Imaging prices at Ochsner Medical Center - Baton Rouge
Baton Rouge, LA · every code in this section with a posted price and a Medicare benchmark.
473 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) | $1,495.36 | $4,673 | 1.2× |
| Abdomen 1 View (74018) | $48 | $150 | 0.6× |
| Abdomen 2 views (74019) | $60.48 | $189 | 0.6× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $273.28 | $854 | 0.8× |
| Adrenal Cortex & Medulla Img (78075) | $483.84 | $1,512 | 0.4× |
| Angio internal mammary (75756) | $1,053.12 | $3,291 | 0.4× |
| Angio pulmonary bilat (75743) | $1,053.12 | $3,291 | 0.4× |
| Angiography extremity bilateral rs&i (75716) | $1,053.12 | $3,291 | 0.4× |
| Angiography extremity unilateral rs&i (75710) | $1,053.12 | $3,291 | 0.4× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $1,053.12 | $3,291 | 0.4× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $677.44 | $2,117 | 0.2× |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$48–$96 | $150–$300 | varies |
| Aortography thoracic serialography rs&i (75605) unusually low: confirm this is the full procedure |
$1,746.56 | $5,458 | 0.3× |
| Artery X-Rays Abdomen (75726) unusually low: confirm this is the full procedure |
$1,746.56 | $5,458 | 0.3× |
| Artery X-Rays Adrenal Gland (75731) | $682.88 | $2,134 | 0.2× |
| Artery X-Rays Pelvis (75736) unusually low: confirm this is the full procedure |
$1,746.56 | $5,458 | 0.3× |
| Artery X-Rays Spine (75705) unusually low: confirm this is the full procedure |
$1,746.56 | $5,458 | 0.3× |
| Arthrogram ankle (73615) | $145.60 | $455 | 0.5× |
| Arthrogram hip (73525) | $130.88 | $409 | 0.4× |
| Arthrogram Wrist (73115) | $145.60 | $455 | 0.5× |
| Basic radiation dosimetry calculation (77300) | $82.56 | $258 | 0.7× |
| Bone age studies (77072) | $42.88 | $134 | 0.5× |
| Bone Imaging 3 Phase (78315) | $270.08 | $844 | 0.7× |
| Bone Imaging Limited Area (78300) | $137.60 | $430 | 0.4× |
| Bone Imaging Multiple Areas (78305) | $194.56 | $608 | 0.5× |
| Bone Imaging Whole Body (78306) | $223.68 | $699 | 0.6× |
| Bone marrow imaging limited area (78102) | $121.28 | $379 | 0.3× |
| Bone survey infant (77076) | $85.76 | $268 | 0.9× |
| Brachytx isodose complex (77318) | $318.72 | $996 | 0.9× |
| Brachytx isodose intermed (77317) | $231.04 | $722 | 0.7× |
| Brachytx Isodose Plan Simple (77316) | $160.32 | $501 | 0.5× |
| Brain Flow Imaging Only (78610) | $179.52 | $561 | 0.4× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $237.44 | $742 | 0.5× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $1,011.20 | $3,160 | 0.8× |
| Card Bl Pool Gated Spect Rest Wal Motn Ejct Frct (78494) | $437.12 | $1,366 | 1.2× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $722.88 | $2,259 | 2.3× |
| Cardiac MRI w/w/o contrast w/stress (75563) | $720.96 | $2,253 | 1.0× |
| Cardiac Shunt Detection (78428) | $142.08 | $444 | 0.4× |
| Cat Scan Follow-Up Study (76380) | $122.56 | $383 | 1.6× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $219.84 | $687 | 0.4× |
| Cerebrospinal Fluid Scan (78630) | $279.04 | $872 | 0.6× |
| Chest 1 view (71045) | $43.20 | $135 | 0.5× |
| Chest 2 views (71046) | $59.52 | $186 | 0.8× |
| Chest 3 views (71047) | $59.52 | $186 | 0.8× |
| Chest 4 or more views (71048) | $78.08 | $244 | 0.8× |
| Cholecystography Oral Contrast (74290) | $45.12 | $141 | 0.3× |
| Cineradiograpy/vidradiograpy xcpt where spec (76120) | $79.36 | $248 | 0.8× |
| Clavicle complete (73000) range across 2 matching MRF lines |
$49.60–$99.20 | $155–$310 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $68.80 | $215 | 0.7× |
| Continuing medical physics consltj pr wk (77336) | $167.68 | $524 | 1.4× |
| Contrast Exam Abdominl Aorta (75625) | $1,053.12 | $3,291 | 0.4× |
| Contrast X-Ray Bladder (74430) | $145.60 | $455 | 0.5× |
| Contrast X-Ray Of Elbow (73085) | $195.84 | $612 | 0.6× |
| Contrast X-Ray Of Knee Joint (73580) range across 2 matching MRF lines |
$123.84–$247.68 | $387–$774 | varies |
| Contrast Xray Throat/Cerv Esopha (74210) | $125.44 | $392 | 0.8× |
| Corpora cavernosography (74445) | $74.24 | $232 | 0.8× |
| CT abdomen and pelvis without and with contrast (74178) | $578.88 | $1,809 | 1.8× |
| CT abdomen and pelvis without contrast (74176) | $370.88 | $1,159 | 1.7× |
| CT abdomen w contrast (74160) | $326.08 | $1,019 | 2.1× |
| CT abdomen w wo contrast (74170) | $385.92 | $1,206 | 2.4× |
| CT abdomen w/o contrast (74150) | $247.36 | $773 | 2.6× |
| CT Angio Abdomen and Pelvis (74174) | $619.84 | $1,937 | 2.0× |
| CT Angio Chest (71275) | $385.92 | $1,206 | 2.4× |
| CT Angio Head (70496) | $387.52 | $1,211 | 2.4× |
| CT angio hrt w/3d image (75574) | $344.96 | $1,078 | 1.1× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
$386.24–$772.48 | $1,207–$2,414 | varies |
| CT Angio Neck (70498) | $387.52 | $1,211 | 2.4× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $386.56 | $1,208 | 2.4× |
| CT bone density (77078) | $94.08 | $294 | 1.2× |
| CT cervical spine w/ contrast (72126) | $326.08 | $1,019 | 1.0× |
| CT cervical spine w/o contrast (72125) | $246.72 | $771 | 2.6× |
| CT cervical spine w/wo cont (72127) | $386.88 | $1,209 | 2.4× |
| CT chest w contrast (71260) | $326.08 | $1,019 | 2.1× |
| CT chest w/wo contrast (71270) | $386.88 | $1,209 | 2.4× |
| CT colonography screening (74263) | $755.20 | $2,360 | 3.5× |
| CT Colonogrphy Dx Image Postprocess W/Contrast (74262) | $380.48 | $1,189 | 2.4× |
| CT colonogrphy dx image postprocess w/o contrast (74261) | $250.24 | $782 | 2.6× |
| CT head/brain with contrast (70460) | $280.64 | $877 | 1.8× |
| CT head/brain without and with contrast (70470) | $348.48 | $1,089 | 2.2× |
| CT heart contrast eval cardiac structure&morph (75572) | $228.16 | $713 | 0.7× |
| CT heart no contrast quant eval coronry calcium (75571) | $58.24 | $182 | 0.7× |
| CT hrt w/3d image congen (75573) | $322.56 | $1,008 | 1.0× |
| CT iac w contrast (70481) | $318.08 | $994 | 2.0× |
| CT l-spine w&w/o contrast (72133) | $386.24 | $1,207 | 2.4× |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$246.40–$492.80 | $770–$1,540 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$305.60–$611.20 | $955–$1,910 | varies |
| CT lumbar spine w contrast (72132) | $326.08 | $1,019 | 1.0× |
| CT lumbar spine w/o contrast (72131) | $246.72 | $771 | 2.6× |
| CT maxillofacial w contrast (70487) | $300.48 | $939 | 1.9× |
| CT maxillofacial wo contrast (70486) | $247.04 | $772 | 2.6× |
| CT neck tissue combo (70492) | $371.52 | $1,161 | 2.3× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $385.92 | $1,206 | 2.4× |
| CT orbits w/o contrast (70480) | $246.72 | $771 | 2.6× |
| CT pelvis w&w/o contrast (72194) | $386.24 | $1,207 | 2.4× |
| CT pelvis w/o contrast (72192) | $247.36 | $773 | 2.6× |
| CT scan of leg combo (73702) range across 2 matching MRF lines |
$385.92–$771.84 | $1,206–$2,412 | varies |
| CT scans face/jaw combo (70488) | $375.36 | $1,173 | 2.4× |
| CT soft tissue neck w contrast (70491) | $296.64 | $927 | 1.9× |
| CT soft tissue neck w/o contrast (70490) | $244.48 | $764 | 2.6× |
| CT thoracic spine w contrast (72129) | $326.08 | $1,019 | 2.1× |
| CT thoracic spine w/o contrast (72128) | $246.72 | $771 | 2.6× |
| CT thoracic spine w/wo cont (72130) | $386.88 | $1,209 | 2.4× |
| CT thorax w/o contrast (71250) | $246.72 | $771 | 2.6× |
| CT unlisted procedure (76497) | $122.56 | $383 | 1.6× |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$246.40–$492.80 | $770–$1,540 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 2 matching MRF lines |
$385.92–$771.84 | $1,206–$2,412 | varies |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$304.64–$609.28 | $952–$1,904 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $385.60 | $1,205 | 2.4× |
| Cta Abdomen (74175) | $386.24 | $1,207 | 2.4× |
| CTA pelvis (72191) | $386.24 | $1,207 | 2.4× |
| Dacryocystography, nasolacrimal duct, radiological supervision and interpretation Non-Facility (70170) | $88.96 | $278 | 0.4× |
| Dilation ureters/urethra rs&i (74485) | $541.44 | $1,692 | 0.3× |
| Discography Cerv/Thor Spine (72285) | $655.68 | $2,049 | 0.4× |
| Diskography lumbar (72295) | $616.96 | $1,928 | 0.3× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) | $48.64 | $152 | 0.5× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $77.12 | $241 | 0.8× |
| Doppler Fetal Mid Cerebral Artery (76821) | $81.92 | $256 | 0.9× |
| Dxa Bone Density Axial (77080) | $96 | $300 | 1.0× |
| Dxa bone density study (77085) | $96 | $300 | 1.0× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $52.16 | $163 | 0.7× |
| Echo exam of fetal heart (76825) | $183.04 | $572 | 0.4× |
| Echo exam uterus (76831) | $87.36 | $273 | 0.4× |
| Echo Guide For Artery Repair (76936) | $224.32 | $701 | 1.1× |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) | $88.96 | $278 | 0.4× |
| Echograp Trans R Pros Study (76873) | $115.52 | $361 | 1.2× |
| Esophageal Motility Study (78258) | $169.60 | $530 | 0.5× |
| Esophagram (74220) | $129.92 | $406 | 0.8× |
| Fetal Biophys Profile W/Nst (76818) | $83.20 | $260 | 0.9× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $77.76 | $243 | 0.8× |
| Fetal MRI w/placntl matrnl plvc img sing/1st ges (74712) | $358.08 | $1,119 | 1.7× |
| Fluoroscopy up to 1 hr (76000) | $105.92 | $331 | 0.5× |
| Follow-Up Angiography (75898) | $620.16 | $1,938 | 0.2× |
| Foot 2 views (73620) range across 2 matching MRF lines |
$48–$96 | $150–$300 | varies |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$49.60–$99.20 | $155–$310 | varies |
| Gastric emptying imaging study (78264) | $231.36 | $723 | 0.6× |
| Gastric Emptyng Imag Std W/Sm Bwl Transit (78265) | $435.20 | $1,360 | 1.2× |
| Gastroesophageal Reflux Exam (78262) | $136.96 | $428 | 0.4× |
| Gated Heart Planar Single (78472) | $272.64 | $852 | 0.8× |
| Gated Heart, Multiple (78473) | $390.40 | $1,220 | 1.1× |
| GI Endoscopic US S&I (76975) | $101.76 | $318 | 0.5× |
| Gstrc Emptng Imag Std W/Sm Bwl Col Trnst Mlt Day (78266) | $575.04 | $1,797 | 1.2× |
| Hand 2 views (73120) range across 2 matching MRF lines |
$48–$96 | $150–$300 | varies |
| Hdr Rdncl Ntrstl/Icav Brchtx (77772) | $1,118.40 | $3,495 | 1.8× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) | $708.48 | $2,214 | 1.1× |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) | $389.12 | $1,216 | 0.6× |
| Heart Image (Pet) Multiple (78492) | $2,640.32 | $8,251 | 2.0× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $1,053.12 | $3,291 | 0.4× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $1,053.12 | $3,291 | 0.4× |
| Hepatobil Syst Image W/Drug (78227) | $549.76 | $1,718 | 1.1× |
| Hepatobiliary System Imaging (78226) | $398.72 | $1,246 | 1.1× |
| Ht Musc Image Planar Mult (78454) | $483.84 | $1,512 | 0.4× |
| Ht Muscle Image Spect Sing (78451) | $483.84 | $1,512 | 0.4× |
| Hysterosalpingogram (74740) | $90.24 | $282 | 0.4× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $79.68 | $249 | 1.0× |
| Infant hip ultrasound, limited static exam (76886) | $77.44 | $242 | 1.0× |
| Infusion Ivp (74410) | $136 | $425 | 0.9× |
| Interstitial radiation source applic complex (77778) | $375.04 | $1,172 | 0.6× |
| Intracavitary Radiation Source Applic Complex (77763) | $341.12 | $1,066 | 0.5× |
| Intracavitary Radiation Source Applic Intermed (77762) | $270.40 | $845 | 0.5× |
| Intracavitary radiation source applic simple (77761) | $204.48 | $639 | 0.4× |
| Joint Survey Single View (77077) | $64.64 | $202 | 0.7× |
| K Flow/Funct Image Multiple (78709) | $260.16 | $813 | 0.5× |
| K Flow/Funct Image W/Drug (78708) | $200.96 | $628 | 0.4× |
| K Flow/Funct Image W/O Drug (78707) | $224.64 | $702 | 0.5× |
| Kidney Funcj Study Non-Img Radioisotopic Study (78725) | $140.16 | $438 | 0.4× |
| Kidney Imaging Morphol (78700) | $162.88 | $509 | 0.4× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $190.72 | $596 | 0.5× |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$59.52–$119.04 | $186–$372 | varies |
| Labeled RBC Sequestration Differntl Organ/Tissue (78140) | $177.60 | $555 | 0.5× |
| Leveen/Shunt Patency Exam (78291) | $179.84 | $562 | 0.5× |
| Liver & Spleen Imaging Static Only (78215) | $160.64 | $502 | 0.4× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $159.68 | $499 | 0.4× |
| Liver imaging static only (78201) | $483.84 | $1,512 | 1.0× |
| Liver imaging w/vascular flow (78202) | $483.84 | $1,512 | 1.0× |
| Lung perfusion differential (78597) | $220.80 | $690 | 0.6× |
| Lung Ventilat&Perfus Imaging (78582) | $369.28 | $1,154 | 0.8× |
| Lung Ventilation Imaging (78579) | $206.08 | $644 | 0.6× |
| Lymph System Imaging (78195) | $244.16 | $763 | 0.5× |
| Lymphangiography Extremity Only Bilateral Rs&I (75803) | $201.60 | $630 | 0.1× |
| Lymphangiography extremity only unilateral rs&i (75801) | $297.92 | $931 | 0.5× |
| Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) | $1,053.12 | $3,291 | 0.4× |
| Lymphangiography, pelvic/abdominal, unilateral (75805) | $620.16 | $1,938 | 0.2× |
| Magnetic Image Jaw Joint (70336) | $363.52 | $1,136 | 1.7× |
| Magnetic Resonance Elastography (76391) | $193.28 | $604 | 0.9× |
| Mammary ductogram or galactogram multiple (77054) | $181.44 | $567 | 0.8× |
| Mammary ductogram or galactogram single (77053) | $139.84 | $437 | 0.6× |
| Meckels Divert Exam (78290) | $204.80 | $640 | 0.6× |
| Mlc imrt design & construction per imrt plan (77338) | $431.04 | $1,347 | 1.3× |
| Mra Head W/O & W/Contrast Material (70546) | $644.48 | $2,014 | 2.0× |
| MRA head w/o contrast (70544) | $452.80 | $1,415 | 2.1× |
| MRA head with contrast (70545) | $488.96 | $1,528 | 1.5× |
| MRA neck w contrast (70548) | $488.32 | $1,526 | 1.5× |
| Mra Neck W/O &W/Contrast Material (70549) | $644.48 | $2,014 | 2.0× |
| MRA neck w/o contrast (70547) | $452.80 | $1,415 | 2.1× |
| MRI abdomen w contrast (74182) | $487.04 | $1,522 | 1.5× |
| MRI abdomen w/o contrast (74181) | $602.24 | $1,882 | 2.8× |
| MRI any jt lower extrem w/contrast material (73722) range across 2 matching MRF lines |
$486.72–$973.44 | $1,521–$3,042 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$645.12–$1,290.24 | $2,016–$4,032 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 2 matching MRF lines |
$487.36–$974.72 | $1,523–$3,046 | varies |
| MRI bone marrow blood supply (77084) | $363.52 | $1,136 | 1.7× |
| MRI brain functional w/o physician admnistration (70554) | $642.56 | $2,008 | 3.0× |
| MRI brain functional w/physician admnistration (70555) range across 2 matching MRF lines |
$193.92–$387.84 | $606–$1,212 | varies |
| MRI Breast W/O Contrast Bilateral (77047) | $247.04 | $772 | 1.1× |
| MRI Breast Without Contrast Material Unilateral (77046) | $248.64 | $777 | 1.2× |
| MRI cardiac w/o cont stress (75559) | $471.68 | $1,474 | 1.0× |
| MRI cardiac w/o contrast (75557) | $474.56 | $1,483 | 2.2× |
| MRI cervical spine w contrast (72142) | $488.64 | $1,527 | 1.5× |
| MRI cervical spine w/o cont (72141) | $453.12 | $1,416 | 2.1× |
| MRI chest w/o contrast (71550) | $451.20 | $1,410 | 2.1× |
| MRI chest with contrast (71551) | $487.04 | $1,522 | 0.7× |
| MRI chest wo w contrast (71552) | $644.16 | $2,013 | 2.0× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 2 matching MRF lines |
$486.72–$973.44 | $1,521–$3,042 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 2 matching MRF lines |
$645.76–$1,291.52 | $2,018–$4,036 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines |
$451.20–$902.40 | $1,410–$2,820 | varies |
| MRI lumbar spine w contrast (72149) | $488.64 | $1,527 | 1.5× |
| Mri Neck Spine W/O & W/Dye (72156) | $648.96 | $2,028 | 2.1× |
| MRI orbit face &/neck w/o contrast (70540) | $451.20 | $1,410 | 2.1× |
| MRI orbit face neck w contrast (70542) | $486.72 | $1,521 | 1.5× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $645.76 | $2,018 | 2.0× |
| MRI pelvis w contrast (72196) | $487.04 | $1,522 | 1.5× |
| MRI pelvis w/o & w contrast (72197) | $645.76 | $2,018 | 2.0× |
| MRI pelvis w/o contrast (72195) | $451.84 | $1,412 | 2.1× |
| MRI spectroscopy (76390) | $519.36 | $1,623 | 6.6× |
| MRI thoracic spine w/o contrast (72146) | $452.80 | $1,415 | 2.1× |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 2 matching MRF lines |
$487.04–$974.08 | $1,522–$3,044 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 2 matching MRF lines |
$451.20–$902.40 | $1,410–$2,820 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) | $645.76 | $2,018 | 2.0× |
| MRI, abdomen, combo (74183) | $645.76 | $2,018 | 2.0× |
| MRI, dorsal spine combo (72157) | $648.96 | $2,028 | 2.1× |
| MRI, dorsal spine contrast (72147) | $489.28 | $1,529 | 1.5× |
| MRI, joint upper extrem (73221) | $451.20 | $1,410 | 2.1× |
| MRI, joint upper extrem combo (73223) range across 2 matching MRF lines |
$645.12–$1,290.24 | $2,016–$4,032 | varies |
| MRI, lumbar spine combo (72158) | $648.96 | $2,028 | 2.1× |
| Myelogram cervical (72240) | $407.04 | $1,272 | 0.6× |
| Myelogram Lumbar (72265) | $356.16 | $1,113 | 0.5× |
| Myelography thoracic (72255) | $369.28 | $1,154 | 0.5× |
| Myelograpy 2/more regions rs&i (72270) | $408.64 | $1,277 | 0.6× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $128.64 | $402 | 0.4× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) | $2,640.32 | $8,251 | 2.3× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $483.84 | $1,512 | 0.4× |
| Myocardial Spect Multiple Studies (78452) | $483.84 | $1,512 | 0.4× |
| Myocrd Img Pet Metab Eval Single Study Cncrnt CT (78429) | $1,206.72 | $3,771 | 0.9× |
| Myocrd img PET prfuj 1std rest/stress cncrnt CT (78430) | $1,206.72 | $3,771 | 0.9× |
| Myocrd Img Pet Prfuj Mlt Std Rst&Strs Cncrnt CT (78431) | $1,881.60 | $5,880 | 0.9× |
| Myocrd Img Pet Prfuj W/Metab 2rtracer Cncrnt CT (78433) | $2,299.52 | $7,186 | 1.2× |
| Myocrd Img Pet Prfuj W/Metab Dual Radiotracer (78432) | $2,299.52 | $7,186 | 1.7× |
| Neck soft tissue (70360) | $43.20 | $135 | 0.5× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $140.16 | $438 | 0.4× |
| Nm csf leak detection (78650) | $483.84 | $1,512 | 0.4× |
| Nm myocard infarct spect (78469) | $483.84 | $1,512 | 1.0× |
| Nonvascular Shunt X-Ray (75809) | $70.08 | $219 | 0.7× |
| Ntsty modul radthx pln dose-vol histos (77301) | $2,247.68 | $7,024 | 1.8× |
| Nuclear medicine study of endocrine organs (78099) | $135.68 | $424 | 0.4× |
| Nuclear Rx Intra-Arterial (79445) | $127.04 | $397 | 0.6× |
| Nuclear Rx Oral Admin (79005) | $113.28 | $354 | 0.5× |
| Ob us nuchal meas 1 gest (76813) | $88.32 | $276 | 0.9× |
| Oph bmtry us echograpy a-scan io lens pwr cal (76519) range across 2 matching MRF lines |
$62.40–$124.80 | $195–$390 | varies |
| Oph us dx ant sgm us immersion b-scan/hr biom (76513) range across 2 matching MRF lines |
$34.24–$68.48 | $107–$214 | varies |
| Oph US Dx B-Scan&Quan a-Scan Sm Pt Enctr (76510) range across 2 matching MRF lines |
$88.32–$176.64 | $276–$552 | varies |
| Ophthalmic Ultrasonic Foreign Body Localization (76529) range across 3 matching MRF lines |
$55.04–$110.08 | $172–$344 | varies |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) range across 2 matching MRF lines |
$78.72–$157.44 | $246–$492 | varies |
| Ophthalmic US Dx Corneal Pachymetry Uni/Bi (76514) | $8.96 | $28 | 0.3× |
| Ophthalmic us dx quantitative a-scan only (76511) range across 2 matching MRF lines |
$60.80–$121.60 | $190–$380 | varies |
| Panoramic X-ray of jaws (70355) | $49.92 | $156 | 0.6× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $634.56 | $1,983 | 1.3× |
| Parathyroid Planar Imaging (78070) | $188.48 | $589 | 0.5× |
| Parathyroid planar imaging w/wo subtraction (78071) | $458.88 | $1,434 | 1.3× |
| Pelvis 1 or 2 views (72170) | $48.64 | $152 | 0.5× |
| Perineogram (74775) | $96.32 | $301 | 0.4× |
| Pet Image Skull-Thigh (78812) | $2,375.68 | $7,424 | 1.8× |
| Pet Image W/Ct Lmtd (78814) | $1,100.16 | $3,438 | 0.8× |
| PET image w/CT, full body (78816) | $1,100.16 | $3,438 | 0.8× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $1,100.16 | $3,438 | 0.8× |
| Pet Imaging Limited Area Chest Head/Neck (78811) | $2,375.68 | $7,424 | 2.0× |
| Pet Myocardial Sngl Study (78491) | $2,640.32 | $8,251 | 2.0× |
| PET whole body (78813) | $2,375.68 | $7,424 | 1.8× |
| Plasma volume, radiopharmaceutical volume-dilution technique (separate procedure); single sampling Non-Facility (78110) | $139.84 | $437 | 0.1× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $1,053.12 | $3,291 | 0.4× |
| Pulmonary Perfusion Imaging Particulate (78580) | $182.72 | $571 | 0.5× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $75.20 | $235 | 0.8× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $183.04 | $572 | 0.4× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$53.44–$106.88 | $167–$334 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$47.04–$94.08 | $147–$294 | varies |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$60.48–$120.96 | $189–$378 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $77.12 | $241 | 0.8× |
| Radex fingr minimum 2 views (73140) | $46.08 | $144 | 0.6× |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$52.48–$104.96 | $164–$328 | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$52.48–$104.96 | $164–$328 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 2 matching MRF lines |
$48.64–$97.28 | $152–$304 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $83.84 | $262 | 0.9× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $52.48 | $164 | 0.7× |
| Radex Pharynx/Larx W/Fluor&/Magnification Tq (70370) | $63.68 | $199 | 0.8× |
| Radex Ribs Unilateral 2 Views (71100) | $56.64 | $177 | 0.7× |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$55.68–$111.36 | $174–$348 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $59.52 | $186 | 0.8× |
| Radex Spine 1 View Specify Level (72020) | $40.64 | $127 | 0.5× |
| Radex Sternum Minimum 2 Views (71120) | $62.08 | $194 | 0.8× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $84.80 | $265 | 1.1× |
| Radex Toe Minimum 2 Views (73660) | $45.12 | $141 | 0.6× |
| Radex upper extremity infant minimum 2 views (73092) range across 2 matching MRF lines |
$48.64–$97.28 | $152–$304 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$55.04–$110.08 | $172–$344 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $158.08 | $494 | 1.7× |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $26,197.12 | $81,866 | 3.9× |
| Radiation treatment delivery level 1 (77402) | $154.56 | $483 | 1.7× |
| Radiation treatment delivery level 2 (77407) | $189.76 | $593 | 0.5× |
| Radiation treatment delivery level 3 (77412) | $223.36 | $698 | 0.4× |
| Radiolog exam mandible compl minimum 4 views (70110) | $64 | $200 | 0.7× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $63.04 | $197 | 0.7× |
| Radiologic exam colon double contrast study (74280) | $180.16 | $563 | 1.1× |
| Radiologic exam colon single contrast study (74270) | $102.40 | $320 | 0.6× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $152.64 | $477 | 1.0× |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$65.92–$131.84 | $206–$412 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $68.48 | $214 | 0.7× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $149.76 | $468 | 0.9× |
| Radiologic exam swallow function contrast study (74230) | $137.60 | $430 | 0.9× |
| Radiologic exam upr gi trc double contrast study (74246) | $181.76 | $568 | 1.1× |
| Radiologic examination femur 1 view (73551) | $51.20 | $160 | 0.6× |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$60.80–$121.60 | $190–$380 | varies |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$50.56–$101.12 | $158–$316 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $69.44 | $217 | 0.7× |
| Radiologic examination tibia & fibula 2 views (73590) range across 2 matching MRF lines |
$49.60–$99.20 | $155–$310 | varies |
| Radiologic examination, internal auditory meati, complete Non-Facility (70134) | $183.04 | $572 | 0.4× |
| Radiopharm Dacryocystography (78660) | $125.44 | $392 | 0.3× |
| Red Cell Volume Determination Spx 1 Sampling (78120) | $140.16 | $438 | 0.4× |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77768) | $494.40 | $1,545 | 1.4× |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77767) | $300.80 | $940 | 0.9× |
| Renal Cyst Study (74470) | $72.32 | $226 | 0.1× |
| Ribs bilateral 3 views (71110) | $75.20 | $235 | 0.8× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $173.12 | $541 | 0.5× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $223.04 | $697 | 0.6× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $470.08 | $1,469 | 1.0× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $483.84 | $1,512 | 1.0× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $483.84 | $1,512 | 1.0× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $1,064 | $3,325 | 0.9× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $1,206.72 | $3,771 | 0.9× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $1,064 | $3,325 | 0.9× |
| Rp Ther Radiolbld Monoclonal Antibody IV Infus (79403) | $180.80 | $565 | 0.9× |
| Rp Therapy Intravenous Administration (79101) | $115.20 | $360 | 0.5× |
| Salivary Gland Function Study (78232) | $161.60 | $505 | 0.4× |
| Salivary Gland Imaging (78230) | $78.72 | $246 | 0.2× |
| Salivary Gland Imaging Serial Images (78231) | $104.96 | $328 | 0.3× |
| Scapula (73010) range across 2 matching MRF lines |
$50.56–$101.12 | $158–$316 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $15.36 | $48 | 0.7× |
| Sella turcica (70240) | $44.16 | $138 | 0.6× |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$44.16–$88.32 | $138–$276 | varies |
| Shoulder Arthrography (73040) range across 2 matching MRF lines |
$204.48–$408.96 | $639–$1,278 | varies |
| Sialogram (70390) | $184.64 | $577 | 0.9× |
| Skull less than 4 views (70250) | $62.08 | $194 | 0.7× |
| Special dosimetry (77331) | $48.64 | $152 | 0.4× |
| Special Physics Consult (77370) | $222.08 | $694 | 1.8× |
| Special teletherapy port plan (77321) | $221.44 | $692 | 0.7× |
| Special treatment procedure (77470) | $579.20 | $1,810 | 1.2× |
| Speech evaluation, complex (70371) | $93.44 | $292 | 0.4× |
| Spleen Imaging (78185) | $144.96 | $453 | 0.4× |
| Stereotactic Body Radiation Delivery (77373) | $2,649.92 | $8,281 | 1.6× |
| Sternoclavicular joints (71130) | $69.44 | $217 | 0.9× |
| Superior sagittal sinus venogram (75870) | $666.24 | $2,082 | 0.2× |
| Surface Applic Low Dose Rate Radionuclide Source (77789) | $48.64 | $152 | 0.5× |
| Tbs technical calculation only (77091) | $33.28 | $104 | 0.4× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $158.08 | $494 | 0.5× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $104.64 | $327 | 0.3× |
| Testicular Imaging W/Flow (78761) | $171.52 | $536 | 0.5× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $527.04 | $1,647 | 1.6× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $399.68 | $1,249 | 1.2× |
| Ther rad simulaj-aided field setting simple (77280) | $239.36 | $748 | 2.0× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $114.88 | $359 | 0.7× |
| Thoracic spine 2 views (72070) | $62.08 | $194 | 0.7× |
| Thoracic spine 3 views (72072) | $71.68 | $224 | 0.8× |
| Thoracolumbar 2 views (72080) | $64.96 | $203 | 0.8× |
| Thyroid Carcinoma Metastases Img Lmtd Area (78015) | $154.24 | $482 | 0.4× |
| Thyroid Imaging With Vascular Flow (78013) | $288.64 | $902 | 0.8× |
| Thyroid Met Imaging Body (78018) | $288 | $900 | 0.6× |
| Thyroid Uptake Measurement (78012) | $148.16 | $463 | 0.4× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $329.28 | $1,029 | 0.9× |
| Tx Devices Design & Construction Complex (77334) | $199.36 | $623 | 0.6× |
| Tx devices design & construction intermediate (77333) | $99.84 | $312 | 0.8× |
| Tx devices design & construction simple (77332) | $88.96 | $278 | 0.7× |
| Ultrasound Breast Limited (76642) range across 4 matching MRF lines |
$60.80–$121.60 | $190–$380 | varies |
| Ultrasound elastography first target lesion (76982) | $225.92 | $706 | 2.4× |
| Ultrasound Elastography Parenchyma (76981) | $225.92 | $706 | 2.4× |
| Ultrasound Exam Aaa Screen (76706) | $88 | $275 | 0.9× |
| Ultrasound trgt dynamic microbubble 1st lesion (76978) | $168.96 | $528 | 0.5× |
| Ultrasound, abdomen limited (76705) | $78.08 | $244 | 0.8× |
| Umbilical-artery Doppler (OB) (76820) | $67.52 | $211 | 0.7× |
| Unlisted Dx Radiographic Procedure (76499) range across 4 matching MRF lines |
$53.76–$72.32 | $168–$226 | varies |
| Unlisted fluoroscopic procedure (76496) range across 4 matching MRF lines |
$97.60–$350.72 | $305–$1,096 | varies |
| Unlisted magnetic resonance procedure (76498) | $280.32 | $876 | 3.6× |
| Unlisted Miscellaneous Px Dx Nuclear Medicine (78999) | $78.72 | $246 | 0.2× |
| Unlisted Procedure Clinical Brachytherapy (77799) | $953.92 | $2,981 | 10.3× |
| Unlisted us procedure (76999) | $72.96 | $228 | 0.9× |
| Upper gi w/o kub (74240) | $155.52 | $486 | 1.0× |
| Urea Breath Test C-14 Isotopic Acquisj Analysis (78267) | $18.24 | $57 | 1.6× |
| Urethrocystogram voiding (74455) | $111.36 | $348 | 0.5× |
| Urethrocystography retrograde (74450) | $96.32 | $301 | 0.4× |
| Us breast unilateral complete (76641) range across 4 matching MRF lines |
$60.80–$121.60 | $190–$380 | varies |
| Us chest (76604) | $67.52 | $211 | 0.7× |
| Us complete joint (76881) | $118.08 | $369 | 1.2× |
| Us exam, pelvic, limited (76857) | $79.04 | $247 | 0.8× |
| Us head (76506) | $106.24 | $332 | 1.1× |
| Us kidney transplant (76776) | $109.12 | $341 | 1.2× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $42.88 | $134 | 0.5× |
| Us ob detailed single fetus (76811) | $175.68 | $549 | 0.8× |
| Us ob limited 1 or more fetuses (76815) | $72 | $225 | 0.8× |
| Us ob transvaginal (76817) | $76.16 | $238 | 0.8× |
| Us pelvic non ob complete (76856) | $87.36 | $273 | 0.9× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $104 | $325 | 1.1× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $66.56 | $208 | 0.7× |
| Us retroperitoneal complete (76770) | $104.32 | $326 | 1.1× |
| Us retroperitoneal limited (76775) | $78.08 | $244 | 0.8× |
| Us scrotum and contents (76870) | $87.36 | $273 | 0.9× |
| Us spinal canal and contents (76800) | $77.12 | $241 | 0.8× |
| Us thyroid (76536) | $81.60 | $255 | 0.9× |
| Us transrectal (76872) | $111.68 | $349 | 1.2× |
| Vascular Flow Imaging (78445) | $119.36 | $373 | 0.3× |
| Vein X-Ray Chest (75827) | $670.08 | $2,094 | 0.5× |
| Vein X-Ray Liver W/O Hemodyn (75887) | $673.92 | $2,106 | 0.2× |
| Vein X-Ray Spleen/Liver (75810) | $828.16 | $2,588 | 0.3× |
| Venogram Sinus/Jugular (75860) | $1,053.12 | $3,291 | 0.4× |
| Venography Adrenal Unilateral (75840) | $1,973.76 | $6,168 | 0.7× |
| Venography caval inferior serialography rs&i (75825) | $1,053.12 | $3,291 | 0.4× |
| Venography extremity bilateral rs&i (75822) | $620.16 | $1,938 | 0.4× |
| Venography extremity unilateral rs&i (75820) | $195.84 | $612 | 0.1× |
| Venography Orbital Rs&I (75880) | $195.84 | $612 | 0.3× |
| Venography Renal Bilateral (75833) | $1,053.12 | $3,291 | 0.4× |
| Venography Renal Unilateral (75831) | $1,053.12 | $3,291 | 0.4× |
| Venous sampling by catheter (75893) unusually low: confirm this is the full procedure |
$1,746.56 | $5,458 | 0.3× |
| Venous Thrombosis Imaging Venogram Bilateral (78458) | $193.28 | $604 | 0.5× |
| Vertebral fracture assessment via dxa (77086) | $44.16 | $138 | 0.6× |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$48.64–$97.28 | $152–$304 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $65.92 | $206 | 0.8× |
| X-ray antegrade pyelogram tube (74425) | $145.60 | $455 | 0.5× |
| X-Ray Aorta Leg Arteries (75630) | $1,053.12 | $3,291 | 0.4× |
| X-Ray Bend Only L-S Spine (72120) | $91.20 | $285 | 1.0× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$49.60–$99.20 | $155–$310 | varies |
| X-Ray Exam Breast Specimen (76098) | $155.84 | $487 | 0.3× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $66.88 | $209 | 0.8× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $121.60 | $380 | 1.3× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $131.84 | $412 | 1.4× |
| X-Ray Exam Hip Uni 1 View (73501) | $54.08 | $169 | 0.7× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $79.04 | $247 | 1.0× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $97.92 | $306 | 1.0× |
| X-Ray Exam Hips Bi 2 Views (73521) | $74.56 | $233 | 0.8× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $88.64 | $277 | 0.9× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $106.56 | $333 | 1.1× |
| X-Ray Exam L-S Spine Bending (72114) | $121.60 | $380 | 1.3× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $62.08 | $194 | 0.8× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $113.60 | $355 | 1.2× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $65.92 | $206 | 0.7× |
| X-ray eye for foreign body (70030) range across 2 matching MRF lines |
$44.16–$88.32 | $138–$276 | varies |
| X-ray humerus (73060) | $55.68 | $174 | 0.7× |
| X-ray IV pyelogram (ivp) (74400) | $121.92 | $381 | 0.8× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $51.52 | $161 | 0.7× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $49.60 | $155 | 0.6× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $67.52 | $211 | 0.7× |
| X-ray nose-rectum child f.b. (76010) | $33.28 | $104 | 0.4× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $90.56 | $283 | 1.0× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $63.04 | $197 | 0.7× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $50.56 | $158 | 0.5× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $55.68 | $174 | 0.7× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $74.24 | $232 | 0.9× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $85.44 | $267 | 0.9× |
| X-Ray Stress View (77071) | $86.08 | $269 | 1.1× |
| X-ray thoracic spine 4 vw (72074) | $89.60 | $280 | 0.9× |
| X-Ray Tmj Unilat (70328) | $48.64 | $152 | 0.6× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $172.80 | $540 | 0.5× |
| X-Rays Bone Length Studies (77073) | $48.64 | $152 | 0.5× |
| X-Rays Bone Survey Complete (77075) | $103.68 | $324 | 1.1× |
| Xr c-spine 4 or 5 views (72050) | $90.56 | $283 | 1.0× |
| Xr facial bones less than 3 views (70140) | $58.56 | $183 | 0.7× |
| XR Mastoids < 3 Views Bilateral (70120) | $62.08 | $194 | 0.7× |
| Xr myelogram posterior fossa (70010) | $378.24 | $1,182 | 1.2× |
| Xr orbits complete 4 views (70200) | $77.12 | $241 | 0.8× |
| Xr Tomogram Single Plane (76100) | $112.96 | $353 | 1.2× |
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.