Imaging prices at Ochsner Watkins Hospital
Quitman, 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 |
$426.12–$1,453.90 | $636–$2,170 | varies |
| Abdomen 1 View (74018) range across 5 matching MRF lines |
$26.80–$160.80 | $40–$240 | varies |
| Abdomen 2 views (74019) range across 3 matching MRF lines |
$43.55–$159.46 | $65–$238 | varies |
| Ankle 2 views (73600) range across 5 matching MRF lines |
$31.49–$230.48 | $47–$344 | varies |
| Aortography thoracic serialography rs&i (75605) range across 3 matching MRF lines |
$140.70–$937.33 | $210–$1,399 | varies |
| Artery X-Rays Adrenal Gland (75731) | $2,077 | $3,100 | 0.8× |
| Arthrogram Wrist (73115) | $164.82 | $246 | 0.5× |
| Basic radiation dosimetry calculation (77300) range across 2 matching MRF lines |
$46.23–$47.57 | $69–$71 | varies |
| Bone age studies (77072) range across 4 matching MRF lines |
$34.84–$99.83 | $52–$149 | varies |
| Bone survey infant (77076) | $214.40 | $320 | 2.4× |
| Cat Scan Follow-Up Study (76380) | $814.72 | $1,216 | 10.9× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) range across 2 matching MRF lines |
$44.22–$178.89 | $66–$267 | varies |
| Chest 1 view (71045) range across 4 matching MRF lines |
$31.49–$167.50 | $47–$250 | varies |
| Chest 2 views (71046) range across 5 matching MRF lines |
$32.83–$167.50 | $49–$250 | varies |
| Chest 3 views (71047) | $263.98 | $394 | 3.5× |
| Chest 4 or more views (71048) | $263.98 | $394 | 2.9× |
| Clavicle complete (73000) range across 5 matching MRF lines |
$32.16–$216.41 | $48–$323 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $221.77 | $331 | 2.5× |
| Continuing medical physics consltj pr wk (77336) | $155.44 | $232 | 1.3× |
| Contrast X-Ray Bladder (74430) range across 4 matching MRF lines |
$33.50–$416.07 | $50–$621 | varies |
| Contrast X-Ray Of Elbow (73085) | $495.13 | $739 | 1.6× |
| Contrast X-Ray Of Knee Joint (73580) range across 2 matching MRF lines |
$495.13–$990.26 | $739–$1,478 | varies |
| Contrast Xray Throat/Cerv Esopha (74210) | $422.77 | $631 | 2.8× |
| CT abdomen and pelvis without and with contrast (74178) | $1,780.19 | $2,657 | 5.9× |
| CT abdomen and pelvis without contrast (74176) | $1,031.80 | $1,540 | 5.0× |
| CT abdomen w contrast (74160) | $1,246.20 | $1,860 | 8.2× |
| CT abdomen w wo contrast (74170) | $1,486.06 | $2,218 | 9.8× |
| CT abdomen w/o contrast (74150) | $765.14 | $1,142 | 8.5× |
| CT Angio Abdomen and Pelvis (74174) | $1,329.28 | $1,984 | 4.4× |
| CT Angio Chest (71275) | $1,246.20 | $1,860 | 8.2× |
| CT Angio Head (70496) | $1,246.20 | $1,860 | 8.2× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $1,246.20 | $1,860 | 8.2× |
| CT Angio Neck (70498) | $1,246.20 | $1,860 | 8.2× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $1,246.20 | $1,860 | 8.2× |
| CT bone density (77078) | $547.39 | $817 | 7.3× |
| CT cervical spine w/ contrast (72126) | $1,491.42 | $2,226 | 5.0× |
| CT cervical spine w/o contrast (72125) | $958.10 | $1,430 | 10.6× |
| CT cervical spine w/wo cont (72127) | $1,814.36 | $2,708 | 12.0× |
| CT chest w contrast (71260) | $1,482.04 | $2,212 | 9.8× |
| CT chest w/wo contrast (71270) | $1,626.09 | $2,427 | 10.8× |
| CT head/brain with contrast (70460) | $1,246.20 | $1,860 | 8.2× |
| CT head/brain without and with contrast (70470) | $1,527.60 | $2,280 | 10.1× |
| CT iac w contrast (70481) | $1,300.47 | $1,941 | 8.6× |
| CT l-spine w&w/o contrast (72133) | $1,814.36 | $2,708 | 12.0× |
| CT lower ext w/o (73700) range across 2 matching MRF lines |
$765.14–$1,530.95 | $1,142–$2,285 | varies |
| CT lower extremity w/contrast material (73701) range across 2 matching MRF lines |
$1,300.47–$2,600.94 | $1,941–$3,882 | varies |
| CT lumbar spine w contrast (72132) | $1,491.42 | $2,226 | 5.0× |
| CT lumbar spine w/o contrast (72131) | $958.10 | $1,430 | 10.6× |
| CT maxillofacial w contrast (70487) | $1,300.47 | $1,941 | 8.6× |
| CT maxillofacial wo contrast (70486) range across 4 matching MRF lines |
$134.67–$1,105.50 | $201–$1,650 | varies |
| CT neck tissue combo (70492) | $1,626.09 | $2,427 | 10.8× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,626.09 | $2,427 | 10.8× |
| CT orbits w/o contrast (70480) | $765.14 | $1,142 | 8.5× |
| CT pelvis w&w/o contrast (72194) | $1,527.60 | $2,280 | 10.1× |
| CT pelvis w/o contrast (72192) | $765.14 | $1,142 | 8.5× |
| CT scan of leg combo (73702) range across 2 matching MRF lines |
$1,626.09–$3,251.51 | $2,427–$4,853 | varies |
| CT scans face/jaw combo (70488) | $1,626.09 | $2,427 | 10.8× |
| CT soft tissue neck w contrast (70491) | $1,300.47 | $1,941 | 8.6× |
| CT soft tissue neck w/o contrast (70490) | $765.14 | $1,142 | 8.5× |
| CT thoracic spine w contrast (72129) | $1,491.42 | $2,226 | 9.9× |
| CT thoracic spine w/o contrast (72128) | $958.10 | $1,430 | 10.6× |
| CT thoracic spine w/wo cont (72130) | $1,814.36 | $2,708 | 12.0× |
| CT thorax w/o contrast (71250) | $765.14 | $1,142 | 8.5× |
| CT upper ext wo (73200) range across 5 matching MRF lines |
$111.22–$1,530.95 | $166–$2,285 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 2 matching MRF lines |
$1,626.09–$3,251.51 | $2,427–$4,853 | varies |
| CT upper extremity with contrast (73201) range across 5 matching MRF lines |
$127.64–$2,600.94 | $190.50–$3,882 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,246.20 | $1,860 | 8.2× |
| Cta Abdomen (74175) | $1,232.80 | $1,840 | 8.2× |
| CTA pelvis (72191) | $1,232.80 | $1,840 | 8.2× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) range across 2 matching MRF lines |
$52.26–$77.72 | $78–$116 | varies |
| Doppler Echo Fetal Spectral Display Complete (76827) range across 2 matching MRF lines |
$70.35–$105.19 | $105–$157 | varies |
| Dxa bone density study (77085) range across 2 matching MRF lines |
$77.72–$82.33 | $116–$122.88 | varies |
| Echo exam of fetal heart (76825) range across 2 matching MRF lines |
$121.27–$173.53 | $181–$259 | varies |
| Echo Guide For Artery Repair (76936) | $833.48 | $1,244 | 4.5× |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) range across 2 matching MRF lines |
$82.41–$100.50 | $123–$150 | varies |
| Echograp Trans R Pros Study (76873) range across 2 matching MRF lines |
$109.88–$114.57 | $164–$171 | varies |
| Esophagram (74220) range across 4 matching MRF lines |
$46.90–$422.77 | $70–$631 | varies |
| Fetal Biophys Profile W/Nst (76818) range across 3 matching MRF lines |
$77.05–$184.25 | $115–$275 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 4 matching MRF lines |
$106.53–$231.82 | $159–$346 | varies |
| Fluoroscopy up to 1 hr (76000) range across 3 matching MRF lines |
$50.25–$144.05 | $75–$215 | varies |
| Foot 2 views (73620) range across 5 matching MRF lines |
$31.49–$230.48 | $47–$344 | varies |
| Forearm 2 views (73090) range across 5 matching MRF lines |
$22.11–$243.21 | $33–$363 | varies |
| Gated Heart Planar Single (78472) range across 3 matching MRF lines |
$168.17–$560.12 | $251–$836 | varies |
| Hand 2 views (73120) range across 5 matching MRF lines |
$21.44–$216.41 | $32–$323 | varies |
| Hysterosalpingogram (74740) | $408.70 | $610 | 2.0× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $156.11 | $233 | 2.1× |
| Infusion Ivp (74410) | $910.53 | $1,359 | 6.0× |
| Knee 3 Views (73562) range across 5 matching MRF lines |
$28.81–$351.08 | $43–$524 | varies |
| Lymphangiography, pelvic/abdominal, unilateral (75805) range across 2 matching MRF lines |
$142.04–$806.01 | $212–$1,203 | varies |
| Magnetic Image Jaw Joint (70336) | $1,858.58 | $2,774 | 9.0× |
| Mammary ductogram or galactogram multiple (77054) | $495.13 | $739 | 2.4× |
| Mammary ductogram or galactogram single (77053) | $495.13 | $739 | 2.4× |
| Mra Head W/O & W/Contrast Material (70546) | $1,937.64 | $2,892 | 6.4× |
| MRA head w/o contrast (70544) | $1,670.31 | $2,493 | 8.1× |
| MRA head with contrast (70545) | $1,741.33 | $2,599 | 5.8× |
| MRA neck w contrast (70548) | $1,937.64 | $2,892 | 6.4× |
| Mra Neck W/O &W/Contrast Material (70549) | $2,438.80 | $3,640 | 8.1× |
| MRA neck w/o contrast (70547) | $1,372.16 | $2,048 | 6.7× |
| MRI abdomen w contrast (74182) | $2,032.78 | $3,034 | 6.8× |
| MRI abdomen w/o contrast (74181) | $1,672.99 | $2,497 | 8.1× |
| MRI any jt lower extrem w/contrast material (73722) range across 2 matching MRF lines |
$1,329.28–$2,658.56 | $1,984–$3,968 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$1,597.28–$3,194.56 | $2,384–$4,768 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 2 matching MRF lines |
$1,326.60–$2,653.20 | $1,980–$3,960 | varies |
| MRI bone marrow blood supply (77084) | $1,712.52 | $2,556 | 8.3× |
| MRI Breast W/O Contrast Bilateral (77047) | $3,638.10 | $5,430 | 17.7× |
| MRI Breast Without Contrast Material Unilateral (77046) | $2,768.44 | $4,132 | 13.5× |
| MRI cervical spine w contrast (72142) | $1,512.19 | $2,257 | 5.0× |
| MRI cervical spine w/o cont (72141) range across 4 matching MRF lines |
$237.18–$1,359.43 | $354–$2,029 | varies |
| MRI chest w/o contrast (71550) | $1,806.99 | $2,697 | 8.8× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 2 matching MRF lines |
$1,271.66–$2,543.32 | $1,898–$3,796 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $1,526.26 | $2,278 | 5.1× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 5 matching MRF lines |
$207.03–$2,367.78 | $309–$3,534 | varies |
| MRI lumbar spine w contrast (72149) | $1,619.39 | $2,417 | 5.4× |
| Mri Neck Spine W/O & W/Dye (72156) | $1,874.66 | $2,798 | 6.2× |
| MRI orbit face &/neck w/o contrast (70540) | $1,694.43 | $2,529 | 8.2× |
| MRI orbit face neck w contrast (70542) | $1,949.70 | $2,910 | 6.5× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $2,244.50 | $3,350 | 7.5× |
| MRI pelvis w contrast (72196) range across 4 matching MRF lines |
$279.39–$1,619.39 | $417–$2,417 | varies |
| MRI pelvis w/o & w contrast (72197) | $1,943.67 | $2,901 | 6.5× |
| MRI pelvis w/o contrast (72195) | $1,407.67 | $2,101 | 6.8× |
| MRI spectroscopy (76390) | $1,478.69 | $2,207 | 19.7× |
| MRI thoracic spine w/o contrast (72146) | $1,482.04 | $2,212 | 7.2× |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 2 matching MRF lines |
$1,200.64–$2,401.28 | $1,792–$3,584 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 2 matching MRF lines |
$1,035.82–$2,071.64 | $1,546–$3,092 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) | $1,421.07 | $2,121 | 4.7× |
| MRI, abdomen, combo (74183) | $2,308.82 | $3,446 | 7.7× |
| MRI, dorsal spine combo (72157) | $2,045.51 | $3,053 | 6.8× |
| MRI, dorsal spine contrast (72147) | $1,703.81 | $2,543 | 5.7× |
| MRI, joint upper extrem (73221) range across 4 matching MRF lines |
$201.67–$1,154.41 | $301–$1,723 | varies |
| MRI, joint upper extrem combo (73223) range across 2 matching MRF lines |
$1,594.60–$3,189.20 | $2,380–$4,760 | varies |
| MRI, lumbar spine combo (72158) | $1,943.67 | $2,901 | 6.5× |
| Myocardial Spect Multiple Studies (78452) range across 2 matching MRF lines |
$123.95–$144.05 | $185–$215 | varies |
| Neck soft tissue (70360) | $114.57 | $171 | 1.5× |
| Nonvascular Shunt X-Ray (75809) | $513.22 | $766 | 5.7× |
| Nuclear Rx Oral Admin (79005) | $134 | $200 | 0.7× |
| Ob us nuchal meas 1 gest (76813) range across 2 matching MRF lines |
$83.75–$98.49 | $125–$147 | varies |
| Oph bmtry us echograpy a-scan io lens pwr cal (76519) range across 2 matching MRF lines |
$47.57–$64.99 | $71–$97 | varies |
| Oph us dx ant sgm us immersion b-scan/hr biom (76513) range across 2 matching MRF lines |
$68.34–$96.48 | $102–$144 | varies |
| Ophthalmic Biometry US Echograpy a-Scan (76516) range across 2 matching MRF lines |
$49.58–$60.97 | $74–$91 | varies |
| Ophthalmic Ultrasonic Foreign Body Localization (76529) range across 2 matching MRF lines |
$62.98–$87.10 | $94–$130 | varies |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) range across 2 matching MRF lines |
$60.97–$81.74 | $91–$122 | varies |
| Ophthalmic us dx quantitative a-scan only (76511) range across 2 matching MRF lines |
$72.36–$77.72 | $108–$116 | varies |
| Panoramic X-ray of jaws (70355) range across 4 matching MRF lines |
$24.79–$71.69 | $37–$107 | varies |
| Pelvis 1 or 2 views (72170) | $165.49 | $247 | 1.8× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 4 matching MRF lines |
$51.59–$262.64 | $77–$392 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 3 matching MRF lines |
$46.90–$495.13 | $70–$739 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 5 matching MRF lines |
$23.45–$351.08 | $35–$524 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 5 matching MRF lines |
$23.45–$230.48 | $35–$344 | varies |
| Radex elbow complete minimum 3 views (73080) range across 4 matching MRF lines |
$36.85–$118.59 | $55–$177 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $263.98 | $394 | 2.9× |
| Radex fingr minimum 2 views (73140) range across 4 matching MRF lines |
$33.50–$114.57 | $50–$171 | varies |
| Radex foot complete minimum 3 views (73630) range across 5 matching MRF lines |
$14.07–$317.58 | $21–$474 | varies |
| Radex Hand Minimum 3 Views (73130) range across 5 matching MRF lines |
$30.15–$320.93 | $45–$479 | varies |
| Radex lower extremity infant minimum 2 views (73592) | $99.16 | $148 | 1.3× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $340.36 | $508 | 3.8× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 4 matching MRF lines |
$20.10–$175.54 | $30–$262 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 4 matching MRF lines |
$30.82–$263.98 | $46–$394 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 5 matching MRF lines |
$36.18–$351.75 | $54–$525 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 4 matching MRF lines |
$22.11–$158.79 | $33–$237 | varies |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $192.96 | $288 | 1.3× |
| Radex Spine 1 View Specify Level (72020) | $175.54 | $262 | 2.3× |
| Radex Sternum Minimum 2 Views (71120) range across 4 matching MRF lines |
$26.80–$175.54 | $40–$262 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $283.41 | $423 | 3.8× |
| Radex Toe Minimum 2 Views (73660) range across 4 matching MRF lines |
$18.09–$114.57 | $27–$171 | varies |
| Radex upper extremity infant minimum 2 views (73092) | $99.16 | $148 | 1.1× |
| Radex Wrist Complete Minimum 3 Views (73110) range across 5 matching MRF lines |
$33.50–$317.58 | $50–$474 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) range across 2 matching MRF lines |
$29.48–$96.48 | $44–$144 | varies |
| Radiation treatment delivery level 1 (77402) | $93.80 | $140 | 1.1× |
| Radiation treatment delivery level 2 (77407) | $86.43 | $129 | 0.3× |
| Radiation treatment delivery level 3 (77412) | $96.48 | $144 | 0.2× |
| Radiolog exam mandible compl minimum 4 views (70110) range across 4 matching MRF lines |
$30.82–$263.98 | $46–$394 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $229.14 | $342 | 2.5× |
| Radiologic exam colon double contrast study (74280) | $505.18 | $754 | 3.3× |
| Radiologic exam colon single contrast study (74270) | $398.65 | $595 | 2.6× |
| Radiologic exam knee complete 4/more views (73564) range across 5 matching MRF lines |
$30.82–$458.95 | $46–$685 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 3 matching MRF lines |
$41.54–$105.19 | $62–$157 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) | $393.96 | $588 | 2.6× |
| Radiologic exam swallow function contrast study (74230) | $325.62 | $486 | 2.2× |
| Radiologic exam upr gi trc double contrast study (74246) | $447.56 | $668 | 3.0× |
| Radiologic examination femur 1 view (73551) range across 2 matching MRF lines |
$11.39–$33.50 | $17–$50 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 4 matching MRF lines |
$12.06–$351.08 | $18–$524 | varies |
| Radiologic examination knee 1/2 views (73560) range across 5 matching MRF lines |
$33.50–$257.28 | $50–$384 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 5 matching MRF lines |
$27.47–$280.06 | $41–$418 | varies |
| Radiopharmaceutical therapy, by intra-articular administration Non-Facility (79440) range across 2 matching MRF lines |
$136.68–$154.77 | $204–$231 | varies |
| Ribs bilateral 3 views (71110) range across 4 matching MRF lines |
$50.25–$528.63 | $75–$789 | varies |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 3 matching MRF lines |
$83.08–$423.44 | $124–$632 | varies |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $196.98 | $294 | 0.2× |
| Rp Therapy Intravenous Administration (79101) range across 3 matching MRF lines |
$184.25–$418.75 | $275–$625 | varies |
| Scapula (73010) range across 5 matching MRF lines |
$20.77–$113.23 | $31–$169 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 2 matching MRF lines |
$40.87–$71.02 | $61–$106 | varies |
| Sella turcica (70240) | $229.14 | $342 | 3.1× |
| Shoulder 1 view (73020) | $114.57 | $171 | 1.5× |
| Shoulder Arthrography (73040) | $495.13 | $739 | 1.6× |
| Sialogram (70390) | $495.13 | $739 | 2.4× |
| Skull less than 4 views (70250) | $180.90 | $270 | 2.0× |
| Special dosimetry (77331) range across 2 matching MRF lines |
$14.74–$66.33 | $22–$99 | varies |
| Special Physics Consult (77370) | $182.24 | $272 | 1.6× |
| Special teletherapy port plan (77321) range across 2 matching MRF lines |
$77.72–$144.72 | $116–$216 | varies |
| Special treatment procedure (77470) range across 2 matching MRF lines |
$174.87–$408.03 | $261–$609 | varies |
| Sternoclavicular joints (71130) range across 3 matching MRF lines |
$17.42–$213.06 | $26–$318 | varies |
| Surface Applic Low Dose Rate Radionuclide Source (77789) range across 2 matching MRF lines |
$24.79–$85.09 | $37–$127 | varies |
| Temporomandble Jt Arthrography Rs&I (70332) | $495.13 | $739 | 2.4× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) range across 2 matching MRF lines |
$118.59–$305.52 | $177–$456 | varies |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) range across 2 matching MRF lines |
$87.77–$290.11 | $131–$433 | varies |
| Ther rad simulaj-aided field setting simple (77280) range across 2 matching MRF lines |
$55.61–$181.57 | $83–$271 | varies |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $343.71 | $513 | 2.3× |
| Thoracic spine 2 views (72070) range across 4 matching MRF lines |
$41.54–$176.88 | $62–$264 | varies |
| Thoracolumbar 2 views (72080) | $229.14 | $342 | 3.1× |
| Tx Devices Design & Construction Complex (77334) range across 3 matching MRF lines |
$94.47–$208.37 | $141–$311 | varies |
| Tx devices design & construction intermediate (77333) range across 2 matching MRF lines |
$64.32–$64.99 | $96–$97 | varies |
| Tx devices design & construction simple (77332) | $43.55 | $65 | 0.4× |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$46.90–$150.75 | $70–$225 | varies |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
$33.50–$305.07 | $50–$455.33 | varies |
| Ultrasound, abdomen limited (76705) range across 4 matching MRF lines |
$53.60–$351.08 | $80–$524 | varies |
| Umbilical-artery Doppler (OB) (76820) range across 3 matching MRF lines |
$58.96–$263.98 | $88–$394 | varies |
| Unlisted us procedure (76999) range across 3 matching MRF lines |
$30.92–$104.96 | $46.15–$156.65 | varies |
| Upper gi w/o kub (74240) | $447.56 | $668 | 3.0× |
| Ureteral Reflux Study (78740) range across 2 matching MRF lines |
$43.55–$110.55 | $65–$165 | varies |
| Urethrocystogram voiding (74455) range across 4 matching MRF lines |
$46.90–$676.70 | $70–$1,010 | varies |
| Urethrocystography retrograde (74450) range across 4 matching MRF lines |
$21.44–$495.13 | $32–$739 | varies |
| Us breast unilateral complete (76641) range across 2 matching MRF lines |
$46.90–$167.50 | $70–$250 | varies |
| Us chest (76604) range across 3 matching MRF lines |
$82.41–$297.48 | $123–$444 | varies |
| Us complete joint (76881) range across 4 matching MRF lines |
$20.10–$246.56 | $30–$368 | varies |
| Us exam, pelvic, limited (76857) range across 4 matching MRF lines |
$33.50–$174.20 | $50–$260 | varies |
| Us head (76506) range across 4 matching MRF lines |
$97.82–$265.32 | $146–$396 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 3 matching MRF lines |
$60.30–$145.39 | $90–$217 | varies |
| Us ob detailed single fetus (76811) range across 3 matching MRF lines |
$138.69–$321.60 | $207–$480 | varies |
| Us ob limited 1 or more fetuses (76815) range across 4 matching MRF lines |
$75.04–$252.59 | $112–$377 | varies |
| Us ob transvaginal (76817) range across 4 matching MRF lines |
$75.71–$297.48 | $113–$444 | varies |
| Us pelvic non ob complete (76856) range across 4 matching MRF lines |
$90.45–$375.20 | $135–$560 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 4 matching MRF lines |
$75.71–$351.08 | $113–$524 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 3 matching MRF lines |
$50.25–$134 | $75–$200 | varies |
| Us retroperitoneal complete (76770) range across 4 matching MRF lines |
$77.05–$351.08 | $115–$524 | varies |
| Us retroperitoneal limited (76775) range across 4 matching MRF lines |
$54.94–$452.92 | $82–$676 | varies |
| Us scrotum and contents (76870) range across 4 matching MRF lines |
$63.65–$297.48 | $95–$444 | varies |
| Us spinal canal and contents (76800) | $260.63 | $389 | 2.9× |
| Us thyroid (76536) range across 4 matching MRF lines |
$67–$246.56 | $100–$368 | varies |
| Us transrectal (76872) range across 5 matching MRF lines |
$101.84–$242.54 | $152–$362 | varies |
| Vertebral fracture assessment via dxa (77086) | $40.87 | $61 | 0.5× |
| Wrist 2 views (73100) range across 5 matching MRF lines |
$20.77–$230.48 | $31–$344 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $216.41 | $323 | 2.9× |
| X-ray antegrade pyelogram tube (74425) range across 3 matching MRF lines |
$39.53–$130.32 | $59–$194.50 | varies |
| X-Ray Bend Only L-S Spine (72120) | $377.88 | $564 | 4.2× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 5 matching MRF lines |
$23.45–$255.94 | $35–$382 | varies |
| X-Ray Exam Breast Specimen (76098) | $132.66 | $198 | 0.3× |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 2 matching MRF lines |
$46.90–$107.20 | $70–$160 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 3 matching MRF lines |
$20.10–$107.20 | $30–$160 | varies |
| X-Ray Exam Entire Spi 4/5 Vw (72083) range across 2 matching MRF lines |
$24.12–$80.40 | $36–$120 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 4 matching MRF lines |
$14.74–$169.51 | $22–$253 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 2 matching MRF lines |
$14.74–$169.51 | $22–$253 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) | $61.64 | $92 | 0.7× |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$14.74–$46.90 | $22–$70 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 3 matching MRF lines |
$30.15–$353.76 | $45–$528 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) range across 3 matching MRF lines |
$20.77–$353.76 | $31–$528 | varies |
| X-Ray Exam L-S Spine Bending (72114) | $377.88 | $564 | 4.2× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 5 matching MRF lines |
$32.16–$180.90 | $48–$270 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 4 matching MRF lines |
$44.89–$389.27 | $67–$581 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 4 matching MRF lines |
$34.84–$195.64 | $52–$292 | varies |
| X-ray eye for foreign body (70030) | $85.09 | $127 | 1.1× |
| X-ray head for orthodontia (70350) | $121.27 | $181 | 1.6× |
| X-ray humerus (73060) range across 4 matching MRF lines |
$26.13–$160.80 | $39–$240 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 4 matching MRF lines |
$24.79–$129.31 | $37–$193 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 4 matching MRF lines |
$28.81–$175.54 | $43–$262 | varies |
| X-ray nose-rectum child f.b. (76010) | $223.78 | $334 | 3.0× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $371.85 | $555 | 4.1× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $229.14 | $342 | 2.5× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 4 matching MRF lines |
$34.84–$175.54 | $52–$262 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 4 matching MRF lines |
$36.85–$263.98 | $55–$394 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 4 matching MRF lines |
$36.85–$263.98 | $55–$394 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 4 matching MRF lines |
$52.26–$508.53 | $78–$759 | varies |
| X-Rays Bone Length Studies (77073) | $249.91 | $373 | 2.8× |
| X-Rays Bone Survey Complete (77075) | $504.51 | $753 | 5.6× |
| Xr c-spine 4 or 5 views (72050) range across 4 matching MRF lines |
$56.95–$263.98 | $85–$394 | varies |
| Xr orbits complete 4 views (70200) | $283.41 | $423 | 3.1× |
| Xr Tomogram Single Plane (76100) | $560.12 | $836 | 6.2× |
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.