Imaging prices at Norton Hospital
Louisville, KY · every code in this section with a posted price and a Medicare benchmark.
426 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) | $1,430.20 | $7,151 | 1.0× |
| Abdomen 1 View (74018) | $163.20 | $816 | 1.9× |
| Abdomen 2 views (74019) | $199 | $995 | 1.9× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $480.20 | $2,401 | 1.2× |
| Angio internal mammary (75756) | $934 | $4,670 | 0.3× |
| Angio pulmonary bilat (75743) | $1,234.20 | $6,171 | 0.4× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $717.40 | $3,587 | 0.2× |
| Angiography extremity bilateral rs&i (75716) | $902.20 | $4,511 | 0.3× |
| Angiography extremity unilateral rs&i (75710) | $777.20 | $3,886 | 0.2× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $533.80 | $2,669 | 0.2× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $476 | $2,380 | 0.2× |
| Ankle 2 views (73600) | $108 | $540 | 1.3× |
| Aortography thoracic serialography rs&i (75605) likely a partial charge, not the full procedure |
$883.60 | $4,418 | 0.2× |
| Aortography thoracic w/o serialography rs&i (75600) | $995.40 | $4,977 | 0.3× |
| Artery X-Rays Abdomen (75726) likely a partial charge, not the full procedure |
$900.60 | $4,503 | 0.2× |
| Artery X-Rays Adrenal Gland (75731) | $550.20 | $2,751 | 0.2× |
| Artery X-Rays Pelvis (75736) likely a partial charge, not the full procedure |
$617.20 | $3,086 | 0.1× |
| Artery X-Rays Spine (75705) likely a partial charge, not the full procedure |
$860.60 | $4,303 | 0.2× |
| Basic radiation dosimetry calculation (77300) | $133.60 | $668 | 1.0× |
| Bone age studies (77072) | $126.40 | $632 | 1.2× |
| Bone Imaging 3 Phase (78315) | $513.40 | $2,567 | 1.3× |
| Bone Imaging Limited Area (78300) | $329 | $1,645 | 0.8× |
| Bone Imaging Multiple Areas (78305) | $397.20 | $1,986 | 1.0× |
| Bone Imaging Whole Body (78306) | $519 | $2,595 | 1.3× |
| Bone marrow imaging limited area (78102) | $214 | $1,070 | 0.5× |
| Bone marrow imaging; whole body (78104) | $449 | $2,245 | 1.1× |
| Bone survey infant (77076) range across 2 matching MRF lines |
$159.40–$195.20 | $797–$976 | varies |
| Brachytx isodose complex (77318) | $389.20 | $1,946 | 1.0× |
| Brachytx isodose intermed (77317) | $279 | $1,395 | 0.8× |
| Brachytx Isodose Plan Simple (77316) | $279 | $1,395 | 0.8× |
| Brain Image W/Flow < 4 Views (78601) | $426.80 | $2,134 | 1.1× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $459.60 | $2,298 | 0.9× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $1,895.40 | $9,477 | 1.3× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $953.20 | $4,766 | 2.8× |
| Cardiac MRI w/w/o contrast w/stress (75563) | $975 | $4,875 | 1.3× |
| Cat Scan Follow-Up Study (76380) | $316.80 | $1,584 | 3.7× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $215.80 | $1,079 | 0.4× |
| Cerebrospinal Fluid Scan (78630) | $337.20 | $1,686 | 0.6× |
| Chest 1 view (71045) | $90.60 | $453 | 1.1× |
| Chest 2 views (71046) | $121.60 | $608 | 1.4× |
| Chest 3 views (71047) | $129.20 | $646 | 1.5× |
| Chest 4 or more views (71048) | $136.60 | $683 | 1.3× |
| Cineradiograpy/vidradiograpy xcpt where spec (76120) | $197.40 | $987 | 1.9× |
| Clavicle complete (73000) | $97.80 | $489 | 1.1× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $49.60 | $248 | 0.5× |
| Continuing medical physics consltj pr wk (77336) | $139.80 | $699 | 1.0× |
| Contrast Exam Abdominl Aorta (75625) | $839.60 | $4,198 | 0.3× |
| Contrast X-Ray Bladder (74430) | $189.40 | $947 | 0.5× |
| Contrast Xray Throat/Cerv Esopha (74210) | $135.80 | $679 | 0.8× |
| Corpora cavernosography (74445) | $426.20 | $2,131 | 4.1× |
| CT abdomen and pelvis without and with contrast (74178) | $1,465.40 | $7,327 | 4.2× |
| CT abdomen and pelvis without contrast (74176) | $885.40 | $4,427 | 3.7× |
| CT abdomen w contrast (74160) | $859.40 | $4,297 | 4.9× |
| CT abdomen w wo contrast (74170) | $1,070.40 | $5,352 | 6.2× |
| CT abdomen w/o contrast (74150) | $690.60 | $3,453 | 6.7× |
| CT Angio Abdomen and Pelvis (74174) | $1,226.60 | $6,133 | 3.5× |
| CT Angio Chest (71275) | $908.40 | $4,542 | 5.2× |
| CT Angio Head (70496) | $1,066 | $5,330 | 6.1× |
| CT angio hrt w/3d image (75574) range across 2 matching MRF lines |
$583.40–$778 | $2,917–$3,890 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $926 | $4,630 | 5.3× |
| CT Angio Neck (70498) | $926 | $4,630 | 5.3× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $926 | $4,630 | 5.3× |
| CT bone density (77078) | $126.80 | $634 | 1.5× |
| CT cervical spine w/ contrast (72126) | $908.40 | $4,542 | 2.6× |
| CT cervical spine w/o contrast (72125) | $833.40 | $4,167 | 8.0× |
| CT cervical spine w/wo cont (72127) | $1,072.20 | $5,361 | 6.2× |
| CT chest w contrast (71260) | $758 | $3,790 | 4.4× |
| CT chest w/wo contrast (71270) | $837.20 | $4,186 | 4.8× |
| CT head/brain with contrast (70460) | $677.80 | $3,389 | 3.9× |
| CT head/brain without and with contrast (70470) | $895.40 | $4,477 | 5.1× |
| CT heart contrast eval cardiac structure&morph (75572) | $696.60 | $3,483 | 2.0× |
| CT heart no contrast quant eval coronry calcium (75571) range across 2 matching MRF lines |
$20–$650.20 | $100–$3,251 | varies |
| CT hrt w/3d image congen (75573) | $733.60 | $3,668 | 2.1× |
| CT iac w contrast (70481) | $681 | $3,405 | 3.9× |
| CT l-spine w&w/o contrast (72133) | $1,038.60 | $5,193 | 6.0× |
| CT lower ext w/o (73700) | $561.20 | $2,806 | 5.4× |
| CT lower extremity w/contrast material (73701) | $625 | $3,125 | 3.6× |
| CT lumbar spine w contrast (72132) | $963 | $4,815 | 2.8× |
| CT lumbar spine w/o contrast (72131) | $895.20 | $4,476 | 8.6× |
| CT maxillofacial w contrast (70487) | $717.40 | $3,587 | 4.1× |
| CT maxillofacial wo contrast (70486) | $681.60 | $3,408 | 6.6× |
| CT neck tissue combo (70492) | $901.40 | $4,507 | 5.2× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $884.40 | $4,422 | 5.1× |
| CT orbits w/o contrast (70480) | $669 | $3,345 | 6.5× |
| CT pelvis w&w/o contrast (72194) | $1,128.40 | $5,642 | 6.5× |
| CT pelvis w/o contrast (72192) | $637 | $3,185 | 6.1× |
| CT scan of leg combo (73702) | $652 | $3,260 | 3.7× |
| CT scans face/jaw combo (70488) | $910 | $4,550 | 5.2× |
| CT soft tissue neck w contrast (70491) | $693 | $3,465 | 4.0× |
| CT soft tissue neck w/o contrast (70490) | $582.40 | $2,912 | 5.6× |
| CT thoracic spine w contrast (72129) | $806.80 | $4,034 | 4.6× |
| CT thoracic spine w/o contrast (72128) | $684 | $3,420 | 6.6× |
| CT thoracic spine w/wo cont (72130) | $964 | $4,820 | 5.5× |
| CT thorax w/o contrast (71250) | $582.40 | $2,912 | 5.6× |
| CT upper ext wo (73200) | $660.80 | $3,304 | 6.4× |
| CT upper extremity w/o & w/contrast material (73202) | $919.40 | $4,597 | 5.3× |
| CT upper extremity with contrast (73201) | $727.60 | $3,638 | 2.1× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,070.40 | $5,352 | 6.2× |
| Cta Abdomen (74175) | $891.40 | $4,457 | 5.1× |
| CTA pelvis (72191) | $852.60 | $4,263 | 4.9× |
| Dilation ureters/urethra rs&i (74485) | $384 | $1,920 | 0.2× |
| Diskography lumbar (72295) | $389.40 | $1,947 | 0.2× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) | $146.80 | $734 | 1.4× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $85.60 | $428 | 0.8× |
| Doppler Fetal Mid Cerebral Artery (76821) | $112.40 | $562 | 1.1× |
| Dxa Bone Density Axial (77080) | $119.60 | $598 | 1.2× |
| Dxa bone density study (77085) | $108.60 | $543 | 1.0× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $105.20 | $526 | 1.2× |
| Echo exam of fetal heart (76825) | $217.60 | $1,088 | 0.4× |
| Echo exam uterus (76831) | $191.80 | $959 | 0.8× |
| Echo Guide For Artery Repair (76936) | $303.80 | $1,519 | 1.4× |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) | $93 | $465 | 0.4× |
| Echograp Trans R Pros Study (76873) | $1,018.80 | $5,094 | 9.8× |
| Esophagram (74220) | $209.60 | $1,048 | 1.2× |
| Fetal Biophys Profile W/Nst (76818) | $187 | $935 | 1.8× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 3 matching MRF lines |
$200.20–$217.80 | $1,001–$1,089 | varies |
| Fetal MRI w/placntl matrnl plvc img sing/1st ges (74712) | $990.40 | $4,952 | 4.2× |
| Fluoroscopy up to 1 hr (76000) | $283.80 | $1,419 | 1.2× |
| Follow-Up Angiography (75898) | $353.60 | $1,768 | 0.1× |
| Foot 2 views (73620) range across 4 matching MRF lines |
$59.80–$112.40 | $299–$562 | varies |
| Forearm 2 views (73090) range across 4 matching MRF lines |
$77.40–$112.20 | $387–$561 | varies |
| Gastric emptying imaging study (78264) | $610.20 | $3,051 | 1.5× |
| Gastric Emptyng Imag Std W/Sm Bwl Transit (78265) | $665.80 | $3,329 | 1.7× |
| Gastroesophageal Reflux Exam (78262) | $275.40 | $1,377 | 0.7× |
| Gated Heart Planar Single (78472) | $448 | $2,240 | 1.1× |
| Gstrc Emptng Imag Std W/Sm Bwl Col Trnst Mlt Day (78266) | $740 | $3,700 | 1.4× |
| Hand 2 views (73120) range across 5 matching MRF lines |
$76.40–$112.40 | $382–$562 | varies |
| Hdr Rdncl Ntrstl/Icav Brchtx (77772) | $1,852.40 | $9,262 | 2.7× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) | $1,852.40 | $9,262 | 2.7× |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) | $947.20 | $4,736 | 1.4× |
| Heart Image (Pet) Multiple (78492) | $2,116.80 | $10,584 | 1.5× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $291.60 | $1,458 | 0.1× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $237.60 | $1,188 | 0.1× |
| Hepatobil Syst Image W/Drug (78227) | $647.40 | $3,237 | 1.2× |
| Hepatobiliary System Imaging (78226) | $522.20 | $2,611 | 1.3× |
| Ht Musc Image Planar Mult (78454) | $1,406 | $7,030 | 1.1× |
| Ht Muscle Image Spect Sing (78451) | $1,335.60 | $6,678 | 1.0× |
| Hysterosalpingogram (74740) | $246.80 | $1,234 | 1.0× |
| Image fusion (77399) | $93 | $465 | 0.7× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $166.80 | $834 | 1.9× |
| Infant hip ultrasound, limited static exam (76886) | $166.80 | $834 | 1.9× |
| Interstitial radiation source applic complex (77778) | $491.60 | $2,458 | 0.7× |
| Intracavitary Radiation Source Applic Complex (77763) | $1,083.80 | $5,419 | 1.6× |
| Intracavitary Radiation Source Applic Intermed (77762) | $1,103.20 | $5,516 | 2.0× |
| Intracavitary radiation source applic simple (77761) | $482.80 | $2,414 | 0.9× |
| Intraop radiaj tx deliver electrons sngl tx sess (77425) likely a partial charge, not the full procedure |
$196.20 | $981 | 0.0× |
| Intraop radiaj tx deliver xray single tx session (77424) likely a partial charge, not the full procedure |
$119.40 | $597 | 0.0× |
| Joint Survey Single View (77077) | $105.20 | $526 | 1.0× |
| K Flow/Funct Image Multiple (78709) | $375.40 | $1,877 | 0.7× |
| K Flow/Funct Image W/Drug (78708) | $386 | $1,930 | 0.7× |
| K Flow/Funct Image W/O Drug (78707) | $470 | $2,350 | 0.9× |
| Kidney Funcj Study Non-Img Radioisotopic Study (78725) | $246.80 | $1,234 | 0.6× |
| Kidney Imaging Morphol (78700) | $327 | $1,635 | 0.8× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $202 | $1,010 | 0.5× |
| Knee 3 Views (73562) | $136.20 | $681 | 1.6× |
| Leveen/Shunt Patency Exam (78291) | $230.80 | $1,154 | 0.6× |
| Liver & Spleen Imaging Static Only (78215) | $408.40 | $2,042 | 1.0× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $352.20 | $1,761 | 0.9× |
| Liver imaging static only (78201) | $352.20 | $1,761 | 0.7× |
| Liver imaging w/vascular flow (78202) | $390 | $1,950 | 0.7× |
| Lung Perf&Ventilat Diferentl (78598) | $426.20 | $2,131 | 0.8× |
| Lung perfusion differential (78597) | $380.40 | $1,902 | 1.0× |
| Lung Ventilat&Perfus Imaging (78582) | $426.20 | $2,131 | 0.8× |
| Lung Ventilation Imaging (78579) | $380.40 | $1,902 | 1.0× |
| Lymph System Imaging (78195) | $520 | $2,600 | 1.0× |
| Lymphangiography Extremity Only Bilateral Rs&I (75803) | $934 | $4,670 | 0.6× |
| Lymphangiography extremity only unilateral rs&i (75801) | $645.40 | $3,227 | 1.0× |
| Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) | $907.60 | $4,538 | 0.3× |
| Magnetic Image Jaw Joint (70336) | $870.60 | $4,353 | 3.7× |
| Mammary ductogram or galactogram multiple (77054) | $187.40 | $937 | 0.8× |
| Mammary ductogram or galactogram single (77053) | $142.60 | $713 | 0.6× |
| Meckels Divert Exam (78290) | $342 | $1,710 | 0.9× |
| Mlc imrt design & construction per imrt plan (77338) | $464.20 | $2,321 | 1.3× |
| Mra Head W/O & W/Contrast Material (70546) | $1,189.20 | $5,946 | 3.4× |
| MRA head w/o contrast (70544) | $989.20 | $4,946 | 4.2× |
| MRA head with contrast (70545) | $1,011.80 | $5,059 | 2.9× |
| MRA neck w contrast (70548) | $831.80 | $4,159 | 2.4× |
| Mra Neck W/O &W/Contrast Material (70549) | $897 | $4,485 | 2.6× |
| MRA neck w/o contrast (70547) | $742 | $3,710 | 3.1× |
| MRI abdomen w contrast (74182) | $1,080 | $5,400 | 3.1× |
| MRI abdomen w/o contrast (74181) | $990.40 | $4,952 | 4.2× |
| MRI any jt lower extrem w/contrast material (73722) | $905 | $4,525 | 1.2× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $1,046.60 | $5,233 | 3.0× |
| MRI any jt upper extremity w/contrast matrl (73222) | $885.60 | $4,428 | 1.1× |
| MRI brain functional w/o physician admnistration (70554) | $1,056.20 | $5,281 | 4.5× |
| MRI brain functional w/physician admnistration (70555) | $1,084.20 | $5,421 | 4.6× |
| MRI Breast W/O Contrast Bilateral (77047) | $1,097.40 | $5,487 | 4.6× |
| MRI Breast Without Contrast Material Unilateral (77046) | $841.40 | $4,207 | 3.6× |
| MRI cardiac w/o cont stress (75559) | $897.20 | $4,486 | 1.7× |
| MRI cardiac w/o contrast (75557) | $796 | $3,980 | 3.4× |
| MRI cervical spine w contrast (72142) | $1,247.20 | $6,236 | 3.6× |
| MRI cervical spine w/o cont (72141) | $1,205 | $6,025 | 5.1× |
| MRI chest w/o contrast (71550) | $864.80 | $4,324 | 3.7× |
| MRI chest with contrast (71551) | $960.40 | $4,802 | 1.2× |
| MRI chest wo w contrast (71552) | $1,042.40 | $5,212 | 3.0× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $916.60 | $4,583 | 2.6× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $1,181.40 | $5,907 | 3.4× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $840.40 | $4,202 | 3.6× |
| MRI lumbar spine w contrast (72149) | $1,247.20 | $6,236 | 3.6× |
| Mri Neck Spine W/O & W/Dye (72156) | $1,262.80 | $6,314 | 3.7× |
| MRI orbit face &/neck w/o contrast (70540) | $963 | $4,815 | 4.1× |
| MRI orbit face neck w contrast (70542) | $977.60 | $4,888 | 2.8× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $1,012.40 | $5,062 | 2.9× |
| MRI pelvis w contrast (72196) | $1,080.20 | $5,401 | 3.1× |
| MRI pelvis w/o & w contrast (72197) | $1,198.20 | $5,991 | 3.5× |
| MRI pelvis w/o contrast (72195) | $851.20 | $4,256 | 3.6× |
| MRI spectroscopy (76390) | $693 | $3,465 | 8.0× |
| MRI thoracic spine w/o contrast (72146) | $1,174.40 | $5,872 | 5.0× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $1,013.40 | $5,067 | 2.9× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $885.80 | $4,429 | 3.7× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $1,161.80 | $5,809 | 3.4× |
| MRI, abdomen, combo (74183) | $1,219.80 | $6,099 | 3.5× |
| MRI, dorsal spine combo (72157) | $1,262.80 | $6,314 | 3.7× |
| MRI, dorsal spine contrast (72147) | $1,287.20 | $6,436 | 3.7× |
| MRI, joint upper extrem (73221) | $818.60 | $4,093 | 3.5× |
| MRI, joint upper extrem combo (73223) | $976.60 | $4,883 | 2.8× |
| MRI, lumbar spine combo (72158) | $1,262.80 | $6,314 | 3.7× |
| Myelogram cervical (72240) | $520.40 | $2,602 | 0.7× |
| Myelogram Lumbar (72265) | $393 | $1,965 | 0.5× |
| Myelography thoracic (72255) | $393 | $1,965 | 0.5× |
| Myelograpy 2/more regions rs&i (72270) | $607.60 | $3,038 | 0.8× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) | $2,005.80 | $10,029 | 1.6× |
| Myocardial Spect Multiple Studies (78452) | $1,406 | $7,030 | 1.1× |
| Myocrd img PET prfuj 1std rest/stress cncrnt CT (78430) | $2,179.60 | $10,898 | 1.5× |
| Myocrd Img Pet Prfuj Mlt Std Rst&Strs Cncrnt CT (78431) | $2,285.20 | $11,426 | 1.0× |
| Myocrd Img Pet Prfuj W/Metab 2rtracer Cncrnt CT (78433) | $2,179.60 | $10,898 | 1.0× |
| N-invas est c ffr sw aly CTA (75580) | $1,264.40 | $6,322 | 1.5× |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$60.40–$81.80 | $302–$409 | varies |
| Nfs/Instlj Radioelmnt Sln 3 Mo Follow-Up Care (77750) | $372.40 | $1,862 | 1.0× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $98 | $490 | 0.2× |
| Nm csf leak detection (78650) | $449.80 | $2,249 | 0.4× |
| Nm unlisted gi procedure (78299) | $630.40 | $3,152 | 1.6× |
| Nonvascular Shunt X-Ray (75809) | $204.40 | $1,022 | 2.0× |
| Ntsty modul radthx pln dose-vol histos (77301) | $2,336.20 | $11,681 | 1.7× |
| Nuclear Rx Intra-Arterial (79445) | $478.60 | $2,393 | 2.1× |
| Nuclear Rx Oral Admin (79005) range across 3 matching MRF lines |
$287–$440 | $1,435–$2,200 | varies |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) | $146.40 | $732 | 1.4× |
| Panoramic X-ray of jaws (70355) | $103.20 | $516 | 1.2× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $502.60 | $2,513 | 0.9× |
| Parathyroid Planar Imaging (78070) | $364.20 | $1,821 | 0.9× |
| Parathyroid planar imaging w/wo subtraction (78071) | $412.40 | $2,062 | 1.0× |
| Pelvis 1 or 2 views (72170) | $108.80 | $544 | 1.0× |
| Perineogram (74775) | $125.80 | $629 | 0.5× |
| Pet Image W/Ct Lmtd (78814) range across 3 matching MRF lines |
$260.40–$2,038.20 | $1,302–$10,191 | varies |
| PET image w/CT, full body (78816) | $2,211.60 | $11,058 | 1.6× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $2,129 | $10,645 | 1.5× |
| Pet Myocardial Sngl Study (78491) | $2,005.80 | $10,029 | 1.4× |
| PET whole body (78813) | $2,129 | $10,645 | 1.5× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $300.40 | $1,502 | 0.1× |
| Pulmonary Perfusion Imaging Particulate (78580) | $407.80 | $2,039 | 1.0× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $187.40 | $937 | 1.8× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $190.80 | $954 | 0.4× |
| Radex Ankle Complete Minimum 3 Views (73610) | $123.20 | $616 | 1.4× |
| Radex Calcaneus Minimum 2 Views (73650) | $90.60 | $453 | 1.1× |
| Radex elbow complete minimum 3 views (73080) | $112.40 | $562 | 1.3× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $177.60 | $888 | 1.7× |
| Radex fingr minimum 2 views (73140) range across 3 matching MRF lines |
$57.60–$91.80 | $288–$459 | varies |
| Radex foot complete minimum 3 views (73630) | $146 | $730 | 1.7× |
| Radex Hand Minimum 3 Views (73130) | $114.40 | $572 | 1.3× |
| Radex lower extremity infant minimum 2 views (73592) | $75.20 | $376 | 0.9× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $143.20 | $716 | 1.4× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $113.20 | $566 | 1.3× |
| Radex Ribs Unilateral 2 Views (71100) | $108.60 | $543 | 1.3× |
| Radex shoulder complete minimum 2 views (73030) | $153.80 | $769 | 1.8× |
| Radex Sinuses Paransl < 3 Views (70210) | $143.20 | $716 | 1.7× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $315.60 | $1,578 | 1.8× |
| Radex Spine 1 View Specify Level (72020) | $123.40 | $617 | 1.4× |
| Radex Sternum Minimum 2 Views (71120) | $102.20 | $511 | 1.2× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $130.40 | $652 | 1.5× |
| Radex Toe Minimum 2 Views (73660) range across 3 matching MRF lines |
$61.20–$84 | $306–$420 | varies |
| Radex upper extremity infant minimum 2 views (73092) | $84 | $420 | 0.8× |
| Radex Wrist Complete Minimum 3 Views (73110) | $116.80 | $584 | 1.4× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $212.60 | $1,063 | 2.1× |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $6,327 | $31,635 | 0.9× |
| Radiation treatment delivery level 1 (77402) | $155.20 | $776 | 1.5× |
| Radiation treatment delivery level 2 (77407) | $232.40 | $1,162 | 0.6× |
| Radiation treatment delivery level 3 (77412) | $279 | $1,395 | 0.5× |
| Radiolog exam mandible compl minimum 4 views (70110) | $128.80 | $644 | 1.2× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $217.80 | $1,089 | 2.1× |
| Radiologic exam colon double contrast study (74280) | $342 | $1,710 | 2.0× |
| Radiologic exam colon single contrast study (74270) | $306.20 | $1,531 | 1.8× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $213 | $1,065 | 1.2× |
| Radiologic exam knee complete 4/more views (73564) | $151.40 | $757 | 1.5× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $140.20 | $701 | 1.4× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $204.60 | $1,023 | 1.2× |
| Radiologic exam swallow function contrast study (74230) | $241.40 | $1,207 | 1.4× |
| Radiologic exam upr gi trc double contrast study (74246) | $261.20 | $1,306 | 1.5× |
| Radiologic examination femur 1 view (73551) | $94.20 | $471 | 1.1× |
| Radiologic examination femur minimum 2 views (73552) | $123.60 | $618 | 1.4× |
| Radiologic examination knee 1/2 views (73560) | $128 | $640 | 1.5× |
| Radiologic Examination Osseous Survey Limited (77074) | $253.40 | $1,267 | 2.4× |
| Radiologic examination tibia & fibula 2 views (73590) range across 4 matching MRF lines |
$73–$119.40 | $365–$597 | varies |
| Renal Cyst Study (74470) | $100.80 | $504 | 0.2× |
| Ribs bilateral 3 views (71110) | $129.60 | $648 | 1.3× |
| Rp loclzj tum plnr 1 area single day imaging (78800) range across 2 matching MRF lines |
$397–$510.80 | $1,985–$2,554 | varies |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $511.40 | $2,557 | 1.3× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $932.60 | $4,663 | 1.7× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) range across 2 matching MRF lines |
$397.80–$568.80 | $1,989–$2,844 | varies |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 8 matching MRF lines |
$282.80–$919.40 | $1,414–$4,597 | varies |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $795.60 | $3,978 | 0.6× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $1,018.20 | $5,091 | 0.7× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $924.20 | $4,621 | 0.7× |
| Rp Ther Radiolbld Monoclonal Antibody IV Infus (79403) range across 2 matching MRF lines |
$803.40–$39,402.20 | $4,017–$197,011 | varies |
| Rp Therapy Intravenous Administration (79101) range across 2 matching MRF lines |
$588.60–$2,332.80 | $2,943–$11,664 | varies |
| Salivary Gland Function Study (78232) | $519 | $2,595 | 1.3× |
| Scapula (73010) | $90.80 | $454 | 0.9× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $36.20 | $181 | 1.5× |
| Shoulder 1 view (73020) | $98.60 | $493 | 1.1× |
| Sialogram (70390) | $167.40 | $837 | 0.7× |
| Skull less than 4 views (70250) | $182.40 | $912 | 1.8× |
| Special dosimetry (77331) | $276.60 | $1,383 | 2.1× |
| Special Physics Consult (77370) | $615.60 | $3,078 | 4.6× |
| Special teletherapy port plan (77321) | $108 | $540 | 0.3× |
| Special treatment procedure (77470) | $615.60 | $3,078 | 1.1× |
| Speech evaluation, complex (70371) | $210.40 | $1,052 | 0.9× |
| Spleen Imaging (78185) | $197.80 | $989 | 0.5× |
| Stereotactic Body Radiation Delivery (77373) | $1,071 | $5,355 | 0.6× |
| Sternoclavicular joints (71130) | $109.20 | $546 | 1.3× |
| Superior sagittal sinus venogram (75870) | $629.80 | $3,149 | 0.2× |
| Surface Applic Low Dose Rate Radionuclide Source (77789) | $123 | $615 | 1.2× |
| Tbs technical calculation only (77091) | $56.80 | $284 | 0.7× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $230.40 | $1,152 | 0.6× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $230.40 | $1,152 | 0.6× |
| Testicular Imaging W/Flow (78761) | $211.40 | $1,057 | 0.5× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $372.20 | $1,861 | 1.0× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $193.20 | $966 | 0.5× |
| Ther rad simulaj-aided field setting simple (77280) | $155.40 | $777 | 1.2× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $306.20 | $1,531 | 1.8× |
| Thoracic spine 2 views (72070) | $147.80 | $739 | 1.4× |
| Thoracic spine 3 views (72072) | $157.80 | $789 | 1.5× |
| Thoracolumbar 2 views (72080) | $279.20 | $1,396 | 3.2× |
| Thyroid carcinoma metastases imaging; with additional studies (eg, urinary recovery) Non-Facility (78016) | $173.20 | $866 | 0.4× |
| Thyroid Carcinoma Metastases Img Lmtd Area (78015) | $471.20 | $2,356 | 1.2× |
| Thyroid Imaging With Vascular Flow (78013) | $293 | $1,465 | 0.7× |
| Thyroid Met Imaging Body (78018) | $480.80 | $2,404 | 0.9× |
| Thyroid Uptake Measurement (78012) | $480.20 | $2,401 | 1.2× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) range across 2 matching MRF lines |
$352.20–$401.80 | $1,761–$2,009 | varies |
| Tx Devices Design & Construction Complex (77334) | $327.80 | $1,639 | 0.9× |
| Tx devices design & construction intermediate (77333) | $193.20 | $966 | 1.4× |
| Tx devices design & construction simple (77332) | $193.20 | $966 | 1.4× |
| Ultrasound Breast Limited (76642) | $110.20 | $551 | 1.3× |
| Ultrasound Exam Aaa Screen (76706) | $194.80 | $974 | 1.9× |
| Ultrasound, abdomen limited (76705) range across 3 matching MRF lines |
$156–$258.80 | $780–$1,294 | varies |
| Umbilical-artery Doppler (OB) (76820) | $262 | $1,310 | 2.5× |
| Unlisted Dx Radiographic Procedure (76499) | $670.20 | $3,351 | 7.8× |
| Unlisted magnetic resonance procedure (76498) range across 3 matching MRF lines |
$1,187.40–$1,205 | $5,937–$6,025 | varies |
| Unlisted Procedure Clinical Brachytherapy (77799) | $186 | $930 | 1.8× |
| Unlisted us procedure (76999) range across 2 matching MRF lines |
$105.80–$232.40 | $529–$1,162 | varies |
| Upper gi w/o kub (74240) | $219.40 | $1,097 | 1.3× |
| Ureteral Reflux Study (78740) | $264.20 | $1,321 | 0.7× |
| Urethrocystogram voiding (74455) | $278.20 | $1,391 | 1.2× |
| Urethrocystography retrograde (74450) | $163.20 | $816 | 0.7× |
| Us breast unilateral complete (76641) | $139.40 | $697 | 1.3× |
| Us chest (76604) range across 5 matching MRF lines |
$170.20–$223 | $851–$1,115 | varies |
| Us complete joint (76881) | $221.80 | $1,109 | 2.1× |
| Us exam, pelvic, limited (76857) | $145 | $725 | 1.4× |
| Us head (76506) | $237.80 | $1,189 | 2.3× |
| Us kidney transplant (76776) | $246.20 | $1,231 | 2.4× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $158 | $790 | 1.5× |
| Us ob detailed single fetus (76811) | $159 | $795 | 0.7× |
| Us ob limited 1 or more fetuses (76815) range across 5 matching MRF lines |
$111.60–$262 | $558–$1,310 | varies |
| Us ob transvaginal (76817) | $259.20 | $1,296 | 2.5× |
| Us pelvic non ob complete (76856) | $257.80 | $1,289 | 2.5× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $204.20 | $1,021 | 2.0× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $155.80 | $779 | 1.5× |
| Us retroperitoneal complete (76770) | $331.80 | $1,659 | 3.2× |
| Us retroperitoneal limited (76775) | $133.80 | $669 | 1.3× |
| Us scrotum and contents (76870) | $273.20 | $1,366 | 2.6× |
| Us spinal canal and contents (76800) | $221.80 | $1,109 | 2.1× |
| Us thyroid (76536) | $233.40 | $1,167 | 2.3× |
| Us transrectal (76872) | $225.40 | $1,127 | 2.2× |
| Vein X-Ray Chest (75827) | $581 | $2,905 | 0.4× |
| Vein X-Ray Liver W/O Hemodyn (75887) | $300.40 | $1,502 | 0.1× |
| Vein X-Ray Skull Epidural (75872) | $445.60 | $2,228 | 0.7× |
| Vein X-Ray Spleen/Liver (75810) | $575.60 | $2,878 | 0.2× |
| Venogram Sinus/Jugular (75860) | $419 | $2,095 | 0.1× |
| Venography Adrenal Unilateral (75840) | $399.20 | $1,996 | 0.1× |
| Venography caval inferior serialography rs&i (75825) | $581 | $2,905 | 0.2× |
| Venography extremity bilateral rs&i (75822) | $667 | $3,335 | 0.4× |
| Venography extremity unilateral rs&i (75820) | $506 | $2,530 | 0.3× |
| Venography Orbital Rs&I (75880) | $75.20 | $376 | 0.1× |
| Venography Renal Bilateral (75833) | $744 | $3,720 | 0.2× |
| Venography Renal Unilateral (75831) | $481 | $2,405 | 0.2× |
| Venous sampling by catheter (75893) likely a partial charge, not the full procedure |
$484.80 | $2,424 | 0.1× |
| Vertebral fracture assessment via dxa (77086) | $122.80 | $614 | 1.4× |
| Wrist 2 views (73100) range across 4 matching MRF lines |
$74.40–$114.20 | $372–$571 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $96.20 | $481 | 1.1× |
| X-ray antegrade pyelogram tube (74425) | $263.40 | $1,317 | 0.8× |
| X-Ray Aorta Leg Arteries (75630) | $1,099 | $5,495 | 0.4× |
| X-Ray Bend Only L-S Spine (72120) | $151.40 | $757 | 1.5× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 4 matching MRF lines |
$96.20–$105 | $481–$525 | varies |
| X-Ray Exam Breast Specimen (76098) range across 4 matching MRF lines |
$10.20–$72 | $51–$360 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) | $186 | $930 | 2.2× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $203.40 | $1,017 | 2.0× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $209.40 | $1,047 | 2.0× |
| X-Ray Exam Hip Uni 1 View (73501) | $85.80 | $429 | 1.0× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $127.20 | $636 | 1.5× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $141.40 | $707 | 1.4× |
| X-Ray Exam Hips Bi 2 Views (73521) | $156 | $780 | 1.5× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $171.60 | $858 | 1.7× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $177.60 | $888 | 1.7× |
| X-Ray Exam L-S Spine Bending (72114) | $220.60 | $1,103 | 2.1× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $159.40 | $797 | 1.8× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $208.80 | $1,044 | 2.0× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $132 | $660 | 1.3× |
| X-ray eye for foreign body (70030) | $107.60 | $538 | 1.2× |
| X-ray humerus (73060) range across 4 matching MRF lines |
$66.80–$105 | $334–$525 | varies |
| X-ray IV pyelogram (ivp) (74400) | $257.40 | $1,287 | 1.5× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $101.60 | $508 | 1.2× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $159.40 | $797 | 1.8× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $151.40 | $757 | 1.5× |
| X-ray nose-rectum child f.b. (76010) | $126.40 | $632 | 1.5× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $263.40 | $1,317 | 2.5× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $121.20 | $606 | 1.2× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $112.40 | $562 | 1.1× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $102.20 | $511 | 1.2× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $155.80 | $779 | 1.8× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $204.20 | $1,021 | 2.0× |
| X-ray thoracic spine 4 vw (72074) | $157.80 | $789 | 1.5× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $275.40 | $1,377 | 0.8× |
| X-Rays Bone Length Studies (77073) | $113.40 | $567 | 1.1× |
| X-Rays Bone Survey Complete (77075) | $420.20 | $2,101 | 4.1× |
| Xr c-spine 4 or 5 views (72050) | $179.20 | $896 | 1.7× |
| Xr facial bones less than 3 views (70140) | $143.20 | $716 | 1.7× |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$87.80–$120.20 | $439–$601 | varies |
| Xr Tomogram Single Plane (76100) | $275.20 | $1,376 | 2.7× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.