Imaging prices at Ochsner Rush Medical Center
Meridian, MS · every code in this section with a posted price and a Medicare benchmark.
297 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 3-D radiotherapy plan dose-volume histograms (77295) range across 3 matching MRF lines |
$222.60–$759.50 | $636–$2,170 | varies |
| Abdomen 1 View (74018) range across 6 matching MRF lines |
$14–$64.59 | $40–$208.37 | varies |
| Abdomen 2 views (74019) range across 4 matching MRF lines |
$20.15–$78.27 | $65–$252.47 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $410.82 | $1,325.21 | 1.2× |
| Angio pulmonary bilat (75743) | $1,896.20 | $6,116.78 | 0.7× |
| Angiography extremity bilateral rs&i (75716) | $835.64 | $2,695.61 | 0.3× |
| Angiography extremity unilateral rs&i (75710) | $835.64 | $2,695.61 | 0.3× |
| Ankle 2 views (73600) range across 6 matching MRF lines |
$16.45–$92.38 | $47–$298 | varies |
| Aortography thoracic serialography rs&i (75605) range across 4 matching MRF lines |
$73.50–$489.65 | $210–$1,399 | varies |
| Arthrogram hip (73525) | $199.26 | $642.76 | 0.6× |
| Arthrogram Wrist (73115) | $261.28 | $842.83 | 0.8× |
| Basic radiation dosimetry calculation (77300) range across 4 matching MRF lines |
$21.39–$184.22 | $69–$594.25 | varies |
| Bone age studies (77072) range across 5 matching MRF lines |
$18.20–$52.15 | $52–$149 | varies |
| Bone Imaging 3 Phase (78315) | $371.17 | $1,197.32 | 1.1× |
| Bone Imaging Whole Body (78306) | $341.43 | $1,101.40 | 1.0× |
| Bone survey infant (77076) | $86.13 | $277.83 | 0.9× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $371.17 | $1,197.32 | 0.8× |
| Cat Scan Follow-Up Study (76380) | $327.76 | $1,057.30 | 4.3× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) range across 3 matching MRF lines |
$23.10–$93.45 | $66–$267 | varies |
| Chest 1 view (71045) range across 5 matching MRF lines |
$16.43–$73.24 | $47–$236.25 | varies |
| Chest 2 views (71046) range across 6 matching MRF lines |
$15.19–$73.24 | $49–$236.25 | varies |
| Clavicle complete (73000) range across 6 matching MRF lines |
$16.80–$97.96 | $48–$316 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 2 matching MRF lines |
$115.85–$325.50 | $331–$1,050 | varies |
| Continuing medical physics consltj pr wk (77336) | $81.20 | $232 | 0.7× |
| Contrast Exam Abdominl Aorta (75625) | $878.85 | $2,835 | 0.3× |
| Contrast X-Ray Bladder (74430) range across 5 matching MRF lines |
$17.50–$167.47 | $50–$540.23 | varies |
| Contrast X-Ray Of Elbow (73085) | $199.26 | $642.76 | 0.6× |
| Contrast X-Ray Of Knee Joint (73580) range across 2 matching MRF lines |
$199.26–$398.66 | $642.76–$1,286 | varies |
| Contrast Xray Throat/Cerv Esopha (74210) | $155.62 | $502 | 1.0× |
| CT abdomen and pelvis without and with contrast (74178) | $716.10 | $2,310 | 2.3× |
| CT abdomen and pelvis without contrast (74176) | $415.01 | $1,338.75 | 2.0× |
| CT abdomen w contrast (74160) | $501.38 | $1,617.37 | 3.2× |
| CT abdomen w wo contrast (74170) | $597.76 | $1,928.27 | 3.9× |
| CT abdomen w/o contrast (74150) | $325.50 | $1,050 | 3.5× |
| CT Angio Abdomen and Pelvis (74174) | $534.75 | $1,725 | 1.7× |
| CT Angio Chest (71275) | $501.38 | $1,617.37 | 3.2× |
| CT Angio Head (70496) | $501.38 | $1,617.37 | 3.2× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
$501.58–$1,003.16 | $1,618–$3,236 | varies |
| CT Angio Neck (70498) | $501.38 | $1,617.37 | 3.2× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $501.38 | $1,617.37 | 3.2× |
| CT cervical spine w/ contrast (72126) | $600.16 | $1,935.99 | 1.9× |
| CT cervical spine w/o contrast (72125) | $385.52 | $1,243.62 | 4.2× |
| CT cervical spine w/wo cont (72127) | $730.03 | $2,354.94 | 4.7× |
| CT chest w contrast (71260) | $596.40 | $1,923.86 | 3.9× |
| CT chest w/wo contrast (71270) | $654.16 | $2,110.19 | 4.2× |
| CT head/brain with contrast (70460) | $183.21 | $591 | 1.2× |
| CT head/brain without and with contrast (70470) | $614.51 | $1,982.30 | 4.0× |
| CT iac w contrast (70481) | $523.26 | $1,687.93 | 3.4× |
| CT l-spine w&w/o contrast (72133) | $730.03 | $2,354.94 | 4.7× |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$325.50–$651 | $1,050–$2,100 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$523.28–$1,046.56 | $1,688–$3,376 | varies |
| CT lumbar spine w contrast (72132) | $600.16 | $1,935.99 | 1.9× |
| CT lumbar spine w/o contrast (72131) | $385.52 | $1,243.62 | 4.2× |
| CT maxillofacial w contrast (70487) | $523.26 | $1,687.93 | 3.4× |
| CT maxillofacial wo contrast (70486) range across 5 matching MRF lines |
$70.35–$444.65 | $201–$1,434.35 | varies |
| CT neck tissue combo (70492) | $654.16 | $2,110.19 | 4.2× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $654.16 | $2,110.19 | 4.2× |
| CT orbits w/o contrast (70480) | $325.50 | $1,050 | 3.5× |
| CT pelvis w&w/o contrast (72194) | $614.51 | $1,982.30 | 4.0× |
| CT pelvis w/o contrast (72192) | $325.50 | $1,050 | 3.5× |
| CT scan of leg combo (73702) range across 2 matching MRF lines |
$654.41–$1,308.82 | $2,111–$4,222 | varies |
| CT scans face/jaw combo (70488) | $261.95 | $845 | 1.7× |
| CT soft tissue neck w contrast (70491) | $523.26 | $1,687.93 | 3.4× |
| CT soft tissue neck w/o contrast (70490) | $325.50 | $1,050 | 3.5× |
| CT thoracic spine w contrast (72129) | $600.16 | $1,935.99 | 3.9× |
| CT thoracic spine w/o contrast (72128) | $398.74 | $1,286.25 | 4.3× |
| CT thoracic spine w/wo cont (72130) | $730.03 | $2,354.94 | 4.7× |
| CT thorax w/o contrast (71250) | $325.50 | $1,050 | 3.5× |
| CT upper ext wo (73200) range across 6 matching MRF lines |
$58.10–$616.28 | $166–$1,988 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 2 matching MRF lines |
$159.34–$318.68 | $514–$1,028 | varies |
| CT upper extremity with contrast (73201) range across 6 matching MRF lines |
$66.68–$1,046.56 | $190.50–$3,376 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $561.49 | $1,811.25 | 3.6× |
| Cta Abdomen (74175) | $496 | $1,600 | 3.2× |
| CTA pelvis (72191) | $614.73 | $1,983 | 4.0× |
| Discography Cerv/Thor Spine (72285) | $1,316.40 | $4,246.45 | 0.8× |
| Diskography lumbar (72295) | $724.89 | $2,338.35 | 0.4× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) range across 3 matching MRF lines |
$27.30–$40.60 | $78–$116 | varies |
| Doppler Echo Fetal Spectral Display Complete (76827) range across 3 matching MRF lines |
$36.75–$54.95 | $105–$157 | varies |
| Dxa Bone Density Axial (77080) | $193.79 | $625.12 | 2.1× |
| Dxa bone density study (77085) range across 3 matching MRF lines |
$40.60–$193.79 | $116–$625.12 | varies |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $70.68 | $228 | 0.9× |
| Echo exam of fetal heart (76825) range across 3 matching MRF lines |
$63.35–$90.65 | $181–$259 | varies |
| Echo Guide For Artery Repair (76936) | $335.28 | $1,081.55 | 1.8× |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) range across 3 matching MRF lines |
$38.13–$52.50 | $123–$150 | varies |
| Echograp Trans R Pros Study (76873) range across 3 matching MRF lines |
$50.84–$59.85 | $164–$171 | varies |
| Esophagram (74220) range across 4 matching MRF lines |
$24.50–$170.21 | $70–$549.05 | varies |
| Fetal Biophys Profile W/Nst (76818) range across 5 matching MRF lines |
$40.25–$96.25 | $115–$275 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 5 matching MRF lines |
$49.29–$112.70 | $159–$322 | varies |
| Fluoroscopy up to 1 hr (76000) range across 5 matching MRF lines |
$26.25–$129.87 | $75–$418.95 | varies |
| Foot 2 views (73620) range across 6 matching MRF lines |
$16.45–$92.38 | $47–$298 | varies |
| Forearm 2 views (73090) range across 6 matching MRF lines |
$11.55–$104.16 | $33–$336 | varies |
| Gastric emptying imaging study (78264) | $337.67 | $1,089.27 | 1.0× |
| Gated Heart Planar Single (78472) range across 5 matching MRF lines |
$87.85–$455.70 | $251–$1,470 | varies |
| Hand 2 views (73120) range across 6 matching MRF lines |
$11.20–$88.04 | $32–$284 | varies |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $897.16 | $2,894.06 | 0.3× |
| Hepatobil Syst Image W/Drug (78227) | $401.68 | $1,295.73 | 0.8× |
| Hepatobiliary System Imaging (78226) | $401.68 | $1,295.73 | 1.1× |
| Hysterosalpingogram (74740) | $164.39 | $530.30 | 0.8× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $62.89 | $202.86 | 0.8× |
| Infant hip ultrasound, limited static exam (76886) | $58.90 | $190 | 0.8× |
| Infusion Ivp (74410) | $366.38 | $1,181.88 | 2.4× |
| K Flow/Funct Image Multiple (78709) | $477.80 | $1,541.30 | 1.0× |
| K Flow/Funct Image W/Drug (78708) | $399.28 | $1,288 | 0.8× |
| K Flow/Funct Image W/O Drug (78707) | $426.25 | $1,375 | 0.9× |
| Kidney Funcj Study Non-Img Radioisotopic Study (78725) | $410.47 | $1,324.10 | 1.2× |
| Knee 3 Views (73562) range across 6 matching MRF lines |
$15.05–$153.14 | $43–$494 | varies |
| Leveen/Shunt Patency Exam (78291) | $154.69 | $499 | 0.4× |
| Lung Ventilat&Perfus Imaging (78582) | $262.49 | $846.75 | 0.5× |
| Lymph System Imaging (78195) | $325.50 | $1,050 | 0.7× |
| Lymphangiography, pelvic/abdominal, unilateral (75805) range across 3 matching MRF lines |
$74.20–$421.05 | $212–$1,203 | varies |
| Magnetic Image Jaw Joint (70336) | $226.61 | $731 | 1.1× |
| Meckels Divert Exam (78290) | $217.71 | $702.29 | 0.6× |
| Mlc imrt design & construction per imrt plan (77338) | $136.71 | $441 | 0.4× |
| Mra Head W/O & W/Contrast Material (70546) | $779.59 | $2,514.80 | 2.5× |
| MRA head w/o contrast (70544) | $671.93 | $2,167.52 | 3.2× |
| Mra Neck W/O &W/Contrast Material (70549) | $981.24 | $3,165.28 | 3.2× |
| MRA neck w/o contrast (70547) | $551.97 | $1,780.54 | 2.6× |
| MRI abdomen w/o contrast (74181) | $673.13 | $2,171.40 | 3.2× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$642.63–$1,285.26 | $2,073–$4,146 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 2 matching MRF lines |
$533.85–$1,067.64 | $1,722.11–$3,444 | varies |
| MRI Breast W/O Contrast Bilateral (77047) | $1,463.82 | $4,722.01 | 6.9× |
| MRI cervical spine w contrast (72142) | $363.32 | $1,172 | 1.2× |
| MRI cervical spine w/o cont (72141) range across 5 matching MRF lines |
$123.90–$619.15 | $354–$1,769 | varies |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 2 matching MRF lines |
$511.64–$1,023 | $1,650.44–$3,300 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $614.17 | $1,981.19 | 2.0× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 6 matching MRF lines |
$108.15–$952.94 | $309–$3,074 | varies |
| MRI lumbar spine w contrast (72149) | $359.29 | $1,159 | 1.2× |
| Mri Neck Spine W/O & W/Dye (72156) | $754.30 | $2,433.22 | 2.4× |
| MRI orbit face &/neck w/o contrast (70540) | $681.92 | $2,199.75 | 3.2× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $902.97 | $2,912.81 | 2.9× |
| MRI pelvis w contrast (72196) range across 4 matching MRF lines |
$145.95–$728.70 | $417–$2,082 | varies |
| MRI pelvis w/o & w contrast (72197) | $781.98 | $2,522.52 | 2.5× |
| MRI pelvis w/o contrast (72195) | $566.32 | $1,826.84 | 2.7× |
| MRI thoracic spine w/o contrast (72146) | $596.40 | $1,923.86 | 2.8× |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 2 matching MRF lines |
$476.44–$952.88 | $1,536.89–$3,073.80 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) | $571.79 | $1,844.48 | 1.9× |
| MRI, abdomen, combo (74183) | $928.95 | $2,996.60 | 3.0× |
| MRI, dorsal spine combo (72157) | $822.99 | $2,654.82 | 2.7× |
| MRI, dorsal spine contrast (72147) | $685.60 | $2,211.62 | 2.2× |
| MRI, joint upper extrem (73221) range across 6 matching MRF lines |
$105.35–$928.95 | $301–$2,996.60 | varies |
| MRI, joint upper extrem combo (73223) range across 2 matching MRF lines |
$641.70–$1,283.40 | $2,070–$4,140 | varies |
| MRI, lumbar spine combo (72158) | $781.98 | $2,522.52 | 2.5× |
| Myocardial Spect Multiple Studies (78452) range across 3 matching MRF lines |
$64.75–$683.55 | $185–$2,205 | varies |
| Neck soft tissue (70360) | $48.82 | $157.50 | 0.6× |
| Ntsty modul radthx pln dose-vol histos (77301) | $605.54 | $1,953.37 | 0.5× |
| Nuclear Rx Oral Admin (79005) range across 2 matching MRF lines |
$70–$109.12 | $200–$352 | varies |
| Ob us nuchal meas 1 gest (76813) range across 3 matching MRF lines |
$43.75–$51.45 | $125–$147 | varies |
| Oph bmtry us echograpy a-scan io lens pwr cal (76519) range across 3 matching MRF lines |
$24.85–$33.95 | $71–$97 | varies |
| Oph us dx ant sgm us immersion b-scan/hr biom (76513) range across 3 matching MRF lines |
$35.70–$50.40 | $102–$144 | varies |
| Ophthalmic Biometry US Echograpy a-Scan (76516) range across 3 matching MRF lines |
$25.90–$31.85 | $74–$91 | varies |
| Ophthalmic Ultrasonic Foreign Body Localization (76529) range across 3 matching MRF lines |
$32.90–$45.50 | $94–$130 | varies |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) range across 3 matching MRF lines |
$31.85–$42.70 | $91–$122 | varies |
| Ophthalmic us dx quantitative a-scan only (76511) range across 3 matching MRF lines |
$35.96–$40.60 | $108–$116 | varies |
| Panoramic X-ray of jaws (70355) range across 4 matching MRF lines |
$12.95–$32.90 | $37–$94 | varies |
| Parathyroid Planar Imaging (78070) | $255.44 | $824 | 0.7× |
| Parathyroid planar imaging w/wo subtraction (78071) | $499.10 | $1,610 | 1.4× |
| Pelvis 1 or 2 views (72170) | $66.65 | $214.99 | 0.7× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 5 matching MRF lines |
$26.95–$105.79 | $77–$341.25 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 4 matching MRF lines |
$21.70–$420.98 | $70–$1,358 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 6 matching MRF lines |
$12.25–$153.14 | $35–$494 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 6 matching MRF lines |
$12.25–$92.38 | $35–$298 | varies |
| Radex elbow complete minimum 3 views (73080) range across 6 matching MRF lines |
$17.05–$109.74 | $55–$354 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $106.29 | $342.88 | 1.2× |
| Radex fingr minimum 2 views (73140) range across 5 matching MRF lines |
$17.50–$46.14 | $50–$148.84 | varies |
| Radex foot complete minimum 3 views (73630) range across 6 matching MRF lines |
$7.35–$137.02 | $21–$442 | varies |
| Radex Hand Minimum 3 Views (73130) range across 6 matching MRF lines |
$15.75–$146.94 | $45–$474 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 2 matching MRF lines |
$39.99–$79.98 | $129–$258 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 5 matching MRF lines |
$10.50–$70.75 | $30–$228.22 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 5 matching MRF lines |
$16.10–$106.29 | $46–$342.88 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 6 matching MRF lines |
$18.90–$141.98 | $54–$458 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 5 matching MRF lines |
$11.55–$63.91 | $33–$206.17 | varies |
| Radex Spine 1 View Specify Level (72020) | $70.75 | $228.22 | 0.9× |
| Radex Sternum Minimum 2 Views (71120) range across 5 matching MRF lines |
$14–$70.75 | $40–$228.22 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $31.62 | $102 | 0.4× |
| Radex Toe Minimum 2 Views (73660) range across 5 matching MRF lines |
$9.45–$46.14 | $27–$148.84 | varies |
| Radex upper extremity infant minimum 2 views (73092) | $94.86 | $306 | 1.0× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 6 matching MRF lines |
$17.50–$133.92 | $50–$432 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) range across 2 matching MRF lines |
$15.40–$50.40 | $44–$144 | varies |
| Radiation treatment delivery level 1 (77402) range across 2 matching MRF lines |
$43.40–$49 | $140 | varies |
| Radiation treatment delivery level 2 (77407) range across 2 matching MRF lines |
$39.99–$45.15 | $129 | varies |
| Radiation treatment delivery level 3 (77412) range across 2 matching MRF lines |
$44.64–$50.40 | $144 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) range across 5 matching MRF lines |
$16.10–$106.29 | $46–$342.88 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $92.28 | $297.68 | 1.0× |
| Radiologic exam colon double contrast study (74280) | $203.36 | $655.99 | 1.3× |
| Radiologic exam colon single contrast study (74270) | $160.29 | $517.07 | 1.0× |
| Radiologic exam knee complete 4/more views (73564) range across 6 matching MRF lines |
$16.10–$184.76 | $46–$596 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 5 matching MRF lines |
$21.70–$86.13 | $62–$277.83 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) | $158.58 | $511.56 | 1.0× |
| Radiologic exam swallow function contrast study (74230) | $130.90 | $422.26 | 0.8× |
| Radiologic exam upr gi trc double contrast study (74246) | $180.12 | $581.02 | 1.2× |
| Radiologic examination femur 1 view (73551) range across 2 matching MRF lines |
$5.95–$17.50 | $17–$50 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 4 matching MRF lines |
$6.30–$141.36 | $18–$456 | varies |
| Radiologic examination knee 1/2 views (73560) range across 6 matching MRF lines |
$17.36–$114.08 | $50–$368 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $39.06 | $126 | 0.4× |
| Radiologic examination tibia & fibula 2 views (73590) range across 6 matching MRF lines |
$14.35–$112.84 | $41–$364 | varies |
| Radiopharmaceutical therapy, by intra-articular administration Non-Facility (79440) range across 3 matching MRF lines |
$63.24–$80.85 | $204–$231 | varies |
| Ribs bilateral 3 views (71110) range across 5 matching MRF lines |
$26.25–$212.59 | $75–$685.76 | varies |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $533.17 | $1,719.90 | 1.5× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $1,138.01 | $3,671 | 2.4× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $533.17 | $1,719.90 | 1.1× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 5 matching MRF lines |
$43.40–$357.84 | $124–$1,154.32 | varies |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) range across 2 matching MRF lines |
$102.90–$664.33 | $294–$2,143 | varies |
| Rp Therapy Intravenous Administration (79101) range across 4 matching MRF lines |
$96.25–$218.75 | $275–$625 | varies |
| Scapula (73010) range across 7 matching MRF lines |
$9.61–$114.08 | $31–$368 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 3 matching MRF lines |
$21.35–$37.10 | $61–$113 | varies |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$46.19–$92.38 | $149–$298 | varies |
| Shoulder Arthrography (73040) range across 2 matching MRF lines |
$199.33–$398.66 | $643–$1,286 | varies |
| Skull less than 4 views (70250) | $72.80 | $234.83 | 0.8× |
| Special dosimetry (77331) range across 3 matching MRF lines |
$6.82–$34.65 | $22–$99 | varies |
| Special Physics Consult (77370) | $95.20 | $272 | 0.8× |
| Special teletherapy port plan (77321) range across 3 matching MRF lines |
$40.60–$75.60 | $116–$216 | varies |
| Special treatment procedure (77470) range across 3 matching MRF lines |
$91.35–$213.15 | $261–$609 | varies |
| Sternoclavicular joints (71130) range across 4 matching MRF lines |
$9.10–$85.79 | $26–$276.73 | varies |
| Surface Applic Low Dose Rate Radionuclide Source (77789) range across 3 matching MRF lines |
$11.47–$44.45 | $37–$127 | varies |
| Tbs technical calculation only (77091) | $38.13 | $123 | 0.5× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) range across 3 matching MRF lines |
$61.95–$159.60 | $177–$456 | varies |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) range across 3 matching MRF lines |
$45.85–$151.55 | $131–$433 | varies |
| Ther rad simulaj-aided field setting simple (77280) range across 3 matching MRF lines |
$29.05–$94.85 | $83–$271 | varies |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $138.42 | $446.51 | 0.9× |
| Thoracic spine 2 views (72070) range across 5 matching MRF lines |
$21.39–$71.09 | $62–$229.32 | varies |
| Thoracolumbar 2 views (72080) | $92.28 | $297.68 | 1.2× |
| Thyroid Met Imaging Body (78018) | $193.13 | $623 | 0.4× |
| Thyroid Uptake Measurement (78012) | $251.88 | $812.53 | 0.7× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $201.50 | $650 | 0.6× |
| Tx Devices Design & Construction Complex (77334) range across 4 matching MRF lines |
$49.35–$108.85 | $141–$311 | varies |
| Tx devices design & construction intermediate (77333) range across 3 matching MRF lines |
$29.76–$33.95 | $96–$97 | varies |
| Tx devices design & construction simple (77332) range across 2 matching MRF lines |
$20.15–$22.75 | $65 | varies |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$24.50–$139.50 | $70–$450 | varies |
| Ultrasound Elastography Parenchyma (76981) | $85.25 | $275 | 0.9× |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
$17.50–$141.15 | $50–$455.33 | varies |
| Ultrasound, abdomen limited (76705) range across 5 matching MRF lines |
$28–$141.15 | $80–$455.33 | varies |
| Umbilical-artery Doppler (OB) (76820) range across 4 matching MRF lines |
$30.80–$137.90 | $88–$394 | varies |
| Unlisted us procedure (76999) range across 5 matching MRF lines |
$16.15–$84.07 | $46.15–$271.19 | varies |
| Upper gi w/o kub (74240) | $180.12 | $581.02 | 1.2× |
| Ureteral Reflux Study (78740) range across 3 matching MRF lines |
$22.75–$57.75 | $65–$165 | varies |
| Urethrocystogram voiding (74455) range across 4 matching MRF lines |
$24.50–$78.58 | $70–$224.50 | varies |
| Urethrocystography retrograde (74450) range across 5 matching MRF lines |
$11.20–$199.26 | $32–$642.76 | varies |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$24.50–$155 | $70–$500 | varies |
| Us chest (76604) range across 4 matching MRF lines |
$43.05–$119.62 | $123–$385.88 | varies |
| Us complete joint (76881) range across 4 matching MRF lines |
$10.50–$99.28 | $30–$320.25 | varies |
| Us exam, pelvic, limited (76857) range across 5 matching MRF lines |
$17.50–$70.06 | $50–$226.01 | varies |
| Us head (76506) range across 5 matching MRF lines |
$45.26–$138.60 | $146–$396 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 3 matching MRF lines |
$31.50–$58.59 | $90–$189 | varies |
| Us ob detailed single fetus (76811) range across 5 matching MRF lines |
$72.45–$168 | $207–$521.48 | varies |
| Us ob limited 1 or more fetuses (76815) range across 5 matching MRF lines |
$34.72–$101.51 | $112–$327.44 | varies |
| Us ob transvaginal (76817) range across 5 matching MRF lines |
$39.55–$119.62 | $113–$385.88 | varies |
| Us pelvic non ob complete (76856) range across 5 matching MRF lines |
$46.81–$151.07 | $135–$487.31 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 5 matching MRF lines |
$39.55–$141.15 | $113–$455.33 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 5 matching MRF lines |
$26.25–$101.51 | $75–$327.44 | varies |
| Us retroperitoneal complete (76770) range across 5 matching MRF lines |
$40.25–$141.15 | $115–$455.33 | varies |
| Us retroperitoneal limited (76775) range across 5 matching MRF lines |
$28.70–$182.28 | $82–$588 | varies |
| Us scrotum and contents (76870) range across 5 matching MRF lines |
$33.25–$119.62 | $95–$385.88 | varies |
| Us spinal canal and contents (76800) | $104.93 | $338.47 | 1.1× |
| Us thyroid (76536) range across 5 matching MRF lines |
$35–$99.12 | $100–$319.73 | varies |
| Us transrectal (76872) range across 5 matching MRF lines |
$53.20–$117.60 | $152–$336 | varies |
| Venography caval inferior serialography rs&i (75825) | $835.64 | $2,695.61 | 0.3× |
| Venography extremity bilateral rs&i (75822) | $750 | $2,419.35 | 0.5× |
| Venography extremity unilateral rs&i (75820) | $325.50 | $1,050 | 0.2× |
| Vertebral fracture assessment via dxa (77086) range across 2 matching MRF lines |
$21.35–$70.68 | $61–$228 | varies |
| Wrist 2 views (73100) range across 6 matching MRF lines |
$10.85–$104.16 | $31–$336 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $87.15 | $281.14 | 1.1× |
| X-ray antegrade pyelogram tube (74425) range across 4 matching MRF lines |
$20.65–$68.08 | $59–$194.50 | varies |
| X-Ray Aorta Leg Arteries (75630) | $878.85 | $2,835 | 0.3× |
| X-Ray Bend Only L-S Spine (72120) | $84.63 | $273 | 0.9× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 6 matching MRF lines |
$12.25–$103.54 | $35–$334 | varies |
| X-Ray Exam Breast Specimen (76098) | $329.51 | $1,062.95 | 0.7× |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 2 matching MRF lines |
$24.50–$49.60 | $70–$160 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 3 matching MRF lines |
$10.50–$49.60 | $30–$160 | varies |
| X-Ray Exam Entire Spi 4/5 Vw (72083) range across 2 matching MRF lines |
$12.60–$42 | $36–$120 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 4 matching MRF lines |
$7.70–$55.80 | $22–$180 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 2 matching MRF lines |
$7.70–$78.43 | $22–$253 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) range across 2 matching MRF lines |
$32.20–$46.50 | $92–$150 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 3 matching MRF lines |
$7.70–$73.84 | $22–$238.18 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 3 matching MRF lines |
$15.75–$163.68 | $45–$528 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) range across 3 matching MRF lines |
$10.85–$163.68 | $31–$528 | varies |
| X-Ray Exam L-S Spine Bending (72114) | $152.09 | $490.61 | 1.6× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 6 matching MRF lines |
$16.80–$74.86 | $48–$241.50 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 5 matching MRF lines |
$23.45–$170.89 | $67–$551.25 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 5 matching MRF lines |
$16.12–$78.61 | $52–$253.58 | varies |
| X-ray eye for foreign body (70030) range across 2 matching MRF lines |
$57.04–$114.08 | $184–$368 | varies |
| X-ray humerus (73060) range across 5 matching MRF lines |
$13.65–$64.59 | $39–$208.37 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $70.68 | $228 | 0.9× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 5 matching MRF lines |
$12.95–$51.95 | $37–$167.58 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 5 matching MRF lines |
$15.05–$84.63 | $43–$273 | varies |
| X-ray nose-rectum child f.b. (76010) | $70.68 | $228 | 0.9× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $149.70 | $482.90 | 1.6× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $92.28 | $297.68 | 1.0× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $94.86 | $306 | 1.0× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 5 matching MRF lines |
$18.20–$70.75 | $52–$228.22 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 5 matching MRF lines |
$19.25–$106.29 | $55–$342.88 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 5 matching MRF lines |
$19.25–$106.29 | $55–$342.88 | varies |
| X-ray thoracic spine 4 vw (72074) | $94.86 | $306 | 1.0× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 4 matching MRF lines |
$27.30–$98.70 | $78–$282 | varies |
| X-Rays Bone Length Studies (77073) | $94.86 | $306 | 1.0× |
| X-Rays Bone Survey Complete (77075) | $203.02 | $654.89 | 2.2× |
| Xr c-spine 4 or 5 views (72050) range across 5 matching MRF lines |
$26.35–$110.67 | $85–$357 | varies |
| Xr orbits complete 4 views (70200) | $114.15 | $368.24 | 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.