Imaging prices at Ochsner Medical Center - New Orleans

New Orleans, LA · every code in this section with a posted price and a Medicare benchmark.

469 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
3-D radiotherapy plan dose-volume histograms (77295) $1,443.64 $6,562 1.1×
Abdomen 1 View (74018) $36.74 $167 0.4×
Abdomen 2 views (74019) $46.42 $211 0.5×
Acute Gastrointestinal Blood Loss Imaging (78278) $421.74 $1,917 1.1×
Adrenal Cortex & Medulla Img (78075) $430.98 $1,959 0.4×
Angio internal mammary (75756) $944.46 $4,293 0.3×
Angio pulmonary bilat (75743) $944.46 $4,293 0.3×
Angiography extremity bilateral rs&i (75716) $944.46 $4,293 0.3×
Angiography extremity unilateral rs&i (75710) $944.46 $4,293 0.3×
Angiography pulmonary unilateral slctv rs&i (75741) $944.46 $4,293 0.3×
Angrph pulmonary nonslctv cath/ven njx rs&i (75746) $784.74 $3,567 0.3×
Ankle 2 views (73600)
range across 3 matching MRF lines
$11.66–$73.48 $53–$334 varies
Aortography thoracic serialography rs&i (75605)
unusually low: confirm this is the full procedure
$1,574.32 $7,156 0.3×
Artery X-Rays Abdomen (75726)
unusually low: confirm this is the full procedure
$1,574.32 $7,156 0.3×
Artery X-Rays Adrenal Gland (75731) $791.12 $3,596 0.3×
Artery X-Rays Pelvis (75736)
unusually low: confirm this is the full procedure
$1,574.32 $7,156 0.3×
Artery X-Rays Spine (75705)
unusually low: confirm this is the full procedure
$1,574.32 $7,156 0.3×
Arthrogram ankle (73615)
range across 2 matching MRF lines
$121.66–$243.32 $553–$1,106 varies
Arthrogram hip (73525)
range across 2 matching MRF lines
$151.36–$302.72 $688–$1,376 varies
Arthrogram Wrist (73115)
range across 2 matching MRF lines
$121.66–$243.32 $553–$1,106 varies
Basic radiation dosimetry calculation (77300) $79.64 $362 0.6×
Bone age studies (77072) $36.08 $164 0.4×
Bone Imaging 3 Phase (78315) $416.90 $1,895 1.1×
Bone Imaging Limited Area (78300) $212.30 $965 0.6×
Bone Imaging Multiple Areas (78305) $300.08 $1,364 0.8×
Bone Imaging Whole Body (78306) $344.96 $1,568 0.9×
Bone marrow imaging limited area (78102) $187 $850 0.5×
Bone survey infant (77076) $74.36 $338 0.8×
Brachytx isodose complex (77318) $307.56 $1,398 0.9×
Brachytx isodose intermed (77317) $222.64 $1,012 0.6×
Brachytx Isodose Plan Simple (77316) $154.66 $703 0.4×
Brain Flow Imaging Only (78610) $161.70 $735 0.3×
Brain Imaging Min 4 Static Views W Vascular Flow (78606) $366.96 $1,668 0.7×
Brain Imaging Pet Metabolic Evaluation (78608) $1,561.78 $7,099 1.2×
Card Bl Pool Gated Spect Rest Wal Motn Ejct Frct (78494) $506.22 $2,301 1.3×
Cardiac MRI w/w/o contrast & further seq (75561) $930.38 $4,229 2.8×
Cardiac MRI w/w/o contrast w/stress (75563) $927.74 $4,217 1.3×
Cardiac Shunt Detection (78428) $219.34 $997 0.6×
Cat Scan Follow-Up Study (76380) $189.20 $860 2.3×
Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) $339.24 $1,542 0.7×
Cerebrospinal Fluid Scan (78630) $430.76 $1,958 0.8×
Chest 1 view (71045) $33.22 $151 0.4×
Chest 2 views (71046) $45.76 $208 0.6×
Chest 3 views (71047) $45.76 $208 0.6×
Chest 4 or more views (71048) $60.28 $274 0.6×
Cineradiograpy/vidradiograpy xcpt where spec (76120) $91.74 $417 0.9×
Clavicle complete (73000)
range across 2 matching MRF lines
$38.28–$76.56 $174–$348 varies
Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) $89.10 $405 0.9×
Continuing medical physics consltj pr wk (77336) $161.70 $735 1.3×
Contrast Exam Abdominl Aorta (75625) $944.46 $4,293 0.3×
Contrast X-Ray Bladder (74430) $121.66 $553 0.4×
Contrast X-Ray Of Elbow (73085)
range across 2 matching MRF lines
$151.36–$302.72 $688–$1,376 varies
Contrast X-Ray Of Knee Joint (73580)
range across 2 matching MRF lines
$190.96–$381.92 $868–$1,736 varies
Contrast Xray Throat/Cerv Esopha (74210) $96.80 $440 0.6×
Corpora cavernosography (74445) $86.02 $391 0.9×
CT abdomen and pelvis without and with contrast (74178) $894.08 $4,064 2.7×
CT abdomen and pelvis without contrast (74176) $572.22 $2,601 2.6×
CT abdomen w contrast (74160) $503.14 $2,287 3.1×
CT abdomen w wo contrast (74170) $595.76 $2,708 3.6×
CT abdomen w/o contrast (74150) $381.48 $1,734 3.9×
CT Angio Abdomen and Pelvis (74174) $957 $4,350 2.9×
CT Angio Chest (71275) $595.98 $2,709 3.6×
CT Angio Head (70496) $498.52 $2,266 3.0×
CT angio hrt w/3d image (75574) $532.40 $2,420 1.6×
Ct Angio Lwr Extr W/O&W/Dye (73706)
range across 2 matching MRF lines
$596.42–$1,192.84 $2,711–$5,422 varies
CT Angio Neck (70498) $498.52 $2,266 3.0×
Ct Angio Upr Extrm W/O&W/Dye (73206) $596.64 $2,712 3.6×
CT bone density (77078) $144.98 $659 1.8×
CT cervical spine w/ contrast (72126) $503.36 $2,288 1.5×
CT cervical spine w/o contrast (72125) $380.60 $1,730 3.9×
CT cervical spine w/wo cont (72127) $597.30 $2,715 3.6×
CT chest w contrast (71260) $503.36 $2,288 3.1×
CT chest w/wo contrast (71270) $597.30 $2,715 3.6×
CT colonography screening (74263) $1,166.66 $5,303 5.2×
CT Colonogrphy Dx Image Postprocess W/Contrast (74262) $587.40 $2,670 3.6×
CT colonogrphy dx image postprocess w/o contrast (74261) $386.32 $1,756 3.9×
CT head/brain with contrast (70460) $361.24 $1,642 2.2×
CT head/brain without and with contrast (70470) $448.36 $2,038 2.7×
CT heart contrast eval cardiac structure&morph (75572) $352 $1,600 1.1×
CT heart no contrast quant eval coronry calcium (75571) $89.54 $407 1.1×
CT hrt w/3d image congen (75573) $498.30 $2,265 1.5×
CT iac w contrast (70481) $409.20 $1,860 2.5×
CT l-spine w&w/o contrast (72133) $596.20 $2,710 3.6×
CT lower ext w/o (73700)
range across 2 matching MRF lines
$380.16–$760.32 $1,728–$3,456 varies
CT lower extremity w/contrast material (73701)
range across 2 matching MRF lines
$472.12–$944.24 $2,146–$4,292 varies
CT lumbar spine w contrast (72132) $503.36 $2,288 1.5×
CT lumbar spine w/o contrast (72131) $380.60 $1,730 3.9×
CT maxillofacial w contrast (70487) $386.76 $1,758 2.3×
CT maxillofacial wo contrast (70486) $317.68 $1,444 3.2×
CT neck tissue combo (70492) $478.06 $2,173 2.9×
Ct Orbit/Ear/Fossa W/O&W/Dye (70482) $496.54 $2,257 3.0×
CT orbits w/o contrast (70480) $317.24 $1,442 3.2×
CT pelvis w&w/o contrast (72194) $596.20 $2,710 3.6×
CT pelvis w/o contrast (72192) $381.48 $1,734 3.9×
CT scan of leg combo (73702)
range across 2 matching MRF lines
$595.98–$1,191.96 $2,709–$5,418 varies
CT scans face/jaw combo (70488) $482.90 $2,195 2.9×
CT soft tissue neck w contrast (70491) $381.26 $1,733 2.3×
CT soft tissue neck w/o contrast (70490) $314.60 $1,430 3.2×
CT thoracic spine w contrast (72129) $503.36 $2,288 3.1×
CT thoracic spine w/o contrast (72128) $380.60 $1,730 3.9×
CT thoracic spine w/wo cont (72130) $597.30 $2,715 3.6×
CT thorax w/o contrast (71250) $380.60 $1,730 3.9×
CT unlisted procedure (76497) $141.68 $644 1.7×
CT upper ext wo (73200)
range across 2 matching MRF lines
$380.16–$760.32 $1,728–$3,456 varies
CT upper extremity w/o & w/contrast material (73202)
range across 2 matching MRF lines
$595.98–$1,191.96 $2,709–$5,418 varies
CT upper extremity with contrast (73201)
range across 2 matching MRF lines
$470.58–$941.16 $2,139–$4,278 varies
Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) $595.10 $2,705 3.6×
Cta Abdomen (74175) $596.20 $2,710 3.6×
CTA pelvis (72191) $596.20 $2,710 3.6×
Dilation ureters/urethra rs&i (74485) $591.80 $2,690 0.3×
Discography Cerv/Thor Spine (72285) $506.22 $2,301 0.3×
Diskography lumbar (72295) $476.52 $2,166 0.3×
Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) $75.02 $341 0.8×
Doppler Echo Fetal Spectral Display Complete (76827) $118.58 $539 1.2×
Doppler Fetal Mid Cerebral Artery (76821) $126.28 $574 1.3×
Dxa Bone Density Axial (77080) $69.30 $315 0.7×
Dxa bone density study (77085) $69.30 $315 0.7×
Dxa bone density study 1/>sites appendiclr skel (77081) $37.62 $171 0.5×
Echo exam of fetal heart (76825) $159.50 $725 0.3×
Echo exam uterus (76831) $134.64 $612 0.6×
Echo Guide For Artery Repair (76936) $259.60 $1,180 1.3×
Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) $76.12 $346 0.3×
Echograp Trans R Pros Study (76873) $177.76 $808 1.8×
Esophageal Motility Study (78258) $261.58 $1,189 0.7×
Esophagram (74220) $100.32 $456 0.6×
Fetal Biophys Profile W/Nst (76818) $128.04 $582 1.3×
Fetal Biophysical Profile W/O Non-Stress Testing (76819)
range across 4 matching MRF lines
$112.20–$119.46 $510–$543 varies
Fetal MRI w/placntl matrnl plvc img sing/1st ges (74712) $460.68 $2,094 2.1×
Fluoroscopy up to 1 hr (76000) $122.54 $557 0.5×
Follow-Up Angiography (75898) $944.46 $4,293 0.3×
Foot 2 views (73620)
range across 3 matching MRF lines
$8.80–$73.48 $40–$334 varies
Forearm 2 views (73090)
range across 3 matching MRF lines
$8.58–$76.56 $39–$348 varies
Gastric emptying imaging study (78264) $357.06 $1,623 1.0×
Gastric Emptyng Imag Std W/Sm Bwl Transit (78265) $671.88 $3,054 1.8×
Gastroesophageal Reflux Exam (78262) $344.30 $1,565 0.9×
Gated Heart Planar Single (78472) $420.42 $1,911 1.1×
Gated Heart, Multiple (78473) $603.02 $2,741 1.6×
GI Endoscopic US S&I (76975) $117.48 $534 0.5×
Gstrc Emptng Imag Std W/Sm Bwl Col Trnst Mlt Day (78266) $887.92 $4,036 1.7×
Hand 2 views (73120)
range across 3 matching MRF lines
$11–$73.48 $50–$334 varies
Hdr Rdncl Ntrstl/Icav Brchtx (77772) $1,079.54 $4,907 1.7×
Hdr Rdncl Ntrstl/Icav Brchtx (77771) $683.98 $3,109 1.0×
Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) $375.54 $1,707 0.6×
Heart Image (Pet) Multiple (78492) $1,910.70 $8,685 1.4×
Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) $944.46 $4,293 0.3×
Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) $944.46 $4,293 0.3×
Hepatobil Syst Image W/Drug (78227) $848.98 $3,859 1.7×
Hepatobiliary System Imaging (78226) $615.56 $2,798 1.6×
Ht Musc Image Planar Mult (78454) $430.98 $1,959 0.4×
Ht Muscle Image Spect Sing (78451) $430.98 $1,959 0.4×
Hysterosalpingogram (74740) $104.06 $473 0.5×
Infant hip ultrasound with hip movement (dynamic) (76885) $122.98 $559 1.5×
Infant hip ultrasound, limited static exam (76886) $119.24 $542 1.5×
Infusion Ivp (74410) $157.52 $716 1.0×
Interstitial radiation source applic complex (77778) $361.90 $1,645 0.6×
Intracavitary Radiation Source Applic Complex (77763) $329.12 $1,496 0.5×
Intracavitary Radiation Source Applic Intermed (77762) $260.92 $1,186 0.5×
Intracavitary radiation source applic simple (77761) $197.12 $896 0.4×
Joint Survey Single View (77077) $74.58 $339 0.8×
K Flow/Funct Image Multiple (78709) $401.50 $1,825 0.8×
K Flow/Funct Image W/Drug (78708) $310.20 $1,410 0.6×
K Flow/Funct Image W/O Drug (78707) $346.50 $1,575 0.7×
Kidney Funcj Study Non-Img Radioisotopic Study (78725) $124.52 $566 0.3×
Kidney Imaging Morphol (78700) $251.24 $1,142 0.7×
Kidney Imaging Morphoogy W/Vascular Flow (78701) $294.36 $1,338 0.8×
Knee 3 Views (73562)
range across 2 matching MRF lines
$45.76–$91.52 $208–$416 varies
Labeled RBC Sequestration Differntl Organ/Tissue (78140) $274.12 $1,246 0.7×
Leveen/Shunt Patency Exam (78291) $277.64 $1,262 0.7×
Liver & Spleen Imaging Static Only (78215) $247.94 $1,127 0.7×
Liver & Spleen Imaging W/Vascular Flow (78216) $246.62 $1,121 0.7×
Liver imaging static only (78201) $350.02 $1,591 0.7×
Liver imaging w/vascular flow (78202) $350.02 $1,591 0.7×
Lung perfusion differential (78597) $340.78 $1,549 0.9×
Lung Ventilat&Perfus Imaging (78582) $570.02 $2,591 1.1×
Lung Ventilation Imaging (78579) $317.90 $1,445 0.8×
Lymph System Imaging (78195) $377.08 $1,714 0.7×
Lymphangiography Extremity Only Bilateral Rs&I (75803) $344.74 $1,567 0.2×
Lymphangiography extremity only unilateral rs&i (75801) $344.74 $1,567 0.6×
Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) $944.46 $4,293 0.3×
Lymphangiography, pelvic/abdominal, unilateral (75805) $944.46 $4,293 0.3×
Magnetic Image Jaw Joint (70336) $467.72 $2,126 2.1×
Magnetic Resonance Elastography (76391) $439.78 $1,999 2.0×
Mammary ductogram or galactogram multiple (77054) $209.88 $954 0.9×
Mammary ductogram or galactogram single (77053) $161.70 $735 0.7×
Meckels Divert Exam (78290) $316.14 $1,437 0.8×
Mlc imrt design & construction per imrt plan (77338) $415.80 $1,890 1.2×
Mra Head W/O & W/Contrast Material (70546) $829.18 $3,769 2.5×
MRA head w/o contrast (70544) $582.78 $2,649 2.6×
MRA head with contrast (70545) $628.98 $2,859 1.9×
MRA neck w contrast (70548) $628.32 $2,856 1.9×
Mra Neck W/O &W/Contrast Material (70549) $829.18 $3,769 2.5×
MRA neck w/o contrast (70547) $582.78 $2,649 2.6×
MRI abdomen w contrast (74182) $626.78 $2,849 1.9×
MRI abdomen w/o contrast (74181) $581.46 $2,643 2.6×
MRI any jt lower extrem w/contrast material (73722)
range across 2 matching MRF lines
$626.34–$1,252.68 $2,847–$5,694 varies
MRI any jt lower extrem w/o & w/contrast matrl (73723)
range across 2 matching MRF lines
$830.50–$1,661 $3,775–$7,550 varies
MRI any jt upper extremity w/contrast matrl (73222)
range across 2 matching MRF lines
$627.22–$1,254.44 $2,851–$5,702 varies
MRI bone marrow blood supply (77084) $467.50 $2,125 2.1×
MRI brain functional w/o physician admnistration (70554) $826.98 $3,759 3.7×
MRI brain functional w/physician admnistration (70555)
range across 2 matching MRF lines
$439.78–$879.56 $1,999–$3,998 varies
MRI Breast W/O Contrast Bilateral (77047) $439.78 $1,999 2.0×
MRI Breast Without Contrast Material Unilateral (77046) $439.78 $1,999 2.0×
MRI cardiac w/o cont stress (75559) $606.98 $2,759 1.2×
MRI cardiac w/o contrast (75557) $610.72 $2,776 2.7×
MRI cervical spine w contrast (72142) $628.76 $2,858 1.9×
MRI cervical spine w/o cont (72141) $583.22 $2,651 2.6×
MRI chest w/o contrast (71550) $580.58 $2,639 2.6×
MRI chest with contrast (71551) $626.78 $2,849 0.9×
MRI chest wo w contrast (71552) $828.96 $3,768 2.5×
MRI lower extrem oth/thn jt w/contrast matrl (73719)
range across 2 matching MRF lines
$626.34–$1,252.68 $2,847–$5,694 varies
MRI lower extrem oth/thn jt w/o & w/contr matr (73720)
range across 2 matching MRF lines
$831.16–$1,662.32 $3,778–$7,556 varies
MRI lower extrem oth/thn jt w/o contr matrl (73718)
range across 2 matching MRF lines
$580.58–$1,161.16 $2,639–$5,278 varies
MRI lumbar spine w contrast (72149) $628.76 $2,858 1.9×
Mri Neck Spine W/O & W/Dye (72156) $835.12 $3,796 2.6×
MRI orbit face &/neck w/o contrast (70540) $580.58 $2,639 2.6×
MRI orbit face neck w contrast (70542) $626.34 $2,847 1.9×
Mri Orbt/Fac/Nck W/O &W/Dye (70543) $831.16 $3,778 2.5×
MRI pelvis w contrast (72196) $626.78 $2,849 1.9×
MRI pelvis w/o & w contrast (72197) $831.16 $3,778 2.5×
MRI pelvis w/o contrast (72195) $581.46 $2,643 2.6×
MRI spectroscopy (76390) $668.58 $3,039 8.2×
MRI thoracic spine w/o contrast (72146) $582.56 $2,648 2.6×
MRI upper extremity oth than jt w/contr matrl (73219)
range across 2 matching MRF lines
$627–$1,254 $2,850–$5,700 varies
MRI upper extremity oth than jt w/o contr matrl (73218)
range across 2 matching MRF lines
$580.58–$1,161.16 $2,639–$5,278 varies
Mri Uppr Extremity W/O&W/Dye (73220)
range across 2 matching MRF lines
$831.16–$1,662.32 $3,778–$7,556 varies
MRI, abdomen, combo (74183) $831.16 $3,778 2.5×
MRI, dorsal spine combo (72157) $835.34 $3,797 2.6×
MRI, dorsal spine contrast (72147) $629.64 $2,862 1.9×
MRI, joint upper extrem (73221)
range across 2 matching MRF lines
$580.80–$1,161.60 $2,640–$5,280 varies
MRI, joint upper extrem combo (73223)
range across 2 matching MRF lines
$830.50–$1,661 $3,775–$7,550 varies
MRI, lumbar spine combo (72158) $835.12 $3,796 2.6×
Myelogram cervical (72240) $314.16 $1,428 0.4×
Myelogram Lumbar (72265) $275 $1,250 0.4×
Myelography thoracic (72255) $285.12 $1,296 0.4×
Myelograpy 2/more regions rs&i (72270) $315.48 $1,434 0.4×
Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) $225.94 $1,027 0.6×
Myocardial Imaging Pet Metabolic Evaluation (78459) $1,910.70 $8,685 1.6×
Myocardial Perfusion Planar 1 Study Rest/Stress (78453) $430.98 $1,959 0.4×
Myocardial Spect Multiple Studies (78452) $430.98 $1,959 0.4×
Myocrd Img Pet Metab Eval Single Study Cncrnt CT (78429) $2,371.82 $10,781 1.8×
Myocrd img PET prfuj 1std rest/stress cncrnt CT (78430) $1,581.36 $7,188 1.2×
Myocrd Img Pet Prfuj Mlt Std Rst&Strs Cncrnt CT (78431) $2,465.76 $11,208 1.2×
Myocrd Img Pet Prfuj W/Metab 2rtracer Cncrnt CT (78433) $3,013.56 $13,698 1.5×
Myocrd Img Pet Prfuj W/Metab Dual Radiotracer (78432) $3,013.56 $13,698 2.1×
N-invas est c ffr sw aly CTA (75580) $602.80 $2,740 0.7×
Neck soft tissue (70360) $33.22 $151 0.4×
Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) $124.52 $566 0.3×
Nm csf leak detection (78650) $430.98 $1,959 0.4×
Nm myocard infarct spect (78469) $350.02 $1,591 0.7×
Nm whole blood volume (78122) $100.98 $459 0.2×
Nonvascular Shunt X-Ray (75809) $80.96 $368 0.8×
Ntsty modul radthx pln dose-vol histos (77301) $2,170.08 $9,864 1.7×
Nuclear Rx Intra-Arterial (79445) $195.80 $890 0.9×
Nuclear Rx Oral Admin (79005) $174.46 $793 0.8×
Ob us nuchal meas 1 gest (76813) $135.96 $618 1.4×
Oph bmtry us echograpy a-scan io lens pwr cal (76519)
range across 2 matching MRF lines
$45.10–$90.20 $205–$410 varies
Oph us dx ant sgm us immersion b-scan/hr biom (76513)
range across 2 matching MRF lines
$24.64–$49.28 $112–$224 varies
Oph US Dx B-Scan&Quan a-Scan Sm Pt Enctr (76510)
range across 2 matching MRF lines
$63.80–$127.60 $290–$580 varies
Ophthalmic Ultrasonic Foreign Body Localization (76529)
range across 4 matching MRF lines
$84.92–$169.84 $386–$772 varies
Ophthalmic ultrasound dx b-scan w/wo a-scan (76512)
range across 2 matching MRF lines
$56.76–$113.52 $258–$516 varies
Ophthalmic US Dx Corneal Pachymetry Uni/Bi (76514) $6.38 $29 0.2×
Ophthalmic us dx quantitative a-scan only (76511)
range across 2 matching MRF lines
$43.78–$87.56 $199–$398 varies
Panoramic X-ray of jaws (70355) $38.72 $176 0.5×
Parathyroid imaging w/tomographic spect & CT (78072) $980.10 $4,455 1.9×
Parathyroid Planar Imaging (78070) $290.84 $1,322 0.8×
Parathyroid planar imaging w/wo subtraction (78071) $708.40 $3,220 1.9×
Pelvis 1 or 2 views (72170) $37.62 $171 0.4×
Perineogram (74775) $111.32 $506 0.5×
Pet Image Skull-Thigh (78812) $1,719.08 $7,814 1.3×
Pet Image W/Ct Lmtd (78814) $1,699.06 $7,723 1.3×
PET image w/CT, full body (78816) $1,699.06 $7,723 1.3×
PET imaging CT attenuation skull base mid-thigh (78815) $1,699.06 $7,723 1.3×
Pet Imaging Limited Area Chest Head/Neck (78811) $1,719.08 $7,814 1.4×
Pet Myocardial Sngl Study (78491) $1,910.70 $8,685 1.4×
PET whole body (78813) $1,719.08 $7,814 1.3×
Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) $944.46 $4,293 0.3×
Pulmonary Perfusion Imaging Particulate (78580) $282.26 $1,283 0.8×
Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) $58.08 $264 0.6×
Radex abscess/fistula/sinus tract rs&i (76080) $159.50 $725 0.3×
Radex Ankle Complete Minimum 3 Views (73610)
range across 3 matching MRF lines
$12.98–$82.28 $59–$374 varies
Radex Calcaneus Minimum 2 Views (73650)
range across 2 matching MRF lines
$36.08–$72.16 $164–$328 varies
Radex elbow complete minimum 3 views (73080)
range across 3 matching MRF lines
$11.22–$92.84 $51–$422 varies
Radex Facial Bones Complete Minimum 3 Views (70150) $59.40 $270 0.6×
Radex fingr minimum 2 views (73140)
range across 3 matching MRF lines
$11.66–$70.84 $53–$322 varies
Radex foot complete minimum 3 views (73630)
range across 3 matching MRF lines
$12.10–$80.96 $55–$368 varies
Radex Hand Minimum 3 Views (73130)
range across 3 matching MRF lines
$10.56–$80.96 $48–$368 varies
Radex lower extremity infant minimum 2 views (73592)
range across 2 matching MRF lines
$37.62–$75.24 $171–$342 varies
Radex Mastoids Compl Minimum 3 Views PR Side (70130)
range across 2 matching MRF lines
$64.46–$128.92 $293–$586 varies
Radex Nasal Bones Complete Minimum 3 Views (70160) $40.48 $184 0.5×
Radex Ribs Unilateral 2 Views (71100) $43.56 $198 0.5×
Radex shoulder complete minimum 2 views (73030)
range across 2 matching MRF lines
$42.90–$85.80 $195–$390 varies
Radex Sinuses Paransl < 3 Views (70210) $45.76 $208 0.6×
Radex Spine 1 View Specify Level (72020) $31.24 $142 0.4×
Radex Sternum Minimum 2 Views (71120) $47.96 $218 0.6×
Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) $65.12 $296 0.8×
Radex Toe Minimum 2 Views (73660)
range across 2 matching MRF lines
$34.76–$69.52 $158–$316 varies
Radex upper extremity infant minimum 2 views (73092)
range across 2 matching MRF lines
$37.62–$75.24 $171–$342 varies
Radex Wrist Complete Minimum 3 Views (73110)
range across 3 matching MRF lines
$14.96–$84.92 $68–$386 varies
Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) $122.10 $555 1.2×
Radiation Delivery Stereotactic Cranial Linear (77372) $25,294.06 $114,973 3.7×
Radiation treatment delivery level 1 (77402) $149.16 $678 1.6×
Radiation treatment delivery level 2 (77407) $183.26 $833 0.5×
Radiation treatment delivery level 3 (77412) $297 $1,350 0.6×
Radiolog exam mandible compl minimum 4 views (70110) $49.28 $224 0.5×
Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) $48.62 $221 0.5×
Radiologic exam colon double contrast study (74280) $208.56 $948 1.3×
Radiologic exam colon single contrast study (74270) $157.52 $716 1.0×
Radiologic Exam Esophagus Double Contrast Study (74221) $160.60 $730 1.0×
Radiologic exam knee complete 4/more views (73564)
range across 2 matching MRF lines
$50.82–$101.64 $231–$462 varies
Radiologic exam pelvis compl minimum 3 views (72190) $52.80 $240 0.5×
Radiologic Exam Small Int Single Contrast Study (74250) $115.50 $525 0.7×
Radiologic exam swallow function contrast study (74230) $106.26 $483 0.6×
Radiologic exam upr gi trc double contrast study (74246) $140.36 $638 0.9×
Radiologic examination femur 1 view (73551)
range across 2 matching MRF lines
$39.38–$78.76 $179–$358 varies
Radiologic examination femur minimum 2 views (73552)
range across 2 matching MRF lines
$46.64–$93.28 $212–$424 varies
Radiologic examination knee 1/2 views (73560)
range across 2 matching MRF lines
$38.94–$77.88 $177–$354 varies
Radiologic Examination Osseous Survey Limited (77074) $80.30 $365 0.8×
Radiologic examination tibia & fibula 2 views (73590)
range across 2 matching MRF lines
$38.28–$76.56 $174–$348 varies
Radiologic examination, internal auditory meati, complete Non-Facility (70134) $159.50 $725 0.3×
Radiopharm Dacryocystography (78660) $193.38 $879 0.5×
Red Cell Volume Determination Spx 1 Sampling (78120) $124.52 $566 0.3×
Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77768) $477.18 $2,169 1.3×
Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77767) $290.40 $1,320 0.8×
Renal Cyst Study (74470) $95.48 $434 0.2×
Ribs bilateral 3 views (71110) $58.08 $264 0.6×
Rp loclzj tum plnr 1 area single day imaging (78800) $267.08 $1,214 0.7×
Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) $344.30 $1,565 0.9×
Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) $725.78 $3,299 1.4×
Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) $430.98 $1,959 0.8×
Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) $430.98 $1,959 0.8×
Rp loclzj tum spect 2 area/sep acquisj img (78831) $1,385.12 $6,296 1.1×
Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) $1,828.42 $8,311 1.4×
Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) $932.80 $4,240 0.8×
Rp Ther Radiolbld Monoclonal Antibody IV Infus (79403) $278.52 $1,266 1.3×
Rp Therapy Intravenous Administration (79101) $177.32 $806 0.8×
Salivary Gland Function Study (78232) $249.26 $1,133 0.7×
Scapula (73010)
range across 2 matching MRF lines
$38.94–$77.88 $177–$354 varies
Screening Digital Breast Tomosynthesis Bi (77063) $21.56 $98 0.9×
Sella turcica (70240) $33.88 $154 0.4×
Shoulder 1 view (73020)
range across 2 matching MRF lines
$33.88–$67.76 $154–$308 varies
Shoulder Arthrography (73040)
range across 2 matching MRF lines
$157.74–$315.48 $717–$1,434 varies
Sialogram (70390) $142.56 $648 0.6×
Skull less than 4 views (70250) $47.96 $218 0.5×
Special dosimetry (77331) $42.02 $191 0.3×
Special Physics Consult (77370) $214.28 $974 1.7×
Special teletherapy port plan (77321) $213.62 $971 0.6×
Special treatment procedure (77470) $559.24 $2,542 1.1×
Speech evaluation, complex (70371) $144.10 $655 0.6×
Spleen Imaging (78185) $223.52 $1,016 0.6×
Srs Multisource (77371) $4,032.60 $18,330 0.6×
Stereotactic Body Radiation Delivery (77373) $2,558.16 $11,628 1.5×
Sternoclavicular joints (71130) $53.68 $244 0.7×
Superior sagittal sinus venogram (75870) $771.76 $3,508 0.3×
Surface Applic Low Dose Rate Radionuclide Source (77789) $46.86 $213 0.5×
Tbs technical calculation only (77091) $23.98 $109 0.3×
Telethx isodose pln cplx w/basic dosimetry (77307) $152.46 $693 0.4×
Telethx isodose pln smpl w/dosimetry calculation (77306) $100.98 $459 0.3×
Testicular Imaging W/Flow (78761) $264.88 $1,204 0.7×
Ther Rad Simulaj-Aided Field Setting Complex (77290) $508.64 $2,312 1.4×
Ther Rad Simulaj-Aided Field Setting Intermed (77285) $385.44 $1,752 1.1×
Ther rad simulaj-aided field setting simple (77280) $231 $1,050 1.8×
Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) $177.10 $805 1.1×
Thoracic spine 2 views (72070) $47.96 $218 0.5×
Thoracic spine 3 views (72072) $55.22 $251 0.6×
Thoracolumbar 2 views (72080) $49.94 $227 0.6×
Thyroid Carcinoma Metastases Img Lmtd Area (78015) $238.04 $1,082 0.6×
Thyroid Imaging With Vascular Flow (78013) $445.72 $2,026 1.2×
Thyroid Met Imaging Body (78018) $444.62 $2,021 0.9×
Thyroid Uptake Measurement (78012) $171.38 $779 0.5×
Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) $508.42 $2,311 1.4×
Tx Devices Design & Construction Complex (77334) $192.28 $874 0.5×
Tx devices design & construction intermediate (77333) $96.14 $437 0.8×
Tx devices design & construction simple (77332) $85.58 $389 0.7×
Ultrasound Breast Limited (76642)
range across 4 matching MRF lines
$93.94–$187.88 $427–$854 varies
Ultrasound elastography first target lesion (76982) $163.46 $743 1.7×
Ultrasound Elastography Parenchyma (76981) $169.84 $772 1.7×
Ultrasound Exam Aaa Screen (76706) $135.74 $617 1.4×
Ultrasound trgt dynamic microbubble 1st lesion (76978) $266.64 $1,212 0.8×
Ultrasound, abdomen limited (76705) $119.90 $545 1.2×
Umbilical-artery Doppler (OB) (76820) $104.28 $474 1.1×
Unlisted Dx Radiographic Procedure (76499) $64.90 $295 0.8×
Unlisted fluoroscopic procedure (76496)
range across 6 matching MRF lines
$70.62–$1,731.40 $321–$7,870 varies
Unlisted magnetic resonance procedure (76498)
range across 4 matching MRF lines
$260.92–$635.58 $1,186–$2,889 varies
Unlisted Miscellaneous Px Dx Nuclear Medicine (78999) $56.76 $258 0.2×
Unlisted Procedure Clinical Brachytherapy (77799) $690.14 $3,137 7.2×
Unlisted us procedure (76999) $88.44 $402 1.1×
Upper gi w/o kub (74240) $119.90 $545 0.7×
Urea Breath Test C-14 Isotopic Acquisj Analysis (78267) $22.88 $104 2.1×
Urethrocystogram voiding (74455) $128.92 $586 0.6×
Urethrocystography retrograde (74450) $111.32 $506 0.5×
Us breast unilateral complete (76641)
range across 4 matching MRF lines
$93.94–$187.88 $427–$854 varies
Us chest (76604) $104.06 $473 1.1×
Us complete joint (76881) $182.16 $828 1.9×
Us exam, pelvic, limited (76857) $121.66 $553 1.2×
Us head (76506) $122.76 $558 1.3×
Us kidney transplant (76776) $168.30 $765 1.7×
Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882)
range across 3 matching MRF lines
$36.08–$62.04 $164–$282 varies
Us ob detailed single fetus (76811) $270.82 $1,231 1.2×
Us ob limited 1 or more fetuses (76815) $110.66 $503 1.1×
Us ob transvaginal (76817) $117.48 $534 1.2×
Us pelvic non ob complete (76856) $134.64 $612 1.4×
Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) $160.60 $730 1.6×
Us preg uterus real time f/u trnsabdl per fetus (76816) $102.52 $466 1.0×
Us retroperitoneal complete (76770) $161.04 $732 1.6×
Us retroperitoneal limited (76775) $119.90 $545 1.2×
Us scrotum and contents (76870) $134.64 $612 1.4×
Us spinal canal and contents (76800) $118.58 $539 1.2×
Us thyroid (76536) $125.62 $571 1.3×
Us transrectal (76872) $172.26 $783 1.8×
Vascular Flow Imaging (78445) $183.92 $836 0.5×
Vein X-Ray Chest (75827) $776.16 $3,528 0.5×
Vein X-Ray Liver W/O Hemodyn (75887) $780.34 $3,547 0.3×
Vein X-Ray Spleen/Liver (75810) $959.42 $4,361 0.3×
Venogram Sinus/Jugular (75860) $944.46 $4,293 0.3×
Venography Adrenal Unilateral (75840) $1,428.24 $6,492 0.5×
Venography caval inferior serialography rs&i (75825) $944.46 $4,293 0.3×
Venography extremity bilateral rs&i (75822) $464.20 $2,110 0.3×
Venography extremity unilateral rs&i (75820) $464.20 $2,110 0.3×
Venography Orbital Rs&I (75880) $178.86 $813 0.3×
Venography Renal Bilateral (75833) $944.46 $4,293 0.3×
Venography Renal Unilateral (75831) $944.46 $4,293 0.3×
Venous sampling by catheter (75893)
unusually low: confirm this is the full procedure
$1,574.32 $7,156 0.3×
Venous Thrombosis Imaging Venogram Bilateral (78458) $298.10 $1,355 0.8×
Vertebral fracture assessment via dxa (77086) $50.82 $231 0.6×
Wrist 2 views (73100)
range across 3 matching MRF lines
$10.12–$75.24 $46–$342 varies
X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) $50.82 $231 0.6×
X-ray antegrade pyelogram tube (74425) $121.66 $553 0.4×
X-Ray Aorta Leg Arteries (75630) $944.46 $4,293 0.3×
X-Ray Bend Only L-S Spine (72120) $70.40 $320 0.7×
X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070)
range across 2 matching MRF lines
$38.28–$76.56 $174–$348 varies
X-Ray Exam Breast Specimen (76098) $159.50 $725 0.3×
X-Ray Exam Entire Spi 1 Vw (72081) $51.70 $235 0.6×
X-Ray Exam Entire Spi 2/3 Vw (72082) $93.72 $426 1.0×
X-Ray Exam Entire Spi 4/5 Vw (72083) $101.64 $462 1.0×
X-Ray Exam Hip Uni 1 View (73501) $41.58 $189 0.5×
X-Ray Exam Hip Uni 2-3 Views (73502) $61.16 $278 0.7×
X-Ray Exam Hip Uni 4/> Views (73503) $75.68 $344 0.8×
X-Ray Exam Hips Bi 2 Views (73521) $57.42 $261 0.6×
X-Ray Exam Hips Bi 3-4 Views (73522) $68.42 $311 0.7×
X-Ray Exam Hips Bi 5/> Views (73523) $82.06 $373 0.8×
X-Ray Exam L-S Spine Bending (72114) $93.94 $427 1.0×
X-Ray Exam Neck Spine 2-3 Vw (72040) $47.96 $218 0.6×
X-Ray Exam Neck Spine 6/>Vws (72052) $87.56 $398 0.9×
X-Ray Exam Unilat Ribs/Chest (71101) $50.82 $231 0.5×
X-ray eye for foreign body (70030)
range across 2 matching MRF lines
$33.88–$67.76 $154–$308 varies
X-ray humerus (73060) $42.90 $195 0.5×
X-ray IV pyelogram (ivp) (74400) $141.24 $642 0.9×
X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) $39.60 $180 0.5×
X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) $38.28 $174 0.5×
X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) $52.14 $237 0.5×
X-ray nose-rectum child f.b. (76010) $38.28 $174 0.5×
X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) $69.74 $317 0.7×
X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) $48.62 $221 0.5×
X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) $38.94 $177 0.4×
X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) $42.90 $195 0.5×
X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) $57.42 $261 0.7×
X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) $66 $300 0.7×
X-Ray Stress View (77071) $62.26 $283 0.8×
X-ray thoracic spine 4 vw (72074) $68.86 $313 0.7×
X-Ray Tmj Unilat (70328) $37.62 $171 0.5×
X-Ray Urinary Tract Exam With Contrast Material (74420) $200.20 $910 0.6×
X-Rays Bone Length Studies (77073) $55.88 $254 0.6×
X-Rays Bone Survey Complete (77075) $119.90 $545 1.2×
Xr c-spine 4 or 5 views (72050) $69.74 $317 0.7×
Xr facial bones less than 3 views (70140) $45.10 $205 0.6×
XR Mastoids < 3 Views Bilateral (70120)
range across 2 matching MRF lines
$47.96–$95.92 $218–$436 varies
Xr myelogram posterior fossa (70010) $306.24 $1,392 0.9×
Xr orbits complete 4 views (70200) $59.40 $270 0.6×
Xr Tomogram Single Plane (76100) $130.46 $593 1.3×

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.