Imaging prices at OU Health University of Oklahoma Medical Center
Oklahoma City, OK · every code in this section with a posted price and a Medicare benchmark.
424 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 4 matching MRF lines |
$136.83–$2,459 | $1,368.26–$24,590 | varies |
| Abdomen 1 View (74018) range across 4 matching MRF lines |
$8.81–$143.20 | $88.05–$1,432 | varies |
| Abdomen 2 views (74019) range across 4 matching MRF lines |
$10.63–$297.90 | $106.34–$2,979 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) range across 3 matching MRF lines |
$40.18–$321.70 | $401.83–$3,217 | varies |
| Adrenal Cortex & Medulla Img (78075) range across 3 matching MRF lines |
$130.55–$344.70 | $1,305.48–$3,447 | varies |
| Angio internal mammary (75756) range across 4 matching MRF lines |
$314.75–$805.10 | $3,147.50–$8,051 | varies |
| Angio pulmonary bilat (75743) range across 4 matching MRF lines |
$314.75–$954.80 | $3,147.50–$9,548 | varies |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) range across 3 matching MRF lines |
$314.75–$509.70 | $3,147.50–$5,097 | varies |
| Angiography extremity bilateral rs&i (75716) range across 4 matching MRF lines |
$314.75–$796.60 | $3,147.50–$7,966 | varies |
| Angiography extremity unilateral rs&i (75710) range across 4 matching MRF lines |
$314.75–$1,517.40 | $3,147.50–$15,174 | varies |
| Angiography pulmonary unilateral slctv rs&i (75741) range across 4 matching MRF lines |
$314.75–$560.70 | $3,147.50–$5,607 | varies |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) range across 3 matching MRF lines |
$314.75–$664.50 | $3,147.50–$6,645 | varies |
| Ankle 2 views (73600) range across 5 matching MRF lines |
$8.81–$132.90 | $88.05–$1,329 | varies |
| Aortography thoracic serialography rs&i (75605) range across 4 matching MRF lines |
$540.57–$1,495.10 | $5,405.70–$14,951 | varies |
| Aortography thoracic w/o serialography rs&i (75600) | $1,047.70 | $10,477 | 0.3× |
| Artery X-Rays Abdomen (75726) range across 3 matching MRF lines |
$540.57–$1,226.60 | $5,405.70–$12,266 | varies |
| Artery X-Rays Adrenal Gland (75731) range across 3 matching MRF lines |
$314.75–$529.80 | $3,147.50–$5,298 | varies |
| Artery X-Rays Pelvis (75736) range across 5 matching MRF lines |
$540.57–$1,400.80 | $5,405.70–$14,008 | varies |
| Artery X-Rays Spine (75705) range across 6 matching MRF lines |
$540.57–$28,868 | $5,405.70–$288,680 | varies |
| Arthrogram ankle (73615) range across 3 matching MRF lines |
$35.71–$135.20 | $357.13–$1,352 | varies |
| Arthrogram hip (73525) range across 5 matching MRF lines |
$35.71–$346.20 | $357.13–$3,462 | varies |
| Arthrogram Wrist (73115) range across 4 matching MRF lines |
$35.71–$121.10 | $357.13–$1,211 | varies |
| Basic radiation dosimetry calculation (77300) range across 8 matching MRF lines |
$13.28–$1,800 | $132.77–$18,000 | varies |
| Bone age studies (77072) range across 4 matching MRF lines |
$10.63–$76 | $106.34–$760 | varies |
| Bone Imaging 3 Phase (78315) range across 3 matching MRF lines |
$40.18–$380.10 | $401.83–$3,801 | varies |
| Bone Imaging Limited Area (78300) range across 3 matching MRF lines |
$40.18–$130.20 | $401.83–$1,302 | varies |
| Bone Imaging Multiple Areas (78305) range across 3 matching MRF lines |
$40.18–$161.70 | $401.83–$1,617 | varies |
| Bone Imaging Whole Body (78306) range across 3 matching MRF lines |
$40.18–$349.70 | $401.83–$3,497 | varies |
| Bone marrow imaging limited area (78102) range across 3 matching MRF lines |
$40.18–$286.90 | $401.83–$2,869 | varies |
| Bone marrow imaging; multiple areas (78103) range across 3 matching MRF lines |
$40.18–$312.80 | $401.83–$3,128 | varies |
| Bone marrow imaging; whole body (78104) range across 3 matching MRF lines |
$40.18–$396.20 | $401.83–$3,962 | varies |
| Bone survey infant (77076) range across 5 matching MRF lines |
$10.63–$90.60 | $106.34–$906 | varies |
| Brachytx isodose complex (77318) range across 5 matching MRF lines |
$36.61–$392.80 | $366.07–$3,928 | varies |
| Brachytx isodose intermed (77317) range across 6 matching MRF lines |
$36.61–$1,549.60 | $366.07–$15,496 | varies |
| Brachytx Isodose Plan Simple (77316) range across 5 matching MRF lines |
$36.61–$1,088.80 | $366.07–$10,888 | varies |
| Brain Flow Imaging Only (78610) range across 3 matching MRF lines |
$53.83–$124.40 | $538.27–$1,244 | varies |
| Brain Image W/Flow < 4 Views (78601) range across 3 matching MRF lines |
$40.18–$237.90 | $401.83–$2,379 | varies |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) range across 3 matching MRF lines |
$53.83–$180.60 | $538.27–$1,806 | varies |
| Brain Imaging Minimum 4 Static Views (78605) range across 3 matching MRF lines |
$53.83–$198 | $538.27–$1,980 | varies |
| Brain Imaging Pet Metabolic Evaluation (78608) range across 3 matching MRF lines |
$145.86–$1,078.10 | $1,458.59–$10,781 | varies |
| Card Bl Pool Gated Spect Rest Wal Motn Ejct Frct (78494) range across 3 matching MRF lines |
$40.18–$139.20 | $401.83–$1,392 | varies |
| Cardiac MRI w/w/o contrast & further seq (75561) range across 5 matching MRF lines |
$35.71–$382.80 | $357.13–$3,828 | varies |
| Cardiac MRI w/w/o contrast w/stress (75563) range across 5 matching MRF lines |
$79.01–$339.50 | $790.06–$3,395 | varies |
| Cat Scan Follow-Up Study (76380) range across 4 matching MRF lines |
$8.81–$300.60 | $88.05–$3,006 | varies |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) range across 4 matching MRF lines |
$53.83–$216 | $538.27–$2,160 | varies |
| Cerebrospinal Fluid Scan (78630) range across 3 matching MRF lines |
$53.83–$107.10 | $538.27–$1,071 | varies |
| Chest 1 view (71045) range across 5 matching MRF lines |
$8.81–$120.40 | $88.05–$1,204 | varies |
| Chest 2 views (71046) range across 5 matching MRF lines |
$8.81–$68.30 | $88.05–$683 | varies |
| Chest 3 views (71047) range across 4 matching MRF lines |
$8.81–$91.40 | $88.05–$914 | varies |
| Chest 4 or more views (71048) range across 4 matching MRF lines |
$10.63–$133.90 | $106.34–$1,339 | varies |
| Clavicle complete (73000) range across 5 matching MRF lines |
$8.81–$125.60 | $88.05–$1,256 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 4 matching MRF lines |
$10.63–$30.60 | $106.34–$306 | varies |
| Continuing medical physics consltj pr wk (77336) range across 4 matching MRF lines |
$13.28–$143.60 | $132.77–$1,436 | varies |
| Contrast Exam Abdominl Aorta (75625) range across 3 matching MRF lines |
$314.75–$788.30 | $3,147.50–$7,883 | varies |
| Contrast X-Ray Bladder (74430) range across 3 matching MRF lines |
$35.71–$218.60 | $357.13–$2,186 | varies |
| Contrast X-Ray Of Elbow (73085) range across 4 matching MRF lines |
$35.71–$168.70 | $357.13–$1,687 | varies |
| Contrast X-Ray Of Knee Joint (73580) range across 3 matching MRF lines |
$35.71–$148 | $357.13–$1,480 | varies |
| Corpora cavernosography (74445) range across 3 matching MRF lines |
$10.63–$66 | $106.34–$660 | varies |
| CT abdomen and pelvis without and with contrast (74178) range across 3 matching MRF lines |
$35.71–$1,290.10 | $357.13–$12,901 | varies |
| CT abdomen and pelvis without contrast (74176) range across 3 matching MRF lines |
$24.17–$1,018.40 | $241.72–$10,184 | varies |
| CT abdomen w contrast (74160) range across 3 matching MRF lines |
$17.80–$551.70 | $178.02–$5,517 | varies |
| CT abdomen w wo contrast (74170) range across 3 matching MRF lines |
$17.80–$880.90 | $178.02–$8,809 | varies |
| CT abdomen w/o contrast (74150) range across 3 matching MRF lines |
$10.63–$505.20 | $106.34–$5,052 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 5 matching MRF lines |
$35.71–$288.90 | $357.13–$2,889 | varies |
| CT Angio Chest (71275) range across 3 matching MRF lines |
$17.80–$591.60 | $178.02–$5,916 | varies |
| CT Angio Head (70496) range across 3 matching MRF lines |
$17.80–$525.40 | $178.02–$5,254 | varies |
| CT angio hrt w/3d image (75574) range across 4 matching MRF lines |
$21.88–$100.20 | $218.83–$1,002 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 7 matching MRF lines |
$17.80–$692.70 | $178.02–$6,927 | varies |
| CT Angio Neck (70498) range across 3 matching MRF lines |
$17.80–$499.30 | $178.02–$4,993 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 5 matching MRF lines |
$17.80–$1,050 | $178.02–$10,500 | varies |
| CT Cere Prfuj Alys C+ W/O CT/Cta Same Anatomy (70473) range across 3 matching MRF lines |
$36–$696.38 | $360–$6,963.75 | varies |
| CT cervical spine w/ contrast (72126) range across 3 matching MRF lines |
$35.71–$724.40 | $357.13–$7,244 | varies |
| CT cervical spine w/o contrast (72125) range across 3 matching MRF lines |
$10.63–$524.60 | $106.34–$5,246 | varies |
| CT cervical spine w/wo cont (72127) range across 3 matching MRF lines |
$17.80–$892.10 | $178.02–$8,921 | varies |
| CT chest w contrast (71260) range across 3 matching MRF lines |
$17.80–$570.30 | $178.02–$5,703 | varies |
| CT chest w/wo contrast (71270) range across 3 matching MRF lines |
$17.80–$791.50 | $178.02–$7,915 | varies |
| CT colonography screening (74263) range across 2 matching MRF lines |
$24.17–$30.20 | $241.72–$302 | varies |
| CT head/brain with contrast (70460) range across 3 matching MRF lines |
$17.80–$515.90 | $178.02–$5,159 | varies |
| CT head/brain without and with contrast (70470) range across 3 matching MRF lines |
$17.80–$731.40 | $178.02–$7,314 | varies |
| CT heart contrast eval cardiac structure&morph (75572) range across 4 matching MRF lines |
$21.88–$493 | $218.83–$4,930 | varies |
| CT heart no contrast quant eval coronry calcium (75571) range across 5 matching MRF lines |
$8.81–$75.30 | $88.05–$753 | varies |
| CT hrt w/3d image congen (75573) range across 4 matching MRF lines |
$21.88–$652.10 | $218.83–$6,521 | varies |
| CT iac w contrast (70481) range across 3 matching MRF lines |
$17.80–$752.80 | $178.02–$7,528 | varies |
| CT l-spine w&w/o contrast (72133) range across 3 matching MRF lines |
$17.80–$1,114.20 | $178.02–$11,142 | varies |
| CT lower ext w/o (73700) range across 4 matching MRF lines |
$10.63–$920.60 | $106.34–$9,206 | varies |
| CT lower extremity w/contrast material (73701) range across 6 matching MRF lines |
$17.80–$1,031.40 | $178.02–$10,314 | varies |
| CT lumbar spine w contrast (72132) range across 3 matching MRF lines |
$35.71–$891.70 | $357.13–$8,917 | varies |
| CT lumbar spine w/o contrast (72131) range across 3 matching MRF lines |
$10.63–$677.30 | $106.34–$6,773 | varies |
| CT maxillofacial w contrast (70487) range across 3 matching MRF lines |
$17.80–$591.30 | $178.02–$5,913 | varies |
| CT maxillofacial wo contrast (70486) range across 3 matching MRF lines |
$10.63–$515.40 | $106.34–$5,154 | varies |
| CT neck tissue combo (70492) range across 3 matching MRF lines |
$17.80–$681.50 | $178.02–$6,815 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 3 matching MRF lines |
$17.80–$941.80 | $178.02–$9,418 | varies |
| CT orbits w/o contrast (70480) range across 3 matching MRF lines |
$10.63–$614.40 | $106.34–$6,144 | varies |
| CT pelvis w&w/o contrast (72194) range across 3 matching MRF lines |
$17.80–$732 | $178.02–$7,320 | varies |
| CT pelvis w/o contrast (72192) range across 3 matching MRF lines |
$10.63–$513.50 | $106.34–$5,135 | varies |
| CT scan of leg combo (73702) range across 4 matching MRF lines |
$17.80–$924.50 | $178.02–$9,245 | varies |
| CT scans face/jaw combo (70488) range across 4 matching MRF lines |
$17.80–$849.40 | $178.02–$8,494 | varies |
| CT soft tissue neck w contrast (70491) range across 3 matching MRF lines |
$17.80–$483.10 | $178.02–$4,831 | varies |
| CT soft tissue neck w/o contrast (70490) range across 3 matching MRF lines |
$10.63–$527.90 | $106.34–$5,279 | varies |
| CT thoracic spine w contrast (72129) range across 3 matching MRF lines |
$17.80–$591.80 | $178.02–$5,918 | varies |
| CT thoracic spine w/o contrast (72128) range across 3 matching MRF lines |
$10.63–$512 | $106.34–$5,120 | varies |
| CT thoracic spine w/wo cont (72130) range across 3 matching MRF lines |
$17.80–$851.20 | $178.02–$8,512 | varies |
| CT thorax w/o contrast (71250) range across 3 matching MRF lines |
$10.63–$505.70 | $106.34–$5,057 | varies |
| CT upper ext wo (73200) range across 5 matching MRF lines |
$10.63–$622 | $106.34–$6,220 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 4 matching MRF lines |
$17.80–$436.90 | $178.02–$4,369 | varies |
| CT upper extremity with contrast (73201) range across 6 matching MRF lines |
$35.71–$776.80 | $357.13–$7,768 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 3 matching MRF lines |
$17.80–$1,016.50 | $178.02–$10,165 | varies |
| Cta Abdomen (74175) range across 4 matching MRF lines |
$17.80–$2,760 | $178.02–$27,600 | varies |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $1,178.40 | $11,784 | 3.5× |
| CTA pelvis (72191) range across 3 matching MRF lines |
$17.80–$449 | $178.02–$4,490 | varies |
| Dilation ureters/urethra rs&i (74485) range across 3 matching MRF lines |
$204.85–$568.10 | $2,048.51–$5,681 | varies |
| Discography Cerv/Thor Spine (72285) | $557.30 | $5,573 | 0.3× |
| Diskography lumbar (72295) | $557.30 | $5,573 | 0.3× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) range across 5 matching MRF lines |
$10.63–$151.50 | $106.34–$1,515 | varies |
| Doppler Echo Fetal Spectral Display Complete (76827) range across 4 matching MRF lines |
$10.63–$189.40 | $106.34–$1,894 | varies |
| Doppler Fetal Mid Cerebral Artery (76821) range across 3 matching MRF lines |
$10.63–$51.30 | $106.34–$513 | varies |
| Dxa Bone Density Axial (77080) range across 6 matching MRF lines |
$10.61–$58.50 | $106.11–$585 | varies |
| Dxa bone density study (77085) range across 4 matching MRF lines |
$10.63–$48.20 | $106.34–$482 | varies |
| Dxa bone density study 1/>sites appendiclr skel (77081) range across 4 matching MRF lines |
$8.81–$35 | $88.05–$350 | varies |
| Echo exam of fetal heart (76825) range across 4 matching MRF lines |
$54.83–$567.90 | $548.30–$5,679 | varies |
| Echo exam uterus (76831) range across 4 matching MRF lines |
$24.17–$118.20 | $241.72–$1,182 | varies |
| Echo Guide For Artery Repair (76936) range across 3 matching MRF lines |
$31.14–$121.10 | $311.40–$1,211 | varies |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) range across 5 matching MRF lines |
$24.17–$313.60 | $241.72–$3,136 | varies |
| Echograp Trans R Pros Study (76873) range across 3 matching MRF lines |
$10.63–$248.50 | $106.34–$2,485 | varies |
| Esophageal Motility Study (78258) range across 5 matching MRF lines |
$40.18–$154.20 | $401.83–$1,542 | varies |
| Esophagram (74220) range across 3 matching MRF lines |
$17.80–$137.70 | $178.02–$1,377 | varies |
| Fetal Biophys Profile W/Nst (76818) range across 3 matching MRF lines |
$10.63–$106 | $106.34–$1,060 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 4 matching MRF lines |
$10.63–$87.20 | $106.34–$872 | varies |
| Fetal MRI w/placntl matrnl plvc img sing/1st ges (74712) range across 5 matching MRF lines |
$24.17–$707.10 | $241.72–$7,071 | varies |
| Fluoroscopy up to 1 hr (76000) range across 4 matching MRF lines |
$24.17–$284 | $241.72–$2,840 | varies |
| Follow-Up Angiography (75898) range across 4 matching MRF lines |
$241.90–$483.80 | $2,419–$4,838 | varies |
| Foot 2 views (73620) range across 5 matching MRF lines |
$8.81–$117.80 | $88.05–$1,178 | varies |
| Forearm 2 views (73090) range across 5 matching MRF lines |
$8.81–$136.90 | $88.05–$1,369 | varies |
| Gastric emptying imaging study (78264) range across 3 matching MRF lines |
$40.18–$537.60 | $401.83–$5,376 | varies |
| Gastroesophageal Reflux Exam (78262) range across 3 matching MRF lines |
$40.18–$139.20 | $401.83–$1,392 | varies |
| Gated Heart Planar Single (78472) range across 4 matching MRF lines |
$40.18–$363.40 | $401.83–$3,634 | varies |
| Hand 2 views (73120) range across 7 matching MRF lines |
$10.63–$80.70 | $106.34–$807 | varies |
| Hdr Rdncl Ntrstl/Icav Brchtx (77772) range across 4 matching MRF lines |
$69.38–$633.70 | $693.81–$6,337 | varies |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) range across 5 matching MRF lines |
$69.38–$551 | $693.81–$5,510 | varies |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) range across 3 matching MRF lines |
$69.38–$376.80 | $693.81–$3,768 | varies |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) range across 3 matching MRF lines |
$314.75–$628.50 | $3,147.50–$6,285 | varies |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) range across 3 matching MRF lines |
$314.75–$1,110 | $3,147.50–$11,100 | varies |
| Hepatobil Syst Image W/Drug (78227) range across 3 matching MRF lines |
$53.83–$616 | $538.27–$6,160 | varies |
| Hepatobiliary System Imaging (78226) range across 3 matching MRF lines |
$40.18–$382.40 | $401.83–$3,824 | varies |
| Ht Muscle Image Spect Sing (78451) range across 4 matching MRF lines |
$130.55–$468.40 | $1,305.48–$4,684 | varies |
| Hysterosalpingogram (74740) range across 5 matching MRF lines |
$24.17–$257.90 | $241.72–$2,579 | varies |
| Infant hip ultrasound with hip movement (dynamic) (76885) range across 5 matching MRF lines |
$8.81–$47.60 | $88.05–$476 | varies |
| Infant hip ultrasound, limited static exam (76886) range across 3 matching MRF lines |
$8.81–$42.20 | $88.05–$422 | varies |
| Interstitial radiation source applic complex (77778) range across 3 matching MRF lines |
$69.38–$1,050.80 | $693.81–$10,508 | varies |
| K Flow/Funct Image W/Drug (78708) range across 3 matching MRF lines |
$53.83–$492.20 | $538.27–$4,922 | varies |
| K Flow/Funct Image W/O Drug (78707) range across 3 matching MRF lines |
$53.83–$332.20 | $538.27–$3,322 | varies |
| Kidney Imaging Morphol (78700) range across 4 matching MRF lines |
$40.18–$692.60 | $401.83–$6,926 | varies |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) range across 4 matching MRF lines |
$40.18–$226.80 | $401.83–$2,268 | varies |
| Knee 3 Views (73562) range across 6 matching MRF lines |
$8.81–$184.10 | $88.05–$1,841 | varies |
| Leveen/Shunt Patency Exam (78291) range across 3 matching MRF lines |
$40.18–$139.20 | $401.83–$1,392 | varies |
| Liver & Spleen Imaging W/Vascular Flow (78216) range across 3 matching MRF lines |
$40.18–$212.20 | $401.83–$2,122 | varies |
| Liver imaging w/vascular flow (78202) range across 3 matching MRF lines |
$53.83–$452.40 | $538.27–$4,524 | varies |
| Lung Perf&Ventilat Diferentl (78598) range across 4 matching MRF lines |
$53.83–$401.60 | $538.27–$4,016 | varies |
| Lung perfusion differential (78597) range across 4 matching MRF lines |
$40.18–$149.80 | $401.83–$1,498 | varies |
| Lung Ventilat&Perfus Imaging (78582) range across 4 matching MRF lines |
$53.83–$201.50 | $538.27–$2,015 | varies |
| Lung Ventilation Imaging (78579) range across 3 matching MRF lines |
$40.18–$198.30 | $401.83–$1,983 | varies |
| Lymph System Imaging (78195) range across 3 matching MRF lines |
$53.83–$380.20 | $538.27–$3,802 | varies |
| Lymphangiography Extremity Only Bilateral Rs&I (75803) range across 3 matching MRF lines |
$155.34–$362.30 | $1,553.44–$3,623 | varies |
| Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) range across 3 matching MRF lines |
$314.75–$1,725.90 | $3,147.50–$17,259 | varies |
| Lymphangiography, pelvic/abdominal, unilateral (75805) range across 3 matching MRF lines |
$314.75–$718.40 | $3,147.50–$7,184 | varies |
| Magnetic Image Jaw Joint (70336) range across 3 matching MRF lines |
$24.17–$791.70 | $241.72–$7,917 | varies |
| Mammary ductogram or galactogram multiple (77054) range across 5 matching MRF lines |
$19.80–$159.30 | $198–$1,593 | varies |
| Mammary ductogram or galactogram single (77053) range across 5 matching MRF lines |
$19.80–$150.20 | $198–$1,502 | varies |
| Meckels Divert Exam (78290) range across 5 matching MRF lines |
$40.18–$551 | $401.83–$5,510 | varies |
| Mlc imrt design & construction per imrt plan (77338) range across 6 matching MRF lines |
$36.61–$1,045.20 | $366.07–$10,452 | varies |
| Mr safety determination physician/other qhp (76016) range across 3 matching MRF lines |
$8.81–$35.10 | $88.05–$351 | varies |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) range across 3 matching MRF lines |
$2.45–$9.80 | $24.49–$98 | varies |
| Mr safety implt electronics prepj supvj phys/qhp (76018) range across 3 matching MRF lines |
$9.18–$36.50 | $91.79–$365 | varies |
| Mr safety implt pos&/immoblj (76019) range across 3 matching MRF lines |
$5.94–$23.70 | $59.40–$237 | varies |
| Mr safety med physics xm customization plng&mntr (76017) range across 3 matching MRF lines |
$24.17–$96 | $241.72–$960 | varies |
| Mra Head W/O & W/Contrast Material (70546) range across 3 matching MRF lines |
$35.71–$724.80 | $357.13–$7,248 | varies |
| MRA head w/o contrast (70544) range across 3 matching MRF lines |
$24.17–$508.70 | $241.72–$5,087 | varies |
| MRA head with contrast (70545) range across 3 matching MRF lines |
$35.71–$633.10 | $357.13–$6,331 | varies |
| MRA neck w contrast (70548) range across 3 matching MRF lines |
$35.71–$648.30 | $357.13–$6,483 | varies |
| Mra Neck W/O &W/Contrast Material (70549) range across 3 matching MRF lines |
$35.71–$714.40 | $357.13–$7,144 | varies |
| MRA neck w/o contrast (70547) range across 3 matching MRF lines |
$24.17–$509.40 | $241.72–$5,094 | varies |
| MRI abdomen w contrast (74182) range across 3 matching MRF lines |
$35.71–$1,000.60 | $357.13–$10,006 | varies |
| MRI abdomen w/o contrast (74181) range across 3 matching MRF lines |
$24.17–$643.10 | $241.72–$6,431 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 5 matching MRF lines |
$79.01–$1,352 | $790.06–$13,520 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 4 matching MRF lines |
$35.71–$1,685.80 | $357.13–$16,858 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 4 matching MRF lines |
$79.01–$728 | $790.06–$7,280 | varies |
| MRI brain functional w/o physician admnistration (70554) range across 3 matching MRF lines |
$24.17–$659.60 | $241.72–$6,596 | varies |
| MRI Breast W/O Contrast Bilateral (77047) range across 5 matching MRF lines |
$24.17–$647.20 | $241.72–$6,472 | varies |
| MRI Breast Without Contrast Material Unilateral (77046) range across 3 matching MRF lines |
$24.17–$374 | $241.72–$3,740 | varies |
| MRI cardiac w/o cont stress (75559) range across 3 matching MRF lines |
$54.83–$219.50 | $548.30–$2,195 | varies |
| MRI cardiac w/o contrast (75557) range across 4 matching MRF lines |
$24.17–$1,058.60 | $241.72–$10,586 | varies |
| MRI cervical spine w contrast (72142) range across 4 matching MRF lines |
$35.71–$961.80 | $357.13–$9,618 | varies |
| MRI cervical spine w/o cont (72141) range across 3 matching MRF lines |
$24.17–$800.40 | $241.72–$8,004 | varies |
| MRI chest w/o contrast (71550) range across 3 matching MRF lines |
$24.17–$740.80 | $241.72–$7,408 | varies |
| MRI chest with contrast (71551) range across 3 matching MRF lines |
$79.01–$1,059.40 | $790.06–$10,594 | varies |
| MRI chest wo w contrast (71552) range across 3 matching MRF lines |
$35.71–$861.30 | $357.13–$8,613 | varies |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 3 matching MRF lines |
$35.71–$717.10 | $357.13–$7,171 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 4 matching MRF lines |
$35.71–$1,540.80 | $357.13–$15,408 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 5 matching MRF lines |
$24.17–$999.80 | $241.72–$9,998 | varies |
| MRI lumbar spine w contrast (72149) range across 3 matching MRF lines |
$35.71–$1,032.80 | $357.13–$10,328 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 3 matching MRF lines |
$35.71–$841.60 | $357.13–$8,416 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 3 matching MRF lines |
$24.17–$723.50 | $241.72–$7,235 | varies |
| MRI orbit face neck w contrast (70542) | $133.60 | $1,336 | 0.4× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 3 matching MRF lines |
$35.71–$1,001.40 | $357.13–$10,014 | varies |
| MRI pelvis w contrast (72196) range across 4 matching MRF lines |
$35.71–$1,000 | $357.13–$10,000 | varies |
| MRI pelvis w/o & w contrast (72197) range across 3 matching MRF lines |
$35.71–$921.90 | $357.13–$9,219 | varies |
| MRI pelvis w/o contrast (72195) range across 3 matching MRF lines |
$24.17–$557.60 | $241.72–$5,576 | varies |
| MRI spectroscopy (76390) range across 4 matching MRF lines |
$8.81–$1,084.30 | $88.05–$10,843 | varies |
| MRI thoracic spine w/o contrast (72146) range across 3 matching MRF lines |
$24.17–$879.40 | $241.72–$8,794 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 3 matching MRF lines |
$35.71–$667.60 | $357.13–$6,676 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 4 matching MRF lines |
$24.17–$562.60 | $241.72–$5,626 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 4 matching MRF lines |
$35.71–$730.80 | $357.13–$7,308 | varies |
| MRI, abdomen, combo (74183) range across 3 matching MRF lines |
$35.71–$1,153.50 | $357.13–$11,535 | varies |
| MRI, dorsal spine combo (72157) range across 3 matching MRF lines |
$35.71–$925.90 | $357.13–$9,259 | varies |
| MRI, dorsal spine contrast (72147) range across 4 matching MRF lines |
$35.71–$1,067.20 | $357.13–$10,672 | varies |
| MRI, joint upper extrem (73221) range across 5 matching MRF lines |
$24.17–$1,204.80 | $241.72–$12,048 | varies |
| MRI, joint upper extrem combo (73223) range across 4 matching MRF lines |
$35.71–$748 | $357.13–$7,480 | varies |
| MRI, lumbar spine combo (72158) range across 3 matching MRF lines |
$35.71–$908.30 | $357.13–$9,083 | varies |
| Myelogram cervical (72240) range across 4 matching MRF lines |
$79.01–$659.20 | $790.06–$6,592 | varies |
| Myelogram Lumbar (72265) range across 4 matching MRF lines |
$79.01–$633.80 | $790.06–$6,338 | varies |
| Myelography thoracic (72255) range across 4 matching MRF lines |
$79.01–$793.20 | $790.06–$7,932 | varies |
| Myelograpy 2/more regions rs&i (72270) range across 3 matching MRF lines |
$79.01–$1,000.50 | $790.06–$10,005 | varies |
| Myocardial Imaging Pet Metabolic Evaluation (78459) range across 5 matching MRF lines |
$130.55–$992 | $1,305.48–$9,920 | varies |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) range across 3 matching MRF lines |
$130.55–$455.20 | $1,305.48–$4,552 | varies |
| Myocardial Spect Multiple Studies (78452) range across 4 matching MRF lines |
$130.55–$732.50 | $1,305.48–$7,325 | varies |
| Myocrd Img Pet Metab Eval Single Study Cncrnt CT (78429) range across 3 matching MRF lines |
$410.90–$543.40 | $4,109–$5,434 | varies |
| Neck soft tissue (70360) range across 3 matching MRF lines |
$8.81–$95.10 | $88.05–$951 | varies |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) range across 3 matching MRF lines |
$17.30–$132.60 | $173–$1,326 | varies |
| Nm csf leak detection (78650) range across 3 matching MRF lines |
$130.55–$241.80 | $1,305.48–$2,418 | varies |
| Nm whole blood volume (78122) range across 3 matching MRF lines |
$53.83–$276.50 | $538.27–$2,765 | varies |
| Nonvascular Shunt X-Ray (75809) range across 4 matching MRF lines |
$10.63–$44 | $106.34–$440 | varies |
| Ntsty modul radthx pln dose-vol histos (77301) range across 6 matching MRF lines |
$136.83–$2,469.60 | $1,368.26–$24,696 | varies |
| Nuclear Rx Intra-Arterial (79445) range across 4 matching MRF lines |
$22.41–$140.90 | $224.13–$1,409 | varies |
| Nuclear Rx Oral Admin (79005) range across 4 matching MRF lines |
$22.41–$224.70 | $224.13–$2,247 | varies |
| Ob us nuchal meas 1 gest (76813) range across 3 matching MRF lines |
$10.63–$47.30 | $106.34–$473 | varies |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) | $771.93 | $7,719.34 | 7.7× |
| Optic foramina (70190) range across 4 matching MRF lines |
$8.81–$345.10 | $88.05–$3,451 | varies |
| Panoramic X-ray of jaws (70355) range across 4 matching MRF lines |
$8.81–$51.50 | $88.05–$515 | varies |
| Parathyroid imaging w/tomographic spect & CT (78072) range across 4 matching MRF lines |
$53.83–$287.30 | $538.27–$2,873 | varies |
| Parathyroid Planar Imaging (78070) range across 3 matching MRF lines |
$40.18–$343.90 | $401.83–$3,439 | varies |
| Parathyroid planar imaging w/wo subtraction (78071) range across 4 matching MRF lines |
$40.18–$188.50 | $401.83–$1,885 | varies |
| Pelvis 1 or 2 views (72170) range across 3 matching MRF lines |
$10.63–$84.50 | $106.34–$845 | varies |
| Pet Image W/Ct Lmtd (78814) range across 3 matching MRF lines |
$145.86–$763.60 | $1,458.59–$7,636 | varies |
| PET image w/CT, full body (78816) range across 3 matching MRF lines |
$145.86–$1,157.60 | $1,458.59–$11,576 | varies |
| PET imaging CT attenuation skull base mid-thigh (78815) range across 3 matching MRF lines |
$145.86–$1,158.30 | $1,458.59–$11,583 | varies |
| Proton tx delivery intermediate (77523) range across 6 matching MRF lines |
$127.55–$1,066.40 | $1,275.51–$10,664 | varies |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $837.30 | $8,373 | 0.3× |
| Pulmonary Perfusion Imaging Particulate (78580) range across 4 matching MRF lines |
$40.18–$433.10 | $401.83–$4,331 | varies |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 3 matching MRF lines |
$10.63–$155.20 | $106.34–$1,552 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 3 matching MRF lines |
$54.83–$159 | $548.30–$1,590 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 6 matching MRF lines |
$8.81–$169.80 | $88.05–$1,698 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 5 matching MRF lines |
$8.81–$113 | $88.05–$1,130 | varies |
| Radex elbow complete minimum 3 views (73080) range across 6 matching MRF lines |
$8.81–$205.10 | $88.05–$2,051 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 4 matching MRF lines |
$10.63–$168 | $106.34–$1,680 | varies |
| Radex fingr minimum 2 views (73140) range across 5 matching MRF lines |
$8.81–$93.90 | $88.05–$939 | varies |
| Radex foot complete minimum 3 views (73630) range across 5 matching MRF lines |
$8.81–$182.30 | $88.05–$1,823 | varies |
| Radex Hand Minimum 3 Views (73130) range across 9 matching MRF lines |
$8.81–$153.40 | $88.05–$1,534 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 8 matching MRF lines |
$8.81–$169.20 | $88.05–$1,692 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) range across 4 matching MRF lines |
$10.63–$121.90 | $106.34–$1,219 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 5 matching MRF lines |
$8.81–$89.80 | $88.05–$898 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 4 matching MRF lines |
$8.81–$241.40 | $88.05–$2,414 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 6 matching MRF lines |
$8.81–$239.10 | $88.05–$2,391 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 3 matching MRF lines |
$8.81–$68.50 | $88.05–$685 | varies |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) range across 3 matching MRF lines |
$17.80–$385.10 | $178.02–$3,851 | varies |
| Radex Spine 1 View Specify Level (72020) range across 3 matching MRF lines |
$8.81–$53.70 | $88.05–$537 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 3 matching MRF lines |
$8.81–$83.70 | $88.05–$837 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 3 matching MRF lines |
$8.81–$84.90 | $88.05–$849 | varies |
| Radex Toe Minimum 2 Views (73660) range across 5 matching MRF lines |
$8.81–$110.20 | $88.05–$1,102 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 7 matching MRF lines |
$10.63–$181.40 | $106.34–$1,814 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 6 matching MRF lines |
$8.81–$160.20 | $88.05–$1,602 | varies |
| Radiation Delivery Stereotactic Cranial Linear (77372) range across 5 matching MRF lines |
$764.45–$2,980.80 | $7,644.49–$29,808 | varies |
| Radiation treatment delivery level 1 (77402) range across 5 matching MRF lines |
$13–$940 | $130–$9,400 | varies |
| Radiation treatment delivery level 2 (77407) range across 5 matching MRF lines |
$31.30–$966 | $313–$9,660 | varies |
| Radiation treatment delivery level 3 (77412) range across 6 matching MRF lines |
$32.01–$987.90 | $320.08–$9,879 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) range across 3 matching MRF lines |
$10.63–$163.50 | $106.34–$1,635 | varies |
| Radiologic exam colon double contrast study (74280) range across 3 matching MRF lines |
$17.80–$267 | $178.02–$2,670 | varies |
| Radiologic exam colon single contrast study (74270) range across 3 matching MRF lines |
$17.80–$240.60 | $178.02–$2,406 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 7 matching MRF lines |
$10.63–$228.10 | $106.34–$2,281 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 4 matching MRF lines |
$10.63–$106.90 | $106.34–$1,069 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 3 matching MRF lines |
$17.80–$215.50 | $178.02–$2,155 | varies |
| Radiologic exam swallow function contrast study (74230) range across 3 matching MRF lines |
$17.80–$201.30 | $178.02–$2,013 | varies |
| Radiologic exam upr gi trc double contrast study (74246) range across 3 matching MRF lines |
$17.80–$198.50 | $178.02–$1,985 | varies |
| Radiologic examination femur 1 view (73551) range across 7 matching MRF lines |
$8.81–$130 | $88.05–$1,300 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 5 matching MRF lines |
$8.81–$141.60 | $88.05–$1,416 | varies |
| Radiologic examination knee 1/2 views (73560) range across 5 matching MRF lines |
$8.81–$161.10 | $88.05–$1,611 | varies |
| Radiologic Examination Osseous Survey Limited (77074) range across 3 matching MRF lines |
$10.63–$88 | $106.34–$880 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 7 matching MRF lines |
$8.81–$231.10 | $88.05–$2,311 | varies |
| Radiopharmaceutical therapy, by intra-articular administration Non-Facility (79440) range across 3 matching MRF lines |
$22.41–$90.90 | $224.13–$909 | varies |
| Radiopharmaceutical therapy, by intracavitary administration Non-Facility (79200) range across 3 matching MRF lines |
$22.41–$263.70 | $224.13–$2,637 | varies |
| Ribs bilateral 3 views (71110) range across 3 matching MRF lines |
$10.63–$155 | $106.34–$1,550 | varies |
| Rp loclzj tum plnr 1 area single day imaging (78800) range across 3 matching MRF lines |
$40.18–$161.70 | $401.83–$1,617 | varies |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) range across 3 matching MRF lines |
$40.18–$161.70 | $401.83–$1,617 | varies |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) range across 4 matching MRF lines |
$130.55–$452.40 | $1,305.48–$4,524 | varies |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) range across 4 matching MRF lines |
$130.55–$633.20 | $1,305.48–$6,332 | varies |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 3 matching MRF lines |
$130.55–$476.70 | $1,305.48–$4,767 | varies |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) range across 3 matching MRF lines |
$130.55–$558.40 | $1,305.48–$5,584 | varies |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) range across 4 matching MRF lines |
$145.86–$715.10 | $1,458.59–$7,151 | varies |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) range across 3 matching MRF lines |
$130.55–$476.70 | $1,305.48–$4,767 | varies |
| Rp Therapy Intravenous Administration (79101) range across 3 matching MRF lines |
$22.41–$135.30 | $224.13–$1,353 | varies |
| Salivary Gland Function Study (78232) range across 3 matching MRF lines |
$40.18–$191.70 | $401.83–$1,917 | varies |
| Scapula (73010) range across 5 matching MRF lines |
$10.63–$130.50 | $106.34–$1,305 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 6 matching MRF lines |
$1.97–$15.10 | $19.65–$151 | varies |
| Shoulder 1 view (73020) range across 5 matching MRF lines |
$8.81–$203.80 | $88.05–$2,038 | varies |
| Shoulder Arthrography (73040) range across 4 matching MRF lines |
$35.71–$467 | $357.13–$4,670 | varies |
| Sialogram (70390) range across 3 matching MRF lines |
$24.17–$84.90 | $241.72–$849 | varies |
| Skull less than 4 views (70250) range across 3 matching MRF lines |
$10.63–$106.10 | $106.34–$1,061 | varies |
| Special dosimetry (77331) range across 3 matching MRF lines |
$13.28–$241.60 | $132.77–$2,416 | varies |
| Special Physics Consult (77370) range across 3 matching MRF lines |
$13.28–$216 | $132.77–$2,160 | varies |
| Special teletherapy port plan (77321) range across 3 matching MRF lines |
$36.61–$243.70 | $366.07–$2,437 | varies |
| Special treatment procedure (77470) range across 4 matching MRF lines |
$57.85–$448.70 | $578.47–$4,487 | varies |
| Speech evaluation, complex (70371) range across 4 matching MRF lines |
$24.17–$179.20 | $241.72–$1,792 | varies |
| Spleen Imaging (78185) range across 4 matching MRF lines |
$40.18–$216.30 | $401.83–$2,163 | varies |
| Srs Multisource (77371) range across 4 matching MRF lines |
$764.45–$8,929.50 | $7,644.49–$89,295 | varies |
| Stereotactic Body Radiation Delivery (77373) range across 4 matching MRF lines |
$175.59–$3,297 | $1,755.91–$32,970 | varies |
| Sternoclavicular joints (71130) range across 3 matching MRF lines |
$8.81–$47.30 | $88.05–$473 | varies |
| Superior sagittal sinus venogram (75870) range across 5 matching MRF lines |
$314.75–$663.80 | $3,147.50–$6,638 | varies |
| Surf radj ther orthvlt dlvr>150-500 kv per fxj (77438) range across 3 matching MRF lines |
$13.10–$702.63 | $131–$7,026.25 | varies |
| Surf radj ther supfc dlvr<=150 kv per fraction (77437) range across 3 matching MRF lines |
$13.10–$702.63 | $131–$7,026.25 | varies |
| Surf radj ther supfc/orthvlt treatment planning (77436) range across 3 matching MRF lines |
$13.10–$716.50 | $131–$7,165 | varies |
| Surface Applic Low Dose Rate Radionuclide Source (77789) range across 3 matching MRF lines |
$10.95–$72.80 | $109.50–$728 | varies |
| Telethx isodose pln cplx w/basic dosimetry (77307) range across 4 matching MRF lines |
$36.61–$573.10 | $366.07–$5,731 | varies |
| Telethx isodose pln smpl w/dosimetry calculation (77306) range across 3 matching MRF lines |
$36.61–$180.70 | $366.07–$1,807 | varies |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) range across 4 matching MRF lines |
$36.61–$423.50 | $366.07–$4,235 | varies |
| Ther rad simulaj-aided field setting simple (77280) range across 4 matching MRF lines |
$13.28–$193.90 | $132.77–$1,939 | varies |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) range across 5 matching MRF lines |
$17.80–$314.50 | $178.02–$3,145 | varies |
| Thoracic spine 2 views (72070) range across 3 matching MRF lines |
$10.63–$105.50 | $106.34–$1,055 | varies |
| Thoracic spine 3 views (72072) range across 3 matching MRF lines |
$10.63–$120.90 | $106.34–$1,209 | varies |
| Thoracolumbar 2 views (72080) range across 5 matching MRF lines |
$8.81–$40.60 | $88.05–$406 | varies |
| Thyroid Imaging With Vascular Flow (78013) range across 3 matching MRF lines |
$40.18–$243.10 | $401.83–$2,431 | varies |
| Thyroid Met Imaging Body (78018) range across 3 matching MRF lines |
$53.83–$444.40 | $538.27–$4,444 | varies |
| Thyroid Uptake Measurement (78012) range across 3 matching MRF lines |
$40.18–$189.80 | $401.83–$1,898 | varies |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) range across 3 matching MRF lines |
$40.18–$344.40 | $401.83–$3,444 | varies |
| Tx Devices Design & Construction Complex (77334) range across 7 matching MRF lines |
$36.61–$1,631.50 | $366.07–$16,315 | varies |
| Tx devices design & construction intermediate (77333) range across 3 matching MRF lines |
$13.28–$212.80 | $132.77–$2,128 | varies |
| Tx devices design & construction simple (77332) range across 5 matching MRF lines |
$13.28–$189.40 | $132.77–$1,894 | varies |
| Ultrasound Breast Limited (76642) range across 10 matching MRF lines |
$7.80–$93.90 | $78–$939 | varies |
| Ultrasound elastography first target lesion (76982) range across 3 matching MRF lines |
$10.63–$68.20 | $106.34–$682 | varies |
| Ultrasound Elastography Parenchyma (76981) range across 4 matching MRF lines |
$10.63–$72.30 | $106.34–$723 | varies |
| Ultrasound Exam Aaa Screen (76706) range across 5 matching MRF lines |
$10.63–$67.70 | $106.34–$677 | varies |
| Ultrasound trgt dynamic microbubble 1st lesion (76978) range across 4 matching MRF lines |
$17.80–$126.30 | $178.02–$1,263 | varies |
| Ultrasound, abdomen limited (76705) range across 4 matching MRF lines |
$10.63–$356.80 | $106.34–$3,568 | varies |
| Umbilical-artery Doppler (OB) (76820) range across 4 matching MRF lines |
$10.63–$49.70 | $106.34–$497 | varies |
| Unlisted fluoroscopic procedure (76496) range across 3 matching MRF lines |
$8.81–$33.50 | $88.05–$335 | varies |
| Unlisted magnetic resonance procedure (76498) range across 3 matching MRF lines |
$8.81–$1,170 | $88.05–$11,700 | varies |
| Unlisted us procedure (76999) range across 5 matching MRF lines |
$8.81–$41 | $88.05–$410 | varies |
| Upper gi w/o kub (74240) range across 3 matching MRF lines |
$17.80–$163.30 | $178.02–$1,633 | varies |
| Ureteral Reflux Study (78740) range across 5 matching MRF lines |
$40.18–$390.80 | $401.83–$3,908 | varies |
| Urethrocystogram voiding (74455) range across 4 matching MRF lines |
$24.17–$93.50 | $241.72–$935 | varies |
| Urethrocystography retrograde (74450) range across 3 matching MRF lines |
$24.17–$134.50 | $241.72–$1,345 | varies |
| Us breast unilateral complete (76641) range across 10 matching MRF lines |
$7.80–$100.90 | $78–$1,009 | varies |
| Us chest (76604) range across 5 matching MRF lines |
$10.63–$96.60 | $106.34–$966 | varies |
| Us complete joint (76881) range across 3 matching MRF lines |
$10.63–$160.90 | $106.34–$1,609 | varies |
| Us exam, pelvic, limited (76857) range across 7 matching MRF lines |
$10.63–$98.20 | $106.34–$982 | varies |
| Us head (76506) range across 4 matching MRF lines |
$10.63–$253.30 | $106.34–$2,533 | varies |
| Us kidney transplant (76776) range across 3 matching MRF lines |
$10.63–$237 | $106.34–$2,370 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 6 matching MRF lines |
$10.63–$193 | $106.34–$1,930 | varies |
| Us ob detailed single fetus (76811) range across 5 matching MRF lines |
$24.17–$282 | $241.72–$2,820 | varies |
| Us ob limited 1 or more fetuses (76815) range across 5 matching MRF lines |
$10.63–$137.10 | $106.34–$1,371 | varies |
| Us ob transvaginal (76817) range across 5 matching MRF lines |
$10.63–$198.10 | $106.34–$1,981 | varies |
| Us pelvic non ob complete (76856) range across 3 matching MRF lines |
$10.63–$175.90 | $106.34–$1,759 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 4 matching MRF lines |
$10.63–$124.50 | $106.34–$1,245 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 4 matching MRF lines |
$10.63–$138.20 | $106.34–$1,382 | varies |
| Us retroperitoneal complete (76770) range across 3 matching MRF lines |
$10.63–$201.20 | $106.34–$2,012 | varies |
| Us retroperitoneal limited (76775) range across 3 matching MRF lines |
$10.63–$115.10 | $106.34–$1,151 | varies |
| Us scrotum and contents (76870) range across 3 matching MRF lines |
$10.63–$172 | $106.34–$1,720 | varies |
| Us spinal canal and contents (76800) range across 4 matching MRF lines |
$10.63–$269.90 | $106.34–$2,699 | varies |
| Us thyroid (76536) range across 3 matching MRF lines |
$10.63–$150.30 | $106.34–$1,503 | varies |
| Us transrectal (76872) range across 6 matching MRF lines |
$10.63–$442.53 | $106.34–$4,425.25 | varies |
| Vasogram (74440) range across 3 matching MRF lines |
$24.17–$56.60 | $241.72–$566 | varies |
| Vein X-Ray Chest (75827) range across 5 matching MRF lines |
$155.34–$1,187.60 | $1,553.44–$11,876 | varies |
| Vein X-Ray Liver W/O Hemodyn (75887) range across 3 matching MRF lines |
$314.75–$755.40 | $3,147.50–$7,554 | varies |
| Vein X-Ray Spleen/Liver (75810) range across 3 matching MRF lines |
$314.75–$542.90 | $3,147.50–$5,429 | varies |
| Venogram Sinus/Jugular (75860) range across 5 matching MRF lines |
$314.75–$1,288.20 | $3,147.50–$12,882 | varies |
| Venography Adrenal Unilateral (75840) range across 4 matching MRF lines |
$314.75–$509.70 | $3,147.50–$5,097 | varies |
| Venography caval inferior serialography rs&i (75825) range across 3 matching MRF lines |
$314.75–$592.50 | $3,147.50–$5,925 | varies |
| Venography extremity bilateral rs&i (75822) range across 3 matching MRF lines |
$155.34–$504.30 | $1,553.44–$5,043 | varies |
| Venography extremity unilateral rs&i (75820) range across 4 matching MRF lines |
$155.34–$299.80 | $1,553.44–$2,998 | varies |
| Venography Orbital Rs&I (75880) range across 3 matching MRF lines |
$61.83–$509.70 | $618.26–$5,097 | varies |
| Venography Renal Bilateral (75833) range across 4 matching MRF lines |
$314.75–$542.90 | $3,147.50–$5,429 | varies |
| Venography Renal Unilateral (75831) range across 5 matching MRF lines |
$314.75–$564.90 | $3,147.50–$5,649 | varies |
| Venous sampling by catheter (75893) range across 6 matching MRF lines |
$540.57–$2,886.80 | $5,405.70–$28,868 | varies |
| Vertebral fracture assessment via dxa (77086) range across 3 matching MRF lines |
$8.81–$29.90 | $88.05–$299 | varies |
| Wrist 2 views (73100) range across 6 matching MRF lines |
$8.81–$151.70 | $88.05–$1,517 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 5 matching MRF lines |
$8.81–$172.20 | $88.05–$1,722 | varies |
| X-ray antegrade pyelogram tube (74425) range across 4 matching MRF lines |
$35.71–$339.40 | $357.13–$3,394 | varies |
| X-Ray Aorta Leg Arteries (75630) range across 3 matching MRF lines |
$314.75–$847.40 | $3,147.50–$8,474 | varies |
| X-Ray Bend Only L-S Spine (72120) range across 5 matching MRF lines |
$10.63–$52.80 | $106.34–$528 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 6 matching MRF lines |
$8.81–$163.80 | $88.05–$1,638 | varies |
| X-Ray Exam Breast Specimen (76098) range across 3 matching MRF lines |
$54.83–$83.10 | $548.30–$831 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 3 matching MRF lines |
$8.81–$84.40 | $88.05–$844 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 3 matching MRF lines |
$10.63–$115.90 | $106.34–$1,159 | varies |
| X-Ray Exam Entire Spi 4/5 Vw (72083) range across 5 matching MRF lines |
$10.63–$186.40 | $106.34–$1,864 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 3 matching MRF lines |
$8.81–$91.40 | $88.05–$914 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 5 matching MRF lines |
$8.81–$185.80 | $88.05–$1,858 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) range across 7 matching MRF lines |
$10.63–$181.40 | $106.34–$1,814 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 3 matching MRF lines |
$10.63–$122.40 | $106.34–$1,224 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 4 matching MRF lines |
$10.63–$118.80 | $106.34–$1,188 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) range across 4 matching MRF lines |
$10.63–$150 | $106.34–$1,500 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 4 matching MRF lines |
$10.63–$147.10 | $106.34–$1,471 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 3 matching MRF lines |
$8.81–$94.40 | $88.05–$944 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 4 matching MRF lines |
$10.63–$113.20 | $106.34–$1,132 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 3 matching MRF lines |
$10.63–$129.20 | $106.34–$1,292 | varies |
| X-ray eye for foreign body (70030) range across 3 matching MRF lines |
$8.81–$170.10 | $88.05–$1,701 | varies |
| X-ray humerus (73060) range across 5 matching MRF lines |
$8.81–$154.20 | $88.05–$1,542 | varies |
| X-ray IV pyelogram (ivp) (74400) range across 3 matching MRF lines |
$17.80–$234.90 | $178.02–$2,349 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 3 matching MRF lines |
$8.81–$95 | $88.05–$950 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 3 matching MRF lines |
$8.81–$44.80 | $88.05–$448 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 5 matching MRF lines |
$10.63–$83.50 | $106.34–$835 | varies |
| X-ray nose-rectum child f.b. (76010) range across 5 matching MRF lines |
$8.81–$103.20 | $88.05–$1,032 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 3 matching MRF lines |
$10.63–$177.80 | $106.34–$1,778 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 3 matching MRF lines |
$10.63–$145.10 | $106.34–$1,451 | varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) range across 5 matching MRF lines |
$10.63–$66.50 | $106.34–$665 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 3 matching MRF lines |
$8.81–$82.90 | $88.05–$829 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 3 matching MRF lines |
$8.81–$146.80 | $88.05–$1,468 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 3 matching MRF lines |
$10.63–$150.70 | $106.34–$1,507 | varies |
| X-ray thoracic spine 4 vw (72074) range across 5 matching MRF lines |
$10.63–$152.10 | $106.34–$1,521 | varies |
| X-Ray Tmj Unilat (70328) range across 4 matching MRF lines |
$8.81–$59.10 | $88.05–$591 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 5 matching MRF lines |
$35.71–$349.30 | $357.13–$3,493 | varies |
| X-Rays Bone Length Studies (77073) range across 4 matching MRF lines |
$10.63–$137.80 | $106.34–$1,378 | varies |
| X-Rays Bone Survey Complete (77075) range across 4 matching MRF lines |
$10.63–$107.80 | $106.34–$1,078 | varies |
| Xr c-spine 4 or 5 views (72050) range across 3 matching MRF lines |
$10.63–$161.90 | $106.34–$1,619 | varies |
| Xr facial bones less than 3 views (70140) range across 5 matching MRF lines |
$8.81–$135.20 | $88.05–$1,352 | varies |
| XR Mastoids < 3 Views Bilateral (70120) range across 4 matching MRF lines |
$10.63–$73 | $106.34–$730 | varies |
| Xr orbits complete 4 views (70200) range across 4 matching MRF lines |
$10.63–$133.20 | $106.34–$1,332 | 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.