Imaging prices at Ozarks Healthcare
West Plains, MO · every code in this section with a posted price and a Medicare benchmark.
289 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) | $387.50 | $775 | 0.3× |
| Abdomen 1 View (74018) range across 2 matching MRF lines |
$26.50–$77.50 | $53–$155 | varies |
| Abdomen 2 views (74019) range across 2 matching MRF lines |
$32–$81 | $64–$162 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) range across 2 matching MRF lines |
$247.50–$393 | $495–$786 | varies |
| Angio pulmonary bilat (75743) | $2,077 | $4,154 | 0.7× |
| Angiography extremity bilateral rs&i (75716) | — | $186 | — |
| Angiography extremity unilateral rs&i (75710) | — | $166 | — |
| Angiography pulmonary unilateral slctv rs&i (75741) | $2,139 | $4,278 | 0.7× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | — | $175 | — |
| Ankle 2 views (73600) range across 16 matching MRF lines |
$16.50–$95.15 | $33–$190.30 | varies |
| Aortography thoracic serialography rs&i (75605) | $4,250 | $8,500 | 0.8× |
| Artery X-Rays Abdomen (75726) | $5,000 | $10,000 | 0.9× |
| Arthrogram hip (73525) range across 2 matching MRF lines |
$105.50–$347.50 | $211–$695 | varies |
| Arthrogram Wrist (73115) range across 2 matching MRF lines |
$116.50–$366 | $233–$732 | varies |
| Basic radiation dosimetry calculation (77300) | $88 | $176 | 0.7× |
| Bone age studies (77072) range across 2 matching MRF lines |
$23–$115.50 | $46–$231 | varies |
| Bone Imaging 3 Phase (78315) range across 2 matching MRF lines |
$197.50–$648.45 | $395–$1,296.90 | varies |
| Bone Imaging Whole Body (78306) range across 2 matching MRF lines |
$177.50–$648.45 | $355–$1,296.90 | varies |
| Bone survey infant (77076) range across 2 matching MRF lines |
$94–$127 | $188–$254 | varies |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) range across 2 matching MRF lines |
$257.50–$515 | $515–$1,030 | varies |
| Chest 1 view (71045) range across 3 matching MRF lines |
$22.50–$62.50 | $45–$125 | varies |
| Chest 2 views (71046) range across 3 matching MRF lines |
$29.50–$67.50 | $59–$135 | varies |
| Chest 3 views (71047) range across 2 matching MRF lines |
$37.50–$72.50 | $75–$145 | varies |
| Clavicle complete (73000) range across 10 matching MRF lines |
$16.50–$95.15 | $33–$190.30 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 2 matching MRF lines |
$97.50–$157 | $195–$314 | varies |
| Continuing medical physics consltj pr wk (77336) | $213.40 | $426.80 | 1.6× |
| Contrast Exam Abdominl Aorta (75625) | — | $184 | — |
| Contrast X-Ray Bladder (74430) | — | $31 | — |
| Contrast X-Ray Of Knee Joint (73580) range across 2 matching MRF lines |
$87.50–$366 | $175–$732 | varies |
| CT abdomen and pelvis without and with contrast (74178) range across 2 matching MRF lines |
$304.50–$605 | $609–$1,210 | varies |
| CT abdomen and pelvis without contrast (74176) range across 2 matching MRF lines |
$166.50–$385 | $333–$770 | varies |
| CT abdomen w contrast (74160) range across 2 matching MRF lines |
$208–$288.75 | $416–$577.50 | varies |
| CT abdomen w wo contrast (74170) range across 2 matching MRF lines |
$232.50–$288.75 | $465–$577.50 | varies |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$122.50–$172.70 | $245–$345.40 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$247.50–$605 | $495–$1,210 | varies |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$247.50–$288.75 | $495–$577.50 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$222.50–$288.75 | $445–$577.50 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 2 matching MRF lines |
$247.50–$288.75 | $495–$577.50 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$175–$288.75 | $350–$577.50 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 6 matching MRF lines |
$225–$385 | $450–$770 | varies |
| CT cervical spine w/ contrast (72126) range across 2 matching MRF lines |
$151.50–$605 | $303–$1,210 | varies |
| CT cervical spine w/o contrast (72125) range across 2 matching MRF lines |
$117–$172.70 | $234–$345.40 | varies |
| CT cervical spine w/wo cont (72127) range across 2 matching MRF lines |
$177–$288.75 | $354–$577.50 | varies |
| CT chest w contrast (71260) range across 2 matching MRF lines |
$150–$288.75 | $300–$577.50 | varies |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$175–$288.75 | $350–$577.50 | varies |
| CT head/brain with contrast (70460) range across 2 matching MRF lines |
$125–$288.75 | $250–$577.50 | varies |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$112.50–$288.75 | $225–$577.50 | varies |
| CT heart no contrast quant eval coronry calcium (75571) range across 2 matching MRF lines |
$62.50–$100 | $125–$200 | varies |
| CT iac w contrast (70481) range across 3 matching MRF lines |
$125–$288.75 | $250–$577.50 | varies |
| CT l-spine w&w/o contrast (72133) range across 2 matching MRF lines |
$147.50–$288.75 | $295–$577.50 | varies |
| CT lower ext w/o (73700) range across 6 matching MRF lines |
$77.50–$172.70 | $155–$345.40 | varies |
| CT lower extremity w/contrast material (73701) range across 6 matching MRF lines |
$125–$288.75 | $250–$577.50 | varies |
| CT lumbar spine w contrast (72132) range across 2 matching MRF lines |
$127.50–$605 | $255–$1,210 | varies |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$77.50–$288.75 | $155–$577.50 | varies |
| CT maxillofacial w contrast (70487) range across 2 matching MRF lines |
$137.50–$288.75 | $275–$577.50 | varies |
| CT maxillofacial wo contrast (70486) range across 3 matching MRF lines |
$70–$172.70 | $140–$345.40 | varies |
| CT neck tissue combo (70492) range across 2 matching MRF lines |
$179–$288.75 | $358–$577.50 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 2 matching MRF lines |
$197.50–$288.75 | $395–$577.50 | varies |
| CT orbits w/o contrast (70480) range across 3 matching MRF lines |
$123.75–$172.70 | $247.50–$345.40 | varies |
| CT pelvis w&w/o contrast (72194) range across 2 matching MRF lines |
$200–$288.75 | $400–$577.50 | varies |
| CT pelvis w/o contrast (72192) range across 2 matching MRF lines |
$112.50–$172.70 | $225–$345.40 | varies |
| CT scan of leg combo (73702) range across 6 matching MRF lines |
$112.50–$288.75 | $225–$577.50 | varies |
| CT scans face/jaw combo (70488) range across 2 matching MRF lines |
$150–$288.75 | $300–$577.50 | varies |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$137.50–$288.75 | $275–$577.50 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$112.50–$172.70 | $225–$345.40 | varies |
| CT thoracic spine w contrast (72129) range across 2 matching MRF lines |
$147.50–$288.75 | $295–$577.50 | varies |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$97.50–$172.70 | $195–$345.40 | varies |
| CT thoracic spine w/wo cont (72130) range across 2 matching MRF lines |
$147.50–$288.75 | $295–$577.50 | varies |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$120–$172.70 | $240–$345.40 | varies |
| CT upper ext wo (73200) range across 6 matching MRF lines |
$97.50–$172.70 | $195–$345.40 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 4 matching MRF lines |
$197.50–$288.75 | $395–$577.50 | varies |
| CT upper extremity with contrast (73201) range across 6 matching MRF lines |
$147.50–$605 | $295–$1,210 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$197.50–$288.75 | $395–$577.50 | varies |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$247.50–$288.75 | $495–$577.50 | varies |
| CTA pelvis (72191) range across 2 matching MRF lines |
$71.50–$605 | $143–$1,210 | varies |
| Doppler Fetal Mid Cerebral Artery (76821) | $82.50 | $165 | 0.8× |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$34–$115.50 | $68–$231 | varies |
| Dxa bone density study 1/>sites appendiclr skel (77081) range across 2 matching MRF lines |
$27.50–$86.50 | $55–$173 | varies |
| Echo exam uterus (76831) | $74 | $148 | 0.3× |
| Esophagram (74220) range across 2 matching MRF lines |
$62.50–$175 | $125–$350 | varies |
| Fetal Biophys Profile W/Nst (76818) range across 4 matching MRF lines |
$86–$117.50 | $172–$235 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 2 matching MRF lines |
$98–$104.50 | $196–$209 | varies |
| Fluoroscopy up to 1 hr (76000) | — | $17 | — |
| Follow-Up Angiography (75898) | $3,000 | $6,000 | 0.9× |
| Foot 2 views (73620) range across 18 matching MRF lines |
$17.50–$95.15 | $35–$190.30 | varies |
| Forearm 2 views (73090) range across 4 matching MRF lines |
$20–$95.15 | $40–$190.30 | varies |
| Gastric emptying imaging study (78264) range across 2 matching MRF lines |
$197.50–$648.45 | $395–$1,296.90 | varies |
| Gated Heart Planar Single (78472) | $228 | $456 | 0.6× |
| Hand 2 views (73120) range across 17 matching MRF lines |
$17–$115.50 | $34–$231 | varies |
| Hepatobil Syst Image W/Drug (78227) range across 2 matching MRF lines |
$297.50–$648.50 | $595–$1,297 | varies |
| Hepatobiliary System Imaging (78226) range across 2 matching MRF lines |
$247.50–$648.50 | $495–$1,297 | varies |
| Ht Muscle Image Spect Sing (78451) | $247 | $494 | 0.2× |
| Hysterosalpingogram (74740) | $22 | $44 | 0.1× |
| Infant hip ultrasound with hip movement (dynamic) (76885) range across 2 matching MRF lines |
$65–$102.50 | $130–$205 | varies |
| Infant hip ultrasound, limited static exam (76886) range across 2 matching MRF lines |
$65–$72.50 | $130–$145 | varies |
| Infusion Ivp (74410) range across 2 matching MRF lines |
$112.50–$192.50 | $225–$385 | varies |
| Joint Survey Single View (77077) range across 7 matching MRF lines |
$17.50–$105 | $35–$210 | varies |
| K Flow/Funct Image Multiple (78709) range across 2 matching MRF lines |
$250–$566.50 | $500–$1,133 | varies |
| K Flow/Funct Image W/Drug (78708) range across 2 matching MRF lines |
$153.50–$762 | $307–$1,524 | varies |
| K Flow/Funct Image W/O Drug (78707) range across 2 matching MRF lines |
$162.50–$772.50 | $325–$1,545 | varies |
| Knee 3 Views (73562) range across 12 matching MRF lines |
$10–$95.15 | $20–$190.30 | varies |
| Lung Perf&Ventilat Diferentl (78598) range across 2 matching MRF lines |
$34.50–$538.50 | $69–$1,077 | varies |
| Lung perfusion differential (78597) range across 2 matching MRF lines |
$30.50–$402 | $61–$804 | varies |
| Lung Ventilat&Perfus Imaging (78582) range across 2 matching MRF lines |
$197.50–$515 | $395–$1,030 | varies |
| Lymph System Imaging (78195) range across 2 matching MRF lines |
$212.50–$515 | $425–$1,030 | varies |
| Magnetic Image Jaw Joint (70336) range across 3 matching MRF lines |
$236.50–$256.85 | $473–$513.70 | varies |
| Mammary ductogram or galactogram single (77053) range across 2 matching MRF lines |
$47.50–$78.10 | $95–$156.20 | varies |
| Meckels Divert Exam (78290) range across 2 matching MRF lines |
$250–$393 | $500–$786 | varies |
| Mlc imrt design & construction per imrt plan (77338) | $397.50 | $795 | 1.1× |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$177.50–$256.85 | $355–$513.70 | varies |
| MRA neck w contrast (70548) range across 2 matching MRF lines |
$205–$403.15 | $410–$806.30 | varies |
| Mra Neck W/O &W/Contrast Material (70549) range across 2 matching MRF lines |
$297.50–$403.15 | $595–$806.30 | varies |
| MRA neck w/o contrast (70547) range across 2 matching MRF lines |
$175–$256.85 | $350–$513.70 | varies |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$125–$256.85 | $250–$513.70 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 5 matching MRF lines |
$237.50–$838.75 | $475–$1,677.50 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 9 matching MRF lines |
$247.50–$403.15 | $495–$806.30 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 4 matching MRF lines |
$197.50–$838.75 | $395–$1,677.50 | varies |
| MRI cervical spine w contrast (72142) range across 2 matching MRF lines |
$187.50–$403.15 | $375–$806.30 | varies |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$137.50–$256.85 | $275–$513.70 | varies |
| MRI chest w/o contrast (71550) range across 2 matching MRF lines |
$256.85–$287.50 | $513.70–$575 | varies |
| MRI chest wo w contrast (71552) range across 2 matching MRF lines |
$403.15–$420 | $806.30–$840 | varies |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 2 matching MRF lines |
$236.50–$403.15 | $473–$806.30 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 9 matching MRF lines |
$237.50–$403.15 | $475–$806.30 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 9 matching MRF lines |
$162.50–$256.85 | $325–$513.70 | varies |
| MRI lumbar spine w contrast (72149) range across 2 matching MRF lines |
$187.50–$403.15 | $375–$806.30 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$212.50–$403.15 | $425–$806.30 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 2 matching MRF lines |
$197.50–$242 | $395–$484 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 2 matching MRF lines |
$212.50–$403.15 | $425–$806.30 | varies |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$247.50–$403.15 | $495–$806.30 | varies |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$197.50–$256.85 | $395–$513.70 | varies |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$125–$256.85 | $250–$513.70 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 9 matching MRF lines |
$187.50–$270 | $375–$540 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 9 matching MRF lines |
$297.50–$403.15 | $595–$806.30 | varies |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$187.50–$403.15 | $375–$806.30 | varies |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$212.50–$403.15 | $425–$806.30 | varies |
| MRI, dorsal spine contrast (72147) range across 2 matching MRF lines |
$212.50–$403.15 | $425–$806.30 | varies |
| MRI, joint upper extrem (73221) range across 12 matching MRF lines |
$137.50–$256.85 | $275–$513.70 | varies |
| MRI, joint upper extrem combo (73223) range across 10 matching MRF lines |
$237.50–$403.15 | $475–$806.30 | varies |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$237.50–$403.15 | $475–$806.30 | varies |
| Myocardial Spect Multiple Studies (78452) | $271 | $542 | 0.2× |
| Neck soft tissue (70360) range across 5 matching MRF lines |
$13.50–$86.50 | $27–$173 | varies |
| Ntsty modul radthx pln dose-vol histos (77301) | $1,375 | $2,750 | 1.0× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) range across 2 matching MRF lines |
$47.30–$78.50 | $94.60–$157 | varies |
| Parathyroid Planar Imaging (78070) range across 2 matching MRF lines |
$197.50–$589.50 | $395–$1,179 | varies |
| Pelvis 1 or 2 views (72170) range across 4 matching MRF lines |
$20–$115.50 | $40–$231 | varies |
| PET image w/CT, full body (78816) range across 2 matching MRF lines |
$106–$1,190.50 | $212–$2,381 | varies |
| PET imaging CT attenuation skull base mid-thigh (78815) range across 2 matching MRF lines |
$105–$1,190.50 | $210–$2,381 | varies |
| Pulmonary Perfusion Imaging Particulate (78580) range across 2 matching MRF lines |
$147.50–$589.50 | $295–$1,179 | varies |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 3 matching MRF lines |
$26.50–$115.50 | $53–$231 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 2 matching MRF lines |
$53–$487.50 | $106–$975 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 10 matching MRF lines |
$18.50–$95.15 | $37–$190.30 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 10 matching MRF lines |
$17.50–$95.15 | $35–$190.30 | varies |
| Radex elbow complete minimum 3 views (73080) range across 12 matching MRF lines |
$18–$95.15 | $36–$190.30 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 2 matching MRF lines |
$37.50–$115.50 | $75–$231 | varies |
| Radex fingr minimum 2 views (73140) range across 4 matching MRF lines |
$17.50–$95.15 | $35–$190.30 | varies |
| Radex foot complete minimum 3 views (73630) range across 10 matching MRF lines |
$18.50–$95.15 | $37–$190.30 | varies |
| Radex Hand Minimum 3 Views (73130) range across 10 matching MRF lines |
$18–$95.15 | $36–$190.30 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 6 matching MRF lines |
$22.50–$86.50 | $45–$173 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) range across 2 matching MRF lines |
$54–$115.50 | $108–$231 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 2 matching MRF lines |
$32.50–$95.15 | $65–$190.30 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 10 matching MRF lines |
$22.50–$95.15 | $45–$190.30 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 10 matching MRF lines |
$18–$95.15 | $36–$190.30 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 3 matching MRF lines |
$28–$95.15 | $56–$190.30 | varies |
| Radex Spine 1 View Specify Level (72020) range across 2 matching MRF lines |
$15.50–$86.50 | $31–$173 | varies |
| Radex Sternum Minimum 2 Views (71120) range across 2 matching MRF lines |
$22.50–$95.15 | $45–$190.30 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$37.50–$95.15 | $75–$190.30 | varies |
| Radex Toe Minimum 2 Views (73660) range across 4 matching MRF lines |
$17.50–$95.15 | $35–$190.30 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 8 matching MRF lines |
$20–$105 | $40–$210 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 11 matching MRF lines |
$18–$95.15 | $36–$190.30 | varies |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $12,242.45 | $24,484.90 | 1.7× |
| Radiation treatment delivery level 1 (77402) | $228 | $456 | 2.2× |
| Radiation treatment delivery level 2 (77407) | $263 | $526 | 0.7× |
| Radiation treatment delivery level 3 (77412) | $422.40 | $844.80 | 0.8× |
| Radiolog exam mandible compl minimum 4 views (70110) range across 2 matching MRF lines |
$41.25–$115.50 | $82.50–$231 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 2 matching MRF lines |
$37.50–$65.50 | $75–$131 | varies |
| Radiologic exam colon double contrast study (74280) range across 2 matching MRF lines |
$191.50–$192.50 | $383–$385 | varies |
| Radiologic exam colon single contrast study (74270) range across 2 matching MRF lines |
$134.50–$192.50 | $269–$385 | varies |
| Radiologic Exam Esophagus Double Contrast Study (74221) range across 2 matching MRF lines |
$28.50–$175 | $57–$350 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 9 matching MRF lines |
$24–$115.50 | $48–$231 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$36.50–$115.50 | $73–$231 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 2 matching MRF lines |
$97.50–$127.50 | $195–$255 | varies |
| Radiologic exam swallow function contrast study (74230) range across 2 matching MRF lines |
$75–$175 | $150–$350 | varies |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$112.50–$192.50 | $225–$385 | varies |
| Radiologic examination femur 1 view (73551) range across 6 matching MRF lines |
$25.50–$86.50 | $51–$173 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 7 matching MRF lines |
$8.50–$86.50 | $17–$173 | varies |
| Radiologic examination knee 1/2 views (73560) range across 13 matching MRF lines |
$19.50–$95.15 | $39–$190.30 | varies |
| Radiologic Examination Osseous Survey Limited (77074) range across 2 matching MRF lines |
$57.50–$167 | $115–$334 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 10 matching MRF lines |
$17–$95.15 | $34–$190.30 | varies |
| Ribs bilateral 3 views (71110) range across 4 matching MRF lines |
$22.50–$105 | $45–$210 | varies |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) range across 2 matching MRF lines |
$375–$1,353 | $750–$2,706 | varies |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) range across 2 matching MRF lines |
$197.50–$1,353 | $395–$2,706 | varies |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) range across 2 matching MRF lines |
$275–$1,353 | $550–$2,706 | varies |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) range across 3 matching MRF lines |
$497.50–$1,353 | $995–$2,706 | varies |
| Scapula (73010) range across 10 matching MRF lines |
$21.50–$115.50 | $43–$231 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 2 matching MRF lines |
$37.50–$77 | $75–$154 | varies |
| Shoulder 1 view (73020) range across 9 matching MRF lines |
$17–$95.15 | $34–$190.30 | varies |
| Shoulder Arthrography (73040) range across 2 matching MRF lines |
$113.50–$366 | $227–$732 | varies |
| Skull less than 4 views (70250) range across 2 matching MRF lines |
$21.50–$115.50 | $43–$231 | varies |
| Special dosimetry (77331) | $59.50 | $119 | 0.4× |
| Special Physics Consult (77370) | $213.40 | $426.80 | 1.6× |
| Special teletherapy port plan (77321) | $87.50 | $175 | 0.2× |
| Special treatment procedure (77470) | $138 | $276 | 0.2× |
| Stereotactic Body Radiation Delivery (77373) | $1,260 | $2,520 | 0.7× |
| Sternoclavicular joints (71130) range across 2 matching MRF lines |
$27.50–$86.50 | $55–$173 | varies |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $268 | $536 | 0.7× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $347.50 | $695 | 0.9× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $212.50 | $425 | 0.6× |
| Ther rad simulaj-aided field setting simple (77280) | $225 | $450 | 1.7× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) range across 2 matching MRF lines |
$192.50–$197.50 | $385–$395 | varies |
| Thoracic spine 2 views (72070) range across 4 matching MRF lines |
$27.50–$115.50 | $55–$231 | varies |
| Thoracic spine 3 views (72072) range across 3 matching MRF lines |
$30.50–$115.50 | $61–$231 | varies |
| Thoracolumbar 2 views (72080) range across 2 matching MRF lines |
$27.50–$72.50 | $55–$145 | varies |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) range across 3 matching MRF lines |
$162.50–$589.50 | $325–$1,179 | varies |
| Tx Devices Design & Construction Complex (77334) | $184.25 | $368.50 | 0.5× |
| Tx devices design & construction intermediate (77333) | $213.40 | $426.80 | 1.6× |
| Tx devices design & construction simple (77332) | $35.50 | $71 | 0.3× |
| Ultrasound Breast Limited (76642) range across 6 matching MRF lines |
$67.50–$84 | $135–$168 | varies |
| Ultrasound Exam Aaa Screen (76706) | $24.50 | $49 | 0.2× |
| Ultrasound, abdomen limited (76705) range across 5 matching MRF lines |
$67.50–$86.35 | $135–$172.70 | varies |
| Umbilical-artery Doppler (OB) (76820) range across 3 matching MRF lines |
$38–$86 | $76–$172 | varies |
| Unlisted Dx Radiographic Procedure (76499) range across 3 matching MRF lines |
$23–$95.15 | $46–$190.30 | varies |
| Unlisted us procedure (76999) range across 2 matching MRF lines |
$40–$71.50 | $80–$143 | varies |
| Upper gi w/o kub (74240) range across 2 matching MRF lines |
$97.50–$192.50 | $195–$385 | varies |
| Urethrocystogram voiding (74455) range across 2 matching MRF lines |
$89–$252 | $178–$504 | varies |
| Urethrocystography retrograde (74450) | $63 | $126 | 0.3× |
| Us breast unilateral complete (76641) range across 6 matching MRF lines |
$75–$86.35 | $150–$172.70 | varies |
| Us chest (76604) range across 2 matching MRF lines |
$43.50–$86.35 | $87–$172.70 | varies |
| Us complete joint (76881) range across 5 matching MRF lines |
$48.50–$86.35 | $97–$172.70 | varies |
| Us exam, pelvic, limited (76857) | $86 | $172 | 0.8× |
| Us head (76506) range across 2 matching MRF lines |
$75–$86.35 | $150–$172.70 | varies |
| Us kidney transplant (76776) range across 2 matching MRF lines |
$86.35–$115 | $172.70–$230 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 5 matching MRF lines |
$22.50–$86.35 | $45–$172.70 | varies |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$23.50–$83 | $47–$166 | varies |
| Us ob transvaginal (76817) range across 4 matching MRF lines |
$78.50–$104.50 | $157–$209 | varies |
| Us pelvic non ob complete (76856) range across 3 matching MRF lines |
$77.50–$104.50 | $155–$209 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 4 matching MRF lines |
$86–$104.50 | $172–$209 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 4 matching MRF lines |
$86–$104.50 | $172–$209 | varies |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$77.50–$86.35 | $155–$172.70 | varies |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$36–$86.35 | $72–$172.70 | varies |
| Us scrotum and contents (76870) range across 2 matching MRF lines |
$77.50–$86.35 | $155–$172.70 | varies |
| Us spinal canal and contents (76800) range across 2 matching MRF lines |
$78.50–$125 | $157–$250 | varies |
| Us thyroid (76536) range across 3 matching MRF lines |
$86.35–$87.50 | $172.70–$175 | varies |
| Us transrectal (76872) range across 3 matching MRF lines |
$37.50–$88.50 | $75–$177 | varies |
| Vein X-Ray Chest (75827) | $1,500 | $3,000 | 1.0× |
| Venography caval inferior serialography rs&i (75825) | $2,139 | $4,278 | 0.7× |
| Venography extremity bilateral rs&i (75822) | $723 | $1,446 | 0.5× |
| Venography extremity unilateral rs&i (75820) | — | $150 | — |
| Wrist 2 views (73100) range across 16 matching MRF lines |
$16.50–$95.15 | $33–$190.30 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 4 matching MRF lines |
$16–$86.50 | $32–$173 | varies |
| X-ray antegrade pyelogram tube (74425) range across 2 matching MRF lines |
$100–$366.50 | $200–$733 | varies |
| X-Ray Aorta Leg Arteries (75630) | — | $169 | — |
| X-Ray Bend Only L-S Spine (72120) range across 2 matching MRF lines |
$35.50–$87.50 | $71–$175 | varies |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 16 matching MRF lines |
$17.50–$95.15 | $35–$190.30 | varies |
| X-Ray Exam Breast Specimen (76098) range across 2 matching MRF lines |
$37.50–$433.40 | $75–$866.80 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 2 matching MRF lines |
$35–$54 | $70–$108 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 3 matching MRF lines |
$47.50–$105 | $95–$210 | varies |
| X-Ray Exam Entire Spi 4/5 Vw (72083) range across 2 matching MRF lines |
$55–$115.50 | $110–$231 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 8 matching MRF lines |
$8.50–$86.50 | $17–$173 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 10 matching MRF lines |
$10–$86.50 | $20–$173 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) range across 9 matching MRF lines |
$47.50–$105 | $95–$210 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 3 matching MRF lines |
$35–$105 | $70–$210 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 3 matching MRF lines |
$47–$105 | $94–$210 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) range across 4 matching MRF lines |
$54–$105 | $108–$210 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$47.50–$115.50 | $95–$231 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 5 matching MRF lines |
$20–$95.15 | $40–$190.30 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 2 matching MRF lines |
$47.50–$115.50 | $95–$231 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 10 matching MRF lines |
$22.50–$115.50 | $45–$231 | varies |
| X-ray eye for foreign body (70030) range across 2 matching MRF lines |
$27.50–$72 | $55–$144 | varies |
| X-ray humerus (73060) range across 10 matching MRF lines |
$17.50–$95.15 | $35–$190.30 | varies |
| X-ray IV pyelogram (ivp) (74400) range across 2 matching MRF lines |
$116.50–$192.50 | $233–$385 | varies |
| X-ray IV pyelogram+tomography (74415) range across 2 matching MRF lines |
$125–$192.50 | $250–$385 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 2 matching MRF lines |
$30–$86.50 | $60–$173 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 4 matching MRF lines |
$34.50–$95.15 | $69–$190.30 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 4 matching MRF lines |
$20–$115.50 | $40–$231 | varies |
| X-ray nose-rectum child f.b. (76010) range across 2 matching MRF lines |
$22.50–$68.75 | $45–$137.50 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 3 matching MRF lines |
$36–$115.50 | $72–$231 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 3 matching MRF lines |
$33–$115.50 | $66–$231 | varies |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 4 matching MRF lines |
$21.50–$95.15 | $43–$190.30 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 4 matching MRF lines |
$25.50–$95.15 | $51–$190.30 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 2 matching MRF lines |
$32.50–$115.50 | $65–$231 | varies |
| X-Ray Stress View (77071) | $34 | $68 | 0.4× |
| X-ray thoracic spine 4 vw (72074) range across 2 matching MRF lines |
$37.50–$115.50 | $75–$231 | varies |
| X-Ray Tmj Unilat (70328) range across 4 matching MRF lines |
$24–$95.15 | $48–$190.30 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 2 matching MRF lines |
$140.50–$374.50 | $281–$749 | varies |
| X-Rays Bone Length Studies (77073) range across 2 matching MRF lines |
$39.50–$82.50 | $79–$165 | varies |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$87–$115.50 | $174–$231 | varies |
| Xr c-spine 4 or 5 views (72050) range across 2 matching MRF lines |
$30.50–$115.50 | $61–$231 | varies |
| Xr facial bones less than 3 views (70140) range across 3 matching MRF lines |
$27.50–$95.15 | $55–$190.30 | varies |
| Xr orbits complete 4 views (70200) range across 2 matching MRF lines |
$42–$115.50 | $84–$231 | 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.