Imaging prices at Poplar Bluff Regional Medical Center
Poplar Bluff, MO · every code in this section with a posted price and a Medicare benchmark.
272 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) | $3,592.45 | $17,106.89 | 2.6× |
| Abdomen 1 View (74018) range across 5 matching MRF lines |
$16.24–$226.97 | $77.34–$1,080.83 | varies |
| Abdomen 2 views (74019) range across 3 matching MRF lines |
$19.98–$306.07 | $95.14–$1,457.48 | varies |
| Acute Gastrointestinal Blood Loss Imaging (78278) range across 2 matching MRF lines |
$50.82–$529.61 | $241.99–$2,521.94 | varies |
| Angio internal mammary (75756) range across 3 matching MRF lines |
$556.89–$3,181.35 | $2,651.88–$15,149.30 | varies |
| Angio pulmonary bilat (75743) range across 3 matching MRF lines |
$556.89–$3,181.35 | $2,651.88–$15,149.30 | varies |
| Angiography extremity bilateral rs&i (75716) | $3,181.35 | $15,149.30 | 1.0× |
| Angiography extremity unilateral rs&i (75710) | $3,470.49 | $16,526.16 | 1.1× |
| Angiography pulmonary unilateral slctv rs&i (75741) | $3,181.35 | $15,149.30 | 1.0× |
| Ankle 2 views (73600) range across 9 matching MRF lines |
$4.52–$334.38 | $21.52–$1,592.28 | varies |
| Aortography thoracic serialography rs&i (75605) range across 2 matching MRF lines |
$960.84–$3,181.35 | $4,575.41–$15,149.30 | varies |
| Aortography thoracic w/o serialography rs&i (75600) range across 2 matching MRF lines |
$556.89–$3,181.35 | $2,651.88–$15,149.30 | varies |
| Artery X-Rays Abdomen (75726) range across 3 matching MRF lines |
$960.84–$6,626.72 | $4,575.41–$31,555.79 | varies |
| Artery X-Rays Pelvis (75736) range across 2 matching MRF lines |
$960.84–$3,181.35 | $4,575.41–$15,149.30 | varies |
| Arthrogram hip (73525) range across 8 matching MRF lines |
$19.87–$511.88 | $94.64–$2,437.54 | varies |
| Arthrogram Wrist (73115) range across 8 matching MRF lines |
$20.55–$420.88 | $97.88–$2,004.20 | varies |
| Basic radiation dosimetry calculation (77300) | $371.41 | $1,768.64 | 2.8× |
| Bone age studies (77072) range across 2 matching MRF lines |
$117.98 | $14.79–$561.83 | 1.1× |
| Bone Imaging 3 Phase (78315) range across 2 matching MRF lines |
$50.21–$747.85 | $239.09–$3,561.20 | varies |
| Bone Imaging Limited Area (78300) range across 2 matching MRF lines |
$33.30–$625.37 | $158.55–$2,977.96 | varies |
| Bone Imaging Whole Body (78306) range across 2 matching MRF lines |
$42.97–$1,862.62 | $204.62–$8,869.63 | varies |
| Bone survey infant (77076) range across 2 matching MRF lines |
$13.57–$485.17 | $64.64–$2,310.31 | varies |
| Brain Image W/Flow < 4 Views (78601) range across 2 matching MRF lines |
$32.69–$692.30 | $155.65–$3,296.67 | varies |
| Brain Imaging Min 4 Static Views W Vascular Flow (78606) | $692.21 | $3,296.25 | 1.3× |
| Chest 1 view (71045) range across 7 matching MRF lines |
$109.25–$185.44 | $520.26–$883.06 | varies |
| Chest 2 views (71046) range across 5 matching MRF lines |
$109.25–$218.51 | $520.26–$1,040.53 | varies |
| Clavicle complete (73000) range across 10 matching MRF lines |
$4.46–$185.18 | $21.22–$881.80 | varies |
| Computed Tomography Thorax Lw Dose Lng Ca Scr C- (71271) range across 2 matching MRF lines |
$19.98–$171.95 | $95.14–$818.81 | varies |
| Continuing medical physics consltj pr wk (77336) | $528.55 | $2,516.91 | 3.9× |
| Contrast Exam Abdominl Aorta (75625) | $3,181.35 | $15,149.30 | 1.0× |
| Contrast X-Ray Bladder (74430) range across 2 matching MRF lines |
$329.62 | $22.70–$1,569.60 | 0.9× |
| Contrast X-Ray Of Elbow (73085) range across 8 matching MRF lines |
$516.91 | $76.36–$2,461.48 | 1.5× |
| Contrast X-Ray Of Knee Joint (73580) range across 8 matching MRF lines |
$22.47–$420.88 | $107.02–$2,004.20 | varies |
| CT abdomen and pelvis without and with contrast (74178) range across 3 matching MRF lines |
$47.65–$3,200.93 | $226.89–$15,242.52 | varies |
| CT abdomen and pelvis without contrast (74176) range across 4 matching MRF lines |
$19.54–$2,339.06 | $93.04–$11,138.37 | varies |
| CT abdomen w contrast (74160) range across 3 matching MRF lines |
$33.59–$1,348.09 | $159.97–$6,419.49 | varies |
| CT abdomen w wo contrast (74170) range across 3 matching MRF lines |
$37.97–$1,672.68 | $180.83–$7,965.16 | varies |
| CT abdomen w/o contrast (74150) range across 3 matching MRF lines |
$15.58–$1,174.03 | $74.19–$5,590.60 | varies |
| CT Angio Abdomen and Pelvis (74174) range across 2 matching MRF lines |
$53.37–$1,185.40 | $254.16–$5,644.77 | varies |
| CT Angio Chest (71275) range across 3 matching MRF lines |
$37.62–$1,110.27 | $179.12–$5,287.01 | varies |
| CT Angio Head (70496) range across 3 matching MRF lines |
$37.19–$1,582.74 | $177.09–$7,536.86 | varies |
| Ct Angio Lwr Extr W/O&W/Dye (73706) range across 6 matching MRF lines |
$45.16–$1,583.27 | $215.05–$7,539.37 | varies |
| CT Angio Neck (70498) range across 2 matching MRF lines |
$37.13–$1,583.01 | $176.80–$7,538.12 | varies |
| Ct Angio Upr Extrm W/O&W/Dye (73206) range across 6 matching MRF lines |
$41.02–$1,582.74 | $195.34–$7,536.86 | varies |
| CT cervical spine w/ contrast (72126) range across 3 matching MRF lines |
$21.42–$1,317.93 | $102.02–$6,275.88 | varies |
| CT cervical spine w/o contrast (72125) range across 3 matching MRF lines |
$15.95–$1,307.88 | $75.93–$6,228.01 | varies |
| CT cervical spine w/wo cont (72127) range across 2 matching MRF lines |
$26.47–$1,477.98 | $126.07–$7,038.01 | varies |
| CT chest w contrast (71260) range across 4 matching MRF lines |
$21.49–$1,312.91 | $102.31–$6,251.95 | varies |
| CT chest w/wo contrast (71270) range across 3 matching MRF lines |
$26.47–$1,579.83 | $126.07–$7,523 | varies |
| CT head/brain with contrast (70460) range across 3 matching MRF lines |
$18.20–$1,006.31 | $86.65–$4,791.95 | varies |
| CT head/brain without and with contrast (70470) range across 3 matching MRF lines |
$21.91–$1,415.55 | $104.34–$6,740.72 | varies |
| CT iac w contrast (70481) range across 12 matching MRF lines |
$24.47–$2,264.19 | $116.51–$10,781.88 | varies |
| CT l-spine w&w/o contrast (72133) range across 3 matching MRF lines |
$26.54–$405.01 | $126.36–$1,928.62 | varies |
| CT lower ext w/o (73700) range across 36 matching MRF lines |
$15.88–$1,145.98 | $75.64–$5,457.07 | varies |
| CT lower extremity w/contrast material (73701) range across 36 matching MRF lines |
$21.55–$1,099.16 | $102.60–$5,234.10 | varies |
| CT lumbar spine w contrast (72132) range across 3 matching MRF lines |
$21.49–$1,257.89 | $102.31–$5,989.93 | varies |
| CT lumbar spine w/o contrast (72131) range across 3 matching MRF lines |
$15.82–$1,320.32 | $75.35–$6,287.22 | varies |
| CT maxillofacial w contrast (70487) range across 4 matching MRF lines |
$18.99–$1,106.57 | $90.41–$5,269.37 | varies |
| CT maxillofacial wo contrast (70486) range across 4 matching MRF lines |
$16.86–$1,234.08 | $80.27–$5,876.56 | varies |
| CT neck tissue combo (70492) range across 3 matching MRF lines |
$28.12–$1,415.55 | $133.89–$6,740.72 | varies |
| Ct Orbit/Ear/Fossa W/O&W/Dye (70482) range across 12 matching MRF lines |
$29.03–$1,551.26 | $138.24–$7,386.95 | varies |
| CT orbits w/o contrast (70480) range across 12 matching MRF lines |
$18.86–$1,630.09 | $89.83–$7,762.35 | varies |
| CT pelvis w&w/o contrast (72194) range across 3 matching MRF lines |
$37.79–$1,528.24 | $179.96–$7,277.35 | varies |
| CT pelvis w/o contrast (72192) range across 3 matching MRF lines |
$15.76–$1,165.03 | $75.06–$5,547.78 | varies |
| CT scan of leg combo (73702) range across 36 matching MRF lines |
$26.54–$430.41 | $126.36–$2,049.55 | varies |
| CT scans face/jaw combo (70488) range across 3 matching MRF lines |
$24.04–$1,528.24 | $114.48–$7,277.35 | varies |
| CT soft tissue neck w contrast (70491) range across 3 matching MRF lines |
$23.01–$1,188.84 | $109.55–$5,661.14 | varies |
| CT soft tissue neck w/o contrast (70490) range across 3 matching MRF lines |
$17.28–$1,007.37 | $82.30–$4,796.98 | varies |
| CT thoracic spine w contrast (72129) range across 2 matching MRF lines |
$21.61–$1,186.46 | $102.89–$5,649.80 | varies |
| CT thoracic spine w/o contrast (72128) range across 3 matching MRF lines |
$15.95–$1,186.46 | $75.93–$5,649.80 | varies |
| CT thoracic spine w/wo cont (72130) range across 3 matching MRF lines |
$26.78–$1,630.09 | $127.52–$7,762.35 | varies |
| CT thorax w/o contrast (71250) range across 4 matching MRF lines |
$15.82–$1,184.61 | $75.35–$5,640.99 | varies |
| CT upper ext wo (73200) range across 36 matching MRF lines |
$22.09–$1,022.18 | $105.19–$4,867.53 | varies |
| CT upper extremity w/o & w/contrast material (73202) range across 36 matching MRF lines |
$36.94–$1,353.91 | $175.90–$6,447.21 | varies |
| CT upper extremity with contrast (73201) range across 36 matching MRF lines |
$28.24–$1,188.05 | $134.47–$5,657.36 | varies |
| Cta Abdl Aorta&Bi Iliofem W/Contrast&Postp (75635) range across 2 matching MRF lines |
$81.16–$1,582.47 | $386.49–$7,535.59 | varies |
| Cta Abdomen (74175) range across 2 matching MRF lines |
$42.60–$740.98 | $202.88–$3,528.46 | varies |
| CTA head&neck c+ w/noncontrast img&post-pxessing (70471) | $3,165.75 | $15,074.98 | 9.1× |
| CTA pelvis (72191) range across 2 matching MRF lines |
$42.48–$444.43 | $202.30–$2,116.31 | varies |
| Dilation ureters/urethra rs&i (74485) | $1,812.89 | $8,632.81 | 0.9× |
| Diskography lumbar (72295) range across 2 matching MRF lines |
$336.03–$4,158.03 | $1,600.15–$19,800.16 | varies |
| Dxa Bone Density Axial (77080) | $147.08 | $700.40 | 1.4× |
| Echograp Trans R Pros Study (76873) range across 2 matching MRF lines |
$18.08–$519.29 | $86.08–$2,472.81 | varies |
| Esophagram (74220) range across 3 matching MRF lines |
$13.37–$303.96 | $63.68–$1,447.41 | varies |
| Fetal Biophys Profile W/Nst (76818) range across 2 matching MRF lines |
$12.18–$262.95 | $57.98–$1,252.15 | varies |
| Fetal Biophysical Profile W/O Non-Stress Testing (76819) range across 2 matching MRF lines |
$8.77–$685.16 | $41.74–$3,262.66 | varies |
| Fluoroscopy up to 1 hr (76000) range across 4 matching MRF lines |
$295.49 | $24.35–$1,407.10 | 1.2× |
| Follow-Up Angiography (75898) | $1,056.84 | $5,032.55 | 0.3× |
| Foot 2 views (73620) range across 12 matching MRF lines |
$109.25–$144.44 | $18.27–$687.80 | varies |
| Forearm 2 views (73090) range across 13 matching MRF lines |
$101.16–$353.16 | $18.86–$1,681.71 | varies |
| Gastric emptying imaging study (78264) range across 2 matching MRF lines |
$49.42–$581.72 | $235.33–$2,770.10 | varies |
| Gated Heart Planar Single (78472) range across 3 matching MRF lines |
$30.56–$640.45 | $145.51–$3,049.76 | varies |
| Hand 2 views (73120) range across 9 matching MRF lines |
$124.86–$249.73 | $20.34–$1,189.17 | varies |
| Hepatc Vngrph Wdg/Fr Hemodyn Eval Rs&I (75889) range across 2 matching MRF lines |
$556.89–$3,181.35 | $2,651.88–$15,149.30 | varies |
| Hepatc Vngrph Wdg/Fr W/O Hemodyn Eval Rs&I (75891) range across 2 matching MRF lines |
$556.89–$3,181.35 | $2,651.88–$15,149.30 | varies |
| Hepatobil Syst Image W/Drug (78227) range across 2 matching MRF lines |
$66.59–$1,066.62 | $317.08–$5,079.15 | varies |
| Hepatobiliary System Imaging (78226) range across 2 matching MRF lines |
$48.93–$1,066.62 | $233.01–$5,079.15 | varies |
| Ht Muscle Image Spect Sing (78451) range across 3 matching MRF lines |
$1,417.14 | $219.10–$6,748.27 | 1.1× |
| Hysterosalpingogram (74740) range across 4 matching MRF lines |
$14.86–$490.99 | $70.75–$2,338.03 | varies |
| Infant hip ultrasound with hip movement (dynamic) (76885) | $18.69 | $88.98 | 0.2× |
| Infant hip ultrasound, limited static exam (76886) | $13.09 | $62.31 | 0.2× |
| Intracavitary Radiation Source Applic Complex (77763) | $685.42 | $3,263.91 | 1.0× |
| K Flow/Funct Image W/Drug (78708) range across 2 matching MRF lines |
$529.61 | $102.92–$2,521.94 | 1.0× |
| K Flow/Funct Image W/O Drug (78707) range across 2 matching MRF lines |
$31.83–$789.12 | $151.59–$3,757.72 | varies |
| Knee 3 Views (73562) range across 12 matching MRF lines |
$5.88–$428.56 | $28–$2,040.74 | varies |
| Lung Ventilat&Perfus Imaging (78582) range across 2 matching MRF lines |
$47.41–$1,982.20 | $225.77–$9,439.03 | varies |
| Lymph System Imaging (78195) range across 2 matching MRF lines |
$50.03–$916.10 | $238.23–$4,362.38 | varies |
| Magnetic Image Jaw Joint (70336) | $1,502.58 | $7,155.16 | 6.3× |
| Mlc imrt design & construction per imrt plan (77338) | $944.93 | $4,499.69 | 2.5× |
| Mra Head W/O & W/Contrast Material (70546) range across 2 matching MRF lines |
$49.91–$1,714.74 | $237.65–$8,165.45 | varies |
| MRA head w/o contrast (70544) range across 2 matching MRF lines |
$30.55–$1,582.47 | $145.48–$7,535.59 | varies |
| Mra Neck W/O &W/Contrast Material (70549) range across 2 matching MRF lines |
$50.15–$1,714.74 | $238.80–$8,165.45 | varies |
| MRA neck w/o contrast (70547) range across 2 matching MRF lines |
$30.61–$1,582.47 | $145.77–$7,535.59 | varies |
| MRI abdomen w contrast (74182) range across 3 matching MRF lines |
$42.91–$1,582.47 | $204.33–$7,535.59 | varies |
| MRI abdomen w/o contrast (74181) range across 5 matching MRF lines |
$24.71–$1,049.96 | $117.66–$4,999.80 | varies |
| MRI any jt lower extrem w/contrast material (73722) range across 21 matching MRF lines |
$45.88–$2,770.52 | $218.49–$13,192.97 | varies |
| MRI any jt lower extrem w/o & w/contrast matrl (73723) range across 24 matching MRF lines |
$55.32–$1,979.28 | $263.43–$9,425.16 | varies |
| MRI any jt upper extremity w/contrast matrl (73222) range across 21 matching MRF lines |
$45.82–$1,582.47 | $218.20–$7,535.59 | varies |
| MRI Breast W/O Contrast Bilateral (77047) range across 3 matching MRF lines |
$98.55–$355.65 | $469.29–$1,693.55 | varies |
| MRI cervical spine w contrast (72142) range across 3 matching MRF lines |
$36.94–$1,992.25 | $175.90–$9,486.89 | varies |
| MRI cervical spine w/o cont (72141) range across 3 matching MRF lines |
$23.37–$1,992.25 | $111.29–$9,486.89 | varies |
| MRI chest w/o contrast (71550) range across 2 matching MRF lines |
$52.10–$451.04 | $248.08–$2,147.81 | varies |
| MRI chest wo w contrast (71552) | $690.71 | $3,289.11 | 2.0× |
| MRI lower extrem oth/thn jt w/contrast matrl (73719) range across 18 matching MRF lines |
$36.09–$1,582.47 | $171.84–$7,535.59 | varies |
| MRI lower extrem oth/thn jt w/o & w/contr matr (73720) range across 18 matching MRF lines |
$45.89–$1,122.97 | $218.52–$5,347.48 | varies |
| MRI lower extrem oth/thn jt w/o contr matrl (73718) range across 26 matching MRF lines |
$30.98–$1,582.47 | $147.51–$7,535.59 | varies |
| MRI lumbar spine w contrast (72149) range across 3 matching MRF lines |
$36.09–$1,992.25 | $171.84–$9,486.89 | varies |
| Mri Neck Spine W/O & W/Dye (72156) range across 3 matching MRF lines |
$41.20–$2,244.62 | $196.21–$10,688.65 | varies |
| MRI orbit face &/neck w/o contrast (70540) range across 12 matching MRF lines |
$31.52–$1,150.22 | $150.11–$5,477.23 | varies |
| MRI orbit face neck w contrast (70542) range across 9 matching MRF lines |
$158.10–$1,104.98 | $752.86–$5,261.81 | varies |
| Mri Orbt/Fac/Nck W/O &W/Dye (70543) range across 14 matching MRF lines |
$46.19–$1,714.74 | $219.97–$8,165.45 | varies |
| MRI pelvis w contrast (72196) range across 3 matching MRF lines |
$36.27–$1,104.98 | $172.71–$5,261.81 | varies |
| MRI pelvis w/o & w contrast (72197) range across 4 matching MRF lines |
$45.47–$1,714.74 | $216.50–$8,165.45 | varies |
| MRI pelvis w/o contrast (72195) range across 3 matching MRF lines |
$31.04–$1,582.47 | $147.80–$7,535.59 | varies |
| MRI thoracic spine w/o contrast (72146) range across 3 matching MRF lines |
$23.37–$1,715.54 | $111.29–$8,169.23 | varies |
| MRI upper extremity oth than jt w/contr matrl (73219) range across 12 matching MRF lines |
$49.54–$1,582.47 | $235.91–$7,535.59 | varies |
| MRI upper extremity oth than jt w/o contr matrl (73218) range across 27 matching MRF lines |
$46.44–$1,582.47 | $221.13–$7,535.59 | varies |
| Mri Uppr Extremity W/O&W/Dye (73220) range across 18 matching MRF lines |
$59.94–$1,032.76 | $285.45–$4,917.92 | varies |
| MRI, abdomen, combo (74183) range across 4 matching MRF lines |
$45.71–$1,714.74 | $217.65–$8,165.45 | varies |
| MRI, dorsal spine combo (72157) range across 3 matching MRF lines |
$41.33–$2,244.62 | $196.79–$10,688.65 | varies |
| MRI, dorsal spine contrast (72147) range across 3 matching MRF lines |
$36.57–$1,992.25 | $174.16–$9,486.89 | varies |
| MRI, joint upper extrem (73221) range across 27 matching MRF lines |
$26.72–$1,442 | $127.23–$6,866.69 | varies |
| MRI, joint upper extrem combo (73223) range across 24 matching MRF lines |
$26.72–$1,714.74 | $127.23–$8,165.45 | varies |
| MRI, lumbar spine combo (72158) range across 3 matching MRF lines |
$41.08–$2,210.76 | $195.63–$10,527.41 | varies |
| Myelography thoracic (72255) range across 2 matching MRF lines |
$138.48–$980.12 | $659.42–$4,667.23 | varies |
| Myocardial Spect Multiple Studies (78452) range across 4 matching MRF lines |
$66.16–$2,062.61 | $315.05–$9,821.97 | varies |
| Neck soft tissue (70360) range across 3 matching MRF lines |
$109.25–$221.16 | $20.04–$1,053.12 | varies |
| Ntsty modul radthx pln dose-vol histos (77301) | $4,127.08 | $19,652.77 | 3.0× |
| Parathyroid Planar Imaging (78070) range across 2 matching MRF lines |
$43.09–$913.46 | $205.20–$4,349.79 | varies |
| Pelvis 1 or 2 views (72170) range across 4 matching MRF lines |
$133.33–$147.08 | $17.09–$700.40 | varies |
| PET image w/CT, full body (78816) range across 4 matching MRF lines |
$278.42–$3,260.71 | $1,325.82–$15,527.21 | varies |
| PET imaging CT attenuation skull base mid-thigh (78815) range across 5 matching MRF lines |
$278.42–$3,260.71 | $1,325.82–$15,527.21 | varies |
| Pulmonary Perfusion Imaging Particulate (78580) range across 2 matching MRF lines |
$34.03–$977.47 | $162.03–$4,654.64 | varies |
| Radex Abd Compl Aqt Abd W/S/E/D Views 1 View Ch (74022) range across 3 matching MRF lines |
$6.44–$395.75 | $30.66–$1,884.52 | varies |
| Radex abscess/fistula/sinus tract rs&i (76080) range across 7 matching MRF lines |
$387.29–$418.77 | $30.73–$1,994.12 | varies |
| Radex Ankle Complete Minimum 3 Views (73610) range across 13 matching MRF lines |
$5.26–$372.47 | $25.05–$1,773.67 | varies |
| Radex Calcaneus Minimum 2 Views (73650) range across 8 matching MRF lines |
$109.25–$370.88 | $18.57–$1,766.11 | varies |
| Radex elbow complete minimum 3 views (73080) range across 12 matching MRF lines |
$4.46–$472.73 | $21.22–$2,251.11 | varies |
| Radex Facial Bones Complete Minimum 3 Views (70150) range across 5 matching MRF lines |
$6.50–$181.47 | $30.95–$864.16 | varies |
| Radex fingr minimum 2 views (73140) range across 42 matching MRF lines |
$5.70–$139.94 | $27.12–$666.39 | varies |
| Radex foot complete minimum 3 views (73630) range across 12 matching MRF lines |
$4.89–$397.34 | $23.28–$1,892.08 | varies |
| Radex Hand Minimum 3 Views (73130) range across 13 matching MRF lines |
$5.20–$388.61 | $24.76–$1,850.52 | varies |
| Radex Nasal Bones Complete Minimum 3 Views (70160) range across 4 matching MRF lines |
$5.51–$214.28 | $26.23–$1,020.36 | varies |
| Radex Ribs Unilateral 2 Views (71100) range across 9 matching MRF lines |
$4.83–$201.58 | $22.99–$959.90 | varies |
| Radex shoulder complete minimum 2 views (73030) range across 12 matching MRF lines |
$4.70–$457.92 | $22.40–$2,180.56 | varies |
| Radex Sinuses Paransl < 3 Views (70210) range across 4 matching MRF lines |
$4.46–$164.54 | $21.22–$783.54 | varies |
| Radex Spine 1 View Specify Level (72020) range across 6 matching MRF lines |
$217.19 | $14.73–$1,034.22 | 2.5× |
| Radex Sternum Minimum 2 Views (71120) range across 3 matching MRF lines |
$4.52–$196.02 | $21.52–$933.44 | varies |
| Radex Temporomandble Jt Opn & Clsd Mouth Bilat (70330) range across 2 matching MRF lines |
$7.80–$281.74 | $37.14–$1,341.60 | varies |
| Radex Toe Minimum 2 Views (73660) range across 41 matching MRF lines |
$109.25–$164.54 | $20.04–$783.54 | varies |
| Radex Wrist Complete Minimum 3 Views (73110) range across 16 matching MRF lines |
$6–$346.02 | $28.59–$1,647.70 | varies |
| Radiation Delivery Stereotactic Cranial Linear (77372) | $5,551.63 | $26,436.32 | 0.8× |
| Radiation treatment delivery level 3 (77412) | $862.40 | $4,106.66 | 1.6× |
| Radiolog exam mandible compl minimum 4 views (70110) range across 4 matching MRF lines |
$19.98–$281.74 | $95.14–$1,341.60 | varies |
| Radiologic Exam Abdomen 3+ Views - Xr Abdomen 3+ Views (74021) range across 3 matching MRF lines |
$19.98–$276.44 | $95.14–$1,316.40 | varies |
| Radiologic exam colon double contrast study (74280) range across 2 matching MRF lines |
$31.20–$560.82 | $148.59–$2,670.59 | varies |
| Radiologic exam colon single contrast study (74270) range across 4 matching MRF lines |
$20.25–$500.77 | $96.41–$2,384.64 | varies |
| Radiologic exam knee complete 4/more views (73564) range across 9 matching MRF lines |
$6.56–$297.08 | $31.25–$1,414.66 | varies |
| Radiologic exam pelvis compl minimum 3 views (72190) range across 3 matching MRF lines |
$5.57–$212.95 | $26.53–$1,014.07 | varies |
| Radiologic Exam Small Int Single Contrast Study (74250) | $414 | $1,971.45 | 2.4× |
| Radiologic exam swallow function contrast study (74230) range across 2 matching MRF lines |
$19.44–$276.44 | $92.57–$1,316.40 | varies |
| Radiologic exam upr gi trc double contrast study (74246) range across 3 matching MRF lines |
$18.82–$395.75 | $89.63–$1,884.52 | varies |
| Radiologic examination femur minimum 2 views (73552) range across 11 matching MRF lines |
$16.24–$433.85 | $77.34–$2,065.93 | varies |
| Radiologic examination knee 1/2 views (73560) range across 11 matching MRF lines |
$4.83–$348.67 | $22.99–$1,660.31 | varies |
| Radiologic Examination Osseous Survey Limited (77074) range across 2 matching MRF lines |
$8.10–$653.94 | $38.55–$3,114.01 | varies |
| Radiologic examination tibia & fibula 2 views (73590) range across 12 matching MRF lines |
$109.25–$400.51 | $20.93–$1,907.20 | varies |
| Ribs bilateral 3 views (71110) range across 4 matching MRF lines |
$5.57–$307.93 | $26.53–$1,466.31 | varies |
| Rp loclzj tum plnr 1 area single day imaging (78800) range across 2 matching MRF lines |
$37.43–$485.96 | $178.25–$2,314.09 | varies |
| Rp Loclzj Tum Plnr Whole Body 2+ Days Imaging (78804) range across 3 matching MRF lines |
$101.33–$1,476.92 | $482.53–$7,032.97 | varies |
| Rp loclzj tum spect w/CT 1 area/acquisj 1day img (78830) | $3,260.70 | $15,527.12 | 2.5× |
| Scapula (73010) range across 8 matching MRF lines |
$147.08–$214.28 | $13.26–$1,020.36 | varies |
| Screening Digital Breast Tomosynthesis Bi (77063) range across 5 matching MRF lines |
$27.51–$77.25 | $131.01–$367.84 | varies |
| Shoulder 1 view (73020) range across 9 matching MRF lines |
$109.25–$275.91 | $12.38–$1,313.88 | varies |
| Shoulder Arthrography (73040) range across 8 matching MRF lines |
$19.69–$420.88 | $93.75–$2,004.20 | varies |
| Skull less than 4 views (70250) range across 5 matching MRF lines |
$84.95–$147.08 | $23.87–$700.40 | varies |
| Special teletherapy port plan (77321) | $495.48 | $2,359.44 | 1.3× |
| Special treatment procedure (77470) | $779.33 | $3,711.11 | 1.4× |
| Stereotactic Body Radiation Delivery (77373) | $2,557.83 | $12,180.15 | 1.4× |
| Sternoclavicular joints (71130) | $195.96 | $933.12 | 2.2× |
| Telethx isodose pln cplx w/basic dosimetry (77307) | $1,161.86 | $5,532.66 | 3.1× |
| Ther Rad Simulaj-Aided Field Setting Complex (77290) | $1,315.82 | $6,265.80 | 3.5× |
| Ther rad simulaj-aided field setting simple (77280) | $587.54 | $2,797.82 | 4.4× |
| Therapeutic Enema Rdctj Intussusception/Obstrcj (74283) | $30.03 | $142.99 | 0.2× |
| Thoracic spine 2 views (72070) range across 4 matching MRF lines |
$147.08–$179.36 | $20.34–$854.09 | varies |
| Thoracic spine 3 views (72072) range across 5 matching MRF lines |
$147.08–$237.29 | $25.05–$1,129.96 | varies |
| Thyroid Uptake W/Blood Flow Sngle/Mult Quan Meas (78014) range across 4 matching MRF lines |
$36.34–$485.96 | $173.03–$2,314.09 | varies |
| Tx Devices Design & Construction Complex (77334) | $1,141.49 | $5,435.66 | 3.0× |
| Tx devices design & construction simple (77332) | $310.04 | $1,476.38 | 2.3× |
| Ultrasound Breast Limited (76642) range across 12 matching MRF lines |
$9.68–$237.29 | $46.08–$1,129.96 | varies |
| Ultrasound, abdomen limited (76705) range across 16 matching MRF lines |
$11.02–$480.67 | $52.46–$2,288.90 | varies |
| Unlisted us procedure (76999) range across 3 matching MRF lines |
$16.24–$109.25 | $77.34–$520.26 | varies |
| Urethrocystography retrograde (74450) range across 2 matching MRF lines |
$43.65–$353.16 | $207.88–$1,681.71 | varies |
| Us breast unilateral complete (76641) range across 13 matching MRF lines |
$12.60–$237.29 | $59.99–$1,129.96 | varies |
| Us chest (76604) range across 3 matching MRF lines |
$5.36–$406.60 | $25.51–$1,936.18 | varies |
| Us complete joint (76881) range across 7 matching MRF lines |
$370.62 | $9.58–$1,764.86 | 3.5× |
| Us exam, pelvic, limited (76857) range across 5 matching MRF lines |
$147.08–$162.69 | $22.04–$774.73 | varies |
| Us head (76506) range across 2 matching MRF lines |
$15.28–$393.63 | $72.74–$1,874.45 | varies |
| Us lmtd joint/oth nonvasc xtr strux r-t w/img (76882) range across 8 matching MRF lines |
$147.08–$237.82 | $8.13–$1,132.48 | varies |
| Us ob detailed single fetus (76811) range across 2 matching MRF lines |
$15.77–$260.57 | $75.10–$1,240.81 | varies |
| Us ob limited 1 or more fetuses (76815) range across 7 matching MRF lines |
$9.25–$262.95 | $44.06–$1,252.15 | varies |
| Us ob transvaginal (76817) range across 2 matching MRF lines |
$10.47–$167.45 | $49.85–$797.40 | varies |
| Us pelvic non ob complete (76856) range across 4 matching MRF lines |
$13.39–$506.86 | $63.76–$2,413.61 | varies |
| Us pg uter img f&mat 14 wk tabdl 1/1st gestation (76801) range across 2 matching MRF lines |
$13.02–$424.06 | $62.02–$2,019.32 | varies |
| Us preg uterus real time f/u trnsabdl per fetus (76816) range across 2 matching MRF lines |
$12.72–$198.14 | $60.57–$943.52 | varies |
| Us retroperitoneal complete (76770) range across 3 matching MRF lines |
$13.57–$247.34 | $64.63–$1,177.83 | varies |
| Us retroperitoneal limited (76775) range across 12 matching MRF lines |
$5.78–$473.79 | $27.54–$2,256.14 | varies |
| Us scrotum and contents (76870) range across 3 matching MRF lines |
$12.96–$416.65 | $61.73–$1,984.05 | varies |
| Us spinal canal and contents (76800) range across 2 matching MRF lines |
$17.65–$156.34 | $84.04–$744.49 | varies |
| Us thyroid (76536) range across 9 matching MRF lines |
$15.46–$393.63 | $73.61–$1,874.45 | varies |
| Us transrectal (76872) | $30.92 | $147.22 | 0.3× |
| Vein X-Ray Chest (75827) | $1,088.84 | $5,184.97 | 0.7× |
| Vein X-Ray Liver W/O Hemodyn (75887) range across 3 matching MRF lines |
$556.89–$3,181.35 | $2,651.88–$15,149.30 | varies |
| Venogram Sinus/Jugular (75860) | $4,158.03 | $19,800.16 | 1.3× |
| Venography caval inferior serialography rs&i (75825) | $3,234.26 | $15,401.24 | 1.0× |
| Venography extremity bilateral rs&i (75822) | $1,010.28 | $4,810.84 | 0.6× |
| Venography extremity unilateral rs&i (75820) | $1,028.27 | $4,896.50 | 0.7× |
| Venography Renal Bilateral (75833) range across 2 matching MRF lines |
$556.89–$3,181.35 | $2,651.88–$15,149.30 | varies |
| Venography Renal Unilateral (75831) range across 4 matching MRF lines |
$556.89–$3,181.35 | $2,651.88–$15,149.30 | varies |
| Wrist 2 views (73100) range across 13 matching MRF lines |
$4.77–$266.66 | $22.70–$1,269.79 | varies |
| X-Ray Ac Jts - Xr Acromioclavicular Joints Bilateral (73050) range across 2 matching MRF lines |
$92.79 | $17.09–$441.88 | 1.1× |
| X-ray antegrade pyelogram tube (74425) range across 3 matching MRF lines |
$21.42–$329.62 | $102.01–$1,569.60 | varies |
| X-Ray Bend Only L-S Spine (72120) | $147.08 | $700.40 | 1.4× |
| X-Ray Elbow 2 Vw - Xr Elbow 1-2 Views Right (73070) range across 11 matching MRF lines |
$109.25–$167.19 | $18.57–$796.13 | varies |
| X-Ray Exam Breast Specimen (76098) | $463.74 | $2,208.28 | 0.8× |
| X-Ray Exam Entire Spi 1 Vw (72081) range across 2 matching MRF lines |
$16.24–$329.09 | $77.34–$1,567.08 | varies |
| X-Ray Exam Entire Spi 2/3 Vw (72082) range across 2 matching MRF lines |
$19.98–$329.09 | $95.14–$1,567.08 | varies |
| X-Ray Exam Hip Uni 1 View (73501) range across 6 matching MRF lines |
$16.24–$129.89 | $77.34–$618.52 | varies |
| X-Ray Exam Hip Uni 2-3 Views (73502) range across 11 matching MRF lines |
$16.24–$211.90 | $77.34–$1,009.03 | varies |
| X-Ray Exam Hip Uni 4/> Views (73503) range across 11 matching MRF lines |
$19.98–$250.52 | $95.14–$1,192.95 | varies |
| X-Ray Exam Hips Bi 2 Views (73521) range across 3 matching MRF lines |
$19.98–$196.02 | $95.14–$933.44 | varies |
| X-Ray Exam Hips Bi 3-4 Views (73522) range across 4 matching MRF lines |
$19.98–$196.02 | $95.14–$933.44 | varies |
| X-Ray Exam Hips Bi 5/> Views (73523) range across 3 matching MRF lines |
$19.98–$392.05 | $95.14–$1,866.89 | varies |
| X-Ray Exam L-S Spine Bending (72114) range across 3 matching MRF lines |
$8.79–$359.51 | $41.86–$1,711.95 | varies |
| X-Ray Exam Neck Spine 2-3 Vw (72040) range across 5 matching MRF lines |
$5.32–$217.19 | $25.35–$1,034.22 | varies |
| X-Ray Exam Neck Spine 6/>Vws (72052) range across 3 matching MRF lines |
$8.85–$431.46 | $42.16–$2,054.59 | varies |
| X-Ray Exam Unilat Ribs/Chest (71101) range across 6 matching MRF lines |
$5.45–$201.58 | $25.94–$959.90 | varies |
| X-ray humerus (73060) range across 11 matching MRF lines |
$4.46–$375.38 | $21.22–$1,787.53 | varies |
| X-Ray Jaw <4 Vw - Xr Mandible < 4 Views (70100) range across 3 matching MRF lines |
$5.51–$146.29 | $26.23–$696.62 | varies |
| X-Ray Knee Bilat Standing - Xr Knees Anteroposterior Standing Bilat (73565) range across 3 matching MRF lines |
$5.94–$347.08 | $28.30–$1,652.75 | varies |
| X-Ray Lumbar Spine 2/3 Vw - Xr Lumbar Spine 2-3 Views (72100) range across 5 matching MRF lines |
$5.38–$229.88 | $25.64–$1,094.69 | varies |
| X-Ray Ribs, Chest 4+ Vw - Xr Ribs 3 Vws Bil W/ Chest Posteroanterior (71111) range across 4 matching MRF lines |
$6.93–$237.29 | $33.01–$1,129.96 | varies |
| X-Ray Sacroiliac Jts 3+ Vw - Xr Sacroiliac Joints 3+ Views (72202) range across 3 matching MRF lines |
$147.08–$250.78 | $25.05–$1,194.21 | varies |
| X-Ray Sacroiliac Jts <3 Vw - Xr Sacroiliac Joints 1-2 Views (72200) | $147.08 | $700.40 | 1.4× |
| X-Ray Sacrum/Coccyx 2+ Vw - Xr Sacrum Coccyx 2+ Views (72220) range across 4 matching MRF lines |
$4.46–$205.28 | $21.22–$977.54 | varies |
| X-Ray Sinuses 3+ Vw - Xr Paranasal Sinuses 3+ Views (70220) range across 4 matching MRF lines |
$5.08–$263.48 | $24.17–$1,254.67 | varies |
| X-Ray Skull 4+ Vw - Xr Skull Complete 4+ Views (70260) range across 3 matching MRF lines |
$5.82–$263.48 | $27.71–$1,254.67 | varies |
| X-Ray Urinary Tract Exam With Contrast Material (74420) range across 2 matching MRF lines |
$415.33 | $46.28–$1,977.75 | 1.2× |
| X-Rays Bone Length Studies (77073) range across 2 matching MRF lines |
$5.84–$168.77 | $27.83–$803.69 | varies |
| X-Rays Bone Survey Complete (77075) range across 2 matching MRF lines |
$13.45–$509.50 | $64.06–$2,426.21 | varies |
| Xr c-spine 4 or 5 views (72050) range across 3 matching MRF lines |
$7.43–$410.56 | $35.37–$1,955.07 | varies |
| Xr facial bones less than 3 views (70140) range across 3 matching MRF lines |
$184.65 | $19.75–$879.28 | 2.1× |
| Xr orbits complete 4 views (70200) range across 6 matching MRF lines |
$6.50–$281.74 | $30.95–$1,341.60 | varies |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.