Imaging prices at Overland Park Regional Medical Center
Overland Park, KS · every code in this section with a posted price and a Medicare benchmark.
343 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 |
$1,351.23–$1,485.83 | $1,351.23–$1,485.83 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$2,037.30–$2,241.99 | $2,037.30–$2,241.99 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $4,358.19 | $4,358.19 | 11.5× |
| Angio pulmonary bilat (75743) range across 2 matching MRF lines |
$17,933.22–$18,786.95 | $17,933.22–$18,786.95 | varies |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $26,626.47 | $26,626.47 | 8.9× |
| Angiography extremity bilateral rs&i (75716) range across 4 matching MRF lines |
$3,796.53–$12,362.33 | $3,796.53–$12,362.33 | varies |
| Angiography extremity unilateral rs&i (75710) range across 8 matching MRF lines |
$3,796.53–$11,586.09 | $3,796.53–$11,586.09 | varies |
| Angiography pulmonary unilateral slctv rs&i (75741) range across 4 matching MRF lines |
$3,534.89–$25,168.65 | $3,534.89–$25,168.65 | varies |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) range across 2 matching MRF lines |
$3,464.90–$6,292.24 | $3,464.90–$6,292.24 | varies |
| Ankle 2 views (73600) range across 6 matching MRF lines |
$632.49–$1,380.66 | $632.49–$1,380.66 | varies |
| Aortography thoracic serialography rs&i (75605) range across 2 matching MRF lines |
$17,390.89–$18,218.10 | $17,390.89–$18,218.10 | varies |
| Artery X-Rays Abdomen (75726) range across 2 matching MRF lines |
$13,233.96–$13,863.84 | $13,233.96–$13,863.84 | varies |
| Artery X-Rays Adrenal Gland (75731) | $21,165.98 | $21,165.98 | 7.1× |
| Artery X-Rays Pelvis (75736) | $15,055.64 | $15,055.64 | 2.9× |
| Artery X-Rays Spine (75705) | $19,862.47 | $19,862.47 | 3.8× |
| Arthrogram ankle (73615) range across 3 matching MRF lines |
$6,534–$7,188.91 | $6,534–$7,188.91 | varies |
| Arthrogram hip (73525) range across 4 matching MRF lines |
$3,050.07–$3,356.66 | $3,050.07–$3,356.66 | varies |
| Arthrogram Wrist (73115) range across 2 matching MRF lines |
$6,534–$7,188.91 | $6,534–$7,188.91 | varies |
| Bone age studies (77072) range across 2 matching MRF lines |
$2,196.73–$2,417.03 | $2,196.73–$2,417.03 | varies |
| Bone Imaging 3 Phase (78315) | $8,658.01 | $8,658.01 | 22.9× |
| Bone Imaging Limited Area (78300) | $6,167.71 | $6,167.71 | 16.3× |
| Bone Imaging Multiple Areas (78305) | $8,179.53 | $8,179.53 | 21.6× |
| Bone Imaging Whole Body (78306) | $7,135.06 | $7,135.06 | 18.9× |
| Bone marrow imaging limited area (78102) | $5,207.25 | $5,207.25 | 13.8× |
| Bone survey infant (77076) range across 2 matching MRF lines |
$2,458.48–$2,704.90 | $2,458.48–$2,704.90 | varies |
| Brain Flow Imaging Only (78610) range across 2 matching MRF lines |
$2,487.49–$7,090.64 | $2,487.49–$7,090.64 | varies |
| Brain Image W/Flow < 4 Views (78601) | $3,626.08 | $3,626.08 | 9.6× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $3,624.96 | $3,624.96 | 7.1× |
| Brain Imaging Minimum 4 Static Views (78605) | $8,208.72 | $8,208.72 | 16.0× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $11,189.13 | $11,189.13 | 33.9× |
| Cardiac MRI w/w/o contrast w/stress (75563) | $12,481.15 | $12,481.15 | 16.8× |
| Cat Scan Follow-Up Study (76380) range across 2 matching MRF lines |
$2,130.92–$2,386.46 | $2,130.92–$2,386.46 | varies |
| Cerebrospinal Fluid Scan (78630) | $12,705.27 | $12,705.27 | 24.7× |
| Chest 1 view (71045) range across 2 matching MRF lines |
$1,264.98–$1,389.13 | $1,264.98–$1,389.13 | varies |
| Chest 2 views (71046) range across 2 matching MRF lines |
$1,477.99–$1,625.66 | $1,477.99–$1,625.66 | varies |
| Chest 3 views (71047) range across 2 matching MRF lines |
$1,474.07–$1,621.74 | $1,474.07–$1,621.74 | varies |
| Chest 4 or more views (71048) range across 2 matching MRF lines |
$2,059.52–$2,265.03 | $2,059.52–$2,265.03 | varies |
| Clavicle complete (73000) range across 6 matching MRF lines |
$1,645.26–$3,619.84 | $1,645.26–$3,619.84 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $286.27 | $286.27 | 2.9× |
| Contrast Exam Abdominl Aorta (75625) range across 2 matching MRF lines |
$19,754.22–$20,695.79 | $19,754.22–$20,695.79 | varies |
| Contrast X-Ray Bladder (74430) range across 3 matching MRF lines |
$3,184.67–$4,029.13 | $3,184.67–$4,029.13 | varies |
| Contrast X-Ray Of Elbow (73085) range across 4 matching MRF lines |
$6,534–$7,188.91 | $6,534–$7,188.91 | varies |
| Contrast X-Ray Of Knee Joint (73580) | $7,188.91 | $7,188.91 | 21.8× |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$18,594.37–$20,825.56 | $18,594.37–$20,825.56 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$15,189.77–$17,012.55 | $15,189.77–$17,012.55 | varies |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$8,777.61–$9,830.52 | $8,777.61–$9,830.52 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$9,621.08–$10,775.89 | $9,621.08–$10,775.89 | varies |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$7,930.09–$8,881.92 | $7,930.09–$8,881.92 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$17,225.27–$19,292.28 | $17,225.27–$19,292.28 | varies |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$12,652.06–$14,169.98 | $12,652.06–$14,169.98 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$12,652.06–$14,169.98 | $12,652.06–$14,169.98 | varies |
| CT angio hrt w/3d image (75574) | $10,265.59 | $10,265.59 | 31.1× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 6 matching MRF lines |
$1,919.85–$14,736.06 | $1,919.85–$14,736.06 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$12,652.06–$14,169.98 | $12,652.06–$14,169.98 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 3 matching MRF lines |
$1,919.85–$4,294.18 | $1,919.85–$4,294.18 | varies |
| CT cervical spine w/ contrast (72126) range across 2 matching MRF lines |
$12,064.95–$13,512.52 | $12,064.95–$13,512.52 | varies |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$9,231.29–$10,339.19 | $9,231.29–$10,339.19 | varies |
| CT cervical spine w/wo cont (72127) range across 2 matching MRF lines |
$13,927.38–$15,598.95 | $13,927.38–$15,598.95 | varies |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$10,023.81–$11,226.33 | $10,023.81–$11,226.33 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$12,836.43–$14,377.01 | $12,836.43–$14,377.01 | varies |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$6,551.26–$7,337.32 | $6,551.26–$7,337.32 | varies |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$11,853.86–$13,276.37 | $11,853.86–$13,276.37 | varies |
| CT heart contrast eval cardiac structure&morph (75572) range across 2 matching MRF lines |
$9,165.78–$10,265.59 | $9,165.78–$10,265.59 | varies |
| CT heart no contrast quant eval coronry calcium (75571) range across 3 matching MRF lines |
$78.95–$280 | $78.95–$280 | varies |
| CT hrt w/3d image congen (75573) | $10,265.59 | $10,265.59 | 31.1× |
| CT iac w contrast (70481) range across 2 matching MRF lines |
$11,010.40–$12,331.83 | $11,010.40–$12,331.83 | varies |
| CT l-spine w&w/o contrast (72133) range across 2 matching MRF lines |
$13,617.65–$15,252.03 | $13,617.65–$15,252.03 | varies |
| CT lower ext w/o (73700) range across 6 matching MRF lines |
$7,758.63–$17,374.85 | $7,758.63–$17,374.85 | varies |
| CT lower extremity w/contrast material (73701) range across 5 matching MRF lines |
$8,356.27–$18,704.36 | $8,356.27–$18,704.36 | varies |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$11,798.88–$13,214.90 | $11,798.88–$13,214.90 | varies |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$9,261.20–$10,372.33 | $9,261.20–$10,372.33 | varies |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$7,877.52–$8,822.88 | $7,877.52–$8,822.88 | varies |
| CT maxillofacial wo contrast (70486) range across 2 matching MRF lines |
$7,378.54–$8,264.07 | $7,378.54–$8,264.07 | varies |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$9,979.32–$11,176.99 | $9,979.32–$11,176.99 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 2 matching MRF lines |
$13,381.49–$14,987.58 | $13,381.49–$14,987.58 | varies |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$10,259.93–$11,490.78 | $10,259.93–$11,490.78 | varies |
| CT pelvis w&w/o contrast (72194) range across 2 matching MRF lines |
$8,974.92–$10,052.10 | $8,974.92–$10,052.10 | varies |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$7,261.31–$8,132.25 | $7,261.31–$8,132.25 | varies |
| CT scan of leg combo (73702) range across 5 matching MRF lines |
$10,099.83–$22,628.16 | $10,099.83–$22,628.16 | varies |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
$6,520.51–$7,303.98 | $6,520.51–$7,303.98 | varies |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$9,979.32–$11,176.99 | $9,979.32–$11,176.99 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$8,423.39–$9,434.27 | $8,423.39–$9,434.27 | varies |
| CT thoracic spine w contrast (72129) range across 2 matching MRF lines |
$11,073.48–$12,402.17 | $11,073.48–$12,402.17 | varies |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$8,477.56–$9,494.93 | $8,477.56–$9,494.93 | varies |
| CT thoracic spine w/wo cont (72130) range across 2 matching MRF lines |
$12,782.25–$14,316.37 | $12,782.25–$14,316.37 | varies |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$8,758.99–$9,810.30 | $8,758.99–$9,810.30 | varies |
| CT upper ext wo (73200) range across 6 matching MRF lines |
$7,630.87–$16,283.13 | $7,630.87–$16,283.13 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 6 matching MRF lines |
$9,920.28–$22,213.30 | $9,920.28–$22,213.30 | varies |
| CT upper extremity with contrast (73201) range across 6 matching MRF lines |
$8,356.27–$18,704.36 | $8,356.27–$18,704.36 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$13,915.25–$15,585.20 | $13,915.25–$15,585.20 | varies |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$12,145.01–$13,602.27 | $12,145.01–$13,602.27 | varies |
| CTA pelvis (72191) range across 2 matching MRF lines |
$11,638.77–$13,035.39 | $11,638.77–$13,035.39 | varies |
| Dilation ureters/urethra rs&i (74485) | $27,743.36 | $27,743.36 | 14.0× |
| Discography Cerv/Thor Spine (72285) | $2,224.17 | $2,224.17 | 1.2× |
| Diskography lumbar (72295) | $5,727.70 | $5,727.70 | 3.1× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) | $409.70 | $409.70 | 4.1× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $571.41 | $571.41 | 5.8× |
| Doppler Fetal Mid Cerebral Artery (76821) | $701.74 | $701.74 | 7.1× |
| Dxa Bone Density Axial (77080) range across 3 matching MRF lines |
$2,145.27–$2,440.05 | $2,145.27–$2,440.05 | varies |
| Dxa bone density study 1/>sites appendiclr skel (77081) range across 2 matching MRF lines |
$467.83–$1,014.08 | $467.83–$1,014.08 | varies |
| Echo exam of fetal heart (76825) | $2,087.74 | $2,087.74 | 4.0× |
| Echo exam uterus (76831) range across 2 matching MRF lines |
$6,429.41–$7,072.61 | $6,429.41–$7,072.61 | varies |
| Echo Guide For Artery Repair (76936) | $5,610.28 | $5,610.28 | 27.4× |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) | $1,224.40 | $1,224.40 | 5.4× |
| Esophagram (74220) range across 2 matching MRF lines |
$2,129.14–$2,341.79 | $2,129.14–$2,341.79 | varies |
| Fetal Biophys Profile W/Nst (76818) range across 3 matching MRF lines |
$933.16–$4,821.30 | $933.16–$4,821.30 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 3 matching MRF lines |
$682.93–$5,227.07 | $682.93–$5,227.07 | varies |
| Fetal MRI w/placntl matrnl plvc img sing/1st ges (74712) | $2,127.61 | $2,127.61 | 9.4× |
| Fluoroscopy up to 1 hr (76000) range across 4 matching MRF lines |
$1,615.20–$2,046.22 | $1,615.20–$2,046.22 | varies |
| Follow-Up Angiography (75898) range across 2 matching MRF lines |
$1,756.34–$1,838.98 | $1,756.34–$1,838.98 | varies |
| Foot 2 views (73620) range across 6 matching MRF lines |
$1,024.53–$2,265.03 | $1,024.53–$2,265.03 | varies |
| Forearm 2 views (73090) range across 6 matching MRF lines |
$1,288.50–$2,826.61 | $1,288.50–$2,826.61 | varies |
| Gastric emptying imaging study (78264) range across 2 matching MRF lines |
$8,795.05–$9,397.91 | $8,795.05–$9,397.91 | varies |
| Gastric Emptyng Imag Std W/Sm Bwl Transit (78265) | $7,852.73 | $7,852.73 | 20.7× |
| Gastroesophageal Reflux Exam (78262) | $2,382.43 | $2,382.43 | 6.3× |
| Gated Heart Planar Single (78472) range across 2 matching MRF lines |
$5,078.84–$5,377.31 | $5,078.84–$5,377.31 | varies |
| Gstrc Emptng Imag Std W/Sm Bwl Col Trnst Mlt Day (78266) | $7,852.73 | $7,852.73 | 15.3× |
| Hand 2 views (73120) range across 7 matching MRF lines |
$1,009.89–$2,265.03 | $1,009.89–$2,265.03 | varies |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $18,300.43 | $18,300.43 | 6.1× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $14,986.95 | $14,986.95 | 5.0× |
| Hepatobil Syst Image W/Drug (78227) | $8,144 | $8,144 | 15.8× |
| Hepatobiliary System Imaging (78226) | $8,144 | $8,144 | 21.5× |
| Ht Musc Image Planar Mult (78454) range across 2 matching MRF lines |
$38,787.58–$41,071.54 | $38,787.58–$41,071.54 | varies |
| Ht Muscle Image Spect Sing (78451) range across 2 matching MRF lines |
$17,106.47–$18,113.02 | $17,106.47–$18,113.02 | varies |
| Hysterosalpingogram (74740) range across 2 matching MRF lines |
$2,598.98–$2,859.22 | $2,598.98–$2,859.22 | varies |
| Infant hip ultrasound with hip movement (dynamic) (76885) range across 2 matching MRF lines |
$3,924.05–$4,316.30 | $3,924.05–$4,316.30 | varies |
| Infant hip ultrasound, limited static exam (76886) range across 2 matching MRF lines |
$3,782.80–$4,161.49 | $3,782.80–$4,161.49 | varies |
| Joint Survey Single View (77077) | $617.32 | $617.32 | 6.2× |
| K Flow/Funct Image Multiple (78709) | $7,751.84 | $7,751.84 | 15.1× |
| K Flow/Funct Image W/Drug (78708) | $6,468.75 | $6,468.75 | 12.6× |
| K Flow/Funct Image W/O Drug (78707) | $12,197.58 | $12,197.58 | 23.7× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $3,392.38 | $3,392.38 | 9.0× |
| Knee 3 Views (73562) range across 6 matching MRF lines |
$1,548.56–$3,405.02 | $1,548.56–$3,405.02 | varies |
| Leveen/Shunt Patency Exam (78291) | $5,042.22 | $5,042.22 | 13.3× |
| Liver & Spleen Imaging Static Only (78215) | $9,076.82 | $9,076.82 | 24.0× |
| Lung Perf&Ventilat Diferentl (78598) | $4,070.11 | $4,070.11 | 7.9× |
| Lung perfusion differential (78597) | $7,181.79 | $7,181.79 | 19.0× |
| Lung Ventilat&Perfus Imaging (78582) | $13,000.94 | $13,000.94 | 25.3× |
| Lung Ventilation Imaging (78579) | $2,603 | $2,603 | 6.9× |
| Lymph System Imaging (78195) | $6,688.29 | $6,688.29 | 13.0× |
| Magnetic Image Jaw Joint (70336) | $11,182.90 | $11,182.90 | 49.5× |
| Mammary ductogram or galactogram multiple (77054) range across 2 matching MRF lines |
$4,095.93–$4,145.17 | $4,095.93–$4,145.17 | varies |
| Mammary ductogram or galactogram single (77053) range across 2 matching MRF lines |
$2,937.69–$4,648.29 | $2,937.69–$4,648.29 | varies |
| Meckels Divert Exam (78290) | $6,994.18 | $6,994.18 | 18.5× |
| Mra Head W/O & W/Contrast Material (70546) | $14,041.77 | $14,041.77 | 42.5× |
| MRA head w/o contrast (70544) | $11,704.89 | $11,704.89 | 51.8× |
| MRA head with contrast (70545) | $12,880.04 | $12,880.04 | 39.0× |
| MRA neck w contrast (70548) | $15,459.57 | $15,459.57 | 46.8× |
| Mra Neck W/O &W/Contrast Material (70549) | $16,860.45 | $16,860.45 | 51.0× |
| MRA neck w/o contrast (70547) | $14,041.77 | $14,041.77 | 62.2× |
| MRI abdomen w contrast (74182) | $14,140.83 | $14,140.83 | 42.8× |
| MRI abdomen w/o contrast (74181) | $12,852.37 | $12,852.37 | 56.9× |
| MRI any jt lower extrem w/contrast material (73722) range across 3 matching MRF lines |
$9,766.86–$19,517.67 | $9,766.86–$19,517.67 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 3 matching MRF lines |
$10,647.54–$21,295.08 | $10,647.54–$21,295.08 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 3 matching MRF lines |
$14,233.57–$28,463.64 | $14,233.57–$28,463.64 | varies |
| MRI Breast W/O Contrast Bilateral (77047) | $10,962.51 | $10,962.51 | 48.5× |
| MRI cardiac w/o cont stress (75559) | $11,220.18 | $11,220.18 | 21.7× |
| MRI cardiac w/o contrast (75557) | $9,928.36 | $9,928.36 | 44.0× |
| MRI cervical spine w contrast (72142) | $12,992.44 | $12,992.44 | 39.3× |
| MRI cervical spine w/o cont (72141) | $12,992.44 | $12,992.44 | 57.5× |
| MRI chest w/o contrast (71550) | $12,880.04 | $12,880.04 | 57.0× |
| MRI chest with contrast (71551) | $14,164.01 | $14,164.01 | 19.1× |
| MRI chest wo w contrast (71552) | $15,582.73 | $15,582.73 | 47.2× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 3 matching MRF lines |
$14,140.83–$28,274.46 | $14,140.83–$28,274.46 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 3 matching MRF lines |
$15,426.55–$30,855.82 | $15,426.55–$30,855.82 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 3 matching MRF lines |
$12,852.37–$25,708.28 | $12,852.37–$25,708.28 | varies |
| MRI lumbar spine w contrast (72149) | $12,992.44 | $12,992.44 | 39.3× |
| Mri Neck Spine W/O & W/Dye (72156) | $15,377.49 | $15,377.49 | 46.6× |
| MRI orbit face &/neck w/o contrast (70540) | $11,182.90 | $11,182.90 | 49.5× |
| MRI orbit face neck w contrast (70542) | $12,305.39 | $12,305.39 | 37.3× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $13,422.51 | $13,422.51 | 40.6× |
| MRI pelvis w contrast (72196) | $14,204.15 | $14,204.15 | 43.0× |
| MRI pelvis w/o & w contrast (72197) | $15,487.24 | $15,487.24 | 46.9× |
| MRI pelvis w/o contrast (72195) | $12,903.22 | $12,903.22 | 57.1× |
| MRI spectroscopy (76390) | $8,336.54 | $8,336.54 | 101.2× |
| MRI thoracic spine w/o contrast (72146) | $10,260.29 | $10,260.29 | 45.4× |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 3 matching MRF lines |
$14,152.64–$28,317.05 | $14,152.64–$28,317.05 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 3 matching MRF lines |
$12,874.67–$25,735.04 | $12,874.67–$25,735.04 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 3 matching MRF lines |
$15,443.54–$25,729.68 | $15,443.54–$25,729.68 | varies |
| MRI, abdomen, combo (74183) | $15,426.55 | $15,426.55 | 46.7× |
| MRI, dorsal spine combo (72157) | $12,992.44 | $12,992.44 | 39.3× |
| MRI, dorsal spine contrast (72147) | $11,290.87 | $11,290.87 | 34.2× |
| MRI, joint upper extrem (73221) range across 3 matching MRF lines |
$12,942.49–$25,881.38 | $12,942.49–$25,881.38 | varies |
| MRI, joint upper extrem combo (73223) range across 3 matching MRF lines |
$15,522.03–$31,054.78 | $15,522.03–$31,054.78 | varies |
| MRI, lumbar spine combo (72158) | $15,464.93 | $15,464.93 | 46.8× |
| Myelogram cervical (72240) range across 2 matching MRF lines |
$7,135.94–$7,849.85 | $7,135.94–$7,849.85 | varies |
| Myelogram Lumbar (72265) range across 2 matching MRF lines |
$7,135.94–$7,849.85 | $7,135.94–$7,849.85 | varies |
| Myelography thoracic (72255) range across 2 matching MRF lines |
$7,135.94–$7,849.85 | $7,135.94–$7,849.85 | varies |
| Myelograpy 2/more regions rs&i (72270) range across 2 matching MRF lines |
$10,241.39–$11,262.96 | $10,241.39–$11,262.96 | varies |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) range across 2 matching MRF lines |
$34,212.89–$36,227.29 | $34,212.89–$36,227.29 | varies |
| Myocardial Spect Multiple Studies (78452) range across 2 matching MRF lines |
$19,393.23–$20,534.51 | $19,393.23–$20,534.51 | varies |
| Myocrd Img Pet Metab Eval Single Study Cncrnt CT (78429) | $4,769.59 | $4,769.59 | 3.5× |
| Myocrd img PET prfuj 1std rest/stress cncrnt CT (78430) | $4,769.59 | $4,769.59 | 3.5× |
| Myocrd Img Pet Prfuj Mlt Std Rst&Strs Cncrnt CT (78431) | $7,359.14 | $7,359.14 | 3.5× |
| Myocrd Img Pet Prfuj W/Metab 2rtracer Cncrnt CT (78433) | $6,378.14 | $6,378.14 | 3.1× |
| N-invas est c ffr sw aly CTA (75580) | $3,544.45 | $3,544.45 | 4.4× |
| Neck soft tissue (70360) range across 2 matching MRF lines |
$1,454.36–$1,599.47 | $1,454.36–$1,599.47 | varies |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $1,554.70 | $1,554.70 | 4.1× |
| Nm myocard infarct spect (78469) range across 2 matching MRF lines |
$7,264.30–$7,692.19 | $7,264.30–$7,692.19 | varies |
| Nonvascular Shunt X-Ray (75809) | $617.32 | $617.32 | 6.2× |
| Nuclear Rx Oral Admin (79005) range across 3 matching MRF lines |
$3,750.25–$25,496.81 | $3,750.25–$25,496.81 | varies |
| Ob us nuchal meas 1 gest (76813) | $926.22 | $926.22 | 9.4× |
| Parathyroid Planar Imaging (78070) | $13,408.35 | $13,408.35 | 35.4× |
| Pelvis 1 or 2 views (72170) range across 2 matching MRF lines |
$1,567.21–$1,723.81 | $1,567.21–$1,723.81 | varies |
| Pet Image W/Ct Lmtd (78814) | $4,769.59 | $4,769.59 | 3.5× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $4,769.59 | $4,769.59 | 3.5× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $6,421.99 | $6,421.99 | 2.1× |
| Pulmonary Perfusion Imaging Particulate (78580) | $9,439.76 | $9,439.76 | 24.9× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 2 matching MRF lines |
$2,037.30–$2,241.99 | $2,037.30–$2,241.99 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 3 matching MRF lines |
$2,598.98–$3,289.22 | $2,598.98–$3,289.22 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 6 matching MRF lines |
$1,288.50–$2,826.61 | $1,288.50–$2,826.61 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 6 matching MRF lines |
$1,288.50–$2,826.61 | $1,288.50–$2,826.61 | varies |
| Radex elbow complete minimum 3 views (73080) range across 6 matching MRF lines |
$1,288.50–$2,826.61 | $1,288.50–$2,826.61 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$1,862–$2,048.54 | $1,862–$2,048.54 | varies |
| Radex fingr minimum 2 views (73140) range across 5 matching MRF lines |
$1,288.50–$2,573.09 | $1,288.50–$2,573.09 | varies |
| Radex foot complete minimum 3 views (73630) range across 6 matching MRF lines |
$1,288.50–$2,826.61 | $1,288.50–$2,826.61 | varies |
| Radex Hand Minimum 3 Views (73130) range across 6 matching MRF lines |
$1,288.50–$2,826.61 | $1,288.50–$2,826.61 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 6 matching MRF lines |
$1,288.50–$2,826.61 | $1,288.50–$2,826.61 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$1,288.50–$1,419.18 | $1,288.50–$1,419.18 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 4 matching MRF lines |
$1,790.62–$1,970.25 | $1,790.62–$1,970.25 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 6 matching MRF lines |
$1,528.96–$3,356.66 | $1,528.96–$3,356.66 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$1,136.92–$1,254 | $1,136.92–$1,254 | varies |
| Radex Spine 1 View Specify Level (72020) range across 4 matching MRF lines |
$1,136.92–$1,707.71 | $1,136.92–$1,707.71 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$1,288.50–$1,419.18 | $1,288.50–$1,419.18 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$2,320.32–$2,552.90 | $2,320.32–$2,552.90 | varies |
| Radex Toe Minimum 2 Views (73660) range across 6 matching MRF lines |
$1,288.50–$2,831.84 | $1,288.50–$2,831.84 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 6 matching MRF lines |
$1,288.50–$2,826.61 | $1,288.50–$2,826.61 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 6 matching MRF lines |
$1,288.50–$2,826.61 | $1,288.50–$2,826.61 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $5,700.26 | $5,700.26 | 57.6× |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$2,018.61–$2,221.56 | $2,018.61–$2,221.56 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 2 matching MRF lines |
$2,037.30–$2,241.99 | $2,037.30–$2,241.99 | varies |
| Radiologic exam colon double contrast study (74280) range across 2 matching MRF lines |
$5,127.69–$5,640.15 | $5,127.69–$5,640.15 | varies |
| Radiologic exam colon single contrast study (74270) range across 2 matching MRF lines |
$3,619.20–$3,980.78 | $3,619.20–$3,980.78 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 6 matching MRF lines |
$2,598.98–$5,696.55 | $2,598.98–$5,696.55 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$2,770.42–$3,048.06 | $2,770.42–$3,048.06 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 2 matching MRF lines |
$3,371.54–$3,709.04 | $3,371.54–$3,709.04 | varies |
| Radiologic exam swallow function contrast study (74230) range across 3 matching MRF lines |
$835.86–$2,859.22 | $835.86–$2,859.22 | varies |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$3,154.62–$3,472.17 | $3,154.62–$3,472.17 | varies |
| Radiologic examination femur 1 view (73551) range across 4 matching MRF lines |
$708.29–$1,419.18 | $708.29–$1,419.18 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 4 matching MRF lines |
$1,419.18–$2,839.68 | $1,419.18–$2,839.68 | varies |
| Radiologic examination knee 1/2 views (73560) range across 6 matching MRF lines |
$1,288.50–$2,826.61 | $1,288.50–$2,826.61 | varies |
| Radiologic Examination Osseous Survey Limited (77074) range across 2 matching MRF lines |
$2,179.82–$2,399.28 | $2,179.82–$2,399.28 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 6 matching MRF lines |
$1,288.50–$2,826.61 | $1,288.50–$2,826.61 | varies |
| Renal Cyst Study (74470) | $11,509.37 | $11,509.37 | 22.2× |
| Ribs bilateral 3 views (71110) range across 2 matching MRF lines |
$3,172.41–$3,490.23 | $3,172.41–$3,490.23 | varies |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $6,358.35 | $6,358.35 | 16.8× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $5,863.38 | $5,863.38 | 11.4× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $5,674.26 | $5,674.26 | 11.0× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $6,937.06 | $6,937.06 | 13.5× |
| Rp Therapy Intravenous Administration (79101) | $9,915.69 | $9,915.69 | 44.9× |
| Scapula (73010) range across 6 matching MRF lines |
$1,288.50–$2,826.61 | $1,288.50–$2,826.61 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $75.16 | $75.16 | 3.2× |
| Shoulder 1 view (73020) range across 6 matching MRF lines |
$1,288.50–$2,826.61 | $1,288.50–$2,826.61 | varies |
| Shoulder Arthrography (73040) range across 4 matching MRF lines |
$6,534–$7,188.91 | $6,534–$7,188.91 | varies |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$1,247.09–$1,370.83 | $1,247.09–$1,370.83 | varies |
| Sternoclavicular joints (71130) range across 2 matching MRF lines |
$1,288.50–$1,419.18 | $1,288.50–$1,419.18 | varies |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $1,003.64 | $1,003.64 | 6.0× |
| Thoracic spine 2 views (72070) range across 2 matching MRF lines |
$2,059.52–$2,265.03 | $2,059.52–$2,265.03 | varies |
| Thoracic spine 3 views (72072) range across 2 matching MRF lines |
$1,611.28–$1,772.02 | $1,611.28–$1,772.02 | varies |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$2,059.52–$2,265.03 | $2,059.52–$2,265.03 | varies |
| Thyroid Imaging With Vascular Flow (78013) | $6,887.58 | $6,887.58 | 18.2× |
| Thyroid Met Imaging Body (78018) | $8,763.32 | $8,763.32 | 17.0× |
| Thyroid Uptake Measurement (78012) | $4,440.69 | $4,440.69 | 11.7× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $5,835.44 | $5,835.44 | 15.4× |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$826.57–$1,653.17 | $826.57–$1,653.17 | varies |
| Ultrasound Elastography Parenchyma (76981) | $410.48 | $410.48 | 4.1× |
| Ultrasound Exam Aaa Screen (76706) | $674.47 | $674.47 | 6.8× |
| Ultrasound, abdomen limited (76705) range across 2 matching MRF lines |
$3,782.80–$4,161.49 | $3,782.80–$4,161.49 | varies |
| Umbilical-artery Doppler (OB) (76820) | $366.64 | $366.64 | 3.7× |
| Upper gi w/o kub (74240) range across 2 matching MRF lines |
$3,154.62–$3,472.17 | $3,154.62–$3,472.17 | varies |
| Urethrocystogram voiding (74455) range across 2 matching MRF lines |
$4,217.98–$4,639.45 | $4,217.98–$4,639.45 | varies |
| Urethrocystography retrograde (74450) range across 2 matching MRF lines |
$3,108.88–$3,419.90 | $3,108.88–$3,419.90 | varies |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$3,377.01–$6,754 | $3,377.01–$6,754 | varies |
| Us chest (76604) range across 2 matching MRF lines |
$4,661.96–$5,127.87 | $4,661.96–$5,127.87 | varies |
| Us exam, pelvic, limited (76857) range across 3 matching MRF lines |
$364.84–$3,192.16 | $364.84–$3,192.16 | varies |
| Us head (76506) range across 2 matching MRF lines |
$4,407.98–$4,848.35 | $4,407.98–$4,848.35 | varies |
| Us kidney transplant (76776) range across 2 matching MRF lines |
$5,472.03–$6,019.09 | $5,472.03–$6,019.09 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 2 matching MRF lines |
$4,403.46–$4,843.82 | $4,403.46–$4,843.82 | varies |
| Us ob detailed single fetus (76811) range across 2 matching MRF lines |
$1,392.99–$6,303.14 | $1,392.99–$6,303.14 | varies |
| Us ob limited 1 or more fetuses (76815) range across 4 matching MRF lines |
$639.80–$5,227.07 | $639.80–$5,227.07 | varies |
| Us ob transvaginal (76817) range across 3 matching MRF lines |
$734.88–$2,318.96 | $734.88–$2,318.96 | varies |
| Us pelvic non ob complete (76856) range across 3 matching MRF lines |
$827.22–$4,732.31 | $827.22–$4,732.31 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 3 matching MRF lines |
$932.05–$5,227.07 | $932.05–$5,227.07 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 3 matching MRF lines |
$873.20–$3,253.79 | $873.20–$3,253.79 | varies |
| Us retroperitoneal complete (76770) range across 3 matching MRF lines |
$3,848.92–$4,498.16 | $3,848.92–$4,498.16 | varies |
| Us retroperitoneal limited (76775) range across 3 matching MRF lines |
$2,644.83–$3,103.48 | $2,644.83–$3,103.48 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$6,177.25–$6,794.59 | $6,177.25–$6,794.59 | varies |
| Us spinal canal and contents (76800) range across 2 matching MRF lines |
$3,782.80–$4,161.49 | $3,782.80–$4,161.49 | varies |
| Us thyroid (76536) range across 3 matching MRF lines |
$4,032.34–$4,732.31 | $4,032.34–$4,732.31 | varies |
| Us transrectal (76872) range across 2 matching MRF lines |
$4,132.95–$4,546.99 | $4,132.95–$4,546.99 | varies |
| Vascular Flow Imaging (78445) | $3,215.96 | $3,215.96 | 8.5× |
| Vein X-Ray Chest (75827) range across 2 matching MRF lines |
$12,716.18–$13,321.88 | $12,716.18–$13,321.88 | varies |
| Vein X-Ray Liver W/O Hemodyn (75887) | $5,593.10 | $5,593.10 | 1.9× |
| Vein X-Ray Skull Epidural (75872) | $11,186.21 | $11,186.21 | 18.8× |
| Vein X-Ray Spleen/Liver (75810) | $5,813.95 | $5,813.95 | 1.9× |
| Venogram Sinus/Jugular (75860) range across 2 matching MRF lines |
$2,732.54–$9,167.20 | $2,732.54–$9,167.20 | varies |
| Venography caval inferior serialography rs&i (75825) range across 2 matching MRF lines |
$12,716.18–$13,321.88 | $12,716.18–$13,321.88 | varies |
| Venography extremity bilateral rs&i (75822) | $4,998.74 | $4,998.74 | 3.4× |
| Venography extremity unilateral rs&i (75820) range across 8 matching MRF lines |
$2,498.60–$6,305.97 | $2,498.60–$6,305.97 | varies |
| Venography Renal Bilateral (75833) | $16,796.30 | $16,796.30 | 5.6× |
| Venography Renal Unilateral (75831) | $14,714.57 | $14,714.57 | 4.9× |
| Venous sampling by catheter (75893) | $17,220.89 | $17,220.89 | 3.3× |
| Wrist 2 views (73100) range across 6 matching MRF lines |
$1,288.50–$2,826.61 | $1,288.50–$2,826.61 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$1,917.08–$2,110.73 | $1,917.08–$2,110.73 | varies |
| X-ray antegrade pyelogram tube (74425) range across 3 matching MRF lines |
$5,944.63–$10,008.78 | $5,944.63–$10,008.78 | varies |
| X-Ray Aorta Leg Arteries (75630) range across 2 matching MRF lines |
$13,370.24–$14,004.98 | $13,370.24–$14,004.98 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 6 matching MRF lines |
$701.28–$2,237.24 | $701.28–$2,237.24 | varies |
| X-Ray Exam Breast Specimen (76098) range across 3 matching MRF lines |
$1,498.90–$1,812.53 | $1,498.90–$1,812.53 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) | $1,136.92 | $1,136.92 | 13.8× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $2,509.15 | $2,509.15 | 25.4× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $4,560.73 | $4,560.73 | 46.1× |
| X-Ray Exam Hip Uni 1 View (73501) | $1,127.34 | $1,127.34 | 13.7× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $2,826.61 | $2,826.61 | 34.3× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $5,650.60 | $5,650.60 | 57.1× |
| X-Ray Exam Hips Bi 2 Views (73521) range across 2 matching MRF lines |
$1,723.81–$2,826.61 | $1,723.81–$2,826.61 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $3,141.55 | $3,141.55 | 31.7× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $5,235.04 | $5,235.04 | 52.9× |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$6,778.98–$7,456.60 | $6,778.98–$7,456.60 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 2 matching MRF lines |
$1,711.91–$1,885.03 | $1,711.91–$1,885.03 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$3,881.20–$4,268.01 | $3,881.20–$4,268.01 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 3 matching MRF lines |
$1,489.75–$2,859.22 | $1,489.75–$2,859.22 | varies |
| X-ray eye for foreign body (70030) range across 6 matching MRF lines |
$1,671.40–$3,667.57 | $1,671.40–$3,667.57 | varies |
| X-ray humerus (73060) range across 6 matching MRF lines |
$1,288.50–$2,826.61 | $1,288.50–$2,826.61 | varies |
| X-ray IV pyelogram (ivp) (74400) range across 2 matching MRF lines |
$4,657.44–$5,122.66 | $4,657.44–$5,122.66 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 2 matching MRF lines |
$1,765.49–$1,942.61 | $1,765.49–$1,942.61 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 2 matching MRF lines |
$1,548.56–$1,705.38 | $1,548.56–$1,705.38 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$1,862–$2,048.54 | $1,862–$2,048.54 | varies |
| X-ray nose-rectum child f.b. (76010) range across 2 matching MRF lines |
$1,249.40–$1,376.06 | $1,249.40–$1,376.06 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 2 matching MRF lines |
$2,843.10–$3,127.17 | $2,843.10–$3,127.17 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 2 matching MRF lines |
$1,711.91–$1,885.03 | $1,711.91–$1,885.03 | varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) range across 2 matching MRF lines |
$1,711.91–$1,885.03 | $1,711.91–$1,885.03 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 2 matching MRF lines |
$1,790.62–$1,970.25 | $1,790.62–$1,970.25 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 2 matching MRF lines |
$2,119.94–$2,331.33 | $2,119.94–$2,331.33 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$2,237.39–$2,460.80 | $2,237.39–$2,460.80 | varies |
| X-ray thoracic spine 4 vw (72074) range across 2 matching MRF lines |
$2,843.10–$3,127.17 | $2,843.10–$3,127.17 | varies |
| X-Ray Tmj Unilat (70328) range across 2 matching MRF lines |
$1,484.52–$1,631.70 | $1,484.52–$1,631.70 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 2 matching MRF lines |
$3,937.39–$4,332.04 | $3,937.39–$4,332.04 | varies |
| X-Rays Bone Length Studies (77073) range across 2 matching MRF lines |
$2,396.29–$2,635.82 | $2,396.29–$2,635.82 | varies |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$4,708.40–$5,178.36 | $4,708.40–$5,178.36 | varies |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$2,598.98–$2,859.22 | $2,598.98–$2,859.22 | varies |
| Xr facial bones less than 3 views (70140) range across 2 matching MRF lines |
$1,611.28–$1,772.02 | $1,611.28–$1,772.02 | varies |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$1,963.35–$2,160.14 | $1,963.35–$2,160.14 | varies |
| Xr Tomogram Single Plane (76100) range across 2 matching MRF lines |
$3,676.03–$4,042.97 | $3,676.03–$4,042.97 | 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.