Imaging prices at Novant Health Brunswick Medical Center
Bolivia, NC · every code in this section with a posted price and a Medicare benchmark.
356 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) | $271.50 | $543 | 3.1× |
| Abdomen 2 views (74019) | $232.50 | $465 | 2.2× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,001 | $2,002 | 2.5× |
| Acute venous thrombosis imaging, peptide Non-Facility (78456) | $1,431.50 | $2,863 | 1.1× |
| Angio internal mammary (75756) range across 3 matching MRF lines |
$1,999–$2,299.50 | $3,998–$4,599 | varies |
| Angio pulmonary bilat (75743) | $2,528 | $5,056 | 0.8× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $2,643.50 | $5,287 | 0.8× |
| Angiography extremity bilateral rs&i (75716) | $3,047 | $6,094 | 1.0× |
| Angiography extremity unilateral rs&i (75710) range across 3 matching MRF lines |
$2,769–$2,811 | $5,538–$5,622 | varies |
| Angiography pulmonary unilateral slctv rs&i (75741) | $1,888.50 | $3,777 | 0.6× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $1,637 | $3,274 | 0.5× |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$190.50–$229 | $381–$458 | varies |
| Aortography thoracic serialography rs&i (75605) | $7,027.50 | $14,055 | 1.3× |
| Artery X-Rays Abdomen (75726) | $3,047 | $6,094 | 0.5× |
| Artery X-Rays Adrenal Gland (75731) | $2,144 | $4,288 | 0.7× |
| Artery X-Rays Pelvis (75736) | $2,811 | $5,622 | 0.5× |
| Artery X-Rays Spine (75705) | $2,811 | $5,622 | 0.5× |
| Arthrogram ankle (73615) | $529.50 | $1,059 | 1.5× |
| Arthrogram hip (73525) | $615.50 | $1,231 | 1.8× |
| Arthrogram Wrist (73115) | $615.50 | $1,231 | 1.8× |
| Bone age studies (77072) | $191 | $382 | 1.8× |
| Bone Imaging 3 Phase (78315) | $1,624 | $3,248 | 4.1× |
| Bone Imaging Limited Area (78300) | $1,087.50 | $2,175 | 2.7× |
| Bone Imaging Multiple Areas (78305) | $1,178.50 | $2,357 | 2.9× |
| Bone Imaging Whole Body (78306) | $1,624 | $3,248 | 4.1× |
| Bone marrow imaging limited area (78102) | $905.50 | $1,811 | 2.3× |
| Bone marrow imaging; multiple areas (78103) | $1,016.50 | $2,033 | 2.5× |
| Bone survey infant (77076) | $229 | $458 | 2.2× |
| Brain Flow Imaging Only (78610) | $1,200.50 | $2,401 | 2.2× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $2,046.50 | $4,093 | 3.8× |
| Card Bl Pool Gated Spect Rest Wal Motn Ejct Frct (78494) | $972 | $1,944 | 2.4× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $1,116 | $2,232 | 2.1× |
| Cerebrospinal Fluid Scan (78630) | $1,665 | $3,330 | 3.1× |
| Chest 1 view (71045) | $193 | $386 | 2.2× |
| Chest 2 views (71046) | $229 | $458 | 2.6× |
| Chest 3 views (71047) | $275.50 | $551 | 3.2× |
| Chest 4 or more views (71048) | $297.50 | $595 | 2.8× |
| Cholecystography Oral Contrast (74290) | $219 | $438 | 1.2× |
| Clavicle complete (73000) | $193 | $386 | 2.2× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $183 | $366 | 1.7× |
| Contrast Exam Abdominl Aorta (75625) | $1,902.50 | $3,805 | 0.6× |
| Contrast X-Ray Bladder (74430) | $275.50 | $551 | 0.8× |
| Contrast X-Ray Of Elbow (73085) | $615.50 | $1,231 | 1.8× |
| Contrast X-Ray Of Knee Joint (73580) | $615.50 | $1,231 | 1.8× |
| CT abdomen and pelvis without and with contrast (74178) | $2,988.50 | $5,977 | 8.6× |
| CT abdomen and pelvis without contrast (74176) | $2,109 | $4,218 | 8.8× |
| CT abdomen w contrast (74160) | $1,479.50 | $2,959 | 8.4× |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$1,698–$1,703.50 | $3,396–$3,407 | varies |
| CT abdomen w/o contrast (74150) | $1,144.50 | $2,289 | 10.9× |
| CT Angio Abdomen and Pelvis (74174) | $2,452 | $4,904 | 7.0× |
| CT Angio Chest (71275) | $1,593.50 | $3,187 | 9.1× |
| CT Angio Head (70496) | $1,586 | $3,172 | 9.0× |
| CT angio hrt w/3d image (75574) | $906.50 | $1,813 | 2.6× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $1,393 | $2,786 | 7.9× |
| CT Angio Neck (70498) | $1,677.50 | $3,355 | 9.5× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $1,379 | $2,758 | 7.9× |
| CT bone density (77078) | $225.50 | $451 | 2.6× |
| CT cervical spine w/ contrast (72126) | $1,479.50 | $2,959 | 4.2× |
| CT cervical spine w/o contrast (72125) | $1,196 | $2,392 | 11.4× |
| CT cervical spine w/wo cont (72127) | $1,760.50 | $3,521 | 10.0× |
| CT chest w contrast (71260) | $1,318 | $2,636 | 7.5× |
| CT chest w/wo contrast (71270) | $1,611.50 | $3,223 | 9.2× |
| CT colonography screening (74263) | $1,191.50 | $2,383 | 5.0× |
| CT colonogrphy dx image postprocess w/o contrast (74261) | $1,178.50 | $2,357 | 11.3× |
| CT head/brain with contrast (70460) | $1,173.50 | $2,347 | 6.7× |
| CT head/brain without and with contrast (70470) | $1,347.50 | $2,695 | 7.7× |
| CT heart contrast eval cardiac structure&morph (75572) | $455 | $910 | 1.3× |
| CT heart no contrast quant eval coronry calcium (75571) | $113.64 | $227.27 | 1.3× |
| CT hrt w/3d image congen (75573) | $492.50 | $985 | 1.4× |
| CT iac w contrast (70481) | $1,318 | $2,636 | 7.5× |
| CT l-spine w&w/o contrast (72133) | $1,967 | $3,934 | 11.2× |
| CT lower ext w/o (73700) | $1,070.50 | $2,141 | 10.2× |
| CT lower extremity w/contrast material (73701) | $1,401.50 | $2,803 | 8.0× |
| CT lumbar spine w contrast (72132) | $1,577.50 | $3,155 | 4.5× |
| CT lumbar spine w/o contrast (72131) | $1,273.50 | $2,547 | 12.2× |
| CT maxillofacial w contrast (70487) | $1,006.50 | $2,013 | 5.7× |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$866.50–$1,019 | $1,733–$2,038 | varies |
| CT neck tissue combo (70492) | $1,512.50 | $3,025 | 8.6× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,430.50 | $2,861 | 8.1× |
| CT orbits w/o contrast (70480) | $1,167 | $2,334 | 11.1× |
| CT pelvis w&w/o contrast (72194) range across 2 matching MRF lines |
$1,312–$1,465.50 | $2,624–$2,931 | varies |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$1,045.50–$1,093.50 | $2,091–$2,187 | varies |
| CT scan of leg combo (73702) | $1,550 | $3,100 | 8.8× |
| CT scans face/jaw combo (70488) | $1,585 | $3,170 | 9.0× |
| CT soft tissue neck w contrast (70491) | $1,369.50 | $2,739 | 7.8× |
| CT soft tissue neck w/o contrast (70490) | $1,113.50 | $2,227 | 10.6× |
| CT thoracic spine w contrast (72129) | $1,322 | $2,644 | 7.5× |
| CT thoracic spine w/o contrast (72128) | $1,027.50 | $2,055 | 9.8× |
| CT thoracic spine w/wo cont (72130) | $1,472 | $2,944 | 8.4× |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$830–$976.50 | $1,660–$1,953 | varies |
| CT upper ext wo (73200) | $1,227.50 | $2,455 | 11.7× |
| CT upper extremity w/o & w/contrast material (73202) | $1,502 | $3,004 | 8.6× |
| CT upper extremity with contrast (73201) | $1,379 | $2,758 | 3.9× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,663.50 | $3,327 | 9.5× |
| Cta Abdomen (74175) | $1,266.50 | $2,533 | 7.2× |
| CTA pelvis (72191) | $1,641.50 | $3,283 | 9.3× |
| Dacryocystography, nasolacrimal duct, radiological supervision and interpretation Non-Facility (70170) | $350.50 | $701 | 1.5× |
| Dilation ureters/urethra rs&i (74485) | $1,267 | $2,534 | 0.6× |
| Dxa Bone Density Axial (77080) | $202 | $404 | 1.9× |
| Dxa bone density study (77085) | $145.50 | $291 | 1.4× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $207.50 | $415 | 2.4× |
| Echo exam uterus (76831) | $421 | $842 | 1.8× |
| Echo Guide For Artery Repair (76936) | $902 | $1,804 | 4.2× |
| Esophagram (74220) | $352 | $704 | 2.0× |
| Fetal Biophys Profile W/Nst (76818) range across 2 matching MRF lines |
$387.50–$467.50 | $775–$935 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $372 | $744 | 3.6× |
| Fluoroscopy up to 1 hr (76000) | $469 | $938 | 2.0× |
| Follow-Up Angiography (75898) | $2,045.50 | $4,091 | 0.6× |
| Foot 2 views (73620) range across 2 matching MRF lines |
$190.50–$229 | $381–$458 | varies |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$190.50–$229 | $381–$458 | varies |
| Gastric emptying imaging study (78264) | $1,555.50 | $3,111 | 3.9× |
| Gastric Emptyng Imag Std W/Sm Bwl Transit (78265) | $1,021.50 | $2,043 | 2.6× |
| Gastroesophageal Reflux Exam (78262) | $803.50 | $1,607 | 2.0× |
| Gated Heart Planar Single (78472) | $1,404.50 | $2,809 | 3.5× |
| Gated Heart, Multiple (78473) | $972 | $1,944 | 2.4× |
| Gstrc Emptng Imag Std W/Sm Bwl Col Trnst Mlt Day (78266) | $3,356.50 | $6,713 | 6.2× |
| Hand 2 views (73120) range across 2 matching MRF lines |
$190.50–$229 | $381–$458 | varies |
| Hepatobil Syst Image W/Drug (78227) | $1,782 | $3,564 | 3.3× |
| Hepatobiliary System Imaging (78226) | $1,750.50 | $3,501 | 4.4× |
| Ht Musc Image Planar Mult (78454) | $3,676 | $7,352 | 2.8× |
| Ht Muscle Image Spect Sing (78451) | $2,096.50 | $4,193 | 1.6× |
| Hysterosalpingogram (74740) | $587 | $1,174 | 2.5× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $291 | $582 | 3.3× |
| Infusion Ivp (74410) | $390.50 | $781 | 2.2× |
| Joint Survey Single View (77077) range across 2 matching MRF lines |
$151.50–$193 | $303–$386 | varies |
| K Flow/Funct Image Multiple (78709) | $2,311 | $4,622 | 4.2× |
| K Flow/Funct Image W/Drug (78708) | $1,289 | $2,578 | 2.4× |
| K Flow/Funct Image W/O Drug (78707) | $1,154.50 | $2,309 | 2.1× |
| Kidney Imaging Morphol (78700) | $1,081.50 | $2,163 | 2.7× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $1,598 | $3,196 | 4.0× |
| Knee 3 Views (73562) | $275.50 | $551 | 3.2× |
| Leveen/Shunt Patency Exam (78291) | $756 | $1,512 | 1.9× |
| Liver & Spleen Imaging Static Only (78215) | $769.50 | $1,539 | 1.9× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $801.50 | $1,603 | 2.0× |
| Liver imaging w/vascular flow (78202) | $861.50 | $1,723 | 1.6× |
| Lung Perf&Ventilat Diferentl (78598) | $1,423 | $2,846 | 2.6× |
| Lung perfusion differential (78597) | $1,233 | $2,466 | 3.1× |
| Lung Ventilat&Perfus Imaging (78582) | $1,404.50 | $2,809 | 2.6× |
| Lung Ventilation Imaging (78579) | $1,233 | $2,466 | 3.1× |
| Lymph System Imaging (78195) | $1,373.50 | $2,747 | 2.5× |
| Lymphangiography Extremity Only Bilateral Rs&I (75803) | $808 | $1,616 | 0.5× |
| Lymphangiography, pelvic/abdominal, unilateral (75805) | $1,637 | $3,274 | 0.5× |
| Magnetic Image Jaw Joint (70336) range across 2 matching MRF lines |
$1,488–$1,986.50 | $2,976–$3,973 | varies |
| Meckels Divert Exam (78290) | $769.50 | $1,539 | 1.9× |
| Mra Head W/O & W/Contrast Material (70546) | $2,430 | $4,860 | 7.0× |
| MRA head w/o contrast (70544) | $1,806.50 | $3,613 | 7.6× |
| MRA head with contrast (70545) | $2,182 | $4,364 | 6.2× |
| MRA neck w contrast (70548) | $2,106 | $4,212 | 6.0× |
| Mra Neck W/O &W/Contrast Material (70549) | $2,348 | $4,696 | 6.7× |
| MRA neck w/o contrast (70547) | $1,608.50 | $3,217 | 6.7× |
| MRI abdomen w contrast (74182) | $2,004.50 | $4,009 | 5.7× |
| MRI abdomen w/o contrast (74181) | $1,800 | $3,600 | 7.5× |
| MRI any jt lower extrem w/contrast material (73722) | $1,820.50 | $3,641 | 2.3× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $2,139.50 | $4,279 | 6.1× |
| MRI any jt upper extremity w/contrast matrl (73222) | $1,977 | $3,954 | 2.5× |
| MRI cervical spine w contrast (72142) | $2,175 | $4,350 | 6.2× |
| MRI cervical spine w/o cont (72141) | $1,996.50 | $3,993 | 8.4× |
| MRI chest w/o contrast (71550) | $1,635.50 | $3,271 | 6.8× |
| MRI chest with contrast (71551) | $1,714.50 | $3,429 | 2.2× |
| MRI chest wo w contrast (71552) | $2,311 | $4,622 | 6.6× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $1,845 | $3,690 | 5.3× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $2,115 | $4,230 | 6.1× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $1,737.50 | $3,475 | 7.3× |
| MRI lumbar spine w contrast (72149) | $2,175 | $4,350 | 6.2× |
| Mri Neck Spine W/O & W/Dye (72156) | $2,535.50 | $5,071 | 7.3× |
| MRI orbit face &/neck w/o contrast (70540) | $1,665 | $3,330 | 7.0× |
| MRI orbit face neck w contrast (70542) | $1,875.50 | $3,751 | 5.4× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $2,295.50 | $4,591 | 6.6× |
| MRI pelvis w contrast (72196) | $1,796.50 | $3,593 | 5.1× |
| MRI pelvis w/o & w contrast (72197) | $2,517 | $5,034 | 7.2× |
| MRI pelvis w/o contrast (72195) | $1,665 | $3,330 | 7.0× |
| MRI thoracic spine w/o contrast (72146) | $1,996.50 | $3,993 | 8.4× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $1,899 | $3,798 | 5.4× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $1,554.50 | $3,109 | 6.5× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $2,096.50 | $4,193 | 6.0× |
| MRI, abdomen, combo (74183) | $2,735.50 | $5,471 | 7.8× |
| MRI, dorsal spine combo (72157) | $2,535.50 | $5,071 | 7.3× |
| MRI, dorsal spine contrast (72147) | $2,175 | $4,350 | 6.2× |
| MRI, joint upper extrem (73221) | $1,737.50 | $3,475 | 7.3× |
| MRI, joint upper extrem combo (73223) | $2,487 | $4,974 | 7.1× |
| MRI, lumbar spine combo (72158) | $2,535.50 | $5,071 | 7.3× |
| Myelogram Lumbar (72265) | $965 | $1,930 | 1.2× |
| Myelography thoracic (72255) | $2,415.50 | $4,831 | 3.1× |
| Myelograpy 2/more regions rs&i (72270) | $1,107.50 | $2,215 | 1.4× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $1,229.50 | $2,459 | 3.1× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $2,083.50 | $4,167 | 1.6× |
| Myocardial Spect Multiple Studies (78452) | $3,698 | $7,396 | 2.9× |
| Myocrd img PET prfuj 1std rest/stress cncrnt CT (78430) | $1,896.50 | $3,793 | 1.3× |
| Myocrd Img Pet Prfuj Mlt Std Rst&Strs Cncrnt CT (78431) | $2,925.50 | $5,851 | 1.3× |
| N-invas est c ffr sw aly CTA (75580) | $2,399.50 | $4,799 | 2.8× |
| Neck soft tissue (70360) | $219.50 | $439 | 2.5× |
| Nfs/Instlj Radioelmnt Sln 3 Mo Follow-Up Care (77750) | $461 | $922 | 1.2× |
| Nm csf leak detection (78650) | $2,046.50 | $4,093 | 1.6× |
| Nonvascular Shunt X-Ray (75809) | $185.50 | $371 | 1.8× |
| Nuclear Rx Oral Admin (79005) | $841 | $1,682 | 3.6× |
| Optic foramina (70190) | $120.50 | $241 | 1.4× |
| Panoramic X-ray of jaws (70355) | $252.50 | $505 | 2.9× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $2,773.50 | $5,547 | 5.1× |
| Parathyroid Planar Imaging (78070) | $978 | $1,956 | 2.4× |
| Parathyroid planar imaging w/wo subtraction (78071) | $923 | $1,846 | 2.3× |
| Pelvis 1 or 2 views (72170) | $229 | $458 | 2.2× |
| Perineogram (74775) | $455.50 | $911 | 1.9× |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,009 | $2,018 | 2.5× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $352 | $704 | 3.4× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $520.50 | $1,041 | 1.0× |
| Radex Ankle Complete Minimum 3 Views (73610) | $275.50 | $551 | 3.2× |
| Radex Calcaneus Minimum 2 Views (73650) | $229 | $458 | 2.6× |
| Radex elbow complete minimum 3 views (73080) | $275.50 | $551 | 3.2× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $275.50 | $551 | 2.6× |
| Radex fingr minimum 2 views (73140) range across 11 matching MRF lines |
$193–$229 | $386–$458 | varies |
| Radex foot complete minimum 3 views (73630) | $275.50 | $551 | 3.2× |
| Radex Hand Minimum 3 Views (73130) | $275.50 | $551 | 3.2× |
| Radex lower extremity infant minimum 2 views (73592) | $229 | $458 | 2.6× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $275.50 | $551 | 2.6× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $275.50 | $551 | 3.2× |
| Radex Ribs Unilateral 2 Views (71100) | $219.50 | $439 | 2.5× |
| Radex shoulder complete minimum 2 views (73030) | $229 | $458 | 2.6× |
| Radex Sinuses Paransl < 3 Views (70210) | $233.50 | $467 | 2.7× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $634.50 | $1,269 | 3.6× |
| Radex Spine 1 View Specify Level (72020) | $193 | $386 | 2.2× |
| Radex Sternum Minimum 2 Views (71120) | $229 | $458 | 2.6× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $258.50 | $517 | 3.0× |
| Radex Toe Minimum 2 Views (73660) range across 11 matching MRF lines |
$193–$198 | $386–$396 | varies |
| Radex upper extremity infant minimum 2 views (73092) | $229 | $458 | 2.2× |
| Radex Wrist Complete Minimum 3 Views (73110) | $275.50 | $551 | 3.2× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $267 | $534 | 2.6× |
| Radiolog exam mandible compl minimum 4 views (70110) | $293 | $586 | 2.8× |
| Radiologic exam colon double contrast study (74280) | $641.50 | $1,283 | 3.7× |
| Radiologic exam colon single contrast study (74270) range across 2 matching MRF lines |
$605.50–$614.50 | $1,211–$1,229 | varies |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $352 | $704 | 2.0× |
| Radiologic exam knee complete 4/more views (73564) | $293 | $586 | 2.8× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $275.50 | $551 | 2.6× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $493 | $986 | 2.8× |
| Radiologic exam swallow function contrast study (74230) | $377.50 | $755 | 2.1× |
| Radiologic exam upr gi trc double contrast study (74246) | $483.50 | $967 | 2.8× |
| Radiologic examination femur 1 view (73551) | $193 | $386 | 2.2× |
| Radiologic examination femur minimum 2 views (73552) | $229 | $458 | 2.6× |
| Radiologic examination knee 1/2 views (73560) | $229 | $458 | 2.6× |
| Radiologic Examination Osseous Survey Limited (77074) | $182.50 | $365 | 1.7× |
| Radiologic Examination Salivary Gland Calculus (70380) | $69 | $138 | 0.8× |
| Radiologic examination tibia & fibula 2 views (73590) range across 2 matching MRF lines |
$190.50–$229 | $381–$458 | varies |
| Radiologic examination, internal auditory meati, complete Non-Facility (70134) | $336.50 | $673 | 0.6× |
| Radiopharmaceutical therapy, by interstitial radioactive colloid administration Facility (79300) | $945.50 | $1,891 | 4.0× |
| Radiopharmaceutical therapy, by intracavitary administration Non-Facility (79200) | $1,380 | $2,760 | 5.9× |
| Ribs bilateral 3 views (71110) | $275.50 | $551 | 2.6× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $856 | $1,712 | 2.1× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $1,058.50 | $2,117 | 2.6× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $1,944 | $3,888 | 3.6× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $1,547.50 | $3,095 | 2.8× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $1,431.50 | $2,863 | 2.6× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $1,354 | $2,708 | 1.0× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $1,492 | $2,984 | 1.0× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $1,354 | $2,708 | 1.0× |
| Rp Ther Radiolbld Monoclonal Antibody IV Infus (79403) | $1,380 | $2,760 | 5.9× |
| Rp Therapy Intravenous Administration (79101) | $841 | $1,682 | 3.6× |
| Salivary Gland Imaging (78230) | $803.50 | $1,607 | 2.0× |
| Scapula (73010) | $275.50 | $551 | 2.6× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $86.50 | $173 | 3.7× |
| Sella turcica (70240) | $129.50 | $259 | 1.5× |
| Shoulder 1 view (73020) | $193 | $386 | 2.2× |
| Shoulder Arthrography (73040) | $615.50 | $1,231 | 1.8× |
| Sialogram (70390) | $373 | $746 | 1.6× |
| Skull less than 4 views (70250) | $275.50 | $551 | 2.6× |
| Spleen Imaging (78185) | $1,016.50 | $2,033 | 2.5× |
| Sternoclavicular joints (71130) | $275.50 | $551 | 3.2× |
| Testicular Imaging W/Flow (78761) | $1,062 | $2,124 | 2.7× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $605.50 | $1,211 | 3.4× |
| Thoracic spine 2 views (72070) | $229 | $458 | 2.2× |
| Thoracic spine 3 views (72072) | $275.50 | $551 | 2.6× |
| Thoracolumbar 2 views (72080) | $229 | $458 | 2.6× |
| Thyroid Carcinoma Metastases Img Lmtd Area (78015) | $866 | $1,732 | 2.2× |
| Thyroid Imaging With Vascular Flow (78013) | $655 | $1,310 | 1.6× |
| Thyroid Met Imaging Body (78018) | $1,500 | $3,000 | 2.8× |
| Thyroid Uptake Measurement (78012) | $462.50 | $925 | 1.2× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $707.50 | $1,415 | 1.8× |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$320–$345.50 | $640–$691 | varies |
| Ultrasound Elastography Parenchyma (76981) | $241.50 | $483 | 2.3× |
| Ultrasound Exam Aaa Screen (76706) | $313 | $626 | 3.0× |
| Ultrasound trgt dynamic microbubble 1st lesion (76978) | $679.50 | $1,359 | 1.9× |
| Ultrasound, abdomen limited (76705) | $503.50 | $1,007 | 4.8× |
| Unlisted Dx Radiographic Procedure (76499) | $774 | $1,548 | 8.9× |
| Unlisted us procedure (76999) | $150.50 | $301 | 1.7× |
| Upper gi w/o kub (74240) range across 2 matching MRF lines |
$535–$537.50 | $1,070–$1,075 | varies |
| Urea Breath Test C-14 Isotopic Acquisj Analysis (78267) | $51 | $102 | 4.6× |
| Ureteral Reflux Study (78740) | $1,062 | $2,124 | 2.7× |
| Urethrocystogram voiding (74455) | $564 | $1,128 | 2.4× |
| Urethrocystography retrograde (74450) | $410 | $820 | 1.7× |
| Us breast unilateral complete (76641) range across 2 matching MRF lines |
$329–$345.50 | $658–$691 | varies |
| Us chest (76604) | $269 | $538 | 2.6× |
| Us complete joint (76881) | $397 | $794 | 3.8× |
| Us exam, pelvic, limited (76857) | $254.50 | $509 | 2.4× |
| Us head (76506) | $446.50 | $893 | 4.3× |
| Us kidney transplant (76776) | $437.50 | $875 | 4.2× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $179.50 | $359 | 1.7× |
| Us ob detailed single fetus (76811) | $589 | $1,178 | 2.5× |
| Us ob limited 1 or more fetuses (76815) | $327 | $654 | 3.1× |
| Us ob transvaginal (76817) | $407 | $814 | 3.9× |
| Us pelvic non ob complete (76856) | $679 | $1,358 | 6.5× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $415.50 | $831 | 4.0× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $269 | $538 | 2.6× |
| Us retroperitoneal complete (76770) | $592.50 | $1,185 | 5.7× |
| Us retroperitoneal limited (76775) | $363.50 | $727 | 3.5× |
| Us scrotum and contents (76870) | $543.50 | $1,087 | 5.2× |
| Us spinal canal and contents (76800) | $418 | $836 | 4.0× |
| Us thyroid (76536) | $481 | $962 | 4.6× |
| Vein X-Ray Chest (75827) | $1,364 | $2,728 | 0.9× |
| Venography caval inferior serialography rs&i (75825) | $2,084.50 | $4,169 | 0.7× |
| Venography extremity bilateral rs&i (75822) | $1,008.50 | $2,017 | 0.6× |
| Venography extremity unilateral rs&i (75820) range across 3 matching MRF lines |
$927.50–$941.50 | $1,855–$1,883 | varies |
| Venography Renal Unilateral (75831) | $2,648 | $5,296 | 0.8× |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$205–$229 | $410–$458 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $275.50 | $551 | 3.2× |
| X-ray antegrade pyelogram tube (74425) | $411 | $822 | 1.2× |
| X-Ray Aorta Leg Arteries (75630) | $2,014.50 | $4,029 | 0.6× |
| X-Ray Bend Only L-S Spine (72120) | $293 | $586 | 2.8× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$191–$229 | $382–$458 | varies |
| X-Ray Exam Breast Specimen (76098) | $444.50 | $889 | 0.8× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $267 | $534 | 3.1× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $267 | $534 | 2.6× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $267 | $534 | 2.6× |
| X-Ray Exam Hip Uni 1 View (73501) | $193 | $386 | 2.2× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $245.50 | $491 | 2.8× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $293 | $586 | 2.8× |
| X-Ray Exam Hips Bi 2 Views (73521) | $233.50 | $467 | 2.2× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $293 | $586 | 2.8× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $316.50 | $633 | 3.0× |
| X-Ray Exam L-S Spine Bending (72114) | $383 | $766 | 3.7× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $275.50 | $551 | 3.2× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $366 | $732 | 3.5× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $271.50 | $543 | 2.6× |
| X-ray eye for foreign body (70030) | $193 | $386 | 2.2× |
| X-ray head for orthodontia (70350) | $135.50 | $271 | 1.6× |
| X-ray humerus (73060) range across 2 matching MRF lines |
$190.50–$229 | $381–$458 | varies |
| X-ray IV pyelogram (ivp) (74400) | $412.50 | $825 | 2.3× |
| X-ray IV pyelogram+tomography (74415) | $442 | $884 | 2.5× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $293 | $586 | 3.4× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $293 | $586 | 3.4× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $275.50 | $551 | 2.6× |
| X-ray nose-rectum child f.b. (76010) | $193 | $386 | 2.2× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $275.50 | $551 | 2.6× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $275.50 | $551 | 2.6× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $275.50 | $551 | 2.6× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $229 | $458 | 2.6× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $275.50 | $551 | 3.2× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $339 | $678 | 3.2× |
| X-Ray Stress View (77071) | $127.50 | $255 | 1.5× |
| X-ray thoracic spine 4 vw (72074) | $297.50 | $595 | 2.8× |
| X-Ray Tmj Unilat (70328) | $193 | $386 | 2.2× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $503 | $1,006 | 1.4× |
| X-Rays Bone Length Studies (77073) | $185.50 | $371 | 1.8× |
| X-Rays Bone Survey Complete (77075) | $468 | $936 | 4.5× |
| Xr c-spine 4 or 5 views (72050) | $339 | $678 | 3.2× |
| Xr facial bones less than 3 views (70140) | $233.50 | $467 | 2.7× |
| XR Mastoids < 3 Views Bilateral (70120) | $229 | $458 | 2.2× |
| Xr orbits complete 4 views (70200) | $339 | $678 | 3.2× |
| Xr Tomogram Single Plane (76100) | $216.50 | $433 | 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.