Imaging prices at Ochsner LSU Health - Monroe Medical Center
Monroe, LA · every code in this section with a posted price and a Medicare benchmark.
291 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) range across 2 matching MRF lines |
$92.23–$93.38 | $401–$406 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$92.23–$98.21 | $401–$427 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $521.18 | $2,266 | 1.4× |
| Angiography extremity bilateral rs&i (75716) | $2,370.38 | $10,306 | 0.8× |
| Angiography extremity unilateral rs&i (75710) | $2,370.38 | $10,306 | 0.8× |
| Ankle 2 views (73600) range across 4 matching MRF lines |
$92.23–$186.76 | $401–$812 | varies |
| Aortography thoracic serialography rs&i (75605) unusually low: confirm this is the full procedure |
$2,370.38 | $10,306 | 0.5× |
| Arthrogram hip (73525) | $546.25 | $2,375 | 1.7× |
| Bone age studies (77072) range across 2 matching MRF lines |
$92.23–$93.38 | $401–$406 | varies |
| Bone Imaging 3 Phase (78315) | $521.64 | $2,268 | 1.4× |
| Bone Imaging Whole Body (78306) | $521.64 | $2,268 | 1.4× |
| Bone survey infant (77076) | $76.72 | $333.57 | 0.8× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $299.13 | $1,300.56 | 0.6× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $1,739.72 | $7,564 | 1.3× |
| Card Bl Pool Gated Spect Rest Wal Motn Ejct Frct (78494) | $290.26 | $1,262 | 0.8× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $285.89 | $1,243 | 0.6× |
| Chest 1 view (71045) range across 2 matching MRF lines |
$92.23–$93.38 | $401–$406 | varies |
| Chest 2 views (71046) range across 2 matching MRF lines |
$92.23–$98.21 | $401–$427 | varies |
| Chest 3 views (71047) | $55.82 | $242.70 | 0.7× |
| Cisternography Positive Contrast Rs&I (70015) | $961.86 | $4,182 | 1.4× |
| Clavicle complete (73000) range across 4 matching MRF lines |
$92.23–$186.76 | $401–$812 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $143.75 | $625 | 1.5× |
| Continuing medical physics consltj pr wk (77336) | $64.86 | $282 | 0.5× |
| Contrast Exam Abdominl Aorta (75625) | $2,370.38 | $10,306 | 0.8× |
| Contrast X-Ray Bladder (74430) range across 2 matching MRF lines |
$93.38–$414.69 | $406–$1,803 | varies |
| Contrast Xray Throat/Cerv Esopha (74210) | $163.99 | $713 | 1.0× |
| CT abdomen and pelvis without and with contrast (74178) | $628.13 | $2,731 | 2.0× |
| CT abdomen and pelvis without contrast (74176) | $389.39 | $1,693 | 1.8× |
| CT abdomen w contrast (74160) | $400.89 | $1,743 | 2.5× |
| CT abdomen w wo contrast (74170) | $451.49 | $1,963 | 2.8× |
| CT abdomen w/o contrast (74150) | $203.55 | $885 | 2.2× |
| CT Angio Abdomen and Pelvis (74174) | $628.13 | $2,731 | 2.0× |
| CT Angio Chest (71275) | $470.12 | $2,044 | 3.0× |
| CT Angio Head (70496) | $470.12 | $2,044 | 3.0× |
| CT angio hrt w/3d image (75574) | $310.30 | $1,349.13 | 1.0× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
$470.12–$940.24 | $2,044–$4,088 | varies |
| CT Angio Neck (70498) | $470.12 | $2,044 | 3.0× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $470.12 | $2,044 | 3.0× |
| CT cervical spine w/ contrast (72126) | $430.87 | $1,873.33 | 1.4× |
| CT cervical spine w/o contrast (72125) | $203.55 | $885 | 2.2× |
| CT cervical spine w/wo cont (72127) | $300.24 | $1,305.39 | 1.9× |
| CT chest w contrast (71260) | $340.80 | $1,481.73 | 2.1× |
| CT chest w/wo contrast (71270) | $451.49 | $1,963 | 2.8× |
| CT head/brain with contrast (70460) | $400.89 | $1,743 | 2.5× |
| CT head/brain without and with contrast (70470) | $451.49 | $1,963 | 2.8× |
| CT heart contrast eval cardiac structure&morph (75572) | $123.20 | $535.65 | 0.4× |
| CT heart no contrast quant eval coronry calcium (75571) | $55.82 | $242.70 | 0.7× |
| CT iac w contrast (70481) | $400.89 | $1,743 | 2.5× |
| CT l-spine w&w/o contrast (72133) | $451.49 | $1,963 | 2.8× |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$203.55–$407.10 | $885–$1,770 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$400.89–$801.78 | $1,743–$3,486 | varies |
| CT lumbar spine w contrast (72132) | $400.89 | $1,743 | 1.3× |
| CT lumbar spine w/o contrast (72131) | $203.55 | $885 | 2.2× |
| CT maxillofacial w contrast (70487) | $400.89 | $1,743 | 2.5× |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$203.55–$283.36 | $885–$1,232 | varies |
| CT neck tissue combo (70492) | $451.49 | $1,963 | 2.8× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $451.49 | $1,963 | 2.8× |
| CT orbits w/o contrast (70480) | $203.55 | $885 | 2.2× |
| CT pelvis w&w/o contrast (72194) | $451.49 | $1,963 | 2.8× |
| CT pelvis w/o contrast (72192) | $203.55 | $885 | 2.2× |
| CT scan of leg combo (73702) range across 2 matching MRF lines |
$451.49–$902.98 | $1,963–$3,926 | varies |
| CT scans face/jaw combo (70488) | $451.49 | $1,963 | 2.8× |
| CT soft tissue neck w contrast (70491) | $400.89 | $1,743 | 2.5× |
| CT soft tissue neck w/o contrast (70490) | $203.55 | $885 | 2.2× |
| CT thoracic spine w contrast (72129) | $400.89 | $1,743 | 2.5× |
| CT thoracic spine w/o contrast (72128) | $203.55 | $885 | 2.2× |
| CT thoracic spine w/wo cont (72130) | $451.49 | $1,963 | 2.8× |
| CT thorax w/o contrast (71250) | $203.55 | $885 | 2.2× |
| CT upper ext wo (73200) range across 4 matching MRF lines |
$203.55–$541.42 | $885–$2,354 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 2 matching MRF lines |
$451.49–$902.98 | $1,963–$3,926 | varies |
| CT upper extremity with contrast (73201) range across 4 matching MRF lines |
$334.88–$801.78 | $1,456–$3,486 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $470.12 | $2,044 | 3.0× |
| Cta Abdomen (74175) | $470.12 | $2,044 | 3.0× |
| CTA pelvis (72191) | $470.12 | $2,044 | 3.0× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) range across 2 matching MRF lines |
$31.05–$82.80 | $135–$360 | varies |
| Doppler Echo Fetal Spectral Display Complete (76827) | $54.74 | $238 | 0.6× |
| Doppler Fetal Mid Cerebral Artery (76821) | $84.64 | $368 | 0.9× |
| Dxa Bone Density Axial (77080) | $145.13 | $631 | 1.5× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $82.34 | $358 | 1.0× |
| Echo exam of fetal heart (76825) | $178.02 | $774 | 0.4× |
| Echo exam uterus (76831) | $81.19 | $353 | 0.4× |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) | $108.79 | $473 | 0.5× |
| Esophageal Motility Study (78258) | $86.11 | $374.39 | 0.2× |
| Esophagram (74220) range across 2 matching MRF lines |
$93.38–$163.99 | $406–$713 | varies |
| Fetal Biophys Profile W/Nst (76818) range across 2 matching MRF lines |
$94.53–$123.74 | $411–$538 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 3 matching MRF lines |
$73.60–$247.48 | $320–$1,076 | varies |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$93.38–$252.31 | $406–$1,097 | varies |
| Foot 2 views (73620) range across 4 matching MRF lines |
$92.23–$186.76 | $401–$812 | varies |
| Forearm 2 views (73090) range across 4 matching MRF lines |
$92.23–$186.76 | $401–$812 | varies |
| Gastric emptying imaging study (78264) | $521.18 | $2,266 | 1.4× |
| Gated Heart Planar Single (78472) range across 2 matching MRF lines |
$278.07–$616.86 | $1,209–$2,682 | varies |
| Hand 2 views (73120) range across 4 matching MRF lines |
$92.23–$186.76 | $401–$812 | varies |
| Heart Image (Pet) Multiple (78492) | $2,074.14 | $9,018 | 1.6× |
| Hepatobil Syst Image W/Drug (78227) | $599.84 | $2,608 | 1.2× |
| Hepatobiliary System Imaging (78226) | $599.84 | $2,608 | 1.7× |
| Hysterosalpingogram (74740) | $511.75 | $2,225 | 2.4× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $55.82 | $242.70 | 0.7× |
| Infant hip ultrasound, limited static exam (76886) | $55.82 | $242.70 | 0.7× |
| Joint Survey Single View (77077) | $77.27 | $335.97 | 0.8× |
| K Flow/Funct Image Multiple (78709) | $671.37 | $2,919 | 1.4× |
| K Flow/Funct Image W/Drug (78708) | $196.93 | $856.23 | 0.4× |
| K Flow/Funct Image W/O Drug (78707) | $299.13 | $1,300.56 | 0.6× |
| Knee 3 Views (73562) range across 4 matching MRF lines |
$92.23–$196.42 | $401–$854 | varies |
| Liver & Spleen Imaging Static Only (78215) | $158.88 | $690.80 | 0.4× |
| Liver imaging static only (78201) | $599.84 | $2,608 | 1.2× |
| Lung Ventilat&Perfus Imaging (78582) | $693.68 | $3,016 | 1.4× |
| Lymph System Imaging (78195) | $557.52 | $2,424 | 1.1× |
| Magnetic Image Jaw Joint (70336) | $368.38 | $1,601.64 | 1.7× |
| Meckels Divert Exam (78290) | $260.21 | $1,131.36 | 0.7× |
| Mra Head W/O & W/Contrast Material (70546) | $793.50 | $3,450 | 2.5× |
| MRA head w/o contrast (70544) | $474.49 | $2,063 | 2.2× |
| MRA head with contrast (70545) | $686.55 | $2,985 | 2.2× |
| MRA neck w contrast (70548) | $686.55 | $2,985 | 2.2× |
| Mra Neck W/O &W/Contrast Material (70549) | $262.81 | $1,142.67 | 0.8× |
| MRA neck w/o contrast (70547) | $474.49 | $2,063 | 2.2× |
| MRI abdomen w contrast (74182) | $686.55 | $2,985 | 2.2× |
| MRI abdomen w/o contrast (74181) | $474.49 | $2,063 | 2.2× |
| MRI any jt lower extrem w/contrast material (73722) range across 2 matching MRF lines |
$581.78–$1,163.56 | $2,529.48–$5,058.96 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$793.50–$1,587 | $3,450–$6,900 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) | $686.55 | $2,985 | 1.0× |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$423.43–$474.49 | $1,841–$2,063 | varies |
| MRI chest w/o contrast (71550) | $360.73 | $1,568.37 | 1.7× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 2 matching MRF lines |
$793.50–$1,587 | $3,450–$6,900 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 4 matching MRF lines |
$423.43–$948.98 | $1,841–$4,126 | varies |
| MRI lumbar spine w contrast (72149) | $686.55 | $2,985 | 2.2× |
| Mri Neck Spine W/O & W/Dye (72156) | $793.50 | $3,450 | 2.5× |
| MRI orbit face &/neck w/o contrast (70540) | $492.22 | $2,140.07 | 2.3× |
| MRI orbit face neck w contrast (70542) | $686.55 | $2,985 | 2.2× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $793.50 | $3,450 | 2.5× |
| MRI pelvis w/o & w contrast (72197) | $793.50 | $3,450 | 2.5× |
| MRI pelvis w/o contrast (72195) | $474.49 | $2,063 | 2.2× |
| MRI thoracic spine w/o contrast (72146) | $474.49 | $2,063 | 2.2× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $208.05 | $904.55 | 0.7× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $474.49 | $2,063 | 2.2× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $793.50 | $3,450 | 2.5× |
| MRI, abdomen, combo (74183) | $793.50 | $3,450 | 2.5× |
| MRI, dorsal spine combo (72157) | $793.50 | $3,450 | 2.5× |
| MRI, dorsal spine contrast (72147) | $686.55 | $2,985 | 2.2× |
| MRI, joint upper extrem (73221) range across 4 matching MRF lines |
$423.43–$948.98 | $1,841–$4,126 | varies |
| MRI, joint upper extrem combo (73223) range across 2 matching MRF lines |
$793.50–$1,587 | $3,450–$6,900 | varies |
| MRI, lumbar spine combo (72158) | $793.50 | $3,450 | 2.5× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) | $2,233.99 | $9,713 | 1.9× |
| Myocardial Spect Multiple Studies (78452) range across 2 matching MRF lines |
$383.87–$1,857.25 | $1,669–$8,075 | varies |
| Myocrd Img Pet Metab Eval Single Study Cncrnt CT (78429) | $995.67 | $4,329 | 0.8× |
| Myocrd img PET prfuj 1std rest/stress cncrnt CT (78430) | $995.67 | $4,329 | 0.8× |
| Myocrd Img Pet Prfuj Mlt Std Rst&Strs Cncrnt CT (78431) | $1,552.96 | $6,752 | 0.8× |
| Myocrd Img Pet Prfuj W/Metab 2rtracer Cncrnt CT (78433) | $1,897.96 | $8,252 | 1.0× |
| Myocrd Img Pet Prfuj W/Metab Dual Radiotracer (78432) | $1,897.96 | $8,252 | 1.4× |
| Neck soft tissue (70360) | $92.23 | $401 | 1.2× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $414.46 | $1,802 | 1.1× |
| Nuclear Rx Oral Admin (79005) range across 2 matching MRF lines |
$119.14–$411.93 | $518–$1,791 | varies |
| Ob us nuchal meas 1 gest (76813) range across 2 matching MRF lines |
$94.07–$123.74 | $409–$538 | varies |
| Oph bmtry us echograpy a-scan io lens pwr cal (76519) | $62.10 | $270 | 0.7× |
| Oph US Dx B-Scan&Quan a-Scan Sm Pt Enctr (76510) range across 2 matching MRF lines |
$97.06–$194.12 | $422–$844 | varies |
| Ophthalmic Biometry US Echograpy a-Scan (76516) | $55.66 | $242 | 0.6× |
| Ophthalmic Ultrasonic Foreign Body Localization (76529) range across 2 matching MRF lines |
$54.05–$108.10 | $235–$470 | varies |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) range across 2 matching MRF lines |
$55.20–$110.40 | $240–$480 | varies |
| Ophthalmic US Dx Corneal Pachymetry Uni/Bi (76514) | $5.75 | $25 | 0.2× |
| Ophthalmic us dx quantitative a-scan only (76511) range across 2 matching MRF lines |
$65.78–$131.56 | $286–$572 | varies |
| Panoramic X-ray of jaws (70355) range across 2 matching MRF lines |
$68.54–$93.38 | $298–$406 | varies |
| Parathyroid Planar Imaging (78070) | $462.07 | $2,009 | 1.3× |
| Parathyroid planar imaging w/wo subtraction (78071) | $260.21 | $1,131.36 | 0.7× |
| Pelvis 1 or 2 views (72170) | $92.23 | $401 | 1.0× |
| Pulmonary Perfusion Imaging Particulate (78580) | $492.66 | $2,142 | 1.4× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$108.56–$146.28 | $472–$636 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) | $248.18 | $1,079.05 | 0.5× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 4 matching MRF lines |
$92.23–$196.42 | $401–$854 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 4 matching MRF lines |
$92.23–$186.76 | $401–$812 | varies |
| Radex elbow complete minimum 3 views (73080) range across 4 matching MRF lines |
$92.23–$196.42 | $401–$854 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $146.28 | $636 | 1.5× |
| Radex fingr minimum 2 views (73140) range across 3 matching MRF lines |
$92.23–$186.76 | $401–$812 | varies |
| Radex foot complete minimum 3 views (73630) range across 4 matching MRF lines |
$92.23–$196.42 | $401–$854 | varies |
| Radex Hand Minimum 3 Views (73130) range across 4 matching MRF lines |
$92.23–$196.42 | $401–$854 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 2 matching MRF lines |
$92.23–$184.46 | $401–$802 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$92.23–$103.27 | $401–$449 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 2 matching MRF lines |
$92.23–$93.38 | $401–$406 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 4 matching MRF lines |
$92.23–$196.42 | $401–$854 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$92.23–$93.38 | $401–$406 | varies |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $243.57 | $1,059 | 1.5× |
| Radex Spine 1 View Specify Level (72020) | $92.23 | $401 | 1.2× |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$92.23–$93.38 | $401–$406 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $92.23 | $401 | 1.2× |
| Radex Toe Minimum 2 Views (73660) range across 3 matching MRF lines |
$92.23–$186.76 | $401–$812 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 2 matching MRF lines |
$146.28–$292.56 | $636–$1,272 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 4 matching MRF lines |
$92.23–$196.42 | $401–$854 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$98.21–$146.28 | $427–$636 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $79.12 | $344 | 0.8× |
| Radiologic exam colon double contrast study (74280) | $243.57 | $1,059 | 1.5× |
| Radiologic exam colon single contrast study (74270) | $243.57 | $1,059 | 1.5× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $125.81 | $547 | 0.8× |
| Radiologic exam knee complete 4/more views (73564) range across 4 matching MRF lines |
$92.23–$206.54 | $401–$898 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $92.23 | $401 | 1.0× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $163.99 | $713 | 1.0× |
| Radiologic exam swallow function contrast study (74230) | $163.99 | $713 | 1.0× |
| Radiologic exam teeth complete full mouth (70320) | $68.54 | $298 | 0.3× |
| Radiologic exam upr gi trc double contrast study (74246) | $243.57 | $1,059 | 1.5× |
| Radiologic examination femur 1 view (73551) range across 2 matching MRF lines |
$41.95–$93.38 | $182.40–$406 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 4 matching MRF lines |
$41.95–$196.42 | $182.40–$854 | varies |
| Radiologic examination knee 1/2 views (73560) range across 4 matching MRF lines |
$92.23–$186.76 | $401–$812 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 4 matching MRF lines |
$92.23–$186.76 | $401–$812 | varies |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$140.07–$146.28 | $609–$636 | varies |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $1,863.46 | $8,102 | 3.8× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $383.87 | $1,669 | 0.8× |
| Rp Therapy Intravenous Administration (79101) | $172.49 | $749.94 | 0.8× |
| Scapula (73010) range across 4 matching MRF lines |
$92.23–$186.76 | $401–$812 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $15.34 | $66.68 | 0.7× |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$92.23–$184.46 | $401–$802 | varies |
| Shoulder Arthrography (73040) | $312.11 | $1,357 | 1.0× |
| Skull less than 4 views (70250) | $92.23 | $401 | 1.0× |
| Special treatment procedure (77470) | $136.16 | $592 | 0.3× |
| Sternoclavicular joints (71130) | $62.91 | $273.53 | 0.8× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $78.05 | $339.36 | 0.2× |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$92.23–$93.38 | $401–$406 | varies |
| Thoracic spine 3 views (72072) | $146.28 | $636 | 1.5× |
| Thoracolumbar 2 views (72080) | $92.23 | $401 | 1.2× |
| Thyroid Met Imaging Body (78018) | $616.17 | $2,679 | 1.3× |
| Thyroid Uptake Measurement (78012) | $253.92 | $1,104 | 0.7× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $462.07 | $2,009 | 1.3× |
| Ultrasound Breast Limited (76642) range across 4 matching MRF lines |
$63.25–$180.78 | $274.98–$786 | varies |
| Ultrasound Elastography Parenchyma (76981) | $206.74 | $898.86 | 2.2× |
| Ultrasound Exam Aaa Screen (76706) | $75.19 | $326.91 | 0.8× |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$102.81–$216.66 | $447–$942 | varies |
| Umbilical-artery Doppler (OB) (76820) range across 2 matching MRF lines |
$33.58–$82.80 | $146–$360 | varies |
| Unlisted Dx Radiographic Procedure (76499) | $55.82 | $242.70 | 0.7× |
| Unlisted us procedure (76999) | $82.80 | $360 | 1.1× |
| Upper gi w/o kub (74240) | $243.57 | $1,059 | 1.5× |
| Ureteral Reflux Study (78740) | $248.17 | $1,079 | 0.7× |
| Urethrocystogram voiding (74455) range across 2 matching MRF lines |
$93.38–$98.89 | $406–$429.97 | varies |
| Urethrocystography retrograde (74450) range across 2 matching MRF lines |
$133.86–$414.69 | $582–$1,803 | varies |
| Us breast unilateral complete (76641) range across 4 matching MRF lines |
$63.25–$180.78 | $274.98–$786 | varies |
| Us chest (76604) range across 2 matching MRF lines |
$80.96–$216.66 | $352–$942 | varies |
| Us complete joint (76881) range across 2 matching MRF lines |
$123.74–$133.86 | $538–$582 | varies |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$82.80–$90.85 | $360–$395 | varies |
| Us head (76506) range across 2 matching MRF lines |
$90.85–$123.74 | $395–$538 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 3 matching MRF lines |
$38.41–$289.80 | $167–$1,260 | varies |
| Us ob detailed single fetus (76811) range across 2 matching MRF lines |
$138–$175.49 | $600–$763 | varies |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$80.27–$123.74 | $349–$538 | varies |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$89.24–$123.74 | $388–$538 | varies |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$119.83–$216.66 | $521–$942 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$110.17–$123.74 | $479–$538 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 2 matching MRF lines |
$82.80–$90.85 | $360–$395 | varies |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$129.26–$216.66 | $562–$942 | varies |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$111.78–$216.66 | $486–$942 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$121.21–$216.66 | $527–$942 | varies |
| Us spinal canal and contents (76800) | $82.80 | $360 | 0.9× |
| Us thyroid (76536) range across 2 matching MRF lines |
$117.53–$216.66 | $511–$942 | varies |
| Us transrectal (76872) range across 2 matching MRF lines |
$123.74–$141.68 | $538–$616 | varies |
| Venography caval inferior serialography rs&i (75825) | $4,148.05 | $18,035 | 1.5× |
| Venography extremity bilateral rs&i (75822) | $254.56 | $1,106.80 | 0.2× |
| Venography extremity unilateral rs&i (75820) | $990.95 | $4,308.48 | 0.7× |
| Venography Renal Unilateral (75831) | $2,017.30 | $8,770.89 | 0.7× |
| Wrist 2 views (73100) range across 4 matching MRF lines |
$92.23–$186.76 | $401–$812 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $61.98 | $269.50 | 0.8× |
| X-ray antegrade pyelogram tube (74425) | $93.38 | $406 | 0.3× |
| X-Ray Aorta Leg Arteries (75630) | $2,370.38 | $10,306 | 0.8× |
| X-Ray Bend Only L-S Spine (72120) | $146.28 | $636 | 1.5× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 4 matching MRF lines |
$92.23–$186.76 | $401–$812 | varies |
| X-Ray Exam Breast Specimen (76098) | $511.75 | $2,225 | 1.0× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $41.87 | $182.04 | 0.5× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$69.48–$98.21 | $302.07–$427 | varies |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $75.19 | $326.91 | 0.8× |
| X-Ray Exam Hip Uni 1 View (73501) range across 2 matching MRF lines |
$41.95–$93.38 | $182.40–$406 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 2 matching MRF lines |
$41.95–$98.21 | $182.40–$427 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) range across 2 matching MRF lines |
$69.48–$103.27 | $302.07–$449 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$69.48–$140.07 | $302.07–$609 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 2 matching MRF lines |
$69.48–$147.20 | $302.07–$640 | varies |
| X-Ray Exam L-S Spine Bending (72114) | $146.28 | $636 | 1.5× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$92.23–$98.21 | $401–$427 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$108.33–$146.28 | $471–$636 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 2 matching MRF lines |
$98.21–$146.28 | $427–$636 | varies |
| X-ray eye for foreign body (70030) range across 2 matching MRF lines |
$92.23–$184.46 | $401–$802 | varies |
| X-ray humerus (73060) range across 3 matching MRF lines |
$92.23–$184.46 | $401–$802 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $92.23 | $401 | 1.2× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$92.23–$140.07 | $401–$609 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$92.23–$93.38 | $401–$406 | varies |
| X-ray nose-rectum child f.b. (76010) | $55.82 | $242.70 | 0.7× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $146.28 | $636 | 1.5× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $92.23 | $401 | 1.0× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $92.23 | $401 | 1.0× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$92.23–$103.27 | $401–$449 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$92.23–$98.21 | $401–$427 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$98.21–$146.28 | $427–$636 | varies |
| X-Ray Stress View (77071) | $92.23 | $401 | 1.2× |
| X-ray thoracic spine 4 vw (72074) | $92.23 | $401 | 1.0× |
| X-Ray Tmj Unilat (70328) | $57 | $247.83 | 0.7× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 2 matching MRF lines |
$93.38–$414.69 | $406–$1,803 | varies |
| X-Rays Bone Length Studies (77073) | $76.72 | $333.57 | 0.8× |
| X-Rays Bone Survey Complete (77075) | $146.28 | $636 | 1.5× |
| Xr c-spine 4 or 5 views (72050) | $146.28 | $636 | 1.5× |
| Xr facial bones less than 3 views (70140) | $92.23 | $401 | 1.2× |
| Xr orbits complete 4 views (70200) | $92.23 | $401 | 1.0× |
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.