Imaging prices at Piedmont Newton
Covington, 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) | $215.16 | $717.20 | 2.5× |
| Abdomen 2 views (74019) | $268.95 | $896.50 | 2.6× |
| Acute Gastrointestinal Blood Loss Imaging (78278) | $776.49 | $2,588.30 | 1.9× |
| Adrenal Cortex & Medulla Img (78075) | $1,155.30 | $3,851 | 0.9× |
| Angio internal mammary (75756) | $1,908.90 | $6,363 | 0.6× |
| Angio pulmonary bilat (75743) | $3,065.04 | $10,216.80 | 1.0× |
| 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) | $2,213.25 | $7,377.50 | 0.7× |
| Angrph pulmonary nonslctv cath/ven njx rs&i (75746) | $1,240.80 | $4,136 | 0.4× |
| Ankle 2 views (73600) | $232.98 | $776.60 | 2.7× |
| 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) | $3,717 | $12,390 | 0.7× |
| Artery X-Rays Spine (75705) unusually low: confirm this is the full procedure |
$2,250.51 | $7,501.71 | 0.4× |
| Arthrogram ankle (73615) | $305.25 | $1,017.50 | 0.9× |
| Arthrogram hip (73525) | $505.23 | $1,684.10 | 1.4× |
| Arthrogram Wrist (73115) | $406.23 | $1,354.10 | 1.2× |
| Basic radiation dosimetry calculation (77300) | $458.10 | $1,527 | 3.4× |
| Bone age studies (77072) | $149.16 | $497.20 | 1.4× |
| Bone Imaging 3 Phase (78315) | $1,275.78 | $4,252.60 | 3.2× |
| Bone Imaging Limited Area (78300) | $677.49 | $2,258.30 | 1.7× |
| Bone Imaging Multiple Areas (78305) | $1,029.93 | $3,433.10 | 2.6× |
| Bone Imaging Whole Body (78306) | $1,275.78 | $4,252.60 | 3.2× |
| 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) | $176.55 | $588.50 | 1.7× |
| 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) | $499.29 | $1,664.30 | 1.2× |
| Brain imaging < 4 static views (78600) | $453.90 | $1,513 | 1.1× |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $873.51 | $2,911.70 | 1.6× |
| Brain Imaging Minimum 4 Static Views (78605) | $653.10 | $2,177 | 1.2× |
| Brain Imaging Pet Metabolic Evaluation (78608) | $2,889.81 | $9,632.70 | 2.0× |
| Cardiac MRI w/w/o contrast & further seq (75561) | $1,749.99 | $5,833.30 | 5.0× |
| Cardiac MRI w/w/o contrast w/stress (75563) | $2,094.51 | $6,981.70 | 2.7× |
| Cat Scan Follow-Up Study (76380) | $739.53 | $2,465.10 | 8.5× |
| 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) | $718.41 | $2,394.70 | 1.3× |
| 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) | $241.23 | $804.10 | 2.8× |
| 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) | $340.89 | $1,136.30 | 1.0× |
| Contrast X-Ray Of Elbow (73085) | $490.05 | $1,633.50 | 1.4× |
| Contrast X-Ray Of Knee Joint (73580) | $372.90 | $1,243 | 1.1× |
| CT abdomen and pelvis without and with contrast (74178) | $2,594.02 | $8,646.75 | 7.4× |
| CT abdomen and pelvis without contrast (74176) | $1,840.86 | $6,136.20 | 7.7× |
| CT abdomen w contrast (74160) | $1,396.71 | $4,655.70 | 7.9× |
| CT abdomen w wo contrast (74170) | $1,534.05 | $5,113.50 | 8.7× |
| CT abdomen w/o contrast (74150) | $1,165.50 | $3,885 | 11.1× |
| CT Angio Abdomen and Pelvis (74174) | $2,266.42 | $7,554.75 | 6.5× |
| CT Angio Chest (71275) | $1,481.70 | $4,939 | 8.4× |
| CT Angio Head (70496) | $1,579.05 | $5,263.50 | 9.0× |
| CT angio hrt w/3d image (75574) | $590.70 | $1,969 | 1.7× |
| Ct Angio Lwr Extr W/O&W/Dye (73706) | $906.57 | $3,021.90 | 5.2× |
| CT Angio Neck (70498) | $1,683.66 | $5,612.20 | 9.6× |
| Ct Angio Upr Extrm W/O&W/Dye (73206) | $1,036.53 | $3,455.10 | 5.9× |
| 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) | $1,332.21 | $4,440.70 | 3.8× |
| CT cervical spine w/o contrast (72125) | $1,188.99 | $3,963.30 | 11.3× |
| CT cervical spine w/wo cont (72127) | $1,378.74 | $4,595.80 | 7.8× |
| CT chest w contrast (71260) | $1,278.91 | $4,263.05 | 7.3× |
| CT chest w/wo contrast (71270) | $1,519.32 | $5,064.40 | 8.6× |
| CT head/brain with contrast (70460) | $1,125.30 | $3,751 | 6.4× |
| CT head/brain without and with contrast (70470) | $1,270.50 | $4,235 | 7.2× |
| 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) | $1,374.78 | $4,582.60 | 7.8× |
| CT l-spine w&w/o contrast (72133) | $1,615.68 | $5,385.60 | 9.2× |
| CT lower ext w/o (73700) | $820.05 | $2,733.50 | 7.8× |
| CT lower extremity w/contrast material (73701) | $861.30 | $2,871 | 4.9× |
| CT lumbar spine w contrast (72132) | $1,046.43 | $3,488.10 | 3.0× |
| CT lumbar spine w/o contrast (72131) | $911.79 | $3,039.30 | 8.7× |
| CT maxillofacial w contrast (70487) | $1,239.15 | $4,130.50 | 7.0× |
| CT maxillofacial wo contrast (70486) | $862.62 | $2,875.40 | 8.2× |
| CT neck tissue combo (70492) | $1,241.13 | $4,137.10 | 7.1× |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) | $1,724.58 | $5,748.60 | 9.8× |
| CT orbits w/o contrast (70480) range across 2 matching MRF lines |
$1,077–$1,184.70 | $3,590–$3,949 | varies |
| CT pelvis w&w/o contrast (72194) | $1,459.08 | $4,863.60 | 8.3× |
| CT pelvis w/o contrast (72192) | $1,060.29 | $3,534.30 | 10.1× |
| CT scan of leg combo (73702) | $904.20 | $3,014 | 5.1× |
| CT scans face/jaw combo (70488) | $1,301.52 | $4,338.40 | 7.4× |
| CT soft tissue neck w contrast (70491) | $1,056.33 | $3,521.10 | 6.0× |
| CT soft tissue neck w/o contrast (70490) | $916.41 | $3,054.70 | 8.7× |
| CT thoracic spine w contrast (72129) | $1,289.31 | $4,297.70 | 7.3× |
| CT thoracic spine w/o contrast (72128) | $1,149.06 | $3,830.20 | 11.0× |
| CT thoracic spine w/wo cont (72130) | $1,430.88 | $4,769.60 | 8.1× |
| CT thorax w/o contrast (71250) | $1,004.64 | $3,348.80 | 9.6× |
| CT unlisted procedure (76497) | $1,490.70 | $4,969 | 17.1× |
| CT upper ext wo (73200) | $785.40 | $2,618 | 7.5× |
| CT upper extremity w/o & w/contrast material (73202) | $920.70 | $3,069 | 5.2× |
| CT upper extremity with contrast (73201) | $825 | $2,750 | 2.4× |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) | $1,805.43 | $6,018.10 | 10.3× |
| Cta Abdomen (74175) | $1,610.91 | $5,369.70 | 9.2× |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $3,262.71 | $10,875.70 | 9.3× |
| CTA pelvis (72191) | $1,433.88 | $4,779.60 | 8.2× |
| Dilation ureters/urethra rs&i (74485) | $668.91 | $2,229.70 | 0.3× |
| Diskography lumbar (72295) | $878.10 | $2,927 | 0.4× |
| 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 | 3.7× |
| Dxa bone density study (77085) | $99.66 | $332.20 | 1.0× |
| Dxa bone density study 1/>sites appendiclr skel (77081) | $174.57 | $581.90 | 2.0× |
| Echo exam of fetal heart (76825) | $472.80 | $1,576 | 0.9× |
| Echo exam uterus (76831) | $461.67 | $1,538.90 | 1.9× |
| Echo Guide For Artery Repair (76936) | $597.30 | $1,991 | 2.8× |
| Echocardiography, fetal, cardiovascular system, real time with image documentation (2D), with or without M-mode… (76826) | $395.70 | $1,319 | 1.7× |
| Echograp Trans R Pros Study (76873) | $509.85 | $1,699.50 | 4.9× |
| Esophagram (74220) | $343.53 | $1,145.10 | 2.0× |
| Fetal Biophys Profile W/Nst (76818) | $647.13 | $2,157.10 | 6.2× |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) | $581.46 | $1,938.20 | 5.5× |
| Fetal MRI w/placntl matrnl plvc img sing/1st ges (74712) | $683.10 | $2,277 | 2.9× |
| Fluoroscopy up to 1 hr (76000) | $429.44 | $1,431.47 | 1.8× |
| Follow-Up Angiography (75898) | $823.68 | $2,745.60 | 0.3× |
| Foot 2 views (73620) | $180.51 | $601.70 | 2.1× |
| Forearm 2 views (73090) | $215.49 | $718.30 | 2.5× |
| Gastric emptying imaging study (78264) | $1,009.47 | $3,364.90 | 2.5× |
| Gastric Emptyng Imag Std W/Sm Bwl Transit (78265) | $1,014.30 | $3,381 | 2.5× |
| Gated Heart Planar Single (78472) | $1,096.92 | $3,656.40 | 2.7× |
| Gated Heart, Multiple (78473) | $1,025.40 | $3,418 | 2.6× |
| Gstrc Emptng Imag Std W/Sm Bwl Col Trnst Mlt Day (78266) | $1,087.20 | $3,624 | 2.0× |
| Hand 2 views (73120) | $205.92 | $686.40 | 2.0× |
| Hdr Rdncl Ntrstl/Icav Brchtx (77772) | $3,352.23 | $11,174.10 | 4.8× |
| 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) | $2,100.78 | $7,002.60 | 1.5× |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) | $2,370.06 | $7,900.20 | 0.7× |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) | $2,370.06 | $7,900.20 | 0.7× |
| Hepatobil Syst Image W/Drug (78227) | $1,280.40 | $4,268 | 2.4× |
| Hepatobiliary System Imaging (78226) | $1,280.40 | $4,268 | 3.2× |
| Ht Muscle Image Spect Sing (78451) | $2,060.19 | $6,867.30 | 1.6× |
| Hysterosalpingogram (74740) | $551.76 | $1,839.20 | 2.3× |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $418.11 | $1,393.70 | 4.8× |
| Infant hip ultrasound, limited static exam (76886) | $288.42 | $961.40 | 3.3× |
| Interstitial radiation source applic complex (77778) | $3,184.33 | $10,614.44 | 4.6× |
| 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 | 2.3× |
| K Flow/Funct Image W/Drug (78708) | $1,115.40 | $3,718 | 2.0× |
| K Flow/Funct Image W/O Drug (78707) | $1,100.22 | $3,667.40 | 2.0× |
| Kidney Funcj Study Non-Img Radioisotopic Study (78725) | $376.21 | $1,254.05 | 0.9× |
| Kidney Imaging Morphol (78700) | $791.70 | $2,639 | 2.0× |
| Knee 3 Views (73562) | $235.62 | $785.40 | 2.7× |
| Leveen/Shunt Patency Exam (78291) | $294.60 | $982 | 0.7× |
| Liver & Spleen Imaging Static Only (78215) | $706.53 | $2,355.10 | 1.8× |
| 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) | $847.44 | $2,824.80 | 1.6× |
| 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 | 6.1× |
| Magnetic Resonance Elastography (76391) | $640.86 | $2,136.20 | 2.7× |
| Mammary ductogram or galactogram multiple (77054) | $307.20 | $1,024 | 1.3× |
| Meckels Divert Exam (78290) | $673.20 | $2,244 | 1.7× |
| Mlc imrt design & construction per imrt plan (77338) | $4,452.75 | $14,842.50 | 11.9× |
| Mra Head W/O & W/Contrast Material (70546) | $1,902.12 | $6,340.40 | 5.4× |
| MRA head w/o contrast (70544) | $1,539.45 | $5,131.50 | 6.4× |
| MRA head with contrast (70545) | $1,662.87 | $5,542.90 | 4.8× |
| MRA neck w contrast (70548) | $1,709.73 | $5,699.10 | 4.9× |
| Mra Neck W/O &W/Contrast Material (70549) | $1,918.95 | $6,396.50 | 5.5× |
| MRA neck w/o contrast (70547) | $1,272.48 | $4,241.60 | 5.3× |
| MRI abdomen w contrast (74182) | $1,770.45 | $5,901.50 | 5.1× |
| MRI abdomen w/o contrast (74181) | $1,520.31 | $5,067.70 | 6.4× |
| MRI any jt lower extrem w/contrast material (73722) | $1,708.08 | $5,693.60 | 2.2× |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) | $2,508.66 | $8,362.20 | 7.2× |
| MRI any jt upper extremity w/contrast matrl (73222) | $1,513.38 | $5,044.60 | 1.9× |
| MRI bone marrow blood supply (77084) | $1,678.38 | $5,594.60 | 7.0× |
| 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 | 7.6× |
| MRI Breast Without Contrast Material Unilateral (77046) | $1,825.89 | $6,086.30 | 7.6× |
| MRI cardiac w/o cont stress (75559) | $1,904.10 | $6,347 | 3.5× |
| MRI cardiac w/o contrast (75557) | $1,872.75 | $6,242.50 | 7.8× |
| MRI cervical spine w contrast (72142) | $1,872.42 | $6,241.40 | 5.4× |
| MRI cervical spine w/o cont (72141) | $1,521.63 | $5,072.10 | 6.4× |
| MRI chest w/o contrast (71550) | $1,548.36 | $5,161.20 | 6.5× |
| MRI chest with contrast (71551) | $1,656.60 | $5,522 | 2.1× |
| MRI chest wo w contrast (71552) | $2,243.34 | $7,477.80 | 6.4× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) | $1,901.79 | $6,339.30 | 5.4× |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) | $2,173.38 | $7,244.60 | 6.2× |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) | $1,586.31 | $5,287.70 | 6.6× |
| MRI lumbar spine w contrast (72149) | $1,882.65 | $6,275.50 | 5.4× |
| Mri Neck Spine W/O & W/Dye (72156) | $2,277.99 | $7,593.30 | 6.5× |
| MRI orbit face &/neck w/o contrast (70540) | $1,479.06 | $4,930.20 | 6.2× |
| MRI orbit face neck w contrast (70542) | $1,753.62 | $5,845.40 | 5.0× |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) | $1,968.78 | $6,562.60 | 5.6× |
| MRI pelvis w contrast (72196) | $1,712.37 | $5,707.90 | 4.9× |
| MRI pelvis w/o & w contrast (72197) | $1,934.46 | $6,448.20 | 5.5× |
| MRI pelvis w/o contrast (72195) | $1,625.58 | $5,418.60 | 6.8× |
| MRI spectroscopy (76390) | $534.27 | $1,780.90 | 6.1× |
| MRI thoracic spine w/o contrast (72146) | $1,605.78 | $5,352.60 | 6.7× |
| MRI upper extremity oth than jt w/contr matrl (73219) | $1,740.42 | $5,801.40 | 5.0× |
| MRI upper extremity oth than jt w/o contr matrl (73218) | $1,416.69 | $4,722.30 | 5.9× |
| Mri Uppr Extremity W/O&W/Dye (73220) | $1,759.56 | $5,865.20 | 5.0× |
| MRI, abdomen, combo (74183) | $2,091.21 | $6,970.70 | 6.0× |
| MRI, dorsal spine combo (72157) | $2,160.84 | $7,202.80 | 6.2× |
| MRI, dorsal spine contrast (72147) | $1,656.60 | $5,522 | 4.7× |
| MRI, joint upper extrem (73221) | $1,411.41 | $4,704.70 | 5.9× |
| MRI, joint upper extrem combo (73223) | $2,265.12 | $7,550.40 | 6.5× |
| MRI, lumbar spine combo (72158) | $2,113.98 | $7,046.60 | 6.0× |
| Myocardial Imaging Infarct Avid Planar Qual/Quan (78466) | $341.40 | $1,138 | 0.9× |
| Myocardial Imaging Pet Metabolic Evaluation (78459) | $2,504.70 | $8,349 | 1.9× |
| Myocardial Spect Multiple Studies (78452) | $2,440.68 | $8,135.60 | 1.9× |
| 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) | $1,986.27 | $6,620.90 | 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) | $211.20 | $704 | 2.4× |
| Nm csf leak detection (78650) | $449.13 | $1,497.10 | 0.3× |
| Nonvascular Shunt X-Ray (75809) | $260.04 | $866.80 | 2.5× |
| Ntsty modul radthx pln dose-vol histos (77301) | $6,202.80 | $20,676 | 4.5× |
| Nuclear Rx Intra-Arterial (79445) | $837.21 | $2,790.70 | 3.6× |
| Nuclear Rx Oral Admin (79005) | $1,262.91 | $4,209.70 | 5.4× |
| 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) | $872.19 | $2,907.30 | 2.2× |
| Parathyroid planar imaging w/wo subtraction (78071) | $2,111.01 | $7,036.70 | 5.3× |
| Pelvis 1 or 2 views (72170) | $206.91 | $689.70 | 2.0× |
| Pet Image W/Ct Lmtd (78814) | $2,934.03 | $9,780.10 | 2.0× |
| PET image w/CT, full body (78816) | $2,934.03 | $9,780.10 | 2.0× |
| PET imaging CT attenuation skull base mid-thigh (78815) | $2,934.03 | $9,780.10 | 2.0× |
| Pet Myocardial Sngl Study (78491) | $1,723.50 | $5,745 | 1.2× |
| Prq Transhepatc Portograpy Hemodyn Eval Rs&I (75885) | $1,377.09 | $4,590.30 | 0.4× |
| Pulmonary Perfusion Imaging Particulate (78580) | $714.45 | $2,381.50 | 1.8× |
| 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) | $401.61 | $1,338.70 | 3.8× |
| Radex abscess/fistula/sinus tract rs&i (76080) | $364.32 | $1,214.40 | 0.7× |
| Radex Ankle Complete Minimum 3 Views (73610) | $270.90 | $903 | 3.1× |
| Radex Calcaneus Minimum 2 Views (73650) range across 2 matching MRF lines |
$180.90–$198.99 | $603–$663.30 | varies |
| Radex elbow complete minimum 3 views (73080) | $230.34 | $767.80 | 2.6× |
| Radex Facial Bones Complete Minimum 3 Views (70150) | $306.57 | $1,021.90 | 2.9× |
| Radex fingr minimum 2 views (73140) | $197.34 | $657.80 | 2.3× |
| Radex foot complete minimum 3 views (73630) | $227.04 | $756.80 | 2.6× |
| Radex Hand Minimum 3 Views (73130) | $199.71 | $665.70 | 2.3× |
| Radex lower extremity infant minimum 2 views (73592) | $149.16 | $497.20 | 1.7× |
| Radex Mastoids Compl Minimum 3 Views PR Side (70130) | $139.50 | $465 | 1.3× |
| Radex Nasal Bones Complete Minimum 3 Views (70160) | $235.29 | $784.30 | 2.7× |
| Radex Ribs Unilateral 2 Views (71100) | $228.69 | $762.30 | 2.6× |
| Radex shoulder complete minimum 2 views (73030) | $217.35 | $724.50 | 2.5× |
| Radex Sinuses Paransl < 3 Views (70210) | $215.16 | $717.20 | 2.5× |
| Radex Spine 1 View Specify Level (72020) | $233.64 | $778.80 | 2.7× |
| Radex Sternum Minimum 2 Views (71120) | $223.08 | $743.60 | 2.6× |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) | $351.78 | $1,172.60 | 4.0× |
| Radex Toe Minimum 2 Views (73660) | $185.79 | $619.30 | 2.1× |
| Radex upper extremity infant minimum 2 views (73092) | $149.16 | $497.20 | 1.4× |
| Radex Wrist Complete Minimum 3 Views (73110) | $206.25 | $687.50 | 2.4× |
| 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 | 2.9× |
| Radiation treatment delivery level 3 (77412) | $1,185 | $3,950 | 2.1× |
| Radiolog exam mandible compl minimum 4 views (70110) | $297.33 | $991.10 | 2.8× |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) | $277.86 | $926.20 | 2.6× |
| Radiologic exam colon double contrast study (74280) | $644.82 | $2,149.40 | 3.7× |
| Radiologic exam colon single contrast study (74270) | $539.55 | $1,798.50 | 3.1× |
| Radiologic Exam Esophagus Double Contrast Study (74221) | $671.55 | $2,238.50 | 3.8× |
| Radiologic exam knee complete 4/more views (73564) | $259.05 | $863.50 | 2.5× |
| Radiologic exam pelvis compl minimum 3 views (72190) | $208.23 | $694.10 | 2.0× |
| Radiologic Exam Small Int Single Contrast Study (74250) | $500.94 | $1,669.80 | 2.8× |
| Radiologic exam swallow function contrast study (74230) | $326.04 | $1,086.80 | 1.9× |
| Radiologic exam upr gi trc double contrast study (74246) | $671.55 | $2,238.50 | 3.8× |
| Radiologic examination femur 1 view (73551) | $283.47 | $944.90 | 3.2× |
| Radiologic examination femur minimum 2 views (73552) | $294.36 | $981.20 | 3.4× |
| Radiologic examination knee 1/2 views (73560) | $202.86 | $676.20 | 2.3× |
| Radiologic Examination Osseous Survey Limited (77074) | $371.58 | $1,238.60 | 3.5× |
| Radiologic examination tibia & fibula 2 views (73590) | $214.51 | $715.05 | 2.5× |
| 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 | 6.9× |
| Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed;… (77767) | $2,344.20 | $7,814 | 6.1× |
| Renal Cyst Study (74470) | $466.50 | $1,555 | 0.9× |
| Ribs bilateral 3 views (71110) | $241.23 | $804.10 | 2.3× |
| Rp loclzj tum plnr 1 area single day imaging (78800) | $489.39 | $1,631.30 | 1.2× |
| Rp loclzj tum plnr 2+area 1+d img/1 area img>2+d (78801) | $644.82 | $2,149.40 | 1.6× |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) | $1,242.78 | $4,142.60 | 2.3× |
| Rp Loclzj Tum Plnr Whole Body Single Day Imaging (78802) | $866.25 | $2,887.50 | 1.6× |
| Rp Loclzj Tum Spect 1 Area Single Day Imaging (78803) | $1,287.33 | $4,291.10 | 2.4× |
| Rp loclzj tum spect 2 area/sep acquisj img (78831) | $2,667.30 | $8,891 | 2.1× |
| 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) | $561.99 | $1,873.30 | 2.4× |
| Salivary Gland Imaging (78230) | $673.50 | $2,245 | 1.7× |
| Salivary Gland Imaging Serial Images (78231) | $643.20 | $2,144 | 1.6× |
| Scapula (73010) | $213.18 | $710.60 | 2.0× |
| Screening Digital Breast Tomosynthesis Bi (77063) | $37.62 | $125.40 | 1.6× |
| Shoulder 1 view (73020) | $196.68 | $655.60 | 2.3× |
| Shoulder Arthrography (73040) | $542.52 | $1,808.40 | 1.6× |
| Skull less than 4 views (70250) | $212.52 | $708.40 | 2.0× |
| Special dosimetry (77331) | $443.49 | $1,478.29 | 3.3× |
| Special Physics Consult (77370) | $474.52 | $1,581.75 | 3.5× |
| Special teletherapy port plan (77321) | $920.36 | $3,067.88 | 2.5× |
| Special treatment procedure (77470) | $2,211.55 | $7,371.84 | 4.0× |
| Srs Multisource (77371) | $37,321.76 | $124,405.88 | 5.1× |
| Stereotactic Body Radiation Delivery (77373) | $9,119.92 | $30,399.75 | 5.1× |
| Sternoclavicular joints (71130) | $149.16 | $497.20 | 1.7× |
| Superior sagittal sinus venogram (75870) | $1,182.06 | $3,940.20 | 0.4× |
| Tbs techl prep&transmis data alys pfrmd elsewhr (77090) | $151.50 | $505 | 1.7× |
| Tbs technical calculation only (77091) | $166.65 | $555.50 | 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 | 6.6× |
| Thoracic spine 2 views (72070) | $266.97 | $889.90 | 2.5× |
| Thoracic spine 3 views (72072) | $277.20 | $924 | 2.6× |
| Thoracolumbar 2 views (72080) | $266.97 | $889.90 | 3.1× |
| Thyroid Imaging With Vascular Flow (78013) | $963.60 | $3,212 | 2.4× |
| Thyroid Met Imaging Body (78018) | $1,248.72 | $4,162.40 | 2.3× |
| 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 | 2.5× |
| Tx devices design & construction intermediate (77333) | $872.10 | $2,907 | 6.5× |
| Tx devices design & construction simple (77332) | $478.57 | $1,595.25 | 3.5× |
| Ultrasound Breast Limited (76642) | $332.32 | $1,107.75 | 3.8× |
| Ultrasound elastography first target lesion (76982) | $607.80 | $2,026 | 5.8× |
| Ultrasound Elastography Parenchyma (76981) | $668.58 | $2,228.60 | 6.4× |
| Ultrasound Exam Aaa Screen (76706) | $166.98 | $556.60 | 1.6× |
| Ultrasound, abdomen limited (76705) | $460.35 | $1,534.50 | 4.4× |
| Umbilical-artery Doppler (OB) (76820) | $350.79 | $1,169.30 | 3.3× |
| Unlisted Dx Radiographic Procedure (76499) | $517.50 | $1,725 | 5.9× |
| Unlisted fluoroscopic procedure (76496) | $4,025.07 | $13,416.90 | 46.1× |
| Unlisted magnetic resonance procedure (76498) range across 3 matching MRF lines |
$683.70–$1,490.70 | $2,279–$4,969 | 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) | $536.25 | $1,787.50 | 2.2× |
| Urethrocystography retrograde (74450) | $347.82 | $1,159.40 | 1.5× |
| Us breast unilateral complete (76641) | $464.31 | $1,547.70 | 4.4× |
| Us chest (76604) | $298.65 | $995.50 | 2.8× |
| Us complete joint (76881) | $557.70 | $1,859 | 5.3× |
| Us exam, pelvic, limited (76857) | $332.31 | $1,107.70 | 3.2× |
| Us head (76506) | $976.14 | $3,253.80 | 9.3× |
| 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) | $205.59 | $685.30 | 2.0× |
| Us ob transvaginal (76817) | $385.77 | $1,285.90 | 3.7× |
| Us pelvic non ob complete (76856) | $481.80 | $1,606 | 4.6× |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) | $430.65 | $1,435.50 | 4.1× |
| Us preg uterus real time f/u trnsabdl per fetus (76816) | $292.38 | $974.60 | 2.8× |
| Us retroperitoneal complete (76770) | $500.28 | $1,667.60 | 4.8× |
| Us retroperitoneal limited (76775) | $492.36 | $1,641.20 | 4.7× |
| Us scrotum and contents (76870) | $599.94 | $1,999.80 | 5.7× |
| Us spinal canal and contents (76800) | $94.05 | $313.50 | 0.9× |
| Us thyroid (76536) | $614.46 | $2,048.20 | 5.9× |
| Us transrectal (76872) | $638.55 | $2,128.50 | 6.1× |
| Vein X-Ray Chest (75827) | $1,463.88 | $4,879.60 | 0.9× |
| 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) | $1,461.57 | $4,871.90 | 0.5× |
| Venography Adrenal Unilateral (75840) | $1,363.80 | $4,546 | 0.4× |
| Venography caval inferior serialography rs&i (75825) | $1,851.63 | $6,172.10 | 0.6× |
| Venography extremity bilateral rs&i (75822) | $1,004.85 | $3,349.50 | 0.6× |
| Venography extremity unilateral rs&i (75820) | $678.48 | $2,261.60 | 0.4× |
| Venography Renal Bilateral (75833) | $3,333.99 | $11,113.30 | 1.1× |
| Venography Renal Unilateral (75831) | $1,666.83 | $5,556.10 | 0.5× |
| Venous sampling by catheter (75893) range across 2 matching MRF lines |
$1,969.20–$2,356.53 | $6,564–$7,855.10 | varies |
| Vertebral fracture assessment via dxa (77086) | $99.66 | $332.20 | 1.1× |
| Wrist 2 views (73100) | $182.49 | $608.30 | 2.1× |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) | $235.29 | $784.30 | 2.7× |
| X-ray antegrade pyelogram tube (74425) | $1,052.04 | $3,506.80 | 3.0× |
| X-Ray Aorta Leg Arteries (75630) | $3,337.47 | $11,124.90 | 1.1× |
| X-Ray Bend Only L-S Spine (72120) | $362.67 | $1,208.90 | 3.5× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 2 matching MRF lines |
$197.67–$206.91 | $658.90–$689.70 | 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 | 3.2× |
| 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 | 2.2× |
| 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) | $273.57 | $911.90 | 2.6× |
| X-Ray Exam L-S Spine Bending (72114) | $484.44 | $1,614.80 | 4.6× |
| X-Ray Exam Neck Spine 2-3 Vw (72040) | $285.78 | $952.60 | 3.3× |
| X-Ray Exam Neck Spine 6/>Vws (72052) | $394.35 | $1,314.50 | 3.8× |
| X-Ray Exam Unilat Ribs/Chest (71101) | $299.97 | $999.90 | 2.9× |
| X-ray eye for foreign body (70030) | $160.71 | $535.70 | 1.8× |
| X-ray humerus (73060) | $244.86 | $816.20 | 2.8× |
| X-ray IV pyelogram (ivp) (74400) | $805.20 | $2,684 | 4.6× |
| X-ray IV pyelogram+tomography (74415) | $475.50 | $1,585 | 2.7× |
| 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) | $356.07 | $1,186.90 | 3.4× |
| X-ray nose-rectum child f.b. (76010) | $148.50 | $495 | 1.7× |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) | $370.59 | $1,235.30 | 3.5× |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) | $234.96 | $783.20 | 2.2× |
| 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) | $262.68 | $875.60 | 3.0× |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) | $335.94 | $1,119.80 | 3.8× |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) | $298.98 | $996.60 | 2.9× |
| X-ray thoracic spine 4 vw (72074) | $279.51 | $931.70 | 2.7× |
| X-Ray Tmj Unilat (70328) | $236.94 | $789.80 | 2.7× |
| X-Ray Urinary Tract Exam With Contrast Material (74420) | $511.17 | $1,703.90 | 1.5× |
| X-Rays Bone Length Studies (77073) | $149.16 | $497.20 | 1.4× |
| X-Rays Bone Survey Complete (77075) | $575.19 | $1,917.30 | 5.5× |
| Xr c-spine 4 or 5 views (72050) | $351.12 | $1,170.40 | 3.3× |
| Xr facial bones less than 3 views (70140) | $229.35 | $764.50 | 2.6× |
| XR Mastoids < 3 Views Bilateral (70120) | $135.60 | $452 | 1.3× |
| Xr orbits complete 4 views (70200) | $249.48 | $831.60 | 2.4× |
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.