Imaging prices at Owensboro Health Regional Hospital
Owensboro, KY · every code in this section with a posted price and a Medicare benchmark.
416 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) | $3,735.43 | $5,746.81 | 2.7× |
| Abdomen 1 View (74018) | $160.68 | $247.20 | 1.9× |
| Abdomen 2 views (74019) | $160.68 | $247.20 | 1.6× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $663.22 | $1,020.34 | 1.7× |
| Angio pulmonary bilat (75743) | $2,493.89 | $3,836.75 | 0.8× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $2,976.67 | $4,579.49 | 1.0× |
| Angiography extremity bilateral rs&i (75716) | $3,531.61 | $5,433.25 | 1.1× |
| Angiography extremity unilateral rs&i (75710) | $2,775.08 | $4,269.35 | 0.9× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $2,495 | $3,838.46 | 0.8× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $3,863.98 | $5,944.59 | 1.2× |
| Ankle 2 views (73600) | $160.68 | $247.20 | 1.9× |
| Aortography thoracic serialography rs&i (75605) | $5,971.64 | $9,187.14 | 1.1× |
| Aortography thoracic w/o serialography rs&i (75600) range across 2 matching MRF lines |
$1,918.64–$3,592.62 | $2,951.76–$5,527.11 | varies |
| Artery X-Rays Abdomen (75726) | $3,816.15 | $5,871 | 0.7× |
| Artery X-Rays Adrenal Gland (75731) | $3,461.13 | $5,324.81 | 1.1× |
| Artery X-Rays Pelvis (75736) | $5,971.64 | $9,187.14 | 1.1× |
| Artery X-Rays Spine (75705) | $5,918.78 | $9,105.81 | 1.1× |
| Arthrogram ankle (73615) | $318.01 | $489.25 | 0.9× |
| Arthrogram hip (73525) | $625.09 | $961.68 | 1.8× |
| Arthrogram Wrist (73115) | $350.10 | $538.61 | 1.0× |
| Basic radiation dosimetry calculation (77300) | $423.74 | $651.90 | 3.2× |
| Bone age studies (77072) | $164.03 | $252.35 | 1.6× |
| Bone Imaging 3 Phase (78315) | $1,472.86 | $2,265.94 | 3.7× |
| Bone Imaging Limited Area (78300) | $1,472.86 | $2,265.94 | 3.7× |
| Bone Imaging Multiple Areas (78305) | $682.52 | $1,050.03 | 1.7× |
| Bone Imaging Whole Body (78306) | $1,472.86 | $2,265.94 | 3.7× |
| Bone marrow imaging limited area (78102) | $498.44 | $766.83 | 1.3× |
| Bone survey infant (77076) | $164.03 | $252.35 | 1.6× |
| Brachytx isodose complex (77318) | $1,394.11 | $2,144.78 | 3.8× |
| Brachytx isodose intermed (77317) | $1,394.11 | $2,144.78 | 3.8× |
| Brachytx Isodose Plan Simple (77316) | $837.74 | $1,288.83 | 2.3× |
| Brain Flow Imaging Only (78610) | $564.79 | $868.91 | 1.0× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $569.55 | $876.23 | 1.1× |
| Brain Imaging Minimum 4 Static Views (78605) | $582.90 | $896.77 | 1.1× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $4,974.71 | $7,653.40 | 3.5× |
| Card Bl Pool Gated Spect Rest Wal Motn Ejct Frct (78494) | $1,022.40 | $1,572.93 | 2.6× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $803.58 | $1,236.27 | 2.3× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $677.79 | $1,042.75 | 1.3× |
| Cerebrospinal Fluid Scan (78630) | $1,284.35 | $1,975.92 | 2.4× |
| Chest 1 view (71045) | $160.68 | $247.20 | 1.9× |
| Chest 2 views (71046) | $160.68 | $247.20 | 1.9× |
| Chest 3 views (71047) | $160.68 | $247.20 | 1.9× |
| Chest 4 or more views (71048) | $164.03 | $252.35 | 1.6× |
| Cholecystography Oral Contrast (74290) | $182.46 | $280.71 | 1.0× |
| Clavicle complete (73000) | $160.68 | $247.20 | 1.9× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $519.68 | $799.50 | 5.0× |
| Continuing medical physics consltj pr wk (77336) | $644.25 | $991.16 | 4.8× |
| Contrast Exam Abdominl Aorta (75625) | $3,016.10 | $4,640.15 | 1.0× |
| Contrast X-Ray Bladder (74430) | $324.71 | $499.55 | 0.9× |
| Contrast X-Ray Of Elbow (73085) | $353.24 | $543.45 | 1.0× |
| Contrast X-Ray Of Knee Joint (73580) | $640.72 | $985.73 | 1.9× |
| Contrast Xray Throat/Cerv Esopha (74210) | $219.82 | $338.19 | 1.3× |
| CT abdomen and pelvis without and with contrast (74178) | $803.58 | $1,236.27 | 2.3× |
| CT abdomen and pelvis without contrast (74176) | $803.58 | $1,236.27 | 3.4× |
| CT abdomen w contrast (74160) | $803.58 | $1,236.27 | 4.6× |
| CT abdomen w wo contrast (74170) | $803.58 | $1,236.27 | 4.6× |
| CT abdomen w/o contrast (74150) | $803.58 | $1,236.27 | 7.8× |
| CT Angio Abdomen and Pelvis (74174) | $803.58 | $1,236.27 | 2.3× |
| CT Angio Chest (71275) | $803.58 | $1,236.27 | 4.6× |
| CT Angio Head (70496) | $803.58 | $1,236.27 | 4.6× |
| CT angio hrt w/3d image (75574) | $803.58 | $1,236.27 | 2.3× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $803.58 | $1,236.27 | 4.6× |
| CT Angio Neck (70498) | $803.58 | $1,236.27 | 4.6× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $803.58 | $1,236.27 | 4.6× |
| CT bone density (77078) | $219.92 | $338.34 | 2.5× |
| CT Cere Prfuj Alys C+ W/O CT/Cta Same Anatomy (70473) | $205.81 | $316.63 | 1.2× |
| CT cervical spine w/ contrast (72126) | $803.58 | $1,236.27 | 2.3× |
| CT cervical spine w/o contrast (72125) | $803.58 | $1,236.27 | 7.8× |
| CT cervical spine w/wo cont (72127) | $803.58 | $1,236.27 | 4.6× |
| CT chest w contrast (71260) | $803.58 | $1,236.27 | 4.6× |
| CT chest w/wo contrast (71270) | $803.58 | $1,236.27 | 4.6× |
| CT colonography screening (74263) | $463.81 | $713.56 | 2.0× |
| CT Colonogrphy Dx Image Postprocess W/Contrast (74262) | $204.87 | $315.18 | 1.2× |
| CT colonogrphy dx image postprocess w/o contrast (74261) | $498.12 | $766.34 | 4.8× |
| CT head/brain with contrast (70460) | $803.58 | $1,236.27 | 4.6× |
| CT head/brain without and with contrast (70470) | $803.58 | $1,236.27 | 4.6× |
| CT heart contrast eval cardiac structure&morph (75572) | $803.58 | $1,236.27 | 2.3× |
| CT heart no contrast quant eval coronry calcium (75571) | $19.50 | $30 | 0.2× |
| CT hrt w/3d image congen (75573) | $792.12 | $1,218.65 | 2.3× |
| CT iac w contrast (70481) | $803.58 | $1,236.27 | 4.6× |
| CT l-spine w&w/o contrast (72133) | $803.58 | $1,236.27 | 4.6× |
| CT lower ext w/o (73700) | $803.58 | $1,236.27 | 7.8× |
| CT lower extremity w/contrast material (73701) | $803.58 | $1,236.27 | 4.6× |
| CT lumbar spine w contrast (72132) | $803.58 | $1,236.27 | 2.3× |
| CT lumbar spine w/o contrast (72131) | $803.58 | $1,236.27 | 7.8× |
| CT maxillofacial w contrast (70487) | $803.58 | $1,236.27 | 4.6× |
| CT maxillofacial wo contrast (70486) | $803.58 | $1,236.27 | 7.8× |
| CT neck tissue combo (70492) | $803.58 | $1,236.27 | 4.6× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $803.58 | $1,236.27 | 4.6× |
| CT orbits w/o contrast (70480) | $803.58 | $1,236.27 | 7.8× |
| CT pelvis w&w/o contrast (72194) | $803.58 | $1,236.27 | 4.6× |
| CT pelvis w/o contrast (72192) | $803.58 | $1,236.27 | 7.8× |
| CT scan of leg combo (73702) | $803.58 | $1,236.27 | 4.6× |
| CT scans face/jaw combo (70488) | $803.58 | $1,236.27 | 4.6× |
| CT soft tissue neck w contrast (70491) | $803.58 | $1,236.27 | 4.6× |
| CT soft tissue neck w/o contrast (70490) | $803.58 | $1,236.27 | 7.8× |
| CT thoracic spine w contrast (72129) | $803.58 | $1,236.27 | 4.6× |
| CT thoracic spine w/o contrast (72128) | $803.58 | $1,236.27 | 7.8× |
| CT thoracic spine w/wo cont (72130) | $803.58 | $1,236.27 | 4.6× |
| CT thorax w/o contrast (71250) | $803.58 | $1,236.27 | 7.8× |
| CT unlisted procedure (76497) | $792.12 | $1,218.65 | 9.2× |
| CT upper ext wo (73200) | $803.58 | $1,236.27 | 7.8× |
| CT upper extremity w/o & w/contrast material (73202) | $803.58 | $1,236.27 | 4.6× |
| CT upper extremity with contrast (73201) | $803.58 | $1,236.27 | 2.3× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $803.58 | $1,236.27 | 4.6× |
| Cta Abdomen (74175) | $803.58 | $1,236.27 | 4.6× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $409.35 | $629.77 | 1.2× |
| CTA pelvis (72191) | $803.58 | $1,236.27 | 4.6× |
| Dilation ureters/urethra rs&i (74485) | $1,708.58 | $2,628.58 | 0.8× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) | $92.04 | $141.60 | 0.9× |
| Doppler Echo Fetal Spectral Display Complete (76827) | $420.71 | $647.25 | 4.1× |
| Doppler Fetal Mid Cerebral Artery (76821) | $169.90 | $261.39 | 1.6× |
| Dxa Bone Density Axial (77080) | $411.74 | $633.45 | 4.0× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $67.35 | $103.62 | 0.8× |
| Echo exam of fetal heart (76825) | $630.51 | $970.01 | 1.2× |
| Echo exam uterus (76831) | $412.20 | $634.16 | 1.7× |
| Echo Guide For Artery Repair (76936) | $937.68 | $1,442.59 | 4.4× |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) | $345.38 | $531.35 | 1.5× |
| Echograp Trans R Pros Study (76873) | $2,707.67 | $4,165.65 | 26.1× |
| Esophagram (74220) | $247.72 | $381.10 | 1.4× |
| Fetal Biophys Profile W/Nst (76818) | $372.16 | $572.55 | 3.6× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $727.47 | $1,119.19 | 7.0× |
| Fluoroscopy up to 1 hr (76000) | $535.60 | $824 | 2.3× |
| Foot 2 views (73620) | $160.68 | $247.20 | 1.9× |
| Forearm 2 views (73090) | $160.68 | $247.20 | 1.9× |
| Gastric emptying imaging study (78264) | $1,104.65 | $1,699.46 | 2.8× |
| Gastroesophageal Reflux Exam (78262) | $474.56 | $730.09 | 1.2× |
| Gated Heart Planar Single (78472) | $1,477.42 | $2,272.95 | 3.7× |
| Hand 2 views (73120) | $160.68 | $247.20 | 1.6× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77772) | $2,836.28 | $4,363.50 | 4.1× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) | $2,902.59 | $4,465.53 | 4.2× |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) | $3,743.97 | $5,759.95 | 5.4× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $2,574.23 | $3,960.35 | 0.8× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $3,568.92 | $5,490.65 | 1.1× |
| Hepatobil Syst Image W/Drug (78227) | $1,093.05 | $1,681.61 | 2.0× |
| Hepatobiliary System Imaging (78226) | $1,201.73 | $1,848.82 | 3.0× |
| Ht Muscle Image Spect Sing (78451) | $2,454.78 | $3,776.58 | 1.9× |
| Hysterosalpingogram (74740) | $354.84 | $545.90 | 1.5× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $393.95 | $606.08 | 4.6× |
| Infant hip ultrasound, limited static exam (76886) | $399.51 | $614.63 | 4.6× |
| Infusion Ivp (74410) | $387.09 | $595.53 | 2.2× |
| Interstitial radiation source applic complex (77778) | $4,401.58 | $6,771.66 | 6.4× |
| Joint Survey Single View (77077) | $160.68 | $247.20 | 1.6× |
| K Flow/Funct Image Multiple (78709) | $894.33 | $1,375.89 | 1.7× |
| K Flow/Funct Image W/Drug (78708) | $906.93 | $1,395.28 | 1.7× |
| K Flow/Funct Image W/O Drug (78707) | $761.36 | $1,171.33 | 1.4× |
| Kidney Imaging Morphol (78700) | $632.67 | $973.34 | 1.6× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $884.81 | $1,361.25 | 2.2× |
| Knee 3 Views (73562) | $160.68 | $247.20 | 1.9× |
| Leveen/Shunt Patency Exam (78291) | $445.54 | $685.44 | 1.1× |
| Liver & Spleen Imaging Static Only (78215) | $1,104.65 | $1,699.46 | 2.8× |
| Liver imaging static only (78201) | $587.45 | $903.77 | 1.1× |
| Lung Perf&Ventilat Diferentl (78598) | $624.72 | $961.10 | 1.2× |
| Lung perfusion differential (78597) | $1,104.65 | $1,699.46 | 2.8× |
| Lung Ventilat&Perfus Imaging (78582) | $1,225.42 | $1,885.26 | 2.3× |
| Lung Ventilation Imaging (78579) | $998.22 | $1,535.73 | 2.5× |
| Lymph System Imaging (78195) | $1,104.65 | $1,699.46 | 2.1× |
| Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) | $3,652.32 | $5,618.96 | 1.2× |
| Magnetic Image Jaw Joint (70336) | $780 | $1,200 | 3.3× |
| Mammary ductogram or galactogram multiple (77054) | $249.50 | $383.85 | 1.1× |
| Mammary ductogram or galactogram single (77053) | $415.93 | $639.89 | 1.8× |
| Meckels Divert Exam (78290) | $660.74 | $1,016.53 | 1.7× |
| Mlc imrt design & construction per imrt plan (77338) | $1,334.08 | $2,052.43 | 3.6× |
| Mr safety determination physician/other qhp (76016) | $100.56 | $154.71 | 1.2× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $27.96 | $43.02 | 1.0× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) | $104.84 | $161.29 | 1.1× |
| Mr safety implt pos&/immoblj (76019) | $67.83 | $104.36 | 1.2× |
| Mr safety med physics xm customization plng&mntr (76017) | $276.05 | $424.69 | 1.2× |
| Mra Head W/O & W/Contrast Material (70546) | $780 | $1,200 | 2.3× |
| MRA head w/o contrast (70544) | $803.58 | $1,236.27 | 3.4× |
| MRA head with contrast (70545) | $792.12 | $1,218.65 | 2.3× |
| MRA neck w contrast (70548) | $792.12 | $1,218.65 | 2.3× |
| Mra Neck W/O &W/Contrast Material (70549) | $803.58 | $1,236.27 | 2.3× |
| MRA neck w/o contrast (70547) | $803.58 | $1,236.27 | 3.4× |
| MRI abdomen w contrast (74182) | $791.70 | $1,218 | 2.3× |
| MRI abdomen w/o contrast (74181) | $803.58 | $1,236.27 | 3.4× |
| MRI any jt lower extrem w/contrast material (73722) | $803.58 | $1,236.27 | 1.0× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $803.58 | $1,236.27 | 2.3× |
| MRI any jt upper extremity w/contrast matrl (73222) | $803.58 | $1,236.27 | 1.0× |
| MRI Breast W/O Contrast Bilateral (77047) | $780 | $1,200 | 3.3× |
| MRI Breast Without Contrast Material Unilateral (77046) | $792.12 | $1,218.65 | 3.3× |
| MRI cardiac w/o contrast (75557) | $791.70 | $1,218 | 3.3× |
| MRI cervical spine w contrast (72142) | $803.58 | $1,236.27 | 2.3× |
| MRI cervical spine w/o cont (72141) | $803.58 | $1,236.27 | 3.4× |
| MRI chest w/o contrast (71550) | $803.58 | $1,236.27 | 3.4× |
| MRI chest with contrast (71551) | $761.66 | $1,171.78 | 1.0× |
| MRI chest wo w contrast (71552) | $803.58 | $1,236.27 | 2.3× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $803.58 | $1,236.27 | 2.3× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $803.58 | $1,236.27 | 2.3× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $803.58 | $1,236.27 | 3.4× |
| MRI lumbar spine w contrast (72149) | $803.58 | $1,236.27 | 2.3× |
| Mri Neck Spine W/O & W/Dye (72156) | $803.58 | $1,236.27 | 2.3× |
| MRI orbit face &/neck w/o contrast (70540) | $803.58 | $1,236.27 | 3.4× |
| MRI orbit face neck w contrast (70542) | $835.72 | $1,285.72 | 2.4× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $803.58 | $1,236.27 | 2.3× |
| MRI pelvis w contrast (72196) | $823.37 | $1,266.72 | 2.4× |
| MRI pelvis w/o & w contrast (72197) | $803.58 | $1,236.27 | 2.3× |
| MRI pelvis w/o contrast (72195) | $803.58 | $1,236.27 | 3.4× |
| MRI spectroscopy (76390) | $792.12 | $1,218.65 | 9.2× |
| MRI thoracic spine w/o contrast (72146) | $803.58 | $1,236.27 | 3.4× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $792.12 | $1,218.65 | 2.3× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $803.58 | $1,236.27 | 3.4× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $800.28 | $1,231.20 | 2.3× |
| MRI, abdomen, combo (74183) | $803.58 | $1,236.27 | 2.3× |
| MRI, dorsal spine combo (72157) | $801.60 | $1,233.23 | 2.3× |
| MRI, dorsal spine contrast (72147) | $803.58 | $1,236.27 | 2.3× |
| MRI, joint upper extrem (73221) | $803.58 | $1,236.27 | 3.4× |
| MRI, joint upper extrem combo (73223) | $803.58 | $1,236.27 | 2.3× |
| MRI, lumbar spine combo (72158) | $803.58 | $1,236.27 | 2.3× |
| Myelogram cervical (72240) | $1,230.27 | $1,892.72 | 1.6× |
| Myelogram Lumbar (72265) | $1,193.33 | $1,835.89 | 1.5× |
| Myelography thoracic (72255) | $1,071.20 | $1,648 | 1.4× |
| Myelograpy 2/more regions rs&i (72270) | $1,820.78 | $2,801.20 | 2.3× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $533.55 | $820.85 | 1.3× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) | $4,974.71 | $7,653.40 | 3.9× |
| Myocardial Spect Multiple Studies (78452) | $2,272.76 | $3,496.55 | 1.8× |
| N-invas est c ffr sw aly CTA (75580) | $1,119.10 | $1,721.70 | 1.3× |
| Neck soft tissue (70360) | $160.68 | $247.20 | 1.9× |
| Nfs/Instlj Radioelmnt Sln 3 Mo Follow-Up Care (77750) | $2,571.01 | $3,955.40 | 6.7× |
| Nm csf leak detection (78650) | $1,046.17 | $1,609.49 | 0.8× |
| Nm myocard infarct spect (78469) | $993.52 | $1,528.50 | 1.8× |
| Nm red cell survival study (78130) | $475.76 | $731.94 | 1.2× |
| Nm whole blood volume (78122) | $615.84 | $947.45 | 1.1× |
| Ntsty modul radthx pln dose-vol histos (77301) | $3,735.43 | $5,746.81 | 2.7× |
| Nuclear medicine study of endocrine organs (78099) | $374.44 | $576.06 | 0.9× |
| Nuclear Rx Intra-Arterial (79445) | $302.38 | $465.20 | 1.3× |
| Nuclear Rx Oral Admin (79005) | $1,136.47 | $1,748.42 | 4.9× |
| Ob us nuchal meas 1 gest (76813) | $335.32 | $515.87 | 3.2× |
| Optic foramina (70190) | $160.68 | $247.20 | 1.9× |
| Panoramic X-ray of jaws (70355) | $160.68 | $247.20 | 1.9× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $1,077.43 | $1,657.59 | 2.0× |
| Parathyroid Planar Imaging (78070) | $561.52 | $863.87 | 1.4× |
| Parathyroid planar imaging w/wo subtraction (78071) | $1,077.43 | $1,657.59 | 2.7× |
| Pelvis 1 or 2 views (72170) | $160.68 | $247.20 | 1.6× |
| Pet Image Skull-Thigh (78812) | $4,974.71 | $7,653.40 | 3.5× |
| Pet Image W/Ct Lmtd (78814) | $4,974.71 | $7,653.40 | 3.5× |
| PET image w/CT, full body (78816) | $4,699.05 | $7,229.31 | 3.3× |
| PET imaging CT attenuation skull base mid-thigh (78815) range across 2 matching MRF lines |
$4,699.16–$4,921.79 | $7,229.47–$7,571.98 | varies |
| Pet Imaging Limited Area Chest Head/Neck (78811) | $4,974.71 | $7,653.40 | 3.9× |
| PET whole body (78813) | $4,974.71 | $7,653.40 | 3.5× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $3,468.69 | $5,336.44 | 1.1× |
| Pulmonary Perfusion Imaging Particulate (78580) | $1,104.65 | $1,699.46 | 2.8× |
| Quan&Charac C Atherosclerotc Plaq Asses Sev C Ds (75577) | $1,091.60 | $1,679.38 | 1.2× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $160.68 | $247.20 | 1.6× |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 2 matching MRF lines |
$384.91–$401.70 | $592.17–$618 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) | $160.68 | $247.20 | 1.9× |
| Radex Calcaneus Minimum 2 Views (73650) | $160.68 | $247.20 | 1.9× |
| Radex elbow complete minimum 3 views (73080) | $160.68 | $247.20 | 1.9× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $160.68 | $247.20 | 1.6× |
| Radex fingr minimum 2 views (73140) | $160.68 | $247.20 | 1.9× |
| Radex foot complete minimum 3 views (73630) | $160.68 | $247.20 | 1.9× |
| Radex Hand Minimum 3 Views (73130) | $160.68 | $247.20 | 1.9× |
| Radex lower extremity infant minimum 2 views (73592) | $160.68 | $247.20 | 1.9× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $158.67 | $244.11 | 1.5× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $160.68 | $247.20 | 1.9× |
| Radex Ribs Unilateral 2 Views (71100) | $160.68 | $247.20 | 1.9× |
| Radex shoulder complete minimum 2 views (73030) | $160.68 | $247.20 | 1.9× |
| Radex Sinuses Paransl < 3 Views (70210) range across 2 matching MRF lines |
$106.52–$159.84 | $163.88–$245.91 | varies |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $1,601.81 | $2,464.33 | 9.2× |
| Radex Spine 1 View Specify Level (72020) | $160.68 | $247.20 | 1.9× |
| Radex Sternum Minimum 2 Views (71120) | $160.68 | $247.20 | 1.9× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $162.69 | $250.29 | 1.9× |
| Radex Toe Minimum 2 Views (73660) | $160.68 | $247.20 | 1.9× |
| Radex upper extremity infant minimum 2 views (73092) | $160.68 | $247.20 | 1.6× |
| Radex Wrist Complete Minimum 3 Views (73110) | $160.68 | $247.20 | 1.9× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $203.12 | $312.50 | 2.0× |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $15,804.89 | $24,315.22 | 2.2× |
| Radiation treatment delivery level 1 (77402) range across 2 matching MRF lines |
$533.63–$539.38 | $820.97–$829.82 | varies |
| Radiation treatment delivery level 2 (77407) | $550.97 | $847.65 | 1.4× |
| Radiation treatment delivery level 3 (77412) range across 3 matching MRF lines |
$672.38–$675.21 | $1,034.43–$1,038.78 | varies |
| Radiolog exam mandible compl minimum 4 views (70110) | $160.68 | $247.20 | 1.6× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $160.68 | $247.20 | 1.6× |
| Radiologic exam colon double contrast study (74280) | $401.70 | $618 | 2.3× |
| Radiologic exam colon single contrast study (74270) | $311.32 | $478.95 | 1.8× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $230.98 | $355.35 | 1.3× |
| Radiologic exam knee complete 4/more views (73564) | $160.68 | $247.20 | 1.6× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $160.68 | $247.20 | 1.6× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $267.80 | $412 | 1.5× |
| Radiologic exam swallow function contrast study (74230) | $241.02 | $370.80 | 1.4× |
| Radiologic exam upr gi trc double contrast study (74246) | $301.28 | $463.50 | 1.7× |
| Radiologic examination femur 1 view (73551) | $160.68 | $247.20 | 1.9× |
| Radiologic examination femur minimum 2 views (73552) | $160.68 | $247.20 | 1.9× |
| Radiologic examination knee 1/2 views (73560) | $160.68 | $247.20 | 1.9× |
| Radiologic Examination Osseous Survey Limited (77074) | $190.81 | $293.55 | 1.8× |
| Radiologic Examination Salivary Gland Calculus (70380) | $171.68 | $264.12 | 2.0× |
| Radiologic examination tibia & fibula 2 views (73590) | $160.68 | $247.20 | 1.9× |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77768) | $440.07 | $677.03 | 1.2× |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77767) | $396.07 | $609.34 | 1.0× |
| Ribs bilateral 3 views (71110) | $184.11 | $283.25 | 1.8× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $582.22 | $895.72 | 1.5× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $2,264.63 | $3,484.05 | 5.7× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $1,621.79 | $2,495.06 | 3.0× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $1,428.17 | $2,197.18 | 2.7× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $1,156.65 | $1,779.46 | 2.1× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $3,378.39 | $5,197.52 | 2.4× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $1,670.13 | $2,569.43 | 1.3× |
| Rp Ther Radiolbld Monoclonal Antibody IV Infus (79403) | $327.03 | $503.13 | 1.4× |
| Rp Therapy Intravenous Administration (79101) | $557.84 | $858.21 | 2.4× |
| Scapula (73010) | $160.68 | $247.20 | 1.6× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $41.82 | $64.34 | 1.8× |
| Sella turcica (70240) | $101.42 | $156.03 | 1.2× |
| Shoulder 1 view (73020) | $160.68 | $247.20 | 1.9× |
| Shoulder Arthrography (73040) | $596.95 | $918.38 | 1.7× |
| Skull less than 4 views (70250) | $160.68 | $247.20 | 1.6× |
| Special dosimetry (77331) | $371.86 | $572.10 | 2.8× |
| Special Physics Consult (77370) | $644.25 | $991.16 | 4.8× |
| Special teletherapy port plan (77321) | $1,459.86 | $2,245.94 | 3.9× |
| Special treatment procedure (77470) | $1,467.50 | $2,257.70 | 2.7× |
| Spleen Imaging (78185) | $429.45 | $660.69 | 1.1× |
| Stereotactic Body Radiation Delivery (77373) | $11,645.71 | $17,916.47 | 6.6× |
| Sternoclavicular joints (71130) | $160.68 | $247.20 | 1.9× |
| Surface Applic Low Dose Rate Radionuclide Source (77789) | $345.63 | $531.74 | 3.4× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $2,340.44 | $3,600.67 | 6.3× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $2,093.94 | $3,221.45 | 5.6× |
| Testicular Imaging W/Flow (78761) | $440.56 | $677.78 | 1.1× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $1,287.63 | $1,980.97 | 3.5× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $976.26 | $1,501.94 | 2.6× |
| Ther rad simulaj-aided field setting simple (77280) | $659.49 | $1,014.60 | 4.9× |
| Thoracic spine 2 views (72070) | $160.68 | $247.20 | 1.6× |
| Thoracic spine 3 views (72072) | $160.68 | $247.20 | 1.6× |
| Thoracolumbar 2 views (72080) | $160.68 | $247.20 | 1.9× |
| Thyroid Imaging With Vascular Flow (78013) | $424.49 | $653.06 | 1.1× |
| Thyroid Met Imaging Body (78018) | $1,104.65 | $1,699.46 | 2.1× |
| Thyroid Uptake Measurement (78012) | $260.01 | $400.01 | 0.7× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $655.99 | $1,009.22 | 1.7× |
| Tx Devices Design & Construction Complex (77334) | $917.90 | $1,412.15 | 2.5× |
| Tx devices design & construction intermediate (77333) | $717.72 | $1,104.18 | 5.4× |
| Tx devices design & construction simple (77332) | $727.83 | $1,119.74 | 5.5× |
| Ultrasound Breast Limited (76642) | $571.76 | $879.63 | 6.6× |
| Ultrasound Exam Aaa Screen (76706) | $393.06 | $604.71 | 3.8× |
| Ultrasound trgt dynamic microbubble 1st lesion (76978) | $236.26 | $363.48 | 0.7× |
| Ultrasound, abdomen limited (76705) | $537.31 | $826.63 | 5.2× |
| Umbilical-artery Doppler (OB) (76820) | $169.90 | $261.39 | 1.6× |
| Unlisted Dx Radiographic Procedure (76499) | $85.18 | $131.04 | 1.0× |
| Unlisted fluoroscopic procedure (76496) | $103.19 | $158.75 | 1.2× |
| Unlisted magnetic resonance procedure (76498) | $803.58 | $1,236.27 | 9.3× |
| Unlisted respiratory px dx nuclear medicine (78599) | $655.35 | $1,008.23 | 1.7× |
| Unlisted us procedure (76999) range across 2 matching MRF lines |
$230.65–$438.76 | $354.85–$675.01 | varies |
| Upper gi w/o kub (74240) | $241.02 | $370.80 | 1.4× |
| Urea Breath Test C-14 Isotopic Acquisj Analysis (78267) | $173.14 | $266.37 | 15.7× |
| Urea breath test c-14 isotopic analysis (78268) | $1,009.81 | $1,553.56 | 10.7× |
| Ureteral Reflux Study (78740) | $457.51 | $703.86 | 1.2× |
| Urethrocystogram voiding (74455) | $100.42 | $154.50 | 0.4× |
| Urethrocystography retrograde (74450) | $277.84 | $427.45 | 1.2× |
| Us breast unilateral complete (76641) | $571.76 | $879.63 | 5.5× |
| Us chest (76604) range across 2 matching MRF lines |
$397.93–$400.24 | $612.20–$615.75 | varies |
| Us exam, pelvic, limited (76857) | $571.76 | $879.63 | 5.5× |
| Us head (76506) | $467.04 | $718.53 | 4.5× |
| Us kidney transplant (76776) | $563.82 | $867.41 | 5.4× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $519.73 | $799.59 | 5.0× |
| Us ob detailed single fetus (76811) | $456.70 | $702.62 | 1.9× |
| Us ob limited 1 or more fetuses (76815) | $571.66 | $879.48 | 5.5× |
| Us ob transvaginal (76817) | $623.76 | $959.63 | 6.0× |
| Us pelvic non ob complete (76856) | $914.71 | $1,407.24 | 8.8× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $823.34 | $1,266.68 | 7.9× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $571.76 | $879.63 | 5.5× |
| Us retroperitoneal complete (76770) | $753.47 | $1,159.19 | 7.3× |
| Us retroperitoneal limited (76775) | $571.76 | $879.63 | 5.5× |
| Us scrotum and contents (76870) | $623.76 | $959.63 | 6.0× |
| Us spinal canal and contents (76800) | $468.12 | $720.19 | 4.5× |
| Us thyroid (76536) | $623.74 | $959.60 | 6.0× |
| Vein X-Ray Chest (75827) | $1,023.42 | $1,574.49 | 0.7× |
| Vein X-Ray Liver W/O Hemodyn (75887) | $3,461.13 | $5,324.81 | 1.1× |
| Vein X-Ray Spleen/Liver (75810) | $3,461.13 | $5,324.81 | 1.1× |
| Venogram Sinus/Jugular (75860) | $3,461.14 | $5,324.83 | 1.1× |
| Venography caval inferior serialography rs&i (75825) | $3,464.66 | $5,330.25 | 1.1× |
| Venography extremity bilateral rs&i (75822) | $1,505.02 | $2,315.42 | 1.0× |
| Venography extremity unilateral rs&i (75820) | $1,138.15 | $1,751 | 0.7× |
| Venography Renal Bilateral (75833) | $2,435.07 | $3,746.26 | 0.8× |
| Venography Renal Unilateral (75831) | $2,475.54 | $3,808.52 | 0.8× |
| Venous sampling by catheter (75893) | $5,971.64 | $9,187.14 | 1.1× |
| Vertebral fracture assessment via dxa (77086) | $79.57 | $122.42 | 0.9× |
| Wrist 2 views (73100) | $160.68 | $247.20 | 1.9× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $160.68 | $247.20 | 1.9× |
| X-ray antegrade pyelogram tube (74425) | $468.65 | $721 | 1.4× |
| X-Ray Aorta Leg Arteries (75630) | $3,253.77 | $5,005.80 | 1.0× |
| X-Ray Bend Only L-S Spine (72120) | $160.68 | $247.20 | 1.6× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $160.68 | $247.20 | 1.9× |
| X-Ray Exam Breast Specimen (76098) | $632.97 | $973.80 | 1.2× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $160.68 | $247.20 | 1.9× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $160.68 | $247.20 | 1.6× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $378.27 | $581.95 | 3.6× |
| X-Ray Exam Hip Uni 1 View (73501) | $160.68 | $247.20 | 1.9× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $160.68 | $247.20 | 1.9× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $160.68 | $247.20 | 1.6× |
| X-Ray Exam Hips Bi 2 Views (73521) | $160.68 | $247.20 | 1.6× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $160.68 | $247.20 | 1.6× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $200.85 | $309 | 1.9× |
| X-Ray Exam L-S Spine Bending (72114) | $160.68 | $247.20 | 1.6× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $160.68 | $247.20 | 1.9× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $160.68 | $247.20 | 1.6× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $160.68 | $247.20 | 1.6× |
| X-ray eye for foreign body (70030) | $160.68 | $247.20 | 1.9× |
| X-ray humerus (73060) | $160.68 | $247.20 | 1.9× |
| X-ray IV pyelogram (ivp) (74400) | $836.88 | $1,287.50 | 4.8× |
| X-ray IV pyelogram+tomography (74415) | $328.06 | $504.70 | 1.9× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $160.68 | $247.20 | 1.9× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $160.68 | $247.20 | 1.9× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $160.68 | $247.20 | 1.6× |
| X-ray nose-rectum child f.b. (76010) | $160.68 | $247.20 | 1.9× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $160.68 | $247.20 | 1.6× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $160.68 | $247.20 | 1.6× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $160.68 | $247.20 | 1.6× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $160.68 | $247.20 | 1.9× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $160.68 | $247.20 | 1.9× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $160.68 | $247.20 | 1.6× |
| X-Ray Stress View (77071) | $113.02 | $173.87 | 1.3× |
| X-ray thoracic spine 4 vw (72074) | $158.53 | $243.89 | 1.5× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $776.39 | $1,194.45 | 2.2× |
| X-Rays Bone Length Studies (77073) range across 2 matching MRF lines |
$123.86–$811.93 | $190.55–$1,249.12 | varies |
| X-Rays Bone Survey Complete (77075) | $415.09 | $638.60 | 4.0× |
| Xr c-spine 4 or 5 views (72050) | $160.68 | $247.20 | 1.6× |
| Xr facial bones less than 3 views (70140) | $158.67 | $244.11 | 1.8× |
| XR Mastoids < 3 Views Bilateral (70120) | $158.67 | $244.11 | 1.5× |
| Xr orbits complete 4 views (70200) | $162.69 | $250.29 | 1.6× |
| Xr Tomogram Single Plane (76100) | $460.24 | $708.06 | 4.4× |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.