Imaging prices at Parkland Medical Center
Derry, NH · every code in this section with a posted price and a Medicare benchmark.
349 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) | $612.25 | $612.25 | 6.5× |
| Abdomen 2 views (74019) | $1,062.75 | $1,062.75 | 9.4× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $2,957.50 | $2,957.50 | 6.9× |
| Adrenal Cortex & Medulla Img (78075) | $6,185 | $6,185 | 4.4× |
| Angio internal mammary (75756) | $5,277 | $5,277 | 1.6× |
| Angio pulmonary bilat (75743) range across 2 matching MRF lines |
$11,043.50–$19,265.25 | $11,043.50–$19,265.25 | varies |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $19,265.25 | $19,265.25 | 5.7× |
| Angiography extremity bilateral rs&i (75716) range across 2 matching MRF lines |
$7,452.25–$19,265.25 | $7,452.25–$19,265.25 | varies |
| Angiography extremity unilateral rs&i (75710) | $19,265.25 | $19,265.25 | 5.7× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $19,265.25 | $19,265.25 | 5.7× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) range across 2 matching MRF lines |
$7,313.75–$15,752 | $7,313.75–$15,752 | varies |
| Ankle 2 views (73600) range across 3 matching MRF lines |
$831.25–$1,502.25 | $831.25–$1,502.25 | varies |
| Aortography thoracic serialography rs&i (75605) | $32,021.75 | $32,021.75 | 5.3× |
| Aortography thoracic w/o serialography rs&i (75600) | $17,014.75 | $17,014.75 | 5.0× |
| Artery X-Rays Abdomen (75726) | $32,021.75 | $32,021.75 | 5.3× |
| Artery X-Rays Adrenal Gland (75731) | $5,581.50 | $5,581.50 | 1.6× |
| Artery X-Rays Pelvis (75736) range across 2 matching MRF lines |
$7,452.25–$32,021.75 | $7,452.25–$32,021.75 | varies |
| Artery X-Rays Spine (75705) | $28,344.25 | $28,344.25 | 4.7× |
| Arthrogram ankle (73615) | $3,726 | $3,726 | 9.9× |
| Arthrogram hip (73525) | $3,836 | $3,836 | 10.2× |
| Arthrogram Wrist (73115) range across 3 matching MRF lines |
$3,472.50–$5,209 | $3,472.50–$5,209 | varies |
| Bone age studies (77072) | $946.50 | $946.50 | 8.4× |
| Bone Imaging 3 Phase (78315) | $5,240.75 | $5,240.75 | 12.2× |
| Bone Imaging Limited Area (78300) | $2,454 | $2,454 | 5.7× |
| Bone Imaging Whole Body (78306) | $3,348.50 | $3,348.50 | 7.8× |
| Bone survey infant (77076) range across 2 matching MRF lines |
$1,267.75–$1,268 | $1,267.75–$1,268 | varies |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $3,990.50 | $3,990.50 | 6.8× |
| Brain Imaging Pet Metabolic Evaluation (78608) range across 2 matching MRF lines |
$11,535.75–$11,552.50 | $11,535.75–$11,552.50 | varies |
| Cat Scan Follow-Up Study (76380) | $3,406.50 | $3,406.50 | 36.3× |
| Cerebrospinal Fluid Scan (78630) | $7,455.50 | $7,455.50 | 12.7× |
| Chest 1 view (71045) | $549 | $549 | 5.9× |
| Chest 2 views (71046) | $881.50 | $881.50 | 9.4× |
| Chest 3 views (71047) | $538.75 | $538.75 | 5.7× |
| Chest 4 or more views (71048) | $403.50 | $403.50 | 3.6× |
| Cholecystography Oral Contrast (74290) | $1,413.25 | $1,413.25 | 7.5× |
| Clavicle complete (73000) range across 4 matching MRF lines |
$947.75–$1,422 | $947.75–$1,422 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $999.75 | $999.75 | 8.9× |
| Contrast Exam Abdominl Aorta (75625) range across 2 matching MRF lines |
$7,452.25–$19,265.25 | $7,452.25–$19,265.25 | varies |
| Contrast X-Ray Bladder (74430) range across 2 matching MRF lines |
$1,723.75–$1,725 | $1,723.75–$1,725 | varies |
| Contrast X-Ray Of Elbow (73085) | $2,547 | $2,547 | 6.8× |
| Contrast X-Ray Of Knee Joint (73580) | $3,703.75 | $3,703.75 | 9.9× |
| Corpora cavernosography (74445) | $1,855.50 | $1,855.50 | 16.5× |
| CT abdomen and pelvis without and with contrast (74178) | $6,802 | $6,802 | 18.1× |
| CT abdomen and pelvis without contrast (74176) | $6,813.50 | $6,813.50 | 26.5× |
| CT abdomen w contrast (74160) | $7,048 | $7,048 | 37.3× |
| CT abdomen w wo contrast (74170) | $4,505.25 | $4,505.25 | 23.8× |
| CT abdomen w/o contrast (74150) range across 2 matching MRF lines |
$6,749–$6,750 | $6,749–$6,750 | varies |
| CT Angio Abdomen and Pelvis (74174) | $6,766.50 | $6,766.50 | 18.0× |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$6,983.75–$6,985 | $6,983.75–$6,985 | varies |
| CT Angio Head (70496) range across 3 matching MRF lines |
$4,863.25–$7,589.25 | $4,863.25–$7,589.25 | varies |
| CT angio hrt w/3d image (75574) | $12,264.50 | $12,264.50 | 32.6× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $9,607.50 | $9,607.50 | 50.8× |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$6,758.25–$7,589.25 | $6,758.25–$7,589.25 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $9,607.50 | $9,607.50 | 50.8× |
| CT cervical spine w/ contrast (72126) | $7,015.25 | $7,015.25 | 18.7× |
| CT cervical spine w/o contrast (72125) | $7,015.25 | $7,015.25 | 62.3× |
| CT cervical spine w/wo cont (72127) | $7,215.75 | $7,215.75 | 38.2× |
| CT chest w contrast (71260) | $6,791.25 | $6,791.25 | 35.9× |
| CT chest w/wo contrast (71270) range across 2 matching MRF lines |
$7,179.75–$7,181.50 | $7,179.75–$7,181.50 | varies |
| CT colonography screening (74263) | $4,104 | $4,104 | 16.0× |
| CT Colonogrphy Dx Image Postprocess W/Contrast (74262) | $2,769.50 | $2,769.50 | 14.7× |
| CT colonogrphy dx image postprocess w/o contrast (74261) | $4,104 | $4,104 | 36.4× |
| CT head/brain with contrast (70460) | $6,753 | $6,753 | 35.7× |
| CT head/brain without and with contrast (70470) | $6,850.25 | $6,850.25 | 36.2× |
| CT heart contrast eval cardiac structure&morph (75572) | $6,810.50 | $6,810.50 | 18.1× |
| CT heart no contrast quant eval coronry calcium (75571) | $6,579.75 | $6,579.75 | 70.2× |
| CT hrt w/3d image congen (75573) | $4,086.25 | $4,086.25 | 10.9× |
| CT iac w contrast (70481) | $6,761.25 | $6,761.25 | 35.8× |
| CT l-spine w&w/o contrast (72133) range across 2 matching MRF lines |
$7,214.25–$7,215.75 | $7,214.25–$7,215.75 | varies |
| CT lower ext w/o (73700) range across 5 matching MRF lines |
$6,749–$6,750 | $6,749–$6,750 | varies |
| CT lower extremity w/contrast material (73701) | $6,869.50 | $6,869.50 | 36.3× |
| CT lumbar spine w contrast (72132) | $6,862.50 | $6,862.50 | 18.3× |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$6,814.50–$6,816 | $6,814.50–$6,816 | varies |
| CT maxillofacial w contrast (70487) | $8,345.75 | $8,345.75 | 44.2× |
| CT maxillofacial wo contrast (70486) range across 3 matching MRF lines |
$5,388–$6,739.25 | $5,388–$6,739.25 | varies |
| CT neck tissue combo (70492) | $9,694 | $9,694 | 51.3× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 3 matching MRF lines |
$9,618.50–$9,621.25 | $9,618.50–$9,621.25 | varies |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$6,888.75–$6,890.25 | $6,888.75–$6,890.25 | varies |
| CT pelvis w&w/o contrast (72194) range across 2 matching MRF lines |
$2,272–$7,272 | $2,272–$7,272 | varies |
| CT pelvis w/o contrast (72192) | $7,803.25 | $7,803.25 | 69.3× |
| CT scan of leg combo (73702) range across 8 matching MRF lines |
$1,967.25–$9,917.75 | $1,967.25–$9,917.75 | varies |
| CT scans face/jaw combo (70488) | $8,597 | $8,597 | 45.5× |
| CT soft tissue neck w contrast (70491) range across 2 matching MRF lines |
$6,963–$6,964.50 | $6,963–$6,964.50 | varies |
| CT soft tissue neck w/o contrast (70490) range across 2 matching MRF lines |
$6,732.25–$6,733.50 | $6,732.25–$6,733.50 | varies |
| CT thoracic spine w contrast (72129) | $2,230 | $2,230 | 11.8× |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$6,814.50–$6,816 | $6,814.50–$6,816 | varies |
| CT thoracic spine w/wo cont (72130) range across 2 matching MRF lines |
$7,215.75–$7,216.25 | $7,215.75–$7,216.25 | varies |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$7,218.25–$7,222.50 | $7,218.25–$7,222.50 | varies |
| CT upper ext wo (73200) range across 4 matching MRF lines |
$6,758.25–$8,772.50 | $6,758.25–$8,772.50 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 8 matching MRF lines |
$1,967.75–$12,727 | $1,967.75–$12,727 | varies |
| CT upper extremity with contrast (73201) | $6,869.50 | $6,869.50 | 18.3× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $7,041 | $7,041 | 37.3× |
| Cta Abdomen (74175) | $6,982 | $6,982 | 36.9× |
| CTA pelvis (72191) | $10,777.50 | $10,777.50 | 57.0× |
| Dacryocystography, nasolacrimal duct, radiological supervision and interpretation Non-Facility (70170) | $1,816.75 | $1,816.75 | 7.1× |
| Dilation ureters/urethra rs&i (74485) | $1,892.75 | $1,892.75 | 0.8× |
| Dxa Bone Density Axial (77080) | $1,824.75 | $1,824.75 | 16.2× |
| Dxa bone density study (77085) | $1,833 | $1,833 | 16.3× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $1,552 | $1,552 | 16.6× |
| Echo exam uterus (76831) | $1,611.75 | $1,611.75 | 6.3× |
| Echo Guide For Artery Repair (76936) | $2,490 | $2,490 | 10.7× |
| Esophagram (74220) range across 2 matching MRF lines |
$1,840.25–$1,841.50 | $1,840.25–$1,841.50 | varies |
| Fetal Biophys Profile W/Nst (76818) range across 2 matching MRF lines |
$953.25–$1,884.50 | $953.25–$1,884.50 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $1,884.50 | $1,884.50 | 16.7× |
| Fluoroscopy up to 1 hr (76000) range across 4 matching MRF lines |
$742.75–$1,841.50 | $742.75–$1,841.50 | varies |
| Follow-Up Angiography (75898) | $5,581.50 | $5,581.50 | 1.6× |
| Foot 2 views (73620) range across 3 matching MRF lines |
$831.25–$1,502.25 | $831.25–$1,502.25 | varies |
| Forearm 2 views (73090) range across 3 matching MRF lines |
$831.25–$1,502.25 | $831.25–$1,502.25 | varies |
| Gastric emptying imaging study (78264) | $3,153.50 | $3,153.50 | 7.3× |
| Gastric Mucosa Imaging (78261) | $3,153.50 | $3,153.50 | 7.3× |
| Gated Heart Planar Single (78472) | $5,352.25 | $5,352.25 | 12.4× |
| Hand 2 views (73120) range across 3 matching MRF lines |
$831.25–$1,502.25 | $831.25–$1,502.25 | varies |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $19,265.25 | $19,265.25 | 5.7× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $19,265.25 | $19,265.25 | 5.7× |
| Hepatobil Syst Image W/Drug (78227) | $5,074.75 | $5,074.75 | 8.7× |
| Hepatobiliary System Imaging (78226) | $3,697.75 | $3,697.75 | 8.6× |
| Ht Musc Image Planar Mult (78454) | $7,568.25 | $7,568.25 | 5.4× |
| Ht Muscle Image Spect Sing (78451) | $10,857 | $10,857 | 7.8× |
| Hysterosalpingogram (74740) | $2,028.50 | $2,028.50 | 7.9× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $866.25 | $866.25 | 9.2× |
| Infant hip ultrasound, limited static exam (76886) range across 2 matching MRF lines |
$478.75–$479.75 | $478.75–$479.75 | varies |
| Infusion Ivp (74410) | $2,044 | $2,044 | 10.8× |
| Joint Survey Single View (77077) | $802.25 | $802.25 | 7.1× |
| K Flow/Funct Image W/Drug (78708) | $5,714.25 | $5,714.25 | 9.8× |
| K Flow/Funct Image W/O Drug (78707) | $5,633.75 | $5,633.75 | 9.6× |
| Kidney Funcj Study Non-Img Radioisotopic Study (78725) | $2,198.25 | $2,198.25 | 5.1× |
| Kidney Imaging Morphol (78700) | $2,521 | $2,521 | 5.9× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $4,089.75 | $4,089.75 | 9.5× |
| Knee 3 Views (73562) range across 3 matching MRF lines |
$1,086.50–$1,951.25 | $1,086.50–$1,951.25 | varies |
| Labeled RBC Sequestration Differntl Organ/Tissue (78140) | $6,104.75 | $6,104.75 | 14.2× |
| Liver & Spleen Imaging Static Only (78215) | $2,523.75 | $2,523.75 | 5.9× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $2,523.75 | $2,523.75 | 5.9× |
| Liver imaging static only (78201) | $2,855.50 | $2,855.50 | 4.9× |
| Lung Perf&Ventilat Diferentl (78598) | $4,688.25 | $4,688.25 | 8.0× |
| Lung Ventilat&Perfus Imaging (78582) | $3,538.50 | $3,538.50 | 6.0× |
| Lung Ventilation Imaging (78579) | $2,922.25 | $2,922.25 | 6.8× |
| Lymph System Imaging (78195) | $3,523.75 | $3,523.75 | 6.0× |
| Lymphangiography Extremity Only Bilateral Rs&I (75803) | $8,358.50 | $8,358.50 | 4.9× |
| Lymphangiography extremity only unilateral rs&i (75801) | $3,213.25 | $3,213.25 | 4.8× |
| Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) | $31,477.25 | $31,477.25 | 9.3× |
| Lymphangiography, pelvic/abdominal, unilateral (75805) | $17,014.75 | $17,014.75 | 5.0× |
| Magnetic Image Jaw Joint (70336) range across 2 matching MRF lines |
$8,430.75–$8,431.75 | $8,430.75–$8,431.75 | varies |
| Mammary ductogram or galactogram multiple (77054) | $3,156.50 | $3,156.50 | 12.3× |
| Mammary ductogram or galactogram single (77053) | $2,745 | $2,745 | 10.7× |
| Meckels Divert Exam (78290) | $2,055.75 | $2,055.75 | 4.8× |
| Mr safety determination physician/other qhp (76016) | $407 | $407 | 4.3× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $113 | $113 | 3.6× |
| Mr safety implt electronics prepj supvj phys/qhp (76018) | $425 | $425 | 4.1× |
| Mr safety implt pos&/immoblj (76019) | $275 | $275 | 4.3× |
| Mr safety med physics xm customization plng&mntr (76017) | $1,117 | $1,117 | 4.3× |
| Mra Head W/O & W/Contrast Material (70546) | $10,413.25 | $10,413.25 | 27.7× |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$8,430.75–$8,431.75 | $8,430.75–$8,431.75 | varies |
| MRA head with contrast (70545) | $9,651.50 | $9,651.50 | 25.7× |
| MRA neck w contrast (70548) | $9,651.50 | $9,651.50 | 25.7× |
| Mra Neck W/O &W/Contrast Material (70549) | $10,413.25 | $10,413.25 | 27.7× |
| MRA neck w/o contrast (70547) range across 2 matching MRF lines |
$8,429.25–$8,430.75 | $8,429.25–$8,430.75 | varies |
| MRI abdomen w contrast (74182) | $8,430.75 | $8,430.75 | 22.4× |
| MRI abdomen w/o contrast (74181) range across 2 matching MRF lines |
$8,430.75–$8,431.75 | $8,430.75–$8,431.75 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 3 matching MRF lines |
$8,431.75–$11,120 | $8,431.75–$11,120 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 3 matching MRF lines |
$9,705.50–$12,602.50 | $9,705.50–$12,602.50 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) | $9,705.50 | $9,705.50 | 11.5× |
| MRI Breast W/O Contrast Bilateral (77047) | $3,124.75 | $3,124.75 | 12.2× |
| MRI Breast Without Contrast Material Unilateral (77046) | $1,689 | $1,689 | 6.6× |
| MRI cervical spine w contrast (72142) range across 2 matching MRF lines |
$10,413.25–$10,416 | $10,413.25–$10,416 | varies |
| MRI cervical spine w/o cont (72141) range across 2 matching MRF lines |
$8,430.75–$8,431.75 | $8,430.75–$8,431.75 | varies |
| MRI chest w/o contrast (71550) range across 2 matching MRF lines |
$8,430.75–$8,431.75 | $8,430.75–$8,431.75 | varies |
| MRI chest with contrast (71551) | $8,430.75 | $8,430.75 | 10.0× |
| MRI chest wo w contrast (71552) range across 2 matching MRF lines |
$10,413.25–$10,416 | $10,413.25–$10,416 | varies |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 3 matching MRF lines |
$8,431.75–$11,120 | $8,431.75–$11,120 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 5 matching MRF lines |
$9,703.75–$12,602.50 | $9,703.75–$12,602.50 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 3 matching MRF lines |
$8,431.75–$11,120 | $8,431.75–$11,120 | varies |
| MRI lumbar spine w contrast (72149) range across 2 matching MRF lines |
$10,413.25–$10,416 | $10,413.25–$10,416 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 2 matching MRF lines |
$10,413.25–$10,416 | $10,413.25–$10,416 | varies |
| MRI orbit face &/neck w/o contrast (70540) | $7,032.50 | $7,032.50 | 27.4× |
| MRI orbit face neck w contrast (70542) | $9,651.50 | $9,651.50 | 25.7× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 2 matching MRF lines |
$8,429.25–$8,430.75 | $8,429.25–$8,430.75 | varies |
| MRI pelvis w contrast (72196) range across 2 matching MRF lines |
$9,651.50–$9,652.50 | $9,651.50–$9,652.50 | varies |
| MRI pelvis w/o & w contrast (72197) range across 2 matching MRF lines |
$10,413.25–$10,416 | $10,413.25–$10,416 | varies |
| MRI pelvis w/o contrast (72195) range across 2 matching MRF lines |
$8,430.75–$8,431.75 | $8,430.75–$8,431.75 | varies |
| MRI thoracic spine w/o contrast (72146) range across 2 matching MRF lines |
$8,430.75–$8,431.75 | $8,430.75–$8,431.75 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) | $8,431 | $8,431 | 22.4× |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 3 matching MRF lines |
$8,430.75–$8,431.75 | $8,430.75–$8,431.75 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 3 matching MRF lines |
$10,275–$15,413 | $10,275–$15,413 | varies |
| MRI, abdomen, combo (74183) range across 2 matching MRF lines |
$10,413.25–$10,416 | $10,413.25–$10,416 | varies |
| MRI, dorsal spine combo (72157) range across 2 matching MRF lines |
$10,272.25–$10,275 | $10,272.25–$10,275 | varies |
| MRI, dorsal spine contrast (72147) range across 2 matching MRF lines |
$10,413.25–$10,416 | $10,413.25–$10,416 | varies |
| MRI, joint upper extrem (73221) | $9,705.50 | $9,705.50 | 37.8× |
| MRI, joint upper extrem combo (73223) | $9,705.50 | $9,705.50 | 25.8× |
| MRI, lumbar spine combo (72158) range across 2 matching MRF lines |
$10,413.25–$10,416 | $10,413.25–$10,416 | varies |
| Myelogram cervical (72240) | $3,637.50 | $3,637.50 | 4.3× |
| Myelogram Lumbar (72265) | $3,487.50 | $3,487.50 | 4.1× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) | $19,176.50 | $19,176.50 | 13.7× |
| Myocardial Perfusion Planar 1 Study Rest/Stress (78453) | $4,179.50 | $4,179.50 | 3.0× |
| Myocardial Spect Multiple Studies (78452) | $16,609 | $16,609 | 11.9× |
| Neck soft tissue (70360) | $839.75 | $839.75 | 9.0× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $2,328 | $2,328 | 5.4× |
| Nonvascular Shunt X-Ray (75809) | $2,028.50 | $2,028.50 | 18.0× |
| Nuclear Rx Oral Admin (79005) | $2,087 | $2,087 | 8.3× |
| Ob us nuchal meas 1 gest (76813) | $1,735 | $1,735 | 15.4× |
| Parathyroid Planar Imaging (78070) | $3,813.50 | $3,813.50 | 8.9× |
| Parathyroid planar imaging w/wo subtraction (78071) | $3,813.50 | $3,813.50 | 8.9× |
| Pelvis 1 or 2 views (72170) | $606.75 | $606.75 | 5.4× |
| Pet Image W/Ct Lmtd (78814) | $21,481.25 | $21,481.25 | 13.9× |
| PET image w/CT, full body (78816) | $21,481.25 | $21,481.25 | 13.9× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $21,481.25 | $21,481.25 | 13.9× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $19,265.25 | $19,265.25 | 5.7× |
| Pulmonary Perfusion Imaging Particulate (78580) | $2,406.50 | $2,406.50 | 5.6× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $684.75 | $684.75 | 6.1× |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 3 matching MRF lines |
$893.75–$3,669 | $893.75–$3,669 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 3 matching MRF lines |
$978.25–$1,951.25 | $978.25–$1,951.25 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 3 matching MRF lines |
$936.75–$1,404.25 | $936.75–$1,404.25 | varies |
| Radex elbow complete minimum 3 views (73080) range across 3 matching MRF lines |
$1,086.50–$1,951.25 | $1,086.50–$1,951.25 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $1,212.25 | $1,212.25 | 10.8× |
| Radex fingr minimum 2 views (73140) range across 3 matching MRF lines |
$831.25–$1,502.25 | $831.25–$1,502.25 | varies |
| Radex foot complete minimum 3 views (73630) range across 3 matching MRF lines |
$1,086.50–$1,951.25 | $1,086.50–$1,951.25 | varies |
| Radex Hand Minimum 3 Views (73130) range across 3 matching MRF lines |
$1,086.50–$1,951.25 | $1,086.50–$1,951.25 | varies |
| Radex lower extremity infant minimum 2 views (73592) range across 3 matching MRF lines |
$719–$1,330.25 | $719–$1,330.25 | varies |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) range across 3 matching MRF lines |
$936.75–$1,404.25 | $936.75–$1,404.25 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $763.25 | $763.25 | 8.1× |
| Radex Ribs Unilateral 2 Views (71100) | $1,087.50 | $1,087.50 | 11.6× |
| Radex shoulder complete minimum 2 views (73030) range across 3 matching MRF lines |
$831.25–$1,502.25 | $831.25–$1,502.25 | varies |
| Radex Sinuses Paransl < 3 Views (70210) | $760.75 | $760.75 | 8.1× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $1,309.50 | $1,309.50 | 6.9× |
| Radex Spine 1 View Specify Level (72020) | $1,033.75 | $1,033.75 | 11.0× |
| Radex Sternum Minimum 2 Views (71120) | $1,022.50 | $1,022.50 | 10.9× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $1,395.25 | $1,395.25 | 14.9× |
| Radex Toe Minimum 2 Views (73660) range across 3 matching MRF lines |
$831.25–$1,502.25 | $831.25–$1,502.25 | varies |
| Radex upper extremity infant minimum 2 views (73092) range across 5 matching MRF lines |
$422.50–$781.75 | $422.50–$781.75 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 3 matching MRF lines |
$1,086.50–$1,951.25 | $1,086.50–$1,951.25 | varies |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $685.75 | $685.75 | 6.1× |
| Radiolog exam mandible compl minimum 4 views (70110) | $1,122.50 | $1,122.50 | 10.0× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $432.50 | $432.50 | 3.8× |
| Radiologic exam colon double contrast study (74280) range across 2 matching MRF lines |
$2,269.50–$2,275 | $2,269.50–$2,275 | varies |
| Radiologic exam colon single contrast study (74270) range across 2 matching MRF lines |
$1,833–$1,836 | $1,833–$1,836 | varies |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $1,841.50 | $1,841.50 | 9.7× |
| Radiologic exam knee complete 4/more views (73564) range across 3 matching MRF lines |
$1,333–$2,836.25 | $1,333–$2,836.25 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 2 matching MRF lines |
$728.75–$828.75 | $728.75–$828.75 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) range across 2 matching MRF lines |
$828.75–$1,309.50 | $828.75–$1,309.50 | varies |
| Radiologic exam swallow function contrast study (74230) range across 2 matching MRF lines |
$1,342.75–$1,813.75 | $1,342.75–$1,813.75 | varies |
| Radiologic exam upr gi trc double contrast study (74246) range across 2 matching MRF lines |
$1,235.75–$1,910.75 | $1,235.75–$1,910.75 | varies |
| Radiologic examination femur 1 view (73551) | $526.50 | $526.50 | 5.6× |
| Radiologic examination femur minimum 2 views (73552) range across 2 matching MRF lines |
$526.50–$902 | $526.50–$902 | varies |
| Radiologic examination knee 1/2 views (73560) range across 3 matching MRF lines |
$831.25–$1,502.25 | $831.25–$1,502.25 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 3 matching MRF lines |
$831.25–$1,502.25 | $831.25–$1,502.25 | varies |
| Renal Cyst Study (74470) | $2,028.50 | $2,028.50 | 3.4× |
| Ribs bilateral 3 views (71110) | $1,383 | $1,383 | 12.3× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $5,633.75 | $5,633.75 | 13.1× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $11,443.25 | $11,443.25 | 19.6× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $8,478.50 | $8,478.50 | 14.5× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $8,478.50 | $8,478.50 | 14.5× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $6,627.50 | $6,627.50 | 4.8× |
| Scapula (73010) range across 3 matching MRF lines |
$947.75–$1,422 | $947.75–$1,422 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) | $11.25 | $11.25 | 0.5× |
| Sella turcica (70240) | $577.75 | $577.75 | 6.2× |
| Shoulder 1 view (73020) range across 3 matching MRF lines |
$422.50–$843.75 | $422.50–$843.75 | varies |
| Shoulder Arthrography (73040) range across 3 matching MRF lines |
$2,613.50–$3,920 | $2,613.50–$3,920 | varies |
| Sialogram (70390) | $1,435.50 | $1,435.50 | 5.6× |
| Skull less than 4 views (70250) | $968.75 | $968.75 | 8.6× |
| Sternoclavicular joints (71130) | $947.75 | $947.75 | 10.1× |
| Superior sagittal sinus venogram (75870) | $17,014.75 | $17,014.75 | 5.0× |
| Temporomandble Jt Arthrography Rs&I (70332) | $814.50 | $814.50 | 3.2× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $1,061.25 | $1,061.25 | 5.6× |
| Thoracic spine 2 views (72070) | $1,033.75 | $1,033.75 | 9.2× |
| Thoracic spine 3 views (72072) | $1,062.75 | $1,062.75 | 9.4× |
| Thoracolumbar 2 views (72080) | $991 | $991 | 10.6× |
| Thyroid Met Imaging Body (78018) | $6,344 | $6,344 | 10.8× |
| Thyroid Uptake Measurement (78012) | $1,421.50 | $1,421.50 | 3.3× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $2,695.25 | $2,695.25 | 6.3× |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$906–$1,679.75 | $906–$1,679.75 | varies |
| Ultrasound Exam Aaa Screen (76706) | $3,944 | $3,944 | 35.0× |
| Ultrasound, abdomen limited (76705) | $1,667 | $1,667 | 14.8× |
| Umbilical-artery Doppler (OB) (76820) | $1,165.25 | $1,165.25 | 10.3× |
| Upper gi w/o kub (74240) | $1,863.75 | $1,863.75 | 9.9× |
| Ureteral Reflux Study (78740) | $4,464 | $4,464 | 10.4× |
| Urethrocystogram voiding (74455) | $1,851.50 | $1,851.50 | 7.2× |
| Urethrocystography retrograde (74450) | $1,512.75 | $1,512.75 | 5.9× |
| Us breast unilateral complete (76641) range across 3 matching MRF lines |
$939.25–$1,409 | $939.25–$1,409 | varies |
| Us chest (76604) | $895 | $895 | 7.9× |
| Us complete joint (76881) | $1,100 | $1,100 | 9.8× |
| Us exam, pelvic, limited (76857) | $767.25 | $767.25 | 6.8× |
| Us head (76506) range across 2 matching MRF lines |
$1,934.25–$1,937 | $1,934.25–$1,937 | varies |
| Us kidney transplant (76776) | $647 | $647 | 5.7× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $710.75 | $710.75 | 6.3× |
| Us ob detailed single fetus (76811) | $3,659.50 | $3,659.50 | 14.2× |
| Us ob limited 1 or more fetuses (76815) range across 2 matching MRF lines |
$1,876.25–$1,877.50 | $1,876.25–$1,877.50 | varies |
| Us ob transvaginal (76817) | $1,391 | $1,391 | 12.3× |
| Us pelvic non ob complete (76856) range across 2 matching MRF lines |
$1,974.50–$1,975.75 | $1,974.50–$1,975.75 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $2,078.50 | $2,078.50 | 18.5× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 2 matching MRF lines |
$2,190.75–$2,192.25 | $2,190.75–$2,192.25 | varies |
| Us retroperitoneal complete (76770) range across 2 matching MRF lines |
$2,023–$2,024.75 | $2,023–$2,024.75 | varies |
| Us retroperitoneal limited (76775) range across 2 matching MRF lines |
$646.50–$1,525.50 | $646.50–$1,525.50 | varies |
| Us scrotum and contents (76870) | $1,745.75 | $1,745.75 | 15.5× |
| Us spinal canal and contents (76800) | $978.25 | $978.25 | 8.7× |
| Us thyroid (76536) range across 2 matching MRF lines |
$1,904–$1,905.50 | $1,904–$1,905.50 | varies |
| Us transrectal (76872) range across 3 matching MRF lines |
$1,411.75–$3,748.50 | $1,411.75–$3,748.50 | varies |
| Vein X-Ray Chest (75827) range across 2 matching MRF lines |
$5,581.50–$7,738 | $5,581.50–$7,738 | varies |
| Vein X-Ray Liver W/O Hemodyn (75887) | $5,581.50 | $5,581.50 | 1.6× |
| Vein X-Ray Spleen/Liver (75810) | $5,581.50 | $5,581.50 | 1.6× |
| Venogram Sinus/Jugular (75860) | $15,811 | $15,811 | 4.6× |
| Venography Adrenal Unilateral (75840) | $19,265.25 | $19,265.25 | 5.7× |
| Venography caval inferior serialography rs&i (75825) range across 2 matching MRF lines |
$7,498.25–$19,265.25 | $7,498.25–$19,265.25 | varies |
| Venography extremity bilateral rs&i (75822) range across 2 matching MRF lines |
$2,398.75–$5,581.50 | $2,398.75–$5,581.50 | varies |
| Venography extremity unilateral rs&i (75820) | $5,581.50 | $5,581.50 | 3.3× |
| Venography Orbital Rs&I (75880) | $3,213.25 | $3,213.25 | 4.8× |
| Venography Renal Bilateral (75833) | $19,265.25 | $19,265.25 | 5.7× |
| Venography Renal Unilateral (75831) | $19,265.25 | $19,265.25 | 5.7× |
| Venous sampling by catheter (75893) | $7,621.25 | $7,621.25 | 1.3× |
| Wrist 2 views (73100) range across 4 matching MRF lines |
$831.25–$1,502.25 | $831.25–$1,502.25 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$947.75–$948 | $947.75–$948 | varies |
| X-ray antegrade pyelogram tube (74425) range across 3 matching MRF lines |
$1,794.50–$2,136.50 | $1,794.50–$2,136.50 | varies |
| X-Ray Aorta Leg Arteries (75630) range across 2 matching MRF lines |
$10,878.75–$19,265.25 | $10,878.75–$19,265.25 | varies |
| X-Ray Bend Only L-S Spine (72120) | $1,036.25 | $1,036.25 | 9.2× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 3 matching MRF lines |
$826–$1,240.50 | $826–$1,240.50 | varies |
| X-Ray Exam Breast Specimen (76098) range across 2 matching MRF lines |
$802.25–$866.25 | $802.25–$866.25 | varies |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 2 matching MRF lines |
$488–$526.50 | $488–$526.50 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $728.75 | $728.75 | 6.5× |
| X-Ray Exam Hip Uni 1 View (73501) range across 3 matching MRF lines |
$457.50–$526.50 | $457.50–$526.50 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $526.50 | $526.50 | 5.6× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $526.50 | $526.50 | 4.7× |
| X-Ray Exam Hips Bi 2 Views (73521) | $869.25 | $869.25 | 7.7× |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 2 matching MRF lines |
$728.75–$869.25 | $728.75–$869.25 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) range across 2 matching MRF lines |
$1,659.75–$1,660 | $1,659.75–$1,660 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 2 matching MRF lines |
$1,713–$2,084.25 | $1,713–$2,084.25 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $993.50 | $993.50 | 10.6× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $1,737.50 | $1,737.50 | 15.4× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $750.75 | $750.75 | 6.7× |
| X-ray eye for foreign body (70030) range across 5 matching MRF lines |
$760.25–$1,141 | $760.25–$1,141 | varies |
| X-ray humerus (73060) | $831.25 | $831.25 | 8.9× |
| X-ray IV pyelogram (ivp) (74400) | $2,244.75 | $2,244.75 | 11.9× |
| X-ray IV pyelogram+tomography (74415) | $4,679.75 | $4,679.75 | 24.8× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $1,502.25 | $1,502.25 | 16.0× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $1,033.75 | $1,033.75 | 9.2× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $719 | $719 | 6.4× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $1,030.75 | $1,030.75 | 9.2× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $828.75 | $828.75 | 7.4× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $853.50 | $853.50 | 9.1× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $760.75 | $760.75 | 8.1× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $1,265.25 | $1,265.25 | 11.2× |
| X-Ray Stress View (77071) | $1,309.50 | $1,309.50 | 14.0× |
| X-ray thoracic spine 4 vw (72074) | $1,099 | $1,099 | 9.8× |
| X-Ray Tmj Unilat (70328) | $849.50 | $849.50 | 9.1× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $2,282 | $2,282 | 6.1× |
| X-Rays Bone Length Studies (77073) | $978.25 | $978.25 | 8.7× |
| X-Rays Bone Survey Complete (77075) | $935.25 | $935.25 | 8.3× |
| Xr c-spine 4 or 5 views (72050) | $1,498 | $1,498 | 13.3× |
| Xr facial bones less than 3 views (70140) | $1,212.25 | $1,212.25 | 12.9× |
| XR Mastoids < 3 Views Bilateral (70120) range across 3 matching MRF lines |
$849.50–$1,274 | $849.50–$1,274 | varies |
| Xr orbits complete 4 views (70200) | $1,089.50 | $1,089.50 | 9.7× |
| Xr Tomogram Single Plane (76100) range across 2 matching MRF lines |
$3,206.50–$3,209.25 | $3,206.50–$3,209.25 | 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.