Imaging prices at Pascagoula Hospital
Pascagoula, MS · 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) | $1,355.40 | $4,518 | 1.1× |
| Abdomen 1 View (74018) | $195.90 | $653 | 2.5× |
| Abdomen 2 views (74019) | $183 | $610 | 2.0× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $976.80 | $3,256 | 2.7× |
| Adrenal Cortex & Medulla Img (78075) | $696 | $2,320 | 0.6× |
| Angio internal mammary (75756) | $702.30 | $2,341 | 0.2× |
| Angio pulmonary bilat (75743) | $1,074.90 | $3,583 | 0.4× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $1,674.30 | $5,581 | 0.6× |
| Angiography extremity bilateral rs&i (75716) | $1,495.20 | $4,984 | 0.5× |
| Angiography extremity unilateral rs&i (75710) | $1,854.30 | $6,181 | 0.7× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $1,068.90 | $3,563 | 0.4× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $631.80 | $2,106 | 0.2× |
| Ankle 2 views (73600) | $127.80 | $426 | 1.6× |
| Aortography thoracic serialography rs&i (75605) | $1,365 | $4,550 | 0.3× |
| Artery X-Rays Abdomen (75726) | $1,228.50 | $4,095 | 0.2× |
| Artery X-Rays Adrenal Gland (75731) | $1,407.90 | $4,693 | 0.5× |
| Artery X-Rays Pelvis (75736) | $1,354.20 | $4,514 | 0.3× |
| Artery X-Rays Spine (75705) | $1,062.60 | $3,542 | 0.2× |
| Arthrogram ankle (73615) | $201 | $670 | 0.6× |
| Arthrogram hip (73525) | $180.90 | $603 | 0.6× |
| Arthrogram Wrist (73115) | $138.60 | $462 | 0.4× |
| Basic radiation dosimetry calculation (77300) range across 2 matching MRF lines |
$350.10–$700.20 | $1,167–$2,334 | varies |
| Bone age studies (77072) | $128.10 | $427 | 1.4× |
| Bone Imaging 3 Phase (78315) | $971.10 | $3,237 | 2.7× |
| Bone Imaging Limited Area (78300) | $508.80 | $1,696 | 1.4× |
| Bone Imaging Multiple Areas (78305) | $614.10 | $2,047 | 1.7× |
| Bone Imaging Whole Body (78306) | $867.30 | $2,891 | 2.4× |
| Bone marrow imaging limited area (78102) | $305.40 | $1,018 | 0.9× |
| Bone marrow imaging; whole body (78104) | $313.20 | $1,044 | 0.9× |
| Bone survey infant (77076) | $118.20 | $394 | 1.3× |
| Brachytx isodose complex (77318) | $877.50 | $2,925 | 2.6× |
| Brachytx isodose intermed (77317) | $634.20 | $2,114 | 1.9× |
| Brachytx Isodose Plan Simple (77316) | $402.90 | $1,343 | 1.2× |
| Brain Flow Imaging Only (78610) | $430.50 | $1,435 | 0.9× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $433.80 | $1,446 | 0.9× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $1,917.60 | $6,392 | 1.5× |
| Cat Scan Follow-Up Study (76380) | $321.90 | $1,073 | 4.1× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $392.70 | $1,309 | 0.8× |
| Cerebrospinal fluid flow, imaging (not including introduction of material); ventriculography Non-Facility (78635) | $291 | $970 | 0.6× |
| Cerebrospinal Fluid Scan (78630) | $575.10 | $1,917 | 1.2× |
| Chest 1 view (71045) range across 2 matching MRF lines |
$93.90–$108.30 | $313–$361 | varies |
| Chest 2 views (71046) | $140.40 | $468 | 1.8× |
| Chest 3 views (71047) | $193.50 | $645 | 2.5× |
| Chest 4 or more views (71048) | $203.40 | $678 | 2.2× |
| Cholecystography Oral Contrast (74290) | $124.20 | $414 | 0.8× |
| Cineradiograpy/vidradiograpy xcpt where spec (76120) | $54.90 | $183 | 0.6× |
| Clavicle complete (73000) | $148.20 | $494 | 1.9× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 2 matching MRF lines |
$37.50–$150 | $125–$500 | varies |
| Continuing medical physics consltj pr wk (77336) | $476.70 | $1,589 | 4.0× |
| Contrast Exam Abdominl Aorta (75625) | $2,046 | $6,820 | 0.7× |
| Contrast X-Ray Bladder (74430) | $254.70 | $849 | 0.8× |
| Contrast X-Ray Of Elbow (73085) | $206.10 | $687 | 0.7× |
| Contrast X-Ray Of Knee Joint (73580) | $277.50 | $925 | 0.9× |
| Contrast Xray Throat/Cerv Esopha (74210) | $160.20 | $534 | 1.0× |
| CT abdomen and pelvis without and with contrast (74178) | $1,623 | $5,410 | 5.2× |
| CT abdomen and pelvis without contrast (74176) | $1,125.30 | $3,751 | 5.3× |
| CT abdomen w contrast (74160) | $961.50 | $3,205 | 6.1× |
| CT abdomen w wo contrast (74170) | $1,191.60 | $3,972 | 7.6× |
| CT abdomen w/o contrast (74150) | $796.20 | $2,654 | 8.5× |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$634.50–$3,288.60 | $2,115–$10,962 | varies |
| CT Angio Chest (71275) range across 2 matching MRF lines |
$884.40–$1,443 | $2,948–$4,810 | varies |
| CT Angio Head (70496) range across 2 matching MRF lines |
$959.10–$1,443 | $3,197–$4,810 | varies |
| CT angio hrt w/3d image (75574) | $285 | $950 | 0.9× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 3 matching MRF lines |
$925.20–$1,748.40 | $3,084–$5,828 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$959.10–$1,887.30 | $3,197–$6,291 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $825.60 | $2,752 | 5.3× |
| CT Cere Prfuj Alys C+ W/O CT/Cta Same Anatomy (70473) | $141.60 | $472 | 0.9× |
| CT cervical spine w/ contrast (72126) | $876.90 | $2,923 | 2.8× |
| CT cervical spine w/o contrast (72125) | $825.30 | $2,751 | 8.8× |
| CT cervical spine w/wo cont (72127) | $1,028.10 | $3,427 | 6.5× |
| CT chest w contrast (71260) | $988.50 | $3,295 | 6.3× |
| CT chest w/wo contrast (71270) | $1,235.40 | $4,118 | 7.9× |
| CT head/brain with contrast (70460) | $789.60 | $2,632 | 5.0× |
| CT head/brain without and with contrast (70470) range across 2 matching MRF lines |
$876.60–$2,928.30 | $2,922–$9,761 | varies |
| CT heart contrast eval cardiac structure&morph (75572) | $140.40 | $468 | 0.4× |
| CT heart no contrast quant eval coronry calcium (75571) range across 2 matching MRF lines |
$19.50–$30 | $65–$100 | varies |
| CT hrt w/3d image congen (75573) | $163.80 | $546 | 0.5× |
| CT iac w contrast (70481) | $789.60 | $2,632 | 5.0× |
| CT l-spine w&w/o contrast (72133) | $1,028.10 | $3,427 | 6.5× |
| CT lower ext w/o (73700) range across 5 matching MRF lines |
$330–$1,910.40 | $1,100–$6,368 | varies |
| CT lower extremity w/contrast material (73701) | $820.80 | $2,736 | 5.2× |
| CT lumbar spine w contrast (72132) | $876.90 | $2,923 | 2.8× |
| CT lumbar spine w/o contrast (72131) range across 2 matching MRF lines |
$330–$825.30 | $1,100–$2,751 | varies |
| CT maxillofacial w contrast (70487) | $789.60 | $2,632 | 5.0× |
| CT maxillofacial wo contrast (70486) | $659.70 | $2,199 | 7.0× |
| CT neck tissue combo (70492) | $876.90 | $2,923 | 5.6× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $876.60 | $2,922 | 5.6× |
| CT orbits w/o contrast (70480) | $659.70 | $2,199 | 7.0× |
| CT pelvis w&w/o contrast (72194) | $1,182.60 | $3,942 | 7.5× |
| CT pelvis w/o contrast (72192) | $825.30 | $2,751 | 8.8× |
| CT scan of leg combo (73702) | $1,036.80 | $3,456 | 6.6× |
| CT scans face/jaw combo (70488) | $876.60 | $2,922 | 5.6× |
| CT soft tissue neck w contrast (70491) | $789.90 | $2,633 | 5.0× |
| CT soft tissue neck w/o contrast (70490) | $660.30 | $2,201 | 7.0× |
| CT thoracic spine w contrast (72129) | $876.90 | $2,923 | 5.6× |
| CT thoracic spine w/o contrast (72128) range across 2 matching MRF lines |
$330–$825.30 | $1,100–$2,751 | varies |
| CT thoracic spine w/wo cont (72130) | $1,028.10 | $3,427 | 6.5× |
| CT thorax w/o contrast (71250) range across 2 matching MRF lines |
$826.80–$2,651.40 | $2,756–$8,838 | varies |
| CT unlisted procedure (76497) range across 2 matching MRF lines |
$57.60–$330 | $192–$1,100 | varies |
| CT upper ext wo (73200) | $692.70 | $2,309 | 7.4× |
| CT upper extremity w/o & w/contrast material (73202) | $1,036.80 | $3,456 | 6.6× |
| CT upper extremity with contrast (73201) | $820.80 | $2,736 | 2.6× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $962.40 | $3,208 | 6.1× |
| Cta Abdomen (74175) | $928.80 | $3,096 | 5.9× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $281.40 | $938 | 0.9× |
| CTA pelvis (72191) | $884.40 | $2,948 | 5.6× |
| Dilation ureters/urethra rs&i (74485) | $303 | $1,010 | 0.2× |
| Discography Cerv/Thor Spine (72285) | $392.70 | $1,309 | 0.2× |
| Diskography lumbar (72295) | $392.70 | $1,309 | 0.2× |
| Dxa Bone Density Axial (77080) range across 2 matching MRF lines |
$30–$264 | $100–$880 | varies |
| Dxa bone density study (77085) | $315 | $1,050 | 3.4× |
| Dxa bone density study 1/>sites appendiclr skel (77081) range across 2 matching MRF lines |
$222.90–$238.50 | $743–$795 | varies |
| Echo exam uterus (76831) | $171.30 | $571 | 0.8× |
| Echo Guide For Artery Repair (76936) | $987.60 | $3,292 | 5.1× |
| Echograp Trans R Pros Study (76873) | $103.50 | $345 | 1.1× |
| Esophagram (74220) | $283.80 | $946 | 1.8× |
| Fetal Biophys Profile W/Nst (76818) | $223.80 | $746 | 2.4× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $175.20 | $584 | 1.9× |
| Fluoroscopy up to 1 hr (76000) range across 2 matching MRF lines |
$207–$221.10 | $690–$737 | varies |
| Follow-Up Angiography (75898) | $305.70 | $1,019 | 0.1× |
| Foot 2 views (73620) | $152.70 | $509 | 2.0× |
| Forearm 2 views (73090) | $148.20 | $494 | 1.9× |
| Gastric emptying imaging study (78264) | $828.30 | $2,761 | 2.3× |
| Gastric Emptyng Imag Std W/Sm Bwl Transit (78265) | $371.70 | $1,239 | 1.0× |
| Gastroesophageal Reflux Exam (78262) | $711.60 | $2,372 | 2.0× |
| Gastrointestinal Protein Loss (78282) | $278.10 | $927 | 0.8× |
| Gated Heart Planar Single (78472) | $1,105.80 | $3,686 | 3.1× |
| Gstrc Emptng Imag Std W/Sm Bwl Col Trnst Mlt Day (78266) | $493.50 | $1,645 | 1.0× |
| Hand 2 views (73120) | $108.30 | $361 | 1.2× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77772) | $711.30 | $2,371 | 1.1× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) | $711.30 | $2,371 | 1.1× |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) | $711.30 | $2,371 | 1.1× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $2,317.20 | $7,724 | 0.8× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $1,001.40 | $3,338 | 0.4× |
| Hepatobil Syst Image W/Drug (78227) | $545.10 | $1,817 | 1.1× |
| Hepatobiliary System Imaging (78226) | $466.80 | $1,556 | 1.3× |
| Ht Muscle Image Spect Sing (78451) | $1,093.80 | $3,646 | 0.9× |
| Hyperthermia external generated superficial (77600) | $205.20 | $684 | 0.6× |
| Hysterosalpingogram (74740) | $469.80 | $1,566 | 2.2× |
| Image fusion (77399) | $109.80 | $366 | 0.9× |
| Infant hip ultrasound, limited static exam (76886) range across 2 matching MRF lines |
$189.30–$202.50 | $631–$675 | varies |
| Interstitial radiation source applic complex (77778) | $2,417.70 | $8,059 | 3.9× |
| Intracavitary Radiation Source Applic Complex (77763) | $2,391.90 | $7,973 | 3.8× |
| Intracavitary Radiation Source Applic Intermed (77762) | $1,959.60 | $6,532 | 4.0× |
| Intracavitary radiation source applic simple (77761) | $868.20 | $2,894 | 1.8× |
| Joint Survey Single View (77077) | $155.10 | $517 | 1.7× |
| K Flow/Funct Image Multiple (78709) | $688.50 | $2,295 | 1.4× |
| K Flow/Funct Image W/Drug (78708) | $553.50 | $1,845 | 1.1× |
| K Flow/Funct Image W/O Drug (78707) | $717 | $2,390 | 1.5× |
| Kidney Funcj Study Non-Img Radioisotopic Study (78725) | $245.40 | $818 | 0.7× |
| Kidney Imaging Morphol (78700) | $390.90 | $1,303 | 1.1× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $456.90 | $1,523 | 1.3× |
| Knee 3 Views (73562) | $164.10 | $547 | 2.1× |
| Leveen/Shunt Patency Exam (78291) | $423 | $1,410 | 1.2× |
| Liver & Spleen Imaging Static Only (78215) | $749.40 | $2,498 | 2.1× |
| Liver imaging w/vascular flow (78202) | $611.70 | $2,039 | 1.3× |
| Lung Perf&Ventilat Diferentl (78598) | $344.40 | $1,148 | 0.7× |
| Lung perfusion differential (78597) | $220.20 | $734 | 0.6× |
| Lung Ventilat&Perfus Imaging (78582) | $500.10 | $1,667 | 1.0× |
| Lung Ventilation Imaging (78579) | $257.40 | $858 | 0.7× |
| Lymph System Imaging (78195) | $556.50 | $1,855 | 1.1× |
| Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) | $1,931.70 | $6,439 | 0.7× |
| Lymphangiography, pelvic/abdominal, unilateral (75805) | $914.10 | $3,047 | 0.3× |
| Magnetic Image Jaw Joint (70336) | $1,015.80 | $3,386 | 4.7× |
| Mammary ductogram or galactogram multiple (77054) | $185.10 | $617 | 0.9× |
| Mammary ductogram or galactogram single (77053) | $132.30 | $441 | 0.6× |
| Meckels Divert Exam (78290) | $530.10 | $1,767 | 1.5× |
| Medical physics dose eval radiation expos w/rprt (76145) | $110.10 | $367 | 0.3× |
| Mlc imrt design & construction per imrt plan (77338) | $3,501.60 | $11,672 | 10.4× |
| Mra Head W/O & W/Contrast Material (70546) | $1,466.40 | $4,888 | 4.7× |
| MRA head w/o contrast (70544) | $1,216.50 | $4,055 | 5.7× |
| MRA head with contrast (70545) | $1,460.70 | $4,869 | 4.7× |
| MRA neck w contrast (70548) | $1,460.70 | $4,869 | 4.7× |
| Mra Neck W/O &W/Contrast Material (70549) | $1,466.40 | $4,888 | 4.7× |
| MRA neck w/o contrast (70547) | $1,216.50 | $4,055 | 5.7× |
| MRI abdomen w contrast (74182) | $1,497.60 | $4,992 | 4.8× |
| MRI abdomen w/o contrast (74181) | $1,438.20 | $4,794 | 6.7× |
| MRI any jt lower extrem w/contrast material (73722) | $1,452.60 | $4,842 | 2.1× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 2 matching MRF lines |
$1,639.20–$2,741.40 | $5,464–$9,138 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 3 matching MRF lines |
$1,452.60–$2,613 | $4,842–$8,710 | varies |
| MRI bone marrow blood supply (77084) | $1,015.80 | $3,386 | 4.7× |
| MRI Breast W/O Contrast Bilateral (77047) | $807 | $2,690 | 3.8× |
| MRI Breast Without Contrast Material Unilateral (77046) | $704.70 | $2,349 | 3.3× |
| MRI cervical spine w contrast (72142) | $1,530.90 | $5,103 | 4.9× |
| MRI cervical spine w/o cont (72141) | $1,471.20 | $4,904 | 6.9× |
| MRI chest w/o contrast (71550) | $1,050.60 | $3,502 | 4.9× |
| MRI chest with contrast (71551) | $1,209 | $4,030 | 1.7× |
| MRI chest wo w contrast (71552) | $1,423.20 | $4,744 | 4.6× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $1,497.60 | $4,992 | 4.8× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $1,961.70 | $6,539 | 6.3× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $1,438.20 | $4,794 | 6.7× |
| MRI lumbar spine w contrast (72149) | $1,530.90 | $5,103 | 4.9× |
| Mri Neck Spine W/O & W/Dye (72156) | $1,642.50 | $5,475 | 5.3× |
| MRI orbit face &/neck w/o contrast (70540) | $1,453.20 | $4,844 | 6.8× |
| MRI orbit face neck w contrast (70542) | $1,532.10 | $5,107 | 4.9× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $1,970.40 | $6,568 | 6.3× |
| MRI pelvis w contrast (72196) | $984.30 | $3,281 | 3.1× |
| MRI pelvis w/o & w contrast (72197) | $1,093.20 | $3,644 | 3.5× |
| MRI pelvis w/o contrast (72195) | $950.70 | $3,169 | 4.4× |
| MRI thoracic spine w/o contrast (72146) | $1,471.20 | $4,904 | 6.9× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $1,497.60 | $4,992 | 4.8× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $1,438.20 | $4,794 | 6.7× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $1,961.70 | $6,539 | 6.3× |
| MRI, abdomen, combo (74183) | $1,961.70 | $6,539 | 6.3× |
| MRI, dorsal spine combo (72157) | $1,642.50 | $5,475 | 5.3× |
| MRI, dorsal spine contrast (72147) | $1,530.90 | $5,103 | 4.9× |
| MRI, joint upper extrem (73221) | $1,434.90 | $4,783 | 6.7× |
| MRI, joint upper extrem combo (73223) | $1,639.20 | $5,464 | 5.2× |
| MRI, lumbar spine combo (72158) | $1,642.50 | $5,475 | 5.3× |
| Musculoskeletal Nuclear Exam (78399) | $327.60 | $1,092 | 0.9× |
| Myelogram Lumbar (72265) | $745.80 | $2,486 | 1.1× |
| Myelograpy 2/more regions rs&i (72270) | $644.40 | $2,148 | 0.9× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $326.70 | $1,089 | 0.9× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) | $2,186.10 | $7,287 | 1.9× |
| Myocardial Spect Multiple Studies (78452) range across 2 matching MRF lines |
$1,515.90–$3,923.40 | $5,053–$13,078 | varies |
| N-invas est c ffr sw aly CTA (75580) | $829.80 | $2,766 | 1.1× |
| Neck soft tissue (70360) | $142.50 | $475 | 1.8× |
| Nfs/Instlj Radioelmnt Sln 3 Mo Follow-Up Care (77750) | $582.30 | $1,941 | 1.7× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $279.90 | $933 | 0.8× |
| Nm csf leak detection (78650) | $529.50 | $1,765 | 0.5× |
| Nm myocard infarct spect (78469) | $649.80 | $2,166 | 1.3× |
| Nonvascular Shunt X-Ray (75809) | $219.90 | $733 | 2.3× |
| Ntsty modul radthx pln dose-vol histos (77301) | $2,280.60 | $7,602 | 1.8× |
| Nuclear medicine study of endocrine organs (78099) | $331.20 | $1,104 | 0.9× |
| Nuclear Rx Intra-Arterial (79445) | $198.90 | $663 | 1.0× |
| Nuclear Rx Oral Admin (79005) | $335.10 | $1,117 | 1.6× |
| Ophthalmic ultrasound dx b-scan w/wo a-scan (76512) | $90.90 | $303 | 1.0× |
| Ophthalmic us dx quantitative a-scan only (76511) | $178.80 | $596 | 1.9× |
| Panoramic X-ray of jaws (70355) | $112.20 | $374 | 1.4× |
| Parathyroid Planar Imaging (78070) | $229.50 | $765 | 0.6× |
| Parathyroid planar imaging w/wo subtraction (78071) | $317.40 | $1,058 | 0.9× |
| Pelvis 1 or 2 views (72170) | $84.60 | $282 | 0.9× |
| Peritoneogram Rs&I (74190) | $216 | $720 | 0.4× |
| Pet Image W/Ct Lmtd (78814) | $1,615.50 | $5,385 | 1.3× |
| PET image w/CT, full body (78816) | $1,917.60 | $6,392 | 1.5× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $1,917.60 | $6,392 | 1.5× |
| Pulmonary Perfusion Imaging Particulate (78580) | $471 | $1,570 | 1.3× |
| Quan&Charac C Atherosclerotc Plaq Asses Sev C Ds (75577) | $750.60 | $2,502 | 0.9× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $328.80 | $1,096 | 3.5× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $215.40 | $718 | 0.4× |
| Radex Ankle Complete Minimum 3 Views (73610) | $166.80 | $556 | 2.1× |
| Radex Calcaneus Minimum 2 Views (73650) | $135.30 | $451 | 1.7× |
| Radex elbow complete minimum 3 views (73080) | $141.60 | $472 | 1.8× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $213.90 | $713 | 2.3× |
| Radex fingr minimum 2 views (73140) | $145.20 | $484 | 1.9× |
| Radex foot complete minimum 3 views (73630) | $166.20 | $554 | 2.1× |
| Radex Hand Minimum 3 Views (73130) | $117.60 | $392 | 1.5× |
| Radex lower extremity infant minimum 2 views (73592) | $93.60 | $312 | 1.2× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $158.10 | $527 | 1.7× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $175.80 | $586 | 2.3× |
| Radex Ribs Unilateral 2 Views (71100) | $160.80 | $536 | 2.1× |
| Radex shoulder complete minimum 2 views (73030) | $175.80 | $586 | 2.3× |
| Radex Sinuses Paransl < 3 Views (70210) | $163.50 | $545 | 2.1× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $261.60 | $872 | 1.7× |
| Radex Spine 1 View Specify Level (72020) | $142.50 | $475 | 1.8× |
| Radex Sternum Minimum 2 Views (71120) | $156.60 | $522 | 2.0× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $136.80 | $456 | 1.8× |
| Radex Toe Minimum 2 Views (73660) | $130.20 | $434 | 1.7× |
| Radex upper extremity infant minimum 2 views (73092) range across 2 matching MRF lines |
$62.70–$335.40 | $209–$1,118 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) | $161.40 | $538 | 2.1× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $214.80 | $716 | 2.3× |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $7,110 | $23,700 | 1.1× |
| Radiation treatment delivery level 1 (77402) | $204.90 | $683 | 2.2× |
| Radiation treatment delivery level 2 (77407) | $204.90 | $683 | 0.6× |
| Radiation treatment delivery level 3 (77412) | $395.40 | $1,318 | 0.8× |
| Radiolog exam mandible compl minimum 4 views (70110) | $153 | $510 | 1.6× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $183 | $610 | 2.0× |
| Radiologic exam colon double contrast study (74280) | $413.40 | $1,378 | 2.6× |
| Radiologic exam colon single contrast study (74270) | $418.50 | $1,395 | 2.7× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $162.90 | $543 | 1.0× |
| Radiologic exam knee complete 4/more views (73564) | $171.30 | $571 | 1.8× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $105.30 | $351 | 1.1× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $312.30 | $1,041 | 2.0× |
| Radiologic exam swallow function contrast study (74230) | $306.90 | $1,023 | 2.0× |
| Radiologic exam upr gi trc double contrast study (74246) | $115.50 | $385 | 0.7× |
| Radiologic examination femur 1 view (73551) | $67.80 | $226 | 0.9× |
| Radiologic examination femur minimum 2 views (73552) | $67.80 | $226 | 0.9× |
| Radiologic examination knee 1/2 views (73560) | $147.90 | $493 | 1.9× |
| Radiologic Examination Osseous Survey Limited (77074) | $130.80 | $436 | 1.4× |
| Radiologic Examination Salivary Gland Calculus (70380) | $111 | $370 | 1.4× |
| Radiologic examination tibia & fibula 2 views (73590) | $147.60 | $492 | 1.9× |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77768) | $279.60 | $932 | 0.8× |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77767) | $194.70 | $649 | 0.6× |
| Renal Cyst Study (74470) | $120.30 | $401 | 0.2× |
| Ribs bilateral 3 views (71110) | $217.20 | $724 | 2.3× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $281.70 | $939 | 0.8× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $329.10 | $1,097 | 0.9× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $783.30 | $2,611 | 1.6× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $548.40 | $1,828 | 1.1× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $540.30 | $1,801 | 1.1× |
| Rp Ther Radiolbld Monoclonal Antibody IV Infus (79403) | $727.50 | $2,425 | 3.5× |
| Rp Therapy Intravenous Administration (79101) | $167.10 | $557 | 0.8× |
| Salivary Gland Imaging (78230) | $272.70 | $909 | 0.8× |
| Scapula (73010) | $156.90 | $523 | 1.7× |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 3 matching MRF lines |
$35.70–$87 | $119–$290 | varies |
| Sella turcica (70240) | $56.10 | $187 | 0.7× |
| Shoulder 1 view (73020) | $142.20 | $474 | 1.8× |
| Shoulder Arthrography (73040) | $366.90 | $1,223 | 1.2× |
| Sialogram (70390) | $171.30 | $571 | 0.8× |
| Skull less than 4 views (70250) | $114.90 | $383 | 1.2× |
| Special dosimetry (77331) | $470.40 | $1,568 | 3.9× |
| Special Physics Consult (77370) | $434.40 | $1,448 | 3.6× |
| Special teletherapy port plan (77321) | $739.80 | $2,466 | 2.2× |
| Special treatment procedure (77470) | $1,184.70 | $3,949 | 2.4× |
| Stereotactic Body Radiation Delivery (77373) | $1,574.70 | $5,249 | 1.0× |
| Sternoclavicular joints (71130) | $132.90 | $443 | 1.7× |
| Surf radj ther orthvlt dlvr>150-500 kv per fxj (77438) | $96 | $320 | 1.0× |
| Surf radj ther supfc dlvr<=150 kv per fraction (77437) | $82.50 | $275 | 0.9× |
| Surface Applic Low Dose Rate Radionuclide Source (77789) | $105 | $350 | 1.1× |
| Tbs technical calculation only (77091) | $80.70 | $269 | 1.0× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $878.10 | $2,927 | 2.6× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $391.50 | $1,305 | 1.2× |
| Testicular Imaging W/Flow (78761) | $441.30 | $1,471 | 1.2× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $993.60 | $3,312 | 3.0× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $642.60 | $2,142 | 1.9× |
| Ther rad simulaj-aided field setting simple (77280) | $536.10 | $1,787 | 4.5× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $516.30 | $1,721 | 3.3× |
| Thoracic spine 2 views (72070) | $247.20 | $824 | 2.6× |
| Thoracic spine 3 views (72072) | $292.20 | $974 | 3.1× |
| Thoracolumbar 2 views (72080) | $257.70 | $859 | 3.3× |
| Thyroid Imaging With Vascular Flow (78013) | $315.30 | $1,051 | 0.9× |
| Thyroid Met Imaging Body (78018) | $1,067.70 | $3,559 | 2.2× |
| Thyroid Uptake Measurement (78012) | $195.30 | $651 | 0.5× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $452.10 | $1,507 | 1.3× |
| Tx Devices Design & Construction Complex (77334) | $760.20 | $2,534 | 2.3× |
| Tx devices design & construction intermediate (77333) | $437.10 | $1,457 | 3.6× |
| Tx devices design & construction simple (77332) | $339.30 | $1,131 | 2.8× |
| Ultrasound Breast Limited (76642) range across 3 matching MRF lines |
$135.60–$546.60 | $452–$1,822 | varies |
| Ultrasound elastography first target lesion (76982) | $102.90 | $343 | 1.1× |
| Ultrasound Elastography Parenchyma (76981) | $144.60 | $482 | 1.5× |
| Ultrasound Exam Aaa Screen (76706) | $248.70 | $829 | 2.7× |
| Ultrasound, abdomen limited (76705) | $322.50 | $1,075 | 3.4× |
| Unlisted Dx Radiographic Procedure (76499) | $54.90 | $183 | 0.7× |
| Unlisted fluoroscopic procedure (76496) | $124.80 | $416 | 1.6× |
| Unlisted magnetic resonance procedure (76498) | $506.10 | $1,687 | 6.5× |
| Unlisted Procedure Clinical Brachytherapy (77799) | $128.10 | $427 | 1.4× |
| Unlisted respiratory px dx nuclear medicine (78599) | $358.20 | $1,194 | 1.0× |
| Unlisted us procedure (76999) | $173.40 | $578 | 2.2× |
| Upper gi w/o kub (74240) | $130.20 | $434 | 0.8× |
| Ureteral Reflux Study (78740) | $293.10 | $977 | 0.8× |
| Urethrocystogram voiding (74455) | $299.70 | $999 | 1.4× |
| Urethrocystography retrograde (74450) | $278.10 | $927 | 1.3× |
| Us breast unilateral complete (76641) range across 4 matching MRF lines |
$135.60–$203.40 | $452–$678 | varies |
| Us chest (76604) | $334.50 | $1,115 | 3.6× |
| Us complete joint (76881) | $221.10 | $737 | 2.4× |
| Us exam, pelvic, limited (76857) | $232.50 | $775 | 2.5× |
| Us head (76506) | $231.90 | $773 | 2.5× |
| Us kidney transplant (76776) | $324.60 | $1,082 | 3.5× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $206.10 | $687 | 2.2× |
| Us ob limited 1 or more fetuses (76815) | $189.30 | $631 | 2.0× |
| Us ob transvaginal (76817) | $239.10 | $797 | 2.6× |
| Us pelvic non ob complete (76856) | $370.50 | $1,235 | 4.0× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $301.50 | $1,005 | 3.2× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $162 | $540 | 1.7× |
| Us retroperitoneal complete (76770) | $403.20 | $1,344 | 4.3× |
| Us retroperitoneal limited (76775) | $336.60 | $1,122 | 3.6× |
| Us scrotum and contents (76870) | $314.40 | $1,048 | 3.4× |
| Us spinal canal and contents (76800) | $360.90 | $1,203 | 3.9× |
| Us thyroid (76536) | $277.50 | $925 | 3.0× |
| Us transrectal (76872) | $475.80 | $1,586 | 5.1× |
| Vascular Flow Imaging (78445) | $257.70 | $859 | 0.7× |
| Vein X-Ray Chest (75827) | $674.10 | $2,247 | 0.5× |
| Vein X-Ray Liver W/O Hemodyn (75887) | $1,025.70 | $3,419 | 0.4× |
| Venogram Sinus/Jugular (75860) | $708.30 | $2,361 | 0.3× |
| Venography Adrenal Unilateral (75840) | $1,751.10 | $5,837 | 0.6× |
| Venography caval inferior serialography rs&i (75825) | $795.30 | $2,651 | 0.3× |
| Venography extremity bilateral rs&i (75822) | $471.30 | $1,571 | 0.3× |
| Venography extremity unilateral rs&i (75820) | $344.40 | $1,148 | 0.2× |
| Venography Renal Bilateral (75833) | $1,248.30 | $4,161 | 0.4× |
| Venography Renal Unilateral (75831) | $1,141.50 | $3,805 | 0.4× |
| Venous sampling by catheter (75893) | $1,205.70 | $4,019 | 0.2× |
| Venous thrombosis imaging (78457) | $450 | $1,500 | 0.9× |
| Venous Thrombosis Imaging Venogram Bilateral (78458) | $678.60 | $2,262 | 1.9× |
| Vertebral fracture assessment via dxa (77086) | $96.90 | $323 | 1.2× |
| Wrist 2 views (73100) | $148.20 | $494 | 1.9× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $103.50 | $345 | 1.3× |
| X-ray antegrade pyelogram tube (74425) | $319.50 | $1,065 | 1.0× |
| X-Ray Aorta Leg Arteries (75630) | $2,699.70 | $8,999 | 1.0× |
| X-Ray Bend Only L-S Spine (72120) | $228.60 | $762 | 2.4× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) | $129 | $430 | 1.7× |
| X-Ray Exam Breast Specimen (76098) | $329.70 | $1,099 | 0.7× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $67.80 | $226 | 0.9× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $112.50 | $375 | 1.2× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $214.80 | $716 | 2.3× |
| X-Ray Exam Hip Uni 1 View (73501) | $67.80 | $226 | 0.9× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $67.80 | $226 | 0.9× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $112.50 | $375 | 1.2× |
| X-Ray Exam Hips Bi 2 Views (73521) | $112.50 | $375 | 1.2× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $112.50 | $375 | 1.2× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $214.80 | $716 | 2.3× |
| X-Ray Exam L-S Spine Bending (72114) | $311.40 | $1,038 | 3.3× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $171.30 | $571 | 2.2× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $294 | $980 | 3.1× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $204.90 | $683 | 2.2× |
| X-ray eye for foreign body (70030) | $62.40 | $208 | 0.8× |
| X-ray humerus (73060) | $141.60 | $472 | 1.8× |
| X-ray IV pyelogram (ivp) (74400) | $518.70 | $1,729 | 3.3× |
| X-ray IV pyelogram+tomography (74415) | $539.70 | $1,799 | 3.4× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $80.70 | $269 | 1.0× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $121.20 | $404 | 1.6× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 2 matching MRF lines |
$178.20–$198 | $594–$660 | varies |
| X-ray nose-rectum child f.b. (76010) | $105.30 | $351 | 1.3× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $259.20 | $864 | 2.8× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $155.10 | $517 | 1.7× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $134.10 | $447 | 1.4× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $167.70 | $559 | 2.2× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $210 | $700 | 2.7× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $222 | $740 | 2.4× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $362.40 | $1,208 | 1.2× |
| X-Rays Bone Length Studies (77073) | $121.20 | $404 | 1.3× |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$279.90–$836.40 | $933–$2,788 | varies |
| Xr c-spine 4 or 5 views (72050) | $240.30 | $801 | 2.6× |
| Xr facial bones less than 3 views (70140) | $166.50 | $555 | 2.1× |
| XR Mastoids < 3 Views Bilateral (70120) | $85.80 | $286 | 0.9× |
| Xr orbits complete 4 views (70200) | $130.80 | $436 | 1.4× |
| Xr Tomogram Single Plane (76100) | $186.90 | $623 | 2.0× |
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.