Imaging prices at Oswego Hospital
Oswego, NY · every code in this section with a posted price and a Medicare benchmark.
317 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) range across 2 matching MRF lines |
$121.90–$129.21 | $162.53–$172.28 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$233.03–$247.01 | $310.70–$329.34 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,110.79 | $1,481.05 | 2.2× |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$78.27–$165.93 | $104.36–$221.24 | varies |
| Aortography thoracic w/o serialography rs&i (75600) | $330.89 | $441.19 | 0.1× |
| Arthrogram ankle (73615) | $551.49 | $735.32 | 1.3× |
| Arthrogram hip (73525) | $731.09 | $974.79 | 1.7× |
| Arthrogram Wrist (73115) | $670.57 | $894.09 | 1.5× |
| Bone age studies (77072) range across 2 matching MRF lines |
$162.07–$171.80 | $216.09–$229.06 | varies |
| Bone Imaging 3 Phase (78315) range across 2 matching MRF lines |
$1,191.57–$1,263.07 | $1,588.76–$1,684.09 | varies |
| Bone Imaging Limited Area (78300) | $935.09 | $1,246.79 | 1.9× |
| Bone Imaging Multiple Areas (78305) | $1,107.87 | $1,477.16 | 2.2× |
| Bone Imaging Whole Body (78306) range across 2 matching MRF lines |
$1,215.51–$1,288.44 | $1,620.68–$1,717.92 | varies |
| Bone survey infant (77076) | $284.04 | $378.72 | 2.2× |
| Brain Image W/Flow < 4 Views (78601) | $698.88 | $931.84 | 1.4× |
| Brain imaging < 4 static views (78600) | $853.84 | $1,138.45 | 1.7× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $857.99 | $1,143.98 | 1.3× |
| Cat Scan Follow-Up Study (76380) range across 4 matching MRF lines |
$358.23–$641.30 | $477.64–$855.06 | varies |
| Chest 1 view (71045) range across 4 matching MRF lines |
$115–$243.80 | $153.33–$325.06 | varies |
| Chest 2 views (71046) range across 2 matching MRF lines |
$121.90–$129.21 | $162.53–$172.28 | varies |
| Chest 3 views (71047) range across 2 matching MRF lines |
$121.90–$129.21 | $162.53–$172.28 | varies |
| Chest 4 or more views (71048) | $247.01 | $329.34 | 1.9× |
| Cholecystography Oral Contrast (74290) | $347.49 | $463.32 | 1.6× |
| Clavicle complete (73000) range across 3 matching MRF lines |
$122.47–$259.65 | $163.29–$346.20 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 3 matching MRF lines |
$147.11–$165.29 | $196.14–$220.38 | varies |
| Contrast X-Ray Bladder (74430) range across 2 matching MRF lines |
$322.29–$341.63 | $429.72–$455.50 | varies |
| Contrast X-Ray Of Elbow (73085) | $551.49 | $735.32 | 1.3× |
| Contrast X-Ray Of Knee Joint (73580) | $672.53 | $896.70 | 1.5× |
| Contrast Xray Throat/Cerv Esopha (74210) | $267.44 | $356.59 | 1.2× |
| CT abdomen and pelvis without and with contrast (74178) range across 3 matching MRF lines |
$2,380.68–$2,539.79 | $3,174.24–$3,386.39 | varies |
| CT abdomen and pelvis without contrast (74176) range across 3 matching MRF lines |
$1,695.74–$1,905.33 | $2,260.98–$2,540.44 | varies |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$1,048.85–$1,111.78 | $1,398.46–$1,482.37 | varies |
| CT abdomen w wo contrast (74170) range across 3 matching MRF lines |
$1,130.21–$1,269.90 | $1,506.94–$1,693.20 | varies |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$898.74–$952.67 | $1,198.32–$1,270.22 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$3,710.08–$3,932.69 | $4,946.77–$5,243.58 | varies |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$1,978.89–$2,097.62 | $2,638.52–$2,796.83 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$1,879.44–$1,992.21 | $2,505.92–$2,656.28 | varies |
| CT angio hrt w/3d image (75574) | $529.05 | $705.40 | 1.2× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 3 matching MRF lines |
$1,879.44–$3,984.41 | $2,505.92–$5,312.54 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$1,879.44–$1,992.21 | $2,505.92–$2,656.28 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 4 matching MRF lines |
$1,824.70–$3,984.41 | $2,432.93–$5,312.54 | varies |
| CT cervical spine w/ contrast (72126) range across 2 matching MRF lines |
$1,048.85–$1,111.78 | $1,398.46–$1,482.37 | varies |
| CT cervical spine w/o contrast (72125) range across 3 matching MRF lines |
$847.87–$952.67 | $1,130.49–$1,270.22 | varies |
| CT cervical spine w/wo cont (72127) | $1,269.90 | $1,693.20 | 5.8× |
| CT chest w contrast (71260) range across 3 matching MRF lines |
$989.48–$1,111.78 | $1,319.30–$1,482.37 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$1,198.02–$1,269.90 | $1,597.36–$1,693.20 | varies |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$1,048.85–$1,111.78 | $1,398.46–$1,482.37 | varies |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$1,198.02–$1,269.90 | $1,597.36–$1,693.20 | varies |
| CT heart contrast eval cardiac structure&morph (75572) | $529.05 | $705.40 | 1.2× |
| CT heart no contrast quant eval coronry calcium (75571) | $112.50 | $150 | 1.0× |
| CT hrt w/3d image congen (75573) | $258.66 | $344.88 | 0.6× |
| CT iac w contrast (70481) range across 3 matching MRF lines |
$989.48–$1,111.78 | $1,319.30–$1,482.37 | varies |
| CT l-spine w&w/o contrast (72133) | $1,269.90 | $1,693.20 | 5.8× |
| CT lower ext w/o (73700) range across 4 matching MRF lines |
$1,205.78–$2,709.62 | $1,607.71–$3,612.83 | varies |
| CT lower extremity w/contrast material (73701) range across 4 matching MRF lines |
$1,266.59–$2,844.34 | $1,688.79–$3,792.45 | varies |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$1,048.85–$1,111.78 | $1,398.46–$1,482.37 | varies |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$898.74–$952.67 | $1,198.32–$1,270.22 | varies |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$1,266.59–$1,423.15 | $1,688.79–$1,897.53 | varies |
| CT maxillofacial wo contrast (70486) range across 4 matching MRF lines |
$1,048.85–$1,354.82 | $1,398.46–$1,806.42 | varies |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$1,198.02–$1,269.90 | $1,597.36–$1,693.20 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 2 matching MRF lines |
$1,198.02–$1,269.90 | $1,597.36–$1,693.20 | varies |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$898.74–$952.67 | $1,198.32–$1,270.22 | varies |
| CT pelvis w&w/o contrast (72194) range across 2 matching MRF lines |
$1,198.02–$1,269.90 | $1,597.36–$1,693.20 | varies |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$898.74–$952.67 | $1,198.32–$1,270.22 | varies |
| CT scan of leg combo (73702) range across 3 matching MRF lines |
$1,400.60–$2,968.29 | $1,867.47–$3,957.72 | varies |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
$1,477.02–$1,565.64 | $1,969.36–$2,087.52 | varies |
| CT soft tissue neck w contrast (70491) range across 3 matching MRF lines |
$989.48–$1,111.78 | $1,319.30–$1,482.37 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$847.87–$952.67 | $1,130.49–$1,270.22 | varies |
| CT thoracic spine w contrast (72129) range across 2 matching MRF lines |
$1,048.85–$1,111.78 | $1,398.46–$1,482.37 | varies |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$898.74–$952.67 | $1,198.32–$1,270.22 | varies |
| CT thoracic spine w/wo cont (72130) | $1,269.90 | $1,693.20 | 5.8× |
| CT thorax w/o contrast (71250) range across 3 matching MRF lines |
$847.87–$952.67 | $1,130.49–$1,270.22 | varies |
| CT upper ext wo (73200) range across 3 matching MRF lines |
$898.74–$1,905.33 | $1,198.32–$2,540.44 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 3 matching MRF lines |
$1,198.02–$2,539.79 | $1,597.36–$3,386.39 | varies |
| CT upper extremity with contrast (73201) range across 4 matching MRF lines |
$989.48–$2,222.57 | $1,319.30–$2,963.42 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 3 matching MRF lines |
$1,773.06–$1,992.21 | $2,364.08–$2,656.28 | varies |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$1,978.89–$2,097.62 | $2,638.52–$2,796.83 | varies |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $3,758.89 | $5,011.85 | 8.6× |
| CTA pelvis (72191) range across 2 matching MRF lines |
$1,879.44–$1,992.21 | $2,505.92–$2,656.28 | varies |
| Dacryocystography, nasolacrimal duct, radiological supervision and interpretation Non-Facility (70170) | $685.22 | $913.62 | 2.3× |
| Dilation ureters/urethra rs&i (74485) | $2,593.47 | $3,457.96 | 1.0× |
| Discography Cerv/Thor Spine (72285) | $1,688.64 | $2,251.52 | 0.7× |
| Diskography lumbar (72295) | $1,688.64 | $2,251.52 | 0.7× |
| Doppler Fetal Mid Cerebral Artery (76821) | $168.53 | $224.71 | 1.3× |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$406.09–$430.46 | $541.45–$573.94 | varies |
| Dxa bone density study (77085) range across 2 matching MRF lines |
$194.30–$205.95 | $259.06–$274.60 | varies |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $195.22 | $260.29 | 1.8× |
| Echo Guide For Artery Repair (76936) | $251.06 | $334.75 | 0.9× |
| Esophagram (74220) range across 2 matching MRF lines |
$252.31–$267.44 | $336.41–$356.59 | varies |
| Fetal Biophys Profile W/Nst (76818) | $243.24 | $324.32 | 1.9× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 2 matching MRF lines |
$177.84–$188.51 | $237.12–$251.35 | varies |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$546.06–$578.82 | $728.08–$771.76 | varies |
| Foot 2 views (73620) range across 3 matching MRF lines |
$78.27–$165.93 | $104.36–$221.24 | varies |
| Forearm 2 views (73090) range across 4 matching MRF lines |
$144.20–$323.08 | $192.27–$430.77 | varies |
| Gastric emptying imaging study (78264) range across 2 matching MRF lines |
$1,047.92–$1,110.79 | $1,397.22–$1,481.05 | varies |
| Gastroesophageal Reflux Exam (78262) | $953.64 | $1,271.52 | 1.9× |
| Gated Heart Planar Single (78472) | $1,021.97 | $1,362.63 | 2.0× |
| Hand 2 views (73120) range across 4 matching MRF lines |
$73.84–$165.93 | $98.45–$221.24 | varies |
| Hepatobil Syst Image W/Drug (78227) range across 2 matching MRF lines |
$942.56–$1,059.07 | $1,256.75–$1,412.09 | varies |
| Hepatobiliary System Imaging (78226) | $898.98 | $1,198.64 | 1.8× |
| Ht Musc Image Planar Mult (78454) | $1,407.53 | $1,876.70 | 0.9× |
| Ht Muscle Image Spect Sing (78451) range across 2 matching MRF lines |
$2,342.62–$2,483.18 | $3,123.49–$3,310.90 | varies |
| Hysterosalpingogram (74740) | $672.53 | $896.70 | 2.3× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $283.20 | $377.60 | 2.6× |
| Joint Survey Single View (77077) | $82 | $109.33 | 0.6× |
| K Flow/Funct Image Multiple (78709) | $881.41 | $1,175.21 | 1.3× |
| K Flow/Funct Image W/Drug (78708) range across 2 matching MRF lines |
$1,138.16–$1,206.45 | $1,517.55–$1,608.60 | varies |
| K Flow/Funct Image W/O Drug (78707) | $1,181.07 | $1,574.76 | 1.7× |
| Kidney Funcj Study Non-Img Radioisotopic Study (78725) | $1,181.07 | $1,574.76 | 2.4× |
| Kidney Imaging Morphol (78700) | $667.66 | $890.21 | 1.3× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) range across 2 matching MRF lines |
$1,114.22–$1,181.07 | $1,485.62–$1,574.76 | varies |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$139.04–$293.80 | $185.39–$391.73 | varies |
| Liver & Spleen Imaging Static Only (78215) | $794.54 | $1,059.39 | 1.6× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $966.33 | $1,288.44 | 1.9× |
| Liver imaging static only (78201) | $802.34 | $1,069.79 | 1.2× |
| Liver imaging w/vascular flow (78202) | $666.67 | $888.89 | 1.0× |
| Lung Perf&Ventilat Diferentl (78598) | $861.89 | $1,149.19 | 1.3× |
| Lung perfusion differential (78597) | $1,193.77 | $1,591.69 | 2.4× |
| Lung Ventilat&Perfus Imaging (78582) range across 2 matching MRF lines |
$1,548.86–$1,641.80 | $2,065.15–$2,189.06 | varies |
| Lung Ventilation Imaging (78579) | $808.21 | $1,077.61 | 1.6× |
| Lymph System Imaging (78195) | $898.98 | $1,198.64 | 1.3× |
| Magnetic Image Jaw Joint (70336) | $1,713.05 | $2,284.06 | 5.8× |
| Mammary ductogram or galactogram multiple (77054) | $407.03 | $542.71 | 1.4× |
| Mammary ductogram or galactogram single (77053) | $510.50 | $680.67 | 1.7× |
| Meckels Divert Exam (78290) | $1,067.84 | $1,423.79 | 2.1× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $58.41 | $77.88 | 1.6× |
| Mra Head W/O & W/Contrast Material (70546) range across 2 matching MRF lines |
$3,309.50–$3,508.07 | $4,412.67–$4,677.43 | varies |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$1,825.10–$1,934.61 | $2,433.47–$2,579.48 | varies |
| MRA head with contrast (70545) | $1,791.13 | $2,388.17 | 4.1× |
| MRA neck w contrast (70548) | $1,791.13 | $2,388.17 | 4.1× |
| Mra Neck W/O &W/Contrast Material (70549) range across 2 matching MRF lines |
$3,309.50–$3,508.07 | $4,412.67–$4,677.43 | varies |
| MRA neck w/o contrast (70547) range across 2 matching MRF lines |
$1,689.74–$1,791.13 | $2,252.99–$2,388.17 | varies |
| MRI abdomen w contrast (74182) | $1,791.13 | $2,388.17 | 4.1× |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$1,778.15–$1,884.83 | $2,370.86–$2,513.11 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 5 matching MRF lines |
$1,427.05–$3,507.10 | $1,902.73–$4,676.13 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 6 matching MRF lines |
$1,702.95–$3,787.24 | $2,270.60–$5,049.65 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 6 matching MRF lines |
$1,427.05–$3,507.10 | $1,902.73–$4,676.13 | varies |
| MRI Breast W/O Contrast Bilateral (77047) | $450.09 | $600.12 | 1.5× |
| MRI Breast Without Contrast Material Unilateral (77046) | $450.09 | $600.12 | 1.5× |
| MRI cervical spine w contrast (72142) | $2,017.58 | $2,690.10 | 4.6× |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$1,825.10–$1,934.61 | $2,433.47–$2,579.48 | varies |
| MRI chest w/o contrast (71550) range across 2 matching MRF lines |
$1,825.10–$1,934.61 | $2,433.47–$2,579.48 | varies |
| MRI chest with contrast (71551) | $1,791.13 | $2,388.17 | 1.8× |
| MRI chest wo w contrast (71552) range across 2 matching MRF lines |
$1,825.10–$1,934.61 | $2,433.47–$2,579.48 | varies |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 3 matching MRF lines |
$1,754.04–$3,507.10 | $2,338.72–$4,676.13 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 3 matching MRF lines |
$1,786.43–$3,787.24 | $2,381.90–$5,049.65 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 4 matching MRF lines |
$1,346.27–$2,854.09 | $1,795.03–$3,805.45 | varies |
| MRI lumbar spine w contrast (72149) range across 2 matching MRF lines |
$1,960.48–$2,078.11 | $2,613.97–$2,770.81 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$3,573.78–$3,788.21 | $4,765.04–$5,050.94 | varies |
| MRI orbit face &/neck w/o contrast (70540) | $1,755.01 | $2,340.01 | 5.9× |
| MRI orbit face neck w contrast (70542) | $1,791.13 | $2,388.17 | 4.1× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 2 matching MRF lines |
$1,787.35–$1,894.59 | $2,383.13–$2,526.12 | varies |
| MRI pelvis w contrast (72196) | $1,755.01 | $2,340.01 | 4.0× |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$1,689.74–$1,791.13 | $2,252.99–$2,388.17 | varies |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$1,655.67–$1,755.01 | $2,207.56–$2,340.01 | varies |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$1,825.10–$1,934.61 | $2,433.47–$2,579.48 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 2 matching MRF lines |
$1,754.04–$3,507.10 | $2,338.72–$4,676.13 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 4 matching MRF lines |
$1,346.27–$3,830.18 | $1,795.03–$5,106.91 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 3 matching MRF lines |
$1,786.43–$3,787.24 | $2,381.90–$5,049.65 | varies |
| MRI, abdomen, combo (74183) range across 3 matching MRF lines |
$1,721.80–$1,934.61 | $2,295.73–$2,579.48 | varies |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$3,573.78–$3,788.21 | $4,765.04–$5,050.94 | varies |
| MRI, dorsal spine contrast (72147) | $2,078.11 | $2,770.81 | 4.8× |
| MRI, joint upper extrem (73221) range across 7 matching MRF lines |
$1,346.27–$3,082.49 | $1,795.03–$4,109.99 | varies |
| MRI, joint upper extrem combo (73223) range across 4 matching MRF lines |
$1,786.43–$3,787.24 | $2,381.90–$5,049.65 | varies |
| MRI, lumbar spine combo (72158) range across 3 matching MRF lines |
$3,371.49–$3,788.21 | $4,495.32–$5,050.94 | varies |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $902.89 | $1,203.85 | 1.8× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $2,483.18 | $3,310.90 | 1.5× |
| Myocardial Spect Multiple Studies (78452) range across 2 matching MRF lines |
$2,342.62–$2,483.18 | $3,123.49–$3,310.90 | varies |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$174.05–$184.49 | $232.06–$245.98 | varies |
| Nm myocard infarct spect (78469) | $901.91 | $1,202.55 | 1.3× |
| Nm whole blood volume (78122) | $1,291.25 | $1,721.67 | 1.9× |
| Nuclear Rx Oral Admin (79005) | $569.06 | $758.75 | 2.0× |
| Ob us nuchal meas 1 gest (76813) | $350.96 | $467.95 | 2.7× |
| Optic foramina (70190) | $210.83 | $281.11 | 1.9× |
| Parathyroid Planar Imaging (78070) range across 2 matching MRF lines |
$470.54–$498.77 | $627.39–$665.03 | varies |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$198.90–$210.83 | $265.20–$281.11 | varies |
| Peritoneogram Rs&I (74190) | $249.88 | $333.17 | 0.4× |
| Pet Image W/Ct Lmtd (78814) | $3,555.08 | $4,740.11 | 2.0× |
| PET image w/CT, full body (78816) range across 2 matching MRF lines |
$3,353.85–$3,555.08 | $4,471.80–$4,740.11 | varies |
| PET imaging CT attenuation skull base mid-thigh (78815) range across 3 matching MRF lines |
$2,298.50–$3,555.08 | $3,064.67–$4,740.11 | varies |
| Pulmonary Perfusion Imaging Particulate (78580) range across 2 matching MRF lines |
$829.68–$879.46 | $1,106.24–$1,172.61 | varies |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$250.46–$265.49 | $333.95–$353.99 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) | $685.22 | $913.62 | 1.0× |
| Radex Ankle Complete Minimum 3 Views (73610) range across 4 matching MRF lines |
$147.68–$330.89 | $196.91–$441.19 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$122.47–$259.65 | $163.29–$346.20 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$152.86–$323.08 | $203.81–$430.77 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 3 matching MRF lines |
$155.19–$274.28 | $206.92–$365.71 | varies |
| Radex fingr minimum 2 views (73140) range across 3 matching MRF lines |
$124.31–$263.54 | $165.75–$351.39 | varies |
| Radex foot complete minimum 3 views (73630) range across 4 matching MRF lines |
$172.01–$385.56 | $229.34–$514.08 | varies |
| Radex Hand Minimum 3 Views (73130) range across 4 matching MRF lines |
$144.20–$323.08 | $192.27–$430.77 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 2 matching MRF lines |
$151.29–$301.61 | $201.72–$402.14 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $310.40 | $413.87 | 2.4× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$178.64–$189.36 | $238.19–$252.48 | varies |
| Radex Pharynx/Larx W/Fluor&/Magnification Tq (70370) | $267.44 | $356.59 | 2.5× |
| Radex Ribs Unilateral 2 Views (71100) range across 3 matching MRF lines |
$208.49–$234.26 | $277.99–$312.35 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$180.48–$382.63 | $240.64–$510.17 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$236.66–$250.85 | $315.54–$334.47 | varies |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $383.45 | $511.27 | 1.8× |
| Radex Spine 1 View Specify Level (72020) | $123.98 | $165.30 | 1.1× |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$195.22–$206.93 | $260.29–$275.91 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$284.54–$301.61 | $379.38–$402.14 | varies |
| Radex Toe Minimum 2 Views (73660) range across 4 matching MRF lines |
$98.54–$208.88 | $131.38–$278.50 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 2 matching MRF lines |
$151.29–$301.61 | $201.72–$402.14 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 4 matching MRF lines |
$172.01–$385.56 | $229.34–$514.08 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) range across 2 matching MRF lines |
$364.87–$409.97 | $486.49–$546.62 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$258.76–$274.28 | $345.01–$365.71 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 2 matching MRF lines |
$233.03–$247.01 | $310.70–$329.34 | varies |
| Radiologic exam colon double contrast study (74280) | $390.44 | $520.59 | 1.8× |
| Radiologic exam colon single contrast study (74270) range across 2 matching MRF lines |
$384.84–$432.41 | $513.12–$576.54 | varies |
| Radiologic Exam Esophagus Double Contrast Study (74221) range across 2 matching MRF lines |
$361.75–$383.45 | $482.33–$511.27 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 4 matching MRF lines |
$172.01–$385.56 | $229.34–$514.08 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$294.67–$312.35 | $392.89–$416.46 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 2 matching MRF lines |
$318.61–$337.73 | $424.81–$450.30 | varies |
| Radiologic exam swallow function contrast study (74230) range across 2 matching MRF lines |
$304.79–$323.08 | $406.39–$430.77 | varies |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$361.75–$383.45 | $482.33–$511.27 | varies |
| Radiologic examination femur 1 view (73551) range across 2 matching MRF lines |
$122.47–$129.82 | $163.29–$173.09 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$122.47–$129.82 | $163.29–$173.09 | varies |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$114.19–$242.08 | $152.25–$322.77 | varies |
| Radiologic Examination Osseous Survey Limited (77074) range across 2 matching MRF lines |
$185.09–$196.20 | $246.79–$261.60 | varies |
| Radiologic Examination Salivary Gland Calculus (70380) | $184.49 | $245.98 | 1.7× |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$136.28–$301.61 | $181.71–$402.14 | varies |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$253.23–$268.43 | $337.64–$357.90 | varies |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $774.67 | $1,032.89 | 1.6× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $1,904.35 | $2,539.13 | 2.8× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $1,079.56 | $1,439.41 | 1.6× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $945.83 | $1,261.10 | 1.4× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $1,579.78 | $2,106.37 | 0.9× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $2,676.45 | $3,568.60 | 1.7× |
| Salivary Gland Imaging (78230) | $696.93 | $929.24 | 1.4× |
| Salivary Gland Imaging Serial Images (78231) | $696.93 | $929.24 | 1.4× |
| Scapula (73010) range across 3 matching MRF lines |
$180.48–$382.63 | $240.64–$510.17 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 3 matching MRF lines |
$65.15–$73.20 | $86.87–$97.60 | varies |
| Sella turcica (70240) | $223.52 | $298.02 | 2.1× |
| Shoulder 1 view (73020) range across 5 matching MRF lines |
$86.87–$195.22 | $115.83–$260.29 | varies |
| Shoulder Arthrography (73040) | $672.53 | $896.70 | 1.5× |
| Sialogram (70390) | $582.73 | $776.97 | 2.0× |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$198.90–$210.83 | $265.20–$281.11 | varies |
| Spleen Imaging (78185) | $400.19 | $533.59 | 0.8× |
| Sternoclavicular joints (71130) range across 2 matching MRF lines |
$226.53–$240.12 | $302.04–$320.16 | varies |
| Temporomandble Jt Arthrography Rs&I (70332) | $731.09 | $974.79 | 2.5× |
| Testicular Imaging W/Flow (78761) | $544.66 | $726.21 | 1.1× |
| Thoracic spine 2 views (72070) | $206.93 | $275.91 | 1.6× |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$226.53–$240.12 | $302.04–$320.16 | varies |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$294.67–$312.35 | $392.89–$416.46 | varies |
| Thyroid Imaging With Vascular Flow (78013) | $321.14 | $428.18 | 0.6× |
| Thyroid Met Imaging Body (78018) | $938.03 | $1,250.70 | 1.4× |
| Thyroid Uptake Measurement (78012) | $321.14 | $428.18 | 0.6× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) range across 2 matching MRF lines |
$447.53–$474.38 | $596.71–$632.51 | varies |
| Ultrasound Breast Limited (76642) range across 2 matching MRF lines |
$167.19–$177.23 | $222.92–$236.30 | varies |
| Ultrasound Exam Aaa Screen (76706) range across 2 matching MRF lines |
$221–$234.26 | $294.67–$312.35 | varies |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$238.49–$252.80 | $317.98–$337.06 | varies |
| Umbilical-artery Doppler (OB) (76820) range across 2 matching MRF lines |
$63.92–$67.76 | $85.23–$90.34 | varies |
| Upper gi w/o kub (74240) range across 3 matching MRF lines |
$373.87–$396.30 | $498.49–$528.40 | varies |
| Urethrocystogram voiding (74455) range across 2 matching MRF lines |
$450.29–$477.30 | $600.38–$636.40 | varies |
| Urethrocystography retrograde (74450) | $423.62 | $564.82 | 1.4× |
| Us breast unilateral complete (76641) range across 2 matching MRF lines |
$167.19–$177.23 | $222.92–$236.30 | varies |
| Us chest (76604) range across 2 matching MRF lines |
$159.81–$169.40 | $213.08–$225.86 | varies |
| Us complete joint (76881) range across 2 matching MRF lines |
$304.05–$322.29 | $405.40–$429.72 | varies |
| Us exam, pelvic, limited (76857) range across 2 matching MRF lines |
$196.69–$208.49 | $262.25–$277.99 | varies |
| Us head (76506) range across 2 matching MRF lines |
$397.48–$421.33 | $529.97–$561.77 | varies |
| Us kidney transplant (76776) | $396.14 | $528.18 | 3.0× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$211.44–$224.13 | $281.92–$298.84 | varies |
| Us ob limited 1 or more fetuses (76815) range across 5 matching MRF lines |
$143.34–$304.92 | $191.12–$406.56 | varies |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$397.48–$421.33 | $529.97–$561.77 | varies |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$397.48–$421.33 | $529.97–$561.77 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 3 matching MRF lines |
$446.66–$473.45 | $595.54–$631.27 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 2 matching MRF lines |
$336.83–$357.05 | $449.11–$476.06 | varies |
| Us retroperitoneal complete (76770) range across 3 matching MRF lines |
$295.37–$337.07 | $393.82–$449.42 | varies |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$196.69–$208.49 | $262.25–$277.99 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$350.77–$371.81 | $467.69–$495.75 | varies |
| Us spinal canal and contents (76800) | $295.37 | $393.82 | 2.3× |
| Us thyroid (76536) range across 2 matching MRF lines |
$365.52–$387.45 | $487.36–$516.60 | varies |
| Us transrectal (76872) | $421.33 | $561.77 | 3.2× |
| Venography extremity bilateral rs&i (75822) | $1,411.42 | $1,881.89 | 0.7× |
| Venography extremity unilateral rs&i (75820) range across 2 matching MRF lines |
$980–$1,306.31 | $1,306.67–$1,741.75 | varies |
| Vertebral fracture assessment via dxa (77086) | $128.84 | $171.78 | 1.2× |
| Wrist 2 views (73100) range across 2 matching MRF lines |
$78.27–$82.97 | $104.36–$110.62 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$146.41–$155.19 | $195.21–$206.92 | varies |
| X-Ray Bend Only L-S Spine (72120) range across 2 matching MRF lines |
$358.20–$379.70 | $477.60–$506.26 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 6 matching MRF lines |
$78.27–$165.93 | $104.36–$221.24 | varies |
| X-Ray Exam Breast Specimen (76098) range across 2 matching MRF lines |
$851.78–$902.89 | $1,135.71–$1,203.85 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 2 matching MRF lines |
$122.47–$129.82 | $163.29–$173.09 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$191.99–$215.72 | $255.98–$287.62 | varies |
| X-Ray Exam Entire Spi 4/5 Vw (72083) range across 2 matching MRF lines |
$386.76–$409.97 | $515.68–$546.62 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 2 matching MRF lines |
$115.54–$129.82 | $154.05–$173.09 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 2 matching MRF lines |
$122.47–$129.82 | $163.29–$173.09 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) range across 2 matching MRF lines |
$203.51–$215.72 | $271.34–$287.62 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$203.51–$215.72 | $271.34–$287.62 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 2 matching MRF lines |
$203.51–$215.72 | $271.34–$287.62 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) range across 2 matching MRF lines |
$386.76–$409.97 | $515.68–$546.62 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$358.20–$379.70 | $477.60–$506.26 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 3 matching MRF lines |
$164.19–$184.49 | $218.92–$245.98 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$270.73–$286.97 | $360.97–$382.63 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 2 matching MRF lines |
$252.31–$267.44 | $336.41–$356.59 | varies |
| X-ray eye for foreign body (70030) range across 2 matching MRF lines |
$116.96–$123.98 | $155.94–$165.30 | varies |
| X-ray humerus (73060) range across 3 matching MRF lines |
$182.33–$385.56 | $243.10–$514.08 | varies |
| X-ray IV pyelogram (ivp) (74400) | $390.44 | $520.59 | 1.8× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 2 matching MRF lines |
$174.05–$184.49 | $232.06–$245.98 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 3 matching MRF lines |
$107.72–$121.04 | $143.63–$161.39 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$195.22–$206.93 | $260.29–$275.91 | varies |
| X-ray nose-rectum child f.b. (76010) range across 2 matching MRF lines |
$73.67–$78.09 | $98.23–$104.12 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$320.46–$339.69 | $427.28–$452.92 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$195.22–$206.93 | $260.29–$275.91 | varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) range across 2 matching MRF lines |
$195.22–$206.93 | $260.29–$275.91 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 3 matching MRF lines |
$145.94–$163.99 | $194.59–$218.65 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$236.66–$250.85 | $315.54–$334.47 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$358.20–$379.70 | $477.60–$506.26 | varies |
| X-Ray Stress View (77071) | $240.12 | $320.16 | 2.2× |
| X-ray thoracic spine 4 vw (72074) | $312.35 | $416.46 | 2.4× |
| X-Ray Tmj Unilat (70328) range across 2 matching MRF lines |
$180.48–$191.31 | $240.64–$255.08 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 2 matching MRF lines |
$523.96–$555.40 | $698.61–$740.53 | varies |
| X-Rays Bone Length Studies (77073) | $284.04 | $378.72 | 2.2× |
| X-Rays Bone Survey Complete (77075) range across 4 matching MRF lines |
$681.31–$907.76 | $908.41–$1,210.35 | varies |
| Xr c-spine 4 or 5 views (72050) range across 3 matching MRF lines |
$213.71–$240.12 | $284.94–$320.16 | varies |
| Xr facial bones less than 3 views (70140) range across 2 matching MRF lines |
$236.66–$250.85 | $315.54–$334.47 | varies |
| XR Mastoids < 3 Views Bilateral (70120) | $310.40 | $413.87 | 2.4× |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$240.34–$254.76 | $320.45–$339.68 | varies |
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.