Imaging prices at Ochsner Medical Center - Kenner
Kenner, LA · every code in this section with a posted price and a Medicare benchmark.
357 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) | $862.12 | $3,079 | 0.7× |
| Abdomen 1 View (74018) | $47.88 | $171 | 0.6× |
| Abdomen 2 views (74019) | $91.56 | $327 | 0.9× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $351.68 | $1,256 | 0.9× |
| Angio internal mammary (75756) | $1,056.44 | $3,773 | 0.4× |
| Angio pulmonary bilat (75743) | $2,979.20 | $10,640 | 1.0× |
| Angiography extremity bilateral rs&i (75716) | $2,979.20 | $10,640 | 1.0× |
| Angiography extremity unilateral rs&i (75710) | $2,979.20 | $10,640 | 1.0× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $1,817.76 | $6,492 | 0.6× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $526.96 | $1,882 | 0.2× |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$75.04–$150.08 | $268–$536 | varies |
| Aortography thoracic serialography rs&i (75605) unusually low: confirm this is the full procedure |
$2,093.56 | $7,477 | 0.4× |
| Artery X-Rays Abdomen (75726) | $2,979.20 | $10,640 | 0.6× |
| Artery X-Rays Adrenal Gland (75731) | $929.04 | $3,318 | 0.3× |
| Artery X-Rays Pelvis (75736) | $3,021.76 | $10,792 | 0.6× |
| Artery X-Rays Spine (75705) likely a partial charge, not the full procedure |
$1,286.60 | $4,595 | 0.2× |
| Arthrogram hip (73525) | $404.32 | $1,444 | 1.2× |
| Arthrogram Wrist (73115) | $346.36 | $1,237 | 1.1× |
| Basic radiation dosimetry calculation (77300) | $465.92 | $1,664 | 3.7× |
| Bone age studies (77072) | $66.92 | $239 | 0.7× |
| Bone Imaging 3 Phase (78315) | $359.80 | $1,285 | 1.0× |
| Bone Imaging Limited Area (78300) | $359.80 | $1,285 | 1.0× |
| Bone Imaging Multiple Areas (78305) | $359.80 | $1,285 | 1.0× |
| Bone Imaging Whole Body (78306) | $359.80 | $1,285 | 1.0× |
| Bone marrow imaging limited area (78102) | $256.20 | $915 | 0.7× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $218.68 | $781 | 0.4× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $544.04 | $1,943 | 0.4× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $784.28 | $2,801 | 2.4× |
| Cat Scan Follow-Up Study (76380) | $145.32 | $519 | 1.8× |
| Cerebrospinal Fluid Scan (78630) | $171.92 | $614 | 0.3× |
| Chest 1 view (71045) | $47.88 | $171 | 0.6× |
| Chest 2 views (71046) | $47.88 | $171 | 0.6× |
| Chest 3 views (71047) | $47.88 | $171 | 0.6× |
| Chest 4 or more views (71048) | $91.56 | $327 | 0.9× |
| Clavicle complete (73000) range across 2 matching MRF lines |
$67.48–$134.96 | $241–$482 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $63.28 | $226 | 0.6× |
| Contrast Exam Abdominl Aorta (75625) | $2,979.20 | $10,640 | 1.0× |
| Contrast X-Ray Bladder (74430) | $259 | $925 | 0.8× |
| Contrast X-Ray Of Knee Joint (73580) range across 2 matching MRF lines |
$346.36–$692.72 | $1,237–$2,474 | varies |
| Contrast Xray Throat/Cerv Esopha (74210) | $78.40 | $280 | 0.5× |
| CT abdomen and pelvis without and with contrast (74178) | $491.40 | $1,755 | 1.5× |
| CT abdomen and pelvis without contrast (74176) | $285.04 | $1,018 | 1.3× |
| CT abdomen w contrast (74160) | $440.72 | $1,574 | 2.7× |
| CT abdomen w wo contrast (74170) | $491.40 | $1,755 | 3.0× |
| CT abdomen w/o contrast (74150) | $285.04 | $1,018 | 2.9× |
| CT Angio Abdomen and Pelvis (74174) | $709.52 | $2,534 | 2.2× |
| CT Angio Chest (71275) | $497.56 | $1,777 | 3.0× |
| CT Angio Head (70496) | $497.56 | $1,777 | 3.0× |
| CT angio hrt w/3d image (75574) | $544.04 | $1,943 | 1.7× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
$498.68–$997.36 | $1,781–$3,562 | varies |
| CT Angio Neck (70498) | $497.56 | $1,777 | 3.0× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $264.60 | $945 | 1.6× |
| CT cervical spine w/ contrast (72126) | $440.72 | $1,574 | 1.3× |
| CT cervical spine w/o contrast (72125) | $285.04 | $1,018 | 2.9× |
| CT cervical spine w/wo cont (72127) | $312.48 | $1,116 | 1.9× |
| CT chest w contrast (71260) | $440.72 | $1,574 | 2.7× |
| CT chest w/wo contrast (71270) | $491.40 | $1,755 | 3.0× |
| CT head/brain with contrast (70460) | $440.72 | $1,574 | 2.7× |
| CT head/brain without and with contrast (70470) | $491.40 | $1,755 | 3.0× |
| CT heart no contrast quant eval coronry calcium (75571) | $64.96 | $232 | 0.8× |
| CT iac w contrast (70481) | $440.72 | $1,574 | 2.7× |
| CT l-spine w&w/o contrast (72133) | $491.40 | $1,755 | 3.0× |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$285.04–$570.08 | $1,018–$2,036 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$440.72–$881.44 | $1,574–$3,148 | varies |
| CT lumbar spine w contrast (72132) | $440.72 | $1,574 | 1.3× |
| CT lumbar spine w/o contrast (72131) | $285.04 | $1,018 | 2.9× |
| CT maxillofacial w contrast (70487) | $440.72 | $1,574 | 2.7× |
| CT maxillofacial wo contrast (70486) | $285.04 | $1,018 | 2.9× |
| CT neck tissue combo (70492) | $491.40 | $1,755 | 3.0× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $491.40 | $1,755 | 3.0× |
| CT orbits w/o contrast (70480) | $285.04 | $1,018 | 2.9× |
| CT pelvis w&w/o contrast (72194) | $491.40 | $1,755 | 3.0× |
| CT pelvis w/o contrast (72192) | $285.04 | $1,018 | 2.9× |
| CT scan of leg combo (73702) range across 2 matching MRF lines |
$491.40–$982.80 | $1,755–$3,510 | varies |
| CT scans face/jaw combo (70488) | $491.40 | $1,755 | 3.0× |
| CT soft tissue neck w contrast (70491) | $440.72 | $1,574 | 2.7× |
| CT soft tissue neck w/o contrast (70490) | $285.04 | $1,018 | 2.9× |
| CT thoracic spine w contrast (72129) | $440.72 | $1,574 | 2.7× |
| CT thoracic spine w/o contrast (72128) | $285.04 | $1,018 | 2.9× |
| CT thoracic spine w/wo cont (72130) | $491.40 | $1,755 | 3.0× |
| CT thorax w/o contrast (71250) | $285.04 | $1,018 | 2.9× |
| CT unlisted procedure (76497) | $150.92 | $539 | 1.8× |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$285.04–$570.08 | $1,018–$2,036 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 2 matching MRF lines |
$491.40–$982.80 | $1,755–$3,510 | varies |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$440.72–$881.44 | $1,574–$3,148 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $497.56 | $1,777 | 3.0× |
| Cta Abdomen (74175) | $497.56 | $1,777 | 3.0× |
| CTA pelvis (72191) | $497.56 | $1,777 | 3.0× |
| Dilation ureters/urethra rs&i (74485) | $1,266.44 | $4,523 | 0.6× |
| Discography Cerv/Thor Spine (72285) | $1,204 | $4,300 | 0.7× |
| Diskography lumbar (72295) | $2,458.12 | $8,779 | 1.3× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) | $150.92 | $539 | 1.5× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $40.60 | $145 | 0.4× |
| Doppler Fetal Mid Cerebral Artery (76821) | $150.92 | $539 | 1.5× |
| Dxa Bone Density Axial (77080) | $103.60 | $370 | 1.1× |
| Dxa bone density study (77085) | $73.08 | $261 | 0.7× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $61.04 | $218 | 0.7× |
| Echo exam of fetal heart (76825) | $100.52 | $359 | 0.2× |
| Echo Guide For Artery Repair (76936) | $156.52 | $559 | 0.8× |
| Esophagram (74220) | $121.52 | $434 | 0.7× |
| Fetal Biophys Profile W/Nst (76818) | $145.88 | $521 | 1.5× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $141.40 | $505 | 1.4× |
| Fetal MRI w/placntl matrnl plvc img sing/1st ges (74712) | $210.56 | $752 | 0.9× |
| Fluoroscopy up to 1 hr (76000) | $122.64 | $438 | 0.5× |
| Follow-Up Angiography (75898) | $231.56 | $827 | 0.1× |
| Foot 2 views (73620) range across 2 matching MRF lines |
$74.48–$148.96 | $266–$532 | varies |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$67.48–$134.96 | $241–$482 | varies |
| Gastric emptying imaging study (78264) | $351.68 | $1,256 | 0.9× |
| Gastric Emptyng Imag Std W/Sm Bwl Transit (78265) | $256.20 | $915 | 0.7× |
| Gated Heart Planar Single (78472) | $428.40 | $1,530 | 1.1× |
| Gated Heart, Multiple (78473) | $238 | $850 | 0.6× |
| Gstrc Emptng Imag Std W/Sm Bwl Col Trnst Mlt Day (78266) | $339.92 | $1,214 | 0.7× |
| Hand 2 views (73120) range across 2 matching MRF lines |
$75.32–$150.64 | $269–$538 | varies |
| Hdr Rdncl Ntrstl/Icav Brchtx (77772) | $536.20 | $1,915 | 0.8× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) | $536.20 | $1,915 | 0.8× |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) | $536.20 | $1,915 | 0.8× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $2,979.20 | $10,640 | 1.0× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $584.64 | $2,088 | 0.2× |
| Hepatobil Syst Image W/Drug (78227) | $462.28 | $1,651 | 0.9× |
| Hepatobiliary System Imaging (78226) | $462.28 | $1,651 | 1.2× |
| Ht Musc Image Planar Mult (78454) | $1,116.92 | $3,989 | 0.9× |
| Ht Muscle Image Spect Sing (78451) | $1,116.92 | $3,989 | 0.9× |
| Hysterosalpingogram (74740) | $337.96 | $1,207 | 1.5× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $70.56 | $252 | 0.9× |
| Infusion Ivp (74410) | $259 | $925 | 1.6× |
| Interstitial radiation source applic complex (77778) | $1,286.88 | $4,596 | 2.0× |
| Joint Survey Single View (77077) | $66.08 | $236 | 0.7× |
| K Flow/Funct Image Multiple (78709) | $460.32 | $1,644 | 0.9× |
| K Flow/Funct Image W/Drug (78708) | $321.16 | $1,147 | 0.6× |
| K Flow/Funct Image W/O Drug (78707) | $472.64 | $1,688 | 0.9× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $122.92 | $439 | 0.3× |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$67.48–$134.96 | $241–$482 | varies |
| Liver & Spleen Imaging Static Only (78215) | $389.76 | $1,392 | 1.0× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $389.76 | $1,392 | 1.0× |
| Liver imaging static only (78201) | $82.32 | $294 | 0.2× |
| Liver imaging w/vascular flow (78202) | $162.96 | $582 | 0.3× |
| Lung perfusion differential (78597) | $258.16 | $922 | 0.7× |
| Lung Ventilat&Perfus Imaging (78582) | $235.48 | $841 | 0.5× |
| Lymph System Imaging (78195) | $1,408.96 | $5,032 | 2.8× |
| Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) | $2,093.50 | $7,476.78 | 0.7× |
| Magnetic Image Jaw Joint (70336) | $705.60 | $2,520 | 3.2× |
| Magnetic Resonance Elastography (76391) | $177.80 | $635 | 0.8× |
| Meckels Divert Exam (78290) | $251.72 | $899 | 0.7× |
| Mra Head W/O & W/Contrast Material (70546) | $817.32 | $2,919 | 2.5× |
| MRA head w/o contrast (70544) | $504 | $1,800 | 2.3× |
| MRA head with contrast (70545) | $450.24 | $1,608 | 1.4× |
| MRA neck w contrast (70548) | $642.32 | $2,294 | 2.0× |
| Mra Neck W/O &W/Contrast Material (70549) | $817.32 | $2,919 | 2.5× |
| MRA neck w/o contrast (70547) | $504 | $1,800 | 2.3× |
| MRI abdomen w contrast (74182) | $534.52 | $1,909 | 1.6× |
| MRI abdomen w/o contrast (74181) | $504 | $1,800 | 2.3× |
| MRI any jt lower extrem w/contrast material (73722) range across 2 matching MRF lines |
$642.32–$1,284.64 | $2,294–$4,588 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$784.28–$1,568.56 | $2,801–$5,602 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 2 matching MRF lines |
$520.52–$1,041.04 | $1,859–$3,718 | varies |
| MRI Breast W/O Contrast Bilateral (77047) | $607.88 | $2,171 | 2.7× |
| MRI cervical spine w contrast (72142) | $642.32 | $2,294 | 2.0× |
| MRI cervical spine w/o cont (72141) | $504 | $1,800 | 2.3× |
| MRI chest w/o contrast (71550) | $370.16 | $1,322 | 1.7× |
| MRI chest wo w contrast (71552) | $784.28 | $2,801 | 2.4× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 2 matching MRF lines |
$642.32–$1,284.64 | $2,294–$4,588 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 2 matching MRF lines |
$784.28–$1,568.56 | $2,801–$5,602 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines |
$504–$1,008 | $1,800–$3,600 | varies |
| MRI lumbar spine w contrast (72149) | $642.32 | $2,294 | 2.0× |
| Mri Neck Spine W/O & W/Dye (72156) | $784.28 | $2,801 | 2.4× |
| MRI orbit face &/neck w/o contrast (70540) | $368.48 | $1,316 | 1.6× |
| MRI orbit face neck w contrast (70542) | $355.04 | $1,268 | 1.1× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $784.28 | $2,801 | 2.4× |
| MRI pelvis w contrast (72196) | $534.52 | $1,909 | 1.6× |
| MRI pelvis w/o & w contrast (72197) | $784.28 | $2,801 | 2.4× |
| MRI pelvis w/o contrast (72195) | $504 | $1,800 | 2.3× |
| MRI thoracic spine w/o contrast (72146) | $504 | $1,800 | 2.3× |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 2 matching MRF lines |
$692.16–$1,384.32 | $2,472–$4,944 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 2 matching MRF lines |
$504–$1,008 | $1,800–$3,600 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) | $784.28 | $2,801 | 2.4× |
| MRI, abdomen, combo (74183) | $784.28 | $2,801 | 2.4× |
| MRI, dorsal spine combo (72157) | $784.28 | $2,801 | 2.4× |
| MRI, dorsal spine contrast (72147) | $642.32 | $2,294 | 2.0× |
| MRI, joint upper extrem (73221) | $504 | $1,800 | 2.3× |
| MRI, joint upper extrem combo (73223) range across 2 matching MRF lines |
$784.28–$1,568.56 | $2,801–$5,602 | varies |
| MRI, lumbar spine combo (72158) | $784.28 | $2,801 | 2.4× |
| Myelogram cervical (72240) | $733.60 | $2,620 | 1.0× |
| Myelogram Lumbar (72265) | $733.60 | $2,620 | 1.0× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $523.60 | $1,870 | 0.4× |
| Myocardial Spect Multiple Studies (78452) | $1,116.92 | $3,989 | 0.9× |
| Myocrd Img Pet Metab Eval Single Study Cncrnt CT (78429) | $1,111.32 | $3,969 | 0.8× |
| Myocrd img PET prfuj 1std rest/stress cncrnt CT (78430) | $1,111.32 | $3,969 | 0.8× |
| Myocrd Img Pet Prfuj Mlt Std Rst&Strs Cncrnt CT (78431) | $1,732.92 | $6,189 | 0.8× |
| Myocrd Img Pet Prfuj W/Metab 2rtracer Cncrnt CT (78433) | $2,117.92 | $7,564 | 1.0× |
| Myocrd Img Pet Prfuj W/Metab Dual Radiotracer (78432) | $2,117.92 | $7,564 | 1.5× |
| Neck soft tissue (70360) | $67.48 | $241 | 0.8× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $255.64 | $913 | 0.7× |
| Nuclear Rx Intra-Arterial (79445) | $329.56 | $1,177 | 1.5× |
| Nuclear Rx Oral Admin (79005) | $182.28 | $651 | 0.8× |
| Ob us nuchal meas 1 gest (76813) | $334.60 | $1,195 | 3.4× |
| Panoramic X-ray of jaws (70355) | $33.04 | $118 | 0.4× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $383.32 | $1,369 | 0.8× |
| Parathyroid Planar Imaging (78070) | $322.56 | $1,152 | 0.9× |
| Parathyroid planar imaging w/wo subtraction (78071) | $383.32 | $1,369 | 1.0× |
| Pelvis 1 or 2 views (72170) | $67.48 | $241 | 0.7× |
| Pet Image Skull-Thigh (78812) | $2,187.92 | $7,814 | 1.6× |
| Pet Image W/Ct Lmtd (78814) | $990.36 | $3,537 | 0.7× |
| PET image w/CT, full body (78816) | $990.36 | $3,537 | 0.7× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $813.40 | $2,905 | 0.6× |
| Pet Imaging Limited Area Chest Head/Neck (78811) | $2,187.92 | $7,814 | 1.8× |
| PET whole body (78813) | $2,187.92 | $7,814 | 1.6× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $584.64 | $2,088 | 0.2× |
| Pulmonary Perfusion Imaging Particulate (78580) | $289.24 | $1,033 | 0.8× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $111.44 | $398 | 1.1× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $337.96 | $1,207 | 0.7× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$67.48–$134.96 | $241–$482 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$67.48–$134.96 | $241–$482 | varies |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$67.48–$134.96 | $241–$482 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $117.32 | $419 | 1.2× |
| Radex fingr minimum 2 views (73140) | $67.48 | $241 | 0.8× |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$67.48–$134.96 | $241–$482 | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$67.48–$134.96 | $241–$482 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 2 matching MRF lines |
$74.20–$148.40 | $265–$530 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $67.48 | $241 | 0.7× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $67.48 | $241 | 0.8× |
| Radex Ribs Unilateral 2 Views (71100) | $66.08 | $236 | 0.8× |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$67.48–$134.96 | $241–$482 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $68.32 | $244 | 0.8× |
| Radex Spine 1 View Specify Level (72020) | $67.48 | $241 | 0.8× |
| Radex Sternum Minimum 2 Views (71120) | $67.48 | $241 | 0.8× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $35.28 | $126 | 0.4× |
| Radex Toe Minimum 2 Views (73660) | $67.48 | $241 | 0.8× |
| Radex upper extremity infant minimum 2 views (73092) range across 2 matching MRF lines |
$66.08–$132.16 | $236–$472 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$67.48–$134.96 | $241–$482 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $147.84 | $528 | 1.5× |
| Radiolog exam mandible compl minimum 4 views (70110) | $104.16 | $372 | 1.1× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $91.56 | $327 | 0.9× |
| Radiologic exam colon double contrast study (74280) | $180.60 | $645 | 1.1× |
| Radiologic exam colon single contrast study (74270) | $127.40 | $455 | 0.8× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $140.56 | $502 | 0.9× |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$66.08–$132.16 | $236–$472 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $66.08 | $236 | 0.7× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $121.52 | $434 | 0.7× |
| Radiologic exam swallow function contrast study (74230) | $127.40 | $455 | 0.8× |
| Radiologic exam upr gi trc double contrast study (74246) | $77.56 | $277 | 0.5× |
| Radiologic examination femur 1 view (73551) | $46.76 | $167 | 0.6× |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$46.76–$93.52 | $167–$334 | varies |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$67.48–$134.96 | $241–$482 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $111.44 | $398 | 1.1× |
| Radiologic examination tibia & fibula 2 views (73590) range across 2 matching MRF lines |
$67.48–$134.96 | $241–$482 | varies |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77768) | $149.52 | $534 | 0.4× |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77767) | $149.52 | $534 | 0.4× |
| Ribs bilateral 3 views (71110) | $66.08 | $236 | 0.7× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $426.44 | $1,523 | 1.1× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $327.04 | $1,168 | 0.9× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $1,213.24 | $4,333 | 2.4× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $698.32 | $2,494 | 1.4× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $698.32 | $2,494 | 1.4× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $979.72 | $3,499 | 0.8× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $979.72 | $3,499 | 0.7× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $979.72 | $3,499 | 0.8× |
| Rp Therapy Intravenous Administration (79101) | $329.56 | $1,177 | 1.5× |
| Scapula (73010) range across 2 matching MRF lines |
$67.48–$134.96 | $241–$482 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $14 | $50 | 0.6× |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$67.48–$134.96 | $241–$482 | varies |
| Shoulder Arthrography (73040) range across 2 matching MRF lines |
$229.88–$459.76 | $821–$1,642 | varies |
| Skull less than 4 views (70250) | $67.48 | $241 | 0.7× |
| Speech evaluation, complex (70371) | $122.64 | $438 | 0.5× |
| Sternoclavicular joints (71130) | $67.48 | $241 | 0.8× |
| Tbs technical calculation only (77091) | $27.44 | $98 | 0.3× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $921.48 | $3,291 | 2.6× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $166.60 | $595 | 1.0× |
| Thoracic spine 2 views (72070) | $66.08 | $236 | 0.7× |
| Thoracolumbar 2 views (72080) | $67.48 | $241 | 0.8× |
| Thyroid Imaging With Vascular Flow (78013) | $178.64 | $638 | 0.5× |
| Thyroid Met Imaging Body (78018) | $231 | $825 | 0.5× |
| Thyroid Uptake Measurement (78012) | $135.80 | $485 | 0.4× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $277.20 | $990 | 0.7× |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$70.56–$141.12 | $252–$504 | varies |
| Ultrasound elastography first target lesion (76982) | $86.80 | $310 | 0.9× |
| Ultrasound Elastography Parenchyma (76981) | $86.80 | $310 | 0.9× |
| Ultrasound Exam Aaa Screen (76706) | $86.80 | $310 | 0.9× |
| Ultrasound trgt dynamic microbubble 1st lesion (76978) | $155.40 | $555 | 0.5× |
| Ultrasound, abdomen limited (76705) | $144.76 | $517 | 1.5× |
| Umbilical-artery Doppler (OB) (76820) | $150.92 | $539 | 1.5× |
| Unlisted Dx Radiographic Procedure (76499) | $184.80 | $660 | 2.3× |
| Unlisted fluoroscopic procedure (76496) | $57.12 | $204 | 0.7× |
| Unlisted Miscellaneous Px Dx Nuclear Medicine (78999) | $210.84 | $753 | 0.6× |
| Unlisted us procedure (76999) | $91.56 | $327 | 1.1× |
| Upper gi w/o kub (74240) | $129.08 | $461 | 0.8× |
| Urethrocystogram voiding (74455) | $163.52 | $584 | 0.7× |
| Urethrocystography retrograde (74450) | $259 | $925 | 1.2× |
| Us breast unilateral complete (76641) range across 2 matching MRF lines |
$70.56–$141.12 | $252–$504 | varies |
| Us chest (76604) | $94.92 | $339 | 1.0× |
| Us complete joint (76881) | $141.40 | $505 | 1.4× |
| Us exam, pelvic, limited (76857) | $24.36 | $87 | 0.2× |
| Us head (76506) | $94.92 | $339 | 1.0× |
| Us kidney transplant (76776) | $206.36 | $737 | 2.1× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $91.56 | $327 | 0.9× |
| Us ob detailed single fetus (76811) | $118.16 | $422 | 0.5× |
| Us ob limited 1 or more fetuses (76815) | $25.48 | $91 | 0.3× |
| Us ob transvaginal (76817) | $91.56 | $327 | 0.9× |
| Us pelvic non ob complete (76856) | $145.88 | $521 | 1.5× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $141.40 | $505 | 1.4× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $91.56 | $327 | 0.9× |
| Us retroperitoneal complete (76770) | $145.88 | $521 | 1.5× |
| Us retroperitoneal limited (76775) | $145.88 | $521 | 1.5× |
| Us scrotum and contents (76870) | $145.88 | $521 | 1.5× |
| Us spinal canal and contents (76800) | $76.72 | $274 | 0.8× |
| Us thyroid (76536) | $146.16 | $522 | 1.5× |
| Vascular Flow Imaging (78445) | $294.56 | $1,052 | 0.8× |
| Vein X-Ray Chest (75827) range across 2 matching MRF lines |
$514.36–$1,056.44 | $1,837–$3,773 | varies |
| Vein X-Ray Liver W/O Hemodyn (75887) | $526.96 | $1,882 | 0.2× |
| Venogram Sinus/Jugular (75860) | $637.28 | $2,276 | 0.2× |
| Venography Adrenal Unilateral (75840) | $1,817.76 | $6,492 | 0.6× |
| Venography caval inferior serialography rs&i (75825) | $2,979.20 | $10,640 | 1.0× |
| Venography extremity bilateral rs&i (75822) | $1,056.44 | $3,773 | 0.7× |
| Venography extremity unilateral rs&i (75820) | $1,056.44 | $3,773 | 0.7× |
| Venography Renal Unilateral (75831) | $1,971.48 | $7,041 | 0.7× |
| Venous sampling by catheter (75893) | $2,979.20 | $10,640 | 0.6× |
| Venous Thrombosis Imaging Venogram Bilateral (78458) | $97.16 | $347 | 0.3× |
| Vertebral fracture assessment via dxa (77086) | $45.64 | $163 | 0.6× |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$67.48–$134.96 | $241–$482 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $66.08 | $236 | 0.8× |
| X-ray antegrade pyelogram tube (74425) | $259 | $925 | 0.8× |
| X-Ray Aorta Leg Arteries (75630) | $2,979.20 | $10,640 | 1.0× |
| X-Ray Bend Only L-S Spine (72120) | $66.08 | $236 | 0.7× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$67.48–$134.96 | $241–$482 | varies |
| X-Ray Exam Breast Specimen (76098) | $473.48 | $1,691 | 0.9× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $46.76 | $167 | 0.6× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $77.56 | $277 | 0.8× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $147.84 | $528 | 1.5× |
| X-Ray Exam Hip Uni 1 View (73501) | $46.76 | $167 | 0.6× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $46.76 | $167 | 0.6× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $77.56 | $277 | 0.8× |
| X-Ray Exam Hips Bi 2 Views (73521) | $77.56 | $277 | 0.8× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $77.56 | $277 | 0.8× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $147.84 | $528 | 1.5× |
| X-Ray Exam L-S Spine Bending (72114) | $104.16 | $372 | 1.1× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $67.48 | $241 | 0.8× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $104.16 | $372 | 1.1× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $104.16 | $372 | 1.1× |
| X-ray eye for foreign body (70030) range across 2 matching MRF lines |
$35.28–$70.56 | $126–$252 | varies |
| X-ray humerus (73060) | $67.48 | $241 | 0.8× |
| X-ray IV pyelogram (ivp) (74400) | $198.24 | $708 | 1.2× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $49 | $175 | 0.6× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $74.48 | $266 | 0.9× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $67.48 | $241 | 0.7× |
| X-ray nose-rectum child f.b. (76010) | $66.08 | $236 | 0.8× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $111.44 | $398 | 1.1× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $67.48 | $241 | 0.7× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $35.56 | $127 | 0.4× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $70.28 | $251 | 0.9× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $104.16 | $372 | 1.3× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $104.16 | $372 | 1.1× |
| X-ray thoracic spine 4 vw (72074) | $66.08 | $236 | 0.7× |
| X-Ray Tmj Unilat (70328) | $334.60 | $1,195 | 4.1× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $259 | $925 | 0.8× |
| X-Rays Bone Length Studies (77073) | $80.36 | $287 | 0.8× |
| X-Rays Bone Survey Complete (77075) | $111.44 | $398 | 1.1× |
| Xr c-spine 4 or 5 views (72050) | $104.16 | $372 | 1.1× |
| Xr facial bones less than 3 views (70140) | $50.96 | $182 | 0.6× |
| Xr orbits complete 4 views (70200) | $104.16 | $372 | 1.1× |
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.