Imaging prices at Piedmont Cartersville Medical Center
Cartersville, GA · every code in this section with a posted price and a Medicare benchmark.
420 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) | $5,168.62 | $17,228.75 | 3.7× |
| Abdomen 1 View (74018) | $241.38 | $804.60 | 2.7× |
| Abdomen 2 views (74019) | $369.36 | $1,231.20 | 3.5× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $1,357.56 | $4,525.20 | 3.3× |
| Adrenal Cortex & Medulla Img (78075) | $1,155.30 | $3,851 | 0.9× |
| Angio internal mammary (75756) | $2,004.90 | $6,683 | 0.6× |
| Angio pulmonary bilat (75743) | $4,151.40 | $13,838 | 1.3× |
| Angiography Adrenal Bilateral Slctv Rs&I (75733) | $4,373.70 | $14,579 | 1.4× |
| Angiography extremity bilateral rs&i (75716) | $3,059.64 | $10,198.80 | 1.0× |
| Angiography extremity unilateral rs&i (75710) | $2,607.54 | $8,691.80 | 0.8× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $2,269.80 | $7,566 | 0.7× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $1,240.80 | $4,136 | 0.4× |
| Ankle 2 views (73600) range across 2 matching MRF lines |
$232.98–$278.37 | $776.60–$927.90 | varies |
| Aortography thoracic serialography rs&i (75605) unusually low: confirm this is the full procedure |
$2,142.30 | $7,141 | 0.4× |
| Artery X-Rays Abdomen (75726) | $3,206.58 | $10,688.60 | 0.6× |
| Artery X-Rays Adrenal Gland (75731) | $2,186.70 | $7,289 | 0.7× |
| Artery X-Rays Pelvis (75736) | $4,283.40 | $14,278 | 0.8× |
| Artery X-Rays Spine (75705) | $5,652 | $18,840 | 1.0× |
| Arthrogram ankle (73615) | $960.66 | $3,202.20 | 2.7× |
| Arthrogram hip (73525) | $839.43 | $2,798.10 | 2.4× |
| Arthrogram Wrist (73115) | $1,006.83 | $3,356.10 | 2.8× |
| Basic radiation dosimetry calculation (77300) | $458.10 | $1,527 | 3.4× |
| Bone age studies (77072) | $460.08 | $1,533.60 | 4.3× |
| Bone Imaging 3 Phase (78315) | $2,327.67 | $7,758.90 | 5.7× |
| Bone Imaging Limited Area (78300) | $1,395.09 | $4,650.30 | 3.4× |
| Bone Imaging Multiple Areas (78305) | $1,029.93 | $3,433.10 | 2.5× |
| Bone Imaging Whole Body (78306) | $1,727.19 | $5,757.30 | 4.3× |
| Bone marrow imaging limited area (78102) | $575.19 | $1,917.30 | 1.4× |
| Bone marrow imaging; multiple areas (78103) | $559.80 | $1,866 | 1.4× |
| Bone marrow imaging; whole body (78104) | $596.10 | $1,987 | 1.5× |
| Bone survey infant (77076) | $361.26 | $1,204.20 | 3.4× |
| Brachytx isodose complex (77318) | $1,659.15 | $5,530.50 | 4.4× |
| Brachytx isodose intermed (77317) | $1,465.12 | $4,883.75 | 3.9× |
| Brachytx Isodose Plan Simple (77316) | $875.25 | $2,917.50 | 2.3× |
| Brain Flow Imaging Only (78610) | $505.80 | $1,686 | 0.9× |
| Brain Image W/Flow < 4 Views (78601) | $463.05 | $1,543.50 | 1.1× |
| Brain imaging < 4 static views (78600) | $453.90 | $1,513 | 1.1× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $2,433.51 | $8,111.70 | 4.4× |
| Brain Imaging Minimum 4 Static Views (78605) | $653.10 | $2,177 | 1.2× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $5,179.41 | $17,264.70 | 3.6× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $1,749.99 | $5,833.30 | 4.9× |
| Cardiac MRI w/w/o contrast w/stress (75563) | $2,094.51 | $6,981.70 | 2.6× |
| Cat Scan Follow-Up Study (76380) | $894.78 | $2,982.60 | 10.1× |
| Cerebrospinal Fluid Flow W/O Matl Shunt Evaltj (78645) | $483.52 | $1,611.75 | 0.9× |
| Cerebrospinal fluid flow, imaging (not including introduction of material); ventriculography Non-Facility (78635) | $653.10 | $2,177 | 1.2× |
| Cerebrospinal Fluid Scan (78630) | $1,062.18 | $3,540.60 | 1.9× |
| Chest 1 view (71045) | $123.84 | $412.80 | 1.4× |
| Chest 2 views (71046) | $154.80 | $516 | 1.8× |
| Chest 3 views (71047) | $165.96 | $553.20 | 1.9× |
| Chest 4 or more views (71048) | $186.48 | $621.60 | 1.8× |
| Cineradiograpy/vidradiograpy xcpt where spec (76120) | $199.98 | $666.60 | 1.9× |
| Clavicle complete (73000) | $316.98 | $1,056.60 | 3.6× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $251.46 | $838.20 | 2.4× |
| Continuing medical physics consltj pr wk (77336) | $459.66 | $1,532.19 | 3.4× |
| Contrast Exam Abdominl Aorta (75625) | $1,969.65 | $6,565.50 | 0.6× |
| Contrast X-Ray Bladder (74430) | $319.95 | $1,066.50 | 0.9× |
| Contrast X-Ray Of Elbow (73085) | $927.45 | $3,091.50 | 2.6× |
| Contrast X-Ray Of Knee Joint (73580) | $852.39 | $2,841.30 | 2.4× |
| CT abdomen and pelvis without and with contrast (74178) | $2,930.04 | $9,766.80 | 8.3× |
| CT abdomen and pelvis without contrast (74176) | $2,076.84 | $6,922.80 | 8.6× |
| CT abdomen w contrast (74160) | $2,215.89 | $7,386.30 | 12.4× |
| CT abdomen w wo contrast (74170) | $2,544.21 | $8,480.70 | 14.3× |
| CT abdomen w/o contrast (74150) | $1,907.55 | $6,358.50 | 18.0× |
| CT Angio Abdomen and Pelvis (74174) | $2,266.42 | $7,554.75 | 6.4× |
| CT Angio Chest (71275) | $2,870.64 | $9,568.80 | 16.1× |
| CT Angio Head (70496) | $2,835 | $9,450 | 15.9× |
| CT angio hrt w/3d image (75574) | $590.70 | $1,969 | 1.7× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $2,468.34 | $8,227.80 | 13.9× |
| CT Angio Neck (70498) | $2,856.33 | $9,521.10 | 16.0× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $1,036.53 | $3,455.10 | 5.8× |
| CT Cere Prfuj Alys C+ W/O CT/Cta Same Anatomy (70473) | $526.35 | $1,754.50 | 3.0× |
| CT cervical spine w/ contrast (72126) | $2,116.26 | $7,054.20 | 6.0× |
| CT cervical spine w/o contrast (72125) | $1,620.54 | $5,401.80 | 15.3× |
| CT cervical spine w/wo cont (72127) | $2,110.32 | $7,034.40 | 11.8× |
| CT chest w contrast (71260) | $2,065.77 | $6,885.90 | 11.6× |
| CT chest w/wo contrast (71270) | $2,255.31 | $7,517.70 | 12.7× |
| CT head/brain with contrast (70460) | $2,071.98 | $6,906.60 | 11.6× |
| CT head/brain without and with contrast (70470) | $2,417.04 | $8,056.80 | 13.6× |
| CT heart contrast eval cardiac structure&morph (75572) | $676.83 | $2,256.10 | 1.9× |
| CT heart no contrast quant eval coronry calcium (75571) | $90 | $300 | 1.0× |
| CT hrt w/3d image congen (75573) | $576.84 | $1,922.80 | 1.6× |
| CT iac w contrast (70481) | $2,194.56 | $7,315.20 | 12.3× |
| CT l-spine w&w/o contrast (72133) | $1,874.88 | $6,249.60 | 10.5× |
| CT lower ext w/o (73700) | $1,493.91 | $4,979.70 | 14.1× |
| CT lower extremity w/contrast material (73701) | $1,824.66 | $6,082.20 | 10.2× |
| CT lumbar spine w contrast (72132) | $1,735.83 | $5,786.10 | 4.9× |
| CT lumbar spine w/o contrast (72131) | $1,622.16 | $5,407.20 | 15.3× |
| CT maxillofacial w contrast (70487) | $1,824.66 | $6,082.20 | 10.2× |
| CT maxillofacial wo contrast (70486) | $2,219.94 | $7,399.80 | 20.9× |
| CT neck tissue combo (70492) | $1,896.48 | $6,321.60 | 10.6× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $3,177.36 | $10,591.20 | 17.8× |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$1,077–$1,754.46 | $3,590–$5,848.20 | varies |
| CT pelvis w&w/o contrast (72194) | $2,791.80 | $9,306 | 15.7× |
| CT pelvis w/o contrast (72192) | $1,884.87 | $6,282.90 | 17.7× |
| CT scan of leg combo (73702) | $2,112.21 | $7,040.70 | 11.9× |
| CT scans face/jaw combo (70488) | $1,905.12 | $6,350.40 | 10.7× |
| CT soft tissue neck w contrast (70491) | $1,898.37 | $6,327.90 | 10.7× |
| CT soft tissue neck w/o contrast (70490) | $1,763.91 | $5,879.70 | 16.6× |
| CT thoracic spine w contrast (72129) | $1,874.34 | $6,247.80 | 10.5× |
| CT thoracic spine w/o contrast (72128) | $2,023.65 | $6,745.50 | 19.1× |
| CT thoracic spine w/wo cont (72130) | $1,430.88 | $4,769.60 | 8.0× |
| CT thorax w/o contrast (71250) | $1,845.45 | $6,151.50 | 17.4× |
| CT unlisted procedure (76497) | $1,490.70 | $4,969 | 16.9× |
| CT upper ext wo (73200) | $1,486.89 | $4,956.30 | 14.0× |
| CT upper extremity w/o & w/contrast material (73202) | $2,115.18 | $7,050.60 | 11.9× |
| CT upper extremity with contrast (73201) | $1,817.37 | $6,057.90 | 5.1× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,805.43 | $6,018.10 | 10.1× |
| Cta Abdomen (74175) | $2,857.14 | $9,523.80 | 16.0× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $5,691.33 | $18,971.10 | 16.1× |
| CTA pelvis (72191) | $1,433.88 | $4,779.60 | 8.0× |
| Dilation ureters/urethra rs&i (74485) | $668.91 | $2,229.70 | 0.3× |
| Diskography lumbar (72295) | $1,482.57 | $4,941.90 | 0.7× |
| Doppler Echo Fetal Puls Spectral F/U/Repeat (76828) | $143.40 | $478 | 1.4× |
| Doppler Fetal Mid Cerebral Artery (76821) | $135.90 | $453 | 1.3× |
| Dxa Bone Density Axial (77080) | $385.44 | $1,284.80 | 3.6× |
| Dxa bone density study (77085) | $99.66 | $332.20 | 0.9× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $174.57 | $581.90 | 2.0× |
| Echo exam of fetal heart (76825) | $477.09 | $1,590.30 | 0.9× |
| Echo exam uterus (76831) | $461.67 | $1,538.90 | 1.9× |
| Echo Guide For Artery Repair (76936) | $565.38 | $1,884.60 | 2.6× |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) | $395.70 | $1,319 | 1.6× |
| Echograp Trans R Pros Study (76873) | $663.12 | $2,210.40 | 6.2× |
| Esophagram (74220) | $547.29 | $1,824.30 | 3.1× |
| Fetal Biophys Profile W/Nst (76818) | $709.29 | $2,364.30 | 6.7× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $695.79 | $2,319.30 | 6.6× |
| Fetal MRI w/placntl matrnl plvc img sing/1st ges (74712) | $683.10 | $2,277 | 2.8× |
| Fluoroscopy up to 1 hr (76000) | $827.79 | $2,759.30 | 3.4× |
| Follow-Up Angiography (75898) | $1,274.13 | $4,247.10 | 0.4× |
| Foot 2 views (73620) | $279.18 | $930.60 | 3.2× |
| Forearm 2 views (73090) | $286.20 | $954 | 3.2× |
| Gastric emptying imaging study (78264) | $1,871.37 | $6,237.90 | 4.6× |
| Gastric Emptyng Imag Std W/Sm Bwl Transit (78265) | $1,014.30 | $3,381 | 2.5× |
| Gated Heart Planar Single (78472) | $1,543.32 | $5,144.40 | 3.8× |
| Gated Heart, Multiple (78473) | $1,025.40 | $3,418 | 2.5× |
| Gstrc Emptng Imag Std W/Sm Bwl Col Trnst Mlt Day (78266) | $1,087.20 | $3,624 | 2.0× |
| Hand 2 views (73120) | $284.31 | $947.70 | 2.7× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77772) | $3,352.23 | $11,174.10 | 4.7× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77771) range across 2 matching MRF lines |
$2,345.40–$2,579.94 | $7,818–$8,599.80 | varies |
| Hdr Rdncl Ntrstl/Icav Brchtx 1 Channel (77770) | $1,817.31 | $6,057.70 | 2.6× |
| Heart Image (Pet) Multiple (78492) | $2,042.55 | $6,808.50 | 1.4× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $2,757.24 | $9,190.80 | 0.9× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $2,757.24 | $9,190.80 | 0.9× |
| Hepatobil Syst Image W/Drug (78227) | $1,280.40 | $4,268 | 2.3× |
| Hepatobiliary System Imaging (78226) | $1,280.40 | $4,268 | 3.2× |
| Ht Muscle Image Spect Sing (78451) | $3,663.36 | $12,211.20 | 2.8× |
| Hysterosalpingogram (74740) | $721.71 | $2,405.70 | 3.0× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $418.11 | $1,393.70 | 4.7× |
| Infant hip ultrasound, limited static exam (76886) | $288.42 | $961.40 | 3.3× |
| Interstitial radiation source applic complex (77778) | $2,999.10 | $9,997 | 4.2× |
| Intracavitary radiation source applic simple (77761) | $1,339.12 | $4,463.75 | 2.4× |
| Joint Survey Single View (77077) | $126.06 | $420.20 | 1.2× |
| K Flow/Funct Image Multiple (78709) | $1,227.27 | $4,090.90 | 2.2× |
| K Flow/Funct Image W/Drug (78708) | $1,833.84 | $6,112.80 | 3.3× |
| K Flow/Funct Image W/O Drug (78707) | $1,468.53 | $4,895.10 | 2.7× |
| Kidney Funcj Study Non-Img Radioisotopic Study (78725) | $391.20 | $1,304 | 1.0× |
| Kidney Imaging Morphol (78700) | $791.70 | $2,639 | 1.9× |
| Kidney Imaging Morphoogy W/Vascular Flow (78701) | $2,071.50 | $6,905 | 5.1× |
| Knee 3 Views (73562) | $311.31 | $1,037.70 | 3.5× |
| Leveen/Shunt Patency Exam (78291) | $294.60 | $982 | 0.7× |
| Liver & Spleen Imaging Static Only (78215) | $706.53 | $2,355.10 | 1.7× |
| Liver & Spleen Imaging W/Vascular Flow (78216) | $691.20 | $2,304 | 1.7× |
| Lung Perf&Ventilat Diferentl (78598) | $1,096.92 | $3,656.40 | 2.0× |
| Lung perfusion differential (78597) | $1,096.92 | $3,656.40 | 2.7× |
| Lung Ventilat&Perfus Imaging (78582) | $1,096.92 | $3,656.40 | 2.0× |
| Lung Ventilation Imaging (78579) | $714.45 | $2,381.50 | 1.8× |
| Lymph System Imaging (78195) | $2,458.89 | $8,196.30 | 4.5× |
| Lymphangiography Extremity Only Bilateral Rs&I (75803) | $1,021.23 | $3,404.10 | 0.6× |
| Lymphangiography Pelvic/Abdominal Bilateral Rs&I (75807) | $2,370.06 | $7,900.20 | 0.7× |
| Lymphangiography, pelvic/abdominal, unilateral (75805) | $2,370.06 | $7,900.20 | 0.7× |
| Magnetic Image Jaw Joint (70336) | $1,458.60 | $4,862 | 6.0× |
| Magnetic Resonance Elastography (76391) | $640.86 | $2,136.20 | 2.6× |
| Mammary ductogram or galactogram multiple (77054) | $307.20 | $1,024 | 1.3× |
| Meckels Divert Exam (78290) | $1,747.17 | $5,823.90 | 4.3× |
| Mlc imrt design & construction per imrt plan (77338) | $4,452.75 | $14,842.50 | 11.7× |
| Mra Head W/O & W/Contrast Material (70546) | $1,902.12 | $6,340.40 | 5.4× |
| MRA head w/o contrast (70544) | $2,404.35 | $8,014.50 | 9.9× |
| MRA head with contrast (70545) | $2,516.94 | $8,389.80 | 7.1× |
| MRA neck w contrast (70548) | $2,526.39 | $8,421.30 | 7.1× |
| Mra Neck W/O &W/Contrast Material (70549) | $2,885.22 | $9,617.40 | 8.1× |
| MRA neck w/o contrast (70547) | $2,327.94 | $7,759.80 | 9.6× |
| MRI abdomen w contrast (74182) | $1,770.45 | $5,901.50 | 5.0× |
| MRI abdomen w/o contrast (74181) | $2,473.74 | $8,245.80 | 10.2× |
| MRI any jt lower extrem w/contrast material (73722) | $1,708.08 | $5,693.60 | 2.1× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $2,508.66 | $8,362.20 | 7.1× |
| MRI any jt upper extremity w/contrast matrl (73222) | $2,932.47 | $9,774.90 | 3.7× |
| MRI bone marrow blood supply (77084) | $1,678.38 | $5,594.60 | 6.9× |
| MRI brain functional w/o physician admnistration (70554) | $1,445.73 | $4,819.10 | 6.0× |
| MRI Breast W/O Contrast Bilateral (77047) | $1,825.89 | $6,086.30 | 7.5× |
| MRI Breast Without Contrast Material Unilateral (77046) | $1,825.89 | $6,086.30 | 7.5× |
| MRI cardiac w/o cont stress (75559) | $1,904.10 | $6,347 | 3.4× |
| MRI cardiac w/o contrast (75557) | $1,872.75 | $6,242.50 | 7.7× |
| MRI cervical spine w contrast (72142) | $2,525.85 | $8,419.50 | 7.1× |
| MRI cervical spine w/o cont (72141) | $1,747.71 | $5,825.70 | 7.2× |
| MRI chest w/o contrast (71550) | $1,931.04 | $6,436.80 | 8.0× |
| MRI chest with contrast (71551) | $1,838.97 | $6,129.90 | 2.3× |
| MRI chest wo w contrast (71552) | $2,325.24 | $7,750.80 | 6.6× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $2,521.26 | $8,404.20 | 7.1× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $2,490.75 | $8,302.50 | 7.0× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $2,259.63 | $7,532.10 | 9.3× |
| MRI lumbar spine w contrast (72149) | $2,635.20 | $8,784 | 7.4× |
| Mri Neck Spine W/O & W/Dye (72156) | $2,628.18 | $8,760.60 | 7.4× |
| MRI orbit face &/neck w/o contrast (70540) | $2,653.29 | $8,844.30 | 10.9× |
| MRI orbit face neck w contrast (70542) | $2,263.14 | $7,543.80 | 6.4× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $3,274.29 | $10,914.30 | 9.2× |
| MRI pelvis w contrast (72196) | $2,188.89 | $7,296.30 | 6.2× |
| MRI pelvis w/o & w contrast (72197) | $2,856.87 | $9,522.90 | 8.1× |
| MRI pelvis w/o contrast (72195) | $1,958.04 | $6,526.80 | 8.1× |
| MRI spectroscopy (76390) | $534.27 | $1,780.90 | 6.0× |
| MRI thoracic spine w/o contrast (72146) | $1,885.68 | $6,285.60 | 7.8× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $2,488.05 | $8,293.50 | 7.0× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $2,189.97 | $7,299.90 | 9.0× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $2,444.85 | $8,149.50 | 6.9× |
| MRI, abdomen, combo (74183) | $2,776.68 | $9,255.60 | 7.8× |
| MRI, dorsal spine combo (72157) | $2,833.11 | $9,443.70 | 8.0× |
| MRI, dorsal spine contrast (72147) | $2,481.84 | $8,272.80 | 7.0× |
| MRI, joint upper extrem (73221) | $2,061.18 | $6,870.60 | 8.5× |
| MRI, joint upper extrem combo (73223) | $2,265.12 | $7,550.40 | 6.4× |
| MRI, lumbar spine combo (72158) | $2,857.68 | $9,525.60 | 8.1× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $341.40 | $1,138 | 0.8× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) | $5,997.60 | $19,992 | 4.6× |
| Myocardial Spect Multiple Studies (78452) | $4,457.43 | $14,858.10 | 3.4× |
| Myocrd Img Pet Metab Eval Single Study Cncrnt CT (78429) | $2,504.70 | $8,349 | 1.7× |
| Myocrd img PET prfuj 1std rest/stress cncrnt CT (78430) | $2,019.06 | $6,730.20 | 1.4× |
| Myocrd Img Pet Prfuj Mlt Std Rst&Strs Cncrnt CT (78431) | $2,210.67 | $7,368.90 | 1.0× |
| Myocrd Img Pet Prfuj W/Metab 2rtracer Cncrnt CT (78433) | $2,755.17 | $9,183.90 | 1.2× |
| Myocrd Img Pet Prfuj W/Metab Dual Radiotracer (78432) | $2,504.70 | $8,349 | 1.6× |
| N-invas est c ffr sw aly CTA (75580) | $1,101.87 | $3,672.90 | 1.3× |
| Neck soft tissue (70360) | $315.36 | $1,051.20 | 3.6× |
| Nm csf leak detection (78650) | $449.13 | $1,497.10 | 0.3× |
| Nonvascular Shunt X-Ray (75809) | $260.04 | $866.80 | 2.4× |
| Ntsty modul radthx pln dose-vol histos (77301) | $6,202.80 | $20,676 | 4.4× |
| Nuclear Rx Intra-Arterial (79445) | $837.21 | $2,790.70 | 3.5× |
| Nuclear Rx Oral Admin (79005) | $1,262.91 | $4,209.70 | 5.3× |
| Ob us nuchal meas 1 gest (76813) | $108.30 | $361 | 1.0× |
| Optic foramina (70190) | $130.80 | $436 | 1.5× |
| Panoramic X-ray of jaws (70355) | $235.29 | $784.30 | 2.7× |
| Parathyroid imaging w/tomographic spect & CT (78072) | $2,580.60 | $8,602 | 4.7× |
| Parathyroid Planar Imaging (78070) | $1,958.31 | $6,527.70 | 4.8× |
| Parathyroid planar imaging w/wo subtraction (78071) | $2,111.01 | $7,036.70 | 5.2× |
| Pelvis 1 or 2 views (72170) | $304.29 | $1,014.30 | 2.9× |
| Pet Image W/Ct Lmtd (78814) | $4,206.60 | $14,022 | 2.9× |
| PET image w/CT, full body (78816) | $5,488.83 | $18,296.10 | 3.8× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $4,676.13 | $15,587.10 | 3.2× |
| Pet Myocardial Sngl Study (78491) | $2,222.70 | $7,409 | 1.5× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $2,268 | $7,560 | 0.7× |
| Pulmonary Perfusion Imaging Particulate (78580) | $949.05 | $3,163.50 | 2.3× |
| Quan&Charac C Atherosclerotc Plaq Asses Sev C Ds (75577) | $1,052.37 | $3,507.90 | 1.1× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $720.09 | $2,400.30 | 6.8× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $495.72 | $1,652.40 | 0.9× |
| Radex Ankle Complete Minimum 3 Views (73610) | $318.60 | $1,062 | 3.6× |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$180.90–$281.34 | $603–$937.80 | varies |
| Radex elbow complete minimum 3 views (73080) | $308.07 | $1,026.90 | 3.5× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $453.06 | $1,510.20 | 4.3× |
| Radex fingr minimum 2 views (73140) | $249.75 | $832.50 | 2.8× |
| Radex foot complete minimum 3 views (73630) | $306.72 | $1,022.40 | 3.5× |
| Radex Hand Minimum 3 Views (73130) | $302.94 | $1,009.80 | 3.4× |
| Radex lower extremity infant minimum 2 views (73592) | $149.16 | $497.20 | 1.7× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $409.59 | $1,365.30 | 3.9× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $362.34 | $1,207.80 | 4.1× |
| Radex Ribs Unilateral 2 Views (71100) | $260.55 | $868.50 | 2.9× |
| Radex shoulder complete minimum 2 views (73030) | $288.63 | $962.10 | 3.3× |
| Radex Sinuses Paransl < 3 Views (70210) | $226.26 | $754.20 | 2.6× |
| Radex sm int w/mlt srl imges via enteroclss tube (74251) | $1,157.10 | $3,857 | 6.5× |
| Radex Spine 1 View Specify Level (72020) | $367.20 | $1,224 | 4.2× |
| Radex Sternum Minimum 2 Views (71120) | $375.03 | $1,250.10 | 4.2× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $416.34 | $1,387.80 | 4.7× |
| Radex Toe Minimum 2 Views (73660) | $247.32 | $824.40 | 2.8× |
| Radex upper extremity infant minimum 2 views (73092) | $149.16 | $497.20 | 1.4× |
| Radex Wrist Complete Minimum 3 Views (73110) | $303.21 | $1,010.70 | 3.4× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $382.47 | $1,274.90 | 3.6× |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $16,914.31 | $56,381.05 | 2.3× |
| Radiation treatment delivery level 1 (77402) | $648 | $2,160 | 6.3× |
| Radiation treatment delivery level 2 (77407) | $1,116 | $3,720 | 2.8× |
| Radiation treatment delivery level 3 (77412) | $1,185 | $3,950 | 2.1× |
| Radiolog exam mandible compl minimum 4 views (70110) | $476.01 | $1,586.70 | 4.5× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $453.06 | $1,510.20 | 4.3× |
| Radiologic exam colon double contrast study (74280) | $959.85 | $3,199.50 | 5.4× |
| Radiologic exam colon single contrast study (74270) | $813.51 | $2,711.70 | 4.6× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $671.55 | $2,238.50 | 3.8× |
| Radiologic exam knee complete 4/more views (73564) | $478.17 | $1,593.90 | 4.5× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $208.23 | $694.10 | 2.0× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $683.37 | $2,277.90 | 3.8× |
| Radiologic exam swallow function contrast study (74230) | $431.46 | $1,438.20 | 2.4× |
| Radiologic exam upr gi trc double contrast study (74246) | $748.17 | $2,493.90 | 4.2× |
| Radiologic examination femur 1 view (73551) | $283.47 | $944.90 | 3.2× |
| Radiologic examination femur minimum 2 views (73552) | $367.95 | $1,226.50 | 4.2× |
| Radiologic examination knee 1/2 views (73560) | $285.39 | $951.30 | 3.2× |
| Radiologic Examination Osseous Survey Limited (77074) | $371.58 | $1,238.60 | 3.5× |
| Radiologic examination tibia & fibula 2 views (73590) | $287.28 | $957.60 | 3.3× |
| Radiologic examination, teeth; single view Non-Facility (70300) | $53.10 | $177 | 0.6× |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77768) | $2,651.40 | $8,838 | 6.8× |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77767) | $2,344.20 | $7,814 | 6.0× |
| Renal Cyst Study (74470) | $466.50 | $1,555 | 0.8× |
| Ribs bilateral 3 views (71110) | $548.64 | $1,828.80 | 5.2× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $2,199.15 | $7,330.50 | 5.4× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $1,717.47 | $5,724.90 | 4.2× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $2,129.49 | $7,098.30 | 3.9× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $3,498.12 | $11,660.40 | 6.3× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $3,839.67 | $12,798.90 | 7.0× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $2,667.30 | $8,891 | 2.0× |
| Rp loclzj tum spect CT 2area 1d img/1 ar img>2+d (78832) | $2,934.03 | $9,780.10 | 2.0× |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $1,299.54 | $4,331.80 | 1.0× |
| Rp Therapy Intravenous Administration (79101) | $776.52 | $2,588.40 | 3.3× |
| Salivary Gland Imaging (78230) | $673.50 | $2,245 | 1.7× |
| Scapula (73010) | $308.61 | $1,028.70 | 2.9× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $37.62 | $125.40 | 1.6× |
| Shoulder 1 view (73020) | $221.13 | $737.10 | 2.5× |
| Shoulder Arthrography (73040) | $740.61 | $2,468.70 | 2.1× |
| Skull less than 4 views (70250) | $307.53 | $1,025.10 | 2.9× |
| Special dosimetry (77331) | $443.49 | $1,478.29 | 3.2× |
| Special Physics Consult (77370) | $474.52 | $1,581.75 | 3.5× |
| Special teletherapy port plan (77321) | $920.36 | $3,067.88 | 2.4× |
| Special treatment procedure (77470) | $2,211.55 | $7,371.84 | 3.9× |
| Srs Multisource (77371) | $37,321.76 | $124,405.88 | 5.0× |
| Stereotactic Body Radiation Delivery (77373) | $9,119.92 | $30,399.75 | 5.0× |
| Sternoclavicular joints (71130) | $284.85 | $949.50 | 3.2× |
| Superior sagittal sinus venogram (75870) | $1,182.06 | $3,940.20 | 0.4× |
| Tbs techl prep&transmis data alys pfrmd elsewhr (77090) | $163.80 | $546 | 1.9× |
| Tbs technical calculation only (77091) | $171.37 | $571.25 | 1.9× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $1,362.82 | $4,542.75 | 3.6× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $526.12 | $1,753.75 | 1.4× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $1,276.12 | $4,253.75 | 3.4× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $633.52 | $2,111.75 | 1.7× |
| Ther rad simulaj-aided field setting simple (77280) | $884.32 | $2,947.75 | 6.5× |
| Thoracic spine 2 views (72070) | $266.97 | $889.90 | 2.5× |
| Thoracic spine 3 views (72072) | $444.42 | $1,481.40 | 4.2× |
| Thoracolumbar 2 views (72080) | $431.73 | $1,439.10 | 4.9× |
| Thyroid Imaging With Vascular Flow (78013) | $963.60 | $3,212 | 2.4× |
| Thyroid Met Imaging Body (78018) | $1,481.22 | $4,937.40 | 2.7× |
| Thyroid Uptake Measurement (78012) | $835.89 | $2,786.30 | 2.1× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $1,057.65 | $3,525.50 | 2.6× |
| Tx Devices Design & Construction Complex (77334) | $929.81 | $3,099.38 | 2.4× |
| Tx devices design & construction intermediate (77333) | $872.10 | $2,907 | 6.4× |
| Tx devices design & construction simple (77332) | $478.57 | $1,595.25 | 3.5× |
| Ultrasound Breast Limited (76642) | $415.41 | $1,384.69 | 4.7× |
| Ultrasound elastography first target lesion (76982) | $607.80 | $2,026 | 5.7× |
| Ultrasound Elastography Parenchyma (76981) | $668.58 | $2,228.60 | 6.3× |
| Ultrasound Exam Aaa Screen (76706) | $186.30 | $621 | 1.8× |
| Ultrasound, abdomen limited (76705) | $460.35 | $1,534.50 | 4.3× |
| Umbilical-artery Doppler (OB) (76820) | $350.79 | $1,169.30 | 3.3× |
| Unlisted Dx Radiographic Procedure (76499) | $517.50 | $1,725 | 5.9× |
| Unlisted magnetic resonance procedure (76498) range across 2 matching MRF lines |
$683.70–$752.07 | $2,279–$2,506.90 | varies |
| Unlisted us procedure (76999) | $358.71 | $1,195.70 | 4.1× |
| Upper gi w/o kub (74240) | $370.92 | $1,236.40 | 2.1× |
| Urethrocystogram voiding (74455) | $660.96 | $2,203.20 | 2.7× |
| Urethrocystography retrograde (74450) | $707.94 | $2,359.80 | 2.9× |
| Us breast unilateral complete (76641) | $580.39 | $1,934.63 | 5.5× |
| Us chest (76604) | $285.66 | $952.20 | 2.7× |
| Us complete joint (76881) | $815.40 | $2,718 | 7.7× |
| Us exam, pelvic, limited (76857) | $332.31 | $1,107.70 | 3.1× |
| Us head (76506) | $976.14 | $3,253.80 | 9.2× |
| Us kidney transplant (76776) | $94.05 | $313.50 | 0.9× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $557.70 | $1,859 | 5.3× |
| Us ob detailed single fetus (76811) | $317.13 | $1,057.10 | 1.3× |
| Us ob limited 1 or more fetuses (76815) | $515.16 | $1,717.20 | 4.9× |
| Us ob transvaginal (76817) | $540.54 | $1,801.80 | 5.1× |
| Us pelvic non ob complete (76856) | $655.02 | $2,183.40 | 6.2× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $588.33 | $1,961.10 | 5.5× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $443.07 | $1,476.90 | 4.2× |
| Us retroperitoneal complete (76770) | $547.02 | $1,823.40 | 5.2× |
| Us retroperitoneal limited (76775) | $558.09 | $1,860.30 | 5.3× |
| Us scrotum and contents (76870) | $609.66 | $2,032.20 | 5.7× |
| Us spinal canal and contents (76800) | $94.05 | $313.50 | 0.9× |
| Us thyroid (76536) | $649.08 | $2,163.60 | 6.1× |
| Us transrectal (76872) | $634.77 | $2,115.90 | 6.0× |
| Vein X-Ray Chest (75827) | $2,633.58 | $8,778.60 | 1.6× |
| Vein X-Ray Liver W/O Hemodyn (75887) | $1,055.67 | $3,518.90 | 0.3× |
| Vein X-Ray Spleen/Liver (75810) | $1,353.66 | $4,512.20 | 0.4× |
| Venogram Sinus/Jugular (75860) | $1,364.85 | $4,549.50 | 0.4× |
| Venography Adrenal Unilateral (75840) | $1,363.80 | $4,546 | 0.4× |
| Venography caval inferior serialography rs&i (75825) | $3,264.30 | $10,881 | 1.0× |
| Venography extremity bilateral rs&i (75822) | $1,665.63 | $5,552.10 | 1.0× |
| Venography extremity unilateral rs&i (75820) | $1,127.25 | $3,757.50 | 0.7× |
| Venography Renal Bilateral (75833) | $3,333.99 | $11,113.30 | 1.0× |
| Venography Renal Unilateral (75831) | $1,758.78 | $5,862.60 | 0.5× |
| Venous sampling by catheter (75893) range across 2 matching MRF lines |
$2,142.30–$2,356.53 | $7,141–$7,855.10 | varies |
| Vertebral fracture assessment via dxa (77086) | $99.66 | $332.20 | 1.1× |
| Wrist 2 views (73100) | $279.45 | $931.50 | 3.2× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $292.68 | $975.60 | 3.3× |
| X-ray antegrade pyelogram tube (74425) | $1,286.01 | $4,286.70 | 3.6× |
| X-Ray Aorta Leg Arteries (75630) | $3,337.47 | $11,124.90 | 1.0× |
| X-Ray Bend Only L-S Spine (72120) | $362.67 | $1,208.90 | 3.4× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$284.58–$322.92 | $948.60–$1,076.40 | varies |
| X-Ray Exam Breast Specimen (76098) | $186.45 | $621.50 | 0.3× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $182.16 | $607.20 | 2.1× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $295.68 | $985.60 | 2.8× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $333.63 | $1,112.10 | 3.1× |
| X-Ray Exam Hip Uni 1 View (73501) | $193.38 | $644.60 | 2.2× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $204.93 | $683.10 | 2.3× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $226.71 | $755.70 | 2.1× |
| X-Ray Exam Hips Bi 2 Views (73521) | $229.35 | $764.50 | 2.2× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $251.79 | $839.30 | 2.4× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $251.91 | $839.70 | 2.4× |
| X-Ray Exam L-S Spine Bending (72114) | $685.26 | $2,284.20 | 6.5× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $376.92 | $1,256.40 | 4.3× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $444.96 | $1,483.20 | 4.2× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $476.01 | $1,586.70 | 4.5× |
| X-ray eye for foreign body (70030) | $200.89 | $669.63 | 2.3× |
| X-ray humerus (73060) | $292.41 | $974.70 | 3.3× |
| X-ray IV pyelogram (ivp) (74400) | $998.19 | $3,327.30 | 5.6× |
| X-ray IV pyelogram+tomography (74415) | $1,053.81 | $3,512.70 | 5.9× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $132.99 | $443.30 | 1.5× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $203.28 | $677.60 | 2.3× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $400.41 | $1,334.70 | 3.8× |
| X-ray nose-rectum child f.b. (76010) | $243.54 | $811.80 | 2.8× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $532.44 | $1,774.80 | 5.0× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $376.11 | $1,253.70 | 3.5× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $145.86 | $486.20 | 1.4× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $372.33 | $1,241.10 | 4.2× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $528.66 | $1,762.20 | 6.0× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $498.15 | $1,660.50 | 4.7× |
| X-ray thoracic spine 4 vw (72074) | $279.51 | $931.70 | 2.6× |
| X-Ray Tmj Unilat (70328) | $322.11 | $1,073.70 | 3.6× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $722.52 | $2,408.40 | 2.0× |
| X-Rays Bone Length Studies (77073) | $674.19 | $2,247.30 | 6.3× |
| X-Rays Bone Survey Complete (77075) | $677.43 | $2,258.10 | 6.4× |
| Xr c-spine 4 or 5 views (72050) | $508.14 | $1,693.80 | 4.8× |
| Xr facial bones less than 3 views (70140) | $289.44 | $964.80 | 3.3× |
| XR Mastoids < 3 Views Bilateral (70120) | $135.60 | $452 | 1.3× |
| Xr orbits complete 4 views (70200) | $249.48 | $831.60 | 2.3× |
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.