Imaging prices at Piedmont McDuffie
Thomson, GA · every code in this section with a posted price and a Medicare benchmark.
336 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 3-D radiotherapy plan dose-volume histograms (77295) | $3,985.01 | $13,283.37 | 3.3× |
| Abdomen 1 View (74018) | $165.89 | $552.96 | 2.2× |
| Abdomen 2 views (74019) | $207.36 | $691.20 | 2.3× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $598.67 | $1,995.58 | 1.7× |
| Adrenal Cortex & Medulla Img (78075) | $889.50 | $2,965 | 0.8× |
| Angio pulmonary bilat (75743) | $2,363.14 | $7,877.15 | 0.9× |
| Angiography extremity bilateral rs&i (75716) | $2,358.98 | $7,863.27 | 0.8× |
| Angiography extremity unilateral rs&i (75710) | $2,010.41 | $6,701.38 | 0.7× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $1,706.41 | $5,688.05 | 0.6× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $956.66 | $3,188.86 | 0.3× |
| Ankle 2 views (73600) | $179.63 | $598.76 | 2.3× |
| Aortography thoracic serialography rs&i (75605) | $1,651.71 | $5,505.71 | 0.3× |
| Artery X-Rays Abdomen (75726) | $2,472.27 | $8,240.91 | 0.5× |
| Artery X-Rays Adrenal Gland (75731) | $1,685.95 | $5,619.82 | 0.6× |
| Artery X-Rays Pelvis (75736) | $2,865.81 | $9,552.69 | 0.6× |
| Artery X-Rays Spine (75705) | $1,735.15 | $5,783.82 | 0.4× |
| Arthrogram ankle (73615) | $213.60 | $712 | 0.7× |
| Arthrogram hip (73525) | $389.53 | $1,298.44 | 1.3× |
| Basic radiation dosimetry calculation (77300) | $353.20 | $1,177.32 | 3.0× |
| Bone age studies (77072) | $115 | $383.34 | 1.3× |
| Bone Imaging 3 Phase (78315) | $983.62 | $3,278.75 | 2.8× |
| Bone Imaging Limited Area (78300) | $522.34 | $1,741.15 | 1.5× |
| Bone Imaging Whole Body (78306) | $983.62 | $3,278.75 | 2.8× |
| Bone survey infant (77076) | $136.12 | $453.73 | 1.5× |
| Brachytx isodose complex (77318) | $1,279.21 | $4,264.02 | 3.9× |
| Brachytx isodose intermed (77317) | $1,129.61 | $3,765.37 | 3.4× |
| Brachytx Isodose Plan Simple (77316) | $674.82 | $2,249.39 | 2.0× |
| Brain Image W/Flow < 4 Views (78601) | $384.95 | $1,283.18 | 1.1× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $673.48 | $2,244.92 | 1.4× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $2,228.04 | $7,426.81 | 1.8× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $1,349.24 | $4,497.47 | 4.4× |
| Cardiac MRI w/w/o contrast w/stress (75563) | $1,614.87 | $5,382.89 | 2.3× |
| Cat Scan Follow-Up Study (76380) | $570.18 | $1,900.59 | 7.4× |
| Cerebrospinal Fluid Scan (78630) | $553.89 | $1,846.31 | 1.2× |
| Chest 1 view (71045) | $95.48 | $318.27 | 1.2× |
| Chest 2 views (71046) | $119.35 | $397.84 | 1.6× |
| Chest 3 views (71047) | $127.96 | $426.52 | 1.7× |
| Chest 4 or more views (71048) | $143.77 | $479.25 | 1.6× |
| Clavicle complete (73000) | $185.99 | $619.96 | 2.4× |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) | $193.87 | $646.25 | 2.1× |
| Continuing medical physics consltj pr wk (77336) | $354.40 | $1,181.32 | 3.0× |
| Contrast Exam Abdominl Aorta (75625) | $1,518.60 | $5,062 | 0.5× |
| Contrast X-Ray Bladder (74430) | $262.83 | $876.09 | 0.9× |
| Contrast X-Ray Of Elbow (73085) | $377.83 | $1,259.43 | 1.2× |
| Contrast X-Ray Of Knee Joint (73580) | $287.50 | $958.35 | 0.9× |
| CT abdomen and pelvis without and with contrast (74178) | $1,999.99 | $6,666.64 | 6.5× |
| CT abdomen and pelvis without contrast (74176) | $1,419.30 | $4,731.01 | 6.8× |
| CT abdomen w contrast (74160) | $1,076.86 | $3,589.54 | 7.0× |
| CT abdomen w wo contrast (74170) | $1,182.75 | $3,942.51 | 7.7× |
| CT abdomen w/o contrast (74150) | $898.60 | $2,995.34 | 9.8× |
| CT Angio Abdomen and Pelvis (74174) | $1,747.41 | $5,824.71 | 5.7× |
| CT Angio Chest (71275) | $1,142.39 | $3,807.97 | 7.4× |
| CT Angio Head (70496) | $1,217.45 | $4,058.16 | 7.9× |
| CT angio hrt w/3d image (75574) | $455.43 | $1,518.10 | 1.5× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $698.96 | $2,329.88 | 4.5× |
| CT Angio Neck (70498) | $1,298.10 | $4,327.01 | 8.4× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $799.16 | $2,663.88 | 5.2× |
| CT Cere Prfuj Alys C+ W/O CT/Cta Same Anatomy (70473) | $405.82 | $1,352.72 | 2.6× |
| CT cervical spine w/ contrast (72126) | $1,027.13 | $3,423.78 | 3.3× |
| CT cervical spine w/o contrast (72125) | $916.71 | $3,055.70 | 10.0× |
| CT cervical spine w/wo cont (72127) | $1,063.01 | $3,543.36 | 6.9× |
| CT chest w contrast (71260) | $986.04 | $3,286.81 | 6.4× |
| CT chest w/wo contrast (71270) | $1,171.39 | $3,904.65 | 7.6× |
| CT head/brain with contrast (70460) | $867.61 | $2,892.02 | 5.6× |
| CT head/brain without and with contrast (70470) | $979.56 | $3,265.19 | 6.3× |
| CT heart contrast eval cardiac structure&morph (75572) | $521.83 | $1,739.45 | 1.7× |
| CT heart no contrast quant eval coronry calcium (75571) | $90 | $300 | 1.2× |
| CT hrt w/3d image congen (75573) | $444.74 | $1,482.48 | 1.4× |
| CT iac w contrast (70481) | $1,059.95 | $3,533.18 | 6.9× |
| CT l-spine w&w/o contrast (72133) | $1,245.69 | $4,152.30 | 8.1× |
| CT lower ext w/o (73700) | $632.26 | $2,107.53 | 6.9× |
| CT lower extremity w/contrast material (73701) | $664.06 | $2,213.54 | 4.3× |
| CT lumbar spine w contrast (72132) | $806.80 | $2,689.33 | 2.6× |
| CT lumbar spine w/o contrast (72131) | $702.99 | $2,343.30 | 7.6× |
| CT maxillofacial w contrast (70487) | $955.39 | $3,184.62 | 6.2× |
| CT maxillofacial wo contrast (70486) | $665.08 | $2,216.93 | 7.2× |
| CT neck tissue combo (70492) | $956.91 | $3,189.70 | 6.2× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,329.65 | $4,432.17 | 8.6× |
| CT orbits w/o contrast (70480) | $913.40 | $3,044.68 | 9.9× |
| CT pelvis w&w/o contrast (72194) | $1,124.95 | $3,749.84 | 7.3× |
| CT pelvis w/o contrast (72192) | $817.48 | $2,724.95 | 8.9× |
| CT scan of leg combo (73702) | $697.14 | $2,323.79 | 4.5× |
| CT scans face/jaw combo (70488) | $1,003.47 | $3,344.91 | 6.5× |
| CT soft tissue neck w contrast (70491) | $814.43 | $2,714.77 | 5.3× |
| CT soft tissue neck w/o contrast (70490) | $706.55 | $2,355.17 | 7.7× |
| CT thoracic spine w contrast (72129) | $994.06 | $3,313.53 | 6.4× |
| CT thoracic spine w/o contrast (72128) | $885.92 | $2,953.08 | 9.6× |
| CT thoracic spine w/wo cont (72130) | $1,103.21 | $3,677.36 | 7.2× |
| CT thorax w/o contrast (71250) | $774.58 | $2,581.92 | 8.4× |
| CT upper ext wo (73200) | $605.54 | $2,018.48 | 6.6× |
| CT upper extremity w/o & w/contrast material (73202) | $709.86 | $2,366.20 | 4.6× |
| CT upper extremity with contrast (73201) | $636.07 | $2,120.25 | 2.1× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,391.99 | $4,639.96 | 9.0× |
| Cta Abdomen (74175) | $1,242.01 | $4,140.04 | 8.0× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $2,515.55 | $8,385.17 | 8.2× |
| CTA pelvis (72191) | $1,105.52 | $3,685.07 | 7.2× |
| Dilation ureters/urethra rs&i (74485) | $468.30 | $1,561 | 0.3× |
| Diskography lumbar (72295) | $677.02 | $2,256.72 | 0.4× |
| Dxa Bone Density Axial (77080) | $297.17 | $990.58 | 3.2× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $134.59 | $448.64 | 1.8× |
| Esophagram (74220) | $264.86 | $882.87 | 1.7× |
| Fetal MRI w/placntl matrnl plvc img sing/1st ges (74712) | $478.20 | $1,594 | 2.3× |
| Fluoroscopy up to 1 hr (76000) | $331.10 | $1,103.67 | 1.6× |
| Follow-Up Angiography (75898) | $635.06 | $2,116.86 | 0.2× |
| Foot 2 views (73620) | $139.17 | $463.91 | 1.8× |
| Forearm 2 views (73090) | $166.14 | $553.81 | 2.2× |
| Gastric emptying imaging study (78264) | $778.30 | $2,594.34 | 2.2× |
| Gated Heart Planar Single (78472) | $845.72 | $2,819.08 | 2.4× |
| Hand 2 views (73120) | $158.76 | $529.21 | 1.7× |
| Heart Image (Pet) Multiple (78492) | $1,470.60 | $4,902 | 1.2× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $1,659 | $5,530 | 0.6× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $1,659 | $5,530 | 0.6× |
| Hepatobil Syst Image W/Drug (78227) | $987.19 | $3,290.63 | 2.1× |
| Hepatobiliary System Imaging (78226) | $987.19 | $3,290.63 | 2.8× |
| Ht Muscle Image Spect Sing (78451) | $1,588.41 | $5,294.69 | 1.4× |
| Hysterosalpingogram (74740) | $425.41 | $1,418.02 | 2.0× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $322.36 | $1,074.54 | 4.2× |
| Intracavitary radiation source applic simple (77761) | $1,032.46 | $3,441.55 | 2.1× |
| Joint Survey Single View (77077) | $97.19 | $323.97 | 1.1× |
| K Flow/Funct Image W/Drug (78708) | $859.97 | $2,866.58 | 1.8× |
| K Flow/Funct Image W/O Drug (78707) | $848.27 | $2,827.57 | 1.8× |
| Knee 3 Views (73562) | $181.66 | $605.54 | 2.4× |
| Liver & Spleen Imaging Static Only (78215) | $544.73 | $1,815.78 | 1.5× |
| Lung Perf&Ventilat Diferentl (78598) | $845.72 | $2,819.08 | 1.8× |
| Lung Ventilat&Perfus Imaging (78582) | $845.72 | $2,819.08 | 1.8× |
| Lung Ventilation Imaging (78579) | $550.84 | $1,836.14 | 1.6× |
| Lymph System Imaging (78195) | $653.38 | $2,177.92 | 1.4× |
| Magnetic Image Jaw Joint (70336) | $1,020.90 | $3,403 | 4.9× |
| Meckels Divert Exam (78290) | $519.04 | $1,730.12 | 1.5× |
| Mlc imrt design & construction per imrt plan (77338) | $3,433.07 | $11,443.57 | 10.4× |
| Mr safety determination physician/other qhp (76016) | $41.10 | $137 | 0.5× |
| Mr safety implant&/fb assmt clin staf 1st 15 min (76014) | $11.40 | $38 | 0.4× |
| Mr safety med physics xm customization plng&mntr (76017) | $111.90 | $373 | 0.5× |
| Mra Head W/O & W/Contrast Material (70546) | $1,466.53 | $4,888.45 | 4.8× |
| MRA head w/o contrast (70544) | $1,186.92 | $3,956.39 | 5.7× |
| MRA head with contrast (70545) | $1,282.07 | $4,273.58 | 4.2× |
| MRA neck w contrast (70548) | $1,318.20 | $4,394.01 | 4.3× |
| Mra Neck W/O &W/Contrast Material (70549) | $1,479.51 | $4,931.70 | 4.8× |
| MRA neck w/o contrast (70547) | $981.08 | $3,270.27 | 4.7× |
| MRI abdomen w contrast (74182) | $1,365.02 | $4,550.06 | 4.4× |
| MRI abdomen w/o contrast (74181) | $1,172.16 | $3,907.20 | 5.6× |
| MRI any jt lower extrem w/contrast material (73722) | $1,316.93 | $4,389.77 | 1.9× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $1,934.18 | $6,447.26 | 6.3× |
| MRI any jt upper extremity w/contrast matrl (73222) | $1,166.82 | $3,889.39 | 1.7× |
| MRI Breast W/O Contrast Bilateral (77047) | $1,407.76 | $4,692.54 | 6.7× |
| MRI Breast Without Contrast Material Unilateral (77046) | $1,278 | $4,260 | 6.1× |
| MRI cardiac w/o contrast (75557) | $1,443.89 | $4,812.97 | 6.9× |
| MRI cervical spine w contrast (72142) | $1,443.64 | $4,812.12 | 4.7× |
| MRI cervical spine w/o cont (72141) | $1,173.18 | $3,910.59 | 5.6× |
| MRI chest w/o contrast (71550) | $1,193.79 | $3,979.29 | 5.7× |
| MRI chest wo w contrast (71552) | $1,729.61 | $5,765.38 | 5.6× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $1,466.28 | $4,887.60 | 4.8× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $1,675.68 | $5,585.59 | 5.5× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $1,223.05 | $4,076.82 | 5.8× |
| MRI lumbar spine w contrast (72149) | $1,451.52 | $4,838.41 | 4.7× |
| Mri Neck Spine W/O & W/Dye (72156) | $1,756.33 | $5,854.43 | 5.7× |
| MRI orbit face &/neck w/o contrast (70540) | $1,140.35 | $3,801.18 | 5.4× |
| MRI orbit face neck w contrast (70542) | $1,352.04 | $4,506.80 | 4.4× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $1,517.93 | $5,059.76 | 4.9× |
| MRI pelvis w/o & w contrast (72197) | $1,491.47 | $4,971.56 | 4.9× |
| MRI pelvis w/o contrast (72195) | $1,253.32 | $4,177.74 | 6.0× |
| MRI thoracic spine w/o contrast (72146) | $1,238.05 | $4,126.85 | 5.9× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $1,218.30 | $4,061 | 4.0× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $1,092.27 | $3,640.89 | 5.2× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $1,356.62 | $4,522.07 | 4.4× |
| MRI, abdomen, combo (74183) | $1,612.32 | $5,374.41 | 5.3× |
| MRI, dorsal spine combo (72157) | $1,666.01 | $5,553.36 | 5.4× |
| MRI, dorsal spine contrast (72147) | $1,277.24 | $4,257.46 | 4.2× |
| MRI, joint upper extrem (73221) | $1,088.20 | $3,627.32 | 5.2× |
| MRI, joint upper extrem combo (73223) | $1,746.41 | $5,821.36 | 5.7× |
| MRI, lumbar spine combo (72158) | $1,629.88 | $5,432.93 | 5.3× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) | $1,928.70 | $6,429 | 1.7× |
| Myocardial Spect Multiple Studies (78452) | $1,881.76 | $6,272.55 | 1.7× |
| Myocrd Img Pet Prfuj W/Metab 2rtracer Cncrnt CT (78433) | $2,124.24 | $7,080.79 | 1.1× |
| N-invas est c ffr sw aly CTA (75580) | $849.54 | $2,831.81 | 1.1× |
| Neck soft tissue (70360) | $162.83 | $542.78 | 2.1× |
| Njx Rp Loclzj Non-Img Probe Study Intravenous (78808) | $186 | $620 | 0.5× |
| Nonvascular Shunt X-Ray (75809) | $200.49 | $668.30 | 2.2× |
| Ntsty modul radthx pln dose-vol histos (77301) | $4,782.36 | $15,941.20 | 3.9× |
| Parathyroid Planar Imaging (78070) | $672.46 | $2,241.53 | 1.9× |
| Parathyroid planar imaging w/wo subtraction (78071) | $1,627.59 | $5,425.30 | 4.6× |
| Pelvis 1 or 2 views (72170) | $159.53 | $531.76 | 1.7× |
| PET image w/CT, full body (78816) | $2,262.14 | $7,540.46 | 1.8× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $2,262.14 | $7,540.46 | 1.8× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $963.90 | $3,213 | 0.3× |
| Pulmonary Perfusion Imaging Particulate (78580) | $550.84 | $1,836.14 | 1.6× |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) | $309.64 | $1,032.14 | 3.4× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $280.89 | $936.30 | 0.6× |
| Radex Ankle Complete Minimum 3 Views (73610) | $208.86 | $696.21 | 2.7× |
| Radex Calcaneus Minimum 2 Views (73650) | $153.42 | $511.40 | 2.0× |
| Radex elbow complete minimum 3 views (73080) | $177.59 | $591.97 | 2.3× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $236.36 | $787.88 | 2.6× |
| Radex fingr minimum 2 views (73140) | $152.15 | $507.16 | 2.0× |
| Radex foot complete minimum 3 views (73630) | $175.05 | $583.49 | 2.3× |
| Radex Hand Minimum 3 Views (73130) | $153.97 | $513.25 | 2.0× |
| Radex lower extremity infant minimum 2 views (73592) | $115 | $383.34 | 1.5× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $181.41 | $604.70 | 2.4× |
| Radex Ribs Unilateral 2 Views (71100) | $176.32 | $587.73 | 2.3× |
| Radex shoulder complete minimum 2 views (73030) | $167.58 | $558.59 | 2.2× |
| Radex Sinuses Paransl < 3 Views (70210) | $165.89 | $552.96 | 2.2× |
| Radex Spine 1 View Specify Level (72020) | $180.13 | $600.45 | 2.4× |
| Radex Sternum Minimum 2 Views (71120) | $172 | $573.32 | 2.2× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $271.22 | $904.07 | 3.5× |
| Radex Toe Minimum 2 Views (73660) | $143.24 | $477.48 | 1.9× |
| Radex upper extremity infant minimum 2 views (73092) | $115 | $383.34 | 1.3× |
| Radex Wrist Complete Minimum 3 Views (73110) | $159.02 | $530.06 | 2.1× |
| Radex X-Ray Exam Entire Spi 6/> Vw - Xr Entire Spine 6+ Vw (72084) | $267.60 | $892 | 2.9× |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $13,040.94 | $43,469.79 | 2.0× |
| Radiation treatment delivery level 1 (77402) | $499.61 | $1,665.36 | 5.6× |
| Radiation treatment delivery level 2 (77407) | $860.44 | $2,868.12 | 2.5× |
| Radiation treatment delivery level 3 (77412) | $913.63 | $3,045.45 | 1.9× |
| Radiolog exam mandible compl minimum 4 views (70110) | $229.24 | $764.14 | 2.5× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $214.23 | $714.10 | 2.3× |
| Radiologic exam colon double contrast study (74280) | $497.16 | $1,657.19 | 3.2× |
| Radiologic exam colon single contrast study (74270) | $415.99 | $1,386.64 | 2.7× |
| Radiologic exam knee complete 4/more views (73564) | $199.73 | $665.76 | 2.2× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $160.54 | $535.15 | 1.7× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $386.23 | $1,287.42 | 2.5× |
| Radiologic exam swallow function contrast study (74230) | $251.38 | $837.92 | 1.6× |
| Radiologic exam upr gi trc double contrast study (74246) | $517.76 | $1,725.88 | 3.4× |
| Radiologic examination femur 1 view (73551) | $218.56 | $728.52 | 2.9× |
| Radiologic examination femur minimum 2 views (73552) | $226.95 | $756.51 | 3.0× |
| Radiologic examination knee 1/2 views (73560) | $156.40 | $521.35 | 2.0× |
| Radiologic Examination Osseous Survey Limited (77074) | $286.49 | $954.96 | 3.1× |
| Radiologic examination tibia & fibula 2 views (73590) | $165.39 | $551.30 | 2.2× |
| Radiologic examination, teeth; single view Non-Facility (70300) | $41.10 | $137 | 0.5× |
| Ribs bilateral 3 views (71110) | $185.99 | $619.96 | 2.0× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $958.18 | $3,193.94 | 2.0× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $667.88 | $2,226.26 | 1.4× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $992.53 | $3,308.44 | 2.1× |
| Scapula (73010) | $164.36 | $547.87 | 1.8× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $29 | $96.68 | 1.2× |
| Shoulder 1 view (73020) | $151.64 | $505.47 | 2.0× |
| Shoulder Arthrography (73040) | $418.28 | $1,394.28 | 1.4× |
| Skull less than 4 views (70250) | $163.85 | $546.18 | 1.8× |
| Special dosimetry (77331) | $341.93 | $1,139.76 | 2.9× |
| Special Physics Consult (77370) | $365.86 | $1,219.53 | 3.1× |
| Special teletherapy port plan (77321) | $709.60 | $2,365.34 | 2.2× |
| Special treatment procedure (77470) | $1,705.11 | $5,683.69 | 3.5× |
| Srs Multisource (77371) | $28,775.08 | $95,916.93 | 4.4× |
| Stereotactic Body Radiation Delivery (77373) | $7,031.46 | $23,438.21 | 4.5× |
| Sternoclavicular joints (71130) | $115 | $383.34 | 1.5× |
| Tbs techl prep&transmis data alys pfrmd elsewhr (77090) | $121.20 | $404 | 1.6× |
| Tbs technical calculation only (77091) | $121.20 | $404 | 1.6× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $1,050.74 | $3,502.46 | 3.2× |
| Telethx isodose pln smpl w/dosimetry calculation (77306) | $405.64 | $1,352.14 | 1.2× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $983.89 | $3,279.64 | 3.0× |
| Ther Rad Simulaj-Aided Field Setting Intermed (77285) | $488.45 | $1,628.16 | 1.5× |
| Ther rad simulaj-aided field setting simple (77280) | $681.82 | $2,272.72 | 5.8× |
| Thoracic spine 2 views (72070) | $205.83 | $686.11 | 2.2× |
| Thoracic spine 3 views (72072) | $213.72 | $712.40 | 2.3× |
| Thoracolumbar 2 views (72080) | $205.83 | $686.11 | 2.7× |
| Thyroid Imaging With Vascular Flow (78013) | $742.93 | $2,476.45 | 2.1× |
| Thyroid Met Imaging Body (78018) | $962.76 | $3,209.21 | 2.0× |
| Thyroid Uptake Measurement (78012) | $644.47 | $2,148.24 | 1.8× |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) | $815.45 | $2,718.16 | 2.3× |
| Tx Devices Design & Construction Complex (77334) | $716.89 | $2,389.62 | 2.2× |
| Tx devices design & construction intermediate (77333) | $672.39 | $2,241.30 | 5.7× |
| Tx devices design & construction simple (77332) | $368.98 | $1,229.94 | 3.1× |
| Ultrasound Breast Limited (76642) | $256.22 | $854.08 | 3.3× |
| Ultrasound Elastography Parenchyma (76981) | $515.47 | $1,718.25 | 5.6× |
| Ultrasound Exam Aaa Screen (76706) | $128.74 | $429.14 | 1.4× |
| Ultrasound, abdomen limited (76705) | $354.93 | $1,183.10 | 3.9× |
| Unlisted Dx Radiographic Procedure (76499) | $398.99 | $1,329.98 | 5.2× |
| Unlisted magnetic resonance procedure (76498) | $526.50 | $1,755 | 6.9× |
| Upper gi w/o kub (74240) | $285.98 | $953.26 | 1.9× |
| Urethrocystography retrograde (74450) | $268.17 | $893.90 | 1.3× |
| Us breast unilateral complete (76641) | $357.98 | $1,193.28 | 3.9× |
| Us chest (76604) | $230.26 | $767.53 | 2.5× |
| Us complete joint (76881) | $429.99 | $1,433.29 | 4.7× |
| Us exam, pelvic, limited (76857) | $256.21 | $854.04 | 2.8× |
| Us head (76506) | $752.60 | $2,508.68 | 8.2× |
| Us kidney transplant (76776) | $65.70 | $219 | 0.7× |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) | $429.99 | $1,433.29 | 4.7× |
| Us ob detailed single fetus (76811) | $244.51 | $815.02 | 1.2× |
| Us ob limited 1 or more fetuses (76815) | $158.51 | $528.37 | 1.7× |
| Us ob transvaginal (76817) | $297.43 | $991.43 | 3.2× |
| Us pelvic non ob complete (76856) | $371.47 | $1,238.23 | 4.0× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $332.03 | $1,106.77 | 3.6× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $225.43 | $751.42 | 2.5× |
| Us retroperitoneal complete (76770) | $385.72 | $1,285.72 | 4.2× |
| Us retroperitoneal limited (76775) | $379.61 | $1,265.37 | 4.1× |
| Us scrotum and contents (76870) | $462.55 | $1,541.85 | 5.0× |
| Us spinal canal and contents (76800) | $72.51 | $241.71 | 0.8× |
| Us thyroid (76536) | $473.75 | $1,579.16 | 5.2× |
| Vein X-Ray Chest (75827) | $1,128.65 | $3,762.17 | 0.8× |
| Venogram Sinus/Jugular (75860) | $1,126.87 | $3,756.23 | 0.4× |
| Venography Adrenal Unilateral (75840) | $1,051.49 | $3,504.97 | 0.4× |
| Venography caval inferior serialography rs&i (75825) | $1,427.61 | $4,758.69 | 0.5× |
| Venography extremity bilateral rs&i (75822) | $774.74 | $2,582.46 | 0.6× |
| Venography extremity unilateral rs&i (75820) | $523.11 | $1,743.69 | 0.4× |
| Venography Renal Bilateral (75833) | $2,570.50 | $8,568.35 | 0.9× |
| Venography Renal Unilateral (75831) | $1,285.12 | $4,283.75 | 0.5× |
| Venous sampling by catheter (75893) | $1,816.88 | $6,056.28 | 0.4× |
| Vertebral fracture assessment via dxa (77086) | $76.84 | $256.13 | 1.0× |
| Wrist 2 views (73100) | $140.70 | $469 | 1.8× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $181.41 | $604.70 | 2.4× |
| X-ray antegrade pyelogram tube (74425) | $736.50 | $2,455 | 2.4× |
| X-Ray Aorta Leg Arteries (75630) | $2,573.19 | $8,577.30 | 0.9× |
| X-Ray Bend Only L-S Spine (72120) | $279.62 | $932.06 | 3.0× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$152.40–$159.53 | $508.01–$531.76 | varies |
| X-Ray Exam Breast Specimen (76098) | $143.75 | $479.18 | 0.3× |
| X-Ray Exam Entire Spi 1 Vw (72081) | $140.44 | $468.15 | 1.8× |
| X-Ray Exam Entire Spi 2/3 Vw (72082) | $227.97 | $759.90 | 2.5× |
| X-Ray Exam Entire Spi 4/5 Vw (72083) | $257.23 | $857.43 | 2.8× |
| X-Ray Exam Hip Uni 1 View (73501) | $149.10 | $496.99 | 1.9× |
| X-Ray Exam Hip Uni 2-3 Views (73502) | $158 | $526.67 | 2.1× |
| X-Ray Exam Hip Uni 4/> Views (73503) | $174.79 | $582.64 | 1.9× |
| X-Ray Exam Hips Bi 2 Views (73521) | $176.83 | $589.43 | 1.9× |
| X-Ray Exam Hips Bi 3-4 Views (73522) | $194.13 | $647.10 | 2.1× |
| X-Ray Exam Hips Bi 5/> Views (73523) | $210.92 | $703.07 | 2.3× |
| X-Ray Exam L-S Spine Bending (72114) | $373.50 | $1,245.01 | 4.1× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $220.33 | $734.45 | 2.9× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $304.04 | $1,013.48 | 3.3× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $231.28 | $770.92 | 2.5× |
| X-ray eye for foreign body (70030) | $123.91 | $413.02 | 1.6× |
| X-ray humerus (73060) | $188.79 | $629.29 | 2.5× |
| X-ray IV pyelogram (ivp) (74400) | $563.70 | $1,879 | 3.7× |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) | $102.53 | $341.78 | 1.3× |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) | $156.73 | $522.43 | 2.0× |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) | $274.53 | $915.10 | 3.0× |
| X-ray nose-rectum child f.b. (76010) | $114.49 | $381.65 | 1.5× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $285.73 | $952.42 | 3.1× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $181.15 | $603.85 | 2.0× |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $112.46 | $374.86 | 1.2× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) | $202.53 | $675.09 | 2.6× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $259.01 | $863.37 | 3.4× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $230.51 | $768.38 | 2.5× |
| X-ray thoracic spine 4 vw (72074) | $215.50 | $718.34 | 2.3× |
| X-Ray Tmj Unilat (70328) | $182.68 | $608.94 | 2.4× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $357.90 | $1,193 | 1.2× |
| X-Rays Bone Length Studies (77073) | $115 | $383.34 | 1.3× |
| X-Rays Bone Survey Complete (77075) | $443.47 | $1,478.24 | 4.8× |
| Xr c-spine 4 or 5 views (72050) | $270.71 | $902.38 | 2.9× |
| Xr facial bones less than 3 views (70140) | $176.83 | $589.43 | 2.3× |
| Xr orbits complete 4 views (70200) | $192.35 | $641.16 | 2.1× |
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.