Imaging prices at Ochsner Stennis Hospital
De Kalb, MS · every code in this section with a posted price and a Medicare benchmark.
275 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 2 matching MRF lines |
$438.84–$1,497.30 | $636–$2,170 | varies |
| Abdomen 1 View (74018) range across 5 matching MRF lines |
$27.60–$165.60 | $40–$240 | varies |
| Abdomen 2 views (74019) range across 3 matching MRF lines |
$44.85–$164.22 | $65–$238 | varies |
| Ankle 2 views (73600) range across 5 matching MRF lines |
$32.43–$237.36 | $47–$344 | varies |
| Aortography thoracic serialography rs&i (75605) range across 3 matching MRF lines |
$144.90–$965.31 | $210–$1,399 | varies |
| Artery X-Rays Adrenal Gland (75731) | $2,139 | $3,100 | 0.8× |
| Arthrogram Wrist (73115) | $169.74 | $246 | 0.6× |
| Basic radiation dosimetry calculation (77300) range across 2 matching MRF lines |
$47.61–$48.99 | $69–$71 | varies |
| Bone age studies (77072) range across 4 matching MRF lines |
$35.88–$102.81 | $52–$149 | varies |
| Bone survey infant (77076) | $220.80 | $320 | 2.4× |
| Cat Scan Follow-Up Study (76380) | $839.04 | $1,216 | 11.2× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) range across 2 matching MRF lines |
$45.54–$184.23 | $66–$267 | varies |
| Chest 1 view (71045) range across 4 matching MRF lines |
$32.43–$172.50 | $47–$250 | varies |
| Chest 2 views (71046) range across 5 matching MRF lines |
$33.81–$172.50 | $49–$250 | varies |
| Chest 3 views (71047) | $271.86 | $394 | 3.6× |
| Chest 4 or more views (71048) | $271.86 | $394 | 3.0× |
| Clavicle complete (73000) range across 5 matching MRF lines |
$33.12–$222.87 | $48–$323 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $228.39 | $331 | 2.5× |
| Continuing medical physics consltj pr wk (77336) | $160.08 | $232 | 1.4× |
| Contrast X-Ray Bladder (74430) range across 4 matching MRF lines |
$34.50–$428.49 | $50–$621 | varies |
| Contrast X-Ray Of Elbow (73085) | $509.91 | $739 | 1.7× |
| Contrast X-Ray Of Knee Joint (73580) range across 2 matching MRF lines |
$509.91–$1,019.82 | $739–$1,478 | varies |
| Contrast Xray Throat/Cerv Esopha (74210) | $435.39 | $631 | 2.9× |
| CT abdomen and pelvis without and with contrast (74178) | $1,833.33 | $2,657 | 6.1× |
| CT abdomen and pelvis without contrast (74176) | $1,062.60 | $1,540 | 5.2× |
| CT abdomen w contrast (74160) | $1,283.40 | $1,860 | 8.5× |
| CT abdomen w wo contrast (74170) | $1,530.42 | $2,218 | 10.1× |
| CT abdomen w/o contrast (74150) | $787.98 | $1,142 | 8.7× |
| CT Angio Abdomen and Pelvis (74174) | $1,368.96 | $1,984 | 4.6× |
| CT Angio Chest (71275) | $1,283.40 | $1,860 | 8.5× |
| CT Angio Head (70496) | $1,283.40 | $1,860 | 8.5× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $1,283.40 | $1,860 | 8.5× |
| CT Angio Neck (70498) | $1,283.40 | $1,860 | 8.5× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $1,283.40 | $1,860 | 8.5× |
| CT bone density (77078) | $563.73 | $817 | 7.5× |
| CT cervical spine w/ contrast (72126) | $1,535.94 | $2,226 | 5.1× |
| CT cervical spine w/o contrast (72125) | $986.70 | $1,430 | 10.9× |
| CT cervical spine w/wo cont (72127) | $1,868.52 | $2,708 | 12.4× |
| CT chest w contrast (71260) | $1,526.28 | $2,212 | 10.1× |
| CT chest w/wo contrast (71270) | $1,674.63 | $2,427 | 11.1× |
| CT head/brain with contrast (70460) | $1,283.40 | $1,860 | 8.5× |
| CT head/brain without and with contrast (70470) | $1,573.20 | $2,280 | 10.4× |
| CT iac w contrast (70481) | $1,339.29 | $1,941 | 8.9× |
| CT l-spine w&w/o contrast (72133) | $1,868.52 | $2,708 | 12.4× |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$787.98–$1,576.65 | $1,142–$2,285 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$1,339.29–$2,678.58 | $1,941–$3,882 | varies |
| CT lumbar spine w contrast (72132) | $1,535.94 | $2,226 | 5.1× |
| CT lumbar spine w/o contrast (72131) | $986.70 | $1,430 | 10.9× |
| CT maxillofacial w contrast (70487) | $1,339.29 | $1,941 | 8.9× |
| CT maxillofacial wo contrast (70486) range across 4 matching MRF lines |
$138.69–$1,138.50 | $201–$1,650 | varies |
| CT neck tissue combo (70492) | $1,674.63 | $2,427 | 11.1× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,674.63 | $2,427 | 11.1× |
| CT orbits w/o contrast (70480) | $787.98 | $1,142 | 8.7× |
| CT pelvis w&w/o contrast (72194) | $1,573.20 | $2,280 | 10.4× |
| CT pelvis w/o contrast (72192) | $787.98 | $1,142 | 8.7× |
| CT scan of leg combo (73702) range across 2 matching MRF lines |
$1,674.63–$3,348.57 | $2,427–$4,853 | varies |
| CT scans face/jaw combo (70488) | $1,674.63 | $2,427 | 11.1× |
| CT soft tissue neck w contrast (70491) | $1,339.29 | $1,941 | 8.9× |
| CT soft tissue neck w/o contrast (70490) | $787.98 | $1,142 | 8.7× |
| CT thoracic spine w contrast (72129) | $1,535.94 | $2,226 | 10.2× |
| CT thoracic spine w/o contrast (72128) | $986.70 | $1,430 | 10.9× |
| CT thoracic spine w/wo cont (72130) | $1,868.52 | $2,708 | 12.4× |
| CT thorax w/o contrast (71250) | $787.98 | $1,142 | 8.7× |
| CT upper ext wo (73200) range across 5 matching MRF lines |
$114.54–$1,576.65 | $166–$2,285 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 2 matching MRF lines |
$1,674.63–$3,348.57 | $2,427–$4,853 | varies |
| CT upper extremity with contrast (73201) range across 5 matching MRF lines |
$131.44–$2,678.58 | $190.50–$3,882 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,283.40 | $1,860 | 8.5× |
| Cta Abdomen (74175) | $1,269.60 | $1,840 | 8.4× |
| CTA pelvis (72191) | $1,269.60 | $1,840 | 8.4× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) range across 2 matching MRF lines |
$53.82–$80.04 | $78–$116 | varies |
| Doppler Echo Fetal Spectral Display Complete (76827) range across 2 matching MRF lines |
$72.45–$108.33 | $105–$157 | varies |
| Dxa bone density study (77085) range across 2 matching MRF lines |
$80.04–$84.79 | $116–$122.88 | varies |
| Echo exam of fetal heart (76825) range across 2 matching MRF lines |
$124.89–$178.71 | $181–$259 | varies |
| Echo Guide For Artery Repair (76936) | $858.36 | $1,244 | 4.6× |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) range across 2 matching MRF lines |
$84.87–$103.50 | $123–$150 | varies |
| Echograp Trans R Pros Study (76873) range across 2 matching MRF lines |
$113.16–$117.99 | $164–$171 | varies |
| Esophagram (74220) range across 4 matching MRF lines |
$48.30–$435.39 | $70–$631 | varies |
| Fetal Biophys Profile W/Nst (76818) range across 3 matching MRF lines |
$79.35–$189.75 | $115–$275 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 4 matching MRF lines |
$109.71–$238.74 | $159–$346 | varies |
| Fluoroscopy up to 1 hr (76000) range across 4 matching MRF lines |
$51.75–$332.58 | $75–$482 | varies |
| Foot 2 views (73620) range across 5 matching MRF lines |
$32.43–$237.36 | $47–$344 | varies |
| Forearm 2 views (73090) range across 5 matching MRF lines |
$22.77–$250.47 | $33–$363 | varies |
| Gated Heart Planar Single (78472) range across 3 matching MRF lines |
$173.19–$576.84 | $251–$836 | varies |
| Hand 2 views (73120) range across 5 matching MRF lines |
$22.08–$222.87 | $32–$323 | varies |
| Hysterosalpingogram (74740) | $420.90 | $610 | 2.0× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $160.77 | $233 | 2.1× |
| Infusion Ivp (74410) | $937.71 | $1,359 | 6.2× |
| Knee 3 Views (73562) range across 5 matching MRF lines |
$29.67–$361.56 | $43–$524 | varies |
| Lymphangiography, pelvic/abdominal, unilateral (75805) range across 2 matching MRF lines |
$146.28–$830.07 | $212–$1,203 | varies |
| Magnetic Image Jaw Joint (70336) | $1,914.06 | $2,774 | 9.3× |
| Mammary ductogram or galactogram multiple (77054) | $509.91 | $739 | 2.5× |
| Mammary ductogram or galactogram single (77053) | $509.91 | $739 | 2.5× |
| Mra Head W/O & W/Contrast Material (70546) | $1,995.48 | $2,892 | 6.6× |
| MRA head w/o contrast (70544) | $1,413.12 | $2,048 | 6.9× |
| MRA head with contrast (70545) | $1,793.31 | $2,599 | 6.0× |
| MRA neck w contrast (70548) | $1,995.48 | $2,892 | 6.6× |
| Mra Neck W/O &W/Contrast Material (70549) | $2,511.60 | $3,640 | 8.4× |
| MRA neck w/o contrast (70547) | $1,413.12 | $2,048 | 6.9× |
| MRI abdomen w contrast (74182) | $2,093.46 | $3,034 | 7.0× |
| MRI abdomen w/o contrast (74181) | $1,722.24 | $2,496 | 8.4× |
| MRI any jt lower extrem w/contrast material (73722) range across 2 matching MRF lines |
$1,368.96–$2,737.92 | $1,984–$3,968 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$1,644.96–$3,289.92 | $2,384–$4,768 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 2 matching MRF lines |
$1,366.20–$2,732.40 | $1,980–$3,960 | varies |
| MRI bone marrow blood supply (77084) | $1,763.64 | $2,556 | 8.6× |
| MRI Breast W/O Contrast Bilateral (77047) | $3,746.70 | $5,430 | 18.2× |
| MRI Breast Without Contrast Material Unilateral (77046) | $2,851.08 | $4,132 | 13.9× |
| MRI cervical spine w contrast (72142) | $1,557.33 | $2,257 | 5.2× |
| MRI cervical spine w/o cont (72141) range across 4 matching MRF lines |
$244.26–$1,400.01 | $354–$2,029 | varies |
| MRI chest w/o contrast (71550) | $1,860.93 | $2,697 | 9.0× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 2 matching MRF lines |
$1,309.62–$2,619.24 | $1,898–$3,796 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $1,571.82 | $2,278 | 5.2× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 5 matching MRF lines |
$213.21–$2,438.46 | $309–$3,534 | varies |
| MRI lumbar spine w contrast (72149) | $1,667.73 | $2,417 | 5.5× |
| Mri Neck Spine W/O & W/Dye (72156) | $1,930.62 | $2,798 | 6.4× |
| MRI orbit face &/neck w/o contrast (70540) | $1,745.01 | $2,529 | 8.5× |
| MRI orbit face neck w contrast (70542) | $2,007.90 | $2,910 | 6.7× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $2,311.50 | $3,350 | 7.7× |
| MRI pelvis w contrast (72196) range across 4 matching MRF lines |
$287.73–$1,667.73 | $417–$2,417 | varies |
| MRI pelvis w/o & w contrast (72197) | $2,001.69 | $2,901 | 6.7× |
| MRI pelvis w/o contrast (72195) | $1,449.69 | $2,101 | 7.0× |
| MRI spectroscopy (76390) | $1,522.83 | $2,207 | 20.3× |
| MRI thoracic spine w/o contrast (72146) | $1,526.28 | $2,212 | 7.4× |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 2 matching MRF lines |
$1,236.48–$2,472.96 | $1,792–$3,584 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 2 matching MRF lines |
$1,066.74–$2,133.48 | $1,546–$3,092 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) | $1,463.49 | $2,121 | 4.9× |
| MRI, abdomen, combo (74183) | $2,377.74 | $3,446 | 7.9× |
| MRI, dorsal spine combo (72157) | $2,106.57 | $3,053 | 7.0× |
| MRI, dorsal spine contrast (72147) | $1,754.67 | $2,543 | 5.8× |
| MRI, joint upper extrem (73221) range across 4 matching MRF lines |
$207.69–$1,188.87 | $301–$1,723 | varies |
| MRI, joint upper extrem combo (73223) range across 2 matching MRF lines |
$1,642.20–$3,284.40 | $2,380–$4,760 | varies |
| MRI, lumbar spine combo (72158) | $2,001.69 | $2,901 | 6.7× |
| Myocardial Spect Multiple Studies (78452) range across 2 matching MRF lines |
$127.65–$148.35 | $185–$215 | varies |
| Neck soft tissue (70360) | $117.99 | $171 | 1.6× |
| Nonvascular Shunt X-Ray (75809) | $528.54 | $766 | 5.9× |
| Nuclear Rx Oral Admin (79005) | $138 | $200 | 0.7× |
| Ob us nuchal meas 1 gest (76813) range across 2 matching MRF lines |
$86.25–$101.43 | $125–$147 | varies |
| Oph bmtry us echograpy a-scan io lens pwr cal (76519) range across 2 matching MRF lines |
$48.99–$66.93 | $71–$97 | varies |
| Oph us dx ant sgm us immersion b-scan/hr biom (76513) range across 2 matching MRF lines |
$70.38–$99.36 | $102–$144 | varies |
| Ophthalmic Biometry US Echograpy a-Scan (76516) range across 2 matching MRF lines |
$51.06–$62.79 | $74–$91 | varies |
| Ophthalmic Ultrasonic Foreign Body Localization (76529) range across 2 matching MRF lines |
$64.86–$89.70 | $94–$130 | varies |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) range across 2 matching MRF lines |
$62.79–$84.18 | $91–$122 | varies |
| Ophthalmic us dx quantitative a-scan only (76511) range across 2 matching MRF lines |
$74.52–$80.04 | $108–$116 | varies |
| Panoramic X-ray of jaws (70355) range across 4 matching MRF lines |
$25.53–$73.83 | $37–$107 | varies |
| Pelvis 1 or 2 views (72170) | $170.43 | $247 | 1.9× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 4 matching MRF lines |
$53.13–$270.48 | $77–$392 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 3 matching MRF lines |
$48.30–$509.91 | $70–$739 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 5 matching MRF lines |
$24.15–$361.56 | $35–$524 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 5 matching MRF lines |
$24.15–$237.36 | $35–$344 | varies |
| Radex elbow complete minimum 3 views (73080) range across 4 matching MRF lines |
$37.95–$122.13 | $55–$177 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $271.86 | $394 | 3.0× |
| Radex fingr minimum 2 views (73140) range across 4 matching MRF lines |
$34.50–$117.99 | $50–$171 | varies |
| Radex foot complete minimum 3 views (73630) range across 5 matching MRF lines |
$14.49–$327.06 | $21–$474 | varies |
| Radex Hand Minimum 3 Views (73130) range across 5 matching MRF lines |
$31.05–$330.51 | $45–$479 | varies |
| Radex lower extremity infant minimum 2 views (73592) | $102.12 | $148 | 1.4× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $350.52 | $508 | 3.9× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 4 matching MRF lines |
$20.70–$180.78 | $30–$262 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 4 matching MRF lines |
$31.74–$180.78 | $46–$262 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 5 matching MRF lines |
$37.26–$362.25 | $54–$525 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 4 matching MRF lines |
$22.77–$163.53 | $33–$237 | varies |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $198.72 | $288 | 1.3× |
| Radex Spine 1 View Specify Level (72020) | $180.78 | $262 | 2.4× |
| Radex Sternum Minimum 2 Views (71120) range across 4 matching MRF lines |
$27.60–$180.78 | $40–$262 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $291.87 | $423 | 3.9× |
| Radex Toe Minimum 2 Views (73660) range across 4 matching MRF lines |
$18.63–$117.99 | $27–$171 | varies |
| Radex upper extremity infant minimum 2 views (73092) | $102.12 | $148 | 1.1× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 5 matching MRF lines |
$34.50–$327.06 | $50–$474 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) range across 2 matching MRF lines |
$30.36–$99.36 | $44–$144 | varies |
| Radiation treatment delivery level 1 (77402) | $96.60 | $140 | 1.1× |
| Radiation treatment delivery level 2 (77407) | $89.01 | $129 | 0.3× |
| Radiation treatment delivery level 3 (77412) | $99.36 | $144 | 0.2× |
| Radiolog exam mandible compl minimum 4 views (70110) range across 4 matching MRF lines |
$31.74–$271.86 | $46–$394 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $235.98 | $342 | 2.6× |
| Radiologic exam colon double contrast study (74280) | $520.26 | $754 | 3.4× |
| Radiologic exam colon single contrast study (74270) | $410.55 | $595 | 2.7× |
| Radiologic exam knee complete 4/more views (73564) range across 5 matching MRF lines |
$31.74–$472.65 | $46–$685 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 3 matching MRF lines |
$42.78–$108.33 | $62–$157 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) | $405.72 | $588 | 2.7× |
| Radiologic exam swallow function contrast study (74230) | $335.34 | $486 | 2.2× |
| Radiologic exam upr gi trc double contrast study (74246) | $460.92 | $668 | 3.0× |
| Radiologic examination femur 1 view (73551) range across 2 matching MRF lines |
$11.73–$34.50 | $17–$50 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 4 matching MRF lines |
$12.42–$361.56 | $18–$524 | varies |
| Radiologic examination knee 1/2 views (73560) range across 5 matching MRF lines |
$34.50–$264.96 | $50–$384 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 5 matching MRF lines |
$28.29–$288.42 | $41–$418 | varies |
| Radiopharmaceutical therapy, by intra-articular administration Non-Facility (79440) range across 2 matching MRF lines |
$140.76–$159.39 | $204–$231 | varies |
| Ribs bilateral 3 views (71110) range across 4 matching MRF lines |
$51.75–$544.41 | $75–$789 | varies |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 3 matching MRF lines |
$85.56–$436.08 | $124–$632 | varies |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $202.86 | $294 | 0.2× |
| Rp Therapy Intravenous Administration (79101) range across 3 matching MRF lines |
$189.75–$431.25 | $275–$625 | varies |
| Scapula (73010) range across 5 matching MRF lines |
$21.39–$116.61 | $31–$169 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 2 matching MRF lines |
$42.09–$73.14 | $61–$106 | varies |
| Sella turcica (70240) | $235.98 | $342 | 3.1× |
| Shoulder 1 view (73020) | $117.99 | $171 | 1.6× |
| Shoulder Arthrography (73040) | $509.91 | $739 | 1.7× |
| Sialogram (70390) | $509.91 | $739 | 2.5× |
| Skull less than 4 views (70250) | $186.30 | $270 | 2.1× |
| Special dosimetry (77331) range across 2 matching MRF lines |
$15.18–$68.31 | $22–$99 | varies |
| Special Physics Consult (77370) | $187.68 | $272 | 1.6× |
| Special teletherapy port plan (77321) range across 2 matching MRF lines |
$80.04–$149.04 | $116–$216 | varies |
| Special treatment procedure (77470) range across 2 matching MRF lines |
$180.09–$420.21 | $261–$609 | varies |
| Sternoclavicular joints (71130) range across 3 matching MRF lines |
$17.94–$219.42 | $26–$318 | varies |
| Surface Applic Low Dose Rate Radionuclide Source (77789) range across 2 matching MRF lines |
$25.53–$87.63 | $37–$127 | varies |
| Temporomandble Jt Arthrography Rs&I (70332) | $509.91 | $739 | 2.5× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) range across 2 matching MRF lines |
$122.13–$314.64 | $177–$456 | varies |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) range across 2 matching MRF lines |
$90.39–$298.77 | $131–$433 | varies |
| Ther rad simulaj-aided field setting simple (77280) range across 2 matching MRF lines |
$57.27–$186.99 | $83–$271 | varies |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $353.97 | $513 | 2.3× |
| Thoracic spine 2 views (72070) range across 4 matching MRF lines |
$42.78–$182.16 | $62–$264 | varies |
| Thoracolumbar 2 views (72080) | $235.98 | $342 | 3.1× |
| Tx Devices Design & Construction Complex (77334) range across 3 matching MRF lines |
$97.29–$214.59 | $141–$311 | varies |
| Tx devices design & construction intermediate (77333) range across 2 matching MRF lines |
$66.24–$66.93 | $96–$97 | varies |
| Tx devices design & construction simple (77332) | $44.85 | $65 | 0.4× |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$48.30–$155.25 | $70–$225 | varies |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
$34.50–$314.18 | $50–$455.33 | varies |
| Ultrasound, abdomen limited (76705) range across 4 matching MRF lines |
$55.20–$361.56 | $80–$524 | varies |
| Umbilical-artery Doppler (OB) (76820) range across 3 matching MRF lines |
$60.72–$271.86 | $88–$394 | varies |
| Unlisted us procedure (76999) range across 3 matching MRF lines |
$31.84–$108.09 | $46.15–$156.65 | varies |
| Upper gi w/o kub (74240) | $460.92 | $668 | 3.0× |
| Ureteral Reflux Study (78740) range across 2 matching MRF lines |
$44.85–$113.85 | $65–$165 | varies |
| Urethrocystogram voiding (74455) range across 4 matching MRF lines |
$48.30–$696.90 | $70–$1,010 | varies |
| Urethrocystography retrograde (74450) range across 4 matching MRF lines |
$22.08–$509.91 | $32–$739 | varies |
| Us breast unilateral complete (76641) range across 2 matching MRF lines |
$48.30–$172.50 | $70–$250 | varies |
| Us chest (76604) range across 3 matching MRF lines |
$84.87–$306.36 | $123–$444 | varies |
| Us complete joint (76881) range across 4 matching MRF lines |
$20.70–$253.92 | $30–$368 | varies |
| Us exam, pelvic, limited (76857) range across 4 matching MRF lines |
$34.50–$179.40 | $50–$260 | varies |
| Us head (76506) range across 4 matching MRF lines |
$100.74–$273.24 | $146–$396 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 3 matching MRF lines |
$62.10–$149.73 | $90–$217 | varies |
| Us ob detailed single fetus (76811) range across 3 matching MRF lines |
$142.83–$331.20 | $207–$480 | varies |
| Us ob limited 1 or more fetuses (76815) range across 4 matching MRF lines |
$77.28–$260.13 | $112–$377 | varies |
| Us ob transvaginal (76817) range across 4 matching MRF lines |
$77.97–$306.36 | $113–$444 | varies |
| Us pelvic non ob complete (76856) range across 4 matching MRF lines |
$93.15–$386.40 | $135–$560 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 4 matching MRF lines |
$77.97–$361.56 | $113–$524 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 4 matching MRF lines |
$51.75–$260.13 | $75–$377 | varies |
| Us retroperitoneal complete (76770) range across 4 matching MRF lines |
$79.35–$361.56 | $115–$524 | varies |
| Us retroperitoneal limited (76775) range across 4 matching MRF lines |
$56.58–$466.44 | $82–$676 | varies |
| Us scrotum and contents (76870) range across 4 matching MRF lines |
$65.55–$306.36 | $95–$444 | varies |
| Us spinal canal and contents (76800) | $268.41 | $389 | 3.0× |
| Us thyroid (76536) range across 4 matching MRF lines |
$69–$253.92 | $100–$368 | varies |
| Us transrectal (76872) range across 4 matching MRF lines |
$104.88–$231.84 | $152–$336 | varies |
| Vertebral fracture assessment via dxa (77086) | $42.09 | $61 | 0.6× |
| Wrist 2 views (73100) range across 5 matching MRF lines |
$21.39–$237.36 | $31–$344 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $222.87 | $323 | 3.0× |
| X-ray antegrade pyelogram tube (74425) range across 3 matching MRF lines |
$40.71–$134.20 | $59–$194.50 | varies |
| X-Ray Bend Only L-S Spine (72120) | $389.16 | $564 | 4.3× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 5 matching MRF lines |
$24.15–$263.58 | $35–$382 | varies |
| X-Ray Exam Breast Specimen (76098) | $136.62 | $198 | 0.3× |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 2 matching MRF lines |
$48.30–$110.40 | $70–$160 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 3 matching MRF lines |
$20.70–$110.40 | $30–$160 | varies |
| X-Ray Exam Entire Spi 4/5 Vw (72083) range across 2 matching MRF lines |
$24.84–$82.80 | $36–$120 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 3 matching MRF lines |
$15.18–$36.57 | $22–$53 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 2 matching MRF lines |
$15.18–$174.57 | $22–$253 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) | $63.48 | $92 | 0.7× |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$15.18–$48.30 | $22–$70 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 3 matching MRF lines |
$31.05–$364.32 | $45–$528 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) range across 3 matching MRF lines |
$21.39–$364.32 | $31–$528 | varies |
| X-Ray Exam L-S Spine Bending (72114) | $389.16 | $564 | 4.3× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 5 matching MRF lines |
$33.12–$186.30 | $48–$270 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 4 matching MRF lines |
$46.23–$400.89 | $67–$581 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 4 matching MRF lines |
$35.88–$201.48 | $52–$292 | varies |
| X-ray eye for foreign body (70030) | $87.63 | $127 | 1.2× |
| X-ray head for orthodontia (70350) | $124.89 | $181 | 1.7× |
| X-ray humerus (73060) range across 4 matching MRF lines |
$26.91–$165.60 | $39–$240 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 4 matching MRF lines |
$25.53–$133.17 | $37–$193 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 4 matching MRF lines |
$29.67–$180.78 | $43–$262 | varies |
| X-ray nose-rectum child f.b. (76010) | $230.46 | $334 | 3.1× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $382.95 | $555 | 4.2× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $235.98 | $342 | 2.6× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 4 matching MRF lines |
$35.88–$180.78 | $52–$262 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 4 matching MRF lines |
$37.95–$271.86 | $55–$394 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 4 matching MRF lines |
$37.95–$271.86 | $55–$394 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 4 matching MRF lines |
$53.82–$523.71 | $78–$759 | varies |
| X-Rays Bone Length Studies (77073) | $257.37 | $373 | 2.9× |
| X-Rays Bone Survey Complete (77075) | $519.57 | $753 | 5.8× |
| Xr c-spine 4 or 5 views (72050) range across 4 matching MRF lines |
$58.65–$271.86 | $85–$394 | varies |
| Xr orbits complete 4 views (70200) | $291.87 | $423 | 3.2× |
| Xr Tomogram Single Plane (76100) | $576.84 | $836 | 6.4× |
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.