Imaging prices at Ochsner St. Anne Hospital
Raceland, LA · every code in this section with a posted price and a Medicare benchmark.
315 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Abdomen 1 View (74018) | $135.08 | $307 | 1.7× |
| Abdomen 2 views (74019) | $135.08 | $307 | 1.4× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $381.48 | $867 | 1.1× |
| Angio internal mammary (75756) | $1,316.48 | $2,992 | 0.5× |
| Angiography extremity bilateral rs&i (75716) | $2,514.16 | $5,714 | 0.9× |
| Angiography extremity unilateral rs&i (75710) | $2,514.16 | $5,714 | 0.9× |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$135.08–$270.16 | $307–$614 | varies |
| Aortography thoracic serialography rs&i (75605) unusually low: confirm this is the full procedure |
$2,022.24 | $4,596 | 0.4× |
| Artery X-Rays Abdomen (75726) unusually low: confirm this is the full procedure |
$2,022.24 | $4,596 | 0.4× |
| Arthrogram ankle (73615) range across 2 matching MRF lines |
$322.52–$645.04 | $733–$1,466 | varies |
| Arthrogram hip (73525) | $430.32 | $978 | 1.4× |
| Arthrogram Wrist (73115) range across 2 matching MRF lines |
$430.32–$860.64 | $978–$1,956 | varies |
| Bone age studies (77072) | $90.20 | $205 | 1.0× |
| Bone Imaging 3 Phase (78315) | $374.88 | $852 | 1.0× |
| Bone Imaging Limited Area (78300) | $368.72 | $838 | 1.0× |
| Bone Imaging Whole Body (78306) | $368.72 | $838 | 1.0× |
| Brain Image W/Flow < 4 Views (78601) | $477.84 | $1,086 | 1.3× |
| Brain imaging < 4 static views (78600) | $477.84 | $1,086 | 1.3× |
| Cat Scan Follow-Up Study (76380) | $201.08 | $457 | 2.6× |
| Chest 1 view (71045) | $135.08 | $307 | 1.7× |
| Chest 2 views (71046) | $135.08 | $307 | 1.7× |
| Chest 3 views (71047) | $135.08 | $307 | 1.7× |
| Chest 4 or more views (71048) | $135.08 | $307 | 1.4× |
| Clavicle complete (73000) range across 2 matching MRF lines |
$135.08–$270.16 | $307–$614 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $99.44 | $226 | 1.1× |
| Contrast Exam Abdominl Aorta (75625) | $2,514.16 | $5,714 | 0.9× |
| Contrast X-Ray Bladder (74430) | $315.04 | $716 | 1.0× |
| Contrast X-Ray Of Elbow (73085) range across 2 matching MRF lines |
$645.04–$1,290.08 | $1,466–$2,932 | varies |
| Contrast X-Ray Of Knee Joint (73580) range across 2 matching MRF lines |
$322.52–$645.04 | $733–$1,466 | varies |
| Contrast Xray Throat/Cerv Esopha (74210) | $256.96 | $584 | 1.6× |
| CT abdomen and pelvis without and with contrast (74178) | $895.84 | $2,036 | 2.8× |
| CT abdomen and pelvis without contrast (74176) | $506 | $1,150 | 2.3× |
| CT abdomen w contrast (74160) | $536.80 | $1,220 | 3.4× |
| CT abdomen w wo contrast (74170) | $643.72 | $1,463 | 4.1× |
| CT abdomen w/o contrast (74150) | $398.64 | $906 | 4.2× |
| CT Angio Abdomen and Pelvis (74174) | $893.64 | $2,031 | 2.8× |
| CT Angio Chest (71275) | $629.64 | $1,431 | 4.0× |
| CT Angio Head (70496) | $629.64 | $1,431 | 4.0× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
$629.64–$1,259.28 | $1,431–$2,862 | varies |
| CT Angio Neck (70498) | $629.64 | $1,431 | 4.0× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $559.24 | $1,271 | 3.5× |
| CT cervical spine w/ contrast (72126) | $541.20 | $1,230 | 1.7× |
| CT cervical spine w/o contrast (72125) | $398.64 | $906 | 4.2× |
| CT cervical spine w/wo cont (72127) | $643.72 | $1,463 | 4.1× |
| CT chest w contrast (71260) | $541.20 | $1,230 | 3.4× |
| CT chest w/wo contrast (71270) | $643.72 | $1,463 | 4.1× |
| CT head/brain with contrast (70460) | $444.40 | $1,010 | 2.8× |
| CT head/brain without and with contrast (70470) | $554.84 | $1,261 | 3.5× |
| CT iac w contrast (70481) | $444.40 | $1,010 | 2.8× |
| CT l-spine w&w/o contrast (72133) | $643.72 | $1,463 | 4.1× |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$388.08–$776.16 | $882–$1,764 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$463.76–$927.52 | $1,054–$2,108 | varies |
| CT lumbar spine w contrast (72132) | $541.20 | $1,230 | 1.7× |
| CT lumbar spine w/o contrast (72131) | $398.64 | $906 | 4.2× |
| CT maxillofacial w contrast (70487) | $444.40 | $1,010 | 2.8× |
| CT maxillofacial wo contrast (70486) | $370.48 | $842 | 3.9× |
| CT neck tissue combo (70492) | $554.84 | $1,261 | 3.5× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $554.84 | $1,261 | 3.5× |
| CT orbits w/o contrast (70480) | $370.48 | $842 | 3.9× |
| CT pelvis w&w/o contrast (72194) | $643.72 | $1,463 | 4.1× |
| CT pelvis w/o contrast (72192) | $398.64 | $906 | 4.2× |
| CT scan of leg combo (73702) range across 2 matching MRF lines |
$582.12–$1,164.24 | $1,323–$2,646 | varies |
| CT scans face/jaw combo (70488) | $554.84 | $1,261 | 3.5× |
| CT soft tissue neck w contrast (70491) | $444.40 | $1,010 | 2.8× |
| CT soft tissue neck w/o contrast (70490) | $370.48 | $842 | 3.9× |
| CT thoracic spine w contrast (72129) | $541.20 | $1,230 | 3.4× |
| CT thoracic spine w/o contrast (72128) | $398.64 | $906 | 4.2× |
| CT thoracic spine w/wo cont (72130) | $643.72 | $1,463 | 4.1× |
| CT thorax w/o contrast (71250) | $398.64 | $906 | 4.2× |
| CT upper ext wo (73200) range across 2 matching MRF lines |
$388.08–$776.16 | $882–$1,764 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 2 matching MRF lines |
$582.12–$1,164.24 | $1,323–$2,646 | varies |
| CT upper extremity with contrast (73201) range across 2 matching MRF lines |
$463.76–$927.52 | $1,054–$2,108 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $629.64 | $1,431 | 4.0× |
| Cta Abdomen (74175) | $629.64 | $1,431 | 4.0× |
| Diskography lumbar (72295) | $2,247.96 | $5,109 | 1.3× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) range across 2 matching MRF lines |
$28.16–$237.16 | $64–$539 | varies |
| Doppler Echo Fetal Spectral Display Complete (76827) | $108.68 | $247 | 1.1× |
| Doppler Fetal Mid Cerebral Artery (76821) | $148.28 | $337 | 1.6× |
| Dxa Bone Density Axial (77080) | $74.36 | $169 | 0.8× |
| Dxa bone density study (77085) | $74.36 | $169 | 0.8× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $41.36 | $94 | 0.5× |
| Echo exam of fetal heart (76825) | $108.68 | $247 | 0.2× |
| Echo exam uterus (76831) | $165.44 | $376 | 0.8× |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) | $157.52 | $358 | 0.7× |
| Esophagram (74220) | $271.48 | $617 | 1.7× |
| Fetal Biophys Profile W/Nst (76818) | $102.96 | $234 | 1.1× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $146.96 | $334 | 1.6× |
| Fetal MRI w/placntl matrnl plvc img sing/1st ges (74712) | $457.60 | $1,040 | 2.1× |
| Fluoroscopy up to 1 hr (76000) | $163.68 | $372 | 0.8× |
| Foot 2 views (73620) range across 2 matching MRF lines |
$135.08–$270.16 | $307–$614 | varies |
| Forearm 2 views (73090) range across 2 matching MRF lines |
$135.08–$270.16 | $307–$614 | varies |
| Gastric emptying imaging study (78264) | $348.48 | $792 | 1.0× |
| Gastric Emptyng Imag Std W/Sm Bwl Transit (78265) | $555.72 | $1,263 | 1.5× |
| Gated Heart Planar Single (78472) | $433.40 | $985 | 1.2× |
| Gstrc Emptng Imag Std W/Sm Bwl Col Trnst Mlt Day (78266) | $734.80 | $1,670 | 1.5× |
| Hand 2 views (73120) range across 2 matching MRF lines |
$135.08–$270.16 | $307–$614 | varies |
| Hdr Rdncl Ntrstl/Icav Brchtx (77772) | $1,427.80 | $3,245 | 2.3× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) | $905.08 | $2,057 | 1.4× |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) | $496.76 | $1,129 | 0.8× |
| Heart first pass single,planar (78481) | $410.08 | $932 | 0.8× |
| Hepatobil Syst Image W/Drug (78227) | $792.44 | $1,801 | 1.6× |
| Hepatobiliary System Imaging (78226) | $574.20 | $1,305 | 1.6× |
| Ht Muscle Image Spect Sing (78451) | $530.20 | $1,205 | 0.5× |
| Hysterosalpingogram (74740) | $425.48 | $967 | 2.0× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $121.44 | $276 | 1.5× |
| Infant hip ultrasound, limited static exam (76886) | $146.96 | $334 | 1.9× |
| Infusion Ivp (74410) | $315.04 | $716 | 2.0× |
| Joint Survey Single View (77077) | $116.60 | $265 | 1.2× |
| K Flow/Funct Image Multiple (78709) | $383.24 | $871 | 0.8× |
| K Flow/Funct Image W/Drug (78708) | $383.24 | $871 | 0.8× |
| K Flow/Funct Image W/O Drug (78707) | $350.24 | $796 | 0.7× |
| Knee 3 Views (73562) range across 2 matching MRF lines |
$135.08–$270.16 | $307–$614 | varies |
| Liver & Spleen Imaging Static Only (78215) | $398.20 | $905 | 1.1× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $398.20 | $905 | 1.1× |
| Lung Ventilat&Perfus Imaging (78582) | $531.96 | $1,209 | 1.1× |
| Lung Ventilation Imaging (78579) | $296.56 | $674 | 0.8× |
| Lymph System Imaging (78195) | $361.68 | $822 | 0.7× |
| Magnetic Image Jaw Joint (70336) | $642.84 | $1,461 | 3.0× |
| Magnetic Resonance Elastography (76391) | $385 | $875 | 1.8× |
| Meckels Divert Exam (78290) | $348.48 | $792 | 1.0× |
| Mra Head W/O & W/Contrast Material (70546) | $1,072.28 | $2,437 | 3.4× |
| MRA head w/o contrast (70544) | $739.64 | $1,681 | 3.4× |
| MRA head with contrast (70545) | $785.84 | $1,786 | 2.5× |
| MRA neck w contrast (70548) | $785.84 | $1,786 | 2.5× |
| Mra Neck W/O &W/Contrast Material (70549) | $1,072.28 | $2,437 | 3.4× |
| MRA neck w/o contrast (70547) | $739.64 | $1,681 | 3.4× |
| MRI abdomen w contrast (74182) | $785.84 | $1,786 | 2.5× |
| MRI abdomen w/o contrast (74181) | $986.48 | $2,242 | 4.6× |
| MRI any jt lower extrem w/contrast material (73722) range across 2 matching MRF lines |
$785.84–$1,571.68 | $1,786–$3,572 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$1,072.28–$2,144.56 | $2,437–$4,874 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 2 matching MRF lines |
$785.84–$1,571.68 | $1,786–$3,572 | varies |
| MRI bone marrow blood supply (77084) | $642.84 | $1,461 | 3.0× |
| MRI cervical spine w contrast (72142) | $785.84 | $1,786 | 2.5× |
| MRI cervical spine w/o cont (72141) | $739.64 | $1,681 | 3.4× |
| MRI chest w/o contrast (71550) | $739.64 | $1,681 | 3.4× |
| MRI chest wo w contrast (71552) | $1,072.28 | $2,437 | 3.4× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 2 matching MRF lines |
$785.84–$1,571.68 | $1,786–$3,572 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 2 matching MRF lines |
$1,072.28–$2,144.56 | $2,437–$4,874 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 2 matching MRF lines |
$739.64–$1,479.28 | $1,681–$3,362 | varies |
| MRI lumbar spine w contrast (72149) | $785.84 | $1,786 | 2.5× |
| Mri Neck Spine W/O & W/Dye (72156) | $1,072.28 | $2,437 | 3.4× |
| MRI orbit face &/neck w/o contrast (70540) | $739.64 | $1,681 | 3.4× |
| MRI orbit face neck w contrast (70542) | $785.84 | $1,786 | 2.5× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $1,072.28 | $2,437 | 3.4× |
| MRI pelvis w contrast (72196) | $785.84 | $1,786 | 2.5× |
| MRI pelvis w/o & w contrast (72197) | $1,072.28 | $2,437 | 3.4× |
| MRI pelvis w/o contrast (72195) | $739.64 | $1,681 | 3.4× |
| MRI thoracic spine w/o contrast (72146) | $739.64 | $1,681 | 3.4× |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 2 matching MRF lines |
$785.84–$1,571.68 | $1,786–$3,572 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 2 matching MRF lines |
$739.64–$1,479.28 | $1,681–$3,362 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) | $1,072.28 | $2,437 | 3.4× |
| MRI, abdomen, combo (74183) | $1,072.28 | $2,437 | 3.4× |
| MRI, dorsal spine combo (72157) | $1,072.28 | $2,437 | 3.4× |
| MRI, dorsal spine contrast (72147) | $785.84 | $1,786 | 2.5× |
| MRI, joint upper extrem (73221) range across 2 matching MRF lines |
$739.64–$1,479.28 | $1,681–$3,362 | varies |
| MRI, joint upper extrem combo (73223) range across 2 matching MRF lines |
$1,072.28–$2,144.56 | $2,437–$4,874 | varies |
| MRI, lumbar spine combo (72158) | $1,072.28 | $2,437 | 3.4× |
| Myelogram cervical (72240) | $735.24 | $1,671 | 1.0× |
| Myelogram Lumbar (72265) | $639.76 | $1,454 | 0.9× |
| Myelography thoracic (72255) | $678.04 | $1,541 | 1.0× |
| Myocardial Spect Multiple Studies (78452) | $841.28 | $1,912 | 0.7× |
| Neck soft tissue (70360) | $135.08 | $307 | 1.7× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $259.60 | $590 | 0.7× |
| Nm myocard infarct spect (78469) | $410.08 | $932 | 0.8× |
| Ob us nuchal meas 1 gest (76813) | $151.36 | $344 | 1.6× |
| Parathyroid Planar Imaging (78070) | $324.72 | $738 | 0.9× |
| Parathyroid planar imaging w/wo subtraction (78071) | $425.92 | $968 | 1.2× |
| Pelvis 1 or 2 views (72170) | $135.08 | $307 | 1.4× |
| Peritoneogram Rs&I (74190) | $230.12 | $523 | 0.5× |
| Pulmonary Perfusion Imaging Particulate (78580) | $306.24 | $696 | 0.8× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $229.68 | $522 | 2.4× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $209.44 | $476 | 0.4× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 2 matching MRF lines |
$135.08–$270.16 | $307–$614 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$135.08–$270.16 | $307–$614 | varies |
| Radex elbow complete minimum 3 views (73080) range across 2 matching MRF lines |
$135.08–$270.16 | $307–$614 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $135.08 | $307 | 1.4× |
| Radex fingr minimum 2 views (73140) | $135.08 | $307 | 1.7× |
| Radex foot complete minimum 3 views (73630) range across 2 matching MRF lines |
$135.08–$270.16 | $307–$614 | varies |
| Radex Hand Minimum 3 Views (73130) range across 2 matching MRF lines |
$135.08–$270.16 | $307–$614 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 2 matching MRF lines |
$135.08–$270.16 | $307–$614 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $135.08 | $307 | 1.4× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $135.08 | $307 | 1.7× |
| Radex Ribs Unilateral 2 Views (71100) | $135.08 | $307 | 1.7× |
| Radex shoulder complete minimum 2 views (73030) range across 2 matching MRF lines |
$135.08–$270.16 | $307–$614 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $135.08 | $307 | 1.7× |
| Radex Spine 1 View Specify Level (72020) | $135.08 | $307 | 1.7× |
| Radex Sternum Minimum 2 Views (71120) | $135.08 | $307 | 1.7× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $135.08 | $307 | 1.7× |
| Radex Toe Minimum 2 Views (73660) | $135.08 | $307 | 1.7× |
| Radex upper extremity infant minimum 2 views (73092) range across 2 matching MRF lines |
$135.08–$270.16 | $307–$614 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 2 matching MRF lines |
$135.08–$270.16 | $307–$614 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $201.96 | $459 | 2.1× |
| Radiolog exam mandible compl minimum 4 views (70110) | $135.08 | $307 | 1.4× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $135.08 | $307 | 1.4× |
| Radiologic exam colon double contrast study (74280) | $282.92 | $643 | 1.8× |
| Radiologic exam colon single contrast study (74270) | $135.96 | $309 | 0.9× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $220.88 | $502 | 1.4× |
| Radiologic exam knee complete 4/more views (73564) range across 2 matching MRF lines |
$135.08–$270.16 | $307–$614 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) | $135.08 | $307 | 1.4× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $271.48 | $617 | 1.7× |
| Radiologic exam swallow function contrast study (74230) | $271.48 | $617 | 1.7× |
| Radiologic exam upr gi trc double contrast study (74246) | $271.48 | $617 | 1.7× |
| Radiologic examination femur 1 view (73551) | $65.12 | $148 | 0.8× |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$77–$154 | $175–$350 | varies |
| Radiologic examination knee 1/2 views (73560) range across 2 matching MRF lines |
$135.08–$270.16 | $307–$614 | varies |
| Radiologic Examination Osseous Survey Limited (77074) | $153.12 | $348 | 1.6× |
| Radiologic examination tibia & fibula 2 views (73590) range across 2 matching MRF lines |
$135.08–$270.16 | $307–$614 | varies |
| Radiologic examination, internal auditory meati, complete Non-Facility (70134) | $229.68 | $522 | 0.5× |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77768) | $631.40 | $1,435 | 1.8× |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77767) | $384.12 | $873 | 1.1× |
| Ribs bilateral 3 views (71110) | $135.08 | $307 | 1.4× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $382.36 | $869 | 1.1× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $1,008.48 | $2,292 | 2.1× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $434.72 | $988 | 0.9× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $999.24 | $2,271 | 2.0× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $1,539.56 | $3,499 | 1.3× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $1,746.36 | $3,969 | 1.3× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $1,539.56 | $3,499 | 1.3× |
| Scapula (73010) range across 2 matching MRF lines |
$135.08–$270.16 | $307–$614 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $22 | $50 | 0.9× |
| Sella turcica (70240) | $135.08 | $307 | 1.7× |
| Shoulder 1 view (73020) range across 2 matching MRF lines |
$135.08–$270.16 | $307–$614 | varies |
| Shoulder Arthrography (73040) range across 2 matching MRF lines |
$645.04–$1,290.08 | $1,466–$2,932 | varies |
| Sialogram (70390) | $313.72 | $713 | 1.5× |
| Skull less than 4 views (70250) | $135.08 | $307 | 1.4× |
| Speech evaluation, complex (70371) | $165.88 | $377 | 0.8× |
| Sternoclavicular joints (71130) | $135.08 | $307 | 1.7× |
| Testicular Imaging W/Flow (78761) | $337.92 | $768 | 0.9× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $185.24 | $421 | 1.2× |
| Thoracic spine 2 views (72070) | $135.08 | $307 | 1.4× |
| Thoracolumbar 2 views (72080) | $135.08 | $307 | 1.7× |
| Thyroid Imaging With Vascular Flow (78013) | $340.56 | $774 | 0.9× |
| Thyroid Met Imaging Body (78018) | $425.92 | $968 | 0.9× |
| Thyroid Uptake Measurement (78012) | $174.68 | $397 | 0.5× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $388.52 | $883 | 1.1× |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$91.96–$183.92 | $209–$418 | varies |
| Ultrasound elastography first target lesion (76982) | $187.88 | $427 | 2.0× |
| Ultrasound Elastography Parenchyma (76981) | $187.88 | $427 | 2.0× |
| Ultrasound Exam Aaa Screen (76706) | $112.20 | $255 | 1.2× |
| Ultrasound trgt dynamic microbubble 1st lesion (76978) | $336.60 | $765 | 1.1× |
| Ultrasound, abdomen limited (76705) | $146.96 | $334 | 1.6× |
| Umbilical-artery Doppler (OB) (76820) | $148.28 | $337 | 1.6× |
| Unlisted Dx Radiographic Procedure (76499) | $91.52 | $208 | 1.2× |
| Unlisted us procedure (76999) | $124.08 | $282 | 1.6× |
| Upper gi w/o kub (74240) | $271.48 | $617 | 1.7× |
| Urethrocystogram voiding (74455) | $315.04 | $716 | 1.5× |
| Urethrocystography retrograde (74450) | $315.04 | $716 | 1.5× |
| Us breast unilateral complete (76641) range across 2 matching MRF lines |
$91.96–$183.92 | $209–$418 | varies |
| Us chest (76604) | $146.96 | $334 | 1.6× |
| Us complete joint (76881) | $170.28 | $387 | 1.8× |
| Us exam, pelvic, limited (76857) | $125.40 | $285 | 1.3× |
| Us head (76506) | $149.16 | $339 | 1.6× |
| Us kidney transplant (76776) | $155.32 | $353 | 1.6× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $20.24 | $46 | 0.2× |
| Us ob detailed single fetus (76811) | $299.20 | $680 | 1.4× |
| Us ob limited 1 or more fetuses (76815) | $112.20 | $255 | 1.2× |
| Us ob transvaginal (76817) | $146.96 | $334 | 1.6× |
| Us pelvic non ob complete (76856) | $146.96 | $334 | 1.6× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $165.88 | $377 | 1.8× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $64.24 | $146 | 0.7× |
| Us retroperitoneal complete (76770) | $155.32 | $353 | 1.6× |
| Us retroperitoneal limited (76775) | $146.96 | $334 | 1.6× |
| Us scrotum and contents (76870) | $146.96 | $334 | 1.6× |
| Us spinal canal and contents (76800) | $146.96 | $334 | 1.6× |
| Us thyroid (76536) | $146.96 | $334 | 1.6× |
| Us transrectal (76872) | $157.96 | $359 | 1.7× |
| Vascular Flow Imaging (78445) | $192.72 | $438 | 0.5× |
| Vein X-Ray Chest (75827) | $1,316.48 | $2,992 | 0.9× |
| Venography Adrenal Unilateral (75840) | $2,856.48 | $6,492 | 1.0× |
| Venography caval inferior serialography rs&i (75825) | $1,316.48 | $2,992 | 0.5× |
| Venography extremity bilateral rs&i (75822) | $505.56 | $1,149 | 0.4× |
| Venography extremity unilateral rs&i (75820) | $286.88 | $652 | 0.2× |
| Venous Thrombosis Imaging Venogram Bilateral (78458) | $262.68 | $597 | 0.7× |
| Vertebral fracture assessment via dxa (77086) | $90.20 | $205 | 1.1× |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$135.08–$270.16 | $307–$614 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $135.08 | $307 | 1.7× |
| X-Ray Aorta Leg Arteries (75630) | $2,514.16 | $5,714 | 0.9× |
| X-Ray Bend Only L-S Spine (72120) | $229.68 | $522 | 2.4× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$135.08–$270.16 | $307–$614 | varies |
| X-Ray Exam Breast Specimen (76098) | $230.12 | $523 | 0.5× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $85.36 | $194 | 1.1× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $154.88 | $352 | 1.6× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $168.08 | $382 | 1.8× |
| X-Ray Exam Hip Uni 1 View (73501) | $68.64 | $156 | 0.9× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $100.76 | $229 | 1.3× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $124.96 | $284 | 1.3× |
| X-Ray Exam Hips Bi 2 Views (73521) | $95.04 | $216 | 1.0× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $113.08 | $257 | 1.2× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $135.96 | $309 | 1.4× |
| X-Ray Exam L-S Spine Bending (72114) | $229.68 | $522 | 2.4× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $135.08 | $307 | 1.7× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $229.68 | $522 | 2.4× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $135.08 | $307 | 1.4× |
| X-ray eye for foreign body (70030) range across 2 matching MRF lines |
$135.08–$270.16 | $307–$614 | varies |
| X-ray humerus (73060) | $135.08 | $307 | 1.7× |
| X-ray IV pyelogram (ivp) (74400) | $315.04 | $716 | 2.0× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $135.08 | $307 | 1.7× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $135.08 | $307 | 1.7× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $135.08 | $307 | 1.4× |
| X-ray nose-rectum child f.b. (76010) | $90.20 | $205 | 1.1× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $229.68 | $522 | 2.4× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $135.08 | $307 | 1.4× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $135.08 | $307 | 1.4× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $135.08 | $307 | 1.7× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $135.08 | $307 | 1.7× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $229.68 | $522 | 2.4× |
| X-ray thoracic spine 4 vw (72074) | $145.20 | $330 | 1.5× |
| X-Ray Tmj Unilat (70328) | $135.08 | $307 | 1.7× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $315.04 | $716 | 1.0× |
| X-Rays Bone Length Studies (77073) | $153.12 | $348 | 1.6× |
| X-Rays Bone Survey Complete (77075) | $153.12 | $348 | 1.6× |
| Xr c-spine 4 or 5 views (72050) | $229.68 | $522 | 2.4× |
| Xr facial bones less than 3 views (70140) | $135.08 | $307 | 1.7× |
| Xr orbits complete 4 views (70200) | $135.08 | $307 | 1.4× |
| Xr Tomogram Single Plane (76100) | $153.12 | $348 | 1.6× |
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.