT cervical spine w/wo cont (72127) | $4,095.70 | $5,851 | 21.8× |
| CT chest w contrast (71260) | $3,173.80 | $4,534 | 16.9× |
| CT chest w/wo contrast (71270) | $3,416 | $4,880 | 18.2× |
| CT head/brain with contrast (70460) | $2,921.80 | $4,174 | 15.5× |
| CT head/brain without and with contrast (70470) | $3,756.90 | $5,367 | 20.0× |
| CT heart contrast eval cardiac structure&morph (75572) | $3,439.10 | $4,913 | 9.2× |
| CT heart no contrast quant eval coronry calcium (75571) range across 2 matching MRF lines |
$56–$539.70 | $80–$771 | varies |
| CT iac w contrast (70481) | $3,572.10 | $5,103 | 19.0× |
| CT l-spine w&w/o contrast (72133) | $3,717 | $5,310 | 19.8× |
| CT lower ext w/o (73700) | $2,622.90 | $3,747 | 23.4× |
| CT lower extremity w/contrast material (73701) | $2,975.70 | $4,251 | 15.8× |
| CT lumbar spine w contrast (72132) | $3,506.30 | $5,009 | 9.4× |
| CT lumbar spine w/o contrast (72131) | $3,083.50 | $4,405 | 27.5× |
| CT maxillofacial w contrast (70487) | $3,161.20 | $4,516 | 16.8× |
| CT maxillofacial wo contrast (70486) | $2,606.10 | $3,723 | 23.3× |
| CT neck tissue combo (70492) | $3,704.40 | $5,292 | 19.7× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $3,813.60 | $5,448 | 20.3× |
| CT orbits w/o contrast (70480) | $3,287.90 | $4,697 | 29.3× |
| CT pelvis w&w/o contrast (72194) | $3,318 | $4,740 | 17.7× |
| CT pelvis w/o contrast (72192) | $2,156.70 | $3,081 | 19.3× |
| CT scan of leg combo (73702) | $3,378.90 | $4,827 | 18.0× |
| CT scans face/jaw combo (70488) | $3,656.10 | $5,223 | 19.5× |
| CT soft tissue neck w contrast (70491) | $3,250.80 | $4,644 | 17.3× |
| CT soft tissue neck w/o contrast (70490) | $2,566.20 | $3,666 | 22.9× |
| CT thoracic spine w contrast (72129) | $2,947 | $4,210 | 15.7× |
| CT thoracic spine w/o contrast (72128) | $2,811.90 | $4,017 | 25.1× |
| CT thoracic spine w/wo cont (72130) | $3,208.80 | $4,584 | 17.1× |
| CT thorax w/o contrast (71250) | $2,611 | $3,730 | 23.3× |
| CT unlisted procedure (76497) | $1,941.10 | $2,773 | 20.8× |
| CT upper ext wo (73200) | $2,563.40 | $3,662 | 22.9× |
| CT upper extremity w/o & w/contrast material (73202) | $3,768.10 | $5,383 | 20.0× |
| CT upper extremity with contrast (73201) | $2,812.60 | $4,018 | 7.5× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $3,889.90 | $5,557 | 20.7× |
| Cta Abdomen (74175) | $4,312.70 | $6,161 | 22.9× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $7,464.10 | $10,663 | 20.0× |
| CTA pelvis (72191) | $3,382.40 | $4,832 | 18.0× |
| Diskography lumbar (72295) | $2,509.50 | $3,585 | 1.2× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) | $387.80 | $554 | 3.5× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $987.70 | $1,411 | 8.8× |
| Doppler Fetal Mid Cerebral Artery (76821) | $1,052.10 | $1,503 | 9.4× |
| Dxa Bone Density Axial (77080) | $637 | $910 | 5.7× |
| Dxa bone density study (77085) | $550.20 | $786 | 4.9× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $368.20 | $526 | 3.9× |
| Echo exam of fetal heart (76825) | $1,170.40 | $1,672 | 2.0× |
| Echo exam uterus (76831) | $1,399.30 | $1,999 | 5.5× |
| Echo Guide For Artery Repair (76936) | $721 | $1,030 | 3.1× |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) | $952 | $1,360 | 3.7× |
| Echograp Trans R Pros Study (76873) | $2,104.90 | $3,007 | 18.8× |
| Esophageal Motility Study (78258) | $1,381.10 | $1,973 | 3.2× |
| Esophagram (74220) | $828.10 | $1,183 | 4.4× |
| Fetal Biophys Profile W/Nst (76818) | $1,409.80 | $2,014 | 12.6× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $1,120.70 | $1,601 | 10.0× |
| Fluoroscopy up to 1 hr (76000) | $1,040.90 | $1,487 | 4.1× |
| Follow-Up Angiography (75898) | $1,761.20 | $2,516 | 0.5× |
| Foot 2 views (73620) | $324.10 | $463 | 3.5× |
| Forearm 2 views (73090) | $515.90 | $737 | 5.5× |
| Gastric emptying imaging study (78264) | $1,862 | $2,660 | 4.3× |
| Gastroesophageal Reflux Exam (78262) | $1,055.60 | $1,508 | 2.5× |
| Gated Heart Planar Single (78472) | $2,000.60 | $2,858 | 4.7× |
| GI Endoscopic US S&I (76975) | $1,530.90 | $2,187 | 6.0× |
| Hand 2 views (73120) | $521.50 | $745 | 4.7× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77772) | $6,818 | $9,740 | 9.1× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $3,899 | $5,570 | 1.2× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $3,462.20 | $4,946 | 1.0× |
| Hepatobil Syst Image W/Drug (78227) | $2,699.20 | $3,856 | 4.6× |
| Hepatobiliary System Imaging (78226) | $1,880.20 | $2,686 | 4.4× |
| Ht Musc Image Planar Mult (78454) | $3,557.40 | $5,082 | 2.6× |
| Ht Muscle Image Spect Sing (78451) | $3,474.10 | $4,963 | 2.5× |
| Hyperthermia external generated superficial (77600) | $6,412 | $9,160 | 15.5× |
| Hysterosalpingogram (74740) | $1,134.70 | $1,621 | 4.4× |
| Image fusion (77399) range across 2 matching MRF lines |
$1,124.20–$30,484.82 | $1,606–$43,549.74 | varies |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $1,275.40 | $1,822 | 13.7× |
| Infant hip ultrasound, limited static exam (76886) | $1,087.80 | $1,554 | 11.7× |
| Joint Survey Single View (77077) | $485.10 | $693 | 4.3× |
| K Flow/Funct Image W/Drug (78708) | $2,285.50 | $3,265 | 3.9× |
| K Flow/Funct Image W/O Drug (78707) | $2,451.40 | $3,502 | 4.2× |
| Knee 3 Views (73562) | $598.50 | $855 | 6.4× |
| Liver & Spleen Imaging Static Only (78215) | $2,182.60 | $3,118 | 5.1× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $1,261.40 | $1,802 | 2.9× |
| Liver imaging static only (78201) | $1,508.50 | $2,155 | 2.6× |
| Lung Perf&Ventilat Diferentl (78598) | $2,269.40 | $3,242 | 3.9× |
| Lung perfusion differential (78597) | $1,313.20 | $1,876 | 3.1× |
| Lung Ventilat&Perfus Imaging (78582) | $2,198 | $3,140 | 3.8× |
| Lung Ventilation Imaging (78579) | $1,782.90 | $2,547 | 4.2× |
| Lymph System Imaging (78195) | $2,416.40 | $3,452 | 4.2× |
| Lymphangiography Extremity Only Bilateral Rs&I (75803) | $1,635.90 | $2,337 | 1.0× |
| Lymphangiography extremity only unilateral rs&i (75801) | $1,558.20 | $2,226 | 2.3× |
| Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) | $2,283.40 | $3,262 | 0.7× |
| Lymphangiography, pelvic/abdominal, unilateral (75805) | $898.10 | $1,283 | 0.3× |
| Magnetic Image Jaw Joint (70336) | $3,850 | $5,500 | 15.1× |
| Magnetic resonance (eg, proton) imaging, brain (including brain stem andskull base), during open intracranial procedure… (70558) | $5,653.90 | $8,077 | 30.1× |
| Magnetic resonance (eg, proton) imaging, brain (including brain stem andskull base), during open intracranial procedure… (70557) | $5,490.80 | $7,844 | 9.4× |
| Magnetic resonance (eg, proton) imaging, brain (including brain stem andskull base), during open intracranial procedure… (70559) | $6,161.40 | $8,802 | 32.8× |
| Magnetic Resonance Elastography (76391) | $493.50 | $705 | 1.9× |
| Meckels Divert Exam (78290) | $1,918.70 | $2,741 | 4.5× |
| Mlc imrt design & construction per imrt plan (77338) range across 2 matching MRF lines |
$3,244.50–$37,020.20 | $4,635–$52,886 | varies |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $65.10 | $93 | 2.1× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) | $214.20 | $306 | 2.1× |
| Mr safety implt pos&/immoblj (76019) | $133 | $190 | 2.1× |
| Mra Head W/O & W/Contrast Material (70546) | $5,710.60 | $8,158 | 15.3× |
| MRA head w/o contrast (70544) | $3,946.60 | $5,638 | 15.4× |
| MRA head with contrast (70545) | $4,889.50 | $6,985 | 13.1× |
| MRA neck w contrast (70548) | $3,843 | $5,490 | 10.3× |
| Mra Neck W/O &W/Contrast Material (70549) | $4,370.10 | $6,243 | 11.7× |
| MRA neck w/o contrast (70547) | $3,378.90 | $4,827 | 13.2× |
| MRI abdomen w contrast (74182) | $3,770.20 | $5,386 | 10.1× |
| MRI abdomen w/o contrast (74181) | $3,700.20 | $5,286 | 14.5× |
| MRI any jt lower extrem w/contrast material (73722) | $4,038.30 | $5,769 | 4.8× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $4,428.90 | $6,327 | 11.8× |
| MRI any jt upper extremity w/contrast matrl (73222) | $3,827.60 | $5,468 | 4.6× |
| MRI brain functional w/o physician admnistration (70554) | $3,640 | $5,200 | 14.2× |
| MRI brain functional w/physician admnistration (70555) | $4,162.20 | $5,946 | 16.3× |
| MRI Breast W/O Contrast Bilateral (77047) | $3,491.60 | $4,988 | 13.7× |
| MRI Breast Without Contrast Material Unilateral (77046) | $3,670.10 | $5,243 | 14.4× |
| MRI cardiac w/o contrast (75557) | $3,834.60 | $5,478 | 15.0× |
| MRI cervical spine w contrast (72142) | $4,534.60 | $6,478 | 12.1× |
| MRI cervical spine w/o cont (72141) | $4,171.30 | $5,959 | 16.3× |
| MRI chest w/o contrast (71550) | $2,934.40 | $4,192 | 11.5× |
| MRI chest with contrast (71551) | $3,717.70 | $5,311 | 4.4× |
| MRI chest wo w contrast (71552) | $4,372.20 | $6,246 | 11.7× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $3,678.50 | $5,255 | 9.8× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $4,053 | $5,790 | 10.8× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $3,432.80 | $4,904 | 13.4× |
| MRI lumbar spine w contrast (72149) | $4,172.70 | $5,961 | 11.2× |
| Mri Neck Spine W/O & W/Dye (72156) | $5,142.90 | $7,347 | 13.8× |
| MRI orbit face &/neck w/o contrast (70540) | $4,151 | $5,930 | 16.2× |
| MRI orbit face neck w contrast (70542) | $4,818.10 | $6,883 | 12.9× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $5,085.50 | $7,265 | 13.6× |
| MRI pelvis w contrast (72196) | $3,948 | $5,640 | 10.6× |
| MRI pelvis w/o & w contrast (72197) | $4,765.60 | $6,808 | 12.7× |
| MRI pelvis w/o contrast (72195) | $3,615.50 | $5,165 | 14.1× |
| MRI spectroscopy (76390) | $2,207.10 | $3,153 | 23.7× |
| MRI thoracic spine w/o contrast (72146) | $3,809.40 | $5,442 | 14.9× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $3,628.10 | $5,183 | 9.7× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $3,502.10 | $5,003 | 13.7× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $4,088 | $5,840 | 10.9× |
| MRI, abdomen, combo (74183) | $4,385.50 | $6,265 | 11.7× |
| MRI, dorsal spine combo (72157) | $4,696.30 | $6,709 | 12.6× |
| MRI, dorsal spine contrast (72147) | $4,101.30 | $5,859 | 11.0× |
| MRI, joint upper extrem (73221) | $3,591.70 | $5,131 | 14.0× |
| MRI, joint upper extrem combo (73223) | $4,323.90 | $6,177 | 11.6× |
| MRI, lumbar spine combo (72158) | $4,706.80 | $6,724 | 12.6× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) | $1,990.10 | $2,843 | 1.4× |
| Myocardial Spect Multiple Studies (78452) | $5,085.50 | $7,265 | 3.7× |
| Myocrd Img Pet Metab Eval Single Study Cncrnt CT (78429) | $2,254.70 | $3,221 | 1.5× |
| Myocrd img PET prfuj 1std rest/stress cncrnt CT (78430) | $3,881.50 | $5,545 | 2.5× |
| Myocrd Img Pet Prfuj Mlt Std Rst&Strs Cncrnt CT (78431) | $6,054.30 | $8,649 | 2.6× |
| Myocrd Img Pet Prfuj W/Metab 2rtracer Cncrnt CT (78433) | $7,398.30 | $10,569 | 3.1× |
| N-invas est c ffr sw aly CTA (75580) | $4,329.50 | $6,185 | 4.7× |
| Neck soft tissue (70360) | $378 | $540 | 4.1× |
| Nfs/Instlj Radioelmnt Sln 3 Mo Follow-Up Care (77750) | $544.60 | $778 | 1.3× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $862.40 | $1,232 | 2.0× |
| Nm csf leak detection (78650) | $4,918.90 | $7,027 | 3.5× |
| Nonvascular Shunt X-Ray (75809) | $523.60 | $748 | 4.7× |
| Ntsty modul radthx pln dose-vol histos (77301) range across 2 matching MRF lines |
$11,249.70–$36,798.30 | $16,071–$52,569 | varies |
| Nuclear Rx Intra-Arterial (79445) | $1,182.30 | $1,689 | 4.7× |
| Nuclear Rx Oral Admin (79005) | $2,132.90 | $3,047 | 8.5× |
| Ob us nuchal meas 1 gest (76813) | $940.80 | $1,344 | 8.4× |
| Panoramic X-ray of jaws (70355) | $692.30 | $989 | 7.4× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $6,990.20 | $9,986 | 12.0× |
| Parathyroid Planar Imaging (78070) | $1,556.80 | $2,224 | 3.6× |
| Pelvis 1 or 2 views (72170) | $576.10 | $823 | 5.1× |
| Peritoneogram Rs&I (74190) | $739.90 | $1,057 | 1.3× |
| Pet Image Skull-Thigh (78812) | $5,630.10 | $8,043 | 3.7× |
| PET image w/CT, full body (78816) | $6,929.30 | $9,899 | 4.5× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $6,599.60 | $9,428 | 4.3× |
| Pet Imaging Limited Area Chest Head/Neck (78811) | $5,712 | $8,160 | 4.1× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $3,871 | $5,530 | 1.1× |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,514.80 | $2,164 | 3.5× |
| Quan&Charac C Atherosclerotc Plaq Asses Sev C Ds (75577) | $2,093.70 | $2,991 | 2.1× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $620.20 | $886 | 5.5× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $1,332.10 | $1,903 | 2.3× |
| Radex Ankle Complete Minimum 3 Views (73610) | $541.80 | $774 | 5.8× |
| Radex Calcaneus Minimum 2 Views (73650) | $468.30 | $669 | 5.0× |
| Radex elbow complete minimum 3 views (73080) | $577.50 | $825 | 6.2× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $897.40 | $1,282 | 8.0× |
| Radex fingr minimum 2 views (73140) | $458.50 | $655 | 4.9× |
| Radex foot complete minimum 3 views (73630) | $594.30 | $849 | 6.4× |
| Radex Hand Minimum 3 Views (73130) | $547.40 | $782 | 5.9× |
| Radex lower extremity infant minimum 2 views (73592) | $478.80 | $684 | 5.1× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $531.30 | $759 | 4.7× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $716.10 | $1,023 | 7.7× |
| Radex Ribs Unilateral 2 Views (71100) | $659.40 | $942 | 7.1× |
| Radex shoulder complete minimum 2 views (73030) | $623 | $890 | 6.7× |
| Radex Sinuses Paransl < 3 Views (70210) | $266.70 | $381 | 2.9× |
| Radex Spine 1 View Specify Level (72020) | $450.10 | $643 | 4.8× |
| Radex Sternum Minimum 2 Views (71120) | $538.30 | $769 | 5.8× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $803.60 | $1,148 | 8.6× |
| Radex Toe Minimum 2 Views (73660) | $436.10 | $623 | 4.7× |
| Radex upper extremity infant minimum 2 views (73092) | $451.50 | $645 | 4.0× |
| Radex Wrist Complete Minimum 3 Views (73110) | $492.80 | $704 | 5.3× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $2,067.10 | $2,953 | 18.5× |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $25,706.80 | $36,724 | 3.3× |
| Radiation treatment delivery level 1 (77402) | $861 | $1,230 | 7.9× |
| Radiation treatment delivery level 2 (77407) | $1,311.10 | $1,873 | 3.2× |
| Radiation treatment delivery level 3 (77412) range across 2 matching MRF lines |
$2,879.80–$24,572.80 | $4,114–$35,104 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) | $719.60 | $1,028 | 6.4× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $574 | $820 | 5.1× |
| Radiologic exam colon double contrast study (74280) | $1,260 | $1,800 | 6.7× |
| Radiologic exam colon single contrast study (74270) | $1,225.70 | $1,751 | 6.5× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $855.40 | $1,222 | 4.6× |
| Radiologic exam knee complete 4/more views (73564) | $724.50 | $1,035 | 6.5× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $687.40 | $982 | 6.1× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $790.30 | $1,129 | 4.2× |
| Radiologic exam swallow function contrast study (74230) | $666.40 | $952 | 3.5× |
| Radiologic exam upr gi trc double contrast study (74246) | $1,048.60 | $1,498 | 5.6× |
| Radiologic examination femur 1 view (73551) | $426.30 | $609 | 4.6× |
| Radiologic examination femur minimum 2 views (73552) | $566.30 | $809 | 6.1× |
| Radiologic examination knee 1/2 views (73560) | $556.50 | $795 | 6.0× |
| Radiologic Examination Osseous Survey Limited (77074) | $1,142.40 | $1,632 | 10.2× |
| Radiologic examination tibia & fibula 2 views (73590) | $536.90 | $767 | 5.8× |
| Renal Cyst Study (74470) | $940.80 | $1,344 | 1.6× |
| Ribs bilateral 3 views (71110) | $787.50 | $1,125 | 7.0× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $2,706.20 | $3,866 | 6.3× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $2,998.80 | $4,284 | 5.2× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $3,959.90 | $5,657 | 6.8× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $4,387.60 | $6,268 | 7.5× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $3,266.20 | $4,666 | 2.4× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $4,606.70 | $6,581 | 3.3× |
| Rp Ther Radiolbld Monoclonal Antibody IV Infus (79403) | $2,400.30 | $3,429 | 9.6× |
| Rp Therapy Intravenous Administration (79101) | $1,288 | $1,840 | 5.2× |
| Rp Therapy Unlisted Procedure (79999) | $549.50 | $785 | 2.2× |
| Salivary Gland Imaging (78230) | $975.10 | $1,393 | 2.3× |
| Scapula (73010) | $500.50 | $715 | 4.5× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $125.30 | $179 | 5.4× |
| Shoulder 1 view (73020) | $415.10 | $593 | 4.5× |
| Shoulder Arthrography (73040) | $1,299.20 | $1,856 | 3.5× |
| Sialogram (70390) | $1,460.20 | $2,086 | 5.7× |
| Skull less than 4 views (70250) | $484.40 | $692 | 4.3× |
| Special dosimetry (77331) range across 2 matching MRF lines |
$773.50–$32,309.20 | $1,105–$46,156 | varies |
| Special Physics Consult (77370) range across 2 matching MRF lines |
$1,210.30–$1,957.20 | $1,729–$2,796 | varies |
| Special teletherapy port plan (77321) range across 2 matching MRF lines |
$1,649.20–$10,164 | $2,356–$14,520 | varies |
| Special treatment procedure (77470) range across 2 matching MRF lines |
$3,245.20–$30,432.50 | $4,636–$43,475 | varies |
| Srs Multisource (77371) | $65,189.60 | $93,128 | 8.3× |
| Stereotactic Body Radiation Delivery (77373) range across 2 matching MRF lines |
$9,068.50–$45,519.60 | $12,955–$65,028 | varies |
| Sternoclavicular joints (71130) | $706.30 | $1,009 | 7.6× |
| Superior sagittal sinus venogram (75870) | $1,862 | $2,660 | 0.6× |
| Surface Applic Low Dose Rate Radionuclide Source (77789) | $282.80 | $404 | 2.6× |
| Tbs technical calculation only (77091) | $196 | $280 | 2.1× |
| Telethx isodose pln cplx w/basic dosimetry (77307) range across 2 matching MRF lines |
$2,520.70–$5,363.40 | $3,601–$7,662 | varies |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) range across 2 matching MRF lines |
$3,049.20–$23,097.90 | $4,356–$32,997 | varies |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $3,812.90 | $5,447 | 9.5× |
| Ther rad simulaj-aided field setting simple (77280) range across 2 matching MRF lines |
$1,481.90–$27,090 | $2,117–$38,700 | varies |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $519.40 | $742 | 2.8× |
| Thoracic spine 2 views (72070) | $697.90 | $997 | 6.2× |
| Thoracic spine 3 views (72072) | $778.40 | $1,112 | 6.9× |
| Thoracolumbar 2 views (72080) | $649.60 | $928 | 7.0× |
| Thyroid Met Imaging Body (78018) | $2,081.80 | $2,974 | 3.6× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,869 | $2,670 | 4.4× |
| Tx Devices Design & Construction Complex (77334) range across 2 matching MRF lines |
$1,661.80–$27,407.10 | $2,374–$39,153 | varies |
| Tx devices design & construction intermediate (77333) range across 2 matching MRF lines |
$910–$34,734.52 | $1,300–$49,620.74 | varies |
| Tx devices design & construction simple (77332) range across 2 matching MRF lines |
$767.90–$25,197.20 | $1,097–$35,996 | varies |
| Ultrasound Breast Limited (76642) | $438.90 | $627 | 4.7× |
| Ultrasound elastography first target lesion (76982) | $482.30 | $689 | 4.3× |
| Ultrasound Elastography Parenchyma (76981) | $482.30 | $689 | 4.3× |
| Ultrasound Exam Aaa Screen (76706) | $852.60 | $1,218 | 7.6× |
| Ultrasound trgt dynamic microbubble 1st lesion (76978) | $3,213 | $4,590 | 8.6× |
| Ultrasound, abdomen limited (76705) | $1,604.40 | $2,292 | 14.3× |
| Umbilical-artery Doppler (OB) (76820) | $969.50 | $1,385 | 8.7× |
| Unlisted Dx Radiographic Procedure (76499) range across 2 matching MRF lines |
$76.30–$5,055.40 | $109–$7,222 | varies |
| Unlisted fluoroscopic procedure (76496) range across 9 matching MRF lines |
$877.80–$26,511.80 | $1,254–$37,874 | varies |
| Unlisted magnetic resonance procedure (76498) | $2,110.50 | $3,015 | 22.6× |
| Unlisted us procedure (76999) | $105 | $150 | 1.1× |
| Upper gi w/o kub (74240) | $822.50 | $1,175 | 4.4× |
| Urethrocystogram voiding (74455) | $897.40 | $1,282 | 3.5× |
| Urethrocystography retrograde (74450) | $839.30 | $1,199 | 3.3× |
| Us breast unilateral complete (76641) | $532 | $760 | 4.7× |
| Us chest (76604) | $1,039.50 | $1,485 | 9.3× |
| Us complete joint (76881) | $1,269.80 | $1,814 | 11.3× |
| Us exam, pelvic, limited (76857) | $862.40 | $1,232 | 7.7× |
| Us head (76506) | $1,406.30 | $2,009 | 12.6× |
| Us kidney transplant (76776) | $1,237.60 | $1,768 | 11.0× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $774.90 | $1,107 | 6.9× |
| Us ob detailed single fetus (76811) | $1,360.80 | $1,944 | 5.3× |
| Us ob limited 1 or more fetuses (76815) | $718.90 | $1,027 | 6.4× |
| Us ob transvaginal (76817) | $749 | $1,070 | 6.7× |
| Us pelvic non ob complete (76856) | $1,509.90 | $2,157 | 13.5× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $940.80 | $1,344 | 8.4× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $830.90 | $1,187 | 7.4× |
| Us retroperitoneal complete (76770) | $1,474.20 | $2,106 | 13.2× |
| Us retroperitoneal limited (76775) | $1,313.20 | $1,876 | 11.7× |
| Us scrotum and contents (76870) | $1,376.90 | $1,967 | 12.3× |
| Us spinal canal and contents (76800) | $1,559.60 | $2,228 | 13.9× |
| Us thyroid (76536) | $1,343.30 | $1,919 | 12.0× |
| Us transrectal (76872) | $1,085 | $1,550 | 9.7× |
| Vein X-Ray Chest (75827) | $2,644.60 | $3,778 | 1.6× |
| Vein X-Ray Liver W/O Hemodyn (75887) | $2,452.80 | $3,504 | 0.7× |
| Vein X-Ray Spleen/Liver (75810) | $1,512.70 | $2,161 | 0.4× |
| Venogram Sinus/Jugular (75860) | $2,597 | $3,710 | 0.8× |
| Venography caval inferior serialography rs&i (75825) | $3,923.50 | $5,605 | 1.2× |
| Venography extremity bilateral rs&i (75822) | $2,265.20 | $3,236 | 1.3× |
| Venography extremity unilateral rs&i (75820) | $1,736 | $2,480 | 1.0× |
| Venography Orbital Rs&I (75880) | $1,353.10 | $1,933 | 2.0× |
| Venography Renal Bilateral (75833) | $3,885 | $5,550 | 1.1× |
| Venography Renal Unilateral (75831) | $3,749.20 | $5,356 | 1.1× |
| Venous sampling by catheter (75893) unusually low: confirm this is the full procedure |
$2,668.40 | $3,812 | 0.4× |
| Vertebral fracture assessment via dxa (77086) | $411.60 | $588 | 4.4× |
| Wrist 2 views (73100) | $399.70 | $571 | 4.3× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $764.40 | $1,092 | 8.2× |
| X-ray antegrade pyelogram tube (74425) | $1,262.80 | $1,804 | 3.4× |
| X-Ray Aorta Leg Arteries (75630) | $4,862.90 | $6,947 | 1.4× |
| X-Ray Bend Only L-S Spine (72120) | $637 | $910 | 5.7× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $367.50 | $525 | 3.9× |
| X-Ray Exam Breast Specimen (76098) | $790.30 | $1,129 | 1.3× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $613.20 | $876 | 6.6× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $746.90 | $1,067 | 6.7× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $823.20 | $1,176 | 7.3× |
| X-Ray Exam Hip Uni 1 View (73501) | $497 | $710 | 5.3× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $522.90 | $747 | 5.6× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $1,071 | $1,530 | 9.6× |
| X-Ray Exam Hips Bi 2 Views (73521) | $896 | $1,280 | 8.0× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $940.80 | $1,344 | 8.4× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $987.70 | $1,411 | 8.8× |
| X-Ray Exam L-S Spine Bending (72114) | $1,169 | $1,670 | 10.4× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $665.70 | $951 | 7.1× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $985.60 | $1,408 | 8.8× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $782.60 | $1,118 | 7.0× |
| X-ray eye for foreign body (70030) | $379.40 | $542 | 4.1× |
| X-ray humerus (73060) | $619.50 | $885 | 6.6× |
| X-ray IV pyelogram (ivp) (74400) | $1,164.80 | $1,664 | 6.2× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $524.30 | $749 | 5.6× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $481.60 | $688 | 5.2× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $651.70 | $931 | 5.8× |
| X-ray nose-rectum child f.b. (76010) | $406 | $580 | 4.4× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $988.40 | $1,412 | 8.8× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $690.90 | $987 | 6.2× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $744.10 | $1,063 | 8.0× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $840.70 | $1,201 | 9.0× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $812 | $1,160 | 7.2× |
| X-Ray Stress View (77071) | $367.50 | $525 | 3.9× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $1,158.50 | $1,655 | 3.1× |
| X-Rays Bone Length Studies (77073) | $770.70 | $1,101 | 6.9× |
| X-Rays Bone Survey Complete (77075) | $1,484 | $2,120 | 13.2× |
| Xr c-spine 4 or 5 views (72050) | $943.60 | $1,348 | 8.4× |
| Xr facial bones less than 3 views (70140) | $408.10 | $583 | 4.4× |
| Xr orbits complete 4 views (70200) | $828.10 | $1,183 | 7.4× |
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.