Imaging prices at Ochsner Laird Hospital
Union, MS · every code in this section with a posted price and a Medicare benchmark.
305 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 |
$387.96–$1,323.70 | $636–$2,170 | varies |
| Abdomen 1 View (74018) range across 5 matching MRF lines |
$24.40–$146.40 | $40–$240 | varies |
| Abdomen 2 views (74019) range across 3 matching MRF lines |
$39.65–$145.18 | $65–$238 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $929.64 | $1,524 | 2.7× |
| Ankle 2 views (73600) range across 5 matching MRF lines |
$28.67–$209.84 | $47–$344 | varies |
| Aortography thoracic serialography rs&i (75605) range across 3 matching MRF lines |
$128.10–$853.39 | $210–$1,399 | varies |
| Artery X-Rays Adrenal Gland (75731) | $1,891 | $3,100 | 0.7× |
| Arthrogram Wrist (73115) | $150.06 | $246 | 0.5× |
| Basic radiation dosimetry calculation (77300) range across 2 matching MRF lines |
$42.09–$43.31 | $69–$71 | varies |
| Bone age studies (77072) range across 4 matching MRF lines |
$31.72–$90.89 | $52–$149 | varies |
| Bone Imaging 3 Phase (78315) | $839.97 | $1,377 | 2.4× |
| Bone Imaging Limited Area (78300) | $506.30 | $830 | 1.5× |
| Bone Imaging Whole Body (78306) | $772.87 | $1,267 | 2.2× |
| Bone survey infant (77076) | $195.20 | $320 | 2.2× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $839.97 | $1,377 | 1.8× |
| Cat Scan Follow-Up Study (76380) | $741.76 | $1,216 | 9.9× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) range across 2 matching MRF lines |
$40.26–$162.87 | $66–$267 | varies |
| Cerebrospinal Fluid Scan (78630) | $631.35 | $1,035 | 1.3× |
| Chest 1 view (71045) range across 4 matching MRF lines |
$28.67–$152.50 | $47–$250 | varies |
| Chest 2 views (71046) range across 5 matching MRF lines |
$29.89–$152.50 | $49–$250 | varies |
| Chest 3 views (71047) | $240.34 | $394 | 3.2× |
| Chest 4 or more views (71048) | $240.34 | $394 | 2.7× |
| Clavicle complete (73000) range across 5 matching MRF lines |
$29.28–$197.03 | $48–$323 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $201.91 | $331 | 2.2× |
| Continuing medical physics consltj pr wk (77336) | $141.52 | $232 | 1.2× |
| Contrast X-Ray Bladder (74430) range across 4 matching MRF lines |
$30.50–$378.81 | $50–$621 | varies |
| Contrast X-Ray Of Elbow (73085) | $450.79 | $739 | 1.5× |
| Contrast X-Ray Of Knee Joint (73580) range across 2 matching MRF lines |
$450.79–$901.58 | $739–$1,478 | varies |
| Contrast Xray Throat/Cerv Esopha (74210) | $384.91 | $631 | 2.5× |
| CT abdomen and pelvis without and with contrast (74178) | $1,620.77 | $2,657 | 5.4× |
| CT abdomen and pelvis without contrast (74176) | $939.40 | $1,540 | 4.6× |
| CT abdomen w contrast (74160) | $1,134.60 | $1,860 | 7.5× |
| CT abdomen w wo contrast (74170) | $1,352.98 | $2,218 | 8.9× |
| CT abdomen w/o contrast (74150) | $696.62 | $1,142 | 7.7× |
| CT Angio Abdomen and Pelvis (74174) | $1,210.24 | $1,984 | 4.0× |
| CT Angio Chest (71275) | $1,134.60 | $1,860 | 7.5× |
| CT Angio Head (70496) | $1,134.60 | $1,860 | 7.5× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $1,134.60 | $1,860 | 7.5× |
| CT Angio Neck (70498) | $1,134.60 | $1,860 | 7.5× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $1,134.60 | $1,860 | 7.5× |
| CT bone density (77078) | $498.37 | $817 | 6.6× |
| CT cervical spine w/ contrast (72126) | $1,357.86 | $2,226 | 4.5× |
| CT cervical spine w/o contrast (72125) | $872.30 | $1,430 | 9.7× |
| CT cervical spine w/wo cont (72127) | $1,651.88 | $2,708 | 10.9× |
| CT chest w contrast (71260) | $1,349.32 | $2,212 | 8.9× |
| CT chest w/wo contrast (71270) | $1,480.47 | $2,427 | 9.8× |
| CT head/brain with contrast (70460) | $1,134.60 | $1,860 | 7.5× |
| CT head/brain without and with contrast (70470) | $1,390.80 | $2,280 | 9.2× |
| CT iac w contrast (70481) | $1,184.01 | $1,941 | 7.8× |
| CT l-spine w&w/o contrast (72133) | $1,651.88 | $2,708 | 10.9× |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$696.62–$1,393.85 | $1,142–$2,285 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$1,184.01–$2,368.02 | $1,941–$3,882 | varies |
| CT lumbar spine w contrast (72132) | $1,357.86 | $2,226 | 4.5× |
| CT lumbar spine w/o contrast (72131) | $872.30 | $1,430 | 9.7× |
| CT maxillofacial w contrast (70487) | $1,184.01 | $1,941 | 7.8× |
| CT maxillofacial wo contrast (70486) range across 4 matching MRF lines |
$122.61–$1,006.50 | $201–$1,650 | varies |
| CT neck tissue combo (70492) | $1,480.47 | $2,427 | 9.8× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,480.47 | $2,427 | 9.8× |
| CT orbits w/o contrast (70480) | $696.62 | $1,142 | 7.7× |
| CT pelvis w&w/o contrast (72194) | $1,390.80 | $2,280 | 9.2× |
| CT pelvis w/o contrast (72192) | $696.62 | $1,142 | 7.7× |
| CT scan of leg combo (73702) range across 2 matching MRF lines |
$1,480.47–$2,960.33 | $2,427–$4,853 | varies |
| CT scans face/jaw combo (70488) | $1,480.47 | $2,427 | 9.8× |
| CT soft tissue neck w contrast (70491) | $1,184.01 | $1,941 | 7.8× |
| CT soft tissue neck w/o contrast (70490) | $696.62 | $1,142 | 7.7× |
| CT thoracic spine w contrast (72129) | $1,357.86 | $2,226 | 9.0× |
| CT thoracic spine w/o contrast (72128) | $872.30 | $1,430 | 9.7× |
| CT thoracic spine w/wo cont (72130) | $1,651.88 | $2,708 | 10.9× |
| CT thorax w/o contrast (71250) | $696.62 | $1,142 | 7.7× |
| CT upper ext wo (73200) range across 5 matching MRF lines |
$101.26–$1,393.85 | $166–$2,285 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 2 matching MRF lines |
$1,480.47–$2,960.33 | $2,427–$4,853 | varies |
| CT upper extremity with contrast (73201) range across 5 matching MRF lines |
$116.20–$2,368.02 | $190.50–$3,882 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,134.60 | $1,860 | 7.5× |
| Cta Abdomen (74175) | $1,122.40 | $1,840 | 7.4× |
| CTA pelvis (72191) | $1,122.40 | $1,840 | 7.4× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) range across 2 matching MRF lines |
$47.58–$70.76 | $78–$116 | varies |
| Doppler Echo Fetal Spectral Display Complete (76827) range across 2 matching MRF lines |
$64.05–$95.77 | $105–$157 | varies |
| Dxa Bone Density Axial (77080) | $395.28 | $648 | 4.4× |
| Dxa bone density study (77085) range across 2 matching MRF lines |
$70.76–$74.96 | $116–$122.88 | varies |
| Echo exam of fetal heart (76825) range across 2 matching MRF lines |
$110.41–$157.99 | $181–$259 | varies |
| Echo Guide For Artery Repair (76936) | $758.84 | $1,244 | 4.1× |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) range across 2 matching MRF lines |
$75.03–$91.50 | $123–$150 | varies |
| Echograp Trans R Pros Study (76873) range across 2 matching MRF lines |
$100.04–$104.31 | $164–$171 | varies |
| Esophagram (74220) range across 4 matching MRF lines |
$42.70–$384.91 | $70–$631 | varies |
| Fetal Biophys Profile W/Nst (76818) range across 3 matching MRF lines |
$70.15–$167.75 | $115–$275 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 4 matching MRF lines |
$96.99–$211.06 | $159–$346 | varies |
| Fluoroscopy up to 1 hr (76000) range across 3 matching MRF lines |
$45.75–$131.15 | $75–$215 | varies |
| Foot 2 views (73620) range across 5 matching MRF lines |
$28.67–$209.84 | $47–$344 | varies |
| Forearm 2 views (73090) range across 5 matching MRF lines |
$20.13–$221.43 | $33–$363 | varies |
| Gastric emptying imaging study (78264) | $764.33 | $1,253 | 2.2× |
| Gated Heart Planar Single (78472) range across 4 matching MRF lines |
$153.11–$772.87 | $251–$1,267 | varies |
| Hand 2 views (73120) range across 5 matching MRF lines |
$19.52–$197.03 | $32–$323 | varies |
| Heart first pass single,planar (78481) | $342.82 | $562 | 0.7× |
| Hepatobil Syst Image W/Drug (78227) | $908.90 | $1,490 | 1.9× |
| Hepatobiliary System Imaging (78226) | $908.90 | $1,490 | 2.6× |
| Ht Muscle Image Spect Sing (78451) | $1,546.96 | $2,536 | 1.4× |
| Hysterosalpingogram (74740) | $372.10 | $610 | 1.8× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $142.13 | $233 | 1.9× |
| Infusion Ivp (74410) | $828.99 | $1,359 | 5.5× |
| K Flow/Funct Image Multiple (78709) | $1,080.92 | $1,772 | 2.3× |
| K Flow/Funct Image W/O Drug (78707) | $810.69 | $1,329 | 1.7× |
| Kidney Funcj Study Non-Img Radioisotopic Study (78725) | $929.03 | $1,523 | 2.7× |
| Knee 3 Views (73562) range across 5 matching MRF lines |
$26.23–$319.64 | $43–$524 | varies |
| Liver & Spleen Imaging Static Only (78215) | $746.03 | $1,223 | 2.2× |
| Liver imaging w/vascular flow (78202) | $839.97 | $1,377 | 1.8× |
| Lung Perf&Ventilat Diferentl (78598) | $594.14 | $974 | 1.3× |
| Lung perfusion differential (78597) | $380.03 | $623 | 1.1× |
| Lung Ventilat&Perfus Imaging (78582) | $594.14 | $974 | 1.3× |
| Lung Ventilation Imaging (78579) | $380.03 | $623 | 1.1× |
| Lymph System Imaging (78195) | $401.99 | $659 | 0.9× |
| Lymphangiography, pelvic/abdominal, unilateral (75805) range across 2 matching MRF lines |
$129.32–$733.83 | $212–$1,203 | varies |
| Magnetic Image Jaw Joint (70336) | $1,692.14 | $2,774 | 8.2× |
| Meckels Divert Exam (78290) | $492.88 | $808 | 1.4× |
| Mra Head W/O & W/Contrast Material (70546) | $1,764.12 | $2,892 | 5.9× |
| MRA head w/o contrast (70544) | $1,520.73 | $2,493 | 7.4× |
| MRA head with contrast (70545) | $1,585.39 | $2,599 | 5.3× |
| MRA neck w contrast (70548) | $1,764.12 | $2,892 | 5.9× |
| Mra Neck W/O &W/Contrast Material (70549) | $2,220.40 | $3,640 | 7.4× |
| MRA neck w/o contrast (70547) | $1,249.28 | $2,048 | 6.1× |
| MRI abdomen w contrast (74182) | $1,850.74 | $3,034 | 6.2× |
| MRI abdomen w/o contrast (74181) | $1,522.56 | $2,496 | 7.4× |
| MRI any jt lower extrem w/contrast material (73722) range across 2 matching MRF lines |
$1,210.24–$2,420.48 | $1,984–$3,968 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$1,454.24–$2,908.48 | $2,384–$4,768 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 2 matching MRF lines |
$1,207.80–$2,415.60 | $1,980–$3,960 | varies |
| MRI bone marrow blood supply (77084) | $1,559.16 | $2,556 | 7.6× |
| MRI Breast W/O Contrast Bilateral (77047) | $3,312.30 | $5,430 | 16.1× |
| MRI Breast Without Contrast Material Unilateral (77046) | $2,520.52 | $4,132 | 12.3× |
| MRI cervical spine w contrast (72142) | $1,376.77 | $2,257 | 4.6× |
| MRI cervical spine w/o cont (72141) range across 4 matching MRF lines |
$215.94–$1,237.69 | $354–$2,029 | varies |
| MRI chest w/o contrast (71550) | $1,645.17 | $2,697 | 8.0× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 2 matching MRF lines |
$1,157.78–$2,315.56 | $1,898–$3,796 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $1,389.58 | $2,278 | 4.6× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 5 matching MRF lines |
$188.49–$2,155.74 | $309–$3,534 | varies |
| MRI lumbar spine w contrast (72149) | $1,474.37 | $2,417 | 4.9× |
| Mri Neck Spine W/O & W/Dye (72156) | $1,706.78 | $2,798 | 5.7× |
| MRI orbit face &/neck w/o contrast (70540) | $1,542.69 | $2,529 | 7.5× |
| MRI orbit face neck w contrast (70542) | $1,775.10 | $2,910 | 5.9× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $2,043.50 | $3,350 | 6.8× |
| MRI pelvis w contrast (72196) range across 4 matching MRF lines |
$254.37–$1,474.37 | $417–$2,417 | varies |
| MRI pelvis w/o & w contrast (72197) | $1,769.61 | $2,901 | 5.9× |
| MRI pelvis w/o contrast (72195) | $1,281.61 | $2,101 | 6.2× |
| MRI spectroscopy (76390) | $1,346.27 | $2,207 | 17.9× |
| MRI thoracic spine w/o contrast (72146) | $1,349.32 | $2,212 | 6.6× |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 2 matching MRF lines |
$1,157.78–$2,315.56 | $1,898–$3,796 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 2 matching MRF lines |
$1,079.70–$2,159.40 | $1,770–$3,540 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) | $1,293.81 | $2,121 | 4.3× |
| MRI, abdomen, combo (74183) | $2,102.06 | $3,446 | 7.0× |
| MRI, dorsal spine combo (72157) | $1,862.33 | $3,053 | 6.2× |
| MRI, dorsal spine contrast (72147) | $1,551.23 | $2,543 | 5.2× |
| MRI, joint upper extrem (73221) range across 4 matching MRF lines |
$183.61–$1,051.03 | $301–$1,723 | varies |
| MRI, joint upper extrem combo (73223) range across 2 matching MRF lines |
$1,451.80–$2,903.60 | $2,380–$4,760 | varies |
| MRI, lumbar spine combo (72158) | $1,769.61 | $2,901 | 5.9× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $560.59 | $919 | 1.6× |
| Myocardial Spect Multiple Studies (78452) range across 3 matching MRF lines |
$112.85–$1,546.96 | $185–$2,536 | varies |
| Neck soft tissue (70360) | $104.31 | $171 | 1.4× |
| Nonvascular Shunt X-Ray (75809) | $467.26 | $766 | 5.2× |
| Nuclear Rx Oral Admin (79005) range across 2 matching MRF lines |
$122–$924.15 | $200–$1,515 | varies |
| Ob us nuchal meas 1 gest (76813) range across 2 matching MRF lines |
$76.25–$89.67 | $125–$147 | varies |
| Oph bmtry us echograpy a-scan io lens pwr cal (76519) range across 2 matching MRF lines |
$43.31–$59.17 | $71–$97 | varies |
| Oph us dx ant sgm us immersion b-scan/hr biom (76513) range across 2 matching MRF lines |
$62.22–$87.84 | $102–$144 | varies |
| Ophthalmic Biometry US Echograpy a-Scan (76516) range across 2 matching MRF lines |
$45.14–$55.51 | $74–$91 | varies |
| Ophthalmic Ultrasonic Foreign Body Localization (76529) range across 2 matching MRF lines |
$57.34–$79.30 | $94–$130 | varies |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) range across 2 matching MRF lines |
$55.51–$74.42 | $91–$122 | varies |
| Ophthalmic us dx quantitative a-scan only (76511) range across 2 matching MRF lines |
$65.88–$70.76 | $108–$116 | varies |
| Panoramic X-ray of jaws (70355) range across 4 matching MRF lines |
$22.57–$65.27 | $37–$107 | varies |
| Parathyroid Planar Imaging (78070) | $847.90 | $1,390 | 2.5× |
| Pelvis 1 or 2 views (72170) | $150.67 | $247 | 1.7× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $4,345.03 | $7,123 | 3.5× |
| Pet Imaging Limited Area Chest Head/Neck (78811) | $3,451.99 | $5,659 | 3.1× |
| Pulmonary Perfusion Imaging Particulate (78580) | $425.17 | $697 | 1.2× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 4 matching MRF lines |
$46.97–$239.12 | $77–$392 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 3 matching MRF lines |
$42.70–$450.79 | $70–$739 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 5 matching MRF lines |
$21.35–$319.64 | $35–$524 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 5 matching MRF lines |
$21.35–$209.84 | $35–$344 | varies |
| Radex elbow complete minimum 3 views (73080) range across 4 matching MRF lines |
$33.55–$107.97 | $55–$177 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $240.34 | $394 | 2.7× |
| Radex fingr minimum 2 views (73140) range across 4 matching MRF lines |
$30.50–$104.31 | $50–$171 | varies |
| Radex foot complete minimum 3 views (73630) range across 5 matching MRF lines |
$12.81–$289.14 | $21–$474 | varies |
| Radex Hand Minimum 3 Views (73130) range across 5 matching MRF lines |
$27.45–$292.19 | $45–$479 | varies |
| Radex lower extremity infant minimum 2 views (73592) | $90.28 | $148 | 1.2× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $309.88 | $508 | 3.4× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 4 matching MRF lines |
$18.30–$159.82 | $30–$262 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 4 matching MRF lines |
$28.06–$159.82 | $46–$262 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 5 matching MRF lines |
$32.94–$320.25 | $54–$525 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 4 matching MRF lines |
$20.13–$144.57 | $33–$237 | varies |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $175.68 | $288 | 1.2× |
| Radex Spine 1 View Specify Level (72020) | $159.82 | $262 | 2.1× |
| Radex Sternum Minimum 2 Views (71120) range across 4 matching MRF lines |
$24.40–$159.82 | $40–$262 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $258.03 | $423 | 3.4× |
| Radex Toe Minimum 2 Views (73660) range across 4 matching MRF lines |
$16.47–$104.31 | $27–$171 | varies |
| Radex upper extremity infant minimum 2 views (73092) | $90.28 | $148 | 1.0× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 5 matching MRF lines |
$30.50–$289.14 | $50–$474 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) range across 2 matching MRF lines |
$26.84–$87.84 | $44–$144 | varies |
| Radiation treatment delivery level 1 (77402) | $85.40 | $140 | 1.0× |
| Radiation treatment delivery level 2 (77407) | $78.69 | $129 | 0.2× |
| Radiation treatment delivery level 3 (77412) | $87.84 | $144 | 0.2× |
| Radiolog exam mandible compl minimum 4 views (70110) range across 4 matching MRF lines |
$28.06–$240.34 | $46–$394 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $208.62 | $342 | 2.3× |
| Radiologic exam colon double contrast study (74280) | $459.94 | $754 | 3.0× |
| Radiologic exam colon single contrast study (74270) | $362.95 | $595 | 2.4× |
| Radiologic exam knee complete 4/more views (73564) range across 5 matching MRF lines |
$28.06–$417.85 | $46–$685 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 3 matching MRF lines |
$37.82–$95.77 | $62–$157 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) | $358.68 | $588 | 2.4× |
| Radiologic exam swallow function contrast study (74230) | $296.46 | $486 | 2.0× |
| Radiologic exam upr gi trc double contrast study (74246) | $407.48 | $668 | 2.7× |
| Radiologic examination femur 1 view (73551) range across 2 matching MRF lines |
$10.37–$30.50 | $17–$50 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 4 matching MRF lines |
$10.98–$319.64 | $18–$524 | varies |
| Radiologic examination knee 1/2 views (73560) range across 5 matching MRF lines |
$30.50–$234.24 | $50–$384 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 5 matching MRF lines |
$25.01–$254.98 | $41–$418 | varies |
| Radiopharmaceutical therapy, by intra-articular administration Non-Facility (79440) range across 2 matching MRF lines |
$124.44–$140.91 | $204–$231 | varies |
| Ribs bilateral 3 views (71110) range across 4 matching MRF lines |
$45.75–$481.29 | $75–$789 | varies |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $498.37 | $817 | 1.4× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $1,206.58 | $1,978 | 2.6× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 4 matching MRF lines |
$75.64–$809.47 | $124–$1,327 | varies |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $179.34 | $294 | 0.1× |
| Rp Therapy Intravenous Administration (79101) range across 4 matching MRF lines |
$167.75–$756.40 | $275–$1,240 | varies |
| Scapula (73010) range across 5 matching MRF lines |
$18.91–$103.09 | $31–$169 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 2 matching MRF lines |
$37.21–$64.66 | $61–$106 | varies |
| Sella turcica (70240) | $208.62 | $342 | 2.8× |
| Shoulder 1 view (73020) | $104.31 | $171 | 1.4× |
| Shoulder Arthrography (73040) | $450.79 | $739 | 1.5× |
| Sialogram (70390) | $450.79 | $739 | 2.2× |
| Skull less than 4 views (70250) | $164.70 | $270 | 1.8× |
| Special dosimetry (77331) range across 2 matching MRF lines |
$13.42–$60.39 | $22–$99 | varies |
| Special Physics Consult (77370) | $165.92 | $272 | 1.4× |
| Special teletherapy port plan (77321) range across 2 matching MRF lines |
$70.76–$131.76 | $116–$216 | varies |
| Special treatment procedure (77470) range across 2 matching MRF lines |
$159.21–$371.49 | $261–$609 | varies |
| Sternoclavicular joints (71130) range across 3 matching MRF lines |
$15.86–$193.98 | $26–$318 | varies |
| Surface Applic Low Dose Rate Radionuclide Source (77789) range across 2 matching MRF lines |
$22.57–$77.47 | $37–$127 | varies |
| Temporomandble Jt Arthrography Rs&I (70332) | $450.79 | $739 | 2.2× |
| Testicular Imaging W/Flow (78761) | $501.42 | $822 | 1.5× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) range across 2 matching MRF lines |
$107.97–$278.16 | $177–$456 | varies |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) range across 2 matching MRF lines |
$79.91–$264.13 | $131–$433 | varies |
| Ther rad simulaj-aided field setting simple (77280) range across 2 matching MRF lines |
$50.63–$165.31 | $83–$271 | varies |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $312.93 | $513 | 2.1× |
| Thoracic spine 2 views (72070) range across 4 matching MRF lines |
$37.82–$161.04 | $62–$264 | varies |
| Thoracolumbar 2 views (72080) | $208.62 | $342 | 2.8× |
| Thyroid Met Imaging Body (78018) | $1,099.22 | $1,802 | 2.3× |
| Tx Devices Design & Construction Complex (77334) range across 3 matching MRF lines |
$86.01–$189.71 | $141–$311 | varies |
| Tx devices design & construction intermediate (77333) range across 2 matching MRF lines |
$58.56–$59.17 | $96–$97 | varies |
| Tx devices design & construction simple (77332) | $39.65 | $65 | 0.3× |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$42.70–$137.25 | $70–$225 | varies |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
$30.50–$277.75 | $50–$455.33 | varies |
| Ultrasound, abdomen limited (76705) range across 4 matching MRF lines |
$48.80–$319.64 | $80–$524 | varies |
| Umbilical-artery Doppler (OB) (76820) range across 3 matching MRF lines |
$53.68–$240.34 | $88–$394 | varies |
| Unlisted us procedure (76999) range across 3 matching MRF lines |
$28.15–$95.56 | $46.15–$156.65 | varies |
| Upper gi w/o kub (74240) | $407.48 | $668 | 2.7× |
| Ureteral Reflux Study (78740) range across 2 matching MRF lines |
$39.65–$100.65 | $65–$165 | varies |
| Urethrocystogram voiding (74455) range across 4 matching MRF lines |
$42.70–$616.10 | $70–$1,010 | varies |
| Urethrocystography retrograde (74450) range across 4 matching MRF lines |
$19.52–$450.79 | $32–$739 | varies |
| Us breast unilateral complete (76641) range across 2 matching MRF lines |
$42.70–$152.50 | $70–$250 | varies |
| Us chest (76604) range across 3 matching MRF lines |
$75.03–$270.84 | $123–$444 | varies |
| Us complete joint (76881) range across 4 matching MRF lines |
$18.30–$224.48 | $30–$368 | varies |
| Us exam, pelvic, limited (76857) range across 4 matching MRF lines |
$30.50–$158.60 | $50–$260 | varies |
| Us head (76506) range across 4 matching MRF lines |
$89.06–$241.56 | $146–$396 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 3 matching MRF lines |
$54.90–$132.37 | $90–$217 | varies |
| Us ob detailed single fetus (76811) range across 3 matching MRF lines |
$126.27–$292.80 | $207–$480 | varies |
| Us ob limited 1 or more fetuses (76815) range across 4 matching MRF lines |
$68.32–$229.97 | $112–$377 | varies |
| Us ob transvaginal (76817) range across 4 matching MRF lines |
$68.93–$270.84 | $113–$444 | varies |
| Us pelvic non ob complete (76856) range across 4 matching MRF lines |
$82.35–$341.60 | $135–$560 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 4 matching MRF lines |
$68.93–$319.64 | $113–$524 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 4 matching MRF lines |
$45.75–$229.97 | $75–$377 | varies |
| Us retroperitoneal complete (76770) range across 4 matching MRF lines |
$70.15–$319.64 | $115–$524 | varies |
| Us retroperitoneal limited (76775) range across 4 matching MRF lines |
$50.02–$412.36 | $82–$676 | varies |
| Us scrotum and contents (76870) range across 4 matching MRF lines |
$57.95–$270.84 | $95–$444 | varies |
| Us spinal canal and contents (76800) | $237.29 | $389 | 2.6× |
| Us thyroid (76536) range across 4 matching MRF lines |
$61–$224.48 | $100–$368 | varies |
| Us transrectal (76872) range across 4 matching MRF lines |
$92.72–$204.96 | $152–$336 | varies |
| Vertebral fracture assessment via dxa (77086) | $37.21 | $61 | 0.5× |
| Wrist 2 views (73100) range across 5 matching MRF lines |
$18.91–$209.84 | $31–$344 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $197.03 | $323 | 2.6× |
| X-ray antegrade pyelogram tube (74425) range across 3 matching MRF lines |
$35.99–$118.64 | $59–$194.50 | varies |
| X-Ray Bend Only L-S Spine (72120) | $344.04 | $564 | 3.8× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 5 matching MRF lines |
$21.35–$233.02 | $35–$382 | varies |
| X-Ray Exam Breast Specimen (76098) | $120.78 | $198 | 0.3× |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 2 matching MRF lines |
$42.70–$97.60 | $70–$160 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 3 matching MRF lines |
$18.30–$97.60 | $30–$160 | varies |
| X-Ray Exam Entire Spi 4/5 Vw (72083) range across 2 matching MRF lines |
$21.96–$73.20 | $36–$120 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 3 matching MRF lines |
$13.42–$32.33 | $22–$53 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 2 matching MRF lines |
$13.42–$154.33 | $22–$253 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) | $56.12 | $92 | 0.6× |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$13.42–$42.70 | $22–$70 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 3 matching MRF lines |
$27.45–$322.08 | $45–$528 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) range across 3 matching MRF lines |
$18.91–$322.08 | $31–$528 | varies |
| X-Ray Exam L-S Spine Bending (72114) | $344.04 | $564 | 3.8× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 5 matching MRF lines |
$29.28–$164.70 | $48–$270 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 4 matching MRF lines |
$40.87–$354.41 | $67–$581 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 4 matching MRF lines |
$31.72–$178.12 | $52–$292 | varies |
| X-ray eye for foreign body (70030) | $77.47 | $127 | 1.0× |
| X-ray head for orthodontia (70350) | $110.41 | $181 | 1.5× |
| X-ray humerus (73060) range across 4 matching MRF lines |
$23.79–$146.40 | $39–$240 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 4 matching MRF lines |
$22.57–$117.73 | $37–$193 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 4 matching MRF lines |
$26.23–$159.82 | $43–$262 | varies |
| X-ray nose-rectum child f.b. (76010) | $203.74 | $334 | 2.7× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $338.55 | $555 | 3.8× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $208.62 | $342 | 2.3× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 4 matching MRF lines |
$31.72–$159.82 | $52–$262 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 4 matching MRF lines |
$33.55–$240.34 | $55–$394 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 4 matching MRF lines |
$33.55–$240.34 | $55–$394 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 4 matching MRF lines |
$47.58–$462.99 | $78–$759 | varies |
| X-Rays Bone Length Studies (77073) | $227.53 | $373 | 2.5× |
| X-Rays Bone Survey Complete (77075) | $459.33 | $753 | 5.1× |
| Xr c-spine 4 or 5 views (72050) range across 4 matching MRF lines |
$51.85–$240.34 | $85–$394 | varies |
| Xr orbits complete 4 views (70200) | $258.03 | $423 | 2.9× |
| Xr Tomogram Single Plane (76100) | $509.96 | $836 | 5.7× |
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.